Complete Access Research Articles

Factors Impacting Use of Health IT Applications

Nowadays, information technology tools are widely used in the healthcare industry to record and integrate medical data so as to provide complete access to patients' information for coordinated healthcare delivery. Yet, the efficacy of these technologies depends on their successful implementation for, adoption by and/or adaptation to support health professional workers such as physicians and nurses. This study addresses the impact of specific factors including result observability, autonomy, perceived barriers, task structure, privacy and security anxiety on the nurses' perception of their performance using health information technologies. Additionally, the effects of nurses' personality factors are examined as moderating factors on the relationships between the organizational factors and nurses' perception of performance. Multiple linear regression was applied to validate the proposed research model and professional autonomy, result observability, privacy and security anxiety were found to be key factors predicting the nurses' perception of performance.

Social media and bitcoin metrics: which words matter.

We develop a new Data-Driven Phasic Word Identification (DDPWI) methodology to determine which words matter as the bitcoin pricing dynamic changes from one phase to another. With Google search volumes as a baseline, we find that Reddit submissions are both correlated with Google and have a comparable relationship with a variety of bitcoin metrics, using Spearman’s rho. Reddit provides complete access to the text of submissions. Rather than associating sentiment with market activity, we describe the DDPWI method for finding specific ‘price dynamic’ words associated with changes in the bitcoin pricing pattern through 2017 and 2018. We assess the significance of these changes using Wilcoxon Rank-Sum Tests with Bonferroni corrections. These price dynamic words are used to pull out associated words in the submissions thereby providing the context to their use. For example, the price dynamic word ‘ban’, which became significantly higher in frequency as prices fell, occurred in the context of both government regulation and internet companies banning cryptocurrency adverts. This approach could be used more generally to look at social media and discussion forums at a granular level identifying specific words that impact the metric under investigation rather than overall sentiment.

CETAF Collection Dashboard: Mapping natural history collections diversity

Several initiatives aim to map the diversity of Natural History (NH) collections and standardise their descriptions. The Global Registry of Biodiversity Repositories (GRBio) is the most recent global registry. Unfortunately the server has been down since mid-2018 but the Global Biodiversity Information Facility (GBIF) recently "rescued" this data. In addition to this, the One World Collection exercise is a set of high-level collection descriptors (size, group coverage and geographic distribution) supporting a common strategy between the largest world institutions. Despite these efforts, a large part of the NH collections remains digitally unavailable and digitisation at the specimen level will take several decades. A new NH collections dashboard is needed in order to harmonise the efforts of the institutions. The Consortium of European Taxonomic Facilities (CETAF) is a good place to introduce this excercise. CETAF’s members hold over half of the world’s NH collections, representing 80% of the world's bio- and geo-diversity. Most of these collections are now engaged in the preparation for the common process of the Distributed System of Scientific Collections (DiSSCo, European Strategy Forum on Research Infrastructure). Additionally in Belgium, the Royal Belgian Institute of Natural Sciences (RBINS), Royal Museum of Central Africa (RMCA), Meise Botanic Garden (MBG) and CETAF have joined efforts to set up a common research portal (Natural Heritage, BRAIN-be project). The goal is to link together several collection management systems (CMS) and to (re)create links between isolated collection items. The CETAF collections dashboard splits the information into small metadata units related to topics relevant to the collections (taxonomy, geographic distribution, digitisation strategy and coverage, stratigraphy, etc.). The model allows for the creation of new units without a complete modification of the database structure. All units are defined by the Dublin Core and by fields derived from the Innovation and consolidation for large scale digitisation of natural heritage (ICEDIG) d2.3 deliverable (van Egmond et al. 2019). The object hierarchy allows for the creation of sub-collections and preserves the unity of the information. The CMS has an internal object database with a full index and a faceted search interface. It also has web services and XLS (Microsoft® Excel®) import/export functionalities. The collection dashboard also includes a complete workflow and access rights management at the object level. This is important for the information that is protected by the EU General Data Protection Regulation (GDPR). The dashboard is now being evaluated with the collections hosted by the partners of Natural Heritage. The system will be proposed to CETAF members and connections will be established with the international portals such as the GBIF or the future DiSSCo portal.

