bluuebunny/crossref_metadata_2025 huggingface dataset:
Licensure Examination Performance of BSEd-Biological and Physical Science Graduates in a State University in Northern Philippines
Authors: Solita Evangeline S. Bañez  , Corazon G. Pardo
Published: November 2023

This study analyzed the licensure examination for teachers (LET) performance of the Bachelor of Secondary Education (BSEd)-Biological and Physical Science Graduates in the University of Northern Philippines. Utilizing the descriptive correlational method, it involved the BSEd graduates major in Physical and Biological Sciences, School Years 2012-2013 to 2014-2015. The study employed documentary analysis of records of the graduates. Mean, analysis of variance, and multiple regression were used to analyze the data. Results showed that most of the respondents had graduated in public high schools and a great majority of them attended LET review. Their performance in the College Admission Test (CAT) is almost equally distributed from very good, good and passing, and nearly all of them obtained a passing mark in the Teaching Aptitude Test (TAT). The overall LET performance of the respondents is above the National Passing Percentage in general education, professional and major subjects. Respondents’ LET performance in 2015 is significantly higher than their performance in 2014. The performance of the LET takers in general education is higher in 2015 than in 2014. The respondents with high achievement in professional education subjects attended LET review and with high College Admission Test have better overall LET performance along general education and professional education components. The respondents with higher achievement in general education subjects have better performance in the specialization aspects. The institution may implement higher cut-off score in the College Admission Test. The college may conduct activities related to the licensure examination to prepare thoroughly the LET takers.
MULTIPLE INTELLIGENCES OF FRESHMEN EDUCATION STUDENTS
Authors: Pritzel Lee G. Capili
Published: November 2023

This study determined the Multiple Intelligences (MI) of freshmen education students and its correlation to area of specialization. The MI test was adapted by Chapman and V Chislett MSc with a Likert type questionnaire using Cramer’s V and General linear model in analyzing the data. The respondents MI falls on the moderate level except for mathematical which is low. There is no difference between BEED and BSED MI, and the area of specialization and MI patterns have no correlation except for MAPE, sciences and mathematics. It is concluded that the MI of the respondents contributed in choosing the desired area of specialization but not an influential factor in determining their preferred area of specialization.
How Field Experiences Prepare Pre-service Teachers in Teaching Elementary Mathematics
Authors: Marvin S. Daguplo  , Stella Marie D. Consul  , Nonilon B. Consul
Published: November 2023

Field experience is a foundation among teacher education programs in which student-teachers are provided with excellent role models willing to engage in a reflective practice of the teaching profession. This descriptive-narrative-phenomenological study is anchored on the theory that field experiences contributes to the mathematical pedagogical content knowledge of pre-service teachers. Responses from 60 elementary education pre-service teachers revealed that field experiences significantly affect their preparation for teaching elementary mathematics not only in the areas of content and pedagogy but also in management and social relationship. The study thus concludes that field experiences materialized the desire of every teacher education institution to model teacher candidates in all aspects of pedagogical content knowledge though intense exposure that enrich and enhance their capability in teaching elementary mathematics.
Research Budget Allocation of Higher Education in the Philippines: Use of Fractal Analysis
Authors: Cerenio Adriatico  , Fil Ryan Yap
Published: November 2023

The study was prepared to describe the hidden dimensions of budgets allocated to state universities and colleges using fractal statistical analysis. In assessing the dimensions of budget allocation, the researchers used the data sets of 105 state universities and colleges for fiscal year 2014. Findings revealed a nearly oligopoly budget allocation and the normative funding scheme implemented by CHED were the observed hidden dimensions of the budget allocation. Accordingly, the apportionment is considered a natural phenomenon and still in its fractal state of nature.
MUSIC EDUCATION PROGRAM OF THE DIVISION OF SOUTHERN LEYTE: AN EVALUATION
Authors: Criselyn S. Sescon  , Pritzel Lee G. Capili
Published: November 2023

The study sought to the evaluate the status of the music education program of Southern Leyte Division and to identify an activity that resolves the problem. This is a descriptive study and questionnaires were used to gather data. The data collected were analyzed using SPSS program and statistical analyses were carried out. It was found out that respondent’s level of competence in teaching music education needs improvement. With these, the researchers felt the need of providing service to the respondents by conducting a training related to music instruction through an enrichment seminar for all music teachers in Southern Leyte Division.
Comparative Profitability Analysis of Electric, Pedicab, and Gasoline-Fuelled Tricycles
Authors: Lady Fritz C. Sarsalejo  , Lemuel S. Preciados
Published: November 2023

This study compared the profitability of the three transport service enterprises namely electric tricycle, gasoline-fuelled tricycle, and pedicab. These three enterprises are widely used as transportation facilities and serve as a means of livelihood for low-income drivers of the municipality of Isabel, Leyte. In assessing the profitability, the gross profit analysis and discounting cash flow analysis which includes Net Present Value (NPV), Internal Rate of Return (IRR), Benefit-Cost Ratio (BCR), and payback period were used. Based on the results of the gross profit analysis and the discounting flow analysis of a random sample of 177 drivers, positive returns of investment was experienced. Gasoline-fuelled vehicle has the largest net present values indicating highest financial profitability. Pedicab, with its lowest cost of investment and the lowest operating cost, generates highest benefit-cost ratios and lowest pay-back period. The electric tricycle, with its highest purchase cost and highest maintenance cost, resulted in lowest positive returns compared with other two vehicles. However, these indicators of profitability only considered financial returns, and exclude the intangible benefits (i.e. the environmental benefits and other social benefits). This research highlighted the need to encourage adoption of vehicles that is economically profitable, but also environment-friendly vehicles. The results may also provide insights for local government initiatives to improve livelihood opportunities at the same time provide healthier environment for the communities.
The mediating role of innovation capability in efficiency of HCMC-based businesses
Authors:   Van Hien University, Nguyen Anh Tram Long , Nguyen Binh Thanh Ha ,   Van Hien University
Published: November 2023

