bluuebunny/crossref_metadata_2025 huggingface dataset:
Komposisi Tubuh
Authors: Hadza Roza Qoni
Published: June 2021

Zat gizi adalah senyawa dari makanan yang digunakan tubuh untuk fungsi fisiologis normal. Definisi yang luas ini mencakup senyawa yang digunakan langsung untuk produksi energi yang membantu dalam metabolisme (koenzim), untuk membangun struktur tubuh atau untuk membantu dalam sel tertentu. Suatu zat gizi sangat penting untuk organisme dalam kelangsungan siklus hidup dan terlibat dalam fungsi organisme. Berdasarkan jumlah yang dibutuhkan oleh tubuh, zat gizi terbagi ke dalam dua golongan, yaitu sebagai berikut:1.) Zat Gizi Makro adalah makanan utama yang membina tubuh dan memberi energi. Zat gizi makro dibutuhkan dalam jumlah besar dengan satuan gram (g). Zat gizi makro terdiri atas karbohidrat, lemak, dan protein.2.) Zat Gizi Mikro adalah komponen yang diperlukan agar zat gizi makro dapat berfungsi dengan baik. Zat gizi mikro dibutuhkan dalam jumlah kecil atau sedikit, tetapi ada di dalam makanan. Zat gizi mikro terdiri atas mineral dan vitamin.
HTN RESUME 2 Akhyar164
Authors: Amar Akhyar
Published: June 2021

Dapat dikatakan bahwa partai politik itu merupakan salah satu bentuk organisasi politik di luar struktur negara dan mempunyai posisi sebagai struktur antara (intermediatestructure) di antara suprastruktur pemerintahan negara dengan infrastruktur kehidupan bersama dalam masyarakat. Fungsi partai politik juga sangat penting dalam kegiatan bernegara, yang biasa dirumuskan sebagai: pertama, sarana komunikasi politik dan penyerap aspirasi politik; kedua, sarana sosialisasi politik dan pendidikan politik; ketiga, sarana rekrutmen politik; dan keempat, sarana pengatur dan peredam konflik dalam masyarakat.
Book Review: Black Aesthetic: Adorno, Arts, Emancipation
Authors: Wisesa Aji , Pandin Moses Glorino Rumambo
Published: June 2021

In his latest work entitled "Estetika Hitam: Adorno, Seni, Emansipasi", Goenawan Mohamad tries to dissect a problem in discussing works of art in Indonesia, which always discusses the meaning of art. Therefore, in his current work, Goenawan Mohamad discusses how a work of art can have a meaning, using the analysis of one of the thinkers from the Frankfurt School, namely Theodor Wiesengrand Adorno. It discusses how Adorno views the meaning of a work of art and why Adorno thinks about it by writing the background of Adorno's thought by telling his life story.
Step Length Estimation with Wearable Sensors Using a Switched-Gain Nonlinear Observer
Authors: Nouriani Ali , McGovern Robert A , Rajamani Rajesh
Published: June 2021

This paper focuses on step length estimation using inertial measurement units. Accurate step length estimation has a number of useful health applications, including its use in characterizing the postural instability of Parkinson’s disease patients. Three different sensor configurations are studied using sensors on the shank and/or thigh of a human subject. The estimation problem has several challenges due to unknown measurement bias, misalignment of the sensors on the body and the desire to use a minimum number of sensors. A nonlinear estimation problem is formulated that aims to estimate shank angle, thigh angle, bias parameters of the inertial sensors and step lengths. A nonlinear observer is designed using Lyapunov analysis and requires solving an LMI to find a stabilizing observer gain. It turns out that global stability over the entire operating region can only be obtained by using switched gains, one gain for each piecewise monotonic region of the nonlinear output function. Experimental results are presented on the performance of the nonlinear observer and compared with gold standard reference measurements from an infrared camera capture system. An innovative technique that utilizes three sensors is shown to provide a step length accuracy nearly equal to that of the four-sensor configuration.
Deep Affect: Using objects, scenes and facial expressions in a deep neural network to predict arousal and valence values of images
Authors: Parry George , Vuong Quoc
Published: June 2021

Images are extremely effective at eliciting emotional responses in observers and have been frequently used to investigate the neural correlates of emotion. However, the image features producing this emotional response remain unclear. This study sought to use biologically inspired computational models of the brain to test the hypothesis that these emotional responses can be attributed to the estimation of arousal and valence of objects, scenes and facial expressions in the images. Convolutional neural networks were used to extract all, or various combinations, of high-level image features related to objects, scenes and facial expressions. Subsequent deep feedforward neural networks predicted the images’ arousal and valence value. The model was provided with thousands of pre-annotated images to learn the relationship between the high-level features and the images arousal and valence values. The relationship between arousal and valence was assessed by comparing models that either learnt the constructs separately or together. The results confirmed the effectiveness of using the features to predict human emotion alongside their ability to augment each other. When utilising the object, scene and facial expression information together, the model classified arousal and valence to accuracies of 88% and 87% respectively. The effectiveness of our deep neural network of emotion perception strongly suggests that these same high-level features play a critical component in producing humans’ emotional response. Moreover, performance increased across all models when arousal and valence were learnt together, suggesting a dependent relationship between these affective dimensions. These results open up numerous avenues for future work, whilst also bridging the gap between affective Neuroscience and Computer Vision.
Asylum Claims based on Sexual Orientation: A Review of Psycho-legal Issues in Credibility Assessments
Authors: Selim Hedayat , Korkman Julia , Pirjatanniemi Elina , Antfolk Jan
Published: June 2021

