bluuebunny/crossref_metadata_2025 huggingface dataset:
Rhazes: An AI-Assistant to help with the paperwork and analytical tasks in clinical medicine (Preprint)
Authors: Sarvari Peter , Al-fagih Zaid , Abou-Chedid Alexander
Published: October 2024

BACKGROUND

One in ten patients die because of a diagnostic error while doctors spend two hours with paperwork for every hour they spend with patients. Medical knowledge base doubles every 73 days and doctors struggling to keep up experience burnout at peak rates. Successful generative AI applications include data analytics, document generation, and question answering on medical databases, however, generative AI is yet to make its way into hospitals.

OBJECTIVE

We aim to accelerate this transition by offering Rhazes, an AI-Assistant for doctors to assist them with paperwork and analytical tasks in medicine.

METHODS

Storage, hosting, AI services and LLMs are provided by Microsoft Azure and OpenAI. Retrieval augmented generation is used to for diagnosis and billing and WebRTC protocol is used for telemedicine.

RESULTS

We made Rhazes available on the web free of charge and it is ready to help physicians with notetaking, clinical decisions and patient management starting from the initial consultation all the way to patient discharge.

CONCLUSIONS

In the future we aim to pilot Rhazes in hospitals and conduct a thorough evaluation of its performance.

INTERNATIONAL REGISTERED REPORT

RR2-https://doi.org/10.1002/hcs2.79
Estimating the Prevalence of Monkeypox Among Men Who Have Sex with Men in Chengdu, China, Since 2023 Using Capture-Recapture Methods (Preprint)
Authors: Xu Jingpei , Li Junfan , Dai Zhen , Wang Xiaodong , Wang Liang
Published: October 2024

BACKGROUND

Monkeypox (mpox) is a zoonotic disease caused by the mpox virus, which was previously observed primarily in west-central Africa. Since May 2022, mpox outbreaks have emerged in several non-endemic countries around the world and have continued to spread, mainly through close contact (including sexual contact) in the population of men who have sex with men (MSM). Since June 2, 2023, when the first indigenous case of mpox in mainland China was reported in Beijing, the mpox epidemic in China has lasted for more than a year, and is still showing delayed transmission, with the total number of reported cases in 2023 ranking tenth in the world. With the gradual increase of the total number of indigenous cases, cases among females have been found to be infected via sexual contact, and there is a risk of further spread of the epidemic to the general population. MSM are a high-risk group for mpox infection and are central to prevention and control efforts aimed at halting the spread of the virus.

OBJECTIVE

The aim of this study is to ascertain the prevalence of mpox infection among MSM in Chengdu and to provide a scientific basis for predicting the mpox epidemiological situation and formulating prevention and control strategies.

METHODS

A capture-recapture method was applied to estimate the size of mpox cases in MSM populations residing or active in Chengdu City since May 1, 2023. The first capture and tagging were conducted at offline activity sites of the MSM population, and the second capture was carried out through peer network snowball sampling. Capture was accompanied by a questionnaire survey covering mpox diagnosis history, suspected mpox symptoms, risk exposure in the 21 days prior to symptom onset, and HIV and sexually transmitted infection (STI) status.

RESULTS

The first capture tagged 1501 individuals, of whom 31 were mpox cases, and the second capture recruited a total of 1538 individuals, of whom 18 were mpox cases. A total of 21 people had been tagged in the second capture, of whom 1 was a mpox case. The capture-recapture method estimated the number of mpox cases among MSM in a provincial capital city to be 303 (95% CI: 48~ 618 ), and the size of the MSM population in Chengdu city to be 105,070 (95% CI: 62,751 ~ 147,391), and the prevalence rate of mpox infection to be 2.88 per 1,000 (95% CI: 0.33 ~ 9.85 per 1,000).

CONCLUSIONS

The capture-recapture method can estimate the size of the MSM population and the number of mpox cases, providing essential data for mpox prevention and control. Mpox infection among the MSM population in Chengdu is of notable proportion, and behavioral intervention targeting this population are necessary to control the transmission of mpox.
İnsan Kaynakları Analitiği Üzerine Vosviewer ile Bibliyometrik Analiz
Authors: Karakulle İsmail
Published: October 2024

