bluuebunny/crossref_metadata_2025 huggingface dataset:
МЕТОДОЛОГІЧНІ ОРІЄНТИРИ ФОРМУВАННЯ КУЛЬТУРИ БЕЗПЕКИ ПРОФЕСІЙНОЇ ДІЯЛЬНОСТІ У МАЙБУТНІХ ІНЖЕНЕРІВ З ОХОРОНИ ПРАЦІ
Authors: Сапожников Станіслав
Published: May 2023

Актуальність. У сучасних умовах, коли країна перебуває в стані військового конфлікту, працівники зіткнулася зі стресовими ситуаціями та зростанням числа виробничих травм. Забезпечення безпечних умов праці, запобігання аваріям, нещасним випадкам, професійним захворюванням на робочому місці продовжує залишатися важливою проблемою. Це вимагає підготовки висококваліфікованих працівників, зокрема інженерів з охорони праці, які мають велику відповідальність, стресостійкість, вміння ефективно спілкуватися, здатність швидко приймати рішення в небезпечних ситуаціях та встановлювати ефективну систему управління охороною праці.

Метою цієї статті є дослідження та аналіз науково-практичних підходів формування культури безпеки в професійній діяльності майбутніх інженерів з охорони праці.

Методи: теоретичні (індукція, дедукція, синтез, узагальнення та моделювання) та емпіричні, зокрема праксиметричні (дослідження і аналіз педагогічного досвіду, програм підготовки, робочих планів майбутніх інженерів з охорони праці, а також оцінювання результатів їхньої діяльності).

Результати: Досліджено, що організація освітнього процесу, базована на використанні системного, технологічного, педагогічного взаємодії, співробітництва та співтворчості, особистісно-діяльнісного підходів; змістово-процесуального, задачного, діалогічного, компетентнісного, індивідуально-диференціального та імітаційно-ігрового підходів, вимагає: системного вивчення науково-педагогічними працівниками вищих навчальних закладів України дослідницького досвіду студентів і диференціації цього досвіду залежно від рівня виразності його компонентів (когнітивного, діяльнісного, аксіологічного); створення системи навчально-дослідницьких завдань, орієнтованих на поетапне розширення дослідницького досвіду студентів; розроблення ефективних методів, прийомів та форм, спрямованих на організацію дослідницької діяльності студентів; створення навчальних ситуацій, які сприяють моделюванню реальних професійних випадків,  в яких студенти засвоюють нові знання та способи дій.

Висновки. Встановлено, що інтеграція представлених науково-практичних підходів до професійної підготовки майбутніх інженерів з охорони праці в системі вищої освіти України ефективно реалізується у практичній діяльності шляхом вибору відповідних завдань, методів, прийомів, форм і засобів навчання. Застосування цих компонентів в освітньому процесі університету становить значний потенціал для підвищення ефективності професійної підготовки майбутніх інженерів з охорони праці в навчальних закладах вищої освіти України.
Leveraging the balanced scorecard to reformulate the strategy of a performing arts theater: a stakeholders’ perspective
Authors: Moores Sharon , Sayed Naqi , Lento Camillo , Wakil Gulraze
Published: May 2023

Purpose

This study expands the performance management literature by developing a strategy map and balanced scorecard (BSC) for a large performing arts theater (PAT).

Design/methodology/approach

First, interviews with significant stakeholders identify key success factors (KSFs). Next, a survey is administered, and a structural model is employed to determine the importance of each KSF and their interdependent causal relationships within the PAT. Each KSF's controllability and room for improvement are also measured to facilitate implementation strategies.

Findings

The results reveal that the Financial Perspective plays a critical role in the PAT's success, while significant changes can be enacted by focusing on the Internal Processes Perspective. Regarding the individual KSF, the following emerge as the most critical: excellent reputation, attendance growth, increasing sponsorship and donation, and supporting the local arts community; however, PAT managers will have to be creative to enact change through these KSF as some are difficult to control or have little perceived room for improvement.

Research limitations/implications

The data were collected prior to, or at the beginning of the coronavirus disease 2019 (COVID-19) pandemic. Post-pandemic priorities for the organization may have changed.

Practical implications

By highlighting the relationships between different KSFs, this study provides PAT managers with a frame of reference for developing their BSC and performance metrics. It also offers PAT's managers a structured and adaptable approach for prioritizing their strategic choices and developing implementation plans for improved outcomes.