The number of people seeking asylum based on their sexual orientation is expected to continue increasing. Assessing the credibility of such claims to determine whether asylum-seekers meet the criteria for refugee status is a complex task for asylum officials. These assessments involve several psychological aspects, affecting applicants’ disclosure and asylum officials’ determinations. Here, we present a narrative literature review of 47 original manuscripts to analyze credibility assessments in asylum claims based on sexual orientation. We demonstrate that asylum officials often make assumptions regarding human sexuality, sexual identity formation and sexual behavior that are either partially or entirely unsupported by psychological research. These assumptions are problematic as they undermine the validity of the asylum process and put vulnerable individuals at risk of severe harm. The challenges are aggravated in the cross-cultural context of asylum determinations, where applicants from different countries may manifest their sexual orientation in ways that deviate from Western expectations. We discuss the implications of our review’s findings for psychological research and asylum practice.
The reduction of human development gap in origin and new regency in Eastern Indonesia
Authors: Panjawa Jihad Lukis , Samudro Bhimo Rizky
Published: June 2021

Inequality still becomes popular issue in the establishment of developing countries. Aside from the income inequality, the human development inequality is considered as an interesting topic for further study, in terms of resuming the solution. The purpose of this study is considered as specific in identifying the human development gap between origin and new regencies in Eastern Indonesia as well as the determinant. This study uses a positivist perspective with a deductive approach. Secondary data with cross-section types used in this study covers regencies and cities in Eastern Indonesia. This study uses the econometrics methodology using regression analysis with a dummy variable. The results showed there were differences in human development index between origin and new regencies in Eastern Indonesia. The human development index in the new regency is lower than in the origin regency. The results support the Myrdal’s Theory, which explains the gap in human development disparities among regions due to the significant backwash effects. Fiscal decentralization has a role in reducing the gap in human development in origin and new regencies, yet insignificant for the economic growth. Poverty lowers the impact on increasing human development in the origin regencies but does not occur in the new regencies.JEL Classification  H30; I32; O15
Gender preference on the quality of landscape aesthetic of urban agriculture
Authors: Hastuti Diah Retno Dwi , Darma Rahim , Salman Darmawan , Santosa Slamet , Martosenjoyo Triyatni , Dungga Novaty Eny
Published: June 2021

In addition to providing food benefits, urban agriculture also has aesthetic benefits. Therefore, a visual assessment of the urban agricultural landscape can be used to measure this aesthetic value. Gender preference is also carried out to see differences in visual assessment. This research was conducted in Makassar City using primary data with 129 respondents consisting of 53 people who had never been to Makassar and 76 people who had been/lived in Makassar. The aesthetic assessment of agricultural landscapes in Makassar City used the Scenic Beauty Estimation (SBE) method with a perceptual dimension. The results showed that the most beautiful urban agricultural landscapes had a high level of preference, namely in various plant gardens and verticultural hydroponic systems. Furthermore, the highest SBE score as a potential attraction was shown by male respondent who had never been to Makassar. Possible urban agricultural landscape resources should receive special attention by arranging them neatly and cleanly so that they have high artistic value to provide beauty and comfort for visitors.JEL Classification:  C00; O13; Q19
Advanced Trainee-Led Physician Clinical Examination Workshop: Improving Training and Culture
Authors: Puri Prianka , Puri Prianka , Kennard Alice , Williamson Luke , Swaminathan Ashwin
Published: June 2021

Background: Near-to-peer teaching involves more experienced learners acting as tutors for junior colleagues and has significant theoretical benefits for both teachers and learners [1-3].
Aim: Development, implementation, and assessment of a weekend examination preparation workshop by Royal Australasian College of Physicians Advanced Trainees (ATs) for Basic Physician Trainees (BPTs), using a near-to-peer framework.
Methods: A two-day offsite course was designed by ATs. Day 1 - subspecialty short-case demonstrations, followed by small-group examination practice. Shared downtime was organized for the evening. Day 2 - two exemplar long-case presentations by ATs with consultant examiner feedback, followed by interactive small-group sessions focusing on presenting long-cases.
Results: A post-course survey was completed by 72% of BPTs (13/18) and 88% of ATs (8/9). Responses demonstrated that all BPTs would recommend this workshop to peers. 84% (11/13) found the course material very useful. 62% (5/8) ATs felt their leadership and teaching skills had significantly improved. BPTs reported that the AT long-case demonstrations were highly useful. Negative feedback included the venue, course timing, and lack of patients with clinical signs.
Conclusion: This innovative AT-led examination preparation workshop significantly enhanced training culture and candidate well-being. ATs benefited with increased confidence in their ability to lead and teach.
Tinjauan Sosiologi Sastra dalam Novel Hafalan Shalat Delisa Karya Tere Liye dan Relevansinya terhadap Pembelajaran Sastra di SMA
Authors: Nilawijaya Rita , Awalludin Awalludin
Published: June 2021

