bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical Informatics Team Members’ Perspectives on Health Information Technology Safety After Experiential Learning and Safety Process Development: Qualitative Descriptive Study
Authors: Recsky Chantelle , Rush Kathy L , MacPhee Maura , Stowe Megan , Blackburn Lorraine , Muniak Allison , Currie Leanne M
Published: February 2024

Background

Although intended to support improvement, the rapid adoption and evolution of technologies in health care can also bring about unintended consequences related to safety. In this project, an embedded researcher with expertise in patient safety and clinical education worked with a clinical informatics team to examine safety and harm related to health information technologies (HITs) in primary and community care settings. The clinical informatics team participated in learning activities around relevant topics (eg, human factors, high reliability organizations, and sociotechnical systems) and cocreated a process to address safety events related to technology (ie, safety huddles and sociotechnical analysis of safety events).

Objective

This study aimed to explore clinical informaticians’ experiences of incorporating safety practices into their work.

Methods

We used a qualitative descriptive design and conducted web-based focus groups with clinical informaticians. Thematic analysis was used to analyze the data.

Results

A total of 10 informants participated. Barriers to addressing safety and harm in their context included limited prior knowledge of HIT safety, previous assumptions and perspectives, competing priorities and organizational barriers, difficulty with the reporting system and processes, and a limited number of reports for learning. Enablers to promoting safety and mitigating harm included participating in learning sessions, gaining experience analyzing reported events, participating in safety huddles, and role modeling and leadership from the embedded researcher. Individual outcomes included increased ownership and interest in HIT safety, the development of a sociotechnical systems perspective, thinking differently about safety, and increased consideration for user perspectives. Team outcomes included enhanced communication within the team, using safety events to inform future work and strategic planning, and an overall promotion of a culture of safety.

Conclusions

As HITs are integrated into care delivery, it is important for clinical informaticians to recognize the risks related to safety. Experiential learning activities, including reviewing safety event reports and participating in safety huddles, were identified as particularly impactful. An HIT safety learning initiative is a feasible approach for clinical informaticians to become more knowledgeable and engaged in HIT safety issues in their work.
Low-Fidelity Prototype of a Sensor-Dependent Interaction Platform: Formative Evaluation With Informal Caregivers of Older Adults With Cognitive Impairment
Authors: Sharma Nikita , Grotenhuijs Karen , Gemert-Pijnen J E W C van , Oinas-Kukkonen Harri , Braakman-Jansen L M A
Published: February 2024

Background

Unobtrusive sensing technologies developed for monitoring deviant behaviors in older adult care require integration with an interaction platform to facilitate the flow of information between older adults and their caregivers. However, the continuous monitoring capabilities generate a considerable amount of data that must be interpreted, filtered, and personalized before being communicated to the informal caregivers based on their specific care needs and requirements.

Objective

For the effective implementation of unobtrusive sensing solutions (USSs) in the care of older adults with cognitive impairment, we aimed to explore the expectations and preconditions regarding the implementation of USSs from the perspective of informal caregivers. Subsequently, we designed and evaluated a low-fidelity prototype of an interaction platform for its conceptual workflow and usability, incorporating persuasive system design features based on the needs and requirements of informal caregivers.

Methods

Overall, 6 informal caregivers of older adults with cognitive impairment living alone participated in this qualitative interview study. We explored the expectation and preconditions regarding implementation through open-ended questions and conducted a formative evaluation (usability study with a think-aloud approach) to evaluate the conceptual workflow and used persuasive system design features in the interaction platform. Overall, a combination of inductive and thematic analyses was used to analyze the interviews.

Results

The results of this study present both positive and negative outcome expectations regarding the implementation of USSs, highlighting benefits such as objective decision-making and peace of mind and concerns about information overload and the potential substitution of human contact. Strategic information communication agreements between informal and formal caregivers were deemed crucial for the successful implementation of USSs in care. Overall, informal caregivers had a positive experience with the low-fidelity prototype of the interaction platform, particularly valuing the personalization feature.

Conclusions

In conclusion, to achieve successful implementation, a holistic design approach is necessary, and equal consideration should be given to the personalization-privacy paradox to balance users’ needs and privacy.
Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort Study (Preprint)
Authors: Texiwala Sikander Z , de Souza Russell J , Turner Suzette , Singh Sheldon M
Published: February 2024

BACKGROUND

Ventricular arrhythmias (VAs) increase with stress and national disasters. Prior research has reported that VA did not increase during the onset of the COVID-19 lockdown in March 2020, and the mechanism for this is unknown.

OBJECTIVE

This study aimed to report the presence of VA and changes in 2 factors associated with VA (physical activity and heart rate variability [HRV]) at the onset of COVID-19 lockdown measures in Ontario, Canada.

METHODS

Patients with implantable cardioverter defibrillator (ICD) followed at a regional cardiac center in Ontario, Canada with data available for both HRV and physical activity between March 1 and 31, 2020, were included. HRV, physical activity, and the presence of VA were determined during the pre- (March 1-10, 2020) and immediate postlockdown (March 11-31) period. When available, these data were determined for the same period in 2019.

