bluuebunny/crossref_metadata_2025 huggingface dataset:
KRITIK DAN PENOLAKAN ULAMA HANBALI ATAS PEMIKIRAN TEOLOGI IBNU TAIMIYYAH
Authors: Fata Badrus Samsul
Published: May 2024

Ibnu Taimiyyah (d. 728 H) has been the source of tension between his supporters and opponents for centuries.  These supporters believed that Ibn Taimiyyah was ma'shum, more superior to Imam Ahmad bin Hanbal, and they even believed he was the ultimate mujtahid (khatim al-mujtahidin). However, such claims ignore the sharp rejection of Sunnis schools and generations (Hanafiyyah, Malikiyyah, Syafi'iyyah) and even the internal assessments of the Hanbali scholars such as Imam Ibn Rajab al-Hanbali (w. 795H), Imam Ibnu al-Mardawi al-Hanbali (w. 885H), Imam Ibnu Najjar al-Hanbali (w. 972H), Imam al-Buhuti al-Hanbali (w. 1051H), dan Imam al-Safarayni al-Hanbali (w. 1188H). This paper uses an interdisciplinary approach to analyze primary sources to demonstrate the referential hierarchy as the internal consensus of the Hanbali school (ijma' fi al-madhabihi), as the dispute over the results of tarjih formulation in ushul and furu' comes up. The first rank is the founding father of Hanbali school, Imam Ahmad bin Hanbal himself. The second place is Imam Ibnu Qudamah al-Maqdisi al-Hanbali, the writer of Kitab al-Kafi fi Fiqh al-Imam Ahmad bin Hanbal and Kitab al-Mughni. The third contributor is Imam Majduddin Abu al-Barakah al-Taimy, the writer of Kitab al-Muharrar fi al-Fiqh. The fourth rank belongs to Imam Ibn Muflih al-Hanbali, Kitab al-Furu's writer. The fifth place is Imam Ibnu Rajab al-Hanbali, the writer of Kitab al-Qawa'id al-Fiqhiyah. The sixth rank is Imam Ibnu Hamdan al-Hanbali, the writer of Kitab al-Ri'ayah al-Kubra. The seventh contributor is Imam Taqiyyuddin Ibn Taimiyyah, who wrote Kitab Majmu' al-Fatawa. The eighth rank is Imam Ibn 'Abdus al-Hanbali, the writer of Kitab al-Tadhkirah fi al-Fiqh. Furthermore, this article also proves that Ibn Taymiyyah is not the only scholar of the Hanbali school to hold the title of Syaikhul Islam among Hanbali scholars; there are still many others. Instead, Syaikhul Imam Abdul Qadir al-Jilani al-Hanbali received a more prestigious title as the Sultan-al-Masyayikh among the leading scholars of the Hanbali school.
EKSTRAKURIKULER TARI TRADISIONAL DALAM MEMBENTUK PENDIDIKAN KARAKTER BERBASIS BUDAYA DI MADRASAH IBTIDAIYAH
Authors: Safitri Shella , Maulida Utami , Tampati Riki
Published: May 2024

Penelitian ini membahas tentang bagaimana sekolah membentuk pendidikan karakter siswa berbasis budaya melalui program ekstrakurikuler tari tradisional. Ekstrakurikuler tari tradisional merupakan suatu kebijakan yang dilakukan Madrasah Ibtidaiyah Darussalam Kota Tangerang Selatan untuk menjalankan misi sekolah sebagai pelayanan minat, bakat dan potensi siswa. Selain itu sebagai satu cara untuk dapat memperkenalkan budaya kepada siswa melalui tarian-tarian tradisional. Metode penelitian ini bersifat deskriptif, mengungkap dan menganalisis secara menyeluruh dan mendalam. Untuk memperoleh data dalam proses penelitian ini, maka penelitian ini menggunakan 3 teknik pengumpulan data. Yaitu dengan observasi, wawancara dan dokumentasi.Penelitian menemukan bahwa dalam penerapannya ekstrakurikuler tari tradisional di Madrasah Ibtidaiyah Darussalam tidak hanya sekedar memeragakan gerak tarian saja, namun di beri juga nilai budaya didalamnya. seperti nama, asal daerah dan sedikit makna dari tarian yang akan diajarkan. Pendidikan katakter berbasis budaya memiliki 3 moral penting yang terkandung didalamnya yaitu moral knowing, moral feeling dan moral action. Sebagai acuan keberhasilan dalam membentuk karakter budaya.Penelitian ini menyimpulkan bahwa ekstrakurikuler tari tradisional telah berhasil karena didalam pengimplementasiannya meliputi 3 moral didalamnya. Yaitu moral knowing (mengulas, menyadari dan mengevaluasi secara kritis), moral feeling (empati) dan moral action (kekereatipan siswa dengan membuat kostum buatan siswa sendiri). Sebagai satu upaya membentuk pendidikan karakter berbasis budaya di Madrasah Ibtidaiyah Darussalam Kota Tangerang Selatan.
PENGUATAN KARAKTER NASIONALIS PESERTA DIDIK MELALUI PROGRAM RAMAH ANAK DI SEKOLAH DASAR
Authors: Hajaniah Yusnia , Arifin Jaenal
Published: May 2024