Originality/value

This study exemplifies the need for applied BSC studies in various sectors, including nonprofit organizations. Specifically, this study extends the performance management literature by providing an example of a large PAT's performance measures, the inter-relationships among KSF and the resulting strategy map. The results are significant because arts management is a unique discipline based upon a specific body of knowledge (Weinstein and Bukovinsky, 2009).
When the path falls away
Authors: April Judith , Perry J. Adam
Published: May 2023

The prevalence of food allergies and intolerances among adults, also known as food hypersensitivities (FHSs), are on the rise. There is a gap in health services for this population. Increasing competencies of health care providers (HCPs) can start with an understanding of the problem from the perspective of those who live with FHSs. A purposive, asset-based sample of four women, who perceived themselves as living well with FHSs, were interviewed in this narrative inquiry. Participants were invited to reflect on their first-hand experiences of FHSs, their perceptions of dietetics care and their own journeys toward well-being. Data collection included an information gathering questionnaire (Appendix A), individual semi-structured interviews and participants’ drawings which they illustrated to assist storytelling. While the onset of an FHS brought uncertainty into the lives of participants, this article focuses on how learning themes reveal the importance of incorporating a more robust understanding of adult education in dietetic interventions through participants’ stories of moving toward well-being. The findings suggest that when supported by determinants of health, such as education and social support, transformative learning can be an important tool to mitigate the uncertainties related to the experience of an FHS. The research reveals that adult educators, with their grasp of adult learning processes and community engagement, could be an asset to the interprofessional health care team and improve the provision of person-centered care.
#InclusiveDietetics
Authors: Gardner Burt Katherine , Debiasse Michele , Qamar Zubaida , Fera Joseph
Published: May 2023

The nutrition and dietetics profession is neither diverse nor inclusive of Black, Indigenous, and People of Color (BIPOC), yet to achieve racial/ethnic diversity, equity, and inclusion (R-DEI), nutrition professionals (educators, preceptors, and professionals) need to understand and care about related issues. However, both a space and curriculum to educate professionals about R-DEI are lacking. Our aim was to understand how knowledge, actions, identity, and experiences are related to beliefs about R-DEI among nutrition professionals. We developed a 20-week curriculum about R-DEI topics using the Transtheoretical Model (Stages of Change) and Critical Race Theory. It was delivered in #InclusiveDietetics, a Facebook group, between January and August 2020. Pre- and post-intervention surveys were used to understand participants’ identities, experiences, knowledge, beliefs, actions, and opinions and analyzed using logistical regression, t-tests, and descriptive statistics. Knowledge (p<.05), experiences with racism (p<.01), and being a former Academy of Nutrition and Dietetics member (p<.05) were positively correlated with participants’ beliefs about R-DEI in dietetics (that is, more highly valued R-DEI) while actions were negatively correlated (p<.001). Significant increases in knowledge (p<.01) and beliefs aligned with R-DEI values (p<.01) were observed following the intervention, driven by increases in white participants. A significant increase in opinions aligned with R-DEI values was observed among BIPOC (p<.01), but not white participants following the intervention. The importance of a space for professionals to examine R-DEI is critical to achieve professional equity and the #InclusiveDietetics curriculum may be an effective tool to better align nutrition professionals with R-DEI values.
Supports for Multi-hazard Risk Reduction in Urban Local Bodies
Authors: Kalra Ripin
Published: May 2023

India’s urban assets and populations are highly vulnerable to a multitude of natural hazards, climate variability and environmental change. This can well impact on the entire nation, as economic output comes primarily from in and around its urban settlements. Empirical evidence from recent disasters, despite some major successes, reinforces the limited preparedness of Indian towns and cities to withstand multiple hazards such as fires, floods, extreme temperatures, earthquakes and strong winds. Unregulated growth and the quality of built environment are among a host of factors that have resulted in this vulnerability to disaster events. The research issue that this paper addresses is that of enabling the Urban Local Bodies (ULB) to implement disaster risk reduction and recovery framework(s) developed and agreed on at the national and sub-national levels. This paper highlights capacity challenges within local government for managing natural disasters amongst wider challenges of service provision. The paper draws upon empirical observations to argue that despite their best intentions ULBs are currently constrained in implementing the extensive comprehensive disaster risk & recovery approach driven by a multiplicity of national and multilateral policies. The paper provides observations from the Kosi River flooding disaster (2008) in Bihar state to illustrate this point. The paper further highlights that while this situation will not change overnight there are a number of practical opportunities to support ULBs in making an immediate start and superimpose risk reduction onto development programmes.
Player Category Research on Murder Mystery Games
Authors: Xiong Shuo , Wen Ruoyu , Zheng Huijuan
Published: May 2023

This article introduces the development process of Jubensha in China. Inspired by Bartle’s (1996) Player Taxonomy the authors build a model of a player typology for MMG, including the professor, braggart, conqueror, detective, actor, politician, socializer, and viewer.
Self Arcana: A Self-Reflective, Story-Based Tarot Game
Authors: Durmus Ayça , Topcuoglu Sedef
Published: May 2023

This article discusses the development of Self Arcana, a role-playing game involving drawing one’s own tarot cards and engaging in storytelling in order to achieve greater self-insight. The authors offer a duoethnography featuring their experiences designing and playing the game.
Defining Role-Playing Games as Language-Games
Authors: Arjoranta Jonne
Published: May 2023

