bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perspectives of medical faculty regarding implementation of Competency-Based Medical Education (CBME) in Uttarakhand, India
Authors: Yadav Shiv Kumar , Baluni Bharti , Arya Anupama 
Published: April 2024

: Competency Based Medical Education (CBME) introduced in 2019, by the National Medical Commission Erstwhile Medical Council of India, involves restructuring the medical training and planning of curriculum and assessment with a focus on developing competent Indian Medical Graduates.: To assess the perception of medical faculties towards the implementation of new Competency-Based Medical Education.: A cross-sectional study was conducted for 1 Month (July 2023). 42 Faculty Members were enrolled in the study after obtaining their informed consent. A pretested semi-structured questionnaire using Google Forms was used to assess the perception of faculty regarding CBME implementation. Data was entered using MS Excel. Statistical analysis was performed using Stata software (version 11.0, Stata, College Station, Texas). Out of 42 Faculty members,16 were Professors and 26 were Associate Professor. The majority (97.6%) of faculty members were trained in medical education training through various workshops. The majority (69%) of faculty members agreed that CBME is essential as per changing time scenario. Although 81% of faculty members were not happy with frequent changes in regulations as released by NMC after the implementation of CBME. The majority (76%) of faculty members also shared that CBME changed their way of Teaching. Faculty members also unanimously shared that faculty and infrastructure recommended by NMC are less and there is a need to revise recommended requirements for effective implementation of CBME. Faculty members unanimously agreed that Competency-Based Medical Education is very much-needed in India as per evolving and challenging healthcare needs across the globe. However, there is a need to revise (increase) recommended manpower, and infrastructure by NMC for the effective implementation of CBME.
Comparative evaluation of four types of orthodontic miniscrews in high angle and low angle cases during en mass retraction – A 6 months follow up in vivo study
Authors: Mukunthan Midhuna , Parimanoharan Saranya , Karthikeyan MK 
Published: April 2024

: To determine the stability and retraction achieved after 6 months of placement of four types of Orthodontic Miniscrews (TADs) in low angle and high angle cases during en masse anterior retraction.: 4 different interradicular miniscrews [FavAnchor (Favourite Supplies), VectorTAS (Ormco), JJ Orthodontics, SK Surgicals] of similar dimensions were placed on the 4 quadrants of maxilla and mandible in 20 patients (10 High Angle and 10 Low Angle) undergoing all I premolar extraction requiring group-A Anchorage and retraction was done using 0.019 x 0.025 Stainless Steel archwire closed coil NiTi springs for 6 months. OPG and Lateral cephalogram was taken before and immediately after 6 months of loading. The retraction, stability and maxillary anterior intrusion achieved by the miniscrews was assessed by measuring the distance of movement occurred in 6 months between marked landmarks before and after retraction.: The most efficient miniscrew in high angle cases was found to be Vector TAS (Retraction=6.11±0.202mm, Displacement=1.40±0.37mm) followed by Favanchor (Displacement=6.00±0.41mm, 1.25±0.44mm) in both maxilla and mandible. Similarly, in low angle cases it was Favanchor (Retraction=6.04±0.24mm, Displacement=0.99±0.46mm) followed by Vector TAS (Retraction=5.91±0.36mm, Displacement=.095±0.35mm) in both maxilla and mandible. There is miniscrew failure with a significant percentage of 1.87% excluding which, there was no statistic difference in the displacement in High angle as well as Low angle cases, whereas, with the inclusion of failure, there is statistically significant difference in the stability. The least efficient in retraction and stability were SK Surgicals and JJ Orthodontics.: There is significant difference in the stability and retraction among the four miniscrews used in High angle and Low angle as well as Maxilla and Mandible owing to the density of the bone at the implant site and the soft tissue present apart from the material and make of individual miniscrew systems.
Comparative assessment of the prognostic value of laser assisted root canal treatment and conventional root canal treatment
Authors: Radesh Purnima , Sharma Sakshi , Sharma Prashansa , Singh Ankit , Arora Vimal 
Published: April 2024