The changes in the business environment and the increase in competition level have led organizations to focus on improving their operational efficiency. This paper focuses on the analysis of the impact of agility capability on operational efficiency at enterprises located in Ho Chi Minh City with the mediating role of innovation capability. The data of the study were collected from 224 managers at enterprises in Ho Chi Minh City. Structural equation modeling (SEM) was used for testing hypotheses. The results showed that there is a significant impact of agility capability on operational efficiency and innovation capability. Besides, innovation capability plays a mediating role in improving the relationship between agility capability and operational efficiency. Thereby, the paper gives some recommendations on improving agility capability, innovation capability and operational efficiency.
Factors affecting the securities investment decision of Gen Z in Ho Chi Minh City
Authors:   HCMC University of Economics and Finance, Le Canh Quang , Le Lam Truc Phan , Pham Nhu Quynh , Dang Lan Nhu Thi ,   HCMC University of Economics and Finance
Published: November 2023

The growing number of young people of Generation Z (generation that is technologically knowledgeable and sensitive to information) who are conscious of investment among themselves is a preferred market compared to other markets. The purpose of this study was to identify the factors and their impact on Generation Z’s stock investment decisions in Ho Chi Minh City. The purpose of this study is to determine the influencing factors and their influence on the stock investment decision of Generation Z in Ho Chi Minh City. The study uses the combined method of principal component analysis (CPA) and multi- layer straight-forward network structure (MLP: Multi Layer Perceptron). The analysis results identify five factors affecting the stock investment decision of Gen Z in Ho Chi Minh City, in order, including: Risk perception factor, Crowd psychology factor, Financial knowledge factor Investment excitement factor, Trading system factor.
Impacts on the promotion of culinary tourism in Ho Chi Minh City
Authors:   HCMC University of Industry and Trade, Nguyen Toai Van , Bui Loc Thanh , Nguyen Quyet Xuan ,   HCMC University of Industry and Trade
Published: November 2023

The cuisine is an important factor in creating cultural identity and attractiveness for food tourism. Ho Chi Minh City (HCMC) has become an attractive destination for culinary tourists with the diversity and abundance of typical dishes. According to statistics of Ho Chi Minh City Department of Tourism in 2019, the contribution of the tourism industry accounted for 12.3% of GRDP, equivalent to 141 trillion VND. In which, revenue from international visitors accounted for nearly 68.12%, up 10.6% over the previous year. Culinary tourism is both a tool to promote tourism and prolong the stay of tourists, especially creating a uniqueness for the destination. The results of research on factors affecting culinary tourism promotion activities in Ho Chi Minh City show that: Local culinary culture (with β’1 = 0.401), Service prices (β’3 = 0.339 ) has the greatest influence and Promotion activities (with β’4 = 0.264), Quality of culinary tourism services (β’2 = 0.181) affect the promotion of culinary tourism in Ho Chi Minh City. HCM. On the basis of practical research, the factors affecting the promotion of culinary tourism in Ho Chi Minh City, the article has proposed 04 implications for solutions to improve the promotion of culinary tourism in Ho Chi Minh City, Vietnam.
Educational innovation for graphic design of products in the global integration trend
Authors:   HCMC University of Economics and Finance, Nguyen Chau Ngoc Thi
Published: November 2023

With a history of thousands of years of construction, the country has created a rich and diverse Vietnamese culture. This does not create a great attraction and is the highlight of the nation with other countries in the world, but also an important factor with long-term attraction, a source of promoting the development of the country, creating cohesion. between the peoples of the country and the world. Graphic design products are one of the tools that contribute to preserving the unique and diverse ethnic cultural values of communities. Design products that reflect the diversity and uniqueness of the national culture will contribute to strengthening and enhancing the country’s position in the international community. Nowadays, in the context of globalization integration, the issue of promoting national cultural identity has become more and more important in the face of the disappearance of national cultural identity and the preservation of national culture is becoming more and more urgent. The development of national cultural identity into graphic design products will contribute to highlighting the Vietnamese culture more advanced and imbued with national identity.
Factors affecting the working motivation of sales staff: A survey of the supermarket chains in Ho Chi Minh City
Authors:   Saigon University, Nguyen Nga Tuyet Thi , Nguyen Huyen Ngoc Thi , Truong Hao Tan ,   Saigon University,   VNUHCM, University of Technology
Published: November 2023

