bluuebunny/crossref_metadata_2025 huggingface dataset:
Sustainable Design and Implementation of New Energy Highway Service Station: A Case Study of Zhaoshan Service Station Renovation Project
Authors: Wang Heqiao , Zhou Changhao
Published: June 2024

With the rapid development and popularization of new energy vehicles, the demand for charging facilities is increasing. As an important charging and maintenance base for new energy vehicles, the new energy expressway service station has important strategic significance. However, the current design of service stations is often unable to meet the needs of new energy vehicles, and there are problems such as insufficient charging facilities and unreasonable layout. Therefore, it has become an urgent need to design a highway service station that can meet the needs of new energy vehicles. This requires consideration of the layout of charging facilities, the design of buildings, the setting of maintenance facilities and the planning of other support facilities. Through reasonable design, the charging efficiency of service stations can be improved, the charging demand of new energy vehicles can be met, and the development and popularization of new energy vehicles can be promoted. Sustainable design aims to reduce the impact on the environment, improve the efficiency of resource utilization, and promote the sustainable development of economy and society. In the design of new energy highway service stations, sustainability considerations include energy efficiency, water resource management, waste disposal, building material selection, ecological protection, etc. Through reasonable design and planning, sustainable new energy highway service stations can provide more environmentally friendly and efficient charging and maintenance services for new energy vehicles.
Exploring the Dangers of Marine Pollution to Marine Life
Authors: He Zhengyi
Published: June 2024

In a world where marine pollution is increasing, marine life is also under threat. Although the world has started to protect marine life, it should start by reducing marine pollution. In order to explore the harm of marine pollution to marine life, this paper summarizes the sources of marine pollution, the harm to marine life and the measures to be taken. The main sources of marine pollution are agriculture, which uses pesticides; industry, which spills oil; tourism, which produces waste; and everyday life, which discharges waste water. Different sources of marine pollution alter the marine environment to different degrees. Among the marine organisms affected by marine pollution, some animals are bound and injured by solid pollutants such as plastics, and some plants are covered by substances that enter the ocean with liquid pollutants and the effects of ocean eutrophication. After investigation and research, a series of measures will be proposed to government agencies and scientific research departments to reduce marine pollution, and young people will be urged to raise their environmental awareness and protect marine organisms. It is hoped that through the effective measures taken by various departments, human beings will be able to provide a near-"pollution-free" marine environment for marine organisms in the future, so that marine organisms will no longer be endangered.
Numerical Simulation of the Solute Migration Regulated by Vertical Cutoff Wall based on FEFLOW
Authors: Yu Mingye , Lu Jie , Guo Xiujun
Published: June 2024

Cutoff wall has been widely used in desalination of coastal aquifers in many coastal regions and remediation of industrial waste water pollution. In recent years, the excessive exploitation of resources in the coastal brine distribution area leads to the salinization of deep soil. At the same time, the mine water pollution caused by improper discharge of industrial waste water into the abandoned mining area is a new form of pollution in Shandong, China. However, due to the complex geological conditions of abandoned mining areas, loose collapse of overlying strata in roadway and gob layer, it is difficult to prevent and control groundwater pollution in deep gob layer. It is a major difficulty in practical engineering to evaluate the cutoff interception performance of vertical cutoff wall on the pollution of gob layer in such mining areas and optimize cutoff interception measures. In this paper, a typical polluted abandoned mining area in Shandong, China is taken as an example, and COD is used as the main simulation factor for numerical simulation. The numerical simulation results show that in the process of groundwater pollution control, the cutoff wall with appropriate thickness and hydraulic conductivity can effectively block the diffusion of solute. The horizontal transport of solute can be significantly weakened when the thickness of the cutoff wall is 90 cm and the hydraulic conductivity is 1.0×10-4 m/d. Compared with increasing the thickness, reducing the hydraulic conductivity of the cutoff wall is more effective in controlling the migration of solute in the site. When the hydraulic conductivity is reduced by an order of magnitude, the diffusion range of solute is reduced by 19.74% compared to before. Therefore, priority should be given to reducing the hydraulic conductivity of the cutoff wall in order to optimize its influence on pollutant migration.
Comprehensive Rescue Model for Submersible Based on Monte Carlo Analysis and Genetic Algorithm
Authors: Zhou Yuchen , Chen Xingjian , Wu Kai , Chen Yangyang
Published: June 2024

In recent years, there has been a growing interest in deep-sea exploration activities, yet significant gaps persist in search and rescue methodologies for deep-sea submersibles. This paper introduces a position prediction and search model for deep-sea submersibles, leveraging Monte Carlo analysis and genetic algorithms for optimization. The underwater motion of the submersible is simulated through dynamic system modeling. Monte Carlo analysis is utilized to model the scattering of the submersible within the specified ranges of longitude [10.25, 20.25], latitude [20.00, 36.50], and depth [2500m-4000m]. The analysis reveals a normal distribution of scattering points from the middle to the end. Genetic algorithms are employed to refine search and rescue paths, iterated 1000 times to identify the optimal path spanning from 540.1km to 225.6km. In comparison to complex numerical methods, this model offers ease of programming and implementation while accurately predicting the submersible's position in three-dimensional space. It provides the most efficient search and rescue route, ensuring swift response in the face of improbable communication or mechanical failures.
End-to-End Speech Hash Retrieval Algorithm based on Speech Content and Pre-training
Authors: Li Yian , Huang Yibo
Published: June 2024

