bluuebunny/crossref_metadata_2025 huggingface dataset:
Under the "Dual-Carbon" Goal: Green Credit Policy and High-quality Enterprise Development in China
Authors: Xu Lili , Li Chang , Zhang Xinxin , Zhao Xu
Published: July 2024

Given the context of "carbon peaking" and "carbon neutrality" goals, advancing the growth of green finance stands as a crucial agenda to bolster the high-quality advancement of China's economy in the contemporary epoch. Green credit is a remarkable milestone in pursuing the "Dual-carbon" emissions reduction objective and promoting high-quality development. Empirically, scant information exists regarding the correlation between GCP and the high-quality development of heavily polluting enterprises (HPEs). Using panel data from Chinese Lushan A-share listed enterprises spanning 2005 to 2022, this study employs the difference-in-difference model to evaluate the impact of the green credit policy (GCP) on HPEs. Our results show that after the implementation of GCP, the high-quality development of HPEs increased by 9.08% compared to non-HPEs. Despite considering multiple potential confounding factors, the conclusion remains unchanged. The positive effect is particularly pronounced among non-state-owned enterprises characterized by high carbon emissions and in the eastern region. The mechanism analysis indicates that GCP plays a role in influencing the high-quality development of enterprises by promoting low-carbon technological progress. This study establishes a foundation for making informed decisions in optimizing the green financial policy system to effectively enhance the high-quality development of enterprises in China and other developing countries.
 
Received: 23 February 2024 | Revised: 17 May 2024 | Accepted: 12 July 2024
 
Conflicts of Interest
The authors declare that they have no conflicts of interest in this work.
 
Data Availability Statement
Data available on request from the corresponding author upon reasonable request.
 
Author Contribution Statement
Lili Xu: conceptualization, Methodology, Software, Formal analysis, Writing - review & editing, Visualization, Project administration. Chang Li: Methodology, Validation, Formal analysis, Investigation, Data curation, Writing - original draft. Xinxin Zhang: Conceptualization, Resources, Writing - review & editing, Supervision, Funding acquisition. Xu Zhao: Conceptualization, Resources, Writing - review & editing, Supervision, Funding acquisition.
Cincuenta años de investigación sobre el dolor y avances clínicos: aspectos destacados y tendencias clave
Authors: Basbaum Allan I. , Jensen Troels S. , Keefec Francis J.
Published: July 2024

Este artículo destaca los avances en la investigación preclínica en ciencias básicas del dolor, la investigación clínica y la investigación psicológica que se han producido durante los 50 años transcurridos desde que se fundó la Asociación Internacional para el Estudio del Dolor. Presenta hallazgos importantes y tendencias clave en estas 3 áreas de la ciencia del dolor: investigación preclínica en ciencias básicas, investigación clínica e investigación psicológica.
A Comprehensive Characterization of Environmental Severity Across 25 Sites in Nine Climactic Zones. Part 1: Witness Coupon Evaluation
Authors: Kopitzke Steven , Lilly Alexander , Long Ian , Canales Kaylee , Muenzer Allison
Published: July 2024

Understanding the risk of corrosion due to local environmental conditions is critical to aviation assets spread across the world. Oftentimes, maintenance intervals are set to the most conservative values assuming all sites are equal, resulting in significant and potentially excessive labor and material expenditures. While research efforts have been underway for the past 50+ y to assess environmental severity using witness coupons, recent technological advances have also provided users with time-resolved monitoring equipment to monitor environmental conditions at the test site with minimal additional effort. To capitalize on these technologies and facilitate maintenance optimization, 25 Naval Air Stations worldwide were analyzed to assess the severity of environmentally driven corrosion. This testing utilized the latest recommendations developed within the AMPP SC-07 committee and included nine different datasets for developing a comprehensive understanding of site conditions. In the end, testing successfully monitored the risk of environmental corrosion at sites across multiple climatic regions and provided valuable feedback for environmental severity monitoring techniques. This first of a series of reports will focus on data evaluating witness coupon damage.
Mercado de trabalho para detentos
Authors: de Oliveira Soares Alyne , Amorim Gonçalves Olenice
Published: July 2024

The objective of this paper is to present some difficulties encountered by prisoners to be inserted in the labor market through the SEJUS - Department of Justice of the Espírito Santo State and its resocialization program. Several problems are addressed for entering the labor market, a fact that is agravated when refers to convicts. The methodology used to reach the conclusion presented on this paper, besides the refered literature, was the answers of 40 questionnaires applied in men and women convict, serving time at Cariacica and Vila Velha prisons, under semi-open and closed regime. The questionnaires were administered in person, visiting the prisons. The directors of those prisions and a rehabilitation director of the company “A” were also interviewed, compounding a triangulation view of the subjetct annalysed. In despite of the other possibilities the term rehabilitation as it is defined by SEJUS Resocializantion Program represents, the focus of this paper emphasized the inclusion of the convict in the labor market only. The difficulties encountered by convicts to resocialize and enter in the labor market, from this point of view were: the prejudice of society in general, the organizations and their staff in particular, the lack of skills and low educational level of prisoners, confirming the refered literature about the theme.
Temas geradores como estratégia de aprendizagem
Authors: Veiga Ferreira de Souza Maria Alice , Paolini Develly David
Published: July 2024

