bluuebunny/crossref_metadata_2025 huggingface dataset:
Efeitos do exercício físico em pacientes com doença inflamatória intestinal: uma revisão integrativa
Authors: Silva Lara Thaís Prates e , Silva Guilherme Ferreira Santos
Published: May 2023

Objetivo: compreender os impactos do exercício físico em pacientes com doença inflamatória intestinal. Materiais e Métodos: trata-se de uma revisão integrativa da literatura. Foram realizadas buscas e análise criteriosa de artigos científicos nas bases de dados PubMed e SciELO. A pergunta norteadora definida foi: Quais são os efeitos do exercício físico em pacientes com doença inflamatória intestinal? A pesquisa foi realizada utilizando os termos: Exercise AND Inflammatory bowel disease. Foram incluídos artigos publicados nos últimos 5 anos, em língua inglesa e portuguesa. Foram encontrados 14 estudos com a utilização dos descritores em todas as bases de dados supracitadas, no mês de setembro de 2022. Após a leitura dos títulos, resumos e palavras-chave foram excluídos os artigos em duplicação e que não seguiam os critérios de inclusão e exclusão selecionados, resultando em seis estudos, os quais foram lidos na íntegra. Por fim, quatro estudos compuseram a amostra final. Resultados: os estudos abordavam a resposta dos pacientes com Doença Inflamatória Intestinal ao exercício físico de forma comparativa (grupo controle). Foi observada até duas modalidades distintas de exercício em um mesmo estudo. Alguns instrumentos utilizados nas investigações foram semelhantes, como o uso do Physical Activity Enjoyment Scale, Inflammatory Bowel Disease Questionary e o Índice de Atividade da Doença de Crohn que possuem tradução e validação em português. Dentre a prática de exercícios físicos com monitorização prévia ou determinada, os estudos identificaram melhora da qualidade de vida associada à doença, alto nível de prazer ou bem-estar geral, aumento da força muscular e segurança da prática pelos pacientes ao inferir ausência de exacerbações da doença. Conclusão: a prática de exercícios físicos em suas diversas modalidades pode ser realizada por pacientes adultos com doença inflamatória intestinal. Tal prática pode causar efeitos benéficos em vários segmentos, como saúde mental, composição corporal e função muscular, sendo bem indicada para esses pacientes.
Alone in a cave: Examination of a 5200 BCE skeleton from the Judean Desert, Israel
Authors: Nagar Yossi , Milevski Ianir , Hamer Hagay , Amichay Oriya , Klein Eitan , Boaretto Elisabetta , Fadida Atalya , May Hila
Published: May 2023

The remains of a >50-years-old male, thus far representing the only complete skeleton dated to the Early Chalcolithic (Wadi Rabah) period in Israel, were recovered in a cave in the Judaean desert (Nahal Mishmar, F1-003). The old male suffered abscesses in the maxilla following tooth caries, and a well-healed trauma in the left tibial midshaft. Skull and mandibular morphology were described using plain measurements, indices and angles, and compared with similarly taken Chalcolithic data. In addition, mandibular morphology was captured using a landmark-based geometric morphometrics method and compared to Natufian hunter-gatherers, Pre-Pottery Neolithic early farmers, and Late Chalcolithic populations. The results, although cautionary, reveal similarity to the succeeding Ghassulian Chalcolithic period populations and suggest population continuity from the Early to the Late (Ghassulian) Chalcolithic period. Future ancient DNA study may clarify this hypothesis and further reveal population affinity in this period in Israel.
Two cases of concha bullosa in a contemporary Cypriot skeletal collection
Authors: Haines Stephen , Hackner Stacy , McCheyne Phillip , Alexander Myeashea , Kyriakou Xenia-Paula
Published: May 2023

Concha bullosa is the hypertrophy of the superior, middle, or inferior nasal conchae, most commonly referring to the pneumatisation of the middle conchae. It is considered to be the most common anatomical variant of the osteomeatal complex, rather than a pathological development. Though it is common, its aetiology is poorly understood. It is unclear whether sex or ethnicity impacts on the prevalence of concha bullosa, though some research suggests a correlation. Some researchers have argued that concha bullosa predisposes individuals to sinusitis, but the link is not consistent. In this paper, the authors present two new skeletal cases of bilateral concha bullosa identified in female individuals taken from the Cyprus Reference Research Collection (CRRC). This work aims to highlight the limitations associated with the palaeopathological diagnosis of inflammation and the interpretation of skeletal lesions that may be related to sinusitis or infection of the osteomeatal complex in archaeological bone, in relation to the presence of concha bullosa.
AYDINTEPE YERALTI ŞEHRİ (BAYBURT): MİMARİ FONKSİYON ANALİZİ
Authors: METİN Hüseyin , YILMAZ Mesut
Published: May 2023

