bluuebunny/crossref_metadata_2025 huggingface dataset:
METHODOLOGY FOR ECHELONING ITEMS OF CLOTHING AND FOOD SUPPLY AS PART OF THE COMBAT EQUIPMENT COMPLEX OF A SERVICEMAN OF THE NATIONAL GUARD OF UKRAINE
Authors:   National academy of hte National Guard of Ukraine, Alboschiy Oleksandr , Sukonko Serhii ,   National Academy of the National Guard of Ukraine, Pavlenko Serhii ,   National Academy of the National Guard of Ukraine, Hrechanyi Viacheslav ,   Kyiv Institute of the National Guard of Ukraine
Published: January 2025

The article deals with the methodology of echeloning of items of material and food supply as part of the combat equipment complex of a serviceman of the National Guard of Ukraine. The methodology is presented in the form of an algorithm of actions of a decision-maker with regard to the items of cloth-ing and food support required for the performance of the assigned task and their distribution by eche-lons. The list of material property of the combat kits of the NGU servicemen contains a sufficiently large number of items provided for by the supply standards. The question of what kind of items of material support should be carried and how they should be rationally distributed between echelons when per-forming specific service-combat (combat) tasks currently has no clear answer, which gives rise to some uncertainty in practice, ambiguity of decisions on the list of necessary items of this nomencla-ture, organization of their transportation (transfer) and rational use. Such uncertainty can lead to an incomplete provision of military personnel with appropriate means or, on the contrary, to the for-mation of an excess of items. In any case, the discrepancy between the items of clothing and food sup-ply as part of the combat equipment complex and the real needs leads to a decrease in the effective-ness of the actions of servicemen and units in which they perform their tasks. Therefore, the develop-ment of a methodology for echeloning items of clothing and food support as part of the combat equipment complex of the NGU serviceman in the interests of ensuring the effectiveness of actions of servicemen (units) in performing assigned tasks is an urgent task. When developing this methodology, a number of results and theoretical positions presented by the authors in previous works on this topic were taken into account, according to the references in the list of references. The formalized statement of the problem of echeloning the combat equipment complex (by elements of clothing and food supply) of a serviceman of the National Guard of Ukraine, depend-ing on the nature of service-combat (combat) tasks, was performed using a theoretical-multiple ap-proach. Accordingly, the developed methodology provides for an orderly sequence of actions on sets of items, taking into account the factors and limitations that affect the needs of a serviceman to per-form specific assigned tasks and their distribution by echelons for the purpose of effective use, creat-ing prerequisites for the successful completion of assigned tasks according to their factors of influ-ence.
EXPERIMENTAL STUDY OF THE SCREENING PROPERTIES OF THE BULB CURTAIN IN THE INFRARED RANGE OF RADIATION
Authors:   Kharkiv Polytechnic Institute, Korytchenko Kostiantyn , Klimov Oleksii ,   Kharkiv Polytechnic Institute, Tsebriuk Ivan ,   National Academy of the National Guard of Ukraine, Kasimov Anatolii ,   Kharkiv Polytechnic Institute
Published: January 2025

The article presents the results of an experimental study of the screening properties of a bubble obscurant in the infrared range of radiation. Detection of the masking effect of bubbles was carried out by qualitative and quantitative measurements. A Hikmicro LYNX HM-TS03-25XG/W-LH25 thermal imager was used to qualitatively assess the screening effect of bubbles. A Fluke TIR27 professional thermal imager was used for quantitative measurements. The appearance of bubbles in the observation field of the thermal imager leads to a change in the thermal signature of the observation object. In the area of the visual intersection of two bubbles, a more intense approach of the thermal contrast to the background was observed than in the centers of the bubbles. According to the research results, the attenuation of radiation by the bubble curtain was found in the ranges from 0.4 ?m to 1.7 ?m, from 3 ?m to 5 ?m, and from 7.5 ?m to 13.5 ?m. It was found that the thermal reflection of the bubble does not uniformly reduce the thermal contrast of the object being masked. At the boundary of the bubble image, the thermographic reflection approaches the background. In the center of the bubble there is also a decrease in temperature, but it is less intense. The expected minimum concentration of bubbles per unit area, which achieves complete screening of the object under the considered conditions, is 50-200 bubbles per 1 cm2. At a low consentration of the bubble obscurant, only a change in the thermal reflection of the masking object is achieved, giving it a spotty reflection. Such an impact can disrupt target capture in homing heads with artificial intelligence of target detection by thermal imaging. Such an impact can disrupt target capture in homing heads with artificial intelligence of target detection by thermal imaging. In the future, it is planned to study the possibility of creating a high-performance bubble curtain generation system.
DETERMINATION OF THE COMPREHENSIVE INDICATOR OF THE EFFICIENCY OF US-ING THE MILITARY VEHICLES OF THE NATIONAL GUARD OF UKRAINE WHEN PER-FORMING THE INTENDED TASKS
Authors:   National academy of hte National Guard of Ukraine, Lytovchenko Artem , Kovtun �natolii ,   National Academy of the National Guard of Ukraine, Nosal Roman ,   National Guard of Ukraine, Kudimov Serhii ,   National academy of the National Guard of Ukraine
Published: January 2025

