bluuebunny/crossref_metadata_2025 huggingface dataset:
Sustaining Metro Manila: Management Practices for Peak Performance
Authors: Freo Edmond , Facon Danilo , Doctor Roberto , Cruz Erwin , Dy Kam Felicidad , Danan Alberto , Malazo Dario , Mae Rafanan Dewdrop , Nico Rafanan Iyel , Morales Alice , Fren Catama Marie , Alelli Dingcog Myrell , Sumagpao Hermilinda
Published: November 2024

The research study investigated the management practices of selected cities in Metro Manila through the specified sub-problems as stated in the study, such as the demographic profile, assessment of management practices, and determination of the significant differences in the assessment of the respondents on the variables mentioned in the research paper. This study was carried out to evaluate and analyze the existing management practices in selected cities of Metro Manila across various dimensions such as planning, human resources, financial management, administration, and monitoring and evaluation, to gather insights from different stakeholders including city administrators, employees, and community members regarding their perceptions and assessments of the management practices in their respective cities, to develop a set of actionable sustainability measures and to assess the proposed sustainability measures for their suitability, acceptability, and feasibility among stakeholders. The paper utilized the descriptive method, and the respondents were the employees and administrators of the selected cities of Metro Manila. Slovin’s formula was used to determine the number of respondents. For each group of respondents, various non-random and random sampling procedures were used, such as Purposive and Simple random techniques. The Frequency Distribution, Percentage formula, Weighted mean and Anova were employed to identify the level of perception of the respondents as shown in the verbal interpretations of the Likert scale survey questionnaire as well as the significant difference in the assessment of the group of respondents on the variables presented in the study. The results or findings of the study manifested the excellent and Very Good ratings in the most variables exhibited in the study. In terms of significant differences in the Suitability, Acceptability and Feasibility, the results showed that there is no significant difference in the responses, but there is a significant difference in the respondents’ perceptions on the Acceptability and Feasibility of the proposed sustainability program. In conclusion, management practices across selected cities in Metro Manila exhibit consistent excellence across various critical areas. Planning, human resource management, financial management, administration, and monitoring and evaluation practices all received outstanding ratings, reflecting effective leadership, strategic oversight, and robust operational frameworks. Administrators demonstrated strong performance across these domains, supported by positive feedback from stakeholders and employees, highlighting broad alignment and support for inclusive and sustainable urban development strategies.
Exploring the Intersection of Tales, Myths, and Cultural Narratives in the Literary work of Sudha Murty
Authors: M Tharun
Published: November 2024

Throughout history, tales, myths, and cultural expressions have woven a rich tapestry of human storytelling, transcending borders and bridging civilizations. This study explores the dynamic blend of folklore, myths, and cultural narratives across epochs, analyzing common themes and archetypes that reveal our shared human experience. Emphasizing the role of oral traditions, it examines how stories adapt to societal changes, shaped by beliefs, rituals, and norms. By looking at the impact of globalization and technology on these narratives, the study celebrates storytelling’s power to connect and preserve cultural identity, offering insights into its enduring relevance in today’s world.
An Assessment of the Level of Infrastructural Provisions in the Existing Farmhouses in Greater Yola
Authors: Dangana Tizhe. Halla, , Edian Ijabani , Musa Salisu
Published: November 2024

Farmhouses are integral component of agricultural practice all across Nigeria. This is owing to the fact that most of these activities are carries out in semi urban or rural areas. The quality of farmhouses and the level of infrastructural provisions available in farm settlements are factors that will enhance or inhibit effective agricultural practice in Greater Yola. This paper seeks to assess the level of infrastructural provision in the study area in order to proffer suggestions that would promote the practice agriculture thereto. Ten farmhouses were randomly selected from the study area, seven of which were found to be Large Plantation Farm Type and three were Small Owners or Latent Farm settlements. Check list was used in generating data about the availability of infrastructural provisions in each of the farmhouses, and the study reveals that most of the farmhouses were not built in line the standards and quality of modern farmhouses, while some large plantation farm type have considerable infrastructural provisions, the small owner or latent farm type do not have them, this is likely affecting agricultural practice negatively. It is therefore recommended among others that efforts should be geared towards improving the quality of farmhouses as well as increasing infrastructural provision in order to encourage agricultural practice in Greater Yola.
Predicting Arrival Times of the CCMC CME/Shock Events Based on the SPM3 Model
Authors: Liang 梁 Yidan 一丹 , Zhao 赵 Xinhua 新华 , Xiang 向 Nanbin 南彬 , Feng 冯 Shiwei 士伟 , Li 李 Fuyu 富羽 , Deng 邓 Linhua 林华 , Wan 万 Miao 苗 , Li 李 Ran 冉
Published: November 2024

