bluuebunny/crossref_metadata_2025 huggingface dataset:
Trade creation and export diversion: Thailand’s plastic and rubber under the ASEAN-China free trade agreement
Authors: Tonsakunthaweeteam Sasawalai
Published: March 2024

This study aims to investigate the impact of the ASEAN-China free trade agreement on plastic and rubber trading, focusing on trade creation and export diversion. The collected data include 11 intra-bloc countries and 23 extra-bloc countries from 1990 to 2021, analyzed using STATA17. The gravity model is applied to the international trade framework. First, the unit root test is used to confirm the stationary nature of the data. Then, the methods are compared, employing fixed effects and a robust Poisson maximum likelihood estimator. The bilateral dummy variables are used to estimate the directional impact of trade agreements on export volume. The result demonstrates that the ASEAN-China free trade agreement establishes trade creation and export diversion. It has had a positive impact on the export value of plastic and rubber in Thailand over the past 30 years, but in terms of trade creation is less than export diversion. This means that exporting plastic and rubber to extra-bloc countries will gain more benefits than trading with member countries under the ASEAN-China free trade agreement. However, trading under the ASEAN-China free trade agreement may continue, but export volumes of plastic and rubber will decline. According to the findings, it can be suggested that Thailand’s government has to have a comparative advantage in product and strong competitiveness. Meanwhile, the ASEAN-China free trade agreement should not only focus on trade tariffs but also improve customs clearance to reduce trade costs.
AcknowledgmentI would also like to extend my thanks to my parents for their support and encouragement throughout my studies.
GIS-based assessment of groundwater vulnerability to heavy metal contamination via water quality pollution indices in urban Aligarh, India
Authors: Badar Mohd Saalim , Ali Shahrukh , Daniyal  , Akram Md Wasim , Faheem Kashif , Khan Saif Ullah , Farooqi Izharul Haq
Published: March 2024

The study presents an assessment of groundwater vulnerability due to heavy-metal contamination using Heavy Metal Pollution and Contamination Index of Urban Aligarh. Globally, hazardous compounds in industrially contaminated sites are pressing and high-priority issue. A detailed risk assessment was carried out to determine the potential health hazards linked to locations that were recently polluted. A total of 17 groundwater samples were taken from hand-pump and 20 industrial drainage samples were collected from selected areas of Aligarh. The concentration of heavy-metals in the collected samples analyzed were shown on maps using ArcGIS software and interpreted for Heavy Metal Pollution Index (HPIx) and Contamination Index (CDx). These analyzed values were subsequently compared with the permissible limits established by the agencies like EPA, WHO, and BIS. The mean concentration of heavy-metals in groundwater of different locations was observed as follows particular sequence: Ni (1.40), Cu (0.58), Zn (0.06), Fe (0.08), Mn (0.04), Cr (0.001), Pb (0.00025) mg/l. Additionally in industrial effluent, Cr (18.3), Ni (13.34), Mn (1.16), Cu (1.99), Pb (1.2), Fe (6.3), Zn (0.51) mg/l. According to HPIx, the analysis reveals 64.7%, of visited areas belonged to have safe groundwater. Conversely, a smaller proportion, 35.3%, was found falling into heavy metal-polluted group.
Integrated modeling of snow-covered areas and hydrological processes in the Larji Sub-Basin, Himachal Pradesh, India, using SRM and SWAT models
Authors: Kant Chander , Meena Ray Singh
Published: March 2024

Alpine snow is crucial for the water cycle, as the runoff and environment of arid and semi-arid regions rely entirely on these glaciers. Mountain-fed rivers provides the water for domestic, agricultural irrigation, hydroelectric power, and other uses. Due to climate variability, river catchment flows may shift, causing floods and droughts that will aggravate the economy. This study estimated the SCA using Google Earth Engine (GEE) for the Larji River basin, situated in Himachal Pradesh, from the year 2001 to 2021. The snow cover area (SCA) varies from 0.7–22% in the basin. The present study highlights the effectiveness of cloud computing for assessing trends in snow-cover regions in the basin. Moderate Resolution Imaging Spectroradiometer (MODIS) snow product (MOD10A1 V6 Snow Cover Daily Global 500m product) is utilized for SCA calculation. This study simulates runoff from the Larji river, using Snow-melt Runoff Model (SRM) and Soil Water Assessment Tool (SWAT) for years (2019-2021). Furthermore, the Coefficient of determination (R2) Coefficient of corelation (r), Nash-Sutcliffe Efficiency (NSE) and Kling-Gupta Efficiency (KGE) were used to evaluate the efficacy of models. This study will help the policymakers and stakeholders to carry out the water resource management practices in the study area.
Algal-bacterial shortcut nitrogen removal model with seasonal light variations
Authors: Iman Shayan Sahand , Youssef Steve , van der Steen Peter , Zhang Qiong , Ergas Sarina J.
Published: March 2024

