bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge in Spill Management among Trained and Untrained Healthcare Workers in the Government General Hospital, Kakinada, India
Authors: Kishore.Aligina Krishna , Babu.Goru Krishna , Priyanka.Muppidi Vineela , Korukonda Babji 
Published: July 2022

Introduction: Blood and body fluid spillage continues to be a public health problem, despite, advances in our understanding and control of infections. So, this study was done to compare the knowledge in Spill Management among trained and untrained health care workers based on which measures can be taken to reduce the hazards in hospital.
Methods: A Cross-Sectional Study in Teaching Hospital, Kakinada was conducted from September to October 2019 using Semi-structured questionnaire & data was collected from a convenient sampling of 202 Health Care Workers consisting of Interns & PGs, Staff Nurses, Student Nurses & Lab Technicians, MNOs, Sanitation Staff, & Others divided in to three groups. Data was obtained from those present in duty at that time and who gave consent. Those who were not willing to participate in the study were excluded. Ethical approval was taken from the Institutional Ethics Committee. Data obtained was entered in Excel 2016, analysed using SPSS20 software and presented as Percentage Distribution, Mean & Standard Deviations and Significance applied wherever necessary.
Results: 86.14% (174) had knowledge about Hand hygiene. Knowledge on discarding used materials in the yellow bin was observed in 77.23% (156) overall. Only 27.23% (55) were aware of proper use of PPEs.
The right sequence of steps of Spill Management was mentioned by 16.34% subjects overall. 38.61% (78) received training on Spill Management. Hypochlorite was the most used disinfectant for cleaning the spill, as mentioned by 55.94% (113 out of 202). Only 30.2% (61) told they were aware of “Spill Management kit”, of whom, 62.29% (38 of 61) received training (p value obtained is 0.0002).
Conclusion: Spill management is seen highest among Group I compared to Group II. So, trainings must be conducted on Quarterly basis to update and sustain knowledge level among all groups of health care workers as this is a dynamic group.
PROFITABILITAS TERHADAP FINANCIAL DISTRESS DIMODERASI STRUKTUR MODAL
Authors: Artamevia Baiq Vica , Wahyuni Nanik 
Published: July 2022

This study aims to determine the effect of profitability on financial distress moderation of capital structure is carried out to be a research renewal. profitability is projected by ROA and ROE, while the capital structure is projected by DER. The research uses financial reports and annual reports to complete the research data. The population and sample used are coal sector companies listed on the Indonesia Stock Exchange (IDX) with an observation period of 2018 to 2020. Data analysis uses SmartPls3 software by utilizing the Path Coefficient test to test hypothesis. The results show that profitability has no effect on financial distress in brick-and-mortar companies and the capital structure is not able to influence the relationship between profitability and financial distress in coal sector companies.
A Case Study of Effective Employment Practices for Persons With Disabilities in a Large Multi-Site Health Care Organization
Authors: McDonough Jennifer , Wehman Paul , Brooke Alissa , Ham Whitney , Wright Travis , Ochrach Chase , Thomas Kathryn , Godwin James C. , Junod Paul 
Published: July 2022

PurposeThe purpose of this in-depth case study was to better understand how practices, policies, and structures contributed to a large health care organization’s track record of hiring, training, and retaining persons with disabilities (PWDs).MethodWe conducted in-depth interviews with 63 key informants across four hospitals in the hospital system. Within each site, we recruited participants from multiple-levels of the organization to understand the complexity of employment practices. Content analysis was used to analyze participant response to open-ended questions.ResultsProviding appropriate supports, including clearly defined job roles that are aligned with employee abilities, ongoing coaching and support, and purposeful efforts to integrate PWDs into the broader organization, are important elements of ongoing success. Invested leadership, alignment across organizational structures, and building partnerships with organizations with knowledge and skill in supporting PWDs are additional critical success factors.ConclusionsFindings indicate that it is imperative for organizations wishing to strengthen their hiring practices for PWDs to develop a culture that embraces a person-first approach. As evidenced here, in an environment where all employees feel supported, valued, and as if there is room for growth, there is opportunity for employees with disabilities to be viewed through a positive, developmental, and generous lens.
Internal Torsion of the Knee
Authors: Qiao Yi , Zhang Xiuyuan , Xu Junjie , Xu Caiqi , Zhao Song , Zhao Jinzhong 
Published: July 2022

Background:
Torsion of the lower extremities has been suggested to be a predisposing factor for patellar instability. However, no clear torsional factors have been clarified. This study aimed to elucidate the rotational geometry of the lower limb through segmental analysis in patients with patellar instability.