Bayburt İli, Aydıntepe İlçesi, Prehistorik dönemlerden beri yerleşim izleri taşıyan bir yöre olarak dikkati çekmektedir. İçerisinde bulunduğu bölgenin tarih öncesi çağlardan itibaren süregelen ticari yol ağına sahip olması, verimli toprakları, su kaynaklarına yakınlığı nedeniyle tarihsel süreç içerisinde farklı uygarlıklara ev sahipliği yapmıştır. Bayburt ve çalışma konusu Aydıntepe’de (Hart) yapılan yüzey araştırmalarında eski kalıntıların izlerini taşıyan çok sayıda eser günümüze kadar ulaşmıştır. Bu çalışmada, Aydıntepe İlçe merkezinde yer alan bulunduğu ilçe ismi ile anılan yeraltı şehrinin mimari fonksiyon analizi incelenmiştir. Aydıntepe Yeraltı Şehri, geçmişten günümüze kadar varlığını kısmen sürdürerek gelmiş olan ve bulunduğu bölgede tekil kültür varlığı niteliği taşıyan tarihi açıdan da büyük öneme sahip alanlardan birisidir. Aydıntepe Yeraltı şehrinde kısa süreli kazı çalışmaları yapılmıştır. Çalışmaların sürdürülememesinin en önemli sebebi yeraltı şehrinin bazı kısımlarında meydana gelen göçüklerdir. Bu çalışmada yeraltı şehrinin ortaya çıkarılan bölümünün tamamının planı çıkarılmış, plan doğrultusunda yapıların işlevlerine ve konservasyonuna yönelik öneriler sunulmuştur. Çalışma sonucunda yeraltı şehrinin M.S. 3. yüzyılda yapılmış olabileceği ve uzun süre kullanıldığı düşünülmüştür.
A Literature Review on Implementation of PPP in Infrastructure Development: An Analysis of Constraints
Authors: Rupak Kumar Saha  , Prabakaran P A
Published: May 2023

This literature review paper examines the implementation of Public-Private Partnerships (PPP) in infrastructure development, focusing on the constraints that affect their successful implementation. The paper analyses relevant literature on PPP implementation, including case studies, government reports, and academic research. The findings suggest that while PPPs can offer significant benefits in infrastructure development, their implementation is often constrained by factors such as regulatory frameworks, political risks, financial viability, and institutional capacity. The paper provides a comprehensive overview of the constraints associated with PPP implementation and offers insights into potential solutions that can address these challenges. Overall, this paper contributes to a deeper understanding of the complexities of PPP implementation in infrastructure development and provides useful recommendations for policymakers and practitioners involved in PPP projects.
An Information Centric Network for Distributed Registery withContent Unique Identifier (DID) and Verifiable Credentials
Authors: Prof. Aravinda Thejas Chandra  , Chandan R  , Chandan R  , Hemanth Kumar N
Published: May 2023

Decentralised Identifiers (DIDs), a new self-manageable method of authentication that is currently being standardised by the World Wide Web Consortium (W3C), are new standards for Content Unique Identifiers. Verifiable credentials (VCs), another ongoing standardisation (by the same W3C working group) that permits private and secure proofs of attribute ownership, are closely related to DIDs. Both of these methods rely on a central immutable decentralised registry (such as a blockchain or peer-to-peer network) where crucial meta-data is stored. Using the newly developing paradigm of Information Centric Networking (ICN), we design, construct, and evaluate a secure DID/VC registry service. The ''search by name'' feature of ICN, together with a secure protocol, are combined with the decentralised nature and our goal is to achieve technique for keeping in sync copies of an object at several locations. Our design has little network cost and provides quick lookup speeds because to ICN's built-in multicast and caching functionality
A Crime Prediction Model/Tool for Hotspot Mapping
Authors: Sabin T T  , Archana R  , Lithisha K J  , Vikhyath P
Published: May 2023

The hotspot map is a popular analytics tool used to help law enforcement and crime reduction resources determine where to focus. Essentially, the hotspot map is used as a data-driven crime map to identify high-crime areas and places where police and other criminal activities should be used. The project uses crime data from a period before (already past) a certain date to create heat maps and test their accuracy in predicting what will happen next. Compare hotspot mapping accuracy with maps used to measure crime issues (thematic mapping of the census output area, spatial ellipses, grid thematic mapping, and core density estimation) and by crime type – the four crime types (crime, crime, car theft, and car theft)..
Student Feedback System using Flask
Authors: Arunapriya R  , Mohana Subbu M  , Fakrudeen K  , Rakesh A
Published: May 2023

The student feedback system is used to get student feedback about the staff through the web-based application. This Student Feedback System is used to determine whether students understand the teaching concepts or not, whether their performance is going well or poorly, and how they should direct their subsequent efforts. In this way, feedback is essential to scholars' learning and growth. Flask and MySQL technologies are used to develop this student feedback system. Flask is a web Framework used to develop the web application and MySQL is the Relational Database that is used to store the data and manipulate data. This student feedback system is very useful for schools and colleges to get staff feedback. Four characters are involved in this application. They are admin, hod, staff, and student, and then this application consists of the four important modules: the admin module, the hod module, the staff module, and the student module. The admin can add the HOD to each department, and the admin can view all the students' feedback. This process was managed by the Admin Module. The HOD can add the staff to their department, and the HOD can view only their department’s student feedback. This process was managed by the HOD module. The Staff can add the students and only can view their feedback. They cannot see other staff's feedback. This process was managed by the Staff Module. Finally, Students can only provide feedback to their staff. This process was handled by the student module. These are all the four important modules and characteristics of this application
As coisas de crianças e as infâncias na fronteira amazônica
Authors: Lourenço Mota Marinete , Caldas Torres Iraildes , Pineda Nebot Carmen , Da Silva Ferreira Jarliane
Published: May 2023

