bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of Different Load Balancing Algorithms in Cloud Computing
Authors: Nandal Poonam , Bura Deepa , Singh Meeta , Kumar Sudeep
Published: September 2021

In today's world, the IT industry is emerging day by day; therefore, the need for storage and computing is increasing multifold. Cloud computing has transformed the IT sector to much greater heights by virtualizing the systems, thereby reducing cost of the hardware to greater extent. Cloud computing is based on the pay as per use policy. Due to the exponential growth in cloud computing, users demand supplementary services and improved results which makes load balancing a major challenge. Load balancing distributes the workload across multiple nodes to optimize the performance of the system. Various load balancing algorithms exist to provide better resource utilization. This paper gives a brief analysis of load balancing algorithms and also compared these algorithms on the basis of certain metrics like average response time, processing cost, and data servicing time.
The Impact of Cloud Computing on Organizational Performance
Authors: Al-Azzawi Thura , Kaya Tugberk
Published: September 2021

The use of cloud computing has remarkable advantages in business performance. It is related especially in the portion of the organizational environment, such as organizational culture and organizational agility. Organizational agility provides an easier process to search and retrieve knowledge and allow the businesses to utilize and apply this knowledge to get high-quality services. Agility and culture factors can help organizations to enhance their cloud computing adoption. The achievement of any organization is dependent upon human resources. With human resources, the organization can develop its employees by sharing knowledge, skill, and experience of personnel. Expert cloud has a significant impact on and direct relation with human resources as it facilitates the communication among human resources better, more efficiently, and reduces the cost of the service. In this paper, the authors discuss the relationship between expert cloud and human resources to enhance the organizational performance through the assistance of organizational agility and culture.
Robo-Advisory Services in India
Authors: Chandani Arti , Sriharshitha S.  , Bhatia Ankita , Atiq Rizwana , Mehta Mita
Published: September 2021

The transcendence of automated digital services is challenging already established financial advisory services. Robo-advisory is gaining popularity where human touch is missing while making the investment decision. The present study is aimed to understand the awareness of robo-advisors amongst millennials in India along with their perception towards robo-advisory services. A self-administered questionnaire was sent out to the college students, and 288 college students responded to this. The responses were analysed using independent sample t-test, Anova, and factor analysis using IBM SPSS 22. The findings indicate that there is a lack of awareness about robo-advisors amongst college students. Measures should be taken by universities and colleges to include this as a part of the syllabus along with industry-academia partnership to create awareness as these students will be earning and investing in the next 1-3 years.
Developing an Online Test to Measure Writing and Speaking Skills Automatically
Authors: Bateson Gordon
Published: September 2021

As a result of the Japanese Ministry of Education's recent edict that students' written and spoken English should be assessed in university entrance exams, there is an urgent need for tools to help teachers and students prepare for these exams. Although some commercial tools already exist, they are generally expensive and inflexible. To address these shortcomings, a new open-source, online test for assessing English ability was developed. The test features the automatic grading not only of reading and listening, but also of speaking and writing. Thus, the general English ability of large numbers of students can be checked quickly online, making the test suitable for use in entrance exams and placements tests. It is based around the Moodle LMS and features several new plugins to automatically grade speaking and writing. This paper details plugin development, shows preliminary samples, and explains how test reliability will be verified by comparing students' scores with human-ratings and widely used tests such as IELTS, TOEIC, and CASEC.
A Novel Node Management in Hadoop Cluster by Using DNA
Authors: Balaraju J.  , Rao P.V.R.D. Prasada
Published: September 2021

This paper proposes a novel node management for the distributed system using DNA hiding and generating a unique key by combing a unique physical address (MAC) of node and hostname. This mechanism provides better node management for the Hadoop cluster providing adding and deletion node mechanism by using limited computations and providing better node security from hackers. The objective of this paper is to design an algorithm to implement node-sensitive data hiding using DNA sequences and provide security to the node and its data from hackers.
Role of Social Media in Transmuting COVID-19 as a “Social Virus”
Authors: Moon Songchun
Published: September 2021

This is a report on analysis with regard to how the residents and devolved governments in the UK are responding to the global pandemic of COVID-19. The last pandemic to be experienced in the UK was the ‘Asian Flu' outbreak of 1957. At that time, a sense of unity was persistent in tackling the pandemic amongst people in the UK. In contrast, for COVID-19 there has been repeated conflicts between devolved governments, and they vividly resonate in the behaviours of residents in different regions as well. The aim of this report is to discuss the current situation of the British society in dealing with the issue of pandemic and to present some data collected from social media to support the evidence of claim of this report, which are relevant to the discussion. This work may suggest that the effects of social media are coming with as much speed of spread as COVID-19.
Data to Knowledge-Based Transformation
Authors: Asrin Fauzan , Saide *Saide , Ratna Silvia
Published: September 2021

