bluuebunny/crossref_metadata_2025_split huggingface dataset:
Generative autoencoder to prevent overregularization of variational autoencoder
Authors: Ko YoungMin , Ko SunWoo , Kim YoungSoo 
Published: April 2024

AbstractIn machine learning, data scarcity is a common problem, and generative models have the potential to solve it. The variational autoencoder is a generative model that performs variational inference to estimate a low‐dimensional posterior distribution given high‐dimensional data. Specifically, it optimizes the evidence lower bound from regularization and reconstruction terms, but the two terms are imbalanced in general. If the reconstruction error is not sufficiently small to belong to the population, the generative model performance cannot be guaranteed. We propose a generative autoencoder (GAE) that uses an autoencoder to first minimize the reconstruction error and then estimate the distribution using latent vectors mapped onto a lower dimension through the encoder. We compare the Fréchet inception distances scores of the proposed GAE and nine other variational autoencoders on the MNIST, Fashion MNIST, CIFAR10, and SVHN datasets. The proposed GAE consistently outperforms the other methods on the MNIST (44.30), Fashion MNIST (196.34), and SVHN (77.53) datasets.
The Effect of The Company's Financial Performance on Company Value With The Variable of Dividend Policy Moderation in Manufacturing Companies Listed on The Indonesia Stock Exchange
Authors: Nuari Arma Trie , Elwisam Elwisam , Digdowiseiso Kumba 
Published: April 2024

Firm value is very important because the high value of the firm which will be followed by higher shareholder wealth. This study aims to determine the effect on the value of the company's financial performance with the dividend policy as a moderating variable. The population in this study are all manufacturing companies listed on the IDX consecutive dividend during the period 20017-2020. The results showed that: 1) Profitability significant positive effect on firm value, 2) leverage significant positive effect on firm value, 3) Liquidity not significant negative effect on firm value 4) dividend policy is not able to significantly moderate the effect of profitability on firm value 5) dividend policy is able to significantly moderate the effect of laverage on firm value, 6) Dividend policy is able to significantly moderate the effect of liquidity on firm value.
The Intention to Use E-Commerce VS. Physical Shopping in the Post-Covid Policy in Indonesia
Authors: Pane-Citra Amelya , Ade Suwanto , Firdha Eliahannanti , Monica Harianto V. 
Published: April 2024

Customers' shopping behavior since the Covid-19 pandemic have changed due to post-covid social restriction in Indonesia. This research study behavior patterns to find out consumer shopping trends in Indonesia after Post-Covid policy as a reference for market players to grow business in online or offline stores based on drivers (UTAUT 2, herd behavior) dan barriers perspectives. The sample in this study was 487 respondents from the population of Indonesia, and sampling technique used in this research is Probability Sampling. The data was carried out by collecting questionnaires containing 51 items related to the variables in this study. The results show that Performance Expectancy, Habit, Imitating Others have a positive effect on E-commerce Intentions Variables and the Technology Fear factors has a negative effect towards Ecommerce Intention. In addition, the Privacy Risk Variable have a positive impact on the Physical Shop Intention Variable, while hedonic motivation factor has a negative impact on Physical Shop Intention. The result would have contribution for business owners to have more understanding on Indonesian market in order to develop business in e-commerce and physical stores.
Relationship between Triage Patients Related Factors and 48 Hours Outcomes at the Accident and Emergency Department, Kenyatta National Hospital
Authors: Chelal Daniel K. , Sum Tecla J. , Morema Everlyne N. 
Published: April 2024

Context: The goal of triage is to prioritize patients who require the most urgent care and increase efficiency when resources are insufficient to treat all patients as per their degree or grade of injury. An effective and efficient emergency center triage system should be able to sort both trauma and non-trauma patients according to the level of acuity and involves treatment as per the physiological parameters, either coded as red, orange, yellow, green, or black. Kenyatta National Hospital has adopted the South African Triage Score (SATS), which has proven effective in monitoring the patient's physiological parameters. It involves using a score form called triage early warning scores (TEWS). Emergency triage is an effective way to speed up the triage process, decrease waiting times, and boost patient outcomes in first-world nations. Low-income or limited-resource situations present unique obstacles that substantially affect the selection and application of the most suitable triage scale and the success of its implementation.
Aim: The objective of the study was to determine the relationship between triage patients related factors and 48 hours outcomes at the Accident and Emergency Department, Kenyatta National Hospital
Methods: The study was a cross-sectional study involving the triaged and coded patients flagged by scores using the Triage Early Warning Score (TEWS). A sample of 385 patients was from the accident and emergency department at Kenyatta National Hospital,
whereby a structured interview questionnaire and patient outcomes observation checklist were used.
Results: The study indicated that patient-related factors significantly influenced the management outcome of triaged patients' (t-statistic=0.210, p-value = 0.039 < 0.05).
Conclusion: It is, therefore, important to note that patient-related factors impact the outcome of triaged and coded patients in the accident and emergency department at Kenyatta national hospital. The hospital management reviews the triage process and policy to ensure that the patients can be followed up easily, using an online queue system guide, monitoring of the patient system, and subsequent follow-up that reduces waiting time.
Effect of Nursing Interventions on Feeding Difficulties of Children with Cerebral Palsy
Authors: Wafeek Areeg A. , El-Sharkawy Sabah S. , Abd El-Moniem Iman I. , Morsy Madiha A. 
Published: April 2024

