bluuebunny/crossref_metadata_2025_split huggingface dataset:
Measures of Insulin Resistance as a Screening Tool for Dysglycemia in Patients With Coronary Artery Disease: A Report From the EUROASPIRE V Population
Authors: Ferrannini Giulia , De Bacquer Dirk , Erlund Iris , Gyberg Viveca , Kotseva Kornelia , Mellbin Linda , Norhammar Anna , Schnell Oliver , Tuomilehto Jaakko , Vihervaara Terhi , Wood David , Rydén Lars 
Published: June 2022

OBJECTIVE
The optimal screening strategy for dysglycemia (including type 2 diabetes and impaired glucose tolerance) in patients with coronary artery disease (CAD) is debated. We tested the hypothesis that measures of insulin resistance by HOMA indexes may constitute good screening methods.

RESEARCH DESIGN AND METHODS
Insulin, C-peptide, glycated hemoglobin A1c, and an oral glucose tolerance test (OGTT) were centrally assessed in 3,534 patients with CAD without known dysglycemia from the fifth European Survey of Cardiovascular Disease Prevention and Diabetes (EUROASPIRE V). Three different HOMA indexes were calculated: HOMA of insulin resistance (HOMA-IR), HOMA2 based on insulin (HOMA2-ins), and HOMA2 based on C-peptide (HOMA2-Cpep). Dysglycemia was diagnosed based on the 2-h postload glucose value obtained from the OGTT. Information on study participants was obtained by standardized interviews. The optimal thresholds of the three HOMA indexes for dysglycemia diagnosis were obtained by the maximum value of Youden’s J statistic on receiver operator characteristic curves. Their correlation with clinical parameters was assessed by Spearman coefficients.

RESULTS
Of 3,534 patients with CAD (mean age 63 years; 25% women), 41% had dysglycemia. Mean insulin, C-peptide, and HOMA indexes were significantly higher in patients with versus without newly detected dysglycemia (all P &lt; 0.0001). Sensitivity and specificity of the three HOMA indexes for the diagnosis of dysglycemia were low, but their correlation with BMI and waist circumference was strong.

CONCLUSIONS
Screening for dysglycemia in patients with CAD by HOMA-IR, HOMA2-ins, and HOMA2-Cpep had insufficient diagnostic performance to detect dysglycemia with reference to the yield of an OGTT, which should still be prioritized despite its practical drawbacks.
Kontrol Kualitas Kadar Air Laut Menggunakan Fuzzy LogicUntuk Habitat Ikan Kerapu
Authors: Indriani Anizar , Fajri Marhalim 
Published: June 2022

The quality of the seawater content for the grouper fish habitat is very influential in the grouper fish development process. Seawater quality for grouper fish habitat depend on temperatur, salinity, acidity (pH), and turbidity of seawater. The quality of seawater can be control by circulation in and out of seawater in the fish pond. This cycle is required to maintain the desired quality of seawater at temperatur 24ºC- 31ºC, salinity 30-33 ppt, dissolved oxygen> 3,5 ppt, and pH 7,5-8,3. In previous studies seawater control systems have been carried out in the form of controls temperatur and pH quality. Other components quality of sea water such as salinity and turbidity due to fish food also influence seawater quality for grouper fish habitat. Component control of sea water in this paper include microcontroller, pump sea water, fresh water pump, sensor and etc. In this paper we are focus on the controlling sea water quality to maintain the quality of grouper fish pools consisting of temperatur, salinity, acidity (pH), and turbidity of seawater. Input this data and the pH of the water read by the sensor will be processed with fuzzy logic to adjust the working of the salt water pump and the freshwater pump until it reaches the setpoint value. Turbidity and temperatur control using the ON-OFF system. The results show that of testing the sea water quality of control system using fuzzy logic in accordance with the calculation of mathematical defuzzyfication with an error of 0%. The values of salinity control system 31,14-32,98 PPT, pH 7,78-8,.2, temperatur 27ºC-29,98ºC, and turbidity level 9,90-14,85 NTU.
Pemograman Alat Penimbang dan Packing Beras Berbasis Mikrokontroler
Authors: Sardi Juli , Iqbal Mhd , Pulungan Ali Basrah , Habibullah Habibullah 
Published: June 2022

