bluuebunny/crossref_metadata_2025_split huggingface dataset:
Initiation of breastfeeding within the first hour of birth in a Mother and Baby Friendly Hospital Initiative certified quaternary care hospital
Authors: Unni Jeeson C. , Verghese Elsy 
Published: November 2024

Abstract

BACKGROUND:
Breastfeeding within the first hour of life protects against infection and has been shown to prevent neonatal death due to sepsis, pneumonia, diarrhea, and hypothermia.

OBJECTIVE:
A prospective clinical audit was conducted as a quality indicator of breastfeeding promotion in our hospital to assess the rates of initiation of breastfeeding within the first hour of birth and to consider challenges and possible strategies for improvement of these rates, if necessary

MATERIALS AND METHODS:
All 883 babies delivered in our, between January 1, 2021, and September 30, 2021, who fulfilled the inclusion criteria, were assessed by the labor room staff, for the time of giving first breastfeed and the reason for not starting breastfeeding within 1hour of birth was noted by the lactation counselor. This data was analysed.

RESULTS:
853 (96.6%) babies received their first breastfeeding within the first hour of birth. Of the 30 (3.39%) babies who did not receive their first breastfeeding in the first hour of birth, 20 were babies of coronavirus disease 2019 positive mothers and 10 were babies of mothers who had not recovered from general anesthesia.

CONCLUSION:
India’s goal is to increase the rate of early initiation of breastfeeding to 90% by 2025.could be achieved with breastfeeding promotion interventions that include (a) sensitization of the mother regarding early initiation of breastfeeding during an antenatal checkup, immediate postnatal period, and follow-up (b) engagement of lactation counselors with adequate training and regular and repeated training of all hospital staff (c) encouragement of early skin to skin contact; and (d) involvement of fathers and grandparents in the breastfeeding promotion program.
Early onset virilization: Importance of ruling out the sinister causes
Authors: Nafiya Palakkadath , Soodhana Dhanya , Kesavan M. R. , Remesh Preetha , Mammen Abraham 
Published: November 2024

Abstract
Adrenocortical carcinoma (ACC) is an uncommon adrenal gland endocrine tumor with a dismal prognosis. It has an incidence of 0.2–0.3 patients per million in individuals under 20, and it has a rare incidence in the pediatric population. ACCs can be functional or may be unassociated with syndromes related to hormone overproduction. Since ACC and adenoma share many phenotypic characteristics, it is critical to distinguish the phenotypic characteristics between the two and determine the prognosis. In children, due to the rapid development of symptoms, ACC and adenoma present early. We describe the case of a 2-year-old girl who presented with peripheral precocious puberty having features of virilization, which included growth of facial and pubic hair. She had a rather insidious course.
Intact fish skin graft a new hope for the treatment of diabetic foot ulcers: A case report
Authors: Jugnet Anne Christine , Benard Tatiana , Lequint Corinne , Bobony Elise , Pieheiro Anna-Rosiana , Winther Thomas , Penfornis Alfred , Dardari Dured 
Published: November 2024

BACKGROUND
Diabetic foot ulcers (DFUs) are a real public health problem which carry a high risk of amputation. The treatment of DFUs is based on general management such as the treatment of infection, arterial disease, and offloading, but recent studies have shown that the quality of the local covering can impact the healing rate.
CASE SUMMARY
We report the case of a 39-year-old man, living with diabetes since the age of 15, who developed DFU on the dorsum of his left foot, with muscle and tendon involvement. Conventional management with intensive diabetes control, surgery, treatment of infection and negative pressure therapy gave only limited results. The patient benefited from the application of an intact fish skin graft with complete epithelialisation of the ulcer after 10 weeks of treatment.
CONCLUSION
The use of intact fish skin graft appears to be a promising option for deep DFUs.
Assessing The Performance of Holt Integrated Moving Average (Hima) for Pm2.5 Concentration in Malaysia: A Contribution to Sdg Goals for Air Quality And Health
Authors: Fozi Nurin Qistina Mohamad , Aziz Azlan Abdul , Nor Nor Azriani Mohamad , Shahidan Wan Nurshazelin Wan 
Published: November 2024

Objective: This study assesses the performance of the Holt Integrated Moving Average (HIMA) model by utilizing Holt’s method and a Moving Average model. The study aims to enhance forecast accuracy by addressing shortcomings in univariate time-series predictions.

