bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of a New Telemedicine System for Early Detection of Cardiac Instability in Patients With Chronic Heart Failure: Real-Life Out-of-Hospital Study
Authors: Urien Jean Marie , Berthelot Emmanuelle , Raphael Pierre , Moine Thomas , Lopes Marie Emilie , Assayag Patrick , Jourdain Patrick 
Published: April 2024

Background
For a decade, despite results from many studies, telemedicine systems have suffered from a lack of recommendations for chronic heart failure (CHF) care because of variable study results. Another limitation is the hospital-based architecture of most telemedicine systems. Some systems use an algorithm based on daily weight, transcutaneous oxygen measurement, and heart rate to detect and treat acute heart failure (AHF) in patients with CHF as early on as possible.

Objective
The aim of this study is to determine the efficacy of a telemonitoring system in detecting clinical destabilization in real-life settings (out-of-hospital management) without generating too many false positive alerts.

Methods
All patients self-monitoring at home using the system after a congestive AHF event treated at a cardiology clinic in France between March 2020 and March 2021 with at least 75% compliance on daily measurements were included retrospectively. New-onset AHF was defined by the presence of at least 1 of the following criteria: transcutaneous oxygen saturation loss, defined as a transcutaneous oxygen measurement under 90%; rise of cardiac frequency above 110 beats per minute; weight gain of at least 2 kg; and symptoms of congestive AHF, described over the phone. An AHF alert was generated when the criteria reached our definition of new-onset acute congestive heart failure (HF).

Results
A total of 111 consecutive patients (n=70 men) with a median age of 76.60 (IQR 69.5-83.4) years receiving the telemonitoring system were included. Thirty-nine patients (35.1%) reached the HF warning level, and 28 patients (25%) had confirmed HF destabilization during follow-up. No patient had AHF without being detected by the telemonitoring system. Among incorrect AHF alerts (n=11), 5 patients (45%) had taken inaccurate measurements, 3 patients (27%) had supraventricular arrhythmia, 1 patient (9%) had a pulmonary bacterial infection, and 1 patient (9%) contracted COVID-19. A weight gain of at least 2 kg within 4 days was significantly associated with a correct AHF alert (P=.004), and a heart rate of more than 110 beats per minute was more significantly associated with an incorrect AHF alert (P=.007).

Conclusions
This single-center study highlighted the efficacy of the telemedicine system in detecting and quickly treating cardiac instability complicating the course of CHF by detecting new-onset AHF as well as supraventricular arrhythmia, thus helping cardiologists provide better follow-up to ambulatory patients.
Obesitas sebagai faktor risiko penurunan aktivitas fisik vs. penurunan aktivitas fisik sebagai faktor risiko obesitas
Authors: Burhan Fatimah Zahra , Susetyowati Susetyowati , Julia Madarina 
Published: April 2024

Obesity as a risk factor for decreased physical activity vs. decreased physical activity as a risk factor for obesityBackground: The worldwide prevalence of obesity keeps increasing. The increase is closely associated with the worldwide increase in physical inactivity. Obesity and inactivity have formed a vicious cycle that is difficult to disentangle, inactivity precedes obesity or the other way around. Objective: This study aimed to assess the association between obesity and physical inactivity in Indonesian population aged 18-65 years. Methods: This was a longitudinal study using the Indonesian Family Life Survey data in 2007 (IFLS 4) and 2014 (IFLS 5). The sample was 16,166 respondents aged 18-65 years who had data on physical activity, age, sex, weight, and height in both IFLS 4 and 5. Results: The prevalence of obesity increased as our subjects became older, from 25.5% in 2007 to 38.9% in 2014. At the same time, the prevalence of sedentary lifestyles increased from 29.8% to 43.0%. Obese individuals had a higher risk of decreasing their activity level, with RR (95%CI) of 1.27 (1.23-1.31), p<0.001. Compared to women, men were less likely to decrease their activity level, RR (95%CI) of 0.91 (0.89-0.94), p<0.001. Individuals with lower education were also less likely to decrease their activity level, RR (95%CI) of 0.94 (0.90-0.98), p<0.001. The decrease in physical activity was a risk factor for obesity observed in later IFLS, OR (95%CI) of 1.21 (1.13-1.29), p<0.001. Conclusions: Obesity was a risk factor for the decrease in physical activity, while the decrease in physical activity was also a risk factor for later obesity. Both conditions indeed formed a vicious cycle
Nonsurgical synergistic full-arch vertical intrusion treatment of bimaxillary protruded hyperdivergent skeletal Class II malocclusion using aligners
Authors: Pei Tao , Bai Xueqin 
Published: April 2024

