bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prior Glucose-Lowering Medication Use and 30-Day Outcomes Among 64,892 Veterans With Diabetes and COVID-19
Authors: Wander Pandora L. , Lowy Elliott , Beste Lauren A. , Tulloch-Palomino Luis , Korpak Anna , Peterson Alexander C. , Kahn Steven E. , Boyko Edward J. 
Published: October 2021

OBJECTIVE
To identify preinfection risk factors for adverse outcomes among veterans with diabetes and coronavirus disease 2019 (COVID-19) infection.

RESEARCH DESIGN AND METHODS
We identified all Veterans Health Administration patients with diabetes and one or more positive nasal swab(s) for severe acute respiratory syndrome coronavirus 2 (1 March 2020–10 March 2021) (n = 64,892). We examined associations of HbA1c and glucose-lowering medication use with hospitalization, intensive care unit (ICU) admission, and mortality at 30 days using logistic regression models and during 4.4 months of follow-up (range &lt;1–13.1) using proportional hazards models.

RESULTS
Compared with HbA1c &lt;7.0%, HbA1c ≥9.0% was associated with higher odds of hospitalization, ICU admission, and death at 30 days (odds ratio [OR] 1.27 [95% CI 1.19–1.35], 1.28 [95% CI 1.15–1.42], 1.30 [95% CI 1.17–1.44], respectively) as well as higher risk of death over 4.4 months (hazard ratio [HR] 1.22 [95% CI 1.12–1.32]). Insulin use was associated with higher odds of hospitalization, ICU admission, and death (OR 1.12 [95% CI 1.07–1.18], 1.12 [95% CI 1.04–1.22], and 1.18 [95% CI 1.09–1.27], respectively) and higher risk of death (HR 1.12 [95% CI 1.07–1.18]). Sodium–glucose cotransporter 2 inhibitor (SGLT2i), glucagon-like peptide-1 receptor agonist (GLP1-RA), or angiotensin receptor blocker use were associated with lower odds of hospitalization (OR 0.92 [95% CI 0.85–0.99], 0.88 [95% CI 0.81–0.96], and 0.94 [95% CI 0.89–0.99], respectively). Metformin and SGLT2i use were associated with lower odds (OR 0.84 [95% CI 0.78–0.91], 0.82 [95% CI 0.72–0.94], respectively) and risk of death (HR 0.84 [95% CI 0.79–0.89], 0.82 [95% CI 0.74–0.92], respectively).

CONCLUSIONS
Among veterans with diabetes and COVID-19, higher HbA1c and insulin use were directly associated with adverse outcomes, while use of a GLP1-RA, metformin, and SGLT2i was inversely associated.
TAM Model for E-Health Implementation in Rural Areas of Uttarakhand, Post Covid-19 Pandemic
Authors: Kataria Pushpa , Dang G.P. , Kaur Divneet , Singh Prashant , Gupta Vijay Prakash 
Published: October 2021

Objective: The present study aim to find out the factors that has an influence and impacts the actual use of e-Health during post COVID-19 pandemic on the lines of TAM (technology acceptance model) and further suggest ways for effective implementation and adoption of e-Health by the rural patients.
Design & Setting: The study was conducted on a total of 243 rural patients who had experienced e-Health services. Structural Equation Modeling has been used for analysis of data.
Results: The analysis revealed that ‘perceived usefulness’, ‘perceived ease of use’, ‘privacy’ and ‘trust’, all had considerable impact on the ‘intention to use’ which further significantly impacts the ‘actual use’.
Conclusion: Using in-depth interviews, both patients and physicians, practice of evidence-based e-Health interventions was identified for effective implementation and adoption of e-Health, which further helps to provides an equitable healthcare services to both urban and rural population.
Prediction of Mechanical Properties as a Function of Welding Variables in Robotic Gas Metal Arc Welding of Duplex Stainless Steels SAF 2205 Welds Through Artificial Neural Networks
Authors: Payares-Asprino Carolina 
Published: October 2021