The algal–bacterial shortcut nitrogen removal (ABSNR) process can be used to treat high ammonia strength wastewaters without external aeration. However, prior algal–bacterial SNR studies have been conducted under fixed light/dark periods that were not representative of natural light conditions. In this study, laboratory-scale photo-sequencing batch reactors (PSBRs) were used to treat anaerobic digester sidestream under varying light intensities that mimicked summer and winter conditions in Tampa, FL, USA. A dynamic mathematical model was developed for the ABSNR process, which was calibrated and validated using data sets from the laboratory PSBRs. The model elucidated the dynamics of algal and bacterial biomass growth under natural illumination conditions as well as transformation processes for nitrogen species, oxygen, organic and inorganic carbon. A full-scale PSBR with a 1.2 m depth, a 6-day hydraulic retention time (HRT) and a 10-day solids retention time (SRT) was simulated for treatment of anaerobic digester sidestream. The full-scale PSBR could achieve >90% ammonia removal, significantly reducing the nitrogen load to the mainstream wastewater treatment plant (WWTP). The dynamic simulation showed that ABSNR process can help wastewater treatment facilities meet stringent nitrogen removal standards with low energy inputs.
Evaluación estadística del circuito de clasificación-molienda de la planta de carbón en pulpa de Antapite de la compañía Sierra Sun Group (Perú) empleando modeol s estadísticos de regresión y ANOVA
Authors: Zegarra Castañeda Fernando , Verdeja Luis Felipe , Álvarez Rodrigo , Fernández-González Daniel
Published: March 2024

El presente trabajo pudo mostrar una evaluación estadística del circuito de molienda – clasificación de una planta aurífera de la planta Antapite de la Compañía Minera Sierra Sun Group (Perú). El circuito de molienda empleaba un molino de bolas, cuyo mineral descargado tenía una la ley de oro de 29.50 g/t, el cual alimentaba a un hidrociclón convencional Krebs (de 10 pulgadas de tamaño, 254 mm), cuyo rebose tenía una distribución de oro de 71.30 % (para tamaños de partículas de menos 74 μm). Sin embargo, el objetivo fue aumentar esta distribución a un valor equivalente a 77.39% (para partículas menores a 74 μm), es decir, al menos 5 puntos por encima de la actual. Este rebose alimentó al circuito metalúrgico formado por concentración gravimétrica y/o cianuración – adsorción dependiendo de la mineralogía con la que se encontraba asociada el oro. Se realizó un análisis estadístico de regresión múltiple para las variables de operación del hidrociclón Krebs de 10 pulgadas (254 mm) que permitió obtener la distribución de oro (objetivo mencionado  anteriormente). De esta manera se plantearon tres escenarios diferentes, en los cuales se eliminaron las variables no significativas. El primer escenario evaluó la dependencia del tamaño de corte corregido d50C en función de la presión y caudal de la pulpa de alimentación al hidrociclón, el segundo  escenario analizó la variable independiente: distribución de oro en el rebose del hidrociclón con respecto a las variables dependientes: caudal alimentado, presión, d50 y d50C para tamaños de partículas menores a 74 μm. Por último, el tercer escenario permitió evaluar la dependencia de la distribución de oro objetivo frente al d50C. Finalmente, se logró definir el parámetro que influye en la dependencia de la distribución de oro objetivo en el rebose, pudiendo  encontrar así el valor de d50 (tamaño de corte sin corregir en micras) en función del caudal y presión de trabajo para llegar a la distribución de oro objetivo de 77.39% en el rebose (para partículas menores a 74 μm).
The Prognosis of Crimean-congo Hemorrhagic Fever in Thiqar City, South of
Iraq, in 100 Cases over 2022
Authors: Kareem Azher , Hazbar Khudair , Noaman Haitham
Published: March 2024

Background::

The study of Crimean-Congo hemorrhagic fever (CCHF) worldwide is of low rate as it is an uncommon disease. The outbreak in Iraq in 2022 is
high.

Aim::

To study the prognosis of hemorrhagic fever patients in Thi-Qar governorate, where the highest rate of the disease is, so that we might expect the
fat of the disease.

:

Patients and Methods: A descriptive cases series of cross-section studies that included all patients with severe or life-threatening Crimean-Congo
hemorrhagic fever(CCHF) PCR-positive cases (out of the total 100) admitted and followed up in AL-Hussain Teaching Hospital in 2022. To study
patients' features that indicate the prognostic factors of the disease.

Results::

All cases proved to be CCHF by PCR were 100 patients of variable severity, 14 cases were admitted to intensive care units (ICU), 13 patients died,
2 pregnant ladies were infected with CCHF unfortunately died, 16 children admitted to hospital 2 of them died and 14 cases completely cured. The
most serious cases are intrapulmonary hemorrhage and neuropsychiatric presentation.

Conclusion::

There are many clinical and laboratory prognostic markers. The riskiest clinical bad prognostic factor is the neuropsychiatric and pulmonary
hemorrhage and CCHF in pregnant ladies.
Posterior Longitudinal Ligament Calcification with Myelopathy - A Case Report
Authors: Alyosef Ebrahem , Mohsin Mariam , Ali Mavra , Gibrata Qonitah , George Biji Thomas
Published: March 2024

Background::

Ossification of the posterior longitudinal ligament (OPLL) constitutes a significant etiology of cervical myelopathy. The most common clinical
presentations are myelopathy and radiculopathy, which result from a decrease in the spinal canal's volume and the spinal cord's subsequent
compression by the ossified posterior longitudinal ligament. This results in motor and sensory deficits, especially in the extremities.

