bluuebunny/crossref_metadata_2025_split huggingface dataset:
The relationship between pre-service kindergarten teachers’ professional identification and career adaptability: A chain mediation model
Authors: Qiao Tianqi , Song Zhanmei , Huang Jie , Yan Jingfeng , Zhang Xueying , Wang Yixuan , Liu Cong , Wang Yang 
Published: November 2022

BackgroundThe healthy development of preschool education requires the support of stable and high-quality preschool teachers. However, there are still many deficiencies in preschool teachers in China at present. For pre-service kindergarten teachers, it is very significant to improve their career adaptability and enter professional positions smoothly. Numerous studies have found the effect of professional identification on the career adaptability of pre-service kindergarten teachers, but few studies have explored the potential influencing mechanisms among variables. On the basis of previous studies, this study explores the chain mediating effect of teacher efficacy and self-leadership on the relationship between professional identification and career adaptability of pre-service kindergarten teachers.MethodsThree hundred eighty-eight participants were recruited from two schools in Zhejiang Province. After screening, 377 questionnaires for pre-service kindergarten teachers were used for data analysis. The questionnaire included self-reported demographic information, professional identification, teacher efficacy, self-leadership, and career adaptability. We collected information on variables by using PISNS, TSE, RSLQ, and CFI, and analyzed the data using SPSS.Results(1) Professional identification and career adaptability have a significant positive correlation. (2) The influence of occupational identification on the career adaptability of pre-service kindergarten teachers was carried out in three different ways: professional identification → teacher efficacy → career adaptability, professional identification → self-leadership → career adaptability, and professional identification → teacher efficacy → self-leadership → career adaptability.ConclusionTeacher efficacy and self-leadership may mediate the relationship between professional identification and career adaptability of pre-service kindergarten teachers. This study highlighted the complexity of the link between preschool teachers’ professional identification and career adaptability. The paper also discussed the limitations and implications of this study.
Perception of pharmacy students toward numeracy: An observational study from King Saud University, Riyadh Saudi Arabia
Authors: Alrabiah Ziyad , Arafah Azher , Rehman Muneeb U. , Syed Wajid , Babelghaith Salmeen , Alwhaibi Abdulrahman , Alghadeer Sultan , Alhossan Abdulaziz , Al Arifi Mohamed N. 
Published: November 2022

Background and objectiveNumeracy is the branch of mathematics involved in understanding basic calculations, quantitation, estimation, reasoning, and execution of multistep operations. It is very imperative that pharmacists understand and apply numeracy skills in their routine work in the interest of their profession and patient care. This observational study was designed to assess the pharmacy student's perceptions of numeracy.MethodsA prospective observational study was conducted by the Department of Pharmacy, King Saud University, Kingdom of Saudi Arabia, between December 2021 and February 2022. All the enrolled subjects pursued a 5-year Pharma degree course at the university using a 9-item instrument, which accessed the perception of students toward numeracy. The data were analyzed using the statistical software statistical package for social science (SPSS) version 26.0 (SPSS Inc., Chicago, IL, USA). Chi-square and Fisher's exact test were used to derive an association between various parameters of the study subjects. A P-value of &lt; 0.05 was taken as statistically significant.ResultsA total of 550 pharmacy students were approached in this study, out of which 21 (3.8%) students were excluded due to incompleteness of the responses; thereupon, 529 students were included in the study. We learned that almost 90.0% of students had excellent and/or good mathematical ability, but at the same time, they were frequent users of calculators. Most of the students endorsed the importance of numeracy and showed their interest in attaining more knowledge of numeracy. Similarly rating the perceptions of mathematical ability is significantly associated with the frequency of use of a calculator for calculations (p = 0.0001).ConclusionPharmacy students showed interest in numeracy and correspondingly showed excellent perceptions toward mathematical ability. Although the role of numeracy has been well accepted, inciting changes in teaching-learning practices through mathematically focused teaching approaches throughout the pharmacy program will increase its applicability in healthcare.
Global health-based virtual exchange to improve intercultural competency in students: Long-lasting impacts and areas for improvement
Authors: Case Stuart J. , Collins Sarah L. , Wood Elizabeth A. 
Published: November 2022

