bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Health Education on Knowledge of The Prevention of Diabetes Mellitus
Authors: Wijayanti Dewi
Published: March 2022

Introduction: Diabetes mellitus (DM) is a lifelong disease that cannot be cured permanently, which according to WHO estimates the number of people with diabetes will be the main cause of 7 deaths in 2030. One way to reduce the incidence of diabetes mellitus is to provide education about diabetes mellitus in the community so that early prevention of DM can be done. This study aims to determine the effect of health education on knowledge of diabetes mellitus prevention in the community of RT.03 Mambirdan Tarakan, North Kalimantan.

Methods: The design of this study used an experimental one group pre post test design, with a sample size of 31 respondents, data collection using a diabetes mellitus knowledge questionnaires. The test carried out was a paired t test.

Results: Knowledge increased by 58.06% with p= 0.001 < 0.05. There is a significant effect of effectiveness on the level of anxiety in elderly patients suffering from diabetes mellitus in the Al-Marhamah Tarakan nursing home, North Kalimantan.

Conclusion: Health education has an effect on increasing knowledge of diabetes mellitus prevention in the community of RT.03 Mambirdan Trakan, North Kalimantan.
Infecção na derivação ventriculoperitoneal: síntese das principais evidências clínicas
Authors: Da Silva Renan Binatti , Da Silva Messias Eduardo , Formiga Neto Antonio da Rocha , De Oliveira Carlos Tadeu Parisi , Queiroz Paulo Luciano
Published: March 2022

Introdução: A derivação (shunt) ventrículo peritoneal (SVP), responsável pela drenagem liquórica do ventrículo ao peritônio, alterou a história da hidrocefalia, com importante diminuição na mortalidade por essa doença. Entretanto, a infecção é a complicação mais prevalente, com taxas mundiais que chegam a 30%, resultando em grande morbidade. Objetivo: Realizar uma revisão da literatura dos ensaios clínicos relacionados à infecção na derivação ventriculoperitoneal. Método: A base de dados escolhida para seleção dos trabalhos foi a PUBMED, e a estratégia de busca utilizada foi a seguinte: "ventriculoperitoneal shunt"[title] AND infection[title] AND hydrocep*[title]. Resultados e Discussão: Foram identificados 9 trabalhos que atenderam a estratégia de busca pré-estabelecida. Notou-se que sexo, idade e etiologia da hidrocefalia se correlacionariam de forma significativa e independente com a incidência de infecção em pacientes tratados com SVP. Em crianças, o shunt ventrículo-subgaleal (VSGS) mostrou-se superior à punção ventricular. Sobre os riscos de infecção na SVP, pacientes com infecção de shunt prévia, bem como aqueles com shunts associados a mielomeningocele, diabetes, infecção de pele, hidrocefalia em indivíduos acamados e cirurgia modificada para hidrocefalia apresentariam maior risco de infecção. Os resultados indicaram que os pacientes com hidrocefalia obstrutiva congênita poderiam ser menos propensos a infecções. Ainda, a meningite criptocócica subdiagnosticada poderia resultar em uma infecção complicada do SVP, incluindo pseudocisto infectado. Por fim, como ferramentas para o auxílio do diagnóstico, duas opções foram citadas. Primeiro, o uso de redes neurais artificiais para prever infecção periférica e fatores de risco em crianças com hidrocefalia, e em segundo plano, o uso da tomografia computadorizada por emissão de pósitrons (PET CT) para o diagnóstico por imagem da infecção. Conclusão: A infecção mostrou-se como a complicação mais grave após SVP, estando associada à idade, diabetes, infecção prévia, infecção de pele, mielomeningocele, e ao fato de estar acamado.
Análise do desperdício na dispensação dos medicamentos antimicrobianos na atenção primária: uma abordagem sobre o benefício do fracionamento
Authors: Couto Willian , Novaretti Marcia Cristina Zago
Published: March 2022

O fracionamento de medicamentos é uma ferramenta estratégica que tem como objetivo proporcionar o uso racional de medicamentos, pois permite a dispensação do número exato de unidades farmacêuticas. Trata-se de uma pesquisa exploratória descritiva documental com análise quantitativa. O objetivo é analisar a quantidade de medicamento desperdiçada e sua perda financeira. O desperdício global representou 59,6%. Foram desperdiçadas 1003 UF, que correspondem a R$ 418,71 (US$ PPP 187,67). A estimativa mensal desperdiçada foi de 186.013 UF com valor de R$ 74.022,67 (US$ PPP 32.942,79), o desperdiço anual de 2.232.156 UF que representa uma perda de R$ 888.272,04 (US$ PPP 395.323,56). O fracionamento de medicamentos demonstrou ser uma estratégia que possibilita gestores administrar melhor os recursos da saúde
Selected properties of AlxZnyO thin films prepared by reactive pulsed magnetron sputtering using a two-element Zn/Al target
Authors: Posadowski Witold , Wiatrowski Artur , Domaradzki Jarosław , Mazur Michał
Published: March 2022

