bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Influencing Physical Therapists’ Rehabilitation Prescription in the ICU: Semi-structured Interviews with Qualitative Analysis
Authors: Hiser Stephanie L. , Seth Bhavna , Hosey Megan M. , Needham Dale M. , Eakin Michelle N. 
Published: December 2023

Purpose: Despite a plethora of studies on early rehabilitation, specific guidelines for rehabilitation prescription parameters are lacking. The objective of this study was to evaluate how physical therapists determine rehabilitation parameters such as initiation, frequency, intensity, duration, and type of interventions for patients in the ICU. Methods: Semi-structured interviews were conducted between April and August of 2021 using video conferencing software following a written interview guide. Purposive sampling was used among interested physical therapists to select those who work across a variety of ICU types with a range of years of ICU experience. We used thematic analysis to identify emerging themes using an inductive approach. Results: We interviewed 30 physical therapists in the USA with 14 (47%) and 16 (53%) having ≤5 years and >5 years of ICU clinical experience, respectively. Nine factors were identified as impacting all rehabilitation prescription parameters (e.g., medical appropriateness, diagnosis/prognosis, and alertness/sedation). For decisions about each parameter there were a set of factors identified: five for initiation (e.g., indication for physical therapy; ventilator settings/oxygen), four for frequency (e.g., baseline function; prior therapy session), three for intensity (e.g., patient appearance and subjective response), nine for duration (e.g., session preparation; quality of performance), and eight for type of intervention (e.g., progressive mobility; patient goals). Conclusion: Interviews examining rehabilitation parameters, revealed that physical therapists consider each of these simultaneously when making decisions about rehabilitation prescription. Furthermore, physical therapists appear to modify to the intervention not only based on patient progress, but by other external factors related to working in an ICU environment (e.g., equipment availability, interruptions for other medical procedures).
Voltage Contrast within Electron Microscopy: From a Curious Effect to Debugging Modern ICs
Authors: Vickers James , Freeman Blake , Leslie Neel 
Published: December 2023

Abstract
A scanning electron microscope system measures voltage contrast on device-under-test surfaces. This article addresses a limited set of applications that rely on voltage contrast (VC) measurements in SEM systems, showing how VC measurements can probe electrical activity running at speeds as high as 2 GHz on modern active integrated circuits.
Graphic design as a means of art therapeutic support in the period of war
Authors: Budnyk А. , Goshko I. 
Published: December 2023

The purpose of the research. The article is a part of a study of graphic design and illustrations as a means of art therapy. It examines different approaches to art therapy, including drawing and narrative, and analyzes their effectiveness in improving the emotional state of the population. The purpose of the study is to determine the potential of graphic design and design of printed publications as art therapy for improving the well-being of the population during the war.
The methodology. To assess the art-therapeutic potential of graphic design, a systematic approach was used, in which the results of bibliographic, critical and content analysis of the results of research on the problems of expressive art therapy in the context of intervention were combined.
The scientific novelty of the study is the determination of the potential impact of modern book design and illustrations as a means of art therapy support on a vulnerable population that has suffered as a result of traumatic events, in particular, military conflicts. The work studies the techniques of art therapy for this category of people and their psychological impact, as well as research the modern design and illustration of books, their trends and prospects for popularization among young people.
Conclusions. The results of the research confirm that the graphic design of printed publications and illustrations as a tool of art therapy can have a significant positive effect on the mental health of the population during the war. The use of aesthetically appealing and emotionally charged illustrations helps to stimulate creativity, self-expression and relaxation, which contributes to the general improvement of the mood and well-being of the population. The study contributes to the growing use of art therapy techniques related to print design and illustration in conflict settings and offers practical recommendations for designers and therapists working in this field. The use of artistic techniques in print design and illustration has a variety of therapeutic and creative benefits. Whether used in a therapeutic setting or as a tool for creating visually appealing illustrations and printed publications, these techniques can help people communicate and enhance their emotional state in unique and powerful ways.
A SEMIOTIC ANALYSIS FOUND ON A POSTER IN KITKAT INSTAGRAM ACCOUNT
Authors: Pratama I Gde Saputra , Suastini Ni Wayan 
Published: December 2023