The experience of troop movements during the Russian-Ukrainian war shows that the nature of military operations creates difficult conditions for the organization of military transportation. This is determined by the importance of transportation tasks, the sharp increase in the volume of military transportation, the limited time for their execution, as well as the threat of enemy influence. Reliability of military transports is achieved by their rational planning, comprehensive preparation of vehicles and drivers for carrying out transports. Automotive equipment also plays a major role in solving the tasks assigned to the divisions and military units of the National Guard of Ukraine. The significant volume of necessary transportation, performed by the military units of the National Guard of Ukraine, requires an increase in the efficiency of the use of automobile equipment. The maximum efficiency of the use of automobile equipment during transportation is achieved by rational transportation planning, ensuring operational readiness of machines for transportation, performing quick loading (unloading) of machines, skillful management of the use of machines, compliance with the measures of secrecy of transportation and preservation of cargo. The article shows the need to develop recommendations for improving the system of accounting for the use of military vehicles in the National Guard of Ukraine. Solving the problem of increasing the efficiency of the use of military automobile equipment and ensuring a given level of efficiency of its use can be achieved by comparing the indicators of the efficiency of the use of machines. It is proposed to determine the effectiveness of the use of military vehicles using a comprehensive indicator that allows you to assess the level of effectiveness of the use of military vehicles, which takes into account the indicators of effectiveness, efficiency and resource availability of transportation, and to outline ways to ensure the given level of effectiveness of the use of military vehicles of the National Guard of Ukraine. Proposals for improving the structure of the machine operation record card and summary information of machine operation have been provided.
Proposal of a lightning protection method for solar panels installed on large bulk carriers
Authors: Fujishima Tomoyuki , Baba Shunya , Seki Honoka , Haruta Kazuto
Published: January 2025

Various efforts are being made to achieve carbon neutrality with the aim of achieving net zero greenhouse gas emissions by 2050, and the shipping industry is also required to reduce carbon dioxide emissions. Heavy oil is the main power source for current large ships, which emits a large amount of CO2. Efforts are being made to supply some of the power and power used on ships with solar power. However, in the sea, where there are no tall structures, there is a high risk that lightning will strike the solar panels installed on large ships, making them unable to generate electricity. Thus, in order to protect the solar panels installed on large ships from lightning strikes, the methods and effects of installing lightning rods or overhead ground wires on large ships were investigated. As a result, it was found that installing overhead grounding wires on both sides of a ship is the most effective method, and the details of this study are reported.
Impacto do treinamento muscular inspiratório no desfecho do desmame ventilatório em pacientes críticos: Um estudo controlado randomizado duplo-cego
Authors: Silva Diego Pereira , Mendes Adriana Ferreira London , Oliveira Leandro Carvalho de
Published: January 2025

Introdução: Umas das estratégias utilizadas para otimizar o sucesso do desmame ventilatório é o treinamento muscular inspiratório (TMI). O objetivo dessa pesquisa é avaliar o impacto do TMI na força muscular inspiratória, na redução dos dias de ventilação mecânica (VM) e do percentual de traqueostomia em pacientes críticos. Metodologia: trata-se de um ensaio clínico controlado, randomizado e duplo – cego realizado no CTI adulto do Hospital Universitário Maria Aparecida Pedrossian (HUMAP). O avaliador e estatístico foram cegados, o TMI foi realizado 2 vezes por dia, 5 vezes por semana, o grupo intervenção foi prescrito a carga de TMI 45% a 55% da Pimax conforme o marcador do aparelho, e o grupo placebo foi prescrito TMI com carga zerada. Resultados: participaram da pesquisa um total de 29 pacientes com 14 no grupo intervenção e 15 no grupo placebo. Na comparação entre os grupos, os resultados apresentaram diferença significativa para o grupo intervenção no ganho de força muscular inspiratória (p=0,007), na redução de 2,7 dias de VM (p=0,012) e na redução do percentual de traqueostomia (p=0,016). Discussão: o presente estudo apresentou resultados benéficos no uso do TMI como estratégia no desmame ventilatório, entretanto, a literatura apresenta resultados controversos sobre o impacto do TMI na redução dos dias em VM e escassa sobre a redução do percentual de traqueostomia. Conclusão: Esse trabalho conclui que o TMI nos pacientes em VM, tem impacto na fraqueza muscular inspiratória, no desmame ventilatório e reduziu percentual de traqueostomia dos pacientes hospitalizados no CTI do HUMAP.
Propriedades mecânicas dos alinhadores ortodônticos impressos de maneira direta em comparação com os alinhadores termoformados
Authors: Mendonça Laís Melyna da Silva , Queiroga Karly Victoria de Oliveira Capozzi , Silva Emilly Alves da , Costa Nilton , Ponte Alexandre Rodrigues da , Ponte Andressa Nascimento Lira da , Santos Wanderson Roberto Azevedo dos
Published: January 2025

A ortodontia tem evoluído ao longo dos anos, buscando tratamentos mais rápidos, eficazes e estéticos, com os alinhadores transparentes ganhando popularidade por sua discrição e conforto. O processo de fabricação dos alinhadores pode ser feito por impressão 3D direta ou termoformagem, sendo que ambos os métodos têm vantagens e desvantagens. A termoformagem envolve o aquecimento de um material termoplástico sobre um modelo para criar o alinhador. Este processo pode modificar as propriedades mecânicas do material, como a espessura e a resistência, influenciando a eficácia do tratamento ortodôntico. Já a impressão 3D direta utiliza dados digitais para criar os alinhadores camada por camada, sem a necessidade de moldes, o que resulta em maior precisão dimensional e estabilidade das propriedades mecânicas, como resistência e rigidez. Esta revisão tem como objetivo comparar as propriedades mecânicas dos alinhadores ortodônticos impressos de com os alinhadores termorformados. Estudos mostram que os alinhadores impressos em 3D apresentam melhor precisão de ajuste e maior resistência à deformação quando comparados aos termoformados, além de não sofrerem alterações significativas devido ao calor. No entanto, ainda são necessários mais estudos para avaliar completamente a eficácia e a biocompatibilidade dessa tecnologia. Em conclusão, a impressão 3D direta se destaca como uma evolução na fabricação de alinhadores ortodônticos, proporcionando resultados mais precisos e eficazes, embora mais pesquisas sejam necessárias para consolidar seu uso clínico.
Apoio emocional em ambientes de alta complexidade: A atuação do Psicólogo na Unidade de Terapia Intensiva (UTI)
Authors: Araujo Erisvania Alves de , Souza Sara Cavalcanti , Bezerra Valéria Macêdo de Sousa
Published: January 2025