Traditional speech retrieval tasks, such as audio fingerprinting and Spoken Word Detection Query (STD-QbE), focus on feature matching for speech or keyword retrieval. In this paper, we present a content-based speech retrieval algorithm. The algorithm allows matching based on the complete content of sentences in speech, not just local features or keywords. Importantly, it completely bypasses the Automatic Speech Recognition (ASR) transcription process by mapping the acoustic features of the sentence directly to the Hamming space. Retrieval of the same content is then achieved by comparing Hamming distances, thus effectively eliminating the potential impact of transcription errors on retrieval performance. In order to achieve this, our approach employs the Connectionist Temporal Classification (CTC) speech recognition technique to pre-train the model to learn content-dependent representations of speech features. Through experiments, we demonstrate that our approach achieves excellent performance in speech retrieval tasks.
Research On the Development Trend of New Energy Vehicles Based on Multi-Model Analysis
Authors: Zhao Yimeng , Wu Xin , Luo Hao
Published: June 2024

This study aims to explore the dynamic factors and future trend of the development of the new energy automobile industry and its impact on the traditional automobile industry. First of all, through the gray correlation analysis, the research points out that the new energy vehicle industry is affected by many factors, especially the popularity of charging piles and the implementation of government subsidy policies are the key elements to promote the development of the industry. Then, the research uses the ARIMA model to predict the market trend of China's new energy electric vehicles in the next decade, showing an optimistic development blueprint. Further, using multiple linear regression analysis to comparing the differences between new energy and traditional fuel vehicle industry, it is found that new energy vehicles are gradually subverting the pattern of the traditional automobile market and gradually occupy the dominant position. This study not only provides important industry insights, but also proposes coping strategies and adjustment directions for policy makers and automobile manufacturers.
Kunstmatige intelligentie als uitdaging voor de praktische theologie
Authors: Harmsen Maaike , Schaeffer Hans
Published: June 2024

We leven in een samenleving waarin technologie ons leven en samenleven vormgeeft. Een belangrijk onderdeel van die technologie is digitale technologie, van de computer waarop we werken tot de cloud waarin we onze artikelen schrijven en delen. Een volgend onderdeel van deze technologisering van de samenleving is automatisering. Het is overal om ons heen vaak ongemerkt aan het werk.
Business Model for Sustainability and Digitalization: the empirical case of an ecosystem participation
Authors: Perillo Federico , Gauthier Caroline
Published: June 2024

As digitalization can improve an organisation’s sustainability performance, the literature calls for more research into the relationship between digitalization and the organisation’s portfolio of business models for sustainability (BMfS). This research addresses the role of the organisation’s ecosystem in this relationship. Building on an inductive analysis, we use the case of a proactive multinational company. An in-depth investigation, relying on an analysis of secondary data and interviews, reveals that the ecosystem plays different roles. Firstly, it acts to maintain a balance between the organization’s core business model (BM) and its emerging new BMfS that rely on digitalization. Additionally, it supports the optimization of the organization’s digital resources for its emerging new BMfS that rely on digitalization. Finally, it helps generate new value for the organization’s BMfS. We discuss the implications for practitioners in fostering partnerships to develop more BMfS, and create more environmental benefits through digitalization.
Trends From 2010 to 2019 in Opioid and Nonopioid Pain Management After Total Knee Arthroplasty
Authors: Bahoravitch Tyler , Roberts Max , Zhao Amy , Stake Seth , Ernst Brady , Thakkar Savyasachi C.
Published: June 2024

Introduction:

As the opioid epidemic enters its third decade, we reflect on how it has affected clinical practice within the orthopaedic community. Recent studies show prolonged opioid use after total knee arthroplasty (TKA) is associated with worse overall health outcomes. This study aims to elucidate trends in pain management after TKA over the past decade.

Methods:

A retrospective analysis was performed using the PearlDiver database from 2010 to 2019. Patients who underwent primary TKA without a history of mental illness, complex pain syndromes, or opioids used 6 months before surgery were selected. Postoperative prescription filling rates of opioid and nonopioid at 30, 90 days, and 1 year from surgery were analyzed. Linear regression analysis and compound annual growth rates (CAGRs) were analyzed from 2010 to 2019, a P value <0.05 being considered significant.

Results:

Between 2010 and 2019, 579,269 patients underwent primary TKA. At 30 days, filling of prescriptions for opioids (CAGR = 3.54%) and nonopioids (CAGR = 15.50%) markedly increased from 2010 to 2019. At 90 days, opioids decreased (CAGR = −4.42%). At 1 year, opioid (CAGR = −10.92%) and nonopioid (CAGR = −2.12%) prescriptions markedly decreased from 2010 to 2019.