Pada umumnya,proses penimbangan beras di Indonesia dilakukan dengan cara manual, ini akan mengakibatkan resiko beras tumpah dan memakan waktu lama. penelitian ini bertujuan untuk membuat program aplikasi pengontrolan pengantongan, penimbang, dan packing beras otomatis untuk mempermudah pekerjaan para penjual beras. Pada perancangan ini, mikrokontroler ATmega 328 digunakan sebagai pusat pengendali sistem secara keseluruhan, motor servo untuk membuka dan menutup katup pada bak penampungan, sensor loadcell untuk menimbang beras, tombol untuk menentukan jumlah berat yang diinginkan, serta LCD sebagai media penampil data disetiap proses pengerjaan. Pemograman menggunakan software Arduino IDE. Berdasarkan hasil pengujian, maka didapatkan hasil pada saat sensor loadcell membaca jumlah nilai berat beras yang telah ditimbang adalah 2 kg dan 4 kg. Jika tombol 1 di tekan , maka motor servo akan berputar dan beras akan keluar dari penampungan dan loadcell akan menimbang 2 kg, proses berikutnya dengan mengaktifkan motor dc 1 pada bagian belt conveyor untuk menjalankan kantong beras yang telah berisikan beras untuk menuju ke bagian mekanik pengepresan beras, belt conveyor akan berhenti sampai kondisi sensor infrared 2 mendeteksi kantong plastik, jika telah terdeteksi dan motor dc 1 dimatikan maka proses pengepresan akan dimulai, ditandai dengan aktifnya central lock dan heater untuk kondisi pemilihan berat 2000 gram. Selesai menimbang akan tampil pada LCD jumlah berat yang diinginkan. Berdasarkan pengujian tersebut, maka dapat disimpulkan bahwa kerja alat yang dirancang dan dibuat telah bekerja dengan efisien.
Cellulose Nanofiber Platform for Electrochemical Sensor Device: Impedance Measurement Characterization and Its Application for Ethanol Gas Sensor
Authors: Rakhmania Citra Dewi , Sari Shaimah Rinda , Azhar Yosyi Izuddin , Sugita Airi , Tominaga Masato 
Published: June 2022

Bioplastics such as cellulose nanofibers (CNF) are widely used in daily life as an alternative to plastics. CNF is also considered a biodegradable, readily disposable, and low-cost material, making it suitable as a sensor platform. The mechanically treated CNF has both hydrophobic and hydrophilic properties where the hydrophobic sides bond strongly with MWCNTs to provide conductivity on the CNF sheet, while the hydrophilic sides allow the target component to be adsorbed on its laminated structure and react with the electrode surface. From an electrochemical measurement of ferricyanide solution indicated that the MWCNTs modified CNF could act well as electrode. Furthermore, the thin-sheet electrode successfully detected ethanol based on a direct electron transfer (DET) between PQQ-ADH and the MWCNTs on the electrode surface. Aside from its lightweight properties, the developed CNF electrode possesses excellent stretchability, flexibility, and adjustability to human skin, making it ideal for a future wearable skin gas sensor.
The role of the One-Belt One-Road initiative in China?s exports and global value chains
Authors: Wolszczak-Derlacz Joanna , Lu Yuxin 
Published: June 2022

Research background: China is regarded as the ?world factor? highly involved in international trade and plays an increasingly important role in the global value chains (GVC). Additionally, the ?One-Belt One-Road? (OBOR) initiative was proposed by the Chinese government to further promote China in the international market.
Purpose of the article: The article explores the role of the OBOR in China?s exports and global value chain. It aims at: 1) verifying how OBOR impacts the volume of China's export and value-added export to its partners. 2) checking whether or not OBOR strengthens the industrial connection between China and its participants at the GVC level. 3) examining the different roles of corridors in China's exports and GVC.
Methods: The empirical analysis is based on the augmented gravity model of international trade, which comprises China and its 197 partners in the period 2000?2018. The model is estimated for gross export as well GVC measured by domestic value added in export and the value contributed by a partner to China?s exports.
Findings & value added: In general, there is a significant positive correlation between OBOR and the volumes of China?s export, domestic value-added trade and the value of partner?s contributed in China?s export. However, some of the results are blurred by OLS and FE methods. The author points out that FE-PPML estimation methods are more adequate. Among the six economic corridors, Bangladesh-China-India-Myanmar (BCIM), China-Pakistan (CP) and China Indochina Peninsula (CIP) were proven to play a prominent role in promoting China?s export, DVA and strengthening the links of global value chains. It is worth noting that the China-Mongolia-Russian Federation (CMRF) corridor harms China's export and DVA trade, and at the same time promotes countries in its region that benefit from trade with China.
Computer – Aided Strategic Deployment Planning and Execution Process
Authors: Hrab Marius 
Published: June 2022

