bluuebunny/crossref_metadata_2025_split huggingface dataset:
Use of offline artificial intelligence in a smartphone-based fundus camera for community screening of diabetic retinopathy
Authors: Jain Astha , Krishnan Radhika , Rogye Ashwini , Natarajan Sundaram 
Published: November 2021

Purpose:
The aim of the study was to analyse the reliability of an offline artificial intelligence (AI) algorithm for community screening of diabetic retinopathy.

Methods:
A total of 1378 patients with diabetes visiting public dispensaries under the administration of the Municipal Corporation of Greater Mumbai between August 2018 and September 2019 were enrolled for the study. Fundus images were captured by non-specialist operators using a smartphone-based camera covering the posterior pole, including the disc and macula, and the nasal and temporal fields. The offline AI algorithm on the smartphone marked the images as referable diabetic retinopathy (RDR) or non-RDR, which were then compared against the grading by two vitreoretinal surgeons to derive upon the sensitivity and specificity of the algorithm.

Results:
Out of 1378 patients, gradable fundus images were obtained and analysed for 1294 patients. The sensitivity and specificity of diagnosing RDR were 100% (95% CI: 94.72–100.00%) and 89.55% (95% CI: 87.76–91.16%), respectively; the same values for any diabetic retinopathy (DR) were 89.13% (95% CI: 82.71–93.79%) and 94.43% (95% CI: 91.89–94.74%), respectively, with no false-negative results.

Conclusion:
The robustness of the offline AI algorithm was established in this study making it a reliable tool for community-based DR screening.
Effect of sustained-release long-acting intravitreal dexamethasone implant in patients of non-proliferative diabetic retinopathy undergoing phacoemulsification: A randomized controlled trial
Authors: Gupta Parul Chawla , Ram Jagat , Kumar-M Praveen , Agarwal Aniruddha , Gupta Vishali , Singh Ramandeep , Bansal Reema , Katoch Deeksha , Dogra Mangat R , Gupta Amod 
Published: November 2021

Purpose:
Cataract and diabetes, both being a major health care problem, an intervention evaluated for the combination of the two attains paramount importance. The purpose of the study was to determine the role of intraoperative intravitreal dexamethasone implant in patients with diabetic retinopathy with/without macula edema undergoing phacoemulsification.

Methods:
The study was a two-arm, single-center, randomized, assessor-blinded trial of 151 patients with type-2 diabetes mellitus and cataract. It had two groups: dexamethasone group (DEX) versus standard of care (SOC) group, i.e. phacoemulsification and intraocular lens (IOL) implantation without injection of dexamethasone drug delivery system (DDS). The number of rescue interventions required, central macular thickness by optical coherence tomography (OCT), Early Treatment Diabetic Retinopathy Study (ETDRS) score, laser flare meter (LFM) values, intraocular pressure (IOP), and grade of diabetic retinopathy (DR) were recorded until three months follow up. Macular thickness and number of rescue medications between the treatment groups were the co-primary outcomes.

Results:
A statistically significant interaction was present between treatment and time on OCT score (P < 0.001). The requirement of rescue interventions in the dexamethasone DDS group [40.2% (33/82)] was lesser as compared to the SOC group [49.3% (34/69)] at the end of 12 weeks [odds ratio (OR), 0.70 (0.36–1.33)] follow up although not statistically significant (P = 0.343). A statistically significant interaction was present between treatment and time on LFM score (P = 0.003). No statistically significant interaction was present between the treatment and time on visual acuity score (P = 0.08) and IOP score (P = 0.375).

Conclusion:
Dexamethasone implant may have potential as a valuable therapy for patients undergoing cataract surgery with DR with/without macular edema with effects lasting for at least three months.
Personality and mental health factors associated with performance at university level
Authors: Rath Namita , Kar Shreyan , Kar Nilamadhab 
Published: November 2021

Background:
Performance of students at university level may be influenced by various factors.

Aim:
In a sample of business administration students, we explored personality, mental health, and life style factors associated with high and low achievers based on their examination grades (Grade A and higher vs. Grade B and lower).

Methods:
We studied personality factors using big five inventory (BFI)-10, anxiety through generalized anxiety disorder-7 screening scale, and depression by patient health questionnaire-9 scale. In open-ended questionnaires, stress, relationship, and drug uses were enquired about.