Role-playing games are a diverse phenomenon, ranging from digital games to live action role-playing. Finding a definition that suits them all is hard, but attempts have been many. All of the definitions emphasize some aspects of role-playing games like rules, the role of players or the story. Many definitions do not describe role-playing games as such, but the activity that is role-playing. This paper looks at one of the latest attempts to define role-playing games, by Hitchens and Drachen (2009), and shows some potential problems with it. As an answer to these problems another definition is proposed, consisting of a game world, participants, shared narrative power and interaction. This definition is given only after discussing the nature of definitions in general. By drawing from the work of Wittgenstein, it is shown that definitions are by their nature bound to language in a way Wittgenstein calls language-games. Language is constantly changing, as the culture surrounding it changes. There are no final definitions for role-playing games, only definitions suited better or worse to a certain historical understanding of role-playing games. However, this does not mean that role-playing games should not be defined, as the definitions given can advance our understanding of what role-playing games are and could be. This paper takes part in the ongoing process of definition.
An Embodied Cognition Approach for Understanding Role-playing
Authors: Lankoski Petri , Järvelä Simo
Published: May 2023

The article proposes that the theories of grounded cognition and embodiment can be utilized in explaining the role-playing experience. Embodied cognition theories assume that cognition is not only a feature of the brain, but the body as a whole and it is interaction with the environment it operates in. Grounded cognition proposes that an action, perceiving an action, and thinking about an action rely on the same processes. Moreover, knowledge is inseparably grounded to bodily states and modalities. Based on the grounded cognition theory and especially embodiment, we argue the character immersion and bleed are natural consequences on how the brain works. Also we illustrate how the operation of simulators explains some of the central features in the creation of fiction and it is similarities to our everyday experiences. In general, grounded cognition provides a rather simple explanation how fiction is experienced as in this theoretical framework action and thinking about an action largely utilize the same brain mechanics and so are phenomenally similar.
The Self-perceived Effects of the Role-playing Hobby on Personal Development: A Survey Report
Authors: Meriläinen Mikko
Published: May 2023

This article is a survey report of a study conducted between 2010 and 2011 exploring the views of role-playing gamers on how the role-playing hobby has influenced their social and mental development. A socio-pedagogical concept of empathic intelligence was chosen as the theoretical framework based on which a survey questionnaire of nine groups of questions was built. The survey that included both multiple-choice questions and open questions was taken by 161 Finnish active role-players and statistically analyzed. A control group of 106 non-role-players was used to examine the role-players' selfassessmentof their own capabilities.

The study showed that the views of role-playing gamers on their hobby and themselves arepredominantly positive. The respondents reported that role-playing games had provided them with a good platform for experimenting with different personalities and social roles, and that they viewed the hobby as having improved various skills and traits such as creativity and imagination. The gender of the respondents was an important factor especially regarding the emotional responses evoked by the games, while the other variables played a minor role.

Role-players viewed themselves as more imaginative but less socially adept than the control group. A more active reading hobby was perceived by the role-players as well. The results of the study suggest that the role-playing gaming hobby provides a good platform for thedevelopment of both personal and social skills, and that used correctly, role-playing games have the potential to be used to advance such development.
Pengaruh Kepemimpinan Kepala Sekolah, Lingkungan Kerja dan Motivasi Kerja Terhadap Kinerja Guru (Studi Kasus Pada Guru SMA di Kabupaten Muaro Jambi)
Authors: Wullan Tresta Friscilla , Hendra Robi , Atiya Jazilatul , Febriyanti Ella , Serlly Serlly , Fitri Salfika Nofi , Ernanto Rangga
Published: May 2023

Tujuan penelitian adalah untuk melihat dan mengkaji faktor-faktor apa saja yang mempengaruhi kinerja guru SMA di Muaro Jambi. Dalam penelitian menggunakan pendekatan kuantitatif dan teknik survei dipilih sebagai teknik pengumpulan data dalam penelitian ini yang digunakan adalah menyebarkan kuesioner kepada responden. Subyek dalam penelitian ini adalah guru di SMA Muaro Jambi. Teknik pengumpulan data menggunakan kuesioner yang disebarkan dan dikumpulkan melalui Google form. Analisis data kuantitatif menggunakan metode PLS-SEM. Hasil penelitian ini menunjukkan bahwa kepemimpinan kepala sekolah, lingkungan kerja dan motivasi kerja berpengaruh terhadap kinerja guru.
Kontribusi Sikap Belajar dan Motivasi Belajar Terhadap Hasil Perkuliahan Bahasa Indonesia Mahasiswa
Authors: Wahyuni Uli , Afrida Amna Fitra , A Saibi Elvina
Published: May 2023