Abstract
In the current politico-military context, the digitalization of processes and the use of automated tools for data collection, analysis and dissemination have an important contribution during the planning and decision-making process. In this paper, my intention is to analyze the operational forces deployment planning and executing processes, and to identify how the digitalization and the use of dedicated computer applications can enhance these activities. In order to achieve these goals, in addition to analyzing relevant documents in the field, I chose to apply the case study research method. Thus, my attention focused on the study of military operations executed by modern armies, to identify important lessons in the stated field of interest. Even though the studied operations (Iraqi Freedom and Desert Shield / Storm) were performed two, respectively three decades ago, their relevance in the field of deployment is still valuable, fact highlighted by the actual applicability of the lessons depicted from these two events.
Contributions to the Calculation and Testing of Explosive Materials to Improve Blast Protection Equipment
Authors: Ilie Florin , Popa Ioan-Dan 
Published: June 2022

Abstract
The experience of recent years shows us in very clear terms that in areas where small or large-scale military conflicts have taken place, a wide variety of standardized or improvised explosive devices are discovered and continue to be used. Due to their predominantly improvised nature, the methods and techniques of countering the authorities are extremely difficult, with a high degree of complexity and not without risks. The paper should be a concrete and scientifically based support for the efforts to find the best solutions for individual protection against explosions, through the contribution of knowledge in the field of the effect of the explosion on a metal pipe.
Modern ideas about the object of scientific knowledge and bioethics
Authors: Chursinova Oksana , Petrushenko Viktor , Petrushenko Oksana 
Published: June 2022

Abstract
The present article analyzes and outlines significant changes in ideas about the object of scientific knowledge in modern science. Special attention is paid to the transition to the paradigm of complexity, within which the object of scientific knowledge acquires a complex systemic character and remains in the same complex connections with systems of different levels. It is marked that such changes entail a number of methodological requirements, which are especially clearly manifested in modern theories of bioethics and its real practices. A special role in this case is assigned to issues of transdisciplinary approach, complementary methodology, and values of the subject of bioethical cognition. The prospects for further research are related to the possibilities of deepening the methodology of the paradigm of complexity based on the application of a transdisciplinary approach.
No room for patients or ethics: COVID-19-broken hospitals in Madrid
Authors: Romera Andrea 
Published: June 2022

Abstract
In 2020, COVID-19 patients overwhelmed hospital beds in several Spanish cities, producing an increase in mortality derived from a lack of resources. The provision of new spaces to be reconfigured as healthcare centers for COVID patients was one of the measures implemented. In Madrid, two of these COVID centers drew enormous media and political repercussions due to their high cost and the controversy surrounding the quality of the care they offered. In this scenario of misinformation, several doctors and patients rejected to be transferred to such medical centers, but they were nonetheless compelled to make the move. This manuscript underscores how this lack of transparency affects health workers, patients, and the relationship between them, and brings out the question of how many essential bioethical principles can be individually violated by a matter of public health. New guidelines for the transfer of patients should be designed from an ethical perspective and updated, as the epidemic continues, to improve the modern understanding of human factors in times of uncertainty. The lesson that these centers provide us is that we must rethink crisis resource management from a new perspective that prioritizes access to quality information. In its absence, the principle of autonomy must prevail.
Changing perceptions of English among Japanese teachers in Brussels
Authors: Mogi Yuta 
Published: June 2022

Abstract
Study abroad (SA) is regarded as a successful way to develop learners' English skills and intercultural understanding, and has also been incorporated into teacher training programs. Against this backdrop, KLF (English as a lingua franca)-oriented research which investigates Japanese pre-service and practicing teachers' evolving views of English propelled by their SA experiences has started to appear. This study, which is set in a nihonjingakkō in Brussels, sought to contribute to this area of research by examining the principal and English teachers' perception of English and its inÁuence on their pedagogy and school's English education policy. Nihonjingakkō is a full-time day school for children of Japanese expatriates, and Japanese teachers are sent from the government of Japan, teach at the appointed schools for several years, and subsequently return to their work in Japan. The article demonstrates that while the school principal and English language teachers appreciated the diversity of English, the school's English education policy and classroom teaching were shaped by native-speakerism ideology and traditional assumptions of Standard English as the only recognized variety. Based on the study's findings, I make suggestions which can advance integration of KLF into KLT in nihonjingakkō and mainstream schools in Japan.
Navigating Boundaries through Knowledge: Intercultural Phenomena in ELF Interactions
Authors: Kuroshima Satomi , Dimoski Blagoja , Okada Tricia , Yujobo Yuri Jody , Chaikul Rasami 
Published: June 2022