RESULTS

In total, 68 patients had complete data for 2020, and 40 patients had complete data for 2019. Three (7.5%) patients had VA in March 2019, whereas none had VA in March 2020 (P=.048). Physical activity was reduced during the postlockdown period (mean 2.3, SD 1.6 hours vs mean 2.1, SD 1.6 hours; P=.003). HRV was unchanged during the pre- and postlockdown period (mean 91, SD 30 ms vs mean 92, SD 28 ms; P=.84).

CONCLUSIONS

VA was infrequent during the COVID-19 pandemic. A reduction in physical activity with lockdown maneuvers may explain this observation.
A SHAP Value-Based Variable Selection Method Improves the Prediction of Prolonged Hospital Length of Stay (Preprint)
Authors: Fa Rui , Stoessel Daniel , Artemova Svetlana , von Schenck Ursula , Nowparast Rostami Hadiseh , Madiot Pierre-Ephren , Landelle Caroline , Bosson Jean-Luc
Published: February 2024

BACKGROUND

A prolonged length of hospitalization drains both human and material hospital resources as well having a deleterious psychological effect on the patient. Some patients are at greater risk of a prolonged hospital stay than others and it is important to identify them in the first days after admission so as to implement appropriate care as soon as possible and program staff and bed occupancy needs.

OBJECTIVE

The objective of this study is to optimize the prediction of prolonged length of hospital stay (LOS) by refining the selection of variables using an interpretable machine-learning algorithm.

METHODS

Deidentified patient administrative and clinical data from various sources are stored in our University Hospital’s Clinical Data Warehouse, which contains data from 134,840 adult patients with 273,693 hospitalizations between 2016 and 2018. We conducted a two-stage predictive modeling experiment. Initially, we utilized conventional clinical variables and composite variables (by aggregating appropriate conventional variables to form new variables) in several machine-learning algorithms to select the best-performing model. Next, we employed the SHAP method to identify the most important predictive variables and used these to further improve the predictive model.

RESULTS

XGBoost with an undersampling method outperformed other methods with an AUC-ROC of 0.802 (95% CI: 0.801-0.803) and an F2 score of 0.533 (95% CI: 0.533-0.534). The predictive performance was equivalent if we selected half the number of variables based on the SHAP-value with an AUC-ROC of 0.804 (95%: CI: 0.803-0.805) and F2 score of 0.536 (95%: CI: 0.535-0.536). This consistency held for significant variable reduction with SHAP values of more than 70% from 523 to 150.

CONCLUSIONS

SHAP-value-based variable selection allowed a reduction in the number of variables for equivalent predictive performance, making optimum prediction of prolonged LOS easier to implement in routine clinical practice by prioritizing the predictive factors.
Advancing Accuracy in Multimodal Medical Tasks Through Bootstrapped Language-Image Pretraining (BioMedBLIP): Performance Evaluation Study (Preprint)
Authors: Naseem Usman , Thapa Surendrabikram , Masood Anum
Published: February 2024

BACKGROUND

Medical image analysis, particularly in the context of visual question answering (VQA) and image captioning, is crucial for accurate diagnosis and educational purposes.

OBJECTIVE

Our study aims to introduce BioMedBLIP models, fine-tuned for VQA tasks using specialized medical data sets such as Radiology Objects in Context and Medical Information Mart for Intensive Care-Chest X-ray, and evaluate their performance in comparison to the state of the art (SOTA) original Bootstrapping Language-Image Pretraining (BLIP) model.

METHODS

We present 9 versions of BioMedBLIP across 3 downstream tasks in various data sets. The models are trained on a varying number of epochs. The findings indicate the strong overall performance of our models. We proposed BioMedBLIP for the VQA generation model, VQA classification model, and BioMedBLIP image caption model. We conducted pretraining in BLIP using medical data sets, producing an adapted BLIP model tailored for medical applications.

RESULTS

In VQA generation tasks, BioMedBLIP models outperformed the SOTA on the Semantically-Labeled Knowledge-Enhanced (SLAKE) data set, VQA in Radiology (VQA-RAD), and Image Cross-Language Evaluation Forum data sets. In VQA classification, our models consistently surpassed the SOTA on the SLAKE data set. Our models also showed competitive performance on the VQA-RAD and PathVQA data sets. Similarly, in image captioning tasks, our model beat the SOTA, suggesting the importance of pretraining with medical data sets. Overall, in 20 different data sets and task combinations, our BioMedBLIP excelled in 15 (75%) out of 20 tasks. BioMedBLIP represents a new SOTA in 15 (75%) out of 20 tasks, and our responses were rated higher in all 20 tasks (P<.005) in comparison to SOTA models.

CONCLUSIONS

Our BioMedBLIP models show promising performance and suggest that incorporating medical knowledge through pretraining with domain-specific medical data sets helps models achieve higher performance. Our models thus demonstrate their potential to advance medical image analysis, impacting diagnosis, medical education, and research. However, data quality, task-specific variability, computational resources, and ethical considerations should be carefully addressed. In conclusion, our models represent a contribution toward the synergy of artificial intelligence and medicine. We have made BioMedBLIP freely available, which will help in further advancing research in multimodal medical tasks.
Estimating Patient and Family Costs and CO2 Emissions for Telehealth and In-Person Health Care Appointments in British Columbia, Canada: Geospatial Mixed Methods Study (Preprint)
Authors: Mainer-Pearson Graham , Stewart Kurtis , Williams Kim , Pawlovich John , Graham Scott , Riches Linda , Cressman Sonya , Ho Kendall
Published: February 2024

BACKGROUND

Patients inevitably incur some cost for accessing health care, even in universal systems such as Canada. The COVID-19 pandemic dramatically shifted health care delivery from in-person to telehealth services, also shifting the proportion of costs offset by patients and their families by reducing the need to travel to in-person appointments.