The universe of Engineering educational needs promoting interesting classes that generate meanings for their students. Theories of Cognitive Psychology, such as Vygotsky and Ausubel, advocate the application of methods that enhance the social and cultural baggage seized, to enrich the cognitive structure of learners. The collaborative learning by generating subjects proved to be able to provide the necessary context for the production of significant knowledge. The experiment was carried out by means of a video that explores the physical phenomenon of resonance occurred with the Tacoma Bridge. After a week of online discussions among students, mediated by the teacher, over 90% were able to scientifically explain the phenomenon through theories of physics and making up the training of the engineer. Moreover, expanded their knowledge about this scientific content to discover resonances can occur with mechanical,electromagnetic and quantum waves. Moreover, the issue sparked by research, discussions on related theories of interest in Engineering as the Kármán Vortex, thus,widening the scientific culture of the subjects. By teaching side, there was improvement of its activity with the opportunity to assess students both group and individual way, not common method in the context of the exact sciences.
Influência biogeográfica na morfologia de diásporos
Authors: Gomes de Oliveira Willian , Araújo Petrocchi Sara , Simonelli Marcelo , de Oliveira Có Walter Luiz
Published: July 2024

Island Biogeography focuses on island species considering evolutionary aspects subject to patterns of isolation, rates of immigration and extinction, environmental standards, such as soil, predation rate and colonization. This work aims to compare morphologically diaspores of Guapira pernambucensis (Casar.) Lund., Schinus terebinthifolius Rad. and Canavalia rosea (Sw.) DC., occurring on the island and the mainland of Environmental Protection Area of Setiba, Guarapari, Espírito Santo State. The diaspores were collected, measured and weighed in order to verify possible variations due to their insular isolation It was found that the size of the diaspores of Guapira pernambucensis (Casar.) Lund. and Schinus terebinthifolius Rad. occurring on the island are larger than the continental diaspores. To explain this variation two possibilities were raised, the first is that individuals accompanied the insular evolutionary trend, and second, the variation was caused by ecological reasons in the insular environment. Canavalia rosea (Sw.) DC., on the other hand, presented larger diaspores in the continental environment. To explain this variation two other possibilities were raised, the first is that perhaps the species have not inhabit the island long enough so that insular evolutionary trend would be accompanied; or the soil variation on the insular environment was also caused by ecological reasons.
Facilitators of and Barriers to Caregiver Adherence to Home Therapy Recommendations for Infants and Children With Neuromotor and Neuromuscular Diagnoses: A Scoping Review
Authors: Wingrat Jennifer , Price Carrie , Wright Tess
Published: July 2024

Importance: Caregiver-performed home therapy programs are essential to occupational therapy intervention for infants and children with neuromotor and neuromuscular diagnoses. Factors that facilitate or are barriers to caregiver adherence when making home therapy recommendations should be considered.

Objective: To identify facilitators of and barriers to caregiver adherence to home therapy recommendations for children with neuromotor and neuromuscular disorders.

Method: The review followed the five-step methodological framework developed by Arksey and O’Malley (2005) and was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews.

Data Sources: Searches with no language or date range limits were performed in MEDLINE, CINAHL Plus with Full Text, PsycINFO, and SocINDEX on the EBSCO platform, and Scopus on the Elsevier platform from database inception through January 24, 2023.

Study Selection and Data Collection: Study inclusion criteria included caregiver adherence to home therapy recommendations for children with neuromotor and neuromuscular diagnoses. Eight hundred seventy-five articles underwent title and abstract screening; 64 articles met the criteria for full review.

Findings: Twelve articles met the inclusion criteria. Four used qualitative measures, 7 used quantitative measures, and 1 used mixed methods. Qualitative thematic analysis revealed four facilitators: routine, efficacy of caregiver education, positive relationship with therapist, and perceived benefit of treatment. The analysis revealed three barriers: lack of time, lack of confidence, and caregiver stress.

Conclusions and Relevance: The facilitators and barriers identified are central to best-practice occupational therapy. Therapists can use expertise in analyzing routines and context to maximize the fit between family needs and home therapy recommendations.

Plain-Language Summary: Home therapy for children with a neuromotor and neuromuscular diagnosis is common and uses some form of caregiver-performed movement activities or techniques. To support caregivers, occupational therapists need to understand what factors facilitate or serve as barriers to following home therapy recommendations. The review found three barriers: lack of time, lack of confidence, and caregiver stress. The review provides strategies to support home therapy based on core principles of occupational therapy practice. It also identifies the need for more research to support home therapy recommendations that fit within the child’s and family’s routine, that can be taught in a way that meets the child’s and family’s learning needs, that facilitate self-efficacy and confidence, and that reflect the values and motivators of all participants.
Reconstruction of Transformative CS Topics in Education: A Model Proposal for Artificial Intelligence
Authors: Lindner Annabel , Berges Marc
Published: July 2024

From an educational perspective, artificial intelligence (AI) poses new challenges for computer science education due to its unique nature. In addition to its highly complex content and strong social relevance, the topic has further characteristics that distinguish it from typical computer science topics. Although there are many learning materials on AI, there is a lack of systematic approaches that take a holistic view of AI from an educational perspective and analyze the unique features of the topic in more detail. We develop a model that analyzes the actors and layers of educational processes regarding AI and outlines their relationships. The subsequent comparison with the Model of Educational Reconstruction for Computer Science Education permits conclusions for its practical consequences. Furthermore, a process model for introducing topics like AI into the classroom is proposed.
Ambidextrous Innovation in Project Management: A Systematic Literature Review
Authors: ALSAIED Mohammad , MCLAUGHLIN Patrick
Published: July 2024

Organizations increasingly rely on innovation to achieve sustainable competitive advantage and ensure longer-run market performance. Ambidextrous innovation is a critical strategic framework that guides managers to channel their innovation into exploring new ideas for products, services, and processes and exploiting ideas for improving existing ones. Ambidextrous innovation is one of the key frameworks that the projects can use to build innovation that best satisfies the stakeholder demands of higher performance at the lower resources. Ambidextrous innovation is becoming the most preferred framework for organizations to undertake innovations due to its ability to balance both the development of new and the improvement of existing products. However, research on ambidextrous innovation in the context of project management is widely lacking.
Sistema de actividades basadas en el juego para el desarrollo del pensamiento numérico, en el segundo año de EGB
Authors: Segura Osorio Alba Marjorie , Gisela Yadira , Ortiz Aguilar Wilber
Published: July 2024

