bluuebunny/crossref_metadata_2025_split huggingface dataset:
Health status and health behaviour of the Hungarian homeless people
Authors: Nagy-Borsy Emese , Vági Zsolt , Skerlecz Petra , Szeitl Blanka , Kiss István , Rákosy Zsuzsa 
Published: October 2020

Abstract
Background Homelessness has risen recently in Europe, but there is lack of comprehensive health data on this population. Our aim was to characterize the health of the Hungarian homeless population.Methods We performed a health survey with 453 homeless individuals. The results were compared to the age and sex standardized data of the general Hungarian population and its lowest income quintile from the European Health Interview Survey 2014. The differences by the ETHOS classification within the homeless population were also studied.Results Significantly fewer homeless people reported good health status than in the general population or in its lowest income quintile (p < 0.001). Of the participants 70% had at least one chronic disease, only 41% of them visited a GP and 35% took medication in the previous 12 months. While 59% of the lowest income quintile and 50% of the general population had at least one chronic disease, almost all of them visited a physician and took medication. The highest prevalence of morbidity (80%) and multimorbidity (46%) was reported in the houseless group. The majority of the homeless people were current smokers, the prevalence was much higher than in the two reference populations (p < 0.001). The prevalence of heavy drinkers was the highest among the roofless participants (40%).Conclusions Homeless people have much poorer health and they utilize health services less than the most disadvantaged quintile of the general population. There is a clear social gradient within the homeless population, as well, which calls for integrated approaches for specific interventions to improve their health.
Geographically varying relationships of COVID-19 mortality with different factors in India
Authors: Middya Asif Iqbal , Roy Sarbani 
Published: October 2020

Abstract
COVID-19 is a global crisis where India is going to be one of the most heavily affected countries. The variability in the distribution of COVID-19-related health outcomes might be related to many underlying variables, including demographic, socioeconomic, or environmental pollution related factors. The global and local models can be utilized to explore such relations. In this study, ordinary least square (global) and geographically weighted regression (local) methods are employed to explore the geographical relationships between COVID-19 deaths and different driving factors. It is also investigated whether geographical heterogeneity exists in the relationships. More specifically, in this paper, the geographical pattern of COVID-19 deaths and its relationships with different potential driving factors in India are investigated and analysed. Here, better knowledge and insights into geographical targeting of intervention against the COVID-19 pandemic can be generated by investigating the heterogeneity of spatial relationships. The results show that the local method (geographically weighted regression) generates better performance (R2 = 0:973) with smaller Akaike Information Criterion (AICc = -77:93) as compared to the global method (ordinary least square). The GWR method also comes up with lower spatial autocorrelation (Moran’s I = -0.0436 and p < 0:01) in the residuals. It is found that more than 87.5% of local R2 values are larger than 0.60 and almost 60% of R2 values are within the range 0:80 - 0:97. Moreover, some interesting local variations in the relationships are also found.
Strategic Planning in a Medical Research Organization: Case Study
Authors: Bacina Ekaterina , Popsuyko Artem , Artamonova Galina 
Published: October 2020

The fundamental and applied value of strategic planning is in the formation of technologies for the long-term development of organizations based on the existing trends and business environment. Modern healthcare institutions are to use the best domestic and foreign practices in order to provide high-quality medical services, achieve strategic goals, and develop healthcare industry. The research objective was to share experience in strategic planning of a medical research organization. The authors used methods of analysis, synthesis, generalization, and abstraction, as well as elements of system analysis, to formalize the process of strategic management. The article describes the strategic planning conducted at the Research Institute for Complex Issues of Cardiovascular Diseases (Kemerovo, Russia). Strategic planning is a process of setting key goals and maintaining the strategic potential of changing requirements for Russian scientific and medical organizations. The described experience is unique in that the strategic planning is organizationally and functionally integrated into the model of quality management system, which includes 14 processes grouped in several blocks. The Institute develops a road map for one or two years, which agrees the actions of the main stakeholders. In a scientific medical organization, the process of strategic goal setting is determined by the need to conduct research while simultaneously providing medical care. The authors believe that the described process can be implemented only after the existing strategic planning methods have been adapted to the specifics of the organization. At the present stage, strategic planning is the only way to formally predict future problems and opportunities for the development of medical research organizations.
Digital Tools for Managing Innovative Infrastructure
Authors: Stupina Alena , Berg Tat'yana , Korpacheva Larisa 
Published: October 2020

