bluuebunny/crossref_metadata_2025_split huggingface dataset:
Design of Flattening angle tube on axial compression loading
Authors: Patil Pravin S , Sonar I P 
Published: November 2022

Abstract
The Flatted end connector is one of the simplest joint generally used for low cost and light weight tubular space structure. There is need to improve the load carrying capacity and avoid sudden failure of such a joint. Few researchers have tried to reduce eccentricity by using spacer bar and reinforcement. In order to better utilize the steel at joint location, it is decided have the research on the beahviour of flattening angle tube. Investigation of behaviour of Flattening angle tube is main objective of the present work. Generally, member of structure checked for incremental loading. The value of factor of safety of steel structure is 1.67. If we want find design load for irregular section for a particular material. Then Firstly find allowable stress for this material and apply incremental load simultaneously compute stresses for each load and apply incremental load till to reach allowable stress. Design Flattening angle tube for incremental load and verify Flattening angle tube for each load and continuously increasing load up to get a maximum design load and thus maximum design load should be allowable stress. Analysis and design of flattening angle tube by using theories of failure. The modeling of flattening tubes has done on Catia software and imports this model in Ansys software (Workbench) for compute the shear and principal stresses. The angles of flattening angle tubes are 5°, 10°, 15°,20°, 30°, 45° and 50°. Observed maximum design (Capacity) load on each flattening angle tube.
Monitoring Risk Factors and Improving Adherence to Therapy in Patients With Chronic Kidney Disease (Smit-CKD Project): Pilot Observational Study
Authors: Vilasi Antonio , Panuccio Vincenzo Antonio , Morante Salvatore , Villa Antonino , Versace Maria Carmela , Mezzatesta Sabrina , Mercuri Sergio , Inguanta Rosalinda , Aiello Giuseppe , Cutrupi Demetrio , Puglisi Rossella , Capria Salvatore , Li Vigni Maurizio , Tripepi Giovanni , Torino Claudia 
Published: November 2022

Background
Chronic kidney disease is a major public health issue, with about 13% of the general adult population and 30% of the elderly affected. Patients in the last stage of this disease have an almost uniquely high risk of death and cardiovascular events, with reduced adherence to therapy representing an additional risk factor for cardiovascular morbidity and mortality. Considering the increased penetration of mobile phones, a mobile app could educate patients to autonomously monitor cardiorenal risk factors.

Objective
With this background in mind, we developed an integrated system of a server and app with the aim of improving self-monitoring of cardiovascular and renal risk factors and adherence to therapy.

Methods
The software infrastructure for both the Smit-CKD server and Smit-CKD app was developed using standard web-oriented development methodologies preferring open source tools when available. To make the Smit-CKD app suitable for Android and iOS, platforms that allow the development of a multiplatform app starting from a single source code were used. The integrated system was field tested with the help of 22 participants. User satisfaction and adherence to therapy were measured by questionnaires specifically designed for this study; regular use of the app was measured using the daily reports available on the platform.

Results
The Smit-CKD app allows the monitoring of cardiorenal risk factors, such as blood pressure, weight, and blood glucose. Collected data are transmitted in real time to the referring general practitioner. In addition, special reminders improve adherence to the medication regimen. Via the Smit-CKD server, general practitioners can monitor the clinical status of their patients and their adherence to therapy. During the test phase, 73% (16/22) of subjects entered all the required data regularly and sent feedback on drug intake. After 6 months of use, the percentage of regular intake of medications rose from 64% (14/22) to 82% (18/22). Analysis of the evaluation questionnaires showed that both the app and server components were well accepted by the users.

Conclusions
Our study demonstrated that a simple mobile app, created to self-monitor modifiable cardiorenal risk factors and adherence to therapy, is well tolerated by patients affected by chronic kidney disease. Further studies are required to clarify if the use of this integrated system will have long-term effects on therapy adherence and if self-monitoring of risk factors will improve clinical outcomes in this population.
User Experience Regarding Digital Primary Health Care in Santarém, Amazon: Evaluation of Patient Satisfaction and Doctor’s Feedback
Authors: Bin Kaio Jia , Santana Alves Patrícia Gabriela , Costa Raquel , Eiras Paula Cruz , Nader de Araujo Luciano , Pereira Antonio José Rodrigues , Carvalho Carlos , Malik Ana Maria 
Published: November 2022

Background
With the arrival of the pandemic, telemedicine has been widely used to provide medical care and can be used to assist patients in regions far from urban centers that are difficult to access, such as riverside communities in the Brazilian Amazon region. A telemedicine project connecting São Paulo, a mega-metropolis, to Paysandú, a riverside district in the Amazon, was built to serve the local population where access to the nearest medical care is 6 hours away by speedboat.

