Special Unit Research Articles

Ambulatory models for autologous stem-cell transplantation: a systematic review of the health impact.

Autologous stem-cell transplantation (ASCT) is the standard of care for the management of multiple myeloma and has a well-established role in the treatment of some types of lymphoma. Over the last decades, the number of ASCT performed has increased significantly, leading to elevated pressure and cost for healthcare services. Conventional model of ASCT includes the admission of patients to a specialized Transplant Unit at any stage of the procedure. To optimize healthcare provision, ambulatory (outpatient/at-home) setting should be the focus moving forward. Thus, ambulatory ASCT model permits reducing average hospital stays and pressures on healthcare services, with significant cost-saving benefits and high degree of patient and caregiver satisfaction. In addition, it facilitates the bed resource for other complex procedures such as allografts or CAR-T cell therapy. The aim of this systematic review is to document the health impact, feasibility and safety of the outpatient/at-home ASCT models, which are increasingly being applied around the world.

Lost in transition: Perspectives from women and their families living in rural Australia on relocation for specialist maternal and neonatal care

ProblemFamilies living in rural communities need to relocate, be transferred or travel long distances to access specialist maternal and neonatal care, leading to isolation from their support networks. BackgroundHigh-risk maternal and neonatal complexities in rural maternity units results in more transfers and retrievals to metropolitan services. There is limited understanding of the physical and psychological impacts for women and their families when they are transferred or displaced from their rural communities during pregnancy. AimTo investigate the lived experience of relocation for specialist pregnancy, birthing, postnatal and neonatal care on women and families. MethodsWomen (n=5) and partners (n=4) from rural South Australia, participated in semi-structured interviews on their experiences of transfer from local maternity providers. Couples interviewed together, interactions were recorded, transcribed verbatim and thematically analysed to identify overarching and sub-themes. FindingsThe overarching theme was ‘mismatched expectations’, with three identified sub-themes: ‘communication’, ‘compassion’ and ‘safety’. Discrepancies between expectations and realities during relocation left participants feeling isolated, alone and needing to self-advocate during this vulnerable period. Despite receiving specialist care, women and partners encountered unique hardships when separated from their rural community. Their social needs were poorly understood and seldom addressed in specialist units, resulting in poor experiences. DiscussionConsideration regarding the impact of attending specialist maternity services for women and partners from rural areas is required. The ‘one size fits all’ approach for maternity care is unrealistic and research is needed to improve the experiences for those uprooted from rural communities for higher levels of care.

Leveraging Enterprise Architecture to Empower KOMINFO's Business Core Operations: A PMO Perspective

The Sky Bridge (Tol Langit) Program is an Indonesian government’s strategic project aimed at digital transformation in the 3T regions (Tertinggal, Terdepan, Terluar - Underdeveloped, Frontline, Outermost). It requires thorough planning and integrated management for its implementation. A specialized unit with a helicopter view perspective is needed to ensure and oversee the alignment of processes. This important role is managed by the Project Management Office (PMO). One of the challenges PMO faces in ensuring an end-to-end process alignment is identifying the appropriate digital resources to support the process. This is where the Enterprise Architecture (EA) framework plays a crucial role as a blueprint for the organization's digital landscape. This reference helps map out existing data, applications, and business processes. Having this blueprint allows PMO to have a holistic view and make targeted decisions. EA also helps identify existing applications that can be integrated with new programs, avoiding unnecessary duplication. The use of ArchiMate, a language for enterprise architecture modeling, assists PMOs in planning digital transformations considering all aspects - business needs, applications, and technology. In short, a well-defined EA framework empowers PMOs to navigate the complexities of digital transformation in the telecommunications sector to ensure the successful implementation of the Sky Bridge Program.