Theoretical Framework: Holt’s method offers several benefits. However, it has significant limitations, such as projecting a continuous trend, either increasing or decreasing. The theoretical focus is on improving environmental monitoring through better predictive accuracy.

Method: Data PM2.5 concentrations in Klang and Shah Alam, Selangor, Malaysia, from 2018 to 2020 were partitioned using Repeated Time-Series Cross Validation to test various model configurations.

Results and Discussion: Results indicated that the HIMA, particularly HIMA [Holt – MA], generally performed better than Holt’s method. The study confirms the efficacy of integrating moving average adjustments into Holt’s method to improve predictions in environmental monitoring, which is crucial for effective air quality management and health-related decision-making in rapidly urbanizing regions.

Research Implications: The HIMA model effectively predicts PM2.5 concentrations, but its complexity increases computational demands, making it challenging for those with limited technical capabilities. The study's focus on Shah Alam and Klang in Malaysia may limit its applicability to other areas and may limit future air quality trend’s accuracy. This research contributes to worldwide initiatives aimed at fulfilling SDGs for goal 3 (Good Health and Well-Being), goal 11 (Sustainable Cities and Communities), and goal 13 (Climate Action).

Originality/Value: The study introduces the HIMA model as a novel approach by integrating a Moving Average from Box-Jenkins Methodology adjustment into Holt’s method, demonstrating its improved efficacy for environmental monitoring tasks such as PM2.5 prediction.
The Socio-Cultural Impact of Rural Tourism in India: A Regional Analysis with Special Reference to Kerala in the Context of the Sustainable Development Goals (SDGs)
Authors: Cherian Ann Mary , Natarajamurthy P. 
Published: November 2024

Objective: The objective of this study is to explore the potential of ecotourism as a strategic tool for transforming coastal slum areas in developing regions, with a focus on alleviating poverty, improving living conditions, and fostering sustainable development.

Theoretical Framework: The research draws on theories of sustainable development, ecotourism, and community-based tourism. The study builds on frameworks that emphasize the role of local community involvement, environmental conservation, and socio-economic improvement in developing effective strategies for slum transformation.

Method: This research adopts a quantitative approach, utilizing Structural Equation Modelling (SEM) using R Studio to analyze relationships between ecotourism development, infrastructure investment, community participation, and sustainable tourism outcomes. Data were collected through surveys of 160 residents in a coastal slum area, complemented by direct observations of the region’s environmental and infrastructural conditions.

Results and Discussion: The findings reveal that investments in ecotourism infrastructure and active community engagement significantly improve the economic conditions and environmental sustainability of coastal slum areas. However, gaps in policy support and sustainable tourism principles were identified, which limit the full realization of ecotourism’s potential in alleviating slum conditions.

Research Implications: This study highlights ecotourism's potential to alleviate poverty and transform coastal slum areas through infrastructure investment and community participation. It offers practical insights for policymakers and developers in sustainable tourism, emphasizing improved economic, social, and environmental outcomes. Theoretically, it enriches sustainable development literature by linking local governance with ecotourism-driven regional transformation.

Originality/Value: This study contributes to the existing literature by presenting a comprehensive framework that integrates ecotourism with poverty alleviation strategies, focusing on the transformation of coastal slums into sustainable tourism hubs. The findings provide actionable insights for policymakers and practitioners working on sustainable development initiatives in coastal regions.
Profiling Shoulder Strength in Youth Surfers: Implications for Injury Prevention and Performance Enhancement
Authors: Silva Bruno , Cruz Gonçalo , Zamith João 
Published: November 2024

The scapular region has the highest incidence of acute injuries in surfing. However, little is known about the shoulder strength profile in surfers. The aim of this research was to establish the profile of internal and external rotation strength in a group of youth surfing athletes. Methods: Isometric shoulder internal and external rotation strength was measured using a portable dynamometer in 41 (19 boys e 22 girls) youth surfing athletes (13.3 ± 2.1 years, 49.3 ± 9.8 kg, and 157.4 ± 9.5 cm). Regardless of gender, no significant differences were found between shoulder internal and external rotation strength. However, internal rotation strength was bilateral greater than external rotation strength. When comparing boys and girls, statistically significant differences were only found for the left-arm internal rotation strength when adjusted for body mass. Boys exhibited more strength than girls in all situations. No differences were observed based on the surfer's stance. The data from this research provides valuable information for coaches and trainers working with young surfers, allowing a deeper understanding of the specific shoulder strength profile, for a more effective development of training programs.
GESTION DE RIESGOS EN EL PLAN DE RECUPERACION, TRANSFORMACION Y RESILIENCIA: LA PREVENCION DE LOS CONFLICTOS DE INTERESES
Authors: CAPDEFERRO VILLAGRASA OSCAR 
Published: November 2024

