bluuebunny/crossref_metadata_2025 huggingface dataset:
Nghiên cứu nồng độ Albumin và Bilirubin máu cuống rốn ở trẻ sơ sinh non tháng có vàng da tăng Bilirubin gián tiếp
Authors: Nguyễn Bình
Published: April 2023

Đặt vấn đề: Khoảng 80% trẻ sinh non có vàng da tăng bilirubin gián tiếp trong tuần
đầu sau sinh. Sàng lọc sớm vàng da cho trẻ bằng cách xét nghiệm mẫu máu cuống
rốn đang là cách thức tiếp cận khả thi, rẻ và không xâm lấn. Vì vậy, nghiên cứu được
thực hiện với mục tiêu: mô tả một số mối liên quan giữa nồng độ albumin, bilirubin và
tỷ bilirubin/albumin máu cuống rốn với đặc điểm chung và phân loại vàng da ở trẻ sơ
sinh non tháng.
Đối tượng, phương pháp: Nghiên cứu mô tả cắt ngang với cỡ mẫu toàn bộ bao
gồm tất cả trẻ sơ sinh non tháng < 37 tuần được sinh ra tại Bệnh viện Trường Đại học
Y - Dược Huế từ tháng 4/2018 đến tháng 8/2020. Trẻ được xét nghiệm albumin và
bilirubin máu cuống rốn ngay sau sinh, có vàng da trong thời gian nằm viện. Thu thập
thêm các thông tin tiền sử, bệnh sử của mẹ và con vào phiếu nghiên cứu.
Kết quả: Có 176 trẻ non tháng với tỷ lệ nam/nữ là 1,26/1, tuổi thai trung bình là
34,5 ± 1,4 tuần, cân nặng lúc sinh trung bình là 2190,0 ± 425,5 gram, 83% trẻ có cân
nặng tương đương tuổi thai. Nồng độ albumin máu cuống rốn (CBA) là 3,44 ± 0,35
g/l, nồng độ bilirubin máu cuống rốn là 1,77 (1,50 - 2,01) mg/dl, tỷ bilirubin/albumin là
0,52 (0,42 - 0,60). Có sự khác biệt giữa nồng độ bilirubin máu cuống rốn và tỷ bilirubin/
albumin với tuổi thai, cân nặng lúc sinh và phân loại vàng da của trẻ (p < 0,05).
Kết luận: Ở trẻ sơ sinh non tháng, trẻ vàng da bệnh lý có nồng độ bilirubin và tỷ
bilirubin/albumin máu cuống rốn cao hơn nhóm trẻ vàng da sinh lý.
Từ khóa: Vàng da sơ sinh, non tháng, albumin máu cuống rốn, bilirubin máu cuống
rốn, tỷ bilirubin/albumin
NGHIÊN CỨU ĐẶC ĐIỂM MÔ BỆNH HỌC VÀ SỰ BỘC LỘ CỦA PD-L1
TRÊN BỆNH NHÂN UNG THƯ PHỔI KHÔNG TẾ BÀO NHỎ TẠI BỆNH VIỆN K
Authors: Trần Tươi
Published: April 2023

Mục tiêu: Mô tả đặc điểm mô bệnh học của một số típ ung thư biểu mô phổi không
tế bào nhỏ thường gặp. Xác định sự bộc lộ PD-L1 ở bệnh nhân ung thư phổi không tế
bào nhỏ và mối liên quan với típ mô bệnh học, một số yếu tố khác.
Đối tượng, phương pháp: 310 BN được chẩn đoán mô bệnh học là ung thư phổi
không tế bào nhỏ được sinh thiết u phổi hay mổ u phổi, xét nghiệm tại Trung tâm Giải
phẫu bệnh và Sinh học phân tử Bệnh viện K, từ tháng 1 năm 2019 đến tháng 5 năm
2020, nhuộm hóa mô miễn dịch với PD-L1 dòng kháng thể Dako PD-L1 IHC 22C3
pharmDx assay.
Kết quả: Ung thư biểu mô tuyến chiếm tỷ lệ cao nhất là 76,5%; ung thư biểu mô
vảy (12,0%). Các típ mô học khác chiếm tỷ lệ rất thấp. Trong nhóm ung thư biểu mô
tuyến thì ung thư biểu mô tuyến không xếp loại chiếm tỷ lệ cao nhất là 34,6%, típ nang
và típ đặc (24,5% và 23,2%). Tỷ lệ PD-L1 dương tính là 65,8%: dương tính thấp là
39,0%, dương tính cao là 26,8%. Ung thư biểu mô tuyến có tỷ lệ âm tính, dương tính
thấp, dương tính cao là 35,4%; 38,4%; 26,2%. Trong ung thư biểu mô vảy, tỷ lệ âm tính,
dương tính thấp, dương tính cao là 37,8%; 45,9%; 16,3%. Trong nhóm ung thư biểu mô
tuyến độ mô học càng cao thì tỷ lệ PD-L1 dương tính càng cao. Trong nhóm ung thư
biểu mô vảy, ung thư biểu mô vảy không sừng hóa PD-L1 dương tính cao hơn nhóm
ung thư biểu mô vảy sừng hóa. Không có mối liên quan về tỷ lệ PD-L1 với tuổi, giới.
Kết luận: Ung thư biểu mô tuyến, ung thư biểu mô vảy chiếm đa số. Ung thư phổi
không tế bào nhỏ có tỷ lệ dương tính với PD-L1 cao. Không có mối liên quan giữa tỷ
lệ PD-L1 với tuổi giới, có liên quan đến độ mô học của ung thư biểu mô tuyến và dưới
típ của ung thư biểu mô vảy.
Application Of Appropriate Technology Automation Systems For Making Martabak Manis Machine For Capacity Building In MSMEs In The Gresik Region
Authors: Nugroho Andianto Wahyu , Riyadi Slamet , Siswadi Siswadi , Setyono Gatot , Nugroho Wahyu
Published: May 2023