Building a Special Pathogen Response Center from the Ground Up

Background: In September 2022, UNC Hospitals was awarded a Regional Emerging Special Pathogens Treatment Center (RESPTC) grant by the U.S. Department of Health and Human Services Administration for Strategic Preparedness and Response (ASPR) to care for up to two patients with viral hemorrhagic fever, or similar pathogen, and up to ten patients with novel respiratory pathogens. Intensive infection prevention efforts and timely multidisciplinary commitment was required to develop the Space, Strategy, Staff, and Stuff needed to care for patients with a special pathogen. Methods: Multiple space needs assessments were undertaken to acquire spaces for the care of patients, simulation training, and a dedicated laboratory. Strategies for developing the response plan required collaboration with hospital executives, nursing leadership, public health leaders, and regional partners. Staff were recruited across various disciplines to join the response team and were provided hands-on skills training which was assessed by post-training surveys. Specialized ‘stuff’ (i.e., PPE, training equipment, and waste management devices) were researched and procured for use by the team. Results: Patient care and dedicated laboratory space was identified within existing infrastructure, and renovation plans were developed to adapt the space for these specialized activities. A waste management plan that benefits the hospital for routine waste and allows for Category A waste management was approved. Fifty-three staff members were recruited from 3 main disciplines (RNs, MDs, Paramedics), and across numerous settings (Medicine Acute Care & ICU, Pediatric ICU & Stepdown, Air Care/Transport, Burn ICU, Surgery Stepdown, Emergency Medicine, Infection Prevention, Infectious Disease) were trained during five 4-hour training sessions, culminating in an exercise involving transporting a rule–out Ebola patient to the hospital’s special pathogens unit. Post-training evaluations demonstrated a very high level of confidence (‘strongly agree’) in staffs’ knowledge about the RESPTC site (92.3%), special pathogens (80.8%), collaboration needed for managing patient care (80.8%), and in their comfort with special PPE donning and doffing (73.1%). Conclusions: Using a systematic approach to develop Space, Strategy, Staff, and Stuff, a large academic hospital readied itself to become a new RESPTC site. Key lessons learned include the importance of a multidisciplinary response team; local, state, and regional coordination for care planning and delivery; and early community partnership development. Logistical infrastructure and waste management challenges continue to require partnership with hospital leadership to optimize workflows and patient care. Holistic decision-making around infrastructure has led to changes that benefit all hospital patients and offer efficiencies toDisclosure: William Fischer: Consultant - Roche, Merck, Inhalon Biopharma; Speaker for ACGME - IMG. David J Weber: Consultant on vaccines: Pfizer; DSMB chair: GSK; Consultant on disinfection: BD, GAMA, PDI, Germitec

An Analysis of Inclusive Education Provisions in Matabeleland North Province in the Ministry of Primary and Secondary Education in Zimbabwe

The aim of this study was to explore the issues, realities and challenges regarding the provision of special needs education in Matabeleland North Province of Zimbabwe. Inclusive Education Provision is making sure that teaching and the curriculum, school buildings, classrooms, play areas, transport and toilets are appropriate for all children at all levels. The literature pointed on limited resources, including funding, specialized staff, assistive technologies and accessible facilities as in existence in rural schools. Teachers’ preparedness has been put to question in Matabeleland schools as they seem to lack the necessary training to effectively teach students with diverse needs in their schools. The research was exploratory as no attempts were made to establish causal relationships and guided by the qualitative approach. A case study design was used to collect, present and analyse data. The population included purposively selected special schools and schools with special classes, resource units, integrated classes and inclusive classes in Matabeleland North Province. Purposive sampling was preferred and representative sample composed of ten school heads, five specialist teachers and ten parents. Open-ended questionnaires and structured interviews were used to collect and gather data respectively. The study concluded that schools have made attempts in enhancing inclusive education provisions in Matabeleland North Province, although it is important to note that there are still challenges and areas for improvement. For successful inclusion, it was concluded that the Provincial Education Office requires a comprehensive approach that involves addressing attitudinal barriers, providing adequate resources and training, promoting collaboration and ensuring accessible environments as there is no commitment to continuous improvement and on-going dialogue among all stakeholders involved in the education of students with special educational needs. The study recommended that schools need to foster an inclusive school culture that values diversity, inclusivity and respect for all students without discriminating them. It was also recommended that schools need to involve parents and the community in the inclusive education processes.