Coronal mass ejection (CME) is a powerful solar phenomenon that can lead to severe space weather events. Forecasting whether and when the corresponding interplanetary coronal mass ejection (ICME) will reach the Earth is very important in space weather study and forecast. At present, many different kinds of models use the near-Sun CME observations as model inputs to predict its propagation with similar prediction accuracies for large sample events. Among a series of physics-based models, the best-performing version of the shock propagation model (SPM) for large sample events, i.e., SPM3, had achieved a good forecast effect for the 23rd Solar Cycle events (1997.02–2006.12). To further evaluate SPM3, we collected CME events from 2013 January to 2023 July from the Community Coordinated Modeling Center (CCMC) CME scoreboard as a new data set. SPM3 achieved a total prediction success rate of 57% for these new events with a mean absolute error of 8.93 hr and a rms error of 10.86 hr for the shock's arrival time. Interestingly, SPM3 provided better predictions for the CME/shock events during high solar activity years than low solar activity years. We also analyzed the influence of input parameters on CME propagation and found that the larger the angular width of the CME event, the higher the probability of the corresponding IP shock's reaching the Earth. Source latitude had little effect on the arrival probability of the corresponding shock, while source longitude did. The CMEs originating from around W15° had the largest probability of hitting the Earth.
The ALMA-QUARKS Survey: Fibers’ Role in Star Formation Unveiled in an Intermediate-mass Protocluster Region of the Vela D Cloud
Authors: Yang Dongting , Liu Hong-Li , Liu Tie , Tej Anandmayee , Liu Xunchuan , He Jinhua , Garay Guido , Stutz Amelia , Zhu Lei , Qin Sheng-Li , Xu Fengwei , Li Pak-Shing , Juvela Mika , García Pablo , Goldsmith Paul F. , Zhang Siju , Tang Xindi , Sanhueza Patricio , Li Shanghuo , Lee Chang Won , Das Swagat Ranjan , Jiao Wenyu , Mai Xiaofeng , Gorai Prasanta , Zhang Yichen , Ren Zhiyuan , Tóth L. Viktor , Hwang Jihye , Bronfman Leonardo , Tatematsu Ken’ichi , Dewangan Lokesh , Chibueze James O. , Zhang Suinan , Wu Gang , Xie Jinjin
Published: November 2024

In this paper, we present a detailed analysis of the IRS 17 filament within the intermediate-mass protocluster IRAS 08448-4343 (of ∼103
L
⊙), using ALMA data from the ATOMS 3 mm and QUARKS 1.3 mm surveys. The IRS 17 filament, which spans ∼54,000 au (0.26 pc) in length and ∼4000 au (0.02 pc) in width, exhibits a complex, multicomponent velocity field and harbors hierarchical substructures. These substructures include three bundles of seven velocity-coherent fibers and 29 dense (n ∼ 108 cm−3) condensations. The fibers have a median length of ∼4500 au and a median width of ∼1400 au. Among these fibers, four are identified as “fertile,” each hosting at least three dense condensations, which are regarded as the “seeds” of star formation. While the detected cores are randomly spaced within the IRS 17 filament based on the 3 mm dust continuum image, periodic spacing (∼1600 au) of condensations is observed in the fertile fibers according to the 1.3 mm dust map, consistent with the predictions of linear isothermal cylinder fragmentation models. These findings underscore the crucial role of fibers in star formation and suggest a hierarchical fragmentation process that extends from the filament to the fibers and, ultimately, to the smallest-scale condensations.
The first record of Dictis L. Koch, 1872 (Araneae, Scytodidae) in the Caucasus
Authors: Seropian Armen
Published: November 2024

Dictis
L. Koch, 1875, is recorded in the Caucasus for the first time. Dictis strandi (Spassky, 1941), comb. nov. is transferred to Dictis from Scytodes Latreille, 1804 based on the examined female and two males raised to maturity from the egg sac. Collecting data and digital photos of live and preserved specimens are provided, along with detailed descriptions of both sexes, diagnostic illustrations, and observations on the natural history of Dictis strandicomb. nov. The endogyne is depicted for the first time.
Discovery of the subfamily Microleptinae (Hymenoptera, Ichneumonidae) from India and Thailand with the description of five new species
Authors: Ranjith Avunjikkattu P. , Humala Andrei E. , Priyadarsanan Dharma Rajan , Butcher Buntika A.
Published: November 2024

The ichneumonid subfamily Microleptinae is reported from India and Thailand for the first time. We describe four new species from India (Microleptes chiani Ranjith & Humala, sp. nov., M. gowrishankari Ranjith & Humala, sp. nov., M. sandeshkaduri Ranjith & Humala, sp. nov., M. tehriensis Ranjith & Humala, sp. nov.) and one new species from Thailand (M. depressus Ranjith & Humala, sp. nov.), and for the first time, we report the Chinese species, M. xinbinensis Sheng & Sun, from India and describe the hitherto unknown female. An identification key to the extant species of Microleptes is provided.
Review of Bicarinibracon Quicke & Walker and Chelonogastra Ashmead (Hymenoptera, Braconidae, Braconinae) in China, with the description of two new species
Authors: Li Yang , van Achterberg Cornelis , Yan Cheng-Jin , Chen Xue-Xin
Published: November 2024

The species of two genera (Bicarinibracon Quicke & Walker and Chelonogastra Ashmead) of the subfamily Braconinae (Hymenoptera, Braconidae) from China are reviewed and 6 species are recognized, including 2 new species (Bicarinibracon concolorsp. nov. and Chelonogastra rugosasp. nov.), which are described and illustrated. Bicarinibracon carini Chishti & Quicke, 1993 is reported from China for the first time. Keys to the Chinese species of the genera Bicarinibracon and Chelonogastra are provided.
Development of an Exploratory Dementia Family Caregiver Pain Assessment Survey
Authors: Boon Jeffrey T. , Herr Keela , Akard Terrah Foster , Dietrich Mary S. , Maxwell Cathy A.
Published: November 2024

Purpose

To develop an exploratory survey measuring family caregiver use of elements of pain assessment in people living with dementia (PLWD).