Discussion:

This study highlights patterns of decreased opioid prescription rates at 90 days and 1 year postoperatively from 2010 to 2019. Decreasing opioid rates may indicate effectiveness in targeted public health campaigns to curb opioid overuse.
Highlighting the Contribution of Technological Entrepreneurship to the Dynamics of Knowledge-Based Economic Growth in the Academic Environment of Students
Authors: Mahmudin Tono
Published: June 2024

In the era of globalization and digitalization, economic growth increasingly relies on innovation and knowledge. Knowledge-based economies emphasize the importance of quality human resources, research, and technology to drive economic progress. The academic environment of students is one of the main centers for creating and developing new knowledge. This research aims to explore and highlight the contribution of technological entrepreneurship among students to the dynamics of knowledge-based economic growth. This study employs a literature review method with a qualitative approach and descriptive analysis. Data collection is conducted using Google Scholar as the primary source to gather scholarly articles from the period 2002-2024. The results of the study indicate that technological entrepreneurship in the academic environment of students plays a significant role in shifting the economic paradigm towards inclusive and sustainable knowledge-based growth. In an era where technology serves as the main engine of economic transformation, technological entrepreneurship opens opportunities for students to become agents of change shaping the future economy
La voz de la justicia
Authors: Rodríguez Llamosí Juan Ramón
Published: June 2024

A pesar de la aparente ajenidad entre la justicia y la ópera, en el presente estudio analizamos algunas óperas en las que se pone sobre el escenario música y voz la a vida de los seres humanos en conflicto, revelada en múltiples comportamientos y sentimientos (celos, amor, pasión, venganza, muerte), con diferentes situaciones e historias judiciales.
Iconografía de la Natividad: el parto con dolor
Authors: Díaz Díaz Teresa
Published: June 2024

Existen dos formas tradicionales de representar iconográficamente el parto de la Virgen: el que hace alusión a un alumbramiento natural con dolor, tal y como observaremos en algunos ejemplos de este trabajo y el del parto sin dolor que analizaremos en al siguiente edición de la revista, debido a la gran cantidad de obras que alcanzan el tema de la Natividad.
De la liturgia a las remembranzas en los monasterios medievales
Authors: Triviño Monrabal María Victoria
Published: June 2024

La Liturgia monástica es parte importante del patrimonio inmaterial del cristianismo. Su estructura fraguó en la Edad Antigua con las primeras reglas monásticas. En la Edad Media alcanzó la grandiosidad de una catedral románica. La inevitable alternancia de esplendor y decadencia, motivó las reformas que tendían a la unificación y sobriedad. Desde finales del siglo XII se acentuó el protagonismo de los clérigos, y los fieles buscaron alternativas pasando de la liturgia a la remembranza. La vemos protagonizada por tres figuras femeninas: Hildegard von Bingen (1098-1179), Caterina de Bolonia (1413-1463) y Juana de la Cruz (1481-1534). En el siglo XXI recuperamos la remembranza, heredando la tradición de las maestras medievales.
A Case of Severe Delayed Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm
Authors: Kim Joong-Goo , Kang Chul-Hoo , Sheen Jae Jon , Song Yunsun , Rhim Jong-Kook
Published: June 2024

Delayed ischemic stroke associated with intractable vasospasm after clipping of unruptured intracranial aneurysms (UIAs) has been rarely reported. We report a patient with delayed ischemic stroke associated with intractable vasospasm following UIA clipping. A middle-aged female underwent surgery for unruptured middle cerebral artery bifurcation aneurysms. The patient tolerated the neurosurgical procedure well. Seven days postoperatively, the headache was unbearable; a postcraniotomy headache persisted and abruptly presented with global aphasia and right-sided hemiplegia after a nap. Emergency digital subtraction angiography showed severe luminal narrowing with segmental vasoconstriction, consistent with severe vasospasm. The patient’s neurological deficit improved after chemical angioplasty. Neurosurgeons should pay close attention to this treatable/preventive entity after neurological deterioration following UIA clipping, even in patients without subarachnoid hemorrhage.
A LÍNGUA COMO ELEMENTO CONSTITUTIVO DA IDENTIDADE E CULTURA
Authors: Vitti Sylvia Cristina de Azevedo
Published: June 2024

O presente trabalho tem como objetivo analisar e refletir sobre a construção da identidade do ser humano a partir de uma revisão bibliográfica. A língua é um sistema social historicamente construído que permite a comunicação de pensamentos e a interação entre indivíduos dentro de uma comunidade. Como patrimônio social, ela preserva e transmite o conhecimento cultural ao longo das gerações. Existindo antes do nascimento de cada pessoa, a língua sobrevive independentemente dos indivíduos, integrando-se profundamente nas expressões culturais e sendo fundamental na construção da identidade cultural e social. A cultura, inseparável da língua, é vista como um conjunto de valores e práticas que definem um grupo, sendo transmitida principalmente através da linguagem. Esta, por sua vez, é essencial para a formação da identidade pessoal, permitindo a expressão e interação social. Porém, a identidade não é estática e encontra-se em constante formação e transformação ao longo da vida, sujeita a forças que podem fixá-la, descentrá-la ou desestabilizá-la. Como exemplo disto, pode-se mencionar o ato de viajar para o exterior. A educação e a experiência intercultural, especialmente através da aprendizagem de línguas por meio do intercâmbio cultural, desempenham um papel crucial na formação de uma identidade adaptativa e dinâmica em um mundo globalizado.
O USO DAS FERRAMENTAS GOOGLE NA EDUCAÇÃO: DRIVE, FORMS E SALA DE AULA
Authors: Pelages Rodrigo Gonçalves , Massini Alice Medeiro de Carvalho , Azevedo Elaine Carvalho de , Perim Fabiana de Carvalho Ribeiro , Souza Fabrícia Silva Romão de , Lopes Kalebe da Silva , Brito Monique Silva de , Fragoso Nágela da Silva Costa , Moraes Raquel Rezende , Pinheiro Telma da Silva , Carvalho Valéria Marvila
Published: June 2024

