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Cultivating self-directed learning is a key goal in secondary vocational education. Blended learning, combining traditional and online instruction, requires focusing on autonomous skill development. By optimizing resources, redesigning tasks, emphasizing key offline instruction, and enhancing evaluations, the authors developed a blended learning model implemented in the Office Software Advanced Applications course.. Practical results demonstrate that the constructed blended teachioing design effectively enhances self-directed learning competencies in aspects such as information acquisition and assimilatn, self-management and regulation, selection of learningmethods and strategies, as well as self-reflection and evaluation.

In this game, player is asked to drag arrow to their pair. There are 2 modes in this game, i.e. one hand and two hands. 10 different stages for each mode. This game use multitouch features. Stage 2 to 10 have a minimum point to be able to open and play the next stage. This game has been tested by blackbox method, alpha testing and beta testing using a questionnaire through Google Form and Google drive to save Digitus game files. The results show that digitus is fascinating to be played over and over again, how to play feature can be understood easily, and attractive design.

To evaluate the thermal conductivity performance of geothermal pile-based heat transfer units utilized within ground source heat pump (GCHP) frameworks, we developed physical models encompassing both solitary pile-based heat transfer devices and assemblies of such units. A thorough examination was conducted into the heat exchange mechanics and efficacy of these devices, covering both refrigerating and warming operational modes. For the purpose of simulating the heat transfer processes within a 3×3 array of energy piles, a real-world scenario involving an office building situated in Nanjing was adopted. Utilizing DeST software, we calculated the annual dynamic building load, which spans the cooling period, the heating period, and the two intervening transition periods. Following a simulated ten-year operational lifespan, it was noted that the average soil temperature exhibited an increase under conditions of non-equilibrium. The outcomes of this study closely mirror real-world conditions and can be harnessed as a theoretical foundation for the design and deployment of pile-foundation heat exchangers within GSHP systems.

Recent studies suggest that air pollutant exposure may increase the incidence of mental health conditions, however research is limited. We examined the association between ozone (O 3 ) and fine particles (PM 2.5 ) and emergency department (ED) visits related to mental health outcomes, including psychosis, neurosis, neurotic/stress, substance use, mood/affective, depression, bipolar, schizotypal/delusional, schizophrenia, self-harm/suicide, and homicide/inflicted injury, from 2005 through 2013 in California. Air monitoring data were provided by the U.S. EPA’s Air Quality System Data Mart and ED data were provided by the California Office of Statewide Health Planning and Development. We used the time-series method with a quasi-Poisson regression, controlling for apparent temperature, day of the week, holidays, and seasonal/long-term trends. Per 10 parts per billion increase, we observed significant cumulative 7-day associations between O 3 and all mental health [0.64%, 95% confidence interval (CI): 0.21, 1.07], depression [1.87%, 95% CI: 0.62, 3.15], self-harm/suicide [1.43%, 95% CI: 0.35, 2.51], and bipolar [2.83%, 95% CI: 1.53, 4.15]. We observed 30-day lag associations between O 3 and neurotic disorder [1.22%, 95% CI: 0.48, 1.97] and homicide/inflicted injury [2.01%, 95% CI: 1.00, 3.02]. Same-day mean PM 2.5 was associated with a 0.42% [95% CI: 0.14, 0.70] increase in all mental health, 1.15% [95% CI: 0.62, 1.69] increase in homicide/inflicted injury, and a 0.57% [95% CI: 0.22, 0.92] increase in neurotic disorders per 10 μg/m 3 increase. Other outcomes not listed here were not statistically significant for O 3 or PM 2.5 . Risk varied by age group and was generally greater for females, Asians, and Hispanics. We also observed seasonal variation for outcomes including but not limited to depression, bipolar, schizophrenia, self-harm/suicide, and homicide/inflicted injury. Ambient O 3 or PM 2.5 may increase the risk of mental health illness, though underlying biological mechanisms remain poorly understood. Findings warrant further investigation to better understand the impacts of air pollutant exposure among vulnerable groups.

Alternative work arrangements have emerged as potential solutions to enhance productivity and work-life balance. However, accurate and objective measurement of work patterns is essential to make decisions about adjusting work arrangements. This study aimed at evaluating objective computer usage metrics as a proxy for productivity using RSIGuard, an ergonomics monitoring software. Data were collected from 789 office-based employees over a two-year period between January 1, 2017 and December 31, 2018 at a large energy company in Texas. A generalized mixed-effects model was utilized to compare computer usage patterns across different days of the week and times of the day. Our findings demonstrate that computer output metrics significantly decrease on Fridays compared to other weekdays, even after controlling for total active hours. Additionally, we found that workers’ output varied depending on the time of day, with reduced computer usage observed in the afternoons and a significant decrease on Friday afternoons. The decrease in the number of typos was much less than that in the number of words typed, indicating reduced work efficiency on Friday afternoons. These objective indicators provide a novel approach to evaluating the productivity during the workweek and can help optimize work arrangements to promote sustainability for the benefit of employers, employees, and the environment.