This study determines and measures the effect of working motivation of sales staff in supermarket chains at Ho Chi Minh City. The data are collected from 205 valid survey forms and analyzed results using quantitative analysis method. The results show that: (i) Nature of work; (ii) Salary and compensation; (iii) Working conditions; (iv) Promotion and career development; (v) Relationship with leaders; (vi) Relationship with colleagues - are the six criteria that influence the working motivation of sales staff. In particular, the Salary and compensation variable has the strongest impact on the working motivation, whilst Relationship with colleagues and Relationship with leaders are the second and the third position respectively. The findings of this study help supermarket chain managers pay attention to financial and non-financial compensation policies that increase the working motivation of sales staff at supermarket chains.
Factors influencing turnover intention among accountants in Binh Duong Province
Authors:   Thu Dau Mot University, Phan Luc Tan , Nguyen Phong Huynh ,   Binh Duong Provincial Office, Tran Luu Phong ,   Department of Planning and Investment of Binh Duong Province
Published: November 2023

The turnover rate among young people is high, particularly in the accounting industry where employees often face the challenge of maintaining high accuracy in their work and coping with significant work pressure, leading to an imbalance between work and personal life. This study investigates the effects of work pressure on work-life balance and the intention to quyt among accountants. The research findings indicate that work pressure can negatively impact work-life balance and increase employees’ intention to quyt. The study also offers managerial implications to help organizations reduce turnover among accountants and promote a better work-life balance for their employees.
The relationship between entrepreneurial education, awareness, mindset and startup business intention
Authors:   Ly Tu Trong College of Ho Chi Minh City, Pham Nhu Quynh
Published: November 2023

The study identifies factors affecting the entrepreneurial implementation intentions of students at Ly Tu Trong College of Ho Chi Minh City. Research data were surveyed from 225 students (freshman through third year) through a convenient sampling method. The research is based on descriptive statistics, reflective model analysis and structural model analysis use SmartPLS-SEM tool. Research results show that the factors that strongly influence entrepreneurial implementation intention are entrepreneurship education; Perceive the feasibility of starting a business through entrepreneurial mindset of students.
Re-Framing the Gift of Life: An Examination of Altruism, Social Distance, and Material Incentives as Factors in Non-Directed Kidney Donor Motivation Among Nurses
Authors: Humphries, PhD Harry L. , Conrad, PhD Browyn K. , Giefer, PhD, APRN Cheryl K. , Hite, DNP, APRN Amy L. , Bishop, BA Kathleen J.
Published: November 2023

The purpose of this research is to examine motivations for undergoing a living kidney donation among professional helping service workers—specifically, nurses—using a research design reproduced from an earlier investigation evaluating the persuasiveness of the National Kidney Foundation’s (NKF) altruistic “gift of life” frame. Because the earlier study revealed limits to altruism and suggested, as a means to enhance the rate of living donations, strategic “re-framings” that address material incentives and donor-recipient relationships, we assessed in this study the motivations of key representatives of the caring professions. An international sample of 60 nursing professionals participated in a survey assessing the relationship between material incentives, social distance, and donor motivation. The results show a significant negative relationship between altruism and donor motivation and strong support for material incentives as a complement to living kidney donation. We consider the values and demands of the nursing profession, including the elevated risk of compassion fatigue, as a potential mitigating factor bearing on the willingness of individuals to give the “gift of life.” It is necessary to supplement this study with additional research by nephrology social workers and allied care professionals to both recognize and address the different factors influencing motivation for living kidney donation.
Bringing Sanctuary to Dialysis
Authors: Erdley-Kass, MSW, DSW Shiloh D. , Betru, MSW, DSW Yodit K.
Published: November 2023

The demands of the chronically ill elderly population, underutilization of end-of-life care in dialysis, and the projected nursing shortage will have serious implications for dialysis staff care over the next decade. Little information exists regarding the effects of emotional labor on the dialysis staff and patient outcomes, or about effective programs that can be used to specifically address compassion fatigue in the dialysis unit setting. Masters–level social workers have the necessary training to facilitate in-center programs to reduce compassion fatigue symptoms, improve staff satisfaction and patient outcomes. The following article outlines a structured intervention aimed to address effective management of emotional labor experienced among dialysis unit professionals using the trauma-informed approach of the Sanctuary Model.
Chronic Kidney Disease Self-Management “Helps” and Hindrances in Older African-American and White Individuals Undergoing Hemodialysis: A Brief Report
Authors: Washington, PhD, MSW Tiffany , Robinson, PhD, MSSW Michael , Hamler, MSW, LSW Tyrone , Brown, MSW Sheena
Published: November 2023

This brief report summarizes chronic kidney disease self-management “helps and hindrances” among older African American and White individuals undergoing in-center hemodialysis. Qualitative data from 107 interviews were analyzed using steps of content analysis. Seven “helps” and five hindrances were revealed. The “helps” were: following treatment orders/adherence; a social network; exercise and physical activity; faith practices/beliefs; distractions during treatment; maintaining a positive attitude; and resting. The hindrances were: functional limitations; managing co-occurring conditions; diet and fluid restrictions; feeling fatigued on treatment days; and social network/social activities. The authors conclude with five practice recommendations for increasing self-management behaviors among individuals undergoing hemodialysis.
Expressions of Gratitude and Positive Emotion Among Hemodialysis Patients: Qualitative Findings
Authors: Hernandez, PhD Rosalba , Burrows, MS Brett , Wilund, PhD Kenneth , Moskowitz, PhD Judith
Published: November 2023

The current qualitative inquiry solicited hemodialysis (HD) patients to identify events or incidences that have gone well in their day-to-day life and things they consider to be blessings, and to further reflect on the contributors to such events. Hemodialysis patients kept an electronic journal using investigator-purchased tablet computers. Multiple themes emerged for which HD patients expressed gratitude: 1) life itself, 2) positive or improving health, 3) family interactions and social support, 4) clinic resources, favorable treatment therapy, and staff, and 5) other small events. Clinicians are urged to explore the psychological assets that HD patients possess with a focus on how these might be further cultivated and whether their amplification leads to improved quality of life.
COVID-19: A Dialysis Social Worker’s Response
Authors: Blackshear, LCSW Amber
Published: November 2023

