bluuebunny/crossref_metadata_2025 huggingface dataset:
Особенности формирования субъектами деятельности оперативных образов в проблемных и экстремальных ситуациях
Authors: Пыжова Наталия Николаевна
Published: November 2023

Цель. Выявить особенности и описать механизмы формирования субъектами деятельности оперативных образов при разрешении проблемных и экстремальных ситуаций, проанализировать возможности оценки и развития оперативного интеллекта.
Методы. Для моделирования проблемной ситуации использовался эксперимент. Анализ письменных тестов проводился методом контент-анализа. Для выявления взаимосвязи эффективности действий в эксперименте и показателей оперативного мышления использовались тест на практический интеллект (Хорст Х. Зиверт), оперативные задачи (В.Н. Пушкин, Д.Н. Завалишина).
Результаты. Показано, что оперативный образ складывается по ходу действия как продукт отражения преобразуемого объекта. Он динамичен, подчинен задаче действия, в нем не содержится избыточных признаков. Важным свойством оперативного образа является функциональная деформация признаков объекта, на основании которой из информационного задела отбираются только те признаки, которые способствуют решению задачи.
В ситуации информационной неопределенности динамический оперативный образ сразу не формируется, имеет место этап случайного перебора альтернативных вариантов действий, в результате чего состояние управляемого объекта, как правило, ухудшается. Затем происходит уточнение релевантных признаков, структура образа становится адекватной задаче действия, и, наконец, вырабатывается принятая стратегия по разрешению проблемной ситуации. Правильная постановка цели деятельности на начальном этапе включения субъекта в оперативный процесс сокращает количество циклов проб и ошибок.
Оперативный интеллект можно оценивать и целенаправленно развивать путем стимулирования нестандартного мышления обучающихся, решения пространственно-комбинаторных оперативных задач, моделирования проблемной ситуации, включая использование потенциала группы в деловых играх.
Область применения исследований. Результаты исследования могут быть применены для оценки компонентов оперативного мышления в различных видах деятельности, связанных с принятием решений в проблемных и экстремальных ситуациях, а также для развития оперативного интеллекта при подготовке специалистов соответствующих профессий.
STRATEGI PEMASARAN SATE KARAK DI WISATA RELIGI MAKAM SUNAN AMPEL SURABAYA
Authors: Maghfirotunnisa Maghfirotunnisa , Al Baihaqi Ariya Rifqi , Hikmah Milta Fadzilatul
Published: November 2023

Kuliner tradisional tidak hanya menjadi cenderamata yang menghiasai destinasi wisata, tetapi juga berpengaruh pada citra dan daya tarik wisatawan terhadap suatu lokasi wisata.  Dalam konteks ini, salah satunya warung sate karak yang berada di kawasan Makam Sunan Ampel Surabaya mampu bertahan dan tetap eksis dengan rasa autentiknya di tengah persaingan usaha yang semakin ketat. Artikel ini ditulis untuk menguraikan alternatif strategi pemasaran dalam menghadapi persaingan yang ketat di industri kuliner dengan mengambil contoh warung sate karak di wisata religi Makam Sunan Ampel Surabaya. Peneliti mencoba menganalisis melalui metode pendekatan kualitatif dengan menggunakan Studi Kepustakan yang didapat dari berbagai buku, artikel, jurnal, maupun pemberitaan online. Sehingga menghasilkan bahwa strategi pemasaran Sate Karak yang tepat melibatkan beberapa aspek penting seperti bauran pemasaran, indentifikasi target pasar, kerjasama dengan pelaku usaha, hingga keikutsertaan kuliner dalam acara khusus.
SAPHO Syndrome in Crohn’s Disease Successfully Treated with Ustekinumab: Case Report and Review of the Literature
Authors: Caporuscio Sara , Maggi Daniela , Aratari Annalisa , Papi Claudio , Festa Stefano
Published: November 2023

The authors report a case of synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome in a patient with Crohn’s disease (CD). SAPHO syndrome is a rare disease characterised by the association, even if not simultaneous, of joint and skin manifestations. A young patient with CD was admitted to the authors’ hospital for the onset of bloody diarrhoea, persistent chest pain, headache, and fever while on maintenance therapy with vedolizumab. At visit, sternocostoclavicular and temporomandibular joints were tender and painful. Magnetic resonance was performed, and showed bone oedema of involved joints, while ileocolonoscopy revealed ulcers in the transverse colon. At laboratory, tests marked phlogosis and Campylobacter jejuni infection was observed. A challenge in differential diagnosis arose: atypical drug-induced extraintestinal manifestations, reactive arthritis, or extraintestinal manifestation directly associated with intestinal flare? In relation to the patient’s age, the involved joints, and magnetic resonance findings, SAPHO syndrome was diagnosed. Systemic steroids were used with a rapid clinical improvement; vedolizumab was withdrawn and ustekinumab was started with sustained clinical response.
Факторы влияния глубинной диафрагмы jet-grouting на окружающую застройку
Authors: МАНГУШЕВ Рашид Абдуллович , ВОЗНЕСЕНСКАЯ Елена Сергеевна , ДЕНИСОВА Ольга Олеговна
Published: November 2023