AlxZnyO thin films were obtained by reactive pulsed magnetron sputtering. A two-element Zn/Al planar target was used as source material prepared in the form of a Zn disc (100 mm diameter) with Al rings pressed into its surface. The sputtering processes were carried out in a mixture of argon and oxygen. The films were deposited with a discharge power of PE = 400 W, which corresponded to a power density on the target surface of approximately 5 W/cm2. The films were deposited on glass strip substrates, placed symmetrically over the target, making it possible to obtain films with different composition and thickness. The film sheet resistance was measured as a function of the distance from the target axis on both sides (front and back) of the substrate. The lowest measured resistivity was about 4 × 10−3 Ω·cm. Additionally, optical properties, surface topography, and elemental composition were determined in selected areas of the substrate.
Dinosaur Tracks from the Lower Jurassic Lufeng Formation of Northern Central Yunnan, China
Authors: Xing Lida , Lockley Martin , Romilio Anthony , Wang Tao , Chang Liu
Published: March 2022

An increasing number of theropod-dominated tracksites have been reported from the Jurassic and Cretaceous of China. These include a significant number from the Lower Jurassic of the Lufeng Basin, famous for its Lufengosaurus fauna and known for a typical Lower Jurassic globally-distributed tetrapod footprint biochron. Here we report another localized theropod track occurrence regular of various scattered tracksites from the Lufeng Formation. The tracks are medium-sized tridactyl tracks from the basal member of the Zhangjia'ao Member, Lufeng Formation which shows an unusually wide divarication between the traces of digits III and IV, which suggest several possible interpretations.
A COMPARATIVE STUDY ON PERCEPTION AND SATISFACTION ABOUT WORK LIFE BALANCE IN PROFESSIONAL LIFE OF PUBLIC AND PRIVATE SECTOR FEMALE ACADEMIA
Authors: Saxena Shabnam , Goyal Shilpa
Published: March 2022

In the entire world, the increasing economic pressure and social demands have changed the role of working women, who are coming out of their homes for supporting their families. At a certain age, women have to get married which leads to many additional responsibilites and once they become mothers, they also have to manage the primary care of the children. The competing demands of these multiple roles make it tough for the women to cope up with the pressure at the work place. So, their work life balance plays a major role in producing desired results at the work place, maintaining a good quality of life, and a peaceful environment at home and work place. The work life balance of female academia is the main focus of this paper. It aims to find out the factors, using EFA (exploratory factor analysis) and t-test, which create a difference in perception and satisfaction about work life balance in the professional life of public and private sector female academia. More than five hundred female academicians are surveyed using a self-structured questionnaire from public and private academic institutions across India to find out their views. The study shows that the perception is different due to lack of job satisfaction and recognition, and private sector is less satisfied owing to lack of support and facilities from the organization, improper time management, and extra workload. Some suggestions have been provided so that the private educational institutions can minimize this difference and the private sector female academia can balance their professional and personal life, and live in harmony.
Covid-19 Pandemic and Optimal Debt-to-GDP Ratio Threshold in Sub-Saharan Africa
Authors: Oniore Jonathan , Akatugba Oghenebrume David
Published: March 2022

The empirical data on the effect of a high debt-to-GDP ratio on economic growth is conflicting. The article used the GDP Indicator to investigate the trajectory in the debt-to-GDP ratio in 45 nations in Sub-Saharan Africa during the COVID-19 Pandemic and to determine whether there is a point at which public debt becomes damaging to the region's economy. The major results demonstrated that as long as the economies of Sub-Saharan Africa continue to expand, a high debt-to-GDP ratio is not always negative; in fact, the majority of nations with a debt-to-GDP ratio greater than the 77 percent threshold had increased economic growth. Additionally, the paper discovered that countries in the region may face a high debt-to-GDP ratio as a result of excessive spending prompted by the Covid-19 pandemic, as well as an unpredictable slowdown in economic activity as a result of movement restriction policies imposed by subregional governments. Another intriguing conclusion is that Sub-Saharan Africa's average debt-to-GDP ratio of 56.6 percent in 2020 is much lower than the suggested limit of 77 percent. However, the report advised that governments reduce wasteful spending without jeopardizing the region's economic development rate. Finally, fiscal policies should be accompanied by monetary policies to promote effective public investment, simplified tax expenditures, increased public financial management, and better debt management and transparency.
Application of E-Government in Public Service in Biawao Village, Gorontalo City
Authors: Suprapto Srihandayani , Lolo Irma B.
Published: March 2022

This study aims to determine the application of E-Government in public services in Biawao Village, Kota Selatan District, Gorontalo City. The research method uses qualitative types. The results showed that the application of E-Government in public services in Biawao Village, Kota Selatan District, Gorontalo City was measured by 4 (four) indicators, namely indicators of benefits, efficiency, participation and transparency were not optimal. This can be seen from the minimal use of online-based public services, the low enthusiasm of the public in using online-based public services and the limitations on applications that are not able to answer the needs and complaints of people via online.
The Existence of Community Empowerment Institutions (LPM) in the Development Plan
Authors: Mohi Widya Kurniati , Gintulangi Sri Lestari , Abdullah Alwin
Published: March 2022

This study aims to describe the existence of community empowerment institutions in absorbing community proposals in development plans. This study uses a qualitative method with a descriptive approach to obtain a comprehensive and in-depth understanding of the existence of community empowerment institutions in absorbing community proposals for development plans in Molokode U Village, Sipatanah District, Gorontalo City. The data collection techniques in this study used observation, interviews and documentation. The results of this study show that the existence of LPM in Molokode U Village as a Facilitator, Mediator, Motivator, Dynamist for development has been running as it should, although LPM has shown its existence in every planning activity, in practice it is still shrouded in a number of problems so that the institution in carrying out its duties is not optimal.
Need for Intra-Commercial Regulations in Contracting Structure of Corporate Outsourcing Contracts in India
Authors: Sundaram Leelesh , Muthu Selva
Published: March 2022