Applications of Manpower Levels for Business with various Recruitment Rates in the System Through Stochastic Models

Aim of the present study is to find the crisis in the steady state and steady state of probabilities with various circumstances which might be manpower, in irregular situations of complete accessibility and zero accessibility in the system of business, manpower along with recruitment. The various state has been conversed under the various assumptions that the transition from one state to another with different parameters.

Telecommunication access business model options in Maluku and Papua, the less-favored business regions in Indonesia

PurposeThis paper aims to provide feasible business model options that benefit all stakeholders; the government, the investor and especially the inhabitants in Maluku and Papua, the less-favored business regions in Indonesia.Design/methodology/approachThree feasible business model options result from ICT for development literature, current role of the government, other models and investment scheme review, statistical analysis, technology analysis and investment simulations.FindingsThis paper proposes three different feasible business model options. The infrastructure subsidy model, which combines 20 per cent private investment and 80 per cent government subsidy, is the most feasible business model based on investment simulations. This model which combines 20 per cent private investment and 80 per cent government subsidy provides stronger determination of Indonesian Government for serving rural and remote people. The revenue subsidy and the mixed project subsidy are alternative models that may provide more attractive schemes from the standpoint of investors.Research limitations/implicationsHowever, current paper has limitation which is subject to enhance for better analysis in future research such as implementation of the in-depth assessment of risk management system to deal with all exposed risks.Practical implicationsThis paper provides that setting up a complete telecommunication access infrastructures in eastern Indonesia is feasible under new proposed models.Social implicationsThe new proposed models provide stronger determination of Indonesian Government for serving rural and remote people and minimizing the digital divide in eastern area.Originality/valueUnder the new proposed models, the role and capacity of the government is adjusted. The government should dominate and be less dependent on private investment. Also, the government should shift from triggering service penetration into developing a complete infrastructure set up.

SENTINEL FOR APPLICATIONS IN AGRICULTURE

Abstract. The European Union and the European Space Agency (EU/ESA) have promoted since 1998 (Baveno Manifesto*) the GMES Programme (Global Monitoring for Environment and Security), nowadays called Copernicus (www.copernicus.eu). In the agriculture domain, the use of Copernicus Sentinel imagery and its services are providing several new opportunities. The knowledge of fundamentals of Earth Observation/Geographic Information EO/GI, namely Geomatics, for the development of innovative strategies for professional skills adequacy and capacity building, supporting Copernicus user uptake, becomes mandatory (Gomarasca, 2009). The target is to help bridging gaps between supply and demand of education and training for geospatial sector (www.eo4geo.eu). The innovative and strategical novelties are the complete free access to Sentinel time series imagery and digital image processing software “Sentinel toolboxes” such as SNAP (Sentinel Application Platform) for different environments (Windows, Mac, Unix). The paper introduce topics as crop mapping and monitoring, biophysical parameters, phenology and yield estimations, through several concluded or ongoing international projects such as: ERMES -FP7 (http://www.ermes-fp7space.eu/it/homepage/, Busetto et al. 2017) and SATURNO (https://www.progettosaturno.it/, Nutini et al., 2018) devoted to the regional agricultural monitoring. As conclusion, SNAP software for image processing of Sentinel data was demonstrated and tested together with Earth Engine software for specific vertical agriculture applications. The topics reported in this paper have been part of the Summer School ‘Sentinel for Applications in Agriculture’ supported by the Copernicus programme, several scientific associations (AIT, ASITA, EARSeL - European Association of Remote Sensing Laboratories), the European Erasmus+ project EO4GEO, University Departments and Geo-Information Companies.

Why SQL Injection Attacks Are Still Plaguing Databases

This article describes how SQL injection has been a long-standing problem in database security. It is understandable why injection is considered number one because of the sheer number of web applications that exist currently. An injection attack can allow an attacker to gain complete access of a database which oftentimes contains sensitive information. This results in a loss of confidential information which places consumers at a huge risk.

