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Objectives: The study examines the impact of changes on dental education and practice in Europe, including the development of new practice models such as investor-owned dental centers and practice chains. Method and materials: This study aimed to collect and critically examine data regarding the care environment, education, and organizational structures of the dental profession across European Regional Organization of the FDI World Dental Federation (ERO) member states and other countries in the World Health Organization European region. A questionnaire from the ERO was used. Results: National dental associations across 45 countries participated. An average of 1,459.79 (SD±800.80) inhabitants per dental practitioner was found, with independent practices being the most prevalent form of dental practice (48.65%±28.28%) followed by employment in private practice (24.32%±20.33%), and joint practices (15.27%±20.39%). There are statistically significantly more state universities than private universities (P<.01); the percentage of females attending dental schools was statistically significantly higher than males (P<.01). Two-thirds of the participating countries (n = 30, 66.67%) have legal frameworks allowing various stakeholders, including investors, and local communities, to establish dental health care centers. Conclusions: The findings highlight the evolving landscape of the dental profession in Europe and its regulatory context. There is a clear need for ongoing evaluations and adjustments in educational and practice frameworks to ensure and maintain high-quality oral health care. Future research should delve into the various professional dental practice forms and incorporate qualitative, care-related, and patient-centered considerations for a more thorough understanding of Europe's oral health care dynamics. [ABSTRACT FROM AUTHOR]

Protein function alteration and protein mislocalization are cancer hallmarks that drive oncogenesis. N6‐methyladenosine (m6A) deposition mediated by METTL3, METTL16, and METTL5 together with the contribution of additional subunits of the m6A system, has shown a dramatic impact on cancer development. However, the cellular localization of m6A proteins inside tumor cells has been little studied so far. Interestingly, recent evidence indicates that m6A methyltransferases are not always confined to the nucleus, suggesting that epitranscriptomic factors may also have multiple oncogenic roles beyond m6A that still represent an unexplored field. To date novel epigenetic drugs targeting m6A modifiers, such as METTL3 inhibitors, are entering into clinical trials, therefore, the study of the potential onco‐properties of m6A effectors beyond m6A is required. Here we will provide an overview of methylation‐independent functions of the m6A players in cancer, describing the molecular mechanisms involved and the future implications for therapeutics. [ABSTRACT FROM AUTHOR]

Independent oil palm smallholders in Indonesia contributed significantly to the sustainable of Crude Palm Oil (CPO) supply chain. On the other hand, sustainability in the process of implementing the supply chain system for independent smallholders is an issue that is extremely important for the success of the supply chain system for the CPO company. This study's objective is to develop an alternative business model with the goal of strengthening the interaction that already exists between independent farmers and cooperatives in ensuring the existence of a supply chain for raw materials and having access to financial resources, knowledge, and technology. The selection of the research location considered several factors, including the size of the area's oil palm plantations, the number of oil palm farmers who are self-sufficient, and the possibility of locating CPO plant. Study findings that, the new model by business canvas analysis as the upgraded model of existing model business recommended that it should be built based on the cooperative palm oil family which provides farmers with access to financial, replanting, intensification, and extensification and infrastructure by APKASINDO, BPDPKS, Bank, and other stakeholders to sustain the FFB supply chain in cooperation through a partnership program in a long-term scheme. This whole system was developed by corporate farming system based on the cooperative as the off taker of FFB farmers and develop mini plant CPO to produce cooking oil and biofuels and by product as the waste management system as the value added for farmers. [ABSTRACT FROM AUTHOR]

The aim of this study is to test the suitability of the SoilGrids system for ecosystem reporting, research and monitoring. The study is conducted in the Rila Mountains in Bulgaria, an area characterised by diverse ecological factors. We propose a methodological approach to compare SoilGrids predictions with independent point observations, addressing issues of inconsistency across survey layers when combining data from different sources. The comparative analysis is discussed in respect to point data, soil type, altitude and climate. The results show that the SoilGrids represents the main soil parameters well in terms of their dynamics over the altitudinal range. There is a good agreement between the observed and predicted values for the averages of the parameters - bulk density, coarse fraction, soil organic carbon (SOC) content and SOC stock. The average measured SOC stock (0-30 cm) is 58.54 t/ha, while the average predicted SOC stock (0-30 cm) is 55.38 t/ha. However, the study also showed that the predicted values for nitrogen content are almost two times higher than the observed figures and the pH values from the SoilGrids are less acidic than those measured in the field.