In the ongoing pattern, it could be seen that the corporate companies have now started to outsource their services and products to other budding companies who are not exclusively dedicated for the reason for doing outsourced work and then again it could be licitly discovered that companies or organizations to do exclusively outsourced work is also growing. In this point the companies' quality policies and assets have a been varying. Thus, a natural dissatisfaction arises to either of the company and an ambiguity arises concerning the possession merchandise that are purchased for the motivation behind doing an outsourced work. In this way an inquiry arises as to whether there should a need for recognition of quality policies and assets in the outsourcing contract of corporate companies as it could be noted that cooperate companies outsource their product oriented and service oriented works at a larger extent and as result an ambiguity pertains as to whether there is a need for changes in contracting structure of corporate outsourcing contracts in India. When this issue is studied on a global context is studied, it can be figured out that an aspect of economic regulation, more particularly, intra-commercial regulations solve the issue. Thus this study is carried out on the same aim.
The Effect of Awareness on the Behavior of Advertisement on Social Network Basis for Cosmetic Products Line
Authors: Tuan Pham Van , Phuc Pham Sy , Nguyen Tran Van , Trang Tran Thi Thu , Huy Dinh Tran Ngoc , Nga Hoang Thi , Nhung Pham Thi Hong , Chinh Bui Thi Hong
Published: March 2022

The study examines the factors affecting the perception and interaction behavior with advertising cosmetic products. The authors used SPSS and Smart PLS software to conduct statistics and analyze survey results. The results of data analysis show that there are 5 factors that directly affect the perception of avoidance: Health concerns; Doubts about advertising intermediaries; Privacy concerns; Information value; Obstructing cognitive goals. The factor that directly affects Avoidant Behavior is Perception of avoidance, there are 5 factors that indirectly affect Avoidant Behavior: Health concerns; Doubts about advertising intermediaries; Privacy concerns; Information value; Obstructing cognitive goals. At the same time, the research also shows that negative experiences do not affect the impact process from Avoidant Perception to Avoidant Behavior. This study has important practical elements for businesses, managers and even social network users in reducing users' awareness and avoidance of advertising.
A Study on The Use of Smartphone Applications in English Language Learning with Special Reference to Covid-19 Pandemic
Authors: Raheem Bareq , Mahmood Mohammad Danish , Taher G.M. Abu , Shakeel Zareen
Published: March 2022

Technology and education are essential concepts in the current world. The societies of the world are heading towards technology and education very rapidly. Both the concepts indicate the hasty development taking place everywhere. The progress in the field of technology and education can be taken as a sign of growth in a particular society. The present study aims at explaining the use of smartphone applications to improve English language skills and translation and vocabulary improvement. This paper also seeks to demonstrate the significant role played by smartphone applications amid the COVID-19 pandemic. Through the present study, it has been demonstrated that smartphone applications aid in improving language skills, translation, and enriching vocabulary. Moreover, smartphone applications have been used virally amid the COVID-19 pandemic. They have a significant role in online teaching and learning. They act as a personal teacher who works 24/7.
Trends and Perspective of Metabolic Syndrome
Authors: Johnkennedy Nnodim , Treasure Njoku-Obi , Promise Ikem Amarachi
Published: March 2022

Overweight, sedentary lifestyles, and some degree of insulin resistance are only a few of the traits linked with individuals who have the metabolic syndrome. Additional risk factors include a sedentary or inactive lifestyle, the use of psychiatric drugs, and excessive alcohol use. Weight gain and insulin resistance are connected with the metabolic syndrome. The most effective methods of losing weight are low-calorie diets and increased physical activity. Preliminary research indicates that individuals who consume a paleolithic diet may reduce three of the five quantitative risk factors for cardiovascular disease.
Factors Affecting Inactive BPJS Participants in the UPTD of Sungai Raya Community Health Center, East Aceh Regency
Authors: Gustina Efri , Amirah Asriwati , Aini Nur
Published: March 2022

Based on data from BPJS Health in 2019, it reached a membership number of 221,580,743 people. However, in reality, many patients who are about to provide health services at Hekath Centre are found to have an inactive membership card. The study aimed to determine the effect of vulnerability, seriousness, barriers, perceived benefits, influence to act and dominant factors on BPJS Inactive Membership. The study was an analytical survey with a cross-sectional approach.. The population were 50 people and the sampling technique used an accidental technique with a purposive approach. Data analysis used univariate, bivariate and multivariate. The results showed that the multivariate p(sig) susceptibility value was .532 (OR=2.515 CI 0.140-45.253), confidence was .032 (OR=16,712 CI 1.275-219.028), benefits were .015 (OR=28,388 CI 1.942-415.210), barriers of .015 (OR=23,558 CI 1.863-297.969), the effect of acting was 0.353 (OR=4.119 CI .208-81.681). In conclusion, the variables that simultaneously influence the inactive BPJS membership were beliefs, benefits and obstacles, while the most dominant factor for the inactive BPJS membership is the perceived benefits. BPJS Health must increase the quantity of socialization. This can be seen from the lack of continuous socialization to the community of BPJS members by installing banners containing the slogan of the JKN Program so that it must be reproduced and installed in every health facility.
Analysis of Factors Affecting Breastfeeding Expenditure on Post Sectio Caesarea Mothers
Authors: Manalu Dinar , Raja Sarma Lumban , Silaen Mangatas
Published: March 2022