Desde 2021, en España se han establecido medidas para la gestión íntegra de los fondos europeos, y, especialmente, se ha potenciado la actuación de control preventiva, mediante planificación basada en análisis de riesgos, declaraciones personales de ausencia de conflicto de intereses antes de intervenir y análisis automatizados para detectar posibles casos de corrupción. Se trata de medidas que suponen un avance en la lucha contra la corrupción en España, aunque algunas cuestiones negativas son destacables, y pueden tenerse en cuenta en el futuro, para mejorar estos mecanismos y eventualmente aplicar su uso más allá de la gestión de fondos europeos, una vez finalizado el Plan de Recuperación, Transformación y Resiliencia (PRTR).
2021az geroztik, Espainian neurriak ezarri dira Europako funtsak osorik kudeatzeko eta, bereziki, prebentzio-kontroleko jarduera bultzatu da, arrisku-analisian oinarritutako plangintzaren bidez, esku hartu aurretik interes-gatazkarik ez dagoela adierazteko azalpen pertsonalen bidez, eta balizko ustelkeria-kasuak detektatzeko analisi automatizatuen bidez. Espainian ustelkeriaren aurkako borrokan aurrera egitea dakarten neurriak dira, nahiz eta gai negatibo batzuk nabarmen samarrak diren, baina baliagarri izan daitezke, etorkizunerako kontuan hartu, mekanismo horiek hobetzeko eta, agian, horien erabilera Europako funtsen kudeaketatik harago aplikatzeko, Suspertze, Eraldatze eta Erresilientzia Plana (SEEP) amaitu ondoren.
Since 2021, measures have been established in Spain for the correct management of European funds, and, especially, preventive control actions have been enhanced, through planning based on risk analysis, personal declarations of absence of conflict of interest before intervening and automated analysis to detect possible cases of corruption. These measures represent a step forward in the fight against corruption in Spain, although some negative issues are noteworthy and can be taken into account in the future, in order to improve these mechanisms and eventually apply their use beyond the management of European funds, once the Recovery, Transformation and Resilience Plan (PRTR) is ended.
FISCALIZACION DE LOS PLANES ANTIFRAUDE: ¿ANALIZAR CONCIENCIACIÓN O CUMPLIMIENTO?
Authors: VAZ SERRA MIGUEL ANGEL 
Published: November 2024

