bluuebunny/crossref_metadata_2025 huggingface dataset:
SISTEM PROTEKSI DAN MONITORING KESEIMBANGAN BEBAN TIGA FASA PADA JARINGAN DISTRIBUSI TEGANGAN RENDAH MENGGUNAKAN MIKROKONTROLER BERBASIS IOT
Authors: Indrianto Rifdian , Hartono Hartono , Kustori Kustori , Hariyadi Slamet , Suhanto Suhanto
Published: August 2023

Three-phase electrical systems are widely used by industrial consumers because of their large power requirements. The 3-phase system is more economical in the delivery of electrical power than the single-phase system because the conductor used is smaller for the same power. A 3-phase system is said to be balanced if the load used is also balanced between the three R-S-T phases. However, in practice the balance of the three phases is very difficult to achieve because the electrical load of each house or industry is not necessarily identical. As a result of this imbalance between the R-S-T phases can cause damage to electronic equipment that uses 3-phase electricity if used continuously.According to PUIL 2011 the unbalance distribution system includes an unbalanced current between phases with provisions up to a tolerance value of 10%. In a 3 phase electrical distribution system, there will often be load imbalances. This is due to the addition or use of electrical loads that do not pay attention to the imbalance in the system.For this reason, in this study, a tool that uses the PZEM-004T sensor, Wemos D1 mini module, and Android Studio was created which can allow for remote monitoring using electronic devices that have installed applications that have been created. when an error occurs, the "reset" button on the monitoring application is used to reset the protection to restore the device. The current difference in the avometer is 1.48A and the sensor is 1.46A and the current flowing to the load is written 1.88A. The contactor works when the relay receives a command from the Arduino nano with a fast time, namely: 1.60 seconds on the first try, 1.72 seconds on the second experiment, and 1.68 seconds on the third experiment.
The debut and course of the neonatal form of propionic aciduria: a clinical case
Authors: Sokolova Angelina V. , Bushueva Tatiana V. , Kuzenkova Lyudmila M. , Borovik Tatyana Е. , Globa Oksana V. , Podkletnova Tatyana V. , Lyalina Anastasiya A. , Pushkov Alexander A. , Mazanova Nataliya N. , Zakharovа Ekaterina Yu. , Aksyanova Khasyanya F. , Savostyanov Kirill V. , Khamidova Madina M. , Khubieva Mariyam U.
Published: August 2023

Propionic aciduria (PA) is an autosomal recessive hereditary disease from the group of organic aciduria, caused by a deficiency of propionyl-CoA carboxylase, leading to impaired metabolism of methionine, threonine, valine, isoleucine, and fatty acids with an odd number of carbon atoms and cholesterol. The neonatal form of PA manifests itself during the first week of life, is characterized by an acute onset and a crisis course, which is accompanied by severe metabolic acidosis, hypoglycemia, hyperketonemia, hyperammonemia. Clinical symptoms are dominated by neurological disorders up to stupor or coma, which can lead to death. Since 2023, expanded neonatal screening has been introduced throughout the Russian Federation, which includes 36 groups of nosologies, as well as a number of hereditary metabolic diseases.
Despite the inclusion of this pathology in expanded neonatal screening, doctors’ awareness of clinical manifestations and necessary therapy remains insufficient. Often such patients are diagnosed with, for example: hypoxic-ischemic damage to the central nervous system, acute meningoencephalitis, and others, which leads to inadequate therapy with the development of fatal neurological consequences.
Therefore, the totality of knowledge and alertness of doctors regarding diseases from the group of hereditary metabolic diseases will help not only to suspect this pathology in a timely manner, but also to prescribe adequate therapy in time, which in the future will make it possible to prevent serious consequences and neurological disorders, as well as disability of patients.
Pengembangan Pariwisata Berkelanjutan Pasca Pandemi Covid 19 Di Kabupaten Bangka Barat
Authors: Zakiyah Ummi
Published: August 2023

Tulisan ini bertujuan untuk mendeskripsikan dan menganalisa pembangunan pariwisata yang berkelanjutan di Kabupaten Bangka Barat setalah pandemi covid 19. Adanya pandemi covid 19 selama 2 (dua) tahun melanda seluruh dunia membuat beberapa kegiatan berwisata berkurang dan atau dihentikan sementara. Adanya pembatasan kegiatan wisata tersebut membuat pelaku wisata menjadi sepi dan membuat beberapa obyek wisata menjadi kurang terawat. Maka dari itu penulis ingin melakukan kajian bagaimana upaya yang dilakukan oleh Dinas Pariwisata dan Kebudayaan Barat angka dalam pengembangan pariwisata berkelanjutan setalah pandemic covid 19. Penelitian ini dilakukan di Kabupaten Bangka Barat dengan menggunakan metode kualitatif dengan teknik pengumpulan data menggunakan teknik observasi, wawancara dan studi literasi dan dokumentasi. Hasil penelitian Kabupaten Bnagka Barat memiliki beberapa jenis wisata mulai dari wisata bahari, wisata sejarah, wisata budaya, wisata relegi dan wisata kuliner yang tersebar diseluruh wilayah Kabupaten Bangka Barat. Namun demikian aset wisata yang banyak tersebut belum dikelola dengan baik dan secara serius. Hal tersebut terlihat dari belum adanya kebijakan berkaitan dengan pengembangunan pariwisata secara berkelanjutan, belum ada upaya strategi promosi berskala besar mengingat banyaknya potensi wisata yang ada di Kabupaten Barat. Pemerintah kabupaten Bangka Barat harus membuat kebijakan yang stretegis yang berkaitan dengan pembangunan pariwisata secara berkelanjutan, harus ada penciri yang khas wisata yang ditawarkan untuk menarik wisatawan.
Recomendaciones en la primera consulta en personas adultas con obesidad
Authors: Gutt Susana , Sforza Noelia , Cicchitti Alejandra , Coronel Jimena , Gauna Carla , González Sandra , Lifszyc Paula , Mociulsky Juliana , Nachón María Natalia , Polo Paola , Primerano Adriana , Vanoli Guadalupe , Yuma María
Published: August 2023

El objetivo de esta recomendación es establecer las mejores estrategias para el abordaje de la obesidad en la primera consulta de un paciente adulto con obesidad. Para ello se formularon tres preguntas PICO con respuestas basadas en el análisis de la evidencia científica disponible.