The objectives of this study is to analyze a large amount of data that often appears to create a knowledge base that can be utilized by firm to enhance their decision support system. The authors used the association rules with rapid miner software, data mining approach, and predictive analysis that contains various data exploration scenarios. The study provides important evidence for adopting data mining methods in the industrial sector and their advantages and disadvantages. Chevron Pacific Indonesia (CPI) has a type of computer maintenance activity. Currently, a numerous errors often occur due to the accuracy in computer maintenance which has a major impact on production results. Therefore, this study focuses on association rules using growth patterns that often appear on variables that have been determined into the algorithm (FP-growth) which results in knowledge with a 100% confidence value and a 97% support value. The value results of this study has support and trust are expected to become knowledge for top management in deciding evergreen IT-business routines.
Pressure Injury Outcomes of a Prone-Positioning Protocol in Patients With COVID and ARDS
Authors: Johnson Connie , Giordano Nicholas A. , Patel Lopa , Book Karyn A. , Mac Jennifer , Viscomi Janet , Em April , Westrick Anna , Koganti Monika , Tanpiengco Mindaline , Sylvester Karen , Mastro Kari A.
Published: September 2021

Background

During the COVID-19 outbreak, standard methods for treating acute respiratory distress syndrome (ARDS) were used for patients presenting with ARDS. One such treatment method involves placing patients prone to improve oxygenation and reduce mortality risk. Challenges in preventing pressure injuries in patients placed prone have been reported, and no studies have explored the effects of including a certified wound and skin care nurse as part of the care team on the incidence of pressure injuries in SARS-CoV-2–infected patients with ARDS.

Objectives

To evaluate the association between including a certified wound and skin care nurse on a multiprofessional pronation team and prevention of pressure injuries in SARS-CoV-2–infected patients with ARDS.

Methods

This multicenter observational cohort study used retrospective data from the electronic health record. The intervention group consisted of SARS-CoV-2–infected patients diagnosed with ARDS who were treated by a multidisciplinary prone-positioning team that included a certified wound and skin care nurse specialist. The comparison group of SARS-CoV-2–infected patients with ARDS was treated by a multidisciplinary prone-positioning team that did not include a certified wound and skin care nurse specialist.

Results

As shown by multivariable logistic regression mixed-effect modeling, patients in the intervention group had a 97% lower adjusted odds ratio of a pressure injury developing than did patients in the comparison group (0.03 [95% CI, 0.01-0.14]; P < .001).

Conclusion

The inclusion of a certified wound and skin care nurse on a multiprofessional prone-positioning team significantly reduced the odds of pressure injuries developing in patients infected with SARS-CoV-2.
Abstracts of oral and poster presentations of the 80th Annual Academic Sessions of Galle Medical Association (GMA) 2021 on 15 & 16 September 2021
Authors: Editors GMJ .
Published: September 2021

NA
RORγt Promotes Foxp3 Expression by Antagonizing the Effector Program in Colonic Regulatory T Cells
Authors: Bhaumik Suniti , Mickael Michel Edwar , Moran Monica , Spell Marion , Basu Rajatava
Published: September 2021

RORγt is the master transcription factor for the Th17 cells. Paradoxically, in the intestine, RORγt is coexpressed in peripherally induced regulatory T cells (pTregs) together with Foxp3, the master transcription factor for Tregs. Unexpectedly, by an unknown mechanism, colonic RORγt+ Tregs show an enhanced suppressor function and prevent intestinal inflammation more efficiently than RORγt-nonexpressing pTregs. Although studies have elucidated the function of RORγt in Th17 cells, how RORγt regulates pTreg function is not understood. In our attempt to understand the role of RORγt in controlling Treg function, we discovered a RORγt-driven pathway that modulates the regulatory (suppressor) function of colonic Tregs. We found that RORγt plays an essential role in maintaining Foxp3 expression. RORγt-deficient Tregs failed to sustain Foxp3 expression with concomitant upregulation of T-bet and IFN-γ expressions. During colitis induced by adoptive transfer of CD45RBhi cells in Rag1−/− mice, RORγt-deficient colonic Tregs transitioned to a Th1-like effector phenotype and lost their suppressor function, leading to severe colitis with significant mortality. Accordingly, Foxp3-expressing, RORγt-deficient Tregs showed impaired therapeutic efficacy in ameliorating colitis that is not due to their reduced survival. Moreover, using the Treg-specific RORγt and T-bet double-deficient gene knockout mouse, we demonstrate that deletion of T-bet from RORγt-deficient Tregs restored Foxp3 expression and suppression function as well as prevented onset of severe colitis. Mechanistically, our study suggests that RORγt-mediated repression of T-bet is critical to regulating the immunosuppressive function of colonic Tregs during the inflammatory condition.
Stochastic Processes under Constraints
Authors: Aurzada Frank , Kolb Martin , Pène Francoise , Wachtel Vitali
Published: September 2021

The analysis of random processes under various constraints and conditions has been a central theme in the theory of stochastic processes, which links together several mathematical subdisciplines. The connection between potential theory and a certain type of conditioning of Markov processes via Doob’s h-transform can be seen as a classical highlight. The last decades have seen further exciting and highly interesting developments which are related to the title of the workshop such as the analysis of persistence exponents for various classes of processes and various types of penalization problems. Many of these problems are rooted in questions from statistical mechanics. The workshop aims to investigate the topic stochastic processes under constraints from all these different perspectives.
Computational Inverse Problems for Partial Differential Equations
Authors: Borcea Liliana , Hohage Thorsten , Kaltenbacher Barbara
Published: September 2021