Method

A survey development process was conducted: Phase 1 (item development), Phase 2 (content validity), and Phase 3 (face validity).

Results

A set of survey questions was developed, and their wording modified after review by experts in survey question writing. Content experts rated the exploratory questions as having item content validity indices (I-CVI) from 0.25 to 1. Questions were further tested with a sample of family caregivers (
N
= 10) who supported face validity and content validity for questions with a low I-CVI. The final survey has eight quantitative and two free-text questions.

Conclusion

This survey can be used for exploratory purposes to describe pain assessment by family caregivers of PLWD; however, further validation is needed for uses beyond exploratory work. [
Research in Gerontological Nursing, 17
(6), 308–316.]
Challenges and Opportunities in Cloud Computing Education
Authors: Bagarish Shahad , Alharbi Ohoud
Published: November 2024

The complexity of cloud computing development often presents significant challenges for junior software engineers. Our mixed-method study examines the challenges, motivations, and importance of acquiring knowledge and practical experience in cloud computing for junior software engineers before they enter the job market in Saudi Arabia. Furthermore, our work highlights the necessity of revising traditional educational approaches by integrating practical projects into the curriculum, as well as addressing challenges related to cost and accessibility.
Factors Influencing the Implementation of Data-Driven Techniques for Students’ Mental Health
Authors: Hegestedt Robert , Nouri Jalal , Fors Uno
Published: November 2024

Data-driven methods are being implemented in many schools around the world to improve education. In this study, two schools were studied to investigate how they implemented datadriven methods for the monitoring and improvement of the well-being of their students. These schools were part of a Swedish national program where 15 schools participated to use data on both classroom, school, and system levels for school improvement. We identified five factors that influenced the implementations, namely data collection and analysis, frequency, anonymity, involving students, and organizational changes. We conclude that continuous and frequent data collection provided insights on students´ well-being that cannot be achieved without systematic data collection. Since this kind of data collection can be time-consuming, dedicated digital tools can be used to automate data collection and analysis. These tools can also provide a better basis for decision-making since it is easier to connect and visualize data. We also conclude that the European Union’s (EU) General Data Protection Regulation (GDPR) is important when using student data, and there is a need for national guidelines on how to use data securely and efficiently in schools.
Intelligent Support for Low Literacy Adults: The European Portuguese iRead4Skills Corpus
Authors: Leonor Reis Maria , Barbosa Sílvia , Moutinho Michell , Monteiro Ricardo , Correia Susana , Amaro Raquel
Published: November 2024

This paper presents the Portuguese dataset of the iRead4Skills project (Dataset 1: corpora by complexity level for FR, PT, and SP – v.2.0), a representative sample of written European Portuguese for automatic complexity assessment that addresses a gap in existing resources for Portuguese. The corpus was created within the framework of the iRead4Skills project, which encompasses Portuguese, French, and Spanish. The project aims to develop an intelligent system to evaluate text complexity while recommending appropriate reading materials to native adult learners with low literacy skills. The corpus compilation involved a manual selection of text samples across various textual genres and document types, covering a wide range of existing written materials and focusing on the reading needs and reading habits of the target audience—low literacy adults enrolled in vocational education and training centres or adult learning (AL) centres. The collected texts were categorised into the three distinct levels of complexity targeted and defined by the project: very easy, easy, and plain levels. Texts of higher complexity were also included, resulting in the creation of four distinct sub-corpora. The resulting Portuguese dataset consists of 2,186 texts and 942,818 tokens and serves as the foundational source for training and testing the project’s complexity analysis systems. This paper presents a comprehensive overview of the compilation process of the corpus, encompassing its methodological design and the challenges faced. Although some existing Portuguese corpora were used for complexity studies and tool development, these primarily consist of texts classified according to CERF levels and retrieved from didactic materials designed for L2 teaching/learning or texts produced by L2 learners. The corpus presented in this paper introduces a new resource that addresses a significant gap in materials needed to inform and support studies and applications related to text complexity. The resulting dataset provides a novel and important language resource for European Portuguese, with several applications including research on linguistic complexity, development of automatic text complexity and readability assessment systems, and educational purposes.
Is There Anti-Fittingness?
Authors: Berker Selim
Published: November 2024

The permissible and the forbidden are privative opposites: each is a lack of the other. The good and the bad are, by contrast, polar opposites: badness is anti-goodness, not non-goodness. What about the fitting and the unfitting, the appropriate and the inappropriate, the apt and the inapt, the warranted and the unwarranted? Is unfittingness non-fittingness or anti-fittingness, inappropriateness non-appropriateness or anti-appropriateness? This essay argues that each of these “aptic” categories stands in a privative rather than a polar relation to its opposite. More generally, there is no coherent notion of anti-fittingness, no inversely charged flipside to aptness, to be found. In order to establish these claims, a taxonomy of different types of oppositeness is proposed, and several tests for distinguishing distinct varieties of opposites are developed. What emerges is a better appreciation of the structural characteristics of fittingness and the other aptic categories, as well as an argument for taking up the nature of oppositeness as a serious philosophical topic that is ripe for further exploration.
The Object of Moral Understanding
Authors: Dishaw Samuel
Published: November 2024