Abstract
This study investigates intercultural phenomena in the process of recognizing cultural boundaries in online English as a lingua franca (ELF) video conferencing-based interactions. The recorded interactions between 20 conversational pairs were analyzed by adopting conversation analysis as an analytic framework. The participants’ intercultural perspectives are demonstrated through the action sequence of verifying the recipient’s knowledge status, informing, and complimenting, which are built by adopting category relevant knowledge of the cultural backgrounds of the recipients. The findings thus suggest that the participants employ knowledge of their own cultural repertoire in exchanges with unfamiliar cultural values as they navigate boundaries based on practical reasoning. More specifically, the participants categorize one another and use their procedural knowledge about familiar cultural practices of their own and the other’s country while displaying one’s affiliation to the recipients. This study concludes that ELF speakers’ experiences of navigating boundaries during first encounters are organized according to the method they use to negotiate and accommodate their cultural affinity, which is significant as it confirms that these practices are shared beyond a particular cultural domain.
Bogor City Government’s Communication Crisis in Handling Covid-19
Authors: Putri Tri Isniarti , Lubis Djuara Pangihutan , Budianto Heri 
Published: June 2022

The massive transmission of Covid-19 has spread in various regions, causing negative trends in various aspects of life. Bogor, West Java, which recorded 1,484 cases is one of the areas that has high Covid-19 transmission rate. In addition, the Bogor City Government as a stakeholder has a large responsibility for overcoming a crisis in the midst of uncertain situation. This study aims to analyze the development of the Covid-19 crisis communication message in the Bogor city government. This research method uses a qualitative descriptive approach. The data collection is conducted through interviews, observation and documentation through photos and videos of the COVID-19 Task Force, government regulations and other sources. Based on the crisis emergency risk communication (CERC) model used by the researcher, the results show that the crisis communication process carried out by the Bogor City Government affects five phases, including: Pre-crisis, initial occurrence, maintenance, resolution, and evaluation, each of which has its own application and different handling such as in the pre-crisis phase, the Bogor City Government presented a crisis message and formed a crisis team as part of preparation to deal with a crisis, the period of initial events, information in terms of meeting the public’s needs for accurate, timely, credible, and consistent information. Then the stage of maintaining the form of communication is more tangible in the form of action, while the stage of creating new efforts to deal with new risks and the final evaluation, assessing the programs that have been run to get new innovations.
RECENSIÓN A LA OBRA: “LA REFORMA LABORAL DE 2021: ESTUDIO TÉCNICO DE SU RÉGIMEN JURÍDICO”.
Authors: López Vico Sheila 
Published: June 2022

Por medio de este documento se adjunta la recensión realizada a la novedosa monografía denominada: "“LA REFORMA LABORAL DE 2021: ESTUDIO TÉCNICO DE SU RÉGIMEN JURÍDICO”, la cual ha sido dirigida por José Luis Monereo Pérez, Susana Rodríguez Escanciano y Guillermo Rodríguez Iniesta, y publicada por la prestigiosa editorial Laborum.
En la misma se analizan en profundidad las principales modificaciones introducidas en nuestro ordenamiento jurídico por medio de la reforma laboral operada en diciembre del año 2021, resaltando los autores los aspectos clave de la misma, sus principales fallos y lagunas, y una serie de propuestas de lege ferenda.
Nivel de satisfacción del usuario del Hospital Regional Virgen de Fátima, Chachapoyas, Perú, 2021
Authors: Huamán de la Cruz Milena 
Published: June 2022