Inverse problems in partial differential equations (PDEs) consist in reconstructing some part of a PDE such as a coefficient, a boundary condition, an initial condition, the shape of a domain, or a singularity from partial knowledge of solutions to the PDE. This has numerous applications in nondestructive testing, medical imaging, seismology, and optical imaging. Whereas classically mostly boundary or far field data of solutions to deterministic PDEs were considered, more recently also statistical properties of solutions to random PDEs have been studied. The study of numerical reconstruction methods of inverse problems in PDEs is at the interface of numerical analysis, PDE theory, functional analysis, statistics, optimization, and differential geometry. This workshop has mainly addressed five related topics of current interest: model reduction, control-based techniques in inverse problems, imaging with correlation data of waves, fractional diffusion, and model-based approaches using machine learning.
Highly specific and reliable in vitro diagnostic analysis of memory T and B lymphocytes in a Swiss cohort of COVID-19 patients
Authors: Thoo Lester , Gumowski Pierre I. , Kammermann Kevin , Nussli Swelia , Grabscheid Benno , Hausmann Oliver , Axius Ulrika , Pichler Werner J. , Yerly Daniel
Published: September 2021

The SARS-CoV-2 pandemic has claimed many lives and disrupted the quality of life of most individuals. Diagnostic tests not only serve to confirm past exposure but can provide information crucial for guiding healthcare options for patients. Current diagnostic tests for the presence of the SARS-CoV-2 virus or anti-spike protein antibodies do not address the question whether longer lasting cellular immunity is mounted in most individuals. Using an activation marker flow cytometric immunoassay (SARS-CoV-2 lymphocytes analysis), we showed that both CD4+/CD8+ T cell and B cell activation differ between naïve and infected individuals up to 11 months after infection. On the basis of the specificity of this diagnostic tool for detecting both SARS-CoV-2-experienced T and B cells, we propose that this assay could benefit immunocompromised individuals who are unable to mount sustained antibody responses, by determining cellular immunity as possible partial protection, and for studying immune correlates of protection – thereby increasing knowledge of COVID-19 in a wider range of patient groups.
Dielectric Properties of Nanocomposites based on Epoxy Resins and Titanium Dioxide
Authors: Getmanov A. G. , Thang Tran Quyet
Published: September 2021

In this work, polymer composite materials based on nanoparticles of titanium dioxide and epoxy polymer have been obtained. The dielectric properties of the obtained composite are investigated. Studies have shown that the introduction of TiO2 nanoparticles into an epoxy polymer leads not only to a slowdown in relaxation processes, but also increases the value of the through conduction. It was shown that the greatest influence of the introduction of nanoparticles on relaxation processes is observed on the α-relaxation
OW CAN PHOTOPOLYMERIZERS AFFECT THE MICROHARDNESS OF COMPOSITE RESIN?
Authors:   Universidade Estadual do Oeste do Paraná, Rombaldo Anna Carolina Cenci Matick , Pozzobon Larissa ,   Universidade Estadual do Oeste do Paraná, Mendonça Marcio José ,   Universidade Estadual do Oeste do Paraná, CamilottI Veridiana ,   Universidade Estadual do Oeste do Paraná
Published: September 2021

A fotopolimerização inadequada das resinas compostas pode ocasionar falhas na restauração, como microinfiltração marginal, resistência ao desgaste e falhas na dureza do material restaurador. A microdureza das resinas compostas é de extrema importância, pois afeta a propriedade mecânica, podendo causar uma perda prematura da restauração. Diante disso, essa revisão de literatura tem como objetivo identificar os fatores que interferem na microdureza das resinas compostas durante a sua polimerização, para assim evitar a ocorrência do insucesso das restaurações. Para tanto, foi realizada uma busca bibliográfica nos bancos de dados Google Scholar, PubMed e Biblioteca Virtual em Saúde (BVS) com o emprego dos descritores: resina composta, fotopolimerizador, restauração, polimerização e microdureza. Alguns fatores importantes foram observados: aspectos como intensidade e colimação da luz usada e seu comprimento de onda, o material e a técnica escolhida, o tipo e a quantidade do fotoiniciador presente no material e as características do aparelho fotopolimerizador. Para concluir, é fundamental conhecer o aparelho de luz selecionado e as propriedades do material restaurador para otimizar seus resultados, prevenir falhas na dureza do material e assim proporcionar restaurações mais duradouras.
Rüzgâr Türbinlerinde Kullanılan Farklı Kanat Profillerinin Sayısal Olarak İncelenmesi
Authors: TARHAN Cevahir , ÇİL Mehmet Ali
Published: September 2021

