bluuebunny/crossref_metadata_2025 huggingface dataset:
Leziunile renale multiple duc la deces în chirurgia cardiacă chiar și cu hemodiafiltrare precoce
Authors:   Terapie Intensivă nou-născuți, Spitalul Clinic de Urgenţă pentru Copii „M.S. Curie“, București, România, Bizubac Mihaela , Cîrstoveanu Cătălin ,   Terapie Intensivă nou-născuți, Spitalul Clinic de Urgenţă pentru Copii „M.S. Curie“, București, România,   Universitatea de Medicină şi Farmacie „Carol Davila“, București, România, Filip Cristina ,   Cardiologie Pediatrică, Spitalul Clinic de Urgenţă pentru Copii „M.S. Curie“, București, România, Nicolescu Alin ,   Cardiologie Pediatrică, Spitalul Clinic de Urgenţă pentru Copii „M.S. Curie“, București, România, Bărăscu Ileana ,   Terapie Intensivă nou-născuți, Spitalul Clinic de Urgenţă pentru Copii „M.S. Curie“, București, România, Chircă Ruxandra ,   Terapie Intensivă nou-născuți, Spitalul Clinic de Urgenţă pentru Copii „M.S. Curie“, București, România, Gaiduchevici Alina ,   Terapie Intensivă nou-născuți, Spitalul Clinic de Urgenţă pentru Copii „M.S. Curie“, București, România, Pleșca Doina Anca ,   Universitatea de Medicină şi Farmacie „Carol Davila“, București, România,   Spitalul Clinic de Copii „Dr. Victor Gomoiu“, București, România
Published: June 2021

Prezentăm cazul unui nou-născut diagnosticat cu suferintă perinatală și injurie renală secundară, transpoziție de vase mari și debit sistemic scăzut, tratat cu prostaglandină, atrioseptostomie, urmate de operația de switch arterial. Postoperator, pacientul este oliguric și necesită hemodiafiltrare pentru 12 zile, după care funcția renală este restabilită. În evoluție, apare bloc atrioventricular (BAV) grad III, urmat de implantare de stimulator cardiac permanent, dar o altă complicație postoperatorie – chilotorax – duce la oprirea stimulării electrice, urmată de disfuncție cardiacă severă și, consecutiv, injurie renală recurentă și anurie. Se reinstituie hemodiafiltrarea pentru încă 7 zile, fără recuperarea funcției renale. Asfixia perinatală, malformația cardiacă cu debit sistemic scăzut, prostaglandina, atrioseptostomia, circulația extracoroporeală, tulburările de ritm, chilotoraxul, sepsisul, stopul cardiac sunt factori intricaţi care aduc injurie renală importantă. Asocierea lor scade major șansele de supraviețuire chiar dacă pacientul beneficiază de tratament suportiv și hemodiafiltrare precoce.
Examination of explants by electron microscopy and correlations with the biomechanical score of prosthetic restorations with implant support
Authors:   Şcoala Doctorală Medicină Dentară, Bucureşti, România, Vitzu Michael , Referendaru Alexandru Daniel ,   Şcoala Doctorală Medicină Dentară, Bucureşti, România, Hutu Emilian ,   Şcoala Doctorală Medicină Dentară, Bucureşti, România, Botoacǎ Oana ,   Facultatea de Medicină Dentară, Universitatea „Titu Maiorescu“, Bucureşti, România, Comăneanu Raluca Monica ,   Facultatea de Medicină Dentară, Universitatea „Titu Maiorescu“, Bucureşti, România, Hancu Violeta ,   Facultatea de Medicină Dentară, Universitatea „Titu Maiorescu“, Bucureşti, România, Târcolea Mihail ,   Şcoala Doctoralǎ Ştiinţa şi Ingineria Materialelor, Universitatea Politehnica, Bucureşti, România
Published: June 2021

Objectives. The objective of our study was to evaluate the bone-implant interface in 10 cases of failure of fixed implant-prosthetic treatment by electron microscopy and spectrophotometry, in correlation with the evolution of Renouard-Rangert biomechanical scoring. Material and method. The study material was represented by 10 dental implants of 3 different morphological types (A, B, C), from the Biomat © collection, Polytechnic University of Bucharest, which were examined under the Phenom ProX electron microscope. The studied samples had a file in which there was noted the biomechanical score Renouard-Rangert from the treatment planning phase, but also from the patient dispensary phase. The survival time of the analyzed samples at the level of the maxillary bones was 7-24 months. Results. Following the examination at the electron microscope, the presence of an adherent neoformation bone tissue was detected on every implant, which covered each implant relatively uniform, with different degrees of mineralization depending on the type of implant, the duration of bone implantation and evolution of biomechanical scoring in red or yellow. Discussions. The use in our study only of standard size implants is an important advantage over other studies using mini-implants or temporary implants. The cases in which the biomechanical scoring reached "red" showed a lower degree of mineralization, and those that reached "yellow" had a higher degree of mineralization. Among the cases with biomechanical soring "in yellow" were samples collected from the posterior maxillary region, generally considered a risk area in implantology. Conclusions. In our study we found a correspondence between the modification of the Renouard-Rangert biomechanical scoring and the degree of mineralization of the bone deposited on the surface of the explants. Regardless of the evolution of biomechanical scoring, on all 10 analyzed samples we found a close contact between the neoformation tissue and the implanted devices, which indicates the high biocompatibility of the three types of implants. The relatively small number of samples analyzed is a limitation of our study. In the future, we recommend, in order to validate the results, to extend the study to a greater number of cases.
Legal History Matters
Authors: Swain Warren
Published: June 2021