A path-following simulation-based study of elastic instabilities in nearly-incompressible confined cylinders under tension

Recent experiments on hydrogels subjected to large elongations have shown elastic instabilities resulting in the formation of geometrically intricate fringe and fingering deformation patterns. In this paper, we present a robust numerical framework addressing the challenges that emerge in the simulation of this complex material response from the onset of instability to the post-bifurcation behavior. We observe that the numerical difficulties stem from the non-convexity of the strain energy density in the near-incompressible, large-deformation regime, which is responsible for the coexistence of multiple equilibrium paths with vastly-different, sinuous deformation patterns immediately after bifurcation. We show that these numerical challenges can be overcome by using sufficiently-high order of interpolation in the finite element approximation, an arc-length-based nonlinear solution procedure that follows the entire equilibrium path of the system, and an implementation enabling parallel, large-scale simulations. The resulting computational approach provides the ability to conduct highly-resolved, truly quasi-static simulations of complex elastic instabilities. We present numerical results illustrating the ability of the path-following approach to describe the full evolution of fringe and fingering instabilities observed experimentally in recent experiments of confined cylindrical specimens of soft hydrogels subject to tension. Importantly, we observe that the robustness of the static solution procedure enables complete access to the multiplicity of solutions occurring immediately after the onset of bifurcation, as well as to the settled post-bifurcation states.

Rapid Gender Analysis and its use in crises: from zero to fifty in five years

ABSTRACTThis article explores how and why the international non-government organisation, CARE, developed its own system of gender analysis, Rapid Gender Analysis (RGA), during the humanitarian response in Syria. The article tracks and reviews a sample of the first 50 CARE RGA reports to share recurrent gender themes that emerge across them, including the lack of women’s meaningful participation in decision-making, limitations on women and girls’ mobility, increased risks of gender-based violence, and recurring issues facing humanitarian organisations in providing a gender-sensitive response. RGA has now been used in more than 50 crises around the world and is featured as a good practice in the Inter-Agency Standing Committee Gender Handbook. It is giving humanitarians faster and more complete access to information about gender norms than ever before. But, this article asks, has the RGA made a difference and, if so, to whom?

DESCRIPTION OF PERSONAL PROTECTIVE EQUIPMENT USED OBEDIENCE IN WASTE PROCESSING WORKERS OF DR. SOEGIRI HOSPITAL

The use of Personal Protective Equipment (PPE), is a way to control and reduce the risk of accidents. Worker of waste processing facility was handling the election process until destruction that can cause various diseases when not using PPE. The general objective of this research wa to study the description of the factors that related to PPE using compliance in waste processing workers in Dr Soegiri Hospitals. This study was an observational study. 7 workers who do waste processing in Dr Soegiri Hospitals was the population study. The studied variables were described of the relationship between knowledge, attitude, availability of PPE, PPE accessibility, training in the use of PPE, supervision, warning, punishment with compliance in using PPE. Results showed that the respondents have good knowledge and had a positive attitude, PPE was available, easy PPE accessibility, partly following a training in using PPE, was not routinely given a warning, never get punishment but only warning, most of the respondents use the PPE. Respondents who had knowledge and a good attitude, had good compliance in the use of PPE. Availability of PPE was complete and easy accessibility, but not all the respondents always comply to used PPE and respondents who received training more than once tend to be more comply. In a regular monitoring, the compliance of the respondents in the use of PPE tend to be better. Respondents who did not often reprimanded then had higher compliance and all respondents has never gotten punishment. The conclusion was the predisposing, enabling and reinforcing could give reinforcement in PPE use (compliance). Based on the research results expected that always using PPE needed, as well as management were suggested for training and increase surveillance that can motivate workers in the use of PPE. Keyword: personal protective equipment; compliance; hospital waste

Inducing Disorder in Order: Hierarchically Porous Covalent Organic Framework Nanostructures for Rapid Removal of Persistent Organic Pollutants.