Rüzgâr türbinlerinden elde edilen enerji miktarı her geçen gün artmaktadır. Rüzgâr türbinlerinin güç çıkışlarını etkileyen faktörlerden birisi de kanat profilleridir. Bu çalışmada rüzgâr türbinlerinde kullanılan farklı (NACA 0009, NACA 2415, NACA 4415, NACA 4424, NACA 6412, NACA 6415, NACA 24112, FX 63-137, GOE 795, NREL’s S824, SD 5060, SG6040) kanat profillerinin Qblade yazılımı kullanılarak simülasyonları oluşturulup sayısal analizleri yapılmış ve aerodinamik performansları incelenmiştir. Sayısal analizler 0°- 20° arası hücum açılarında ve 5x104, 2x105 1x106 Reynolds sayılarında gerçekleştirilmiştir. En yüksek aerodinamik verimliliğe sahip kanat profilleri NACA 6412, NACA 6415 ve NACA 4415 olarak belirlenmiş ve bu kanat profillerinden üç kanatlı rüzgâr türbini oluşturulup elde edilen güç çıkışları ve performans değerleri bulunmuştur. Bu kanat profilleri için uç-hız oranı 6.5 ila 7.8 aralığında maksimum verim alınmıştır. Sonuç olarak rüzgâr türbinlerinde NACA 6412, NACA 6415 ve NACA 4415 kanat profilleri kullanılarak türbinden alınacak verim maksimum seviyede olacaktır. Bu çalışmada, literatürde mevcut olmayan AG37, AH 80-140 NACA 8824 ve RG-12 kanat profilleri literatüre katkı sağlamak amacıyla analiz edilmiştir.
Atividade de Situações Problema Discente com operações de adição e subtração
Authors: Magalhães Verônica de Oliveira , Feitosa Soraya de Araújo , García Mendoza Héctor José
Published: September 2021

Compreender a importância de resolver problemas na vida cotidiana, é uma ação que necessita ter vínculos a propostas expressivas, com procedimentos metodológicos que surtam efeito no ensino e na aprendizagem. O objetivo do artigo é analisar as contribuições da Atividade de Situações Problema Discente com as operações de adição e subtração dos discentes do 3º ano do Ensino Fundamental do Colégio de Aplicação da UFRR. O trabalho está fundamentado na teoria da atividade na perspectiva dos autores Galperin, Talízina e Majmutov. A realização da pesquisa ocorreu por meio de abordagem qualitativa; a análise dos dados realizou-se considerando o diagnóstico inicial e as avaliações formativa e final, a partir de critérios preestabelecidos. Os resultados mostraram transformações qualitativas na aprendizagem dos discentes em relação a resolução de problemas com adição e subtração.
The Effects of Saddle Alignment and Pedal Stroke Training on a Competitive Cyclist with Anterior Knee Pain: A Case Report
Authors: Evens Tim , Danoff Jerome
Published: September 2021

Background: Among competitive cyclists, anterior knee pain is a common overuse injury. Alignment of the rider on the bicycle and the loading pattern on the pedals are proposed as factors in this pain. The patient was a 23-year-old competitive female cyclist who was riding up to 200 miles weekly and had developed bilateral anterior knee pain within the 3 months preceding our examination. The purpose of this case report is to demonstrate the effectiveness of adjusting this patient’s static alignment (ie. position while seated on bicycle, but not actively pedaling) on the bike and modifying her habitual pedaling pattern. Methods: The patient was analyzed using both static and dynamic measures of alignment while on her bicycle. Her bicycle seat was raised and moved rearward, and her pedaling force output was analyzed using a Computrainer™. Over a 4-week period, she was taught to modify her pedaling force using video biofeedback. Outcomes: After adjustments and training, she could ride for over 3.5 hours without knee pain. Visual analog scale pain score improved from 6/10 to 0/10; Lower Extremity Functional Score improved from 65 to 79; and Knee Injury and Osteoarthritis Outcome Score improved from 81 to 98.5. Clinical Relevance: This case illustrates how application of biomechanical principles and training in pedaling movement patterns can be effective at eliminating knee pain in competitive cyclists. While rest, decreased training volume, and appropriate medication should be considered as treatment components, we believe the initial treatment for competitive cyclists should include biomechanical evaluation of alignment and pedaling pattern.
Comprehensive Knowledge Assessment for Athletic Trainers: Part I
Authors: Eberman Lindsey , Edler Jessica , Games Kenneth
Published: September 2021

Purpose: Continuing education (CE) is intended to help clinicians maintain competence, develop and advance knowledge and skills, and enhance knowledge, skills, and abilities beyond the levels required for entry-level practice. Based on previous literature, the current mode of CE in athletic training does not appear to be helping clinicians maintain competence. The purpose of this research was to validate a comprehensive assessment based on the Role Delineation Study/Practice Analysis (6th ed.) through item analysis and estimates of reliability to be used to assess athletic trainers’ actual knowledge. Method: We conducted an instrumentation validation study using Qualtrics® web-based platform. Athletic trainers (n=191; age=31.5±8.1yrs; years of experience=8.9±11.1yrs) in good standing with the NATA and BOC completed both administrations of the assessment. Six experts developed 220 multiple-choice items for inclusion with broad application across the five domains of clinical practice (Injury/Illness and Wellness Protection [49 items], Clinical Evaluation and Diagnosis [63 items], Immediate and Emergency Care [29 items], Treatment and Rehabilitation [29 items], and Organizational and Professional Health and Wellbeing [50 items]). A random sample of NATA members were recruited via email, received weekly reminders, and then after four weeks, they completed a second administration of the assessment. We evaluated the assessment tool for item difficulty, item discrimination, internal consistency, item total statistics, and test-retest reliability. Results: We eliminated 42 items from the tool created by the experts that were too difficult (0.90). We eliminated 50 additional items due to point-biserial correlations between item performance and total domain score performance below 0.20. We identified additional weaknesses in 57 items through intraclass correlation coefficients (ICCConclusions: We developed a valid and reliable assessment tool to measure athletic trainers’ actual knowledge. Future research should utilize a validated assessment of actual knowledge to guide continuing education activities.
Weight Changes Post-Phentermine Use
Authors: Towns Cassandra , Heuberger Roschelle , Logomarsino Jack , Olivera Jr. Arturo
Published: September 2021