Legal history is sometimes seen, to quote William Wordsworth, as little more than the study of ‘old, unhappy, far-off things’.1 Paul Finn recently observed that legal history has, ‘for the most part, … been marginalised to the point of near extinction’.
Additions to the smut fungi of the Iberian Peninsula
Authors: Denchev Teodor T. , Martín María P. , Kemler Martin , Denchev Cvetomir M.
Published: June 2021

After examination of specimens, mainly from the herbarium (MA) and the mycological collection (MA-Fungi) of the Royal Botanic Garden of Madrid, we report several novelties on smut fungi within Europe. Two species of smut fungi, Sporisorium egyptiacum and Tilletia viennotii, are reported for the first time from Europe. A finding of Sphacelotheca polygoni-serrulati represents a second record for Europe. Six species of smut fungi, Moreaua kochiana, Schizonella elynae, Sporisorium egyptiacum, Thecaphora thlaspeos, Tilletia viennotii, and Ustanciosporium majus, are recorded for the first time from the Iberian Peninsula. Five species of smut fungi, Moreaua kochiana, Schizonella elynae, Sporisorium egyptiacum, Thecaphora thlaspeos, and Ustanciosporium majus, are newly recorded from Spain. Three species, Moreaua kochiana, Sphacelotheca polygoni-serrulati, and Tilletia viennotii, are new for Portugal. A specimen of Moreaua kochiana represents a new record for France. Arabis serpillifolia is reported as a new host of Thecaphora thlaspeos. New distribution records from the Iberian Peninsula are given for Anthracoidea arenariae, Microbotryum minuartiae, M. silenes-saxifragae, and Tranzscheliella sparti. We also include a phylogenetic analysis of DNA sequences of Moreaua kochiana, generated in this study, to understand this species’ relationships within its genus.
A PRACTICAL NONINVASIVE BLOOD GLUCOSE MEASUREMENT SYSTEM USING NEAR-INFRARED SENSORS
Authors: Taghizadeh-Behbahani Reza , Boostani Reza , Yazdi Mehran
Published: June 2021

Due to the drastic fluctuation of glucose level in diabetic patients throughout a day, especially when they take a sweet breakfast, and greasy lunch and dinner, their insulin must be promptly measured invasively after each meal. However, invasive measurement of the blood glucose level (BGL) is painful and might lead to infection. In this paper, we design a hardware–software system for estimating BGL in a real-time manner, according to the amount of near-infrared (NIR) absorption at 950 nm. The received light wave is amplified and passed through a low-pass filter (LPF) to eliminate the irrelevant frequency components. We have executed our experiment according to three scenarios: (i) Certain amount of glucose is dissolved in water and the glucose concentration is measured by our equipment, (ii) 5-cm3 blood sample of participants is taken and the BGL is measured in a test tube by our apparatus and then this sample is moved to the gold-standard equipment and the actual value of BGL is measured. The measured voltage versus BGL in our designed optical equipment indicates a fairly linear relation between them. (iii) BGL is measured over the fingertip and compared to the gold-standard value. In this case, the measurement error does not exceed 25% and the voltage change with respect to the BGL shows a nonlinear behavior. The designed system has a low cost and provides an acceptable error, making it suitable to be commercialized for diabetic patients.
Islamic Business Ethics and Bank Competitiveness
Authors: Laouisset Djamel Eddine
Published: June 2021

Over the recent economic history, the world banking industry has gone through exponential developments. This sectorial growth has been paved with ever-increasing challenges linked to the problematique of business ethics, banking governance, and industry regulation. As global banking operations continue to grow, the need for a global business ethics re-evolution has become a matter of urgency. Within this historical context, the concept of Islamic business ethics and ethical banking has evolved equally capturing the attention of industry professionals and academic scholars. These developments have created a global niche market for Islamic banking, and it became clear that the success of Islamic bank global redeployment in a hyper-competitive banking environments should be embedded on the constant creation of new short-term competitive advantages so as to sustain sustainable competitive advantage.
COVID-19 Virtual Dilemma
Authors: Williams Mills Julie J. , Quast Julie A. , Fields Melanie
Published: June 2021

This qualitative study explored the parental support of K-12 students with mathematics during the COVID-19 pandemic. A digital, open-ended survey was completed by parents or caregivers to examine the role they played in their student's school day with a specific focus on the challenges and successes of mathematics learning. The survey was administered after six to eight weeks of remote instruction with at least four weeks of remote instruction remaining. Parents supported learning by teaching, facilitating, promoting independence, and providing resources. Parents mentioned several challenges and some successes during at home mathematics learning. Challenges included student motivation, lack of tools, gaps in learning, and technology access. While some parents reported no successes, others mentioned completing work, reviewing and mastering concepts, and building confidence.
The Power of Words
Authors: Hyter Yvette D.
Published: June 2021