This study aims to analyze strategies for strengthening independent character and responsibility in Islamic-based secondary schools, focusing on the implementation of humanistic concepts in learning. The research method used was qualitative, with data collection through observation, in-depth interviews, and document analysis at SMP IT Cahaya Bangsa Mijen Semarang. The collected data was analyzed using the Miles and Huberman approach, involving the stages of data reduction, data presentation, and conclusions. The results showed that strengthening independent character and responsibility is implemented through humanistic concepts, especially in building motivation and awareness of the importance of setting priorities in academic activities. The humanistic concept is reflected in the integration of PAI subjects version of the Ministry of Religion and CS IT with humanist character, presentation of Islamic Education material that supports an attitude of responsibility, and an assessment system that encourages honesty based on active and fun learning. The aspect of self-education is more strongly implemented through extracurricular activities based on religious values, such as memorization of the Quran, archery, swimming, scouts, and taekwondo. These five extracurriculars are considered important to increase perseverance, self-confidence, leadership, self-discipline, and mental strength as elements of independence. The school also involves parents in guided discussion activities, including home visits, communication through WhatsApp groups, and specific meetings at school, to ensure the effective implementation of independent character and responsibility for students. This research contributes to providing in-depth insights into character strengthening practices in Islamic-based secondary schools, providing a foundation for the development of further strategies in improving the quality of character education. Penelitian ini bertujuan untuk menganalisis strategi penguatan karakter mandiri dan tanggung jawab di sekolah menengah berbasis Islam, dengan fokus pada implementasi konsep humanistik dalam pembelajaran. Metode penelitian yang digunakan adalah kualitatif, dengan pengumpulan data melalui observasi, wawancara mendalam, dan analisis dokumen di SMP IT Cahaya Bangsa Mijen Semarang. Data yang terkumpul dianalisis menggunakan pendekatan Miles dan Huberman, melibatkan tahap reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa penguatan karakter mandiri dan tanggung jawab diimplementasikan melalui konsep humanistik, khususnya dalam membangun motivasi dan kesadaran akan pentingnya mengatur prioritas dalam kegiatan akademik. Konsep humanistik tercermin dalam integrasi mata pelajaran PAI versi Kemenag dan CS IT yang berkarakter humanis, penyajian materi Pendidikan Islam yang mendukung sikap tanggung jawab, serta sistem penilaian yang mendorong kejujuran berbasis pembelajaran aktif dan menyenangkan. Aspek pendidikan mandiri lebih kuat terimplementasikan melalui kegiatan ekstrakurikuler berbasis nilai-nilai keagamaan, seperti hafalan Al-Quran, panahan, renang, pramuka, dan taekwondo. Kelima ekstrakurikuler ini dianggap penting untuk meningkatkan ketekunan, rasa percaya diri, kepemimpinan, disiplin diri, dan kekuatan mental sebagai unsur kemandirian. Sekolah juga melibatkan orang tua dalam kegiatan diskusi terbimbing, termasuk kunjungan ke rumah, komunikasi melalui grup WhatsApp, dan pertemuan tertentu di sekolah, untuk memastikan efektivitas implementasi karakter mandiri dan tanggung jawab bagi siswa. Penelitian ini berkontribusi dalam memberikan wawasan mendalam tentang praktik-praktik penguatan karakter di sekolah menengah berbasis Islam, memberikan landasan bagi pengembangan strategi lebih lanjut dalam meningkatkan kualitas pendidikan karakter.

Abstract METTL3 and METTL14 are traditionally posited to assemble the m6A methyltransferase complex in a stoichiometric 1:1 ratio, modulating mRNA fate via m6A modifications. Nevertheless, recent investigations reveal inconsistent expression levels and prognostic significance of METTL3 and METTL14 across various tumor types, challenging their consistent functional engagement in neoplastic contexts. A pan-cancer analysis leveraging The Cancer Genome Atlas (TCGA) data has identified pronounced disparities in the expression patterns, functional roles, and correlations with tumor burden between METTL3 and METTL14, particularly in esophageal squamous cell carcinoma (ESCC). Knockdown experiments of METTL3 in EC109 cells markedly suppress cell proliferation both in vitro and in vivo, whereas METTL14 knockdown shows a comparatively muted effect on proliferation and does not significantly alter METTL3 protein levels. mRNA sequencing indicates that METTL3 singularly governs the expression of 1615 genes, with only 776 genes co-regulated with METTL14. Additionally, immunofluorescence co-localization studies suggest discrepancies in cellular localization between METTL3 and METTL14. High-performance liquid chromatography–mass spectrometry (HPLC–MS) analyses demonstrate that METTL3 uniquely associates with the Nop56p-linked pre-rRNA complex and mRNA splicing machinery, independent of METTL14. Preliminary bioinformatics and multi-omics investigations reveal that METTL3’s autonomous role in modulating tumor cell proliferation and its involvement in mRNA splicing are potentially pivotal molecular mechanisms. Our study lays both experimental and theoretical groundwork for a deeper understanding of the m6A methyltransferase complex and the development of targeted tumor therapies focusing on METTL3.