Penelitian ini membahas tentang bagaimana sekolah menerapkan penguatan karakter nasionalis peserta didik melalui program ramah anak. Program ramah anak merupakan rangkaian kegiatan terprogram yang diadakan sekolah dasar negeri Bojong 3 yaitu  untuk memfasilitasi dan mengembangkan potensi peserta didik serta menjamin dalam memenuhi hak, memberikan perlindungan, rasa nyaman, aman dengan tujuan untuk  mendapatkan pengetahuan, pengalaman, serta pengalaman  belajar yang menyenangkan dan terhindar dari tindakan diskriminasi  dan kekerasan selama berada di sekolah. Metode penelitian ini bersifat deskriptif, mengungkap dan menganalisis secara menyeluruh dan mendalam. Penelitian menemukan bahwa dalam pelaksanaannya penguatan karakter nasionalis peserta didik melalui program ramah anak memiliki 3 aspek yang mendukung yaitu : (1) melalui kebijakan yang diterapkan di sekolah,(2) melalui program adiwiyata berbasis lingkungan, (3) melalui kegiatan pengembangan diri seluruh peserta didik melalui kegiatan  baik di dalam maupun di luar kelas Penelitian ini menyimpulkan bahwa penguatan karakter nasionalis peserta didik telah berhasil terbukti dengan adanya perubahan karakter nasionalis peserta didik yang antusias mengikuti  kegiatan yang ada seperti pengembangan diri melalui kegiatan berkreasi membuat prakarya yaitu menghias berbagai macam rupa berbagai macam rumah adat yang ada di indonesia dengan menggunakan bahan-bahan ramah lingkungan  dan ikut serta dalam kegiatan permainan tradisional dalam upaya untuk melestarikan budaya bangsa, serta perubahan sikap disiplin positif dan menghargai jasa pahlawan yang berjuang membela negara yang mencerminkan karakter nasionalis peserta didik yaitu datang ke sekolah tepat waktu, mengikuti upacara dengan tertib dan hikmat, menggunakan seragam rapi, bersih dengan artibut lengkap.
Avascular Necrosis of The Femur Head Caused by Trauma: Case Report
Authors: Andang Taruna , Mahardhika Ichsantyaridha , Jaka Fatria Y
Published: May 2024

Avascular necrosis of the femoral head can be caused by several conditions, one of which is trauma to the hip joint. In this case we report a patient with symptom of pain in the left hip making it difficult to walk. The patient has a history of trauma to his left hip. Apart from the clinical manifestation, a radiological examination is also needed to support the diagnosis and determine the level of severity. This report aims to determine the diagnosis and treatment of cases of avascular necrosis of the femoral head caused by trauma.
Self-Perception of Adaptation Teaching Practices in The Ordinary Classroom and School Performance of Children with Cerebral Palsy
Authors: Nguimatio Clementine , Ngwa Peter
Published: May 2024

Self-perception of adaptive teaching practices in the ordinary classroom and school performance as adjustment capacities in children with cerebral palsy. We found that the students with disabilities in the CNRPH and PROMHANDICAM inclusive schools are of various types. The fact that IMC learners are associated with physically and sensorially disabled and non-disabled children raises the problem of performance in terms of their ability to adjust to their inclusion in school. Our general aim is to examine and understand how the self-perception of pedagogical practices can have a significant effect on school performance as a capacity for adjustment to school inclusion for IMC. Our hypothesis is as follows: Self-perception of adaptive teaching practices in the mainstream classroom has a significant effect on academic performance as an adjustment capacity in children with Cerebral Palsy. To verify this hypothesis, we conducted a study in two CNRPH schools in the Yaoundé VI district, Mfoundi department, Centre region. A total of 150 participants of both sexes, selected based on purposive sampling, were interviewed and given a questionnaire. The statistics and results obtained enable us to understand the difficulties encountered by pupils with cerebral palsy and the adaptive teaching practices that can be put in place to facilitate the development of their performance as a means of adjusting to school inclusion.
Diagnosis and Treatment of Postoperative Dyspnea: Literature Review
Authors: Pramarta Anak Agung Ngurah Alit , Wesnawa Made Agustya Darma Putra , Candrawati Ni Wayan
Published: May 2024

Postoperative dyspnea is one of the most common complaints in patients after undergoing surgery. Especially in those who underwent surgery in the thoracic area. The presence of postoperative dyspnea indicates clinical signs of postoperative pulmonary complications. There are several types of diseases that can cause shortness of breath in patients after surgery. Several postoperative lung diseases can cause complaints of dyspnea such as postoperative pleural effusion, atelectasis, pneumothorax, bronchospasm, aspiration pneumonitis, pneumonia, acute respiratory distress syndrome, pulmonary edema, and pulmonary embolism. The pathophysiology of postoperative dyspnea can occur due to changes in homeostasis due to anesthesia and the surgical procedure itself. Clinical symptoms arise due to compensatory efforts of the cardiovascular and respiratory systems. The appearance of dyspnea is the result of an imbalance in the interaction of multiple signals and receptors in the central nervous system, peripheral chemoreceptor receptors, and mechanoreceptors in the upper airway, lungs, and chest wall. In diagnosing the cause of dyspnea, the clinician must ascertain what is the source of the cause of the dyspnea. The management of postoperative dyspnea is carried out by treating the causes of dyspnea.
Sapheno Femoral Graft End-to-End Anastomose due to Total Occlusion of Left Popliteal Artery: A Case Report and Literature Review
Authors: Wiradana AA Gde Agung Anom Arie , Budiarta Ida Bagus , Wibawa IGAB Krisna , Mahartha Gde Rastu Adi
Published: May 2024

Background: For patients suffering from trauma around the knee joint, the clinician should be highly vigilant about the risk of popliteal artery acute thrombosis. It is essential to promptly detect and treat acute popliteal artery thrombosis for limb salvaging. Further diagnostic procedures may be performed according to the patient’s hemodynamics. Doppler should be considered done bedside, while CTA should be considered if the obstruction could not be concluded by physical examination. Case: A 40-year-old male complained of a bluish left leg, difficulty in movement, and decreased sensation. Computed tomography angiography (CTA) evaluation revealed total occlusion of the left popliteal artery. An open wound that was managed improperly was referred to a vascular surgeon in the central hospital to be further treated. The patient was hospitalized for 3 days for anastomosis monitoring and discharged uneventfully. Conclusion: Sapheno Femoral Graft End-to-End Anastomose is an effective therapeutic option in patients with total occlusion popliteal artery.
SARS-CoV-2 Variants and Clinical Implications: A Review Article
Authors: Zaputra Daniel , Utama I Made Susila
Published: May 2024