The learning outcomes obtained by each student are different because the potential possessed by students is different, as well as how to develop their potential. How to develop their potential depends on the desires of each student. This is influenced by the motivation that each student has. Learning attitudes also affect student learning outcomes in Indonesian language learning. A person's attitude to something will be addressed through behavior. Students who are positive about and open to accepting learning will provide encouragement to students to achieve success. The objectives of this study are as follows. (1) Knowing the amount of significant contribution between learning attitudes towards student Learning Outcomes of Indonesian language lectures. (2) Knowing the amount of significant contribution of learning motivation to the learning outcomes of student Indonesian language lectures. (3) Knowing the amount of significant contribution between learning attitudes and motivation to learn together to the learning outcomes of student Indonesian language lectures. This type of research is quantitative with descriptive methods and uses correlation design. The population of this study is all FKIP students of Batanghari University. The sampling technique is carried out by random sampling, namely the sampling of sample members from the population which is carried out randomly. This research instrument is in the form of a questionnaire that has been tested for validity and reliability. The data were analyzed using the Pearson Product Moment (PPM) correlation test, double correlation test, t test, F test, and determinant coefficient formula to determine the magnitude of the contribution of free variables to bound variables, either individually or jointly.The results showed that learning attitudes and learning motivation contributed significantly to student lecture learning outcomes by 20.5%. Thus, these variables have a good influence on the learning outcomes of FKIP students at Batanghari University
Pengaruh Tingkat Kematangan Emosi, Fasilitas Belajar, Motivasi Terhadap Kreatifitas Belajar Mahasiswa Universitas Jambi
Authors: Hendra Robi , Indrayana Boy , Saputra Hutabarat Zuhri , Adellia Adellia , Rifqi Muhammad , Sulistyawati Irma , Maharani Andalusia Dyfa , Nurhidayati Putri , Ilhamsyah Ryan
Published: May 2023

The background of this research is to see the effect of the level of emotional maturity of students in learning, the facilities and infrastructure in the university environment and to see the effect of student learning motivation on the quality and creativity of Jambi University students. This study also aims to determine whether emotional maturity, learning environment, and learning motivation affect the creativity of Jambi University students in learning. The approach in this research is to use a quantitative approach. The method used is the survey method in the form of a closed questionnaire with a total population of 500 active students at Jambi University with a sample of 50% of the total population, namely 250 students. The distribution of this research questionnaire was via Google Form, with data processing and analysis using the help of SPSS 26.0 and SMART PLS 25.0 software programs. From the results of the measurement hypotheses obtained from: (1) Mean, (2) STDEV, (3) T-Values, and (4) P-Values, with a P-Value of 0.000 <0.05 then H0 is rejected, then the maturity level is significant Emotions, Learning Facilities, Learning Motivation have a positive effect on the Learning Creativity of Jambi University Students
Manajemen Pendidikan PAUD Al-Hijrah Kota Jambi
Authors: Hariani Davita , Fransiska Shella , Ghufran Naufal , Ayu Lestari Dwi , Wulandari Septi , Jumami Jumami
Published: May 2023

Early childhood education today has become the need of society. Although early childhood education, including education level of recognition, but education has contributed a lot to the development of children's education. This study aims to determine the implementation of the management of early childhood education made Al-Hijrah Jambi. This research uses descriptive method with a qualitative approach to data collection tool while using interviews, observation and documentation study questionnaire. As for the subjects in this study is the element that includes the school principal and teachers in early childhood Sabang Al- Hijrah, elements of the parents. The results showed that: (1) Planning early childhood education programs in school of Al-Hijrah, was generally well conceived, it has the look of the planning program of educational activities in accordance with the provisions of a plan of activities. (2) Organization of Al-Hijrah in early childhood, was publicly reflects the relevance of the ability and skills to the needs of education personnel. (3) The implementation of early childhood education in AlHijrah directed in the learning process goes well, effective and fun. (4) Supervision conducted by the two surveillance systems, namely: the direct supervision and control of functional superiors. Supervisor oversight conducted by the Principal, while the functional supervision conducted by the School Trustees.
Fungsi Akta De Command dalam Proses Lelang Jaminan Debitur Menurut Peraturan Perundang-undangan di Indonesia
Authors: Iskandar Dede , Yahya Taufik , Helmi Helmi
Published: May 2023

The Notaries are charged with great responsibility for every action taken, in this case making an authentic deed. The world of auctions is known for the acte de command. The temporary purchase plan by the bank must begin with the creation of an authentic deed known as the Deed of Purchase for Others or also known as the Acte de command which essentially contains a statement that the creditor bank will participate in the auction to purchase its credit collateral assets. Acte de command has an important role for banks that have auctioned off their auctioned collateral. The auction is carried out in the context of paying off bad loans by debtors. In practice, there are banks that use Acte de command in situations where there are several other bidders who are interested in buying the bank's collateral. takeover of collateral through an auction by signing an agreement to take over the collateral between the bank and the debtor or making a notarial report of credit settlement, then proceed with making an Acte de Command, which is a statement between the buyer appointed by the bank (usually a bank employee) and the debtor which states that the buyer is acting buying collateral is done for the benefit of another party whose name will be determined at a later date who is appointed to replace the buyer. The legal issue in this thesis is the obscurity of norms, because not all banks in Indonesia use de command deed for the auction process. Collateral goods purchased must be sold no later than 1 (one) year. If the parties to the deed are in default, then proceed with the court process and the goods guaranteed will be auctioned, and if the maximum time limit for the de command expires, the deed will be canceled or forfeited
Tinjauan Yuridis Pengadaan Barang/Jasa pada Masa Pandemi Covid-19 (Putusan No. 28/PID.SUS-TPK/2022.PN.MDN)
Authors: Lase Julianus , Simamora Karto , Hasudungan Sianturi Ronald , Feri Tanjung Ahmad
Published: May 2023

