bluuebunny/crossref_metadata_2025 huggingface dataset:
FIXATION OF THE FIBULA: FROM PLATE TO INTRAMEDULLARY NAIL
Authors:   Republican Scientific and Practical Center of Traumatology and Orthope-dics, A. Sitnik , A. Beletski ,   National Academy of Sciences of Belarus, A. Kochubinski ,   Republican Scientific and Practical Center of Traumatology and Orthope-dics, A. Kruk ,   Republican Scientific and Practical Center of Traumatology and Orthope-dics
Published: May 2023

Fibula plays important role in the stability of the ankle joint. Precise restora-tion of its length, axis and rotation is critically important in intraarticular malleo-lar and distal tibia fractures. Open reduction and internal fixation with plate is widely accepted method of treatment of the fractures of lateral malleolus and fib-ular shaft. Nevertheless, substantial number of complications accomplishes this treatment modality. Danger of wound complications is associated with borderline blood supply in the zone of surgery and with wide surgical exposure performed on swollen soft-tissues. Risk of secondary displacements is associated with ad-vanced osteoporosis. Both factors lead to significant increase of number of com-plications in the elderly patients with impaired bone mineral density and altered nutrition of the soft-tissues. These dangers has led to the development of less in-vasive methods of intramedullary fixation in the lateral malleolus and fibular shaft. This article provides data on evolution of the methods of surgical fixation of these fractures.
THE APPLICATION OF ELECTROMAGNETIC STIMULATION IN PARTNERS WITH POSTPARTUM SUBINVOLUTION OF THE UTERUS
Authors:   Belarusian Medical Academy of Postgraduate Education, I. A. Veres , O. A. Peresada ,   Belarusian Medical Academy of Postgraduate Education, T. V. Znovets ,   Belarusian Medical Academy of Postgraduate Education, V. P. Sokol ,   Belarusian Medical Academy of Postgraduate Education, E. R. Kacherovskaya ,   3rd City Clinical Hospital named after E.V. Klumova, M. Yuraga ,   3rd City Clinical Hospital named after E.V. Klumova
Published: May 2023

A comprehensive examination and treatment of 61 patients who were hospi-talized at the 3 E. V. Klumov City Clinical Hospital in the period from 2020 to 2022 was carried out. All puerperas included in the study were divided into three groups: group 1 (main) – 20 patients (mean age 24.2 ± 2.5), who, along with in-tramuscular administration of oxytocin, 5 IU with an interval of 12 hours, re-ceived PGE1 (mirolute tablets) 200 mcg orally every 12 hours, group 2 (compari-son) – 21 patients (mean age 23.7 ± 2.0), receiving standard uterotonic therapy (intramuscular injection of 5 IU of oxytocin 2 times a day for 3–4 days). The con-trol group consisted of 20 women with uncomplicated postpartum period (mean age 23.2 ± 2.1). Procedures of alternating magnetic field (AMF) were carried out for all puerperas on the area of projection of the uterus 1 time per day every day. It has been established that the use of prostaglandin E1 in the conservative treatment of primary uterine subinvolution without signs of an inflammatory process increases its effectiveness by 2.86 times compared with the use of oxyto-cin alone. The following criteria for the effectiveness of complex therapy for puerperas were established: a significant decrease in the size of the uterine cavity in compar-ison with the traditional treatment group by 1.8 times (11.3 ± 0.2 and 6.2 ± 0.2 mm, respectively; p1 = 0.022). In patients with subinvolution, an inverse pro-nounced relationship was found between the size of the uterine cavity and the content of oxytocin (r = –0.9784; p = 0.013) and prostaglandin E2 (r = –0.9566; p = 0.015) in the blood serum, which dictates the need prescribing means and methods that increase the contractile properties of the uterus during its subinvo-lution.
ENDOMETRIAL PATHOLOGY IN POLYCYSTIC OVARY SYN-DROME WOMEN WITH INFERTILITY
Authors:   Belarusian State Medical University, E. N. Kirillova , S. A. Pavlukova ,   Belarusian State Medical University, D. A. Davydov ,   Republican Scientific and Practical Center of Oncology and Medical Radiology. N.N. Alexandrova
Published: May 2023

Polycystic ovary syndrome (PCOS) is one of the most common endocrine dis-orders in women of reproductive age. In this pathology, the morphofunctional characteristics of the endometrium have features that cause violations of the real-ization of reproductive function and unfavorable outcomes of gestation, as well as the risk of developing endometrial cancer. According to the study, the normal characteristic of the endometrium was found in 22 (44.9 %). In the structure of endometrial pathology in patients with PCOS, endometrial polyps accounted for a significant proportion – 16 (32.6 %) patients, chronic endometritis – 30 (61.2 %), simple endometrial hyperplasia – 7 (14.2 %). Functional pathology was also noted: proliferative endometrium with pathology (anovulatory endome-trium) was found in 9 patients (18.3 %), endometrial hypoplasia - in 7 (14.2 %). PCOS has a high incidence of endometrial pathology, which necessitates the de-velopment of clinical approaches for the diagnosis and correction of the patholo-gy.
ЭФФЕКТИВНОСТЬ КОМПЬЮТЕРНОЙ ТЕХНОЛОГИИ ПРИ ТОТАЛЬНОМ ЭНДОПРОТЕЗИРОВАНИИ КОЛЕННОГО СУСТАВА
Authors:   Belarusian State Medical University, Mohammad Ali Alqatawneh , E. V. Zhuk ,   Belarusian State Medical University, P. I. Bespalchuk ,   Belarusian State Medical University, D. I. Mikhalkevich ,   Belarusian State Medical University
Published: May 2023