Results:
Considerable proportions of students had anxiety (33%) and depression (41%) at moderate-to-severe level; however, they were not different in the two groups. Higher examination grades were associated significantly with higher scores on conscientiousness factor of BFI-10 and female gender. There was no difference in self-reported stress or substance use between the two groups.

Conclusions:
While conscientiousness was associated with better performance, mental health factors were comparable between higher and lower grades in examination. The results highlight the need for further research on personality and modifiable factors such as stress, anxiety, and depression and to evaluate effectiveness of interventional approaches on academic performance.
Integration of an extended, immersive, gamified pharmacy simulation as a capstone event
Authors: Hope Denise L , Grant Gary D , Rogers Gary D , King Michelle A 
Published: November 2021

Introduction: A gamified simulation was integrated as a capstone event for a new Australian undergraduate pharmacy programme. It aimed to consolidate previous learning and deliver an authentic activity aligned with self-determination theory to develop students’ professional identity and enhance their competence, confidence, and collaborative skills. Description: A full-environment immersive simulation was constructed in which teams of final-year pharmacy students competitively managed their own virtual pharmacies over an extended period. Gamification of the simulation aimed to enhance student motivation and engagement while recognising the consequences of clinical and professional decision-making. Evaluation: Four years of gamified simulation encouraged outstanding student attendance and engagement. The quantitative evaluation revealed high student satisfaction (mean 4.7 out of 5) of the host courses, while the qualitative evaluation revealed that intended outcomes were met through the delivery of authentic, consolidated learning and enhancement of student confidence and professional identity. Conclusion: An extended, gamified simulation may provide a transformative learning event.
Profiles of Ethiopian centenarians: A qualitative inquiry
Authors: Chane Samson , Adamek Margaret E. 
Published: November 2021

As global aging advances, the number of centenarians worldwide is greatly increasing. Most of what is known about centenarians comes the Global North. It is not clear what factors contribute to longevity of centenarians in impoverished, mostly rural areas of Global South nations that still lack basic amenities. Cultural differences in the profile, lifestyles, and needs of centenarians in Africa have yet to be documented. Using a case study design, this descriptive inquiry investigated the profiles of centenarians in Ethiopia including religion, marriage, education, occupation, income, and living arrangement. Data were generated through in-depth interviews with nine centenarians (1 woman, 8 men) and were analyzed using descriptive narrative analysis. Respondents were between 100 and 108 years old. All nine were adherents of Orthodox Christianity, had been married, and were great-grandparents. Their adult lives were marked by both residential and marital stability. The Ethiopian centenarians persevered through many losses and hardships with the help of strong community-based social networks.. Unlike studies of centenarians in the Global North, most respondents were male and had strict religious upbringings. Understanding the unique profiles of centenarians in the Global South will help to inform research and practice with this growing population of the oldest-old.
The Relationship between Mentoring Functions and Employee Performance: Mediating Effects of Protégé Relational Self-Efficacy
Authors: Malik Muhammad Shaukat , Nawaz Muhammad Kashif 
Published: November 2021

Organizational scholars concurred that positive workplace relationships with others can help the employee to gain from these relationships but, they lack insights into how or why this occurs. Moreover, the relationship dynamics focus on what the relationships provide without considering how these relationships are initiated, builds and maintains. In the line with this, the current study aims to find the impact of mentoring functions (career, psychosocial, role modeling) and employee performance (career success, organization citizenship behavior, and job performance) via mediating effect of relational self-efficacy. For this purpose, the data were gathered from 310 branch banking employees of Pakistani conventional banks. PLS-SEM was used for data analysis. The results indicate that there is a direct relationship between mentoring functions and employee performance. Moreover, the finding also shows that employee relational self-efficacy mediates the relationship between mentoring functions and employee performance. Theoretical and practical implications are discussed along with suggestions for future research.
DATABASE – WEB INTERFACE VULNERABILITIES
Authors: IORDACHE Dorin 
Published: November 2021

The importance of information security in general, of managed information at the level of a database has increased with the expansion of the Internet. On the other hand, it has acquired new facets with the increase of the accessibility of the users to as many resources as possible. Large volume of private data in use and the limitation of unauthorized actions to information have brought new aspects to the issue of ensuring their protection. The scope of this field is wide and allows the operation in several directions: identification, description, creation, implementation and testing of mechanisms aimed at improving the working environment in which database management systems operates. Due to the importance of the information managed by a DBMS[1], it is necessary to define a framework safe and easy to use. The database fulfills not only the role of storage, but also of data provider to users. Thus, the information must be protected throughout the interaction process: generation, storage, processing, modification, deletion, etc. Therefore, the security of databases must not only be reduced to the protection of certain data considered sensitive, but also to the creation of a secure, authorized and controlled global environment through which information becomes available to users.