The key factor responsible for fast diffusion and mass transfer through a porous material is the availability of a widely open pore interior having complete accessibility from their surface. However, because of their highly stacked nature, ordered two-dimensional (2D) materials fail to find real-world applicability, as it is difficult to take advantage of their complete structure, especially the inner cores. In this regard, three-dimensional (3D) nanostructures constructed from layered two-dimensional crystallites could prove to be advantageous. However, the real challenge is to cultivate a porous nanostructure with ordered pores where the pores are surrounded by crystalline walls. Herein, a simple yet versatile in situ gas-phase foaming technique has been employed to address these cardinal issues. The use of baking soda leads to the continuous effervescence of CO2 during the crystallization of foam, which creates ripples and fluctuations on the surface of the 2D crystallites. The induction of ordered micropores within the disordered 3D architecture synergistically renders fast diffusion of various guests through the interconnected pore network. The high-density defects in the hierarchically porous structure help in ultrafast adsorption (<10 s) of various pollutants (removal efficiency of 99%) from water, all of which would lead to significant environmental benefit. The pseudo-second-order rate constant for the BPA pollutant is 182.3 g mg-1 min-1, which is the highest among all the literature reports to date. The high removal efficiency (highest efficiency of 94% and average efficiency of 70%) of a persistent organic pollutant has been attended for the first time.

Use of a modified Outerbridge-Kashiwagi procedure for the treatment of posttraumatic elbow sequelae

To review our 10-year experience treating posttraumatic sequelae of the elbow using a modified Outerbridge-Kashiwagi (O-K) procedure. Twenty-one patients with posttraumatic sequelae of the elbow treated using the technique were evaluated clinically using the Mayo Elbow Performance Score, range of motion testing, and pain level. We noted the presence of preoperative and postoperative ulnar nerve symptoms, complications, and reoperations. Open contracture release was selected to address either removal of hardware or ulnar nerve pathology. At a mean of 39 months (range, 12-116 months), the Mayo Elbow Performance Score improved from 52 to 84 (P < .0001)and the mean arc of motion improved from 44° to 98° (P < .0001). At the final follow-up, 90% of patients reported no pain or mild pain, and 81% of patients had a satisfactory objective result. In 15 of 21 cases (71%), it was necessary to mobilize the ulnar nerve. After contracture release, 1 patient developed new onset ulnar nerve symptoms. Three patients underwent reoperation: 2 for recalcitrant contracture and 1 for new onset ulnar nerve symptoms. The mini-open O-K procedure is safe and effective in restoring function in patients with retained hardware and posttraumatic contracture. Posttraumatic arthritic patients often require both removal of hardware and neurolysis of the ulnar nerve. The mini-open O-K procedure allows complete access to the elbow joint, which facilitates release for both intrinsic and extrinsic contracture.

Local Time-Domain Spherical Harmonic Spatial Encoding for Wave-Based Acoustic Simulation

Volumetric time-domain simulation methods, such as the finite difference time domain method, allow for a fine-grained representation of the dynamics of the acoustic field. A key feature of such methods is complete access to the computed field, normally represented over a Cartesian grid. Simple solutions to the problem of extracting spatially encoded signals, necessary in virtual acoustics applications, result. In this letter, a simple time-domain representation of spatially encoded spherical harmonic signals is written directly in terms of spatial derivatives of the acoustic field at the receiver location. In a discrete setting, encoded signals may be obtained, at very low computational cost and latency, using local approximations with minimal number of grid points, and avoiding large convolutions and frequency-domain block processing of previous approaches. Numerical results illustrating receiver directivity and computed time-domain responses are presented, as well as numerical solution drift associated with repeated time integration.