We studied the treatment outcomes in 124 patients (102 women and 22 men) aged 51 to 83 years (median 69 [65; 76] years) on 124 knee joints. Patients were divided into 2 groups: the study group – 62 people aged 51 to 83 years (median – 69.1 [64;74] years), who used computer navigation, and the comparison group – 62 people aged 56 to 83 years (median 69 [65;78] years), in which surgical in-tervention was performed according to the standard technique. Long-term results were studied in terms of 3 to 36 months. During the examination, the deformity variant was determined, radiometric parameters of the knee joints were measured using the Knee Society Score (KSS), Functional Knee Society Score (FKSS), and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scales. Also, functional stress tests were performed to assess the stability of the knee joint in the frontal plane and functional indicators of the range of motion. After surgery, in the study group, the WOMAC values decreased by 5.90 times and the median value to 11 [8;15] points (p < 0.001), in the comparison group they decreased by 4.81 times to 13.5 [8;16] points (p < 0.001), KSS in-creased by 3.88 times. Median KSS in the study group increased 3.91 times and reached 86 [84;95] points (p < 0.001), in the comparison group it increased 3.86 times only to 85 [77;95] points (p < 0.001). FKSS data increased by 1.75 times. The median FKSS in the study group increased 2.08 times and reached 94 [85;99] points (p < 0.001), in the comparison group it increased 1.60 times only to 93 [83;95] points (p < 0.001).
Technical note: Improving the European air quality forecast of the Copernicus Atmosphere Monitoring Service using machine learning techniques
Authors: Bertrand Jean-Maxime , Meleux Frédérik , Ung Anthony , Descombes Gaël , Colette Augustin
Published: May 2023

Abstract. Model output statistics (MOS) approaches relying on machine learning
algorithms were applied to downscale regional air quality forecasts produced by CAMS (Copernicus Atmosphere Monitoring Service) at hundreds of monitoring sites across Europe. Besides the CAMS forecast, the predictors in the MOS typically include meteorological variables but also ancillary data. We explored first a “local” approach where specific models are trained at each site. An alternative “global” approach where a single model is trained with data from the whole geographical domain was also investigated. In both cases, local predictors are used for a given station in predictive mode. Because of its global nature, the latter approach can capture a variety of meteorological situations within a very short training period and is thereby more suited to cope with operational constraints in relation to the training of the MOS (frequent upgrades of the modelling system, addition of new monitoring sites). Both approaches have been implemented using a variety of machine learning algorithms: random forest, gradient boosting, and standard and regularized multi-linear models. The quality of the MOS predictions is evaluated in this work for four key pollutants, namely particulate matter (PM10 and PM2.5), ozone (O3) and nitrogen dioxide (NO2), according to scores based on the predictive errors and on the detection of pollution peaks (exceedances of the regulatory thresholds). Both the local and the global approaches significantly improve the performances of the raw ensemble forecast. The most important result of this study is that the global approach competes with and can even outperform the local approach in some cases. This global approach gives the best RMSE scores when relying on a random forest model for the prediction of daily mean, daily max and hourly concentrations. By contrast, it is the gradient boosting model which is better suited for the detection of exceedances of the European Union regulated threshold values for O3 and PM10.
Exploiting radar polarimetry for nowcasting thunderstorm hazards using deep learning
Authors: Rombeek Nathalie , Leinonen Jussi , Hamann Ulrich
Published: May 2023

Abstract. Severe convective weather events, such as hail, lightning and heavy rainfall pose a great threat to humans and cause a considerable amount of economic damage. Nowcasting convective storms can provide warning signals and mitigate the impact of these storms. Dual-polarization weather radars are a crucial source of information for nowcasting severe convective events; nevertheless, they are most often not considered in nowcasting. These radars provide signatures of different hydrometeors. This work presents the importance of polarimetric variables as an additional data source for nowcasting thunderstorm hazards using an existing neural network architecture with convolutional and recurrent layers. This network has a common framework, which enables nowcasting of hail, lightning and heavy rainfall for lead times up to 60 min with a 5 min resolution. The study area is covered by the Swiss operational radar network, which consists of five operational polarimetric C-band radars. Results indicate that including polarimetric variables and quality indices improve the accuracy of nowcasting heavy precipitation and lightning, with the largest improvement found for heavy precipitation.
Multiple execution of the same MPI application to exploit parallelism at hotspots with minimal code changes: a case study with FESOM2-Iceberg and FESOM2-REcoM
Authors: Himstedt Kai
Published: May 2023

Abstract. For a typical climate model, parallelization based on a domain decomposition is a predominant technique to speed up its computation as an MPI (Message Passing Interface) application on an HPC (High Performance Computing) system. In this contribution, it is shown how the potential of simultaneously executing multiple instances of such an MPI application can be exploited to achieve a further speedup with an additional parallelization of suitable compute-intensive loops. In contrast to a parallelization based on OpenMP (Open Multi-Processing), no special synchronization effort is required if MPI calls occur in the iterations of the original loop. Splitting the work at such hotspots between the instances represents an independent level of parallelization on top of the domain decomposition. The simple implementation can be performed within the familiar MPI world, where the climate model can largely be considered as a black box. Outside of the hotspots, however, the same computations are performed in all instances. Some examples will show that such a conscious acceptance of redundant computations for parallelization approaches is quite common in other disciplines to reduce the time-to-solution. These approaches thus also represent the main inspiration for the approach presented in this contribution. Experimental results show for the example of the additional parallelization of an iceberg and a biogeochemical model, each embedded into FESOM2, how the time-to-solution can be further reduced with a small number of instances at appropriate efficiency. With the non-parallelized part outside of hotspots, however, the meaningful utilization of a larger number of instances will not be easily possible in practice, which will be explained in more detail in some efficiency considerations with the reference to Amdahl’s Law. Nevertheless, the implementation of the approach for other simulation models with similar properties seems promising, if the further reduction of the time-to-solution is in the focus, but a limit for the scalability based on the domain decomposition is reached.
Next generation atmosphere-ocean climate modelling for storm surge hazard projections
Authors: Denamiel Cléa , Vilibić Ivica
Published: May 2023