IntroductionAs public health expands its role in global settings, the need to develop intercultural competency for public health students also grows. One initiative being applied to promote global awareness is the use of virtual exchange (VE) programs. VE programs promote collaborative online international learning (COIL) and allow students from different countries to connect and work together on projects related to their field of study; however, there is little research around the long-term impacts of these programs.MethodsUndergraduate pre-health students from the United States who participated in a VE program a year prior were interviewed about their experiences engaging with undergraduate medical students in Egypt. They were asked if the experience impacted their current behaviors, skills, or knowledge, and what improvements could be made to the program. Mezirow's Transformative Learning Theory (TLT) served as the theoretical framework, grounding interview instrument development and directed content analysis procedures. Researchers also engaged in inductive analysis to capture other salient themes.ResultsTen students were interviewed with a majority engaging in either of the two final stages of Mezirow's TLT: “building of self-confidence and self-competence” (60%) and “reintegration” (50%). Other salient themes found were intercultural interactions, VE appreciation, and VE improvements. When describing their experience in one word, students overwhelmingly provided words with positive connotations (80%), with the negative responses being explained by the structure and presentation of the VE.DiscussionStudents were able to apply lessons they learned during the VE within a 1-year follow-up period. This is beneficial, as health professionals require intercultural competency to promote and provide improved health outcomes. Results from this study indicate the need for structure when conducting a VE, addressing the need to increase the number of direct interactions and thereby promoting more intercultural exchanges. Likewise, the interviews demonstrated that changes in course instruction need to be implemented gradually to allow for students to adjust to unfamiliar teaching methods.
Nontuberculous mycobacteria by metagenomic next-generation sequencing: Three cases reports and literature review
Authors: Liu Ying , Ma Xiaoxu , Chen Jiajun , Wang Huifen , Yu Zujiang 
Published: November 2022

BackgroundThe increasing worldwide incidence of nontuberculous mycobacterial lung disease (NTM-LD) and the similarity of its manifestations to those of tuberculosis (TB) pose huge challenges in the diagnosis and treatment of NTM-LD, which is commonly misdiagnosed and mistreated as TB. Proper diagnosis and treatment at an early stage can greatly improve patient outcomes.Case presentationMycobacterium avium was identified by mNGS in lung tissue of case 1 and bronchioalveolar fluid from case 2 that was not identified using conventional microbiological methods. Multiple NTM species were detected in the blood mNGS samples from case 3 who had disseminated NTM infection. Although NTM was isolated from blood culture, conventional methods failed to identify the organisms to the level of species. All three patients were suffering from and being treated for myelodysplastic syndrome, rheumatoid arthritis, systemic lupus erythematosus, or acute lymphoblastic leukemia, making them immunosuppressed and susceptible to NTM infections. Case 1 and Case 2 significantly improved after anti-NTM treatment, but case 3 succumbed to the infection due to her underlying medical illness despite aggressive treatment.ConclusionsThe cases in this study demonstrate the effectiveness of mNGS in facilitating and improving the clinical diagnosis of NTM infections. We propose combining mNGS with traditional diagnostic methods to identify pathogens at the early stages of the disease so that targeted treatment can be implemented.
Theoretical spectra and energetics for c-C3HC2H, l-C5H2, and bipyramidal D3h C5H2
Authors: Watrous Alexandria G. , Westbrook Brent R. , Fortenberry Ryan C. 
Published: November 2022