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Introduction: Up to one-third of patients with fragility hip fractures are totally dependent in the year following the injury which leads to later morbidity and mortality. Understanding the related factors that affect patients' ambulation helps health care providers prepare for the treatment plans to improve their functional outcomes. This study aimed to evaluate the factors associated with independent walking disability in the early postoperative period after fragility hip fractures. Material and methods: This retrospective cohort study involved 394 patients with fragility hip fractures with either intertrochanteric, subtrochanteric, or femoral neck fractures from January 2018 to June 2023. The related factors including preoperative demographics, perioperative, and postoperative factors, were collected and analyzed. The endpoint was the independent walking disability of patients at 6 weeks after surgery. Results: 110 patients (27.9%) were disabled, whereas 284 patients (72.1%) could walk independently at postoperative 6 weeks. The multivariable risk ratio regression analysis showed that patients with age ≥80 years (RR 1.65; 95% CI 1.21-2.25; P = 0.001), pre-fracture walking with the gait aid (RR 2.03; 95% CI 1.53-2.69; P < 0.001), having ≥2 underlying comorbidities (RR 1.63; 95% CI 1.19-2.23; P = 0.002), preoperative hypoalbuminemia (RR 1.74; 95% CI 1.32-2.29; P < 0.001), and presence of the postoperative medical complication (RR 2.04; 95% CI 1.37-3.02; P < 0.001) were significantly associated with independent walking disability at the early postoperative period of 6 weeks. Conclusions: Post-hip fracture surgery patients with the presence of postoperative medical complication have the highest risk of independent walking disability. Health care providers should concentrate on high-risk patients, correct the modifiable factors, and minimize any postoperative complications to improve functional recovery and decrease morbidity related to non-ambulation after fragility hip fractures. [ABSTRACT FROM AUTHOR]

During the test at the session, the student (extramural student) expands his knowledge and skills. When checking the work performed in the presence of the teacher, the latter, if necessary, can additionally talk with the student. [ABSTRACT FROM AUTHOR]

Independent oil palm smallholders in Indonesia contributed significantly to the sustainable of Crude Palm Oil (CPO) supply chain. On the other hand, sustainability in the process of implementing the supply chain system for independent smallholders is an issue that is extremely important for the success of the supply chain system for the CPO company. This study’s objective is to develop an alternative business model with the goal of strengthening the interaction that already exists between independent farmers and cooperatives in ensuring the existence of a supply chain for raw materials and having access to financial resources, knowledge, and technology. The selection of the research location considered several factors, including the size of the area’s oil palm plantations, the number of oil palm farmers who are self-sufficient, and the possibility of locating CPO plant. Study findings that, the new model by business canvas analysis as the upgraded model of existing model business recommended that it should be built based on the cooperative palm oil family which provides farmers with access to financial, replanting, intensification, and extensification and infrastructure by APKASINDO, BPDPKS, Bank, and other stakeholders to sustain the FFB supply chain in cooperation through a partnership program in a long-term scheme. This whole system was developed by corporate farming system based on the cooperative as the off taker of FFB farmers and develop mini plant CPO to produce cooking oil and biofuels and by product as the waste management system as the value added for farmers.

Local Election is considered not to reflect democracy, there are still obstacles in the form of a large percentage of support requirements that make it difficult for independent candidates. Responding to these problems, this study aims to explain the large percentage of support requirements that are burdensome for independent candidates and the importance of independent candidates in the local election. The research method used is literature study with a legal philosophy approach. The data are literature literacy materials related to the research theme. The results showed that the percentage of support for independent candidates in the local election was considered too large. So that it hinders and makes independent candidates unable to become candidates in the elections. This kills the life of democracy that is being built by Indonesia. Whereas the existence of independent candidates is important as a counterweight and a new color giver in the political saturation of the old ways that do not produce quality leaders. It is necessary to change the percentage of support for independent candidates so as not to hinder democracy.

This research attempts to describe several things including, (1) design of literacy and numeracy programs in elementary schools, (2) implementation of literacy and numeracy programs, (3) supporting factors for literacy and numeracy programs and (4) obstacles in implementing numeracy literacy programs. This study used descriptive qualitative method. The research results obtained include; (1) the design of the literacy and numeracy program at SD Negeri 17 Pontianak Kota District is generally carried out by adapting to the content related to literacy and numeracy contained in the independent curriculum and the 2013 curriculum which is currently being implemented in schools; (2) the results of the implementation of the literacy program have been implemented in 3 ways, namely habituation, learning and development; (3) supporting factors come from program targets and the government which helps facilitate literacy and numeracy programs, and (4) obstacles found in the form of low interest in reading and writing among literacy and numeracy program targets in schools. Thus, literacy and numeracy programs need to be implemented with various preparations and considerations so that they can run optimally for students and are of course in line with the applicable curriculum.