O uso de tecnologias educacionais digitais tem se mostrado essencial no processo de ensino-aprendizagem, especialmente em contextos pós-pandemia. Ferramentas como Google Classroom, Google Drive, Google Docs e Google Forms são destacadas por suas funcionalidades que facilitam a comunicação, colaboração e personalização do ensino. Estudos indicam que, embora muitos professores utilizem tecnologias, há uma falta de conhecimento específico sobre ferramentas como o Google Classroom, além de desafios como a falta de infraestrutura adequada e a necessidade de formação contínua dos professores. A integração dessas tecnologias pode transformar a educação, tornando as aulas mais dinâmicas e envolventes, e promovendo a inclusão de alunos com necessidades especiais, como os com Transtorno do Espectro Autista. A computação em nuvem, representada pelo G Suite, oferece soluções colaborativas que são úteis tanto para o ensino quanto para o trabalho em grupo, permitindo a criação, edição e compartilhamento de documentos online. A personalização da aprendizagem e a promoção da criatividade são benefícios adicionais proporcionados por essas ferramentas. No entanto, é crucial enfrentar desafios como a resistência dos professores e questões de segurança de dados. A formação adequada de professores e o suporte multidisciplinar são essenciais para a implementação eficaz dessas tecnologias. Em resumo, a utilização de ferramentas digitais na educação é fundamental para preparar os alunos para os desafios do mundo digital em constante transformação.
PERAN STRATEGIS BANK SYARIAH DALAM MENGEMBANGKAN USAHA MIKRO KECIL MENENGAH: STUDI KASUS DI KABUPATEN DAN KOTA CIREBON
Authors: Suharto Toto
Published: June 2024

Penelitian deskriptif ini bertujuan untuk mengidentifikasi peran strategis, tantangan, dan menjelaskan kendala bagi bank syariah dalam melayani usaha mikro dan kecil kelas menengah di kota dan kabupaten. Peran strategis bank syariah dalam pengembangan UMKM terlihat dari kontribusinya dalam memberikan pembiayaan yang bertujuan untuk memperkuat permodalan UMKM sehingga dapat meningkatkan Manajemen dan pengembangan bisnis. Bank syariah menghadapi banyak tantangan dalam pengembangan UMKM.  Salah satunya adalah keberadaan bank syariah yang masih dianggap sama dengan bank tradisional. Oleh karena itu, pelaku UMKM masih ragu atau enggan mengajukan pinjaman ke bank syariah. Selain itu, semakin banyak lembaga keuangan lain, seperti BMT dan koperasi syariah, yang dapat memberikan pembiayaan dengan prosedur cepat dan persyaratan sederhana. Ini adalah sesuatu yang tidak bisa dilakukan oleh bank syariah. Bank syariah dapat menerapkan berbagai strategi untuk meminimalisir hambatan yang dihadapi UMKM, terutama dalam hal akses permodalan. Sebab, UMKM bisa berkembang lebih baik jika diberikan kesempatan memperoleh pinjaman di bank syariah.
FACTORS OF USING CASHLESS TRANSACTIONS IN RETAIL BUSINESS USING GROUNDED THEORY
Authors: Givianty Vasya Theodora , Kurinawan Haby , Julian Ahmad , Heikal Jerry
Published: June 2024

Today's technological developments have been able to influence almost all business sectors so that business actors inevitably have to be able to keep up with these technological developments if they want to survive in the business world. One sector that is very dynamic following these developments is the banking sector. Developments in this sector have a domino effect on other sectors because banking acts like a bridge between business actors. The product results from this sector which can be said to be one of the factors changing consumer behavior is e-banking which encourages the creation of cashless (non-cash) transactions. Apart from that, the increasing type and number of smartphones has contributed to the growth of transactions via e-banking. This research uses qualitative techniques with a grounded theory approach. The author conducted direct interviews with several business actors in the retail sector to determine the influence of e-banking in increasing transactions. Based on the research results, it was found that the coding scheme consisted of 17 codes which formed 7 categories and gave rise to 3 themes with a total frequencies of 25. The highest frequency in coding was 12 on the theme of ease of transactions and 10 on the theme of security so that the factors that influence the use of cashless e-banking are making it easier. buying and selling transactions of business actors in the retail sector and reducing the risk of fraud during transactions compared to increasing transaction volume.
THE IMPACT OF HUMAN RESOURCE COMPETENCY, IMPLEMENTATION OF GOVERNMENT ACCOUNTING STANDARDS, IMPLEMENTATION OF LOCAL FINANCIAL ACCOUNTING SYSTEM, AND NEW PUBLIC MANAGEMENT ON THE QUALITY OF THE FINANCIAL REPORTS OF THE BANDAR LAMPUNG CITY GOVERNMENT
Authors: Hartati Siti , Dewi Fajar Gustiawaty
Published: June 2024

The policy change from centralization to decentralization strengthens regional autonomy in financial management, regulated to be transparent and accountable in accordance with Law no. 17 of 2003. Regional financial reports, which are audited by the BPK and submitted to the DPRD, are essential for policy making and evaluating the effectiveness of the use of funds. However, the quality of reports is often inadequate, a reflection of competency gaps in financial management. The objective of this study is to examine the impact of human resource competency, the application of government accounting standards, the adoption of local financial accounting systems, and New Public Management on the quality of financial reporting by the Bandar Lampung municipal government. The study employs a quantitative methodology, utilizing comparative causal analysis techniques. Findings from the study reveal that human resource skills, the application of governmental accounting norms, and local financial accounting systems positively influence the quality of the financial statements of the Bandar Lampung City Government, suggesting that effective implementation enhances report quality. However, New Public Management did not show significant influence, which may be caused by a lack of understanding of this concept in Bandar Lampung City.
KAJIAN YURIDIS PELANGGARAN KODE ETIK YANG DILAKUKAN NOTARIS EY
Authors: Susilowati Tri , Pasikun Syarifah , Susanti Seri , Annisa Rizki Nur , Rakhmiliansyah Muhammad Farizi , Nadhifa Diza Fadhla
Published: June 2024