El juego representa una herramienta didáctica que enriquece significativamente el aprendizaje matemático en el segundo año de la educación general básica EGB). Mediante el juego se crea un ambiente de aprendizaje atractivo que influye en la capacidad para aplicar su conocimiento de manera creativa y efectiva. La presente investigación tiene como objetivo diseñar un sistema de actividades basadas en el juego para el desarrollo del pensamiento numérico en los estudiantes de segundo año de la escuela de educación básica Juan León Mera. La investigación emplea un enfoque mixto, combinando métodos cualitativos y cuantitativos. Se diseñó un sistema de actividades basadas en el juego para el desarrollo del pensamiento numérico, en el segundo año de EGB. La implementación de la propuesta fue realizada en 32 estudiantes del segundo año de la escuela de educación básica Juan León Mera. Los resultados permitieron constatar que el sistema de actividades basadas en el juego promovió el desarrollo del pensamiento numérico de los estudiantes de segundo año de EGB. En las conclusiones del estudio se evidenció un crecimiento cuantitativo en los resultados obtenidos antes y después de implementado el sistema de actividades propuesto en la investigación.
Seguimientos a egresados y su importancia para las instituciones de educación superior
Authors: Galarza Ramírez Cruz Maribel , Vivero Quintero Cesar Efrén , Menoscal Burgos John Fabian
Published: July 2024

En este artículo se enfatiza la importancia del seguimiento de los graduados como medio para evaluar y proporcionar retroalimentación a las instituciones de educación superior. Al realizar estos estudios, se obtienen conocimientos valiosos sobre las experiencias y los resultados de los antiguos alumnos este acto de seguimiento tiene un doble propósito dentro de una institución como proporcionar una valiosa autoconciencia que puede informar el desarrollo de políticas de mejora o dirección institucional y también facilitar la asignación de recursos a iniciativas que mejoren la calidad académica y apoyen proyectos que involucren a los graduados, elevando así la formación de futuros profesionales. Por eso el objetivo del presente trabajo es conocer cómo el seguimiento a los graduados se constituye en ese vínculo con las universidades y a su vez destacar la importancia del seguimiento a los egresados para las instituciones de educación superior como estrategia de evaluación y retroalimentación. La investigación fue cuantitativa-descriptiva, se realizaron encuestas entre grupos de egresados de la Universidad Técnica de Babahoyo. Entre los resultados se destaca que un gran porcentaje de los encuestados se encuentra realizando actividades laborales directamente relacionadas su carrera de egreso y están en constante relación con la universidad a través de sus programas de estudios y mejoramientos profesional y siempre están presto a involucrarse en actividades de la institución. De esta manera, se logra comprender de forma más clara el papel que juegan las instituciones de educación superior en la formación de los graduados y cuáles son los requerimientos que la sociedad necesita satisfacer, principalmente a través de las demandas del mercado laboral, así como la interacción que se presenta entre los actores que forman parte de un sistema de seguimiento a graduados.
БОЛАШАҚ ПЕДАГОГТЕРДІ ИНКЛЮЗИВТІ ОРТАДАҒЫ КӘСІБИ ҚЫЗМЕТКЕ ПСИХОЛОГИЯЛЫҚ ДАЙЫНДАУДЫҢ РОЛІ
Authors: Сардарова  , Кисметова  , Кадыргалиева  , Шунайбекова  , Полянина
Published: July 2024

Мақала бүгінгі таңдағы ең өзекті мәселелердің бірі –болашақ педагогтарды инклюзивті ортадағы кәсіби қызметке психологиялық дайындаудың ролінеа арналған. Кәсіби қызметке дайындаудағы психологиялық дайындық айрықша салмақты ролін аша отырып, оның эмоционалды интеллектімен тығыз байланысын негіздейді. Өйткені ол инклюзивті білім беру ортасына ауыртпалықсыз бейімделуге көмектесетіндігін қазіргі практика дәлелдеуімен тұжырымдайды. Авторлар психологиялық дайындықты күрделі синтетикалық білім ретінде қарастыра отырып, оның құрылымдық мазмұнын ынталық-эмоционалды, танымдық компоненттер тобынан тұратындығын пайымдайды. Зерттеу әдістеріненбілім беру ортасында педагогтардың өзара әрекеттесу үдерісіндегі психологиялық кедергілер” (Е.С.Слюсарева) сауалнамасы мен В.В.Хитрюк, И.Н.Симаева, Е.И.Пономареваның болашақ педагогтардың инклюзивті дайындығы сауалнамаларының авторлық өңделген нұсқасы қолданылған. Зерттеу қорытындысында болашақ педагогтарды кәсіби қызметке, психологиялық дайындау инклюзивті мәдениет пен практикаға ену барысында туындайтын психологиялық қиындықтардың алдын алуға көмектесетіндігін дәлелдейді.
ЕРЕКШЕ БІЛІМ ҚАЖЕТТІГІ БАР ОҚУШЫЛАРДЫ ПСИХОЛОГИЯЛЫҚ СҮЙЕМЕЛДЕУ ҮРДІСІНДЕ, ӘЛЕУМЕТТІК-КОГНИТИВТІ ДАҒДЫЛАРДЫҢ ДАМУЫН ЗЕРТТЕУ
Authors: Оспанбаева  , Искакова  , Кинжекова  , Кинжекова  , Бураева
Published: July 2024