Case Presentation::

A 48-year-old male presented with a complaint of neck pain that radiated to both upper limbs and was associated with numbness, tingling, and
paranesthesia. He also had a history of lower back pain that radiated to the right leg, which was also associated with numbness and limited mobility
to his cervical spine. Lhermitte's sign was positive. Sensory deficit to pinprick and touch was noted in the right upper limb and lower limbs.
Flexion deformities of the right hand and elbow extension fingers were noted. Neuroimaging of the cervical spine showed cervical canal stenosis,
OPLL, and myelopathy. Surgical management included internal fixation using plates and transpedicular screws, lateral mass fixation, and
laminectomy of the third to sixth cervical vertebrae (C3-C6).

Conclusion::

OPLL should be considered an integral component of the differential diagnosis when evaluating a patient with neck pain and consequent motor and
sensory deficits of the extremities. OPLL with mild and/or non-progressive symptoms can be addressed with non-operative measures. Assessing
preoperative neuroimaging is crucial before surgery to determine the degree of spinal cord compression and the presence of OPLL in all patients
with cervical myelopathy. Surgical treatment options for posterior longitudinal ligament calcification include laminectomy and fusion, anterior
decompression including transpedicular and costo-transversectomy, laminoplasty, and circumferential decompression via staged posterior and
anterior approaches. Determining the most effective surgical approach for managing OPLL is still controversial, and selecting the appropriate
procedure should be based on the patient's clinical presentation and level of pathological involvement.
Interferon Upregulation Associates with Insulin Resistance in Humans
Authors: Adeva-Andany Maria M. , Carneiro-Freire Natalia , Castro-Quintela Elvira , Ameneiros-Rodriguez Eva , Adeva-Contreras Lucia , Fernandez-Fernandez Carlos
Published: March 2024

:

In humans, insulin resistance is a physiological response to infections developed to
supply sufficient energy to the activated immune system. This metabolic adaptation facilitates
the immune response but usually persists after the recovery period of the infection and predisposes the hosts to type 2 diabetes and vascular injury. In patients with diabetes, superimposed
insulin resistance worsens metabolic control and promotes diabetic ketoacidosis. Pathogenic
mechanisms underlying insulin resistance during microbial invasions remain to be fully defined.
However, interferons cause insulin resistance in healthy subjects and other population groups,
and their production is increased during infections, suggesting that this group of molecules may
contribute to reduced insulin sensitivity. In agreement with this notion, gene expression profiles
[transcriptomes] from patients with insulin resistance show a robust overexpression of interferon-stimulated genes [interferon signature]. In addition, serum levels of interferon and surrogates
for interferon activity are elevated in patients with insulin resistance. Circulating levels of interferon-γ-inducible protein-10, neopterin, and apolipoprotein L1 correlate with insulin resistance
manifestations, such as hypertriglyceridemia, reduced HDL-c, visceral fat, and homeostasis
model assessment-insulin resistance. Furthermore, interferon downregulation improves insulin
resistance. Antimalarials such as hydroxychloroquine reduce interferon production and improve
insulin resistance, reducing the risk for type 2 diabetes and cardiovascular disease. In addition,
diverse clinical conditions that feature interferon upregulation are associated with insulin resistance, suggesting that interferon may be a common factor promoting this adaptive response.
Among these conditions are systemic lupus erythematosus, sarcoidosis, and infections with severe acute respiratory syndrome-coronavirus-2, human immunodeficiency virus, hepatitis C virus, and Mycobacterium tuberculosis.
Homenaje a Gonzalo García Nuñez
Authors: Vásquez Rodríguez Rafael
Published: March 2024

Gonzalo García Nuñez ha partido en el viaje al infinito el 8 de enero de este año a los 76 años de edad, dejando como legado una extensa ejecutoría profesional y ciudadana y un ejemplo de probidad en el ejercicio de la función pública. La Facultad de Ingeniería Económica, Estadística y Ciencias Sociales rinde homenaje a su memoria y a quien fuera impulsor del GIECO y miembro del Consejo Consultivo de la revista científica IECOS que publica nuestra facultad.
Nacido en Lima el 16 febrero 1947, ha sido ingeniero industrial de la UNI y doctor en economía por la Universidad de Grenoble, Francia.
Challenges in Nutrition Education among Patients undergoing Bariatric Surgery : A narrative review
Authors: Mohd Yusof Nur Dalia , Ab Hamid Mohd Ramadan , Muhammad Umar Ridhwan
Published: March 2024

Bariatric surgery is one of the most effective therapies for achieving long-term weight loss in people with severe obesity. However, nutrition education can be very difficult due to various factors. This article aims to explore the challenges of nutrition education in patients undergoing bariatric surgery. A literature search was conducted using the terms 'bariatric surgery', 'nutrition education', 'nutrition challenges', 'healthcare providers', 'obesity' and 'patient education materials'. The evaluation showed that patients need longer follow-ups by healthcare professionals to support their motivation to change. Patients need more user-friendly and engaging resources with images, videos, and animations.
Appropriate Trees along the Elevated Railway in Lamphun City, Thailand
Authors: Boonpanya Kanyawee , Raksawin Karuna
Published: March 2024

Thailand's Ministry of Transport aims to elevate the Den Chai-Chiang Mai double-track railway at Lamphun's Mueang Nga intersection, impacting the city's physical characteristics. This research focuses on harmonizing the large elevated railway with Lamphun's urban landscape and environment. Analyzing perspectives and considering perennial plant species selection, the study enhances visual aesthetics, shading, dust filtration, and heat reduction. Methodologically, it involves summarizing suitable plant information, simulating images with SketchUp, and analyzing before-and-after perspectives. Findings emphasize trees' positive environmental impact, recommending local species like the Cassia and symbolic species like the Thong Kwao for their adaptability and low maintenance.
Influence of Customer Relationship on Supply Chain Performance in Telecommunication Industry
Authors: Ahmad Noraini , Sham Rohana , Yahaya Syazwani , Ameir Alhajri Najiya Obaid
Published: March 2024