Pekerjaan yang dilakukan seorang notaris tidak hanya sebatas apa yang diamanatkan kepadanya sebagaimana tercantum dalam Undang Undang akan tetapi seroang notaris juga harus menjalankan suatu fungsi yang dinamakan fungsi sosial. Seorang notaris harus memiliki intregitas dan moral juga harus selalu melakukan dan melaksananakan tanggung jawab profesinya sesuai dengan etika profesi notaris yang telah diamanatkan oleh Undang Undang. Akan tetapi dalam malaksanakan tugasnya banyak notaris yang masih melakukan suatu pelanggaran kode etik dan tidak mengindahkan norma norma yang berkembang di masyarakat. Salah satu contoh pelanggaran kode etik yang terjadi adalah pelanggaran kode etik yang dilakukan oleh notaris EY. Notaris EY telah melanggar UUJN yakni pasal 15 ayat 2 dan pasal 16 ayat (1) Undang Undang Jabatan Notaris. Perbuatan yang dilakukan notaris tersebut dapat merugikan pihak ketiga. Seorang notaris harus dapat menjaga harkat dan martabat profesi notaris dengan menjalankan profesinya sesuai dengan kode etik dan Undang Undang Jabatan Notaris serta selalu meningkatkan pelayanan terhadap masyarakat sebagai pejabat umum yang memiliki kewenangan dalam pembuatan suatu akta otentik.
MESANE KANSERİ ve ÜRİNER STOMASI OLAN HASTANIN EVDE BAKIMI
Authors: İşcan Ayyıldız Neşe
Published: June 2024

Mesane kanserinin tedavi süresi boyunca evde bakım, hastaların sağlık ve yaşam kalitesini destekleyen önemli bir faktördür. Evde bakım uygulamaları, stoma bakımı, idrar kontrolü, beslenme düzeni, psikolojik destek, takip ve kontroller gibi birçok destekleyici uygulama hastalara iyileşme sürecinde yardımcı olmaktadır. Gelişen cerrahi teknikler ve hastane kalış sürelerinin azaltılması, cerrahi olarak bir ürostomi açıldıktan hemen sonraki postoperatif dönemde daha fazla hastada evde bakım alma ihtiyacının doğmasına yol açmıştır. Evde bakım uygulamalarında, ürostomili hastaların hastaneden taburcu olmasıyla kendi kendine bakımını üstlenmesine kadar bakımını yönetecek bilgi ve becerilere sahip olmaları önemlidir. Bu makale, mesane kanserinin tedavi süreci ve ürostomi ile yaşayan hastaların evde bakım yönetimine odaklanmaktadır. Üriner stoması olan hasta ve bakım veren aile bireylerinin evde bakım uygulamalarıyla desteklenmesi stent yönetimi, peristomal cilt bakımı, stoma komplikasyonları gibi birçok stoma kaynaklı olumsuz durumla baş etme konusunda oldukça büyük bir öneme sahiptir. Ürostomili hastaların bakım bilgisi, komplikasyon ve hastaneye yeniden yatış riskini azaltabilir. Ayrıca bireylere ev ortamında sağlanan bakım uygulamaları hastaların ürostomili yaşama uyum sağlamasına destek olmaktadır.
Realm of hepatitis E: Challenges and opportunities
Authors: Li Jia-Rui , Xiang Ze , Li Shu-Hui , Li Chen-Xi , Yan Hong , Wu Jian
Published: June 2024

Hepatitis E virus (HEV), responsible for widespread viral hepatitis, infects approximately 2.3 billion individuals globally, with a significant mortality burden in Asia. The virus, primarily transmitted through contaminated water and undercooked meat, is often underdiagnosed, particularly in immunocompromised patients. Current HEV treatments, while effective, are limited by adverse effects, necessitating research into safer alternatives. Moreover, HEV’s extrahepatic manifestations, impacting the nervous and renal systems, remain poorly understood. This study underscores the imperative for enhanced HEV research, improved diagnostic methods, and more effective treatments, coupled with increased public health awareness and preventive strategies.
Raspberry-PI based Design of An Interactive Smart Mirror for Daily Life
Authors: Lyons Joe Reginald , Anicho Ogbonnaya , Secco Emanuele Lindo
Published: June 2024

The Internet of Things and spatial computing are increasingly popular in today's technological environment. These devices can sometimes produce counterproductive effects, complicating the interaction between non-expert end users and the device itself. In this paper, we propose a simple, user-friendly, and cost-effective configurable smart mirror, which can display usefully relevant real-time information. This system is designed based on a low-cost Raspberry Pi paired with an LCD screen. The system can connect with a personal computer (PC) through the IEEE 802.15 wireless communication protocol. The preliminary results in this paper show the intuitive usability of the device in daily life.
Does the use of double hormone replacement therapy for trauma patient organ donors improve organ recovery for transplant
Authors: Gallegos Eden M , Reed Tanner , Deville Paige , Platt Blake , Leonardi Claudia , Bellfi Lillian , Dufrene Jessica , Chaudhary Saad , Hunt John , Stuke Lance , Greiffenstein Patrick , Schoen Jonathan , Marr Alan , Paramesh Anil , Smith Alison A
Published: June 2024

BACKGROUND

With an ongoing demand for transplantable organs, optimization of donor management protocols, specifically in trauma populations, is important for obtaining a high yield of viable organs per patient. Endocrine management of brain-dead potential organ donors (BPODs) is controversial, leading to heterogeneous clinical management approaches. Previous studies have shown that when levothyroxine was combined with other treatments, including steroids, vasopressin, and insulin, BPODs had better organ recovery and survival outcomes were increased for transplant recipients.