This study discusses the importance of effective communication in exchanging information and ideas between individuals through verbal and visual signs. A semiotic approach is used to analyze the meaning contained in the Instagram KitKat poster. The theory of Saussure (2011) and Barthes (1977) was used to analyze the verbal and visual signs on the posters. The aim of this analysis is to understand what verbal and visual signs are and to uncover the complex messages behind their surface appearances, highlighting how signs are used to convey each meaning. Three KitKat posters from the @kitkat account were reviewed, revealing a dynamic brand communication strategy. This analysis shows how verbal signs such as slogans and brand names relate to visual signs such as images and symbols to create subtle narratives about KitKat posters that imply the meaning of always enjoying KitKat during break time. This research increases the understanding of how brands use semiotics to build strong messages across various dimensions of communication.
COORDINATE STRUCTURE OF COMPOUND SENTENCES FOUND IN BRITANNICA.COM ABOUT TITANIC
Authors: Datu Ida Ayu Kadek Nova Chintya Dwipa 
Published: December 2023

In this study, the types of coordinating conjunctions used in sentences about the Titanic on Britannica.com are analyzed. This study's objective is to identify the different kinds of coordinating conjunctions used in compound phrases. In this study, the data were analyzed using a descriptive qualitative approach based on the theory put forward by Quirk and Greenbaum (1973). The 52 total data were broken down into three categories—syndetic coordination, asyndetic coordination, and syndetic and asyndetic coordination—that describe the three forms of coordinating conjunctions used in compound sentences. This study specifically discovered all three types of coordination in complex phrases. 27 data are coordinated synthetically, 18 data are coordinated asyndetically, and 7 data are coordinated syndetically and asyndetically. In syndetic coordination, there are 21 data using “and”, 5 data using “but”, and 1 data using “so”. While, in asyndetic coordination there are 15 data using “comma” (,), and 3 data using “semicolon” (;). The last 7 data are using both syndetic and asyndetic coordination.
MACROSCOPIC AND MICROSCOPIC FEATURES OF FIREARM PENETRATING ABDOMINAL INJURIES WITH DAMAGE TO THE APPENDIX
Authors: Khoroshun Eduard M. , Nehoduiko Volodymyr V. , Makarov Vitaly V. , Panasenko Serhiy I. , Yakymova Tamara P. , Tertyshnyi Serhii V. 
Published: December 2023

Introduction. In the structure of combat abdominal trauma during all periods of hostilities (according to ATO/JFO data), gunshot wounds dominated, accounting for 87.1%. An analysis of the distribution of those injured with gunshot wounds by the type of projectile causing the injury showed a prevalence of shrapnel injuries over bullet wounds – more than 80%.
The aim of the research was to analyze the macroscopic and microscopic changes in firearm penetrating abdominal injuries with damage to the appendix.
Materials and Methods. Eight appendectomies were performed due to firearm penetrating abdominal injuries with damage to the appendix. Complaints, medical history, examination data, ultrasound examination according to the FAST protocol, and radiological examinations were studied in all injured patients. To refine the diagnosis and determine the scope of surgical intervention, the WOLF videoendoscopic system was used.
Histological examination of the removed appendices was performed, which were stained with hematoxylin and eosin and with the Van Gieson stain. A complex of pathomorphological studies was conducted using the Primo Star microscope (Carl Zeiss) at a magnification of ×140.
Results. All injuries occurred while wearing a bulletproof vest and were characterized as blind, with 1 (12.5%) being gunshot wounds and 7 (87.5%) being shrapnel wounds. The entrance wound in firearm blind penetrating abdominal injuries with appendix damage was located in the right hypochondriac region – 4 (50%), right flank – 1 (12.5%), right inguinal region – 2 (25%), and mesogastric region – 1 (12.5%) cases. The average size of the entrance wound on the skin was 23.3±0.4×12.4±0.3 cm. All skin wounds were outside the bulletproof vest protection area.
The injuries to the appendix had an average size of 15.4±1.2×9.3±0.1 cm. All removed foreign bodies were larger than 1 cm in their largest dimension.
Conclusions. In most cases of firearm penetrating abdominal injuries, damage to the appendix is noted with an entrance wound predominantly on the right side. Macroscopically, in firearm blind penetrating abdominal injuries with appendix involvement, the wound on the skin is larger than on the appendix. All foreign metal bodies removed from the abdominal cavity after firearm shrapnel blind abdominal injuries with appendix involvement were of large size. Contusional injuries to the appendix tend to undergo destructive transformation, requiring surgical treatment - appendectomy. The increased frequency of appendix injuries can be explained by the widespread use of shrapnel ammunition in abdominal injuries when personal protective equipment does not provide protection for this area.
Genomic and Transcriptomic Characteristics of Tumors of Patients with Metastatic Clear Cell Renal Cell Carcinoma Clinically Benefiting from First-Line Treatment with Ipilimumab Plus Nivolumab
Authors: Tripathi Nishita , Meza Luis , Sayegh Nicolas , Govindarajan Ameish , Byron Sara A. , Zhang Jiaming , Chigarira Beverly , Jo Yeonjung , Zengin Zeynep B. , Li Haoran , Gebrael Georges , Desai Arpita , Agarwal Neeraj , Swami Umang , Maughan Benjamin L. , Pal Sumanta K. 
Published: December 2023