This study aimed to explore the relationship between customer relationships and supply chain performance, with a focus on mediating role of logistics integration as well as whether this relationship is mediated by logistics integration. The study was conducted among 361 employees from 21 Malaysian telecommunication firms in Malaysia by applying a structural equation modeling with SmartPLS. Findings revealed customer relationship associated with supply chain performance and supported. However, the study found that the mediating effect of logistics integration in the relationship between customer relationships and supply chain performance was not statistically significant.
Exploring the Driving Factors behind Traditional Food Entrepreneurs in Sabah and Selangor
Authors: Md Ramli Adilah , Mohd Noor Harifah , Saad Mazni , Sulistyo Joko
Published: March 2024

his study explores the key factors influencing local entrepreneurs in Sabah and Selangor states in selling traditional food. Twenty (20) informants from various business categories are identified and interviewed using a qualitative method. The transcript interview is being analysed to develop code and theme. Results showed there are two (2) themes that have been identified: 1) criteria for traditional food (cooking method, flavour, and originality) and 2) demand for traditional food (history, origin of food). Findings show the key factors that drive local entrepreneurs to develop distinctive attractions and become new tourism destinations, especially in traditional food areas
Exploring Chemistry Educators' Insight into Cognitive Styles and Related Teaching Strategies
Authors: An Siya , Ng Soo Boon , Gao Jia , Wang Wen Tao
Published: March 2024

This study, using quantitative research, surveyed 120 middle school chemistry teachers in Zunyi City, Guizhou Province, China, assessing their awareness of cognitive styles and related teaching strategies. Results revealed a low level of overall knowledge(M=2.31), and moderate familiarity with cognitive styles (M=2.34) among the Chemistry teacher. Improvement is needed in teaching strategies based on cognitive styles (M=2.30), learning characteristics of students with varied cognitive styles (M=2.25), and emphasizing cognitive styles (M=2.31). The study recommendations include enhancing teachers' understanding of cognitive styles and teaching strategies, aiming to improve the quality of student learning and life.
Enhancing Quality of Life Through Thaharah Practice in Sunnah From al-Dihlawi’s Philosophy
Authors: Junoh Noraini , Mustafa@Busu Zanirah , Nik Din Nik Muniyati , Duriat Fazrihan
Published: March 2024

Hygiene is critical for health and reflects one's character and societal advancement. Its inadequacy signals infectious diseases, notably in underdeveloped countries. A wholesome lifestyle, as delineated by WHO, encompasses physical, mental, and social well-being. The Prophet of the last semitic religion, Muhammad ﷺ stressed cleanliness as integral to faith. This paper scrutinizes the doctrine of taharah (purification) according to a well-known Muslim scholar, al-Dihlawi." He expounds on taharah in his book "Hujjah Allah al-Balighah, underlining both bodily and spiritual purity. He accentuates the correlation between external and internal cleanliness, pivotal for attaining spiritual contentment, thereby enhancing quality of life.
X Ray-Induced Insulinoma Cell Line Rin-5F Has a Novel Mutation Site, C.A1459G (P.T487A), in Death Domain Associated Protein (DAXX) Gene
Authors: Kiba Takayoshi
Published: March 2024

A popular toxicological and pharmacological research cell line is the insulin-secreting pancreatic cell line Rin-5F. The cell line originates from insulinomas induced by X-ray exposure. The author of this report looked at the mutation status of the DAXX gene in the Rin-5F cell line clone. The complete DNA and RNA were extracted from the cultivated cells as well. Double-stranded cDNA was then synthesized using the RNA template. Sequencing was done using a 3730xl DNA Analyzer. In the present study, c.A1459G (p.T487A) in Exon 5 in the DAXX gene was detected in Rin-5F cell lines, one of the X-ray-induced insulinomas. An NCBI homology search reveals that the 487 amino acid site in rats is the 497 amino acid of humans, based on the genomic cDNA homology between rats and humans. In humans, the COSMIC database suggests that mutations involving 497 amino acids have not been detected in all human cancers. However, the mutation of 496 amino acids was detected in human stomach and colon cancers. This is the first account of the DAXX gene's state in a cell line created by exposure to X-rays. This may point to the need for additional data and research on unique gene alterations involved in the development of X-ray-induced insulinoma tumors.
Departamento del Huila: Anexo 6
Authors: Peláez Lorenzo , Ballesteros Bahamón Adriana Lucía , Betancourt Vásquez Mónica , Mateus Julián Fernando , Zuluaga Mogollón María Victoria , García Gómez Gustavo Octavio , Amado Ginna Marcela , Ramírez Durán Julio , Moreno Valderrama María Nancy , Garavito Arcos Heydi Carolina
Published: March 2024