Günümüzde rekabetin artması ve çevresel değişiklikler, örgütlerin insan kaynakları uygulamalarında yeni stratejiler geliştirmesini zorunlu kılmaktadır. Geleneksel insan kaynakları yönetiminden stratejik insan kaynaklarına geçişle birlikte, örgütlerin insan kaynakları yönetimindeki rol ve sorumlulukları değişmektedir. Bu durum, insan kaynakları analitiğinin önemini artırmakta ve veri bazlı karar alma süreçlerini ön plana çıkarmaktadır. İnsan kaynakları analitiği (İKA), örgütlerin veriye dayalı kararlar almasına, performansı artırmasına ve stratejik hedeflere ulaşmasına yardımcı olmaktadır. Çalışmanın amacı alan yazında insan kaynakları analitiğine olan eğilimlerin nasıl ve ne şekilde olduğunu belirleyerek, gelecekte nasıl ilerleyeceği konusunda alan araştırmacılarına veri sağlamaktır. Ayrıca konuyla ilgili olarak hangi ülkelerin konuya daha fazla ağırlık verdiği, en fazla atıf alan yazarların ve kurumların hangileri olduğunu belirlemek araştırmanın diğer önemli amacını oluşturmaktadır. Web of Science (WoS) veri tabanından alınan veriler sonucunda; İKA ile ilgili en fazla yayın yapılan yıl 2022 (274 çalışma), en fazla yapılan yayın türü makale (1382), en fazla yayın yapılan indeks türü SCI-Exp. (727), en fazla yayın yapan yazar Ivo D. Dinov (15), en fazla atıf alan yazarlar Christopher C. Benz, Andrew Cherniack, Katherine A. Hoadley, en fazla yayın yapan ve atıf alan ülke ABD, en fazla atıf alan kurum New York Üniversitesi (2049 atıf), en fazla yayın yapan kurum Purdue Üniversitesi (6 yayın), en fazla kullanılan anahtar sözcükler insan kaynakları analitiği̇, büyük veri ve insan kaynakları yönetimi, en çok bibliyografik eşleşmesi olan çalışma Liu (2018), en çok ortak atıf alan kaynak the international journal of human resource management olduğu belirlenmiştir.
Kidney Outcomes with Glucagon-Like Peptide-1 Receptor Agonists, Sodium-Glucose Cotransporter 2 Inhibitors, Dipeptidyl Peptidase-4 Inhibitors, and Sulfonylureas in Type 2 Diabetes and Moderate Cardiovascular Risk
Authors: Neumiller Joshua J. , Herrin Jeph , Swarna Kavya Sindhu , Polley Eric C. , Galindo Rodolfo J. , Umpierrez Guillermo E. , Deng Yihong , Ross Joseph S. , Mickelson Mindy M. , McCoy Rozalina G.
Published: October 2024

Key Points

Sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide-1 receptor agonists were superior to dipeptidyl peptidase-4 inhibitor and sulfonylurea for preventing kidney complications in patients with type 2 diabetes at moderate cardiovascular disease risk.

Sodium-glucose cotransporter 2 inhibitor therapy compared favorably with glucagon-like peptide-1 receptor agonists for kidney disease outcomes.

Background

CKD is a serious diabetes-related complication. While guidelines recommend use of sodium-glucose cotransporter 2 inhibitor (SGLT2i) and glucagon-like peptide-1 receptor agonist (GLP-1RA) therapies to mitigate cardiorenal risk in high-risk patients, the benefit of early initiation of these agents relative to other commonly prescribed glucose-lowering agents in patients at lower baseline cardiovascular disease (CVD) risk remains less clear.

Methods

This retrospective observational study emulated an idealized target trial using claims data from OptumLabs data warehouse to test the comparative association of treatment with a dipeptidyl peptidase-4 inhibitor (DPP-4i), SGLT2i, GLP-1RA, or sulfonylurea (SU) on a primary kidney composite outcome of incident CKD stages 3–5, kidney failure, or need for KRT in patients with type 2 diabetes and moderate CVD risk. A secondary composite outcome included all components of the primary composite outcome plus death.

Results

A total of 364,714 adults aged 21 years or older initiating treatment with a DPP-4i (N=78,843), GLP-1RA (N=42,049), SGLT2i (N=45,466), or SU (N=198,356) were identified. Relative to DPP-4i, SGLT2i (hazard ratio [HR], 0.71; 95% confidence interval [CI], 0.67 to 0.74; P < 0.001) and GLP-1RA (HR, 0.87; 95% CI, 0.83 to 0.92; P < 0.001) treatment was superior for the primary composite outcome. Similarly, SGLT2i (HR, 0.69; 95% CI, 0.66 to 0.73) and GLP-1RA (HR, 0.86; 95% CI, 0.82 to 0.91) treatment was associated with risk reductions for the primary outcome relative to SU treatment. When comparing SGLT2i with GLP-1RA therapy, SGLT2is were superior for the primary composite outcome (HR, 0.81; 95% CI, 0.75 to 0.86; P < 0.001). Similar findings were observed for the secondary composite outcome across all comparisons.

Conclusions

SGLT2is and GLP-1RAs were superior to DPP-4is and SUs for preventing kidney complications in a type 2 diabetes population with moderate baseline CVD risk.

Clinical Trial registry name and registration number:

NCT05214573.
Orientalist Art: Morocco’s Depiction by Delacroix as a Case Study
Authors: Amiri Mohamed Mehdi El
Published: October 2024

Edward Said, in his seminal work "Orientalism" (1978), is credited with coining the term "orientalism," which refers to the depiction of Eastern nations from a Western point of view. While concurrently promoting imperialist ideals, this representation frequently romanticizes and exoticizes the civilizations that are now being discussed. In the 19th century, Orientalism emerged as a popular artistic and literary style in the Western world. Painters such as Eugène Delacroix, who were essential in influencing Western conceptions of the East, had a major impact on the development of this style. Delacroix's artworks, such as "The Fanatics of Tangier" and "The Jewess of Tangier," are evidence of his profound curiosity with the Eastern region of the world. The purpose of this study is to explore Delacroix's depiction of Morocco in relation to the larger implications of Orientalism. The research focuses on characteristics of exoticism, themes that are dramatic and violent, and gender stereotypes.
Error Analysis of Time Adverbs of the Type “从来”
Authors: Nghĩa Huỳnh Thế , Hương Bùi Thị Mai
Published: October 2024

— The time adverbs “一向” (yīxiàng), “一贯” (yīguàn), “一直” (yīzhí), and “从来” (cónglái) can all convey a state or behavior that remains unchanged over a long period of time, and in some contexts, they are interchangeable. However, due to subtle differences in semantics, syntax, and pragmatics, they are not always interchangeable. Therefore, in teaching Chinese as a second language, teachers should focus on the nuances in lexical meanings, specific contextual usages, and pragmatic implications to help students avoid errors and improve the accuracy and naturalness of their language expression.
Unraveling the Dynamics of Cultural Diversity and Technology-Mediated Collaboration in Learning Management Systems
Authors: Pookkottuvariam Niveditha
Published: October 2024