Берілген мақалада білім беру ұйымдарында ерекше білім беру қажеттігі бар (ЕББҚ) оқушыларға бағдарланған арнайы жағдайдың тиімділігін арттыру арқылы, олардың әлеуметтік-когнитивті дағдыларын дамыту үрдісі зерттелді. Қалыпты білім кеңістігіне ЕББҚ оқушылардыңжылдам әрі оңтайлы қосылуларын қамтамасыз ететін психологиялық қолдауқызметіндегі әдістердің тиімділігі талданды. Эксперименттік жұмыстар ауыл және қала мектептеріндегі психологиялық-педагогикалық қолдау қызметінің қазіргі жағдайларын салыстыра зерттеуге бағдарлана отырып, келесі мәселелердің анықталуына ықпал етті: білім беру ұйымдарында ЕББҚ оқушылардың оқу қиындықтарын еңсерудің психологиялық стратегияларын құру; олардың когнитивті дағдыларын дамыту үшін нейропсихологиялық жаттығулар кешенін әзірлеу. Аталған мәселелер келесі іс-шаралар арқылы қамтамасыз етілді: ерекше білім беру қажеттігініңпсихологиялық себептері сараланады; ЕББҚ оқушылардың оқу жетістіктерінің индикаторлары құрастырылды; әлеуметтік-когнитивті дағдыларды дамытудың тиімді әдістерііріктелді. Зерттеу жұмыстарына ЕББҚ оқушылардың ұстаздары және ата-аналары да тартылды. Педагогикалық ұжым мүшелерін «кәсіби күю» синдромынан сақтандыру мақсатында, оларды кәсіби-психологиялық қолдау тренингтері жүргізілді. ЕББҚ оқушылардың отбасында еркін дамып, ортада тиімді әлеуметтенуі және мектепте табысты оқулары үшін, ата-аналарды тағаттылыққа баулуға бағдарланған заманауи-психологиялық стратегиялар кешені әзірленіп, ұсынылды. Жамбыл облысы аудандары және Тараз қаласының білім беру ұйымдарында жүргізілген эксперименттік жұмыстар нәтижесінде,ЕББҚ оқушыларды психологиялық-педагогикалық қолдау қызметі инновациялармен толықтырылып, олардың нәтижеге бағдарлана, жаңаша жұмыс істеулеріне мүмкіндік аясын кеңейтті. «Әр оқушы –жеке назарда» концепциясы шеңберінде, мектептердегі білім беру ортасы әр баланың даралық ерекшелігін қабылдап, құрметпен қарау және мамандандырылған қатынас негізінде, олардың оқу үлгерімдерінің жақсаруына қол жеткізді. Зерттеу нәтижелері инклюзивті білім берудің психологиялық мәселелерін шешу үрдісін оңтайландыра отырып, мектептердің оқу-тәрбие кеңістіктерінің когнитивті әлеуетін арттыруға оң әсер етті.

М.П. Оспанбаева¹*, А.К. Рысбекова², Р.С. Кинжекова3, П.И. Искакова², Ж.Б. Бураева² ¹М.Х. Дулати атындағы Тараз өңірлік университеті, ҚР, Тараз қ.²Қ.А. Ясауи ат. Халықаралық қазақ-түрік университеті, ҚР, Түркістан қ.3Батыс Қазақстан инновациялық-технологиялық университеті, ҚР, Орал қ.
ЖАСӨСПІРІМДЕРДІҢ ЭКЗИСТЕНЦИАЛДЫ ҚОРҚЫНЫШЫН ПСИХОЛОГИЯЛЫҚ ЗЕРТТЕУ
Authors: Жигитбекова  , Назарова
Published: July 2024

Мақалада жеке өмірдің аяқталуына байланысты мазасыздық және онымен бірге жүретін эмоционалды жағдай ретіндегі өлімнен қорқу проблемасы туралы кейбір пікірлер келтірілген. Сондай-ақ, теориялық негізі екі негізгі концепция болып табылатын өлімге деген көзқарастың қазіргі заманғы зерттеулеріне талдау жасалған. Өлім қорқынышын басқару теориясы оны әмбебап құбылыс, адам мінез-құлқының негізгі мотиві ретінде қарастыратыны көрсетілген. Зерттеудің жаңалығы өткен ғасырдағы өлімге деген көзқарастың эволюциясын сипаттауда және осы мақсатқа жетуүшін «өлімнен қорқу» терминінің өзі туралы пікірталас тудырды зерттеу нақты қорқыныштарды зерттеуге бағытталған психодиагностикалық әдістерді қолдану арқылы жүргізілді.
O ENSINO DE GEOGRAFIA NAS SÉRIES INICIAIS DO ENSINO FUNDAMENTAL- REVISÃO BIBLIOGRÁFICA
Authors: Reis João Paulo Carneiro dos , Braz Nayanny Bruno de Oliveira , Reis Iracema Eulália Carneiro dos
Published: July 2024

O propósito deste estudo é conduzir uma revisão bibliográfica sobre o ensino de geografia nos primeiros anos do ensino fundamental, com o intuito de investigar e sugerir estratégias educacionais que estimulem uma aprendizagem significativa e integrada. A discussão em questão se faz necessária devido à relevância do estudo da geografia no contexto do ensino fundamental. Por meio dele, as crianças são estimuladas a investigar e compreender as interações entre a sociedade e o meio ambiente, bem como a diversidade cultural. Por último, almeja-se responder às seguintes questões, como podemos garantir que o ensino de geografia nessas séries não se limite a transmitir informações sobre localização e características físicas, mas também estimule o pensamento crítico, a consciência ambiental e a compreensão das distintas realidades sociais? Em síntese, a formação contínua e o investimento na capacitação de professores e em políticas educacionais que promovam uma abordagem integrada e interdisciplinar no ensino de geografia detém uma relevância significativa para os professores de geografia das séries iniciais.
EFEKTIFITAS OPERASI SC ERACS TERHADAP MOBILISASI PASIEN DAN LAMA PERAWATAN
Authors: Rudiantoro Danar ,   Mahasiswa Magister Keperawatan, IIK STRADA INDONESIA, Wardani Ratna ,   Institut Kesehatan Strada Indonesia, Kediri, Indonesia
Published: July 2024