: Endodontics is a branch of dentistry which deals with complex architecture of dental root associated pathology, diagnosis, prevention, and treatment of dental pulp and associated periradicular tissue. The aim of this study is to conduct a comparative analysis of prognostic value of laser-assisted root canal treatment (LART) and conventional root canal treatment (RCT).: A retrospective analysis of 50 cases equally divided between Laser-assisted root canal treatment (LART) and conventional RCT, was done using Clinician-reported Outcome (ClinRo) protocol by modifying Chugal et al scoring criteria. : Statistical analysis using Mann-Whitney U tests revealed no significant correlation between gender and total treatment quality score. However, significant correlation was found between treatment modalities, and with laser assisted RCT treatment it showed a superior correlation and better prognostic results.: The radiographic analysis focused on periapical lesions and root canal filling quality. Laser-assisted RCT demonstrated a higher proportion of complete healing cases for periapical lesions and improved root canal filling quality compared to conventional RCT. : The study supports the potential benefit of laser assisted RCT in non-surgical endodontic interventions. Laser-assisted RCT showed better prognosis in terms of periapical healing and root canal filling quality when compared to conventional RCT. The study encourages further research and clinical validation to establish laser assisted RCT as a viable option in endodontic therapy.
Ogłoszenia matrymonialne i towarzyskie w Ilustrowanym Kurierze Codziennym z lat I wojny światowej (1914–1918)
Authors: Gałaj-Dempniak Renata , Głuski Michał 
Published: April 2024

Wojna wpływa na zachowania ludzi, nawet jeżeli nie są zaangażowani w walkę bezpośrednio. Wymusza zmianę planów, czasem przyspiesza je, czasem odsuwa w czasie. Rozluźnia obyczaje. Powoduje, że wiele męskich funkcji przejmują kobiety. Ogłoszenia matrymonialne w Ilustrowanym Kurierze Codziennym z lat 1914–1918 stanowią uzupełniające źródło informacji o potrzebach osamotnionych przez konflikt małżonków i osób samotnych. Odzwierciedlają bowiem po części zachodzące w otoczeniu kobiet i mężczyzn przemiany. Pozwalają dostrzec wpływ I wojny światowej zarówno na osoby cywilne, jak i żołnierzy. Pokazują wpływ wojny na emancypację kobiet, zwłaszcza wykształconych: elastyczność w poszukiwaniu małżonka lub partnera, stałość w pojmowaniu zadań i celów instytucji małżeństwa.
Granice stanu szlacheckiego w świetle Liber chamorum Waleriana Nekandy Trepki
Authors: Siwek Wojciech Aleksander 
Published: April 2024

Niniejszy artykuł został poświęcony postrzeganiu granic stanowych i możliwości awansu do stanu szlacheckiego w Rzeczypospolitej w pierwszej połowie XVII wieku w oparciu o Liber chamorum Waleriana Nekandy Trepki. Głównym celami artykułu jest ustalenie, z jakich grup społecznych i zawodowych mogły wywodzić się osoby starające się o nielegalne uzyskanie szlachectwa, a także na ile obawy szlachty przed danymi grupami były uzasadnione. Udało się dokonać porównania między wstępem Trepki do Liber chamorum a treścią historii poszczególnych osób i rodzin zapisanych na dalszych stronach dzieła. Szczególne miejsce wśród wspomnianych grup zajmuje służba dworska, a zwłaszcza urzędnicy i dzierżawcy majątków. Nieco mniej popularnymi metodami awansu okazały się: śluby ze szlachciankami, praca w kancelariach i zawody prawnicze oraz służba wojskowa. Tekst traktuje również o niepopularnych ścieżkach awansu, jakimi było organizowanie procesów o szlachectwo oraz podrabianie dokumentów. Udało się częściowo zrekonstruować drogi awansu społecznego i stanowego.
Development of Web-based Online Learning Media Using Google Sites to Increase Student Motivation and Learning Outcomes on Elasticity Material
Authors: Wirdatul Izzah Dhiya , Yeti Nuryantini Ade , Pitriana Pina 
Published: April 2024

Google sites help in increasing student motivation and learning outcomes due to online learning. The research objective is to develop web-based online learning media using the Google site on elasticity material and to test its feasibility in increasing student’s motivation and learning outcomes, which is limited to the cognitive domain, starting at the level of C1 until C4. This study uses research and development methods and refers to the 4D model (define, design, develop, disseminate). The participants in the study were students of class XI IPA 2 of MAN 2 Cilegon. The instruments used include, validation sheets, observation sheets, documentation (attendance, task collection data, transcripts, etc.), questionnaire sheets, and tests. Data were analyzed using communication and processed using the scores obtained in percentages. The results showed that at the define stage, students admit they feel bored doing online learning and feel that the material provided by the teacher is difficult to understand. The media designing starts from making flowcharts, storylines, learning scenarios, compiling material, and practice questions, then combining them into online learning media based on google sites. The development stage includes material and media validation (93.5%), product trials (84.4%), and product revision. The last stage was disseminating results online learning using Google sites, which was carried out very well (92.8%), student learning motivation was high (82.4%) and student learning outcomes had increased as seen from the n-gain 0.6 medium interpretation, ttcount 20.1305, ttable 2.028 (ttcount > ttable).
Keywords: google sites, student motivation, learning outcomes
Optimasi Aliran Turbulen pada Tangki Evaporator dengan Computational Fluid Dynamics
Authors: Heryana Yayan Heryana , Nitamiwati Ni putu dian , Solikhah Maharani Dewi 
Published: April 2024