O objetivo do trabalho é apresentar as infâncias vividas no limiar do real e imaginário na tríplice fronteira amazônica. A finalidade do artigo é discorrer sobre as coisas de crianças, ou seja, suas brincadeiras e brinquedos como construções simbólicas na região de fronteira, que caracterizam o tempo das infâncias.  Conta com a contribuição teórica e metodológica de autores como Benjamin (1984), Brougerè (1998), Bachelard (1998) e Corsaro (2002) na perspectiva de compreender a criança como sujeito social e produtora de cultura. A metodologia pautou-se na abordagem qualitativa, a partir da técnica de grupo focal, entrevistas, desenhos e observação participante no grupo de quinze crianças moradoras do bairro Santa Rosa, que liga as cidades gêmeas Tabatinga, Amazonas, Brasil e Letícia, Amazonas, Colômbia.  Os resultados apontam para um repertório de práticas culturais   das crianças de forma díspares, interações e produção de sentidos sobre o que dialogam e fazem, portanto, suas ações, a respeito de suas brincadeiras, jogos e seus brinquedos. Suas experiências espontâneas nas brincadeiras ocorrem em diferentes espaços e tempos de convivência autônoma, na rua, em frente à igreja, espaços ociosos da comunidade, nos igarapés, em locais privados e públicos da comunidade fronteiriça.
Ablation of pulmonary neoplasms: review of literature
and future perspectives
Authors: Lassandro Giulia , Picchi Stefano Giusto , Corvino Antonio , Gurgitano Martina , Carrafiello Gianpaolo , Lassandro Francesco
Published: May 2023

Thermal ablation is a minimally invasive technology used to treat many types of tumors, including lung cancer. Specifically, lung ablation has been increasingly performed for unsurgical fit patients with both early-stage primi­tive lung cancer and pulmonary metastases. Image-guided available techniques include radiofrequency ablation, microwave ablation, cryoablation, laser ablation and irreversible electroporation. Aim of this review is to illustrate the major thermal ablation modalities, their indications and contraindications, complications, outcomes and notably the possible future challenges.
Relationship between cathepsin K and total oxidative state in diabetes mellitus female patients with osteoporosis in Iraq
Authors: Abaas Jafer Abeer , Hameed Ali Bushra
Published: May 2023

Introduction and Aim: Diabetes mellitus patients almost always struggle with a metabolic condition known as chronic hyperglycemia. According to the World Health Organization, osteoporosis is a progressive systemic skeletal disorder that is characterized by decreasing bone mass and microstructural breakdown of bone tissue that increases susceptibility to fracture and increased risk of breaking a bone. Here, we aimed to compare the levels of CatK and total oxidative state in patients with diabetes and osteoporosis among the female Iraqi population and study the possible relationship between them.
 
Materials and Methods: This study included 40 females with diabetes (Group G1), 40 with diabetes and osteoporosis (Group G2) and 40 normal healthy females (Group G3) as controls. All participants were checked for their height, weight and BMI. Blood drawn from everyone was analyzed for fasting blood sugar, HbA1c, Cathepsin K, TOS, TAC and MDA. Data obtained was subjected to statistical analysis.
 
Results: According to the findings, the levels of cathepsin K increased significantly (P 0.001) from Group 1 to Groups 2 and 3, as measured by their mean and standard deviation values. The results of total oxidant status, expressed as means and standard deviations (Mean SD), demonstrated a high significant (P 0.001) decline from group G1 to groups G2 and G3.
 
Conclusion: Cathepsin K was observed to be linked to both type 2 diabetes and bone loss. In postmenopausal Iraqi women with type 2 diabetes, Cathepsin K may serve as a biomarker for both diabetes and osteoporosis.
La práctica de notificaciones electrónicas que no generen situaciones de indefensión constitucionalmente relevantes: la necesidad de desplegar una mínima labor comprobadora razonable en la identificación de domicilios alternativos a la sede de dirección electrónica para practicar notificaciones
Authors: García Díez Claudio
Published: May 2023

El presente comentario se centra en el estudio de la Sentencia del Tribunal Constitucional 147/2022, de 29 de noviembre, que, cabalmente, extiende el régimen de garantías constitucionales, conformadas inicialmente para las notificaciones procesales y administrativas llevadas a cabo de forma personal y directa, al régimen de notificaciones electrónicas, al objeto de evitar la incoación de verdaderos procedimientos tributarios virtuales (sin intervención alguna del obligado tributario), generadores de situaciones de indefensión material, constitucionalmente relevantes.
Los salarios de tramitación y su cotización a la Seguridad Social tras la Ley 45/2002, de 12 de diciembre
Authors: Beneyto Calabuig Damián
Published: May 2023