Reading has been capitalized in the education process. It has been put premium in the context of the learning recovery as the return of in-person of classes is observed. This action research aimed to examine the reading performance level of Grade One pupils of Camiing Elementary School before and after the employment of project RePACK (Reading Partnership between Challenged and Knowledgeable). This study further determined the aspects of the introduced intervention that facilitated their reading performance. The participants of the study were the 45 Grade one pupils of Camiing Elementary School School of Schools Division of Zambales in the school year 2022-2023. The data were gathered through a mixed method. The qualitative part employed thematic analysis to interpret the transcribed interviews. On the other hand, the quantitative one-group pretest-posttest design used the mean and paired sample t-test to measure the reading performance of the learners in the phases of treatment. The analysis of how the project RePACK facilitate their reading performance has emerged into two themes: availability of learning support, and access to reading resources. The level of learners' oral word recognition in the pre-intervention was found frustration and instructional in the post-intervention. Similarly, there was a leaped in progression of the reading comprehension of the leaners where they were marked frustration in the pre-test and independent in the post-test. Notably, there is a significant difference in the learners' reading performance level before and after the intervention. This outcome suggests that the project RePACK is effective in improving the reading performance of the learners. In this regard, school heads, teachers, and students are encouraged to adopt the intervention because of its efficacy. [ABSTRACT FROM AUTHOR]

Cloud services are now seeing significant advancements and have witnessed a growing demand. Hence, implementing Load Balancing is necessary to enhance resource usage by effectively distributing workload among numerous Virtual Machines (VMs). The present research aims to address task scheduling challenges and achieve efficient load balancing for all VMs by implementing a novel noncooperative load balancing algorithm called Multi-agent Independent Deep Q Networks (MAIDQN-LB) in cloud computing heterogeneous networks. The list of tasks is passed to MAIDQN-LB, which will search for a list of VM to be allocated, maintaining the load of all VMs. This procedure facilitates the identification of optimized VMs, the allocation of workloads based on the optimal solution derived from the analysis and optimize the performance parameters. The performance analysis considers essential parameters, including makespan time, average turnaround time, average response time, degree of imbalance (DI), task rejection rate (TRR), and convergence loss. The findings indicate that MAIDQN-LB demonstrates superior performance compared to the current system, exhibiting enhancements of 1.82% and 0.05% regarding DI and TRR. [ABSTRACT FROM AUTHOR]

Whether they are self-employed, atypical employees, or self-employed using an umbrella company, there is still almost no social protection against unemployment or partial loss of activity in Switzerland for platform workers. The same can be said for the self-employed in general. This contribution shows that platform workers, irrespective of their exact legal status, and the self-employed in general, risk sanctions for taking on unsuitable work, for being insufficiently available for decent work or unable to prove a loss of income. However hard they try, they cannot even contribute to a voluntary unemployment insurance scheme. We show that the Swiss social protection scheme, a product of years of federal direct democracy, is hardly able to adapt to the fast-moving platform work environment, thus increasing the risks of precariousness and the burden on the cantons' social assistance for the next generation. [ABSTRACT FROM AUTHOR]

Currently, there are three main shortcomings in meteorological drought indices: first, they rely on historical climate probability functions; second, the timescale used in calculations has a certain degree of subjectivity; third, the same index value may correspond to vastly different levels of actual drought in different climate types of regions. The purpose of this article is to establish a meteorological drought index that does not rely on historical meteorological element probability functions. Through theoretical derivation, four drought‐level maintenance lines are established on the cumulative precipitation‐cumulative water surface evaporation coordinate plane, and the coordinate quadrant is divided into five drought‐level areas. Through forward daily rolling accumulation, the maximum distance point is selected from the dynamically changing coordinate points to determine the corresponding cumulative precipitation and cumulative evaporation. The meteorological drought index is established by the distance from the selected coordinate point to each drought‐level maintenance line. Using daily precipitation and evaporation data from meteorological observation stations, the index is calculated based on the established meteorological drought index model, and compared with actual drought evolution and drought disaster records. The results show that the index can capture the development of drought well, and its changes are very consistent with drought disaster records. The index is of great significance for drought monitoring or assessment, and can provide guidance for water resource allocation, crop layout, and urban planning. Furthermore, it can also provide a way of thinking that does not rely on historical element probabilities for future drought research. [ABSTRACT FROM AUTHOR]

What does the future hold for Africa's independent publishing sector? This Logos special issue brings together book publishers from across the continent and beyond to talk about their publishing passions. Through interviews with more than a dozen African publishers – many of whom are women – we hear about the challenges of running a dynamic publishing business on a shoestring. We explore generational changes in publishing practices, ask if small is always beautiful, and offer a vision of hope for the future. [ABSTRACT FROM AUTHOR]

Background: There is mounting empirical evidence that interacting with nature delivers measurable benefits to people which include physical health, cognitive performance, and psychological well-being. Aim: This study aimed at understanding and exploring how the power of nature and colleagues and principal support assist teachers to adapt and cope with stressors. Setting: The study was conducted in a private high school that uses the Cambridge Curriculum. Most of the students are from middle- and high-income households in the Roodepoort and Honeydew suburbs. Three male and eight female teachers participated in this study, with a mean age of 27 years and an age range between 24 years to 52 years. All the teachers were white, and they taught various subjects and they do not profess any particular religion. Methods: The study adopted a generic explorative qualitative design. Data were collected using semi-structured interviews and incomplete sentences. Data were analysed using content analysis to arrive at the themes. Results: The themes that emerged during data analysis pointed out two major protective factors that enable teachers in this school to adapt and cope resiliently - the power of nature that surrounds the school (green space) and the principal and colleagues’ support in the school. Conclusion: Natural beauty that surrounds the school that resembled a park, as well as support of the principal and colleagues contributes teacher resilience in the school. Contribution: The findings from the study pointed out how school principal and colleagues could support teachers to cope and adapt to stressors, particularly the garden.