Tujuan penelitian ini adalah untuk mendeskripsikan struktur pembangun novel, aspek moral dalam novel Hafalan Shalat Delisa karya Tere Liye, dan relevansinya terhadap pembelajaran sastra di SMA. Metode penelitian yang digunakan adalah metode deskriptif kualitatif. Objek penelitian ini adalah aspek moral. Sumber data dalam penelitian ini adalah novel Hafalan Shalat Delisa karya Tere Liye. Teknik pengumpulan data menggunakan teknik pustaka, simak, catat, dan wawancara. Teknik analisis data menggunakan teknik dialektika. Hasil penelitian menunjukkan bahwa (1) analisis struktural menghasilkan tema novel ini adalah pantang menyerah, sabar, dan tabah. Alur yang digunakan adalah alur maju (progresif). Tokoh utama bernama Delisa dan tokoh tambahan yaitu Ummi Salamah, Kak Fatimah, Kak Aisyah, Kak Zahra, Abi Usman, Koh Acan, Ustadz Rahman, Ibu Guru Nur, Sersan Ahmed, Prajurit Smith/Salam, Suster Shopi, Tiur, Umam, dan Kak Ubai. Latar tempat dalam novel ini berlokasi di Lhok Nga, kapal induk, dan rumah sakit. Latar waktunya terjadi antara tahun 2004 sampai dengan 2005. Latar sosial meliputi kebiasaan hidup, tradisi, dan keyakinan dalam beragama; (2) aspek moral dalam novel Hafalan Shalat Delisa meliputi kejujuran, nilai-nilai otentik, tanggung jawab, kemandirian, serta moral realistik dan kritis. Kemudian, (3) hasil penelitian ini memiliki relevansi terhadap pembelajaran sastra di SMA yang ditunjukkan dengan adanya materi tentang nilai moral dalam novel sebagai bagian dari pendidikan karakter yang harus dipelajari oleh siswa.
Unsur Eksternal Wacana pada Film Bertemakan Wabah Virus
Authors: Rukiyah Siti , Sari Mardiana , Puspita Yenny
Published: June 2021

Tujuan penelitian ini adalah untuk memperoleh pemahaman yang mendalam tentang unsur eksternal wacana pada film bertemakan wabah virus. Film yang bertemakan wabah virus yang dijadikan objek penelitian berjudul Contagion. Penelitian deskriptif kualitatif ini menggunakan metode analisis wacana dengan analisis isi kualiitatif. Pengumpulan data menggunakan teknik dokumentasi melalui studi pustaka. Langkah-langkah yang digunakan dalam menganalisis unsur eksternal wacana pada film bertemakan wabah virus sebagai berikut: 1) menonton film berjudul Contagion  secara cermat dan berulang-ulang agar dapat memahami isi dan maknanya, lalu membuat sinopsis dari film tersebut, 2) mencatat kutipan-kutipan teks, 3) menganalisis unsur eksternal wacana dalam kutipan teks film, 4) membahas dan menginterpretasikan hasil penelitian yang diperoleh, 5) merumuskan dan menarik kesimpulan, dan 6) menyusun laporan hasil penelitian. Keabsahan data penelitian dengan cara member check, kecermatan, dan kecukupan teori yang berhubungan dengan objek penelitian. Hasil penelitian menunjukkan bahwa unsur eksternal yang membangun wacana pada film The Contagion yaitu memiliki 12 implikatur dengan rincian 11 data merupakan implikatur percakapan atau dapat dikatakan implikatur konvensional dan 1 data implikatur nokonvensional, yaitu implikatur yang harus menarik kesimpulan berdasarkan fenomena atau situasi tertentu, lalu ada 5 data praanggapan yang termasuk dalam jenis faktif, 1 data jenis eksistensial, 5 data jenis konterfaktual dan 2 data nonfaktif, kemudian pada konteks ditemukan 9 data konteks fisik dan 4 data konteks sosio-psikologis.
JUDICIALIZATION OF HEALTH IN THE WESTERN AMAZON
Authors: Silva Layde Lana Borges da , Coutinho Isabela Esteves Cury , NANTES ROSALINA ALVES , Vieira Everson da Silva , Prado Karina Rocha , Manoel Maria Janina da Silva
Published: June 2021

The present work addresses the theme of health judicialization and its impacts within the budget. It analyzes the financial effects of court decisions in the Municipal Health Secretariat of Porto Velho, capital of the state of Rondônia. As a temporal delimitation, the period between the years 2014 to 2017 was taken into account. The paper goal is to examine the judicialization phenomenon and which impacts it brings to the administrative scope. The research has a bibliographic and documentary nature, consulting scientific articles, books, websites and especially transparency portals of the entities that institute and gather data on the budget execution of the health area in the Municipality of Porto Velho. The study works with a qualitative approach on the budget, related to the resources that are provided by the municipality of Porto Velho. It is concluded that the financial, structural and intellectual planning is essential for the municipal entity to be able to implement the fundamental social rights to health, as well as the related public policy, which is often affected by excessive judicialization.
Epidermodysplasia Verruciformis acquired in an HIV-positive patient
Authors: Travassos Marcela Vasco , Sandini Estela Mari , Toiello Julia Fogaça , Junior Udenilson Nunes da Silva , Alves Gabriela Rodrigues , Baldo Mario Eduardo , Asato Marcel Arakaki , Takita Luiz Carlos , Ramalho Rondon Tosta
Published: June 2021

