bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prediction of household wastewater treatment systems' in situ performance based on standardized tests
Authors: Falipou Eva , Favre Cécile , Lacasse Roger , Boutin Catherine 
Published: January 2022

Abstract
This paper presents a comparative analysis on operating conditions of onsite wastewater treatment systems. Actual EU Member States' national regulations require in situ treatment thresholds expressed in effluent concentrations. CE marking of onsite wastewater treatment system is mandatory according to standardized test (EN 12566-3 + A2) with performance declared in removal efficiency. Recent study indicates that in situ raw sewage concentrations are 1.5 times higher than those on test platforms. In this context, performance comparison between platform tests and in situ discharge threshold cannot be based on effluent concentrations but rather on removal efficiency to fulfill environmental and health requirements. This study compares: (i) results from eight standardized tests, (ii) over 300 measurements of in situ raw sewage, and (iii) several national-level thresholds focusing on carbon parameters. To meet French effluent thresholds, a minimum removal efficiency of 96% in SS and 95% in BOD5 is required. A beta law model assesses the efficiency measured during standardized testing and establishes a robustness characteristic with a probability above 80%. When a septic tank is used, its efficiency can be incorporated into the prediction. Although the new performance criteria are more stringent, some of the eight products evaluated still meet the requirements.
Comparing Survivors of Cancer in Population-Based Samples With Those in Online Cancer Communities: Cross-sectional Questionnaire Study
Authors: van Eenbergen Mies C , Vromans Ruben D , Tick Lidwine W , Vreugdenhil Gerard , Krahmer Emiel J , Mols Floortje , van de Poll-Franse Lonneke V 
Published: January 2022

Background
Most Western countries have websites that provide information on cancer and the opportunity to participate in online cancer communities (OCCs). The number of patients with cancer that participate in these OCCs is growing. These patients are relatively easy to approach for research purposes.

Objective
The objective of this study is to determine the differences and similarities between survivors of cancer in population-based samples and survivors participating in OCCs who use the internet in relation to their illness.

Methods
In 2017, we drew a sample of 539 population-based patients and 531 OCC patients. The population-based patients were sent a paper-based questionnaire, and the OCC patients were sent the same questionnaire on the web. In the questionnaire, we asked patients about their sociodemographics, internet use, sources of information, media use, and wishes regarding future internet use for health care–related purposes, and the effect of internet use on their health care consumption.

Results
The response rate of population-based internet users was 47% (233/496), and that of the OCC group was 40.3% (214/531). The OCC group had a significantly higher education level (P<.001), was younger (P<.001), had more survivors that were employed (P<.001), and attached greater importance to the internet (171/214, 79.9% vs 126/233, 54.1%; P<.001) and fellow survivors (107/214, 50% vs 60/233, 25.8%; P<.001). Compared with the population-based group, the OCC group reported more intensive internet use immediately after diagnosis, during treatment, and during follow-up (P<.001 in each case). There were similarities in terms of the relative importance that survivors attach to the various sources of information, the topics on which they seek information, and their wishes for future eHealth possibilities. The OCC group reported a greater need to participate in a web-based class or chat with others (92/214, 43% vs 44/233, 18.9%).

Conclusions
We conclude that survivors who are members of an OCC are not representative of survivors of cancer in general. There are significant differences in sociodemographic characteristics, internet use during their treatment journey, internet search frequency during their cancer journey, and participation wishes. Using web-based information and communication can support shared decision-making and may facilitate the active participation of patients during their treatment. For research purposes, it is important to take the bias in OCC groups into account.
Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case Reports
Authors: Burdea Grigore , Kim Nam , Polistico Kevin , Kadaru Ashwin , Grampurohit Namrata , Hundal Jasdeep , Pollack Simcha 
Published: January 2022

Background
BrightArm Compact is a new rehabilitation system for the upper extremities. It provides bimanual training with gradated gravity loading and mediates interactions with cognitively challenging serious games.

Objective
The aim of this study is to design and test a robotic rehabilitation table–based virtual rehabilitation system for functional impact of the integrative training in the early poststroke phase.

Methods
A new robotic rehabilitation table, controllers, and adaptive games were developed. The 2 participants underwent 12 experimental sessions in addition to the standard of care. Standardized measures of upper extremity function (primary outcome), depression, and cognition were administered before and after the intervention. Nonstandardized measures included game variables and subjective evaluations.