Introduction: Since being declared a global pandemic on March 11 2020 by the World Health Organization (WHO), the SARS-CoV-2 virus has caused more than 6.7 million global deaths as of January 2023. This literature review is to review the clinical implications of the SARS-COV-2 virus variant. Discussion: According to WHO, there are five SARS-CoV-2 VOCs have been detected since the start of the pandemic: alpha, beta, gamma, delta, and omicron. SARS-CoV-2 is an RNA virus that, like other RNA viruses, is susceptible to genetic evolution when adapting to a human host, resulting in changes over time and the production of numerous variants with distinct characteristics from the initial strain. Viruses originating from the same lineage may contain different subsets of mutations so that they are classified as different variants. Variants are characterized by their degree of transmissibility, severity of disease, and ability to evade the humoral immune system. Conclusion: SARS-CoV-2 variants are associated with increased transmission and infection capabilities of the virus through a mechanism based on mutations in the viral protein structure.
La Barcelona global: el port de Barcelona en la formació del mercat mundial (1848-1914)
Authors: Badenes Escudero Carles
Published: May 2024

Aquest treball tracta de situar el port de Barcelona en el marc de les seves relacions comercials a diverses escales, en el context històric de la ràpida integració econòmica global que va marcar la segona meitat del segle xix llarg. Combinant l’estudi de fonts oficials, l’anàlisi sistemàtica d’informació publicada en premsa i una extensa revisió de treballs d’historiografia local i internacional, l’autor analitza les dificultats, les conjuntures crítiques i els èxits del procés d’inserció del port català en el mercat mundial, durant el que s’ha anomenat la primera globalització. S’hi estudia la formació i expansió d’una extensa i complexa xarxa de relacions, tot connectant-ne els diferents components a funcions comercials diferenciades del port, pel que fa a l’entramat productiu de la ciutat i el país. S’entén així el port com la suma i combinació de diversos ports: el port regional, el port urbà i industrial, i el port colonial.
Influence of Integrating Childbirth Preparation Program on Birth Outcomes among Pregnant Women in Western Kenya
Authors: Wanyonyi Mable , Wanzala Maximilla , Kipmerewo Mary , Raballah Evans
Published: May 2024

Childbirth education and preparation has been fronted as key element in enhancing maternal and neonatal health and preventing some adverse outcomes. There is paucity of literature in Kenyan setting linking maternal childbirth education and maternal and neonatal outcomes. The study aimed to assess the effect of an educational intervention in childbirth and its influence on maternal and neonatal outcomes among expectant women in western Kenya. A Quasi-experimental design was utilised. The health facilities were selected by simple random sampling. Expectant women were enrolled at antenatal care services and allocated to either the control group or the intervention group. Those in the intervention group went through 2 hourly sessions of childbirth preparation teaching twice in the course of the 32nd–35th weeks of gestation.  Investigation and assessment on specific maternal and neonatal outcomes was done within 48 hours following delivery. Chi-square and independent t tests were used to determine the statistical difference. More mothers in the control experienced prolonged labour 12% compared to 2.2% in the intervention (P<0.001). Progression failure was high in the control 8.9% compared to 1.1% in the intervention (P=0.001). The control had more cases of augmentation   11% compared to 2.7% in the intervention (P=0.004).  Higher APGAR scores were recorded in the intervention group at 1 and 5 minutes compared to the control (P<0.001).  Few cases of birth asphyxia were in the intervention 1.6% compared to 5.8% in the control (P<0.001). The intervention program aimed at enhancing childbirth knowledge and improving   self- efficacy offered prior to birth was successful in reducing adverse birth outcomes in mothers and their neonates in the intervention group. A  program aimed at  enhancing women’s’ self- efficacy and improving their knowledge on childbirth  should be  structured and incorporated in the routine antenatal care to reduce some  adverse maternal and neonatal health outcomes associated with fear anxiety and uncertainty related to inadequate childbirth knowledge.
O APERFEIÇOAMENTO DO TRATAMENTO DE DADOS DE CRIANÇAS E ADOLESCENTES, NOS ÂMBITOS PÚBLICO E PRIVADO
Authors: Leite Felipe Renova Varela
Published: May 2024

O tratamento de dados, gradativamente, ocupa mais espaço no âmbito de trabalho corporativo, em entidades privadas e no serviço público. E, também, no debate coletivo. A Lei Geral de Proteção de Dados - 13.709/2018 - foi promulgada e teve o efeito de preencher a lacuna no tocante ao aperfeiçoamento de guarda, manuseio e descarte de dados, dentro de padrões de segurança esperados, mínimos. E, nesse contexto, estão também submetidos ao tratamento de dados as crianças e os adolescentes, com suas peculiaridades por conta de suas condições de vulneráveis. A aplicação em diversos contextos será demonstrada neste trabalho, tendo em vista aspectos domésticos, comerciais e corporativos; públicos e privados. Não só se acredita que haverá, como vem havendo diversos estudos e investimentos no tocante ao aprimoramento dos padrões mencionados, como veremos no decorrer do estudo. Ele deixará claro que órgãos públicos e entes privados trabalham para tornar esse “mundo” mais seguro, acessível, funcional e transparente para todos e, especificamente, por conta da abordagem do trabalho, para crianças e dos adolescentes.
Não só se acredita que haverá, como vem havendo diversos estudos e investimentos no tocante ao aprimoramento dos padrões mencionados, como veremos no decorrer do estudo. Ele deixará claro que órgãos públicos e entes privados trabalham para tornar esse “mundo” mais seguro, acessível, funcional e transparente para todos e, especificamente, por conta da abordagem do trabalho, para crianças e dos adolescentes.
O USO DO CANABIDIOL EM PACIENTES COM EPILEPSIA
Authors: Santos Nathalia Caroline Medeiros dos , Pugliese Fabiana Sousa , Andrade Leonardo Guimarães de
Published: May 2024