Abstract. Due to on-going global warming, extreme storm surges are expected to threaten a greater number of coastal communities worldwide. However, global and regional climate simulations of extreme events are still not accurate enough to respond to the growing needs of the local decision makers to prepare for these rising hazards. We present a new approach using (sub-)kilometre-scale coupled atmosphere-ocean-wave models and demonstrate the feasibility to provide meter-scale assessments of the impact of climate change on storm surge hazards. As a proof of concept, we focus in the Adriatic Sea and analyse the sea levels of two kilometre-scale 31-year long simulations used in evaluation and extreme warming modes. First, we demonstrate that, at 1-km resolution, the model errors are reduced by up to a third compare to state-of-the-art regional and global models. Second, we show that meter-scale storm surge results – obtained by further downscaling extreme events extracted from the kilometre-scale simulations – contrast with the previously published literature. In particular, we found that some understudied regions of the Adriatic coast might be more vulnerable to sea level rise and atmospherically driven storm surges induced by extreme climate warming than the well-researched Venice Lagoon. Following these preliminary results, we present a newly developed methodology directly downscaling extreme events from global climate models. Within this framework, the numerical resources, previously spent to produce long-term simulations, are used efficiently to quantify the climate change uncertainty and to properly assess the meter-scale storm surge hazards.
DCMIP2016: the tropical cyclone test case
Authors: Willson Justin L. , Reed Kevin A. , Jablonowski Christiane , Kent James , Lauritzen Peter H. , Nair Ramachandran , Taylor Mark A. , Ullrich Paul A. , Zarzycki Colin M. , Hall David M. , Dazlich Don , Heikes Ross , Konor Celal , Randall David , Dubos Thomas , Meurdesoif Yann , Chen Xi , Harris Lucas , Kühnlein Christian , Lee Vivian , Qaddouri Abdessamad , Girard Claude , Giorgetta Marco , Reinert Daniel , Miura Hiroaki , Ohno Tomoki , Yoshida Ryuji
Published: May 2023

Abstract. This paper describes and analyzes the Reed-Jablonowski (RJ) tropical cyclone (TC) test case used in the 2016 Dynamical Core Model Intercomparison Project (DCMIP2016). The intermediate complexity test case analyzes the evolution of a weak vortex into a TC in an idealized tropical environment. Simulations from 9 general circulation models (GCMs) that participated in DCMIP2016 are analyzed in this study at 50 km horizontal grid spacing, with 5 of these models also providing simulations at 25 km grid spacing for an analysis on the impact of finer grid spacing. Evolution of minimum surface pressure (MSP) and maximum 1 km azimuthally averaged wind speed (MWS), the wind-pressure relationship, radial profiles of wind speed and surface pressure, and wind composites are documented for all participating GCMs at both horizontal grid spacings. While results are generally similar between all models, some GCMs reach significantly higher storm intensities than others, ultimately impacting specific characteristics of their horizontal and vertical structure. TCs simulated at 25 km grid spacings retained these differences, but reach higher intensities and are more compact than their 50 km counterparts. These results indicate dynamical core choice is an essential factor in GCM development, and future work should be conducted to explore how specific differences within the dynamical core affect TC behavior in GCMs.
Past, present and future rainfall erosivity in Central Europe based on convection-permitting climate simulations
Authors: Uber Magdalena , Haller Michael , Brendel Christoph , Hillebrand Gudrun , Hoffmann Thomas
Published: May 2023

Abstract. Heavy rainfall is the main driver of soil erosion by water which is a threat to soil and water resources across the globe. As a consequence of climate change, precipitation – and especially extreme precipitation – is increasing in a warmer world, leading to an increase in rainfall erosivity. However, conventional global climate models struggle to represent extreme rain events and cannot provide precipitation data at the high spatio-temporal resolution that is needed for an accurate estimation of future rainfall erosivity. Convection-permitting simulations (CPS) on the other hand, provide high-resolution precipitation data and a better representation of extreme rain events, but they are mostly limited to relatively small spatial extents and short time periods. Here we present for the first time rainfall erosivity and soil erosion scenarios in a large modelling domain such as Central Europe based on high-resolution CPS climate data generated with COSMO-CLM. We calculate rainfall erosivity for the past (1971–2000), present (2001–2019), near future (2031–2060) and far future (2071–2100) and apply the new data set in the soil erosion model WaTEM/SEDEM for the Elbe River basin. Our results showed that future increases in rainfall erosivity in Central Europe can be up to 84 % in the river basins of Central Europe. These increases are much higher than previously estimated based on regression with mean annual precipitation. In consequence, soil erosion and sediment delivery in the Elbe River basin are also increasing strongly. Locally, changes in erosion rates can be as high as 120 %. We conclude that despite remaining limitations, convection-permitting simulations have an enormous and to date unexploited potential for climate impact studies on soil erosion. Thus, the soil erosion modelling community should follow closely the recent and future advances in climate modelling to take advantage of new CPS for climate impact studies.
Added value of seasonal hindcasts for UK hydrological drought outlook
Authors: Chan Wilson C. H. , Arnell Nigel W. , Darch Geoff , Facer-Childs Katie , Shepherd Theodore G. , Tanguy Maliko
Published: May 2023