Context: Cerebral Palsy (CP) is a static non-progressive brain disorder defined as a group of motor disorders resulting from brain damage before, during, or after birth. Children with CP frequently have feeding problems, growth disorders, feeding complications, communication disorders, mental obstruction, seizure disorders, auditory problems, and visual deficiency, which may significantly impact their health.
Aim: The study aimed to evaluate the effect of nursing interventions on feeding difficulties of children with cerebral palsy.
Methods: A quasi-experimental (pre/post-test) research design was utilized in this study that was conducted at the Neurologic Specialized Clinic at Children's Hospital affiliated to Ain Shams University Hospitals. A convenient sample of forty-five children with CP having feeding difficulties and their mothers was selected from the previously mentioned setting. Data were collected by using three tools, a structured interview questionnaire and a Children Observation Assessment Record to assess the child's ability and feeding difficulties of the studied children before and after the intervention.
Results: The study reveals a mother's mean age of 31.33±4.46 and a child's mean age of 6.28±2.91. The children's assessment reveals that 84.4% of cerebral palsy children were hypotonic. Pre and post-test comparisons of children's BMI revealed a statistically significant difference at p=0.018, and feeding difficulties revealed a statistically significant difference in spoon feeding p= 0.007, biting p=0.002, chewing p=0.003, cup drinking p= 0.005, swallowing p=0.001, and drooling during eating p=0.009.
Conclusion: The study concluded that the supportive nursing intervention program was successful in improving the feeding difficulties as regards spoon feeding, biting, chewing, cup drinking, swallowing, and drooling during eating after the intervention compared to the children's pre-intervention level. The study recommended applying supportive nursing interventions for children with CP having feeding difficulties as a main supportive nursing intervention to overcome feeding difficulties.
Effect of Self-Care Strategies on Health Outcomes of Patients with Hepatocellular Carcinoma
Authors: Sheta Hala A. , Abo El-Fadl Nehal M. 
Published: April 2024

Context: Hepatocellular carcinoma is the prevailing form of primary liver cancer among adults and currently ranks as the primary cause of mortality in cirrhosis individuals. Globally, hepatocellular carcinoma holds the sixth position in terms of cancer-related fatalities. Efforts are underway to leverage self-care approaches, combining local and regional treatments with systemic therapeutic protocols to enhance patient outcomes throughout various disease stages.
Aim: Evaluate the effect of self-care strategies on patients with hepatocellular carcinoma health outcomes.
Methods: A quasi-experimental research, specifically a one-group pre/post-test design, was employed in this study. The research was conducted in the internal medicine units of Tanta Cancer Center, Tanta, Egypt. The study included a purposive sample of 60 patients of both genders over nine months. Three assessment tools were utilized: A structured interview questionnaire for gathering personal information, medical history, and patient knowledge, a self-care practice assessment scale, and a health outcomes assessment scale.
Results: Patients' knowledge scores regarding all the knowledge elements improved significantly post-implementation of self-care strategies compared with their pre-intervention levels. Total knowledge score improved post-self-care strategies implementation from 20% to 81.7% with a statistically significant difference between pre and post-implementation of the self-care strategies (X2=5.496, p=0.019). Also, the total self-care practice score increased from 16.7% to 68.3%, with a statistically significant difference between pre and post-implementation of the self-care strategies (X2=5.561, p=0.018). Regarding patients' health outcomes improved from experiencing severe symptoms among 53.4% to 6.7% post one month, respectively, with a statistically significant difference between pre and post-implementation of the self-care strategies regarding all assessed health outcomes (p<0.05).
Conclusion: Self-care strategies have effectively enhanced patients' knowledge, self-care practice, and overall health outcomes. The study results recommend providing ongoing patient education regarding self-care management for patients with hepatocellular carcinoma to effectively address symptoms and enhance their quality of life.
Uptake of COVID-19 Vaccination among Healthcare Providers in Busia County in Kenya
Authors: Kilima Juliet I. , Morema Everlyne N. , Ochieng Eldah O. 
Published: April 2024