Background: Sectio Caesarea is a birth operation that has been proven to reduce maternal mortality when vaginal delivery is indicated to be risky. Wound healing in Sectio Caesarea surgery patients requires good blood circulation for cell growth or repair. Mobilization will improve blood circulation and you may soon experience recovery or healing. Method: A literature search was carried out based on articles published between 2018-2023 according to the inclusion and exclusion criteria that had been determined using 1 data base, namely Google Schoolar. This literature search uses the PRISMA guideline in carrying out the screening process. From the search results, 200 articles were obtained. After carrying out the screening process, there were 8 articles that met the criteria and will be analyzed. Results: Based on a review of 8 literature, it was found that SC ERACS was effective in speeding up patient mobilization and shortening the length of treatment Conclusion: From the results of a literature review of 8 journals, it was found that SC ERACS was effective in speeding up patient mobilization and shortening the length of treatment.
Bayesian hierarchical model for bias-correcting climate models
Authors: Carter Jeremy , Chacón-Montalván Erick A. , Leeson Amber
Published: July 2024

Abstract. Climate models, derived from process understanding, are essential tools in the study of climate change and its wide-ranging impacts. Hindcast and future simulations provide comprehensive spatiotemporal estimates of climatology that are frequently employed within the environmental sciences community, although the output can be afflicted with bias that impedes direct interpretation. Post-processing bias correction approaches utilise observational data to address this challenge, although they are typically criticised for not being physically justified and not considering uncertainty in the correction. This paper proposes a novel Bayesian bias correction framework that robustly propagates uncertainty and models underlying spatial covariance patterns. Shared latent Gaussian processes are assumed between the in situ observations and climate model output, with the aim of partially preserving the covariance structure from the climate model after bias correction, which is based on well-established physical laws. Results demonstrate added value in modelling shared generating processes under several simulated scenarios, with the most value added for the case of sparse in situ observations and smooth underlying bias. Additionally, the propagation of uncertainty to a simulated final bias-corrected time series is illustrated, which is of key importance to a range of stakeholders, such as climate scientists engaged in impact studies, decision-makers trying to understand the likelihood of particular scenarios and individuals involved in climate change adaption strategies where accurate risk assessment is required for optimal resource allocation. This paper focuses on one-dimensional simulated examples for clarity, although the code implementation is developed to also work on multi-dimensional input data, encouraging follow-on real-world application studies that will further validate performance and remaining limitations. The Bayesian framework supports uncertainty propagation under model adaptations required for specific applications, providing a flexible approach that increases the scope of data assimilation tasks more generally.
140-year daily ensemble streamflow reconstructions over 661 catchments in France
Authors: Devers Alexandre , Vidal Jean-Philippe , Lauvernet Claire , Vannier Olivier , Caillouet Laurie
Published: July 2024

Abstract. The recent development of FYRE (French hYdroclimate REanalysis) Climate, a high-resolution ensemble daily reanalysis of precipitation and temperature covering the 1871–2012 period and the whole of France, offers the opportunity to derive streamflow series over the country from 1871 onwards. The FYRE Climate dataset has been used as input for hydrological modelling over a large sample of 661 near-natural French catchments using the GR6J (Génie Rural à 6 Paramètres Journaliers) lumped conceptual model. This approach led to the creation of the 25-member hydrological reconstructions, HydRE (Hydrological REconstruction), spanning the 1871–2012 period. Two sources of uncertainties have been taken into account: (1) the climate uncertainty using forcings from all 25 ensemble members provided by FYRE Climate and (2) the streamflow measurement error by perturbing observations used during the calibration. Further, the hydrological model error based on the relative discrepancies between observed and simulated streamflow has been added to derive the HydREM (Hydrological REconstruction with Model error) streamflow reconstructions. These two reconstructions are compared to other hydrological reconstructions with different meteorological inputs, hydrological reconstructions from a machine learning algorithm, and independent and dependent observations. Overall, the results show the added value of the HydRE and HydREM reconstructions in terms of quality, uncertainty estimation, and representation of extremes, therefore allowing us to better understand the variability in past hydrology over France.
A hydrogeological conceptual model of aquifers in catchments headed by temperate glaciers
Authors: Vincent Aude , Daigre Clémence , Fischer Ophélie , Aðalgeirsdóttir Guðfinna , Violette Sophie , Hart Jane , Guðmundsson Snævarr , Pálsson Finnur
Published: July 2024

Abstract. For reliable forecasting of the evolution of critical water resources, as well as of potential flood and landslide hazards and their response to climate change, it is necessary to improve the understanding and quantification of unknown aquifer systems in glacierized catchments. We focus on four southeastern outlet glaciers of the main Icelandic ice cap, Vatnajökull. A multidisciplinary approach is carried out, including the acquisition of new in situ data to characterize aquifers and their groundwater dynamics. Moreover, the recharge to aquifers from glacial melt and effective rainfall is estimated. From a detailed analysis of all available data and the determination of the dynamic characteristics of the aquifers, a hydrogeological conceptual model of glacierized catchments is constructed: (i) two distinct aquifers, their hydraulic conductivities and their hydrodynamic responses to climate forcing are identified; (ii) a comprehensive water balance for the whole catchment is obtained; (iii) the subglacial recharge to the aquifers is shown to be 4 times higher than in the proglacial area; and (v) the importance of the impact of the glacial melt recharge on the groundwater system is demonstrated. Thus, we highlight the major role that the groundwater component has in the hydrodynamic functioning of glacierized catchments.
Sohbet robotlarının açık ve uzaktan öğrenme destek hizmetlerinde kullanımı: Anadolu Üniversitesi Açıköğretim Sistemi örneği
Authors: Kavruk Yasin , Erdoğdu Erdem , Şahin Yusuf Levent , Uçar Hasan
Published: July 2024