A epilepsia é uma condição neurológica crônica caracterizada por convulsões recorrentes. Essas convulsões são causadas por atividade elétrica anormal no cérebro, que pode levar a episódios de perda de consciência, movimentos involuntários, sensações estranhas e outros sintomas, dependendo da área do cérebro afetada. Embora a epilepsia seja mais comum em adultos mais velhos, ela também pode ocorrer em crianças em uma proporção significativa. Nesse contexto, o canabidiol (CBD), composto químico encontrado na planta de cannabis, estudado por seus potenciais benefícios terapêuticos, que incluem alívio da dor, redução da ansiedade e dos sintomas de depressão, alívio de sintomas relacionados ao câncer e até mesmo possíveis propriedades neuroprotetoras, tem sido considerado como uma opção de tratamento para a epilepsia infantil, especialmente em casos de epilepsia refratária, ou seja, casos em que os medicamentos antiepilépticos convencionais não são eficazes no controle das convulsões. O objetivo deste trabalho foi discorrer sobre o uso da cannabis sativa no tratamento da epilepsia infantil, por meio de pesquisa qualitativa e revisão da literatura entre 2019 e 2024, com a pretensão de demonstrar os principais aspectos que envolvem o uso medicinal do canabidiol nos pacientes infantes diagnosticados com epilepsia, avaliando os resultados práticos do tratamento com CDB e os impactos na qualidade de vida das crianças. Ao final, pretende-se apresentar o uso do Canabidiol como uma opção de tratamento viável à epilepsia infantil por seus notórios benefícios no controle da doença.
A Lagrangian perspective on the lifecycle and cloud radiative effect of deep convective clouds over Africa
Authors: Jones William K. , Stengel Martin , Stier Philip
Published: May 2024

Abstract. The anvil clouds of tropical deep convection have large radiative effects in both the shortwave (SW) and longwave (LW) spectra with the average magnitudes of both over 100 W m−2. Despite this, due to the opposite sign of these fluxes, the net average of the anvil cloud radiative effect (CRE) over the tropics is observed to be neutral. Research into the response of the anvil CRE to climate change has primarily focused on the feedbacks of anvil cloud height and anvil cloud area, in particular regarding the LW feedback. However, tropical deep convection over land has a strong diurnal cycle which may couple with the shortwave component of the anvil cloud radiative effect. As this diurnal cycle is poorly represented in climate models it is vital to gain a better understanding of how its changes impact the anvil CRE. To study the connection between the deep convective cloud (DCC) lifecycle and CRE, we investigate the behaviour of both isolated and organised DCCs in a 4-month case study over sub-Saharan Africa (May–August 2016). Using a novel cloud tracking algorithm, we detect and track growing convective cores and their associated anvil clouds using geostationary satellite observations from the Meteosat Spinning Enhanced Visible and Infrared Imager (SEVIRI). Retrieved cloud properties and derived broadband radiative fluxes are provided by the Community Cloud retrieval for CLimate (CC4CL) algorithm. By collecting the cloud properties of the tracked DCCs, we produce a dataset of anvil cloud properties along their lifetimes. While the majority of DCCs tracked in this dataset are isolated, with only a single core, the overall coverage of anvil clouds is dominated by those of clustered, multi-core anvils due to their larger areas and lifetimes. We find that the anvil cloud CRE of our tracked DCCs has a bimodal distribution. The interaction between the lifecycles of DCCs and the diurnal cycle of insolation results in a wide range of the SW anvil CRE, while the LW component remains in a comparatively narrow range of values. The CRE of individual anvil clouds varies widely, with isolated DCCs tending to have large negative or positive CREs, while larger, organised systems tend to have a CRE closer to 0. Despite this, we find that the net anvil cloud CRE across all tracked DCCs is close to neutral (−0.94 ± 0.91 W m−2). Changes in the lifecycle of DCCs, such as shifts in the time of triggering, or the length of the dissipating phase, could have large impacts on the SW anvil CRE and lead to complex responses that are not considered by theories of LW anvil CRE feedbacks.
Upper ocean changes with hurricane-strength wind events: a study using Argo profiles and an ocean reanalysis
Authors: Sala Jacopo , Giglio Donata , Hu Addison , Kuusela Mikael , Wood Kimberly M. , Lee Ann B.
Published: May 2024

Abstract. As the Earth’s climate is warming, the intensity and rain rate of tropical cyclones (TCs) is projected to increase. TCs intensify by extracting heat energy from the ocean, hence a better understanding of upper ocean changes with the TC passage is helpful to improve our understanding of air-sea interactions during and after the event. This work uses Argo float observations and the HYCOM ocean reanalysis to describe characteristics of upper ocean changes with hurricane-strength wind events. We study the association of upper ocean changes with the vertical structure of the salinity profile before the event (increasing versus decreasing), as well as the contribution of changes in salinity to upper ocean density changes in each case. Results show that in regions where pre-event salinity increases (decreases) with depth, there is a corresponding statistically significant increase (decrease) in upper ocean salinity. Consistent with previous studies, temperature decreases in both regions. As temperature decreases, upper ocean density increases and the increase is larger where pre-event salinity increases with depth. Changes in upper ocean properties (from Argo and HYCOM) are overall consistent with wind-driven vertical mixing of near-surface waters with colder and higher (or lower) salinity waters below. Resulting changes in ocean stratification have implications for air-sea interactions during and after the event, with potential impacts on weather events that follow.
Vertical distribution of ice nucleating particles over the boreal forest of Hyytiälä, Finland
Authors: Brasseur Zoé , Schneider Julia , Lampilahti Janne , Vakkari Ville , Sinclair Victoria A. , Williamson Christina J. , Xavier Carlton , Moisseev Dmitri , Hartmann Markus , Poutanen Pyry , Lampimäki Markus , Kulmala Markku , Petäjä Tuukka , Lehtipalo Katrianne , Thomson Erik S. , Höhler Kristina , Möhler Ottmar , Duplissy Jonathan
Published: May 2024