Martabak is a snack that is often sought after by the general public. Therefore, martabak is a commodity with prospects to develop as an industrial business. Martabak's selling business is one type of business that has the potential to be developed. So many business people are interested in selling this type of food. This business does not require significant capital but has a sizable profit known as bright moon. Sweet martabak has main ingredients, including flour, eggs, water, sugar, and leavening dough agent; there is also the addition of juice. The existence of this machine is expected to increase the quality and quantity of products because there are still many small entrepreneurs in the Gresik area who use traditional tools and carry out a moving process that takes quite a lot of time and effort. Hence, the author now makes a sweet martabak machine with a 25 kg/hour capacity to increase production, quality, and quantity with maximum results for MSMEs in the Gresik area.
Perancangan Alat Destilasi Limbah Ampas Tahu Menjadi Bahan Bakar Bioethanol Melalui Metode Quality Function Deployment (QFD)
Authors: Arifianto Deni , Suwondo Ampar Jaya , Abdullah M. Hasan , Octavia Chendrasari Wahyu , Hindratmo Astria , Purnamayudhia Onny
Published: May 2023

Fuel oil is experiencing an increase in demand in various sectors of life impacting the distribution process and meeting market needs. Bioethanol is a new and renewable energy with great potential to replace fuel oil. One alternative material for producing bioethanol is tofu dregs. Tofu dregs raw material processing can be done by distillation process. This study uses conventional distillation with the addition of components which are expected to produce bioethanol with good quality. The design of the distillation apparatus uses the QFD (Quality Function Development) approach. So the purpose of this study was to determine the technical characteristics of the bioethanol distillation system based on customer needs. The design of a bioethanol distillation apparatus made from Tofu Dregs using the QFD method resulted in several criteria for the device expected by the customer, including fast distillation time, amount of ethanol production, fermentation time, ergonomics, hydrolysis time, octane content and solution composition. The importance level of fast distillation time was 4.06, total ethanol production was 3.8, fermentation time was 3.67, ergonomic design was 3.63, hydrolysis time was 3.26, octane level was 3.21 and solution composition was 3.15. The resulting tool is capable of processing tofu dregs into bioethanol. The dimensions of the tool are 1264 mm in length, 1226 mm in width, and a total tool height of 1275 mm. The distillation apparatus is equipped with a set of vessels, condensers, coolers and heaters.
PEMBUATAN BANK SAMPAH SEBAGAI BANTUAN PEMBAYARAN PAJAK MASYARAKAT DESA PONCOWARNO KABUPATEN KEBUMEN
Authors: Marimin Marimin , Pratista Adham Mulia , Yuliyani Yuliyani , Nurafidah Erin Septiana , Dewi RA Ariesta Kartika , Subekti Flaneta Cyszera Bidadari , Kinayungan Zaidan Yusuf , Sofiana Atikah , Fitria Dian , Anjalika Nanda Febri
Published: May 2023

Kegiatan pembuatan Bank Sampah ini bertujuan untuk memberikan keringanan guna pembayaran pajak masyarakat Desa Poncowarno Kabupaten Kebumen. Kegiatan pengabdian dilaksanakan melalui metode  penyuluhan dengan sosialisasi, dan pelaksanaan kegiatan. Partisipasi dan antusiame warga dalam kegiatan cukup baik dan didukung oleh Kepala Desa serta perangkat Desa Poncowarno. Dampak dari adanya pelaksanaan pemberdayaan masyarakat melalui Bank Sampah Desa Poncowarno dapat dilihat dari aspek lingkungan, sosial, dan ekonomi. Aspek lingkungan dengan adanya Bank Sampah Desa Poncowarno dapat menciptakan lingkungan disekitar rumah warga menjadi lebih bersih, sehat, dan bebas dari sampah. Kegiatan bank sampah juga memberikan dampak pada aspek sosial yaitu menambah keakraban antara pengurus dan anggota. Dampak dari aspek ekonomi dengan adanya penabungan sampah di Bank Sampah yaitu memberikan penghasilan tambahan untuk membantu meringankan biaya Pajak Bumi Bangunan setiap tahunnya.
UPAYA PENINGKATAN PENGETAHUAN LANSIA TENTANG HIPERTENSI DI DESA ALUE KEUMANG KECAMATAN PANTE CERMIN KABUPATEN ACEH BARAT
Authors: Anwar Sufyan , Musnadi Jun , Marniati Marniati , Khairunnas Khairunnas , Murdani Ihsan
Published: May 2023

The aim of this program is to increase the knowledge of the elderly about the definition of blood pressure, hypertension, risk factors for hypertension, symptoms, impact and ways to prevent and treat hypertension. This activity is important to carry out because the distance between the village and the Public health center (Puskesmas) is about 5 km and the initial survey showed that more elderly people did not know about hypertension. Elderly (age ≥60 years) (18 people) and the volunteers of elderly integrated services post (Posyandu) (6 people) in Alue Keumang village were the targets of community service activities. Implementation on Sunday, 18th of September 2022  from 10.00 to 12.00 WIB at the village hall. The method used in carrying out the activity is lecture and discussion. The results showed that the enthusiasm of the participants to participate in education activity was very good. There was an increase in the participants' knowledge about hypertension, where some participants were able to answer correctly the questions posed by the presenter after the presentation was made compared to when the material was not delivered.
PELATIHAN PEMBUATAN MINUMAN JELLY HERBAL UNTUK MENURUNKAN TEKANAN DARAH PADA WARGA RT.08 RW.04 KELURAHAN GUNUNG ANYAR
Authors: Wasil Mohammad Wasil , Atika A Zummatul
Published: May 2023