Practice Note
The Most Important Thing We Can Do Is Listen: Making Peer Mentoring Available for All
Authors: Asick, MSW, NSW-C, LSW Robin , Washinger, MSN, FNP-NC Kristy , Semancik, MSW, LSW Tabitha
Published: November 2023

The purpose of this research was to increase the availability of mentor training materials for people with kidney disease, learning disabilities, and vision difficulties through the creation of an audiobook and a large font textbook to improve their participation in the training process. A qualitative approach was utilized to evaluate the participants’ training experience. A secondary goal of this project was to assess the mentee’s quality of life (QOL) prior to being matched with a mentor and then 3–6 months after the match. During our yearlong study, 11 participants completed the peer mentor training classes and 5 mentees were matched with the mentors. Mentee QOL was measured by the CDC’s Healthy Days Measure before participating in the peer mentoring program and reflected variable QOL for mentee participants. Findings indicate that participants utilized the audiobook and felt it aided their training experience.
How Organ Transplant Recipients Cope with the Deaths of Their Donors
Authors: Iacono, LISW-CP Steven
Published: November 2023

There has been limited research about how people who have received organ transplants from deceased donors cope with their donors’ deaths. A study was conducted with 77 anonymous recipients to determine how their coping methods may differ qualitatively or quantitatively. Results indicate that females and males use a variety of methods, with several differences noted in their levels of importance, frequency of use, and impact. Some differences, based on age, were also noted. Four overarching themes were identified in the coping process, including: resolving whether the donor “died for” the individual, the random chance nature of receiving an organ acting as an emotional defense, thanks/faith in God being beneficial, and gratitude toward the donor and their family.
IMPLEMENTASI TRAINER MULTI-SENSOR BERBASIS ARDUINO
Authors: Usman Dani , Pratiwi Kiki
Published: November 2023

Tujuan penelitian adalah implementasi trainer sebagai media pembelajaran pada matakuliahmikrokontroler dan interface berupa Trainer Multi Sensor (TMS). Metode penelitian yangdigunakan adalah prototyping and assembling. Pembuatan trainer ini meliputi pembuatanperangkat keras (hardware) dan perangkat lunak (Software). Trainer ini memiliki berbagai sensor,output serta modul pengendali berupa Arduino uno. Nilai hasil pengujian dari pembacaan sensorsuara mengunakan handphone dengan besar volume 10, besar nilainya akan berubahtergantung dari jarak. Meskipun pada jarak 25 cm sampai 45 cm nilai tidak berubah yaitu 68.Pengujian sensor jarak menghasilkan nilai sesuai jarak benda. Indikator LED akan menyala ketikajarak lebih dari 50 cm. Nilai pembacaan sensor cahaya akan berubah sesuai intensitas cahayayang diberikan. Indikator LED akan menyala ketika besar nilai lebih dari 600, pada keadaan gelapnilai yang tampil 66 dan keadaan terang 910. Hasil pembacaan pada sensor suhu indikator LEDakan menyala ketika nilai yang tampil lebih dari 30 oC.
PREDICTIVE MAINTENANCE MECHANICAL LOOSENESS PADA POROS BERPUTAR BERBASIS LAB VIEW
Authors: Tauvana Ade , Rachmanu Fatkur , Widodo  , Nulhakim Lukman , Mulyani Yayu
Published: November 2023

Vibration monitoring merupakan kegiatan memantau getaran pada sebuah mesin berputar dengan cara merekam dan menganalisis getaran. Getaran tinggi pada suatu mesin dapat disebabkan oleh kasus mechanical looseness. Penelitian ini bertujuan untuk mengetahui putaran poros yang diijinkan pada getaran kondisi mechanical loosness. Pengukuran getaran dilakukan menggunakan sensor accelerometer ADXL 345 yang dapat membaca nilai akselerasi suatu getaran pada posisi vertikal dibagian rumah bearing. Pembacaan nilai akselerasi tersebut diolah kembali oleh kontroler arduino uno R3 dan diproses menjadi grafik FTT melalui software LabVIEW. Berdasarkan pengujian nilai akselerasi yang dihasilkan pada kondisi mechanical looseness kategori fondasi melengkung dengan 2 shim untuk putaran poros 1495 rpm adalah 949,587 mm/s2 , putaran poros 895 rpm menghasilkan nilai akselerasi 982,610 mm/s 2 , putaran poros 295 rpm menghasilkan nilai akselerasi 911,029 mm/s 2 . Pengujian kedua untuk fondasi melengkung dengan 3 shim pada putaran poros 1495 menghasilkan nilai akaselerasi 1018,86 mm/s 2 , putaran poros 895 rpm menghasilkan nilaiakselerasi1214,06 mm/s 2 , untuk putaran poros 295 rpm menghasilkan nilai akselerasi 1010,520 mm/s 2 . Pengujian ketiga dilakukan pada kondisi baut longgar dengan menghasilkan nilai akselerasi 826 mm/s 2 pada putaran poros 1495 rpm, menghasilkan nilai akselerasi 1180,477 mm/s 2pada putaran poros 895 rpm, dan menghasilkan nilai akselerasi 900,006 mm/s 2 pada putaran poros 295. Nilai putaran poros maksimal yang dijinkan pada getaran kondisi mechanical looseness yaitu 295 rpm. Getaran maksimal yang diijinkan yaitu pada putaran poros sebesar 295 rpm.
Kuģniecības inženiera, virsnieka Edgara Oto Pinkas (1895–1941) dzīves līkloči
Authors: Zvirgzdiņš Indulis
Published: November 2023

