bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparing In-Person, Standard Telehealth, and Remote Musculoskeletal Examination With a Novel Augmented Reality Exercise Game System: Pilot Cross-Sectional Comparison Study
Authors: Wu Richard , Chakka Keerthana , Belko Sara , Khargonkar Ninad , Desai Kevin , Prabhakaran Balakrishnan , Annaswamy Thiru 
Published: December 2024

Abstract

Background
Current telemedicine technologies are not fully optimized for conducting physical examinations. The Virtual Remote Tele-Physical Examination (VIRTEPEX) system, a novel proprietary technology platform using a Microsoft Kinect-based augmented reality game system to track motion and estimate force, has the potential to assist with conducting asynchronous, remote musculoskeletal examinations.

Objective
This pilot study evaluated the feasibility of the VIRTEPEX system as a supplement to telehealth musculoskeletal strength assessments.

Methods
In this cross-sectional pilot study, 12 study participants with upper extremity pain and/or weakness underwent strength evaluations for four upper extremity movements using in-person, telehealth, VIRTEPEX, and composite (telehealth plus VIRTEPEX) assessments. The evaluators were blinded to each other’s assessments. The primary outcome was feasibility, as determined by participant recruitment, study completion, and safety. The secondary outcome was preliminary evaluation of inter-rater agreement between in-person, telehealth, and VIRTEPEX strength assessments, including κ statistics.

Results
This pilot study had an 80% recruitment rate, a 100% completion rate, and reported no adverse events. In-person and telehealth evaluations achieved highest overall agreement (85.71%), followed by agreements between in-person and composite (75%), in-person and VIRTEPEX (62.5%), and telehealth and VIRTEPEX (62.5%) evaluations. However, for shoulder flexion, agreement between in-person and VIRTEPEX evaluations (78.57%; κ=0.571, 95% CI 0.183 to 0.960) and in-person and composite evaluations (78.57%; κ=0.571, 95% CI 0.183 to 0.960) was higher than that between in-person and telehealth evaluations (71.43%; κ=0.429, 95% CI −0.025 to 0.882).

Conclusions
This study demonstrates the feasibility of asynchronous VIRTEPEX examinations and supports the potential for VIRTEPEX to supplement and add value to standard telehealth platforms. Further studies with an additional development of VIRTEPEX and larger sample sizes for adequate power are warranted.
Satisfaction and Usability of a Commercially Available Medication Adherence App (Medisafe) Among Medically Underserved Patients With Chronic Illnesses: Survey Study
Authors: Hartch Christa , Dietrich Mary S , Lancaster B Jeanette , Mulvaney Shelagh A , Stolldorf Deonni P 
Published: December 2024

Background
Research supports the use of mobile phone apps to promote medication adherence, but the use of and satisfaction with these apps among medically underserved patients with chronic illnesses remain unclear.

Objective
This study reports on the overall use of and satisfaction with a medication adherence app (Medisafe) in a medically underserved population.

Methods
Medically underserved adults who received care for one or more chronic illnesses at a federally qualified health center (FQHC) were randomized to an intervention group in a larger randomized controlled trial and used the app for 1 month (n=30), after which they completed a web-based survey. Objective data on app usage were provided as secondary data by the app company.

Results
The participants were very satisfied with the app, with all participants (30/30, 100%) somewhat or strongly agreeing that they would recommend the app to family and friends. Participants strongly agreed (28/30, 93%) that the reminders helped them remember to take their medications at the correct time each day, and they (28/30, 93%) found the app easy to use. Additional features accessed by some included educational features and the adherence report. Participants noted the helpfulness of having a medication list on their phones, and some used it during medication reconciliation at doctor visits. Use of the Medfriend feature, which alerts a social support person if a medication is missed, was low (n=2), but those who used it were very positive about the feature.

Conclusions
A commercially available medication adherence app was found to be useful by participants, and they were satisfied with the app and the additional features provided. The use of medication adherence mobile phone apps has the potential to positively influence chronic disease management in a medically underserved population on a large scale.