Abstract
Dual-phase duplex stainless steel (DSS) has shown outstanding strength. Joining DSS alloy is challenging due to the formation of embrittling precipitates and metallurgical changes during the welding process. Generally, the quality of a weld joint is strongly influenced by the welding conditions. Mathematical models were developed to achieve high-quality welds and predict the ideal bead geometry to achieve optimal mechanical properties. Artificial neural networks are computational models used to address complex nonlinear relationships between input and output variables. It is one of the powerful modeling techniques, based on a statistical approach, presently practiced in engineering for complex relationships that are difficult to explain with physical models. For this study robotic GMAW welding process manufactured the duplex stainless steel welds at different welding conditions. Two tensile specimens were manufactured from each welded plate, resulting in 14 tensile specimens. This research focuses on predicting the yield strength, tensile stress, elongation, and fracture location of duplex stainless steel SAF 2205 welds using back-propagation neural networks. The predicted values of tensile strength were later on compared with experimental values obtained through the tensile test. The results indicate <2% of error between observed and predicted values of mechanical properties when using the neural network model. In addition, it was observed that the tensile strength values of the welds were higher than the base metal and that this increased when increasing the arc current. The welds’ yield strength and elongation values are lower than the base metal by 6%, ~ 9.75%, respectively. The yield strength and elongation decrease might be due to microstructural changes when arc energy increases during the welding.
Rozwiązłość w twórczości czeskiego undergroundu literackiego lat 40. i 50. XX wieku
Authors: Królak Joanna 
Published: October 2021

The article deals with images of promiscuity found in works of the Czech literary underground created in the 1940s and the 1950s. Accordingly, works by Egon Bondy, Jana Krejcarova and Karel Hynek are discussed in this respect. As part of the polemics concerning the era presented in the works of the underground pole representatives, there appears a vulgar dictionary and the subject of tabooized erotic practices like scatology, polygamy, sodomy or incest. The description of these practices in the works of representatives of the Czech literary underground of the 1950s was a form of protest, violating the then rigid moral norms and, at the same time, an expression of artistic provocation in relation to the official literature.
Occipital transtentorial approach for pineal region lesions: Addressing the controversies in conventional teaching
Authors: Katyal Abhishek , Jadhav Anil , Katyal Aparna , Jagetia Anita , Bodeliwala Shaam , Singhal Ghanshyam Das , Nazir Wajid , Batra Vineeta , Srivastava Arvind Kumar , Singh Daljit 
Published: October 2021

Background:
The occipital transtentorial (OT) approach is well-established approach for pineal region tumors and can be of choice for the lesions located around the suboccipital part of tentorium such as the quadrigeminal plate, posterior part of thalamus, tentorial surface of cerebellum, splenial region, posterior falx, and lesions around the tentorial incisura. However, it is not very much extensively used in the above-mentioned locations other than the pineal region.

Methods:
Thirty-one patients of pineal region lesions were operated by OT approach, the role of conventional preoperative evaluation of the anatomy of the venous sinuses, deep venous system, and tentorial angle was investigated.

Results:
A variety of lesions were operated using this approach achieving gross and near total resection in majority of the cases (76.6%), with acceptable postoperative mean modified Rankin scales (1.8).

Conclusion:
The OT is a preferable approach for pineal region lesions for patients of all ages and can be tailored for achieving high resectability rates irrespective of the status of the deep venous system and tentorial angle, with reasonable postoperative surgical outcome.
Pengaruh Pembelajaran Daring Asynchronous Terhadap Tingkat Pemenuhan CPMK Statistika
Authors: Henra Kiki , Tayibu Nur Qalbi , Masliah Ika Nirmala 
Published: October 2021