The SFS summer research study at UMBC: Project-based learning inspires cybersecurity students

May 30–June 2, 2017, Scholarship for Service (SFS) scholars at the University of Maryland, Baltimore County (UMBC) analyzed the security of a targeted aspect of the UMBC computer systems. During this hands-on study, with complete access to source code, students identified vulnerabilities, devised and implemented exploits, and suggested mitigations. As part of a pioneering program at UMBC to extend SFS scholarships to community colleges, the study helped initiate six students from two nearby community colleges, who transferred to UMBC in fall 2017 to complete their 4-year degrees in computer science and information systems. The study examined the security of a set of “NetAdmin” custom scripts that enable UMBC faculty and staff to open the UMBC firewall to allow external access to machines they control for research purposes. Students discovered vulnerabilities stemming from weak architectural design, record overflow, and failure to sanitize inputs properly. For example, they implemented a record-overflow and code-injection exploit that exfiltrated the vital application programming interface (API) key of the UMBC firewall. This report summarizes student activities and findings and reflects on lessons learned for students, educators, and system administrators. Our students found the collaborative experience inspirational; students and educators appreciated the authentic case study; and IT administrators gained access to future employees and received free recommendations for improving the security of their systems. We hope that other universities can benefit from our motivational and educational strategy of teaming educators and system administrators to engage students in active project-based learning centering on focused questions about their university computer systems.

Kinetic Resolution and Dynamic Kinetic Resolution of Chromene by Rhodium-Catalyzed Asymmetric Hydroarylation.

A highly efficient kinetic resolution and dynamic kinetic resolution of chromene is reported for the first time and they procced by a rhodium-catalyzed asymmetric hydroarylation pathway. This new approach offers versatile access to various chiral 2,3-diaryl-chromanes containing vicinal stereogenic centers, as well as the recovered chiral flavenes, in high yields with excellent ee values (s factor up to 532). Particularly noteworthy is that this strategy can be further extended to the establishment of a dynamic version of the kinetic resolution of chromene acetals and allows complete access to chiral isoflavanes and α-aryl hydrocoumarins.

Kinetic Resolution and Dynamic Kinetic Resolution of Chromene by Rhodium‐Catalyzed Asymmetric Hydroarylation

AbstractA highly efficient kinetic resolution and dynamic kinetic resolution of chromene is reported for the first time and they procced by a rhodium‐catalyzed asymmetric hydroarylation pathway. This new approach offers versatile access to various chiral 2,3‐diaryl‐chromanes containing vicinal stereogenic centers, as well as the recovered chiral flavenes, in high yields with excellent ee values (s factor up to 532). Particularly noteworthy is that this strategy can be further extended to the establishment of a dynamic version of the kinetic resolution of chromene acetals and allows complete access to chiral isoflavanes and α‐aryl hydrocoumarins.

An in vivo comparative evaluation of antimicrobial efficacy of chitosan, chlorhexidine gluconate gel and their combination as an intracanal medicament against Enterococcus faecalis in failed endodontic cases using real time polymerase chain reaction (qPCR)

AimTo evaluate the in vivo antibacterial efficacy of 2% chlorhexidine gel (CHX), 2% chitosan (CS) gel and their combination as an intracanal medicament against Enterococcus faecalis during endodontic retreatment procedure, with the use of qPCR. MethodA total of 45 single rooted permanent teeth were selected from 28 systemically healthy patients (mean age of 43 years). After complete disinfection and access opening as well as gutta-percha (GP) removal, the first microbiological pretreatment sample (S1) was collected. After completion of instrumentation, a post-instrumentation sample (S2) was taken and the teeth were randomly divided into three experimental groups: 2% CHX gel; 2% CS gel; 2% CHX with CS; Fuji IX glass ionomer cement was used to seal the access; after 7 days, the post medication sample (S3) was collected and E. faecalis was quantified using qPCR. ResultsMaximum reduction in bacterial mean CFU (×106) counts was observed between S1 and S2; S2 and S3; S1 and S3 in 2% CHX with chitosan group compared to other groups. Percentage reduction in CFU (×106) counts at different time intervals (S1-S2; S2-S3; S1-S3) was maximum for the 2% CHX with the chitosan group. Comparison of the mean CFU (×106) count within the 2% CHX gel group and the 2% CHX with chitosan group at different time intervals (S1,S2,S3) was found to be highly significant (P = 0.001); whereas in group II, it was significant (P = 0.002). Conclusion2% CHX with chitosan group showed the highest microbial reduction against E. faecalis during retreatment of failed endodontic cases.