OBJECTIVE

This study aimed to develop a method for estimating the costs patients and their families incur and CO2 emissions attributed to travel needed for emergency department (ED) visits, hospitalizations, and physician appointments.

METHODS

We present a method to evaluate the costs associated with in-person and telehealth care appointments from the perspective of patients, their families, and the environment. We used ED locations, road distances, and duration of appointment to account for costs paid by patients (ie, lost productivity, informal caregiving, and out-of-pocket expenses) attributed to travel to receive medical care. Costs to the environment were evaluated by calculating the amount of CO2 emitted per medical visit. Using our costs calculated per visit, we apply our method to calculate total patient costs for a simulated population over 1 year.

RESULTS

Our method estimates that patients in British Columbia pay up to $300 (2023 CAD, CAD $1=US $0.86) on average to attend an in-person ED visit, depending on where they live; $166 may be attributed to lost productivity, $83 to informal caregiving, and $50 to out-of-pocket expenses. These estimates are higher than most observed cost estimates. In addition, avoiding in-person care diverts up to 13 kg of CO2 per medical visit, depending on the distance and frequency of travel to appointments. This translates to up to $0.70 in carbon costs per visit, or cumulatively $44,120 per year in British Columbia, conventionally not included in patient cost estimates.

CONCLUSIONS

We present a novel method for estimating patient-incurred costs and CO2 emissions from accessing health care and apply it to estimate that every year, patients in British Columbia pay upwards of 30 million dollars to access health care services, primarily for medical travel. Our method adds to the economic evaluation literature by providing a more comprehensive and context-modifiable calculation of patient costs that will allow for more informed decision-making regarding health care services.
Mobile Health interventions for modifying indigenous maternal and child-health related behaviours: a systematic review (Preprint)
Authors: Ela Ola , Ishaque Sana , Dowling Anna , Rissel Chris , Canuto Karla , Hall Kerry , Bidargaddi Niranjan , Briley Annette , Roberts Claire T , Bonevski Billie
Published: February 2024

BACKGROUND

The transition to motherhood is a pivotal time for promoting healthy behaviours, particularly among indigenous women, who encounter significant barriers to accessing health information. Mobile health interventions (mHealth) promoting healthy lifestyle changes, offer an adaptable and inexpensive method for improving access health information but require cultural appropriateness and suitability for acceptance and effectiveness in indigenous populations. No systematic review on effective mHealth interventions for indigenous women during pregnancy and the early childhood years has been conducted.

OBJECTIVE

This study evaluated the effectiveness of mHealth interventions, promoting healthy lifestyle changes, for indigenous mothers and children from conception to five years post-partum. It explored the effectiveness differences based on participant engagement, intervention nature, and provision of context.

METHODS

A systematic search of five databases; SCOPUS, MEDLINE, CINAHL, PsycINFO, and ProQuest (Dissertation or Thesis); was conducted to identify studies focusing on maternal and child health, indigenous populations, and mHealth following a pre-registered PROSPERO protocol (CRD42023395710). HealthInfoNet was searched for grey literature and the reference lists of included studies were hand searched. Randomised controlled trials and other interventional study designs including pre-post comparison and cohort studies were eligible for inclusion. Quality of studies was evaluated by two independent reviewers using the Mixed Methods Quality Appraisal Tool and the Centre of Excellence in Aboriginal Chronic Disease Knowledge Translation and Exchange tool. Details from the studies was extracted using a predeveloped extraction form and a descriptive synthesis of the data was performed.

RESULTS

Of the 688 articles screened, only three met the eligibility criteria. Each paper evaluated a different mHealth intervention. The three mHealth interventions identified were: Remote Prenatal Education, the Short Messaging System (SmS) Parent Action Intervention, and the Screening, Brief Intervention and Referral to Treatment eCHECKUP To Go.
All included studies had a small sample size, and none provided a rationale for the power calculation of the sample size for the outcomes reported. Therefore, it was not possible to establish whether the differences in the effectiveness were due to the interventions.

CONCLUSIONS

The current literature does not have any evidence of the effectiveness of mHealth interventions for maternal and child health behaviour change. A thorough evaluation with consideration of cultural contexts and user preferences during intervention design and development is crucial for maximizing their potential. Despite scant evidence, mHealth interventions, hold promise for enhancing indigenous mothers' health.
Performance of GPT-4V in Answering the Japanese Otolaryngology Board Certification Examination Questions: Evaluation Study (Preprint)
Authors: Noda Masao , Ueno Takayoshi , Koshu Ryota , Takaso Yuji , Shimada Mari Dias , Saito Chizu , Sugimoto Hisashi , Fushiki Hiroaki , Ito Makoto , Nomura Akihiro , Yoshizaki Tomokazu
Published: February 2024

BACKGROUND

Artificial intelligence models can learn from medical literature and clinical cases and generate answers that rival human experts. However, challenges remain in the analysis of complex data containing images and diagrams.