The disease epidermodysplasia verruciformis is a rare genodermatosis, autosomal recessive in most cases, characterized by susceptibility to infection by types of HPV of the genus β (EV-HPV) that do not occur in immunocompetent clinics. With the increased survival of immunosuppressed patients, especially with AIDS, a form of the disease called epidermodysplasia verruciformis acquired from a clinician similar to the genetic disease has been reduced, but challenging to manage, since an antiretroviral therapy leads to a cutaneous one, making patients more resistant to any treatment modality.
SINTESIS LAPISAN TIPIS TiO2:(F+In) PADA SUBSTRAT KACA DENGAN METODE SPIN-COATING SEBAGAI BAHAN SEL SURYA
Authors: Rizaldi Dedi Riyan , Doyan Aris , Susilawati Susilawati
Published: June 2021

ABSTRAKTelah dilakukan penelitian sintesis lapisan tipis TiO2 dengan doping campuran Fluorin dan Indium. Tujuan penelitian ini untuk menghasilkan lapisan tipis yang baik digunakan sebagai salah satu komponen pada sel surya yaitu lapisan absorben. Sintesis lapisan tipis menggunakan metode spin-coating dengan bantuan alat centrifuge yang dimodifikasi. Penelitian ini dilaksanakan di Laboratorium Kimia Dasar dan Kimia Organik, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Mataram. Jenis penelitian ini adalah penelitian eksperimen murni dengan data dianalisis secara deskriptif. Proses sintesis lapisan tipis terdiri dari beberapa tahapan yaitu 1). Persiapan substrat, 2). Pembuatan larutan sol-gel, 3). Deposisi lapisan tipis, dan 4). Pemanasan sampel lapisan tipis. Sampel lapisan tipis diberikan tiga perlakuan berbeda yang terdiri dari 1). Konsentrasi larutan, 2). Jumlah lapisan, dan 3). Variasi suhu pemanasan sampel. Berdasarkan penelitian yang sudah dilakukan didapatkan bahwa semakin besar konsentrasi doping yang digunakan maka semakin gelap permukaan sampel lapisan tipis yang dihasilkan. Kata kunci: sintesis lapisan tipis; TiO2:(F+In); metode spin-coating; sel surya. ABSTRACTResearch on the synthesis of TiO2 thin films with doping mixture of Fluorine and Indium has been carried out. The aim of this research is to produce a thin film which is suitable for use as a component of solar cells, namely the absorbent layer. Synthesis of thin films using the spin-coating method with the help of a modified centrifuge. This research was conducted at the Laboratory of Basic Chemistry and Organic Chemistry, Faculty of Mathematics and Natural Sciences, Mataram University. This type of research is pure experimental research with data analyzed descriptively. The thin layer synthesis process consists of several stages, namely 1). Substrate preparation, 2). Preparation of sol-gel solution, 3). Thin layer deposition, and 4). Heating the thin layer sample. The thin layer sample was given three different treatments consisting of 1). The concentration of the solution, 2). Number of layers, and 3). Variation in sample heating temperature. Based on the research that has been done, it was found that the greater the doping concentration used, the darker the surface of the resulting thin layer sample. Keywords: synthesis thin film, TiO2:(F+In), spin-coating method, solar cells
PENGEMBANGAN MOTION SENSOR EKSPERIMENT DALAM PROBLEM BASED LEARNING
Authors: Sabaryati Johri , Utami Linda Sekar , Zulkarnain Zulkarnain
Published: June 2021

ABSTRAKPenelitian ini bertujuan untuk : (1) Mengembangkan media motion sensor eksperimen (MSE) dalam problem based learning (PBL) yang layak digunakan.(2) Mengetahui kualitas motion sensor eksperimen (MSE) dalam problem based learning (PBL). Secara umum peneltian ini melalui 3 tahap utama, yaitu:  (1)studi pendahuluan, (2) pembuatan dan pengembangan produk, (3) dan evaluasi. Tahapan pertama dan kedua telah dilakukan,sedangkan tahap ketiga sudah dilakukan kegiatan validasi ahli. Kemudian juga telah dilakukan uji coba pada siswa kelas X MA NW Narmada. Berdasarkan hasil penelitian yang telah dilakukan,maka dapat disimpulkan sebagai berikut:(1) Berdasarkan hasil validasi ahli dapat disimpulkan bahwa produk motion sensor eksperimen (MSE) dalam problem based learning (PBL) yang telah dikembangkan telah layak untuk digunakan.(2) Berdasarkan hasil validasi ahli dapat disimpulkan bahwa modul motion sensor eksperimen (MSE) dalam problem based learning (PBL) yang telah dikembangkan telah layak untuk digunakan. Berdasarkan hasi luji coba diketahui bahwa produk hasil pengembangan dapat menumbuhkan karakter siswa dalam kategori baik. Kata Kunci: motion sensor eksperiment; PBL; karakter siswa ABSTRACTThis study aims to: (1) Develop experimental motion sensor media (MSE) in problem based learning (PBL) that is feasible to use. (2) Determine the quality of experimental motion sensor (MSE) in problem based learning (PBL). In general, this research goes through 3 main stages, namely: (1) preliminary study, (2) product manufacture and development, (3) and evaluation. The first and second stages have been carried out, while the third stage has carried out expert validation activities. Then a trial has also been carried out on class X MA NW Narmada students. Based on the results of the research that has been done, it can be concluded as follows: (1) Based on the results of expert validation, it can be concluded that the experimental motion sensor (MSE) product in problem based learning (PBL) that has been developed is feasible to use. (2) Based on the results Expert validation can be concluded that the experimental motion sensor module (MSE) in problem based learning (PBL) that has been developed is feasible to use. Based on the test results, it is known that the product developed can grow the character of students in the good category. Keywords: motion sensor experiment; PBL; student character
Measuring the Impact of Online Education on Academic Performance Amid COVID-19 with the Moderating Effect of Instructor
Authors: Fahim Syed Muhammad
Published: June 2021