Objective
This study aims to assess the feedback from patients and doctors regarding the use of telemedicine in outpatient care at Paysandú, a riverside district in the Amazon.

Methods
This is a single-center study following the guidelines “Evaluating digital health products” from Public Health England, with local adaptations for the project and the Brazilian reality, that was conducted between São Paulo and Santarém in Brazil. A survey was carried out with patients who were treated by a doctor in the city of São Paulo, about 2500 km from the local basic health unit, between September 27 to December 15, 2021. At the end of each teleconsultation, the attending physician answered an administrative survey form, and the patient answered a satisfaction survey.

Results
A total of 111 patients completed the satisfaction survey from a total of 220 consultations carried out during the period (95% CI margin error 0.22%). According to the survey, more than 95% of patients were satisfied with the service, 87.4% (n=97) had previous experience with videoconferencing, and 76.6% (n=85) reported that their demand was fully solved. Additionally, according to the hired doctor’s feedback, the average duration of the consultations was between 15 and 20 minutes. Of the 220 teleconsultations performed, 90.9% (n=200) of the demands were solved with support from the local health team, and 99.1% (n=218) of the appointments had a problem with audio or video.

Conclusions
This teleconsultation project between São Paulo and Paysandú showed that it is possible to offer medical care from more developed locations to communities far from urban centers, as is the case with Paysandú District. Beyond the feasibility of the infrastructure, acceptance and satisfaction among patients were high. This health care supply model has proven to be functional and should be expanded nationally or perhaps internationally to regions lacking medical assistance. Escalation of the project does not seem too difficult once infrastructure issues are solved.
Exploring Key Factors Influencing Nursing Students’ Cognitive Load and Willingness to Serve Older Adults: Cross-sectional Descriptive Correlational Study
Authors: Hsieh Pei-Lun , Wang Yu-Rung , Huang Tien-Chi 
Published: November 2022

Background
Virtual learning environments (VLEs) use a virtual environment to support learning activities. VLEs are commonly used to overcome the temporal and spatial restrictions of learning activities held in conventional face-to-face classrooms. In VLEs, students can participate in learning activities using the internet, and teachers can provide assistive learning tools during the process.

Objective
The purpose of this study was to investigate the relationships among nursing students’ mental load, cognitive load, and affective learning outcomes in terms of their willingness to serve older adults in an interaction-based educational virtual reality (VR) learning environment.

Methods
This study used a cross-sectional method. A total of 130 students participated in interaction-based VR learning and completed related questionnaires. Descriptive and inferential statistics and stepwise regression for data analysis were used.

Results
The research results revealed that in the dimension of willingness to use VR learning materials, perceived usefulness received the highest score (mean 4.42, SD 0.45). In the dimension of nursing ability, students scored the highest in information management and application ability to care for case patients (mean 4.35, SD 0.54). Correlation analysis revealed that cognitive load during learning and willingness to serve older adults were negatively correlated, whereas willingness to use VR learning materials was positively correlated with nursing ability and willingness to serve older adults. Analyzing the regression coefficients of predictor variables revealed that willingness to use VR learning materials (β=.23; t2=2.89, P=.005) and cognitive load during learning (β=–.35; t2=–.4.30, P<.001) were predictive factors of nursing students’ willingness to serve older adults.

Conclusions
This study demonstrated that students’ willingness to use VR learning materials and their cognitive load during learning affected their willingness to care for older adults. Therefore, the components of mental or cognitive load generate inconsistent predictive effects on affective variables and willingness to serve older adults.
Autómata
Authors: Paláu Castaño Luis Alfonso 
Published: November 2022