Recently, speech, language, and hearing sciences (SLHS) programs became increasingly aware of structural racism, inequity, and injustice in the professions and world. Although a consistent experience for many people of color, this current reality requires scholars and educators to interrogate concepts and employ more transformative concepts fitting for this new era. Concepts are the basis of thought, essential for communication, necessary for building knowledge, and the building blocks of theory. Critical theory was used to conduct a preliminary analysis of five concepts used in SLHS. The concepts were analyzed keeping in mind the historical, political, and cultural influences on how the concepts are used and understood in SLHS. The analysis revealed that these concepts were typically not defined in SLHS literature, and without collective critical reflection, the continued use of those concepts could lead to inequities and/or exclusion. Suggestions for more equitable concepts are provided.
An Ethics-of-Care Approach to Developing Students' Antiracist Practice in SLP Curricula
Authors: Boult Johanna , Whited Jennifer E. , Easley Tamara M.
Published: June 2021

There is a necessity for students to learn about multicultural multilingual (MM) content in speech-language-pathology curricula. One reason for doing so is personal motivation: an awareness of and commitment to developing competence in working with diverse clients. Awareness can grow given specific instructional experiences in the form of special projects that aim to build cross-cultural relationships with the goal of fostering empathy and compassion. This chapter provides a tutorial explaining one such instructional experience: the cross-cultural communication (CCC) project. Central to the project are face-to-face meetings and reflective journaling on topics including counteracting stereotypes and planning for culturally responsive service provision. Activities have antiracist intentions guided by the moral obligation to care for fellow human beings (as per ethics of care [EoC] theory). This chapter provides (1) theoretical underpinnings of the project, (2) procedures for its completion, and (3) description of a modification of the project for a language disorders course.
Grassroots Organization and Justice Through Social Media
Authors: Navas Christina , Tisi Vivian , Close Tamala
Published: June 2021

This chapter will provide the reader with information on the importance of grassroots organization in addressing social justice issues for speech-language pathologists (SLP). The authors provide background information on the use of social media to promote social justice efforts. The chapter also identifies and discusses the development and implementation of two online platforms that have been effective in raising awareness about the importance of diversity, advocacy, and social justice issues in the field of speech-language pathology. It provides the reader with important information on the issues and problems in the field of SLP that led to the development of the two online platforms and the processes involved with developing them. Finally, the chapter concludes with a description of previous and current goals and outcomes, along with future endeavors of both platforms and recommendations for others who are interested in using social media as a tool to transform professional environments to facilitate justice within the discipline and society.
Wellness Tourism
Authors: Silva Leticia Cynara Santos , Feder Mayer Verônica
Published: June 2021

Crisis, social discontent, and dissatisfaction among people lead to a greater interest in relaxing the soul, body, and mind as a refuge within tourism. Thus, there are changes and new trends in international health tourism's demand and supply conditions. Even before the deep crisis caused by the new coronavirus pandemic in 2020, people increasingly turned to health and wellness activities while traveling, especially using tourist activities to achieve health. Since consumption patterns are changing among travelers, such as the growing popularity of wellness tourism, new forms of tourism may stimulate future tourism activities, and the changes are expected to push businesses to reevaluate their service designs and distribution channels. When the recovery of the tourism sector is under discussion, it is worth questioning how wellness trends could help tourism and what the perspectives are for the future. Therefore, this chapter makes recommendations based on new tourists' demands and new processes and protocols for the operation of wellness tourism services.
Impact of eSports Upon Higher Education From a Faculty Perspective
Authors: Andrews Sharon K. , Michael Timothy B. , Williams Melissa A. , Lacher Lisa L. , Crawford Caroline M.
Published: June 2021

A multiple case study was implemented, implementing a qualitative open-ended interview that brought forward three different specialization area faculty groups that reflect diverse educational perspectives as revolving and evolving around the potential of eSports upon the contributing author's field of study as well as the field of higher education as an overarching umbrella understanding. The prompts to which the contributors respond include an understanding of eSports upon higher education and the field of study, from a historical view, a current snapshot, as well as future-leaning implications. Further, the contributors respond to prompts that focus upon perceptions of eSports implications associated with the faculty responsibilities designated as teaching, research, and service.
Lessons to the “Kyosei” Inclusive Society
Authors: Hosoda Miwako
Published: June 2021

It is essential to know that there are various cultures in the world and necessary to understand and respect them to live together, also known as “共生 Kyosei.” Japan is assumed to be a homogeneous society, but there are indigenous people who have consciousness detached from Japan. In recent years, the number of foreign newcomers has also been increasing. Under these circumstances, the importance of mutual understanding of different cultures and languages has been made apparent in the field of education, and understanding the diversity of culture in education is being promoted. In this study, three educational practices targeting schoolteachers and adults in the Japanese community to promote international understanding and multicultural education will be presented and examined. The “共生 Kyosei” practices have been found to help teachers design their multicultural education as well as to help students to understand the cultural diversity and help them to realize how they live together with people who have different social backgrounds.
Racial Socialization and Multicultural Education of Asian Families in the United States
Authors: Kong Peggy A. , Zhang Xinwei , Sachdev Anu , Dzotsenidze Nino , Yu Xiaoran
Published: June 2021