Results
The 2 case study participants attained high total arm repetitions per session (504 and 957) and achieved high grasp and finger-extension counts. Training intensity contributed to marked improvements in affected shoulder strength (225% and 100% increase), grasp strength (27% and 16% increase), and pinch strength (31% and 15% increase). The shoulder flexion range increased by 17% and 18% and elbow supination range by 75% and 58%. Improvements in motor function were at or above minimal clinically important difference for the Fugl-Meyer Assessment (11 and 10 points), Chedoke Arm and Hand Activity Inventory (11 and 14 points), and Upper Extremity Functional Index (19 and 23 points). Cognitive and emotive outcomes were mixed. Subjective rating by participants and training therapists were positive (average 4, SD 0.22, on a 5-point Likert scale).

Conclusions
The design of the robotic rehabilitation table was tested on 2 participants in the early poststroke phase, and results are encouraging for upper extremity functional gains and technology acceptance.

Trial Registration
ClinicalTrials.gov NCT04252170; https://clinicaltrials.gov/ct2/show/NCT04252170
Tumores sólidos pseudopapilares en el departamento de patología de la Universidad de Antioquia: serie de casos
Authors: Quintero Picón Melissa Alejandra , Osorio Sandoval Germán 
Published: January 2022

Introducción: el tumor sólido pseudopapilar corresponde al 1 %-2 % de todos los tumores sólidos del páncreas, con un curso poco agresivo.
Serie de casos: en el departamento de patología de la Universidad de Antioquia se diagnosticaron 16 casos entre enero de 2004 y julio de 2019. Dos de los casos correspondían a pacientes pediátricos, uno de ellos de sexo masculino con posterior metástasis hepática, dos a mujeres mayores de 40 años y el resto a mujeres entre 17 y 26 años. Un caso presenta células de aspecto sarcomatoide, otros dos presentaron células gigantes multinucleadas y hubo un caso con pleomorfismo grave y presencia de mitosis atípicas. Se observó invasión de la cápsula en 6 de los casos, uno de ellos con invasión linfovascular y 3 casos con invasión perineural. Todos los casos mostraron hemorragia o necrosis, y presentaron en el perfil de inmunohistoquímica positividad para β-catenina, CD10, receptores de progesterona y CD56. La sinaptofisina fue positiva focalmente.
Experiencia inicial con derivación biliar mediante coledocoduodenostomía guiada por ultrasonido endoscópico en la obstrucción biliar maligna en un hospital de referencia en Colombia
Authors: Carvajal-Gutierrez Jhon Jaime , Ramirez-Barranco Rosangela , Mosquera-Klinger Gabriel 
Published: January 2022

Introducción: en pacientes con obstrucción biliar distal maligna en quienes la derivación biliar mediante colangiopancreatografía retrógrada endoscópica (CPRE) no sea factible o sea fallida, el drenaje biliar guiado por ultrasonido endoscópico mediante coledocoduodenostomía es una opción terapéutica viable, de la que se describen altas tasas de éxito técnico y clínico con una baja morbimortalidad. Adicionalmente, este método podría ser superior en la mejora de la calidad de vida en comparación con el manejo percutáneo o quirúrgico.
Objetivo: describir la experiencia inicial con el drenaje biliar guiado por ultrasonido endoscópico en pacientes con obstrucción biliar maligna en un centro de referencia.
Métodos: es una serie de casos retrospectiva de 6 pacientes con obstrucción biliar maligna a quienes se les realizó inicialmente una CPRE que fue fallida, por lo cual se procedió a realizar coledocoduodenostomía guiada por ultrasonografía endoscópica. Se describieron las tasas de éxito técnico, éxito clínico, eventos adversos, tasas de disfunción y tiempo de supervivencia de los pacientes.
Resultados: se analizaron 6 casos, predominó el sexo femenino, con un promedio de edad de 71,8 ± 19,8 años; las indicaciones fueron adenocarcinoma de páncreas, tumor periampular y colangiocarcinoma distal. Se observó un éxito técnico en el 100 % de los casos y éxito clínico en 83,3 % de los casos. No se registraron eventos adversos graves. En el seguimiento de los casos se observó una supervivencia del 66,7 % a los 30 días.
Conclusión: la coledocoduodenostomía es una alternativa terapéutica viable, segura y efectiva en pacientes con obstrucción biliar maligna en quienes la CPRE fue fallida, con una alta tasa de éxito técnico y clínico.
Effects of Uncertainty Visualization on Attention, Arousal, and Judgment
Authors: Rose Anna M. , Rose Jacob M. , Rotaru Kristian , Sanderson Kerri-Ann , Thibodeau Jay C. 
Published: January 2022