Traducción del francés al español de Luis Alfonso Paláu-Castaño
«Para comenzar, la imagen del autómata evoca la de una máquina, es decir, la de un objeto artificial capaz de movimientos coherentes destinados a transformar la energía y a utilizar esta transformación para efectuar tareas prescritas; y el autómata es una máquina que posee, como único matiz, el hecho de que puede controlar él mismo sus movimientos y que la finalidad de estos y de las transformaciones energéticas que autoriza parece ser su propio fin. Este carácter intrínseco del autómata técnico se encuentra en sus diversas definiciones, por ejemplo: “pequeños artefactos autómatas, es decir que se mueven por sí mismos”. Es esta definición la que propone Rabelais en 1534 en Gargantúa (I, 24) cuando el término nace en la lengua francesa, cebando una constelación de sentidos donde afloran los términos autosuficiencia, autonomía, libertad, imitación de la vida, transferidos al plano real (el del trabajo, el de la industria) o imaginario (el del arte, de lo fantástico, de la fantasía). Se habla entonces de automatismo (o automático) para designar funcionamientos espontáneos (la escritura automática), regulares, ritmados.»
Las condiciones de posibilidad del concepto de triaje. Una mirada sobre la larga duración (siglos XVIII a XXI)
Authors: Zapata Cano Rodrigo 
Published: November 2022

Traducción del francés al español de Rodrigo Zapata Cano
«La palabra reanimación (resuscitate, en inglés en el texto original) se puede encontrar en los manuscritos de la época de la Biblia. El término “resuscitate” viene del latín para revivir o levantar. Se trata del equivalente inglés, en el léxico médico, de “reanimación”. La reanimación se ha constituido como un paradigma médico que apunta a devolverle la vida a los pacientes a punto de morir, hacia mediados del siglo XX (Nurok, 2003, pp. 563-579). Históricamente las prácticas de reanimación encuentran su origen en el siglo XVIII, cuando el interés por el problema de la muerte súbita lleva a una controversia sobre las incertidumbres del diagnóstico de la muerte. Para algunos, existían signos fiables por el hecho de que los supuestos muertos estaban verdaderamente muertos, como por ejemplo la ausencia de respuesta a tentativas variadas para estimular a los pacientes. Para otros, estas pruebas eran falibles y la muerte solo podía ser diagnosticada concertidumbre durante la putrefacción del cuerpo (Milanesi, 1991). Las técnicas utilizadas entonces para probar la realidad de la muerte se transformaron en prácticas que apuntaban a restaurar la vida (Nurok, 2003): a finales del siglo XVIII emergen en Europa asociaciones que tenían como misión el auxilio de la vida (life-saving societies) para asistir a las víctimas de ahogamiento o asfixia.»
Peningkatan Peran Masyarakat Sebagai Pengelola Objek Wisata di Desa Ameth Kabupaten Maluku Tengah
Authors: Latupapua Yosevita Theodora , Kastanya Agustinus , Latuamury B , Mardiatmoko G 
Published: November 2022

Desa ameth merupakan salah satu desa dari 7 desa di Negeri Nusa laut kabupaten Maluku Tengah, yang dikenal sebagai desa pesisir dengan potensi daya tarik alam bahari dan pesisirnya yang mampu menarik minat kunjungan pengunjung dalam melakukan aktifitas wisata di negeri tersebut. Namun pengunjung objek yang datang di negeri Ameth belum memberikan nilai yang signifikan bagi masyarakat lokal. Metode yang digunakan dalam kegiatan pengabdian ini adalah metode ceramah, indepth interview dan kuisioner. Kegiatan dilakukan selama 10 hari. Peserta kegiatan terdiri dari masyarakat selaku pengelola objek yang dalam hal ini adalah kepala soa, dan saniri negeri sebanyak 15 orang. Pelaksanaan kegiatan diawali dengan adanya pre test, penyuluhan, observasi kawasan objek, setelah itu post test. Kegiatan ini mendapat sambutan yang sangat baik dari peserta, dan terjadi perubahan tingkat pemahaman masyarakat yang terukur melalui hasil pre test dan post test sebesar 100%.
Optimal decisions and channel coordination of a green supply chain with marketing effort and fairness concerns
Authors: Huang Fuyou , Xiong Dan , Ma Chao 
Published: November 2022

Abstract
This paper addresses the optimal decisions and channel coordination issues in a green supply chain composed of a socially responsible manufacturer and a fair-mined retailer, where the manufacturer invests in advanced facilities/technologies to improve green quality of products, and the retailer exerts marketing effort to enhance market demand. We develop supply chain models under three scenarios: centralized system, wholesale price (WP) contract without fairness concerns, and WP contract with fairness concerns. Our results show that the retailer’s fairness behavior further causes a benefit for herself, while the manufacturer and the total supply chain to suffer. Moreover, a revenue-cost-sharing (RCS) contract is introduced to coordinate supply chain . We prove that a win-win outcome is reachable, and the RCS contract is applicable in practice.
Towards sustainable development exemplified by monitoring land use efficiency in Europe using SDG 11.3.1
Authors: Bielecka Elżbieta , Calka Beata 
Published: November 2022