Abstract. The UK has experienced recurring periods of hydrological droughts in the past, including the latest drought declared in summer 2022. Seasonal hindcasts, consisting of a large sample of plausible weather sequences, can be used to add value to existing approaches to water resources planning. In this study, the drivers of winter rainfall in the Greater Anglia region are investigated using the ECMWF SEAS5 hindcast dataset, which includes 2850 plausible winters across 25 ensemble members and 3 lead times. Four winter clusters were defined using the hindcast winters based on possible combinations of various atmospheric circulation indices (such as North Atlantic Oscillation, East Atlantic Pattern and the El-Niño Southern Oscillation). Using the 2022 drought as a case study, we demonstrate how storylines of the event could be created in autumn 2022 to provide an outlook of drought conditions and to explore plausible worst cases over winter 2022/23 and beyond. The winter clusters span a range of temperature and rainfall response in the Anglian region and represent circulation storylines that could have happened over winter 2022/23. Although winter 2022/23 has now passed, we aim to demonstrate the added value of this approach to provide outlooks during an ongoing event with a brief retrospective of how winter 2022/23 transpired. Storylines created from the hindcast winters were simulated using the GR6J catchment hydrological model and the groundwater level model Aquimod at selected catchments and boreholes in the Anglian region. Results show that drier than average winters characterised by predominantly NAO-/EA- and NAO+/EA- circulation patterns would result in the continuation of the drought with a high likelihood of below normal to low river flows across all selected catchments and boreholes by spring and summer 2023. Catchments in Norfolk are particularly vulnerable to a dry summer in 2023 as river flows are not estimated to recover to normal levels even with wet La Niña winters characterised predominantly by NAO-/EA+ and NAO+/EA+ circulation patterns due to insufficient rainfall to overcome previous dry conditions and the slow response nature of groundwater-dominated catchments. Storylines constructed in this way provide outlooks of ongoing events and supplement traditional weather forecasts to explore a wider range of plausible outcomes.
Active Trailing Edge Flap System fault detection via Machine Learning
Authors: Gamberini Andrea , Abdallah Imad
Published: May 2023

Abstract. Active trailing edge flap systems (AFlap) have shown promising results in reducing wind turbine (WT) loads. Once the WT design includes the AFlap, a condition monitoring system will be needed to ensure the flaps provide the expected load reductions. This paper presents two approaches based on machine learning to diagnose the health state of an AFlap system. Both approaches rely only on the sensors commonly available on commercial WTs, avoiding the need and the cost of additional measurement systems. The first approach (MFS) uses manual feature engineering in combination with a random forest classifier. The second approach (AFS) relies on random convolutional kernels to create the feature vectors. The study shows that the MFS method is reliable in classifying all the investigated combinations of AFlap health states in the case of asymmetrical flap faults not only when the WT operates in normal power production but also before startup. Instead, the AFS method can identify some of the AFlap health states for both asymmetrical and symmetrical faults when the WT is in normal power production.
Validation of an interpretable data-driven wake model using lidar measurements from a field wake steering experiment
Authors: Sengers Balthazar Arnoldus Maria , Steinfeld Gerald , Hulsman Paul , Kühn Martin
Published: May 2023

Abstract. Data-driven wake models have recently shown a high accuracy in reproducing wake characteristics from numerical data sets. This study used wake measurements from a lidar-equipped commercial wind turbine and inflow measurements from a nearby meteorological mast to validate an interpretable data-driven surrogate wake model. The trained data-driven model was then compared to a state-of-the-art analytical wake model. A multi-plane lidar measurement strategy captured the occurrence of the wake curl during yaw misalignment, which had not yet conclusively been observed in the field. The comparison between the wake models showed that the available power estimations of a virtual turbine situated four rotor diameters downstream were significantly more accurate with the data-driven model than with the analytical model. The mean absolute percentage error was reduced by 19 % to 36 %, depending on the input variables used. Especially under turbine yaw misalignment and high vertical shear, the data-driven model performed better. Further analysis suggested that the accuracy of the data-driven model is hardly affected when using only supervisory control and data acquisition (SCADA) data as input. Although the results are only obtained for a single turbine type, downstream distance and range of yaw misalignments, the outcome of this study is believed to demonstrate the potential of data-driven wake models.
From Evidence-Based Corona Medicine to Organismic Systems Corona Medicine
Authors: Marcum James A. , Tretter Felix
Published: May 2023

The Covid-19 pandemic has challenged both medicine and governments as they have strived to confront the pandemic and its consequences. One major challenge is that evidence-based medicine has struggled to provide timely and necessary evidence to guide medical practice and public policy formulation. We propose an extension of evidence-based corona medicine to an organismic systems corona medicine as a multilevel conceptual framework to develop a robust concept-oriented medical system. The proposed organismic systems corona medicine could help to prevent or mitigate future pandemics by transitioning to a bifocal medicine that extends an empirical evidence-based medicine to a theory-oriented organismic systems medicine.
Patterns of variability of the shape of the human hand
Authors: Ermolenko Alexander
Published: May 2023

The differences between the hands of men and women are mainly observed in the difference in the ratio of the lengths of the index and ring fingers (ratio 2d:4d) or in the difference in the proportional ratios of longitudinal and transverse dimensions, identified using classical morphometry methods, which give only indirect ideas about variations in the shape of the hand. The object of this study was digital images of radiographs of the right hands of 50 men and 50 women, on which 20 landmarks were located, the configuration and two-dimensional coordinates of which were studied using geometric morphometry methods. The predominance of the general variability of the hand’s shape was associated with a combined multidirectional transformation in the space of the elements of the II-V rays of the hand relative to the longitudinal axis with simultaneous compression or stretching of the shape relative to the transverse axis. At the same time, men have a stretching of the shape of the hand from the IV-V rays and compression from the II-III rays, while women have reverse changes. The relationship between the shape and size of the hand, regardless of gender, is minimal – 5.82% and 3.93% of hand allometry were detected in men and women, respectively. This study shows that the shape of the hand is markedly different in men and women, which indicates a significant sexual dimorphism affecting this trait. Based on the detected sexual differences, it is possible to distinguish the male and female morphological type of the hands.
Upaya Meningkatkan Sosial Emosional Melalui Kegiatan Music And Movement Pada Anak Kelompok B Di PAUD Al-Mirah Tanjung Morawa T.A 2021-2022
Authors: Dewi Fitria Debora JC Hasibuan,
Published: May 2023