AIM

To determine if levothyroxine use in combination with steroids in BPODs increased the number of organs donated in trauma patients.

METHODS

A retrospective review of adult BPODs from a single level 1 trauma center over ten years was performed. Exclusion criteria included patients who were not solid organ donors, patients who were not declared brain dead (donation after circulatory death), and patients who did not receive steroids in their hospital course. Levothyroxine and steroid administration, the number of organs donated, the types of organs donated, and demographic information were recorded. Univariate analyses were performed with P < 0.05 considered to be statistically significant.

RESULTS

A total of 88 patients met inclusion criteria, 69 (78%) of whom received levothyroxine and steroids (ST/LT group) vs 19 (22%) receiving steroids without levothyroxine (ST group). No differences were observed between the groups for gender, race, pertinent injury factors, age, or other hormone therapies used (P > 0.05). In the ST/LT group, 68.1% (n = 47) donated a high yield (3-5) of organ types per donor compared to 42.1% (n = 8) in the ST group (P = 0.038). There was no difference in the total number of organ types donated between the groups (P = 0.068).

CONCLUSION

This study suggests that combining levothyroxine and steroid administration increases high-yield organ donation per donor in BPODs in the trauma patient population. Limitations to this study include the retrospective design and the relatively small number of organ donors who met inclusion criteria. This study is unique in that it mitigates steroid administration as a confounding variable and focuses specifically on the adjunctive use of levothyroxine.
Safety and efficacy of Kaffes intraductal self-expanding metal stents in the management of post-liver transplant anastomotic strictures
Authors: Lim Chee , Ng Jonathan , Sarraf Babak , Vaughan Rhys , Efthymiou Marios , Zorron Cheng Tao Pu Leonardo , Chandran Sujievvan
Published: June 2024

BACKGROUND

Endoscopic management is the first-line therapy for post-liver-transplant anastomotic strictures. Although the optimal duration of treatment with plastic stents has been reported to be 8-12 months, data on safety and duration for metal stents in this setting is scarce. Due to limited access to endoscopic retrograde cholangiopancreatography (ERCP) during the coronavirus disease 2019 pandemic in our centre, there was a change in practice towards increased usage and length-of-stay of the Kaffes biliary intraductal self-expanding stent in patients with suitable anatomy. This was mainly due to the theoretical benefit of Kaffes stents allowing for longer indwelling periods compared to the traditional plastic stents.

AIM

To compare the safety and efficacy profile of different stenting durations using Kaffes stents.

METHODS

Adult liver transplant recipients aged 18 years and above who underwent ERCP were retrospectively identified during a 10-year period through a database query. Unplanned admissions post-Kaffes stent insertion were identified manually through electronic and scanned medical records. The main outcome was the incidence of complications when stents were left indwelling for 3 months vs 6 months. Stent efficacy was calculated via rates of stricture recurrence between patients that had stenting courses for ≤ 120 d or > 120 d.

RESULTS

During the study period, a total of 66 ERCPs with Kaffes insertion were performed in 54 patients throughout their stenting course. In 33 ERCPs, the stent was removed or exchanged on a 3-month interval. No pancreatitis, perforations or deaths occurred. Minor post-ERCP complications were similar between the 3-month (abdominal pain and intraductal migration) and 6-month (abdominal pain, septic shower and embedded stent) groups - 6.1% vs 9.1% respectively, P = 0.40. All strictures resolved at the end of the stenting course, but the stenting course was variable from 3 to 22 months. The recurrence rate for stenting courses lasting for up to 120 d was 71.4% and 21.4% for stenting courses of 121 d or over (P = 0.03). There were 28 patients that were treated with a single ERCP with Kaffes, 21 with removal after 120 d and 7 within 120 d. There was a significant improvement in stricture recurrence when the Kaffes was removed after 120 d when a single ERCP was used for the entire stenting course (71.0% vs 10.0%, P = 0.01).

CONCLUSION

Utilising a single Kaffes intraductal fully-covered metal stent for at least 4 months is safe and efficacious for the management of post-transplant anastomotic strictures.
Effect of Microwaves, Ultrasound, Enzyme, and Lactic Bacteria on Extraction Efficiency of Bioactive Compounds from Agarwood Leaves (Aquilaria spp.)
Authors: Lieu My Dong , Doan Trung Nam , Tran Thi Phuong , Tran Thi Hong Cam , Dang Thi Kim Thuy
Published: June 2024