Nuestros principales hallazgos fueron:

• En la primera consulta de un paciente adulto con obesidad, la entrevista motivacional es más efectiva frente al abordaje tradicional para el descenso de peso dado que, además, permite reforzar la motivación del paciente y estimular su participación en un cambio de comportamiento.

• Para el diagnóstico de obesidad, el índice de masa corporal (IMC) sigue siendo una herramienta útil y sencilla de detección, sin embargo, es imperativo ampliar la visión de la obesidad y establecer el riesgo de complicaciones en la primera consulta; para esto tanto el sistema de estadificación de Edmonton como el método ABCD son herramientas útiles adicionales al IMC.

• La actividad física aeróbica sigue siendo recomendada por su beneficio en la pérdida de masa grasa, principalmente visceral, no obstante, al combinar una actividad física anaeróbica, los resultados son superiores a la estrategia aeróbica aislada.
Ações territoriais na Terapia Ocupacional: práticas, reflexões e novos debates em foco/ Territorial practices in occupational therapy: practices, reflections and new debates in focus
Authors: Gonçalves Monica Villaça , Bianchi Pamela Cristina , Jorge da Silva Marina
Published: August 2023

Desde a década de 1980, terapeutas ocupacionais brasileiras têm compreendido o trabalho territorial como estratégico para efetivação de práticas profissionais pautadas pela cidadania e pelos direitos humanos e sociais, em busca da participação social de sujeitos individuais e coletivos. A Terapia Ocupacional tem produzido seus referenciais teórico-metodológicos considerando a dimensão territorial da atuação técnica, ética e política em suas diversas subáreas. Este dossiê apresenta 16 artigos, sendo dois editoriais, o texto da imagem da capa, dois de análise de prática, três temas da atualidade e oito artigos originais.Palavras-chave: Terapia Ocupacional. Território sociocultural. Prática profissional AbstractSince the 1980s, Brazilian occupational therapists have understood territorial work as strategic to implement professional practices guided by citizenship and human and social rights in search of social participation for individuals and collectives/groups. Occupational Therapy has produced its theoretical-methodological references considering the territorial dimension of technical, ethical and political action in its various sub-areas. This dossier presents 16 articles, including two editorials, the text of the cover image, two critical practice analyses, three current issues and eight original articles.Keywords: Occupational Therapy. Sociocultural Territory. Professional Practice. ResumenDesde la década de 1980, los terapeutas ocupacionales brasileños han entendido el trabajo territorial como estratégico para la realización de prácticas profesionales basadas en la ciudadanía y los derechos humanos y sociales, buscando la participación social de los sujetos individuales y colectivos. La Terapia Ocupacional ha producido sus referenciales teórico-metodológicos considerando la dimensión territorial del actuar técnico, ético y político en sus diversas subáreas. Este número especial presenta 16 artículos: dos editoriales, el texto de la imagen de portada, dos análisis de práctica, tres temas de actualidad y ocho artículos originales.Palabras clave: Terapia Ocupacional. Territorio sociocultural. Práctica profesional
Prevalence and association of musculoskeletal disorders among breastfeeding women in Saudi Arabia
Authors: Almutairi Sattam , Aljutaily Raghad , Alshuwayman Raghad , Almutairi Marzouq , Alshehre Yousef
Published: August 2023

Objectives: To investigate the prevalence of musculoskeletal disorders, and to explore the association between maternal positioning and musculoskeletal pain among lactating women.
Methods: The cross-sectional survey-based study was conducted from January to May 2022 at buraidah, Saudi Arabia, and comprised Arabic-speaking women aged 18-49 years who were breastfeeding. Sociodemographic and clinical data related to musculoskeletal disorders was collected using a redesigned questionnaire through Twitter and WhatsApp platforms. Data was analysed using SPSS 28.
Results:  Of the 474 women who responded, 192(40.7%) were excluded because they did not meet the eligibility criteria. The sample comprised 281(59.3%) women. The median age was 33 years with an interquartile range of 10 years 71(25.3%). Overall, 163(58%) subjects reported musculoskeletal pain caused by breastfeeding, 78(27.8%) experienced musculoskeletal pain with breastfeeding, 43(15.3%) considered discontinuing breastfeeding, and 59(21%) reported that musculoskeletal pain prevented them from performing their activities of daily living. The most painful segments reported were the back 6.24±3.21, nipple 5.51±3.43, shoulders 4.88±3.40, and neck 4.10±3.13. Sitting on a mat was the commonly adopted maternal positioning 2.38±1.41. Cradle hold was the most convenient baby-holding positioning during breastfeeding reported by 170(60.5%).
Conclusion: The prevalence of musculoskeletal disorders was found to be high among breastfeeding women in Saudi Arabia, and an association was found between musculoskeletal disorders and maternal breastfeeding positioning.
Key Words: Breastfeeding, Musculoskeletal pain, Physical therapy, Lactation, Women’s health.
Pelaksanaan Inovasi Pembelajaran Kitab Kuning di Pondok Pesantren
Authors: Zulheddi Zulheddi , Muammar Muammar , Said Salim
Published: August 2023