Glomerular Filtration Rate in Sick Neonates: A Focus on Cystatin C

Background: The use of creatinine as an endogenous marker of estimated glomerular filtration rate (eGFR) is well-established in clinical practice, despite its limitations. As a step toward limiting this drawback, cystatin C and various biomarkers came into use in determining renal function. In sick neonates, various pathologies may impair renal function thus, underscoring the need for accurate estimation of glomerular filtration rate (GFR). Aims and Objectives: This study aimed at evaluating the use of cystatin C in estimating the GFR of sick neonates in comparison to creatinine. Materials and Methods: A hospital-based descriptive study was conducted at a tertiary center in North Central, Nigeria, for 4 months. One hundred and seventy-three sick neonates admitted into the special care baby unit were recruited. Blood was sampled at admission for determination of serum creatinine and cystatin C levels, while a repeat sample for creatinine was taken 48 hours after. GFR was estimated using the Schwartz formula for creatinine and the Zappitelli equation for cystatin C and compared with an inulin reference. Results: The median (interquartile range [IQR]) eGFR derived from cystatin C was 48.8 (21.0) mL/min/1.73 m2, it was higher than the median creatinine-derived GFR at admission and was of statistical significance. It is also approximated closer to the inulin reference. The median (IQR) eGFR derived from creatinine at admission was 21.2 (21.4) mL/min/1.73 m2. Creatinine-derived eGFR was significantly lower in babies with asphyxia and neonatal sepsis compared to those who did not have these diagnoses. Cystatin C-derived eGFR showed no variation between the various diagnoses. Conclusion: In conclusion, cystatin C is a useful and unbiased determinant of eGFR in sick neonates as compared to creatinine.

TERM FORMATION IN THE LEXICAL-SEMANTIC FIELD “CHEMICAL ENGINEERING” IN MODERN ENGLISH: STRUCTURAL AND DERIVATIONAL ASPECTS

Background. In modern linguistics, research is being carried out on the methods of term formation in the lexical-semantic fields of various spheres of human activity. The purpose of the article is to study term formation in modern English in the lexical-semantic field “chemical engineering” based on structural and derivational aspects. The structural aspect means component analysis, which allows us to identify the number of special lexical units in a terminological combination. Materials and methods. A sample of special lexical units (363) from English-language articles in the chemical industry is presented as material for the study. Descriptive, structural, typological, as well as the method of component analysis were used to study the material. Results. The most common and less common structural models have been identified based on the partial compatibility of components, as well as the lexical length of special lexical units, i.e. the number of components in a terminological combination. The morphological features of special lexical units have been determined. Analysis of grammatical derivation allowed us to identify linear models, including affixation and compounding, as well as non-linear models represented by abbreviations, for example, abbreviations, combinations with abbreviations, nomenclature units, combinations with nomenclature units and word mergers with truncation of word stems. The semantic aspect of the analysis of special lexical units allowed us to identify a few anthroponyms, as well as units with internal predication. Scope of application of the results. The results of the study can be used for further research on term formation in lexical-semantic fields.

ІНКЛЮЗІЯ В УКРАЇНІ: СУЧАСНІ ВИКЛИКИ

The article is devoted to a theoretical and practical analysis of the problem of inclusion: formation and development, features of educational inclusion, and mechanisms of implementation of inclusive higher education. Based on the analysis of regulatory documents and scientific research, the authors determine the most significant stages of the formation and development of inclusion in Ukraine. The requirements for specialists needed by the modern domestic education system have been analyzed. The article emphasizes the trends in the process of invalidation of the population of Ukraine. The authors determine the expediency and necessity of wide implementation of educational inclusion in the system of higher education, in particular: ensuring free access of all higher education applicants to educational and methodical materials and creating the necessary special units. On the basis of the analysis of the results of the conducted survey, the possible ways of solving the current problems of educational inclusion in the higher education system are substantiated and characterized: support of the teaching staff in the organization of an inclusive educational environment in the institution of higher education; support for education seekers who belong to the category of persons with special needs; financing and implementation of regulated and guaranteed mechanisms for financial support of higher education institutions; technical and methodological support of the educational process. Also, emphasis is placed on electronic inclusion, which is interpreted as a social movement aimed at overcoming the digital divide among different categories of the population. It was found that the appropriate level of organization of an inclusive educational environment is observed in institutions of general secondary education. Instead, HEIs need more active involvement of specialists, technical equipment and financial support for effective educational inclusion. An important factor is the availability of computer equipment: ensuring access to free or low-cost computers, in particular through the implementation of special target programs, charity projects, etc. It is also relevant to search and exchange data to diversify the ways of obtaining education for persons with special educational paths, to ensure effective interpersonal communication despite temporal and spatial boundaries.