<p>Matakuliah Statistika pada program studi Administrasi Pendidikan FKIP Universitas Puangrimaggalatung memiliki 3 sks, pada kondisi secara umum mahasiswa yang memiliki latarbelakang keilmuan non eksakta cenderung jenuh dalam proses belajar untuk memahami materi, dengan kondisi Pandemi Covid-19 saat ini mendorong bermunculannya metode pembelajaran daring yang inovatif salah satunya metode daring asynchronous dengan memanfaatkan platform Google Classroom, kondisi dalam pembelajaran daring ini tetap menuntut mahasiswa untuk memenuhi capaian pembelajaran agar hasil belajar pada akhir semester sesuai dengan indikator kelulusan capaian CPMK yang telah ditetapkan. Tujuan dari penelitian ini adalah membuktikan penerapan pembelajaran daring Asynchrnous memiliki pengaruh terhadap tingkat pemenuhan CPMK statistika dengan menggunakan instrumen observasi selama proses pembelajaran berlangsung, tes hasil belajar pada saat UTS dan UAS, serta kuesioner online pada saat akhir semester. Sampel pada penelitian merupakan sampel populasi penuh seluruh mahasiswa Prodi Administrasi Pendidikan semester 3 sebanyak 28 mahasiswa. Teknik analisis data dilakukan secara inferensial menggunakan SPSS dengan pendekatan deskriptif. Hasil penelitian menunjukkan model regresi Y=17,148 + 0,765x yang membuktikan adanya pengaruh pembelajaran daring Asynchronous (X) sebesar 25,2% terhadap tingkat pemenuhan CPMK statistika (Y) dengan persentase kelulusan mahasiswa pada matakuliah Statistika sebesar 78,6%. Berdasarkan hasil tersebut dapat disimpulkan bahwa pembelajaran daring asynchronous memiliki pengaruh terhadap tingkat pemenuhan CPMK Statistika mahasiswa.</p>
Identifikasi Kemampuan Berpikir Kritis Siswa pada Masalah dengan Informasi yang Kontradiksi
Authors: Basri Hasan , Jannah Ukhti Raudhatul , Nuritasari Fetty , Yahya Amira 
Published: October 2021

<p>Keberadaan internet sebagai media online membuat informasi yang belum terverifikasi benar dan tidaknya tersebar cepat. Kemampuan berpikir kritis menjadi cara dalam mengatasi atau menangkal berita hoax. Dengan berpikir kritis, seseorang tidak akan secara langsung mempercayai informasi yang diberikan, pemikir kritis akan selalu mencari kebenaran terhadap informasi yang diberikan sebelum mengambil keputusan. Penelitian ini merupakan penelitian kualitatif deskriptif, sebanyak 58 siswa yang terdiri dari 31 siswa kelas XI dan 27 siswa kelas XII terlibat dalam penelitian ini. Siswa diberikan dua masalah dengan informasi yang kontradiksi melalui <em>Google Form</em>. Berdasarkan respon yang diberikan siswa, kemampuan berpikir kritis siswa pada saat menyelesaikan masalah dengan informasi yang kontradiksi dikelompokkan menjadi 3 kategori yaitu : (1) siswa dengan kemampuan berpikir kritis rendah, yaitu siswa yang langsung mengerjakan masalah yang diberikan tanpa mengecek informasi pada soal dan tidak mengetahui informasi yang kontradiksi; (2) siswa dengan kemampuan berpikir kritis sedang, yaitu siswa yang langsung mengerjakan masalah tanpa mengecek informasi pada soal, dan mengetahui informasi yang kontradiksi setelah mengerjakan soal; (3) siswa dengan kemampuan berpikir kritis tinggi, yaitu siswa yang mengecek informasi pada soal terlebih dahulu dan mengetahui informasi yang kontradiksi. Berdasarkan hasil analisis dan wawancara dapat disimpulkan bahwa kemampuan berpikir kritis matematika siswa masih tergolong rendah. Sebagian besar siswa tidak melakukan analisis dan evaluasi terhadap informasi yang diberikan pada masalah yang diberikan. Siswa cenderung gegabah untuk menyelesaikan masalah yang diberikan, walaupun ada informasi yang kontradiksi pada masalah tersebut. Pemberian masalah dengan informasi yang kontradiksi perlu diberikan dan dikembangkan dalam pembelajaran sehingga siswa dapat meningkatkan kemampuan berpikir kritis.</p>
Kemampuan Koneksi Matematis Siswa dalam Pemecahan Masalah Bangun Ruang Sisi Datar Berbasis Polya
Authors: 'Azizah Dewi Nur , Hidayanto Erry , Sisworo Sisworo 
Published: October 2021