OBJECTIVE

This study aims to assess the answering capabilities and accuracy of ChatGPT-4 Vision (GPT-4V) for a set of 100 questions, including image-based questions, from the 2023 otolaryngology board certification examination.

METHODS

Answers to 100 questions from the 2023 otolaryngology board certification examination, including image-based questions, were generated using GPT-4V. The accuracy rate was evaluated using different prompts, and the presence of images, clinical area of the questions, and variations in the answer content were examined.

RESULTS

The accuracy rate for text-only input was, on average, 24.7% but improved to 47.3% with the addition of English translation and prompts (P<.001). The average nonresponse rate for text-only input was 46.3%; this decreased to 2.7% with the addition of English translation and prompts (P<.001). The accuracy rate was lower for image-based questions than for text-only questions across all types of input, with a relatively high nonresponse rate. General questions and questions from the fields of head and neck allergies and nasal allergies had relatively high accuracy rates, which increased with the addition of translation and prompts. In terms of content, questions related to anatomy had the highest accuracy rate. For all content types, the addition of translation and prompts increased the accuracy rate. As for the performance based on image-based questions, the average of correct answer rate with text-only input was 30.4%, and that with text-plus-image input was 41.3% (P=.02).

CONCLUSIONS

Examination of artificial intelligence’s answering capabilities for the otolaryngology board certification examination improves our understanding of its potential and limitations in this field. Although the improvement was noted with the addition of translation and prompts, the accuracy rate for image-based questions was lower than that for text-based questions, suggesting room for improvement in GPT-4V at this stage. Furthermore, text-plus-image input answers a higher rate in image-based questions. Our findings imply the usefulness and potential of GPT-4V in medicine; however, future consideration of safe use methods is needed.

CLINICALTRIAL
Effectiveness of a Virtual Reality Open-Air Bath Program in Reducing Loneliness and Improving Brain Function for Dementia Prevention in Older Adults: Protocol for a Prospective Randomized Crossover Study (Preprint)
Authors: Imai Ayu , Matsuoka Teruyuki , Nakayama Chikara , Hashimoto Nana , Sano Mutsuo , Narumoto Jin
Published: February 2024

BACKGROUND

Older adults often face loneliness due to chronic illness or loss of close ones, a situation worsened by the COVID-19 pandemic. Increased loneliness heightens the risk of diseases, especially dementia, necessitating urgent action.

OBJECTIVE

This study aims to assess the impact of a virtual reality (VR)–based open-air bath program on depression and loneliness in older individuals with subjective cognitive decline/mild cognitive impairment attending the Dementia Medical Center in Kyoto, Japan. We further aim to evaluate the feasibility of the program (participant recruitment and adherence) and to measure program enjoyment and satisfaction.

METHODS

The study design is a crossover trial with a 1:1 ratio, wherein 12 participants will be randomly assigned to groups 1 and 2, with group 2 serving as a waitlist control and group 1 receiving the VR program from the onset for 6 months; the VR program will be conducted 6 times (monthly). Program completion for group 1 will be followed by an observation period from months 7 to 12. Group 2 will participate in the VR program from months 7 to 12, with an observation period from months 1 to 6. Cognitive tests, psychiatric assessments, and the University of California, Los Angeles Loneliness Scale will be conducted before the study, at 6 months, and at 12 months. Results will be analyzed using repeated-measures ANOVA. Head magnetic resonance imaging and single-photon emission computed tomography scans will be performed before and after the VR program to evaluate changes and effects on brain regions.

RESULTS

Recruitment began in September 2023 and data collection is expected to be completed by March 2025. Complete study results will be published by September 2025.

CONCLUSIONS

This study examines the preliminary effects of VR on loneliness in older adults with predementia through open-air bath simulations. VR experiences could benefit this population, particularly those with limited outdoor activities. Quantifying VR’s impact will aid in determining the size for a larger clinical trial. Qualitative results will inform participation mechanisms and guide the implementation and design of future trials.

CLINICALTRIAL

University hospital Medical Information Network UMIN000052667; https://tinyurl.com/3yaccay5

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/57101
Аналіз плазмового рівня міРНК-497 у крові хворих на рак молочної залози
Authors: Harashchenko О.О.
Published: February 2024