Information management design for higher education

Background of the study: The existence of information management unit is important for the continuity of information life cycle. However, in reality, not all institutions have this unit. This research was conducted to provide an overview of information management at universities that do not yet have a special information management unit. Purpose: This research aims to provide a design information management that can be applied, especially at the UIN Malang or other public universities; especially those that have similar conditions with this university. Method: This study utilized a qualitative method and a case study approach. Through in-depth interviews with parties who understand the flow of the university’s work. In addition, observations were conducted at other institutions with comparable structures to develop a workable information management design for this institution. Findings: An information management design at Universitas Islam Negeri Malang can be implemented with policies and division of work in certain units owned by this university. Conclusion: A workflow, especially for information management, must be implemented with commitment from all units involved, so that the absence of a related unit does not become a barrier to information management.

INTEGRATING LUWU CULTURE INTO ENGLISH LEARNING: A DEVELOPMENT OF CUSTOMIZED MATERIALS FOR NURSING STUDENTS

This research aimed to fulfill the need of nursing students to master English with the integration of local culture. This research was conducted at Kurnia Jaya Persada Health and Business Institute, Palopo City, South Sulawesi, Indonesia, from March to May 2023. This study was a research and development through four stages: (1) needs analysis, (2) material design, (3) try-out, and (4) material revision. The need analysis was done by administering the questionnaire to 32 nursing students and interviewing four English lecturers in the study program. The English material developed consists of seven units. The tasks in each unit integrate the language aspects and skills. The materials for nursing provided are vocabulary and expressions in the health field also English skills for nursing. The features of Luwu local culture in the material are the local names in the tasks; the pictures of the traditional letters, costumes, houses, and sites; the reading text about the culture and history of Luwu; the specialized unit entitled ‘My Local Culture’; the sub-topic about cross-culture communication; and the video about Luwu culture. The English material was judged by the four English lecturers with a mean score of 96.3. The material is valid with revision. The total response of the students toward the English material, after having the try-out stage, is 95.8% agree. The students have positive responses toward the English material.

Predictors of mortality among low birth weight neonates after hospital discharge in a low-resource setting: A case study in Uganda.

Most neonatal deaths occur among low birth weight infants. However, in resource-limited settings, these infants are commonly discharged early which further exposes them to mortality. Previous studies on morbidity and mortality among low birth weight infants after early discharge mainly focused on very low birth weight infants, and none described post-discharge neonatal mortality. This study aimed to determine the proportion and predictors of mortality among low birth weight neonates discharged from the Special Care Baby Unit at Mulago National Referral Hospital in Uganda. This was a prospective cohort study of 220 low birth weight neonates discharged from the Special Care Baby Unit at Mulago National Referral Hospital. These were followed up to 28 completed days of life, or death, whichever occurred first. Proportions were used to express mortality. To determine the predictors of mortality, Cox hazards regression was performed. Of the 220 enrolled participants, 216 (98.1%) completed the follow-up. The mean gestational age of study participants was 34 ±3 weeks. The median weight at discharge was 1,650g (IQR: 1,315g -1,922g) and 46.1% were small for gestational age. During follow-up, 14/216 (6.5%) of neonates died. Mortality was highest (7/34, 20.6%) among neonates with discharge weights less than 1,200g. The causes of death included presumed neonatal sepsis (10/14, 71.4%), suspected aspiration pneumonia (2/14, 14.3%), and suspected cot death (2/14, 14.3%). The median time to death after discharge was 11 days (range 3-16 days). The predictors of mortality were a discharge weight of less than 1,200g (adj HR: 23.47, p <0.001), a 5-minute Apgar score of less than 7 (adj HR: 4.25, p = 0.016), and a diagnosis of neonatal sepsis during admission (adj HR: 7.93, p = 0.009). Post-discharge mortality among low birth weight neonates at Mulago National Referral Hospital is high. A discharge weight of less than 1,200g may be considered unsafe among neonates. Caregiver education about neonatal danger signs, and measures to prevent sepsis, aspiration, and cot death should be emphasized before discharge and during follow-up visits.