Este estudo aborda o apoio emocional em ambientes de alta complexidade: a atuação do psicólogo na uti. Cuja o objetivo é investigar como a atuação do psicólogo na uti contribui para a humanização do atendimento, promovendo suporte emocional e manejo do sofrimento psíquico. Metodologia: trata- se uma revisão sistemática integrativa, a partir dos artigos escolhidos teve seus resultados analisados e discutidos. Seguindo os critérios de inclusão: consideraram-se artigos em língua portuguesa e inglesa, relacionados à temática abordada estabelecendo-se o marco temporal dos últimos cinco anos (2020 a 2024). Para os critérios de exclusão são: estudos que não abordavam a temática em questão, como monografias, trabalhos de conclusão de curso, resumos e aqueles que não estavam na íntegra. Também foram descartados os trabalhos com data de publicação anterior ao marco temporal estabelecido para a pesquisa. A partir disso, 7 artigos foram selecionados da base de dados do google acadêmico e periódico capes. Conclui-se a atuação do psicólogo na uti contribui para a humanização do atendimento, promovendo suporte emocional para os pacientes e familiares internados na unidade de terapia intensiva (uti), ambiente gerador de estados emocionais capazes de impactar a evolução do quadro clínico do paciente.
Telemonitoramento a pacientes ortopédicos e amputados de um serviço público, uma nova modalidade de atendimento fisioterapêutico no contexto de pandemia do COVID-19: Relato de experiência
Authors: Nascimento Tamires do , Guedes Natália Monteiro , Portela Catharina Machado
Published: January 2025

Objetivo: Relatar a experiência dos atendimentos fisioterapêuticos aos pacientes de traumato-ortopedia do CER-IV na modalidade de teleconsulta e telemonitoramento durante o contexto de pandemia da COVID-19. Metodologia: No período de março a julho de 2020, a partir das orientações de isolamento social, foram realizados, através da plataforma conferência Web, serviços de teleconsulta e telemonitoramento, autorizados a partir de março de 2020 pelo Conselho Federal de Fisioterapia e Terapia Ocupacional – COFFITO. Os atendimentos eram realizados de forma síncrona, com duração de 30 minutos semanalmente e o acesso era feito mediante endereço da sala virtual encaminhado antecipadamente para seu dispositivo, conforme horário agendado. Nos encontros, eram realizadas orientações de exercícios que pudessem ser reproduzidos ao longo da semana, objetivando principalmente a manutenção ou ganho de força, amplitude de movimento e alívio de dores agudas ou crônicas. Resultados e discussão: Foram assistidos pelo telemonitoramento os pacientes previamente atendidos no CER-IV, dos setores de reabilitação pós trauma e amputados. Desafios foram enfrentados para a adaptação à nova modalidade, entretanto, houve adaptação progressiva por parte dos profissionais e pacientes, o que permitiu avanço e continuidade nos cuidados. Considerações finais: A modalidade remota não substitui o atendimento fisioterapêutico convencional, entretanto, num cenário onde o encontro presencial não seria possível, o telemonitoramento de fisioterapia aos pacientes de traumato-ortopedia do CER-IV foi eficaz e supriu demandas do momento, podendo ser utilizado como opção para a continuidade da assistência uma vez que o formato presencial de acompanhamento não for possível.
Aspergilose pulmonar em paciente imunocomprometido e com diagnóstico da COVID-19 grave, no Estado do Pará, Brasil
Authors: Pinheiro Neto Dilson Raimundo Gomes , Melo Gabriela de Lima , Mota Junior Max Chaves , Batista Rafael Hipólito Pires , Moraes Ícaro Natan da Silva , Pantoja Rebeca Elise de Lima , Gomes Paulo Afonso Oliveira , Araújo Sofia Alessandra Naiff , Souza Murilo Henrique Sousa e , Cruz Kelrilem Rainara Manos , Balla Isabella Lourenço , Silva João Vitor , De La Cruz Daniel Ferancini , Caldeira Rossela Damasceno
Published: January 2025

A aspergilose é uma infecção fúngica causada pelo Aspergillus spp, um fungo saprotrófico encontrado principalmente no solo e em ambientes residenciais e hospitalares. Esta doença pulmonar pode afetar indivíduos imunocomprometidos, com isso, a presença de comorbidades aumenta a suscetibilidade à infecção fúngica. Os indivíduos acometidos podem apresentar hemoptise de repetição, tosse crônica, expectoração purulenta, infecções respiratórias de repetição, dor pleurítica e desconforto respiratório. O estudo objetiva descrever um caso de aspergilose pulmonar em um paciente imunocomprometido, no Estado do Pará. Trata-se de um estudo observacional e descritivo. As informações foram obtidas através de entrevista, análise de prontuário e revisão de literatura. A correlação entre a hospitalização, diabetes mellitus e infecção por COVID-19, no contexto da aspergilose pulmonar, é complexa, envolvendo fatores imunológicos, ambientais e microbiológicos. O paciente apresentado possui antecedente de comorbidades que o torna suscetível a proliferação fúngica, relacionado ao comprometimento do sistema imune causado pelo diabetes mellitus tipo 2 e por infecções como o SARS-CoV-2.
Tratamento de Púrpura Trombocitopênica Imune Refratária a Corticoterapia em gestantes: Uma revisão de literatura
Authors: Perusso Sara Kaizer Galo , Santos Manoel Barboza Cordeiro dos , Holsbach Danielle Cristine Belisario Scarpin
Published: January 2025