Purpose: Evaluate weight maintenance in subjects who lost weight while taking phentermine (PTM). Methods: This study was conducted by utilizing a validated survey to collect self-reported data about weight changes post-PTM use. The survey was sent to 19,986 email addresses of current and former patients of a PTM-based outpatient clinic, located in Chicago, IL; 546 participants completed the survey. Results were analyzed using a variety of techniques. Results: At the time of the survey, 42% of responders maintained all the weight lost while on PTM, and 25.2% had maintained a weight loss of at least 10% of their body weight. The average weight lost and maintained at the time of the survey was 3.75% ± 13.8% of body weight or 8.74 lbs ± 27.45 lbs. Nineteen responders had no net weight change. Fifty-nine responders reported a net weight gain, ranging from 2 to 70 lbs with a mean net weight gain of 16.07 lbs ± 13.87 lbs. The duration of time since discontinuing PTM use had a significant correlation with weight maintenance: r = 0.340, p value = .000. There was no significant correlation between duration of time using PTM and weight maintenance. No correlations were identified between education, income, or ethnicity and weight maintenance. A correlation was identified between weight maintenance and current exercise level: r = 0.218, p value = .000. Conclusions: Although more research is needed, with the results of this study, the investigators suggest that post-PTM use, weight regain is not significantly higher than weight regain through other weight loss programs. In order to achieve long-term weight loss maintenance, it may behoove patients to receive professional guidance about behavior modifications to maintain weight lost, particularly related to exercise and dietary changes. The investigators of this study suggest greater emphasis on behavior modification in patients taking PTM is indicated.
Athletic Training and Physical Therapy Junior Faculty Member Preparation: Perceptions of Doctoral Programs and Clinical Practice
Authors: Barrett Jessica , Singe Stephanie , Diamond Aynsley
Published: September 2021

Background: Institutions of higher education suffer from a shortage of appropriately prepared faculty members in athletic training and physical therapy programs. Both professional programs have recently undergone curricular reform and degree change. We sought gain an understanding of the preparation mechanisms experienced by athletic training and physical therapy practitioners for their junior faculty positions. Method: Twenty-six athletic trainers and physical therapists participated in this phenomenological study. Data from one-on-one phone interviews were analyzed following the inductive process of interpretive phenomenological analysis. Content experts, pilot interviews, multiple analysts and member checking ensured trustworthiness. Results: Findings indicate two primary mechanisms prepared the practitioners to become junior faculty members: doctoral degree programs and clinical practice. Doctoral degree programs did not provide experiences for all future faculty roles. Hands-on patient care practice provided participants the context for their teaching and confidence in knowledge aptitude. Conclusion: Doctoral institutions should provide a variety of hands on active learning experiences to doctoral students. Future faculty members can maximize the amount of time they provide clinical care to patients, following the attainment of their professional credential. Clinical competence and proficiency will serve as the foundational basis for their future teaching endeavors and may increase credibility and respect.
An Examination of Policy and Procedure Practices of Secondary School Athletic Trainers
Authors: Dunbar-Gaynor Micaela , Zimmerman Ericka , Liberi Victor
Published: September 2021

Purpose: The purpose of this study was to identify and describe the status of P&P practices of secondary school athletic trainers. Methods: Following an online informed consent confirmation, participants completed a Policies and Procedures Status questionnaire, including demographics. This was distributed to certified athletic trainers currently employed in the secondary school setting in the United States. The survey consisted of 49 questions about the status of P&Ps using one of the following responses: the practice is in operation and it appears in written form; the practice is in operation but does not appear in written form; the practice is not in operation but does appear in written form; and the practice is not in operation and it does not appear in written form. This study utilized descriptive statistics, consisting of means, frequencies, and percentages, to report results that described the current status of policies and procedures Results: There was a total of 232 participants. 72.6% of secondary school athletic trainers had existing P&P manuals and 37.9% reported the P&P manual existed when they acquired the position. 31.9% who did not have an existing P&P manual upon starting their position never developed a manual. 45.7% of all P&Ps were reported to exist in both written and operational form and 25.9% reported having neither written nor operational forms of P&Ps. 54.5% used the BOC Guiding Principles for AT Policy and Procedure Development and 45.2% used the BOC Facility Principles document. Conclusion: The results revealed almost half of participants reported the risk management practices in the P&P manual were in operational and written form. P&Ps that have been described in NATA Position Statements were more likely to be in both written and operational form when compared to those that were not. Secondary school athletic trainers may have limited guidance and training in risk management, with even less guidance on resources specifically for developing and reviewing P&Ps.
Effects of Trauma-informed Care Training on Healthcare Providers Caring for Victims of Human Trafficking
Authors: Gaillard-Kenney Sandrine , Kent Brianna , Lewis Jenna , Williams Chennel
Published: September 2021