El Real Decreto-Ley 5/2002, de 24 de mayo, de medidas urgentes para la reforma del sistema de protección por desempleo y mejora de la ocupabilidad (socialmente conocido por «el decretazo»), produjo gran indignación a sindicatos y partidos de la oposición, al ser aprobado por sorpresa por el Gobierno tras el anuncio y comunicación de una huelga general.
Seis meses y medio después el BOE de 13 de diciembre de 2002 publica la Ley 45/2002, de 12 de diciembre, asimismo de medidas urgentes para la reforma del sistema de protección por desempleo y mejora de la ocupabilidad (conocida vulgarmente como «el contradecretazo» o la «contrarreforma»), que deroga el Real Decreto-Ley 5/2002.
Este comentario aborda únicamente el tema de los salarios de tramitación y su cotización a la Seguridad Social, que ha resultado modificado de forma sustancial por la Ley 45/2002, aplicable a los despidos producidos a partir del 14 de diciembre de 2002, estableciendo tres novedades esenciales:
1. Exoneración de los salarios de tramitación: cuando el empresario reconozca la improcedencia del despido disciplinario, ofrezca la indemnización prevista para el mismo y la deposite en el Juzgado de lo Social en el plazo de las 48 horas siguientes al despido, a disposición del trabajador.2. Limitación del devengo de los salarios de tramitación: cuando el empresario reconozca la improcedencia del despido disciplinario (desde la fecha del despido hasta la de la conciliación), ofrezca la indemnización prevista para el mismo y la deposite en el Juzgado de lo Social transcurrido el plazo de las 48 horas siguientes al despido, a disposición del trabajador.3. Retorna el pago (y cotización) por el Estado de los salarios de tramitación devengados cuando la sentencia que declare la improcedencia del despido se dicte transcurridos más de 60 días hábiles desde la fecha en que se presentó la demanda.
Un hecho insólito se ha producido en el Derecho Laboral español: en el año 2002 han estado vigentes tres regulaciones distintas en materia de despido y protección por desempleo, una hasta el 25 de mayo, otra del 26 de mayo al 13 de diciembre y, finalmente, una tercera a partir del 14 de diciembre de 2002. Y la consecuencia de ello es que, según la fecha de su despido, el trabajador ha tenido derecho a salarios de tramitación y cotización a la Seguridad Social, ha perdido tales salarios, o los ha recuperado en determinadas condiciones.
A través de estas páginas se comenta la nueva regulación, analizándose de forma pormenorizada los distintos supuestos que pueden presentarse una vez entregada la carta de despido, con un enfoque práctico apoyado en cuadros-resúmenes comparativos de la normativa anterior, el Real Decreto-Ley 5/2002 y la Ley 45/2002, para facilitar su alcance y comprensión.
La regulación del proceso laboral internacional: una «asignatura pendiente» de los tribunales
Authors: Molina Navarrete Cristóbal , De la Rosa Gloria Esteban
Published: May 2023

La movilidad internacional del factor trabajo no se ha visto acompañada hasta el momento por una adecuada comprensión ni por parte del legislador, ni de buena parte de la doctrina, ni, sobre todo, de los jueces, incluso en aquellos ámbitos que deberían resultar más «familiares» o cómodos para éstos como son los relativos a la ordenación procesal. Se entiende por lo tanto, aunque no se justifique, que el significativo aumento de la litigiosidad en este ámbito, correlativo a la propia expansión transnacional de las empresas –incluido el sector público–, provoque notables desajustes en la aplicación de la normativa vigente. Las autoridades judiciales españolas del orden social, en sus diferentes niveles, incluido el Tribunal Supremo –así como el propio Tribunal Constitucional, aunque no se integren propiamente en tal estructura jurisdiccional– se enfrentan con mayor frecuencia ante demandas en las que existe un elemento relevante de internacionalidad. El correcto enfoque de estas situaciones requiere acudir al sistema español de Derecho Internacional Privado (del Trabajo), en el que se regulan de forma diferenciada las cuestiones relativas a la competencia internacional de las autoridades españolas del orden social, al Derecho aplicable a la relación laboral internacional, así como a la aplicación del Derecho extranjero que, en su caso, sea reclamado por la norma de remisión (norma de conflicto).
Sin embargo, la tradicional relación «conflictiva» entre la materia civil y el ámbito laboral, que la Ley de Enjuiciamiento Civil viene a remozar, unida al desconocimiento de las especialidades de la reglamentación de las situaciones privadas internacionales, así como los recientes cambios operados en este sistema, son elementos que perjudican la adecuada comprensión y resolución de estas relaciones. Sólo desde un estudio interdisciplinar del Derecho Procesal Laboral Internacional, como el aquí realizado por los autores, se muestra como una vía adecuada para plantear bien los problemas y avistar las soluciones más correctas.
La gestión de los recursos humanos como factor determinante del aprendizaje organizativo
Authors: Pérez López Susana
Published: May 2023

El objetivo de este trabajo es analizar la relación existente entre las políticas de gestión de recursos humanos y el aprendizaje organizativo, considerado por numerosos académicos y profesionales la única fuente de ventaja competitiva sostenible. Las hipótesis planteadas son contrastadas sobre una muestra de 195 empresas, con más de 200 trabajadores, que desarrollan su actividad en el territorio español. Los resultados indican que el establecimiento de políticas de contratación selectiva, formación estratégica, participación de los trabajadores en la toma de decisiones y retribución contingente favorecen la capacidad de aprendizaje de la organización.
Los planes y fondos de pensiones ante las nuevas formas de organización de la empresa
Authors: Moreno Gené Josep , Romero Burillo Ana María
Published: May 2023

