bluuebunny/crossref_metadata_2025_split huggingface dataset:
Positive correlation between persistence of medical nutrition therapy and overall survival in patients with head and neck cancer
Authors: Molnár Andrea , Pálfi Erzsébet , Belák Barbara , Blasszauer Célia , Reibl Dániel , Lövey József 
Published: March 2024

Background: Several factors can affect overall survival of head and neck cancer (HNC) patients, including characteristics of the cancer disease and response to treatments. However, patients’ nutritional status and the effectiveness of medical nutrition therapy (MNT) can also impact overall survival. The primary goal of our research was to collect real-life data on the use of MNT in HNC patients and to specifically investigate the correlation between survival and the duration of uninterrupted (persistent) nutrition.Method: The data of this retrospective, analytical, cohort study was collected from electronic healthcare records from the Hungarian National Health Insurance Fund Management. Overall, 38,675 HNC patients’ data of the period between 2012 and 2021 was used. We applied multi-step exclusions to identify patient groups accurately and to avoid biasing factors. Statistical analysis was done by the Kaplan-Meier method, log-rank test, and Cox regression analysis.Results: Throughout the investigated period 16,871 (64%) patients received MNT therapy out of 26,253 newly diagnosed patients (≥18 years). In terms of the persistence of MNT, we divided the patients into three groups (1–3; 4–6; ≥7-month duration of MNT). When comparing these groups, we found that patients receiving long-term (≥7 months) MNT had a significantly longer overall survival (p &lt; 0.0001) than those who received MNT for a shorter duration, both in locally advanced and recurrent/metastatic cases.Conclusion: The main outcome of the study is that there is a positive correlation between the persistence of MNT and the overall survival in HNC patients when nutritional intervention lasts several months. It highlights the responsibility of the specialists during the patient journey to use MNT early and to continue its use for as long as it is beneficial to the patients.
Ratio-Covarieties of Numerical Semigroups
Authors: Moreno-Frías María Ángeles , Rosales José Carlos 
Published: March 2024

In this work, we will introduce the concept of ratio-covariety, as a family R of numerical semigroups that has a minimum, denoted by min(R), is closed under intersection, and if S∈R and S≠min(R), then S\{r(S)}∈R, where r(S) denotes the ratio of S. The notion of ratio-covariety will allow us to: (1) describe an algorithmic procedure to compute R; (2) prove the existence of the smallest element of R that contains a set of positive integers; and (3) talk about the smallest ratio-covariety that contains a finite set of numerical semigroups. In addition, in this paper we will apply the previous results to the study of the ratio-covariety R(F,m)={S∣S is a numerical semigroup with Frobenius number F and multiplicitym}.
Experiment and Numerical Simulation on Thermal Cycling Performance of YSZ-Based Sealing Coatings with “Brick-Mud” Layered Structure
Authors: Cheng Taotao , Dong Yuelu , Ma Liang , Wu Zhibing , Wang Jun , Ma Xiang , Wang Zhiping , Dai Shijie 
Published: March 2024

The failure of premature thermal cycling spalling off is the bottleneck problem currently faced by yttrium oxide partially stabilized zirconia (YSZ) ceramic-based sealing coatings. Studies on the thermal cycling performance of coatings with “brick-mud” structures were carried out by experimental and simulation methods in this paper. The results showed that, as the thickness of “mud” layer increased, the bonding strength of the “brick-mud” structure coatings gradually decreased. When the thickness of the “mud” layer was about 3 μm and 10 μm, the thermal cycling lives of the T1 and T2 coatings were improved by 90.0% and 135.7%, respectively, compared with conventional coating (T0 coating), while that of the T3 coating (containing thick “mud” layers of about 20 μm) was decreased by 81.4%. The stress field of M2 “mud” layers with different thicknesses was subjected to a comprehensive effect by thermal mismatch stress and pores in “brick” layer. Compared with the medium and thick “mud” layers, the thin “mud” layer sustained obvious larger σ22 max and σ12 max, indicating its potential for the preferential initiation of transverse microcracks. In addition, the thin “mud” layer withstood the largest σ11 max and had the strongest potential for longitudinal crack growth. Both transverse and longitudinal cracking could consume energy during thermal cycling and reduce the stress concentration at the top coating/bond coating interface. These were the main reasons for the improvements in the thermal cycling performances of the T1 and T2 coatings. The degree of crack deflection and the capacity of energy dissipation in the “mud” layer increased significantly with its thickness. However, the propagation length of transverse cracks also gradually increased in the meantime. Especially when the “mud” layer was 20 μm, the length of the transverse cracks increased rapidly. Thus, early interlayer delamination failure occurred in the T3 coating during thermal cycling.
Barriers for continuous medical education: a cross-sectional questionnaire study among Danish GPs
Authors: Ibsen Helle , Ahrenfeldt Linda Juel , Lykkegaard Jesper , Søndergaard Jens , Švab Igor , Kjaer Niels Kristian 
Published: March 2024

Background
GPs’ participation in continuous medical education (CME) is essential for patient care, GPs’ wellbeing, and healthcare expenditure. However, one-quarter of Danish GPs did not use their reimbursement for CME in 2022. Knowledge of barriers for participating in CME is limited.