ABSTRACT
Two experiments examine the effects of visualizing uncertainty on attention, cognitive arousal, and incorporation of uncertainty information into judgments. The first experiment employs psychophysiological measurements to understand how different presentations of uncertainty information influence decision making processes. Results indicate that participants attend more to uncertainty information when uncertainty is incorporated directly into a visualization. Pupillometry and eye tracking analyses indicate that participants exhibit greater attention to uncertainty information, fixate more on the bounds of uncertainty, and spend more time examining uncertainty information when uncertainty is visualized, compared to when uncertainty is depicted textually (i.e., not visually). In addition, the decisions of participants who view visualizations directly depicting uncertainty better integrate the level of uncertainty in the underlying data. The second experiment reveals that experienced auditors are more likely to appropriately use uncertainty information when it is visualized.
Continuous Glucose Monitoring in Adults With Type 1 Diabetes With 35 Years Duration From the DCCT/EDIC Study
Authors: Gubitosi-Klug Rose A. , Braffett Barbara H. , Bebu Ionut , Johnson Mary L. , Farrell Kaleigh , Kenny David , Trapani Victoria R. , Meadema-Mayer Lynne , Soliman Elsayed Z. , Pop-Busui Rodica , Lachin John M. , Bergenstal Richard M. , Tamborlane William V. 
Published: January 2022

OBJECTIVE
We evaluated blinded continuous glucose monitoring (CGM) profiles in a subset of adults with type 1 diabetes from the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) study to characterize the frequency of glycemic excursions and contributing factors.

RESEARCH DESIGN AND METHODS
CGM-derived metrics were compared for daytime and nighttime periods using blinded CGM for a minimum of 6.5 days (average 11.9 days) and correlated with HbA1c levels, routine use of diabetes devices, and other characteristics in 765 participants.

RESULTS
Participants were 58.9 ± 6.5 years of age with diabetes duration 36.8 ± 4.9 years and HbA1c 7.8 ± 1.2%; 58% used insulin pumps, and 27% used personal, unblinded CGM. Compared with daytime, nighttime mean sensor glucose was lower, percent time in range 70–180 mg/dL (TIR) was similar, and hypoglycemia was more common. Over the entire recording period, only 9% of the 765 participants achieved &gt;70% TIR and only 28% achieved &lt;1% of observations of &lt;54 mg/dL. Indeed, participants with the highest percentage of hypoglycemia had the lowest HbA1c levels. However, use of insulin pumps and CGM decreased the percent time at &lt;54 mg/dL.

CONCLUSIONS
In adults with long-standing type 1 diabetes, short-term blinded CGM profiles revealed frequent clinically significant hypoglycemia (&lt;54 mg/dL) during the night and more time in hyperglycemia during the day. The small subset of participants using routine CGM and insulin pumps had fewer hypoglycemic and hyperglycemic excursions and lower HbA1c levels. Thus, strategies to lower meal-stimulated hyperglycemia during the day and prevent hypoglycemia at night are relevant clinical goals in older patients with type 1 diabetes.
Adherence to the American Diabetes Association’s Glycemic Goals in the Treatment of Diabetes Among Older Americans, 2001–2018
Authors: Le Phuc , Ayers Gina , Misra-Hebert Anita D. , Herzig Shoshana J. , Herman William H. , Shaker Victoria A. , Rothberg Michael B. 
Published: January 2022

OBJECTIVE
To assess trends in HbA1c and appropriateness of diabetes medication use by patient health status.

RESEARCH DESIGN AND METHODS
We conducted cross-sectional analysis of 2001–2018 National Health and Nutrition Examination Survey (NHANES). We included older adults age ≥65 years who had ever been told they had diabetes, had HbA1c &gt;6.4%, or had fasting plasma glucose &gt;125 mg/dL. Health status was categorized as good, intermediate, or poor. Being below goal was defined as taking medication despite having HbA1c ≥1% below the glycemic goals of the American Diabetes Association (ADA), which varied by patient health status and time period. Drugs associated with hypoglycemia included sulfonylureas, insulin, and meglitinides.

RESULTS
We included 3,539 patients. Mean HbA1c increased over time and did not differ by health status. Medication use increased from 59% to 74% with metformin being the most common drug in patients with good or intermediate health and sulfonylureas and insulin most often prescribed to patients with poor health. Among patients taking medications, prevalence of patients below goal increased while prevalence of those above goal decreased from 2001 to 2018. One-half of patients with poor health and taking medications had below-goal HbA1c; two-thirds received drugs associated with hypoglycemia. Patients with poor health who were below goal had 4.9 (95% CI 2.3–10.4) times the adjusted odds of receiving drugs associated with hypoglycemia than healthy patients.