Peningkatan kadar air dalam proses penyimpanan biodiesel merupakan permasalahan yang harus dicari solusinya. Salah satu solusi yang ditawarkan yaitu melalui penggunaan sistem dewatering biodiesel dengan teknologi vakum termal yang dapat menurunkan kadar air pada biodiesel sehingga sesuai spesifikasi yang ditetapkan. Pada penelitian ini, sistem dewatering biodiesel dengan teknologi vakum termal memiliki komponen utama yaitu tangki evaporator biodiesel. Walaupun penurunan kadar air masih sesuai standar, namun optimasi perlu terus dilakukan agar kadar air pada biodiesel <200 ppm. Penelitian ini bertujuan memperoleh aliran turbulen yang optimal dari tangki evaporator biodiesel yang dilengkapi sparger pipa dengan variasi lubang yang berbeda melalui simulasi CFD. Selain itu, simulasi ini diharapkan dapat memberikan pemahaman mengenai perilaku aliran biodiesel ketika melewati orifice plate dan sparger pipa sehingga diperoleh kondisi operasi yang terbaik. Penelitian meliputi simulasi CFD tangki evaporator biodiesel menggunakan orifice plate dan sparger pipa. Empat model yang diteliti yaitu tangki evaporator biodiesel yang dilengkapi orifice plate, sparger pipa A, sparger pipa B dan sparger pipa C. Berdasarkan hasil simulasi, tangki evaporator biodiesel yang dilengkapi sparger pipa C merupakan yang paling optimal dalam menghasilkan aliran turbulen. Hal tersebut berdasarkan sebaran kecepatan yang ditampilkan pada Re=5000, Re=10000, dan Re=50000. Dengan demikian, tangki evaporator biodiesel dengan pemasangan sparger pipa C berpotensi menurunkan kadar air lebih tinggi dibandingkan dengan pemasangan orifice plate, sparger pipa A dan sparger pipa B.
Avaliação do conhecimento materno sobre introdução de alimentos
Authors: Domingos Ellen , Teles Keren , Zunta Raquel 
Published: April 2024

Objetivo: Avaliar o conhecimento das mães de crianças até dois anos sobre como e quando iniciar a introdução de alimentos sólidos.
Método: estudo de campo quantitativo, com foco descritivo. Os dados foram coletados através de um questionário online divulgado através das redes sociais, atingindo no total 43 mães. A coleta ocorreu entre setembro e novembro de 2022.
Resultados: as mães consideram que o período ideal para a introduzir alimentos é a partir dos 6 meses (93%), a introdução precoce de alimentos pode causar problemas intestinais (65,1%), os primeiros alimentos a serem ofertados são frutas e legumes (95,3%), e a melhor forma de ofertar alimentos são todos juntos no mesmo prato sem misturar (88,4%).
Conclusão: os resultados mostram que as mães possuem conhecimento em relação ao período de introdução de alimentos. O conhecimento é fundamental para que a prática ocorra de forma correta, contudo, existem diversos fatores associados a boa prática.
Influência do status educacional no estilo de vida
Authors: De Castro Antonio Adolfo Mattos , Lopes Lucilia Rocha , Zukowisk Tavarez Cristina , Ferracioli Pôrto Ana Maria Jora F , Rezende Davisson Clemente , Da Silva Leandro Teodoro 
Published: April 2024