The COVID-19 pandemic imposed a new order, another pace for humanity. More than ever, in pandemic times, education is called upon to be unique and to reinvent itself by seeking other possibilities through digital technologies in virtual learning environments. Therefore, it is essential to know the critical factors that affect academic performance during online education. This paper aims to present the effects of student characteristics, time management, and course load on online education. The main aim is to check the impact of online education on academic performance with the mediating effect of burnout and technology and the moderating effect. The data was collected from 313 students in Karachi, Lahore, Islamabad, and Peshawar’s reputable business schools, namely, IoBM, IBA, SZABIST, LUMS, IQRA University, and Institute of Management Sciences, and the data was analysed using PLS-SEM and SPSS. The result suggested that time management, course load, and student characteristics significantly impact online education. The result also indicates that burnout does not mediate the relationship between online education and academic performance. This study also investigated the role of technology and instructors as moderators between online education and academic performance. The result shows that the instructor’s role moderates the relationship, but technology has no impact on moderating this relationship.
Development of Catch-up TV Application on Internet TV Platform for RTSP/RTMP Streaming Protocol
Authors: Enriko I Ketut Agung
Published: June 2021

With the proliferation of video streaming services, now internet TV has become a popular service on the Internet. Catch-up TV is an attractive service in internet TV, where user who misses a live programme can watch it later. Meanwhile, not all streaming protocols, by default, are able to support catch-up TV application. This paper explains how to develop catch-up TV application in RTSP/RTMP streaming protocol, by doing shell-script programming and using Wowza streaming engine, on Linux-based streaming server. The research result has been implemented in UseeTV, one of the largest commercial internet TV service in Indonesia.
Breast pathology in adolescence
Authors: de Vasconcelos Gaspar Andreia , Melo Luís , Geraldes Fernanda , Belo Joana , Águas Fernanda
Published: June 2021

OBJECTIVE: Description of breast pathology in adolescents. METHODS: A retrospective descriptive study of adolescents who were referred to the Gynecology consultation of a tertiary pediatric hospital for suspected breast pathology, in the period from the 1st June 2011 to the 30th December 2018. RESULTS: One hundred and two female adolescents (11 to 18 years old) with suspected breast pathology were referred (6% of the motives for consultation), with confirmation in 58 (56.9%), who were included in the study. The reasons for referral were breast masses (66%), anomalies in breast size or symmetry (29%) and infection (5%). Of breast masses, the most frequent diagnosis was fibroadenoma (76%), followed by fibro-cystic pathology (18%). In most cases, a conservative approach was chosen, with clinical and imaging surveillance. Surgery was required in 29% of these cases. Anomalies in breast size and symmetry were observed in 17 adolescents. Two adolescents were submitted to symmetrization, after 18 years of age. Infectious and inflammatory pathology occurred in three cases: two mastitis and one retroareolar cyst. The approach consisted mainly of antibiotherapy. There were no cases of malignant breast disease. CONCLUSION: Lumps or breast masses are the most frequent breast pathology in adolescence, and in the majority of cases surveillance was recommended, as they are a mere sign of hormonal oscillations at this age. Objective examination and/or breast ultrasound are usually enough to make the diagnosis. The approach must be mainly conservative, since malignancy is extremely rare in this age group.
MDCT evaluation of synchronous breast carcinoma and other solid malignancies
Authors: El-Badrawy Adel
Published: June 2021