Bu çalışmada, açık ve uzaktan öğrenme destek hizmetlerinde kullanılan ve yenilikçi yaklaşımlardan biri olarak kabul edilen sohbet robotlarının incelenmesi amaçlanmıştır. Bilgi ve iletişim teknolojilerindeki gelişmeler, artan dijitalleşme ve yapay zeka teknolojisi ile birlikte açık ve uzaktan öğrenme kurumları pek çok hizmeti çevrimiçi olarak vermektedir. Açık ve uzaktan öğrenenlere yönelik kurumların sağladığı hizmetlerin ve desteklerin başında öğrenci destek hizmetleri gelmektedir. Açık ve uzaktan öğrenmede öğrenenler kurumdan, öğretenlerden ve diğer öğrenenlerden uzakta olduğu için destek hizmetlerinin hayati bir önemi vardır. Hızlı, etkili ve verimli destek hizmetlerinin, açık ve uzaktan öğrenmede kaliteyi artırdığı, öğrenenlerin memnuniyetini, kuruma olan bağlılığını ve motivasyonunu geliştirdiği alanyazında vurgulanmıştır. Bu kapsamda, açık ve uzaktan öğrenmede destek hizmetlerinin niteliğini artırmak için sohbet robotları etkili bir şekilde kullanılmakta ve kurumların ihtiyaçları için özelleştirilebilmektedir. Bu çalışmada açık ve uzaktan öğrenme destek hizmetlerinde sohbet robotlarının kullanımı sözü edilen bağlamda incelenmiş ve Anadolu Üniversitesi Açıköğretim Sistemi örneği ele alınmıştır. Son olarak, uygulamaya ve ileri araştırmalara ilişkin öneriler sunulmuştur.
Açık ve uzaktan öğrenmede etkileşim üzerine bir bibliyometrik analiz çalışması
Authors: Çınar Enise , Orhan Gülsüm , Sezgin Sedef
Published: July 2024

Açık ve uzaktan öğrenmenin hızla yaygınlaşması, etkileşim türlerinin ve bunların öğrenme çıktıları üzerindeki etkilerinin daha iyi anlaşılmasını gerektirmiştir. Bu çalışma Scopus veri tabanında 1988-2024 yılları arasında açık ve uzaktan öğrenmede etkileşim üzerine gerçekleştirilen makalelerin bibliyometrik analizini yapmayı hedeflemektedir. Araştırmanın amacını yerine getirebilmek için 1988-2024 yılları arasında yayınlanmış 602 makaleye ulaşılmıştır. Scopus veri tabanında bulunan 602 bilimsel makalenin bibliyometrik verileri VOSviewer 1.6.20 programı aracılığıyla analiz edilmiştir. Elde edilen veriler Scopus, VOSviewer ve Microsoft Office Excel programları aracılığıyla görselleştirilmiştir. Araştırmanın bulgularına göre, 602 çalışma 75 farklı ülkeden araştırmacılar tarafından gerçekleştirilmiştir. Açık ve uzaktan öğrenmede etkileşim çalışmalarında öncü kurum Malezya Teknoloji Üniversitesi’dir. Computers and Education Dergisi 22 yayın ve 1453 atıfla ilk sırada yer almaktadır. Araştırmalarda yer alan anahtar sözcükler incelendiğinde covid-19, işbirlikli öğrenme, sosyal bulunurluk, memnuniyet, öğrenme toplulukları, öğrenme analitikleri ve öz-denetimli öğrenme kavramları ön plana çıkmaktadır.
Residency Program Website Content May Not Meet Applicant Needs
Authors: Ganguli Sangrag , Chen Sheena W. , Maghami Sam , Corpodean Florina , Lin Paul P. , Haywood Yolanda C. , Vaziri Khashayar , Lee Juliet , Jackson Hope T.
Published: July 2024

Background: Residency program applicants use a variety of resources during the application cycle. Program websites can vary substantially, and it is unclear how the website information is used by applicants. We aimed to determine the most popular information source used by applicants. We also sought to identify specific online content that was deemed important in the decision-making process.
Methods: A survey was distributed to fourth-year medical students at an academic institution. Demographic information was collected, and the importance of various online resources was gauged using a Likert scale. Subgroup analysis was performed for procedural versus non-procedural specialty applicants.
Results: 91 of the 169 fourth-year medical students (54%) completed the survey. The most utilized sources for the students were residency program websites (41%), the Fellowship and Residency Electronic Interactive Database (FREIDA) website (36%), and the Doximity website (14%). The most valued (Likert scale of 4 and 5) website content for the students included information on resident wellness (86%), resident fellowship acquisition (85%), faculty data (84%), residency location and resident lifestyle (81%), and application point of contact (79%). There were significant differences between what procedural specialty applicants deemed important versus what those applying to non-procedural specialties deemed important.
Conclusion: Residency program websites are commonly used among applicants during the residency match process. Content on resident wellness was highly valued irrespective of specialty choice; however, this information was often not present on residency websites. These findings may help guide website content development initiatives for residency programs to reflect applicant needs more adequately.
Severe Hyperkalemia: Electrocardiographic Tips for Early Recognition Based on a Case Report
Authors: Gonzalez-Zuelgaray Jorge , Frangi Patricio I. , Longo Damián A. , Tosoni Luisina B. , Baranchuk Adrian
Published: July 2024