La implementación de planes, modelos o sistemas antifraude o, en general, de integridad pública en las organizaciones requieren del liderazgo de sus responsables, del compromiso de sus destinatarios y, en gran parte, de la existencia de una cultura de integridad pública que evite que estos sistemas se conviertan en una mera suma de formalidades. Esto conlleva novedades tanto en el planteamiento como en los métodos de control. En este artículo se pretende dar una visión del ejercicio del control externo el Tribunal de Cuentas en esta materia, partiendo del origen y la necesidad de estos sistemas, para pasar a tratar el enfoque y los resultados más relevantes de su Informe sobre Planes Antifraude en el ámbito del sector público estatal aprobado en diciembre de 2023, proponiendo un enfoque paso a paso en la construcción e implementación de estos sistemas y finalizando con una reflexión sobre el papel de las instituciones en la lucha contra el fraude y la integridad pública.
Erakundeetan iruzurraren aurka borrokatzekotan ¿edo, oro har, integritate publikoa garantizatzeko¿ planak, ereduak edo sistemak ezartzekotan, ezinbestekoa da arduradunen lidergoa, hartzaileen konpromisoa eta, neurri handi batean, integritate publikoaren kultura existitzea, sistema horiek formalitateen batura huts bihurtu ez daitezen. Horrek berrikuntzak dakartza planteamenduan nahiz kontrol-metodoetan. Artikulu honetan Kontu Auzitegiak arlo honetan kanpo-kontroleko jardunaren ikuspegi jakin bat erakutsi nahi dugu, sistema horien jatorritik eta premiatik abiatuta, 2023ko abenduan onartutako Iruzurraren aurkako Planei buruzko Txostenaren ikuspegi eta emaitza garrantzitsuenak jorratzeko, sistema horien eraikuntzan eta inplementazioan urratsez urratseko ikuspegia proposatuz eta, amaitzeko, iruzurraren eta integritate publikoaren aurkako borrokan erakundeek duten zereginari buruzko hausnarketa eginez.
The implementation of anti-fraud or, in general, public integrity plans, models or systems in public organizations requires the leadership of their managers, the commitment of their recipients and, to a large extent, the existence of a culture of public integrity that prevents that these systems become a mere sum of administrative formalities. This article aims to view of the Court of Auditors' external control in this matter, starting from the origin and need of these systems, to go on to discuss the approach and the most relevant results of Court's Report on Anti-Fraud Plans in the scope of the state public sector approved in December 2023, proposing a step-by-step approach on building up and implementing these systems and ending with a reflection on institutions role in the fight against fraud and public integrity.
The annual cycle and sources of relevant aerosol precursor vapors in the central Arctic during the MOSAiC expedition
Authors: Boyer Matthew , Aliaga Diego , Quéléver Lauriane L. J. , Bucci Silvia , Angot Hélène , Dada Lubna , Heutte Benjamin , Beck Lisa , Duetsch Marina , Stohl Andreas , Beck Ivo , Laurila Tiia , Sarnela Nina , Thakur Roseline C. , Miljevic Branka , Kulmala Markku , Petäjä Tuukka , Sipilä Mikko , Schmale Julia , Jokinen Tuija 
Published: November 2024

Abstract. In this study, we present and analyze the first continuous time series of relevant aerosol precursor vapors from the central Arctic (north of 80° N) during the Multidisciplinary drifting Observatory for the Study of Arctic Climate (MOSAiC) expedition. These precursor vapors include sulfuric acid (SA), methanesulfonic acid (MSA), and iodic acid (IA). We use FLEXPART simulations, inverse modeling, sulfur dioxide (SO2) mixing ratios, and chlorophyll a (chl a) observations to interpret the seasonal variability in the vapor concentrations and identify dominant sources. Our results show that both natural and anthropogenic sources are relevant for the concentrations of SA in the Arctic, but anthropogenic sources associated with Arctic haze are the most prevalent. MSA concentrations are an order of magnitude higher during polar day than during polar night due to seasonal changes in biological activity. Peak MSA concentrations were observed in May, which corresponds with the timing of the annual peak in chl a concentrations north of 75° N. IA concentrations exhibit two distinct peaks during the year, namely a dominant peak in spring and a secondary peak in autumn, suggesting that seasonal IA concentrations depend on both solar radiation and sea ice conditions. In general, the seasonal cycles of SA, MSA, and IA in the central Arctic Ocean are related to sea ice conditions, and we expect that changes in the Arctic environment will affect the concentrations of these vapors in the future. The magnitude of these changes and the subsequent influence on aerosol processes remains uncertain, highlighting the need for continued observations of these precursor vapors in the Arctic.
Total column optical depths retrieved from CALIPSO lidar ocean surface backscatter
Authors: Ryan Robert A. , Vaughan Mark A. , Rodier Sharon D. , Tackett Jason L. , Reagan John A. , Ferrare Richard A. , Hair Johnathan W. , Smith John A. , Getzewich Brian J. 
Published: November 2024