Methods:
Eighty-three patients with patellar instability were included. Computed tomography of the lower limb was acquired. Femoral and tibial torsion were measured in different segments. Femoral and tibial torsion in each segment was compared between the high- and normal-torsion groups to investigate which segment contributes the most.

Results:
All segments of femoral and tibial torsion except proximal femoral torsion showed significant differences between the high- and normal-torsion groups. The average proximal femoral torsion was 1.9° ± 7.1°, indicating that there was only slight torsion in the segment of the femoral neck. The angle between the femoral neck and the foot orientation in the normal-torsion, high-torsion tibial, and combined high-torsion femoral and tibial groups was 89.1° ± 12.0°, 81.3° ± 9.4°, and 98.2° ± 11.7°, respectively (p < 0.001), which suggested that the femoral neck remained nearly perpendicular to the foot orientation in the normal-torsion group. Shaft and distal femoral torsion contributed the most to total femoral torsion. For tibial torsion, from distal to proximal, internal torsion of both the proximal and distal segments contributed to the high torsion. There was no significant difference between distal femoral torsion and proximal tibial torsion, which suggested that, rather than the distal femur rotating internally on its own, the distal femur and the proximal tibia simultaneously rotated internally.

Conclusions:
In patients with patellar instability, torsional deformity occurs along the length of the tibia and in the shaft and distal segments of the femur. The comprehensive embodiment of lower-extremity malrotation is an internal rotation deformity of the knee.

Clinical Relevance:
This study elucidated the rotational geometry of the lower limb through a detailed segmental analysis in patients with patellar instability. It could serve as a theoretical basis for choosing a derotational osteotomy site and may be a reference for additional clinical research.
Modular Fluted Tapered Stems for Periprosthetic Femoral Fractures
Authors: Hannon Charles P. , Sheehan Kevin P. , Duong Stephanie Q. , Yuan Brandon J. , Lewallen David G. , Berry Daniel J. , Abdel Matthew P. 
Published: July 2022

Background:
Modular fluted tapered (MFT) stems have advanced treatment of Vancouver B2 and B3 periprosthetic femoral fractures, but series to date have been limited with respect to cohort size and follow-up duration. The purpose of this study was to determine implant survivorship, radiographic results, complications, and clinical outcomes of Vancouver B2 and B3 periprosthetic femoral fractures treated with MFT stems in a large series of patients.

Methods:
We identified 171 Vancouver B2 (109) and B3 (62) periprosthetic femoral fractures treated with an MFT stem between 2000 and 2018 using our institutional total joint registry. The mean age was 75 years, 50% were female, and the mean body mass index was 29 kg/m2. The median stem diameter was 18 mm and median stem length was 210 mm. The cumulative incidences of revision and reoperation with death as the competing risk were calculated, radiographs were reviewed, and clinical outcomes were evaluated using the Harris hip score (HHS). The mean follow-up was 5 years.

Results:
The 10-year cumulative incidence of any revision was 10%. There were 17 revisions, of which only 3 were for the distal fluted portion of the MFT stem. Revision indications included periprosthetic joint infection (PJI) (n = 6) and dislocation (n = 11). The 10-year cumulative incidence of any reoperation was 15%. In addition to the above 17 revisions, there were 7 reoperations for superficial wound complications (n = 4), Vancouver B1 periprosthetic femoral fracture (n = 1), vascular occlusion (n = 1), and acetabular cartilage degeneration requiring an acetabular component (n = 1). Radiographically, there was 1 fracture nonunion. All unrevised MFT stems were radiographically well fixed. Subsidence of ≥5 mm occurred in 11%, but all implants were stable at the most recent follow-up. The mean HHS was 75 at 2 years (n = 71).