Objective: The purpose of this study is to analyze the impact of trauma-informed care training on the practice of dental, optometry, and mental health providers caring for victims of human trafficking. Methods: A mixed method approach was used, including pre-post surveys and one focus group discussion. Results: The dental, optometry, and mental health provider participants reported a greater awareness of human trafficking and greater knowledge of how to approach and care for the victims in a trauma- informed way. Conclusion: Continued training on the provision of trauma-informed care for victims of human trafficking is necessary for dentists, optometrists, and mental health professionals serving in health clinics in a university located in the southeast United States.
Physician Assistants’ Views of Direct-to-Consumer Advertising Effects during Patient Encounters
Authors: Filipova Anna
Published: September 2021

Purpose: Direct-to-consumer advertising (DTCA) has become an important tool for disseminating drug information that directly impacts the patients and providers in the delivery of health care. Limited research shows that DTCA has both benefits and drawbacks that impact public health. However, there is a paucity of empirical evidence of the effects of DTCA information discussed during an office visit from the perspective of physician assistants. The purpose of the study was to examine physician assistants’ general views of DTCA benefits and drawbacks, as well as the effects DTCA information discussed during patient encounters on physician assistant-patient relationship, physician assistants’ prescriptive authority and time efficiency of the visit. Methods: A cross-sectional design was used to survey physician assistants in a single U.S. Midwestern state. A random sample of 860 of the state’s 4,483 physician assistants was drawn. The final sample consisted of 161 PAs (18.72%). Of these, 149 PAs (93%) had experience with discussing DTCA during an office visit. Pearson’s chi-squared analysis, logistic regression and multinomial logistic regression analyses were used to measure the associations between the variables. Results: Of the 161 physician assistants, most thought that DTCA drove up drug costs (76%), promoted unnecessary fear of side effects (71%), and did not provide a balanced view of risks and benefits of the product (64%). Conversely, most agreed that DTCA alerted patients to new therapies (74%) and did not create a conflict between the physician assistant and supervising physician (71%). Of the 149 physician assistants who experienced discussion about DTCA during a visit, 49% reported that patients did so because they wanted a drug; 62% deemed patients’ requests inappropriate; and 74% viewed DTCA as worsening the time efficiency. Worsened efficiency was associated with the patient wanting a test, bringing a printed advertisement, and the advertisement not being relevant. Worsened physician assistant-patient relationship was associated with challenged authority. Conclusions: The study highlights the need to enhance dialogue between the physician assistant and the supervising physician about patient needs, to provide targeted DTCA educational training opportunities that sharpen communication and interpersonal skills, and to incorporate physician assistants’ perspectives in future guidelines governing DTCA.
Cultural Competency: Integrating an Evidence-Based Course for Increasing Inclusive Practices
Authors: Chappell Tracy , Provident Ingrid
Published: September 2021

PURPOSE: The United States is rapidly becoming more culturally diverse; thus, therapists need to be equipped with an adequate skill set to provide culturally inclusive services. Although educational institutions and continuing education courses provide some form of cultural competency training, there is no standardized approach currently for occupational therapists. METHODS: This article describes an evidenced-based course which was used to develop cultural competence among 11 occupational therapy practitioners. The online components included activities to increase knowledge, skills, comfort, awareness, and resources for practice settings. A pre-test/post-test format using the Clinical Cultural Competency Questionnaire (CCCQ) was used to gather quantitative information. RESULTS: The outcomes of this study indicate that completion of evidence-based educational modules on cultural competency can increase knowledge, skills, comfort, and awareness for occupational therapy practitioners, providing an impetus for further exploration. The highest percent of change from pre to post survey was in knowledge (150%) related to cultural competence following the completion of the intervention. DISCUSSION/CONCLUSION: Because health care professionals have an ethical responsibility to be culturally competent, this article highlights how advantageous it is for healthcare professionals to complete an online, evidence-based course to increase their self-awareness and awareness of other cultures.
AUTOMATIC TRANSMISSIONS. COMPLEX OF ALGORITHMS OF “CLUTCH-TO-CLUTCH SHIFTS” TECHNOLOGY: ANALYSIS OF ARCHITECTURE, GENERALIZED STRUCTURE, DEVELOPMENT. PART 2
Authors:   Joint Institute of Mechanical Engineering of the NAS of Belarus, KRASNEVSKIY Leonid G.
Published: September 2021