Pētījumā rodams plašs un vispusīgs dokumentos balstīts vidzemnieka inženiera Edgara Oto Pinkas (1895–1941) mūža izvērtējums. Tas saistīts ar kuģiem, dienestu Latvijā, Krievijā un Francijā, Parīzes Latviešu biedrību. Veicot pētījumu par E. O. Pinkas mācību un darba gaitām, autors inženiera dzīvi apzinājis no dzimšanas līdz mūža beigām, atspoguļojot viņa kā viena no labākajiem speciālistiem Latvijas jūras spēkos inženiera mehāniķa, kuģniecības inženiera, virsnieka un pedagoga gaitas. Nozīmīgs ir arī E. O. Pinkas ieguldījums Latvijas un latviešu mūzikas popularizēšanā Francijā 20. gadsimta 30. gadu sākumā. Interesi par mūziku mantojusi viņa meita, Rīgas Politehniskā institūta (RPI) absolvente (1964) Māra Pinka. Raksts tapis, izpētot Latvijas bibliotēku, arhīvu, muzeju krājumus un sazinoties ar E. O. Pinkas dzimtas turpinātājiem.

Based on the documents, the study provides a wide and comprehensive evaluation of the life of an engineer and citizen from Vidzeme Edgars Otto Pinka (1895–1941). His life was related to ships, military service in Latvia, Russia, and France, and the Latvian Society of Paris. Researching E. O. Pinka’s studies and work, the author has studied the engineer’s life from birth to the end of his life, reflecting on his progress as one of the best specialists in the Latvian Navy in his capacity of an engineer mechanic, shipping engineer, officer, and pedagogue. The contribution of E. O. Pinka to raising awareness about Latvia and Latvian music in France in the early 1930s is also significant. His daughter, a graduate (1964) of Riga Polytechnic Institute (RPI) Māra Pinka, inherited his interest in music. The article was developed by studying the collections of Latvian libraries, archives, and museums and communicating with the successors of E. O. Pinka’s family.
Missed Double-J Ureteric Stent Presenting as a Large Stone Burden: A Case Report
Authors: Arun Guru Thangiah , Gomha Faaz Salah , Hussein Sheik Akbar , Maslamani Nasser Jassim Al
Published: November 2023

Ureteric stenting using a Double-J Stent (DJS) is one of the commonly used urological management techniques to ensure adequate drainage from the renal pelvis to the bladder. However, DJS placements are known to be associated with various consequences and complications. Hereby, the authors present a case of a 46-year-old male who presented to the Emergency Department with left flank pain and haematuria that had persisted for one week. The patient had previously undergone ureteric stenting one year prior for the management of a left ureteric calculus. Unfortunately, he had not returned for follow-up due to the Coronavirus Disease 2019 (COVID-19) pandemic. X-ray of the Kidney, Ureter, and Bladder (KUB) and Computed Tomography (CT) of the KUB revealed a missed left ureteral stent that was completely encrusted and associated with the highest stone burden. This stent was causing obstruction of the left renal pelvis-calyceal system and thinning of the left renal parenchyma. The patient also had a co-existing staghorn calculus and urinary tract infection. After completing a course of antibiotics, the encrusted ureteral stent was surgically removed using cystolitholapaxy with pneumatic lithotripsy, ureteral lithoclast, and percutaneous nephrolithotomy. A new DJS was placed to maintain drainage through the ureter. The patient had no complications during the follow-up period. Authors reported a case of a missed DJS with the highest stone burden within a year to highlight the importance of patient and family education. Authors recommended implementing electronic follow-up systems for patients who undergo ureteric stenting to prevent lost to follow-up, minimise long-term complications, and ensure patient safety.
Diagnostic Accuracy of the RIPASA Score in Suspected Acute Appendicitis in Adults: A Cross-sectional Study Comparing it with Histopathological Findings from Bagalkot, India
Authors: Shobha C , Sushrutha G , Goudar Bhimanagouda V
Published: November 2023

Introduction: Acute appendicitis remains the most commonly occurring surgical emergency, with a prevalence rate of approximately 8% among individuals aged 10-30 years. The Raja Isteri Pengiran Anak Saleha for Appendicitis (RIPASA) scoring system appears to be an accurate, simple, and rapid parameter for predicting Acute Appendicitis (AA). Aim: To determine the validity and diagnostic efficiency of the RIPASA scoring system for acute appendicitis and compare it with histopathology. Materials and Methods: A cross-sectional study was conducted on patients admitted to Nijalingappa Medical College in Bagalkot, Karnataka, India, from January 2020 to June 2021. The study included patients of both genders above 18 years of age, presenting with right iliac fossa pain. Detailed history was obtained, and a thorough clinical examination was performed. Appropriate investigations were conducted, and the RIPASA score was calculated. Qualitative data were represented as frequency and percentage. Sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV), and diagnostic accuracy were calculated to assess the validity of the tool. An ROC curve was plotted to determine the area under the curve. Results: A total of 90 patients had RIPASA scores of ≥7.5, and the majority of them (75.6%) were under the age of 40 years, with a mean age of 39.9 years. The male-to-female ratio was 48.9:51.1, approximately 0.95. The sensitivity, specificity, and diagnostic accuracy of the RIPASA scoring system were 82%, 100%, and 82%, respectively. Conclusion: The RIPASA scoring system demonstrates good applicability and efficiency in diagnosing acute appendicitis. It is easily accessible and non-invasive, thereby reducing the cost of radiological investigations and unnecessary economic burden.
Healthcare Professionals' Knowledge, Attitude and Perception toward Adverse Drug Reaction Reporting in Saudi Arabia: A Systematic Review
Authors: Khabbaz Hana Jaffar Al
Published: November 2023