Abstract. Ice nucleating particles (INPs) play a crucial role in initiating ice crystal formation in clouds, influencing the dynamics and optical properties of clouds and their impacts on precipitation and the climate system. Despite their importance, there is limited knowledge about the vertical distribution of INPs. This study focuses on aircraft measurements conducted during spring 2018 above the boreal forest of Hyytiälä, Finland. Similarities between INP concentrations, activated fractions, particle concentrations and size distributions observed at ground-level and in the boundary layer aloft indicate that surface particles and INPs are efficiently transported and mixed within the boundary layer. INP concentrations observed in the boundary layer are successfully predicted by a parameterization describing near-surface INP concentrations driven by the abundance of biogenic aerosol in the Finnish boreal forest, suggesting that biogenic INPs are dominant in the boundary layer above the same environment. Most of the INP concentrations and activated fractions observed in the free troposphere are notably lower than in the boundary layer, and the distinct particle size distributions suggest that different aerosol populations, likely resulting from long-range transport, are present in the free troposphere. However, we show one case where higher INP concentrations are observed in the free troposphere and where a homogeneous particle population exists from the surface to the free troposphere. This indicates that surface particles and INPs from the boreal forest can occasionally reach the free troposphere, which is particularly important as the INPs in the free troposphere can further travel horizontally and/or vertically and impact cloud formation.
The carbonate pump feedback on alkalinity and the carbon cycle in the 21st century and beyond
Authors: Planchat Alban , Bopp Laurent , Kwiatkowski Lester , Torres Olivier
Published: May 2024

Abstract. Ocean acidification is likely to impact all stages of the ocean carbonate pump, i.e. the production, export, dissolution and burial of biogenic CaCO3. However, the associated feedback on anthropogenic carbon uptake and ocean acidification has received little attention. It has previously been shown that Earth system model (ESM) carbonate pump parameterizations can affect and drive biases in the representation of ocean alkalinity, which is critical to the uptake of atmospheric carbon and provides buffering capacity towards associated acidification. In the sixth phase of the Coupled Model Intercomparison Project (CMIP6), we show divergent responses of CaCO3 export at 100 m this century, with anomalies by 2100 ranging from −74 % to +23 % under a high-emission scenario. The greatest export declines are projected by ESMs that consider pelagic CaCO3 production to depend on the local calcite/aragonite saturation state. Despite the potential effects of other processes on alkalinity, there is a robust negative correlation between anomalies in CaCO3 export and salinity-normalized surface alkalinity across the CMIP6 ensemble. Motivated by this relationship and the uncertainty in CaCO3 export projections across ESMs, we perform idealized simulations with an ocean biogeochemical model and confirm a limited impact of carbonate pump anomalies on 21st century ocean carbon uptake and acidification. However, we highlight a potentially abrupt shift, between 2100 and 2300, in the dissolution of CaCO3 from deep to subsurface waters when the global-scale mean calcite saturation state reaches about 1.23 at 500 m (likely when atmospheric CO2 reaches 900–1100 ppm). During this shift, upper ocean acidification due to anthropogenic carbon uptake induces deep ocean acidification driven by a substantial reduction in CaCO3 deep dissolution following its decreased export at depth. Although the effect of a diminished carbonate pump on global ocean carbon uptake and surface ocean acidification remains limited until 2300, it can have a large impact on regional air–sea carbon fluxes, particularly in the Southern Ocean.
Applying global warming levels of emergence to highlight the increasing population exposure to temperature and precipitation extremes
Authors: Gampe David , Schwingshackl Clemens , Böhnisch Andrea , Mittermeier Magdalena , Sandstad Marit , Wood Raul R.
Published: May 2024

Abstract. The swift and ongoing rise of global temperatures over the past decades led to an increasing number of climate variables showing statistically significant changes compared to their pre-industrial state. Determining when these climate signals emerge from the noise of internal climate variability (i.e., estimating the time of emergence, ToE) is crucial for climate risk assessments and adaptation planning. However, robustly disentangling the climate signal from internal variability represents a challenging task. While climate projections are communicated increasingly frequently through global warming levels (GWLs), the ToE is usually still expressed in terms of time horizons. Here, we present a framework to robustly derive global warming levels of emergence (GWLoE) using five single-model initial-condition large ensembles (SMILEs) and apply it to four selected temperature and precipitation indices. We show that the concept of GWLoE is particularly promising to constrain temperature projections and that it proves a viable tool to communicate scientific results. We find that > 85 % of the global population is exposed to emerged signals of nighttime temperatures at a GWL of 1.5 °C, increasing to > 95 % at 2.0 °C. Daily maximum temperature follows a similar yet less pronounced path. Emerged signals for mean and extreme precipitation start appearing at current GWLs and increase steadily with further warming (∼ 10 % population exposed at 2.0 °C). Related probability ratios for the occurrence of extremes indicate a strong increase with widespread saturation of temperature extremes (extremes relative to historical conditions occur every year) reached below 2.5 °C warming particularly in (sub)tropical regions. These results indicate that we are in a critical period for climate action as every fraction of additional warming substantially increases the adverse effects on human wellbeing.
Deep Convective Microphysics Experiment (DCMEX) coordinated aircraft and ground observations: microphysics, aerosol, and dynamics during cumulonimbus development
Authors: Finney Declan L. , Blyth Alan M. , Gallagher Martin , Wu Huihui , Nott Graeme J. , Biggerstaff Michael I. , Sonnenfeld Richard G. , Daily Martin , Walker Dan , Dufton David , Bower Keith , Böing Steven , Choularton Thomas , Crosier Jonathan , Groves James , Field Paul R. , Coe Hugh , Murray Benjamin J. , Lloyd Gary , Marsden Nicholas A. , Flynn Michael , Hu Kezhen , Thamban Navaneeth M. , Williams Paul I. , Connolly Paul J. , McQuaid James B. , Robinson Joseph , Cui Zhiqiang , Burton Ralph R. , Carrie Gordon , Moore Robert , Abel Steven J. , Tiddeman Dave , Aulich Graydon
Published: May 2024