This paper delves into the complexities of cultural diversity and technology-mediated collaboration within Learning Management Systems (LMS). In contemporary educational settings, LMS often struggle to effectively accommodate the varied cultural perspectives of diverse student populations, thereby limiting their potential to create truly inclusive learning experiences. This study employs a Systematic Literature Review (SLR) to explore how intercultural discourse analysis and design justice frameworks can inform the redesign of LMS to foster more culturally responsive and equitable learning environments. Key findings reveal that participatory design and intercultural communication principles can transform LMS into inclusive digital spaces that celebrate diversity. Educators, instructional designers, and technologists are provided with actionable strategies to enhance LMS design, advocating for digital learning environments that support and celebrate the diversity of global learners. These insights highlight the transformative potential of integrating these principles into educational technologies.
Desarrollo y aplicación de una tarjeta embebida para el control de un sistema rueda-bola
Authors: Soria López Alberto , Ojeda Misses Manuel Alejandro
Published: October 2024

En este articulo presenta la descripción del desarrollo de una tarjeta embebida para la aplicación en el área de control e instrumentación. Dicha plataforma es considerada de bajo costo, confiable y de hardware robusto, tiene una interfaz USB de alta velocidad y rendimiento duro en tiempo real basado. La plataforma es fácil de interconectar con cualquier computadora y puede ser llevado a casa por los estudiantes, abriendo muchos nuevos posibilidades de trabajos prácticos en cursos de control. La tarjeta embebida usada en el desarrollo de la plataforma es usada para la implementación y desarrollo de un sistema rueda-bola mediante experimentos en tiempo real considerando desde el modelado del sistema hasta la parte experimental.
Validación de una microrred mediante software in the loop para la inyección de potencia activa en redes eléctricas de distribución
Authors: Martínez Vega Roberto Emmanuel , Salgado Herrera Nadia Maria , Rodríguez Hernández Osvaldo , Robles Miguel , Rodríguez Rodríguez Juan Ramón
Published: October 2024

Este articulo presenta una estrategia de interconexión de una microrred para la integración de potencia activa en redes eléctricas de distribución. La generación distribuida depende de la creación de accesos de energía renovable interconectados en puntos de acoplamiento común de los diferentes niveles de voltaje de las redes eléctricas, a través de los cuales se propicia la formación de una microrred. Entonces, el principal escenario que presenta una microrred es la interconexión de fuentes de energías renovables con naturaleza de generación variable y/o estocástica, tales como, los sistemas de conversión de energía eólica, los sistemas de conversión de energía solar y los sistemas de almacenamiento de energía por baterías. Para ello, se aborda el cumplimiento del código de red 2.0 en México para la interconexión de plantas de generación distribuida menores a 0.5 MVA, en redes de 1 a 13.8 kV, acatando índices técnicos como: i) factor de potencia y/o regulación Volt/VAR; ii) distorsión armónica de corriente y iii) desbalances y soporte de variación de voltaje. Finalmente, el escenario de estudio y validación se genera a través del modelo matemático completo y se corrobora por los resultados de simulación en MATLAB-Simulink, mediante la metodología Software In the loop y el simulador en tiempo real Opal-RT Technologies, proporcionando un entorno de simulación virtual para el desarrollo y prueba de estrategias de control detalladas, indicando una compensación de voltaje del enlace de CD e inyección de potencia en redes de distribución con una eficiencia del 95%.
Modelación mediante PWC debido a la presencia de plaguicidas organoclorados en los canales de Ampampilco y Apatlaco, Xochimilco
Authors: Salas Ramírez Ricardo Iván , García  Villanueva Luis Antonio , Fernández Villagómez Georgina , Guadarrama Guzmán Pedro , Rodrigo Ilarri Javier
Published: October 2024

Despite the fact that the use and application of most organochlorine pesticides has been prohibited in Mexico, these are still been used in several cultivation areas, such as Xochimilco´s Chinampera area, specifically in the Apatlaco and Ampampilco canals.  Consequently, this study reports the data found in these canals and a comparison has been made with respect to PWC modeling and international standards.  The above-mentioned program estimates the concentrations that should be found in these canals if the pesticides were applied according to the recommendations.  The aim of this paper is to explain what happens in the study area by comparing the calculated theoretic concentrations from each of the organochlorine pesticides, when using the Pesticide in Water Calculator (PWC), with those detected in water and surface soil and taking into account as established by international regulations.  Results show that the concentrations for aldrin and dieldrin exceed the CCME limits, not so for the EPA, and for the EC the dieldrin is in acceptable limits, the aldrin exceeds these limits.  Therefore, it is necessary to have a careful control and monitoring over the use of these pesticides. Endosulfan exceeds in the three international standards (CCME, EPA and CE), since it presents high levels in the calculations made with PWC.
Energy-Efficient Permutation Flow Shop Scheduling Problem: A Systematic Literature Review
Authors: Utama Dana Marsetiya , Primayesti Meri Dines , Umamy Sabila Zahra , Kholifa Bunga Milenia Nur
Published: October 2024