Рассмотрено влияние технологии производства работ по устройству глубинной горизонтальной диафрагмы, выполняемой в границах ограждения котлована типа "стена в грунте", на дополнительные деформации здания, расположенного в условиях слабых грунтов и плотной застройки исторического центра Санкт-Петербурга. Представлены результаты геотехнического мониторинга за состоянием реконструируемого здания. На их основании установлено, что в период выполнения глубинной диафрагмы фундаменты здания получают дополнительные деформации подъема до 4 мм. Проведено численное моделирование факторов, позволяющих определять степень воздействия jet-диафрагмы на дополнительные деформации зданий окружающей застройки. Предложена формула, с помощью которой можно прогнозировать максимальные вертикальные перемещения подошвы фундаментов, а также оценивать влияние толщины стены в грунте, глубины устройства и высоты диафрагмы.
Актуальное состояние системы технического регулирования в области «зеленого» строительства
Authors: ТЕЛИЧЕНКО Валерий Иванович , БЕНУЖ Андрей Александрович , РУДЬ Никита Сергеевич
Published: November 2023

Снижение негативного воздействия на окружающую среду, а также повышение комфортности и безопасности среды жизнедеятельности, наравне с достижением экономической эффективности, остаются приоритетными задачами строительной отрасли России. Следование принципам устойчивого развития позволит адаптировать отрасль к новым экономическим реалиям, обеспечить экологическую и энергетическую безопасность, сформировать основу для управления социальными и климатическими рисками. В 2022 г. в России была организована комплексная работа по техническому регулированию в области "зеленого" строительства, в частности разработаны национальные "зеленые" стандарты для многоквартирных домов и индивидуального жилищного строительства. В статье проанализирована текущая ситуация в сфере нормирования "зеленого" строительства, рассмотрены отечественные "зеленые" стандарты и системы сертификации "зеленых" зданий, сформулированы предложения по дальнейшему развитию отрасли в части "зеленого" строительства. Закрепление передового международного опыта в виде национальных стандартов для обеспечения их повсеместного использования в отрасли позволит управлять повышением качества строительной продукции вне зависимости от класса объекта и желаний застройщиков.
Model Utaut 2: Penerimaan dan Penggunaan Youtube di Indonesia
Authors: Citra Suryati Oka , Suroso Arif Imam , Hermadi Irman
Published: November 2023

Youtube merupakan situs video sharing terbesar dibawah perusahaan Google Inc. Pengguna Youtube dan lama waktu penggunaan Youtube memang masih termasuk dalam tiga terbesar secara global. Akan tetapi, hadirnya TikTok sebagai kompetitor sejenis dapat menjadi tantangan tersendiri bagi Youtube. Youtube perlu melakukan evaluasi untuk mengukur layanan yang telah diberikan agar dapat tetap mempertahankan loyalitas penggunanya. Penelitian ini menggunakan metode sistem UTAUT 2 (penerimaan dan penggunaan), responden yang digunakan sebanyak 200 orang. Untuk menganalisis data, Penelitian ini menerapkan analisis deskriptif serta analisis Partial Least Squares - Structural Equation Modelling (PLS-SEM). Menurut hasi penelitian, seluruh variabel UTAUT 2 mendapatkan persepsi “setuju” dari responden. Selain itu, ditemukan bahwa variabel hedonic motivation dan juga variabel habit berpengaruh positif dan signifikan kepada variabel behavioral intention. Sementara variabel facilitating conditions, habit serta variabel behavioral intention berpengaruh positif serta signifikan kepada variabel use behavior.
Teknik Keamanan Akses Internet Untuk Parenting Menggunakan Metode Packet Filtering Pada Mikrotik
Authors: Suhardono Dovan , Arifwidodo Bongga , Wahyudi Eka
Published: November 2023

APJII melangsir data pada tahun 2021-2022 bahwa pengguna internet terus meningkat sebesar 77,02%. Kelompok usia 13 hingga 18 tahun merupakan data tertinggi pengguna akses internet. Sangat disayangkan usia tersebut pada dasarnya belum mengerti dampak dari pesatnya teknologi internet. Sehingga orang tua merupakan pengawas utama bagi anak saat menggunakan akses internet. Salah satu metode keamanan akses internet adalah metode packet filtering. Penelitian ini menggunakan metode packet filtering pada perangkat jaringan mikrotik kemudian menghasilkan notifikasi ketika terjadi pelanggaran. Informasi notifikasi akan diterima oleh administrator system melalui Telegram. Skenario penelitian ini menggunakan konfigurasi packet filtering dengan memasukkan alamat IP atau nomor port yang akan diblokir serta konfigurasi ke Telegram sebagai penerima notifikasi. Secara umum penelitian ini menunjukkan keberhasilan pemblokiran terhadap beberapa situs dan game online, serta memperoleh hasil waktu respon notifikasi dari bot Telegram yang lambat, dengan rata-rata sebesar 26,9 detik untuk media sosial dan 23,3 detik untuk game online
Gizli İhtimam: “Vera Drake” Filminde Kadın Deneyimlerinin İzleri
Authors: KENDİR-GÖK Yeliz
Published: November 2023