<p>La presente investigación tuvo como objetivo determinar el nivel de satisfacción del usuario externo del servicio de emergencia del Hospital Regional Virgen de Fátima, Chachapoyas, región Amazonas, Perú, 2021. Se trabajó con una muestra de 76 usuarios externos atendidos en el Hospital. Se encontró que según el género de los usuarios externos atendidos, fueron en mayor porcentaje femenino con 51.3% y masculino con 48.7%. Según la edad, tuvieron en mayor proporción con 40.8% entre 33 a 45 años y en menor medida con 59 años con el 1.3%. Los usuarios atendidos fueron principalmente de la provincia de Luya con 28.9% y en menor medida con 15.8% de Rodríguez de Mendoza y Bagua. Según el grado de instrucción generalmente tuvieron grado de instrucción secundaria con 35.5% y superior con 31.6%. El nivel de satisfacción del usuario externo del servicio de emergencia del Hospital Regional Virgen de Fátima según las dimensiones fue: fiabilidad 99% satisfecho, capacidad de respuesta satisfecho con 53%, seguridad medianamente satisfecha con 55%, empatía medianamente satisfecha con 49% y de los aspectos tangibles medianamente satisfecho con 67%. Se concluye que el 57 % se encuentra satisfecho y el 43 % medianamente satisfecho. </p>
Significado da Enfermagem no Programa de Saúde na Escola (PSE) pós pandemia da Covid-19: um relato de experiência
Authors: Anjos Jussara Soares Marques dos , Fernandes Catarina Andrade Souza , Oliveira Fernanda Tainá Lopes de , Silva Mylena Dantas da , Nascimento Valmisley Silva do , Sousa Viviane da Silva , Barbosa Patrícia Gomes Pereira , Neves Wanderlan Cabral , Ferreira Marcus Vinícius Ribeiro , Barbosa Marcos Haley 
Published: June 2022

Objetivo: Relatar a experiência de estudantes do 9° período do curso de enfermagem de instituição de ensino privada em uma instituição de ensino do fundamental I do DF após a pandemia da Covid-19. Relato de experiência: As consultas foram realizadas do dia 2 a 14 de junho de 2022, mediante ficha de atendimento pré-elaborado para pré-adolescentes para nortear os acadêmicos de enfermagem na condução da assistência sobre diversos temas como: dinâmica familiar, hábitos alimentares, higiene corporal e bucal, antecedentes patológicos pessoais e familiares, avaliação psicológica, fatores de risco como violências, automutilação e autoextermínio. Considerações finais: O estágio na escola foi importante pois os acadêmicos puderam perceber as necessidades de saúde corriqueiras das crianças e adolescentes e o aumento dessas demandas advindas do isolamento social pela pandemia da Covid-19. Assim como a atuação protagonista do enfermeiro em reconhecer sinais de risco para essa população e estabelecer as devidas intervenções no intuito de garantir a proteção à saúde.
Setting-up a Supportive and Palliative Care Service for Children with Life-threatening Illnesses in Maharashtra – Children’s Palliative Care Project in India
Authors: Muckaden Mary Ann , Ghoshal Arunangshu , Talawadekar Pradnya , Marston Joan Mary , Paleri Anil Kumar 
Published: June 2022

Objectives:
To describe the key initiatives that were successful in planning and implementing hospital- and community-based Paediatric Palliative Care (PPC) services designed for a resource-limited setting in Maharashtra, India, in collaboration with DfID.

Materials and Methods:
The CPC project was a 5-year service development project (April 2010–March 2015) conducted in Maharashtra, India, developed in collaboration with the Department for International Development (DFID), Hospice UK, International Children’s Palliative Care Network (ICPCN), Indian Association of Palliative Care (IAPC) and Tata Memorial Centre, to advocate and care for the needs of children and families with life-limiting illnesses in a non-cancer setting. It was implemented through raising awareness and sensitising hospital administrators and staff about PPC, providing education and training on PPC, team building, and data collection to understand the need for PPC.

Results:
The total number of children enrolled in the CPC project was 866, 525 (60.6%) were male with a mean age of 9.3 years. Major symptom across sites was mild pain, and serial Quality of Life measurement (through PedsQL questionnaire) showed improvement in social, psychological and school performance. Advocacy with the Ministry of Health helped in procurement of NDPS licenses in district hospitals, and led to access to palliative care for children at policy level.

Conclusion:
The model of PPC service development can be replicated in other resource-limited settings to include children with life-limiting conditions. The development of pilot programmes can generate interest among local physicians to become trained in PPC and can be used to advocate for the palliative care needs of children.