Background: Rapid correction of severe hyperkalemia is mandatory to survival due to its induction of fatal cardiac arrhythmias. The electrocardiogram serves as the diagnostic tool that can provide insight into such fatal arrhythmias. We present two relevant alterations seen in an 84-year-old female patient with previous anterior myocardial infarction, angioplasty of the circumflex coronary artery, left ventricular ejection fraction of 35%, hypertension, dyslipidemia, paroxysmal atrial fibrillation, and diabetes.
The Case: The patient had 4-days with asthenia, adynamia and dyspnea. Lung auscultation showed bilateral base rales with cardiomegaly and interstitial edema identified on chest x-ray. Lab work revealed severe metabolic acidosis, increased plasma urea, creatinine, and severe hyperkalemia (7.9 mEq/liter) considered secondary to acute renal failure. Treatment was initiated with 0.9% sodium chloride, bicarbonate, ASA diuretics and polarizing solution (insulin), resulting in a reduction of hyperkalemia to 6.1 mEq/liter. The patient suffered a cardiorespiratory arrest with recovery and needed intubation and dopamine for hemodynamic support but died 15 hours after admission.
Conclusion: The electrocardiographic findings characteristic of severe hyperkalemia were: (i) regular rhythm (cycle length 920-950 ms) without discernible P-waves, which may have a junctional or ventricular origin and less probably could be a manifestation of sinoventricular conduction (preferential conduction from the sinus node to the AV node through specialized tracts without activation of the atrial cardiomyocytes), and (ii) sine wave morphology (markedly wide QRS, absence of ST-segment and broadly based T-waves). These electrocardiographic features, typical of hyperkalemia exceeding 7.0 mEq/liter, are harbingers of malignant arrhythmias and should prompt immediate therapy.
Exploring the Impact of COVID-19 on the Healthcare System and Vulnerable Populations in the United States
Authors: Williams Rachel , Srinivasan Alagarsamy , Periasamy Muthu
Published: July 2024

Beginning in early 2020, SARS-CoV-2, the virus responsible for COVID-19, spread across the world, giving rise to a global pandemic that impacted billions of people. Surprisingly, the United States was among one of the worst affected countries with over a million deaths. The purpose of this review is to discuss the impact of COVID-19 in the United States from the perspectives of government policies and the U.S. healthcare system. The emergence of multiple viral variants was at the center of sequential waves of infection in the U.S., resulting in increased number of cases, hospitalizations, and deaths along with associated mental health sequelae in the population. Lack of uniform policies at the local, state, and federal levels exacerbated the situation. These factors contributed to significant healthcare worker burnout. Furthermore, the disease caused higher morbidity and mortality rates in specific groups such as lower average socioeconomic status, rural and underserved communities, Native Americans and African Americans, and older age groups (65+ years). The lessons learned from this broad analysis highlight many inadequacies and challenges experienced in the U.S. during the pandemic. Here we propose several suggestions for healthcare and government responses in the event of future unanticipated healthcare crises.
Medical Students’ Stress Levels Are Correlated with Their Sleep Quality and Life Satisfaction
Authors: Ozdemir Ervin , Yazarkan Yigit , Pehlivanoglu Bilge
Published: July 2024

Background: Stress and sleep disturbances associated with low life satisfaction is frequently reported during medical education, intervening with the academic achievements and general well-being of medical students. We aimed to investigate the effects of stress levels on sleep quality (SQ) and life satisfaction (LS) of the students in Hacettepe University Medical Faculty (HUMF).
Methods: This cross-sectional study was conducted at HUMF between May and September 2022 after ethical approval. The participants (39 women and 48 men) completed a personal information form, State- Trait Anxiety Index (STAI)-I and II, Pittsburgh SQ Index (PSQI) and Satisfaction with Life Scale (SWLS). Their blood pressure, heart rate, and salivary cortisol levels were measured.
Results: The men and women were comparable for age, body mass index (BMI), stress parameters and PSQI scores, except the higher LS in women (P=0.045). Gender-based analysis revealed positively correlated BMI and STAI-I (r=0.357) and II (r=0.501) scores in women (P<0.05), and a similar but a weaker correlation for STAI-II scores in men (r=0.291) (P<0.05). The study group exhibited poor SQ (>5). The higher STAI-II scores, cortisol concentration and caffeine consumption were significantly associated with poorer SQ and LS in both genders, however, the state scores and alcohol consumption exhibited a significant relation in men, only. Higher scores for trait inventory and cortisol concentrations correlated negatively with LS in all participants.
Conclusion: Awareness, a proactive approach, and sufficient support can help the relieve and/or manage the stress of medical students and improve SQ and LS.
Public Health Outreach in Impoverished Areas of Cambodia: Addressing the Issues Related to Prescription Practices
Authors: Iba Chisato , Namba Mira , Kaneda Yudai , Ando Takayuki
Published: July 2024

During a two-week public health internship organized by Projects Abroad in impoverished areas in Cambodia, the authors participated in health check-ups and outreach activities. We identified issues such as polypharmacy and medication misuse. These problems stem from symptom-based prescriptions without considering individual patient conditions due to limited diagnostic equipments and medications. Our solution involved suggesting a documentation akin to Japan's prescription record books, and Drug Information Leaflets (DILs). Prescription record books would enable patients to record the medications they purchased at the pharmacy, so that physicians would know what medications patients are taking during their health checkups, and thus  prevent polypharmacy. In addition, the DILs included medication details and illustrations, considering the low literacy rates in the areas. We emphasized the need for sustained non-communicable diseases (NCDs) treatment and the potential of external perspectives to introduce innovative healthcare approaches and improvements within local communities.
PSYCHOEDUCATION IN FAMILIES IN PREVENTING RECURRENCE OF PATIENTS WITH MENTAL DISORDERS (LITERATURE REVIEW)
Authors: Riko Sandra Putra  , Murtiningsih
Published: July 2024