Bu çalışma, yönetmen Mike Leigh’in 2004 yapımı “Vera Drake” filmini, feminist teorisyen Nel Noddings’in ihtimam etiği analizi çerçevesinde derinlemesine incelemektedir. Bu çalışmanın temel amacı, filmde temsil edilen toplumsal cinsiyet dinamikleri ile ihtimam etiği arasındaki karmaşık ilişkiyi ayrıntılı bir şekilde analiz etmek ve aynı zamanda kürtaj olgusunun beden ve iktidar ilişkisi bağlamında incelenmesine katkı sağlamaktır. İçerik analizi ve eleştirel söylem analizi yöntemleri, bu inceleme için temel analitik araçlar olarak kullanılmaktadır. Özellikle ana karakter Vera ve onun farklı deneyimlere sahip kadınlara yönelik ihtimam eylemleri, kadınlar arasındaki ilişkilerin toplumsal cinsiyet perspektifiyle derinlemesine incelenmesi için odak noktası oluşturmaktadır. Bulgular, kadınlar arasındaki ilişkilerin toplumsal cinsiyet ideolojisi tarafından nasıl şekillendirildiğini ve filmdeki erkek karakterlerin toplumsal cinsiyet hiyerarşisini nasıl pekiştirdiğini göstermektedir. Ayrıca, kadın ve erkek bedenlerinin iktidarla olan ilişkisi ihtimam etiği bağlamında ele alınarak, toplumsal cinsiyetin beden politikalarına etkisi analiz edilmektedir. Bu araştırma sonuçları, feminist bir bakış açısının kadın deneyimlerine nasıl yaklaşılması gerektiğini vurgularken, “Vera Drake” filmi de bir ihtimam etiği örneği olarak değerlendirilmektedir.
Pelatihan Tata Kelola Keuangan Bagi Pelaku UMKM pada Objek Wisata Situ Tandon Ciater, Kota Tangerang Selatan
Authors: Rahman Fakung , Sulaiman Anhary Agus , Dwianggoro Prihadi
Published: November 2023

This Community Service (PkM) is entitled Training in Making Simple Cash Flow Reports for MSMEs in Tandon Ciater, Kel. Buaran, District. Serpong, South Tangerang City. The method used is a survey method and direct delivery of material, guidance and assistance in the practice of making a simple cash flow report specifically for MSMEs who conduct their business in Tandon Ciater. The conclusion of this PkM program is that it has not yet achieved maximum results, but efforts to continue this service will be sustainable until the MSMEs in Tandon Ciater are at least able and understand how to make their own simple cash flow reports. If the MSME players are able and skilled at making simple cash flow reports, the PkM plan for the next semester will be implemented at this place as well and will provide training on how to calculate cost of goods production, cost of goods sold and calculate profit and loss reports.
From ideas to policies, through places:service design-driven prototyping guidelines for urban regeneration
Authors: Foglieni Francesca , Leoni Francesco , Cipriani Laura , Maffei Stefano
Published: November 2023

This paper describes the development of a set of service design-driven guidelines for prototyping in urban regeneration processes. After introducing urban regeneration as a policy area acting on cities’ social and cultural aspects, the authors consider three perspectives from design research to frame the service design intervention in urban regeneration. Further, the characterising aspects of prototyping in the public sphere are considered to advance a refinement of the typical service design approach to prototyping for this domain. The paper then describes the guidelines, developed through the experience of an ongoing research project, providing practical step-by-step suggestions for each prototyping cycle phase, a selection of tools from renowned design toolkits, and practical examples. The insights from this work intend to evolve the service design practice for the public sphere toward a more systemic perspective that considers the specificities and dynamics of public processes and ecosystems.
Co-design as a public service to support social innovations in city making
Authors: Selloni Daniela , Meroni Anna , Corubolo Marta
Published: November 2023

This paper discusses the conditions and some possible ways in which co-design can be regarded as a public service offered by public administrations to city dwellers and organizations to foster social innovation in city making projects. It starts by discussing the theoretical and operational entanglement of public services, co-design and place making, in order to understand the background that generates the research question on the opportunity to consider co-design as a public service and set up the conditions for it to be so. Then, the paper presents a case study of a co-design process developed for the city of Reggio Emilia by the authors, to support a huge urban transformation project, and discusses against the context of the advanced participatory policy of the city. Finally, it proposes the conceptualization of ‘permanent vs transient’ public services of co-design and discusses their similarities and differences, to open the debate for further research
A Study of Product Service System for Product Family Based on Extension Design
Authors: Chen Tao , LUH Ding-Bang , Li Xing-Sen
Published: November 2023

This paper, from the perspective of extension design, investigates the product family architecture composed of demand domain, functional domain, technology domain, and physical domain and establishes a product service system, which is centered on the product family development platform, based on the extension innovation method. The basic-element logic language and method of extension design is employed to analyze the characteristics of product family design including generalization, parameterization, modularization, and intelligence. In this paper, the product family design platform, including four models and three resource libraries, is developed through the formalized and modeled basic-element representation, configuration of modular elements, and intelligent generation path. Combined with artificial intelligence technology, this research constructs a smart product service system framework oriented towards product family design and proposes an extension design generation system.
Differences and similarities between service design and UX design: a proposal
Authors: Camillo Diogo
Published: November 2023