Permasalahan dalam penelitian ini adalah rendahnya kemampuan sosial emosional anak usia melalui kegiatan music and movement. Penelitian ini bertujuan untuk mengetahui peningkatan kemampuan sosial emosional anak usia dini melalui kegiatan music and movement pada anak kelompok B di PAUD Al-Mirah Tanjung Morawa. Penelitian ini adalah Penelitian Tindakan Kelas (Classroom Action Research). Empat tahap dalam penelitian tindakan kelas yaitu perencanaan (planning), tindakan (acting), observasi (observing), dan repleksi (reflecting). Subjek penelitian ini adalah anak kelompok seluruh anak usia dini kelompok B yang berjumlah 20orang. Objek penelitian adalah kemampuan sosial emosional anak usia dini melalui kegiatan music and movement pada kelompok B PAUD Al-Mirah Tanjung Morawa Tahun Ajaran 2021-2022. Metode pengumpulan data yang digunakan adalah observasi dan dokumentasi. Data dianalisis secara deskriptif kualitatif dan deskriptif kuantitatif. Hasil penelitian menunjukkan adanya peningkatan kemampuan sosial emosional anak meningkat melalui Kegiatan music and movement. Hal ini dibuktikan dengan adanya peningkatan rata-rata kemampuan sosial emosional anak melalui kegiatan music and movement pada pra siklus sebesar 22,6% meningkat menjadi 63,3% pada siklus I, dan mencapai 95% pada siklus II. Dengan demikian dapat disimpulkan bahwa kegiatan music and movement dapat meningkatkan sosial emosional anak usia dini PAUD Al-Mirah Tanjung Morawa.
Kemampuan Pustakawan dalam Menghadapi Kemajuan Teknologi Informasi di Era Globalisasi di Perpustakaan SMA Negeri 1 Maginti
Authors: Salmina Salmina , Abdullah Muh Zein , Sumule Marsia
Published: May 2023

Tujuan dari penelitian ini adalah untuk mengetahui kemampuan pustakawan dalam menghadapi kemajuan teknologi informasi di era globalisasi di perpustakaan SMA Negeri 1 Maginti. Dengan menggunakan metode penelitian deskriptif kualitatif. Teknik pengumpulan data yang digunakan dalam penelitian ini yaitu observasi, wawancara, dan dokumentasi.
Penerapan Sistem Otomasi Perpustakaan Dalam Meningkatkan Kualitas Pelayanan di UPT Perpustakaan Universitas Halu Oleo
Authors: Magfirah Magfirah , Umran La Ode Muh. , Iba La
Published: May 2023

Latar belakang yang menjadi permasalahan pada penelitian ini yaitu pemahaman pustakawan dalam penerapan sistem otomasi perpustakaan, sehingga hal ini menjadi penting untuk dilakukan penelitian terkait dengan masalah yang terdapat di Perpustakaan Universitas Halu Oleo, apakah hal tersebut dipengaruhi dari segi penggunaan software perpustakaan atau adanya faktor lain yang mempengaruhi.Tujuan dari penelitian ini adalah untuk mengetahui penerapan sistem otomasi perpustakaan dalam meningkatkan kualitas pelayanan di UPT Perpustakaan Universitas Halu Oleo. Penelitian ini menggunakan teori Subroto (2003) dan metode penelitian yang digunakan dalam penelitian ini adalah metode deskriptif kualitatif. Teknik penentuan informan dalam penelitian ini adalah purposive sampling dengan jumlah empat orang. Teknik pengumpulan data yang digunakan dalam penelitian ini yaitu observasi, wawancara dan dokumentasi. Adapun analisis data yang digunakan adalah pengumpulan data, reduksi data, penyajian data dan kesimpulan. Hasil penelitian ini menggunakan empat aspek yaitu dalam bidang pengadaan koleksi, pengolahan, sirkulasi, dan penelusuran. Kesimpulan dari penelitian ini menunjukkan bahwa Perpustakaan Universitas Halu Oleo, sudah menerapkan sistem otomasi perpustakaan yang berjalan dengan baik namun belum efektif disebabkan oleh sumber daya manusia yang belum memadai sepenuhnya dalam pemahaman sistem otomasi perpustakaan.Kata Kunci : Perpustakaan, Pustakawan,Sistem Otomasi
Accelerating Advocacy Actions and Building Policy-enabling Environments for Multiple Micronutrient Supplementation
Authors: Mwangi Martin N
Published: May 2023

This articles presents the approach of the Healthy Mothers Healthy Babies Consortium in conducting advocacy to build enabling environments for multiple micronutrient supplements.
Foreword: Accelerating Multiple Micronutrient Supplement Supply Today to Meet Future Demand
Authors: Kirk Spencer
Published: May 2023

The ability to fulfill demand for multiple micronutrient supplements (MMS) is constrained by supply issues. This foreword introduces the contents of the MMS Special Report 2.0 and specifically the articles that focus on addressing supply-side challenges.
Prenatal Supplements and Maternal Anemia: Is more iron better?
Authors: Gomes Filomena
Published: May 2023

Prenatal multiple micronutrient supplements (MMS) are a cost-effective intervention to fill the gap between the typical low micronutrient intakes in low-resource settings and higher requirements during pregnancy, resulting in improved pregnancy and birth outcomes, but certain questions remain regarding the iron content. This article provides a comprehensive review of an analysis of the existing evidence on the effect of MMS versus iron and folic acid (IFA) supplements on third-trimester maternal anemia and iron status outcomes, based on the different doses of iron provided by each supplement, and an analysis conducted for the neonatal mortality outcome. The results which provide evidence to decision-makers in low and middle-income countries (LMICs) that they can safely proceed with the transition from IFA supplements to MMS programs without increasing the iron dose.
Update on the Scientific Evidence on the Benefits of Prenatal Multiple Micronutrient Supplements
Authors: Gomes Filomena
Published: May 2023