:  Since the announcement of the positive case of Covid-19 in Indonesia on March 2 2020, the government has stepped up steps to handle procurement of government goods and services amid the global Covid-19 pandemic. Presidential Decree No. 4 of 2020. Ordered all Ministries to act quickly, precisely, centrally and simultaneously. Provision of services and goods to accelerate the reduction of the virus. Legal Basis for the Implementation of services and goods, Presidential Regulation No. 16 of 2018 concerning the Implementation of Government services and goods. Based on Article 59 of Presidential Decree No. 59. Government Institution Number 16 of 2018 (LKPP) No 13 of 2018 concerning the Implementation of Government services and goods for Emergency Response. (SE Head of LKPP) Interpretation No 3 of 2020 concerning the Implementation of Provision of services and goods for Pandemic Efforts. The purpose of this research is to find out the implementation of services and goods during the Covid19 pandemic. Study the Policy Institute for the Implementation of Government goods and services. Learn more about the steps taken by the ministry to accelerate the delivery of services and goods. The technique used to collect data is the use of literature studies, but also used legal materials. The data analysis used is prescriptive data analysis. The research theory used is the theory of the implementation of government services and goods during a pandemic, namely the Ministry to do it quickly, precisely, focused, and coordinated.
Mengungkap Pengalaman Pribadi melalui Metode Narasi Oral pada Penelitian Bidang Pendidikan
Authors: Yurni Yurni
Published: May 2023

The use of the oral narrative method in research is not something new. This method has been used for quite a long time, especially in the fields of psychology, sociology and education research. In the field of education, oral narrative methods are used to express educational experiences through telling stories about an individual or a group of people so as to make the stories depicted come true. The general concept underlying this method is that education and educational research are the construction and reconstruction of personal and social stories, where learners, teachers, and researchers are people who are able to tell stories and characters from their own stories. This study discusses the methods and ways of applying oral narratives in the field of education.
An assessment of efficiency and productivity analysis of manufacturing industries in Bangladesh
Authors: Adeeko Omotara , Sanusi Olajide Idris , Tabash Mosab I
Published: May 2023

This empirical study employs stochastic frontier analysis to evaluate the Total Factor Productivity (TFP) growth and technical efficiencies of the manufacturing sector in Bangladesh. The study draws data from five rounds of surveys conducted between 1982/83 and 2012. TFP growth is decomposed into efficiency growth, scale component, and technological progress to identify the sources of growth. The technical efficiency of the manufacturing industries in Bangladesh averages 80%, with export-oriented industries exhibiting higher efficiency than non-export industries. Small-scale industries show higher TFP growth than medium- and large-scale industries. The study estimates the TFP growth in Bangladesh's manufacturing sector at approximately 5.5% during the review period, with technological progress being a key driver of growth. The results also indicate TFP growth convergence over time among the manufacturing industries in Bangladesh. The study highlights the potential for productivity improvement and income growth in Bangladesh's manufacturing sector. Further investigation into TFP and efficiency is necessary to achieve this potential fully. The study's findings suggest that policymakers in Bangladesh should focus on promoting technological progress and improving the efficiency of manufacturing industries, especially in medium- and large-scale industries. Moreover, the government should develop policies that support export-oriented industries to improve their efficiency.
Using Heuristic Search Techniques to Reduce Task Migrations in Peer-to-Peer Volunteer Computing Networks
Authors: Saleh Ehab , Shastry Chandrasekar
Published: May 2023

Massive computations in today's computer applications necessitate the use of high-performance computing environments. Unfor-tunately, high costs and power management must be addressed while operating these environments. Volunteer computing (VC) enables the creation of a global network of computing devices capable of accumulating their computing power to outperform any supercomputer. VC refers to the use of underutilized computing resources donated by thousands of volunteers who want to actively participate in solving common research problems. However, VC systems experience unexpected and sudden loss of connections between volunteers' computing resources and the main server. In this case, the server must redistribute the work to new devices as they become available. This process is known as task migration, and it is already used in various volunteer frameworks to address the unavailability of computing resources. However, there is a tendency to limit the number of migrations since they are considered a technically complex and time-consuming process. In this paper, we employ heuristic search algorithms to reduce task migrations caused by loss of connections in Peer-to-Peer volunteer networks by locating an alternate network path to send output files to the server when the direct link is no longer available. The simulation results demonstrate that using a heuristic search algorithm eliminates all task migrations caused by loss of connections, resulting in less total execution time and power consumption.
Chapter 10: Diagnosis
Authors: Dobler Gerhard
Published: May 2023

TBE appears with non-characteristic clinical symptoms, which cannot be distinguished from other forms of viral encephalitis or other diseases.
Cerebrospinal fluid and neuro-imaging may give some evidence of TBE, but ultimately cannot confirm the diagnosis.
Thus, proving the diagnosis “TBE” necessarily requires confirmation of TBEV-infection by detection of the virus or by demonstration of specific antibodies from serum and/or cerebrospinal fluid.
During the phase of clinic symptoms from the CNS, the TBEV can only rarely be detected in the cerebrospinal fluid of patients.
Most routinely used serological tests for diagnosing TBE (ELISA, HI, IFA) show cross reactions resulting from either infection with other flaviviruses or with other flavivirus vaccines.
TBE in Estonia
Authors: Kutsar Kuulo
Published: May 2023