This article aims to review service design (SD) and UX design (UXD) with the intention of proposing a delineation of the differences and similarities between service design and user experience design. The focus of this proposal is to emphasize service design as a field of knowledge and to enable future explorations of UXD contributions to SD and not the other way around. The specific purposes are: 1) differentiate the particularities of service design; 2) differentiate the particularities of the UX design; 3) list points of convergence between service design and UXD; mitigate terminological ambiguities. It is expected to find in the literature eminent ideas that allow us to imagine models of macro structures aiming to produce a comparative framework between different approaches when it comes to practice in SD and UXD.
Peeling Back the Layers: Prototyping Systemic Transformation through the Circular Food Innovation Lab
Authors: Raphael Lily , Higuchi Marcia , Kozak Laura , Nichols Erin
Published: November 2023

Wasted food — the result of a linear pattern of producing, under-consuming and disposing of food — is a pervasive issue globally and in Canada. Wasted food is a complex challenge, meaning it is characterized by unpredictability, ambiguity, and many actors. The current climate crisis, food insecurity, economic disparity and housing inequality all intersect with this challenge. If we are to tackle these increasingly complex issues in social and public sectors, we need to work together in new and emergent ways. The Circular Food Innovation Lab was a unique research initiative that drew together municipal government, interdisciplinary designers and regional food businesses – grocers, food producers, distributors, restaurants and vendors – to tackle these complex challenges through systemic and service design methodologies, asking “how might we work together to increase circularity in Vancouver’s food system so that food is not lost or wasted; access to food is nourishing, equitable, and culturally appropriate; and habitats are protected for current and future generations of humans and more-than-humans?”
The Context of Addressing Power Dynamics in Service Design
Authors: Hay Audun Formo , Vink Josina , Suoheimo Mari
Published: November 2023

To support transformative aims, scholars highlight a crucial need for increased attention to power dynamics in service design (SD). Current literature emphasizes the need for individual service designers to build reflexivity around power without much consideration for their surrounding context. This narrow focus may inadvertently reinforce existing power dynamics while using service designers as scapegoats for the persistent problem. Drawing from ecological theories in psychology, this article provides a framework for understanding the contextual factors that contribute to the lack of reflexivity around power dynamics among service designers. Based on our own experiences and a review of SD literature, we used this framework to identify domains of contextual factors that inhibit service designers to address power dynamics in practice. By proposing a systemic framework and identifying related contextual factors, this study helps to provide grounding for future research and action within the service design community regarding the structural changes needed to address power dynamics.
When service design meets social impact: Process and mindset used to contribute to the public policy to reduce the overpopulation in Brazil’s Prison
Authors: Martinez Renata , Lima Jessika , Celes Leandro
Published: November 2023

Brazil has the third largest prison population in the world, 682,100 people, and this number is growing faster than the global average (Programa Fazendo Justiça, 2022). In this scenario, the Fazendo Justiça Program has its relevance compromised with the United Nations Agenda 2030 to promote peaceful and inclusive societies for sustainable development, providing access to justice for all and building effective, accountable and inclusive institutions at all levels. The program has 28 actions that unfold into various initiatives. The focus will be on one of the projects: The implementation of the new module of Alternative sentences and Measures to imprisonment in the Unified Electronic Execution System (SEEU). Through service design lens and people-centered approach, the new module gains more human perspective, a product roadmap based on real needs and contributes to systematised data production on how these measures are being executed, promoting value and guidance to public policy. This paper describes the steps undertaken during the design process to support the launch of the module's first version.
How Service Design can contribute in the Lifecycle of Online Communities: the Development of the Chinese Service Design Community
Authors: Zhang Chenfan , Selloni Daniela , Auricchio Valentina
Published: November 2023

Due to technological advances and epidemics, online communities are rapidly growing. Online community development is concerned with the diversity of members, the complexity of networks, and their participation in activities. Many scholars have discussed this topic from the perspective of management, information science, sociology, and psychology; however, little attention has been paid to service design and how co-design can be employed. This study examines the Chinese Service Design Community (CSDC), a community that exists online in China, and employs participatory action research as a methodology. This paper describes how service design and co-design activities contribute to community development by combining the online communities' lifecycle presented by Iriberri and Leroy with the development of CSDC. In addition, it discusses the different tools used in co-design and the important role that co-design activities perform in the ‘Maturity’ stage to avoid entering the ‘Death’ stage (Iriberri & Leroy, 2009).
Providing IT services for enterprises through the adoption of Information and communication technologies (ICT) in restricted environments: A Participatory Design process to refine the ‘Telework for people in prisons’ program in Colombia
Authors: Gallo Luz Alba
Published: November 2023

Since 2015, Colombia has been pioneering technology education in prisons by providing Telework certifications and bringing ICT access to prisoners in civil and military prisons. The goal of this program is for convicts to provide IT services to enterprises as part of their resocialization process. Although this program presented clear benefits for the prisoner’s resocialization process, implementing this initiative as a service was challenging due to several restrictions from the context and the grey areas in the related regulations that the prison ecosystem presented. In 2017, two years after the first phase of the program was deployed, the Ministry of Colombian Information and Communication Technologies (ICT), decided to perform a Participatory Design Process to analyze the program status, flaws, and opportunities for refinement so that it could be adjusted to enhance the prisoners’ resocialization process. This paper describes how the Participatory Design Process was carried out, as well as the lessons learned from the social, academic, and regulatory perspectives.
Unmaking the user journey. Fostering alternative Service Design futures
Authors: Maffei Stefano , Del Gaudio Chiara
Published: November 2023