Electronic Patient-Reported Outcome Validation: Disablement in the Physically Active Scale.

Determining patient outcomes is essential to quality health care. Administering electronic patient-reported outcomes measures (PROMs) offers potential advantages, including faster completion and efficient data access and storage. However, commonly used PROMs have not been studied across multiple administration modes, limiting clinicians to paper forms until the electronic versions are validated. To determine the validity of an electronic version of the Disablement in the Physically Active (DPA) scale compared with the paper version. Electronic and paper versions of the DPA scale were randomly administered to 117 participants (38 women, 79 men; age = 21.6 ± 5.9 years) 24 to 48 hours apart. Responses were compared using Pearson product moment correlations, canonical correlations, and covariance modeling. The electronic version of the DPA scale was strongly correlated with the paper version when compared using a bivariate correlation (r = 0.86, P < .001) or covariance modeling approach (r = 0.90, P < .001). The electronic version of the DPA scale was comparable with the paper version, making the former more efficient for use in athletic training. This study provides a template for other clinician-researchers to perform similar evaluations of electronic PROMs to determine their equivalency with the paper versions before implementing them in practice.

Understanding the patterns of technology and internet use for academics by undergraduate medical students in a teaching hospital of North India

Background: E-learning or computer-based learning has been incorporated into medical education in many countries. Readiness to utilize this medium merits exploration in the Indian context. Therefore, we aimed at assessing the current patterns of technology and internet use by undergraduate medical students in a tertiary care teaching hospital, focusing on their use for academics and their views on e-learning. Materials and Methods: This cross-sectional study was conducted using a self-administered questionnaire among undergraduate medical students in the first 4 years of the study. The data generated were entered into Microsoft Excel and analyzed using SPSS version 22. Descriptive analysis and comparison of proportions were done using Chi-square test. Results: A total of 212 students responded, with a mean (±standard deviation) age of 20 years (±1.54) and 70.3% of males. There was universal access to technological devices with complete internet access. Internet was used primarily for entertainment (99.1%) and WhatsApp (97.2%), with 86.8% use in academics. Most students accessed the internet multiple times each day. Majority of the students (90.6%) used social networking sites and were open to using it for academics. Reliability of the material found online was a concern (83.5%), and most (63.2%) were interested in further training. Only a quarter of the students had utilized medical e-learning material online, and a majority (77.4%) were willing to incorporate it into the curriculum feeling that it would benefit them (64.6%). Conclusions: Incorporating e-learning tools into the medical curriculum needs to be considered for undergraduate medical studies, owing to its availability and readiness for utilization.

O vínculo no tratamento da tuberculose na atenção primária à saúde: uma revisão integrativa

Objective: To describe how the bond has contributed (or not) to the management of Tuberculosis (TB) care in Primary Health Care (PHC). Methods: This is an integrative review of the literature, carried out in the Latin American and Caribbean Health Sciences (LILACS), International Literature in Health Sciences (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus and Web of Science databases, from complete scientific articles and open access, published between 2009-2019 in Portuguese, English, and Spanish languages, as well as those that, in their results, addressed aspects related to the thematic of the study. Results: 151 articles were selected in the databases, of which 134 were excluded because they did not meet the previously established criteria, and 17 scientific articles were chosen at the end to be read and analyzed in their entirety. Potentiating and hindering elements were identified for the construction, establishment, and strengthening of the bond in the management of TB in PHC. Conclusion: This review points out the need for new discussions on the subject, through the identification of bottlenecks in the organization and performance of health services, aiming at the implementation of integrated and intersectoral actions, from the understanding of aspects that make it difficult to reorientation practices and service offerings, intending to build a new paradigm of care for TB patients.