Este trabajo ha sido seleccionado y ha obtenido el 1.er Premio Estudios Financieros 2003 en la Modalidad de Derecho del Trabajo y Seguridad Social.
La importancia creciente que en estos últimos años han alcanzado los Planes y Fondos de Pensiones hace necesario el estudio de su régimen jurídico siendo uno de los aspectos más conflictivos del mismo la determinación de las responsabilidades empresariales derivadas de su constitución –compromiso de formalización y, en su caso, la financiación del Plan por parte de las empresas (realización de aportaciones empresariales al Plan de Pensiones).
La vocación de permanencia en el tiempo que caracteriza a los Planes y Fondos de Pensiones comporta que dicho estudio no deba limitarse a su vertiente estática, sino que necesariamente abarque su vertiente dinámica, es decir, las vicisitudes que dicho Plan de Pensiones sufre a lo largo de su existencia. Por ello, uno de los aspectos más trascendentes en el devenir de un Plan de Pensiones es la forma en que le afectan las transformaciones del promotor del Plan, especialmente en un contexto socioe­conómico caracterizado por los cambios en la forma de organización de la empresa y, por tanto, del empresario.
En esta dirección en este trabajo se analiza cómo algunas de las alteraciones más significativas que ha sufrido o puede sufrir el empresario afectan al régimen de responsabilidades derivado de la constitución de un Plan de Pensiones, a saber: los grupos de empresa, las fusiones y escisiones de empresas y la descentralización productiva.Con esta finalidad, se abordan con carácter previo algunos de los elementos esenciales del régimen jurídico de los Planes y Fondos de Pensiones, así como las transformaciones más importantes sufridas por la organización empresarial. Una vez realizado dicho análisis se lleva a cabo el estudio del régimen jurídico laboral de los Planes y Fondos de Pensiones ante las nuevas formas de organización de la empresa, para lo cual se analizan los Planes de Pensiones en los supuestos de transmisión de la empresa, en los grupos de empresa y en los supuestos de subcontratación.
Este estudio se realiza con la vocación de alcanzar el necesario equilibrio entre las necesidades empresariales de organizarse de la mejor manera para satisfacer las necesidades del mercado y los derechos de los trabajadores en una materia tan sensible como es el ver garantizada la cobertura de sus derechos de protección social ante la materialización de las contingencias previstas en un Plan de Pensiones –incapacidad permanente, jubilación, orfandad y viudedad–. En definitiva, ni las nuevas formas de organización de la empresa pueden suponer un obstáculo al establecimiento de los Planes y Fondos de Pensiones, ni éstos pueden suponer un freno a las nuevas formas de organización empresarial.
Elterliche Kooperation und Bindungstoleranz als Kriterien in der Familienrechtspsychologie
Authors: Kindler Heinz , Salzgeber Joseph
Published: May 2023

Die Zusammenarbeit von Eltern nach einer Trennung hat sich in Rechtsprechung und Familienrechtspsychologie zu einem Kriterium bei Fragen zur Beibehaltung der gemeinsamen elterlichen Sorge und der Übertragung auf einen Elternteil entwickelt. Vier Konzepte werden im Beitrag diskutiert: Bindungstoleranz, Kooperation und Coparenting sowie Gatekeeping. Konzeptuelle Probleme lassen die Verwendung von Bindungstoleranz als Begriff in der Familienrechtspsychologie problematisch erscheinen. Kooperation und Coparenting werden zur Beschreibung der Situation der Elterndyade oder zur Beschreibung individueller Bereitschaft und Fähigkeit eingesetzt. Einschätzungen zu Kooperation oder Coparenting als individuelles Merkmal sind fehleranfällig, wenn individuell verantwortete Handlungen aus Handlungsketten herausgelöst werden. Fairness kann ebenfalls eine Herausforderung bei der Erhebung sein. Partnerschaftsgewalt oder Formen von Kindeswohlgefährdung müssen als Handlungen gesehen werden, die dem anderen Elternteil Kooperation und Coparenting verunmöglichen. Unterstützendes, schützendes und restriktives Gatekeeping stellen elterliche Verhaltensmuster dar, die von Gerichtssachverständigen in Verfahren eingebracht werden können.
INTEGRATION HEALTH PROMOTION INTO HOSPITAL CARE: DEVELOPMENT OF HEALTH PROMOTING HOSPITAL (HPH) : THE BENEFITS, CHALLENGES AND THE IMPLEMENTATION FOR FUTURE HOSPITAL IN INDONESIA
Authors: MULIANINGSIH NI PUTU BUDI
Published: May 2023

This paper aims to provide a useful introduction of development and implementation of health promoting hospital (HPH), highlight the benefits, activities, barriers, strategies for implementation. It also points out the important of implementation for future hospitals in Indonesia and offer recommendations. The research design used literature study. Source of Data of this research is collected through journal text, books and data statistic and then it is analyzed with content analysis techniques. Based on literature study shows that its needs to develop and implement Health Promoting Hospital (HPH) which yield many benefits for hospital organization, management, patients and relatives, and community. In particular, the findings should have important implication and large contribution for development and successful implementation Health Promoting Hospitals in Indonesia particularly to Hospital management and staffs to enhance their understanding and awareness of the importance of reorienting Hospital service to becoming more health promoting and its implication to hospital and community, and engage them to implement HPH in Hospital daily activities.
ABSTRACTTujuan penulisan artikel ini adalah mendeskripsikan tentang pengembangan Layanan Promosi Kesehatan kedalam layanan Rumah Sakit melalui pengembangan Promosi Kesehatan Rumah Sakit [HPH]. Data yang diperlukan dihimpun melalui kajian teks jurnal ,buku, dan data statistik, selanjutnya dianalisis menggunakan teknik analisi isi. Berdasarkan studi literatur menunjukkan bahwa perlunya membangun dan mengembangkan layanan Promosi Kesehatan RS dimana sangat bermanfaat unutk organisasi, management, pasien dan keluarga dan masyarakat sekitar. Khususnya hasil dari studi ini mempunyai implikasi dan memiliki kontribusi yang besar untuk berkembangnya and suksesnya pengembangan RS yang lebih mempromosikan kesehatan di Indonesia khususnya para manager dan staf untuk meningkatkan pemahaman mereka tentang pentingnya mengubah pandangan tentang layanan RS untuk lebih mengutamakan promosi kesehatan selain pelayanan dan menerapkan promosi kesehatan dalam rutinitas kerja mereka.
The response of the North Pacific jet and stratosphere-to-troposphere transport of ozone over western North America to RCP8.5 climate forcing
Authors: Elsbury Dillon , Butler Amy H. , Albers John R. , Breeden Melissa L. , Langford Andrew O'Neil
Published: May 2023