Trial Registration
ClinicalTrials.gov NCT05098743; https://clinicaltrials.gov/study/NCT05098743
Biased Random Sampling with Firefly Optimization (BRS-FO) based on Load Balancing for Virtual Machine Migration in Cloud Computing.
Authors: Sankari A. Siva , S. Vimalanand  
Published: December 2024

A concept known as "Cloud Computing" aims to simplify the on-demand delivery of software, hardware, as well as data as services and give end users adaptable, scalable, and accessible services through the Internet. The major goal of the suggested technique is to create a healthy balance of load across all the Cloud resources servers while maximizing resource usage. Every resource will first have a load model created based on a number of variables, including memory use, processing time, and access rate. Several meta heuristics optimization algorithm are presented in literature for VM migration with load balancing in Cloud Computing (CC). However, in the paper Biased Random Sampling with Firefly Optimization (BRS-FO) was combined. The Load balancing is performed by biased random sampling and Firefly Optimization by maintaining the virtual server availability. In this method the performance of proposed algorithm was compared with PSO, GA and Honey Bee Optimization (HBO). The parameters taken for analysis are Makespan, Response time and energy consumption. From this experimental results, the proposed BRS-FO achieved the makespan of 5s, response time of 1s and energy consumption of 5J and proved this method is efficient than other system
Investigating The Impact of Physicians' Attitudes Towards Death And Their Demographic Factors On Disclosure Of Bad News To Cancer Patients
Authors: Ebrahimian Saba , Karimi Masoomeh , Fazilatpanah Danial , Moslemi Dariush 
Published: December 2024

Background: This study aimed to investigate the attitudes of physicians towards death and cancer patients as well as to examine the relationship between physicians' demographic variables, their death anxiety, their attitudes and avoidance behavior towards informing patients about their diagnoses, and physicians' opinions about the necessity of education on how to approach patients with terminal illness.
Methods: The study involved 90 physicians who completed a questionnaire on sociodemographic information, the Death Anxiety Scale, and a 21-item questionnaire prepared by the authors to evaluate physicians' attitudes.
Results: The results showed that 87.8% of the physicians believed that patients had the right to be informed of their diagnoses and disease condition completely. However, only 52.2% of the physicians accepted that the diagnosis should be announced. Moreover, when the patient was a physician themselves with cancer, 94.4% of the physicians agreed that they prefer to be informed about the diagnosis and survival. This ratio decreased to 56.7% when the patient was a physician's relative. Additionally, 94.4% of the physicians (n=287) agreed that education on how to approach death and cancer patients should be given during or after medical education. The responses to the questionnaire differed according to the variables of death anxiety, practice area, gender, and marital status.
Conclusion: According to the results, this paper shows the importance of the socio-demographic factors and the physicians attitude toward dealing with patients and giving bad news, and try to unify it by using a written training program in dealing with patients and giving bad news and reducing the effect of individual factors of physicians in dealing with Patients.
Clustering Countries of the World Based on the Trend of the COVID-19 Incidence: An application of shape-based k-means algorithm
Authors: Dehghani Tafti Arefeh , Jahani Yunes , Jambarsang Sara , Bahrampour Abbas 
Published: December 2024

Background: the urban Health Commission of Wuhan City, China, issued an emergency notice due to an incidence of viral pneumonia of unknown cause in December 2019. The World Health Organization officially named it the 2019 novel coronavirus. Since the course of the disease is not the same in the countries and regions of the world, and the study of this diversity is an important source of information for policymakers and researchers. The current study aims to cluster selected countries of the world based on its incidence and it was done according to the trajectories shape.
Methods: the data set analyzed, included new cases of COVID-19(per million people) in 13 countries of the world, which were published on the World Health website from March, 2020, to October, 2021 monthly then analyzed by the k-means clustering method using Fréchet distance and R software V4.0.5. in addition, clustercrit and kmlshape packages were utilized for trajectory clustering.
Result: Research results show that, 13 countries of the world were classified into 2 clusters with high and low incidence. The cluster with high incidence included 8(62%) countries. The 2 cluster exhibits the highest outlier in COVID-19 incidence. In the analyzed nations, United States and Brazil exhibited the highest incidence rate in clusters 1 and 2, respectively.
Conclusion: The present findings showed that there are 2 patterns in the epidemic of COVID-19. The first pattern includes severe fluctuations and the next pattern includes low fluctuations. The results revealed that the method used in this article has the potential to understand incidence trends regardless of the time of disease onset. Since the Covid-19 infection process experiences fluctuations over time that vary based on when the pandemic began in each country, it's essential to analyze the similarity and shape of infection trends collectively, independent of their starting points.
A Salamon trónja, a Targum Sheni Eszter tükrében
Authors: MÁRTON János 
Published: December 2024