Hipertensi adalah keadan dimana terjadi peningkatan tekanan darah sistolik di atas 140 mmHg dan tekanan darah diastolik di atas 90 mmHg diukur dalam keadaan istirahat (Aan, Ristina and Anna, 2017). Berdasarkan hasil pengambilan data melaui wawancara dan diperkuat oleh data sekunder yaitu data hasil pengecekan tekanan darah pada para warga dapat disimpulkan bahwa masalah kesehatan utama adalah hipertensi. Program yang direncanakan bertema Pelatihan Pembuatan Minuman Herbal Anti Hipertensi dan Cara Pemasaran, Program pelatihan pembuatan produk minuman, dimulai dengan pemeriksaan kesehatan (cek tekanan darah), pemaparan materi mengenai penyakit hipertensi, mempraktekkan pembuatan contoh produk minuman,  pemaparan materi mengenai cara memasarkan produk melalui media social, Kemudian sesi tanya jawab. Hasil dari pemeriksaan kesehatan didapatkan bahwa warga RT 08 RW 04 Kelurahan Gunung Anyar, tekanan darah mayoritas peserta dalam kategori hipertensi ringan tidak terlalu berat. Warga sangat antusias dan senang karena mendapatkan minuman herbal modern “JELSEMUN” untuk menurunkan hipertensi dan juga diajarkan bagaimana cara memanfaatkan peluang bisnis minuman herbal modern anti hipertensi “JELSEMUN”.
AN OVERVIEW OF FRAMING BEHAVIORS IN FINANCIAL DECISIONS
Authors: DerMesrobian Robert Mesrob K
Published: May 2023

Deciding is a difficult task. Things get tougher especially if the number of choices available is big. This may lead to people falling into decision-making biases which cause undesired outcomes. Financial decisions are also susceptible to biases. In this research work, I discuss the framing biases in financial decision-making. The topic is important to be discussed because the bad management of one’s financials causes drastic consequences not to the individual only, but to the society, the nation, and the world. After a thorough literature review basing on three financial decisions, savings – retirement planning – insurance purchasing, I present financial literacy as a solution for people to overcome their fears in falling into financial choice framing.
RECONSTRUCTION OF HOUSING DEVELOPMENT BUSINESS REGULATIONS BASED ON JUSTICE VALUE
Authors: Mashdurohatun Anis , Adib H. Farisal , Wahyuningsih Sri Endah , Sulistiyono Adi
Published: May 2023

The research background is that the deficit in the availability of houses or the backlog is still high. The backlog, which is still around 11.4 million units for residential needs, must be consistently realized by housing developers in the hope of consistent government subsidy assistance. The aim of the research is to analyze and find housing developer business regulations that are not based on justice values, to analyze and to find the reconstruction of housing developer business regulations that are based on justice values. The research method used in this study uses a constructivism paradigm (legal constructivism) which sees the truth of a legal reality as relative, applies according to a specific context that is considered relevant by social actors, with the Socio Legal Research approach method, because the research to be carried out is aimed at scientific research using systematic steps and controlled, careful and logical, objective and empirical and directed to the target to be solved. The research findings obtained are housing developer business regulations that are not based on values of justice, that the prevailing housing developer regulations show that the state is trying to build a framework for a fair system of relations at the system level, but in developing structures it has not fully provided equal opportunity. The service facilitation process and the resources needed have not been obtained by all parties. Reconstruction of housing developer business regulations based on the value of justice, namely the government does not ignore and pay attention to the aspirations of housing developers, especially in formulating government policies in various aspects of housing developer business regulation and taking into account the rights and compensation that housing developers must receive so that there is justice for housing developers, Norm reconstruction. Law of the Republic of Indonesia Number 1 of 2011 concerning Housing and Residential Areas, Regulation of the Minister of Home Affairs of the Republic of Indonesia Number 55 of 2017 concerning the Implementation of Permits and Non-Permits for Housing Development for Low-Income Communities in the Regions.
WORKING CAPITAL MANAGEMENT ON ECONOMIC GROWTH AND DEVELOPMENT: EMPHASIS FROM LISTED CONGLOMERATES FIRMS IN NIGERIA
Authors: Egolum  , Uchenna Priscilla , Nympha Aroh Nkechi , Onyekachi Nath Okeke
Published: May 2023

The study investigates the effect of working capital management on economic growth and development, with emphasis from listed conglomerates firms in Nigeria. Four objectives were employed with coverage of a ten-year period spanning from 2011 to 2020. Secondary data were used in the study with total population based on five (5) conglomerate firms listed on Nigerian Stock Exchange. The tests of the four null hypotheses were carried out using spearman rank correlation analysis and also employed panel least square (POLS) regression analysis. The result of the analyses revealed the following: Cash conversion cycle (Random effect = -0.03 (0.002)) has a negative significant influence on firm profitability. Inventory period (Random effect = 0.02 (0.262) has a positive insignificant influence on firm profitability. Current ratio (Random effect = 15.55 (0.002) also has positive but significant influence on firm profitability. Quick ratio (Random effect = -12.45 (0.035) has a negative significant influence on firm profitability. The study concludes that cash conversion cycle and quick ratio tend to decrease firm profitability while we provide evidence that current ratio improves firm profitability. The study recommends, among others, that Management of these conglomerates companies should advocate for policies that will enhance swift conversion of inventory to cash to improve firm profitability for economic growth and development in Nigeria.
An XMM-Newton View of the Symbiotic Stars HM Sge, NQ Gem, and PU Vul
Authors: Toalá 杜 Jesús A. 宇君 , Botello Marissa K. , Sabin Laurence
Published: May 2023