Aim
To analyse the barriers GPs face to participation in CME, and patterns in perceived barriers.

Design & setting
A cross-sectional questionnaire study design was used. The study population comprised all 3257 GPs in Denmark who, in May 2023, were registered as entitled to reimbursement for CME.

Method

The response rate was
n
= 1303/3257 (40%). Based on a question about use of CME, the responders were divided into ‘frequent', ‘partial', and ‘seldom’ users. Partial and seldom users answered questions about barriers related to CME (
n
= 726). The presence of barriers was quantified, and a latent class analysis (LCA) was used to stratify GPs according to their barrier patterns.

Results
The most frequent barriers were as follows: too busy (67%); fully booked courses (45%); and no substitute or locum doctor (39%). Based on the LCA, we found three distinctive patterns, clustering around the following: GPs from clinics with no tradition for CME (class 1, 17%); GPs who used time on professional work outside clinic (teaching, organisational work) (class 2, 43%); and GPs who were personally or professionally affected (class 3, 40%). Singled-handed and male GPs were slightly overrepresented among seldom users.

Conclusion
We have identified barriers for CME. We found three different profiles of GPs who perceived different patterns of barriers. Identified patterns in barriers should be considered in future CME initiatives.
Critical Aspects of a Higher Education Reform for Continuous Lifelong Learning Opportunities in a Digital Era
Authors: Mozelius Peter , Cleveland-Innes Martha , Hakansson Lindqvist Marcia , Jaldemark Jimmy 
Published: March 2024

In the knowledge society today, there is a strong need for providing continuous lifelong learning opportunities. Recently, the Covid-19 pandemic has acted as a catalyst for technology enhanced learning, involving new challenges for higher education. The main focus for this study has been the ongoing reform of higher education for providing lifelong learning opportunities. This study is the second phase of a Delphi study on higher education reform. Data were gathered by email interviews with an expert panel, where all respondents have genuine knowledge in the field of technology enhanced lifelong learning. The interview answers were analysed according to the Grounded Theory concepts of open coding and axial coding. The central main category for the axial coding was ‘Higher education reform for the provision of lifelong learning opportunities. This category was later found to be dependent on ‘Infrastructure’, ‘Multimodal delivery’, ‘Pedagogical change’, ‘Financial aspects’, and ‘Quality and organisation’, ‘Digital literacy’, ‘Accessibility’, and ‘Equity, diversity and inclusion’.
PELATIHAN MICROSOFT OFFICE SEBAGAI UPAYA PENGETAHUAN DAN PENINGKATAN KEMAMPUAN MASYARAKAT DESA JAWI, KECAMATAN KINAL, KABUPATEN KAUR, PROVINSI BENGKULU
Authors: Ani Anggraini  , Rasman  , Noveriyanto  
Published: March 2024

Teknologi berkembang begitu pesat, khusunya perkembangan software. Salah satunya adalah Microsoft Office, salah satu bagian dari Microsoft Office adalah Microsoft Word dan Excel yang digunakan untuk pengelolaan kata dan angka. Aplikasi tersebut sangat membatu dalam menyelesaikan permasalahan untuk pengolahan yang berhubungan dengan kata yaitu surat-surat serta angka untuk pembuatan pelaporan keuangan. Dalam dunia kerja, aplikasi tersebut mempunyai peranan yang penting di dalam mendukung menyelesaikan pekerjaan. Dengan memanfaatkan aplikasi tersebut pekerjaan yang berhubungan dapat dengan cepat diselesaikan. Tetapi, Teknologi bukanlah sesuatu yang mutlak bermanfaat, teknologi tetap ada sisi buruknya. Akibat pesatnya teknologi tersebut membuat kita menjadi sangat tergantung dengan yang namanya internet. Perkembangan teknologi khususnya komputer tidak hanya dapat dinikmati pada kalangan dewasa tetapi sudah menjeru pada anak usia dini. Hal inilah yang menjadi alasan bagi saya untuk mengenalkan microsoft kepada masyarakat di Desa tempat tinggal saya yaitu Desa jawi Kec.kinal Kab.Kaur. Oleh karena itu, pelatihan diperlukan untuk meningkatkan keterampilan dan meningkatkan pengetahuan masyarakat. Sementara itu pula diharapkan dapat meningkatkan kesadaran warga akan pentingnya pendidikan. Disini saya bermaksud memberikan pelatihan terkait Teknologi Informasi kepada masyarakat, yaitu dalam hal ini pengenalan Microsoft Office (word and excel).
Kata Kunci: Pelatihan, Microsoft, Masyarakat .
PEMBERDAYAAN MASYARAKAT MELALUI KEWIRAUSAHAAN PRODUKSI KERUPUK MERAH DESA TIMBUL REJO CURUP
Authors: Ummi Kalsum  , Meirani  , Hilyati Milla  , Erwani Yusuf  , Novita  
Published: March 2024