In general, mental disorders are caused by psychological pressure, both internal and external. One of the causes is family and community ignorance of this mental disorder. To seek literacy about psychoeducation in families in preventing relapse in patients with mental disorders. The search for articles in this systematic review used five databases including: Cochrane, Scopus, Pubmed, Embase and manual search. Based on the results of literature searches through 5 databases, 24,798 articles were obtained that matched these keywords. The search results that have been obtained are then entered into the Mendeley reference manager desktop application to identify the level of relevance to the current study. The first screening process was carried out by removing duplicate articles (n=228), then 24,570 articles were screened based on suitability of the topic in the title and abstract. Articles that did not meet the sample criteria were excluded from the study (n=24,560), leaving 10 articles included in this study. Psychoeducation in the family is very effective in preventing relapse in patients with mental disorders.
EFFECT OF GIVING A WARM COMPRESS WITH WATER BOILING SERAAI AGAINST PAIN IN THE ELDERLY WITH RHEUMATOID ARTHRITIS
Authors: Nurjannah  , Tiara Desta Rahmawati
Published: July 2024

Rheumatoid Arthritis is an autoimmune disease or disease that occurs when the body is attacked by the body's own immune system which results in long-term inflammation of the joints which causes inflammation, stiffness, swelling and pain in the joints, ligaments and bones. The aim of this study was to determine the effect of warm compresses boiled with lemongrass water on pain in elderly people with Rheumatoid Arthritis. The research design uses a quasi-experiment (pre-experiment) with a one-group pre test-post test design approach. Sampling used a purposive sampling technique, namely 55 respondents. The research instrument used the Numeric Rating Scale (NRS) pain scale observation sheet. Statistical tests use the Wilcoxon test p value < ( = 0.05). The results of the Wilcoxon test analysis show that the p value = 0.000 < (0.05), meaning that a warm compress with lemongrass boiled water can reduce the pain level of elderly people suffering from rheumatoid arthritis. There is an effect of warm compresses boiled with lemongrass water on pain in elderly people with rheumatoid arthritis. It is hoped that the suggestions will provide education on non-pharmacological treatment to reduce the scale of pain in elderly people suffering from rheumatoid arthritis independently to be carried out at home in addition to pharmacological treatment.
HUBUNGAN DUKUNGAN SUAMI TERHADAP TINGKAT KECEMASAN IBU PADA SAAT PERSALINAN DI KLINIK MITRA ANANDA PALEMBANG
Authors: Vera Yuanita  , Yuli Suryanti  , Adisty Dwi Treasa
Published: July 2024

WHO memperkirakan Angka Kematian Ibu (AKI) masih sangat tinggi. Sekitar 287.000 perempuan meninggal selama dan setelah kehamilan dan persalinan pada tahun 2020. Dalam fase persalinan juga terjadi peningkatan kecemasan, dengan makin meningkatnya kecemasan akan semakin meningkatkan intensitas nyeri. Saat  mengalami  kecemasan  dalam  menghadapi  persalinan,  dukungan keluarga  sangat  diperlukan oleh  ibu  hamil  supaya  dapat  menghibur  dan menenangkannya. Tujuan penelitian untuk mengetahui hubungan dukungan suami terhadap tingkat kecemasan ibu pada saat persalinan di Klinik Mitra Ananda Palembang tahun 2023. Metode penelitian menggunakan metode cross sectional. Populasi pada penelitian ini adalah semua ibu bersalin yang ada di Klinik Mitra Ananda Palembang dengan jumlah sampel sebanyak 35 responden.  Hasil penelitian didapatkan distribusi frekuensi dukungan suami sebagian besar memberi dukungan sebanyak 20 responden (57,1%), tingkat kecemasan ibu pada saat persalinan sebagian besar mengalami kecemasan ringan sebanyak 14 responden (40%). Ada hubungan yang bermakna antara dukungan suami dengan tingkat kecemasan ibu pada saat persalinan di Klinik Mitra Ananda Palembang tahun 2023 (p.value = 0,011). Saran diharapkan untuk lebih meningkatkan lagi peran serta suami dalam persalinan istri dengan memberikan konseling kepada suami yang dimulai sejak istri hamil untuk lebih memperhatikan kondisi kesehatan istri sejak awal kehamilan sampai dengan menjelang persalinan.
HUBUNGAN USIA IBU, KETUBAN PECAH DINI DAN PARITAS DENGAN KEJADIAN ASFIKSIA PADA BAYI BARU LAHIR DI RSUD KAYU AGUNG KABUPATEN OKI
Authors: Gina Sari  , Murdiningsih  , Putu Lusita Nati Indriani
Published: July 2024

Asfiksia pada bayi baru lahir menjadi masalah serius di Indonesia karena angka kematian bayi akibat asfiksia masih cukup tinggi. Asfiksia neonatorum adalah kegagalan bayi bernapas spontan dan teratur pada saat lahir atau beberapa saat setelah lahir yang ditandai dengan hipoksemia, hiperkarbia, dan asidosis. Rumusan masalah dalam penelitian ini yaitu ada hubungan usia ibu, ketuban pecah dini dan paritas secara simultan dengan kejadian asfiksia pada bayi baru lahir. Penelitian ini bertujuan untuk mengetahui hubungan usia ibu, ketuban pecah dini dan paritas dengan kejadian asfiksia pada bayi baru lahir. Kerangka konsep penelitian ini yaitu variabel independent (usia ibu, ketuban pecah dini dan paritas) sedangkan variabel dependen (kejadian asfiksia) serta hitpotesis penelitian adalah untuk mengetahui hubungan antara usia ibu, ketuban pecah dini dan paritas dengan kejadian asfiksia pada bayi baru lahir. Penelitian ini menggunakan desain case control pada 90 sampel dengan 30 sampel kasus dan 60 sampel kontrol dengan tehnik pengambilan purposive sampling. Analisis yang digunakan adalah univariat dan bivariat dengan chi square. Hasil penelitian ada hubungan usia ibu p value (0,015), ketuban pecah dini p value (0,000) dan paritas p value (0,021) dengan kejadian asfiksia pada bayi baru lahir. Diharapkan dapat digunakan sebagai bahan acuan dan evaluasi kebijakan yang berkaitan dengan asfiksia neonatorum sebagai upaya pencegahan dan menurunkan angka kematian bayi (AKB).