BACKGROUND: Multiple primary malignancies are two or more malignancies in an individual without any relationship between the tumors. The development of improved diagnostic techniques, increased survival of cancer patients and the growing life expectancy have all contributed to the increased frequency of this phenomenon. OBJECTIVE: The aim of this study is to review the multidetector computed tomography (MDCT) findings of synchronous breast carcinoma and other solid malignancies. METHODS: This retrospective study included 65 patients confirmed with diagnosis of synchronous breast carcinoma and other solid malignancies. CT scanning was performed using 128 MDCT in all patients. All one hundred-thirty malignancies underwent pathological evaluation. RESULTS: Out of 4120 patients with breast carcinoma; 65 patients were diagnosed with other synchronous primary solid malignancy. All one hundred-thirty malignancies were confirmed pathologically. Breast carcinoma detected in all 65 patients; of them metastatic breast carcinoma detected in 8 patients. Hepatocellular carcinoma was detected in 18 patients, Non-Hodgkin lymphoma (NHL) in 12 patients, endometrial carcinoma in 8 patients, uterine sarcoma in 3 patients, malignant mixed Müllerian tumor in one patient, ovarian carcinoma in 5 patients, renal cell carcinoma in 4 patients, thyroid carcinoma in 4 patients, gastric carcinoma in 2 patients, colonic carcinoma in 2 patients, ano-rectal carcinoma in one patient, hilar cholangiocarcinoma in 2 patients, malignant melanoma in 2 patients and bronchogenic carcinoma in one patient. CONCLUSIONS: Patients with breast carcinoma have a risk of other synchronous primary malignancy. So, careful preoperative examination is recommended to improve the patients’ prognosis. MDCT scanning is accurately imaging modality for evaluation of synchronous breast carcinoma and other solid malignancies. The aim of treatment in cancer patients should always be curative even in the presence of multiple malignancies.
Liver stiffness assessed by shear-wave elastography declines in parallel with immunoregulatory proteins in patients with chronic HCV infection during DAA therapy
Authors: Peschel Georg , Grimm Jonathan , Buechler Christa , Gunckel Manuela , Pollinger Kirstin , Aschenbrenner Elisabeth , Kammerer Sylvia , Jung Ernst-Michael , Haimerl Michael , Werner Jens , Müller Martina , Weigand Kilian
Published: June 2021

BACKGROUND: A rapid decline of liver stiffness (LS) was detected by non-invasive methods in patients with chronic hepatitis C (HCV) infection during treatment with direct-acting antivirals (DAA). OBJECTIVE: To investigate the influence of inflammation on LS. METHODS: We prospectively examined LS by sonographic shear-wave elastography in 217 patients during DAA therapy from treatment initiation (BL) to 12 weeks after end of therapy (SVR12). Demographic data, laboratory findings and serum levels of cytokines were determined. RESULTS: Values of LS decreased from 1.86 m/s to 1.68 m/s (p = 0.01) which was most pronounced in patients who had F4 fibrosis at BL (3.27 m/s to 2.37 m/s; p < 0.001). Initially elevated values of aminotransferases, ferritin, IgG (p < 0.001 each) and international normalized ratio (p < 0.003) declined, thrombocyte count (p = 0.007) increased. Correlations of these laboratory parameters with BL levels of LS measurement (LSM) were most apparent in patients with F1-F3 fibrosis. Tumor necrosis factor (TNF)-α (p = 0.031), interleukin (IL)-10 (p = 0.005) and interferon y inducible protein (IP)-10 (p < 0.001) decreased in parallel with LSM under DAA therapy and corelated with BL values. CONCLUSION: Decrease of systemic inflammatory parameters correlated with LSM under DAA therapy. We conclude that regression of LSM is attributable to the decline of inflammation rather than reflecting fibrosis.
Complex intuitionistic fuzzy Maclaurin symmetric mean operators and its application to emergency program selection
Authors: Ali Riaz , Abdullah Saleem , Muhammad Shakoor , Naeem Muhammad , Chinram Ronnason
Published: June 2021

Due to the indeterminacy and uncertainty of the decision-makers (DM) in the complex decision making problems of daily life, evaluation and aggregation of the information usually becomes a complicated task. In literature many theories and fuzzy sets (FS) are presented for the evaluation of these decision tasks, but most of these theories and fuzzy sets have failed to explain the uncertainty and vagueness in the decision making issues. Therefore, we use complex intuitionistic fuzzy set (CIFS) instead of fuzzy set and intuitionistic fuzzy set (IFS). A new type of aggregation operation is also developed by the use of complex intuitionistic fuzzy numbers (CIFNs), their accuracy and the score functions are also discussed in detail. Moreover, we utilized the Maclaurin symmetric mean (MSM) operator, which have the ability to capture the relationship among multi-input arguments, as a result, CIF Maclarurin symmetric mean (CIFMSM) operator and CIF dual Maclaurin symmetric mean (CIFDMSM) operator are presented and their characteristics are discussed in detail. On the basis of these operators, a MAGDM method is presented for the solution of group decision making problems. Finally, the validation of the propounded approach is proved by evaluating a numerical example, and by the comparison with the previously researched results.
ER rule classifier with an optimization operator recommendation
Authors: Wang Xiaoyan , Sun Jianbin , Zhao Qingsong , You Yaqian , Jiang Jiang
Published: June 2021

It is difficult for many classic classification methods to consider expert experience and classify small-sample datasets well. The evidential reasoning rule (ER rule) classifier can solve these problems. The ER rule has strong processing and comprehensive analysis abilities for diversified mixed information and can solve problems with expert experience effectively. Moreover, the initial parameters of the classifier constructed based on the ER rule can be set according to empirical knowledge instead of being trained by a large number of samples, which can help the classifier classify small-sample datasets well. However, the initial parameters of the ER rule classifier need to be optimized, and choosing the best optimization algorithm is still a challenge. Considering these problems, the ER rule classifier with an optimization operator recommendation is proposed in this paper. First, the initial ER rule classifier is constructed based on training samples and expert experience. Second, the adjustable parameters are optimized, in which the optimization operator recommendation strategy is applied to select the best algorithm by partial samples, and then experiments with full samples are carried out. Finally, a case study on a turbofan engine degradation simulation dataset is carried out, and the results indicate that the ER rule classifier has a higher classification accuracy than other classic classifiers, which demonstrates the capability and effectiveness of the proposed ER rule classifier with an optimization operator recommendation.
Acceptance of long-term care from intelligent robots: A study of attitudes among the elderly in China
Authors: Zhang Zehao , Zhang Sifeng , Xie Linling
Published: June 2021