We present the analysis of archival XMM-Newton observations of the symbiotic stars HM Sge, NQ Gem, and PU Vul. The EPIC-pn spectra hint at the presence of emission lines, which are further confirmed in the first-order RGS spectra of the three sources. Spectral modeling of the EPIC-pn data discloses unprecedented characteristics; for instance, the best fit to the EPIC-pn spectrum of the β-type symbiotic star PU Vul reveals the presence of two-plasma components. We report the discovery of an extremely soft spectral component in the EPIC-pn spectrum of the β-type symbiotic star HM Sge, which we suggest is produced by periodic mass ejections such as jets. Consequently, we suggest that a simple β-type classification no longer applies to HM Sge. Finally, the spectrum of the β/δ-type symbiotic star NQ Gem cannot be fitted by a two-temperature plasma model as performed by previous authors. The model requires extra components to fit the 1.0–4.0 keV energy range. More sophisticated models to β/δ-type symbiotic stars are needed in order to peer into the accretion process from such systems.
Effect of Nonimmune Factors on Renal Prognosis in Adult IgA Vasculitis With Nephritis: A Long-Term Retrospective Cohort Study
Authors: Guan Yi , Liu Shaojun , Hao Chuan Ming , Lai Lingyun
Published: May 2023

Objective

Adult immunoglobulin A vasculitis (IgAV) is documented to be associated with more renal involvement and poorer renal outcomes compared to children, but adult IgAV nephritis (IgAV-N) data are rather limited. The present study aimed to describe the characteristics of adult IgAV-N and investigate the long-term prognostic factors.

Methods

Clinical and morphological data from 106 adult patients with biopsy-proven IgAV-N and follow-up data from 94 patients in a single Chinese center were analyzed in this retrospective study. Median follow-up time interval was 102 months.

Results

The median age of patients with IgAV-N at biopsy was 38 (IQR 24-53) years, and 52.8% were male. The median blood pressure was 126/80 mmHg, and 25.5% of patients were hypertensive at baseline. The median initial proteinuria was 1.4 (IQR 0.7-2.2) g/day and estimated glomerular filtration rate (eGFR) was 103 (IQR 84-121) mL/min/1.73 m2. The median time interval of onset to biopsy was 8 (IQR 3-40) weeks. In biopsy, the median percentage of global sclerosis was 5.9% (IQR 0.0-13.8), whereas 45.3% of patients had interstitial fibrosis and tubular atrophy. Further, during follow-up, 7.4% patients died, 4.3% patients progressed to endstage kidney disease (ESKD), and 6.4% patients developed > 30% eGFR reduction from baseline. Multivariate Cox proportional analyses revealed hypertension (HTN) history and > 10% global sclerosis at presentation were independent prognostic factors for poor outcome.

Conclusion

The present adult IgAV-N cohort revealed a relatively young onset age, and lower incidence of nephrotic syndrome and ESKD. Moreover, nonimmune factors such as history of HTN and renal chronic histological lesions in biopsy played a crucial role in prognosis of IgAV-N.
Introduction. Les théories naïves de la matière pendant l’enfance
Authors: Labrell Florence
Published: April 2023

Dans la première partie de l’introduction, les « théories naïves » seront présentées d’un point de vue historique. Il sera ainsi montré qu’à partir des classes logiques piagétiennes puis de la catégorisation, on considère aujourd’hui comment le jeune enfant attribue une « essence » aux objets pour définir leur identité et leur fonction (Wellman & Gelman, 1991). Dans une deuxième partie, les modèles explicatifs des origines et du développement des théories seront appréhendés pour le domaine de la matière, c’est-à-dire la biologie, et pour le domaine de la physique, concernant les phénomènes naturels. L’éducabilité de certaines notions biologiques (l’appartenance des végétaux au domaine du vivant) et physiques (la rotondité de la Terre) sera aussi évoquée dans une troisième partie. Dans une dernière partie, les cinq contributions au numéro thématique, relatives aux théories de la maladie et de la mort (par Florence Labrell), aux conceptions de l’alimentation (par Jean-Pierre Thibaut), aux connaissances enfantines de l’héritabilité génétique (par Andrzej Tarlowski), des mécanismes du cycle de l’eau et de la pluie (par Mesut Sackès, Sinem Güçhan Özgül et Kerem Avci) et de l’astronomie, à propos du cycle jour/nuit et de la forme de la Terre (par Valérie Frède) seront brièvement présentées.
Long-Term Care Staff Perspectives on the Care of Persons Living With Dementia During the COVID-19 Pandemic in São Paulo State, Brazil
Authors: de Melo Ruth Caldeira , Schutz Vivian , Wachholz Patrick Alexander , Villalonga-Olives Ester , Myer Deanna , Corazzini Kirsten , Lepore Michael
Published: May 2023

During the coronavirus disease 2019 (COVID-19) pandemic, the Brazilian long-term care (LTC) sector faced many challenges, which accentuated other common issues experienced by persons living with dementia (PLWD). The current pilot study evaluated staff perspectives regarding the care of institutionalized PLWD during the COVID-19 pandemic. Using an online survey, we collected the perspectives of 24 workers from seven long-term care facilities (LTCFs) located in São Paulo State, Brazil, about the impact of COVID-19 in caring for PLWD. Results highlight concerns about challenges related to following precautionary measures and the negative effects of social distancing on PLWD. Aspects related to workforce and staffing and person-centered care approaches were recognized by staff as important to provide good care for PLWD. Future research is needed to consider how to support LTCFs in achieving a balance between the protection and well-being of PLWD. [
Journal of Gerontological Nursing, 49
(5), 45–52.]
Arthroscopic Excision of Pigmented Villonodular Synovitis of the Trochanteric Bursa
Authors: Garrasi Antonio , Dodge George R. , Kelly John D.
Published: May 2023