Breastfeeding provides both short-term and long-term benefits for both the child and the mother, including protecting the child against a variety of acute and chronic disorders. However, the high incidence of CS and the low number of breastfeeding mothers with cesarean delivery have a lot of negative effects on the breastfeeding process. Data obtained from Dairi district in 2021 showed that the coverage of breastfeeding was only 40%, while in Sidikalang Hospital, post-sc mothers gave breast milk. only 35%. The purpose of this study was to determine the effect of the factors that influence the release of breast milk for post SC mothers at Sidikalang Hospital, Dairi Regency in 2021. The type of research was mixed method with sequential explanatory design. The population is 120 respondents and purposive sampling is 54 respondents. 3 key informants representing Post SC mothers, 8 supporting informants. Data analysis used univariate, bivariate and multivariate analysis as well as qualitative data analysis including reduction, display and conclusion drawing/verification. The results showed that there was an effect of breastfeeding frequency (sig 0.000), breast care (sig 0.002), mother's diet (sig 0.000) breastfeeding technique. (sig 0.000) the SPEOS method (sig 0.000), While there was no effect of hospitalization (sig 0.210), birth weight (sig 0.201), gestational age (sig 0.201), the most influential variables were maternal food with a value of B = 4.084 and OR = 59.93 to the expenditure of breast milk for post SCdi RSUD Sidikalang, Dairi Regency in 2021.
Perspective of delayed Hypersensitivity: A review
Authors: Johnkennedy Nnodim , Treasure Njoku-Obi , Hauwa Bako
Published: March 2022

T cells enter tissues and are activated by antigen-presenting cells to produce cytokines that cause inflammation in the local area. In allergic contact dermatitis, drug eruptions, asthma, and autoimmune disorders, CD8+ T lymphocytes mediate DTH reactions. As an example of this type IV hypersensitivity, chronic DTH reactions, contact hypersensitivity, and hypersensitivity pneumonitis are all examples. Infiltration of an antigen-exposed region by Th1 cells and macrophages, which inflict tissue damage, is the primary cause of the delayed onset of symptoms. It has thus been outlined that this delayed hypersensitivity reaction.
Prevalence of Hyperkalaemia in Chronic Haemodialysis Patients
Authors: Barnd Mathew , Yreck Daniel
Published: March 2022

Haemodialysis patients are more likely to suffer from hyperkalaemia than the general population. It puts them at danger of a fatal accident. In haemodialysis, it is not part of the standard examinations. The purpose of our study was to find out how common it was among individuals on long-term dialysis. Our research was cross-sectional in nature. Participants had to have been on haemodialysis for at least two months and be willing to participate in the research. Before the start of their first and second weekly dialysis sessions, we did a clinical examination, blood potassium, sodium, and ionized calcium tests, and an electrocardiogram in each of them. 88 patients were chosen for the study. Before the first dialysis session began, 38.7 percent of patients had hyperkalaemia, and 17 percent had it before the second. In three cases, the blood potassium level was determined to be at least 7.5 mEq / l, indicating that the patient was suffering from a condition known as paresis. Hyperkalaemia is associated with a tall T wave on the ECG in two circumstances. Although hyperkalaemia is widespread in our dialysis patients, its clinical and electrocardiographic symptoms are less so.
Review of Parameters in Routing Protocols in Vehicular Ad-hoc Networks
Authors: Mohsin Saadoon Intisar , Ali Hussein Maha , Neamah Abbas Farah
Published: March 2022

Vehicular Ad_hoc Network  (VANET) is a sophisticated elegance of devoted cellular network that permits automobiles to intelligently communicate for different   roadside infrastructure. VANETs bring with it some of demanding situations associated with Quality of Service (QoS) and performance. QoS relies upon on many parameters which includes packet transport ratio, bandwidth, postpone variance, records latency, etc. This paper, discuss numerous troubles associated with latency records, bandwidth usage, and transport of packet in VANETs. The demanding situations have been recognized in offering security, reliability and confidentiality of posted records. Finally, numerous packages of VANETs also are introduced in the modern computing scenario.
AI-Infused Semantic Model to Enrich and Expand Programming Question Generation
Authors: Hsiao Ihan , Chung Cheng-Yu
Published: March 2022

Creating practice questions for programming learning is not easy. It requires the instructor to diligently organize heterogeneous learning resources, i.e., conceptual programming concepts and procedural programming rules. Today’s programming question generation (PQG) is still largely replying on the demanding creation task performed by the instructors without advanced technological support. In this work, we propose a semantic PQG model that aims to help the instructor generate new programming questions and expand the assessment items. The PQG model is designed to transform conceptual and procedural programming knowledge from textbooks into a semantic network by the Local Knowledge Graph (LKG) and Abstract Syntax Tree (AST). For any given question, the model queries the established network to find related code examples and generates a set of questions by the associated LKG/AST semantic structures. We conduct analysis to compare instructor-made questions from 9 undergraduate introductory programming courses and textbook questions. The results show that the instructor-made questions had much simpler complexity than the textbook ones. The disparity of topic distribution intrigued us to further research the breadth and depth of question quality and also to investigate the complexity of the questions in relations to the student performances. Finally, we report an user study results on the proposed AI-infused semantic PQG model in examining the machine-generated questions quality.
Real-World Data for the Drug Development in the Digital Era
Authors: Liu Xianchen
Published: March 2022