The digital transformation of the economy and the conceptual changes in developing new consumer value predetermined new types of interaction between participants in innovation activities. These changes affected the elements of innovative infrastructure, which ensures effective production of open innovations. The increasing communication of innovation process participants remains a problem of innovative infrastructure performance, which requires new forms and configurations based on digital platform solutions. Modern information and communication technologies and their implementation in the innovative infrastructure will reduce investment costs for creation and maintenance of physical objects and decrease the time spent on searching, exchanging, and processing information of innovation process participants. The article considers the innovative infrastructure as an interaction system of subsystems based on digital platforms. The system provides downloadable information and innovative solutions. The paper focuses on the information subsystem of innovative infrastructure, its components, digital platforms, and services. The authors define distributed and integrated technologies for managing innovative infrastructure that provide communications in a single ecosystem of heterogeneous information network services of innovation process participants. The authors introduce effective mathematical tools of modified GERT networks for modeling computational data processing in heterogeneous environments of digital services of innovative infrastructure.
Analysis of scour depth in the case of parallel bridges using HEC-RAS
Authors: Mehta Darshan J. , Yadav S. M. 
Published: October 2020

Abstract
Scour is now one of the main problems for river as well as for coastline engineering. Bridges are the vital structures which must be designed to prevent failure against the effects of scour. Scour holes can occur without warning and cause the failure of a bridge. The main significant issues in hydraulic and river engineering are to determine the connection between parameters affecting the maximum and minimum depth of scour. The scour depth in the alluvial stream below a river bed differs based on the flows, pier shape, pier size and sediment characteristics. Dual bridges of basically the same structure are placed parallel to and only a small distance away from an existing bridge, either on the upstream or downstream side. Naturally, the backwater generated by dual bridges is bigger than that of a single bridge but lower than the value resulting from separate consideration of the two bridges. In the present work, an hydraulic model is used to simulate the stability of a bridge in the study area, namely ‘Sardar Bridge’ on the Tapi river. Scour profiles for various flood events have been assessed for a particular bridge. The velocity of flow is used to estimate depths of scour at different piers and abutments. Estimating depth of the scour during the design can significantly decrease the overall cost of bridge foundation construction. Results from the present study show that construction of a new bridge should be proposed on the upstream side rather than downside side of the existing bridge. By doing so, hydraulic stability of the existing bridge is ensured.
A surrogate-based simulation–optimization approach for coastal aquifer management
Authors: Han Zheng , Lu Wenxi , Fan Yue , Lin Jin , Yuan Qian 
Published: October 2020

Abstract
This study proposed a pumping-injection (P-I) groundwater management strategy based on a simulation–optimization (S-O) framework to mitigate seawater intrusion (SI). The methodology was applied to a real case in Longkou, China. A three-dimensional variable-density groundwater simulation model was established to simulate and predict the SI process. In the S-O framework, while solving the optimization model, it is required to call the simulation model thousands of times, which leads to enormous computational load. In this case, the Kriging and support vector regression (SVR) surrogate models were established for the simulation model respectively. Furthermore, the ensemble surrogate modeling technique was applied to construct the Kriging-SVR ensemble surrogate model. The most accurate surrogate model was selected as the substitute for the simulation model, saving considerable computing costs. The results show that the ensemble surrogate model performs better than the stand-alone surrogate models in accuracy, indicating that combining stand-alone surrogate models is a potential modeling method for the surrogate model of the variable-density groundwater simulation model. By solving the optimization model, the optimal pumping and injection schemes under different scenarios were obtained. The optimization results demonstrate that the proposed methodology is effective and stable in coastal groundwater management.
Prevalence, Diagnosis, and Treatment with 3 Different Statins of Non-alcoholic Fatty Liver Disease/Non-alcoholic Steatohepatitis in Military Personnel. Do Genetics Play a Role?
Authors: Sfikas Georgios , Psallas Michael , Koumaras Charalambos , Imprialos Konstantinos , Perdikakis Evangelos , Doumas Michael , Giouleme Olga , Karagiannis Asterios , Athyros Vasilios G. 
Published: October 2020

Background:
Non-alcoholic fatty liver disease (NAFLD) and its severe form, non-alcoholic
steatohepatitis (NASH), are major health problems worldwide. Genetics may play a role in
the pathogenesis of NAFLD/NASH.