During the COVID-19 pandemic, there has been a dramatic surge in anti-Asian racism in the United States. Asians have been blamed for the pandemic. Multicultural education improves cross-cultural understanding and reduces discrimination. Parental racial socialization is an important facet of multicultural education as parents convey racial and ethnic messages to their children. Yet, little research has documented parental racial socialization in Asian families. To address this gap, the authors interviewed 19 Asians and Asian Americans during the COVID-19 pandemic. This chapter shows that discrimination experiences start at an early age and have a lasting impact. Discrimination of Asians is related to the perpetual foreigner stereotype and the model minority myth. These impede how Asians understand their racial discrimination experiences and how families discuss race and ethnicity. All parents in the study expressed how critical parental racial socialization was during the COVID-19 pandemic and suggest that schools are essential to supporting multicultural education at home.
Enhancing Student Agency as a Driver of Inclusion in Online Curriculum, Pedagogy, and Learning Content
Authors: Mbati Lydia Sophia
Published: June 2021

With advancements in technological innovation, the interconnectedness of the global economies and citizens is now inextricable. Education has been affected by globalisation, opening opportunities for more participation, particularly through online learning. Social cleavages and access for social justice are often addressed through admission-policy reform in the higher-education sector. While this is one aspect of increasing access to higher education, this chapter explores inequality as epistemic injustice in online programmes. Curriculum design and pedagogical approaches that embrace diverse students' epistemic positions enrich the learning experience while including students' realities. Student agency may allow for visibility of diverse students and also provide for the inclusion of their epistemic stances. Student agency can also lead to flexible, inclusive curriculum content. Based on literature, this chapter presents ways in which the student voice may be included in online learning curriculum, pedagogy and learning content.
Heritage-Language Education for Japanese Children Living Abroad and the Impacts on Their Ethnic Identity
Authors: Onda Akiko
Published: June 2021

With consistently increasing globalization, the number of Japanese children living and receiving education abroad continues to grow. Previous studies have compared the Japanese-language abilities of children studying Japanese abroad to those of children living in Japan. However, the author contends that the backgrounds of children studying Japanese abroad vary greatly, as do their learning goals. The former do not necessarily want to learn the same language skills as children who study in Japan. Japanese-language education for children living overseas requires that students understand what they want to achieve in terms of their language ability. This chapter focuses on children who have lived and been educated in multiple countries other than Japan; it discusses their Japanese-language learning goals and the environment needed to support those goals. It also examines their sense of ethnic identity as Japanese and how this relates to their upbringing and language-learning experiences.
How Hate Harms Children
Authors: McDermott J. Cynthia , Chapel Fred
Published: June 2021

Even as the pandemic seems to be lessening in some places, our violent actions are not. What causes such violence and hate? Why are there still children who do not have a safe place to live, enough food to eat, a loving caregiver, or the knowledge that they will not be killed in a school shooting? Given how we treat our children, the question about our attitude toward them is significant. Looking at issues of prejudice and “othering,” we can begin to understand that we really do not like children given the data about our treatment of them. When a group decides that their point of view is the only one that is worthy, then those who do not agree are the “others.” This othering provides ample opportunity for prejudice, discrimination, bullying, and hateful acts. Sadly, children are the recipients of these decisions by adults who then by their actions teach children to behave in exactly the same ways. In the meantime, children become the victims since they are in the most vulnerable group of humans. This chapter explores how hate harms children.
A Multicriteria Spatiotemporal System for Influenza Epidemic Surveillance
Authors: Younsi Fatima-Zohra , Hamdadou Djamila , Chakhar Salem
Published: June 2021

Influenza has been a growing concern for the public health decision makers/policy makers. Indeed, they are in need of a real geo-making tool for monitoring and surveillance. The chapter aims to introduce a novel spatiotemporal decision system based on multicriteria ranking method, information geographic system (GIS), and SEIRSW system for public health. The later was designed, implemented, and validated in previous research for influenza risk assessment. The authors highlight the use of PROMETHEE II ranking method of multi-criteria decision analysis in GIS that incorporates various factors to monitor and identify potential high-risk areas of seasonal influenza and disease mapping. Factors related to the risk of seasonal influenza are obtained from simulation system and constitute the input values of PROMETHEE II ranking method for the 26 communes of the city of Oran, Algeria. The proposed system has demonstrated analytical capabilities in targeting high-risk spots and influenza surveillance monitoring system and it can help public health policy makers prioritize in their response goals and evaluate control strategies.
Politics Matters
Authors: Chan Raymond K. H.
Published: June 2021