BACKGROUND: China has the world’s largest elderly population, as well as the largest population of disabled elderly. Existing literature shows that there have been increased efforts to develop intelligent robots to address the shortage of caregivers for the elderly. However, there has been little research on elders’ acceptance of care from intelligent robots. AIMS: The purpose of this study was to examine the acceptance of intelligent robots among disabled elderly in need of long-term care. METHODS: We used structured questionnaires and interview methods during a social survey. In total, 3060 questionnaires and 50 interviews were collected. RESULTS: An overwhelming majority of the 3060 participants (79.39%) indicated that they would reject robot care. DISCUSSION: Future research should consider the background of the interviewees and the influence of the economy and social development across different regions, in order to distinguish the impact of each type of basic information on the acceptance of intelligent machines by the elderly. CONCLUSIONS: Most elderly adults were reluctant to allow robots to provide services that involved physical contact. Therefore, the development and design of robots should consider elderly individuals’ attitudes toward non-human services, in addition to broadening the scope of activities that intelligent robots could cover, and providing intelligent tools and products that the elderly would be more likely to gradually accept.
Study on the application and teaching strategy of multimedia technology in music teaching in colleges and universities
Authors: Ying Liu , Jiaxuan Li
Published: June 2021

The development of teaching technology and the application of modern teaching means is one of the important standards of educational modernization. Multimedia technology is an important part and manifestation of the application of modern educational technology. Modern teaching means participate in music teaching, which bring vitality to the reform and development of traditional teaching. With the popularization of multimedia in music teaching, there are many problems in understanding and classroom design. Whether it is reasonable to use multimedia in music teaching is of great significance to perfect the theory of music teaching and standardize the construction of music subject. With music teaching in colleges and universities as the research subject, this paper analyzes the application and teaching strategies of multimedia technology in the music teaching in colleges and universities, which improves students in colleges and universities continuously in the new atmosphere of science and technology teaching and in combination with the specific teaching environment.
A study of English teaching based on the effectiveness of the cultivation of vocational technical talents
Authors: Hu Lin , Su Zheqian
Published: June 2021

As a big country of population and strong education, the importance of education is self-evident. Especially in recent years, with the deepening of the reform of education system and quality education, the demand of the society for the application-oriented and skilled talents is increasing, which greatly promotes the development of higher vocational education. The main goal of higher vocational education is to cultivate students with professional skills and vocational ability, and the employment quality and employment rate of students are the important standards to measure the quality of higher vocational education. For higher vocational English, it has stronger applicability, so constructing a scientific and reasonable teaching mode based on vocational ability is quite necessary, which can effectively cultivate students’ practical ability and promote the effectiveness of classroom teaching. This paper makes an in-depth analysis and discussion on the occupation skill-oriented vocational English teaching mode, and according to the needs of professional talents in higher vocational education in our country, the author deeply studies the existing problems in the teaching of English in contemporary society and solves them actively, so that the English teaching in higher vocational colleges in China can achieve better results.
Study on problems and countermeasures of ideological and political teaching in colleges and universities under the background of new media era
Authors: Honglan Li , Wu Rong
Published: June 2021

At present, with the continuous improvement and rapid development of the socialist market economy in China, especially the sudden rise of electronic information technology, the new communication tools are changing with each passing day. In this process, new media information technology, with its unique advantages, “broke” into the vision of modern people, participated in and influenced people’s way of life, behavior habits and social operation, and brought the development of human society into a new stage, the new media age. In today’s era, the new media has been developing rapidly in terms of technology and content, and its content is timeliness and interesting. It matches the characteristics of contemporary college students in pursuit of freshness and individuality, so that it has won the general favor of college students. However, when the new media information technology affects and permeates all aspects of the University, the ideological and political education of college students does not seem to keep pace with the times. Because of the lack of experience, many colleges and universities have not integrated the new media information technology with the ideological and political education of college students, but simply turn the original paper into a web page, ignore the readability and dissemination of the content, resulting in the poor practical effect of education, and then a series of real problems urgently to be solved. Therefore, this paper makes a detailed summary of the problems and Countermeasures of the current new media and college students’ Ideological and political teaching, aiming at arousing people’s attention to the political and ideological education of college students in the new media era, and providing suggestions for the use of new media information technology to promote the development of College Students’ Ideological and Political Education under the information age.
Open-Label Evaluation of Eteplirsen in Patients with Duchenne Muscular Dystrophy Amenable to Exon 51 Skipping: PROMOVI Trial
Authors: McDonald Craig M. ,   on behalf of the the Italian DMD Telethon Registry Study Group, Leuven NMRC Registry Investigators, CINRG Duchenne Natural History Investigators, and PROMOVI Trial Clinical Investigators, Shieh Perry B. , Abdel-Hamid Hoda Z. , Connolly Anne M. , Ciafaloni Emma , Wagner Kathryn R. , Goemans Nathalie , Mercuri Eugenio , Khan Navid , Koenig Erica , Malhotra Jyoti , Zhang Wenfei , Han Baoguang , Mendell Jerry R.
Published: June 2021