<p>Koneksi matematis menjadi dasar utama siswa dalam memecahkan masalah antar konsep matematika maupun konsep lainnya. Tujuan penelitian untuk mendeskripsikan kemampuan koneksi siswa memecahkan masalah bangun ruang sisi datar. Metode penelitian yang digunakan yaitu penelitian kualitatif deskriptif. Pelaksanaan penelitian di SMPN 1 Madiun kepada 31 siswa kelas IXG. Pengambilan subjek berdasarkan <em>purposive sampling</em> dipilih satu subjek pada setiap kategori siswa berkemampuan koneksi matematis tinggi, sedang dan rendah. Instrumen yang digunakan yaitu soal tes koneksi dan pedoman wawancara. Terdapat tiga soal tes koneksi yaitu soal koneksi matematika dengan konsep bangun ruang sisi datar, koneksi bangun ruang dengan ilmu lain, dan koneksi matematika bangun ruang dengan kehidupan sehari-hari. Data penelitian diperoleh dari hasil tes dan hasil wawancara yang instrumennya divalidasi oleh tim ahli dengan kriteria valid. Pengecekan keabsahan data dengan triangulasi teknik. Setelah data terkumpul dianalisis dengan proses reduksi data, penyajian data, dan penarikan kesimpulan. Hasil tes koneksi menunjukkan, siswa berkemampuan koneksi tinggi dapat memecahkan masalah pada semua aspek indikator koneksi. Siswa berkemampuan koneksi sedang dapat memecahkan masalah sampai tahap melaksanakan rencana. Namun, pada langkah memeriksa kembali kurang teliti dan kurang tepat dalam membuat kesimpulan. Siswa berkemampuan koneksi rendah belum mampu memenuhi indikator koneksi antar konsep matematika dan melakukan koneksi dalam kehidupan sehari-hari.</p>
Kemampuan Komunikasi Matematis Tulis Siswa dalam Mengerjakan Soal Cerita Statistika
Authors: Bachriani Ellsa Natassa , Sukoriyanto Sukoriyanto , Muksar Makbul 
Published: October 2021

<p><em>Penelitian ini bertujuan untuk mendeskripsikan komunikasi matematis tulis siswa dalam mengerjakan soal cerita statistika. Penelitian ini menggunakan metode kualitatif dengan jenis penelitian deskriptif. Subjek pada penelitian ini yaitu 20 siswa kelas IX SMPN 4 Pujon yang dipilih melalui hasil siswa mengerjakan soal matematika. Teknik yang digunakan untuk pengumpulan data pada penelitian ini yakni memberikan soal cerita statistika kepada 20 siswa kemudian melakukan analisis data dengan melihat kemampuan komunikasi matematis tulis siswa berdasarkan indikatornya. Kemudian mengelompokkan siswa menjadi tiga yang terdiri dari kemampuan komunikasi matematis tulis tinggi, kemampuan sedang, dan kemampuan rendah. Hasil pada penelitian ini yakni satu siswa mempunyai kemampuan komunikasi kategori sedang yang mana menuliskan jawaban kurang tersruktur. Empat siswa memiliki kemampuan komunikasi matematis kategori rendah yang menjawab soal tidak tersruktur dan menulis notasi matematika secara kurang tepat. Sebanyak 15 siswa memiliki kemampuan komunikasi matematis tulis kategori tinggi yang memenuhi semua indikator komunikasi. </em></p><p><em>This study aims to describe students' written mathematical communication in working on statistical story questions. This research uses qualitative methods with descriptive research type. The subjects in this study were 20 students of class IX at SMPN 4 Pujon who were selected through the results of the students working on math problems. The technique used for data collection in this study was to provide statistical story questions to 20 students then analyze the data by looking at the students' written mathematical communication skills based on the indicators. Then group the students into three which consist of high written mathematical communication skills, moderate abilities, and low abilities. The results of this study were that one student had a moderate category of communication skills which wrote less structured answers. Four students have low category mathematical communication skills who answer unstructured questions and write mathematical notations incorrectly. A total of 15 students have high category written mathematical communication skills that meet all communication indicators.</em><em></em></p>
Minimal Redundancy Linear Array and Uniform Linear Arrays Beamforming Applications in 5G Smart Devices
Authors: Singh Satyanand 
Published: October 2021