In the recent literatures in which moral understanding has played a starring role, it is assumed that moral understanding is a species of explanatory understanding. That is, it is assumed that instances of moral understanding are of the form ‘S understands why p,’ where p is some explicitly moral proposition, paradigmatically about an action being morally right or wrong. This paper highlights some shortcomings of this explanatory picture of moral understanding and articulates a different, complementary account on which the object of moral understanding is the relation of normative support between a proposition and an action.
Une « épidémie de drogue » en France dans les années 1960-1980 ?
Authors: Marchant Alexandre
Published: November 2024

En 1970, la législation sur les stupéfiants a été renforcée en France dans un contexte où presse et politiques dénonçaient une « épidémie » de drogue. L’emploi d’une pareille métaphore nous invite à étudier à la fois le nombre de toxicomanes en France à cette époque mais aussi l’imaginaire social dans lequel s’inscrit la problématique de la toxicomanie. L’article se donne ce double objectif à quatre moments clés de cette période, jusqu’au tournant de la réduction des risques des années 1990 : celui de la panique morale des « années 1968 » qui a conduit à une nouvelle législation, celui des poly-addictions assez mal comprises des années 1970, celui de la « catastrophe invisible » de l’héroïnomanie de masse des années 1980, et enfin l’épidémie de Sida qui oblige les autorités de santé à développer de nouveaux outils pour mieux comptabiliser le nombre de toxicomanes lourds. Les conclusions de cette enquête nous conduisent à cerner les enjeux de la dramatisation des discours publics et des effets pervers de la prohibition.
« Les dessous secrets du temps » : le récit goncourtien au rythme de la rumeur mondaine
Authors: Lefèvre Blandine
Published: November 2024

La chronique a, cela va de soi, rapport avec une certaine manière de concevoir et de dire le temps : dans la presse de la seconde moitié du siècle, ce temps est tout particulièrement celui de la mondanité et de ses rites, qui supposent une conception cyclique du temps. Cet article propose d’étudier quelques jeux de reflets, de convergence ou de divergence entre cette écriture médiatique du temps de la mondanité et l’écriture goncourtienne, diariste et romanesque (dans Renée Mauperin, Chérie et La Faustin). Au sein de cette œuvre, l’acquiescement au souci de clôture et de distinction qui caractérise la mondanité et ses représentations textuelles cohabite avec une entreprise de déclôture de ces mêmes frontières : au-delà du cycle, le monde en mouvement est alors associé à un rapport au temps et à une langue en voie de fragmentation.
La Construction du récit dans La Femme au XVIIIe siècle
Authors: Kopp Robert
Published: November 2024

Les Goncourt, qui écrivent l’histoire à partir de multiples sources, en particulier d’objets (patron d’une robe ou menu d’un dîner), l’écrivent en particulier à partir de tableaux, de gravures et de dessins, dont leurs travaux proposent l’ekphrasis. Les genres visuels occupent donc une place capitale dans la genèse du livre et dans l’élaboration du discours entre histoire et roman.
Socialisations concurrentes dans La Femme au xviiie siècle : entre aristocratie et démocratie
Authors: Mugierman Alice
Published: November 2024

Dans La Femme au xviiie siècle, les Goncourt restent fidèles à leur approche culturelle de l’Histoire en s’intéressant aux mentalités et aux mœurs qui leur semblent représentatifs d’une époque. Cet ouvrage se consacre à l’étude de « la » femme en tant qu’essence mais aussi en tant que figure construite socialement, et ici dépeinte à travers sa formation, son parcours et ses occupations, selon son appartenance sociale. C’est donc la représentation de la socialisation des femmes que nous allons analyser, en ce qu’elle met en lumière les tensions et les échanges entre deux modèles culturels en concurrence : le modèle aristocratique, qui pousse au raffinement pour se distinguer, et le modèle démocratique, qui encourage le naturel pour soutenir les valeurs de liberté et de mobilité. Nous tenterons de définir plus précisément quelles valeurs émanent de ces deux modèles, et interrogerons leur portée idéologique en retraçant leurs oppositions et leurs échanges. Nous examinerons d’abord la spécificité de ce processus éducatif entre nature et culture vis-à-vis du tempérament féminin, puis son rapport avec l’organisation de la société.
Business Analytics in Business Models
Authors: Darwish Dina
Published: November 2024

The word “business model” has been around for years, yet companies naturally conceive, establish, and execute their models from the start. Business models and their key approaches must be studied. Leaders base company decisions on their own expertise and preference. Decision-making in business data analytics is based on data, removing cognitive and personal biases. Effective corporate data analysis can boost a company's competitiveness. Business data analytics quantifies internal and external aspects, helping stakeholders and IT understand organizational success and customer responsibility. This chapter discussed Business Data Analytics methodologies and their importance.
Business Analytics on Business Models
Authors: Shree Satya , Manjunath C.
Published: November 2024