[1] DBMS – DataBase Management System
PARTICIPATORY BUDGETING AS A PROSPECTIVE TOOL FOR THE DEVELOPMENT OF RURAL TERRITORIES
Authors: Подгорская С.В. , Мирошниченко Т.А. 
Published: November 2021

Достаточно новой формой практики муниципального управления в РФ становится партисипаторное бюджетирование, основанное на непосредственном участии граждан в местном самоуправлении. Целью исследования явилось изучение вовлеченности сельского населения в процессы управления сельскими территориями через механизм партисипаторного бюджетирования. Совершенствование системы управления сельским развитием на основе самоорганизации селян с активной гражданской позицией и партисипаторного бюджетирования является важнейшим фактором новой научной модели развития сельских территорий. Представлена диагностика состояния партисипаторного бюджетирования в России, 69 регионов реализуют проекты на основе этого механизма публичного управления общественными финансами, существуют многочисленные успешные практики вовлечения местных сообществ в управление территориальным развитием. Несмотря на то, что в 2019 г. по сравнению с 2014 г. количество реализованных проектов на селе увеличилось вдвое, относительно 2016 года оно уменьшилось почти на 40%. Выявлены ключевые факторы, сдерживающие развитие гражданского участия селян в управлении общественными финансами: недостаточный уровень институционального доверия сельского населения, высокая субсидированность и низкий уровень собственных доходов местных бюджетов, недостаточность компетенций органов местного самоуправления для подготовки инициативных проектов.
Participatory budgeting, based on the direct participation of citizens in local selfgovernment, is becoming a fairly new form of municipal governance practice in the Russian Federation. The aim of the study was to study the involvement of the rural population in the management of rural areas through the mechanism of participatory budgeting. Improving the rural development management system based on the self-organization of villagers with an active civic position and participatory budgeting is the most important factor in the new scientific model for the development of rural areas. The diagnostics of the state of participatory budgeting in Russia is presented, 69 regions are implementing projects based on this mechanism of public management of public finances, there are numerous successful practices of involving local communities in the management of territorial development. Despite the fact that in 2019, compared to 2014, the number of implemented projects in rural areas doubled, compared to 2016 it decreased by almost 40%. The key factors hindering the development of civic participation of villagers in the management of public finances were identified: insufficient level of institutional trust of the rural population, high subsidies and low levels of local budgets' own revenues, insufficient competence of local governments to prepare initiative projects.
Analisis Faktor-Faktor yang Memengaruhi Minat Petani Berusahatani Tebu (Studi Kasus: Wilayah Kerja Pabrik Gula Gempolkrep, PT Perkebunan Nusantara X)
Authors: Permadhi Danang , Dianpratiwi Trikuntari 
Published: November 2021

Penurunan luas lahan tebu rakyat (TR) di wilayah kerja PG Gempolkrep mengindikasikan minat petani dalam berusahatani tebu menurun. Oleh sebab itu, perlu dilakukan penelitian mengenai faktor-faktor yang memengaruhi minat petani dalam berusahatani tebu. Data yang digunakan adalah data primer dan sekunder. Data primer diperoleh dari 77 petani tebu dengan menggunakan kuisioner terstruktur. Analisis yang digunakan adalah analisis regresi linier berganda dengan menggunakan alat bantu software SPSS 16. Data sekunder diperoleh dari Kementerian Pertanian, PTPN X dan PG Gempolkrep. Hasil penelitian ini menunjukkan faktor-faktor yang memengaruhi minat petani dalam berusahatani tebu adalah penguasaan lahan, pendapatan berusahatani tebu, peran petugas PG, peran KPTR dan peran dinas terkait. Nilai determinasi R Square sebesar 0,562 menunjukkan bahwa variabel X (independent variable) dapat menjelaskan variabel Y (dependent variable) sebesar 56,2%, sedangkan sisanya 43,8% dijelaskan oleh faktor atau variabel lain di luar model.
Pengaruh Komunikasi dan Konflik Kerja terhadap Kinerja Karyawan pada PT. Asuransi Central Asia Divisi Oto Claim Center Bintaro
Authors: Seta Anggada Bayu , Abdurohman Dede , Ilham Nurul 
Published: November 2021