Abstract. Stratosphere-to-troposphere transport (STT) is an important source
of ozone for the troposphere, particularly over western North America. STT
in this region is predominantly controlled by a combination of the
variability and location of the Pacific jet stream and the amount of ozone
in the lower stratosphere, two factors which are likely to change if
greenhouse gas concentrations continue to increase. Here we use Whole
Atmosphere Community Climate Model experiments with a tracer of
stratospheric ozone (O3S) to study how end-of-the-century Representative
Concentration Pathway (RCP) 8.5 sea surface temperatures (SSTs) and
greenhouse gases (GHGs), in isolation and in combination, influence STT of
ozone over western North America relative to a preindustrial control
background state. We find that O3S increases by up to 37 % during late winter at 700 hPa
over western North America in response to RCP8.5 forcing, with the increases
tapering off somewhat during spring and summer. When this response to RCP8.5
greenhouse gas forcing is decomposed into the contributions made by future
SSTs alone versus future GHGs alone, the latter are found to be primarily
responsible for these O3S changes. Both the future SSTs alone and the future
GHGs alone accelerate the Brewer–Dobson circulation, which modifies
extratropical lower-stratospheric ozone mixing ratios. While the future GHGs
alone promote a more zonally symmetric lower-stratospheric ozone change due
to enhanced ozone production and some transport, the future SSTs alone
increase lower-stratospheric ozone predominantly over the North Pacific via
transport associated with a stationary planetary-scale wave. Ozone
accumulates in the trough of this anomalous wave and is reduced over the
wave's ridges, illustrating that the composition of the lower-stratospheric
ozone reservoir in the future is dependent on the phase and position of the
stationary planetary-scale wave response to future SSTs alone, in addition
to the poleward mass transport provided by the accelerated Brewer–Dobson
circulation. Further, the future SSTs alone account for most changes to the
large-scale circulation in the troposphere and stratosphere compared to the
effect of future GHGs alone. These changes include modifying the position
and speed of the future North Pacific jet, lifting the tropopause,
accelerating both the Brewer–Dobson circulation's shallow and deep branches,
and enhancing two-way isentropic mixing in the stratosphere.
Across-track extension of retrieved cloud and aerosol properties for the EarthCARE mission: the ACMB-3D product
Authors: Qu Zhipeng , Barker Howard W. , Cole Jason N. S. , Shephard Mark W.
Published: May 2023

Abstract. The narrow cross section of cloud and aerosol properties retrieved by L2 algorithms that operate on data from EarthCARE's nadir-pointing sensors is broadened across-track by an algorithm that is described and demonstrated here. This scene construction algorithm (SCA) consists of four components. At its core is a radiance-matching procedure that works with measurements made by EarthCARE's Multi-Spectral Imager (MSI). In essence, an off-nadir pixel gets filled with retrieved profiles that are associated with a (nearby) nadir pixel whose MSI radiances best match those of the off-nadir pixel. The SCA constructs a 3D array of cloud and aerosol (and surface) properties for entire frames that measure ∼6000 km along-track by 150 km across-track (i.e., the MSI's full swath). Constructed domains out to ∼15 km across-track on both sides of nadir are used explicitly downstream as input for 3D radiative transfer models that predict top-of-atmosphere (TOA) broadband solar and thermal fluxes and radiances. These quantities are compared to commensurate measurements made by EarthCARE's Broadband Radiometer (BBR), thus facilitating a continuous closure assessment of the retrievals. Three 6000 km ×200 km frames of synthetic EarthCARE observations were used to demonstrate the SCA. The main conclusion is that errors in modelled TOA fluxes that stem from use of 3D domains produced by the SCA are expected to be less than ±5 W m−2 and rarely larger than ±10 W m−2. As such, the SCA, as purveyor of
information needed to run 3D radiative transfer models, should help more
than hinder the radiative closure assessment of EarthCARE's L2 retrievals.
Mapping the performance of a versatile water-based condensation particle counter (vWCPC) with COMSOL simulation and experimental study
Authors: Hao Weixing , Mei Fan , Hering Susanne , Spielman Steven , Schmid Beat , Tomlinson Jason , Wang Yang
Published: May 2023