Agarwood leaves (Aquilaria spp.) have been shown to benefit human health due to their bioactive compounds. However, studies on extraction methods for these beneficial compounds from agarwood leaves have been poorly reported. Therefore, the present study aimed to investigate the efficiency of extraction methods for such compounds. The studied methods included microwave-assisted extraction (MAE), ultrasound-assisted extraction (UAE), Viscozyme L treatment, and fermentation by Lactobacillus acidophilus ATCC 4356. The total contents of polyphenols, polysaccharides, saponins, flavonoids, and antioxidant activity were evaluated. The results showed that bioactive compound extraction efficiency differed depending on the treatment methods. Viscozyme L treatment showed the most effective method, followed by MAE treatment and lactic fermentation, and UAE treatments showed the lowest result. The total contents of polyphenols, polysaccharides, saponins, flavonoids, and the antioxidant activity in the case of Viscozyme treatment were 51.81±2.65 mg GAE/g sample; 23.711±1.26 mg GE/g sample; 252.77±4.32 mg OAE/g sample; 7.90±0.72 mg QE/g sample; and 55.1±1.3%, respectively. The results also indicated that each extraction method has its advantages. MAE and UAE treatments caused overheating inside the medium, affecting the antioxidant activity compounds. In the case of the fermentation process, excessive prolonging of the fermentation time also affected the sensitive antioxidant activity compounds released from the plant cells. The lactic fermentation process required the most time to reach extraction efficiency. However, fermentation would provide bioactive compounds and probiotics for health benefits, showing a potential approach for food supplementation.
Sociolínguística e variação: apontamentos teórico-práticos
Authors: Dantas Leila Patrícia Alves , Saraiva Yanara Pessoa
Published: June 2024

Desde a segunda metade do século XX, os estudos na área da linguagem voltaram-se para questões que ultrapassam os limites internos ou estruturais da língua, buscando evidenciar aspectos linguísticos que envolvam os falantes, o contexto, a interação, a oralidade, dentre outros. Este trabalho está apoiado nos estudos da Sociolinguística, a qual destaca as relações existentes entre língua e sociedade. Lançando o olhar para a heterogeneidade, diversidade e variação da língua portuguesa, a serviço das necessidades sociocomunicativas dos falantes, traçamos como objetivo deste estudo realizar um levantamento bibliográfico sobre algumas das concepções de língua existentes e aquela a que se tem dado ênfase no ensino de língua portuguesa. Nesse caso, trata-se de uma pesquisa de levantamento bibliográfico e natureza descritiva, a partir dos principais pesquisadores da Sociolinguística e do ensino com abordagem variacionista, no Brasil. Diante disso, para o desenvolvimento desse  estudo, foram levadas em consideração as contribuições da Linguística e da Sociolinguística quanto à concepção de língua e os estudos da variação linguística, a partir de relevantes pesquisadores  da área, como: Labov (1976), Bortoni-Ricardo (2005), Faraco (2008), Bagno (2003), entre outros, ressaltando aspectos cruciais da teoria, como norma, variação e preconceito linguístico. Longe de encerrar a discussão aqui suscitada, mas de abrir caminhos para um debate sobre um ensino e uma pedagogia variacionista, as leituras e reflexões apontam para uma concepção de língua que contempla, de forma clara e incisiva, os fenômenos de variação linguística, de maneira consciente e reflexiva, destacando espaços formais de ensino como o principal locus de construção dessa concepção de linguagem e combate ao preconceito linguístico.
AUTOMATED CLASSIFICATION OF EMPHYSEMA USING CONVOLUTIONAL NEURAL NETWORKS
Authors:   Department of Radiology &Imaging Technology  School of Allied HealthCare Sciences  Malla Reddy University, Hyderabad, Sreeja Ummadi
Published: June 2024

The analysis of CT scans for emphysema diagnosis can be formulated as a computer vision problem, where predefined patterns are used to automatically classify the images. This paper investigates a method for classifying emphysema subtypes in High-Resolution Computed Tomography (HRCT) scans using convolutional neural networks (CNNs). This classification is crucial for accurate diagnosis and management of emphysema, a chronic lung disease causing shortness of breath. Our approach leverages transfer learning to extract informative features from HRCT images labeled as centrilobular (CLE), paraseptal (PLE), panlobular (PSE), and non-emphysematous (NT). We evaluate various CNN architectures, with InceptionV3 demonstrating exceptional performance, achieving an accuracy of 98% while effectively distinguishing between all subtypes. The trained InceptionV3 model is then integrated into a user-friendly front-end application developed using Streamlit and ngrok. This application allows real-time emphysema classification from HRCT scans, potentially aiding clinicians in diagnosis and treatment decisions. Keywords:- Emphysema classification ,Transfer Learning,CNN,InceptionV3,Streamlit , Ngrok
Navigating Cleanliness: A Comprehensive Examination of Swachh Bharat Mission Urban through Comparative Analysis between Indore M.P & Chandigarh
Authors:   AKTU, Lucknow, Pachaury Ar. Amit
Published: June 2024

The largest survey in the world, the Swachh Survekshan Survey, the Indian government initiated a major cleaning campaign known as Swachh Bharat Abhiyan (SBA) to advance health technology and hygiene knowledge. in order to chart the campaign's effectiveness. With the observation of 73 cities at the start of the Swachh Survekshan Campaign in 2016, the Indian government created the largest cleanliness survey in the world, with 4242 cities participating. Along with additional observations based on other factors, the survey covers the population of each area separately—rural and urban. The aim of this research is to conduct a comparative analysis between Gwalior, which was renowned for its cleanliness and beauty and significantly dropped in the Swachh Survekshan Ranking, and Indore City, which has regularly rated among the top cities in2017 to 2022 surveys. The research has analysed the differences in two cities' adherence to the Swachh Bharat Mission parameters using an exploratory research technique and secondary data from the Swachh Survekshan Survey 2022. Keywords—World’s largest cleanliness survey, swachh survekshan ranking, cleanliness movement,
A STUDY ON PATIENT SAFETY IN HOSPITAL
Authors:   NIMS School of Business studies, Prakash Dr. Yerragola
Published: June 2024