Randomized clinical trials (RCTs) have long been recognized the gold standard for regulatory approval in the drug development. However, RCTs may not be feasible in some diseases and/or under certain situations and findings from RCTs may not be generalized to real-world patients in the routine clinical practice. Real-world evidence (RWE) generated from various real-world data has become more and more important for the drug development and clinical decision making in the digital era. This paper described real-world data, RWE, and RWE generation, followed by the characteristics and differences between RCTs and RWE studies. Furthermore, the challenges and limitations of real-world data and RWE studies were discussed.
Biosynthesis of silver nanoparticles using Dittrichia graveolens (Asteraceae) leaves extract: characterisation and assessment of their antioxidant activity
Authors: GEÇER Esma Nur , ERENLER Ramazan
Published: March 2022

Nanotechnology has gained great interest recently due to its common applications. Synthesis of silver nanoparticles employing medicinal plants is eco-friendly, low cost, and easy. Silver nanoparticles (i-AgNPs) were synthesized using Dittrichia graveolens leaves extract. The structure of i-AgNPs was identified by extensive spectroscopic studies. The antioxidant effect of extract and i-AgNPs was determined by DPPH•, ABTS•+, and FRAP assays. FTIR spectroscopic study displayed the characteristic vibration of the hydroxyl group at 3262 cm-1. Ultraviolet-Visible (UV-Vis) spectrophotometer exhibited the maximum absorption of i-AgNPs at 451 nm. The particle size of the green synthesized nanostructure was determined as 30.7 nm by scanning electron microscope (SEM). The crystal structure of nanoparticles was established as face-centered cubic (fcc) by X-Ray Diffraction (XRD). DPPH activity of i-AgNPs (13.4±0.34 µg/mL, IC50) was found higher than that of the extract (15.4±0.17 µg/mL, IC50). Dittrichia graveolens contains the bioactive compounds that bring out its reducing and stabilizing properties. The extract and i-AgNPs displayed the promising antioxidant effect that may be a raw material for food and pharmaceutical applications.
Türkiye’de tespit edilen fosil gymnosperm ağaçlarının mekânsal ve zamansal dağılımı
Authors: AKKEMİK Ünal , ÇELİK Hakan
Published: March 2022

Son yıllarda giderek artan fosil çalışmalar, geçmişten günümüze odunsu bitki çeşitliliğinin değişimini ortaya koymakta ve günümüzle karşılaştırma olanağı sunmaktadır. Çalışmanın amacı, Türkiye’de fosil odunlarla ilgili makalelerde tespit edilen gymnosperm cins ve türlerinin zamansal ve alansal dağılımını irdelemektir. Ülkemizde varlığı tespit edilen en yaşlı gymnospermler Orta Jura döneminden olup üç cinsten ikisi günümüzde temsilcileri bulunmayan Xenoxylon ve Protelicoxylon, biri de günümüzde Güney Yarımkürede temsilcileri olan Agathoxylon fosil cinsleridir. Bu üç fosil cins, Orta Jura döneminde Erzurum-Gümüşhane hattında karasal kıyı şeridinin varlığına da göstermektedir. En yaygın gymnospermler ise Oligo-Miyosen dönemine ait olup bunlar Pinuxylon, Cedrus, Taxodioxylon, Glyptostroboxylon, Cupressinoxylon, Ginkgoxylon, Juniperoxylon ve Podocarpoxylon fosil cinsleridir. Bu cinslerden bazılarının (Pinus, Cedrus, Cupressus, Juniperus) günümüzde temsilcileri bulunurken, diğerlerinin (Glyptosrobus, Taxodium/Sequoia, Ginkgo ve Podocarpus) temsilcileri Türkiye topraklarından uzaklaşmışlardır.
DESIGN CONCEPTION AND EVALUATION OF AN UNMANNED AMPHIBIOUS AERIAL VEHICLE USING SYSTEMATIC APPROACH
Authors: Ganesan Surendar , Esakki Balasubramanian , Mathiyazhagan Silambarasan , Pandimuthu Vikram
Published: March 2022

This article’s incitement interprets Unmanned Amphibious Aerial Vehicle (UAAV)’s conceptual design process in a systematic approach. The UAAV is conceptualised to be an ideal tool for limnologists in water quality assessment. Integration of hovercraft with the multi-rotor system helps collect water samples from remote and inaccessible water bodies. The UAAV flies in multi-rotor mode, subsequently land and glide along the water surface in hovercraft mode. The new and unconventional vehicle configuration makes the conceptual stage a challenging one in the design process. To overcome the challenges and strapped configuration of vehicle design, the Authors used a systematic approach of scenario-based design, morphological matrix, and Pugh’s method in the design process of the “Pahl & Beitz” model to retrieve the best possible UAAV design. The conglomerate design of UAAV is evaluated for its design requirements, and the computational analysis is performed to examine the mechanical strength and flow characteristics of UAAV. The experimental prototype of UAAV demonstrates the competence of flying in the air and hovering in water through field trials.
Mid- and Far-infrared Color–Color Relations within Local Galaxies
Authors: Gregg Benjamin , Calzetti Daniela , Heyer Mark
Published: March 2022