Hong Kong's public health services gradually developed since the 1950s. They are mainly funded by taxes, supplemented by minimal user fees. In the late 1980s, the government recognized the limitations of this financing model and has subsequently proposed alternative methods of funding. Their proposals have been rejected by various stakeholders, who represent different, and even conflicting, values and interests; and eventually can only end up with a limited voluntary health insurance scheme. This chapter describes the development of health services and the debates that have surrounded health financing since the late 1980s. It shows that the health finance debate in Hong Kong is not a simple issue that can be tackled by rational planning; instead, it is a complex consequence of welfare politics in an increasingly mobilized society.
Linking Primary Healthcare Policies With Health System for Improved Health Outcomes in Nigeria
Authors: Eneanya Augustine Nduka
Published: June 2021

Quality healthcare is a fundamental right of all citizens of any nation. In Nigeria, there are disparities in terms of quality of healthcare provided to different groups in the rural and urban areas. It is this desire to ensure access to potential patients and the existence of a quality healthcare system in Nigeria that necessitates primary healthcare policy. The purpose of this chapter, therefore, is to investigate how primary healthcare policies affect health system performance and health outcomes in Nigeria. The chapter adopted qualitative research approach. Secondary data were collected from secondary sources, such as textbooks, journal articles, newspapers, WHO reports, government records, and internet. Content and secondary data analysis methods were adopted to analyze, interpret, and answer the research questions. Findings show that health outcomes remain poor because of weak health system as infant and maternal mortality are still high and universal access coverage still low. The chapter concludes that a strong health system would improve health outcomes.
From Resource to Outcome
Authors: Rouzbehani Khadijeh (Roya) , Araghi Mehdi
Published: June 2021

Governments often create policies that rely on implementation by arm's length organizations and require practice changes on the part of different segments of the healthcare system without understanding the differences in and complexities of these agencies. This research describes components of a health system and explains how they affect outcomes. It argues that implemented policies affect various components of a health system in terms of service delivery, workforce, information, financing, medical products, technologies, leadership, and governance. Using health system as framework of analysis, the chapter explains that the outcome of health policy implementation determines the availability, quality, and equability of program service delivery. The chapter further argues that policy implementation barriers affect the poor and vulnerable groups from benefiting from public spending on public health policies and programs.
Integrating Ecosystem Management and Environmental Media for Public Policy on Public Health and Safety
Authors: Eneanya Augustine Nduka
Published: June 2021

Over the past three decades, the relationship between ecology and public policy has changed because of the increasing role of scientific uncertainty in environmental policy making. While earlier policy questions might have been solved simply by looking at the scientific technicalities of the issues, the increased role of scientific uncertainty in environmental policy making requires that we re-examine the methods used in decision-making. Previously, policymakers use scientific data to support their decision-making disciplinary boundaries are less useful because uncertain environmental policy problems span the natural sciences, engineering, economics, politics, and ethics. The chapter serves as a bridge integrating environmental ecosystem, media, and justice into policy for public health and safety. The chapter attempts to demonstrate the linkage between the environmental policy from a holistic perspective with the interaction of air, water, land, and human on public health and safety.
Stakeholder Involvement in Outbreak Management
Authors: Kraaij-Dirkzwager Magdalena M. , Schol Lianne G. C. , Schuitmaker-Warnaar Tjerk Jan , Timen Aura , Van Steenbergen Jim E.
Published: June 2021

Infectious diseases remain a threat to public health, requiring the coordinated action of many stakeholders. Little has been written about stakeholder participation and approaches to sharing information, in dynamic contexts and under time pressure as is the case for infectious disease outbreaks. Communicable-disease specialists fear that delays in implementing control measures may occur if stakeholders are not included in the outbreak-management process. Two case studies described in this article show how the needs of stakeholders may vary with time and that early sharing of information takes priority over shared decision-making. The stakeholders itemized their needs and potential contributions in order to arrive at the collective interest of outbreak management. For this, the results suggest the potential for improvement through development of “network governance” including the effective sharing of information in large networks with varying needs. Outbreaks in which conflicting perceptions may occur among the stakeholders require particular attention.
Global Health Governance, Human Rights, and the Control of Infectious Diseases
Authors: Folarin Sheriff , Njoaguani Oluwatobi
Published: June 2021

The human right to the highest attainable standard of health has both a legal and normative basis. The legal foundations derive from a range of international agreements and declarations while the normative basis is rooted in humanitarianism. Alongside the rights-based declarations came the growing recognition of emerging and reemerging infectious diseases, as ill effects of globalization and potential risk to peace and development. The threats posed by infectious diseases like the Ebola virus disease (EVD) are now seen as universally relevant, as the speed and volume of international travel has made an outbreak or epidemic anywhere in the world a potential threat anywhere else. The question then arises as to where individual freedom is given up in the protection of the collective interest and national security of states. This chapter examines these right issues, with respect to the Ebola outbreak in West Africa, as they collide with state actions to combat infectious diseases.
Implications for Poor Public Healthcare System of South Korea Revealed in MERS Outbreak
Authors: Kim MyungHee
Published: June 2021