El presente documento se preparo con el fin de proveer información básica a nivel departamental del desempeño sectorial, sus vínculos con la orientación de la ciencia , la tecnología, la innovación y las demandas del sector sobre conocimiento técnico para focalizar la investigación publica,articular capacidades, aunar esfuerzos para superar problemas productivos, mejorar la competitividad y aprovechar oportunidades del mercado en distintas cadenas de productividad priorizadas en el departamento.
Departamento de Norte de Santander :anexo 6
Authors: Acevedo Velandia Víctor Hugo , Sánchez German David , Amado Gina Marcela , Betancourt Vásquez Mónica , Mateus Julián Fernando , Zuluaga Mogollón María Victoria , García Gómez Gustavo , González Cerón Sandra Paola
Published: March 2024

El presente provee información básica a nivel departamental del desempeño sectorial, sus vínculos con la orientación de la ciencia, la tecnología, la innovación y las demandas del sector sobre conocimiento técnico para focalizar la investigación publica, articular capacidades, aunar esfuerzos para superar problemas productivos, mejorar la competitividad y aprovechar oportunidades del mercado en distintas cadenas de productividad priorizadas en el departamento
Cadena láctea : anexo 5
Authors: García Gómez Gustavo , Yepes Vargas Luz Andrea , Rivero Espitia Tatiana
Published: March 2024

El presente documento se preparó con el fin de proveer información básica sobre el desempeño de la cadena productiva, sus vínculos con la orientación de la ciencia, la tecnología y la innovación y las demandas del sector sobre conocimiento técnico, para superar problemas productivos, mejorar la competitividad, la sostenibilidad, aprovechar oportunidades de mercado, potenciar capacidades y focalizar la inversión pública. Esta información se consolidó a través del proceso de revisión y ajuste de la Agenda Dinámica Nacional de Investigación, Desarrollo Tecnológico e Innovación (Agenda I+D+i), como insumo para orientar las estrategias del PECTIA
https://repository.agrosavia.co/handle/20.500.12324/1423
Authors: Zambrano Moreno Gregorio , Vila Florez Claudia , Ramírez Durán Julio
Published: March 2024

El presente documento se preparó con el fin de proveer información básica sobre el desempeño de la cadena productiva, sus vínculos con la orientación de la ciencia, la tecnología y la innovación y las demandas del sector sobre conocimiento técnico, para superarproblemas productivos, mejorar la competitividad, la sostenibilidad, aprovechar oportunidades de mercado, potenciar capacidades y focalizar la inversión pública. Esta información se consolidó a través del proceso de revisión y ajuste de la Agenda Dinámica Nacional de Investigación, Desarrollo Tecnológico e Innovación (Agenda I+D+i), como insumo para orientar las estrategias del PECTIA.
Exploring the Impact of In Basket Metrics on the Adoption of a New Electronic Health Record System Among Specialists in a Tertiary Hospital in Alberta: Descriptive Study
Authors: Avdagovska Melita , Kuziemsky Craig , Koosha Helia , Hadizadeh Maliheh , Pauly Robert P , Graham Timothy , Stafinski Tania , Bigam David , Kassam Narmin , Menon Devidas
Published: March 2024

Background

Health care organizations implement electronic health record (EHR) systems with the expectation of improved patient care and enhanced provider performance. However, while these technologies hold the potential to create improved care and system efficiencies, they can also lead to unintended negative consequences, such as patient safety issues, communication problems, and provider burnout.

Objective

This study aims to document metrics related to the In Basket communication hub (time in In Basket per day, time in In Basket per appointment, In Basket messages received per day, and turnaround time) of the EHR system implemented by Alberta Health Services, the province-wide health delivery system called Connect Care (Epic Systems). The objective was to identify how a newly implemented EHR system was used, the timing of its use, and the duration of use specifically related to In Basket activities.

Methods

A descriptive study was conducted. Due to the diversity of specialties, the providers were grouped into medical and surgical based on previous similar studies. The participants were further subgrouped based on their self-reported clinical full-time equivalent (FTE ) measure. This resulted in 3 subgroups for analysis: medical FTE <0.5, medical FTE >0.5, and surgical (all of whom reported FTE >0.5). The analysis was limited to outpatient clinical interactions and explicitly excluded inpatient activities.

Results

A total of 72 participants from 19 different specialties enrolled in this study. The providers had, on average, 8.31 appointments per day during the reporting periods. The providers received, on average, 21.93 messages per day, and they spent 7.61 minutes on average in the time in In Basket per day metric and 1.84 minutes on average in the time in In Basket per appointment metric. The time for the providers to mark messages as done (turnaround time) was on average 11.45 days during the reporting period. Although the surgical group had, on average, approximately twice as many appointments per scheduled day, they spent considerably less connected time (based on almost all time metrics) than the medical group. However, the surgical group took much longer than the medical group to mark messages as done (turnaround time).

Conclusions

We observed a range of patterns with no consistent direction. There does not seem to be evidence of a “learning curve,” which would have shown a consistent reduction in time spent on the system over time due to familiarity and experience. While this study does not show how the included metrics could be used as predictors of providers’ satisfaction or feelings of burnout, the use trends could be used to start discussions about future Canadian studies needed in this area.
Updated Surveillance Metrics and History of the COVID-19 Pandemic (2020-2023) in the Middle East and North Africa: Longitudinal Trend Analysis
Authors: Soetikno Alan G , Lundberg Alexander L , Ozer Egon A , Wu Scott A , Welch Sarah B , Mason Maryann , Liu Yingxuan , Havey Robert J , Murphy Robert L , Hawkins Claudia , Moss Charles B , Post Lori Ann
Published: March 2024

Background

This study updates the COVID-19 pandemic surveillance in the Middle East and North Africa (MENA) we first conducted in 2020 with 2 additional years of data for the region.