Minimum Redundancy Linear Arrays (MRLAs) and Uniform Linear Arrays (ULAs) investigation conducted with the possibility of using them in future 5G smart devices. MRLAs are designed to minimize the number of sensor pairs with the same spatially correlated delay. It eliminates selected antennas from the entire composite antenna array and preserves all possible antenna spacing. MRLAs have attractive features for linear sparse arrays, even if the built-in surface is deformed, it works without problems. To our knowledge, MRLAs have not been applied to smart devices so far. In this work, a 7-element ULAs and 4-element MRLAs (same aperture) were used for the simulation. The Half Power Beamwidth (HPBW) is 0.666 and the Null-to-Null Beamwidth ( ) is 1.385 in ψ-space. In comparison, the standard 4-element arrays are 1.429 and 3.1416, while the standard 7-element linear arrays are 0.801 and 1.795 respectively. Experimental results show that 4-element MLRAs have a narrower mean beam, much higher sidelobes and shallow nulls. Therefore, in terms of main lobe features, 4- elements MRLAs have an improvement over the standard 7-element ULAs. Doi: 10.28991/esj-2021-SP1-05 Full Text: PDF
Eles nos interpelam
Authors: Moser Antônio 
Published: October 2021

A perspectiva pastoral já se encontra implícita em todo discurso teológico coerente. Ela se apresenta como uma espécie de conclusão lógica. E, no entanto, se ela quiser levar a uma prática transformadora da realidade, então deverá ser devidamente explicitada. Seu caráter eminentemente prático, porém, apresenta alguns percalços a serem previamente removidos. Como toda Teologia, também a Pastoral se defronta com algumas tentações que poderão ser fatais.
[Cf. a primeira parte deste Artigo em: REB, vol. 49, fase. 193, março de 1989, p. 5-27.]
Adding unmanned aerial vehicles to HIV supply chains in remote settings: modeling feasibility and cost in Turkana, Kenya
Authors: Parker Caleb , Evens Emily , Stankevitz Kayla , Eichleay Margaret , Homan Rick , Loogos Michael , Onyango David 
Published: October 2021