Penelitian ini bertujuan untuk mengetahui pengaruh komunikasi dan konflik kerja terhadap kinerja karyawan secara parsial maupun secara simultan. Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik survei, teknik sampling yang di pergunakan yaitu teknik sampling jenuh dengan sampel responden sebanyak 50 orang karyawan. Hasil atas penelitian ini menunjukkan bahwa: (1) Hasil pengujian hipotesis komunikasi menunjukkan nilai t hitung sebesar 6,581 yang kemudian dibandingkan dengan t tabel yaitu 2,011 yang berarti bahwa hipotesis dalam penelitian ini menolak H0 dan menerima Ha. Dengan demikian dapat disimpulkan bahwa hipotesis H1 “Komunikasi mempunyai pengaruh positif dan signifikan terhadap Kinerja karyawan” diterima. (2) Hasil pengujian hipotesis konflik kerja menunjukkan nilai t hitung sebesar 6,374 yang kemudian dibandingkan dengan t tabel yaitu 2,011 yang berarti bahwa hipotesis dalam penelitian ini menolak Ho dan menerima Ha. Dengan demikian dapat disimpulkan bahwa hipotesis H2 “Konflik mempunyai pengaruh positif dan signifikan terhadap terhadap Kinerja karyawan” diterima. (3) Hasil perhitungan statistik menunjukkan nilai F hitung = 33,931 yang kemudian dibandingkan dengan F tabel yaitu 3,20 yang berarti bahwa hipotesis dalam penelitian ini menolak Ho dan menerima Ha. Dengan demikian dapat disimpulkan bahwa hipotesis H3 “Komunikasi dan Konflik Kerja mempunyai pengaruh positif dan signifikan secara simultan terhadap terhadap Kinerja karyawan” diterima.
Pengembangan Kepemimpinan Berbasis Budaya (Studi Kasus di RW 05 Kelurahan Baktijaya Kecamatan Setu Tangerang Selatan)
Authors: Yuwono Teguh , Rovita Angga , Riyana H Diana 
Published: November 2021

Penelitian ini bertujuan untuk Menganalisa apakah nilai-nilai kepemimpinan berbasis budaya yang diterapkan dapat diterima dan diimplementasikan dengan baik oleh pegawai yang dipimpinnya sehingga menghasilkan sinergi yang baik antara pemimpin dan warga Bakti Jaya. Penelitian ini menggunakan metode penelitian kualitatif. Penelitian ini dilaksanakan pada rw 05 Kelurahan bakhti jaya kecamatan setu Tangerang Selatan. Hasil dari penelitian ini adalah Setiap lembaga, institusi dan organisasi apapun namanya tentu harus melakukan perubahan. Karena dinamika kehidupan bergerak terus dengan sangat cepat. Tantangannya bukan saja harus mampu beradaptasi dengan perubahan, namu juga bagaimana kemampuan menentukan arah perubahan serta memimpin perubahan. Begitu pula di ke RW 05 an Kelurahan Baktijaya Kecamatan Setu Tangerang Selatan. Paska kepemimpinan yang sangat lama tidak ada perubahan, maka ketua RW yang baru ini melakukan terobosan dengan membuat slogan BARU (Bersih -Aman–Rukun). Dari slogan ini dikembangkan kepemimpinan ke level bawahnya yaitu ke RT dan sampai menyentuh dataran realitas masyarakat, dengan membudayaan kata BARU, ketua RW berhasil mengimpleme-ntasikan nilai-nilai kemasyarakatan yang pada gilirannya tercipta nilai- nilai kepemimpinan di lapiran masyarakatnya, dengan demikian Ketua RW 05 berhasil mengembangkan kepemimpinan berbasis budaya.
EDUCADOR SUFICIENTEMENTE BOM: UMA RELEITURA WINNICOTTIANA DOS INDICADORES DO IRDI
Authors: Puccinelli Mariana Farias , Silva Milena da Rosa 
Published: November 2021