In today's dynamic business landscape, organizations are increasingly recognizing the pivotal role of business analytics in refining and optimizing their business models. This study explores the integration of business analytics into various aspects of the business model, including value proposition, customer segments, revenue streams, and operational efficiency. Through a comprehensive review of existing literature and case studies, this research elucidates the significance of leveraging data-driven insights for strategic decision-making and sustainable competitive advantage. Key themes investigated include predictive analytics for market forecasting, customer behavior analysis for targeted marketing strategies, optimization of supply chain management through data-driven logistics, and the role of business intelligence in enhancing operational agility. The study also delves into challenges such as data privacy concerns, skill gaps, and organizational resistance, offering insights into effective implementation strategies.
Dynamic Pricing Strategies Implementing Machine Learning Algorithms in E-Commerce
Authors: Suresh NV , Selvakumar Ananth , Sridhar Gajalaksmi , Jain Vishal
Published: November 2024

This assessment paper jumps into the space of dynamics with respect to systems in electronic business, taking a gander at the joining of PC-based information computations to smooth out studying decisions. Affiliations are searching for novel techniques for Figuring out how to stay serious while additionally expanding pay considering the always-developing robotized industry. The survey turns around grasping the execution of electronic thinking models for dynamic with respect to and their impact on the web business district. The assessment looks at the significant guidelines of dynamic with respect to its standard procedures, highlighting the impediments that arise in a rapidly making business region. Using PC-based information computations offers a promising response for addressing these challenges by attracting steady assessment of monster datasets, expecting market floats, and changing studying systems in like manner. The turn of events and plan of re-enacted knowledge calculations for surveying redesign, taking into account factors like competitor appraisal are key areas of assessment.
Enhancing Solar PV-Fuel Cell Hybrid Systems Through AI-Driven Performance Optimization
Authors: Soni Pooja , Dave Vikramaditya
Published: November 2024

Renewable energy technologies play a crucial role in addressing the global energy transition to-wards sustainability. Solar photovoltaic (PV) systems and fuel cells are two prominent sources of clean energy; however, they exhibit intermittent and variable power generation patterns, hindering their widespread adoption. This paper proposes a novel approach to enhance the performance of Solar PV-Fuel Cell Hybrids (SPV-FCH) through the integration of Artificial Intelligence (AI) techniques. The synergy between solar PV and fuel cells aims to create a more reliable and continuous power generation system by combining the intermittent nature of solar energy with the consistent output of fuel cells. This paper discusses the design and implementation of the AI-enabled control system for SPV-FCH hybrids, highlighting its effectiveness in achieving improved energy yield, grid stability, and cost-effectiveness.
A comparison of molecular screening versus dissection and rearing methods to estimate parasitism of Lygus nymphs by Peristenus wasps: size matters
Authors: Floate Kevin D. , Wilches-Correal Diana , Ibarra-Galvis Valentina , Pawluk Abbe , Roy Brendan , Cárcamo Héctor A.
Published: November 2024

Several broadleaf crops on the Canadian prairies suffer economic damage by Lygus bugs (Hemiptera: Miridae), populations of which are suppressed by parasitoids in the genus Peristenus (Hymenoptera: Braconidae). We used three different methods to assess levels of this parasitism for different instars of Lygus collected in southern Alberta, Canada. Screening Lygus for Peristenus DNA using a molecular polymerase chain reaction (PCR) method identified levels of parasitism ranging from 35 (second and third instars) to 47 (fifth instars) per cent. With dissection, parasitoids were recovered from 13 (second instars) to 44 (fifth instars) per cent of Lygus. For Lygus collected in the field and reared in the lab, Peristenus emerged from about 22 per cent of individuals. Our results show that use of PCR or dissection for fifth-instar larvae provides comparable estimates of parasitism. For earlier instars, PCR identifies levels of parasitism undetected using dissection – that is, 2.7-fold more for second instars in the present study. For the purposes of pest management and conservation biological control, dissection can provide adequate estimates of parasitism to inform a decision to reduce insecticides to protect Peristenus parasitoids.
Oral health literacy in Malang City, Indonesia
Authors: Gayatri Rara Warih , Deniati Ema Novita , Saub Roslan Bin
Published: November 2024

Dental and oral health are the main indicators of health, well-being,
and quality of life. The concept of Oral Health Literacy (OHL) has become
important because it regards individual capacity to understand and use
dental information to transform into oral health behaviours. Thus, the aim
of this study was to discover and describe the OHL status of adults in
Malang City and its relationship with sociodemographic status so that it can
be used as a basis for making policy. This study used observational
analytical study design involving 450 respondents in Malang by quota random
sampling method. The data was collected by the self-administered 29-item
HeLD-ID (Health Literacy in Dentistry Indonesian Version) questionnaire. The
study resulted that the overall HeLD-ID score was 3.68±0.69. The HeLDID
score significant difference was affected by sex (p0.05) and the other
sociodemographic determinants (age, last education, and income) were not.
However, there were significant differences of HeLD scores in communication
domain (p0.05) affected by age, sex, and income./p
Exploratory study of factors influencing fraud in the national health service in Buton Islands from a hexagon model perspective
Authors: Thaifur Andi Yaumil Bay R.
Published: November 2024