The first cases of tick-borne encephalitis (TBE) in Estonia were identified in 1949. Today, Estonia is a TBE-endemic country. A TBE-endemic area in Estonia is defined as an area with circulation of the TBEV between ticks and vertebrate hosts as determined by detection of the TBEV or the demonstration of autochthonous infections in humans or animals within the last 20 years.
TBE in Belgium
Authors: Van Esbroeck Marjan , Lernout Tinne , Suin Vanessa , Van Gucht Steven
Published: May 2023

In 2018, the two first human tick-borne encephalitis (TBE) cases with possible/probable autochthonous infection were diagnosed at the National Reference Centre (NRC) of Arbovirus (The Institute of Tropical Medicine, Antwerp, Belgium). Every year, some imported cases of TBE are also detected, infected in other European countries such as Germany, Scandinavia, Austria, Kyrgyzstan or Slovenia and Russia.
TBE in Switzerland and Liechtenstein
Authors: Desgrandchamps Daniel , Posfay-Barbe Klara M.
Published: May 2023

The first serological reports of tick-borne encephalitis (TBE) in Switzerland date back to the early 1970s [T. Krech. Dissertation, University of Berne, 1980]. Surveillance started in 1984, and TBE became a notifiable disease in 1988. Most cases are reported between April and October with a tick bite exposure below an altitude of 1500–2000 meters.
Chapter 13: TBE as a matter of public health
Authors: Kunze Michael , Erber Wilhelm , Haditsch Martin
Published: May 2023

The incidence of TBE ranges from ‘only single sporadic cases’ to >50/105 per year depending on the region and on the year of analysis; it is usually 1-10/105 in endemic regions in central Europe.
This number may be considered as ‘low’ – not only as an individual risk but also from a public health perspective.
If an individual does contract TBE, however, the disease may deeply change her/his life due to the need for acute hospital care and due to potentially severe and long-term sequelae. In 1–2% (-20%) of cases, TBE may even result in death.
No specific treatments exist for TBE. The severity of the disease and high frequency of long-term sequelae result in high public awareness and concerns about tick bites in endemic areas. Public health officials in TBE-endemic areas need to address these concerns; moreover, they need to address the concerns of travelers at risk.
The principal public health measures aim at reducing TBE cases by reduction of exposure and preventive vaccination.
Recommendation/reimbursement of TBE vaccination still is under discussion from side of healthcare payer perspective as well as from the individuals perspective considering long term sequelae.
Upskilling Professional Driving Instructors of Young Learner Drivers: What Are We Waiting For?
Authors: Senserrick Teresa , Watson-Brown Natalie , Kaye Sherrie-Anne , Oviedo-Trespalacios Oscar
Published: May 2023

Decades of research and development to address young drivers’ over-involvement in road crashes has led to critical improvements in understanding and interventions, yet has mostly focused on young drivers or their parents. Driving instructors have a key role in the young driver safety system, yet substantially less attention has been paid to their accreditation and professional development specific to teaching young drivers. Neurobiological development during mid-to-late adolescence influences how young people drive and the inflated risks they face relative to adult learners. In this paper, we discuss several of our research studies and supporting literature to argue that: (a) adept higher-order professional instruction can improve young driver safety behaviour in ways that can reduce crashes; (b) instructors are willing to be upskilled in young driver specific training needs; and (c) young drivers currently lack adequate training in new motor vehicle features that can enhance their safety, as do many adults, creating further demand on the driver-training industry. Given this body of work, we argue that the field has sufficiently progressed to know both why and how we should innovate and transform the driver training industry in ways that will improve young driver safety. However, we also note current developments appear to be working against rather than towards improvements. Therefore, there is a need to prioritise and implement change, and to harness advantages of emerging technologies. Professional development opportunities for driving instructors not only have potential to benefit the industry and young drivers, but also parents; therefore, boosting traffic safety culture across the community.
Szemészeti paraméterek és a vérnyomás összefüggése a Magyarország Átfogó Egészségvédelmi Szûrôprogramjában 2010–2022 – Elôzetes keresztmetszeti vizsgálat
Authors: Németh János , Barna István , Kékes Ede , Daiki Tennó , Dankovics Gergely , Nagy Zoltán Zsolt
Published: May 2023