Introdução: A Púrpura Trombocitopênica Imune é definida como contagem de plaquetas abaixo de 100x109/L marcada por sinais de sangramento espontâneo. É uma patologia frequentemente observada em gestantes. A fisiopatologia é uma reação de autoanticorpos que se ligam às proteínas da membrana das plaquetas. O diagnóstico é realizado por exclusão e confirmado pela resposta a terapêutica. Apresenta-se como um desafio durante o pré-natal e as diretrizes atuais apresentam protocolos de tratamento baseados em opiniões de especialistas e resultados de estudos retrospectivos. Método: Revisão narrativa de literatura com base nas plataformas de dados: Scielo e PubMed. Critérios de inclusão e exclusão foram aplicados, totalizando 34 artigos aqui discutidos. Resultados e Discussão: O manejo da Púrpura Trombocitopênica Imune é bastante complexo, contando com corticoides orais e imunoglobulinas como primeira linha. Pacientes que refratárias ao tratamento de primeira linha podem fazer uso de agonistas do receptor de TPO, o qual tem apresentado bons resultados em relatos de casos, estudos retrospectivos e estudo experimental em animais publicados. A esplenectomia também é uma opção terapêutica de segunda linha, porém, apresenta maiores riscos quando realizadas em gestantes. Conclusão: A Púrpura Trombocitopênica Imune pode apresentar resistência a primeira linha de tratamento e protocolos de tratamento para gestantes resistentes são escassos. Dentre as opções terapêuticas de segunda linha, destacam-se o uso de Agonistas do Receptor de Trombopoietina e menos recomendado, a esplenectomia. Ensaios clínicos com terapias de segunda linha e protocolos de tratamento para gestantes resistentes a corticosteroides são recomendados.
OPTIMIZING GAS STATION LOCATION USING GENETIC ALGORITHMS
Authors: Handayanto Rahmadya Trias , Soenyoto Soedarmin , Handoyo Yopi
Published: January 2025

Gas station location is not only based on financial but also environment aspects because it will give negative impact if there are some accidents such as fire, tank leakage, etc. Helping customer in supplying fuels should not sacrifice other needs such as health, food, education, living circumstance, and so on. Therefore we propose the system that can help someone deciding and analyzing the location of gas station, especially when doing proper analysis. By using genetic algorithms our system can find optimum location of gas station after considering other important location that must be far away from it. The distance from important place was counted by normal euclidean after converting road and the river at map into nonlinear equation using interpolation. Population was generated from converting road on the map into equation. The important places that must be far away from gas station are collected and with that equation then give an objective function. Testing result showed the system could find optimum gas stations location at Bekasi regency.
Keywords : GAS STATION, GENETIC, ALGORITHMS
ANALISIS KAPASITAS DUKUNG FONDASI TIANG PANCANG PADA PEMBANGUNAN GUDANG KAWASAN PERGUDANGAN PT. WIDYA SAKTI KUSUMA
Authors: Bustomi Bustomi , Srie Gunarti Anita Setyowati
Published: January 2025

Dalam perencanaan fondasi tiang harus dilakukan dengan teliti dan secermat mungkin. Setiap fondasi harus mampu mendukung beban sampai batas keamanan yang telah ditentukan, termasuk mendukung beban maksimum yang mungkin terjadi. Penelitian dilakukan di Pergudangan PT. Widya Sakti Kusuma, karena penulis bekerja sebagai staf teknik pada di Kawasan Pergudangan tersebut. Tujuan dari penelitian ini adalah mengetahui kapasitas dukung dan penurunan fondasi tiang pancang pada pembangunan Gudang di Kawasan Pergudangan PT. Widya Sakti Kusuma, Pondok Ungu Bekasi. Analisis dilakukan dengan metode statis dan dinamis untuk mengetahui kapasitas dukung tiang pancang dan penurunan yang terjadi. Kapasitas dukung tiang pancang dengan metode statis dihitung berdasarkan data uji laboratorium dan data lapangan (SPT), sedangkan metode dinamis dihitung berdasarkan data lapangan yaitu berat palu, tinggi jatuh palu, penurunan 10 pukulan terakhir. Dimensi tiang pancang yang digunakan berbentuk persegi 0,3m x 0,3m, panjang tiang 9 m dan terdapat 2 tiang pancang dalam satu pile cap (tiang kelompok). Dari perhitungan yang telah dilakukan didapatkan berat total struktur bangunan (Pt) = 49,98ton. Berdasarkan metode statis untuk data laboratorium diperoleh kapasitas ijin tiang (Qa) = 98,21ton. Untuk data lapangan (SPT) diperoleh (Qa) = 113,35ton, sedangkan berdasarkan metode dinamis, dari rumus Modifikasi Engineering News Record (ENR) diperoleh kapasitas ijin tiang (Qa) = 98,21ton. Dari rumus modifikasi Danish diperoleh (Qa) = 97,8ton, berdasarkan data lapangan (SPT) didapatkan kapasitas dukung total kelompok tiang (ΣQu) = 453,4ton sedangkan dari perhitungan laboratorium sendiri diperoleh kapasitas dukung total kelompok tiang (ΣQu) = 204,4ton > berat total struktur bangunan (Pt) = 49,98ton sehingga kapasitas dukung tiang pancang aman mendukung beban struktur. Untuk penurunan pada lapisan tanah lempung, perhitungan penurunan dilakukan dengan metode konsolidasi didapatkan penurunan total sebesar 0,0053m
Kata Kunci : pondasi, analisis, tanah, gudang, penurunan, kapasitas dukung.
Structural Modeling of Rigid Pavement with Load-rate Dependent Subgrade
Authors: Saxena Priyam , Khazanovich Lev
Published: January 2025