CONCLUSIONS
In accordance with ADA’s newer Standards of Medical Care in Diabetes, HbA1c goals were relaxed but did not differ by health status. Below-goal HbA1c was common among patients with poor health; many were prescribed medications associated with a higher risk of hypoglycemia.
Analisis Kerentanan Website SMP Negeri 3 Semarapura Menggunakan Metode Pengujian Rate Limiting dan OWASP
Authors: Dwi Cahyani Desi , Windy Puspita Dewi Luh Putu , Rama Suryadi Kadek Dika , Edy Listartha I Made 
Published: January 2022

Keamanan sistem informasi sangat penting karena hal ini berkaitan dengan data pribadi, hak akses, integritas, kerahasiaan dan ketersediaan. Sistem informasi saat ini memiliki peranan yang sangat penting baik dalam membantu tercapainya pembelajaran yang dilaksanakan secara daring ataupun memberikan informasi sekolah kepada siswa-siswi dan masyarakat, khususnya Sekolah Menengah Pertama Negeri (SMPN) 3 Semarapura. Dengan demikian penulis melakukan analisis terhadap Website dengan tujuan untuk menguji apakah Website tersebut memiliki kerentanan rate limiting serta XSS dan tingkat risiko dalam menentukan dampak yang dihasilkan dari analisa kerentanan agar terhindar dari adanya risiko ancaman tindak kejahatan cyber. Penilaian tingkat risiko kerentanan keamanan Website ini diuji dengan menggunakan metode pengujian rate limiting, XSS dari aplikasi OWASP ZAP . Hasil dari analisa kerentanan ini dapat membantu pengembang serta pengelola sistem untuk mencegah dan mengatasi dampak risiko yang ditemukan pada Website.
Factors Affecting Earnings Management of Islamic Banking Companies at the Indonesia Stock Exchange on Publication Year of 2013-2019
Authors: Syarif Firman , Qorib Ahmad , Siregar Saparuddin , Muda Iskandar 
Published: January 2022

This research was conducted on Islamic banking listed on the Indonesia Stock Exchange from 2013-2019 using secondary data. A saturated data analysis is used in this research. The sample is all Sharia banking companies as many as 12 companies. The results show that Institutional Ownership, Managerial Ownership, Individual Ownership, Foreign Ownership, and the Board of Commissioners have an effect on Earnings Management. Meanwhile, State Ownership, Family Ownership, Public Ownership, Public Accountants, Audit Committee, and Board of Directors have no effect on Earnings Management. Simultaneously all independent variables have an effect on Earnings Management. Given their findings, the authors propose that the practical implication of this research is that earnings management does not occur much in Islamic banks listed on the Indonesian Stock Exchange Earnings Management in the study of Islamic Business Ethics is in the form of deliberate fraud or fraud to achieve certain interests and its nature is not for the benefit of the people or society so it is not allowed because it will have an impact on the survival of the company. But interests that are in a precarious condition that endanger the interests of the public or the state, such as a pandemic outbreak, are allowed because the country is experiencing an economic downturn.
PENINGKATAN PROFESIONALISME GURU-GURUBIOLOGI SMA DI KABUPATEN TULANG BAWANG BARAT MELALUI PELATIHAN PEMBUATAN MEDIA VIDEO TUTORIAL DANIMPLEMENTASINYA DALAM REMEDIAL TEACHING
Authors: Priadi Median Agus , Yolida Berti , Marpaung Rini Rita T. , Wiono Wisnu Juli 
Published: January 2022

Abstrak
Guru sebagai tenaga pengajar dan pendidik dituntut untuk mampu merencanakan, melaksanakan, melakukan evaluasi, dan harus terampil dalam membuat dan memanfaatkan media pembelajaran. Salah satu kegiatan pembelajaran adalah Remedial teaching. Remedial teaching merupakan kegiatan pembelajaran bagi siswa yang belum memenuhi Kriteria Ketuntusan Minimal (KKM). Siswa yang belum tuntas umumnya pada materi yang berbeda-beda antara siswa satu dan yang lainnya. Hal ini menjadi kendala bagi guru dalam pelaksanakan kegiatan remedial teaching. Untuk itu guru harus memanfaatkan media pembelajaran. Guru-guru BIOLOGI SMA di Kabupaten Tulang Bawang Barat baik guru SMA Negeri maupun swasta selama ini belum terampil dalammembuat media pembelajaran serta memanfaatkannya khsusnya dalam remedial teaching. Oleh karena itu perlu adanya pelatihan terhadap guru-guru dengan tujuan meningkatkan keterampilan dan pemahaman guru-guru Biologi SMA di Kabupaten Tulang Bawang Baratdalam membuat media pembelajaran dan memahami strategi memanfaatkan media dalam remedial teaching. Metode yang digunakan dalam kegiatan ini adalah ceramah,demonstrasi,dan praktikmembuat media video tutorial, dan evaluasi. Hasil pelaksanaan kegiatan ini menunjukkan bahwa pelatihan yang dilakukan dapat meningkatkan pemahaman dan kemampuan guru-guru dalam membuat media video tutorial dan implementasinya dalam pembelajaran remedial teaching. Semua guru mampu membuat dan menyelesaikan produk berupa media video tutorial dengan baik.