This article aims to prevent the possible recurrence of the Middle East Respiratory Syndrome (MERS) by understanding the status of South Korea's public healthcare system through a literature review. In addition, it presents measures to reinforce the public health system by analyzing the roles and limitations of the health authority, which plays a key role in preventing the spread of this infectious disease, through their response to the recent MERS outbreak in the country. Based on the analysis, the results showed the following implications: (1) Community health centers need to expand and reinforce their functions. It is important to publish response manuals at the national level and regularly educate and train medical service providers on infectious disease control, especially against diseases such as MERS. Accordingly, manpower and facilities must be developed. (2) Public hospitals located in regional hubs must expand to establish a public healthcare system. Public healthcare and emergency healthcare systems should be established by connecting community health centers, regional hub hospitals, and national university hospitals. The improvements in the facility must to be supported to help increase the efficiency of public health system. (3) Awareness among people must increase with respect to the prevention of infectious diseases and managing direct contact with infected patients. Most importantly, education and training on infectious disease prevention must be regularly provided to the public, and social support systems and programs must be organized for the infected people who are in self-isolation.
Digital Color Image Processing Using Intuitionistic Fuzzy Hypergraphs
Authors: Boutekkouk Fateh
Published: June 2021

Hypergraphs are considered a useful mathematical tool for digital image processing and analysis since they can represent digital images as complex relationships between pixels or block of pixels. The notion of hypergraphs has been extended in fuzzy theory leading to the concept of fuzzy hypergraphs, then in intuitionistic fuzzy theory conducting to the concept of intuitionistic fuzzy hypergraphs or IFHG. The latter is very suitable to model digital images with uncertain or imprecise knowledge. This paper deals with color image denoising, segmentation, and edge detection in a color image initially represented in RGB space using intuitionistic fuzzy hypergraphs. First, the RGB image is transformed to HLS space resulting in three separated components. Then each component is intuitionistically fuzzified based on entropy measure from which an intuitionistic fuzzy hypergraph is generated automatically. The generated hypergraphs will be used for denoising, segmentation, and edge detection.
Influencing Factors of Intention to Use Mobile Devices for Reading
Authors: Ye Pinghao , Liu Liqiong
Published: June 2021

This research studied the continuous use intention of mobile reading users. The current study used the stimulus-organism-response model as a basis to build a causal model of mobile readers' continuous intention to use it. A questionnaire survey was conducted involving 327 users to obtain the current research data. Structural equation modeling was used to empirically test the relationship amongst variables in the conceptual model. Results are as follows. Perceived pleasure, perceived service, immersion, and perceived sociality had a significant positive effect on intention for continuous use. Particularly, perceived pleasure had a significant positive effect on immersion and perceived service. Perceived usefulness and perceptual interest had significant positive effects on perceived pleasure. Perceived sociality had a regulating effect on the relationship between perceived pleasure and intention for continuous use. Lastly, perceived sociality had a regulating effect on the relationship between immersion and intention for continuous use.
Blended Learning in Teaching Technical Teacher Candidates With Various Types of Learning Styles
Authors: Tambunan Hamonangan , Silitonga Marsangkap , Sidabutar Uli Basa
Published: June 2021

To compare the different impacts of the balance of face-to-face and online learning in blended learning, along with learning styles, an experiment was done using a 3x4 design consisting of three blended learning composition groups of 25% face-to-face and 75% online, an equal balance of face-to-face and online, and 75% face-to-face and 25% online. There were four learning style type groups of Diverger, Assimilator, Converger, and Accommodator. The population was student teachers in electrical engineering. Students of each style were randomly allocated to the three blended learning groups. It was found that both the blend of online and face-to-face learning and the types of learning styles affect competence outcomes significantly in some combinations.
Scrambling Keypad for Secure Pin Entry to Defeat Shoulder Surfing and Inference Attacks
Authors: Yakohene Samuel Selassie , Yaokumah Winfred , Gyebi Ernest Barfo Boadi
Published: June 2021

Personal identification number (PIN) is a common user authentication method widely used especially for automated teller machines and point-of-sales devices. The user's PIN entry is susceptible to shoulder-surfing and inference attacks, where the attacker can obtain the PIN by looking over the user's shoulder. The conventional keypad with a fixed layout makes it easy for the attacker to infer the PIN entered by casual observation. This paper proposes a method of authentication to address these challenges. The paper develops a prototype numeric keypad with a layout akin to the conventional keypad, with the keys randomized for each PIN entry. The shuffle algorithm, Durstenfeld shuffle algorithm, is implemented in an application developed using JavaScript, which is a prototype-based object-oriented programming application that conforms to the ECMAScript specification. The prototype is implemented on three computing platforms for evaluation. The test proves the effectiveness of the system to mitigate shoulder-surfing and inference attacks.
A Fuzzy-Based Congestion Control Scheme for Vehicular Adhoc Network Communication
Authors: Olotu Samuel Ibukun , Olumide Sunday Adewale  , Ojokoh Bolanle Adefowoke
Published: June 2021