Background: Ipilimumab plus nivolumab is approved as a first-line treatment for intermediate or poor risk metastatic renal cell carcinoma (mRCC). However, ∼35% of patients progress within six months on ipilimumab plus nivolumab, and no validated genomic biomarkers predict the benefit. In this study, we explore the genomic and transcriptomic differences among patients with clear cell mRCC patients who either did or did not experience clinical benefit from first-line ipilimumab plus nivolumab therapy. Method: Patients with clear cell mRCC intermediate or poor IMDC risk scores, with available tumor whole exome with/without transcriptome sequencing before starting systemic therapy were included. Patients who developed a complete response, partial response, or stable disease for at least six months after initiating treatment were categorized into the ‘clinical benefit’ group, whereas the rest were classified as ‘no clinical benefit.’ Genomic alteration frequencies between the groups were assessed with a chi-square test. Differentially expressed genes and gene sets were identified via DeSeq2 and GSEA v4.2.3, respectively. Result: 53 patients with clear cell mRCC (37 clinical benefit and 16 no clinical benefit) were eligible and included. No significant difference was found in the genomic alteration frequencies between these groups. Baseline tumor transcriptomic data were available for 14 patients (9 clinical benefit and 5 no clinical benefit). The apical surface and pathways downregulated by KRAS signaling were enriched in the clinical benefit group, whereas inflammatory pathways were enriched in the no clinical benefit group. Conclusion: These findings suggest that tumor specific gene expression as assessed by RNA sequencing could serve as a potential biomarker of response to ipilimumab plus nivolumab therapy.
METHODS AND MEANS OF INCREASING THE EFFICIENCY OF COMPOSITE MATERIALS FOR SHIELDING ELECTROMAGNETIC FIELDS
Authors: Sukach Serhii , Rieznik Dmytro 
Published: December 2023

The main principles of increasing the shielding coefficients of electromagnetic fields by composite materials are considered. It is shown that the protective properties in the low-frequency and high-frequency regions of the electromagnetic spectrum are provided by different physical mechanisms. Therefore, to ensure acceptable protective properties, it is necessary to coordinate the ratio of electrophysical and magnetic properties of materials based on compromise solutions. The main condition in the process of designing materials is to take into account the strong frequency dependence of the dielectric and magnetic permeability of filler particles. To predict the required volume content of the shielding filler in the dielectric matrix, it is possible to use the Maxwell-Garnett, Odelevsky, and Lorentz formulas. At the same time, it should be taken into account that the differences between calculated and experimental results are at least 20 %. For simultaneous effective shielding of ultra-low-frequency and ultra-high-frequency electromagnetic fields, the material must have both sufficient magnetic properties and acceptable electrical conductivity. This can be achieved by treating the original mixture containing ferromagnetic particles with a constant magnetic field of 200–300 A/m. By arranging the arrangement of shielding particles in the body of the composite, conduction circles are formed. With a shielding material content of 12–16 % by volume, a percolation effect is achieved - a sharp increase in the electrical conductivity of the material and an increase in protective properties. The amount of filler depends not only on the total volume, but also on the size of individual particles. In this way, simultaneous shielding of both the magnetic component of the industrial frequency electromagnetic field and ultrahigh and higher frequency electromagnetic fields is achieved. It is shown that it is expedient to investigate the possibility of arranging non-magnetic particles in the body of the composite by treating the initial mixture with an electric field.
ANALYSIS OF MECHANICAL POWER TRANSFORMATION PROCESSES DURING HARMONIC OSCILLATIONS OF DRIVES IN LOAD-LIFTING, TRANSPORTING AND VIBROFORMING CONCRETE MIXTURE MACHINES AND MECHANISMS
Authors: Chovnyuk Yurii , Kravchyuk Volodymyr , Cherednichenko Petro , Ostapushchenko Olga 
Published: December 2023