Актуальність. Рак молочної залози (РМЗ) є гетерогенним захворюванням з варіабельним клінічним перебігом, морфологічними й молекулярно-біологічними особливостями. Упродовж моніторингу клінічного перебігу патологічного процесу у хворих на РМЗ дослідники поставили завдання виявити можливий взаємозв’язок між клінічними проявами захворювання і рівнем експресії міРНК-497. Кореляція рівнів міРНК-497 з вираженістю клінічної симптоматики й біологічними субтипами пухлини може бути застосована для прогнозування клінічного перебігу хвороби, зокрема безрецидивної виживаності хворих на РМЗ. ­Матеріали та методи. Дослідили зв’язок рівня міРНК-497 у плазмі крові хворих на РМЗ з клініко-патологічними особливостями захворювання жінок двох груп: до 45 років і старше від 45 років. Результати. Встановлено вірогідно вищі рівні міРНК-497 у плазмі крові хворих у пременопаузальному віці порівняно з менопаузою, тоді як у здорових жінок відзначено протилежну тенденцію. Не виявлено залежності між рівнем міРНК-497 і розміром пухлин і стадією раку (Grade), але відзначено слабку позитивну кореляцію між рівнем міРНК-497 і стадією N0-N3, виражену тенденцію до зростання показника на стадії N3, яка в групі хворих після ад’ювантної поліхіміотерапії була вірогідною. Рівень міРНК-497 після першого й повторного курсу неоад’ювантної поліхіміотерапії не мав статистично значущої різниці. Не виявлено різниці показника між молекулярними субтипами РМЗ, а деяка різниця між хворими з HER2+ і тричі негативним раком не була переконливою з причини невеликої вибірки таких пацієнтів. Також не виявлено зв’язку між проаналізованим рівнем міРНК-497 і віддаленими результатами, а отримані позитивні найближчі результати потребують додаткових досліджень. Висновки. Аналіз рівня міРНК-497 може бути корисним при стадіюванні РМЗ. На думку авторів статті, доцільність продовження досліджень у цьому напрямі полягає перш за все в накопиченні масиву даних про рівні міРНК-497 в плазмі крові у хворих на РМЗ з метою виявлення взаємозв’язку експресії цього маркера з клінічним перебігом і прогнозом захворювання.
Large Discussion Groups’ Impact on Engagement and Community
Authors: Costello Jane , Rohr Linda E.
Published: February 2024

To address the solitary nature of online learning, asynchronous micro discussion tools can be implemented to enrich students’ learning experiences by encouraging interaction among students, nurturing social presence, and facilitating community development. Students’ experiences using an asynchronous micro discussion tool in online learning were investigated, with a focus on engagement in learning with peers, sense of community, and technology’s effectiveness. Survey data was analyzed from two sections of an online introductory course from 458 postsecondary university students. As part of the course evaluation, students were asked to participate in three, intentionally designed discussions using an asynchronous micro discussion tool. In each instance, the discussion topic was tightly linked to course content, promoting collaborative, reflective learning. Results indicated that while students felt that learning through asynchronous micro discussions was effective, they did not feel a strong sense of community using this method. However, students who experienced increased engagement also reported having a better understanding of the course material, fewer technological issues, and felt a stronger peer-to-peer connection. Importantly, collaborative learning that increases engagement does not appear to be negatively influenced by large group size in higher education. Given the prevalence of the online learning environment this is valuable course design information.
Rapid Investment Casting: Towards Rapid Die Development
Authors: Khan Ahmed , Sajid Muhammad , Wasim Ahmad , Hussain Salman , Jahanzaib Mirza , Tunbell Hussain Saeed , Hombegowda Nikhil
Published: February 2024

Abstract: Presently the cost of investment casting via wax patterns is an expensive endeavor. Its costs are only justified if the end product is to be produced in high volumes, however for customized products or small Industries, the costs are not viable. In Pakistan, die manufacturing is especially costly due to the use of modern computerized machines like CNC machining and electric discharge machining (EDM). The cost of manufacturing increases significantly with the complexity of the die, the number of cavities, high surface quality requirements, and the number of undercuts. The purpose of this research is to use modern techniques to investigate the feasibility of dies manufacturing through rapid investment casting technique. 3D printing technology is used to make the patterns for casting of die. The research focuses on the differences in dimensions between the actual casted die, and the designed values.
Perancangan Sistem Informasi Absensi Menggunakan Smartcard Berbasis Internet of Things Pada CV. Anugerah Mandiri
Authors: Muzakki Muhammad Zain Iqbal , Nuryasin Ilyas , Sumadi Fauzi Dwi Setiawan
Published: February 2024

Absensi merupakan sebuah kegiatan pengambilan data guna mengetahui jumlah kehadiran karyawan atau pegawai pada suatu instansi pemerintah/perusahaan. Absensi karyawan sangat dibutuhkan untuk mengetahui tingkat disiplin yang tinggi dan menilai sistem kerja dari setiap karyawan. Tujuan dari penelitian ini adalah mengembangkan sebuah sistem informasi absensi karyawan pada CV. Anugerah Mandiri dan sebuah reader berbasis IoT yang akan membaca data dari smartcard. Metode yang digunakan pada penelitian ini adalah metode prototype. Metode prototype digunakan karena metode ini mudah apabila ada perubahan dan dengan menggunakan prototype client lebih mudah memahami sistem yang akan dibuat. Setelah dilakukan pengujian menggunakan pengujian blackbox, didapatkan hasil bahwa sistem informasi absensi karyawan dapat berjalan sesuai yang diharapkan dan semua fitur dapat bekerja dengan baik. Begitu juga dengan reader IoT yang dapat berjalan dengan baik.
Integrasi Sistem Perijinan Kantor Cabang Ke Pusat Balai Besar Konservasi Sumber Daya Alam (BBKSDA) Jawa Timur
Authors: Alfiannur Muhammad , Nuryasin Ilyas , Sari Zamah
Published: February 2024