Trochanteric bursitis is a common disorder affecting middle-aged adults and usually presents with lateral-based hip pain and swelling. It usually responds to conservative measures, including adductor stretching, abductor strengthening, and select injections of corticosteroid or platelet-rich plasma. For refractory cases, excision, open or arthroscopic, is usually recommended. We observed a 55-year-old woman who had lateral hip pain and longstanding swelling consistent with refractory trochanteric bursitis. Her persistent symptoms, coupled with atypical findings on imaging, prompted an arthroscopic evaluation. Arthroscopic examination of the peritrochanteric space revealed a fulminant bursal inflammation that pierced through the iliotibial band. The bursal inflammation was excised arthroscopically and biopsy of the tissue revealed a diagnosis of pigmented villonodular synovitis (PVNS). The patient had an uneventful recovery and had a full resolution of symptoms with no recurrence noted at 3-year follow-up. This is the first reported case of arthroscopic excision of PVNS of the trochanteric bursa. Given that it may mimic trochanteric bursitis, it is important for clinicians to be aware of the possibility of this progressive condition for appropriate clinical intervention. [
Orthopedics
. 2023;46(6):e381–e383.]
Faire partition à partir d’une œuvre radiophonique : la mise en partition de L’Escalier des aveugles de Luc Ferrari
Authors: Cohen Andrea
Published: April 2023

Comment mettre en partition une œuvre radiophonique ? Comment transcrire les événements sonores souvent hétéroclites qui la composent ? Comment les organiser sur une feuille de papier ? Si la notion de partition renvoie à l'idée de fixer la composition musicale par l'écrit, à l’aide de symboles codés, la partition d’une œuvre radiophonique se rapprocherait de celle d’une œuvre musicale sur support, où l’organisation des éléments sonores est rendue par transcriptions graphiques diverses. On peut, en effet, considérer que l’œuvre radiophonique est un cas particulier d’œuvre sur support, caractérisée par la prédominance du langage parlé et par la présence d’une dramaturgie propre, ce qui impose des formes de transcriptions spécifiques.J’aborde cette problématique, avec un double regard d’artiste sonore et auteure de pièces radiophoniques. Je prends comme étude de cas l'œuvre radiophonique de Luc Ferrari, L’escalier des aveugles, à partir de deux expériences de mise en partition : celle que j’ai entreprise moi-même, dans le cadre de mes recherches doctorales en musicologie et celle publiée par la Maison d’édition ONA en 2019.
Addressing America's Mental Health Crisis in Public Education
Authors: Albee Laura Jane
Published: May 2023

Nearly eight million American youth between the ages of 3 - 17 live with a psychiatric or behavioral health disorder. Many in grades K-12 are being unfavorably impacted in the classroom because of socioeconomic and environmental factors that include poverty, addiction, incarceration, trauma, domestic violence, homelessness, and mental illnesses. The problem has only intensified since Covid-19. The Individuals with Disabilities Education Act (IDEA) specifies that every child is deserving of a free and appropriate public education. The primary determinant for meeting eligibility requirements for services in the mental health system is the degree of emotional impairment determined by the assessment. However, educational functioning is considered a life domain. Public education does not consider this a primary factor in the treatment planning process. Consequently, the student demographic that IDEA once represented does not address the psychosocial needs presenting in our classrooms. Therefore, this chapter will explore the current behavioral health crisis impacting America's students.
Data Analytics With Selection of Tools and Techniques
Authors: G. Jayanthi , R. Purushothaman
Published: May 2023

Highway traffic profiling is an essential service for the deployment of intelligent transport system (ITS) in Chennai metropolitan city. Recently, a traffic sequence mining framework was developed for the prediction of traffic flow on highways. Real-time traffic flow rate of the state highway SH-49 was collected under the authority and supervision of Tamil Nadu Road Development Corporation (TNRDC). The objective of this investigation is to deploy electronic traffic profiling with all essential services for highway traffic operations. The implementation of traffic sequence mining framework done earlier has highly motivated the authors to extend the present work to E-Traffic alert, a highway traffic profiling system that disseminates the dynamic traffic flow rate to commuters when deployed as mobile application and an interactive analytic tool for traffic operations when deployed as desktop web application.
Mechanism for Crawling, Filtering, and Presenting Opinionated Content on Online Products to the Customers
Authors: Madaan Rosy
Published: May 2023

There is a large amount of data available on the web in form of opinions, which need to be accessed for mining opinions. This is an ever-growing field that brings together the reviews, blogs, discussions on forums, Twitter, microblogs, and social networks. A user may be looking for opinions on some commodity or product for making decision regarding purchase for which there is the need of a system based on question answering. This gives rise to a question answering (QA) system. This system works on all the aspects of question answering along with the mining of opinions. The chapter discusses all the modules of the question answering system along with how the opinions are mined. The details of implementation along with the performance analysis of the proposed system are given in the chapter. On performance evaluation, a high value of opinion accuracy has been found that shows that the system performs well.
Praxes of Transformational Creativity
Authors: Hayes Catherine
Published: May 2023

This chapter provides an insight into the justification of pedagogical principles within the contexts of extended reality. The global COVID-19 pandemic served to exacerbate the complex ambiguity surrounding XR in practice. Training for the strategic management of risk in healthcare practice in situated contexts of healthcare provision has been a key focus in the use of XR in practice. It involves rational aspects of cognitive knowledge or the purist demonstration of psychomotor skills and affective domain learning . This is achieved via the exploration of the key epistemologies or ways of knowing, from a theoretical perspective, which can be used to ensure the level of authenticity necessary to highlight the pedagogical shifts in the application of learning theory which now characterise responsive curriculum design and adaptation to accommodate XR in practice.
Big Data and Artificial Intelligence
Authors: Sandhya H.  , Varghese Bindi
Published: May 2023