We present an extensive archival analysis of a sample of local galaxies, combining multiwavelength data from GALEX, Spitzer, and Herschel to investigate “blue-side” mid-infrared (MIR) and “red-side” far-infrared (FIR) color–color correlations within the observed infrared spectral energy distributions. Our sample largely consists of the KINGFISH galaxies, with the important addition of a select few including NGC 5236 (M83) and NGC 4449. With data from the far-ultraviolet (∼0.15 μm) through 500 μm convolved to common angular resolution, we measure the photometry of kiloparsec-scale star-forming regions 36″ × 36″ in size. Star formation rates (SFRs), stellar masses, and metallicity distributions are derived throughout our sample. Focusing on the f
70/f
500 “FIR” and f
8/f
24 “MIR” flux density ratios (colors), we find that a subsample of galaxies demonstrate a strong IR color–color correlation within their star-forming regions, while others demonstrate uncorrelated colors. This division is driven by two main effects: (1) the local strength of star formation (SF) and (2) the metal content of the interstellar medium (ISM). Galaxies uniformly dominated by high surface densities of SF (e.g., NGC 5236) demonstrate strong IR color–color correlations, while galaxies that exhibit lower levels of SF and mixed environments (e.g., NGC 5457) demonstrate weaker or no correlation—explained by the increasing effect of varying ISM heating and metal content on the IR colors, specifically in the MIR. We find large dispersion in the SFR–L
8 (8 μm luminosity) relation that is traced by the metallicity distributions, consistent with extant studies, highlighting its problematic use as an SFR indicator across diverse systems/samples.
Trends in the use of radiation for meningioma across the United States
Authors: Matani Hirsch , Abel Stephen , Yu Alexander , Karlovits Stephen M. , Wegner Rodney E.
Published: March 2022

Purpose: Meningiomas are tumors originating from arachnoid cap cells on the surface of the brain or spinal cord. Treatment differs by grade but can consist of observation, surgery, radiation therapy or both. We utilized the National Cancer Database (NCDB) to compare trends in the use stereotactic radiosurgery (SRS) and external beam radiation therapy (EBRT) in the management of meningioma. Materials and Methods: We queried the NCDB from 2004–2015 for meningioma patients (grade 1–3) treated with radiation therapy, either SRS or EBRT. Multivariable logistic regression was used to identify predictors of each treatment and to generate a propensity score. Propensity adjusted Kaplan-Meier survival curve analysis and multivariable Cox hazards ratios were used to identify predictors of survival. Results: We identified 5,406 patients with meningioma meeting above criteria with 45%, 44%, and 11% having World Health Organization (WHO) grade 1, 2, and 3 disease, respectively. Median follow up was 43 months. Predictors for SRS were grade 1 disease, distance from treatment facility, and histology. The only predictor of EBRT was grade 3 disease. Treatment year, histology, race and female sex were associated with improved survival. Five- and 10-year survival rates were 89.2% versus 72.6% (p < 0.0001) and 80.3% versus 61.4% (p = 0.29) for SRS and EBRT respectively. After propensity matching 226 pairs were generated. For SRS, 5-year survival was not significantly improved at 88.2% compared with EBRT (p = 0.056).Conclusion: In the present analysis, predictors of SRS utilization in management of meningioma include WHO grade 1 disease, distance from treatment facility and histology whereas conventional EBRT utilization was associated with grade 2 and 3 disease. Future studies need to be performed in order to optimize management of atypical and malignant meningioma.
Effectiveness of Using Android-Based Applications for Nutrition Monitoring of Toddlers in Banda Aceh
Authors: Al Rahmad Agus Hendra , Junaidi Junaidi , Fitrianingsih Eva , Iskandar Iskandar , Mulyani Nunung Sri , Irwandi Irwandi , Arnisam Arnisam , Khazanah Wiqayatun , Andriani Andriani , Alfridsyah Alfridsyah
Published: March 2022

BACKGROUND: The nutritional situation for toddler in Indonesia is based on the Riskesdas data report that Indonesia still has problems with underweight, stunting, and wasting. Fulfillment of nutritional status information on an individual basis can be fulfilled using the online application system. Problem the quality of data on nutritional status and the process of management that is still being carried out conventionally. It is necessary to design an application that is user-friendly for nutrition workers to monitor the nutritional status and growth and development of children under five in Aceh.

AIM: Analyzing the Effectiveness of Using Android Smartphone-Based Applications for Monitoring Nutrition for Toddlers in the city of Banda Aceh.

METHODS: This study uses a Research and Development design. This research has been conducted in the Banda Aceh City Region, considering that data on malnutrition is still high, data are available underweight, wasting, and stunting. Primary and secondary data were conducted by interview and observation using a questionnaire training using the Android-based PSG toddler application tool. The research stages were carried out by collect data and proceed with system design using the method prototyping. The validity of the data in this study was carried out using triangulation techniques. Data in the form of words will be processed into meaningful sentences so that information is obtained required. The data analysis phase consisted of data reduction and presentation data (data display) and concluding (conclusion: Drawing/verifying).

RESULTS: The results showed that the PSG toddler application had a positive impact and significantly affected the quality of nutrition data, especially nutritional status data toddlers. The Android-based PSG toddler application has a good quality value compared with the use of a nutritional status monitoring book (PSG conventionally). An electronic-based system (PSG toddler application based on android) is of higher quality sound. The output of data analysis is more, both for monitoring and evaluation planning nutrition program and supporting decision-making in handling problems nutritional problems in Banda Aceh. The research results also show an Android-based application, particularly the PSG toddler application, as user-friendliness and are more user-friendly. Application following other nutritional status monitoring programs in calculating nutritional status, PSG Toddlers must cover four indexes: BB/U index, TB/U index, index BB/TB, and index body mass index/U.