Abstract. This paper introduces the Ocean Derived Column Optical Depth (ODCOD) algorithm. ODCOD is now being used to retrieve full-column optical depths from the 532 nm measurements acquired by the Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) aboard the Cloud-Aerosol Lidar Infrared Pathfinder Satellite Observations (CALIPSO) spacecraft. ODCOD uses the lidar integrated attenuated backscatter from the ocean surface, together with collocated wind speed estimates from Modern-Era Retrospective analysis for Research and Applications, Version 2 (MERRA-2), to estimate the full-column optical depths of particulates (i.e., clouds and aerosols) in the Earth's atmosphere. Unlike CALIOP's standard retrievals, which estimate optical depths only when particulate layers are detected, ODCOD retrievals deliver a comprehensive estimate that accounts for attenuation by all particulates present within the lidar profiles. This paper describes the ODCOD algorithm, develops random uncertainty estimates, and characterizes the systematic differences between ODCOD optical depths and those reported by previously validated data sets. This paper presents performance assessments of ODCOD cloud-free profiles to compare the ODCOD aerosol optical depth (AOD) retrievals to collocated measurements made by the airborne High Spectral Resolution Lidar (HSRL) instruments flown by NASA Langley Research Center (LaRC), to daytime estimates derived from the Moderate Resolution Imaging Spectroradiometer (MODIS), and to daytime and nighttime retrievals using the Synergized Optical Depth of Aerosols (SODA) algorithm. ODCOD AODs are biased high relative to LaRC HSRL AODs by 0.009 ± 0.043 (median ± median absolute deviation), with a correlation coefficient of 0.724, and biased low relative to MODIS by 0.009 ± 0.041, with a correlation coefficient of 0.834. Relative to SODA, which derives AOD from a combination of CALIOP and CloudSat ocean surface measurements, ODCOD is biased high in the daytime by 0.004 ± 0.035 and higher at night by 0.027 ± 0.034, with correlation coefficients of 0.887 and 0.891, respectively. Because ODCOD estimates are independent from the standard CALIOP optical depth retrievals, they offer potential for future advances in the CALIPSO data record, both in validating CALIOP's standard estimates and as a potential total column constraint to improve extinction coefficient retrievals.
The Role of Institutional Quality, Sustainable Development, Environmental Sustainability on Tourism in BRICS Economies: A Qualitative Study of BRICS Countries
Authors: Malik Asad Ali , Akhtar Naheed , Imtiaz Salman , Ali Hafiz Mohsin 
Published: November 2024

Tourism is crucial for a country's economic development, especially in emerging economies like that of the BRICS countries. As Tourism is a substantial industry with a large workforce and a considerable influence on society, culture, and the environment. This research is a qualitative study followed by a review of the existing literature. This study uses various existing literature from books, journals, and qualitative research papers. The findings of this thorough study are crucial reading for BRICS officials and stakeholders as they provide light on the connections among tourism, economic growth, sustainability, and institutional performance. This will help determine whether the BRICS countries' environmental sustainability has reached a tipping point, which is the point at which economic growth starts to have a beneficial impact on the environment and maybe on tourism. Policymakers may promote sustainable tourism and environmentally aware growth and development in these important and dynamic industries by understanding these relationships.
USO DO PROBIÓTICO KEFIR NO AUTISMO
Authors: Silva Marina Isabela da 
Published: November 2024

Introdução: O Transtorno do Espectro do Autismo (TEA), também conhecido como Transtorno Global do Desenvolvimento (TGD), é um conjunto de alterações do desenvolvimento caracterizado por uma dificuldade na socialização, comunicação e nos padrões repetitivos do comportamento da criança. A conexão eixo intestino – cérebro evidencia que alterações gastrointestinais podem afetar o comportamento no TEA. Além disso, no cenário de doenças causadas por alterações na microbiota intestinal, destaca-se o uso de probióticos, pois promovem a homeostase por meio da produção de mucinas, competição pela adesão de patógenos, controle da inflamação, alteração do pH, produção de citocinas, além de possuir propriedades imunomoduladoras e anti-inflamatórias. Objetivo: Identificar o impacto do uso do probiótico kefir e possíveis influências no comportamento característico do TEA. Metodologia: Esse estudo caracteriza-se como uma pesquisa de revisão de literatura, nesta revisão foram investigadas populações com diagnóstico de Transtorno do Espectro Autista e suas associações com alimentação e intestino. Revisão de Literatura: O estudo do Cordeiro (2017), demonstra que casos graves de TEA são caracterizados por disfunção intestinal e inflamação do trato gastrointestinal devido à disbiose microbiana intestinal. Assim, a fim de restaurar os níveis equilibrados da microbiota intestinal e melhorar os sintomas de TEA, recomenda-se o uso de probióticos Kefir. Considerações Finais: Conclui-se que fatores ambientais podem afetar o eixo microbiota-intestinal cerebral, um dos quais é a ingestão diária de alimentos. Portanto, muitos suplementos alimentares podem restaurar o equilíbrio microbiano no intestino e ter efeitos terapêuticos nos déficits relacionados à TEA.