Aims: To systematically evaluate the currently available evidences about the knowledge, attitude and perceptions of healthcare professionals in Saudi Arabia towards reporting adverse drug reactions to the Saudi Food and Drug Authority (Saudi FDA) as the regulatory authority monitoring adverse drug reactions in the country.   

Study Design:  Systematic Review.

Methodology: A systematic search of the literature was conducted on ScienceDirect, PubMed, OVID databases as well as Google Scholar for all studies published in English up to June 2023. Strengthening the Reporting of Observational Studies in Epidemiology Joanna Briggs Institute (STROBE) checklist was used to appraise the quality of the cross-sectional studies included in this review.

Results: A total of 27 studies conducted in different healthcare institutions in Saudi Arabia were included in the systematic review. Overall, in the knowledge domain, the awareness of healthcare professionals toward the existence of a national pharmacovigilance adverse drug reaction reporting system ranged from 10% to 95%. In the attitude domain, the belief of the healthcare professionals that reporting adverse drug reaction is a professional obligation ranged from 12.80% to 90.20%.  In the perception domain, 46.53% to 100% of healthcare professionals perceive adverse drug reaction reporting has a positive impact on healthcare system and improves patient’s care and quality of life.

Conclusion: Despite having positive attitude toward reporting adverse drug reaction, the healthcare professionals require more education and training in utilizing the Saudi FDA provided adverse drug reaction form and online system to report on the adverse drug reaction that they encounter during their practice.
Cost-Effectiveness of Pharmacist Prescribing for Managing Hypertension in the United States
Authors: Dixon Dave L. , Johnston Karissa , Patterson Julie , Marra Carlo A. , Tsuyuki Ross T.
Published: November 2023

Importance

Pharmacist-led interventions can significantly improve blood pressure (BP) control. The long-term cost-effectiveness of pharmacist-prescribing interventions implemented on a large scale in the US remains unclear.

Objective

To estimate the cost-effectiveness of implementing a pharmacist-prescribing intervention to improve BP control in the US.

Design, Setting, and Participants

This economic evaluation included a 5-state Markov model based on the pharmacist-prescribing intervention used in The Alberta Clinical Trial in Optimizing Hypertension (or RxACTION) (2009 to 2013). In the trial, control group patients received an active intervention, including a BP wallet card, education, and usual care. Data were analyzed from January to June 2023.

Main Outcomes and Measures

Cardiovascular (CV) events, end-stage kidney disease events, life years, quality-adjusted life years (QALYs), lifetime costs, and lifetime incremental cost-effectiveness ratio (ICER). CV risk was calculated using Framingham risk equations. Costs were based on the reimbursement rate for level 1 encounters, medication costs from published literature, and event costs from national surveys and pricing data sets. Quality of life was determined using a published catalog of EQ-5D utility values. One-way sensitivity analyses were used to assess alternative reimbursement values, a reduced time horizon of 5 years, alternative assumptions for BP reduction, and the assumption of no benefit to the intervention after 10 years. The model was expanded to the US population to estimate population-level cost and health impacts.

Results

Assumed demographics were mean (SD) age, 64 (12.5) years, 121 (49%) male, and a mean (SD) baseline BP of 150/84 (13.9/11.5) mm Hg. Over a 30-year time horizon, the pharmacist-prescribing intervention yielded 2100 fewer cases of CV disease and 8 fewer cases of kidney disease per 10 000 patients. The intervention was also associated with 0.34 (2.5th-97.5th percentiles, 0.23-0.45) additional life years and 0.62 (2.5th-97.5th percentiles, 0.53-0.73) additional QALYs. The cost savings were $10 162 (2.5th-97.5th percentiles, $6636-$13 581) per person due to fewer CV events with the pharmacist-prescribing intervention, even after the cost of the visits and medication adjustments. The intervention continued to produce benefits in more conservative analyses despite increased costs as the ICER ranged from $2093 to $24 076. At the population level, a 50% intervention uptake was associated with a $1.137 trillion in cost savings and would save an estimated 30.2 million life years over 30 years.