The Throne of Solomon as Reflected in Targum Sheni. The Hebrew and Aramaic targum means ‘translation’, ‘variant’. They are extremely readable, if only because they are not literal translations but also include an explanation of the text, including aggadic material from various rabbinic sources. In the Second Temple period, Aramaic as a spoken language slowly superseded Hebrew. Although we do not know when exactly when this shift took place, but we can be sure that by the Second Temple period it had become sacralized and was on a par with Hebrew. The description of the throne of Solomon has a theological role to play in describing Solomon’s reign of peace. The king’s wisdom is also reflected in the fact that, according to the Targum, he understands the language of the animals and controls them. The throne in its fullness is nothing more than an expression of wealth and splendour, which in turn refer to the King of Kings: God. And its mysterious workings suggest that the Creator God, the redeemed, is allowed to create mysterious things that no one else can ever replicate. That is why the description concludes, “This is King Solomon’s throne, the like of which has never been seen in all the world.”
Értékorientált vezetőképzés a református köznevelés szolgálatában
Authors: SZONTAGH Pál Iván 
Published: December 2024

Value-Driven Training of Leaders in the Service of Reformed Public Education. Our paper focuses on a specific subsystem of the Hungarian public education system, the Reformed educational network. After a theoretical foundation, the study will review the characteristics and legislative environment of Reformed public education management and leadership training, and then examine the concept, reception, results, and further development potentials of the accredited training in Value-Driven Leadership, a relatively new element of the range of trainings. Some basic conclusions can be drawn from the survey as: (1) The target group is very interested in modern knowledge about Christian leadership, which is considered a priority area, which also coincides with the needs of the maintenance. (2) The management powers of headmasters of ecclesiastical institutions are much broader than those of headmasters of public institutions, but their knowledge and interest in these areas are insufficient. (3) More than ever before, the organization of training should aim at modularity and a variety of organizational methods.
17. századi disputáció-tiszteletpéldányok a Sárospataki Református Kollégium Nagykönyvtárában
Authors: ÉGER Gábor 
Published: December 2024

Dedicated Complimentary Copies of 17th-Century Disputations in the Great Library of the Sárospatak Reformed College. In the 17th century, Hungarian Calvinist students in the universities of Germany and the Netherlands held numerous scholarly disputations on medical, philosophical, and theological topics. The Great Library of the Sárospatak Reformed College has several hundred works of this kind in its collections. Many of these are unique copies, and the special feature of many of them are the annotations on the title pages or on the last page, which contain the dedication of the respondent and inform about the sending of a complimentary copy. The Great Library of Sárospatak owns seven composite volumes with a lot of entries. The following students have received dedicated disputations from their fellow students: Jakab Alistáli Farkas, Pál Diószegi Kalmár, Ferenc Domjáni, András Egrespataki, Tamás Lévai Suba, Márton Dús Muraközi, István Szikszai D., András Tarpai Szilágyi, and Mihály Tatai P., to whom their friends in peregrination and former schoolfellows in Hungarian and Transylvanian colleges sent their published dissertations. The thirty-seven dedicated disputations provide insight into the network of relationships of the university students who studied abroad in the early modern period. And entries sometimes demonstrate close friendships and examples of respect towards each other and the signs of recognition.
A vallás és spiritualitás mint védőfaktor a kolozsvári RTZK vallástanárszakos hallgatóinak mentális egészsége szempontjából
Authors: GORBAI Gabriella Márta 
Published: December 2024