Abstract. Cloud feedbacks associated with deep convective anvils remain highly uncertain. In part, this uncertainty arises from a lack of understanding of how microphysical processes influence the cloud radiative effect. In particular, climate models have a poor representation of microphysics processes, thereby encouraging the collection and study of observation data to enable better representation of these processes in models. As such, the Deep Convective Microphysics Experiment (DCMEX) undertook an in situ aircraft and ground-based measurement campaign of New Mexico deep convective clouds during July–August 2022. The campaign coordinated a broad range of instrumentation measuring aerosol, cloud physics, radar, thermodynamics, dynamics, electric fields, and weather. This paper introduces the potential data user to DCMEX observational campaign characteristics, relevant instrument details, and references to more detailed instrument descriptions. Also included is information on the structure and important files in the dataset in order to aid the accessibility of the dataset to new users. Our overview of the campaign cases illustrates the complementary operational observations available and demonstrates the breadth of the campaign cases observed. During the campaign, a wide selection of environmental conditions occurred, ranging from dry, northerly air masses with low wind shear to moist, southerly air masses with high wind shear. This provided a wide range of different convective growth situations. Of 19 flight days, only 2 d lacked the formation of convective cloud. The dataset presented (https://doi.org/10.5285/B1211AD185E24B488D41DD98F957506C; Facility for Airborne Atmospheric Measurements et al., 2024) will help establish a new understanding of processes on the smallest cloud- and aerosol-particle scales and, once combined with operational satellite observations and modelling, can support efforts to reduce the uncertainty of anvil cloud radiative impacts on climate scales.
Navigating to smoother regulatory waters for Australian commercial vessels capable of remote or autonomous operation
Authors:   , Horne Rachel
Published: May 2024

This thesis provides a nuanced analysis of how autonomous and remotely operated vessels are regulated in Australia, and highlights the difficulties existing regulatory approaches cause. This thesis identifies a pressing need for regulatory change, and provides actionable recommendations to better support the uptake of this technology via efficient and effective regulation. These recommendations include the adoption of ten proposed principles, including Trust-centred; Collaborative; Risk-based; Evidence-led; Systems-focussed; and Adaptable, that together provide a domain and technology agnostic basis for a regulatory development and implementation approach that supports the design, manufacture and operation of ‘trustworthy’ autonomous systems in Australia and beyond.
Enhancing electronic health record storage and processing: A distributed model leveraging MYCAT
Authors:   , Liang Tian
Published: May 2024

This thesis represents an advancement in the conceptualization and deployment of an innovative methodology that enhances data storage efficiency and processing capabilities. This new approach seeks to mitigate data latency problems in relational databases, particularly within time-sensitive healthcare systems. The efficacy and practical applicability of the method have been assessed using actual medical datasets.
Transpalpebral transorbital endoscopic lateral approach to the middle cranial fossa: anatomical study in cadaver
Authors:   Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain, Gras-Cabrerizo Juan R. ,   Department of Otolaryngology/Head and Neck Surgery, Corachán Clinic, Spain, Martel-Martin María ,   Department of Otolaryngology/Head and Neck Surgery, Corachán Clinic, Spain; Department of Otolaryngology/Head and Neck Surgery, Hospital del Mar, Universitat Autònoma de Barcelona, Spain, Casasayas-Plass Maria ,   Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain; Department of Otolaryngology/Head and Neck Surgery, Corachán Clinic, Spain, Villatoro-Sologaistoa Juan C. ,   Department of Otolaryngology/Head and Neck Surgery, Corachán Clinic, Spain; Department of Otolaryngology/Head and Neck Surgery Hospital General de Catalunya, Universitat Internacional de Catalunya, Spain
Published: May 2024

Transorbital expanded endoscopic approaches allow different areas of the skull base to be approached. The aim of our study is to analyse the main anatomical bone and neurovascular structures of the middle cranial fossa by means of a transpalpebral transorbital lateral endoscopic approach (TTLEA). An anatomical study was performed on 12 orbital cavities corresponding to 6 cadaver heads. All specimens were previously injected with colored latex through both carotid systems. The mean distance from the orbital rim to the zygomatic-facial foramen and to the zygomatic-temporal foramen was 11 mm and 16 mm respectively. In all cases the meningo-orbital foramen was found at a mean distance from the orbital rim of 34 mm. The superior orbital fissure (SOF) was located posterior to the meningo-orbital foramen at 39 mm. The foramen rotundum and foramen ovale were located separated from each other by 10 mm on average. Anterior to the foramen ovale a bony prominence was observed in all cases. In 11 cases (92%) the entrance of the accessory meningeal artery into the foramen ovale was evident and in one case an accessory foramen was observed. The middle meningeal artery was located in all dissections within the foramen spinosum. The TTLEA offers a wide and direct exposure of the middle cranial fossa. It should be considered as an alternative to transcranial approaches in certain lesions invading the lateral region of the middle cranial fossa, the lateral wall of the cavernous sinus or the infratemporal fossa.
Metallurgical Evaluation of Zhaksylyk Manganese Ore Concentrate for Ferrosilicomanganese Smelting
Authors:   Zh. Abishev Chemical-Metallurgical Institute, Ermekov Street, 63, Karaganda, Kazakhstan,, MAKHAMBETOV Yerbolat , MYNGZHASSAR Yesmurat ,   NPJSC «Karaganda Industrial University», Republic Avenue, 30, Temirtau, Kazakhstan,, ABDIRASHIT Assylbek ,   NPJSC «Karaganda Industrial University», Republic Avenue, 30, Temirtau, Kazakhstan,, BAISANOV Alibek ,   Zh. Abishev Chemical-Metallurgical Institute, Ermekov Street, 63, Karaganda, Kazakhstan,, TUSHIYEV Tair ,   NPJSC «Karaganda Industrial University», Republic Avenue, 30, Temirtau, Kazakhstan,
Published: May 2024