ABSTRACT
A bone-borne full-arch vertical control strategy using miniscrews was deployed with aligners to treat a case of skeletal hyperdivergent Class II malocclusion with bimaxillary protrusion. Miniscrews were inserted in the posterior buccal and palatal regions and the anterior buccal region of the maxilla to distribute vertical intrusive force through the upper arch by anchoring vertical elastics from the miniscrews to the aligners. Synergetic lower anterior intrusion was completed using bilateral posterior miniscrews to counteract the extrusive force generated. Substantial full upper arch and lower anterior vertical intrusion was achieved. In conjunction with en masse anterior-posterior retraction, synergetic posterior and anterior vertical intrusion facilitated counterclockwise rotation of the mandible, creating significant esthetic improvement. Anterior vertical elastics also provided flaring of the anterior teeth, reducing the side effect of lingual tipping from en masse retraction, while successfully controlling overbite and incisor torque during space closure. The bone-borne full-arch vertical intrusion strategy can work well with aligners to address hyperdivergent skeletal Class II malocclusion with bimaxillary protrusion.
Communication levels of pulmonologists with geriatric patients during the COVID-19 pandemic
Authors: Karayigit Duygu Zorlu , Cingi Can Cemal 
Published: April 2024

Abstract

BACKGROUND. Patients were likely hesitant to communicate with physicians during the pandemic, when everyone saw others as potentially infectious. Every other was seen as the most likely to be infected as they were in close contact with infected persons. Likewise, physicians might have been wary of communicating with their patients, who might have been virus carriers. In our study, the communication between physicians (particularly pulmonologists) and geriatric patients was evaluated to develop recommendations for improvement if necessary.

MATERIAL AND METHODS. The study was conducted as an online evaluation questionnaire via e-mail or WhatsApp. The evaluation form, the Social Communication Skills Rating Scale, collected data regarding the respondents’ demographic characteristics, whose reliability and validity have been proven in previous studies. The volunteer pulmonologists completed the questionnaire.

RESULTS. The research comprised 200 doctors; 111 (55.5%) were women and 89 (44.5%) were men. Of the doctors who participated in the study, over 40% were in their forties. Pulmonologists’ communication skills with their geriatric patients were deemed adequate, and their interactions were evaluated as successful, despite the high risk of infection during the pandemic, the difficulty of examining patients while wearing protective clothing, and the typical communication difficulties of geriatric patients. This has been a crucial advantage for the senior patient group, as, throughout the COVID-19 pandemic, this group has communicated with pulmonologists predominantly owing to medical needs.

CONCLUSION. The pulmonologists’ effective communication with their geriatric patients could have made them feel good during the difficult time of the past pandemic period. It could have also been a source of pride for physicians.
Proof of the Existence of Hell: An Extension of the Stone Paradox
Authors: Łukowski Piotr 
Published: April 2024

Abstract
As shown in (Łukowski, 2013), the paradox of the stone is a failed attempt to show that “omnipotence” is a contradictory concept. An element of the argument presented there is that God, while unable to lift the stone, can nevertheless annihilate it. This work considers the amplification of the paradox of the stone to the form generated by the question: can God create a stone which He will not be able to lift, nor, once created, will He be able to destroy.
The Urgency of Terminating Investigations in Handling Corruption Cases in the Jurisdiction of the High Prosecutor's Office South Sulawesi
Authors: Poernomo Sri Lestari , Zulkarnaen  , Rahman Sufirman , Malik Prayudi 
Published: April 2024

Objective: This study aims to investigate the urgency of terminating investigations in handling corruption cases within the jurisdiction of the High Prosecutor's Office South Sulawesi. It seeks to identify the factors influencing the decision to terminate investigations, evaluate the effectiveness of such decisions, and propose recommendations for improvement.

Methodology: A mixed-methods approach is employed, combining quantitative analysis of case data with qualitative examination of legal documents and interviews with legal practitioners. Data is collected from corruption case files, legal statutes, and interviews with prosecutors and anti-corruption experts.

Theoretical Framework: Theoretical Framework adopts a normative case study approach as the main method to understand and analyse the urgency of stopping investigations in handling corruption cases in the jurisdiction of the South Sulawesi High Prosecutor's Office. In this context, the main focus of the research is on the concept of law as a norm or rule that applies in society, which guides the behaviour of each individual. Normative legal research, in essence, aims to identify, analyse and evaluate various legal aspects relevant to the termination of investigations in corruption cases. This includes an in-depth study of legal regulations, legal principles, and legal doctrines related to the investigation termination process.