Introdução: O estilo de vida (EV) tem sido objeto de estudo em todo mudo para avaliar o estudo de saúde e presença de doenças crônicas.
Objetivo: avaliar o estilo de vida em indivíduos com diferentes status sócio-educacional.
Métodos: este é um estudo transversal no qual foi avaliada a influência do estatus educacional sobre o estilo de vida, os dados foram coletados através do questionário de NAHAS fatores relacionados ao estilo de vida. As características sociodemográficas, socioeconômico e cultural para enquadramento no status educacional foram coletadas por meio do INET. Foram sorteados endereços nas ruas e avenidas do distrito de Capão Redondo e para todos os CEP havia um numero de participantes.
Resultado: Indivíduos com menor grau de instrução têm pior EV. EV melhora entre os indivíduos mais idosos. Os aspectos mais acometidos no EV foram inatividade física e alimentação inadequado, O risco esteve aumentado para os indivíduos analfabetos afirmarem que sua saúde é pior do que indivíduos de sua mesma idade em relação àqueles com ensino superior. O grau de escolaridade da mãe influenciou diretamente para a escolaridade do filho. Foi encontrado correlação positiva entre o número de anos estudados e salários.
Conclusão: indivíduos com maior nível educacional tem melhor estilo de vida do que indivíduos com menor status educacional. Os indivíduos com pior estilo de vida têm a percepção de que sua saúde é pior do que indivíduos de sua mesma idade.
Causes of Death in the Presence of Law Enforcement in Johnson County, Iowa, 2011–2020
Authors: Rempel Anne M. L. , Persons Jane E. , Bengtson Kate , Nashelsky Marcus B. 
Published: April 2024

Objectives. To examine sudden and unexpected or trauma-related deaths that occurred in the presence of law enforcement in Johnson County, Iowa, between 2011 and 2020. Methods. We identified deaths in the presence of law enforcement using definitions from the National Association of Medical Examiners. We obtained data, including demographics, cause and manner of death, toxicology results, and circumstances and location of event leading to death, from comprehensive medical examiner investigative reports. Results. There were 165 deaths that occurred in the presence of law enforcement: 114 were from a known disease, and 51 were either trauma related or the sudden, unexpected initial presentation of a previously unrecognized disease. Three deaths occurred in the context of physical restraint by law enforcement. Suicide was the leading manner of death among trauma-related deaths; the means of suicide was predictable based on in-custody (hanging) or precustody (firearm) circumstances. Conclusions. Our findings highlight the potential role of medical examiners and coroners in improving completeness of data on reporting death in the presence of law enforcement to public health agencies. ( Am J Public Health. 2024;114(6):642–650. https://doi.org/10.2105/AJPH.2024.307616 )
Various Aspects of Approximative τ -Compactness in Banach Spaces
Authors: Das Syamantak , Paul Tanmoy 
Published: April 2024

Abstract
We study approximative τ -compactness in Banach spaces, where τ is the norm or weak topology. The family of Banach spaces with Fr´echet differentiable norms falls under the category of spaces where every w ∗ -closed finite codimensional subspace is approximatively compact in the duals, is observed. On the other hand, we derive that if every w ∗ -closed hyperplane in X ∗ is strongly proximinal, then X is Asplund. We conclude that a smooth Banach space is Fr´echet smooth if and only if every w ∗ -closed hyperplane is approximatively compact in its dual. The property approximative τ -compactness is characterized in a variety of ways for finite codimensional subspaces. It is established that a separable Banach space X is Asplund if and only if X ∗ admits a dual CLUR renorming. This property is discussed in the context of quotient spaces. Stability results for approximative τ -compactness in the spaces of Bochner integrable functions and polyhedral sum of Banach spaces are also presented.
Exploration of the Benefits of Linking the Teaching and Learning of Geometry at the Senior High School to the Akan Cultural Practices
Authors: ATTA SETH AMOAKO , Bonyah Ebenezer , Boateng Francis Ohene 
Published: April 2024

Abstract
The purpose of the study was to investigate the paybacks of linking senior high school geometry to Akan cultural practice. The study area was the Ashanti region, which houses a chunk of the Akan people. The targeted population for the study included experienced mathematics teachers and people who are well-versed in Akan traditional art. Ten participants were recruited, including seven experienced mathematics teachers and three craftsmen, using purposive and snowball sampling methods. Data collection was conducted through interviews to elicit in-depth information from participants using a semi-structured interview guide. The data was analysed using thematic analysis. According to the analysis, teaching geometry with an Akan cultural perspective fosters conceptual understanding and raises academic achievement through lifelong learning. Secondary, it produces students who are patriotic and innovative, ready to face real-life challenges instead of becoming a burden on society. The researchers concluded that the Akan culture is embedded with concepts that are geometric, and it serves as good tool for teaching and learning geometry at the Senior High School
A new rotation period and longitude system for Uranus
Authors: Lamy Laurent , Prange Renee , Berthier Jerome , Tao Chihiro , Kim Tae , Roth Lorenz , Barthélémy Mathieu , Chaufray Jean-Yves , Rymer Abigail , Dunn William , Wibisono Affelia , Melin Henrik 
Published: April 2024