The recent astronomical detection of c-C3HC2H and l-C5H2 has led to increased interest in C5H2 isomers and their relative stability. The present work provides the first complete list of anharmonic vibrational spectral data with infrared intensities for three such isomers as well as including the first set of rotational data for the bipyramidal C5H2 isomer allowing for these molecules to serve as potential tracers of interstellar carbon. All three isomers have fundamental vibrational frequencies with at least one notably intense fundamental frequency. The l-C5H2 isomer has, by far, the highest intensities out of the three isomers at 2076.3 cm−1 (738 km mol−1) and 1887.5 cm−1 (182 km mol −1). The c-C3HC2H isomer has one intense peak at 3460.6 cm−1 (84 km mol−1), and the bipyramidal C5H2 isomer has one intense peak at 489.3 cm−1 (78 km mol−1). The relative intensities highlight that while l-C5H2 is not the lowest energy isomer, its notable intensities should make it more detectable in the infrared than the lower energy c-C3HC2H form. The bipyramidal isomer is firmly established here to lie 44.98 kcal mol−1 above the cyclic form. The explicitly correlated coupled cluster rovibrational spectral data presented herein should assist with future laboratory studies of these C5H2 isomers and aid in detection in astronomical environments especially through the newly operational James Webb Space Telescope.
Розрахунок параметрів функціональної системи дихання для оптимізації вибору режимів штучної вентиляції легенів
Authors: Аралова Наталя Ігорівна , Радзійовський Павло , Радзійовська Марія 
Published: November 2022

Різноманітні процеси, що відбуваються в організмі, є керованими, тобто їхній стан визначається в залежності від конкретного впливу на них керуючої сторони. При цьому природним є намагання вибрати оптимальний керуючий вплив, найкращий у порівнянні з іншими можливими способами керування. Зрозуміло, що живому організму для оптимізації вибору керуючого впливу необхідно здійснити імітацію на математичній моделі, яка дозволила б у режимі реального часу імітувати збурення і прогнозувати функціональний стан організму внаслідок цих збурень. Це стосується, зокрема, прогнозування реакції функціональних систем організму при вірусному захворюванні. У роботі узагальнено математичну модель функціональної системи дихання, яка враховувала б різний характер руху повітря в повітроносних шляхах (ламінарний, турбулентний, змішаний). Складовими частинами моделі є моделі транспортування респіраторних газів у повітроносних шляхах, альвеолярному просторі, крові легеневих капілярів, артеріальній крові, крові тканинних капілярів, тканинах і змішаній венозній крові та самоорганізації системи дихання та кровообігу. Запропонована обчислювальна процедура може бути застосована з урахуванням масиву індивідуальних даних для вибору режимів штучної вентиляції легенів у разі важкого перебігу COVID-19.
MANAGEMENT TECHNIQUES TO INCREASE THE EFFICIENCY OF TEAM ACTIVITY
Authors: Boykov Daryan , Djordjevic Stefan 
Published: November 2022

The reasons for the increased use of teams to solve various problems are varied. Competitive pressure and changing markets require a constant increase in the efficiency and adaptability of economic units. Greater business flexibility is needed to be able to respond more quickly and effectively to new challenges. The provision of material needs is no longer at the forefront; much more emphasis is placed on the content of the work and the satisfaction from it. The teams create the best opportunity to solve these reconstruction tasks. Fewer errors in production, fast modeling and implementation of new, complex, service-oriented processes are achieved only when employees do not act as ordered, but because they have their own attitude and can be implemented in new structures and processes.
Teamwork skills are complex because they include communication skills, decision-making skills, ability to express opinions and defend a position, skills to plan and organize various activities, ability to comply with another's position, etc. Behind these skills are specific behaviors that can support successful teamwork. This work requires from all a different profile of competencies and behavior from that in hierarchical structures. In order for a person to deal with the already mentioned factors and to transpose the knowledge from the successful teamwork, it is necessary not only to know these factors, but also to be clear and apply them correctly in teamwork in the course of various situations and challenges. It is the changed requirements in the interpersonal behavior of managers and team members that must be taken seriously and the corresponding behaviors studied.
Effective teamwork requires tact, understanding and respect not only from the leader but also from the team members. Common understanding is the formula for pleasant and fruitful work, helps to achieve much-needed peace of mind in the workplace and increases people's desire to work, stimulates innovation and innovation, and motivates progress. Managing a team is not easy even in the most favorable times. In order for the team to work towards a common goal and to succeed in difficult situations, the leader and all team members must adhere to mandatory rules to increase the effectiveness of the team.
Handwashing Education for Students at SDN CIMANGANTEN I Due To Prevent Covid-19
Authors: Hamdani Siva , Novianti Aan , Khofifah Paula , Apionita Sagita , Nurhasanah Santi 
Published: November 2022