Context: The novel coronavirus was announced as a global rampant disease in March 2020. Non-pharmaceutical interventions were imposed globally to assist in controlling the spread of the disease, which had negatively impacted the wellness of individuals and contributed to a significant decline in the global economy. Through rigorous research, the world realized the development of effective and safe vaccines given emergency use authorizations. Healthcare providers are at the highest risk of COVID-19 occasioned by their nature of work.
Aim: This study aimed at assessing the uptake of the COVID-19 vaccines among healthcare providers in Busia County.
Methods: In a cross-sectional study, multi-stage sampling to a sample size of 423 healthcare care providers in healthcare facilities distributed over seven sub-counties of Busia County, Kenya, was determined using the Fishers formula. Data was collected using a self-administered questionnaire on Kobo collect and analysis done in SPSS version 26 software.
Results: Most healthcare providers (n=399) had received at least one dose of the vaccine at the time of the study, indicating an uptake rate of 94.3%, with 86.5% having gotten at least two doses. Age, gender, marital status, and living with others significantly influenced vaccine uptake. The uptake rate of those with comorbidities was significantly lower than those without (p=0.03, OR:0.3, CI:0.1-0.9). 97.1% of the healthcare providers were knowledgeable about COVID-19 vaccines that positively influenced vaccine uptake (OR: 16.3; 95% CI: 6.7–39.8; p <0.001). Healthcare providers receiving information from their colleagues (OR: 5; CI: 1.7-14.7; p=0.009) and print media (OR: 4.6; CI: 1.7-12.5; p=0.007) were five times more likely to uptake the vaccine.
Conclusion: Vaccine uptake was favorably high. It was found to be higher among the knowledgeable, lower among those with chronic illnesses, and increased with age. Further research should focus on establishing the effects of non-pharmaceutical interventions on the general population.
Effect of Training Program on Emotional Intelligence of Nurses Caring for Patients with Alzheimer’s Disease
Authors: Ali Bahaa Eldin A. E. , Osman Omayma A. B. , Mourad Ghada M. 
Published: April 2024

Context: Nurses are the cornerstone of the health care systems, and their work is associated with great pressure, and nurses are often overwhelmed. Emotional intelligence and its significance to nursing have been increasingly emphasized throughout the last few years. Emotional intelligence comprises a deposit of interrelated skills involving a capability to appraise one's emotions and those of others, utilization and regulation of one's emotions, and social skills.
This study aimed to evaluate the effect of training program on the emotional intelligence of nurses caring for patients with Alzheimer's.
Methods: A quasi-experimental (pre/post-test) design was used. The study was conducted at the geriatric units of Ain Shams University Hospitals and the geriatric department of Abassia Hospital, affiliated with the Ministry of Health. A study employs convenience sampling with a total number of 70 nursing staff who are working in the mentioned setting. Tools used for data collection were a self-administered questionnaire including two parts; part one concerned with sociodemographic characteristics of the studied nurses, and part two included the Emotional Intelligence Scale (EIS) to assess emotional intelligence in managing the workplace.
Results: The current study reveals that pre-program, 5.7% of the studied nurses have a high level of EI scores compared to about one quarter (22.9%) of the studied nurses who had a high level at post implementation of the program and increased to less than three quarters (71.4%) at follow up the program with a highly statistically significant difference between the levels of nurses’ emotional intelligence (p<0.001) comparing between pre-intervention and follow-up.
Conclusion: Emotional intelligence training program positively improves emotional intelligence levels among nurses caring for patients with Alzheimer’s disease. The study recommended that hospitals provide continuous in-service training, education, and awareness programs for nursing staff to enhance their skills regarding emotional intelligence. Nursing emotional intelligence skills should be included in undergraduate and postgraduate nursing curricula.
Development of products with extended shelf life
Authors: Vasyukova A. T. , Kusova I. U. , Dyshekova M. M. , Moshkin A. V. , Glukhova E. V. 
Published: April 2024