Aim:
To investigate the prevalence of NAFLD/NASH in 5,400 military personnel and evaluate
the effect of treatment with 3 statins on NAFLD/NASH using 2 non-invasive scores [NAFLD Activity
Score (NAS); Fibrosis-4 score (FIB-4)].

Methods:
During the mandatory annual medical check-up, military personnel underwent a clinical
and laboratory evaluation. Participants with NAFLD/NASH were randomized into 4 groups
(n=151 each): diet-exercise, atorvastatin, rosuvastatin, or pitavastatin for 1 year (i.e., until the next
routine evaluation).

Results:
From all the participants, 613 had NAFLD/NASH (prevalence 11.3 vs 39.8% in the general
population, p<0.001), and a total of 604 consented to participate in the study. After a year of
treatment, the diet-exercise group showed no significant changes in both scores (NAS 4.98 baseline
vs. 5.62, p=0.07; FIB-4 3.42 vs. 3.52, p=0.7). For the atorvastatin group, both scores were reduced
(NAS 4.97 vs 1.95, p<0.001, FIB-4 3.56 vs 0.83, p<0.001), for rosuvastatin (NAS 5.55 vs
1.81, p<0.001, FIB-4 3.61 vs 0.79, p<0.001), and for pitavastatin (NAS 4.89 vs 1.99, p<0.001,
FIB-4 3.78 vs 0.87, p<0.001).

Conclusions :
Atorvastatin, rosuvastatin, and pitavastatin have a beneficial and safe effect in
NAFLD/NASH patients as recorded by the improvement in the NAS (representing NAFLD activity)
and FIB-4 (representing liver fibrosis) scores. Since both those with and without NAFLD/-
NASH shared several baseline characteristics, genetics may play a role in the pathogenesis of
NAFLD/NASH and its treatment with statins.
The Evaluation of the Multiple Myeloma Pathological Osseous Tissue of Microarchitecture
Authors: Chen Lianxiang , Wang Xing , Zhang Shaojie , Wang Wei , Su Baoke , Xu Xuebin , Lv Dongchen , Liu Wentao , Li Xiaohe , Li Zhijun 
Published: October 2020

Background:
The typical imaging finding of MM is bone destruction in the form of diffuse patchy osteolytic
lesions or punctate destruction. However, it is difficult to accurately determine the fine structure of bone affected by MM
with these techniques due to low specificity and sensitivity.

Introduction:
This study aimed to investigate the microscopic anatomical morphology and analyze the microstructure
changes of trabeculae affected by multiple myeloma (MM) based on micro-CT.
Methods: MM-affected and normal trabecular bone samples were imaged by micro-CT to obtain bone structure
parameters to assess statistical differences between them and evaluate the degree of microstructural damage of MMaffected trabeculae.

Methods:
MM-affected and normal trabecular bone samples were imaged by micro-CT to obtain
bone structure parameters to assess statistical differences between them and evaluate the degree of
microstructural damage of MM-affected trabeculae.

Results:
Micro CT images clearly showed the microstructure of MM-affected trabeculae. The degree
of trabecular osteoporosis varied with the severity of MM. There were significant differences
in the structural parameters between MM-affected and normal trabeculae (P < 0.05).

Conclusions:
Micro-CT clearly reveals the microstructure of MM-affected trabeculae. The obtained bone structure data
will help to determine the degree of bone damage caused by MM and assess the efficacy.
Gambaran Pelaksanaan Identifikasi Pasien Sebelum Melakukan Tindakan Keperawatan di RSUD Wates
Authors: Fatimah Fatma Siti , Sulistiarini Lilis , . Fatimah 
Published: October 2020