Dinas Balai Besar Konservasi Sumber Daya Alam (BBKSDA) merupakan salah satu Dinas Pemerintah yang bergerak dibidang Konservasi Budidaya Sumber Daya Alam yang terletak di Surabaya sebagai kantor pusat di Jawa Timur. Dinas Balai Besar Konservasi Sumber Daya Alam (BBKSDA) memiliki kantor cabang yang dibagi menjadi 3 wilayah, yaitu : wilayah I (Madiun),wilayah II (Gresik), dan wilayah III (Jember). Dengan perkembangan zaman saat ini dan sebagai upaya pemerintahan dalam perbaikan pelayanan perijinan mewajibkan pemerintah untuk menerapkan Penyelenggaraan Pelayanan Terpadu Satu Pintu (PPTSP)[1]. Dinas Balai Besar Konservasi Sumber Daya Alam (BBKSDA) telah memiliki sistem informasi berbasis web. Namun,belum terintegrasi dengan kantor cabang. Permasalahan yang terjadi ialah pemohon yang berada kantor cabang harus melakukan proses perijinan secara manual dan data yang ada di cabang tidak langsung masuk ke pusat. Sehingga proses perijinan dan pendataan kurang efisien. Berdasarkan permasalahan yang dimiliki oleh Balai Besar Konservasi Daya Alam (BBKSDA) penulis mencoba memberikan solusi untuk mengembangkan sistem informasi berbasis web yang saling terintegrasi. Dalam pengembangan sistem informasi berbasis website ini menggunakan metode reuse-oriented, Bahasa pemrograman menggunakan PHP, Database berupa MySQL,Framework yang digunakan yaitu CodeIgniter, dan pengujian system menggunakan Black-Box dan UAT. Dengan pengembangan sistem informasi pelayanan ini, diharapkan akan dapat menyelesaikan permasalahan yang ada, sehingga dapat memudahkan dan meningkatkan kinerja terhadap proses pelayanan perijinan penangkaran.
Consequências dos cigarros eletrônicos para o desenvolvimento fetal
Authors: Pinto Julia Camara Ferreira , Santana Melyssa Cavalcante , Dias Maria Isadora Fernandes , Bachur Tatiana Paschoalette Rodrigues
Published: February 2024

Os cigarros eletrônicos têm ganhado um grande espaço mundialmente com elevada disseminação de seu uso. Na tentativa de parar de fumar cigarros convencionais e devido uma falta sensação de segurança no uso de cigarros eletrônicos, as gestantes apresentam maior suscetibilidade em usar estes dispositivos. O presente estudo teve como objetivo demonstrar as consequências do cigarro eletrônico para o desenvolvimento fetal, especialmente sobre os sistemas vitais. Para tal, foi realizada uma pesquisa bibliográfica conduzida nas bases de dados MEDLINE, EMBASE e LILACS, tendo sido incluídos artigos pertinentes à temática do estudo. Os achados demonstram riscos para o feto, quando do uso de cigarros eletrônicos por gestantes, tais como: riscos cardiovasculares, baixo peso ao nascer e presença de nicotina em altas doses nesses dispositivos. É imprescindível o alerta para o risco do uso destes dispositivos por grávidas, bem como pela população geral.
Community Attitudes towards Mangrove Management in Teluk Sulaiman Village, Berau Regency, Indonesia
Authors: Wibisono Gunawan
Published: February 2024

This research aims to determine the value of community attitudes in Teluk Sulaiman in mangrove management and the factors that influence attitudes. This is a descriptive research using questionnaire and observation as data collection methods. Attitude measurement uses cognitive, affective, and conative aspects. To assess attitudes a Likert scale with SPSS processing is used. The results of the study obtained that the attitudes of the people in this village were positive with a value of 4.15, where the cognitive aspect value was 4.13, affective aspect 4.35 and conative aspect 3.96. The factor that influences attitude values is income. Meanwhile, other factors, such as age, and number of family members do not have a significant effect. Length of stay factor has a sufficient relationship with attitude value. The attitude scores seen from the gender segment do not have a significant difference, although in general the attitude scores of men are higher than women. The attitude scores of immigrants and native residents do not have a significant difference, although in general the attitude scores of immigrants are higher than those of native residents.
De seis pisos
Authors: Benjumea Yepes Henry , Sánchez Carballo Darío , Chaparro Hurtado Héctor Rolando , Benavides Laura Jimena , Ramos Velásquez Laura Isabel , Pachón García Carlos Enrique
Published: February 2024

De seis pisos, es una antología de poesía escrita en la Universidad de los Llanos de Villavicencio, Meta. En ella participan seis autores que guardan un estrecho vínculo con esta institución, algunos como docentes o exdocentes y otros como estudiantes y egresados, lo que hace que la obra no solo manifieste la inquietud por la poesía (dentro de los espacios académicos: pasillos, salones de clase, gimnasios y laboratorios…) de un individuo, sino de un colectivo, de una resonancia entre sujetos. Esto lo vienen a probar los temas, las imágenes y sensaciones que se repiten entre los autores, pese a las diferencias de tiempo y espacio de sus textos.
From ban to Herzeg: Foreign lexical layers in cyrillic business and legal acts of medieval Bosnia and hum
Authors: Dragin Natasa
Published: February 2024