Conclusion and Relevance

These findings suggest that a pharmacist-prescribing intervention to improve BP control may provide high economic value. The necessary tools and resources are readily available to implement pharmacist-prescribing interventions across the US; however, reimbursement limitations remain a barrier.
Sleep Disturbance and Burnout in Emergency Department Health Care Workers
Authors: Shechter Ari , Firew Tsion , Miranda Maody , Fray Nakesha , Norful Allison A. , Gonzalez Alvis , Chang Bernard P.
Published: November 2023

This cross-sectional study examines the association of sleep disturbances with burnout among emergency medicine health care workers.
Task space control of the robot manipulators with adaptive fuzzy global fast terminal sliding mode control in presence of dynamic and kinematic uncertainties
Authors: Soltanpour Mohammad Reza , Zaare Saeed
Published: November 2023

Basic features such as convergence time and speed, number‐action control coefficients, free chattering, and proof of stability are significant in the design process and sliding mode control (SMC) efficiency. In this article, we propose an adaptive fuzzy global fast terminal SMC (AFGFTSMC) to handle the mentioned features in the task space control of the robot manipulator in the presence of dynamic and kinematic uncertainties. First, perturbed joint space dynamic equations of the system are transferred to task space, and a broad range of uncertainties are considered there. Then, a global fast terminal SMC (GFTSMC) is proposed for robot manipulators in task space, in which a flexible sliding surface improves the convergence time. Next, to have an intelligent adjustment of the sliding surface coefficients, which leads to a much faster convergence rate, a fuzzy approximator with just seven fuzzy rules is presented. In the following, to access the boundaries of the existing uncertainties, an adaptive fuzzy approximator is proposed, which has five fuzzy rules and only one adaptive law, increases the system's robustness, and eliminates the effect of chattering. Mathematical proof shows that the task space closed‐loop control system under the proposed AFGFTSMC and in the presence of dynamic and kinematic uncertainties has a finite‐time global asymptotic stability. The theoretical evidence and simulation results, which are conducted on a 2‐link robot manipulator, confirm the good efficiency of the proposed controller.
Highly Stretchable and Conductive MXene‐Encapsulated Liquid Metal Hydrogels for Bioinspired Self‐Sensing Soft Actuators
Authors: Ma Shaoshuai , Xue Pan , Valenzuela Cristian , Zhang Xuan , Chen Yuanhao , Liu Yuan , Yang Le , Xu Xinhua , Wang Ling
Published: November 2023

Advanced sensation and actuation abilities of various living organisms in nature have inspired researchers to design bioinspired self‐sensing soft actuators. However, the majority of conventional soft actuators primarily possess actuation capabilities while lacking a real‐time sensing signal feedback. Here, a promising strategy is reported to develop highly stretchable and conductive hydrogels for bioinspired self‐sensing soft actuators, which integrate actuation and strain‐sensing functions into a single materials system. The conductive hydrogels are designed and fabricated by in situ copolymerization of amino‐functionalized MXene‐encapsulated liquid metal nanodroplets (LM@A‐MXene) and poly(N‐isopropylacrylamide) hydrogels with controllable activated nanogels as nano‐cross‐linkers. The resulting hydrogel presents a compacted conducting network and highly porous microstructure, giving rise to robust integration of high conductivity, excellent strain sensitivity, broad stretchability, high stability, and fast response speed. Interestingly, the gradient network structure, formed by self‐precipitation of LM@A‐MXene, endows the hydrogel with shape‐programmable actuation, light‐driven remote control, and self‐sensing function. As a proof‐of‐concept application, the soft gripper based on the self‐sensing hydrogel actuators is developed, which can not only grasp, lift, and release objects, but also perceive every movement state by monitoring resistance changes. The proposed self‐sensing soft actuator can offer new insights for developing smart soft robotics and other artificial intelligent devices.
Scalable Production of Robust and Tough Biomimetic Composite by Rapid In‐Situ Mineralization
Authors: Qiu Zhe , Lang Lizhong , Yu Zhengyang , Zhu Jiaying , Ye Yuhang , Zou Yu , Xie Yanjun , Jiang Feng
Published: November 2023

Nacre‐inspired materials with combined high strength and toughness have been widely developed and utilized for various engineering applications. However, existing preparation techniques suffer from intricate processes, high energy‐consumption, and lack of scalability, all of which collectively impede the efficient production of three‐dimensional materials. Here, a viable strategy is reported for the efficient and scalable production of bulk nacre‐mimetic materials, drawing inspiration from the intricate structures found in both nacre and wood. The prepared millimeter‐thick wooden artificial nacres (WANs) exhibit the presence of multi‐hierarchical lamellar structures, organic bridges, and micro‐asperities. Those features lead to the WANs exhibiting impressive mechanical performances, presenting excellent bending strength (≈93.31 MPa), toughness (≈7.40 MPa m1/2), tensile strength (≈122.59 MPa), and work of fracture (≈4.61 MJ m−3). In addition, owing to the low density (≈1.59 g cm−3), the WANs show much higher specific mechanical properties compared to nacre and related artificial nacre materials. Considering both its production process and exceptional properties, this material holds great promise for practical applications within the realm of engineering and structural fields.
Liquid as Plasma Mask for Constructing Arbitrary Area with Contrary Wettability on Hydrophobic Textiles
Authors: Yang Linfeng , Hao Dezhao , He Zengyi , Sun Junhan , Feng Yaping , Dai Haoyu , Jiang Lei
Published: November 2023