Energy-efficient scheduling is an important problem in the industrial world because improper scheduling can increase energy consumption. One of the production scheduling problems is the Permutation Flow Shop Scheduling Problem (PFSP). This article tries to review research on energy-efficient PFSP to provide a comprehensive review of trends and research gaps in energy-efficient PFSP. A systematic literature review (SLR) was used to conduct this research survey, and 123 articles were collected from 2011-2023. This SLR classifies articles based on publication year, type, objective function, and optimization method used. The results of the literature review analysis show a significant increase every year for energy-efficient PFSP, and multi-objective problems are the dominant problems studied. Based on the analysis of solutions to solve energy efficient PFSP, metaheuristic procedures are the procedures that contribute the largest to solving energy efficient PFSP, and the objective function that is popularly used is to minimize total energy consumption. In addition to this, this study presents a gap research analysis and future research directions for energy-efficient PFSP.
Peran Hukum Kesehatan dalam Melindungi Peserta Program Badan Penyelenggara Jaminan Sosial Kesehatan Berdasarkan Undang-Undang Nomor 24 Tahun 2011
Authors: Sitanggang Adella , Batubara Sonya Airini , Sitepu Andre Widana Sahputra , Tandi Erica Setiawan , Fitriani F.
Published: October 2024

The role of health law is crucial in ensuring the protection of participants in the National Health Insurance (BPJS Kesehatan) program, as regulated by Law No. 24 of 2011. This law provides a legal basis for the implementation of the national health insurance program, which aims to promote the welfare of society by providing equitable access to quality healthcare services. Health law functions to protect the rights of BPJS participants by ensuring that they receive healthcare services that meet established standards without discrimination.Furthermore, this law mandates the state to provide comprehensive and inclusive health insurance. Through the role of BPJS Kesehatan, health law also regulates the supervision and enforcement of accountability from healthcare providers, both in terms of service quality and financial management. Healthcare institutions collaborating with BPJS are required to comply with professional standards and medical ethics, as well as being responsible for patient safety.In the event of violations, health law provides a mechanism for participants to file complaints and seek justice through legal channels. The application of administrative and criminal sanctions for violators is also part of the legal protection efforts for participants. Therefore, the role of health law not only ensures access to services but also guarantees that the rights of BPJS participants are fulfilled in receiving fair and quality healthcare services.
DETERMINAN KINERJA KEUANGAN PERUSAHAAN SEKTOR PROPERTI & REAL ESTATE PADA INDEKS SAHAM SYARIAH INDONESIA
Authors: Nurjanah Nurjanah , Liyana Azra  , M.Yahya
Published: October 2024

This research aims to identify and analyze factors that influence the financial performance of companies operating in the property and real estate sectors listed in the Indonesian Sharia Stock Index. Specifically, this research evaluates the influence of internal company factors, such as leverage, profitability, and operational efficiency. Apart from that, this research also analyzes the impact of compliance with sharia principles. This research uses quantitative research, the data source used in this research is secondary data in the form of annual and quarterly financial reports. The analysis technique used is panel data regression, with the Chow test and Hausman test showing that the best model results are the fixed effect model. The results of the research show that return on assets (ROA) with a probability value of 0.0308 partially has a significant effect on share prices, earnings per share (EPS) with a probability value of 0.0081 partially has a significant effect on share prices, but the debt to equity ratio (DER) with a value of probability 0.5249 partially has no significant effect on stock prices. Simultaneously, with a probability F value of 0.000000, return on assets (ROA), earnings per share (EPS), debt to equity ratio (DER) together have a significant effect on share prices in property and real estate companies.
Energy-efficient and location-aware IoT and WSN-based precision agricultural frameworks
Authors: M Pushpavalli , B Jothi , B Buvaneswari , G Srinitya , S Prabu
Published: October 2024

Precision agriculture has emerged as a promising approach to enhance crop yield, reduce environmental impact, and optimize resource utilization through advanced sensing and automation technologies. This paper proposes an energy-efficient and location-aware framework for Internet of Things (IoT) and Wireless Sensor Networks (WSN)-based precision agriculture systems. The framework leverages low-power wireless communication protocols, adaptive sensor scheduling, and location-based clustering algorithms to minimize energy consumption and prolong the network lifetime. Key features include real-time monitoring of soil moisture, temperature, humidity, and crop health through geographically distributed sensors, with automated decision-making for irrigation, fertilization, and pest control. The proposed framework also integrates machine learning models for predictive analysis and anomaly detection, enabling early identification of potential issues that could adversely affect crop productivity. Simulation results demonstrate a significant reduction in energy consumption and communication overhead, while maintaining high accuracy in environmental parameter monitoring and resource allocation. This framework offers a scalable and robust solution for implementing sustainable precision agriculture practices, particularly in remote and resource-constrained areas
Virtual power purchase agreements and their value in decarbonisation strategies
Authors: Jahnel Johanna , Hundt Steffen , Sprungk Björn
Published: October 2024

In order to be attractive to the capital market, companies are under increasing pressure to incorporate renewable energy (RE) targets into their business strategies. One of the most credible ways to demonstrate the renewable origin of electricity and to achieve a positive signalling effect is to enter into a power purchase agreement (PPA). A special form of this contract, the virtual PPA (VPPA), acts as a financial hedge, allowing the industrial buyer to achieve both a decarbonisation effect and a risk-minimising hedge. As the effect of a VPPA on the shareholder wealth of the electricity buyer has not yet been investigated in the literature, the purpose of this study is to fill this research gap. To this end, we analyse the abnormal stock returns of 89 VPPA announcements using a modified event study based on the Fama-French five-factor model (FFM5). Our results show significant positive abnormal returns around the announcement of a VPPA deal. This confirms the expectation that VPPAs are wealth-creating.
Controls From Above or Below? The Influence of Entangled Climate and Land Characteristics on Hydrological Dynamics in Headwater Catchments
Authors: Kerins Devon , Knapp Abigail S. , Liu Fiona S. , Smykalov Valerie , Berzonsky Matthew P. , Vierbircher Andrew , Sadayappan Kayalvizhi , Stewart Bryn , Andrews Elizabeth M. , Sullivan Pamela , Barnard Holly , Seibert Jan , McPhillips Lauren , Singha Kamini , Li Li
Published: October 2024