Prenatal multiple micronutrient supplements (MMS) provide a variety of vitamins and minerals to fill the gap between the typically low micronutrient intakes observed in low-resource settings and the higher requirements imposed by pregnancy. Various meta-analyses and studies have clearly demonstrated that MMS containing iron and folic acid resulted in a consistent relative risk reduction for several outcomes, including low birthweights, small-for-gestational-age births, preterm births and stillbirths, over and above the benefits provided by iron and folic acid supplements (IFA). This articles provides an update on the recent evidence and makes a strong case for the transition from IFA to MMS given the consistent benefits.
The Potential Impact of Scaling Up Prenatal Multiple Micronutrient Supplements on Human Capital Outcomes
Authors: Sudfeld Christopher
Published: May 2023

There is a growing interest in the potential impact of maternal and child nutrition on human capital across the life course. This article presents the case for scaling up maternal multiple micronutrient supplementation (MMS) to 90% coverage globally which would result in substantial gains in human capital outcomes such as schooling and lifetime income.
Fostering an Enabling Environment for United Nations International Multiple Micronutrient Antenatal Preparation Multiple Micronutrient Supplements for Pregnant Women: Progress and lessons learned from Cambodia and Vietnam
Authors: Mishra Ashutosh
Published: May 2023

The Vitamin Angel Alliance (VA), in partnership with Helen Keller International (Helen Keller) in Cambodia and the National Institute of Nutrition in Vietnam, conducted a comprehensive landscape analysis to better understand the context for introducing multiple micronutrient supplements (MMS) within the setting of strengthening antenatal care (ANC) services. This article presents the framework used to conduct the landscape analysis which generated insights into the presence of maternal malnutrition, ANC systems and policies, and approach to fostering an enabling environment critical for successful MMS introduction.
Multiple Micronutrient Supplements: Closing gaps and saving lives
Authors: Rana Yashodhara
Published: May 2023

In many low- and middle-income contexts, women’s and girls’ diets often fail to provide minimum healthy levels of essential nutrients, due to lack of food access and affordability, socio-cultural norms, and gender inequality. This article highlights the work of the Eleanor Crook Foundation (ECF), a private philanthropy focused on fighting global malnutrition, and its committed to expanding MMS coverage through research and advocacy, with the goals of improving maternal and child nutrition, and saving lives.
Subjective Age and Health Care Avoidance Among Aging Men Living With or Without HIV
Authors: Seau Quinn , Ware Deanna , Plankey Michael W.
Published: May 2023

Introduction

Negative aging perceptions have been shown to influence one’s health care–seeking behaviors; this relationship has not been studied among middle-aged and aging adults living with HIV. The current study uses data from the Multicenter AIDS Cohort Study (MACS) to investigate the association between subjective age and health care avoidance.

Objective

To examine the hypothesis that adults living with HIV who perceive themselves as older, after adjustment for covariates, would be more likely to avoid care than their HIV-negative counterparts who perceive themselves as older.

Methods

The MACS is a prospective study of more than 7000 sexual minority men living with and without HIV from 4 metropolitan US areas. The Understanding Patterns of Healthy Aging in Men Who Have Sex With Men sub-study of the MACS was conducted from April 2016 to March 2019. Current analyses use cross-sectional data on 1118 participants from this sub-study from October 2016 to March 2017. Logistic regression was used to produce odds ratios and 95% CIs examining the association between subjective age and health care avoidance. Covariates included age, HIV status, race and ethnicity, education, and comorbid conditions. Further analyses were conducted among persons living with HIV, which included CD4 counts and viral load detection as covariates.

Results

In the full sample and sample of people living with HIV, after adjustment for covariates, there was a positive association between older subjective age and health care avoidance and a negative association between younger subjective age and health care avoidance, albeit both not statistically significant. Living with HIV was positively associated with health care avoidance, but not statistically significant.

Conclusions

Future studies with larger sample sizes are needed to elucidate the significance of subjective age and health care avoidance. Aside from the pivotal role of health care avoidance, the field of HIV and aging may benefit from identifying other psychological, physiological, and behavioral mechanisms by which perceptions of aging influence health.
An Essay on the Concept of Ancient East Asian Haejeok(海賊, Pirates) and the Maritime Power in the Later Three Kingdoms Period: Focusing on the Case of Neugchang(能昌)
Authors:   The Paek-San Society, Jeong Dongjun
Published: May 2023

In this article, after reviewing the concept of ‘Haejeok(海賊, Pirates)’ as a criterion for recording or not recording in ancient East Asia, I tried to find out why he was recorded as ‘Haejeok’ by applying the concept to the case of Neungchang(能昌). The summary is as follows.
In the case of the ancient East Asia and West, pirates were active as ‘armed robber groups’ at a time when there were many trading ships that could be targeted, in other words the international trade was active, or the state power to crack down on them was weak. Looking at the ancient Chinese ‘Haejeok’ seen in Chinese official history, it can be said that most of the historical ‘Haejeok’ appeared as an object of suppression and often showed direct opposition to state power. The state power's defining them as ‘Jeok(賊)’ has an aspect of ‘Jeok=robber’ as in the conventional interpretation, but the aspect of ‘Jeok=rebel’ was stronger than ‘Jeok=robber’.
Reviewing the historical records related to Neungchang, Haejeok, which refers to him, emphasized the meaning of the rebel rather than the robber. It was the same even in the case of the same historical records, Goryeosa(高麗史, The history of Goreyo), and the case of Baekje’s Haejeok at the same time. In the end, he was recorded as ‘Haejeok’ not because he was an armed robber group on the sea, but because a rebel to Taejo(太祖) Wang Geon(王建).
HUBUNGAN KONSUMSI JANTUNG PISANG TERHADAP KECUKUPAN ASI PADA IBU MENYUSUI DI POSYANDU WILAYAH KERJA PUSKESMAS WAY JEPARA
Authors: Istikomah Istikomah , Madiyanti Desi Ari , Hadijah Hadijah
Published: May 2023