CONCLUSION: The use of the Android-based Toddler Nutrition Monitoring Application is effective in monitoring the growth and development of toddler nutrition in Aceh.
Availability of General Practice Workforce and Basic Health Indicators in the Republic of Kazakhstan: 2015-2019
Authors: Abzaliyeva Akerke , Kausova Galina , Abdraimova Elmira , Ismagilova Aigerim , Mamyrbekova Saltanat
Published: March 2022

Фон . Республика Казахстан уделяет особое внимание развитию кадров общей практики (ВОП) за последние три десятилетия. Это исследование было направлено на предоставление описательного распределения врачей общей практики между различными административными единицами Казахстана по основным показателям здоровья за период 2015-2019 гг. Методы . Это было ретроспективное перекрестное исследование, основанное на данных, полученных из реестра медицинских кадров. Данные о смертности от всех причин, смертности от сердечно-сосудистых заболеваний, материнской и младенческой смертности получены из ежегодных статистических отчетов, выпускного министерства здравоохранения. Полученные результаты .В настоящее время врачи общей практики составляют основную часть медицинского персонала в Казахстане. В Казахстане наблюдается стабильное снижение показателей сердечно-сосудистой, материнской и младенческой смертности в период 2015-2019 гг. Заключение . Врачи общей практики - передовые деятели казахстанской системы здравоохранения. Необходимо изучить другие факторы, способствующие улучшению основных показателей здоровья в Казахстане.
The Influence of Preventive Regimens Containing Different Toothpastes on Caries Risk of High-Risk Patients: A Randomized Clinical Trial
Authors: Ali Esraa Abdel Ghaffar Ahmed , Elzogbi Amira Farid , Raafat Rasha
Published: March 2022

BACKGROUND: The main objective of conservative dentistry is maintaining the health of the dentition and restored teeth free from dental caries. The prevention of dental caries can be achieved by personal prevention programs at home, dental health care professional, and public health application programs. Based on knowledge related to the etiology and pathogenesis of dental caries, this provides a chance for application of effective prevention program for the prevention of dental caries.

AIM: This study aimed to evaluate the effect of different preventive regimens using different toothpastes on caries risk using cariogram and decayed, missing, and filled (DMF) scores of high caries risk patients.

MATERIALS AND METHODS: The study was conducted on 66 participants with high caries risk. Participants were divided into three groups, 22 participant each. According to the test regimen, where (A1) participants were exposed to a regimen including dual zinc plus arginine-based toothpaste (Colgate total), (A2) participants were exposed to a regimen including zinc-based toothpaste (Crest complete), and (A3) control group was participants that were exposed to a regimen including fluoride-based toothpaste (Signal). The study was carried for 1 year, assessment of cariogram and DMF scores was done in four intervals: T0: baseline, T3: after 3 months, T6: after 6 months, and T12: after 12 months.

RESULTS: According to cariogram, there was a statistically significant difference between Groups A1, A2, and A3, where p < 0.001. However, DMF scores of all groups showed no statistically significant difference between the three groups.

CONCLUSIONS: Dual zinc plus arginine-based toothpaste is a superior caries preventive regimen in high caries risk patients.

CLINICAL SIGNIFICANCE: The benefits of preventive regimen to the practitioner will be providing a non-invasive, and cost-efficient method to prevent dental caries. Benefits to the patient will be an improvement of oral hygiene, prevention of dental caries, and maintain healthy dental supporting structures.
Effect of Diode Laser versus a Combination of Sodium Trimetaphosphate with Polyacrylic Acid on Obliteration of Dentinal Tubules: An In Vitro Study
Authors: Darwish Mostafa Abd El-hakim , Abo-Elezz Ahmed Fawzy , Safy Rehab Khalil
Published: March 2022

BACKGROUND: Irradiation with diode laser and biomimetic remineralization are important methods in the treatment of hypersensitivity and dentin remineralization.
AIM: The aim of the study was evaluation of the effect of diode laser versus the effect of sodium trimetaphosphate (STMP) with polyacrylic acid (PAA) on obliteration of dentinal tubules (DT).
MATERIALS AND METHODS: Sixty dentin discs with a thickness of 2 mm were prepared and conditioned with EDTA for 15 s. Then, all dentin discs were divided into three main groups (20 discs each) according to the treatment method; control, diode laser treated, and STMP with PAA group (biomimetic group). Each group was subdivided into four subgroups (five discs each) according to the storage time; 2 h (To), 1 month (T1), 2 months (T2), and 3 months (T3), respectively. All samples were prepared to be analyzed after each time interval using environmental scanning electron microscope (ESEM). Comparison of differences of DT obliteration percentage made on each group before and after the treatment were performed using computer-assisted digital image analysis.
RESULTS: Control group showed the least DT obliteration percentage, the samples of laser group recorded statistically significant increase in DT obliteration percentage at To in comparison to the biomimetic group. Meanwhile, at T1, there was no statistically significant difference between both laser and biomimetic groups. However, statistically significant decrease was recorded in laser group at T2 and T3, respectively.
CONCLUSION: Irradiation with diode laser and biomimetic remineralization using PAA with STMP are a promising methods to obliterate opened DT effectively.
Mountainous millipedes in Vietnam. II. A conspicuous Tylopus species from Northern Vietnam (Diplopoda, Polydesmida, Paradoxosomatidae)
Authors: Nguyen Anh D. , Eguchi Katsuyuki
Published: March 2022