<p> </p><table width="10" border="1" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="156"> </td></tr></tbody></table><p>Penelitian ini mengungkapkan gambaran pelaksanaan identifikasi pasien sebelum melakukan tindakan keperawatan di RSUD Wates. Kesalahan identifikasi pasien sering terjadi di tahapan diagnosis dan pengobatan sehingga diperlukan ketepatan identifikasi pasien. Penelitian ini bertujuan untuk mengetahui gambaran identifikasi pasien sebelum melakukan tindakan keperawatan di RSUD Wates. Metode kuantitatif yang menghasilkan data deskriptif dengan cara observasi sehingga dapat menggambarkan pelaksanaan identifikasi pasien di RSUD Wates. Instrumen yang digunakan yaitu lembar observasi. Teknik pengambilan sampel menggunakan <em>random sampling </em>dengan jumlah sampel 135 respoden perawat. Hasil penelitian ini menunjukkan karakteristik responden yang berusia 17-26 tahun 17 %, 26-35 tahun 57,8 %, 36-45 tahun 23 % dan 46-55 tahun 2,2 %. Jenis kelamin laki-laki 22,2 % dan perempuan 77,8%. Pendidikan DIII Keperawatan 91,1 %, D IV 5,2 % dan S1 3,7 %. Masa kerja 1-10 tahun 77,8 %, 11-20 tahun 18,5 %, masa kerja 21-30 tahun 3,7 %. Status kepegawaian non PNS 69,9 % dan PNS 30,4 %. Kesimpulan hasil penelitian ini Dilakukan identifikasi 71,9 % dan tidak dilakukan identifikasi 28,1 %. Pelaksanaan identifikasi sebelum transfusi darah 100 %, sebelum tindakan 75,5 %, sebelum pengambilan darah 75 % dan sebelum pemberian obat 64,1 %.</p><p><strong>Kata Kunci : </strong>Identifikasi Pasien, Keselamatan Pasien</p>
eHealth Literacy of German Physicians in the Pre–COVID-19 Era: Questionnaire Study
Authors: Kirchberg Johanna , Fritzmann Johannes , Weitz Jürgen , Bork Ulrich 
Published: October 2020

Background
Digitalization is a disruptive technology that changes the way we deliver diagnostic procedures and treatments in medicine. Different stakeholders have varying interests in and expectations of the digitalization of modern medicine. Many recent digital advances in the medical field, such as the implementation of electronic health records, telemedical services, and mobile health apps, are increasingly used by medical professionals and patients. During the current pandemic outbreak of a novel coronavirus-caused respiratory disease (COVID-19), many modern information and communication technologies (ICT) have been used to overcome the physical barriers and limitations caused by government-issued curfews and workforce shortages. Therefore, the COVID-19 pandemic has led to a surge in the usage of modern ICT in medicine. At the same time, the eHealth literacy of physicians working with these technologies has probably not improved since our study.

Objective
This paper describes a representative cohort of German physicians before the COVID-19 pandemic and their eHealth literacy and attitude towards modern ICT.

Methods
A structured, self-developed questionnaire about user behavior and attitudes towards eHealth applications was administered to a representative cohort of 93 German physicians.

Results
Of the 93 German physicians who participated in the study, 97% (90/93) use a mobile phone. Medical apps are used by 42% (39/93). Half of the surveyed physicians (47/93, 50%) use their private mobile phones for official purposes on a daily basis. Telemedicine is part of the daily routine for more than one-third (31/93, 33%) of all participants. More than 80% (76/93, 82%) of the trial participants state that their knowledge regarding the legal aspects and data safety of medical apps and cloud computing is insufficient.

Conclusions
Modern ICT is frequently used and mostly welcomed by German physicians. However, there is a tremendous lack of eHealth literacy and knowledge about the safe and secure implementation of these technologies in routine clinical practice.
¿Qué imaginarios tienen los niños sobre los cuerpos dentro y fuera del sistema solar y sus efectos en la Tierra?
Authors: Guataquira Ramírez José Efraín , Castiblanco-Abril Olga Lucia 
Published: October 2020