The purpose of the study is to detail the types of mechanical power during harmonic oscillations of drives in load-lifting, transporting and vibroforming concrete mixture machines and mechanisms. Due to the irreversibility of thermal energy, its derivative will take only positive values. However, derivatives can be taken from both potential and kinetic energy. But the most interesting case is the case of harmonic os-cillations in the specified machines and mechanisms drives, for which the derivatives (instantaneous power) are sign-changing functions, that fundamently distinguishes them from thermal power. The analogue of kinetic energy in electric engineering is magnetic field energy in inductor coil, potential energy analogue is capacitor’s electric field energy, and mechanical thermal energy is replaced by thermal energy, which is dissipated by the resistor. It is shown in this study that not only thermal power (with a positive sign) develops during load-lifting, transporting and vibroforming concrete mixture machines and mechanisms drivers mechanical oscillations , but also sign-changing reactive powers, which characterize the kinetic and potential energies inverse. Here, the active power is understood as the average value of the instantaneous power for half a period, and under reactive − amplitude value. The full mechanic power of machines and mechanisms drives, on the one hand, is described by the Pythagorean formula, and from the other − is equal to the product of the harmonic quantities effec-tive values. A feature of the complex representation is that when calculating the full power, one of the vectors that are multiplied must be conjugate. The representation about mechanical reactive, active and full power is a generalization of the corre-sponding consepts from electrical engineering, which is a manifestation of electro-mechanical dualism. Since in most machines and mechanisms the drives are mainly electromechanical, mechanical reactive power transforms into electrical reactive power of the network, thereby worsening the quality of electricity. Therefore, con-sideration of mechanical reactive power is of great importance.
INVESTIGATION OF THE ACCURACY OF DETERMINING THE COORDINATES OF SPHERES USING THE FARO FOCUS S 120 LASER SCANNER
Authors: Adamenko Oleksandr , Annenkov Andriy , Medvedskyi Yurii , Tcikolenko Elena , Havrylov Yehor 
Published: December 2023

Goal. The purpose of the work is research and analysis of the accuracy of determining the coordinates of spheres during geodetic work on laser scanning.
Methods. The study of the accuracy of measurements of the laser scanner was carried out by the method of direct measurements. During the research, the reference value of the displacement of the sphere was measured using a laser interferometer. The measurements were performed to determine the measurement errors of various measured values of the laser scanner: horizontal angle, vertical angle and distance. Processing of scans and determination of sphere coordinates was carried out in the FARO Scene Lt software complex. Processing of measurement results was carried out by methods of mathematical statistics using MS Excel.
Scientific novelty. A study of the sensitivity of the laser scanner for determining minor displacements of reference targets, using spheres as an example, was carried out. Work with sensitivity studies in determining the coordinates of reference targets, as a component of the error in determining their coordinates, we did not find.
Practical significance. The conducted studies will allow determining the optimal ranges of location of reference targets during scanning to ensure the highest accuracy of determining their coordinates. However, it has been experimentally proven that this method cannot be used to determine the full accuracy characteristics of a laser scanner in determining the coordinates of reference targets, since the influence of some systematic errors, such as the eccentricity of the component parts of the laser scanner, is excluded in the measurements.
The results. According to the research results, it is possible to draw a conclusion about the most appropriate location of reference targets in the form of spheres to achieve the highest accuracy of determining their coordinates. As can be seen from the research, it is desirable to place the spheres at a distance of approximately 5 m from the NLS. At shorter distances (about 2 m), the accuracy of determining the coordinates of the spheres begins to be affected by the growing errors of measuring distances by the scanner, at large distances (from 10 m), the errors of measuring the height coordinates of the spheres increase. The results presented in the paper require further research. These studies should be performed for other types of reference targets and with the use of other models of laser scanners, which is the goal of further research by the authors.
VERTICAL GREENING SYSTEMS IN THE CITY AND VISUAL SOLUTIONS FOR THE CITY OF UZHHOROD
Authors: Kaynts Diana , Mykaylo Oksana , Shvets Maksym 
Published: December 2023