Solusi Akad Murabahah bil Wakalah Pada Perbankan Syariah di Indonesia

A country's economic development can grow if its business sector is doing well. To maintain the existence of business growth, a source of financing capital is needed. This research aims to critically examine the murabahah bil wakalah financing contract in Islamic banking and provide solutions to these problems. This research uses a qualitative method. This study is descriptive analytic in which data collection is carried out by reviewing the literature then analyzing and interpreting the content to produce conclusions and recommendations. The results of the study suggest that there are several problems that occur in the murabahah bil wakalah contract, including goods that are not fully owned by the bank, moral hazard in customers, and an explanation of the cost and profit. The solution is that banks are expected to form a special unit to purchase goods for customers, the need to emphasize the contract at the beginning of the transaction to prevent moral hazard, and the activeness of the sharia supervisory board in overseeing all transactions carried out at Islamic banks.

Assessment of Neonatal Mortality amongst Sick Neonates in the Special Care Baby Unit of a Tertiary Institution in Orlu, Nigeria

Introduction: Neonatal mortality constitutes more than 41% of under 5 mortality in sub-Saharan Africa, despite advancement in technology and concerted effort aimed at decreasing under-five mortality. This study aims at assessing the risk factors and causes of neonatal mortality among sick infants in the special care baby unit (SCBU); focused at identification of possible areas of improvement in care and result. Methods: A retrospective review of medical records of sick neonates admitted into SCBU of Imo State University Teaching Hospital Orlu. Sociodemographic and clinical characteristics of 214 sick neonates that died was obtained out of the 948 admitted/treated over a five year period (2018-2022). Descriptive statistics was used to summarize data, logistic regression at 95% level of significance was used to determine association between independent variables and neonatal death. Values of p &lt; 0.05 were considered significant. Results: A total of 948 sick neonates were admitted into SCBU, with a neonatal mortality rate of 22.6%. Complications of prematurity 78 (36.7%), severe birth asphyxia 63(29.6%) and neonatal sepsis 31(14.6%) are the leading causes of death with majority of death occurring in the first 24 hours of life 130(60.8%). Low birth weight [OR=2.59 (95% CI 1.84-3.54)], prematurity [OR=2.79 (95% CI 2.03-3.83)] and spontaneous vaginal deliveries [OR=1.85 (95% CI 1.32-2.60)] were positively associated with increased mortality. While Caesarean section as mode of delivery [OR=0.54 (95% CI 0.38-0.76)] and birth weight &gt;2.5-4.0kg [OR=0.46 (95% CI 0.34-0.64)] significantly reduced neonatal mortality. Conclusion: Neonatal mortality rate is still unacceptably high, with complications of prematurity, severe birth asphyxia and neonatal sepsis contributing the highest percentage of poor outcome (death). Low birth weight, prematurity, and spontaneous vaginal deliveries were positively associated with increased mortality. Multidisciplinary measures aimed at reduction of neonatal morbidity and mortality such as improving the utilization of antenatal care services, quality of care at delivery, at the neonatal intensive care unit needs be strengthened.