Vehicular ad hoc network (VANET) is a self-organized, multi-purpose, service-oriented communication network that enables communication between vehicles and between vehicles and roadside infrastructures for the purpose of exchanging messages. In a dense traffic scenario, the message traffic may generate a load higher than the available capacity of the transmission medium leading to channel congestion problem. This situation leads to a rise in packet loss rates and transmission delay. Some existing congestion control schemes adapt the transmission power, transmission rate, and contention window parameters by making comparison with neighboring values through classical logic. However, the approach does not consider points between two close parameter values. This work uses fuzzy logic to improve the adaptation process of the network contention window parameter. The proposed scheme achieved a 15% higher in-packet delivery ratio and 10ms faster transmission compared with related work in terms end-to-end delay.
Who Will Benefit from Charged-Particle Therapy?
Authors: Kim Kyung Su , Wu Hong-Gyun
Published: June 2021

Charged-particle therapy (CPT) such as proton beam therapy (PBT) and carbon-ion radiotherapy (CIRT) exhibit substantial physical and biological advantages compared to conventional photon radiotherapy. As it can reduce the amount of radiation irradiated in the normal organ, CPT has been mainly applied to pediatric cancer and radioresistent tumors in the eloquent area. Although there is a possibility of greater benefits, high set-up cost and dearth of high level of clinical evidence hinder wide applications of CPT. This review aims to present recent clinical results of PBT and CIRT in selected diseases focusing on possible indications of CPT. We also discussed how clinical studies are conducted to increase the number of patients who can benefit from CPT despite its high cost.
Acute Limb Ischemia in Critically ill COVID-19 Patients: a Case Series and Literature Review
Authors: Touzani Soumaya , Haddari Fatimazahra , Elbouazzaoui Abderrahim , Houari Nawfal , Boukatta Brahim , Kanjaa Nabil
Published: June 2021

Background: The vascular burden increased by COVID-19 infection and including acute limb ischemia (ALI) quickly emerged as a major medical challenge with devastating consequences such as limb loss, multiorgan dysfunction and death. We report a case series of COVID-19 infection associated with ALI to raise awareness and knowledge towards this life-threatening association. Methods: COVIDS-19 patients with acute limb ischemia (ALI) managed in a Moroccan 14 beds COVID-19 ICU between March 2020 and January 2021, were reviewed. Data collected included demographics, clinical presentation, treatments and outcomes. Results: Over the 10-month period, our ICU cared for 407 hospitalized patients with confirmed COVID-19. A total of 6 COVID-19 patients with ALI were identified. The mean age was 61 years (52 - 70) and 5 were men. The most common preexisting condition was diabetes (50%). The mean CRP level was 219 mg/L. Five patients had thrombus in multiple locations. No concomitant deep vein thrombosis was identified. Four patients presented with signs of acute No arterial ischemia with or without respiratory symptoms and were subsequently diagnosed with COVID-19. The remaining two patients developed ischemia during hospitalization. Mean SOFA score was 5 (2 -9). Respiratory support, corticosteroids and heparin therapies were used in all patients. Intubation and vasopressors were required in four patients. Revascularization was performed in five patients and reintervention was necessary in three cases. Four patients died in the ICU while two were successfully discharged. Conclusion: ALI in COVID-19 patients is a challenging life-threatening vascular emergency that requires appropriate multidisciplinary management (intensivists, anesthesiologists, vascular surgeons and interventionists, radiologists, haematologists…) and further studies focused on anticoagulation.

Keywords: Acute Limb ischemia, Coagulopathy, COVID-19, SARS-CoV-2, Thrombosis
Türkiye ve Japonya’daki Yaşlı Dostu Hastanelerin Web Siteleri Aracılığıyla Karşılaştırılması
Authors: ŞAHİNLİ Serhan , GEMLİK Nilay
Published: June 2021

Bu araştırmanın amacı, Türkiye ve Japonya’da hizmet veren yaşlı dostu yedi hastanenin web siteleri aracılığıyla yaşlılar açısından uygunluğunun karşılaştırılmasıdır. Araştırma, her geçen gün yaşlı nüfusu hızla artan Türkiye ve yaşlı bir nüfusa sahip olan Japonya’nın yaşlı dostu hastanelerinin, hastalarının kullanımına uygun bir web sitesi tasarlayıp tasarlamadıklarını irdelemesi ve bu kapsamda sonuçlarını tespit etmesi açısından önemlidir. Araştırmanın örneklemini, Türkiye ve Japonya’da bulunan yaşlı dostu sertifikası alan ve almaya aday yedi hastanenin web sitesi oluşturmaktadır. Bu araştırmanın bulgularına genel olarak bakıldığında, hastane web sitelerinin ana sayfa tasarımlarının belirlenen kurallara uygun olduğu görülmüştür. Hastaneler açısından vurgulanması gereken en önemli özellik olan yaşlı dostu hastane bilgisinin Türkiye’deki hastanelerin web sitesinde yeterince vurgulanmadığıdır. Japonya’daki hastaneler ise Türkiye’ye göre bu özelliğini daha çok ön plana çıkarmıştır. Her iki ülkedeki yaşlı dostu hastanelerin web sitelerinde iletişim unsurlarına yeterince yer verildiği görülmüştür. Her iki ülkedeki yaşlı dostu hastanelerin web sitesindeki en dikkat çekici bir diğer nokta engellilere yönelik erişim ve sesli erişim özelliğinin bulunmamasıdır. Bu araştırma sonuçlarının; hastanelerin web sitelerinde belirtilen eksikliklerin giderilmesinde Türkiye ve Japonya’daki yaşlı dostu hastane yöneticilerine faydalı olabileceği ve ayı zamanda hastanelerin web sitelerinin sahip olması gereken özellikleri açıklaması açısından literatüre katkı sağlayabileceği düşünülmektedir.
HERE Expert Map Community Program-Product Portfolio Operations and Spatial Solutions
Authors: Dhage Aditya , Borikar Aditya , Joshi Pratyush , Gawande Ujwalla
Published: June 2021