This paper deals with foreign lexemes attested in business and legal acts created in the area of Bosnia and Hum in the period ranging from the late 12th to the late 15th century, with the aim of shedding light on their origin, the domain of use and degree of adaptation within the Old Serbian language. In addition to the younger lexical layer, the focus was also on the old loanwords from the Proto-Slavic language. The excerpted corpus proves a strong influence of the Greek language, which, in addition to the field of ecclesiastical terminology, also left its mark in the naming of occupations, money and measures, and to a lesser extent in the legal sphere and secular titles, while it also mediated in the adoption of certain names of the months of the year. In addition to the calendrical lexicon, Latin and Italian covered the field of commerce, law, public services and organization of cities and fortifications. To a certain extent, the sources also provided insight into the ecclesiastical terms of Latin origin, as well as the Oriental titles adopted from Turkish. The Oriental influence appears sporadically even in the domain of politics and trade, whereas the words from the German and Hungarian languages are found only in individual examples. The incomplete adaptation observed within several thematic groups testifies to the ongoing and still current processes of establishing different terminological subsystems. Representing different chronological layers in the structure of the lexicon of the Old Serbian language, the lexicon of foreign origin thus largely reflected the specific political, economic and cultural context and influences that shaped the history of these areas in the Middle Ages.
Perkembangan Pasa Ateh (Pasar Atas) Bukittinggi Hingga Menjadi Plaza Tahun 2017-2023
Authors: Ramadhan Mutiara Yulia , Asri Zul
Published: February 2024

In the research talk about the development of Pasa Ateh (Upper Market) Bukittinggi after it experienced a fire and became a plaza (2017-2023). Of this study focusses about discusses the physical development of the Pasa Ateh (Upper Market) Bukittinggi building after the fire until it became a plaza and explains the economic and social impact of traders caused by the revitalization of the market building after the fire. The aim of this research is to see the development of Pasa Ateh (Upper Market) Bukittinggi after the fire until it became a plaza and see the social and economic impact caused by the revitalization of the market after the fire. This research includes qualitative historical research, using the historical method which includes 4 stages, namely: heuristic method by searching for historical data related to Pasa Ateh (Upper Market), source criticism in the form of selecting data that has been taken, interpretation in the form of interpreting historical data, and Historiography is the rewriting of History. From the first discussion, Pasa Ateh (Upper Market) Bukittinggi experienced a fire in 2017. Second, the development of Pasa Ateh (Upper Market) in terms of physical buildings. Third, the social and economic impacts resulting from the revitalization of buildings.

Keywords: History, Development, Pasa Ateh (Upper Market), Social and Economic
Theodore of Mopsuestia – an exponential exegete of the Antiochian School in the golden age of Christianity
Authors:   University of Craiova, Bora Ion-Sorin
Published: February 2024

This paper explores the life and work of Theodore of Mopsuestia, a key exponent of the Antiochene school of biblical interpretation. After providing biographical background situating Theodore as a student of Libanius and Diodore of Tarsus, the article outlines the history of the School of Antioch and Theodore's role as a teacher propagating principles of grammatical-historical exegesis. His prolific writings included commentaries on much of Scripture, though his interpretation emphasized the literal sense while downplaying typological readings. Doctrinally, Theodore combatted contemporary heresies but evidenced questionable Christology himself. He spoke of two subjects or persons in Christ and rejected the communication of attributes between Christ's divinity and humanity. Though initially orthodox, Theodore's theology anticipated Nestorian ideas, leading Cyril of Alexandria to critique his work. Ultimately the Fifth Ecumenical Council condemned Theodore posthumously. Modern scholarship has aimed to rehabilitate his legacy by distinguishing his use of terminology, assessing newly discovered writings, and analysing translation issues, yet his condemnation has not been overturned. Thus, this study presents a complex picture of this exegetical pioneer – a creative, ingenious interpreter who crossed boundaries into heterodoxy.
“The Teachings of Neagoe Basarab” – a Manual of Leadership and a Model of Dynamic Embodiment of the Eternal Word
Authors:   “Babeș-Bolyai” University in Cluj-Napoca, Chirilă Ioan
Published: February 2024

The work of the Wallachian ruler Neagoe Basarab “The Teachings to his son Theodosius” remains an essential landmark of medieval Romanian culture and spirituality. The writing synthesizes an original vision of Christian teaching with the great models of universal political thought, becoming a manual for future rulers. Its importance is reflected in its overwhelming influence on later Romanian culture, as well as in the timeliness of its perspective on leadership based on enduring values. This study highlights the author's multiple sources of inspiration, harmoniously integrating biblical, patristic and philosophical traditions in a work that goes beyond medieval political treatises. From a theological perspective, the writing reflects a unified conception of divine revelation, promoting a mystical pedagogy that proposes a model of integral human formation. And the virtues and values enunciated have universal anthropological resonances. Thus, the integral message of Neagoe Basarab's work is not only a major expression of local political literature but also a permanent invitation to rediscover the Christian ethos that was the basis of European culture. And the recovery of this spiritual paradigm remains indispensable for overcoming the contemporary crisis.
The Biblical Model of Humble Authority in “The Teachings of Neagoe Basarab to His Son Theodosius”
Authors:   University „A.I. Cuza” in Iassy, Vatamanu Cătălin
Published: February 2024

From a methodological point of view, the present research focuses on the fundamental aspects of Old-Testament monarchic theology, identifying them wherever they stand out in The Teachings of Neagoe Basarab to His Son Theodosius. The aim of this endeavour is threefold: first, to highlight the excellence of biblical values via direct references to the biblical text, mostly to the Old Testament, second, to underline the high leadership principles of the great ruler in question, as well as the responsibility he bears in mind in conveying them to his successor to the throne, and third, the fundamental goal of this research, namely to highlight the coherence, fluency, harmony and axiology of the text’s rhetoric, as an exceptional literary model and treasure of Romanian literature, a testimony and testament, a source and resource for the life of society and the Church over the centuries.
The Teachings of Amenemope and the Book of Proverbs of Solomon (22:17-24:22)
Authors:   University of Bucharest, Mihăilă Alexandru
Published: February 2024