This paper bridges the discussion on a more ethical Service Design practice with the one on Dominant Design. It points out the neo-liberalist and late-capitalist roots of Service Design, which are often a barrier to envisioning ways for the discipline to be more inclusive and sustainable. A closer analysis of the user journey, the backbone of Service Design practice, highlights its critical structural issues and how it informs potentially harmful processes and outcomes. The exclusive focus on user and human-centredness prevents service designers from embracing an ecosystem, plural and antihegemonic practice.
Situated knowledges in action. The Nolo Situated Vocabulary
Authors: Tassinari Virginia , Vergani Francesco , Borin Ambra
Published: November 2023

Sometimes the context in which we design urges us to question and rethink the work we do from a slightly different perspective. When working in Participatory Design (PD) processes, we do not necessarily question the hermeneutic paradigm we use nor focus on the idea of knowledge we engage with. This is certainly the case of this project, a neighbourhood Situated Vocabulary where the context literally urged us to rethink our approach to PD with the aim of mitigating social polarisations by embracing the perspective of marginalized (human and more-than-human) actors. To do so, we are compelled to address the epistemological issue with an idea of “situated knowledge” (Haraway, 1988) able to embrace relationality and go beyond the dichotomies subject-object, man-nature. The following experimental paper is a reflection on this ongoing process: exploring how to engage with a situated idea of knowledge in a PD design project on a neighbourhood scale.
Building a shared relational identity: shifting notions of self in designing social innovation
Authors: Petrella Viola , Yee Joyce
Published: November 2023

While designing social innovation (DSI) is increasingly considering the role and value of relationships, little attention is placed on the complexity of relationality and the specific, situated dynamics of dealing with relational entanglements. In particular, as design’s ontological background comes into question, the designers’ identity and the processes of collective and personal transformation that characterise DSI need further consideration. This paper reports the outcomes of an exploratory qualitative study aiming at examining relational approaches to DSI pertaining to the construction of a collective sense of self. It provides insights into how practitioners interact and how they construct and nurture shared relational identities, concluding with suggestions for future DSI work based on these perspectives.
Rapid Service Design Method for Services with Robots in Healthcare Facilities under COVID-19
Authors: Tokkuhisa Satoru , Morimoto Tetsuro
Published: November 2023

Under the influence of COVID-19, rapid research and design are required for the service design process, and even before COVID-19, there were expectations for the adoption of service robots as an answer to labour shortages in the medical field. Against this background, we developed a method for rapid service design method to organise services with robots under COVID-19. This method aims to achieve rapid service design based on behavioural change by introducing rapid ethnography and behavioural design into the research, analysis, design and evaluation steps. To test this method, we implemented two services in two months. The results of the interviews and questionnaire survey of the demonstration experiments confirmed the validity of these services and thus the validity of the method.
Designing Ourselves and Our World: A Designer-Weaver's Perspective on Services
Authors: Ramirez Marcelo
Published: November 2023

This paper argues that design, particularly service design, plays a significant role in shaping our world by constructing and reconstructing our understanding of it. Rather than a mere means to an end, design is a tool for controlling and producing meaning. Service design plays a crucial role in this process, as it mediates interactions between people and their everyday contexts through services. Design can be seen then as a way of generating culture. By exploring a more systemic approach, service designers can better understand how services shape people's lives and address underlying narratives and discourses that frame relationships between people and their lifeworlds. The designer-weaver metaphor is introduced as a powerful image for understanding the role of the designer in shaping reality. By weaving narratives and discourses together, designers can create new realities. If a better world is to be designed, a better way of designing ourselves is needed.
Place-Based Service Design Through Placemaking and Performance
Authors: Björn Ella , Miettinen Satu , Alhonsuo Mira
Published: November 2023

This paper reflects on the approaches of place-based service design, placemaking and performance. From these perspectives, we discuss whether new designs, such as placemaking through performance, can deliver new approaches to place-based service design and facilitate the feeling of togetherness. We consider whether affordances in the natural environment can be used for co-creating design as well as the impact they can have on individuals and communities. This paper proposes placemaking as a place-specific approach to service design that can enable the use of reflexivity, knowledge-sharing and pluriversal epistemology towards non-humans, including plants and encompassing environments. In addition, we discuss how placemaking approaches can help identify place-related values, such as nature and culture, as well as their impact on service design. Our empirical material consists of two artistic and place-based case studies that included performative placemaking experiments in Finnish Lapland. In the artistic processes examined in this paper, placemaking provides channels for storytelling and stakeholder engagement to create a personal understanding of a place.
Beyond service design: understanding complex challenges on a systemic level
Authors: Santos André , Sustar Helena
Published: November 2023

Traditional user-centred design methodologies are no longer adequate for addressing the new way of thinking required by today's global challenges, considering the systemic complexity that service design has now reached. This paper addresses how a systemic approach can support service design practices to understand, map and represent complex challenges such as rural fires. The research methods include a systemic design approach that provides an in-depth view of the system and the institutional structure by identifying the actors and their relationships and unpacking the current issues. Moreover, this paper identifies intervention areas and suggests recommendations: more involvement and collaboration between the different actors and the fire prevention system can prevent and mitigate the risks of rural fires more efficiently. The study indicates that service design can benefit from a systemic approach by investigating the actors, roles, and interdependencies and identifying challenges and strategic intervention areas in complex systems.
Telemedicine services in Brazil: using service design to analyze experiences
Authors: Farias Larissa , Cipolla Carla
Published: November 2023