The purpose of this study was to find out the implementation and learning of the yellow book which was carried out at Islamic boarding schools. This research is a qualitative research, researchers conduct research naturally to capture everything that happens in the field directly to be used as data. Data collection techniques using interviews, observation and documentation. The approach used is descriptive. The informants of this study were the head of the madrasah and teachers. Data analysis techniques using data reduction, data presentation and drawing conclusions by testing the validity of the data using credibility, transfer, dependability and suitability tests. The results of this study indicate that: The implementation of learning the yellow book at Islamic boarding schools is so that students have extensive religious knowledge and quality intellectuals so that they are able to practice it in everyday life and have noble character or piety morality (religious quality) in the students themselves. The process of innovation in the learning of the yellow book can be seen when the teacher enters the classroom, the teacher of the yellow book says greetings, in unison the students immediately stand up and then answer the teacher's greeting and the students sit after the teacher sits down and it has become a habit for the yellow book teaching teachers before reading the teachers' book. previously presented surah al-Fatihah to the Prophet and the author of the book, then the teacher started reading the yellow book with various kinds of material or different books according to the book to be taught.

Keywords: Learning Innovation, Yellow Book
Penguatan Pendidikan Karakter Nasionalis Siswa Sekolah Dasar Melalui Pembiasaan Sabtu Bersih dan Sehat
Authors: Fitriyah Erika Nur , Supriyadi Supriyadi
Published: August 2023

Penanaman pendidikan karakter diharapkan akan sangat membantu dalam membentuk teladan untuk menjadi pribadi yang berakhlak mulia. Pendidikan karakter sejak dini merupakan langkah awal dalam membangun karakter anak, sehingga diperlukan pendidikan sejak usia dini. Dengan landasan moral yang kuat dan karakter positif, seseorang berulang kali berpikir untuk melakukan hal-hal negatif tersebut. Karena pada usia inilah anak memiliki masa emas untuk perkembangan kepribadiannya yaitu usia taman kanak-kanak dan sekolah dasar. Kepedulian anak terhadap lingkungan tidak hanya menjadi tanggungjawab guru saja namun juga orangtua dirumah agar senantiasa selalu mengingatkan dan memberi dukungan kepada anak agar tetap menerapkan sikap peduli lingkungan seperti yang diajarkan di sekolah, dengan begitu akan membuat anak semakin sadar terhadap kebersihan lingkungan di sekitarnya. Oleh karena itu, mengembangkan karakter peduli lingkungan kepada anak sejak dini sangatlah penting, jika sedari kecil anak tidak diajarkan mengenai menjaga kebersihan lingkungan maka kelak hingga dewasa, anak tidak mengerti caranya hidup di lingkunganya sendiri. Karena sebagai makhluk sosial sudah seharusnya hidup bersama dengan orang lain,maka dari itu karakter perlu dipupuk sejak kecil agar anak dapat hidup dengan baik dilingkungannya kelak.
Conceptual analysis of livable cities in the context of Ted Talks
Authors: Yılmaz Nur , Atay Gamze
Published: August 2023

Today, livable urban spaces are very important in terms of the healthy conduct of both individual and social life. Shaped in line with human needs such as education, housing, economy, cultural and social life, the city and the livability of the city is one of the current discussion topics with its variable and dynamic structure in addition to the factors it contains. From this point of view, the concept of "livability" has been questioned in the context of urban planning. Considering the temporal resilience of cities, the semantic dimension - qualitative studies - and therefore concepts are very powerful tools. Concepts are the basis of interpretation or theorizing. The aim of the study is to develop a different perspective by revealing the measurability of more livable and happier cities and the criteria they contain through discussions and discourses on this subject. In this context, the TED platform, which is easily accessible by large masses today and popular in terms of social awareness, has been used. The content of 65 texts focusing on urban research in TED Talks between 2007 and 2023 has been analyzed and a conceptual analysis has been made through NVivo, a qualitative analysis program. The content analysis method has been used in the evaluation of the texts, and discussions and interpretations have been made based on frequency frequencies.  In light of the data obtained, it has been seen that more livable cities have been associated with the codes "architectural design", "technology", "energy" and "climate" respectively. As a result; it can be said that the concept of urban livability cannot be independent of the climate crisis, ecology discussions, and energy efficiency discourses as a solution to this crisis, and architectural designs that follow the technological level of the age, and the parameters discussed in the face of changing needs and situations over time can also change.
Evaluation of an alternative approach to increase productivity in architecture project studios through student projects
Authors: Kurnalı Melih , Şekerci Ceyhun
Published: August 2023

Studio courses in architectural education are undoubtedly among the most important courses that prepare students for professional design life. A given project should be guided with the support of the instructors and should include a simulation of the process in professional business life. Despite this, research shows that there is a disconnect between academia and the professional process. In addition to the fact that the educational process tries to add a different understanding to the student, professional life cannot find the middle point with academic education due to the constant changes in regulations due to rent and similar reasons. In such an environment, giving meaning to projects with an idealistic understanding, offering a thematic experience and producing holistic buildings with identity increases the importance of alternative approaches in project studios in educational processes. Although it is not possible to prevent the emergence of identity-less and rent-oriented products in the market only through architectural education, approaches that will increase productivity in this education will also increase students' expectations from the profession. The conceptual approach, which is one of these alternatives, can be defined as creating a network of relationships based on a basic idea. This network of relationships allows the concept to be transformed into a concrete structure by distributing it to all project processes without moving away from the context and with an inclusive approach. In this study, first of all, the conceptual approach in design education will be emphasized and general definitions will be made, and Studio-2, Studio-3, and Studio-4 courses in Konya Technical University Faculty of Architecture and Design, Department of Architecture in 2021-2022 will be evaluated with a conceptual approach. With this approach, it has been concluded that the student's design perception and thinking technique can be developed by creating concept-based, original, and holistic, and focusing on the missing aspects of professional life in project courses.
Desempenho em geometria de alunos do ensino fundamental em tempos de pandemia
Authors: Abar Celina Aparecida Almeida Pereira , Sousa José Carlos da Silva
Published: August 2023