. Makanan terbaik bagi bayi yang baru lahir adalah Air Susu Ibu (ASI). Pemberian ASI eksklusif dipengaruhi oleh beberapa faktor salah satunya adalah nutrisi. Jantung pisang merupakan jenis tanaman yang mengandung laktagogum memiliki potensi dalam menstimulasi hormon oksitosin dan prolaktin seperti alkaloid, polifenol, steroid, flavonoid dan substansi lainnya paling efektif dalam meningkatkan dan memperlancar produksi ASI. Laktagogum dapat meningkatkan atau memperlancar pengeluaran ASI. Tujuan penelitian adalah untuk mengetahui hubungan konsumsi jantung pisang terhadap kecukupan ASI pada ibu menyusui di posyandu wilayah kerja puskesmas Way Jepara Kabupaten Lampung Timur Tahun 2020. Desain penelitian adalah penelitian kuantitatif deskriptif korelatif dengan menggunakan pendekatan Cross sectional. Sampel sebanyak 169 responden, sampel yang digunakan adalah ibu menyusui yang mempunyai bayi 0 sampai 6 bulan, pengambilan sampel pada penelitian ini adalah Cluster sampling. Instrumen penelitian berupa quesioner yaitu kuesioner konsumsi jantung pisang dan kuesioner kecukupan ASI. Hasil uji statistik didapat nilai p value 0.000 (α < 0.05) yang artinya terdapat hubungan konsumsi jantung pisang terhadap kecukupan asi pada ibu menyusui di posyandu wilayah kerja puskesmas Way Jepara Tahun 2020. Untuk itu diharapkan agar ibu menyusui dapat memanfaatkan jantung pisang sebagai alternativ non farmakologi untuk memperlancar produksi ASI.
HUBUNGAN KARAKTERISTIK AKSEPTOR KB DENGAN PEMILIHAN METODE KONTRASEPSI DI PUSKESMAS KRANGGAN KABUPATEN TEMANGGUNG
Authors: Triyatnowati Riske Natalia , Puspitasari Elika
Published: May 2023

Data studi pendahuluan Puskesmas Kranggan Kabupaten Temanggung kunjungan KB tahun 2021 sebanyak 28 akseptor baru dan 155 akseptor lama total 183 akseptor. Terjadi penurunan jumlah kunjungan akseptor baru. Tujuan penelitian ini untuk mengetahui hubungan karakteristik akseptor KB dengan pemilihan metode kontrasepsi di Puskesmas Kranggan Kabupaten Temanggung. Studi ini menggunakan metode survey analitik dengan pendekatan retrospektif. Populasi penelitian ini adalah semua akseptor KB sebanyak 135 responden, menggunakan teknik sampling total sampling. Instrument penelitian menggunakan master table dengan mengambil data rekam medis akseptor KB. Analisa data menggunakan uji fishers exact. Usia ibu tidak berhubungan dengan pemilihan metode kontrasepsi (p value 0,473), pendidikan ibu berhubungan dengan pemilihan metode kontrasepsi (p value 0,000), paritas ibu tidak berhubungan dengan pemilihan metode kontrasepsi (p value 0,930), dan pekerjaan ibu berhubungan dengan pemilihan metode kontrasepsi (p value 0,006). Hasil penelitian ada hubungan pendidikan dan pekerjaan ibu dengan pemilihan metode kontrasepsi, bidan dapat meningkatkan upaya konseling untuk pemilihan metode kontrasepsi yang tepat.
Ứng dụng phép đo áp lực điểm són tiểu trong chẩn đoán tiểu không kiểm soát khi gắng sức ở phụ nữ tại bệnh viện đại học y dược TP. HCM
Authors: Kiệt Đoàn Vương , Ân Nguyễn Văn , Vũ Phạm Huy , Đạt Lê Trương Tuấn
Published: May 2023

Mục tiêu của nghiên cứu nhằm khảo sát tỉ lệ suy cơ thắt nội tại niệu đạo dựa vào phép đo áp lực diểm són tiểu (LPP) và các yếu tố liên quan ở phụ nữ tiểu không kiểm soát khi gắng sức (SUI). Đây là nghiên cứu mô tả loạt ca lâm sàng tất cả bệnh nhân nữ SUI có thực hiện đánh giá niệu động lực học đa kênh tại Bệnh viện Đại học Y Dược Tp. HCM từ 05/2019 đến 07/2021. Chẩn đoán suy cơ thắt nội tại niệu đạo dựa vào phép đo áp lực điểm són tiểu (LPP) với điểm cắt áp dụng theo McGuire. Có 41 phụ nữ SUI thực hiện phép đo áp lực điểm són tiểu, kết quả có 35 TH có nghiệm pháp gắng sức dương tính, 1 TH bị loại do bàng quang kém giãn nở và dung tích bàng quang nhỏ (60mL). Có 41,2% phụ nữ SUI có suy cơ thắt nội tại niệu đạo với LPP ≤ 60 cmH20. Suy cơ thắt nội tại niệu đạo không liên quan đến mức độ nặng của SUI theo phân độ của Stamey. Tình trạng tăng động niệu đạo có tương quan nghịch với suy cơ thắt nội tại niệu đạo (p = 0,024) và tương quan thuận với nghiệm pháp gắng sức với bàng quang trống (p = 0,028). Như vậy, chúng tôi nhận thấy có 41,2% phụ nữ tiểu không kiểm soát khi gắng sức có suy cơ thắt nội tại niệu đạo với LPP ≤ 60cmH20. Phụ nữ SUI khám lâm sàng có niệu đạo không tăng động và nghiệm pháp gắng sức với bàng quang trống dương tính nên được nghi ngờ có tình trạng suy cơ thắt nội tại niệu đạo.
Một số yếu tố liên quan đến dấu hiệu trầm cảm theo thang điểm phq-9 ở người bệnh loãng xương cao tuổi
Authors: Lực Trần Viết , Hà Phạm Thị Thu , Thanh Nguyễn Xuân , Tâm Nguyễn Ngọc , Huyền Vũ Thị Thanh
Published: May 2023