The purpose of this work is the metallurgical evaluation of the manganese ore of the Zhaksylyk deposit for the smelting of ferrosilicomanganese. For this, the phase composition of the concentrate was studied by X-ray phase analysis on an Empyrean Malvern Panalytical X-ray diffractometer, where brownite (MnO·3Mn2O3·SiO2) and quartzite (α-SiO2) phases were detected. A certain granulometric composition of the concentrate of sequential sieve analysis, by size 25-10, 10-8, 8-5, 5-3 and 3-0 mm, followed by weighing the size of the classes and calculating their income as a percentage of the total mass of the sample. According to the chemical analysis, the average composition of the manganese concentrate is given, %: Mntotal – 36,93; Fetotal – 6,21; MgO – 0,72; SiO2 – 38,33; CaO – 26,17; Al2O3 – 4,05; Ptotal – 0,042. In Tamman's high-temperature laboratory furnace, a series of crucible melting of ferrosilicomanganese was carried out using manganese concentrate from the Zhaksylyk deposit; the resulting ferrosilicomanganese corresponds to GOST 4756-91 in terms of chemical composition.
Stereotactic Radiotherapy of VHL-Associated hemangioblastomas: A Family Case Report and Literature Review
Authors: Lestrovaya A. I. , Pronin I. N. , Golanov A. V. , Batalov A. I. , Antipina N. A. , Danilina I. I.
Published: May 2024

Von Hippel-Lindau syndrome (VHL) is a rare autosomal-dominant inherited cancer syndrome with different phenotypes caused by variants in the VHL gene.

Hemangioblastoma (HAB) is a benign tumor of the central nervous system and may appear as a component of VHL disease.

HAB is one of the most common manifestations and a leading cause of morbidity and mortality in patients with BGL, but can also occur as a sporadic form. This tumor often has a cystic component and is multiple in nature. Mainly located subtentorially. MRI is the gold standard for diagnosis; computed tomography and perfusion techniques can also be used to make the correct diagnosis. The definitive treatment for these lesions is surgical resection, followed by SRS if necessary. Stereotactic irradiation is the method of choice for hemangioblastomas, especially with early detection of relatively small lesions, including those with multiple lesions. Radiosurgery is carried out with a high degree of efficiency with low toxicity, which is especially important for patients with minimally severe symptoms and in pediatric patients and also is recommended to patients with limited surgical alternatives (i.e., severe medical comorbidities, surgically unresectable tumors). SRS offered a satisfactory 5-year tumor control of HHB to VHL patients.

The article describes a family case of hemangioblastoma, traced over several generations, provides an algorithm for the management of patients with VHL syndrome with recommendations for the required scope of their diagnosis, observation and discussion of approaches to their treatment.

Careful collection of family history, genetic and follow up examination carried out systematically and correctly, monitoring of patients with VHL will allow timely establishment of the correct diagnosis and more widespread use of the stereotactic irradiation method.
Pengaruh Faktor Ekonomi dan Sosial Terhadap Akses Pelayanan Kesehatan di Rumah Sakit
Authors: Dwi Binuko Raafika Studiviani , Fauziyah Nida Faradisa
Published: May 2024

Latar Belakang : Penelitian ini bertujuan untuk mengeksplorasi pengaruh faktor ekonomi dan sosial terhadap akses pelayanan kesehatan di rumah sakit. Masalah utama yang dihadapi adalah ketidaksetaraan dalam akses layanan kesehatan yang dapat dipengaruhi oleh tingkat pendapatan, biaya layanan kesehatan, tingkat pendidikan, dan status sosial ekonomi. Tujuan utama penelitian adalah untuk memahami sejauh mana variabel-variabel tersebut berkontribusi terhadap tingkat akses pelayanan kesehatan di kalangan responden.
Metode : Menggunakan pendekatan kuantitatif dengan pengumpulan data melalui survei kepada 150 responden dari berbagai lapisan masyarakat. Variabel dependen dalam penelitian ini adalah "Akses PelayananK esehatan," sedangkan variabel independennya mencakup "Tingkat Pendapatan," "Biaya Layanan Kesehatan," "Tingkat Pendidikan," dan "Status Sosial Ekonomi". Analisis regresi digunakan untuk menilai hubungan dan signifikansi variabel-variabel tersebut terhadap tingkat akses pelayanan kesehatan.
Hasil : Variabel "Tingkat Pendapatan" memiliki tingkat signifikansi p-value > 0.05 (p = 0.693). Ini mengindikasikan bahwa "Tingkat Pendapatan" tidak memiliki pengaruh yang signifikan terhadap "Akses Pelayanan Kesehatan" karena p-value lebih besar dari tingkat signifikansi yang umum (α = 0.05). Di sisi lain, variabel "Biaya Layanan Kesehatan" mempunyai nilai p-value = 0.000. Hal ini menunjukkan bahwa "Biaya Layanan Kesehatan" memiliki pengaruh signifikan terhadap "Akses Pelayanan Kesehatan", Variabel "Tingkat Pendidikan" mempunyai nilai p-value > 0.05 (p = 0.568), menunjukkan bahwa “Tingkat Pendidikan” juga tidak memiliki pengaruh yang signifikan terhadap “Akses Pelayanan Kesehatan”. Sementara itu, variabel "Status_Sosial_Ekonomi" memiliki tingkat signifikansi p-value yang rendah (p = 0.007). Ini mengindikasikan bahwa "Status SosialEkonomi" berkontribusi secara signifikan terhadap "Akses Pelayanan Kesehatan".
Kesimpulan : Menunjukkan bahwa variabel "Biaya Layanan Kesehatan" memiliki pengaruh yang signifikan terhadap tingkat akses pelayanan kesehatan, dengan peningkatan biaya layanan kesehatan berkontribusi pada penurunan akses. Sebaliknya, variabel "Status_Sosial_Ekonomi" juga memiliki pengaruh signifikan, dengan peningkatan status sosial ekonomi berhubungan positif dengan peningkatan akses pelayanan kesehatan. Namun, variabel "Tingkat Pendapatan" dan “Tingkat Pendidikan” tidak menunjukkan pengaruh yang signifikan.
Kata Kunci : Akses Pelayanan Kesehatan, Faktor Ekonomi, Faktor Sosial, Inklusivitas Kesehatan, Analisis Regresi
Hubungan Antara Pengetahuan dan Sikap Dengan Perilaku Pengisian Rekam Media Elektronik Oleh Dokter Penanggung Jawab Pelayanan Dalam Pelayanan Pasien Jaminan Kesehatan Nasional di Rumah Sakit Hermina Jatinegara
Authors: Wongso Yokorina , Jak Yanuar , Widiyaningsih Cicilia , Darwisa Sri Rahayu
Published: May 2024