Fraud in National Health Insurance of Indonesia, known as Jaminan Kesehatan Nasional (JKN) services, is a problem that can potentially occur in all hospitals in Indonesia. This research aims to explore the factors that influence the occurrence of fraud from the perspective of the Hexagon model in JKN services in several hospitals in the Buton Islands. The Hexagon model, which consists of six key factors—opportunity, ability, arrogance, pressure, rationalization, and collusion—was used to systematically analyze the occurrence of fraud. This research uses an exploratory study method with in-depth interviews with 30 key informants. The research results show that the factor that most influences the occurrence of fraud is opportunity, followed by ability and arrogance. Although the model suggests pressure and rationalization as contributing factors, these elements remain ambiguous in this study due to insufficient supporting data. Collusion plays an important role in fraud but does not always occur. The study resulted in the development of a preliminary predictor model based on the findings, which can be used to identify risk factors for fraud in JKN services. This predictor model can be used to identify risk factors for fraud so that more effective prevention and response can be carried out.
Retinal and optic nerve microvasculature assessment in nephritic and nonnephritic systemic lupus erythematosus: a comparative analysis
Authors: El-Mayah Esraa , Mahmoud Basma M.S. , Abdelaziz Magda S. , Kotb Mohamed S.
Published: November 2024

Background

Lupus nephritis is considered one of the most common complications of systemic lupus erythematosus (SLE) that greatly affects the overall prognosis. Retinopathy, as one of the disease complications, is an indicator of disease severity, frequent renal impairment, and poor prognosis. Therefore, screening of subclinical retinopathy is of great importance as retinopathy and nephropathy are somehow associated in SLE patients.

Aim

The aim of this study was to assess the changes in retinal and optic nerve microcirculation in nephritic and nonnephritic SLE patients without clinical evidence of retinopathy or optic neuropathy.

Patients and methods

This is a prospective observational study that included 66 SLE patients. They were divided into two groups: group A that included 34 patients with nephritis and group B that included 32 patients without nephritis. In addition, 33 healthy participants (group C) were included as a control group. The participants were assessed with optical coherence tomography angiography of the macula and optic nerve. Assessment of vessel densities (VD), foveal avascular zone, retinal nerve fiber layer thickness, and optic nerve head and peripapillary VD were done.

Results

Group B patients were found to have significantly lower VDs in whole superficial VD (P=0.014) and all sectors of perifovea (P=0.005, 0.006, and 0.013 for whole, superior hemiretina, and inferior hemiretina, respectively). In addition, there was a significantly lower VD of the deep capillary plexus (DCP) in the parafovea (P=0.003, 0.004, and 0.01 for whole, superior, and inferior hemiretina, respectively) and in the perifovea (P=0.007, 0.002, and 0.014 for whole, superior hemiretina, and inferior hemiretina, respectively). Group A showed specific reduction of VD of the DCP of whole and perifoveal superior hemiretina (P=0.04) and choriocapillaris flow parameters (P=0.003). They also showed increase of inferior retinal nerve fiber layer thickness and whole image capillary density (P=0.036 and 0.001, respectively). Concerning the peripapillary capillary density, the whole image peripapillary capillary density and inferior peripapillary VD of group A was increased in comparison to group B (P=0.023 and 0.009, respectively) with no statistically significant difference with group C.

Conclusion

Nephritic SLE patients showed reduction in VD of the DCP of the perifoveal superior hemiretina and choriocapillaris, while nonnephritic SLE patients showed reduction of VD of the SCP of the perifovea and DCP of parafovea and perifovea.
Comparative evaluation of depth of penetration of sealer after using EDTA, citric acid and R-EDTA as last irrigant under confocal laser microscopy
Authors: Vats Asit , Singh Arundeep
Published: November 2024

Aim:

This original research examines potential of root canal sealers to penetrate the dentin. Movement of root canal sealer into dentinal tubules decreases the residual space for the entombing of bacteria and provides the hermetic seal. Different irrigants used during chemo-mechanical preparation of tooth determine the depth of penetration of sealer based on the chelating property of irrigants. The addition of surface tension-reducing agents into irrigants was known to enhance their penetration of irrigants into the dentinal tubules.

Methods:

This study used ethylenediaminetetraacetic acid (EDTA), R-EDTA, and citric acid as the last irrigant inside the root canal.

Results:

R-EDTA showed increased penetration of sealer inside the root canal.

Conclusion:

R-EDTA when used as the last irrigant enhances the penetration of sealer inside the root canal owing to its reduced surface tension which enhanced its chelating property.
Social Issues Faced by Spinal Cord Injury Patient with Bladder and Bowel Dysfunction – A Cross-Sectional Study
Authors: Begam U. Sumiya , Thirunavukkarasu P. , Rajakumar A. , Chitrarasu K. , Kamakshi R. M. , Premalatha K. , Guna A.
Published: November 2024

Background:

The disruption of autonomic function following a spinal cord injury (SCI) is common and can negatively affect quality of life. As social engagement and relationships are critical for well-being and quality of life, it is important to gain a detailed understandings about how bladder and bowel dysfunction impact on social participation. People living with SCI can experience diminished opportunities to socialise and develop relationships because of problems such as a lack of financial and transportation resources, poor environmental accessibility, the negative attitudes of others and depression.

Aim:

The aim of this study was to determine social issues faced by SCI patients with bladder and bowel dysfunction.

Study Design:

This was a cross-sectional study. Fifty-five SCI patients with bladder and bowel dysfunction were recruited for this study.

Materials and Methods:

International SCI survey questionnaires were used and telephonic call interviews were done.

Results:

Quadriplegic patients faced issues for bowel and bladder management, architectural barriers and psychosocial issues than paraplegic persons.