Conclussion: The urgency of halting investigations into corruption cases lies in efforts to recover and restore state finances, as outlined in Article 109 paragraph (2) of the Criminal Procedure Code. Reasons for terminating investigations include insufficient evidence, absence of criminal offense, and adherence to legal principles. Investigators possess the authority to issue Investigator's Termination Orders, particularly in cases where no unlawful acts, strong evidence, or state losses are found. The application of Restorative Justice facilitates the return of state losses by corruption perpetrators while maintaining criminal sanctions against them.
Investors’ Reaction: Exploring Supervisory Function and Corporate Tax Policy
Authors: Tarmidi Deden , Mayangsari Sekar , Nurlis  , Oktris Lin 
Published: April 2024

Purpose: This study aims to analyze investor reactions to the supervisory function carried out by independent commissioners and audit committees, especially in supervising corporate tax policies taken by management.

Theoretical framework: Corporate tax policy has the risk of tax penalties in the future and risks reducing investment returns in the future, so the role of independent commissioners and audit committees should be able to supervising management so that the tax policies taken do not harm investors.

Method: 565 panel data from manufacturing companies on the Indonesia Stock Exchange 2015-2022 were analyzed with a quantitative approach and multiple linear methods using STATA.

Result: This study found that independent commissioners encourage management in tax burden minimization policies, while the audit committee is not optimal in carrying out its supervisory function over corporate tax management policies. In addition, investors react to the audit committee because it is considered capable of carrying out the supervisory function of management, while investors do not react to independent commissioners and corporate tax policies.

Research, Practical & Social implications: The results of this study encourage entities to increase the role of independent commissioners in carrying out supervisory functions such as the audit committee in order to get a positive response from investors which can increase company value for sustainability business.

Originality/value: In this study, corporate tax policy is measured by reducing the statutory tax rate with a tax compliance ratio that is rarely used in previous studies, resulting in how much corporate tax policy minimizes the tax expense.
Retro Games, Contemporary Minds: A Review of <em>Goldeneye 007</em> (Nintendo 64, 1997)
Authors: Wintle Phil 
Published: April 2024

Growing up in the 1990s and early 2000s, James Bond somewhat surrounded me. Pierce Brosnan's films mesmerised me, ITV ran older Bond films every week, and there were trading cards and magazines too. But it is GoldenEye 007 for the Nintendo 64 that is the single product I have engaged most with over time. Still fondly remembered by people of my age, Rare's game has had a huge impact on the video game industry; many critics still include it in greatest games lists, and the game's single-player and multiplayer game modes and mechanics have helped to form the foundations for modern-day first-person shooters. Moreover, the game engrossed the playerl playing it was exciting and amusing, and further drew players into the world of Bond.The game has been re-released and re-developed a few times, but I wanted to see how blinded by nostalgia older gamers, including myself, are. This review looks to answer this query, as a small group of d'Overbroeck School's students play and review the game using the original hardware. They explore GoldenEye 007 with a frank discussion of its weaknesses and strengths, how its multiplayer and single-player compare, and how it affects their view of the James Bond Franchise.
ANALISIS PENGGUNAAN APLIKASI MANPRO PADA LIFE CYCLE PROYEK KONSTRUKSI
Authors: Yani Mirna 
Published: April 2024

Di masa era digital sekarang ini dituntut seluruh aktifitas dalam tahapannya dilakukan dengan menggunakan bantuan teknologi, salah satunya adalah aplikasi Manpro, yang merupakan salah satu alat bantu dalam manajemen proyek. Pada proyek Grange Park Fatmawati – Apartement dan Fasilitasnya, PT Erakencana Tunggal selaku pemilik proyek menggunakan aplikasi Manpro sebagai platform komunikasi dalam koordinasi online dan memonitoring pekerjaan. Aplikasi Manpro ini diharapkan dapat membantu para pelaku konstruksi dalam melakukan pengawasan proyek. Aplikasi ini dapat mengurangi hambatan dalam hal komunikasi serta dapat meningkatkan visibilitas pada proyek dengan menggunakan pelaporan online, sehingga dapat meningkatkan efisien dan produktivitas proyek. Penelitian menggunakan pendekatan kuantitatif yaitu dengan menggunakan metode Pairwise Comparison untuk mendapatkan bobot penggunaan aplikasi Manpro di setiap tahap life cycle proyek serta menghitung tingkat kelayakan dan kepuasan pengguna aplikasi Manpro, dalam hal ini pihak owner dengan menghitung customer satisfaction index (CSI). Hasil penelitian menunjukan bobot penggunaan aplikasi Manpro terbesar pada tahap pengawasan dan pengendalian sebesar 28.2 %. Dengan nilai kelayakan aplikasi Manpro di keseluruhan tahap life cycle sebesar 84 % (sangat layak). Serta tingkat kepuasan owner dalam menggunakan aplikasi ini termasuk dalam kriteria satisfied (puas) dengan nilai sebesar 83.09%.
Adding Insult to Injury
Authors: Bishop Sebastien 
Published: April 2024