A pandemia impôs desafios em todos os setores da vida das pessoas e, particularmente, no dia a dia de quem está no ensino. Assim, a questão que este estudo pretende responder é: Qual o desempenho de alunos de 6º ano em provas de geometria, oferecidas pelo Centro de Políticas Públicas e Avaliação da Educação da Universidade Federal Juiz de Fora (CAEd/UFJF) no ano letivo de 2020? Trata-se de uma pesquisa qualitativa, utilizando alguns procedimentos quantitativos, comparando resultados de desempenho em dois períodos: no início do ano de 2020, no mês de março e ao final, no mês de outubro de 2020. Os dados foram referentes às questões de geometria, sendo cinco turmas da Escola Estadual Professor Antônio Firmino de Proença, no Município de São Paulo, totalizando 164 alunos. A análise foi feita de forma descritiva, considerando a frequência e os porcentuais de acertos, segundo a classificação proposta pelo CAEd, em cada habilidade do total do 6º ano e por turma em cada período, comparando conteúdos similares da geometria. Os alunos apresentaram desempenho alto na habilidade 2 (96%) e na habilidade 6 (95%). Nas habilidades 1 e 7 houve queda de desempenho, ou seja, no início era de 87% e 81% respectivamente e, ao final, 62% e 68%. Os alunos mantiveram desempenho médio na habilidade 3 (61% e 64%) e na habilidade 5 (65% e 55%). Os resultados deste trabalho mostraram-se satisfatórios, pois mesmo em época de pandemia, em duas habilidades, os alunos obtiveram desempenho classificado como alto em geometria.
Organ Donation Management System (Project: ODMS)
Authors: Yadav Abhay , Islam Ariful , Kiran Vasa Uday , Jagadeesh Chitroju Naga Sai , Singh Gagandeep
Published: August 2023

Organ Donation Management System is a novel idea to support organ donors in India with a new age interface and ease of registration, and systematic guidelines of Government India to ensure the legalities. As we included a Aadhar authentication for this process to register a donor, we duly abide by the laws, values and of Donors to serve the communities in India. ODMS is an online system which consists of Android Application and a Website. The health care system has access to detailed information of patients and donors within a management. As the penetration of Mobile phone and gadgets is another boon for this project idea deployment. We designed a system if a user willing to donate organs post their death due to an unfortunate accident or incident with help of Aadhar system we trace the organ donor and within the golden period we take the permission of family members of deceased organ donor to transplant his organs to other patients in need. Aadhar plays a pivotal role in this entire process for Authentication, Tracking the deceased donors and the Know Your Donor called as KYD where a donor himself provide a legal acceptance of organ donation post his death through video KYC and digital forms filling.
Transformative research journey from frustrated learners to critically reflective practitioners
Authors: Aryal Rameshower
Published: August 2023

The conventional linear model of pedagogical practices promotes subject-centric memorizing, considering learners as knowledge recipients rather than generators of knowledge. This pedagogical practice degrades educational values by ignoring alternative inquiry-based visionaries and meaning-making approaches. Different forms of art in pedagogy, such as poetry, autobiographical reflection, and visual arts (i.e., paintings and cartoons) that capture learners' personal experiences, on the other hand, might be considered as one of the alternative models for a meaningful and critical understanding of the core and complex phenomena of the diverse world. Thus, the paper investigates the traditional linear pedagogical model and the critical transformative model utilizing Habermasian Knowledge's consecutive interests (technical, practical, and emancipatory) as the theoretical referent and metaphors for critical discourses of such pedagogical practices.
Boyun Ağrısı Tedavisinde Sanal Gerçeklik Uygulamaları
Authors: KORKMAZ Burcu Ece , SALIK ŞENGÜL Yeşim
Published: August 2023

Boyun ağrısı, bel ağrısından sonra ikinci sırada en çok görülen muskuloskeletal patolojidir. Kronik boyun ağrısı, bireyin davranışlarını, yaşam kalitesini, aile ve meslek yaşantısını önemli ölçüde etkileyen, hoş olmayan, duyusal ve duygusal bir deneyimdir ve her üç yetişkinden ikisinin hayatının bir döneminde boyun ağrısı yaşadığı bilinmektedir. Sanal gerçeklik (Virtual Reality-VR), kullanıcıların sanal mekanlarda gezinme ve bu mekanlardaki nesneleri manipüle etme izlenimine sahip olduğu yapay bir dünya yaratmak için kullanılan bir bilgi işlem sistemi olarak tanımlanır. VR teknolojileri, sanal bir ortamda fiziksel olarak bulunma algısı olarak tanımlanan imersiyon kavramı ve bu kavramın farklı alt tipleriyle sınıflandırılmaktadır. İmersiyon derecelerine göre sanal gerçeklik teknolojileri immersive, semi-immersive, non-immersive olarak üç kategoride incelenmektedir. Sanal gerçeklik teknolojilerinin ağrı üzerine temel etki mekanizması distraksiyon kavramıyla açıklanmaktadır. Kronik boyun ağrısı rehabilitasyonunda son yıllarda sıklıkla kullanılmaya başlanan VR teknolojilerinin, ağrı, disabilite, postural kontrol ve denge, kinematik değişimler üzerine olumlu etkileri yapılan çalışmalarda bildirilmiştir. Bu derlemenin amacı, sanal gerçeklik teknolojilerinin kronik boyun ağrısı tedavisinde kullanım alanları ve amaçları, tedavi programlama için optimal doz ve sürenin belirlenmesi ve uygulamanın olası yan etkileri hakkında bilgi vererek ilerleyen çalışmalar için yol gösterici olmasıdır.
Sağlık Kurumlarında Örgütsel Çeviklik: Kavramsal Bir Çerçeve
Authors: DOĞANYİĞİT Pelinsu Buket
Published: August 2023