Abstract
Monitoring land use efficiency (LUE) is of great importance for the sustainable development of each country. The identification of regions where land consumption prevails over demographic growth should prompt public administrations to act and establish a recovery programme. This paper took Europe as the research area, and CORINE Land Cover and statistical population data to assess changes and spatial diversity of the LUE status from 2006 to 2018. Results show that, during the 2006–2012 period, LUE was more diversified than in 2012–2018. The differences concern both values of the indicator and the spatial differentiation between regions. Between 2012 and 2018, the number of countries moving towards efficient land use doubled compared to 2006–2012. Great progress towards achieving SDG 11.3.1 was seen in Portugal and Germany, and almost all Balkan countries are moving towards more efficient land use.
Implications of the FMEA Method in Evaluating Amirkabir Dam’s Environmental Risk
Authors: Kassem Yousef , Gökçekuş Hüseyin , Iravanian Anoosheh , Nategh Mehrdad 
Published: November 2022

Abstract
There are various environmental risks in both the construction and operation phases of huge civil projects such as dam construction. As a result, it is critical to implement appropriate risk control and risk mitigation measures before the initiation of the activities posed by these schemes. The goal of this research is to identify and categorize the environmental risks posed by the Amirkabir Dam during its construction and operation phases. After identifying the risks, the risk factors were prioritized using the FMEA method, with the risks being ranked according to their severity, probability of occurrence, and ability to detect. The study’s findings revealed that the highest risk in the dam construction stage is associated with road construction and vehicle exhaust gases (RPNs of 280 and 252, respectively), and the highest risk in the operation phase is associated with borrow area overuse (erosion and sediment downstream of the dam) (RPN of 280).
Estimation of single crop co-efficient for wheat crop using spectral indices
Authors: Saleh Syed Muhammad , Qureshi Abdul Latif , Shaikh Irfan Ahmed 
Published: November 2022

The majority of the time, real crop water requirements are determined by combining references evaporation with crop coefficients. The crop coefficient accounts for plant transpiration and soil evaporation. The Kc values calculated with the lysimeter setup are point valued with no spatial fluctuation. Remotely detected spectral indices were used to estimate the crop coefficient in both space and time. As a result, this research was carried out to show that crop coefficients may be estimated using satellite data. The corrected satellite data for the research region were obtained/downloaded from the USGS website for the winter growing season (November to March). A hand-held GPS device was used to acquire ground truth valued. Plant heights of randomly selected plants were measured at 15 days intervals at the same time. The downloaded satellite data yielded two spectral indices: the Normalized Difference Vegetation Index (NDVI), and Soil Adjusted Vegetation Index (SAVI).to build relationships between Kc values and spectral indices, basic linear and multiple linear regression approaches were used kc and NDVI had a great individual relationship (R2=0.92) and SAVI (R2=0.79) while the combined association of NDVI and SAVI (R2=0.94) was shown to be superior than each index’s standalone relationship. These relationships should be used to determine Kc values for wheat grown in dry areas with plenty of water.
Hubungan Antara Onset Kejadian Preeklamsia dengan Kejadian Bayi Lahir Berat Lahir Rendah (BBLR) di RSUD Provinsi NTB
Authors: Primayanti Ika , Affarah Wahyu Sulistya , Harahap Ida Lestari , Syari Mayuarsih Kartika , Wilmayani Ni Ketut 
Published: November 2022

Pendahuluan: Preeklamsia merupakan salah satu komplikasi obstetrik yang dapat menyebabkan morbiditas dan mortalitas baik maternal maupun perinatal. Bayi Berat Lahir Rendah (BBLR) merupakan salah satu komplikasi perinatal yang dapat terjadi.
Metode: Penelitian ini merupakan penelitian observasional dengan desain cross sectional. Analisis data dilakukan dengan menggunakan uji statistik chi square.
Hasil: terdapat hubungan yang signifikan antara onset kejadian preeklamsia dengan kejadian BBLR (p= 0,000).
Kesimpulan: Penurunan perfusi uteroplasenta pada preeklamsia menyebabkan berkurangnya aliran darah plasenta sehingga pertumbuhan janin menurun dan meningkatnnya risiko bayi berat lahir rendah
Gambaran Konsumsi Garam Iodium dan Kadar Iodium Urin pada Anak Sekolah Dasar di Pulau Lombok
Authors: Ekawanti Ardiana , Lestarini Ima Arum , Cholidah Rifana , Fathana Prima Belia , Yuliyani Eka Arie 
Published: November 2022