Religion and Spirituality as Protective Factors for the Mental Health of the Students at the Faculty of Reformed Theology and Music. This study focuses on certain aspects of spiritual well-being and examines how religiosity and spirituality can serve as protective factors in maintaining mental health and function as coping mechanisms. After a (non-exhaustive) review of the relevant literature on this subject, we present some practices and reflections used during group activities with the students of the Faculty of Reformed Theology at Cluj-Napoca. Ideally, the work of a religion teacher also has spiritual dimensions. It is important that the training includes reflections on religious, Christian spirituality. Reflecting on spirituality serves a dual purpose: on the one hand, it helps students view their spirituality as a resource for the protection of their mental health, and, on the other hand, it helps them recognize that the awareness and development of religious spirituality is also their professional duty, as it has a direct impact on the students entrusted to them.
During groupwork with the future religion teachers, our primary focus was on clarifying and deepening their awareness of spiritual capabilities and reflecting on key concepts of religious spirituality (such as prayer and the image of God), which can serve as resources in protecting their mental and spiritual health.
Az erőszak, a dominanciaigény és az áldozatállító hatásmechanizmus individuális és társadalmi vonatkozása
Authors: KOVÁCS Szabolcs 
Published: December 2024

The Individual and Social Aspects of Violence, the Desire for Dominance, and the Mechanisms of Victimization. Some Anthropological Perspectives. Where does violence come from? Is it an inherent or a learned trait? Has there always been this much violence? What role does the Church play in this context? These are all questions to which we continually seek and manage to provide partial answers. The theological-anthropological perspective is just one of them. We also turn to sociological, philosophical, anthropological, and psychological viewpoints to formulate a complex answer by examining the intersections of these disciplines to understand the source of this corruption in human nature.
A „belső ember” faggatása mint a terápiás írás és az önszupervízió keresztyén formája
Authors: MIKOLA NYÍRI Emese 
Published: December 2024

Interrogating the “Inner Man” as a Christian Method of Therapeutic Writing and Self-supervision. Augustine served as an example for the foundations of Christian writing therapy, since he created the tradition of written confessions, as well as making reflections on it. In this study, we present Augustine's concept of the inner man viewed from the context of Christian writing therapy, with the aim of providing assistance for therapeutic writing and one of its essential areas of application for self-supervision, which is essential in all helping professions in addition to supervision.
Utilisation of Four Natural Absorbents in RemovingHeavy Metals from Sewage Water and Reducing their Accumulation in Maize Leaves
Authors: Al-Fahdawy Harith Sadaa Madhan , Salih Salih M. , Al-Fahdawy Mohammed Ismail Khalaf , Al-Hadethi Akram A. H. , Al-Fahdawi Omer Ismail , Abdulmajeed Amer Hashim , Al-Esawi Jabbar Sh. E. 
Published: December 2024

Abstract
The general water quality has a direct influence on the ability to sustain life on the Earth. The aim of this study was to evaluate the efficiency of different natural adsorbents, namely phosphate rock, clay mineral (bentonite), peat moss, and soil in wastewater treatment. The laboratory experiment included columns experiment conducted as two factorial experiments. The first factor was water quality, which involved six types of water: river, untreated sewage water, sewage water treated with phosphate rock, sewage water treated with bentonite, sewage water treated with peat moss, and sewage water treated with soil. The second factor included two types of soil (two different soil textures), the first was clay loamy soil and the second was loamy soil. The treatments were randomly distributed following a randomized complete block design with three replications. The field study was represented by a pots experiment that included two types of soil textures, namely clay loamy and loamy soil. Heavy metals such as zinc, manganese, and iron were analysed in the water output from the columns to be used in the cultivation experiment as irrigation water. Overall the treatment combinations and the obtained results showed a significant reduction in the considered heavy metals. In this context, phosphate rock led to a decrease in zinc, manganese, and iron to 60.33, 54.00 and 55.30 mg/kg compared to untreated water which gave 63.33, 62.23 and 78.8 mg/kg. From an economic perspective, phosphate rock, was the most significant among the adsorbents under study, due to its availability and sustainability.
Case Study on High and Medium Yielding Perennial Energy Crops, Miscanthus × Giganteus Anders. and Elymus Elongatus (Host) Runemark, 10-years Cultivation Impact on Main Soil Chemical Properties
Authors: Porvaz Pavol , Tóth Štefan , Dupľák Štefan , Klemová Katarína 
Published: December 2024