The goal of the research is to evaluate the flavor and rheological compositions formed in the process of structuring gel-like solutions of various concentrations into individual processes of the technological scheme for the production of semi-finished products and complex interaction in the structure of the finished product, taking into account the use of gelling agents and dietary supplements. The article presents some features of the flow of physicochemical reactions that make it possible to describe the dynamics of the interaction of nutrients in the formed binary compositions of carbohydrate-fat structures of plant systems in the technological process.Methods. To carry out the tests, the potentiometric method was used and the pH of each sample was determined using the Expert-001-3pH device. Determinations of sugars were carried out according to GOST 8756.13-87 using the permanganate method; dry substances according to GOST 31640-2012; organoleptic assessment according to GOST ISO 6658–2015. Samples of semi-finished products containing 25–30% fruit and citrus juices, 0.1–0.5% freeze-dried aromatic plants, 0.3–0.5% berry or vegetable powders, 0.3–0.6% spices were the objects of the research.The results. It has been established that the use of cellulose and glycerin in the formulation of carbohydrate-fat binary compositions based on fruit, citrus juices, berry or vegetable powders and spicy-aromatic raw materials contributes to the formation of an elastic, delicate film structure and a complex of flavoring and aromatic substances, depending on the type of raw materials and VAD used. With an increase in the concentration of cellulose, the films become denser, and in combination with the main raw materials (juice, powders, spices), the amount of dry substances and extract content increase, the films become opaque and less elastic. It has been found that in all samples, with an increase in spicy-aromatic raw materials, the number of inclusions increases and the films acquire a mosaic appearance. For clarity of experiments, graphs of the dependence of the type of main raw material and VAD on the concentration of the recipe composition and the formation of the flavor and aromatic range have been presented.Conclusion. The experimental data and dependencies obtained will be useful when considering more complex processes of mass transfer, sucrose inversion, and destruction of protein-carotenoid complexes. The perception of flavor and density of edible films is complex: the balance between sweetness, extractivity and threshold values of sensory characteristics are the main criteria for the organoleptic quality of the films being developed. It increases with the concentration of VAD and the type of juices or powders used. A richer and more pronounced taste appears.
Beyond the walls - The impact of urban sprawl on the fortifications in Albania
Authors: Plyku Demaj Marsela , Mitrojorgji Joli , Gjata Klodjana 
Published: April 2024

The need for protection of human settlements has existed since the earliest times of human society. It is reflected in the choice of the terrain, strategic location and through the construction of castles and fortification walls to protect the life inside the settlement. Being interdependent to the human settlement that they aim to protect, fortifications, apart from reflecting the building and military techniques of the time, are also a significant indicator of the life and extent of the historic built settlement within the walls, its accessibility, main transportation routes, etc. In Albania, fortifications, based on a classification on typology, function, building techniques, among others, are one of the first architectural genre designated as monuments of culture in the first national List of Cultural Monuments back in 1948. When in urban areas, these elements often constituted the core of the settlement. As such, they are permanent urban nodes in times of growth, development and change during the centuries and often conditioning/determining the growth policies around them. In present days, many only preserve traces of the protective structures and the walls and few still continue to host living neighborhoods within the perimeter. This article focuses on the fortifications in urban areas linked to historic settlements and impacted from the urban sprawl through history or currently due to urban development pressures. How do these permanent features of the city face urban growth, offering a categorization of the impacts being: building within, out or close to the encirclement of walls, or even the impact on the traditional landscape? By displaying a detailed view of the nature and range of impacts the study aims at helping national and local authorities dealing with cultural heritage, to undertake informed decisions for the protection and management of cultural heritage facing risk or loss of cultural values, and to be able to produce contemporary urban landscapes where historical layers combine.
Resoconto sul primo cantiere di restauro conservativo delle murature dei bastioni settentrionali del castello dei Paleologi a Casale Monferrato (Alessandria)
Authors: Gentilini Giorgia 
Published: April 2024

February 2022 saw the start of the first conservative restoration work on the walls of the eastern curtain wall and bastions of the Paleologi castle in Casale Monferrato (AL), which was completed in April 2023. During the fourteen months of activity, skilled hands were engaged in the removal of infesting vegetation, in the structural consolidation of the external wall lining with connections and dry-stitching and scuci-cuci (patching) operations, in the renovation and conservative restoration of the face in brick and stone elements, in the renewal of the battlements and in the recovery of the ground spaces of the terraces with excavation under archaeological supervision, in the setup of the floor levels of the embrasures, in the treatment of the surfaces with consolidation and punctual reintegration of the lime joints and degraded bricks with cocciopesto mixture, in the installation of fall-prevention devices for future maintenance operations of the ridges and turf. Through the diagnostic investigations carried out on the mortars (mineralogical-petrographic and physical-instrumental studies) and on the bricks (thermo luminescence) together with the archaeological investigations carried out on the pre-existing constructions found during the removal of the vegetal soil of the north-eastern bastion, it was possible to validate the chronological data collected during the design phase through the morphological-stratigraphic study of these fortified structures; the results deduced from all the information obtained, before and during the building site works, have proved the effectiveness of the combined use of indirect and direct sources to learn about the construction history of a multi-layered building. Here again, it can be confirmed that it is precisely at the time of the building site works, where theory is expressed in practice, that the interoperability between the various professional and scientific figures has found its raison d'être by profitably intermingling subjects, disciplines and experiences.