Küreselleşen dünyada değişimleri takip edebilmek, meydana gelen değişimlere zamanında ve etkili şekilde cevap verebilmek ve rekabet edebilmek sağlık kurumları açısından önem arz etmektedir. Bu bakımdan sağlık kurumlarının örgütsel çeviklik kavramını, başarılı bir şekilde analiz edip uygulamaları gerekmektedir. Örgütsel çeviklik kavramını başarılı şekilde uygulayan kurumların yapısı güçlenmekte, fırsatlarını ve güçlü yönlerini hızlı şekilde analiz edebilmekte, geleceğe yönelik strateji ve hedefler geliştirilebilmekte ve gelecekte ortaya çıkması muhtemel olası talep ile ihtiyaçları belirlemektedir. Bu çalışmanın amacı sağlık kurumlarında örgütsel çeviklik kavramına ilişkin alan yazınını inceleyerek bilgiler sunmaktır. Çalışma kapsamında çeviklik ve örgütsel çeviklik, sağlık kurumlarında çeviklik ile ilgili kavramsal çerçeve çizilmiş olup bu konuyla ilişkin sağlık alanında yapılan çalışmalar ortaya konulmuştur. Ayrıca yeni bir kavram olarak ortaya çıkan VUCA terimine kısa bir şekilde değinilmiştir. Bu kapsamda örgütsel çeviklik kavramının sağlık kurumlarında kapsamlı bir şekilde ele alınması, sağlık yöneticilerin yenilikçi kurum hedeflerini oluşturmaları, müşteri arz ve isteklerine uygun sağlık hizmetleri sunmaları yüksek teknolojili ve sürekli değişen çevre ortamında gerekli görülmektedir. Ek olarak sağlık kurumlarının varlıklarını sürdürebilmeleri ve amaç ile hedeflerini gerçekleştirebilmeleri için değişen ve gelişen VUCA dünyasına uygun stratejiler geliştirmeleri, kavramı iyi bir şekilde anlamaları bu açıdan önem taşımaktadır.
Alkol Bağımlılarının Remisyon Sürecine Göre Aile Stresörleri ile Başa Çıkma Yöntemlerinin Karşılaştırılması
Authors: AKIN ALTINCI Elmas , ÇALIK VAR Esra , ARIKAN Zehra
Published: August 2023

Amaç: Bu çalışmanın amacı, remisyon sürecindeki alkol bağımlılarının remisyon sürelerine göre aile stresörleriyle başa çıkma yöntemleri arasında farklılık olup olmadığı ortaya koymaktır. Yöntem: Araştırma Ankara’da bulunan ve bağımlılık tedavisi veren bir tedavi ve rehabilitasyon merkezi, bir üniversite psikiyatri kliniğine bağlı Alkol Bağımlılığı Tedavi Birimi, bir özel psikiyatri hastanesine bağlı AMATEM ve Adsız Alkolikler kendine yardım Sıhhıye ve Kızılay gruplarında, Mayıs 2022-Aralık 2022 tarihleri arasında yapılmıştır. Veriler araştırmacı tarafından hazırlanan sosyodemografik bilgi formu ve Ekşi ve arkadaşları tarafından Türkçeye uyarlanan Aile Stresörleri ile Başa Çıkma Yöntemleri Ölçeği kullanılarak; Ankara’da bulunan, araştırmaya katılmayı kabul eden, partneriyle ortak yaşam sürdüren, en az 30 gündür remisyon sürecinde olan; erken remisyon grubunda 31 kişi, kalıcı remisyon grubunda 28 kişi ile olmak üzere toplam 59 kişiden toplanmıştır. Sonuçların özetlenmesinde; ortalama±standart sapma, ortanca (çeyrekler arası genişlik), sayı (yüzde) tamamlayıcı istatistikleri kullanılmıştır. Bulgular: Çalışmaya katılan ve erken remisyon döneminde olan hastaların; %12.9’u kadın, %87.1’i erkek iken; kalıcı remisyon grubundakilerin %17.9’u kadın, %82.1’i erkektir. Aile stresörleri ile başa çıkma ölçeği içerisinde yer alan sosyal destek arama ve fiziksel egzersiz alt boyutlarında gruplar arasında anlamlı farklar olduğu belirlenmiştir. Sonuç: Kalıcı remisyon grubundaki alkol bağımlılarının fiziksel egzersiz ve sosyal destek arama yöntemlerini erken remisyon grubundakilere oranla daha sık kullandığı görülmektedir. Biyopsikososyal ve tinsel boyutları olan alkol bağımlılığının, tedavi sürecinde de tüm boyutlarını kapsayan modellerin desteklenmesi önerilmektedir.
In-depth study of the formation processes of single atmospheric particles in the south-eastern margin of the Tibetan Plateau
Authors: Li Li , Wang Qiyuan , Tian Jie , Liu Huikun , Zhang Yong , Sai Hang Ho Steven , Ran Weikang , Cao Junji
Published: August 2023