Education is a process of transforming knowledge from the teacher as an educator to his students as students. The teacher plays a very important role in improving the quality of the nation, a human being who has the character of karimah, in accordance with what was sparked by Nadhim Makarim in the independent learning curriculum that teachers must change, teachers must make changes in learning towards a better direction, learning in favor of students to achieve learning goals and create an environment learning that is conducive, comfortable, interesting and innovative, to welcome the independent learning curriculum teachers must continue to strive to develop their competencies, namely pedagogic competence, personal competence, social competence and professional competence. This study uses a descriptive qualitative approach with literature study methods and content analysis techniques to produce accurate data

This case study focused on middle school and high school teachers in an independent school to explore their perceptions of how overparenting influenced them in the classroom. A qualitative case study was conducted within an independent school in the southeast United States. Eleven middle school and high school teachers, which represented 52% of the full-time faculty at the school, participated in an online questionnaire and follow-up interviews regarding their experiences with overparenting. Findings revealed three themes: (a) teachers overwhelmingly associated parent-teacher interactions with conflict and confrontation, (b) teachers perceived overparenting influences teacher autonomy by forcing teachers to set boundaries, and (c) teachers experienced increased workloads. This study provides insight into how overparenting influences teachers, which may help teachers, administrators, and future educators prepare for this type of parent-teacher interaction. [ABSTRACT FROM AUTHOR]

The study's objective was to determine how students felt about university blended learning programs. This study looked at evidence showing how blended learning affects students' perceptions. The study's population of concern included all social sciences students from 2-universities in Multan district (Bahauddin Zakariya University & Women University). Sample of study comprised 360 students from social sciences faculty, 30 students were selected from each department. Questionnaire was developed for students. The questionnaire contains 25 items for students' perception and a fivepoint Likert scale was used for scoring. Statistical methods were applied to obtain findings about student reactions like %, mean, frequency and SD was used to apply and examine the perception of students about blended learning program. It was found that majority of participants believe that blended learning helps make students independent, inspired, confident & more effective. Students should participate in training program to improve ability to use technology in blended learning & regular feedback sessions should be encouraged. [ABSTRACT FROM AUTHOR]

Background and Purpose: Sarcopenia is known to be associated with poor outcomes after arthroplasty; however, no study has reported the relationship between sarcopenia and postoperative walking independence. This study aimed to determine the impact of sarcopenia risk screening using the SARC-CalF questionnaire and calf circumference on the time to walk independently after total hip or knee arthroplasty in older patients. Methods: We included 599 nonobese patients aged 65 years and older who underwent unilateral and primary total hip or knee arthroplasty. Preoperative sarcopenia risk was assessed using the SARC-CalF or calf circumference. The outcome of this study was the time to independent walking after surgery; it was calculated as the number of days from the date of surgery to the date when the patient was able to walk independently. The association between preoperative sarcopenia risk and time to independent walking after surgery was analyzed using Kaplan-Meier curves and Cox proportional hazards models. Results: Among the 599 patients undergoing total joint arthroplasty, 175 (29.2%) were determined to be at risk of sarcopenia using SARC-CalF and 193 (32.2%) using calf circumference. The Kaplan-Meier curve showed that sarcopenia risk assessed by SARC-CalF or calf circumference was associated with a prolonged time to independent walking in patients undergoing hip arthroplasty (log-rank test, P < .001 and P < .001, respectively). In patients undergoing hip arthroplasty, the Cox proportional hazards model showed that SARC-CalF score of 11 points and greater or a calf circumference less than the cutoff was a risk factor for delayed time to independent walking (hazard ratios: 0.55 and 0.57, P < .001 and P = .001, respectively). There was no association between preoperative sarcopenia risk and postoperative time to independent walking in patients who underwent knee arthroplasty. Conclusions: Sarcopenia screening tools, such as SARC-CalF or calf circumference, should be useful for planning postoperative rehabilitation in older adults scheduled for hip arthroplasty. However, the accuracy of SARC-CalF or calf circumference measurement in patients scheduled for knee arthroplasty may be low. [ABSTRACT FROM AUTHOR]