Pendahuluan: Defisiensi iodium masih merupakan masalah kesehatan masyarakat di seluruh dunia. Dari pemeriksaan iodium yang diekskresikan melalui urine, didapatkan defisiensi iodium pada 36,4% anak di seluruh dunia, dan daerah Asia Tenggara didapatkan 39,8% anak usia sekolah mengalami defisiensi iodium. Nusa Tenggara Barat adalah provinsi dengan konsumsi garam iodium yang terendah di seluruh Indonesia dan belum ada penelitian tentang kadar iodium urin dan factor yang mempengaruhinya.
Tujuan: Mencari data dasar tentang epidemiologi defisiensi iodium , selain itu penelitian ini juga bisa memberi manfaat tentang gambaran kadar iodine masyarakat secara umum..
Metode: Rancangan penelitian ini adalah rancangan potong lintang dengan populasi terjangkau kelas 5 dan 6 siswa SD di dataran rendah dan dataran tinggi Pulau Lombok. Faktor yang mempengaruhi tingkat konsumsi garam didapatkan dengan menggunakan kuesioner. Kadar iodium urin dinyatakan dengan median iodium urin yang didapatkan dengan menggunakan metode acid digestion.
Hasil: Median iodium urin di dataran rendah didapatkan 218 mg/L dan di dataran tinggi 236 mg/L. Iodium Urine Excretion di dataran rendah dan tinggi juga menunjukkan kecukupan tingkat konsumsi garam iodium.
Kesimpulan: Median iodium urin di dataran rendah didapatkan 218 mg/L dan di dataran tinggi 236 mg/L. Iodium Urine Excretion di dataran rendah dan tinggi juga menunjukkan kecukupan tingkat konsumsi garam iodium.
Tingkat Kepuasan Pasien Jamkesmas Terhadap Pelayanan Rawat Jalan Pusat Kesehatan Masyarakat Ampenan Tahun 2013
Authors: Astuti Anies Dyaning , Gerudug I Komang , Syamsun Arfi 
Published: November 2022

Pendahuluan: Puskesmas merupakan pelayanan kesehatan lini pertama yang menyelenggarakan upaya kesehatan untuk meningkatkan kesadaran, kemauan dan, kemampuan hidup sehat setiap penduduk. Upaya kesehatan tersebut diselenggarakan dengan menitik beratkan pada kualitas pelayanan. Salah satu indikator kualitas pelayanan kesehatan adalah tingkat kepuasan pasien. Penelitian ini bertujuan untuk mengetahui dan menganalisis tingkat kepuasan pasien Jamkesmas terhadap pelayanan rawat jalan di Puskesmas Ampenan.
Metode: Desain penelitian ini adalah deskriptif analitik dengan rancangan cross sectional. Sampel diambil dengan consecutive sampling terhadap 70 pasien yang termasuk kriteria inklusi. Alat pengumpul data menggunakan kuesioner yang telah diuji validasi terlebih dahulu.
Hasil: Hasil penelitian secara umum menunjukkan tingkat kepuasan pasien pada variabel tangible didapatkan hasil tidak puas 4,3%, cukup puas 64,3%, puas 28,6%, sangat puas 2,9%. Berdasarkan variabel empathy didapatkan hasil tidak puas 1,4%, cukup puas 35,7%, puas 38,6%, sangat puas 24,3%. Berdasarkan variabel reliability didapatkan hasil tidak puas 1,4%, cukup puas 21,4%, puas 62,9%, sangat puas 14,3%. Berdasarkan variabel responsiveness didapatkan hasil tidak puas 1,4%, cukup puas 22,9%, puas 70%, sangat puas 5,7%. Berdasarkan variabel assurance didapatkan hasil tidak puas 1,4%, cukup puas 21,4%, puas 68,6%, sangat puas 8,6%.
Kesimpulan: Secara umum tingkat kepuasan pasien Jamkesmas adalah sudah merasa puas (53,74%) terhadap pelayanan rawat jalan di Puskesmas Ampenan.