With the advancement of ICT, the tourism industry has undergone a digital transformation where management, marketing, and communication are largely using web based applications. Automation of processes like ticketing and reservation, online hotel booking, E visa processing, etc., indicates the significant reliance of the sector on technology and world wide web for its services. Big data and artificial intelligence are a fairly new and innovative approach to addressing this issue of managing and analyzing huge datasets collected from multiple sources. This chapter focuses on understanding the role and importance of big data and artificial intelligence in the tourism industry and its impact on improving the overall image and attractiveness of destinations.
Advancing Self-Directed Learning Through Artificial Intelligence
Authors: Yildirim Yetkin , Camci Fatima , Aygar Elif
Published: May 2023

The concept of self-directed learning has drawn attention ever since the beginning of the pandemic with the system of education taking a huge shift. This shift in the education system has both its advantages and disadvantages. This chapter focuses on how self-directed learning (SDL) through the use of artificial intelligence has the potential to benefit students through motivation, experience, and efficiency. In addition, there are also potential challenges taken into consideration. Moreover, this chapter touches on the possible direction of self-learning through AI and the possibilities of the education system changing for the better. Ultimately, AI has the power to change self-directed learning and produce more open and welcoming learning settings for everyone.
The Carceral State of American Schools
Authors: Aguado N. Alexander , Joseph Justin J.
Published: May 2023

The fear of violence in schools has compelled school systems to use a variety of authoritarian methods to control students' behavior. This work seeks to understand why these methods of behavioral control are used in some schools but not in others. Using the school survey on crime and safety, the authors explore the extent that the behavioral control strategies at diverse schools are more reminiscent of correctional facilities than institutions of learning. This analysis offers a nuanced view of the carceral elements in schools, where student body diversity is linked to some aspects of the carceral state but not others. Previous research suggests that strategies that seek to nurture the minds of young people are giving way to practices that criminalize school discipline, with the latter more likely to be instituted in poor, majority-minority schools. The present analysis finds that other factors, which are non-diversity related, are associated with authoritarian forms of control in schools, and suggests that all students, not just Black and Latino kids, are experiencing carceral elements.
Inner-City Youth Programs
Authors: Anderson Connor J. , Shadwick Joshua T.
Published: May 2023

Juvenile delinquency is an issue that has impacted the criminal justice system and other social institutions. Subsequently, studies have been conducted to determine whether organizational-based extracurricular activities prevent juvenile delinquency. Scholarship has, however, produced mixed results. Some scholars argue that extracurricular activities keep juveniles busy throughout the year. Thus, preventing juveniles from participating in delinquent acts. In contrast, other scholars have found that juveniles involved in extracurricular activities, such as sports-based activities, have not had the intended effect. This chapter aims to examine inner-city youth programs (ICYPs). More specifically, a detailed examination of multiple program types will be discussed. The intended purpose of this chapter is to inform interested parties so they can have a better understanding of the impact these programs have on the daily lives of juveniles and communities. The net result is to help advocate for refined individual- and institutional-based practices moving forward.
A Bibliometric Analysis of Green Banking
Authors: Mehta Kiran , Sharma Renuka , Jalotra Samiksha
Published: May 2023

The disastrous impacts of catastrophic events, droughts, and severe weather on people throughout the globe forced everyone to think about global warming and its implications and do all they can to fix it. Global warming prevention and sustainability include governments, corporations, and people. The topic of environmentally responsible banking has been widely covered in the media since the turn of the century. As a result, there is an urgent need to understand and categorise the growing body of sustainable banking research. The present study is intended to conduct a bibliometric analysis of green banking literature for the duration of 2001-2022. The findings offer a view on the development of the academic literature relating to sustainable banking all through the course of time as well as throughout academic disciplines and publications.
Drivers of Financial Technologies
Authors: Taherdoost Hamed
Published: May 2023

The advancement of technology has reshaped financial services and payment systems. The trends in financial technologies indicate that FinTech is still growing and there are even more growth opportunities in the future. Several key factors, from improved customer expectations to compliance regulations, are fueling FinTech's growth. New features provided through technological advancements equip FinTech providers with the opportunity to offer more delightful experiences to their users. This study aims to concentrate on drivers that are leading to the growth of financial technologies and provides guides through finding the opportunities FinTech's growth offers.
FinTech Status in the Global Market
Authors: Leguizamon Itzel Natalia Carrillo , Solano Rodrigo Alexander Cortez , Pinzón Daniel Esteban Ortega , Milla Billy Alessandro Grimaldi , Moreno Monica Sofia Najera
Published: May 2023

In recent years, the effectiveness of FinTech has become very important, but new technologies are created and implemented without considering their risks, only focusing on their advantages. Previous research found that the unmet needs for basic banking have been solved through financial technologies while, at the same time, bringing benefits to both people and businesses. Using a deductive approach to the mixed data found previously made it more manageable to understand FinTech's background and intercorrelation with e-business. Contrary to what many people assume about the risks of FinTech, findings have shown that 88% of data breaches come from human mistakes leading us to validate that the problem with FinTech is not the technology itself but the improper use of it and the ignorance around them—concluding that these challenges can be minimized and regulated with the right strategies. The overall effectiveness of FinTech is deemed positive, with the advantages outweighing the challenges.
The Mindful Ethical Practice and Resilience Academy: Sustainability of Impact
Authors: Rushton Cynda Hylton , Swoboda Sandra M. , Reimer Teresa , Boyce Danielle , Hanson Ginger C.
Published: May 2023

Background

Nurses face many ethical challenges, placing them at risk for moral distress and burnout and challenging their ability to provide safe, high-quality patient care. Little is known about the sustainability of interventions to address this problem.

Objective

To determine the long-term impact on acute care nurses of a 6-session experiential educational program called the Mindful Ethical Practice and Resilience Academy (MEPRA).