Abstract. The unique geographical location of the Tibetan Plateau (TP) plays an
important role in regulating global climate change, but the impacts of the
chemical components and atmospheric processing on the size distribution and
mixing state of individual particles are rarely explored in the south-eastern margin of the TP, which is a transport channel for pollutants from Southeast Asia to the TP during the pre-monsoon season. Thus a single-particle aerosol mass spectrometer (SPAMS) was deployed to investigate how the local emissions of chemical composition interact with the transporting particles and assess the mixing state of different particle types and secondary formation in this study. The TP particles were classified into six distinct types, mainly including the largest fraction of the potassium-rich (K-rich) type in the total particles (30.9 %), followed by the biomass burning (BB)
type (18.7 %). Most particle types were mainly transported from the sampling site's surroundings and along the Sino-Myanmar border, but the
air mass trajectories from north-eastern India and Myanmar show a greater
impact on the number fraction of the BB (31.7 %) and dust (18.2 %) types,
respectively. Then, the two episodes with high particle concentrations
showed that the differences in the meteorological conditions in the same
trajectory clusters could cause significant changes in chemical components,
especially the dust and aged elemental carbon (aged EC) types, which changed by a total of 93.6 %
and 72.0 %, respectively. Ammonium and dust particles distribute at a
relatively larger size (∼600 nm), but the size peak of other
types is present at ∼440 nm. Compared with the abundant
sulfate (97HSO4-), the low nitrate (62NO3-)
internally mixed in TP particles is mainly due to the fact that nitrate is
more volatilized during the transport process. The formation mechanism of
secondary speciation demonstrates that the formation capacity of atmospheric
oxidation is presumably affected by the convective transmission and the
regional transport in the TP. However, the relative humidity (RH) could
significantly promote the formation of secondary species, especially
97HSO4- and 18NH4+. This study provides new
insights into the particle composition and size, mixing state, and ageing
mechanism in high time resolution over the TP region.
First-time comparison between NO2 vertical columns from Geostationary Environmental Monitoring Spectrometer (GEMS) and Pandora measurements
Authors: Kim Serin , Kim Daewon , Hong Hyunkee , Chang Lim-Seok , Lee Hanlim , Kim Deok-Rae , Kim Donghee , Yu Jeong-Ah , Lee Dongwon , Jeong Ukkyo , Song Chang-Kuen , Kim Sang-Woo , Park Sang Seo , Kim Jhoon , Hanisco Thomas F. , Park Junsung , Choi Wonei , Lee Kwangyul
Published: August 2023

Abstract. The Geostationary Environmental Monitoring Spectrometer (GEMS) is a UV-visible (UV-Vis) spectrometer on board the GEO-KOMPSAT-2B (Geostationary Korea Multi-Purpose Satellite 2B) satellite launched into a geostationary orbit in February 2020. To evaluate the GEMS NO2 total column data, a comparison was carried out using the NO2 vertical column density (VCD) that measured direct sunlight using the Pandora spectrometer system at four sites in Seosan, South Korea, from November 2020 to January 2021. Correlation coefficients between GEMS and Pandora NO2 data at four sites ranged from 0.35 to 0.48, with root mean square errors (RMSEs) from 4.7×1015 to 5.5×1015 molec. cm−2 for a cloud fraction (CF) <0.7. Higher correlation coefficients of 0.62–0.78 with lower RMSEs from 3.3×1015 to 5.0×1015 molec. cm−2 were found with CF <0.3, indicating the higher sensitivity of GEMS to atmospheric NO2 in less cloudy conditions. Overall, the GEMS NO2 total column data tended to be lower than the Pandora data, owing to differences in the representative spatial coverage, with a large negative bias under high CF conditions. With a correction for horizontal representativeness in the Pandora measurement coverage, correlation coefficients ranging from 0.69 to 0.81, with RMSEs from 3.2×1015 to 4.9×1015 molec. cm−2, were achieved for CF <0.3, showing a better correlation with the correction than without the correction.
An open-path observatory for greenhouse gases based on near-infrared Fourier transform spectroscopy
Authors: Schmitt Tobias D. , Kuhn Jonas , Kleinschek Ralph , Löw Benedikt A. , Schmitt Stefan , Cranton William , Schmidt Martina , Vardag Sanam N. , Hase Frank , Griffith David W. T. , Butz André
Published: August 2023

Abstract. Monitoring the atmospheric concentrations of the greenhouse gases (GHG) carbon dioxide CO2 and methane CH4 is a key ingredient for fostering our understanding of the mechanisms behind the sources and sinks of these gases and for verifying and quantitatively attributing their anthropogenic emissions. Here, we present the instrumental setup and performance evaluation of an open-path GHG observatory in the city of Heidelberg, Germany. The observatory measures path-averaged concentrations of CO2 and CH4 along a 1.55 km path in the urban boundary layer above the city. We are combining these open-path data with local in-situ measurements to evaluate the representativeness of these observation types on the kilometer-scale. This representativeness is necessary to accurately quantify emissions, since atmospheric models tasked with this job typically operate on kilometer-scale horizontal grids. For the operational period between Feb. 8 and Jul. 11, 2023, we find a precision of 2.7 ppm (0.58 %) and 18 ppb (0.89 %) for the dry air mole fractions of CO2 (xCO2) and CH4 (xCH4) in 5-minute measurements, respectively. After calibration, the open-path measurements show excellent agreement with the local in-situ data under atmospheric background conditions. Both datasets show clear signals of traffic CO2 emissions on the diurnal CO2 cycle. However, there are particular situations, such as under south-easterly wind conditions, where the in-situ and open-path data reveal distinct differences up to 20 ppm in xCO2 most likely related to their different sensitivity to local emission and transport patterns. Our setup is based on a Bruker IFS 125 HR Fourier transform spectrometer, which offers a spacious and modular design providing ample opportunities for future refinements of the technique with respect to finer spectral resolution and wider spectral coverage to inform on gases such as carbon monoxide and nitrogen dioxide.
Estimation of future rainfall extreme values by temperature-dependent disaggregation of climate model data
Authors: Ebers Niklas , Schröter Kai , Müller-Thomy Hannes
Published: August 2023