Kata kunci:Media, Remedial Teaching, Video Tutorial
INISIASI KELOMPOK SISWA SADAR HUKUM PADA SISWA SMA YP UNILA BANDAR LAMPUNG
Authors: Wijaya Rudi , Raharjo Eko , Septiana Rika 
Published: January 2022

Kesadaran hukum merupakan komponen penting untuk mewujudkan negara hukum namun sering dikesampingkan. Kesadarn hukum kerap dianggap akan tuntas melalui pendidikan hukum di perguruan tinggi. Padahal, upaya menumbuhkembangkan kesadaran hukum membutuhkan waktu dan proses yang memerlukan waktu lintas generasi. Artinya, pendidikan untuk sadar hukum seyogyanya dilakukan sejak lingkup pendidikan dasar dan menengah. Tim penulis telah menginisiasi “Kelompok Siswa Sadar Hukum” khusus pada guna memberi pemahaman mendasar mengenai kesadaran untuk taat hukum di SMA YP Unila. Melalui inisiasi tersebut diperoleh beberapa kesimpulan, yakni: instrumen pendidikan hukum yang diajarkan di sekolah masih sebatas pengetahuan hukum dan kurang berfokus pada upaya menumbuhkembangkan kesadaran hukum, kedua, pesatnya kemajuan teknologi dan informasi menjadi pisau bermata dua: mempermudah namun sekaligus memudarkan batasan-batasan hukum terutama bagi siswa yang belum mempelajari hukum itu sendiri, dan ketiga, inisiasi kelompok dengan orientasi menumbuhkembangkan kesadaran hukum di lingkungan siswa sangat diperlukan, sehingga dapat diadopsi pada sekolah-sekolah lain.
PEMANFAATAN DIGITAL MARKETING DALAM PEMASARAN PRODUK PARA PELAKU UMKM DI DESA PAGUYUBAN KECAMATAN WAY LIMA KABUPATEN PESAWARAN
Authors: Saleh Yuliana , Rahmalia Dian , Tantriadisti Shinta , Sari I.Rani Mellya 
Published: January 2022

Desa Paguyuban memiliki banyak potensi dan produk yang dihasilkan masyarakatnya. Pelaku UMKM di Desa Paguyuban melakukan pemasaran produknya secara konvensional dan belum melakukan pemasaran produk melalui digital marketing. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk : 1) memberikan wawasan tentang konsep digital marketing dan produk-produk teknologi yang digunakan untuk pemasaran produk, 2) memberikan pelatihan dan simulasi tentang penggunaan media digital dalam pemasaran produk, 3) menyusun pesan persuasif efektif, dan 4) memberikan solusi untuk mewujudkan pelaku UMKM untuk mempromosikan produk melalui media digital. Kegiatan pengabdian dilakukan dengan menggunakan metode FGD, pelatihan dan pendampingan. Secara umum, kegiatan pengabdian kepada masyarakat berjalan dengan baik dan dapat meningkatkan pengetahuan masyarakat dari nilai rata-rata 7 menjadi 9 atau meningkat 23,26%. Kegiatan pelatihan dan pendampingan ini sangat baik dan tepat sasaran. Dari kegiatan ini, masyarakat mulai 1) memahami konsep digital marketing dan produk-produk teknologi yang dapat digunakan untuk pemasaran produk UMKM, 2) melatih dan mensimulasikan pemasaran produk UMKM dengan menggunakan media digital seperti facebook marketplace, instagram, dan shopee, 3) menyusun pesan persuasif efektif dan menarik, sehingga calon pembeli semakin tertarik untuk membeli produk UMKM nya, dan 4) membuat akun media sosial yang dikelola oleh para pelaku UMKM yang digunakan untuk mensosialiasikan dan mempromosikan produk UMKM nya.