Patient safety is a fundamental aspect of healthcare quality, aiming to prevent and reduce risks, errors, and harm to patients during the provision of healthcare. This dissertation investigates the multifaceted nature of patient safety, examining its determinants, impacts, and strategies for improvement. The study employs a mixed-methods approach, combining quantitative data analysis from patient safety incident reports and qualitative insights from healthcare professionals through interviews and focus groups. Key findings highlight the prevalence of medication errors, surgical complications, and healthcare-associated infections as primary concerns. Contributing factors include inadequate staffing, insufficient training, and poor communication among healthcare teams. The dissertation emphasizes the critical role of a robust safety culture, where open communication and continuous learning are prioritized. Recommendations for enhancing patient safety include the implementation of standardized protocols, advanced training programs, and the integration of health information technologies such as electronic health records (EHRs) and computerized physician order entry (CPOE) systems. Additionally, fostering a non-punitive environment encourages reporting and addressing errors without fear of retribution. This study underscores the importance of interdisciplinary collaboration and the continuous evaluation of safety practices to adapt to the evolving healthcare landscape. By identifying key areas for intervention and providing actionable strategies, this dissertation contributes to the ongoing efforts to safeguard patient well-being and improve healthcare outcomes. This abstract encapsulates the main elements typically addressed in a comprehensive study on patient safety, focusing on the causes, consequences, and potential solutions to enhance safety in healthcare settings.
The Effectiveness of the Integration of ChatGPT into Flipped Classrooms from Teachers’ and Learners’ Perspectives
Authors: Dung Le Quang
Published: June 2024

This study investigates the integration of ChatGPT, an advanced AI language model, into the flipped classroom model for language teaching and its impact on learning outcomes. The flipped classroom approach shifts instructional content delivery to pre-class activities and emphasizes active learning during class time, potentially enhancing student engagement and academic performance. This research explores how ChatGPT can further augment this model by providing interactive and personalized language learning materials before class and facilitating dynamic in-class activities. Using a mixed-methods research design, qualitative data from surveys and interviews were analyzed first to provide deeper insights into the students' experiences and attitudes towards ChatGPT-supported learning. Quantitative data were then collected through a survey of 124 students across different levels of language learning (Year 2, Year 3, and Year 4), focusing on perceived effectiveness of ChatGPT, levels of engagement and interaction, potential negative impacts, and overall satisfaction. Findings indicate that the integration of ChatGPT significantly enhances student engagement, language proficiency, and overall satisfaction with the learning process, while also highlighting some concerns regarding its use. This study contributes to the growing body of literature on AI in education, demonstrating the potential of ChatGPT to transform language teaching and learning in a flipped classroom setting.
Analisis RPP Kurikulum 2013 Dengan Modul Ajar Kurikulum Merdeka Belajar Mata Pelajaran Bahasa Dan Sastra Indonesia Kelas VII Di SMP Adhyaksa Medan
Authors: Manurung Florentina Br , S Monalisa Frince , Saragih Renita Br
Published: June 2024

This research aims to provide data descriptions regarding the differences in content between the 2013 Curriculum RPP and the Independent Learning Curriculum Teaching Module for Class VII Indonesian Language and Literature Subjects at Adhyaksa Middle School Medan. This type of research is qualitative descriptive research. This approach is carried out by analyzing the words or text contained in the object to be studied. After analyzing the 2013 curriculum lesson plan and the independent curriculum teaching module, differences between the two were obtained. These differences cover several aspects, including identity, initial components, profile of Pancasila students, facilities and infrastructure, target students, learning models, assessments, meaningful understanding, trigger questions, enrichment and remedial, reading materials for educators and students, glossaries and lists. References. The Merdeka Curriculum Teaching Module emphasizes recognition of the intellectual contribution of learning material compilers, transparency, recognition of changes in learning approaches, deepening students' understanding, and active involvement of students in the learning process. These changes are based on government policies that face the latest educational challenges, such as adaptation during the COVID-19 pandemic and adjustment to updated competency standards. These differences indicate an evolution in approaches and priorities in preparing learning materials, as well as efforts to improve the overall quality of education.
STUDY OF EXTRACT SUBSTANCES OF WHITE BIRCH BARK
Authors:   Master Student Of The Faculty Of Chemistry Of Nuuz, Uzbekistan, Kizi Fattoheva Mohichekhra Bobir`S , Kizi Boboyorova Shakhnoza Majid’s ,   Phd Student Of The Institute Of Bioorganic Chemistry, Uzbekistan, Joraevich Khaitov Farkhod ,   Basic Doctoral Student Of Tashkent State Agrarian University, Uzbekistan, Abdurasulevich Yuldashev Khabibulla ,   Ph.D., Senior Researcher Institute Of Bioorganic Chemistry, Uzbekistan
Published: June 2024

The article presents the results of a comparative study of extractive substances and the main substance - betulin content of Turkestan white birch bark, as well as the results of the study of its structure and some physico-chemical parameters. Betula Turkestanica Roth extractives contain 82% betulin.