Warga di lingkungan RT 01 RW 02 Timbul Rejo mayoritas mata pencaharian adalah Petani. Program pemberdayaan masyarakat dalam pembuatan kerupuk merah sebagai usaha skala rumahan diharapkan mampu meningkatkan kesejahteraan warga lingkungan Timbul Rejo. Produksi kerupuk yang dilakukan warga masih kategori sederhana. Mulai dari proses pengemasan menggunakan plastik dan tanpa merk yang dicantumkan, sehingga makanan kerupuk ini kurang menarik konsumen dan mudah rusak. Terlebih lagi warga yang ada disana tidak bisa menjual dengan harga yang layak sesuai dengan tenaga dan waktu yang telah mereka kerjakan. Permasalahan lain yang muncul terkendala dengan dana (modal). Warga RT 01 RW 02 Timbul Rejo sebagian besar juga tidak terlalu pandai menggunakan media sosial untuk berjualan secara online, mereka juga tidak memiliki dana yang cukup untuk pembiayaan produksi mereka agar layak bersaing di pasaran. Hal ini bertujuan untuk memberikan pengetahuan dan keterampilan dalam mengembangkan kreativitas Warga RT 01 RW 02 Timbul Rejo dengan membuat usaha Kerupuk Merah dari Ubi Kayu. Kegiatan ini menggunakan metode sosialisasi, dan praktik langsung. Pemilihan metode ini dilakukan agar Warga RT 01 RW 02 Timbul Rejo, mudah mempunyai keterampilan membuat usaha Kerupuk Merah dan berkreativitas. Perencanaan meliputi: Penyusunan jadwal, penyusunan materi, menyiapkan sarana dan prasarana pendukung kegiatan, seperti: Ubi Kayu, sagu, garam, pewarna merah dan bahan pendukung lainnya. Berdasarkan kondisi lingkungan diatas maka melalui pemberdayaan masyarakat akan dilakukan kegiatan penyuluhan kewirausahaan berupa pelatihan pembuatan kerupuk merah, pengemasan dan pemasaran kerupuk merah yang lebih menarik dan inovatif. Setelah pelatihan ini diharapkan warga memperoleh ilmu dan wawasan kewirausahaan serta manajemen yang baik dalam penjualan kerupuk merah.
Kata kunci : Pemberdayaan, Kerupuk, Wirausaha
Estrategias neuropedagógicas para la atención del Retraso Simple del Lenguaje en infantes
Authors: Vera Zambrano Ingrid Gema , Carrión Mieles Juana Esmeralda 
Published: March 2024

La neuropedagogía ha tomado fuerza en los últimos años permitiendo establecer herramientas que proporcionen posibilidades de aprendizaje y atender diversos retrasos en el desarrollo. El Retraso Simple del Lenguaje (RSL) en niños y niñas del nivel inicial se ha vuelto común en los tiempos actuales, por ello su atención temprana es fundamental para el correcto desarrollo en infantes. El objetivo del presente estudio fue analizar la aplicación de estrategias neuropedagógicas por parte de los docentes en la atención del Retraso Simple del Lenguaje de estudiantes en los Centros de Educación Inicial “Club de Leones” y “Rosa Muñoz de Vera” de la ciudad de Portoviejo, Manabí, Ecuador. Se realizó una investigación cuali-cuantitativo de tipo exploratoria. La población estuvo formada por estudiantes y docentes, a quienes se le aplicó una la técnica de observación, cuyo instrumento estuvo dividido en 3 dimensiones: estrategias docentes, ambiente de aula y socialización de niños y niñas con RSL. Los resultados obtenidos permitieron evidenciar el déficit sobre la utilización de estrategias neuropedagogicas que existe en las aulas del nivel inicial.
The Role of Geomatics In Combating Crime and Terrorism Iraq : An Applied Study
Authors: Al-Ziyadi Hussein Aliwi , Hadi Hossam Sabbar , Kattan Jawad Kazem 
Published: March 2024

Today, geographic technologies are considered one of the most important decision support systems in the world, as they are indispensable in the areas of development and economic development. It has been applied at the security level and the preservation of societal peace through its support for command and control rooms in various security sectors, and assistance in identifying areas of crime dens and spatially distributing criminal phenomena. This study aims to answer the following questions: 1- What is meant by geomatics technology? What characteristics do you have?. 2- How is this technology employed in the field of crime and combating terrorism, Iraq as an applied model?. 3- What is the best way to build a database and spatial information that the security services can benefit from? It was found through the study that geomatics technology has a high potential in the field of combating crime and terrorism, which is done by building digital models and spatial databases for the security aspect through which it is possible to follow up hotspots of crime concentration, and to identify the characteristics of criminals according to the different type of crimes committed, as well as The ability to refer to and update data according to close schedules whenever needed