Klaim peserta jaminan kesehatan nasional (JKN) merupakan pengajuan biaya pengobatan
peserta JKN yang dilakukan secara kolektif dan ditagihkan setiap bulan oleh rumah sakit kepada BPJS
Kesehatan. Meningkatnya resume medis pasien JKN rawat inap yang tidak lengkap sejak diterapkannya
rekam medis elektronik (RME) di RS Hermina Jatinegara telah mengakibatkan meningkatnya
jumlah pending klaim JKN sebesar 5,06%. Penerapan RME di RS Hermina Jatinegara masih belum
dapat optimal dikarenakan pemahaman RME belum merata, terutama di kalangan dokter penanggung
jawab pelayanan (DPJP). Tujuan Penelitian: menjelaskan dan membuktikan hubungan antara
Pengetahuan dan Sikap dengan Perilaku pengisian RME oleh DPJP dalam pelayanan peserta JKN di RS
Hermina Jatinegara DKI Jakarta Tahun 2023. Metodologi Penelitian: penelitian kuantitatif analitik
dengan pendekatan cross sectional study.
Hasil Penelitian: dari hasil penelitian ditemukan pengetahuan dan sikap berpengaruh terhadap
perilaku DPJP dalam implementasi RME di RS Hermina Jatinegara dengan p-value variabel
pengetahuan 0.03 dan p-value variabel sikap 0.003. Dari hasil telaah 258 dokumen rekam medis
didapatkan 56% resume medis tidak lengkap.
Kesimpulan: pengetahuan dan sikap berpengaruh terhadap perilaku DPJP dalam pengisian
RME dalam pelayanan pasien JKN di RS Hermina Jatinegara. Sebesar 56 % resume medis dari 258
rekam medis yang ditelaah tidak diisi dengan lengkap.
Kata kunci : RME, Pending Klaim JKN, Pengetahuan, Sikap, Perilaku
Pengaruh Komunikasi Interpersonal, Motivasi dan Sikap Terhadap Pelaksanaan Patient Safety di Rawat Inap Rumah Sakit Tingkat IV 02.07.04 Bandar Lampung
Authors: Endriani Chinanti , Kodyat Alih Germas , Trigono Ahdun
Published: May 2024

Latar belakang: Fasilitas Pelayanan Kesehatan wajib menerapkan standar keselamatan pasien. Standar keselamatan pasien dilaksanakan melalui identifikasi dan pengelolaan risiko, analisis dan pelaporan, serta pemecahan masalah dalam mencegah dan menangani kejadian yang membahayakan keselamatan pasien. Ada beberapa kejadian seperti tempat tidur pasien tidak ada pagar, kran air bocor yang menyebabkan lantai licin, tempat tidur bayi yang baru lahir berdebu, dan obat di troli emergensi kosong. Integrasi yang efektif dari komunikasi interpersonal, motivasi, dan sikap dapat memperkuat implementasi patient safety dalam lingkungan pelayanan kesehatan khususnya di rawat inap. Penelitian ini bertujuan menganalisis seberapa besar pengaruh Komunikasi Interpersonal, Motivasi, dan Sikap terhadap pelaksanaan Patient Safety. Metode: Penelitian ini menggunakan pendekatan kuantitatif, metode survei dan teknik korelasi, metode analisis data yang digunakan adalah dengan uji regresi linier berganda, populasi pada penelitian ini adalah perawat yang secara langsung terlibat dalam upaya memberikan pelayanan pada pasien dengan jumlah sampel 42 orang. Hasil: Hasil penelitian ini adalah variabel komunikasi interpersonal berpengaruh negative dan tidak signifikan terhadap penerapan Patient Safety di Rawat Inap. Selanjutnya variable motivasi berpengaruh negative dan tidak signifikan terhadap penerapan Patient Safety di Rawat Inap. Untuk variable sikap ada pengaruh positif dan signifikan terhadap penerapan Patient Safety di Rawat Inap. Variabel komunikasi interpersonal, motivasi dan sikap berpengaruh secara simultan terhadap Patient Safety di Rawat Inap. Saran: Disarankan kepada pihak Rumah Sakit terus meningkatkan pelayanan patient safety di ruang rawat inap agar terhindar dari insiden keselamatan pasien serta dilakukannya monitoring dan evaluasi secara berkala.

Kata kunci: Komunikasi Interpersonal, Motivasi, Sikap, Patient Safety
Twisted Hessian curve over a local ring
Authors: Chilali Abdelhakim , Grini Abdelali , Ethamam Moha Ben Taleb
Published: May 2024

In this paper, we study the twisted Hessian curve denoted $H^{n}_{a,d}$ over the ring $\mathbb{F}_{q} [X] / (X^{n})$, where $\mathbb{F}_{q}$ is a finite field of q elements, with q is a power of a prime number $p \geq 5$ and $n \geq 5$. In a first time, we describe these curves over this ring. In addition, we prove that when $p$ doesn't divide $\# ( H_{\pi(a), \ \pi(d)})$, then $H^{n}_{a,d}$ is a direct sum of $ H_{\pi(a), \ \pi(d)}$ and $\mathbb{F}_{q}^{n-1}$, where $ H_{\pi(a), \ \pi(d)}$ is the twisted Hessian curve over $\mathbb{F}_{q}$. Other results are deduced from, we cite the equivalence of the discrete logarithm problem on the twisted Hessian curves $H^{n}_{a,d}$ and $ H_{\pi (a), \ \pi (d)}$, which is beneficial for cryptography and cryptanalysis as well.