Abstract. Accurate airborne aerosol instrumentation is required to determine the spatial distribution of ambient aerosol particles, particularly when dealing with the complex vertical profiles and horizontal variations of atmospheric aerosols. A versatile water-based condensation particle counter (vWCPC) has been developed to provide aerosol concentration measurements under various environments with the advantage of reducing the health and safety concerns associated with using butanol or other chemicals as the working fluid. However, the airborne deployment of vWCPCs is relatively limited due to the lack of characterization of vWCPC performance at reduced pressures. Given the complex combinations of operating parameters in vWCPCs, modeling studies have advantages in mapping vWCPC performance. In this work, we thoroughly investigated the performance of a laminar flow vWCPC using COMSOL Multiphysics® simulation coupled with MATLAB. We compared it against a modified commercial vWCPC (vWCPC Model 3789, TSI, Shoreview, MN, USA). Our simulation determined the performance of particle activation and droplet growth in the vWCPC growth tube, including the supersaturation, Dp,kel,0 (smallest size of particle that can be activated), Dp,kel,50 (particle size activated with 50 % efficiency) profile, and final growth particle size Dd under wide operating temperatures, inlet pressures P  (0.3–1 atm), and growth tube geometry (diameter D and initiator length Lini). The effect of inlet pressure and conditioner temperature on vWCPC 3789 performance was also examined and compared with laboratory experiments. The COMSOL simulation result showed that increasing the temperature difference (∆ T) between conditioner temperature Tcon and initiator Tini will reduce Dp,kel,0 and the cut-off size Dp,kel,50 of the vWCPC. In addition, lowering the temperature midpoint (Tmid = (Tcon + Tini) / 2) increases the supersaturation and slightly decreases the Dp,kel. The droplet size at the end of the growth tube is not significantly dependent on raising or lowering the temperature midpoint but significantly decreases at reduced inlet pressure, which indirectly alters the vWCPC empirical cut-off size. Our study shows that the current simulated growth tube geometry (D = 6.3 mm and Lini = 30 mm) is an optimized choice for current vWCPC flow and temperature settings. The current simulation can more realistically represent the Dp,kel for 7 nm vWCPC and also achieved a good agreement with the 2 nm setting. Using the new simulation approach, we provide an optimized operation setting for the 7 nm setting. This study will guide further vWCPC performance optimization for applications requiring precise particle detection and atmospheric aerosol monitoring.
CD-type discretization for sea ice dynamics in FESOM version 2
Authors: Danilov Sergey , Mehlmann Carolin , Sidorenko Dmitry , Wang Qiang
Published: May 2023

Abstract. Two recently proposed variants of CD-type discretizations of sea-ice dynamics on triangular meshes are implemented in the Finite volumE Sea ice – Ocean Model (FESOM version 2). The implementations employ the finite element method in spherical geometry using longitude-latitude coordinates. Both of them rely on the edge-based sea-ice velocity vectors, but differ in basis functions used to represent velocities. The first one uses nonconforming linear (Crouzeix–Raviart) basis functions, and the second one uses continuous linear basis functions on subtriangles obtained by splitting parent triangles into four smaller triangles. Test simulations are used to show how the performance of the new discretizations compares with the A-grid discretization using linear basis functions. Both the CD discretizations are found to simulate a finer structure of linear kinematic features (LKFs). Only the first CD variant demonstrates some sensitivity to the representation of scalar fields (sea-ice concentration and thickness), simulating a finer structure of LKFs with the cell-based scalars than with the vertex-based scalars.
The analysis of large-volume multi-institute climate model output at a Central Analysis Facility (PRIMAVERA Data Management Tool V2.10)
Authors: Seddon Jon , Stephens Ag , Mizielinski Matthew S. , Vidale Pier Luigi , Roberts Malcolm J.
Published: May 2023

Abstract. The PRIMAVERA project aimed to develop a new generation of advanced and well-evaluated high-resolution global climate models. As part of PRIMAVERA, seven different climate models were run in both standard and higher resolution configurations, with common initial conditions and forcings to form a multi-model ensemble. The ensemble simulations were run on high performance computers across Europe and generated approximately 1.6 pebibytes of output. To allow the data from all models to be analysed at this scale, PRIMAVERA scientists were encouraged to bring their analysis to the data. All data was transferred to a Central Analysis Facility (CAF), in this case the JASMIN super-data-cluster, where it was catalogued and details made available to users using the PRIMAVERA Data Management Tool's (DMT's) web interface. Users from across the project were able to query the available data using the DMT and then access it at the CAF. Here we describe how the PRIMAVERA project used the CAF's facilities to enable users to analyse this multi-model data set. We believe that PRIMAVERA's experience using a CAF demonstrates how similar, multi institute, big-data projects can efficiently share, organise and analyse large volumes of data.
Annual Variability of Wake Impacts on Mid-Atlantic Offshore Wind Plant Deployments
Authors: Rosencrans David , Lundquist Julie K. , Optis Mike , Rybchuk Alex , Bodini Nicola , Rossol Michael
Published: May 2023

Abstract. The mid-Atlantic will experience rapid wind plant development due to its promising wind resource located near large population centers. Wind turbines and wind plants create wakes, or regions of reduced wind speed, that may negatively affect downwind turbines and plants. Long mid-Atlantic wakes are causing growing concern. We evaluate wake variability and annual energy production with the first year-long modeling assessment using the Weather Research and Forecasting Model, deploying 12-MW turbines across the domain at a density of 3.14 MW km−2, matching the planned density of 3 MW km−2. Using a series of simulations with no wind plants, one wind plant, and complete build-out of lease areas, we calculate wake effects and distinguish the effect of wakes generated internally within one plant from those generated externally between plants. The strongest wakes, propagating 58 km, occur in summertime stable stratification, just when New England’s grid demand peaks in summer. The seasonal variability of wakes in this offshore region is much stronger than diurnal variability of wakes. Overall, the mean year-long wake impacts reduce power output by 35.9 %. Internal wakes cause greater year-long power losses (27.4 %) compared to external wakes (14.1 %). Additional simulations quantify wake uncertainty by modifying the added amount of turbulent kinetic energy (TKE) from turbines, introducing power output variability of 3.8 %. Finally, we compare annual energy production (AEP) to New England grid demand and find that the lease areas can supply roughly 60 % of annual load.
Delay in Diagnosis of Stomach Cancer patients attending a Tertiary Care Hospital in Kashmir: a Hospital Based Cross Sectional Study
Authors: Qazi Tanzeela Bashir
Published: May 2023