Conclusions:
In this large series of 171 Vancouver B2 and B3 periprosthetic femoral fractures treated with MFT stems, we found that such constructs were associated with a high rate of fracture healing and provided extremely reliable and durable implant fixation, with no revisions for aseptic loosening. Dislocation and PJI were the most common complications.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
New data from the first discovered paleoparadoxiid (Desmostylia) specimen shed light into the morphological variation of the genus Neoparadoxia
Authors: Matsui Kumiko , Valenzuela-Toro Ana M. , Pyenson Nicholas D. 
Published: July 2022

Abstract
Desmostylia is an extinct clade of marine mammals with two major sub-clades, Desmostylidae and Paleoparadoxiidae, known from Oligocene to Miocene strata of the North Pacific coastline. Within Paleoparadoxiidae, three genera have been identified: Archaeoparadoxia, Paleoparadoxia, and Neoparadoxia. The latter taxon is the geochronologically youngest palaeoparadoxiid and characterized by a comparatively larger body size, although it is known only from a few specimens within a short temporal and geographic range. Here we report the discovery of an isolated tooth identified as Neoparadoxia cf. N. cecilialina, constituting only the second individual specimen of Neoparadoxia with preserved dentition yet reported. This specimen was collected near Corona, California, USA, and we attribute it to the “Topanga” Formation, becoming the first record of Neoparadoxia from this unit. While the exact geographic locality was not properly recorded for this specimen when it was collected in 1913, we establish two potential localities based on the associated hand-written museum label and new stratigraphic information. Although this specimen wasinitially identified as Desmostylus hesperus, it was collected 10 years before the first named paleoparadoxiid from Japan. This new occurrence data adds to interpretations of marine mammal assemblages, especially in Southern California where paleoparadoxiids co-occur with desmostylids and sirenians.
Computational System for Prediction of the Vacuum Degree of Vacuum Glass
Authors: GASTRO OMARY 
Published: July 2022

Abstract
The heat transfer characteristics of vacuum degree and the influence of the vacuum degree of vacuum glass on unit operations for predicting the vacuum degree were investigated. In this study, we designed and developed a set of intelligent detection systems using intelligent algorithms that comprised a model for predicting the vacuum degree of vacuum glass. Using wireless temperature detection in an intelligent detection system was convenient for measuring temperature data. First, the model utilized a backpropagation neural network (BPNN) to predict and infer temperature data. Furthermore, we developed a software package implementing the proposed BPNN-based model in MATLAB and verified that it could predict the vacuum degree of vacuum glass. The proposed system created a precedent for using intelligent algorithms to establish a model to predict the vacuum degree of vacuum glass with additional computer software to improve its convenience for users. Using the core theoretical module of the system, BPNN, and the appropriate intelligent algorithms, we obtained an absolute error within 1.5 Pa using the model and learnt that it was good for quick vacuum prediction.
An Investigation of Several Models for Machine Learning Based Automated Essay Grading System
Authors: R Pradeep , M Kowsalya 
Published: July 2022

Abstract
Automated Essay Grading (AEG), formerly known as scoring systems, is no longer a myth. These AI systems are a boon to the educational sector, as teachers often have difficulty evaluating students' essays. It's a real hurdle to examine a large number of student articles in a short period, even while providing feedback. However, AEG systems can now effortlessly evaluate human-written (not handwritten) essays. One of the best instances of its application is the TOEFL exam. Student’s essays are graded by both a human and an automatic essay grading system. Many of the characteristics that distinguish good and bad writing, as well as many of the linguistic, cognitive, and other skills that underpin human potential for both reading and writing, might be explained using AEG. Teachers frequently use free-text questions to assess students' overall competence, which has led to an increased focus on clever auto-grading systems to reduce the grading load on examiners. A revolutionary automatic essay scoring system based on Machine Learning and Python is presented in this work. The suggested method, in particular, encodes an essay as sequential embedding’s and uses a bi-directional LSTM to capture semantic information. Meanwhile, the method builds attention for each essay so that the network can learn to correctly focus on genuine material in an article, which can also provide reasonable evidence of the prediction outcome. The public essay set provided in Kaggle's Automated Student Assessment Prize was used for training and testing.
Fixing usability smells of mobile apps: A multi-objective early refactoring recommendation approach
Authors: Soui Makram , Chouchane Mabrouka , Mansouri Nesrine 
Published: July 2022