The Effectiveness of Patrol Implementation by the Padang Police Traffic Unit in Combating Wild Racing

One of the efforts made to prevent Kamtibmas disturbances by the Police is to conduct patrols, which are regulated in the Regulation of the Head of the Security Maintenance Agency of the National Police of the Republic of Indonesia Number 1 of 2017 concerning Patrols. This is important because it is an essential need for everyone in various aspects of life, and is free from all worries, threats, disturbances of kamtibmas. One of the triggers for kamtibmas disturbances is the wild racing action that occurred in Padang City. Research is descriptive analytical with a normative juridical approach supported by an empirical juridical approach. Based on the results of research and analysis obtained first, the effectiveness of the implementation of patrols by the Padang Police Traffic Unit in tackling wild racing has not been maximally proven until now there are still wild racing actions at several road points in Padang City. In addition, the actions of the Police only use repressive measures, namely fines based on traffic violations. Second, the obstacles encountered in the implementation of patrols by the Padang Police Traffic Unit in tackling wild racing include internal obstacles , namely the absence of a Special Unit that handles wild racing actions so that it is limited to control and disbandment, as well as the lack of personnel of the Padang Police Station considering the large number of illegal racing actors who often move around in holding wild racing actions. External constraints are the absence of integrated cameras with traffic units at road points that are used as wild racing actions so that patrols must still be carried out directly to areas prone to wild racing and betting culture among people who love speed racing and the absence of special facilities and places or racing arenas in Padang City.

Experiences of parents of individuals with intellectual disabilities after the 2023 Kahramanmaraş earthquakes in Türkiye: a phenomenological study

Individuals with intellectual disabilities and their parents, who encounter many barriers in daily life, may experience even more serious problems when faced with a devastating disaster such as an earthquake. For effective earthquake preparation, it is important to identify these problems before the earthquake. However, studies examining the earthquake experiences of individuals with intellectual disabilities and their parents are quite limited. In this context, the aim of the current study was to explore the experiences of parents of individuals with intellectual disabilities who were affected by the 2023 Kahramanmaraş earthquakes in Türkiye. This study used the phenomenological qualitative research design. In this study, there were 16 parents, who have children with intellectual disabilities and participated in face-to-face interviews. Interview data were analyzed thematically. Two overarching themes were found: (1) low level of earthquake preparedness, and (2) inaccessible needs. The findings revealed that the majority of parents of individuals with intellectual disabilities made few preparations for the earthquake, could not access many of their needs during and after the earthquake, and could not find a special unit for individuals with disabilities to explain their problems.

Managing Learning Skills to Improve the Learning Quality of Children with Mild Intellectual Disability SLB Sukagalih and SLB ABC YPLAB Lembang, West Bandung Regency, West Java

This study focused on managing learning skills to improve the learning quality of children with mild intellectual disability SLB Sukagalih and SLB ABC YPLAB Lembang, West Bandung Regency, West Java. Vocational learning programs for mild intellectual disability in special high school education units have not been properly managed to meet employment demands. The mismanagement is mainly caused by several factors, including the teachers' skillset that is not suitable for the skills needed in the field, the inadequate facilities and infrastructure, and the management of skills learning has not been carried out as needed. This study aims to determine what management of skills learning will likely improve its quality for children with mild intellectual disability at special needs schools so that the graduates can be accepted in the work field. Data collection was conducted through observation, interviews, and documentation study. The results showed that: 1) the work skills type selection given to students is not entirely based on the work fields’ requirement but rather more often refers to the skills mastered by the teacher, 2) work skills learning implementation has been carried out starting from planning, implementation, evaluation, and follow-up. 3) the obstacles schools and teachers face in implementing skills learning are no available assessment for various work skill types, the children who lack confidence, and lack of trust from the community about their employability. 4) Improvement efforts made by schools and teachers are choosing the skill types suitable to the work field, increasing the teacher's ability to master work-related skills, and establishing cooperation with the job providers. Recommends school and teacher to improve the collaboration with the job providers and make written agreements for both parties to provide a legal foundation in conduct cooperation.