Objective

The objective of this study is to determine whether the MENA region meets the criteria for moving from a pandemic to endemic. In doing so, this study considers pandemic trends, dynamic and genomic surveillance methods, and region-specific historical context for the pandemic. These considerations continue through the World Health Organization (WHO) declaration of the end of the public health emergency for the COVID-19 pandemic on May 5, 2023.

Methods

In addition to updates to traditional surveillance data and dynamic panel estimates from the original study by Post et al, this study used data on sequenced SARS-CoV-2 variants from the Global Initiative on Sharing All Influenza Data (GISAID) to identify the appearance and duration of variants of concern. We used Nextclade nomenclature to collect clade designations from sequences and Pangolin nomenclature for lineage designations of SARS-CoV-2. Finally, we conducted a 1-sided t test to determine whether regional weekly speed of COVID-19 spread was greater than an outbreak threshold of 10. We ran the test iteratively with 6 months of data from September 4, 2020, to May 12, 2023.

Results

The speed of COVID-19 spread for the region had remained below the outbreak threshold for 7 continuous months by the time of the WHO declaration. Acceleration and jerk were also low and stable. Although the 1- and 7-day persistence coefficients remained statistically significant and positive, the weekly shift parameters suggested the coefficients had most recently turned negative, meaning the clustering effect of new COVID-19 cases became even smaller in the 2 weeks around the WHO declaration. From December 2021 onward, Omicron was the predominant variant of concern in sequenced viral samples. The rolling t test of the speed of spread equal to 10 became entirely insignificant from October 2022 onward.

Conclusions

The COVID-19 pandemic had far-reaching effects on MENA, impacting health care systems, economies, and social well-being. Although COVID-19 continues to circulate in the MENA region, the rate of transmission remained well below the threshold of an outbreak for over 1 year ahead of the WHO declaration. COVID-19 is endemic in the region and no longer reaches the threshold of the pandemic definition. Both standard and enhanced surveillance metrics confirm that the pandemic had transitioned to endemic by the time of the WHO declaration.
The Impact of Parental Electronic Health Literacy on Disease Management and Outcomes in Pediatric Type 1 Diabetes Mellitus: Cross-Sectional Clinical Study (Preprint)
Authors: Hölgyesi Áron , Luczay Andrea , Tóth-Heyn Péter , Muzslay Eszter , Világos Eszter , Szabó Attila J , Baji Petra , Kovács Levente , Gulácsi László , Zrubka Zsombor , Péntek Márta
Published: March 2024

BACKGROUND

Despite the growing uptake of smart technologies in pediatric type 1 diabetes mellitus (T1DM) care, little is known about caregiving parents’ skills to deal with electronic health information sources.

OBJECTIVE

We aimed to assess the electronic health literacy of parents caring for children with T1DM and investigate its associations with disease management and children’s outcomes.

METHODS

A cross-sectional survey was performed involving 150 parent-child (8-14 years old with T1DM) dyads in a university pediatric diabetology center. Parents’ electronic health literacy (eHealth Literacy Scale [eHEALS]), general health literacy (Chew questionnaire and Newest Vital Sign [NVS]), and attitudes toward T1DM care (Parental Self-Efficacy Scale for Diabetes Management [PSESDM] and Hypoglycemia Fear Survey [HFS]) were investigated. Children’s treatment, HbA1c level, and quality of life (Pediatric Quality of Life Inventory Diabetes Module [PedsQL Diab] and EQ-5D-Y-3L) were assessed. Multiple linear regression analysis was performed to investigate the determining factors of 6-month average HbA1c.

RESULTS

Of the 150 children, 38 (25.3%) used a pen, 55 (36.7%) used a pen plus a sensor, 6 (4.0%) used an insulin pump, and 51 (34.0%) used an insulin pump plus a sensor. Parents’ average eHEALS score (mean 31.2, SD 4.9) differed significantly by educational level (P=.04) and the children’s treatment (P=.005), being the highest in the pump + sensor subgroup. The eHEALS score showed significant Pearson correlations with the Chew score (r=−0.45; P<.001), NVS score (r=0.25; P=.002), and PSESDM score (r=0.35; P<.001) but not with the children’s HbA1c (r=−0.143; P=.08), PedsQL Diab (r=−0.0002; P>.99), and EQ-5D-Y-3L outcomes (r=−0.13; P=.12). Regression analysis revealed significant associations of the child’s HbA1c level with sex (β=0.58; P=.008), treatment modality (pen + sensor: β=−0.66; P=.03; pump + sensor: β=−0.93; P=.007), and parents’ self-efficacy (PSESDM; β=−0.08; P=.001).

CONCLUSIONS

Significantly higher parental electronic health literacy was found in T1DM children using a glucose sensor. The electronic health literacy level was associated with parents’ diabetes management attitude but not with the child’s glycemic control. Studies further investigating the role of parental electronic health literacy in T1DM children managed at different levels of care and the local context are encouraged.
Examining Passively Collected Smartphone-Based Data in the Days Prior to Psychiatric Hospitalization for a Suicidal Crisis: Comparative Case Analysis (Preprint)
Authors: Jacobucci Ross , Ammerman Brooke , Ram Nilam
Published: March 2024

BACKGROUND

Digital phenotyping has seen a broad increase in application across clinical research; however, little research has implemented passive assessment approaches for suicide risk detection. There is a significant potential for a novel form of digital phenotyping, termed screenomics, which captures smartphone activity via screenshots.