The article continues the series of the author publications, which considers the main provisions of the “Clutch-to-Clutch Shifts” (CTC) technology — technology for automatic controlling the switching of automatic transmission (AT) stages, used in the global mass production of vehicles, hybrid and battery electric vehicles. It provides high-quality shifts, brought to the level of continuously variable transmissions. Development of power units in recent years has led to a rapid increase in the number of AT stages, which is accompanied by a complication of kinematic schemes, designs, control algorithms and, in general, an increase in the role of mechatronic control systems (MCS) in ensuring their high technical level. Effectiveness of the CTC technology depends on the perfection of the algorithms used. But their composition is not specified, which, with a large amount of information, makes it difficult for potential users to navigate in this set. In this paper, we propose (for the first time in the Russian language) the generalized structure of a set of standard algorithms necessary for the implementation of this technology in the AT MCS, which is developed on the basis of their selection from a pre-formed database of patents and publications on the theory and technology of AT control, following classification and grouping by functional purpose. For each item of the structure, there are links to patents with matching names. Detailed descriptions of several typical CTC algorithms in the AT MCS of General Motors patents are given.
METHOD OF SELECTING THE OPERATION PARAMETERS OF ELECTRIC SPINDLE WITH AEROSTATIC SUPPORTS FOR SEPARATION OF SEMICONDUCTOR PLATES TO CRYSTALS. PARTS 2–3
Authors:   Planar OJSC, KOVENSKY Alexander E. , BASINIUK Vladimir L. ,   Joint Institute of Mechanical Engineering of the NAS of Belarus, VOLKOTRUB Ryta E. ,   Joint Institute of Mechanical Engineering of the NAS of Belarus
Published: September 2021

The article presents the results of studies of the shaft oscillation processes of a precision horizontal highspeed electric spindle with aerostatic radial and axial supports, used at Planar OJSC in equipment for separation of semiconductor plates into crystals. The studies were carried out using the developed mathematical models that take into account the design features of these electric spindles, including the cantilever mounting of the cutting tool, the imbalance of the diamond disc with the mandrel and the mass ratio of the main components of the electric spindle, as well as the results of their full-scale tests. Based on the analysis of the data obtained, regularities are shown that connect the amplitude values of the oscillations of the electric spindle shaft with the imbalance of the diamond disc with the mandrel and the rotational speed of the electric spindle, which made it possible to propose engineering dependences for choosing the permissible values of the imbalance and rational, from the standpoint of resonance conditions and permissible shaft oscillations, rotational speed of the electric spindle. Recommendations have been developed for the creation of a system for monitoring and active control of the parameters and functioning of the electric spindle in the process of separating semiconductor plates into crystals, which make it possible to use the resonant mode of radial oscillations to improve cutting conditions, excluding direct contact of the working surfaces of aerostatic supports, their seizure and loss of performance of the electric spindle. The article presents a method of selecting the operation parameters of a high-speed precision horizontal electric spindle with aerostatic radial and axial supports and a cantilever mounting of a diamond cutting disc. It is based on the analysis of the simulation results of shaft forced oscillations and data on the shaft oscillations during the operation of the electric spindle with different rotation frequencies and imbalances. The results obtained can be used to monitor shaft oscillations during the operation of the electric spindle, while the high operation efficiency of which is achieved by adaptive control of rotation frequencies taking into account the amplitudes of these oscillations.
DETERMINISTIC ANALYTICAL MODEL OF RESISTANCE TO DEEP CONTACT FATIGUE OF A STRESSED MATERIAL
Authors:   Joint Institute of Mechanical Engineering of the NAS of Belarus, RUDENKO Sergei P. , SANDOMIRSKI Sergei G. ,   Joint Institute of Mechanical Engineering of the NAS of Belarus
Published: September 2021

The stress state of the surface layer in the contact zone of the mating teeth of cylindrical gears is considered. It is shown that under contact loading, the stress state of the surface layer is inhomogeneous and changes with the distance from the surface. It is established that the value of the equivalent tangential stresses does not depend on the standard size of the gears, but is determined by the surface contact stresses σH. Moreover, the depth of occurrence of the maximum equivalent tangential stresses depends on the gear modulus (the reduced radius of curvature of the mating surfaces of the teeth) and, to a lesser extent, on the surface contact stresses σH. The inhomogeneity of the stress state and the structural characteristics of the diffusion layers of surface-hardened gears is a prerequisite for the appearance of critical zones in them, in which fatigue processes of contact failure can originate and develop. A deterministic analytical model of the resistance to deep contact fatigue of hardened tooth surfaces is proposed, based on determining the service life of the gear before the appearance of progressive deep contact chipping of the active tooth surfaces with a regulated variation of the microhardness values in different zones of the diffusion layer.
“Asia-Pacific Dream” – Chinese Regional Integration Project
Authors: Oliynyk O.
Published: September 2021

In the 21st century, China has significantly strengthened its role in world historical processes. In 40 years of reform and openness, China has not only become a world leader in economic development, it has also become an active player in the world political arena. China began to show greater interest in world development and at the same time began to actively integrate into the world community, seeking to prove the global benefits of cooperation with China. The Chinese leadership believes that China cannot stand aside from world processes and, like the rest of the world, be held hostage to the policies of other countries and bear the brunt of all the negative consequences of such policies. As a result, it was taken a course for active integration with the world community and strengthening China’s participation and influence in world processes. For this purpose, several strategic strategies have been developed to achieve a specific goal, including “going abroad”, “globalizing”, “internationalizing” and others. At the same time, the strengthening of integration processes in the world could not leave the country’s leadership indifferent, so China began to pay more attention to participation in both global and regional integration processes. One such area was China’s accession to the Asia-Pacific Economic Cooperation (APEC) in 1991. These areas have identified three key aspects of the Asia-Pacific Dream concept: development and economic cohesion, the unification of Asia with an emphasis on harmony, mutual benefit and prosperity in the region. The China Asia-Pacific Dream initiative aims to maintain stable and friendly partnerships with neighboring countries in order to build mutual trust. China has identified a number of common challenges that the parties must address in order to build an Asian community. China hopes to work with its partners to create a beautiful region that will lead the world, benefit all parties and bring prosperity to future generations. In this context, the Chinese leadership has identified a number of areas for development for the Asia-Pacific region.
ANALISIS KAPASITAS JALAN DAN TINGKAT PELAYANAN RUAS JALAN PANDEGLANG (Studi Kasus : Jalan Labuan – Pandeglang KM 6)
Authors: Rosdiyani Telly , Sari Fitri Aida , Candra Candra
Published: September 2021