Abstract
In the absence of any visible solid surface, the rotation period of the giant planets has been inferred from periodic phenomena tied to the magnetic field produced in their deep interior. The main method relied on remote radio auroral observations, sometimes complemented by in situ magnetic measurements. For Uranus, such measurements acquired during the Voyager 2 flyby in 1986 yielded a rotation period of 17.24±0.01h1. This fundamental planetary parameter, referenced since then by the International Astronomical Union, is the basis of the Uranian longitude model2. Still, the period uncertainty limits its validity to a few years, after which the orientation of the magnetic axis was lost. Here, we use a novel approach, based on the long term (2011-2022) tracking of Uranus’ magnetic poles from Hubble Space Telescope images of its ultraviolet aurorae, to achieve a new rotation period of 17.247864±0.000010h. It is consistent with, although 28s longer than, the Voyager 2 period. This much more precise determination leads to a new longitude model now valid over decades, from before the Voyager 2 epoch up to the arrival of any future Uranus mission. It also has strong direct implications on formation scenarios, interior models, dynamo theories and studies of the magnetosphere. This novel approach stands as an alternate method to determine the rotation rate of any object hosting a magnetosphere and rotationally modulated aurorae, in our solar system and beyond.
Assessment of health outcomes and social determinants of health in United States nursing homes
Authors: Pabon-Rodriguez Felix M. 
Published: April 2024

Abstract
Addressing health disparities has become an important concern in public health, underlying the need to comprehensively investigate and understand the social determinants of health to foster equitable healthcare outcomes. This descriptive analysis examines the temporal and spatial patterns of social determinants of health in United States nursing homes from 2020 to 2023. Leveraging quarterly data obtained from the Centers for Medicare and Medicaid Services, the study provides an overview of key social drivers of health, including functional status, cognitive status, psychosocial factors, geriatric syndromes, and more. Through visual exploration, the study aims to elucidate trends and variations over time and across different regions. The analysis adopts a descriptive approach, emphasizing qualitative insights and policy considerations. This study contributes to a better understanding of the contextual factors influencing health outcomes in nursing homes, offering valuable insights for potential policy enhancements.
Deficient GATA6-ACKR3/CXCR7 signaling leads to bicuspid aortic valve
Authors: Pompa José Luis de la , Piñeiro-Sabarís Rebeca , MacGrogan Donal 
Published: April 2024

Abstract

The cardiac outflow tract (OFT) transiently links the ventricles to the aortic sac and gives rise to the arterial valves. Abnormalities of the arterial valves, mainly bicuspid aortic valve (BAV), are the commonest congenital anomalies.Gata6inactivating mutations cause cardiac OFT defects and BAV, but the cellular and molecular mechanisms are poorly understood. We find thatGata6STOP/+mice, generated by CRISPR-Cas9, display highly penetrant BAV (70%), and a membranous ventricular septal defect (43%). OFT development inGata6STOP/+mice is characterized by decreased proliferation and increased presence of ISL1-positive progenitor cells, suggestive of aberrant cardiovascular differentiation. In support, conditionalGata6deletion with theMef2cAHF − Credriver line recapitulatesGata6STOP/+phenotypes, indicating a cell-autonomous requirement forGata6in the SHF.Gata6STOP/+mice display dramatic reductions in OFT length and caliber, associated with deficient cardiac neural crest cells (cNCCs) contribution in the mutant OFT, potentially underlying the valvulo-septal defects. RNA-seq analysis ofGata6STOP/+OFT reveal multiple depleted pathways linked to cell proliferation and migration, and highlightACKR3/CXCR7as a candidate gene regulating migratory effects downstream of GATA6. Consistently, mesenchymal cell migration and invasion are drastically reduced in explantedGata6STOP/+OFT tissue. Supplementing wild type OFT explants with CXCR7 agonists decreases mesenchymal cell migration and increases invasion, these effects are suppressed in theGata6STOP/+explants, suggesting that CXCR7-mediated migration and invasion is Gata6-dependent. These findings demonstrate a requirement for CXCR7 downstream ofGata6in OFT development and suggest that the cellular defects associated with BAV in GATA6-deficient mice can be ascribed, in part, to reduced CXCR7 function.