Due to its long regulatory process, telemedicine is an immature service modality in Brazil. With the coronavirus pandemic, users experienced for the first time remote care in the face of quarantine and social isolation. This study analyzes the experience of beginner users in telemedicine services during the period of the COVID-19 pandemic. The analysis was based on the context of service design where people were interviewed and tools such as blueprint, user profile and brainstorming were used in the process. With these tools, the analysis process became agile to identify the complaints and expectations of users by visually understanding the services used. The results highlight touchpoints categories and lessons learned regarding the experience with telemedicine in a fortuitous period. Understanding the experiences of those involved help researchers and service providers design new telemedicine services considering this current practice in Brazil.
Rede Refugia: mutuality and collaboration for the integration of different stakeholders in the refugee crisis
Authors: Da Silva Leite Estevão Cristian , Fontainha Tharcisio , Ikuba Placide , Resende Híngred , Da Silva Fábio Soares , De Moraes Matheus Henrique Junqueira , Filardi Luisa Videira
Published: November 2023

The Rede Refugia is a collaborative service that proposes facilitating the reception, protection and integration of refugees, asylum seekers and stateless persons (hereafter only called refugees). The service is based on mutuality and collaboration among refugees, humanitarian organisations, private entities and other stakeholders operating in the humanitarian ecosystem. The paper aims to discuss how Service Design facilitates the process of co-creation and co-design of a refugee integration ecosystem with different stakeholders. As for the methodology, the research considers Design Science Research (DSR), focusing on the demonstration and evaluation steps. This research contributes with the description of the co-creation and co-design process among different stakeholders in the context of the humanitarian refugee crisis based on mutuality and collaboration, materialising the idea in the Rede Refugia. More precisely, the results indicate the ease in understanding the service objectives, positive expectations of the Rede Refugia service, and some points that must be adjusted. The research also reinforced the importance of the usability test as a fundamental moment for co-design with potential users of services. Future research might consider investigating other tools that can contribute to co-design and co-creation and its contribution to fostering the relational and socio-environmental impacts of collaborative services.
Emergent Scoring of the Temporal Experience, an Investigation into Service Mapping
Authors: Mages Michael Arnold , Neely Stephen
Published: November 2023

The design of services relies heavily on different mapping approaches to develop an overview of service architecture. Scholars largely agree that a key goal of service mapping should be the structuring of experience over time, yet the three most prevalent approaches to mapping service — customer journey maps, service blueprints, and system diagrams — fail to represent important aspects of the temporal experience. Current tools continue to center physical touchpoint attentions and struggle to depict more complex narratives of improvisatory customer/provider interactions. Notating the lived journey of temporally unfolding experience is not a simple task. Accomplishing this will require a recentering of kairotic time, a practice largely absent from our current discourse. In this paper, alternative approaches which represent time through the lens of the unfolding service experience are discussed, and early explorations in temporally aware service design mapping are presented.
Characterization of an aspartate aminotransferase encoded by YPO0623 with frequent nonsense mutations in Yersinia pestis
Authors: Jin Junyan , Xiao Liting , Wu Yarong , Sun Zhulin , Xiong Ziyao , Li Yanbing , Zhao Yanting , Yao Wenwu , Shen Leiming , Cui Yiming , Tan Yafang , Han Yanping , Du Zongmin , Cui Yujun , Yang Ruifu , Song Kai , Song Yajun
Published: November 2023

Yersinia pestis, the causative agent of plague, is a genetically monomorphic bacterial pathogen that evolved from Yersinia pseudotuberculosis approximately 7,400 years ago. We observed unusually frequent mutations in Y. pestis YPO0623, mostly resulting in protein translation termination, which implies a strong natural selection. These mutations were found in all phylogenetic lineages of Y. pestis, and there was no apparent pattern in the spatial distribution of the mutant strains. Based on these findings, we aimed to investigate the biological function of YPO0623 and the reasons for its frequent mutation in Y. pestis. Our in vitro and in vivo assays revealed that the deletion of YPO0623 enhanced the growth of Y. pestis in nutrient-rich environments and led to increased tolerance to heat and cold shocks. With RNA-seq analysis, we also discovered that the deletion of YPO0623 resulted in the upregulation of genes associated with the type VI secretion system (T6SS) at 26°C, which probably plays a crucial role in the response of Y. pestis to environment fluctuations. Furthermore, bioinformatic analysis showed that YPO0623 has high homology with a PLP-dependent aspartate aminotransferase in Salmonella enterica, and the enzyme activity assays confirmed its aspartate aminotransferase activity. However, the enzyme activity of YPO0623 was significantly lower than that in other bacteria. These observations provide some insights into the underlying reasons for the high-frequency nonsense mutations in YPO0623, and further investigations are needed to determine the exact mechanism.
The relationship between gut microbiota and insomnia: a bi-directional two-sample Mendelian randomization research
Authors: Li Yan , Deng Qingqing , Liu Zhanli
Published: November 2023

Introduction

Insomnia is the second most common mental health issue, also is a social and financial burden. Insomnia affects the balance between sleep, the immune system, and the central nervous system, which may raise the risk of different systemic disorders. The gut microbiota, referred to as the “second genome,” has the ability to control host homeostasis. It has been discovered that disruption of the gut-brain axis is linked to insomnia.