Abstract
The aim of the research was to determine the effect of 10 years of growing the perennial energy grasses giant silvergrass (GS) and tall wheatgrass (TW) on the content of main soil nutrients, under differentiated nutrition intensity. The following nutrition treatments were monitored: intensive 120 kg/ha N per year (T1), semi-intensive 60 kg/ha N per year (T2), and untreated control (T3), whereby on both treatments T1 and T2 a dose of 30 kg/ha P and 30 kg/ha K was applied before the establishment of crop stands. The small-plot experiment was conducted in soil-climatic conditions of the East Slovak Lowland on heavy Fluvic gleysol in 2013. Over the monitored 10-year period, the cumulative dry matter yield was 266.6; 212.9; 163.2 t/ha at GS, in the order of T1-T2-T3, and 120.5; 96.6; 70.2 t/ha at TW, respectively. The change status (final state of autumn 2022 vs. initial of autumn 2012) of soil main chemical parameters (total nitrogen, and available phosphorus, potassium, magnesium, and calcium content; exchange soil reaction; organic carbon and humus content; and carbon/nitrogen ratio were followed) was crop specific in general, as strongly influenced by the nutrition intensity and by crop cumulative yield as well. Total nitrogen content in soil was changed as follows: +216; +167; +207 kg/ha at GS, and +306; +230; +90 kg/ha at TW, in the order of T1-T2-T3, while soil organic carbon content: +2.036; +1.883; +1.631 t/ha at GS, and +2.743; +2.104; +1.105 t/ha at TW, respectively. The change status of further parameters was positive/negative in ratio of 17/19, thus 29/19 in total.
Assessment of organochlorinated pesticides (OCPS) residues in the muscles of frozen atlantic herrings (clupea harengus) in Ibadan southwest local government, Ibadan, Oyo state, Nigeria
Authors: Olaifa Flora E , Fawole Olaolu O , Afolabi Ayomide B 
Published: December 2024

Abstract
This study assessed organochlorinated pesticides (OCPs) residues in the muscle of frozen Atlantic herrings (Clupea harengus) and compared with the maximum residue limits set by European Union (EU), Food and Agricultural Organization (FAO) and World Health Organization (WHO). Frozen fish samples were purchased from Oke Ado market in Ibadan, Oyo State Nigeria and weighed per batch. Fish sample averaged 300grams were wrapped in aluminum foil paper and placed in cooler and taken to the Laboratory for analysis. OCPs were tested in C. harengus in February, March and April, 2023. The mean concentration and standard deviation of OCP congeners detected (concentration in ng/g) for February, March and April were 1368.74±47.49, 546.07±18.45, 788.40±35.36 respectively for a-HCH. p,p'-DDT had 0.14±0.06 with other values having b-HCH 0.36±0.15, d-HCH 0.52±0.23 in February, 0.00±0.00 in March and 0.20±0.08 in April. Aldrin and Endrin aldehyde concentration were 9.11±3.65 and 42.08±16.82 respectively for February only. Methoxychlor however recorded 1.12±0.47, 0.38±0.14 and 0.25±0.06 for February, March and April accordingly. The levels of OCPs detected exceeded Maximum Residue Limits (MRLs), indicating potential risks to human health. It is recommended that regulatory measures, public awareness and continuous monitoring should be undertaken to stem the effects of this pollution.