OBJECTIVE

This paper focuses on a comprehensive case review of 2 participants who reported past 1-month active suicidal ideation, detailing their passive (ie, obtained via screenomics screenshot capture) and active (ie, obtained via ecological momentary assessment [EMA]) risk profiles that culminated in suicidal crises and subsequent psychiatric hospitalizations. Through this analysis, we shed light on the timescale of risk processes as they unfold before hospitalization, as well as introduce the novel application of screenomics within the field of suicide research.

METHODS

To underscore the potential benefits of screenomics in comprehending suicide risk, the analysis concentrates on a specific type of data gleaned from screenshots—text—captured prior to hospitalization, alongside self-reported EMA responses. Following a comprehensive baseline assessment, participants completed an intensive time sampling period. During this period, screenshots were collected every 5 seconds while one’s phone was in use for 35 days, and EMA data were collected 6 times a day for 28 days. In our analysis, we focus on the following: suicide-related content (obtained via screenshots and EMA), risk factors theoretically and empirically relevant to suicide risk (obtained via screenshots and EMA), and social content (obtained via screenshots).

RESULTS

Our analysis revealed several key findings. First, there was a notable decrease in EMA compliance during suicidal crises, with both participants completing fewer EMAs in the days prior to hospitalization. This contrasted with an overall increase in phone usage leading up to hospitalization, which was particularly marked by heightened social use. Screenomics also captured prominent precipitating factors in each instance of suicidal crisis that were not well detected via self-report, specifically physical pain and loneliness.

CONCLUSIONS

Our preliminary findings underscore the potential of passively collected data in understanding and predicting suicidal crises. The vast number of screenshots from each participant offers a granular look into their daily digital interactions, shedding light on novel risks not captured via self-report alone. When combined with EMA assessments, screenomics provides a more comprehensive view of an individual’s psychological processes in the time leading up to a suicidal crisis.
Dignity or Indignity of Labour: Tales of Child Labourers on a Nigerian Street
Authors: Jabaar Saheed Olanrewaju
Published: March 2024

This research delves into the nature, and socio-economic conditions of child labourers in Fagge Local Government Area, Kano State, Nigeria. Employing an Interpretative Phenomenological Analysis (IPA), the study aims at uncovering the root causes, characteristics, and potential solutions to child labor in the specified region. Four specific objectives guide the research: 1) identifying the causes of child labor, 2) understanding the nature of child labor, 3) exploring the socio-economic conditions of children engaged in labour, and 4) proposing strategies to eliminate child labour. The study, based on qualitative data gathered from ten child labourers in Fagge Local Government Area, reveals that extreme poverty and the pursuit of survival drive children into labor. Surprisingly, the participants derive a sense of dignity from their work, viewing it as a preferable alternative to begging or stealing. The findings also underscore the sacrifice of education for work, not due to a lack of awareness of its value, but rather stemming from the impoverished socio-economic conditions of parents. A critical revelation is the absence of statistical records and social intervention programmes on child labour in the study area, highlighting the need for increased public awareness, robust social interventions, and stringent law enforcement to combat the menace of child labour. This research contributes to the discourse on child labour in Nigeria, offering insights into the lived experiences of those directly affected and proposing holistic strategies for eradication.
The Effect of Cognitive Feedback on Improving Unity of Essays in Peer Review of English Expository Writing
Authors: Qu Xinjing
Published: March 2024

Drawing upon the peer scaffolding theory and the monitoring hypothesis, this study investigates how cognitive feedback during peer review sessions on the Peerceptiv platform affects the coherence of English expository essays. Specifically, it examines the impact of cognitive feedback on enhancing the integration of essays and the alignment between topic sentences and both the overarching topic and supporting examples. The findings reveal that cognitive feedback significantly contributes to the revision process by fostering greater unity within essays. It also enhances the connection between topic sentences and their respective topics and examples, thereby improving the overall relevance and quality of the essays.
Research on the Reform of the Course “Fundamental Principles of Engineering Structures” in the Context of School-Enterprise Cooperation and Integration of Production and Education
Authors: Bingyan Li , Chenxi Yong
Published: March 2024

The course “Fundamental Principles of Engineering Structures” is one of the compulsory courses for undergraduate students majoring in civil engineering, structural engineering, and bridge engineering. It mainly introduces the basic concepts, principles, and design methods of engineering structures. The course’s emphasis lies in the integration of theory and practice, aiming to enable students to acquire fundamental theoretical knowledge of engineering structures in the classroom and to consolidate this knowledge through practical activities such as experiments and design, thereby enhancing their comprehensive abilities. Therefore, the teaching reform of the course on fundamental principles of engineering structures should start with improving students’ practical abilities and strive to achieve organic integration of theory and practice. This paper explores how the teaching reform of the course should be conducted against the backdrop of course ideological and political education, mainly focusing on the integration of school-enterprise cooperation and production-education integration. Firstly, the author analyzes the current issues and challenges from the perspectives of school-enterprise cooperation and production-education integration, and then proposes corresponding measures for the reform of course teaching, including establishing a curriculum system in line with modern engineering practices, fully leveraging the role of teaching design, and stimulating students’ interest in learning, among others. It is hoped that this research can provide some reference and inspiration for developing relevant teaching reforms in the course of fundamental principles of engineering structures.
Определение технологических возможностей портального фрезерного станка с ЧПУ
Authors: Сахаров А.В.
Published: March 2024