Abstract
Usability is crucial for mobile app success. Usability evaluation and correction of Mobile User Interface (MUI) is fundamental phase to discover the usability smells and improve its quality. However, it continues to be a hard, expensive, and generally it is ignored. Several existing works depend on a subjective assessment of usability defects which relies on users’ feedback, that leads to time-consuming, human-centric, and error-prone task. Hence, recent works proposed tools for collection and analysis log user interaction when using the mobile application to understand user behavior and identify usability smells. But, these tools treat the defects with the same importance and rarely propose recommendations to help evaluator to improve their MUIs. It still also needed to identify concrete usability defects and fixed riskiest usability smells. In addition, most existing methods proposed to assess the usability of once the applications has been developed, which led to a lot of reworking by the designer because these changes can affect the development phases.In this paper, we propose an automated approach based on correction rules which combine literature evaluation metrics with usability smells to define recommended refactoring of MUI.To this end, we consider this refactoring recommendation as a multi-objective optimization problem. The purpose of this optimization is to maximize the number of refactoring per individual while minimizing the number of features per rule, the number of rules by solution, the misclassification rate, the information gain and improving the MUI quality in terms of guidance and cohesion coverage and minimizing the complexity of MUI. Moreover, we leaded a comparative study of four evolutionary algorithms to solve this optimization problem. The results prove the efficiency of the IBEA in terms of generating the most accurate refactoring rules with an average of 0.92 of AUC.This paper applied an evolutionary algorithm to recommend the best refactoring operations to enhance the quality of MUI. The results are promising. Our search-based algorithm successfully searches the best trade-off between eight objectives and recommending the most accurate refactoring rules compared with other studied algorithms.
Coverage of different kinds of paper by varied treatments with chitosan/montmorillonite nanocomposite layer
Authors: Zhou Pingyan , Yi Jing 
Published: July 2022

Abstract
The barrier of paper against water vapor and oxygen can be improved by coating chitosan/montmorillonite nanocomposite on the surface of base paper. The high coating layer coverage is the most important factor which affects the barrier property of paper. The effects of different kinds of base papers and drying conditions on the coverage of chitosan/montmorillonite nanocomposite layer were researched in this paper. The coverage of montmorillonite/chitosan nanocomposite was characterized by the scanning electron microscope and the optical contact goniometer. The water permeation was verified by the penetration dynamics analyzer. It was found that the base paper with a smooth and tight surface had the high coating layer coverage, resulting from little water penetration into the base paper. High drying temperature and rapid drying speed benefited to increase the coverage of chitosan/montmorilonite nanocomposite and form a uniform coating layer on the surface of base paper.
Nutritional Status of β-Thalassemia major patients
Authors: Lidoriki Irene , Stavrou George , Schizas dimitrios , Frountzas maximos , Fotis Lampros , Kapelouzou Alkistis , Kokkota Smaro , Tsaousi Georgia , Fyntanidou Barbara , Kotzampassi Katerina 
Published: July 2022