En esta investigación se estudiaron las expectativas de estudiantes de colegios públicos de Bogotá, acerca de temas asociados a la astronomía. Fueron analizadas las formas como expresan sus conocimientos o hipótesis acerca de las partes que componen el sistema solar, así como aquellos cuerpos que pueden estar fuera del sistema solar. Igualmente, se analizaron las relaciones que establecen entre el comportamiento del universo y los fenómenos naturales que ocurren en la Tierra. Esta fue una investigación cualitativa, de tipo intervención. La toma de datos se hizo mediante la planeación y el desarrollo de actividades que fueron relatadas por el docente investigador, así como a partir del material producido por los estudiantes en dicho proceso. Se desarrolló un análisis descriptivo estadístico donde se estudiaron las respuestas de los estudiantes en cada grupo. Simultáneamente, se analizaron las diferencias en el manejo del lenguaje y la comprensión de los temas. Los principales resultados fueron: 1) efectivamente hay diferencias en el lenguaje que utilizan para hablar de los temas de acuerdo al contexto y al nivel escolar, 2) no se puede afirmar que el dominio conceptual de la astronomía sea mayor en niveles escolares superiores que en niveles más básicos, ya que se encontraron diferencias argumentativas y manejo del leguaje igualmente válido, en todos los niveles educativos y edades, 3) los niños tienen intereses sobre una gran variedad de temas de la Astronomía, 4) a partir de los intereses detectados se podrían desarrollar cursos en torno a preguntas como ¿Por qué han de existir las orbitas? ¿Cómo saber a qué distancia debe estar una órbita de la otra? ¿Qué nos permite pensar que los planetas están alineados en un plano con el Sol? ¿Desde dónde debemos ubicarnos para “ver” el universo? ¿Cuál es la relación de distancias y tamaños entre los diferentes cuerpos del sistema solar y el universo? ¿Qué hace que el sistema solar se agrupe en una estructura?, entre otras.
Aspectos sociais, políticos e governamentais da administração da vida e da morte
Authors: Sass Simeão Donizeti , Gallian Dante Marcello Claramonte 
Published: October 2020

O presente estudo é uma tentativa de elaborar um “diagnóstico do presente” acerca da pandemia de SARS-CoV-2 e de suas consequências. A filosofia política, ao longo de sua história, produziu inúmeras definições acerca do ato de governar. Apresentaremos mais uma. Tal tentativa terá como foco a compreensão da “arte de governar” como a dominação dos recursos estatais praticada em benefício de certas classes sociais em detrimento de outras. Para empreender tal compreensão, abordaremos os seguintes temas: 1- análise da pandemia de SARS-CoV-2; 2- a arte de administrar a vida e a morte na pandemia; 3- a pandemia como metáfora viva da “arte de governar”; 4- as soluções dadas no caso da pandemia e das enchentes no mesmo ano de 2020 no Brasil: contradição em ato; 5- o uso de recursos do governo federal para socorrer os oligopólios e o abandono da população pobre. Ao final, enunciaremos questões relativas ao problema político da valorização do saber científico e acerca das consequências da revalorização dos movimentos sociais.
SCREENING OF ACIT SULPHATE SOILS FUNGI FROM SOUTH KALIMANTAN AS SOURCE OF EXTRACELULAR ENZYMES
Authors: Susilowati Dwi Ningsih , Sofiana Indah , Atmini Kristina Dwi , Yuniarti Erny 
Published: October 2020

Kalimantan acid sulphate land has the potential to be developed into productive land, with good land optimization. Utilization of rhizosphere microorganism diversity, especially mold can potentially provide a solution in optimizing agricultural land, namely the ability to produce extracellular enzymes. This study aims to determine the potential of mold originating from acid sulphate fields in producing extracellular enzymes (pectinase, chitinase, glucanase, cellulase, and phosphatase). The study was conducted in June-July 2019 at the Microbiology Laboratory, Indonesian Center for Agricultural Biotechnology and Genetic Resources Research and Development. Screening of extracellular enzyme-producing fungi was carried out on selection media. The results obtained by some isolates have the ability to produce extracellular enzymes. Indications of the ability of mold to produce extracellular enzymes are the presence of clear zones in the selection medium. In pectinase, chitinase and glucanase testing all isolates showed negative results. Potential isolates in producing extracellular enzymes include Penicillium sp. Paddy 4.1 (cellulolytic index 2.43), Clonostachys sp. KRMT 17.9 and Penicillium singorense KLK 13.7 (proteolytic indices 3.97 and 3,00, respectively). The difference in index values ​​indicates the variation in the level of enzyme activity.