Prasarana transportasi darat yang meliputi segala bagian jalan, termasuk bangunan pelengkap dan perlengkapannya diperuntukan bagi lalu lintas umum sangat membantu dalam perkembangan wilayah sekitarnya. Pada ruas jalan raya Labuan km 6 Kabupaten Pandeglang, dengan tipe jalan 2/2 TT merupakan jalan Nasional, memiliki jalur lalu lintas yang sibuk hal tersebut disebabkan oleh banyaknya kendaraan yang melintasi jalan ini yang berdampak terjadinya kemacetan arus lalu lintas  yang berpengaruh pada kinerja kapasitas jalan dan tingkat pelayanan. Penelitian dilakukan bertujuan untuk menganalisis kapasitas jalan dan tingkat pelayanan berdasarkan Pedoman Kapasitas Jalan Indonesia (PKJI) 2014. Adapun hasil analisis kapasitas jalan pada ruas ini diperoleh sebesar 2755 skr/jam dengan volume kendaraan arus lalu lintas sebesar 2371,7 skr/jam menunjukan tingkat pelayanan kelas E dengan Derajat Kejenuhan (Dj) sebesar 0,860871143 skr/jam. Kondisi Arus tidak stabil dengan volume lalu lintas mendekati kapasitas jalan dan kecepatan sekurang-kurangnya 30 km/jam pada jalan antar kota dan sekurang-kurangnya 10 km/jam pada jalan perkotaan. Berdasarkan kondisi tersebut agar kinerja ruas jalan ini tetap baik maka responden  memberikan suatu  usulan  solusi dengan cara hasil  kuesioner yang disebarkan secara online kepada masyarakat Pandeglang. Hasil dari kuesioner ini penulis memperoleh 120 responden. Menunjukan  71 responden memilih pelebaranan Jalan dengan presentase 59,20% sebagai alternative solusi kebijakan yang dapat dilakukan.
An Expression of Humanism in the Novels of Mulk Raj Anand: A Special Reference to Untouchable
Authors:   Associate Professor, Dyal Singh College Karnal, Sharma Dr. Ritu
Published: September 2021

The term 'lndo-Anglian' is used to denote original literary creation in the English language by Indians. Today there are a large number of educated Indians who use the English language as a medium of creative exploration' and expression of their experiences of life. Their writings have now developed intoa substantial literature in its own right and it is this substantial body of literature which is referred to as Indo-Anglian literature.
Saving Behavior of Female Workers in New Normal
Authors:   Management Faculty, Maulana Malik Ibrahim State Islamic University, Sistiani Fifi
Published: September 2021

Currently, the community must make adjustments to the new conditions that are being faced. People have started adaptation by implementing new life habits called "new normal life". The urgency of saving in the face of the new normal is very important to help the recovery and growth of the Indonesian economy. In a public health emergency, people are more willing to save money than spend it, which is not conducive to economic development and recovery. Our research will provide advice on how to have a better understanding of financial behavior during a pandemic. This analysis aims to provide good knowledge of financial behavior during an emergency. Using a qualitative research approach, this study seeks to uncover what motivates women to save amid the limitations and obstacles they face. The results of the study found that there are three motivations behind women working formally to save. The first motivation is Children Education which explains that in the provision of part of the income they have is to prepare for the costs of children's education. The second is emergencies which state that something that prompts to make allowances is to prepare costs for unexpected needs that cannot be controlled or controlled by humans. The third is related to religiosity, namely the need to perform the pilgrimage.
Model Minat Kunjungan Wisata Berdasarkan Lingkungan Fisik, Sikap dan Norma Subyektif
Authors: Amin Muhammad
Published: September 2021

Abstract

The purpose of this study was to examine and analyze the influence of the physical environment, attitudes and subjective norms on the interest of visiting tourists in Ora Beach. The population of this study are all domestic and foreign tourists who while visiting Ora Beach tourism objects from the period of February to March 2019. Sampling using accidental sampling technique with a final sample of 49 respondents. Analysis of research data using Multiple Linear Regression Analysis.

The results showed that the physical environment, attitudes and subjective norms proved to have a positive and significant effect on the interest of visiting tourists in Ora Beach. This can be proven through the regression coefficient of the physical environment and attitude which shows that if the value of the physical environment, attitudes and subjective norms increase, the increase will be followed by an increase in tourist interest in visiting Ora Beach. Thus it can be said that increasing the value of the physical environment, attitudes and subjective norms will increase the interest of tourists visiting Ora Beach.

Keywords

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Physical Environment, Attitudes, Subjective Norms, Interests