It has been observed by many researchers that the subgrade behavior is load ratedependent. The apparent subgrade stiffness is much higher under the fast moving axle loading than during the slow developing temperature curling and moisture warping. However, traditionally a single k-value is used for both curling and axle load analysis. This paper presents a mathematically rigorous solution for determining stresses and deflections in rigid pavements using separate k-values for slab curling and axle loading. The developed procedure illustrates that, in the event that the kvalue for the temperature curling analysis is less than that of the axle loading, the overall stress state is lower under combined axle and thermal loads. At the same time, the paper demonstrates that due to the inherent non-linear behavior of the interaction of the slab and foundation, the use of simple linear superposition of curling and axle loading stresses for two different k-values may result in significant errors.
Establecimiento de necesidades en salud en las islas de Providencia y Santa Catalina, 16 meses después de la emergencia por el huracán Iota ocurrido en noviembre de 2020
Authors: Carreño Monica , Rojas Juan Camilo , Torres German , Caiman Alexandra , Morales Lady Catalina , Prieto Alvarado Franklyn Edwin , Berrio Pérez Olga Maritza , Sánchez León Edna Margarita , Llano Christian , Polo Gina , Borbón Ramos Milena Edith , Quijada Bonilla Hernán
Published: January 2025

Introducción: el objetivo de este estudio fue establecer las necesidades en salud en la comunidad de Providencia y Santa Catalina a través de la descripción de las condiciones higiénico-sanitarias al momento del estudio y la ocurrencia de enfermedades de notificación obligatoria luego de 16 meses de ocurrido el huracán Iota.
Metodología: estudio transversal con metodología CASPER adaptada. Se realizó muestreo aleatorio estratificado espacial por sectores utilizando el sistema de información geográfica QGIS. Para la recolección de información se aplicó una encuesta adaptada en Epicollect5 y se revisó la notificación de enfermedades de interés en salud pública. Se realizaron análisis descriptivos, de correspondencia múltiple (ACM) y chi-cuadrado mediante Excel y R.
Resultados: de las 360 viviendas el 44,7 % requirieron reparación o reconstrucción total. La disponibilidad de servicios de acueducto, cilindros de gas y acceso a baterías sanitarias tuvieron disminuciones estadísticamente significativas (p <0,05). El 67,8 % utiliza agua de lluvia y en el 32,5  % no es tratada. El 57,5 % no realiza fumigación contra vectores, el 75 % dispone las excretas en pozo séptico, el 60,8 % reportó incremento de roedores y el 74,7 % aumento de vectores. El 17,2 % reportó esquema de vacunación COVID-19 incompleto. El 71,4% presenta antecedentes de enfermedades crónicas; el 9,9  % probable trastorno de ansiedad y el 7,2% de depresión. Se presentaron diez (10) brotes de enfermedades transmitidas por alimentos y dos (2) intentos de suicidio entre el desastre y la evaluación.
Conclusiones: los servicios de saneamiento se redujeron significativamente incluso 16 meses después del huracán; existen posibles factores de riesgo aledaños a las viviendas que favorecen la transmisión de enfermedades. Se encontró afectación en salud mental.
COVID-19 en establecimiento de sanidad militar naval, Bogotá D.C., semanas epidemiológicas 13 de 2020 a 49 de 2021
Authors: León Paola , Díaz Edwin , Baharona Monica
Published: January 2025

Introducción: el primer caso de COVID-19 para la población de sanidad naval de Colombia fue reportado en la semana epidemiológica 13 de 2020, proveniente de una institución de sanidad militar de cuarto nivel.
Metodología: estudio descriptivo de brote, en el que se realizaron las actividades de gestión del riesgo. Se analizaron variables demográficas de los afectados, se estimó la tasa de ataque y la incidencia de los establecimientos de sanidad naval a nivel nacional y local. Se realizó curva epidémica. Los hallazgos se presentan en tablas y gráficos.
Resultados: la incidencia del brote en el establecimiento de sanidad militar en Bogotá D.C fue de 46 en 2020 y de 49 por 1 000 habitantes en 2021. Se evidenció mayor propagación del virus durante los picos de circulación y transmisión activa del SARSCoV-2 en el territorio nacional y en Bogotá D.C.
Conclusiones: la tasa de ataque (1,6 %) fue inferior a la reportada en el territorio nacional. Las fases desarrolladas en el marco de la gestión del riesgo en la pandemia de COVID-19 en la población de sanidad naval fueron preparación, contención y mitigación, estas permitieron optimizar la vigilancia y la respuesta al brote.
Casos sospechosos de violencia de género e intrafamiliar en adulto mayor, Colombia, 2019
Authors: González Sarmiento Nidza Fernanda , Prieto Alvarado Franklyn Edwin
Published: January 2025