We are predominantly aiming at promoting the utilization of EV in countries like India considering their advantages, disadvantages, circumscriptions and opportunities. The system has been developed utilizing the database of HERE mapss which has been practiced and expanded by us utilizing the map engenderer implement. HERE Map Engenderer is a live map editing implement which has more than 45 features across 5 map categories and these categories are roads, bike lanes, walkways, POIs, and addresses. No installation is required to utilize this implement as it is a web-predicated implement that requires a stable internet connection. We have utilized HERE map engenderer implement for three main features: Identifying and marking missing roads: In HERE maps, there are different kinds of road, right through to pedestrian walkways and trails. While marking roads, HERE map engenderer provides a set of sundry roads attributes which avails in providing serviceable information about that road in HERE maps. Places of fascinates: Apart from roads, the HERE map engenderer implement can withal mark and integrate Places of Interest. Places of fascinates are the places which people visit often or the places having some paramountcy. There are more than 100 categories of POIs just in HERE map engenderer implement which provides ease to the developers or editors to integrate places as well as the customers to find and visit places. Point addressing: We can additionally integrate the addresses of houses in the locality, in the city or wherever we get the information about the addresses of places. This is called as point addressing which is withal a feature of HERE map engenderer implement. Our system comprises of amalgamation of these three features in order to develop a system which can facilely find the most proximate charging station or fuel station in the locality.
Improving the effectiveness of student learning with the help of electronic textbooks
Authors: Shekhovtsova D. N. , Izvekova E. O.
Published: June 2021

Changes in education contribute to its modernization and renewal. Along with new forms, methods and means of enriching the educational process, the well-known teaching methods using electronic textbooks also hold a positive trend. In the Tomsk Technical School of Railway Transport — branch of the Siberian Transport University electronic textbooks are widely used. The tendency of their application and implementation in educational activities, both with full-time and distance learning, gives good results. Because they use an electronic textbook created for everyone requirements. A plus is the fact that the electronic textbook is developed on the basis of the copyright material of the subject teacher, taking into account intrasubject and intersubject communications. Such development gives a number of advantages over the traditional print publication and allows to achieve higher levels of learning in comparison with traditional forms of training.For students of all specialties, the electronic textbook is an indispensable assistant in the development of disciplines, and for graduates of the specialty “Information Systems” such a textbook is also a good test of their knowledge, skills and competencies. Students of this specialty develop and create electronic textbooks for a technical school under the guidance of scientific advisers and subject teachers, from whom it was requested to present the training course in a multimedia form. as an example, we consider the features of the development, creation, implementation of an electronic textbook on the subject “Astronomy” in the educational process.
Avaliação da prática da higienização das mãos em tempos de pandemia
Authors: Nogueira Thalia Lima , Da Silva Shirley Daiane Alves , Da Silva Lidiane Hilário , Leite Maria Vitória Silva , Da Rocha José Filipe Alves , Andreza Raul Sousa
Published: June 2021

Introdução: A higienização das mãos é uma das mais importantes medidas profiláticas contra infecções bacterianas, vírus, principalmente a Covid-19. O presente estudo avaliou a prática de higienização das mãos em profissionais em gerais. Método: trata-se de uma pesquisa de campo, observacional, com caráter quantitativo. O estudo foi realizado através do Google Forms pela Faculdade Aggeu Magalhães de Serra Talhada, Pernambuco do ano de 2021. O questionário compreendeu 87 entrevistados, sendo composta por diferentes categorias profissionais. A coleta de dados foi realizada no período de duas semanas sendo acompanhados diariamente os resultados. Resultados: Após a analises de dados observou que a quantidade da higienização das mãos pelos os profissionais está acima de 12 vezes com (45%) em média 08 vezes (35%) e em média 05 vezes (23%). No que diz respeito aos materiais para a prática, álcool a 70% obteve (47,1%), água e sabão (36,8%) e álcool em gel (16,1%). E por fim, foi avaliado o aumento da frequência da higienização das mãos em que (79,3%) diz que concorda totalmente, (19,5%) concorda parcialmente e 1% discorda. Conclusão: Os profissionais entrevistados higienizam as mãos de acordo com as necessidades, tentando evitar a contaminação do vírus da Covid-19 entre outros.