A conspicuous Tylopus species is described from Northern Vietnam, namely T. helicorthomorphoidessp. nov. The new species is clearly diagnosed by the gonopodal solenophore completely sheathing the solenomere, both being coiled three times, and the absence of spine z and process h of the gonopod. Fragments of the COI and 16S rRNA genes were extracted, and the phylogenetic analysis also supports the new species.
Additive effect of probiotics (Mutaflor) on 5-aminosalicylic acid therapy in patients with ulcerative colitis
Authors: Park Soo-Kyung , Kang Sang-Bum , Kim SangSoo , Kim Tae Oh , Cha Jae Myung , Im Jong Pil , Choi Chang Hwan , Kim Eun Soo , Seo Geom Seog , Eun Chang Soo , Han Dong Soo , Park Dong Il
Published: March 2022

Background/Aims: In ulcerative colitis (UC) patients, Escherichia coli Nissle 1917 (EcN) is equivalent to mesalazine for preventing disease relapse; however, evidence of the ability of EcN to increase health-related quality of life or induce remission remains scarce. We investigated the efficacy of EcN as an add-on therapy for UC.Methods: In this multicentre, double-blind, randomised, placebo-controlled study, a total of 133 UC patients were randomly assigned to receive either EcN or placebo once daily for 8 weeks. Inflammatory bowel disease questionnaire (IBDQ) scores (primary endpoint) and clinical remission and response rates (secondary endpoints) were compared (Clinical trial registration number: NCT04969679).Results: In total, 118 patients (EcN, 58; placebo, 60) completed the study. The number of patients reaching the primary endpoint did not differ between the EcN and placebo groups (30 [51.7%] vs. 31 [51.7%]; per-protocol analysis, p = 1.0; intention-to-treat analysis, p = 0.86). However, significantly fewer patients in the EcN group exhibited a decreased IBDQ score (1 [1.7%] vs. 8 [13.3%]; per-protocol analysis, p = 0.03; intention- to-treat analysis, p = 0.02). Moreover, a significantly higher number of patients in the EcN group displayed clinical response at 4 weeks (23 [39.7%] vs. 13 [21.7%], p = 0.04) and endoscopic remission at 8 weeks (26 [46.4%] vs. 16 [27.1%], p = 0.03).Conclusions: Although the number of patients reaching the primary endpoint did not differ between the EcN and placebo groups, EcN was found to be safe and effective in preventing the exacerbation of IBDQ scores and achieving clinical responses and endoscopic remission in patients with mild-to-moderate UC.
Cancer-Related Fatigue
Authors: Visovsky Constance , Schneider Susan
Published: March 2022

Approximately 1.3 million people in the United States will be diagnosed with cancer in 2003 and millions of other individuals are already living with the disease. Fatigue continues to be the most prevalent and disruptive symptom of cancer and its treatment regimens. Fatigue was the most frequent and distressing cancer-related symptom occurring in women with lung cancer, two times greater than the next symptom, pain, and remains one of the most common symptoms in newly diagnosed lung cancer patients at any stage of the disease. There are many causes of cancer-related fatigue including preexisting conditions, physical and psychological symptoms caused by cancer, and the consequences of cancer treatment. High levels of fatigue decrease quality of life, physical functional status, and symptom management. This article presents an evidenced-base review of cancer-related fatigue, strategies for the management of cancer-related fatigue, and recommendations for clinical practice.
The Nursing Shortage: What Does The Nurse Reinvestment Act Mean to You?
Authors: Donley Rosemary , Flaherty Mary , Sarsfield Eileen , Taylor Laura , Maloni Heidi , Flanagan Eileen
Published: March 2022

During 2002, the 107th Congress passed landmark legislation, the Nurse Reinvestment Act, P.L. 107-205. This article discusses the specific provisions of P.L. 107-205 within the context of the contemporary literature and the experience of the nursing shortage. The authors ask nurses to examine what the Nurse Reinvestment Act means for their career development. In laying out the anatomy of the Nurse Reinvestment Act, title by title, and section by section, the article presents the Congressional plan for addressing the two faces of the shortage: Nurse Recruitment, Title I, and Nurse Retention, Title II. Under Title I, Nurse Retention, Section 101 presents Definitions used in the public law. Section 102, promotes the development of Public Health Service Announcements about the nursing profession. In the last section of Title I, Section 103, Congress establishes a National Nurse Service Corps. Title II, Nurse Retention, Section 201, is directed toward Building Career Ladders and Retaining Quality Nurses. In Section 202, the development of Comprehensive Geriatric Education is encouraged. Section 203 establishes a Nurse Faculty Loan program, while the last section of Title II, Section 204, mandates reports from the General Accounting Office. The 107th Congress adjourned in November 2002 without acting on the appropriation bill that would have made the Nurse Reinvestment Act a reality. Before the new Congress meets in January 2003, nurses must join with their colleagues to assure adequate funding for P.L. 107-205. The websites of the American Nurses Association (www.nursingworld.org), the National League for Nursing (www.nln.org), The American Association of Colleges of Nursing (www.aacn.org), and the Specialty Nursing Organizations (www.aspanlorg/Spec) provide direction in approaching members of Congress. However, because of the importance of the Nurse Reinvestment Act, nurses must also align themselves with representatives from the many groups who supported the legislation. Readers of this Online Journal in Nursing article should be empowered to contact the American Hospital Association, the Catholic Hospital Association, the American Association of Retired Persons, the American Medical Association, the National Association for Home Care, and the Service Employees International Union for their assistance and the support of their membership in the passage of the FY 2002 Labor/HHS/Education Appropriations Bill.