Abstract Although the importance of dynamic water storage and
flowpath partitioning on discharge behavior has been well recognized
within the critical zone community, there is still little consensus
surrounding the question, “ How do climate factors from above and
land characteristics from below dictate dynamic storage, flowpath
partitioning, and ultimately regulate hydrological dynamics?” Answers
to this question have been hindered by limited and inconsistent
spatio-temporal data and arduous-to-measure subsurface data. Here we aim
to answer this question above by using a semi-distributed hydrological
model (HBV model) to simulate and understand the dynamics of water
storage, groundwater flowpaths, and discharge in 15 headwater catchments
across the contiguous United States. Results show that topography,
precipitation falling as snow, and catchment soil texture all influence
catchment dynamic storage, storage-discharge sensitivity, flowpath
partitioning, and discharge flashiness. Flat, rain-dominated sites
(< 30% precipitation as snow) with finer soils exhibited
flashier discharge regimes than catchments with coarse soils and/or
significant snowfall (>30% precipitation as snow).
Rain-dominated sites with clay soils (indicative of chemical weathering)
showed lower dynamic storage and discharge that was more sensitive to
changes in dynamic storage than rainy sites with coarse soils. Steep,
snowy sites with coarse soils (more mechanical weathering) had lowest
dynamic storage and deep groundwater fed discharge that was less
sensitive to changes in dynamic storage than fine-soil snowy or rainy
catchments. These results highlight aridity and precipitation (snow
versus rain) as the dominant climate controls from above and topography
and soil texture as the dominant land controls from below. The study
challenges the traditional view that climate controls water balance
while subsurface structure dictates subsurface flow path. Rather, it
shows that climate and land characteristics jointly regulate water
balance, groundwater flowpath partitioning, and discharge responses.
These findings have important implication for the projection of the
future of water resources, especially as climate change and human
activities continue to intensify.
Examining the impact of managerial support on the performance of healthcare organizations: The mediating role of employee autonomy
Authors: Trifunovic Boban
Published: October 2024

Introduction/Objective. This paper aims to examine the influence of managerial support and employee autonomy on the performance of healthcare organizations. Additionally, it seeks to investigate the mediating influence of employee autonomy on the relationship between managerial support and organizational performance. Method. The study involved 165 employees from four healthcare organizations in the Branicevo District in the Republic of Serbia. Independent variable (managerial support) and mediating variable (employee autonomy) was measured using Corporate Entrepreneurship Assessment Instrument scale. For dependent variable (organizational performance), a scale adapted from previous research was utilized, consisting of financial results, quality of service delivered, productivity, employee satisfaction, patient satisfaction, reputation, and adaptability to change dimensions. Employees of healthcare facilities were surveyed regarding their attitudes on a five-point Likert scale to statements designed to measure the aforementioned variables. The analysis employed descriptive statistics, internal reliability tests, normality distribution tests, correlation, and regression analysis. Results. The scales used for measurement achieved a high level of internal consistency, with Cronbach?s ? coefficients ranging from 0.870 to 0.937, indicating strong reliability. A high level of Cronbach?s ? coefficients was defined based on established thresholds, where scores above 0.7 were considered high. The regression analysis reveals a statistically significant and positive influence of managerial support and autonomy on organizational performance (? = 0.539, p < 0.000; ? = 0.301, p < 0.000, respectively). Additionally, a mediating effect of autonomy in the relationship between managerial support and organizational performance was identified (? = 0.5579; p < 0.0397). Conclusion. Managerial support significantly impacts the performance of healthcare organizations, with this effect being further enhanced by granting employees autonomy. Therefore, managers in these organizations can enhance organizational performance by improving support and fostering the development of employee autonomy.
Effects of Adopting Preventive Drug Lists on Medication Costs and Disparities by Income Over 2 Years: A Natural Experiment for Translation in Diabetes (NEXT-D) Study
Authors: Lu Christine Y. , Argetsinger Stephanie , Lakoma Matthew , Zhang Fang , Wharam J. Frank , Ross-Degnan Dennis
Published: October 2024

OBJECTIVE

To examine the association between preventive drug lists (PDLs) and changes in medication costs among patients with diabetes insured in commercial health plans over 2 follow-up years.

RESEARCH DESIGN AND METHODS

We conducted a quasiexperimental study using the Optum deidentified Clinformatics Data Mart Database (January 2003 to December 2017). The intervention group included 5,582 patients with diabetes age 12–64 years switched by employers to PDL coverage; the control group included 5,582 matched patients whose employers offered no PDL. Outcomes included out-of-pocket costs, standardized costs, and 30-day fills for all medications because PDL-associated savings could be used to pay for medicines in other classes and for five therapeutic classes covered by the PDLs (oral diabetes medications, insulins, test strips, antihypertensive drugs, and lipid-lowering drugs).

RESULTS

Pre– to post–out-of-pocket spending for all medications declined by 29.7% in follow-up year 2 (95% CI −36.0, −23.4%) among PDL members relative to control individuals. Higher-income and lower-income PDL members experienced significant reductions in out-of-pocket spending for all medications in year 2 (30%) and for key therapeutic classes (range −23 to −67%). We found significant increases in use of key therapeutic classes in the overall population (range 8–15%) and in higher-income and lower-income PDL members (range 9–50%).