Methods

MEPRA includes facilitated discussion, role play, guided mindfulness and reflective practices, case studies, and high-fidelity simulation training to improve nurses’ skills in mindfulness, resilience, and competence in confronting ethical challenges. A prospective, longitudinal study was conducted on the impact of the MEPRA curriculum at 2 hospitals in a large academic medical system. The study involved surveys of 245 nurses at baseline, immediately after the intervention, and 3 and 6 months after the intervention.

Results

The results of the intervention were generally sustained for months afterward. The most robust improvements were in ethical confidence, moral competence, resilience, work engagement, mindfulness, emotional exhaustion, depression, and anger. Some outcomes were not improved immediately after the intervention but were significantly improved at 3 months, including anxiety and empathy. Depersonalization and turnover intentions were initially reduced, but these improvements were not sustained at 6 months.

Conclusions

Many MEPRA results were sustained at 3 and 6 months after conclusion of the initial foundational program. Some outcomes such as depersonalization and turnover intentions may benefit from boosters of the intervention or efforts to supplement the training by making organizational changes to the work environment.
PREVALENCE OF THALASSEMIA IN THE VIETNAMESE POPULATION AND BUILDING A CLINICAL DECISION SUPPORT SYSTEM FOR PRENATAL SCREENING FOR THALASSEMIA
Authors: Tran Danh Cuong , Dang Anh Linh , Hoang Thi Ngoc Lan , Nguyen Chi Thanh , Dinh Thi Ngoc Mai , Tran Van Anh , Doan Thi Kim Phuong , Nguyen Thi Trang
Published: April 2023

Background and objectives. Investigating the prevalence of thalassemia in the Vietnamese population, building a clinical decision support system for prenatal screening for thalassemia.

Methods. A cross-sectional study was conducted on pregnant women and their husbands visiting Vietnam National Hospital of Obstetrics and Gynecology from October 2020 to December 2021.

Results. The clinical decision support system including 2 different types of systems for prenatal screening for thalassemia (expert system and 4 AI-based CDSS) was built. Accuracy of expert system and AI-based CDSS was compared. The rate of patients with Alpha thalassemia is 10.73%, the rate of patients with beta-thalassemia is 2.24%, and 0.29% of patients carry both alpha-thalassemia and beta-thalassemia gene mutations. The expert system showed an accuracy of 98.45%. Among the AI-based CDSS developed, the MLP model was the most stable regardless of the training database.

Conclusions. When comparing the expert system with the AI-based CDSS, the accuracy of the expert system and AI-based models was found to be comparable. The developed expert system for prenatal thalassemia screening showed high accuracy. AI-based CDSS showed satisfactory results and can be applied in clinical practice.
THE IMPACT OF HUMAN PLATELET ANTIGEN ALLELE ON ANTIPLATELET ANTIBODIES AND CRYOGLOBULINS IN PATIENTS WITH PRIMARY IMMUNE THROMBOCYTOPENIA AND HEPATITIS C VIRUS-ASSOCIATED IMMUNE THROMBOCYTOPENIA
Authors: Huang Cih-En , Chen Yi-Yang , Chang Jung-Jung , Wu Yu-Ying , Chen Wei-Ming , Wang Ying-Hsuan , Chen Min-Chi , Lu Chang-Hsien , Shi Chung-Sheng , Chen Chih-Cheng
Published: April 2023

Background

Human platelet antigens (HPAs) are alloantigens for antiplatelet alloantibodies and associated with the risk of immune thrombocytopenia (ITP). However, few studies have investigated associations among HPAs, antiplatelet autoantibodies, and cryoglobulins.

Methods

We enrolled 43 patients with primary ITP, 47 with hepatitis C virus-associated ITP (HCV-ITP), 21 with hepatitis B virus-associated ITP (HBV-ITP), 25 controls with HCV, and 1013 normal controls including HPA data of 998 Taiwanese blood donors. We analyzed HPA allele frequencies including HPA1-6 and 15, antiplatelet antibodies binding to platelet glycoprotein (GP) IIb/IIIa, Ia/IIa, Ib/IX, IV, human leukocyte antigen class I, cryoglobulin IgG/A/M, and their associations with thrombocytopenia.

Results

In the whole ITP cohort, HPA2ab predicted a low platelet count. HPA2b was associated with the risk of developing ITP, but not with anti-GPIb/IX antibodies. HPA15b was correlated with multiple antiplatelet antibodies. In the primary ITP patients, HPA3b was correlated with cryoglobulin IgG/A/M. In contrast, in the HCV-ITP patients, HPA3b was correlated with anti-GPIIb/IIIa antibodies, HCV-ITP patients with anti-GPIIb/IIIa antibodies had a higher positive rate of cryoglobulin IgG and IgA caomparred with those without anti-GPIIb/IIIa antibodies. Similar to the antiplatelet antibodies, cryoglobulins were associated with clinical thrombocytopenia, especially cryoglobulin IgA. Furthermore, cryoglobulins in the HCV-ITP patients showed characteristics to antiplatelet antibodies. 

Conclusion

HPA alleles were associated with antiplatelet autoantibodies but had different impacts in the patients with primary ITP and HCV-ITP. The pathophysiology and characteristics of antiplatelet antibodies were different between these two groups. HCV-ITP was considered to be a symptom of mixed cryoglobulinemia in the HCV patients.
TGI Activity Report: geochemical footprint of the undisturbed Casino porphyry Cu-Mo-Ag-Au deposit, Yukon (NTS 115 J/10 and 115 J/15)
Authors: Beckett-Brown C E , Kidder J A
Published: May 2023