Measurement of aerodynamic forces and moments is very important in the aviation, aeronautical and automotive industries. A force balance is used to measure the aerodynamic load acting on the test model. Previous research on force balance has been primarily conducted through experimental methods, which requires a demonstration of the balance's strength. While, an analytical method can be used to analyze the balance's behavior, they may not consider the impact of material stiffness properties on the calibration matrix's accuracy, which quantifies the light coupling effect. A new study is needed to address these limitations and improve the accuracy of the calibration matrix. The FEA method is used to analyze complex 6DOF (six degrees of freedom) independent external balances with cases of nonlinear static mechanics. This balance model is able to measure lift, drag and side independently and a global calibration matrix has been obtained. Tests were carried out to predict CL, CD, dan Cm of a wing with a NACA 4415 airfoil cross section and compared with the results of the analysis from XFLR5. The prediction results obtained are able to follow the trend curves of CL, CD, dan Cm from XFLR5. The maximum errors in CL, CD, dan Cm are 0.85 %, 2.54 %, and 2.31 %, respectively. The maximum error values occur when Re=163×103. This value is classified as a minor error in aerodynamic measurements.

Abstract Currently, there are three main shortcomings in meteorological drought indices: first, they rely on historical climate probability functions; second, the timescale used in calculations has a certain degree of subjectivity; third, the same index value may correspond to vastly different levels of actual drought in different climate types of regions. The purpose of this article is to establish a meteorological drought index that does not rely on historical meteorological element probability functions. Through theoretical derivation, four drought‐level maintenance lines are established on the cumulative precipitation‐cumulative water surface evaporation coordinate plane, and the coordinate quadrant is divided into five drought‐level areas. Through forward daily rolling accumulation, the maximum distance point is selected from the dynamically changing coordinate points to determine the corresponding cumulative precipitation and cumulative evaporation. The meteorological drought index is established by the distance from the selected coordinate point to each drought‐level maintenance line. Using daily precipitation and evaporation data from meteorological observation stations, the index is calculated based on the established meteorological drought index model, and compared with actual drought evolution and drought disaster records. The results show that the index can capture the development of drought well, and its changes are very consistent with drought disaster records. The index is of great significance for drought monitoring or assessment, and can provide guidance for water resource allocation, crop layout, and urban planning. Furthermore, it can also provide a way of thinking that does not rely on historical element probabilities for future drought research.

No abstract available.

The article discusses the establishment of a formal opioid stewardship committee (OSPC) at Boone Health, an independent hospital located in Columbia, Missouri, which aimed to decrease opioid waste and decrease opportunities for diversion throughout the hospital. Topics include investigation made by the committee on the utilization and waste of fentanyl in all areas of the hospital, the challenge in the implementation in the surgical areas of the hospital, and evaluation of the initiative.

Abstract The independent curriculum is implemented and is based on developing student profiles so that they have the spirit and values contained in the Pancasila precepts. The independent curriculum promotes character education through the Pancasila student profile. The application of the independent curriculum is expected to be able to realize the vision of Indonesian education, namely to realize an advanced Indonesia that is independent, sovereign, and has personality. This study describes the form of implementation of the Pancasila Student Profile Strengthening Project along with the obstacles and solutions faced by SMA Batik 1 Surakarta. This study uses a descriptive qualitative design. Data collection used techniques of documentation, interview, and observations of school leaders, PPKn teachers, and students. To test the validity of the data, it was carried out through source triangulation techniques, data collection technique triangulation, and time triangulation. Data analysis techniques using flow model analysis techniques. The results of the analysis show that: 1) Implementation of P5 is carried out for 3 weeks by working in groups; 2) through a project to strengthen the profile of Pancasila students (P5) at Batik 1 Surakarta High School, they can increase the dimensions of cooperation and independence and students can develop themselves as Pancasila students; 3) The school cut the P5 implementation time to 1-2 weeks because of the saturation of students due to the long processing time. ----------- Abstrak Kurikulum merdeka dilaksanakan dan didasarkan pada pengembangan profil siswa agar memiliki jiwa dan nilai yang terkandung dalam sila pancasila. Kurikulum merdeka mengedepankan pendidikan karakter melalui profil pelajar Pancasila. Pengaplikasian kurikulum merdeka diharapkan mampu mewujudkan visi pendidikan Indonesia yaitu mewujudkan Indonesia maju yang mandiri, berdaulat, dan berkepribadian. Penelitian ini mendeskripsikan bentuk implementasi Projek Penguatan Profil Pelajar Pancasila beserta hambatan dan solusi yang dihadapi SMA Batik 1 Surakarta. Penelitian ini menggunakan desain kualitatif deskriptif. Pengumpulan data menggunakan teknik wawancara dokumentasi, observasi terhadap pimpinan sekolah, guru PPKn, siswa. Untuk menguji keabsahan data dilakukan melalui teknik triangulasi sumber, triangulasi teknik pengumpulan data, dan triangulasi waktu. Teknik analisis data menggunakan teknik analisis model alir. Hasil analisis menunjukkan bahwa: 1) Pelaksanaan P5 dilaksanakan selama 3 pekan dengan pengerjaan secara berkelompok; 2) melalui projek penguatan profil pelajar Pancasila (P5) di SMA Batik 1 Surakarta dapat meningkatkan dimensi karakter bergotong royong dan mandiri serta siswa dapat mengembangkan diri sebagai pelajar Pancasila; 3) Pihak sekolah memotong waktu pelaksanaan P5 menjadi 1-2 pekan karena kejenuhan siswa akibat lamanya waktu pengerjaan.