Abstract
Covid-19 has been declared a pandemic that has spread to almost all countries in the world. One of the recommended precautions is washing hands with soap, because the Covid Virus can last a long time sticking to objects. Children are vulnerable to contracting Covid-19, children are individuals who are actively moving and need assistance when playing in a pandemic situation so they are not infected. This community service activity aims to increase students' knowledge and understanding of washing hands with soap to cut the spread of the virus and other diseases. The activity was carried out with live demonstrations and the distribution of educational videos on WHO's 6 steps hand washing method. The target of the activity was 30 students of SDN Cimanganten I. The analysis was carried out on the understanding questionnaire before and after education with a pair of T test assisted by SPSS software and a significance result of 0.000 was obtained which indicated that there was a significant effect on hand washing education (6 WHO steps) on the understanding of SDN Cimanganten I students.
Keywords: Hand washing, Covid-19, Education.
Abstrak
Covid-19 telah ditetapkan sebagai pandemik yang telah menyebar hampir ke seluruh negara di dunia . Salah satu pencegahan yang direkomendasikan adalah mencuci tangan dengan sabun, karena Virus Covid dapat bertahan lama menempel pada benda. Anak-anak termasuk rentan tertular Covid-19, anak-anak merupakan individu yang aktif bergerak dan memerlukan pendampingan saat bermain di situasi pandemi supaya tidak tertular.Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan pemahaman siswa terhadap cuci tangan pakai sabun agar memutus penyebaran virus dan penyakit lainnya. Kegiatan dilakukan dengan demonstrasi langsung dan penyebaran video edukasi cara cuci tangan 6 langkah WHO. Sasaran kegiatan adalah siswa SDN Cimanganten I sebanyak 30 orang. Analisa dilakukan terhadap kuisioner pemahaman sebelum dan sesudah edukasi dengan pair T test yang dibantu software SPSS dan diperoleh hasil signifikansi 0,000 yang menunjukan bahwa adanya pengaruh yang bermakna edukasi mencuci tangan (6 langkah WHO) yang dilakukan terhadap pemahaman siswa SDN Cimanganten I.
Kata Kunci: Cuci tangan, Covid-19, Edukasi.
Non-insulin therapy in diabetic inpatients: SGLT2- inhibitors and incretins for the care of hospitalized patients
Authors: Brunori, G.  
Published: November 2022

Hyperglycemia is a common event in hospitalized patients and it is an independent marker of morbidity and mortality in both critically and non-critically ill patients. Maintaining a good glycemic control in the hospital setting improves patient outcomes and reduce costs of hospitalization. The insulin therapy has so far been the main hypoglycemic treatment used in the hospital setting, but it requires trained healthcare personnel and can determine a non-negligible risk of hypoglycemia. In the recent years the use of hypoglycemic drugs with innovative mechanisms of action, such as glycosurics (the sodium-glucose co-transporter 2 inhibitors, SGLT2-i) and incretinomimetics (the agonists of the glucagon - like peptide - 1, GLP-1 RA, and dipeptidyl-peptidase IV inhibitors, DPP4-I) has increased in diabetic outpatient care. Nowadays the use of these drugs is recommended by the most recent guidelines on the management of diabetes for the notable advantages in terms of cardiovascular safety and efficacy. However, there are still few data available on their use in inpatients that could support their adoption in routine clinical practice. A wider consumption of these drugs could notably reduce the need for insulin therapy in hospital, even if it is important to consider possible side effects and availability in the hospital formulary. The purpose of this review is to analyze data from the international literature on possible indications and limitations of glycosurics and incretinomimetics in the hospital setting, particularly regard safety and tolerability in some specific contexts. We can conclude that it is reasonable to propose the use of glycosurics and incretinomimetics in non-critical patients with specific comorbidities DPP4-I in elderly and frail patients or with renal insufficiency; GLP1-RA in patients in secondary prevention or with high cardiovascular risk; SGLT2-i in patients with heart failure. KEY WORDS diabetes; inpatient; therapy; incretinomimetics; glycosurics.
A Novel Attack Identification Mechanism in IoT-Based Converter-Composed DC Grids
Authors: Gong Sicheng , Dragicevic Tomislav , Mijatovic Nenad , Zhang Zhe 
Published: November 2022