Introduction: The incidence of cancer is increasing throughout the world. However, early detection of cancers is associated with a favourable outcome. Stomach cancer is one of the most common cancers of gastrointestinal tract. Majority patients visit physicians in developed stages. Objective: To evaluate the reporting pattern of stomach cancer patients living in Kashmir valley in order to determine the median time of delay from the beginning of symptoms to diagnosis. Method: Total 116 proven stomach cancer patients were evaluated for the pattern of presentation at endoscopy laboratory of Super Speciality Hospital, Shireen Bagh Kashmir from April 2019 to September 2020.Results: In this study, the mean age (SD) of participants was 60.22 ± (11.90) years. Majority of the participants (69.8%) were males. Cases were predominantly from the rural area (58%).Only 15.5 % of the cases were diagnosed within one month of their symptoms while as 3.4% of the cases had a total delay of more than 12 months. The study found a considerable total delay in the diagnosis of stomach cancer. The mean of the patient delay was 45.6 days. The median total delay was 20 weeks. Conclusion: Since stomach cancer has high mortality and morbidity rates associated, creating awareness among the population and training of physicians regarding timely referral of patients seems important.
Hygiene Predictors among COVID-19 Screened Individuals during the First Wave In Mumbai: A Cross-Sectional Survey
Authors: Hadaye Rujuta , Nellikka Shilpa
Published: May 2023

Introduction:The most important lesson COVID-19 pandemic thought is basic hygiene practices. It is important to understand hygiene practices among patients during first wave, when meager knowledge about the management of COVID-19 was available. Objective: To assess the adopted behavioral practices and predictors for COVID-19 infection among screened individuals during the 1st wave. Method: A cross-sectional study included COVID-19 screened individuals attending COVID -19 screening OPD at Mumbai. Total 950 participants were interviewed telephonically using convenient sampling method. Logistic regression nanalysis was performed. Results: A total 950 respondents participated, with median age of36 years (range:18yrs to 83 years). Respondents,RTPCR positive or quarantined were 36%. Analysis concludes that practices of having seen or read about hand hygiene, face hygiene, maintaining social distancing, cough etiquettes and enforcement ofstrict lockdown were significantly associated with lower risk of COVID-19 infection (p value <0.05). Conclusion: Hygiene Practices were followed correctly by more than 50% of this cohort however few individuals were able to answer knowledge related questions correctly. Simple hygiene practices like face hygiene, cough etiquettes, social distancing, strict following of lockdown and having seen or read information on hand washing were predictors of COVID-19 infection. The study highlights the need for quick and rigorous attempts to educate people during a state of a health emergency.
Prevalence of Internet Addiction and the Effect of Internet Usage on Lifestyle of College Students of Haryana during COVID 19 lockdown period
Authors: Kumar Kapil , Deepmala Kamboj Deepmala , Mittal Anshu , Ahuja Anil , Gurjar Soorveer , Gupta Shilpi
Published: May 2023

Introduction: Since 1990, internet usage is increasing day by day and availability of smart mobile phones and electronic gazettes like tablet, laptop etc. has given it an exponential rise. During COVID-19 lockdown period, internet usage pattern has changed a lot as per behaviour of students studying in schools, colleges, educational and coaching institutes etc. Objective: Tostudy the prevalence of internet addiction and the effect of internet usage on lifestyle of college students of Haryana. Method: Total 1035 students, of various educational streams in various colleges of Haryana state were included in the study and data was collected by pretested self-designed questionnaire and young’s internet addiction test questionnaire was used to assess its effect on life style.Results: Out of 1035 students, 436(42%) participants were below average users of internet, followed by 369(36%) average users and 230(22%) excessive users of internet. Average of total score of young internet addiction questionnaire was 27.72. Various life style factors like feeling stressed while working, neglects other activities, miss a diet, checks internet many times, obsessed with phone and internet usage per day were found significantly associated with internet addiction(p<0.05).Conclusions: Excessive internet usage during COVID-19 pandemic may lead to various abnormal behavior changes which cause negative effect on various aspects of students like emotional, hyperactivity, depression, sleeping disorder etc.
Birth	Preparedness	and	Complication	Readiness	among	Pregnant	Women	in	Rural	Area
of	District	Sonipat,	Haryana,	India:	A	Cross	Sectional	Community	Based	Study
Authors: Punia Anita , Pruthi Muskaan , Punia Mehar	S , Jha Sanjay	K , Rani Babita
Published: May 2023

Introduction: Birth Preparedness and Complication Readiness (BPCR) is an important intervention
included by WHO as essential elements of antenatal care package. It is often delivered to pregnant women
through their active participation by health care provider during antenatal care or initiated/followed up
through visits to the homes of pregnant women by community health workers. Objectives: To determine
the knowledge and practice regarding BPCR and to identify factors associated with it among rural pregnant
women. Method: Cross-sectional study was conducted in rural field practice area of Community Medicine
Department of a medical teaching institutes. A total of 210 pregnant women who were in the second and
third trimesters of pregnancy were selected by simple random sampling and interviewed for data collection.
Results: Mean age of study subjects was 24.14 + 3.88 years.The highest number of women was in the age
group of 20-29 years (84.8%). More than half (57.6%) mothers had observed at least two or more
components of BPCR. Maximum number of females had identified facility for delivery (63.8%) followed by
transportation (60.9%). Identification of potential blood donor by mothers was low (14.3%). Bleeding was
most commonly identified danger symptom in all three phases of child bearing. Knowledge regarding
danger signs was significantly associated with birth preparedness. Conclusion: In the present study,
practice of all components of BPCR by mothers was very low. Bleeding was the most commonly identified
danger symptom during all three phases i.e., pregnancy, child birth and after birth.Knowledge regarding
other danger signs was highly inadequate.