An analysis of the characteristics of vertical "green" urban systems, also methods of their organization, constructive solutions and principles of operation in modern cities was carried out. The article provides a meaningful classification of such systems, describes their features, advantages and disadvantages, tools and structures, vegetation, and also compares the cost of consumables for each of the types.
This article describes the properties of vertical landscaping, argued for its positive impact on the city microclimate, ecology, health and psycho-emotional state of residents. Based on the best world analogues and taking into account the need to introduce this type of landscaping into the structure of the complex city green zone, visual concepts for the transformation of facades and roofs of existing buildings in Uzhgorod were proposed.
A Robust Assessment of the Local Anisotropy of the Hubble Constant
Authors: Sanejouand Yves Henri 
Published: December 2023

Magnitude predictions of \(\Lambda\)CDM, as parametrized by the Planck collaboration, are not consistent with the supernova data of the whole Pantheon+ sample even when, in order to take into account the uncertainty about its value, the Hubble constant is adjusted. This is a likely consequence of the increase of the number of low-redshift supernovae in the Pantheon+ sample, with respect to previous such samples. Indeed, when supernovae at redshifts below 0.035 are ignored, \(\Lambda\)CDM predictions become consistent with Pantheon+ data. Interestingly, this is also the case if subsets of low-redshift supernovae roughly centered on the direction of the CMB dipole are considered, together with high-redshift ones. These results seem robust, since they are also obtained with a simple, single-parameter tired-light model.
PENINGKATAN PERAN KADER KELUARGA UNTUK MEMOTIVASI PENINGKATAN TUGAS DAN FUNGSI KELUARGA DALAM PENCEGAHAN KOMPLIKASI DIABETES MELLITUS
Authors: Rahmad Indra , Julhana Julhana 
Published: December 2023

Diabetes adalah penyakit kronis progresif yang ditandai dengan ketidakmampuan tubuh untuk memetabolisme karbohidrat, lemak, dan protein, yang menyebabkan hiperglikemia (gula darah tinggi. Menurut Federasi Diabetes Internasional, jumlah penderita diabetes di seluruh dunia adalah 366 juta). di 2011). Kelurahan Asakota merupakan kecamatan terluas di Kota Bima dengan luas wilayah 69,03 km2 dan terletak di dekat pantai serta merupakan daerah pinggiran yang memiliki banyak masalah kesehatan, salah satunya di kecamatan Kolo. Metode yang digunakan terdiri dari dua tahap, yaitu tahap persiapan dan tahap pelaksanaan yang berlangsung selama dua hari. Pada hari pertama kader prolan memberikan penyuluhan tentang masalah DM dan mengenalkan penggunaan pemantauan gula darah mandiri, pada hari kedua kader memberikan penyuluhan dan mempresentasikan kepada keluarga pasien DM tentang pemantauan gula darah mandiri. Hasil penelitian menunjukkan bahwa terdapat perubahan yang signifikan pada pengetahuan dan keterampilan pengelola dan keluarga pasien DM pasca pelatihan. Perubahan informasi ini disebabkan oleh penggunaan selebaran yang berisi DM dan penggunaan pengukuran glukosa darah secara mandiri. Kerabat pasien membutuhkan informasi tentang kesehatan, salah satunya dengan promosi kesehatan melalui media surat kabar. Kesimpulan menunjukkan bahwa pengetahuan keluarga pasien DM dan petugas kesehatan di Puskesmas mpunda meningkat setelah dilakukan penyuluhan dengan metode ceramah dan pengenalan penggunaan alat pemantauan gula darah mandiri. Kata kunci: Peran keluarga, Diabetes Mellitus