Conclusion:

This study emphasize on the importance of health education and psychological counselling to the SCI patients as well as to their family. This study also throws light on the areas where we as a society needs to improve to provide a better environment for the disabled so as to make their lives less troublesome.
Factors Influencing Adherence to Home-based Rehabilitation in Individuals with Spinal Cord Injury: A Cross-sectional Study
Authors: Chugh Sushil , Roshan Rinku , Jagatheeswari R , Alagundagi Dhananjay
Published: November 2024

Background:

Spinal cord injury (SCI) is one of the most disabling conditions and requires comprehensive rehabilitation programmes to optimise functionality and enhance quality of life. Despite the crucial role of physical activity in preventing complications, adherence to rehabilitation programmes remains a critical yet underexplored area, especially in India, where access to specialised facilities is still limited.

Aims and Objectives:

This study aims to fill this gap by exploring the factors influencing adherence to home-based rehabilitation regimens among SCI patients.

Materials and Methods:

In this cross-sectional study, 19 SCI patients who underwent rehabilitation were interviewed through a validated, semi-structured questionnaire. Patients who exercise for at least 30 min per session for a minimum of 3 days a week were considered adherent to therapy.

Results:

The mean age of the patients was 46.5 years; most participants were male, and 68% adhered to therapy. The main facilitators for patients were an easy understanding of the home programme and awareness of potential complications. Significant barriers to adherence were low mood/stress and inadequate family support. A significant association was observed between adherence to therapy and spinal cord independence measure scores. Patients with spasticity were found to be less adherent to therapy than patients without spasticity.

Conclusion:

Understanding the factors influencing adherence to home programme can lead to more effective interventions, ultimately improving long-term outcomes and quality of life for SCI patients. The positive correlations between adherence to home programmes and the patients’ overall functionality highlight the need for tailored home programmes and good adherence rates in places with limited resources and less awareness about rehabilitation services.
Asymptotic equivalence of identification operators in geometric scattering theory
Authors: Güneysu Batu
Published: November 2024

Given two measures

\mu_{1}

and

\mu_{2}

on a measurable space

X

such that

d\mu_{2}=\rho_{1,2}\,d\mu_{1}

for some bounded measurable function

\rho_{1,2}:X\rightarrow (0,\infty)

, there exist two natural identification operators

J_{1,2},\tilde{J}_{1,2}:L^{2}(X,\mu_{1})\rightarrow L^{2}(X,\mu_{2})

, namely the unitary

J_{1,2}\psi:=\psi/\sqrt{\rho_{1,2}}

and the trivial

\tilde{J}_{1,2}\psi:=\psi

. Given self-adjoint semibounded operators

H_{j}

on

L^{2}(X,\mu_{j})

,

j=1,2

, we prove a natural criterion in a topologic setting for the equality of the two-Hilbert-space wave operators

W_{\pm}(H_{2},H_{1};J_{1,2})

and

W_{\pm}(H_{2},H_{1};\tilde{J}_{1,2})

, by showing that

J_{1,2}-\tilde{J}_{1,2}

are asymptotically

H_{1}

-equivalent in the sense of Kato. It turns out that this criterion is automatically satisfied in typical situations on noncompact Riemannian manifolds and weighted infinite graphs in which one has the existence of completeness

W_{\pm}(H_{2},H_{1};\tilde{J}_{1,2})

(and thus a-posteriori of

W_{\pm}(H_{2},H_{1};J_{1,2})

).
Connecting real and hyperarithmetical analysis
Authors: Sanders Sam
Published: November 2024

Going back to Kreisel in the sixties,
hyperarithmetical analysis
is a cluster of logical systems just beyond arithmetical comprehension. Only recently natural examples of theorems from the mathematical mainstream were identified that fit this category. In this paper, we provide
many
examples of theorems of real analysis that
sit within the range of hyperarithmetical analysis
, namely between the higher-order version of

\Sigma_{1}^{1}

-

\mathsf{AC}_{0}

and

\mathsf{weak}

-

\Sigma_{1}^{1}

-

\mathsf{AC}_{0}

, working in Kohlenbach’s higher-order framework. Our example theorems are based on the
Jordan decomposition theorem
,
unordered sums
,
metric spaces
, and
semi-continuous functions
. Along the way, we identify a couple of new systems of hyperarithmetical analysis.
Use of the vertebrae and iliac bone as references for localizing the appendix vermiformis in computed tomography
Authors: Ozturk Muhsin Ozgun , Resorlu Mustafa , Aydin Sonay , Memis Kemal Bugra
Published: November 2024

BACKGROUND

The appendix vermiformis is a part of the gastrointestinal tract, situated in the lower right quadrant of the abdomen. Acute appendicitis, acute inflammation of the appendix vermiformis, is the most common cause of acute abdomen requiring surgical intervention. Although computed tomography (CT) offers high diagnostic efficacy in assessing the appendix across various anatomical positions, it also involves radiation exposure. Reducing exposure factors and narrowing the field of view (FOV) are ways to decrease the radiation dose to the patient. To narrow the FOV, appendix locations within the population must be defined using metric markers.

AIM

To determine the location of the appendix vermiformis on CT using the vertebrae and the right iliac bone as anatomical landmarks.