CONCLUSIONS

PDLs offer an effective strategy for employers and insurers to lower member cost sharing and encourage increased use of important medications to prevent or manage chronic illnesses. For patients with diabetes, especially those with lower incomes, PDL coverage resulted in substantial and persistent reductions in out-of-pocket medication costs, medication use increases, and some increased use of more expensive products.
Association of Energy Intake and Dietary Glycemic Load in Different Time Periods With Cardiovascular Disease Mortality Among U.S. Adults With Type 2 Diabetes
Authors: Dai Jin , Nianogo Roch , Moin Tannaz , Wong Nathan D. , Qi Qibin , Sotres-Alvarez Daniela , Chen Liwei
Published: October 2024

OBJECTIVE

To examine the associations of energy intake and glycemic load (GL) in different time periods during the day with cardiovascular disease (CVD) mortality risk in adults with type 2 diabetes.

RESEARCH DESIGN AND METHODS

This cohort study included 2,911 adults with diabetes from who were part of the U.S. National Health and Nutrition Examination Survey 2003–2014 (baseline), and CVD mortality data obtained by linkage to the National Death Index through 2019. Energy intake and GL in early morning (6:00–7:59 a.m.), late morning (8:00–10:59 a.m.), afternoon (11:00 a.m.–5:59 p.m.), evening (6:00–11:59 p.m.), and night (0:00–5:59 a.m.) were derived from two 24-h dietary recalls at baseline. Cox models were used to estimate hazard ratios (HRs) for CVD mortality, adjusted for total energy intake, diet quality, sociodemographic and lifestyle characteristics, and medical conditions.

RESULTS

At baseline, the study population (51.8% female, 62.3% non-Hispanic White) had a mean age of 57.4 (SE, 0.4) years. Over a median follow-up of 9.3 (interquartile range = 6.8, 12.1) years, 190 CVD deaths were documented. Energy intake and GL in late morning were inversely associated with CVD mortality risk (per 100-kcal energy intake increment, HR 0.90 [95% CI 0.83–0.98]; per 10-unit GL increment, HR 0.86 [95% CI 0.77–0.95]). In contrast, energy intake and GL at night were positively associated with CVD mortality risk (per 100-kcal energy intake increment, HR 1.22 [95% CI 1.07–1.40]; per 10-unit GL increment, HR 1.44 [95% CI 1.17–1.77]).

CONCLUSIONS

For adults with type 2 diabetes, late morning may be a protective eating time against CVD mortality, whereas night may be a detrimental eating time.
Perhitungan Net Primary Productivity (NPP) Harian Menggunakan Model CASA Berbasis Citra Penginderaan Jauh di Kabupaten Muaro Jambi
Authors: Arrafi Muhammad , Widayani Prima , Arjasakusuma Sanjiwana
Published: October 2024

Perubahan alih fungsi lahan di Kabupaten Muaro Jambi terjadi secara masif, terutama akibat pembukaan lahan baru melalui metode pembakaran. Kebakaran hutan terbesar tercatat pada tahun 2019, menyebabkan gangguan ekosistem yang berlangsung beberapa tahun di Kabupaten Muaro Jambi. Net Primary Productivity (NPP) menjadi indikator kunci untuk mengukur dampak perubahan lingkungan, menjadikan studi ini sangat penting untuk pemantauan perubahan iklim dan pembangunan ekologi yang berkelanjutan. Umumnya NPP dihitung secara bulanan atau tahunan, namun perkembangan teknologi penginderaan jauh dapat digunakan untuk mengestimasi NPP dengan efektif dan efisien pada tingkat lanskap hingga tingkatan temporal yang pendek. Model CASA, yang umum digunakan, memanfaatkan radiasi efektif fotosintesis vegetasi dan energi cahaya aktual untuk memperkirakan NPP. Penelitian ini bertujuan mengaplikasikan model CASA untuk menghitung NPP harian di Kabupaten Muaro Jambi akibat kebakaran tahun 2019. Penelitian ini menghasilkan perhitungan nilai NPP harian dalam satuan gC/MJ-1 yang disesuaikan dengan waktu perekaman citra Landsat terbersih setelah kebakaran hutan tahun 2019.
GA and PSO Techniques Based Optimal Tuning of Power System Stabilizers in a PV Integrated Power Network
Authors: Alakel Fahad , Kumar Sreerama
Published: October 2024

This paper involves the employment of Genetic Algorithm (GA) and Particle Swam Optimization (PSO) methods for the optimal tuning of gain and time constant parameters of power system stabilizers in a power network with integrated Photovoltaic (PV) energy conversion systems. To examine the critical modes of the PV integrated system and the impact of the PV integration on various modes of oscillations, eigenvalue analysis is carried out under various PV penetration levels. The investigations indicate that the rotor angle oscillations following a disturbance have less damping as the PV penetration level increases. To enhance the small signal stability, the excitation systems are provided with the signal from power system stabilizers (PSS). The gain and time constant parameters of the PSS are tuned utilizing the GA and PSO methods and compared with the conventional proportional-integral (PI) PSS. The preliminary investigations on the PV integrated standard IEEE power system reveal that the PSO and GA-based PSS are significantly better than the PI-PSS, and further, PSO-PSS is marginally more effective than the GA-PSS in damping the rotor angle oscillations.
Štátne banské riaditeľstvo v Banskej Štiavnici v období vzniku Československa
Authors: Harvan Daniel
Published: October 2024