Reading and reading comprehension are interrelated skills; both of which learner need to advance in the higher educational years. However, this is not the case for many Filipino children in one barangay of Claveria, Misamis Oriental. Hence, this research measured the reading comprehension levels of learners between 8 and 14 years old, classified them into independent, instructional, and frustrated, and determined whether peer tutoring would increase their level of comprehension. The study utilized a one-group pre-test-post-test design and the standardized reading comprehension test Philippine Informal Reading Inventory (Phil-IRI). Research findings reveal that 4 out of 29 respondents are within the “instructional” level of reading comprehension, 1 out of 29 is “independent” and the remaining 24 young learners are within the “frustrated” level of reading comprehension during the pre-test. After the intervention, 4 achieved “independent” level of reading comprehension, another 4 are “instructional” while the remaining 21 remained in the “frustrated” level. The paired-t test results show that there is no statistically significant difference between the pre-test and post-test; however, this does not mean peer-tutoring is ineffective. With the limitations of the study, it is suggested to have a longer period for peer-tutoring or peer-led intervention.

The Romanian Ombudsman (the Romanian People's Advocate) is an autonomous and independent public authority, as provided for by the law on the organization and functioning of this public institution, which is not part of any of the three powers in the state - legislative, executive and judicial. The decision of the constitutional legislator not to include this public institution in any of the three classic powers was determined, in our opinion, by the desire, but also the need, to configure an impartial institution that would exercise its constitutional and legal role with complete objectivity. In this context, through this paper, we propose to analyse, through specific research methods, such as the comparative, sociological, teleological method, if the way of appointing and, respectively, of revoking the head of this institution is one that does not affect this role, risking politicizing the institution of the Ombudsman.

There are many ways that can be done to find out the individual characteristics of each student. The purpose of this study was to determine the internal potential of 10th Grade “Halimah” Students by using graphological analysis based on general characteristics, which is the slope of the writing direction, the slope of the writing lines, the spacing between words, and the spacing between lines, and based on the general characteristics, which are the letters "I", "R", and "G". This study uses a qualitative descriptive research method. This method is used to describe the general description of the research, which are the characteristics of handwriting with the internal potential of students and to interpret graphology in several aspects. Then, this type of descriptive research is also capable of solving practical problems in the development of science, especially for graphological research. The stages of this research are handwriting analysis, triangulation through interviews, grouping results. The results of the analysis show that the internal potential of students is variative, so that appropriate learning methods or approaches are needed in order to achieve individual student learning goals

Education is one of the important factors to support one's future. Madrasas are one of the places of education that currently tend to be an option. This existence is caused by religious values ​​which are more emphasized in madrasas. In madrasa students are expected to be independent and achieve, in accordance with the slogan of the madrasa itself. Independent is meant to be able to know, recognize himself and then be able to develop himself. While the word 'achievement,' has the meaning of an effort from independence and proud performance. However, observations at the An-Nur Foundation found that further guidance was needed to shape the character of Madrasah Ibtidaiyah students who were independent achievers. This research was conducted using the Community Based Research (CBR) method, which is a research conducted with the community in solving the problems they are experiencing. The emergence of CBR begins with the development of relationships between researchers and community organizations that jointly carry out research activities using scientific methods and community-based approaches. The results of this study are in the form of a pocketbook entitled Majmu>‘a>t al-Adhka>r wa al-S}alawa>t (A Collection of Remembrance and Salawat) which is a summary of a series of madrasa activities at the An-Nur Foundation. The existence of this pocketbook is expected to be able to assist in carrying out the existing series of activities.

Objective: In this paper, we present a comprehensive overview of our experience in establishing and leading distinct extracorporeal cardiopulmonary resuscitation (ECPR)-related teams to independently handle ECPR in the early stages in the emergency department. Methods: A retrospective analysis was conducted on the clinical data of 29 patients who underwent ECPR treatment in the emergency room between May 2018 and April 2022. A control group, consisting of 10 patients treated between May 2018 and September 2019 was managed using a standard rescue coordination mode. The 19 patients who received ECPR between October 2019 and April 2022 were treated by members of the department's 24-h extracorporeal life support team. We compared the implementation and operational challenges faced by the two groups, including item preparation, circuit setup, and ECPR initiation times, among other factors. Results: Gender, age, cardiac arrest risk factors, and other baseline data did not significantly differ between the two groups. Extracorporeal membrane oxygenation (ECMO) pipeline prefilling time (from 35.27±10.34 to 13.46±5.32), ECPR establishment time (from 62.35±29.61 to 30.98±13.41), and item preparation time (from 16.42±9.78 to 3.19±1.49) all considerably decreased when compared to the control group. The rate of return of spontaneous circulation recovery rose from 37.50 % to 77.78 % (P