CÉLKITÛZÉS – A közlemény célkitûzése a Magyarország Átfogó Egészségvédelmi Szûrô programja (MÁESZ) keretében 2010– 2022 között vizsgált személyek vérnyo - más értékeinek összevetése a szemnyomásértékekkel, a száraz szem és a fénytörési hibák elôfordulásával. BETEGEK ÉS MÓDSZEREK – A szûrô vizs - gálatok során 168 522 személynél (91109 nônél és 77413 férfinál) mértek vérnyomást, 139 866 személy (74 217 nô és 65 649 férfi) esetében szemnyomást, 63 215 egyénnél (32 917 nônél, illetve 30 298 férfinál) végeztek száraz szem tesztet, és 94 618 fô (50 178 nô és 44 440 férfi) esetében mérték meg a szemek fénytörésértékét. EREDMÉNYEK – A szemnyomás mindkét nemnél a vérnyomásértékkel párhuzamosan, annak súlyosságának fokozódásával növekszik. A szemszárazság nôkben gyakrabban fordul elô és független az aktuális vérnyomásértéktôl. A vérnyomás súlyosságával párhuzamosan nô a hypermetropok (túllátók) és csökken a myopok (rövidlátók) elôfordulási aránya. KÖVETKEZTETÉSEK – Elemzésünk alapján a hypertonia szemészeti összefüggéseire különös figyelmet kell fordítani; emelkedett vérnyomású egyéneknél javasolt a rendszeres szemészeti alapvizsgálat.
Addikció és szégyen
Authors: Kelemen Gábor
Published: May 2023

A tanulmány azt a folyamatot mutatja be, ahogy a szégyen napirendre került a 20. század közepétôl fogva professzionalizálódó és önálló orvosi szakággá váló addik - ciógyógyászatban. A szerzô tárgyalja a felépülô szenvedélybetegek, a szakemberek, a kutatók és a politikai döntéshozók együttmûködéséhez vezetô törekvéseket. Az írás a szégyennel áthatott addiktív családi dinamika, az Alcoholics Anonymous (Anonim Alkoholisták, AA) szégyenkezelô innovációi, a szégyenküszöb változásának történeti folyamata és az addikció közpolitikai kérdéssé emelkedésének tükrében mutatja be a fôbb trendeket.
Community Radio in Nepali Practices
Authors: Neupane Madhu Sudan , Khanal Shree Ram
Published: May 2023

Community radio may have a significant impact on the public's rejection of odd ideas and conservative reasoning, as well as the government's support for minorities, women, and reverse networks. A large portion of the neighborhood in Nepal gets news and programming from radio. The majority of Community radios have been unable to provide media employees with offices or attractive pay rates. It is necessary for Community Radio to get rid of its flaws, political leanings, and factionalism, as well as to include mature, seasoned journalists and program producers. Unique projects, orientation, and resource surveying training ought to be provided so as to bring about change in the financial, social, and social spheres. Rather than depending exclusively on volunteers and understudy journalists, actions ought to be made to incorporate full grown, experienced writers and program makers. The broadcasting company ought to occasionally provide orientation and resource survey training.
The effect of SGLT2i on in-hospital acute heart failure risk in acute myocardial infarction patients—a retrospective study
Authors: Zhu Yi , Zhang Jia-li , Jin Hong , Ji Yuan , Wang Fang-fang
Published: May 2023

Background and aims

The roles of sodium-glucose cotransporter 2 inhibitor (SGLT2i) in acute heart failure (AHF) risk after acute myocardial infarction (AMI) remain unclear. In this study, we explored the correlation between SGLT2i administration and short-term in-hospital AHF risk in AMI patients.

Methods

This single-center, retrospective, and observational study included 990 AMI patients comprising 386 non-ST-segment elevation myocardial infarction (NSTEMI) and 604 segment elevation myocardial infarction (STEMI) patients enrolled from January 2019 to March 2022. Demographic information, clinical characteristics, medical treatment, and laboratory examination results during hospitalization were extracted from an electronic medical record system. The primary outcome was defined as all-cause AHF during hospitalization.

Results

In NSTEMI patients, a significantly lower proportion received SGLT2i treatment in the AHF group compared with the non-AHF group. During hospitalization, SGLT2i significantly reduced brain natriuretic peptide levels both in STEMI and NSTEMI patients. Multivariate logistic regression and stratification analyses suggested that SGLT2i is associated with reduced in-hospital AHF risk, and has a strong protective effect against AHF in NSTEMI patients with hypertension. Furthermore, SGLT2i significantly reduced the risk of in-hospital AHF for both patients with diabetes and non-diabetes.

Conclusions

SGLT2i can reduce the risk of AHF in AMI patients during hospitalization.
A novel stepwise approach incorporating ethanol infusion in the vein of Marshall for the ablation of persistent atrial fibrillation
Authors: Sousonis Vasileios , Combes Stéphane , Pinon Pauline , Combes Nicolas , Cardin Christelle , Zeriouh Sarah , Menè Roberto , Jacob Sophie , Boveda Serge , Albenque Jean Paul
Published: May 2023

Introduction

Apart from pulmonary vein isolation (PVI), several step-by-step procedures that aim to modify left atrial substrate have been proposed for the ablation of persistent atrial fibrillation (AF), yet the optimal strategy remains elusive. There are cumulative data suggesting an incremental benefit of adding vein of Marshall (VOM) ethanol infusion to PVI in patients with persistent AF. We sought to evaluate the feasibility and efficacy of a novel stepwise ablation approach, incorporating a VOM alcoholization step, for persistent AF.