Nghiên cứu nhằm mô tả một số yếu tố liên quan đến dấu hiệu trầm cảm theo thang điểm PHQ-9 ở người bệnh loãng xương cao tuổi. Nghiên cứu mô tả cắt ngang được thực hiện từ 09/2021 – 09/2022 với 285 người bệnh loãng xương tuổi ≥ 60 tuổi, khám và điều trị tại Bệnh viện Lão khoa Trung ương. Thang điểm PHQ-9 được sử dụng đánh giá tình trạng trầm cảm. Tổng số có 285 đối tượng nghiên cứu. Tỷ lệ đối tượng nghiên cứu có dấu hiệu trầm cảm là 53,7%. Người bệnh loãng xương cao tuổi có T-score CXĐ ≤ -2,5 nguy cơ trầm cảm cao hơn 2,14 lần so với nhóm còn lại với sự khác biệt có ý nghĩa thống kê. Nhóm người bệnh loãng xương cao tuổi có suy giảm về hoạt động chức năng hàng ngày (ADL), hoạt động chức năng hàng ngày có sử dụng công cụ (IADL), suy dĩnh dưỡng có dấu hiệu trầm cảm cao hơn 6,48 lần, 6,61 lần và 3,84 lần so với nhóm còn lại với sự khác biệt có ý nghĩa thống kê. Có mối liên quan có ý nghĩa thống kê giữa điểm chất lượng cuộc sống và dấu hiệu trầm cảm đánh giá theo thang điểm PHQ-9, trong đó bệnh nhân trầm cảm có điểm chất lượng cuộc sống về khả năng vận động, tự chăm sóc, hoạt động hàng ngày, mức độ đau đớn và tâm lý thấp hơn so với người bệnh không có dấu hiệu trầm cảm. Nhóm người bệnh loãng xương cao tuổi có suy giảm về ADL và IADL, suy dinh dưỡng, điểm chất lượng cuộc sống thấp có dấu hiệu trầm cảm cao hơn bệnh nhân không có dấu hiệu trầm cảm. Do đó cần nâng cao nhận thức về bệnh trầm cảm để người bệnh chủ động phòng ngừa bệnh tật và hợp tác với các thầy thuốc trong quá trình điều trị bệnh.
Đánh giá kết quả bước đầu của phác đồ kích thích buồng trứng sử dụng Progestin tại Bệnh viện nam học và hiếm muộn Hà Nội
Authors: Trung Nguyễn Thành , Hiền Lê Thị Thu , Thắng Hồ Văn , Hạnh Phạm Thị Mỹ , Trang Nguyễn Thị Huyền
Published: May 2023

Mục tiêu của nghiên cứu mô tả kết quả lâm sàng của phác đồ kích thích buồng trứng sử dụng Progestin (PPOS) tại Bệnh viện Nam học và Hiếm muộn Hà Nội. Nghiên cứu thuần tập hồi cứu trên 89 bệnh nhân có kích thích buồng trứng bằng phác đồ PPOS và trữ phôi toàn bộ từ 05/2022 đến 01/2023. Kết quả nghiên cứu cho thấy nồng độ LH ngày trigger 4,15 ± 2,72 mIU/ml; nồng độ E2 ngày trigger 5652,09 ± 3135,80 pg/mL; nồng độ P4 ngày trigger 3,79 ± 2,04 ng/mL. Không có đối tượng nào rụng trứng sớm và quá kích buồng trứng. Tỷ lệ noãn trưởng thành M2 76,1%; tỷ lệ thụ tinh 87,8%. Tỷ lệ phôi ngày 3 là 98,0%, tỉ lệ phôi tốt 41,6%. Tỷ lệ phôi ngày 5 30,1%, tỷ lệ phôi tốt ngày 5 là 10,1%. Có 87 ca đã chuyển phôi, tỷ lệ đối tượng có nồng độ βhCG trên 25 mIU/ml là 86,2%; tỷ lệ làm tổ 72,7%; tỷ lệ thai lâm sàng 80,0%. Nghiên cứu bước đầu cho thấy hiệu quả về phôi học và kết quả lâm sàng khả quan khi sử dụng phác đồ PPOS. Cần có thêm các nghiên cứu thử nghiệm lâm sàng đánh giá toàn diện hơn tính hiệu quả của phác đồ PPOS.
Mindfulness para la mejorar sensibilidad de profesoras de educación inicial
Authors: Olaya Torres Adriana Julieth , Duque Romero Claudia Alejandra , Guzmán Torres Leidy Tatiana , Pedreros Soler Nelson Hernando , Obando Rodríguez Aida Astrid , Duque Aristizábal Claudia Patricia , Muñoz Araoz Édgar Iván , Camacho Ordóñez Leidy Bibiana
Published: May 2023

El presente estudio busca implementar un programa de intervención basado en la atención plena (mindfulness) para mejorar la sensibilidad en docentes de educación inicial. Se llevó a cabo un diseño cuasiexperimental de tipo pretest/postest, utilizando el Q-Sort de la sensibilidad docente. Participaron diez docentes de preescolar, de tres instituciones educativas oficiales y siete privadas, ubicadas en la ciudad de Ibagué (Colombia). Los resultados indican diferencias significativas en la sensibilidad de las docentes luego de su participación en el programa de intervención, lo que indica que su capacidad para identificar, interpretar y responder de forma oportuna a las necesidades de los niños mejoró notablemente. Sin embargo, las docentes de las instituciones oficiales presentaron niveles más bajos antes de la intervención, y aunque mejoraron con posterioridad a su participación, sus puntajes no fueron altos. Los hallazgos dan cuenta de la necesidad de generar alternativas de desarrollo profesional para docentes en educación inicial, con el propósito de obtener un desempeño integral y responsable en las labores de cuidado que favorezcan la calidad de los procesos en el aula.