<p>This paper proposes a novel attack identification mechanism for internet-of-things-based (IoT-based) converter-composed DC grids, where each agent collects its own and neighbours' measurement data for output regulation to meet a preceding power-sharing consensus. Independent from model-free or average-model-based attack detection theories, this mechanism is mainly inspired by converter stitching behavior analysis. Correspondingly, when facing latent signal substitution or agent instigation attacks, through comparing estimated signals with received ones for signal source authentication, both self-sensors and neighbours will be inspected. Eventually, not only can such attacks be detected, but also will respective attack sources be identified. A simulation case of 4-agent 800V IoT-based DC grid on Simulink and a hardware case of 3-agent 90V IoT-based DC grid on dSpace testing platform were investigated. Experimental results revealed that the estimation ratio error kept lower than 3.9% and all attacks were successfully identified, verifying the effectiveness of the proposed mechanism. </p>
Continuous Intravenous Lidocaine for Acute Pain Management Post Laparotomy Surgery: A Case Series
Authors: Wahyuningsih Sri , Charles Wijaya  
Published: November 2022

Introduction: Acute post-operative pain can lead to prolonged use of opioids and progress to chronic pain. Multimodal analgesic approaches have replaced the use of opioid monotherapy, but opioid use continues and contributes to inadequate acute pain management. Intravenous lidocaine has analgesic, anti-hyperalgesic, and anti-inflammatory effects. This study aims to describe post-operative pain management using intravenous lidocaine.
Case presentation: There were two cases. The first was a 32-year-old female patient with suspected interrupted ectopic pregnancy who underwent emergency laparotomy under spinal anesthesia and, after 2 hours, was converted to general anesthesia. Postoperatively, the analgesic lidocaine was given as a 52 mg intravenous bolus followed by a continuous 36 mg/hour/syringe pump. The patient's VAS scale was initially 2/10, and on the third day, 1/10 continued treatment. In the second case, an 18-year-old male patient with suspected acute appendicitis underwent a midline incision laparotomy appendectomy with spinal anesthesia. Postoperatively, lidocaine was given a slow bolus of 75 mg intravenously, finished in 5 minutes, then 50 mg/hour/intravenously. The patient's VAS scale was initially 2-3/10 until on the third day. He was transferred to a room with a VAS of 1-2/10.
Conclusion: Lidocaine is an effective intravenous analgesic to treat acute pain after laparotomy surgery. Administration of relatively low doses can achieve post-operative analgesia without concern for toxicity.
Intravenous Magnesium Sulfate for Acute Pain Management After Laparotomy Surgery: A Case Series
Authors: Kardiansyah Umar Nur Rahmat , Nursurya Wirawan  
Published: November 2022

Introduction: Perioperative pain management is indicated to relieve patient complaints, allow early mobilization after surgery, reduce the duration of hospital stay, and provide a better level of satisfaction. This study aims to describe the use of magnesium sulfate in post-laparotomy patients.
Case presentation: There were two cases, and the first was a 41-year-old female patient with endometrial cysts and adenomyosis who underwent laparotomy under general anesthesia. The patient was given magnesium sulfate 30 mg/kgBW 20 minutes before induction, then a continuous dose via a syringe pump 10 mg/kgBW/hour until the operation was completed. This patient showed an NRS scale 1 hour after surgery 1/10 and after 24 hours a maximum of 3/10. The second case was a 42-year-old female patient with suspected Leimiosarcoma who underwent a total hysterectomy and bilateral salpingoovorectomy under general anesthesia. Patients also received the same administration of magnesium sulfate and were assessed on the NRS scale up to 2 hours postoperatively 1/10 and after 24 hours a maximum of 2/10.
Conclusion: Magnesium sulfate is used as an adjuvant in postoperative analgesia and analgesic therapy to treat acute or chronic pain and has antinociceptive effects due to NMDA receptor blocking, making it useful for the prevention of central sensitization.