Este artigo aborda o conceito de educador suficientemente bom. Tal construção teórica parte da releitura winnicottiana dos indicadores da metodologia IRDI (Indicadores de Risco para o Desenvolvimento Infantil). Assim, buscar-se-á compreender de que maneiras os educadores dos berçários e maternais auxiliam a dar andamento aos processos do amadurecimento dos bebês dos quais cuidam, utilizando-se, para isso, da teoria do amadurecimento proposta pelo psicanalista inglês D. W. Winnicott. Compreende-se que os profissionais das creches contribuem de forma importante para a constituição psíquica dos bebês, pois proporcionam continuidade aos principais processos desta: integração, personalização e capacidade para relacionamentos. Nesse sentido, esses educadores, quando atuando de maneira suficientemente boa, proporcionam continuidade e suplência ao papel do cuidador primordial, na maioria das vezes, exercido pela figura materna. Considerando o potencial constitutivo do fazer dos educadores de berçários e maternais, evidencia-se a necessidade e a relevância de propostas de formação especializadas para esses profissionais.
Palavras-chave: Parto; doula; provisão ambiental (Winnicott); internet.
Mechanically Improved and Multifunctional CFRP Enabled by Resins with High Concentrations Epoxy-Functionalized Fluorographene Fillers
Authors: Wei Junhua 
Published: November 2021

To meet the maximum potential of the mechanical properties of carbon fiber reinforced plastics (CFRP), stress transfer between the carbon fibers through the polymer matrix must be improved. A recent promising approach reportedly used reinforcing particles as fillers dispersed in the resin. Carbon based fillers are an excellent candidate for such reinforcing particles due to their intrinsically high mechanical properties, structure and chemical nature similar to carbon fiber and high aspect ratio. They have shown great potential in increasing the strength, elastic modulus and other mechanical properties of interest of CFRPs. However, a percolation threshold of ~1% of the carbon-based particle concentration in the base resin has generally been reported, beyond which the mechanical properties deteriorate due to particle agglomeration. As a result, the potential for further increase of the mechanical properties of CFRPs with carbon-based fillers is limited. We report a significant increase in the strength and elastic modulus of CFRPs, achieved with a novel reinforced thermoset resin that contains high loadings of epoxy-reacted fluorographene (ERFG) fillers. We found that the improvement in mechanical performance of CFRPs was correlated with increase in ERFG loading in the resin. Using a novel thermoset resin containing 10 wt% ERFG filler, CFRPs fabricated by wet layup technique with twill weaves showed a 19.6% and 17.7% increase in the elastic modulus and tensile strength respectively. In addition, because of graphene’s high thermal conductivity and high aspect ratio, the novel resin enhanced CFRPs possessed 59.3% higher through-plane thermal conductivity and an 81-fold reduction in the hydrogen permeability. The results of this study demonstrate that high loadings of functionalized particles dispersed in the resin is a viable path towards fabrication of improved, high-performance CFRP parts and systems.
Impact of Direct From Blood Culture Identification of Pathogens Paired With Antimicrobial Stewardship Interventions in a Pediatric Hospital
Authors: Puckett Lauren M. , Rajkotia Poonam , Coppola Lisa , Baumgartner Lori , Roberts Amity L. , Maldonado Yanice , Girotto Jennifer E. 
Published: November 2021

OBJECTIVE
Identification of organisms directly from positive blood culture by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) has the potential for improved clinical outcomes through earlier organism identification and shorter time to appropriate clinical intervention. The uses of this technology in pediatric patients and its impact in this patient population have not been well described.

METHODS
Direct from positive blood culture organism identification via MALDI-TOF was implemented in September 2019. A quality improvement project was performed to assess its impact on admissions for contaminant blood cultures and time to effective and optimal antimicrobials and clinical decision-making. A pre- and post-implementation retrospective review for consecutive September through February time periods, was conducted on patients with positive monomicrobial blood cultures. Statistics were evaluated using Mann-Whitney U and χ2 tests.

RESULTS
One hundred nineteen patients with 131 unique blood cultures (65 in pre- and 66 in post-implementation) were identified. Time to identification was shorter, median 35.4 hours (IQR, 22.7–54.3) versus 42.3 hours (IQR, 36.5–49) in post- and pre-groups, respectively (p = 0.02). Patients were less likely to be admitted for a contaminated blood culture in the post-implementation, 26% versus 11% in the pre-implementation (p = 0.03) group. In patients treated for bacteremia, there was a shorter time to optimal therapy from Gram stain reporting in the post-implementation (median 42.7 hours [IQR, 27.2–72]) versus pre-implementation (median 60.8 hours [IQR, 42.9–80.6]) (p = 0.03).

CONCLUSIONS
Direct from positive blood culture identification by MALDI-TOF decreased time to effective and optimal antimicrobials and decreased unnecessary admission in pediatric patients for contaminated blood cultures.