Methods

In this study, we conducted MR analysis between large-scale GWAS data of GMs and insomnia to uncover potential associations.

Results

Ten GM taxa were detected to have causal associations with insomnia. Among them, class Negativicutes, genus Clostridiuminnocuumgroup, genus Dorea, genus Lachnoclostridium, genus Prevotella7, and order Selenomonadalesare were linked to a higher risk of insomnia. In reverse MR analysis, we discovered a causal link between insomnia and six other GM taxa.

Conclusion

It suggested that the relationship between insomnia and intestinal flora was convoluted. Our findings may offer beneficial biomarkers for disease development and prospective candidate treatment targets for insomnia.
Case Report: Pericardial patch repair of mitral annulus and mitral valve for a left atrial dissection caused by parasitic infective endocarditis
Authors: Chu PeiShan , Tang Yi , Liu XinPei , Miao Qi
Published: November 2023

Introduction

Left atrial dissection is a rare event, typically associated with cardiac manipulation. We report the first case of a left atrial dissection caused by parasitic infectious endocarditis, which required the use of patch repair for the damaged mitral annulus and valve.

Case Presentation

To treat heart failure in a 43-year-old man with left atrial dissection, we performed a patch repair of the mitral annulus and valve using autologous pericardium.

Conclusion

We encourage novel surgery for complicated infectious endocarditis.
Prevalence and adverse outcomes of pre-operative frailty in patients undergoing carotid artery revascularization: a meta-analysis
Authors: Liu Zeyu , Yao Ying , Zhang Meiwan , Ling Yan , Yao Xiaoyan , Hu Min
Published: November 2023

Introduction

Frailty can lead to a decrease in the patient's resistance to interference such as injury and disease, and cause a series of complications. An increasing number of studies have found that pre-operative frailty exacerbates the occurrence of adverse events after carotid artery revascularization, but an integrated quantitative analysis is currently lacking. Therefore, we conducted a meta-analysis to evaluate the impact of pre-operative frailty on patients undergoing carotid artery revascularization.

Method

According to the PRISMA guidelines, we systematically searched for relevant studies on Medline, Embase, Ovid, CINAHL, Web Of Science, and Cochrane Library from establishment until June 2023. Summarize the risk of adverse outcome events through OR and 95% CI.

Results

A total of 16 cohort studies were included, including 1692338 patients. Among patients who underwent carotid artery revascularization surgery, the prevalence of pre-operative frailty was 36% (95% CI = 0.18–0.53, P < 0.001). Compared with non frail individuals, frail individuals have an increased risk of mortality (OR = 2.35, 95% CI = 1.40–3.92, P = 0.001, I2 = 94%), stroke (OR = 1.33, 95% CI = 1.10–1.61, P = 0.003, I2 = 71%), myocardial infarction (OR = 1.86, 95% CI = 1.51–2.30, P < 0.001, I2 = 61%), and non-home discharge (OR = 2.39, 95% CI = 1.85–3.09, P < 0.001, I2 = 63%).

Conclusion

The results of this article show that patients undergoing carotid artery revascularization have a higher prevalence of pre-operative frailty, which can lead to an increased risk of postoperative death, stroke, myocardial infarction, and non-home discharge. Strengthening the assessment and management of frailty is of great significance for patient prognosis.

Systematic Review Registration

https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=416234, identifier: CRD42023416234.
Association of triglyceride-glucose index with the prevalence of cardiovascular disease in malnourished/non-malnourished patients: a large cross-sectional study
Authors: Jiang Xiaobo , Tu Jiabin , Chen Sicong , Zhang Yanbin , Qiu Weilong , Chen Kaihong , Chen Liling , Wu Bo
Published: November 2023

Background

Numerous investigations have demonstrated a strong association between the TyG (triglyceride-glucose) index, which is derived from lipid and glucose levels in the bloodstream, and the onset and progression of cardiovascular diseases (CVD). Blood glucose and blood lipids are affected by nutritional status, and few studies have explored whether the correlation between TyG index and the risk of CVD is affected by nutritional status.

Aims

To investigate the connection between TyG index and the risk of CVD among individuals with varying nutritional statuses.

Method

A total of 19,847 were included in the analysis, of which 15,955 participants were non-malnourished and 3,892 patients were malnourished. According to the TyG index quartile, the patients were categorized into four groups. Logistic regression analysis and restricted cubic spline was used to study the relationship between TyG index and the risk of CVD in normal and malnourished populations.

Results

The results of the restricted cubic spline showed that the TyG index was positively associated with the risk of CVD in the non-malnourished population. The TyG index showed a U-shaped association with the risk of CVD in malnourished people. The result is consistent with that of logistic regression (Malnutrition: Group 2: OR: 1.14; 95% CI: 0.85–1.53; Group 3: OR: 1.36; 95% CI: 1.03–1.79; Group 4: OR: 1.72; 95% CI:1.31–2.25, P for trend <0.001; Non-malnutrition: Group 2: OR: 0.82; 95% CI: 0.46–1.48; Group 3: OR: 0.88; 95% CI: 0.49–1.57; Group 4: OR: 1.45; 95% CI:0.83–2.52, P for trend =0.067).