Abstract. Rainfall time series with high temporal resolution play a crucial role in various hydrological fields, such as urban hydrology, flood risk management, and soil erosion. Understanding the future changes in rainfall extreme values is essential for these applications. Since climate scenarios typically offer daily resolution only, statistical downscaling in time seems a promising and computational effective solution. The micro-canonical cascade model conserves the daily rainfall amounts exactly and with all model parameters expressed as physical interpretable probabilities avoids assumptions about future rainfall changes. Taking into account that rainfall extreme values are linked to high temperatures, the micro-canonical cascade model is further developed in this study. As the introduction of the temperature-dependency increases the number of cascade model parameters, several modifications for parameter reduction are tested beforehand. For this study 45 locations across Germany are selected. To ensure spatial coherence with the climate model data (~∆l=5 km*5 km), a composite product of radar and rain gauges with the same resolution was used for the estimation of the cascade model parameters. For the climate change analysis the core ensemble of the German Weather Service, which comprises six combinations of global and regional climate models is applied for both, RCP 4.5 and RCP 8.5 scenarios. For parameter reduction two approaches were analysed: i) the reduction via position-dependent probabilities and ii) parameter reduction via scale-independency. A combination of both approaches led to a reduction in the number of model parameters (48 parameters instead of 144 in the reference model) with only a minor worsening of the disaggregation results. The introduction of the temperature dependency improves the disaggregation results, particularly regarding rainfall extreme values and is therefore important to consider for future rainfall extreme value studies. For the disaggregated rainfall time series of climate scenarios, an increase of the rainfall extreme values is observed. Analyses of rainfall extreme values for different return periods for a rainfall duration of 5 min and 1 h indicate an increase of 5–10 % in the near-term future (2021–2050) and 15–25 % in the long-term future (2071–2100) compared to the control period (1971–2000).
Future heat extremes and impacts in a convection-permitting climate ensemble over Germany
Authors: Hundhausen Marie , Feldmann Hendrik , Laube Natalie , Pinto Joaquim G.
Published: August 2023

Abstract. Heat extremes and associated impacts are considered the most pressing issue for German regional governments with respect to climate adaptation. We explore the potential of a unique high-resolution, convection-permitting (2.8 m), multi-GCM (global climate model) ensemble with COSMO-CLM (Consortium for Small-scale Modeling Climate Limited-area Modelling) regional simulations (1971–2100) over Germany regarding heat extremes and related impacts. We find a systematically reduced cold bias especially in summer in the convection-permitting simulations compared to the driving simulations with a grid size of 7 km and parametrized convection. The projected increase in temperature and its variance favors the development of longer and hotter heat waves, especially in late summer and early autumn. In a 2 ∘C (3 ∘C) warmer world, a 26 % (100 %) increase in the heat wave magnitude index is anticipated. Human heat stress (universal thermal climate index (UTCI) > 32 ∘C) and region-specific parameters tailored to climate adaptation revealed a dependency on the major landscapes, resulting in significantly higher heat exposure in flat regions such as the Rhine Valley, accompanied by the strongest absolute increase. A nonlinear, exponential increase is anticipated for parameters characterizing strong heat stress (UTCI > 32 ∘C, tropical nights, very hot days). Providing region-specific and tailored climate information, we demonstrate the potential of convection-permitting simulations to facilitate improved impact studies and narrow the gap between climate modeling and stakeholder requirements for climate adaptation.
Avalanche size estimation and avalanche outline determination by experts: reliability and implications for practice
Authors: Hafner Elisabeth D. , Techel Frank , Daudt Rodrigo Caye , Wegner Jan Dirk , Schindler Konrad , Bühler Yves
Published: August 2023

Abstract. Consistent estimates of avalanche size are crucial for communicating not only among avalanche practitioners but also between avalanche forecasters and the public, for instance in public avalanche forecasts. Moreover, applications such as risk management and numerical avalanche simulations rely on accurately mapped outlines of past avalanche events. Since there is not a widely applicable and objective way to measure avalanche size or to determine the outlines of an avalanche, we need to rely on human estimations. Therefore, knowing about the reliability of avalanche size estimates and avalanche outlines is essential as errors will impact applications relying on this kind of data. In the first of three user studies, we investigate the reliability in avalanche size estimates by comparing estimates for 10 avalanches made by 170 avalanche professionals working in Europe or North America. In the other two studies, both completed as pilot studies, we explore reliability in the mappings of six avalanches from oblique photographs from 10 participants and the mappings of avalanches visible on 2.9 km2 of remotely sensed imagery in four different spatial resolutions from 5 participants.
We observed an average agreement of 66 % in the most frequently given avalanche size, while agreement with the avalanche size considered “correct” was 74 %. Moreover, European avalanche practitioners rated avalanches significantly larger for 8 out of 10 avalanches, compared to North Americans. Assuming that participants are equally competent in the estimation of avalanche size, we calculated a score describing the factor required to obtain the observed agreement rate between any two size estimates. This factor was 0.72 in our dataset. It can be regarded as the certainty related to a size estimate by an individual and thus provides an indication of the reliability of a label. For the outlines mapped from oblique photographs, we noted a mean overlapping proportion of 52 % for any two avalanche mappings and 60 % compared to a reference mapping. The outlines mapped from remotely sensed imagery had a mean overlapping proportion of 46 % (image resolution of 2 m) to 68 % (25 cm) between any two mappings and 64 % (2 m) to 80 % (25 cm) when compared to the reference.
The presented findings demonstrate that the reliability of size estimates and of mapped avalanche outlines is limited. As these data are often used as reference data or even ground truth to validate further applications, the identified limitations and uncertainties may influence results and should be considered.
Industry 4.0 Digital Twins in Offshore Wind Farms
Authors: Ambarita Evi Elisa , Karlsen Anniken , Scibilia Francesco , Hasan Agus
Published: August 2023