Background Eteplirsen received accelerated FDA approval for treatment of Duchenne muscular dystrophy (DMD) with mutations amenable to exon 51 skipping, based on demonstrated dystrophin production. Objective To report results from PROMOVI, a phase 3, multicenter, open-label study evaluating efficacy and safety of eteplirsen in a larger cohort. Methods Ambulatory patients aged 7–16 years, with confirmed mutations amenable to exon 51 skipping, received eteplirsen 30 mg/kg/week intravenously for 96 weeks. An untreated cohort with DMD not amenable to exon 51 skipping was also enrolled. Results 78/79 eteplirsen-treated patients completed 96 weeks of treatment. 15/30 untreated patients completed the study; this cohort was considered an inappropriate control group because of genotype-driven differences in clinical trajectory. At Week 96, eteplirsen-treated patients showed increased exon skipping (18.7-fold) and dystrophin protein (7-fold) versus baseline. Post-hoc comparisons with patients from eteplirsen phase 2 studies (4658-201/202) and mutation-matched external natural history controls confirmed previous results, suggesting clinically notable attenuation of decline on the 6-minute walk test over 96 weeks (PROMOVI: –68.9 m; phase 2 studies: –67.3 m; external controls: –133.8 m) and significant attenuation of percent predicted forced vital capacity annual decline (PROMOVI: –3.3%, phase 2 studies: –2.2%, external controls: –6.0%; p < 0.001). Adverse events were generally mild to moderate and unrelated to eteplirsen. Most frequent treatment-related adverse events were headache and vomiting; none led to treatment discontinuation. Conclusions This large, multicenter study contributes to the growing body of evidence for eteplirsen, confirming a positive treatment effect, favorable safety profile, and slowing of disease progression versus natural history.
Prevention measures and risk factors for COVID-19 in Iranian workplaces
Authors: Malekpour Fatemeh , Ebrahimi Hossein , Yarahmadi Rasoul , Mohammadin Yousef , Kharghani Moghadam Seyed Melika , Soltanpour Zahra
Published: June 2021

BACKGROUND: Exposure to the coronavirus (COVID-19) in industrial workplaces has caused concerns all over the world. Implementation of prevention measures is the best solution for protection of workers’ health. OBJECTIVE: The present study investigated prevention measures and risk factors for the COVID-19 infection in Iranian small, medium, and large industries. METHODS: This study was conducted on 349 occupational health, safety, and environment professionals working in different industries. Data was collected using a checklist of prevention measures for COVID-19 and a questionnaire of risk factors for the infection. RESULTS: The results demonstrated that 32.60% of industries reported positive cases of COVID-19. The mean of prevention measures in all the dimensions, except use of personal protective equipment (PPE), was in favorable status. Among prevention measures against COVID-19, the dimensions of education, engineering controls, use of PPE, use of hand washing soap and disinfectant, and physical distance were not significantly different among small, medium, and large industries. However, administrative controls were statistically lower in small and medium industries compared to the large industries. Moreover, screening was statistically lower in small industries than in large industries. The mean risk factors of ventilation, use of common tools and equipment, and physical distance as well as total risk factors were not statistically different among different industries. CONCLUSION: Workers are at risk of COVID-19 infection. The risk factors of ventilation, sharing tools and equipment, and physical distance are critical in classification of risk of infection with COVID-19 in industrial settings.
Analysis on the difference of college teachers’ professional pressure and strategies to improve teachers’ mental health under the expectancy theory
Authors: Liang Xiao , Bautista Oscar O.
Published: June 2021

BACKGROUND: Professional pressure is one of the most concerned issues in society. Teachers are a group of people with greater professional pressure. The pressure sources include students, schools and society. OBJECTIVE: This exploration aims to explore the professional pressure and mental health of college teachers. METHOD: Based on the expectancy theory, the professional pressure and mental health of different college teachers are investigated. The overall steps are as follows: the determination of topic, questionnaire design, questionnaire distribution and recovery, questionnaire data analysis to obtain results, as well as countermeasure analysis based on the results. RESULTS: The investigation suggests that the sores of college teachers’ work pressure load, family life pressure, interpersonal pressure, physical and mental pressure, leadership and organizational factors pressure, career development pressure, scientific research, and professional title pressure are high. From senior to elementary, the pressure of teachers increases first and then decreases. The professional development pressure of liberal arts teachers is significantly higher than that of science teachers and engineering teachers (P < 0.05). Among science and engineering teachers, the professional development pressure of science teachers is relatively high. Men have better mental health than women (P < 0.05). Unmarried teachers have the best mental health status, followed by married and finally divorced (P < 0.05). The mental health of senior and elementary teachers is significantly better than that of sub-senior teachers and intermediate teachers (P < 0.05). CONCLUSION: The investigation on professional pressure and mental health of college teachers can contribute to the related problem solving in China, as well as enrich the content of relevant fields in China.