A detailed geochemical sampling survey at the remote Casino porphyry Cu-Mo-Ag-Au deposit in west central Yukon is described. This new sampling follows-up on previous sampling around the deposit by the Geological Survey of Canada (GSC) in 2017. In late
August-early September of 2022, a variety of sample media were collected, including bulk stream sediments, fine-grained stream sediment, pebbles, stream and groundwaters, and vegetation at 27 sites. Sampling was conducted to establish a geochemical baseline around an undisturbed, unglaciated
porphyry Cu-Mo-Ag-Au deposit and to demonstrate the applicability of multi-media surficial geochemical methods for exploration in terrains with little to no bedrock outcrop. Bulk stream sediment samples will be processed to recover 0.25-2.0 mm indicator minerals, which may be subjected to further
analyses (e.g., electron microprobe and LA-ICP-MS). Fine-grained sediment samples will be submitted for routine geochemical analysis to highlight the proximal geochemistry and to better understand the signal decay downstream from the deposit. Water samples will be subjected to a variety of
analytical methods including trace and ultra-trace geochemistry, as well as traditional (?18O, ?2H, ?34S(SO4), and ?18O(SO4)) and non-traditional (?98Mo and ?65Cu) stable isotope analyses. The purpose of this open file is to report fieldwork activities conducted by the GSC as part of the targeted
geoscience initiative (TGI-6) program. The objective of this study is to further develop research concepts conceived since 2017 and provide critical knowledge advancement for the exploration of porphyry Cu-Mo-Au deposits.
Prevalence of cyberchondria among undergraduate students of a private degree college with Cyberchondria Severity Scale-12 in an urban area
Authors: Kulsum Ummu , Sushma M. , Subhaprada S. Cynthia , Sreedevi A.
Published: May 2023

CONTEXT:

With the digital revolution, the Internet has become a source of health-related searches. Cyberchondria is a behavioral disorder where repeated online health-related searches result in health anxiety.

AIMS:

The aim of the study was to assess the prevalence of cyberchondria among undergraduate degree college students.

SETTINGS AND DESIGN:

This cross-sectional study was conducted among BSc Computer Science students at Sri Sathya Sai Baba Degree College, Anantapuramu, Andhra Pradesh, during July 2022.

SUBJECTS AND METHODS:

A sample size of 160 was arrived using the formula 4pq/l
2 with prevalence (P) as 55.6%, allowable error (l) as 15% of P, 10% nonresponse rate. Out of 220 students, 160 were selected by simple random sampling method. Data were collected through self-administered Cyberchondria Severity Scale-12 questionnaire with a Likert scale scoring of 0–4.

STATISTICAL ANALYSIS USED:

K-means cluster analysis was performed to assess the prevalence of cyberchondria and people at risk to develop cyberchondria.

RESULTS:

The study involved 57% of females and 43% of males. The prevalence of cyberchondria was 22.5% with excessiveness (mean ± standard deviation [SD]: 3.36 ± 2.091) being the dominant construct followed by distress, compulsion, and reassurance (Mean ± SD: 2.48 ± 2.493).

CONCLUSIONS:

This study indicates that cyberchondria is an emerging problem among undergraduate students and emphasis has to be laid on health education regarding the reliability of health information.
A Study on Coagulation Profile and Clinical Outcomes in Hospitalized COVID-19 Patients in a Tertiary Care Hospital in South India
Authors: Ramanathan Kartik , Chandrasekaran Jagadeesh , Pandurangan Prabu
Published: April 2023

Introduction:

Coagulation abnormalities are a common occurrence in patients with COVID-19, of particular significance is the relationship between D-dimer levels and clinical outcomes. A higher D-dimer level at admission is found to have a poor clinical outcome with increased severity of the disease and increased mortality.

Aim and Objectives:

To analyze the coagulation profile and its relation to the outcome of patients admitted with COVID-19 pneumonia in a tertiary care center in South India.

Subjects and Methods:

We conducted a prospective observational study looking at the admission D-dimer, prothrombin time (PT)/international normalized ratio (INR), and platelet levels in 102 admitted COVID-19 patients from February 2021 to January 2022. The relationship between these parameters on admission and the clinical outcome in the form of oxygen requirement, duration of stay, survival, and need for domiciliary oxygen was studied.

Discussion and Results:

Higher D-dimer levels at admission were associated with poor survival and longer duration of hospital stay with increased requirement of oxygen support. There was a significant correlation between the mean admission D-dimer level and the need for supplemental oxygen (P < 0.05) with patients having a higher D-dimer level at admission (D-dimer of moderate and severe categories: 0.62 ± 0.88 μg/mL and 2.46 ± 4.22 μg/mL, respectively) requiring a higher concentration of oxygen in the form of noninvasive ventilation/high-flow nasal cannula. Furthermore, PT, INR, and platelet count on admission were not useful in predicting the clinical course, oxygen requirement, and overall survival in the study population.

Conclusion:

Admission levels of D-Dimer can predict the clinical course and outcome of COVID-19 patients.
“Bulging Fissure Sign” on Chest Radiograph
Authors: Patil Shital , Tandel Neel , Bhangdiya Omprakash
Published: April 2023

A bulging fissure sign in a chest radiograph is usually associated with right upper lobe lung collapse with horizontal fissural effusion or collection. Etiology and pathophysiology traced to infective and noninfective causes. Commonly bulging fissure sign is described with lung malignancy in old age. Infective etiologies are infective types in children and adults with comorbid conditions. In this case report, we have reported a 54-year-old male presented with cough and hemoptysis with progressive worsening of shortness of breath. Clinically tubular breath sounds in the right infraclavicular region with egophony were heard. Chest X-ray documented right lung consolidation or mass lesion with bulging fissures. Bronchoscopy was done after clinical stabilization and showed endobronchial polypoidal growth in the right mainstem bronchus causing near-complete occlusion of the bronchial lumen. Endobronchial needle aspiration cytology and forceps-guided (forcep biopsy) histopathology suggestive of “squamous cell” type of lung malignancy for bulging fissure sign in our case. A high index of suspicion is must to rule out underlying malignancy and bronchoscopy is “gold-standard” test in cases with bulging fissure sign to confirm a diagnosis.