Conclusions

The association between the TyG index and the risk of CVD varied depending on the nutritional states. When using TyG index to assess the risk of CVD, stratification combined with nutritional status helps to more accurately screen patients at high risk of CVD.
Assessing the use of stable isotope values from deer antlers as proxies for seasonal environmental variation
Authors: Royer Julien , Somerville Andrew D.
Published: November 2023

Introduction

We assess the feasibility of white-tailed deer (Odocoileus virginianus) antlers to serve as archives of information on paleoseasonality by analyzing stable isotope values from four modern white-tailed deer collected in central Iowa, USA. Because antlers develop from early spring to early fall, they may serve as an archive for intra-annual seasonal variations and provide snapshots of past climatic and environmental conditions.

Methods

Intra-antler samples were collected from the proximal end to distal end along the main beam of each antler and analyzed for carbon and nitrogen stable isotope values from collagen (δ13Ccol, δ15Ncol) and carbon and oxygen stable isotope values in bioapatite (δ13Capa, δ18Oapa). Stable isotope data were then correlated with local climate data (precipitation and temperature) from the months leading up to the date of death of each deer and with the 50-year averages of the region.

Results

No consistent seasonal patterning was observed between local climate data and isotopic variables across the antlers. δ13Capa values from each antler, however, do show a trend of being negatively correlated with precipitation variables and mean temperature.

Discussion

The results of this exploratory study suggest that individual deer feeding behaviors, mobility, and habitat preferences make it difficult to infer seasonal environmental conditions from antler stable isotope values. We suggest, however, that intra-antler stable isotope data may be useful for wildlife management and conservation studies.
Effect of skipping breakfast on cardiovascular risk factors: a grade-assessed systematic review and meta-analysis of randomized controlled trials and prospective cohort studies
Authors: Yu Junhui , Xia Jiayue , Xu Dengfeng , Wang Yuanyuan , Yin Shiyu , Lu Yifei , Xia Hui , Wang Shaokang , Sun Guiju
Published: November 2023

Skipping breakfast is one of the most prevalent irregular eating habits. Several pieces of evidence have reported the association between breakfast omission and a higher risk of cardiovascular diseases. Numerous publications have focused on the impact of skipping breakfast on various cardiovascular risk factors. Therefore, the current systematic review and meta-analysis aimed to assess this impact, especially with regard to anthropometric measurements, serum lipid profiles, blood pressure, and glycemic control indicators. A comprehensive search was performed in PubMed, Web of Science, Embase, Scopus, and the Cochrane Central Register of Controlled Trials up to 1 April 2023. A total of 11 eligible trials were identified to evaluate the combined effects of skipping breakfast. Final integrated results demonstrated that breakfast omission significantly decreased the body weight (mean difference = −0.66, 95% CI: −1.09 to −0.24, p = 0.002, I2 = 0.0) and increased the level of serum low-density lipoprotein cholesterol (LDL-C) (mean difference = 9.89, 95% CI: 5.14 to 14.63, p = 0.000, I2 = 17.3). Subgroup analysis also revealed potential factors that may affect the outcomes, for example, the physiological condition of participants, duration, gender, and type of breakfast. In conclusion, skipping breakfast may reduce body weight while increasing the level of serum LDL-C at the same time. In view of the limited trials, further studies are needed to expound the role of breakfast omission in cardiovascular diseases.
Prediction of papillary thyroid metastases to the central compartment: proposal of a model taking into consideration other thyroid conditions
Authors: Chen Qiong , Ye Xiaofen , Wang Kangjian , Shen Haolin
Published: November 2023

Objective

To construct risk prediction models for cervical lymph node metastasis (CLNM) of papillary thyroid carcinoma (PTC) under different thyroid disease backgrounds and to analyze and compare risk factors among different groups.

Methods

This retrospective study included 518 patients with PTC that was pathologically confirmed post-operatively from January 2021 to November 2021. Demographic, ultrasound and pathological data were recorded. Univariate and multivariate logistic regression analyses were performed to identify factors associated with CLNM in the whole patient cohort and in patients grouped according to diagnoses of Hashimoto’s thyroiditis (HT), nodular goiter (NG), and no background disease. Prediction models were constructed for each group, and their performances were compared.

Results

Analysis of the whole PTC patient cohort identified NG as independently associated with CLNM. The independent risk factors for patients with no background disease were the maximum thyroid nodule diameter and American College of Radiology Thyroid Imaging Reporting & Data System score; those for patients with HT were the maximum thyroid nodule diameter, ACR TI-RADS score, and multifocality; and those for patients with NG were the maximum thyroid nodule diameter, ACR TI-RADS score, multifocality and gender.

Conclusion

Background thyroid disease impacts CLNM in PTC patients, and risk factors for CLNM vary among PTC patients with different background diseases. Ultrasound is useful for diagnosing background thyroid disease, which can inform treatment planning. Different prediction models are recommended for PTC cases with different thyroid diseases.