Abstract. The use of digital twins in offshore wind farms presents a major opportunity to advance autonomous operations and optimize productivity. By creating virtual replicas of physical assets and systems, digital twins allow for real-time monitoring, predictive maintenance, and efficient decision-making. In the context of Industry 4.0, wind turbines are required not only to be remotely monitored and controlled through real-time data during operation, but also to manage the whole life cycle within the entire value chain. To accomplish this, the implementation of digital twin frameworks in accordance with Industry 4.0 standards is crucial. Motivated by the advanced technologies related to industrial digital twins in the context of Industry 4.0 implemented in the manufacturing sector, this paper presents findings from a study investigating the potential for transferring knowledge of industrial digital twins to offshore wind farm context. To gain a deeper understanding of the digital twin concept in the context of offshore wind applications, we conducted extensive literature studies. Specifically, we examined frameworks used in both the manufacturing industry and offshore wind industry. Our goal is to identify commonalities and differences between these frameworks, and to determine how they could be adapted to the unique requirements of the offshore wind sector. The Asset Administration Shell (AAS), which is a key concept of the Reference Architecture Model for Industry 4.0 (RAMI 4.0), provides a standardized and modular approach to representing and managing assets in industrial systems. By adopting AAS, offshore wind farms could improve the scalability, adaptability, and interoperability of their digital twin systems, and also enable more efficient and effective operation and maintenance of the turbines. Based on our findings, we concluded that implementing the AAS could be a promising option for enhancing the functionality of digital twins in offshore wind farms, and for achieving interoperability in line with the standards of Industry 4.0.
Impact of Consumer's Education Level and Agricultural-Product Brand Leadership on Student's Decision Making
Authors: Lv Kaili , Hu Xinchan
Published: August 2023

Consumer education level plays a significant role in the formation of brand image and its evaluation degree, which directly affects a brand's development. Decision-making also plays a significant role in the life of students to deal with uncertainty and complexity while choosing among competing brands. This novel study aims to evaluate the influence that a consumer's education level and perceived agricultural-product brand leadership has on students' decision-making. In addition, the moderating role of agricultural product brand loyalty and the mediating role of agriculture marketing were investigated within the framework of the suggested model. A questionnaire in the form of a self-administered survey was given out to a total of 367 Chinese students in the department of agriculture who had recently purchased agricultural products. In this particular investigation, a partial least squares structural equation modeling analysis was carried out with the assistance of the SmartPLS v3.0 software. The findings demonstrated that consumers' education level and perceived brand leadership play a favorable role in the student's decision-making. Additionally, agricultural marketing also has beneficial effects on the student's decision-making process. In addition, agricultural marketing partially mediates the relationship between perceived agricultural-product brand leadership and students' decision-making, whereas agricultural brand loyalty positively moderates this relationship. By specifically focusing on the decision-making process of students, this study makes an effort to apply the idea of brand leadership to the context of an educational setting. In addition, mediating and moderating variables shed light on particular consumption patterns and preferences of students.
Comparative analysis of accuracy between fine-needle aspiration biopsy and postoperative histopathology for detecting large thyroid nodules: A retrospective observational study
Authors: Zufry Hendra , Nazaruddin Nazaruddin , Zulfa Putri O. , Sucipto Krishna W. , Kamarlis Reno K. , Ekadamayanti Agustia S. , Beočanin Anđelija , Firdausa Sarah
Published: August 2023

To avoid unnecessary surgeries, ultrasound-guided fine-needle aspiration biopsy (FNAB) is an effective and reliable procedure for the preoperative evaluation of thyroid nodules. However, there have been only a limited number of studies exploring the ability of preoperative FNAB to distinguish malignancy compared to postoperative histopathology in thyroid nodules larger than 4 cm. The aim of this study was to investigate the diagnostic accuracy of FNAB compared to postoperative histopathology in distinguishing malignancy in thyroid nodules larger than 4 cm. A single-center retrospective observational study was conducted at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, between January 2014 and December 2018. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were calculated. A total of 83 patients were included in the study. The results showed that preoperative FNAB may have the ability to distinguish malignancy compared to postoperative histopathology. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were 42.85%, 98.38%, 90.00%, 83.56%, and 84.33%, respectively. These data suggested that ultrasound-guided preoperative FNAB is a reliable diagnostic tool in the preoperative evaluation of thyroid nodules larger than 4 cm, but it has limited capability in distinguishing malignancies. In conclusion, although FNAB may be useful in reducing unnecessary surgeries, histopathology remains the preferred method for confirming malignancy in thyroid nodules.