Materials with contrary wettability have various functions and applications. Common methods such as chemical modification and secondary treatment with solid mask to achieve relevant wettability either have harmful additives or construct fixed shape. Herein, liquid is introduced as a plasma mask for constructing arbitrary area with contrary wettability on hydrophobic textiles. In atmospheric plasma working region, exposed area of textiles achieves hydrophilic while liquid shielding area maintains the original wettability. Water–ethanol mixtures with a broad range of surface tension are chosen as template liquid to meet most hydrophobic textiles with the property of erasable evaporation without residue. Liquid mask with fluidity can be drawn in any shape at any time, meanwhile, plasma treatment highlights the merit of no chemical additive. Higher resolution will be achieved when the operation process is further refined. This study may provide insights for constructing advanced infiltrating materials and replacing solid with liquid in more application scenarios.
Au Nanocrystals Modified Holey PtTeAu Metallene Heteronanostructures for Plasmon‐Enhanced Nitrate Electroreduction
Authors: Hong Qing‐Ling , Sun Bin , Ai Xuan , Tian Xin‐Long , Li Fu‐Min , Chen Yu
Published: November 2023

Ammonia (NH3) is an essential chemical for agricultural production and a promising next‐generation hydrogen‐rich fuel. The electrocatalytic nitrate (NO3−) reduction reaction (NO3RR) to NH3 provides a sustainable and low‐energy method to replace industrial NH3 synthesis. However, the NO3− to NH3 conversion is limited by the complex eight‐electron and nine‐proton reduction processes, thus it is highly desirable to develop efficient electrocatalytic materials to overcome the kinetic barrier of NO3RR. Herein, Au nanocrystals (Au‐NCs) modified holey PtTeAu metallene (PtTeAu‐ML) heteronanostructures (Au‐NCs/PtTeAu‐MLs) are designed through phase and interface engineering, which achieve the high NH3 yield (3.499 mg h−1 mgcat−1) and Faradaic efficiency of 96.3% for NO3RR at −0.03 V versus RHE. Detailed investigations reveal that the introduction of Te atoms significantly inhibits the high activity of Pt atoms for hydrogen evolution reaction that competes with NO3RR. Density functional theory results demonstrate that Au atoms further modulate the electronic structure of Pt in PtTe‐MLs, resulting in the upward shifted d band center of Pt and in turn the optimized NO3RR process on PtTeAu‐MLs. Furthermore, Au‐NCs allows the sustainable sunlight energy to accelerate the NO3RR kinetics at PtTeAu‐MLs because of the localized surface plasmon resonance of Au, inducing a higher NH3 yield of 4.684 mg h−1 mgcat−1 under light irradiation condition.
Mesenchymal Stem Cell‐Derived Mitochondria Enhance Extracellular Matrix‐Derived Grafts for the Repair of Nerve Defect
Authors: Bai Jun , Yu Bingbing , Li Chaochao , Cheng Haofeng , Guan Yanjun , Ren Zhiqi , Zhang Tieyuan , Song Xiangyu , Jia Zhibo , Su Tianqi , Tao Benzhang , Gao Haihao , Yang Boyao , Liang Lijing , Xiong Xing , Zhou Xingyu , Yin Lan , Peng Jiang , Shang Aijia , Wang Yu
Published: November 2023

Peripheral nerve injuries (PNI) can lead to mitochondrial dysfunction and energy depletion within the affected microenvironment. The objective is to investigate the potential of transplanting mitochondria to reshape the neural regeneration microenvironment. High‐purity functional mitochondria with an intact structure are extracted from human umbilical cord‐derived mesenchymal stem cells (hUCMSCs) using the Dounce homogenization combined with ultracentrifugation. Results show that when hUCMSC‐derived mitochondria (hUCMSC‐Mitos) are cocultured with Schwann cells (SCs), they promote the proliferation, migration, and respiratory capacity of SCs. Acellular nerve allografts (ANAs) have shown promise in nerve regeneration, however, their therapeutic effect is not satisfactory enough. The incorporation of hUCMSC‐Mitos within ANAs has the potential to remodel the regenerative microenvironment. This approach demonstrates satisfactory outcomes in terms of tissue regeneration and functional recovery. Particularly, the use of metabolomics and bioenergetic profiling is used for the first time to analyze the energy metabolism microenvironment after PNI. This remodeling occurs through the enhancement of the tricarboxylic acid cycle and the regulation of associated metabolites, resulting in increased energy synthesis. Overall, the hUCMSC‐Mito‐loaded ANAs exhibit high functionality to promote nerve regeneration, providing a novel regenerative strategy based on improving energy metabolism for neural repair.
Biopolymer‐Assembled Porous Hydrogel Microfibers from Microfluidic Spinning for Wound Healing
Authors: Wang Yu , Guo Jiahui , Luo Zhiqiang , Shen Yingbo , Wang Jinglin , Yu Yunru , Zhao Yuanjin
Published: November 2023

Hydrogels are considered as a promising medical patch for wound healing. Researches in this aspect are focused on improving their compositions and permeability to enhance the effectiveness of wound healing. Here, novel prolamins‐assembled porous hydrogel microfibers with the desired merits for treating diabetes wounds are presented. Such microfibers are continuously generated by one‐step microfluidic spinning technology with acetic acid solution of prolamins as the continuous phase and deionized water as the dispersed phase. By adjusting the prolamin concentration and flow rates of microfluidics, the porous structure and morphology as well as diameters of microfibers can be well tailored. Owing to their porosity, the resultant microfibers can be employed as flexible delivery systems for wound healing actives, such as bacitracin and vascular endothelial growth factor (VEGF). It is demonstrated that the resultant hydrogel microfibers are with good cell‐affinity and effective drug release efficiency, and their woven patches display superior in vivo capability in treating diabetes wounds. Thus, it is believed that the proposed prolamins‐assembled porous hydrogel microfibers will show important values in clinic wound treatments.