Modern Power Problems Training of Military Officers of Special Purpose Units

Topicality. The growing requirements for the level of functional capabilities of the body of servicemen of special purpose units require scientists, together with specialists from the Armed Forces of Ukraine, to develop effective mechanisms for improving the system of military training. The Goal of the Work. Studying the problem of the feasibility of implementing the results of modern research on adaptive changes in the body in the conditions of different load regimes into the process of military training of military personnel of special purpose units. Research Methods. The work uses a theoretical analysis and generalization of scientific literature and a sociological survey method. 25 physical training instructors in the Armed Forces and 84 servicemen of special purpose units (SPUs) took part in the study. The key issues were related to military training in the Armed Forces. A comparative analysis of the answers of instructors and servicemen with the results of research by leading scientists studying modern mechanisms for improving power capabilities was carried out. Research Results. It was established that the results of the survey of physical training instructors in the Armed Forces and military personnel of the Ukrainian Armed Forces in matters related to the use of control methods for adaptive changes in the body and load correction mechanisms do not fully correspond to the data presented by modern, mostly foreign scientists. Thus, in the modern system of force training of foreign armies, physiological, morphofunctional and biochemical methods of controlling adaptive changes in the body are actively used, and in the Armed Forces of Ukraine, as the results of our survey showed, only the heart rate indicator. Also, the Armed Forces do not use methods of quantitative assessment of force load parameters, which does not allow for the development of optimal load regimes for each category of servicemen. Conclusions. On the basis of the conducted research, it can be stated that the instructors and servicemen of the PSP who participated in the survey only minimally realize the potential that can be obtained in the process of military training. The absence of a mechanism for developing optimal load modes, their correction, and integral control of adaptive changes in the body will not allow to selectively increase the maximum strength or strength endurance indicators of the relevant muscle groups necessary for the implementation of combat tasks in a short period of time.

A Rare Case of Early Onset Neonatal Sepsis by Burkholderia Cepacia In Special Care Newborn Unit of a General Hospital

A Rare Case of Early Onset Neonatal Sepsis by Burkholderia Cepacia In Special Care Newborn Unit of a General Hospital

Design and analysis of a conical origami tube (COT) composed of quadrilateral unit cells

Kresling origami is a topic that is constantly being researched, especially when it comes to the cylindrical mechanisms made up of special quadrilateral units. It’s also fascinating that the conical mechanisms based on the Kresling pattern are gaining more attention lately. However, designing conical mechanisms with stable behavior and solving the stress concentration in crease areas for practical engineering applications remains less researched. Therefore, this study considers quadrilateral unit cells as the research object, designs a conical origami tube (COT), and establishes a theoretical model with five variables to systematically investigate the COT. Based on this, the design domain related to the design variables is proposed, and the COT is analyzed in three cases. We further explored the influence of η (conical degree) on the COT. In addition, this study implements a cutting design on each crease vertex to reduce the impact of stress concentration on the nonlinear response through finite element shell models and uniaxial compression experiments. The findings of this study reveal that the setting of η and the crease-cutting design have a remarkable impact on the mechanical properties and stability behavior.

‘Closing the Gap’: How is the Use of Non-Mainstream Schools Related to the Educational Outcomes of Children in Public Care?

Abstract In high-income countries, children ‘in care’ have, on average, much lower educational attainment than their peers. We explore the hypothesis that this gap can be lessened by reducing the use of non-mainstream schools (NMS). We analysed a national longitudinal data-set comprising state-educated children eligible for national examinations in 2013 at the age of sixteen years (n = 642,805), including a sub-sample of 4,847 children looked after continuously in state care for at least a year on 31 March 2013 (CLA12). Nearly four out of ten CLA12 were in NMS at the age of sixteen years: this proportion varied widely between authorities. The academic attainment of those in NMS was very low and lower on average in authorities making high use of NMS. These differences were not explained by differences in child characteristics. We argue that care removes children from stress at home and offers them an opportunity to realise their academic potential. However, concentrating children with very low attainments, behavioural problems or highly specialised needs in long-term settings makes it difficult to realise this potential. Real needs for individualised teaching in a supportive setting should be flexibly met in mainstream schools, special units within these schools or, at the most, short-term placements in NMS.