Methods

In this single-center study, we prospectively enrolled 66 consecutive patients with symptomatic persistent AF and failure of at least one antiarrhythmic drug (ADD). The ablation procedure consisted of (i) PVI, (ii) left atrial segmentation with VOM ethanol infusion and the deployment of linear radiofrequency lesions across the roof and the mitral isthmus and (iii) electrogram-based ablation of dispersion zones. The first two steps were performed in all patients, whereas the third step was carried out only in those still in AF at the end of the second step. Atrial tachycardias during the procedure were mapped and ablated. At the end of the procedure, cavotricuspid isthmus ablation was additionally performed in all patients. The primary endpoint was 12-month freedom from AF and atrial tachycardia after a single procedure and an initial three-month blanking period.

Results

Total procedure time was 153 ± 38.5 min. Fluoroscopy time was 16 ± 6.5 min and the radiofrequency ablation time was 26.14 ± 0.26 min. The primary endpoint occurred in 54 patients (82%). At 12 months, 65% of patients were off any AAD. In the univariate Cox regression analysis, left ventricular ejection fraction < 40% was the only predictor of arrhythmia recurrence (HR 3.56; 95% CI, 1.04–12.19; p = 0.04). One patient developed a pericardial tamponade and another a minor groin hematoma.

Conclusion

A novel stepwise approach, including a step of ethanol infusion in the VOM, is feasible, safe and provides a high rate of sinus rhythm maintenance at 12 months in patients with persistent AF.
Empirical networks for localized COVID-19 interventions using WiFi infrastructure at university campuses
Authors: Das Swain Vedant , Xie Jiajia , Madan Maanit , Sargolzaei Sonia , Cai James , De Choudhury Munmun , Abowd Gregory D. , Steimle Lauren N. , Prakash B. Aditya
Published: May 2023

Infectious diseases, like COVID-19, pose serious challenges to university campuses, which typically adopt closure as a non-pharmaceutical intervention to control spread and ensure a gradual return to normalcy. Intervention policies, such as remote instruction (RI) where large classes are offered online, reduce potential contact but also have broad side-effects on campus by hampering the local economy, students’ learning outcomes, and community wellbeing. In this paper, we demonstrate that university policymakers can mitigate these tradeoffs by leveraging anonymized data from their WiFi infrastructure to learn community mobility—a methodology we refer to as WiFi mobility models (WiMob). This approach enables policymakers to explore more granular policies like localized closures (LC). WiMob can construct contact networks that capture behavior in various spaces, highlighting new potential transmission pathways and temporal variation in contact behavior. Additionally, WiMob enables us to design LC policies that close super-spreader locations on campus. By simulating disease spread with contact networks from WiMob, we find that LC maintains the same reduction in cumulative infections as RI while showing greater reduction in peak infections and internal transmission. Moreover, LC reduces campus burden by closing fewer locations, forcing fewer students into completely online schedules, and requiring no additional isolation. WiMob can empower universities to conceive and assess a variety of closure policies to prevent future outbreaks.
Effects of different seasonal fitting methods on the spatial distribution characteristics of common mode errors
Authors: Miao Peiyu , Xiao Genru , Wang Shengping , Zhang Keliang , Bai Buang , Guo Zeng
Published: May 2023

This study investigated the effects of various seasonal fitting techniques on the spatial distribution of the common mode errors taking the coordinate time series of the continuous GPS reference stations of the Crustal Movement Observation Network of China (CMONOC) as an example. First, the seasonal term of coordinate time series was calculated using constant amplitude harmonic fitting (CAF), continuous wavelet transform (CWT), and smoothing spline fitting (SPF). The seasonal term and linear trend were then removed to obtain the residual time series. Finally, to determine the common mode errors of residual time series, principal component analysis (PCA) was applied. The results indicate that 1) smoothing spline fitting is superior to constant amplitude harmonic fitting and continuous wavelet transform in its ability to fit short-term irregular seasonal signals. In comparison to constant amplitude harmonic fitting, N/E/U has root mean square error (RMSE) values of smoothing spline fitting that are lower by 25%, 20%, and 14.4%, respectively. Smoothing spline fitting also has a higher coefficient of determination than continuous wavelet transform and constant amplitude harmonic fitting. The coefficient of determination in the U direction is larger than that in the N and E directions. 2) Each order PC of the residual series fitted by smoothing spline fitting exhibits apparent spatial aggregation characteristics, with PC1 having a uniform spatial distribution and presenting a largely positive response. Nevertheless, the residual series obtained by constant amplitude harmonic fitting and continuous wavelet transform exhibits scattered spatial response distribution features in each order PC. Compared to N and E, U’s spatial response distribution is distinct. From north to south, the spatial response of PC1 in the U direction progressively diminishes. In addition to being much lower than that in other locations, the Sichuan–Yunnan region’s spatial response value of PC1 and PC3 also exhibits a clear negative reaction. The root mean square error value of the residual series after smoothing spline fitting is the least, and the filtering effect is the best when comparing the spatial filtering effect based on the three fitting methods. We also compared the root mean square error reduction ratio before and after spatial filtering, and the results showed that the root mean square error reduction ratio before and after the residual series obtained by smoothing spline fitting is slightly larger than that obtained by other methods.