Background Viral load (VL) testing of patients on antiretroviral therapy (ART) is critical to suppressing HIV. Timely transport of VL samples from health facilities to the laboratory for testing is often problematic in Turkana County, Kenya, and transportation barriers cause delays that can negatively impact the health of ART patients. Unmanned Aerial Vehicles (UAVs), or drones, are being promoted as a potential, novel way to reduce transportation times for laboratory samples and medical commodities. Our study models the use of UAVs in a remote area of Kenya to estimate costs and feasibility of their application for the Afya Nyota ya Bonde project, a large HIV service delivery program. Methods We gathered data from 12 Afya-supported facilities on VL sample transportation and turnaround time, ART drug transportation, and transportation practices and costs. The annual cost and average turnaround time for the transportation of VL samples and ART drugs was calculated using baseline data from the program to establish a comparison for scenarios that use a UAV. We then designed and costed four transportation scenarios that used UAVs to pick up VL samples and deliver ART drugs through a logistics company that will be adding UAV services. Results The modeled scenarios demonstrate that UAVs could transport nearly 100% of VL samples to the lab within the three-day goal compared to the 3% that are transported under the current system. Additionally, using UAVs could reduce the burden on health workers who must personally transport the samples, reducing opportunity costs resulting from facility closures due to provider absence. However, the UAV scenario cost more than three times the current costs (US$ 56,350/Kenyan Shillings (KSh) 5,635,000 per year compared to between US$ 172,878/Ksh 17,287,800 and US$ 200,208/Ksh 20,020,800), and the consolidation of VL testing days required to accommodate the UAV may be problematic for ART patients. Conclusions As the cost of UAV transport declines, this technology could be an important tool for optimizing the transport of lab samples and medications.
PELAKSANAAN PELAYANAN PRIMA DI KANTOR DINAS KEPENDUDUKAN DAN CATATAN SIPIL KABUPATEN KEDIRI
Authors: Pramono Teguh , Susanto Djoko , Widiarti Elly 
Published: October 2021

Abstrak Penelitian ini bertujuan untuk mendeskripsikan dan menganalisis pelaksanaan pelayanan prima di Kantor Dinas Kependudukan dan Catatan Sipil Kabupaten Kediri, serta mendeskripsikan dan menganalisis faktor yang mendukung atau menghambat pelaksanaan pelayanan prima di Kantor Dinas Kependudukan dan Catatan Sipil Kabupaten Kediri. Fokus dalam penelitian ini meliputi sikap (attitude), kemampuan (ability), perhatian (attention), tindakan (action), tanggung jawab (accountability), dan penampilan (appearance). Pendekatan yang digunakan dalam penelitian ini adalah pendekatan kualitatif. Teknik pengumpulan data dalam penelitian ini meliputi wawancara dan observasi yang ditulis dalam catatan lapangan. Keabsahan data dikaji dengan 2 metode yakni trianggulasi dan ketekunan pengamatan. Sementara itu, teknik analisis data mengacu pada Miles dan Huberman (2018). Kesimpulan yang dapat ditarik yaitu pelaksanaan pelayanan prima di Kantor Dinas Kependudukan dan Catatan Sipil Kabupaten Kediri belum sepenuhnya 100% baik , masih ada beberapa yang perlu diperbaiki dan dievaluasi. Hambatan yang ditemui adalah sumber daya manusia yang tidak sebanding dengan pemohon dan sarana dan prasarana. Kata Kunci: Pelayanan Prima, Disdukcapil, Hambatan, Sikap, Penampilan Abstract This study aims to describe and analyze the implementation of excellent service at the Kediri Regency Population and Civil Registry Office, as well as describe and analyze the factors that support or hinder the implementation of excellent service at the Kediri Regency Population and Civil Registry Office. The focus in this study includes attitude, ability, attention, action, accountability, and appearance. The approach used in this study is qualitative. Data collection techniques in this study include interviews and observations written in field notes. The validity of the data was assessed by 2 methods, namely triangulation, and persistence of observation. Meanwhile, the data analysis technique refers to Miles and Huberman (2018). The conclusion that can be drawn is that the implementation of excellent service at the Kediri Regency Population and Civil Registry Office is not yet 100% good, there are still some that need to be improved and evaluated. The obstacles encountered are human resources that are not comparable to the applicant and facilities and infrastructure. Keywords: Excellent Service, Department of Population and Civil Registry, Barriers, Attitudes, Appearance.
In Search of a Cultural Code
Authors: Velikanova Olga 
Published: October 2021

Abstract
From the plethora of big and small achievements that the author celebrates in the book, my essay addresses such subjects as the continuity of cultural creativity in the 19th and 20th centuries, children’s literature, the sociology of reading, and the place of goodness in literature and life under Stalinism – all within the span of the 20th century. Sharing with the author my admiration of accomplishments of Russian and Soviet culture, I try here to historicize the themes and expand slightly on some of them, like perceptions of the cultural products.