The study explores the links between the Teachings of Amenemope from Ancient Egypt and the Proverbs of Solomon book. Egyptologist Erman observed the first connections. Since then, there have been hypotheses about the Proverbs author’s access to Amenemope’s text. Analysis reveals significant parallels between the two works – calls for obedience, respect for the poor and elderly, and warnings against greed. The author also highlights specific adaptations to Israelite realities and beliefs. He notes the Egyptian influence on biblical wisdom, with the author redefining this wisdom in an Israelite context. The influences point to a universalist view, transcending cultural boundaries, with the search for wisdom from diverse sources.
Fostering cultural heritage awareness through VR serious gaming: A study on promoting Saudi heritage among the younger generation
Authors: Ali Miram
Published: February 2024

This study employs a virtual reality (VR) game to examine the role of VR gaming in learning Saudi cultural heritage. By creating 3D (Three-dimensional) virtual heritage buildings, the game immerses players in cultural scenes, fostering a lasting appreciation for art history. Objectives include making heritage information dissemination engaging, blending learning and entertainment in a 3D environment, designing a gamified setting for active learning, and igniting interest in culture, tradition, architecture, and art history. This paper further highlights the significance of serious gaming in promoting the Saudi cultural heritage among the younger generation. The research involved immersing 59 participants into a heritage building environment using a VR game and then probing their experience of the environment through a questionnaire. Results indicate positive participant experiences, increased interest in Saudi cultural heritage and appreciation for VR technology. The study demonstrates the potential of VR games to make heritage accessible and enjoyable for the younger generation, motivating further exploration and learning. Valuable resources are provided for individuals and researchers interested in using VR gaming for cultural heritage engagement.
E-government based on sustainable digitalization: The case of the Chinese social sustainability marketing technologies paradigm
Authors: Vashkevich Natalia , Barykin Sergey Evgenievich , Krasnov Aleks , Kurochkina Anna Alexandrovna , Alekseeva Natalia , Krasnova Daria Sergeevna , Kankhva Vadim S. , Khovalova Tatiana V. , Mikhov Oleg , Buniak Vasilii , Dzhamaludinova Madinat Yunuskadievna , Dedyukhina Natalia , Ali Madad
Published: February 2024

Amidst China’s burgeoning population and rapid technological strides, this study explores how elderly citizens navigate and embrace electronic governance (e-governance) platforms. Addressing a crucial gap in knowledge, we delve into their limited digital fluency and its impact on e-governance adoption. Our meticulously crafted online survey, distributed via WeChat across significant cities (Beijing, Shanghai, Tianjin, Changsha), yielded 396 responses (384 analyzable). Utilizing Structural Equation Modeling (SEM), we unearthed key influencers of subjective norms, including perceived ease and usefulness, trust, supportive conditions, and past tech exposure. These norms, in turn, positively shape attitudes. Crucially, educational background emerges as a moderator, amplifying the positive link between attitudes and e-governance engagement intent. This underscores the necessity of an inclusive, customized e-governance approach, offering valuable policy insights and advocating for holistic solutions for older adults. Our research yields empirical and theoretical contributions, paving the way for actionable Social Sustainability Marketing Technologies in China, particularly championing digital inclusivity for seniors.
FERC, hydropower, and tribal rights: Confrontations at the Little Colorado River
Authors: Hite Emily Benton , Perry Denielle , Fauser Christian
Published: February 2024

The Federal Energy Regulatory Commission (FERC) is well positioned to help advance the United States' clean energy transition through their management of energy projects. One obstacle to achieving the transition is meaningful consultation with Tribal Nations. Following decades of conflict between tribes and FERC regarding infrastructure development, the agency issued a "policy statement on consultation with Indian tribes" in 2003. The Policy acknowledges FERC's trust responsibility to tribes and seeks to work on a "government to government" basis with them, and recent amendments explicitly incorporate treaty rights into FERC's decision-making processes. Despite these interventions, tensions between FERC and tribes continue over the persistent lack of consultation and omission of government-to-government discussions regarding proposed hydropower. In this article, we question the application of FERC's decision-making powers as they intersect with tribal sovereignty via a discourse analysis of 'consultation.' The article applies an ethnographic perspective to explore the 'political' in political ecology and assess FERC's role in licensing the Big Canyon project, a proposed closed-looped pump hydropower project in Navajo Nation in Arizona. The project was proposed in 2020 without adequate consultation with the affected Diné peoples, illuminating significant gaps between FERC's stated policy on consultation and its operationalization. Compounding the situation further, the Big Canyon project would exacerbate human-water relationships by diminishing groundwaters in an area already facing aridification, thereby challenging the health of springs that feed the Little Colorado River, provide habitat for protected species, and are sacred to many Indigenous peoples. Studying the intersection of tribal rights and FERC presents a critical juncture for assessing the underlying power dynamics of decision-making processes regarding pumped storage hydropower in the United States, within the broad context of a clean energy transition. 