The State Mining Directorate in Banská Štiavnica was established at the beginning of 1919, as the successor of the former Hungarian Royal Main Mining Directorate and took over several mining operations in Slovakia. After 1919, his activities were gradually focused on the management of establishments in the Banská Štiavnica-Hodruša ore district. The paper focuses on the development and consequences of the integration efforts of the Czechoslovak authorities and their representatives in the new socio-political conditions immediately after the establishment of the Czechoslovak Republic.
PARALINGUISTIC FEATURES IN STUDENTS' STORYTELLING WITHIN MULTIMODAL COMMUNICATIONS
Authors: Sumekto Didik Rinan , Dardjito Hanandyo , Sukur Silvester Goridus , Andriani Yunita Susi , Olam Rismalla Ma'im , Sulistyorini Dyah Ayu
Published: October 2024

This study assessed paralinguistic features in Indonesian university students' contextual interaction during storytelling. Data collection was recorded from respondents' two video-based storytelling performances, while a self-rated questionnaire was distributed to 235 respondents out of 481 undergraduate English education students using simple random sampling. Data analysis used a mixed-methods approach to qualify students' paralinguistic features using the eduistic linguistics annotator (ELAN) and to quantify the paralinguistic features using statistical analyses through the significance of .05. The findings revealed that the ELAN analyzed the contextual interaction among freshmen, sophomores, juniors, and seniors. The students’ paralinguistic features corresponded with the lexical and semantic evidence, which approached the function of monosyllabic and bisyllabic words, nonverbal expressions, and interpretations. Bodily gesture quantitatively showed moderate category for 44.7% (t = 2.434; p = .016), articulation showed attributable category for 54.0% (t = 3.789; p = .000), facial expression showed moderate category for 61.7% (t = 2.472; p = .014), and voice loudness showed attributable category for 47.7% (t = 4.121; p = .000). Herein, positive and significant attribution were shown by these paralinguistic features towards students' contextual interactions in storytelling for 34.9% with the multiple regressions (F = 7.990, R² = .349, and p < .000). The paralinguistic features empirically address the multimodal communication modes to improve teaching and learning activities.
OIL VOLATILITY-OF-VOLATILITY AND TAIL RISK OF COMMODITIES
Authors: Xu Yahua , Tourani-Rad Alireza , Roh Tai-Yong
Published: October 2024

We examine the information content of oil volatility-of-volatility (VOV), constructed from the past 1-month OVX (implied volatility in crude oil market), on the expected tail risk of commodities. Specifically, we find oil VOV predicts 1-step-ahead tail risks of Energy, Precious Metals, Agriculture, Livestock sectors and the Aggregate Commodity sector (GSCI) for both in-sample and out-of-sample. Our results indicate the important role of crude oil in overall commodity markets by incorporating forward-looking information of OVX. Our findings are robust and complement the strand of literature about the leading role of crude oil in commodity markets.
Authentic texts in Russian as a foreign language classes (using culinary recipes as an example)
Authors: Zaytseva Olga Anatolievna , Terskikh Marina Viktorovna
Published: October 2024

The article is devoted to the study of the didactic potential of authentic texts - culinary recipes - in the practice of teaching Russian as a foreign language. The article analyzes various approaches to the concept of authentic materials and their composition, considers the advantages of original texts over adapted materials, describes the criteria for selecting authentic texts for Russian as a foreign language classes. The culinary recipe is seen as a speech genre popular in the communicative practice of native speakers. The article analyzes the compositional, lexical-semantic and morphological-syntactic features of this genre, notes such characteristic features as small volume, rigid structure, national-cultural specifics and thematic repertoire relevant to each person. As a practical material, the article presents the algorithm for working with culinary recipes in accordance with the level of proficiency in the Russian language, proposed samples of tasks for use in classes in Russian as a foreign language. The methodological basis of the study was the use of the following methods: a descriptive and analytical method, a method of systematization and classification, a design method, as well as a communicative methodology for teaching a foreign language.
The prevalence of intervertebral disc degeneration in the cervical, thoracic, and lumbar spine in asymptomatic cats
Authors: Schmid David , Lanzillotta Valentina , Evans Richard , Steffen Frank , Smolders Lucas A.
Published: October 2024

OBJECTIVE

To investigate the prevalence and severity of intervertebral disc (IVD) degeneration (IVDD) throughout the spine of young, middle-aged, and old asymptomatic cats; identify differences between the cervical, thoracic, and lumbar spine; and investigate the influence of sex and neuter status on the prevalence of feline IVDD.

METHODS

60 cadavers were collected from asymptomatic cats and subdivided into 3 age groups: young (≥ 1 to < 6 years), middle aged (≥ 6 to < 12 years), and old (≥ 12 years). T2 weighted sagittal MRI studies of the spine were obtained. Each IVD was graded according to the modified Pfirrmann grading for feline IVDD. Cumulative link mixed models were used to analyze the significance of spinal region, age, sex, and neuter status on the degenerative state of the IVDs.

RESULTS

A total of 1,544 IVDs were evaluated; 884 (57.3%), 425 (27.5%), 147 (9.5%), 82 (5.3%), and 6 (0.4%) were graded Pfirrmann 1, 2, 3, 4, and 5, respectively. Irrespective of spinal region, middle-aged cats (OR, 4.03; P < .01) and old cats (OR, 12.5; P < .01) had significantly higher odds for IVDD compared to young cats. For old cats, thoracic (OR, 4.44; P < .01) and cervical IVDs (OR, 2.76; P < .01) had significantly higher odds of degenerating compared to lumbar IVDs. No significant effect of sex (P = .81) and neuter status (P = .61) was found.