Introducción: la violencia de género e intrafamiliar se presenta en cualquier etapa del curso de vida. Los adultos mayores son parte importante de la comunidad, en algunos casos se encargan del cuidado de los menores, además de ser transmisores de conocimiento, experiencias y sabiduría. La identificación de casos de violencia de género e intrafamiliar en esta población permite a los tomadores de decisiones incluir dentro de los programas de atención y prevención de las violencias en esta población. El objetivo de este estudio fue describir el comportamiento de la notificación de casos en adultos mayores de 60 años a Sivigila en el 2019.
Metodología: estudio descriptivo retrospectivo, la fuente de información fue la base de datos nacional de la notificación a Sivigila de los casos sospechosos de violencia de género e intrafamiliar en adultos mayores de 60 años ocurridos en el 2019.
Resultados: en 2019 se notificaron a Sivigila 4 973 casos en adultos mayores, con un aumento de 16 % con respecto al 2018, la violencia física representó el 46,6 % de los casos notificados, violencia psicológica el 25,7 %, negligencia y abandono el 24,7 % y violencia sexual el 3 %. Los departamentos con mayores tasas de notificación por 100 000 adultos mayores fueron: Amazonas 251,1; Huila 243,0; Vaupés 210,9; Cundinamarca 167,0 y Antioquia 145,0.
Conclusiones: la violencia de género e intrafamiliar en el adulto mayor es un problema de salud pública que continua en aumento. Es importante fomentar la investigación para identificar factores de riesgo para la generación de políticas en salud pública.
HUBUNGAN PENDIDIKAN TERHADAP TINGKAT KEPATUHAN MINUM OBAT DAN PENGARUHNNYA PADA KADAR GULA DARAH SEWAKTU PASIEN DIABETES MELITUS TIPE II DI RUANG RAWAT INAP RUMAH SAKIT X JAKARTA
Authors: Chusun Chusun , Mira Husni Sanjaya , Endang Choiriah Lilis
Published: January 2025

Type 2 Diabetes Mellitus is a non-communicable chronic and progressive disease that can lead to increased blood glucose levels. Patient adherence to medication is essential for achieving therapeutic success. The objective of this study is to determine the relationship between education and medication adherence levels of Type 2 Diabetes Mellitus patients to blood glucose levels in the Emergency Department of the Polri Hospital, East Jakarta. This research method is non-experimental with an observational approach and a cross-sectional design using prospective data from medical records and direct interviews with patients in the inpatient room of Hospital X in Jakarta. The results of the study on 134 patients showed that the characteristics of Type 2 Diabetes Mellitus patients were: 34.3% (the majority) aged between 56 and 65 years, 60.4% female, 63.4% unemployed, 61.9% had elementary school education, and 60.4% had suffered from diabetes for more than 5 years. The most common comorbidity was CHF (Congestive Heart Failure), with 21 patients (15.6%). The level of medication adherence among patients was low, at 64.9%, and more than half (62.7%) had uncontrolled blood glucose levels. Meanwhile, the role of health education in reminding patients was categorized as good, at 91%. Based on the Bivariate Chi-Square analysis, there was a significant relationship between education and medication adherence, with a significance value of 0.000 (<0.005), and also between medication adherence and blood glucose levels (GDS) with a significance value of 0.000 (<0.005). It can be concluded that education affects medication adherence.
Thymus and activation-regulated chemokine (CCL17) as a clinical biomarker in atopic dermatitis: significance and limitations in the new treatment era
Authors: Kataoka Yoko
Published: January 2025

Thymus and activation-regulated chemokine (TARC; CCL17) is a T-helper-2 chemokine that reflects atopic dermatitis (AD) disease activity. Since 2008, serum TARC levels have been commercially measured in Japan, and clinical experience has shown the usefulness of TARC. The fallacy that eczema is always visible often hinders successful treatment, when there is subclinical inflammation which is inferable from the TARC level. AD treatment has entered a new era with higher therapeutic efficacy. TARC has a different meaning than it did previously, and its significance and limitations are discussed. First, a more appropriate topical therapy monitoring TARC would be useful in selecting truly necessitated patients for expensive new therapies. Dupilumab quickly lowers serum TARC before clinical improvement, and its normalization is not a criterion for dose reduction. However, in some severe cases, TARC may help determine whether to continue treatment. During treatment with JAK inhibitors, serum TARC levels are often elevated and may be abnormally high, leading to the exacerbation of dermatitis. Prurigo nodularis is divided into two types associated with elevated and normal TARC levels, which may aid in the selection of therapeutic agents. In this new era, TARC remains a useful biomarker for more accurate drug selection and the determination of therapeutic efficacy; Currently, in clinical trials of AD, all outcome measurements depend on the clinical score; however the use of a biomarker, such as TARC, as a secondary outcome measure will clarify the characteristics of each drug and the pathophysiological conditions for which it is expected to be effective.
NHERI education and community outreach: longitudinal, educational outcomes of a coordinated, distributed network
Authors: Nelson Robin , Vielma Karina I. , Browning JoAnn
Published: January 2025

The U.S. National Science Foundation (NSF) Natural Hazards Engineering Research Infrastructure (NHERI) Network Coordination Office (NCO) Education and Community Outreach (ECO) led coordinated efforts to promote educational activities along various pathways for students and educators targeted at broadening participation in and awareness of natural hazards engineering research through the Research Experiences for Undergraduates (REU) Summer Program, the Graduate Student Council (GSC), and the Summer Institute for Early Career Researchers and K-12 Educators. NHERI connects a diverse group of undergraduate and graduate students, faculty and K-12 educators, and researchers interested in mitigating the effects of natural hazards through these flagship educational programs. After 6 years of implementing these integrated educational activities, longitudinal outcomes and impacts for both students and faculty have been collected and are reported in this paper. Embedded in this report are several best practices used in educational outreach for recruitment, mentoring, and engagement of diverse participants that have been evaluated and enhanced through assessment and in collaboration with the larger NHERI network. Throughout 6 years of leading education activities, these practices have also helped create an intentional focus on challenge areas and informed the evolution of interdisciplinary pathways for natural hazards engineering research.
Love Them & Leave Them: science-based rationale for a campaign at the public health-conservation interface
Authors: Reaser Jamie K. , Li Hongying , Southey Sean
Published: January 2025