Abstract
Background: Patients suffering from thalassemia have impaired body composition and increased nutritional risk. To assess body composition and vitamin D levels of thalassemic patients in relation to nutritional risk.Methods: A total of 67 consecutive adult patients who were diagnosed with thalassemia major and followed a regular blood transfusion scheme were included in this study. Demographic and clinical data were registered for each participant. Blood samples were collected to assess 25-hydroxy-vitamin D (25-OH-D) levels. The assessment of patients’ nutritional risk was based on the Malnutrition Universal Screening Tool. Body composition assessment was based on bioelectrical impedance analysis.Results: Eleven patients (16.4%) and five patients (7.5%) were at moderate and high risk for malnutrition, respectively. Moreover, 86.6% of patients had low fat-free mass index (FFM) and 74.6% of patients had high fat mass (FM) index. The prevalence of sarcopenic obesity and 25-OH-D deficiency was 64.2% and 92.2%, respectively. Medium and high-risk patients had significantly lower BMI (18.81 ± 1.29 vs 23.90 ± 2.65 kg/m2, p<0.001), lower FFM index (12.80 ± 1.38 vs 14.19 ± 1.89 kg/m2, p=0.009) and lower FM index (5.97 ± 1.86 vs 9.70 ± 2.70 kg/m2, p<0.001) than their low-risk counterparts.Conclusions: Adult patients with β-thalassemia major had low levels of vitamin D and altered body composition, presenting with increased adiposity, low levels of lean body mass and high rates of sarcopenic obesity. Timely detection of patients at risk could lead to prioritization of patients that could benefit from nutritional interventions.
A rare complication post-hysterectomy for fibroids: a case report and literature review of Pulmonary Benign Metastasising Leiomyoma
Authors: Malina Madeleine , Magro Michael , Rathod Kunal 
Published: July 2022

Abstract
PurposeBenign Metastasising Leiomyomatosis is a rare complication of a common gynaecological condition, often requiring multidisciplinary team input. No guidelines exist for its management. We aim to highlight an unusual case and summarise international practice of investigation and management from existing literature, to facilitate better recognition and management in the future. MethodsWe present a challenging case of progressive pulmonary BML in a woman with previous lung cancer. An extensive Pubmed search was performed using search terms: benign, metastasising, metastasizing, parasitic, leiomyoma, leiomyomata, leiomyomatosis, fibroid and fibroids. All English papers available in free text were reviewed for the literature review.Results80 relevant papers reporting 123 cases were included. We report common demographics, gynacological backgrounds and presenting symptoms of the women. Diagnosis involved CT imaging in 96% of cases, histopathology in 93% and immunohistochemistry in 83% with the most common markers used being ER, PR, SMA and Ki-67. PET scan was performed in 24%. We summarise also the management options, including an overview of current hormonal treatment options, and follow-up regimes which typically involves regular CT-scans. ConclusionPulmonary BML is a benign condition but it presents similarly to lung cancer, making our case especially complex. Malignancy must therefore always be a differential diagnosis. Management is individualised as shown in our review but may be expectant, medical or surgical, with a strong emphasis on follow-up.
WITHDRAWN: Rethinking Urban Planning from the Perspective of Nature-based Stormwater Runoff Management in Hawassa City, Ethiopia
Authors: Gerezgher Tikabo Gebreyesus , Habtemariam Kumlachew Yeshitila , Mengistu Aramde Fetene , Jauregui Cristina Herrero , Tesemma Mesele Negash 
Published: July 2022

Abstract
A considerable area of land has been turned into a built surface due to urbanization in Ethiopia. Storm-runoff is the impact of land conversion into built areas, which is a threat every rain season in Hawassa city. GI-based urban planning plays a prominent role in runoff management. However, the potential benefit of GI remains unexplored in Ethiopia. This research aimed at evaluating the effectiveness of GI to alleviate stormwater runoff that cities have been suffering from. The i-Tree Eco model with pre-stratified random sampling techniques was employed to analyze the hydrological benefits of GI by considering the vegetation structural variables. The ArcGIS was further used to demonstrate the spatial distributions of annually avoided runoff and potential sites across the study area. The study shows that the total number of trees in the study area is 576,224, which contributes to 20.7% of tree coverage in the city. These trees annually intercepted 1,376,132.8 m3 water and avoided 288,372 m3yr-1 runoff, and in turn economically valued at $680,558 USD. However, the GI elements had different runoff reduction efficiency, according to the morpho-functional characteristics of tree species. GI types with large trees, high leaf area, and high number of broadleaved trees were more efficient. Stormwater runoff could be maximized through the incorporation of adequate GI coverage at the planning stage and proper execution on the ground. Hence, this research is expected to make planners and policymakers rethink the integration of GI with the spatial planning of cities in Ethiopia.