The enactment of religious change through Parliament during the Reformation gave it a central role in shaping the church in England; this role deepened in the mid-seventeenth century. The House of Commons 1640-1660 project, recently published, revealed complexity and variety in MPs' response, as well as the impossibility of pinpointing the views of many. Staunch adherents of the episcopal national church as led by Archbishop Laud sooner or later disappeared from the House. Among the rest, many of whom were involved in some way in religious matters and some of whom brought experience of other ecclesiologies, views evolved over time. Few MPs emerge as consistent Presbyterians; the Westminster Assembly attracted suspicion; the Presbyterian settlement of 1645 was from the start visibly ignored. There was significant enthusiasm for a state church, but no agreement on its form. 'Independents' differed markedly in their response to 'heresy' and acceptance of toleration. [ABSTRACT FROM AUTHOR]

This article explores the role and contribution of women in the church with a specific focus on Reverend Boiketlo T. Ngwako of the Revelation Blessed Peace Church in Botswana (RBPC). The paper examines the contribution and experiences of Reverend Ngwako in a male‐dominated church in Botswana. Data was collected through personal observations and by attending church services, listening to the testimonies, preaching, singing, and prayers of members of the RBPC as led by Reverend Ngwako. Reverend Ngwako, the key participant, was interviewed to understand her role and contribution in the life of the church and to collect data on her views on a wide range of issues, such as politics. Content analysis of the data allowed the mapping of different themes of Ngwako's development as a minister of religion in the context of a male‐dominated Christian leadership and cultural environment. The results suggest that the cultural environment and the biblical doctrines of the church have an impact on the development and ministry of a pastor. The study concludes that biblical doctrine is interpreted and understood in the light of Tswana cultural contexts, which continue to have an impact on her ministry, gender relations, and leadership style. [ABSTRACT FROM AUTHOR]

Objectives: To describe incidence and risk factors of loss of previous independent living through nonhome discharge or discharge home with health assistance in survivors of intensive care unit (ICU) admission for coronavirus disease 2019 (COVID-19). Design: Multicenter observational study including patients admitted to the ICU from January 2020 till June 30, 2021. Hypothesis: We hypothesized that there is a high risk of nonhome discharge in patients surviving ICU admission due to COVID-19. Setting: Data were included from 306 hospitals in 28 countries participating in the SCCM Discovery Viral Infection and Respiratory Illness Universal Study COVID-19 registry. Patients: Previously independently living adult ICU survivors of COVID-19. Interventions: None. Measurements and Main Results: The primary outcome was nonhome discharge. Secondary outcome was the requirement of health assistance among patients who were discharged home. Out of 10 820 patients, 7101 (66%) were discharged alive; 3791 (53%) of these survivors lost their previous independent living status, out of those 2071 (29%) through nonhome discharge, and 1720 (24%) through discharge home requiring health assistance. In adjusted analyses, loss of independence on discharge among survivors was predicted by patient age ≥ 65 years (adjusted odds ratio [aOR] 2.78, 95% confidence interval [CI] 2.47-3.14, P <.0001), former and current smoking status (aOR 1.25, 95% CI 1.08-1.46, P =.003 and 1.60 (95% CI 1.18-2.16), P =.003, respectively), substance use disorder (aOR 1.52, 95% CI 1.12-2.06, P =.007), requirement for mechanical ventilation (aOR 4.17, 95% CI 3.69-4.71, P <.0001), prone positioning (aOR 1.19, 95% CI 1.03-1.38, P =.02), and requirement for extracorporeal membrane oxygenation (aOR 2.28, 95% CI 1.55-3.34, P <.0001). Conclusions: More than half of ICU survivors hospitalized for COVID-19 are unable to return to independent living status, thereby imposing a significant secondary strain on health care systems worldwide. [ABSTRACT FROM AUTHOR]

Background: The purpose of this study is to examine the evidence of the effectiveness of telemedicine in postural stability treatment in independent patients affected by Parkinson's disease (PD). Methods: This is a literature review of studies investigating the effect of telemedicine in postural stability treatment in independent patients affected by PD. PRISMA guidelines were followed during the design, search, and reporting stages of this review. The search was carried out in the MEDLINE databases. Results: A total of 1854 studies were detected and analyzed by performing the proposed searches in the detailed databases. After removing duplicates and analyzing the titles and abstracts of the remaining articles, 6 studies were ultimately selected for this review. At least 50% of the studies included in this review showed positive results in improving postural stability in patients with PD after a home-based intervention. Conclusions: The home-based intervention based upon technologically assisted telerehabilitation may support the aspects of an effective and efficient physical therapy allowing the physiotherapists to deliver functional rehabilitation in the home setting outside the hospital and supervise more than one patient simultaneously during rehabilitation sessions. [ABSTRACT FROM AUTHOR]