Wild animals have been implicated as the source for disease outbreaks in humans (e.g., bubonic plague, Ebola, Hendra virus). Public health messaging intended to mitigate these zoonotic disease risks can inadvertently induce fear of wildlife, thereby resulting in wildlife culling and habitat destruction. We propose a science-based social marketing campaign – Love Them & Leave Them – to protect people and wildlife. This One Health campaign will be primarily implemented by public health communicators who work with government officials and/or local communities. The campaign’s six key messages emphasize the inter-linkages between wildlife and human well-being for pandemic prevention and encourage the campaign target audiences to appreciate (love) wildlife while refraining from touching wildlife or occupying places that wildlife inhabit or feed (leave them … alone). We provide guidance for tailoring the global campaign vision to local ecological and socio-cultural contexts. The campaign is responsive to a recent call by multilateral bodies for governments to prevent pandemics at the source.
Pulmonary vein stenosis or occlusion resulting from radiofrequency ablation of atrial fibrillation can be mistakenly diagnosed as pneumonia: a case report
Authors: Gong Jun xian , Zong Ai fen , Gong Yue zhen
Published: January 2025

The increased use of radiofrequency ablation (RFA) for atrial fibrillation (AF) has led to a rise in cases of pulmonary vein stenosis or occlusion (PVS/O) as a complication. While this occurrence was once rare, the growing number of patients undergoing this procedure has made it more prevalent. The actual frequency of pulmonary vein (PV) occlusion remains a topic of debate. This complication can present with non-specific respiratory symptoms, potentially leading to misdiagnosis and delayed treatment, with serious consequences. Clinical signs of PVS/O post-ablation can vary from no symptoms to common respiratory issues like coughing, hemoptysis, shortness of breath, and chest pain. Failure to promptly diagnose and address this condition may result in the need for lung lobectomy and even pose life-threatening risks.
Phonocardiography based pulse wave velocity system for non-occlusive assessment of arterial stiffness
Authors: Margain T. Corina , Powell Emily , Clark Alexandra , Bush Adam
Published: January 2025

Arterial stiffness is strongly associated with vascular aging and pathology and can be assessed in many ways. Existing devices for measuring central arterial stiffness, such as carotid-femoral pulse wave velocity (PWV), are limited by high costs and the need for specialized expertise, limiting widespread clinical adoption. This study introduces a semi- and non-occlusive PWV measurement system using phonocardiography (PCG) and plethysmography (PPG) and a single femoral pressure cuff, aiming to address these limitations. We conducted a study comparing a semi-occlusive (carotid-femoral PWV) and a non-occlusive (carotid-toe PWV) PCG-based PWV measurements across a cohort of 63 volunteers, as compared to literature reference PWV values. Results demonstrated strong correlations between our PCG-based PWV measures (PWVcarotid−femoral: 8.42 ± 3.99 m/s vs. PWVcarotid−toe: 10.62 ± 3.86 m/s) with age as a significant predictor (PWVcarotid−femoral: r2 = 0.45; PWVcarotid−toe: r2 = 0.28, p < 0.05). Ultrasound measured distensibility assessments confirmed the reliability of our PCG approach in reflecting central arterial stiffness dynamics, particularly at the aortic level. Test–retest reliability analyses yielded high intraclass correlation coefficients (0.75 ≤ ICC ≤ 90), indicating robust repeatability of our method. This study highlights the feasibility and accuracy of our low-cost, semi and non-occlusive PWV measurement systems to enhance accessibility in arterial stiffness assessments, potentially easing cardiovascular risk stratification.
Spatiotemporal characteristics and determinants of urban expansion in China: perspective of urban agglomerations
Authors: Li Ming , Cao Yongwang , Song Jianxin , Li Huining , Liang Mengyin
Published: January 2025

Introduction

Urban agglomerations (UAs) are core economic growth centres, and urban construction land is the main spatial carrier of economic growth. Urban expansion is a research hotspot, while previous studies have rarely compared the characters and determinants of urban expansion within and outside UAs.

Methods

Considering the case of China, based on the China Land Use/Cover Dataset (CLUD), this study use spatial statistics analysis and Theil index to compare the spatiotemporal characteristics of urban expansion within and outside UAs during 1990–2020. Economic models is used to detect difference of influencing factors of urban expansion within and outside UAs.

Results

As for spatiotemporal characteristics, urban expansion is mainly distributed within UAs, especially in UAs at high and upper-middle development levels. In 1991–2020, urban expansion within the UAs accounted for 77.58% of the total urban expansion, and urban expansion in UAs at high and upper-middle development levels accounted for 71.58% of urban expansion in UAs. The inequality of urban expansion between within and outside UAs decreases with fluctuation. The rate of urban expansion outside UAs gradually exceeded that within the UAs from 2011. As for driving factors, government factors have a stronger power to urban expansion than economic factors. Economic factors were more influential within UAs than outside agglomerations. Meanwhile, government forces played more important roles outside urban agglomerations than within agglomerations. The impact of economic factors increased with an upgrade of UA development level, whereas government factors’ impact on urban expansion decreased with upgrade of UA development level.