The incidents of violence against doctors, leading to grievous injury and even death, seem to be on an increasing trend in recent years. There is a paucity of studies on workplace violence against doctors and its effect, in India. The present study was conducted to assess workplace violence faced by doctors, its effect on the psycho-social wellbeing of the treating doctor and, subsequently, on patient management. The present nationwide cross-sectional study was conducted from November 2019 -April 2020. The sample size was calculated assuming the prevalence of workplace violence as 50%, with 20% non-response. Doctors, working in private and/or public set-up, with [greater than or equal to]1 year clinical experience, were included. A pre-tested study tool- Google form-was sent to study participants via social media platforms. The Microsoft Excel spreadsheet was downloaded from google drive and data was analysed using STATA-12 statistical software. A total of 617 responses were received from doctors all over India; out of which 477 (77.3%) doctors had ever faced workplace violence. \"Actual or perceived non-improvement or deterioration of patient's condition\" (40.0%), followed by \"perception of wrong treatment given\" (37.3%) were the main causes of workplace violence; and the family members/relatives were the major perpetrators (82.2%). More than half of the participants reported \"loss of self-esteem\", \"feeling of shame\" and \"stress/depression/anxiety/ideas of persecution\" after the incident. Management by surgical interventions (p-value<0.001) and handling of emergency/complicated cases (p-value<0.001) decreased significantly with an increase in severity of workplace violence; while the suggestion of investigations and referrals increased (p-value<0.001). Workplace violence has a significant effect on the psycho-social well-being of doctors, as well as on patient management; which may escalate discontent and distrust among the general public, thereby increasing incidents of workplace violence-in a self-propagating vicious cycle.

Atypical facial pain is a persistent orofacial pain that is difficult to identify and can be distinguished from trigeminal neuralgia. Symptoms of facial pain are often widespread and not specific, leading to misdiagnosis and ineffective or even harmful treatments from multiple medical specialties. Therefore, knowing the prevalence among Saudi population & early detection aids in successful intervention and treatments. Objectives: This observational study aimed to investigate the prevalence of atypical facial pain among Adults Saudi population and their knowledge and awareness levels. Methodology: A cross-sectional observational study was conducted through an online self-administrated questionnaire. A total of (at least) 384 participants were the sample size intent in this study. All statistical analysis will be done by using the \"Microsoft Office Excel software\" program and \"IBM SPSS Statistics \" version 20 program. Results: Our study enrolled 594 participants, the majority fall within 20-30 age group, comprising 33.5%, also the sample is predominantly males accounting for 61.4% of the total respondents. It is evident from the data that the largest proportion of individuals, constituting 42.3% of the total, falls into the Low Knowledge and Awareness category. On the other hand, both the High Knowledge and Awareness and Intermediate Knowledge and Awareness categories each account for 28.8% of the total, indicating a relatively balanced distribution of individuals with varying levels of knowledge and awareness. All sociodemographic characteristics had no significant association with knowledge and awareness score of AFP. Conclusion: Our results revealed that participants exhibited low knowledge and awareness score regarding AFP.

• Type of peer review: Single-blind • Criteria used by Reviewers when accepting/declining papers: • Is the work original and significant? • Is the title short, interesting, and descriptive of the contents? • Are the literature references appropriate and up to date? • Are conclusions adequately supported by data? • Is the paper well organized and understandable? • Is the English satisfactory? • Was there the opportunity to resubmit articles after revisions? Yes • Conference submission management system: papers were submitted by e-mail and stored and processed via Google drive • Number of submissions received: 72 • Number of submissions sent for review: 72 • Number of submissions accepted: 59 • Acceptance Rate (Number of Submissions Accepted / Number of Submissions Received X 100): 82 % • Average number of reviews per paper: 1 • Total number of reviewers involved: 12 • Any additional info on review process (eg Plagiarism check system): Plagiarisma • Contact person for queries (Full name, affiliation, institutional email address): Tatyana Svalova, Ural Federal University, t.s.svalova@urfu.ru

EXCEL® is a Microsoft Office software product, which has excellent numerical and logic calculation and analysis functions. The method of programming a CNC macro program using EXCEL® is being presented in this paper for the first time. By defining the locations of a hole pattern geometrically, and simulating the programming of a macro, it can be demonstrated that a CNC program using macros is simple and easy to understand, and the program is flexible, generic and portable.

From 1956, Granville wrote software for IBM, moving to its New York City office to undertake numerical analysis at the Data Processing Center of the Service Bureau Corporation (an IBM subsidiary). In 1960, she married and moved to Los Angeles, California, working on orbit calculations at Space Technology Laboratories, before joining North American Aviation in 1962 to provide technical support, numerical analysis and computing expertise to a team working on designs for the Apollo programme. In 1967, she accepted a position at California State University (Cal State), Los Angeles, teaching programming at a time when computer science was in its infancy and few Black people were in positions of authority in the field.