Should the government censor dangerous anti-vaccination propoganda? Should it restrict the praise of terrorist groups, or speech intended to promote discriminatory attitudes? In other words, should the government curb the advocacy of dangerous ideas and actions (i.e. 'harmful advocacy'), or should the government take a more permissive approach?
Strong free speech supporters argue that citizens should be free to engage in and to hear harmful advocacy, arguing that restrictions are deeply objectionable at best, and, at worst, wholly impermissible. To support their position, strong free speech supporters have offered a wide range of arguments and ideas. One of the most interesting arguments revolves around the idea that restrictions on harmful advocacy are deeply insulting to citizens. The worry, broadly understood, is that this kind of censorship is demeaning, treats citizens as though they are stupid, or as though they are children. As such, even when censorship is effective in preventing harms to citizens, it nonetheless comes at the significant political cost of failing to properly respect the citizenry at large. By contrast, so the thought goes, an alternative political scheme that prohibits censorship, or permits it only in exceptional cases, does a better job of respecting citizens as independent, rational, morally responsible agents. This alternative political system may, sometimes, be less effective at preventing speech harms. But it is a political system where citizens can stand tall and hold their heads high.
In this paper, I consider and reject three versions of the worry that censorship is insulting. §1 explores the idea that censorship is insulting qua involving a negative appraisal of the citizens being interfered with. The key idea here is that censorship involves a lack of what Stephen Darwall terms ‘appraisal respect’, insofar as the government is suggesting that citizens cannot be trusted to manage their own beliefs and intentions. Drawing on the work of Thomas Nagel, §2 explores the idea that censorship diminishes the political status of citizens. Finally, §3 explores the suggestion that censorship is incompatible with a full appreciation of the thinking nature of citizens, and thus involves a lack of what Darwall would term ‘recognition respect’.
The paper argues that censorship is not necessarily premised upon an insulting view of the citizenry. On the contrary, it argues that the best kind of censorship stems from a rich appreciation of the diverse range of capabilities, needs, vulnerabilities, and responsibilities of citizens, as well as the need for co-operation between citizens if societal flourishing is going to be achieved on a large scale. Granted, such a vision places an emphasis on the imperfections and liabilities of citizens – at least when compared to the rather solitary, highly intellectual creature one sometimes finds in the philosophical literature. Still, such a vision of citizens as imperfect falls well short of being genuinely insulting. To err is human. And there’s nothing insulting about being treated like a human.
Is Intellectual Humility Compatible with Political Conviction?
Authors: Kidd Ian , Hannon Michael 
Published: April 2024

Intellectual humility is often proposed, these days, as an antidote to the profound lack of respect, tolerance, and openness to other views in contemporary politics. Moreover, deficiencies of intellectual humility are clearly at work in now-familiar displays, in political discourse, of arrogance, dogmatism and related phenomena, like polarization. Although we agree that there are roles for intellectual humility, we identify two problems. First, previous research on the relationship between intellectual humility and political conviction has ignored empirical and theoretical work indicating that humility does often result in apathy or lack of political conviction. Second, there are different forms or kinds of intellectual humility which can relate to political conviction in many ways. We end the paper by describing a kind of political quietism, which includes quite different accounts of the nature of intellectual humility.
Te Pā: A wellbeing initiative on a major roading construction project.
Authors: Heta Hemi , Kennedy Barbara , Gardner Dianne 
Published: April 2024

Purpose. Due to the significant challenges to employee wellbeing in the construction industry, a major roading project in New Zealand implemented a wellbeing programme based on holistic health frameworks. A description, rationale and outline of the wellbeing programme are presented. An independent evaluation of the wellbeing programme took place in 2023.
Design. Data from interviews, a focus group, surveys, and the OnLocation app were analysed to examine participants’ perspectives on the programme, and to establish whether the programme was effective and how it could be improved.
Findings. The majority of staff reported that they had experienced enhanced wellbeing since joining the project, and spoke positively about the programme. A small number of participants felt the project still had elements of the ‘old’ construction culture including a focus on productivity over people, but most felt the wellbeing programme had made substantial progress toward changing the construction culture. Suggested improvements included a perceived need for more resources, for members of the wellbeing team to be present onsite more often, and more training for onsite managers in workplace wellbeing.
Originality. A holistic approach to wellbeing has rarely been taken in the construction industry. This project was based on indigenous New Zealand Māori perspectives on wellbeing. Evaluation showed that it was positively valued by both Māori and non-Māori participants. This indicates that, although some details are specific to New Zealand, the model itself, its supporting framework and approach can be generalised to other contexts.