METHODS

This retrospective study examined 470 patients presenting with abdominal pain who underwent abdominal CT scans between January 01, 2015 and January 01, 2018. Forty-three patients were excluded due to various reasons. The most superior and inferior points and the origin of the appendix were measured separately in relation to the vertebrae and right iliac bone for localization. The population was divided into normal and acute appendicitis groups, and the relationship between appendix location and anthropometric parameters relationship was examined. P values below 0.05 were considered statistically significant.

RESULTS

The final analysis included 427 adult patients (206 females and 221 males) with a mean age of 42.1 ± 19.5 years. An ascending appendix course was the most common (90.4%). The appendix ranged from the L2 vertebral body level to the coccygeal vertebral level relative to the vertebrae. The appendix ranged between (−) 140.5 mm and (+) 87.4 mm relative to the right iliac bone. A negative correlation was found between patient age, height, body mass index, and the highest and lowest points of the appendix in regard to the vertebrae.

CONCLUSION

The study’s findings unveiled the locations of the appendix in the population in relation to the bony anatomical landmarks. These data can be used as the basis for future research aimed at reducing patient exposure to ionizing radiation.
Afferent loop syndrome of a patient with recurrent fever: A case report
Authors: Yuan Jing , Zhang Ying-Jie , Wen Wu , Liu Xiao-Cong , Chen Feng-Lin , Yang Ye
Published: November 2024

BACKGROUND

Afferent loop syndrome (ALS) is a rare complication, Aoki et al reported that the incidence of distal gastrectomy in Billroth-II is 0.3%-1.0%. The clinical manifestations of ALS are atypical, which can manifest as severe abdominal pain, vomiting, obstructive jaundice, malnutrition, etc.

CASE SUMMARY

The patient was a 58-year-old man who complained of recurrent high fever for more than 1 week. Laboratory tests showed an increase in neutrophil ratio, procalcitonin, C-reactive protein, and abnormal liver function. Enhanced computed tomography scan of the abdomen showed small intestinal obstruction between the anastomosis of the gastrojejunum, bile duct, and pancreaticoduodenum. Gastroscopy revealed significant narrowing of the lumen 15 cm from the anastomosis into the afferent loop. After performing balloon dilation and placement of the nutrition tube, the patient did not experience further fever.

CONCLUSION

ALS is relatively rare after pancreaticoduodenectomy, and the treatment depends on the nature of the obstructive lesion. The traditional treatment method is surgery, and in recent years, endoscopy has provided a new treatment method for ALS.
Relationship between pancreatic morphological changes and diabetes in autoimmune pancreatitis: Multimodal medical imaging assessment has important potential
Authors: Zhang Qing-Biao , Liu Dan , Feng Jun-Bang , Du Chun-Qi , Li Chuan-Ming
Published: November 2024

Autoimmune pancreatitis (AIP) is a special type of chronic pancreatitis with clinical symptoms of obstructive jaundice and abdominal discomfort; this condition is caused by autoimmunity and marked by pancreatic fibrosis and dysfunction. Previous studies have revealed a close relationship between early pancreatic atrophy and the incidence rate of diabetes in type 1 AIP patients receiving steroid treatment. Shimada et al performed a long-term follow-up study and reported that the pancreatic volume (PV) of these patients initially exponentially decreased but then slowly decreased, which was considered to be an important factor related to diabetes; moreover, serum IgG4 levels were positively correlated with PV during follow-up. In this letter, regarding the original study presented by Shimada et al , we present our insights and discuss how multimodal medical imaging and artificial intelligence can be used to better assess the relationship between pancreatic morphological changes and diabetes in patients with AIP.
Tìm hiểu niềm tin vào khả năng thành công trong việc học kỹ năng nói tiếng Anh của sinh viên năm hai chuyên ngành Ngôn ngữ Anh tại một trường Đại học công lập Việt Nam
Authors: Ngọc Trương Thị Như
Published: November 2024

Nghiên cứu này được đặt trong bối cảnh sự phát triển nhanh chóng của ngành giáo dục Tiếng Anh (TA) tại Việt Nam, nơi mà TA không chỉ là một ngôn ngữ ngoại giao, hội nhập quốc tế mà còn là công cụ để phát triển cá nhân. Trong môi trường này, Niềm Tin (NT) của Sinh Viên (SV) vào Khả Năng Thành Công (KNTC) trong việc học kỹ năng nói TA trở nên vô cùng thiết yếu, đặc biệt là đối với SV chuyên ngữ. Bằng cách tập trung NT vào KNTC trong việc học kỹ năng nói TA, bài báo này mong muốn đưa ra những hiểu biết mới về NT vào KNTC để giúp SV Việt Nam có kết quả tốt hơn trong việc học kỹ năng nói TA. Kết quả khảo sát trên 121 SV năm hai chuyên ngành ngôn ngữ Anh tại một trường Đại Học (ĐH) công lập Việt Nam cho thấy SV có mức độ trung bình về NT vào KNTC trong việc học kỹ năng nói TA và NT vào KNTC này có mối quan hệ tích cực với thành tích bài thi nói TA. Thông qua việc khám phá mối liên hệ giữa NT và thành tích bài thi nói TA, nghiên cứu này giúp định hình các chiến lược giáo dục TA hiệu quả hơn, nhằm hỗ trợ SV Việt Nam cải thiện kỹ năng TA và NT vào KNTC của họ.