Discussion

The findings provide a scientific support for urban construction land management. The impact of territorial and spatial planning on urban expansion will be studied.
The potential of the serum uric acid to high-density lipoprotein cholesterol ratio as a predictive biomarker of diabetes risk: a study based on NHANES 2005–2018
Authors: Yin Jianming , Zheng Chuanjie , Lin Xiaoqian , Huang Chaoqiang , Hu Zhanhui , Lin Shuyuan , Qu Yiqian
Published: January 2025

Previous studies have indicated an association between UHR and diabetes risk, but evidence from large-scale and diverse populations remains limited. This study aims to verify UHR’s independent role in diabetes risk prediction in a large sample population and assess its applicability across different populations. We drew upon data from 30,813 participants collected during the 2005–2018 NHANES cycle. The association between UHR and the risk of diabetes was explored using multivariate logistic regression models, with key predictive factors identified through LASSO regression. Model effectiveness was evaluated through receiver operating characteristic (ROC) curves, decision curve analysis (DCA), and calibration metrics. Additionally, restricted cubic spline (RCS) and threshold effect assessments were applied to examine the nonlinear association between UHR and diabetes risk. The results showed that UHR levels were notably elevated in individuals with diabetes when compared to those without diabetes (p < 0.001). The occurrence of diabetes showed a marked increase across ascending UHR quartiles (6.63%, 10.88%, 14.15%, 18.02%; p < 0.001). Results from multivariate logistic regression indicated that elevated UHR was strongly linked to a heightened risk of diabetes; participants in the highest UHR quartile were found to have nearly four times the risk compared to those in the lowest quartile (OR = 4.063, 95% CI: 3.536–4.669, p < 0.001). Subgroup analyses demonstrated that the predictive effect of UHR was more pronounced in females. Key variables selected via LASSO regression improved the model’s performance. Restricted cubic spline (RCS) analysis indicated an inflection point at UHR = 10; beyond this point, diabetes risk accelerated, and when UHR exceeded 18, the risk increased significantly (OR > 1). ROC curve analysis showed the baseline model (M1) had an area under the curve (AUC) of 0.797, while the multivariable model (M4) after LASSO selection had an AUC of 0.789. Decision curve analysis and calibration curves validated the model’s predictive ability and consistency. This study indicates that UHR may be an independent predictor of diabetes risk, showing a positive correlation with diabetes and a more pronounced predictive effect in females.
Traceability simulation of drainage in irrigation areas along the south bank of the Yellow River based on the SWAT model
Authors: Hexiang Zheng , Yujing Han , Rongxuan Bao , Biyu Wang , Jiabin Wu , Delong Tian , Haofang Yan , Beibei Hao
Published: January 2025

The simulation of drainage sources in irrigation areas at the watershed scale is of great significance for understanding the characteristics and drainage status of irrigation districts under various water-saving irrigation and climatic conditions. In this study, our focus was on the irrigation areas located on the south bank of the Yellow River in Hangjin Banner. We aimed to analyze and simulate the flow rate and overall drainage volume in the drainage ditch by developing a soil and water assessment tool (SWAT) model. The measured drainage data were utilized to calibrate and validate the model to explore the structure and sources of drainage in the selected study area. The results indicated that the average annual drainage volume of the study area was 4355.65 × 104 m³, and the primary source of drainage was subsurface drainage, which accounted for approximately 68% of the total drainage. Subsurface flow was the second-largest source, contributing approximately 31%, while surface drainage accounted for a negligible proportion, contributing merely 1% to the drainage. Concerning the proportion of drainage relative to the total drainage in each irrigation area, the Balahey irrigation area accounted for approximately 20%, the Jianshe irrigation area for approximately 45%, and the Dugui irrigation area for approximately 35%. Moreover, the model parameters were optimized using SWAT-CUP software to obtain the R2, NSE, Re, and RMSE values of 0.65, 0.60, −8.54%, and 384.65 × 104 m3, respectively, for the model calibration period, and the corresponding values were 0.63, 0.56, −7.82%, and 389.65 × 104 m3, respectively, for the validation period. The traceability simulation results for irrigation drainage are of crucial importance for the efficient utilization of water resources in this study area.
Case report: Toxic epidermal necrolysis as a unique presentation of acute graft versus host disease in a pediatric patient
Authors: Marlowe Elizabeth , Palmer Rachel , Rahrig April L. , Dinora Devin , Harrison Jessica , Skiles Jodi , Rahim Mahvish Q.
Published: January 2025

Introduction

Acute graft versus host disease (aGVHD) is a common complication of stem cell transplant (SCT), with skin involvement being most common. Severe presentations of skin aGVHD involving rapid progression of rash to bullae formation and mucosal involvement are rare. There are reports of patients with skin aGVHD that present with clinical characteristics mimicking toxic epidermal necrolysis (TEN), suggesting a possible overlap between the two. Management and outcomes of pediatric patients with this overlapping, severe presentation have rarely been described.

Case presentation

This report describes an 11-year-old boy with refractory T-cell acute lymphoblastic leukemia who received peripheral blood SCT from a matched unrelated donor. Day 26 post-SCT, he developed a maculopapular facial rash, which progressed to the development of vesicles coalescing into bullae involving his conjunctiva, face, oral mucosa, and genital mucosa. Initially, systemic steroid monotherapy was initiated, but with rapid rash progression and mucosal involvement, intravenous immunoglobulin (IVIg) 2 g/kg divided over 5 days was added as management for suspected TEN-like aGVHD based on clinical findings. Ruxolitinib was subsequently started as adjunctive management for aGVHD. His skin findings continued to improve with near total resolution by day 49 post-SCT.

Conclusion

We report a unique case of TEN-like aGVHD with rapid progression to >30% body surface area involvement including bullae formation and detachment of epidermis. There have been few case reports of similar presentations, most with poor outcomes. We aim to supplement the literature available by reporting our successful management with steroids, IVIg, and ruxolitinib, which resulted in early resolution of symptoms in a pediatric patient.