CLINICAL RELEVANCE

The prevalence of feline IVDD significantly increases with progressive age, with the thoracic and cervical IVDs showing the highest odds for degeneration. However, extreme stages of IVDD were only occasionally observed.
THE EFFECT OF RED DRAGON FRUIT PEEL EXTRACT (HYLOCEREUS POLYRHIZUS) ON COLLAGEN DEPOSITION IN THE KIDNEYS OF MENOPAUSAL MODEL RATS (RATTUS NORVEGICUS)
Authors: Zahra Fahdia Fitrianti , Sugiritama I Wayan
Published: October 2024

Background: The estrogen hormone possesses nephroprotective properties during menopause that can influence kidney function. This increases collagen deposition in the kidneys. Estrogen deficiency during menopause can be replaced by phytoestrogens. The skin of red dragon fruit (Hylocereus polyrhizus) contains numerous anthocyanin contents, which have been proven to exhibit activities as phytoestrogens.
Objective: To determine whether there are changes in collagen deposition in the kidneys of menopausal rat models with the administration of Hylocereus polyrhizus peel extract.
Methods: This research utilized a randomized post-test control group design with three sample groups that had undergone ovariectomy. The three groups consist a control group without intervention (P0), an intervention group with red dragon fruit peel extract at a dose of 60mg/200gBW (P1), and an intervention group with red dragon fruit peel extract at a dose of 90mg/200gBW (P2).
Results: The mean percentage of collagen expression in menopausal rat kidneys in groups P0, P1, and P2 were 0.876 ± 0.433, 0.189 ± 0.102, and 0.162 ± 0.108, respectively. The Kruskal-Wallis test revealed a significant difference with a p-value of 0.000. Post-Hoc Mann-Whitney U test found a significant difference between groups P0 and P1 (p = 0.000), as well as groups P0 and P2 (p = 0.000). However, there was no significant difference between P1 and P2 (p = 0.436).
Conclusion: The extract of Hylocereus polyrhizus peel has an effect on the collagen deposition in the kidneys of menopausal rat models. The lowest level of collagen deposition in the kidneys was observed in the intervention group with a dose of 90mg/200gBW.
Keywords : Hylocereus polyrhizus, collagen, kidney, menopause
RELATIONSHIP BETWEEN TOOTH BRUSHING BEHAVIOR AND DENTAL CARIES IN CHILDREN AT 27 SUNGAI SAPIH PUBLIC ELEMENTARY SCHOOL KURANJI, PADANG CITY
Authors: Utami Sri Pandu Pandu
Published: October 2024

Caries is often experienced in mid-childhood 10-12 years which is referred to as a vulnerable period, because it is at that time that milk teeth begin to fall out and the first permanent teeth begin to grow. The 2018 West Sumatra Basic Health Research Results ( Rikesdas ) stated that 41.74% of children aged 10-14 years experience dental caries,  while the prevalence of dental caries in Padang City is around 6,154 children, which is 36.71% . The behavior of maintaining community dental health in maintaining oral health is brushing teeth, while brushing teeth is the most important primary prevention action recommended . Research objectives to find out relationship between tooth brushing behavior and dental caries in children at 27 Sungai Sapih Public Elementary School Kuranji, Padang City . The type of research used is quantitative research,  namely analytic with an observation approach . The population in this study were all students in grades 4 and 5 at State Elementary School 27 Sungai Sapih Kuranji Padang City, totaling 114 people with total sampling technique. This research was conducted at 27 Sungai Sapih Public Elementary School Kuranji, Padang City. When the research was conducted in November 2022 -February 2023 . Analysis data using Spearman test,  data processing using computerized program SPSS IBM version 25.0 . The results of the study showed that the most tooth brushing behavior was moderate, namely 94 people (82.5%), the most dental caries was very low, namely 56 people (49.1%) and there were relationship between tooth brushing behavior and dental caries in children at 27 Sungai Sapih Public Elementary School Kuranji, Padang City. ( p = 0.001 ) . It is recommended for dental health workers to educate schools about the importance of dental and oral care and how to brush their teeth properly and correctly so that they can increase students' knowledge and behavior in brushing their teeth for the better.
THERAPEUTIC COMMUNICATION AND PATIENT SATISFACTION LEVEL IN CHRONIC KIDNEY FAILURE IN THE HEMODIALYSIS ROOM
Authors: Larira Dina Mariana , Nurmansyah Muhamad , Pondaag Ferlan A.
Published: October 2024

Therapeutic communication is an interaction conducted by nurses with patients based on mutual trust which aimed to improving the emotional and physical problems of the patient. The complexity of problems experienced by chronic kidney failure patients due to hemodialysis therapy certainly requires support from nurses to assist patients in coping with it, thus requiring solutions to address these problems by providing support both emotionally and spiritually to patients through communication and building a therapeutic relationship with patients. This study aims to determine the relationship between therapeutic communication and the level of satisfaction of chronic kidney failure patients in the hemodialysis room of RSUP Prof. Dr. R. D. Kandou Manado. The study used descriptive analytical methods with a cross-sectional design. The sample used consisted of 145 respondents using accidental sampling. From the chi-square test analysis, a p-value of < 0.001 was obtained, meaning that there is a relationship between nurse's therapeutic communication and the level of satisfaction of chronic kidney failure patients at RSUP Prof. Dr. R.D. Kandou Manado.