Показано определение технологических возможностей портального фрезерного станка
по изготовлению модулей поверхностей деталей.
Propuesta cuasi-voluntarista del derecho internacional como derecho: grupos autocontenidos internacionales
Authors: Amador Magaña Diego Isaac , Gutiérrez López Eduardo Elías
Published: March 2024

Los Estados confederados proyectan la existencia de un doble sistema normativo: federal y local. Esto provoca el surgimiento de colisiones y contradicciones entre ambos sistemas, lo que se pensaría debería ser resuelto por el derecho internacional, atendiendo el principio de subsidiariedad, no obstante, esto no siempre es así, ya sea porque el derecho internacional no regule ese caso concreto o bien, porque el Estado en cuestión no haya otorgado su consentimiento y la respuesta no le sea vinculante. Estas reflexiones invitan a contrastar la naturaleza de las normas del derecho local y del derecho internacional, pues mientras que las primeras son asociativas, dado que no necesariamente requieren ser consentidas para ser vinculantes, las segundas, aparentemente, sí requieren el consentimiento de los Estados para que tengan efectos vinculantes. En este artículo pretendemos postular una posible solución al problema del conflicto entre los distintos órdenes normativos, partiendo desde una postura cuasi-voluntarista. Las obligaciones cuasi-voluntarias son aquellas que no surgen del consentimiento, pero tampoco completamente de los roles que tienen los Estados en el sistema internacional. Estas obligaciones nacen en el núcleo de grupos dominantes, a los que llamaremos grupos autocontenidos en el ámbito internacional, que tienen como rol la creación y socialización de las normas y obligaciones de derecho internacional, logrando que los otros grupos simplemente las sigan como si tuvieran un deber de hacerlo. Para ello, servirá como referencia el análisis del caso de las disimiles normas migratorias entre California y Texas dentro de Estados Unidos.
Controlling of Induction Motor
Authors: Bindhu Hima , Srikanth  , Manohar  , Nikhil Sai , Reddy Mr. CH. Shravan Kumar
Published: March 2024

Abstract: This paper describes how to use an Arduino Uno to regulate the speed of an induction motor and create an energyefficient, smooth control system. Due to their affordability and adaptability, induction motors are frequently utilized in industrial drives; nevertheless, the rangeof speed control available with stator control is limited. Controlling the firing angle and utilizing power electrical gadgets can help fix this issue. The goal is to use stator control to regulate the induction motor's speed. This hardware provides a signal to the microprocessor, which manages the power supply to the electronic devices. Through the use of an Arduino Uno to adjust the firing angle of a semiconductor power device, the motor's stator winding's terminal voltage canbe controlled
InsightStream: A Real-Time Perspective on Classroom Environment
Authors: Srivastava Shubhi , Manan Abdul , Krishnan Akshith , B Arvinda H , Khan Aslam Asgar
Published: March 2024

Abstract: Traditionally, understanding classroom environment relies on subjective observations and post-hoc surveys. "Insight Stream" proposes a paradigm shift, offering a real-time, data-driven perspective through machine learning-powered facial emotion detection. This project leverages AI to analyse student facial expressions during class, capturing the emotional undercurrents in real-time. By delving beyond spoken words, "Insight Stream" aims to: Quantify classroom engagement: Detect emotions like boredom, confusion, and excitement to gauge real-time student engagement and adapt teaching methods accordingly. Identify hidden anxieties: Uncover subtle cues of anxiety or discomfort that may go unnoticed, allowing for proactive support and personalized interventions. Optimize teaching delivery: Track shifts in emotional response to different teaching styles and materials, enabling instructors to fine-tune their methods for maximal impact. Foster well-being: Monitor overall emotional climate to ensure a positive and supportive learning environment, contributing to student well-being and academic success. "Insight Stream" goes beyond just observing the classroom - it delves into the hearts and minds of students, offering a real-time window into their emotional tapestry. This project holds immense potential to revolutionize teaching and learning, creating a dynamic and data-driven environment that caters to the holistic needs of every student.
Pythagorean Calc Aplication: Is It Effective in Mathematical Understanding Ability?
Authors: Lestari Puji , Ruhma Salwa Zakiyah
Published: March 2024

Understanding mathematics requires deep thinking to learn it meaningfully. However, empirically, many students face complex difficulties in understanding mathematical concepts. This study aimed to determine the quality of improvement before and after using the Pythagorean Calculator application and to find out the effectiveness of using the Calc application on the student's ability to understand mathematics. This research uses a quantitative approach with a quasi-experimental method. This study was conducted at one of the private MTs in Ciamis district, West Java, by taking samples using purposive sampling, namely Class VIII B in the 2023/2024 academic year with a total of 21 students. Data was collected through a high-level mathematical understanding ability test based on the Polya indicator. The results of the research show that the quality of improvement in mathematical understanding abilities after learning assisted by the Pythagorean Calc application on the Pythagorean theorem material with the level of difference is in the medium category. Using the Pythagorean Calc application is effective in improving mathematical understanding abilities and is classified as a strong effect category.