bluuebunny/crossref_metadata_2025_split huggingface dataset:
การพัฒนาระบบการดูแลผู้ป่วยโรคเบาหวานที่ผิดนัด โรงพยาบาลพระแสง
Authors: ก๋งอุบล อนุสรา 
Published: October 2024

บทนำ โรคเบาหวานเป็นโรคที่ต้องการดูแลรักษาอย่างต่อเนื่อง การผิดนัดในการรักษาจะทำให้ผู้ป่วยไม่สามารถควบคุมระดับน้ำตาลในเลือดได้ และเกิดโรคแทรกซ้อนตามมา ซึ่งโรงพยาบาลควรมีระบบการดูแลผู้ป่วยโรคเบาหวานผิดนัดที่มีประสิทธิภาพ
วัตถุประสงค์การวิจัย 1) เพื่อพัฒนาระบบการดูแลผู้ป่วยโรคเบาหวานที่ผิดนัด 2) เพื่อเปรียบเทียบความรู้เกี่ยวกับโรคเบาหวาน พฤติกรรมการดูแลตนเองและระดับน้ำตาลในเลือดของผู้ป่วยโรคเบาหวาน ที่ผิดนัดในระยะก่อนและหลังการทดลอง 3) เพื่อเปรียบเทียบความรู้เกี่ยวกับโรคเบาหวาน พฤติกรรม การดูแลตนเองและระดับน้ำตาลในเลือด ของผู้ป่วยโรคเบาหวานที่ผิดนัดระหว่างกลุ่มควบคุมและกลุ่มทดลอง และ 4) เพื่อเปรียบเทียบความพึงพอใจต่อการรับบริการตามระบบการดูแลผู้ป่วยโรคเบาหวานที่ผิดนัด ระหว่างกลุ่มควบคุมและกลุ่มทดลอง
การออกแบบการวิจัย การวิจัยเชิงปฏิบัติการ
วิธีดำเนินการวิจัย กลุ่มตัวอย่างประกอบด้วย 1) คณะทำงานพัฒนาระบบการดูแลผู้ป่วยโรคเบาหวาน ผิดนัด คลินิกโรคเบาหวาน โรงพยาบาลพระแสง ประกอบด้วย แพทย์ 2 คน พยาบาล 5 คน และ 2) ผู้ป่วย โรคเบาหวานที่ผิดนัดที่ไม่สามารถควบคุมระดับน้ำตาลในเลือดได้ จำนวน 90 คน เลือกตัวอย่าง แบบเฉพาะเจาะจงตามเกณฑ์คัดเข้า จัดเข้ากลุ่มทดลองและกลุ่มควบคุม กลุ่มละ 45 คน กลุ่มทดลอง ใช้ระบบการดูแลผู้ป่วยผิดนัดที่พัฒนาขึ้น กลุ่มควบคุมใช้การดูแลแบบเดิม เครื่องมือวิจัยประกอบด้วย แนวทางการสนทนากลุ่ม ระบบการดูแลผู้ป่วยโรคเบาหวานผิดนัดที่พัฒนาขึ้น แบบสอบถามข้อมูลส่วนบุคคล แบบสอบถามความรู้เกี่ยวกับโรคเบาหวาน แบบสอบถามพฤติกรรมการดูแลตนเอง แบบสอบถามความพึงพอใจ ต่อระบบการดูแลผู้ป่วยโรคเบาหวาน และแบบบันทึกระดับน้ำตาลในเลือด เก็บรวบรวมข้อมูลตั้งแต่ เดือนกันยายน ถึงธันวาคม พ.ศ. 2566 แบ่งเป็น 4 ระยะ ได้แก่ 1) การวางแผน 2) การปฏิบัติการ โดยการพัฒนาระบบ 3) การสังเกตการณ์โดยนำระบบไปใช้ และ 4) การสะท้อนผลการปฏิบัติ วิเคราะห์ ข้อมูลโดยใช้สถิติเชิงพรรณนา การทดสอบไคสแควร์ การทดสอบทีคู่และการทดสอบทีอิสระ
ผลการวิจัย ระบบการดูแลผู้ป่วยเบาหวานผิดนัดที่พัฒนาขึ้น ประกอบด้วย 4 ส่วน ได้แก่ 1) การแจ้งเตือนล่วงหน้าให้มารักษาตามนัด 2) การรักษาพยาบาลและให้ความรู้ 3) การติดตามและให้กำลังใจ และ 4) การแลกเปลี่ยนประสบการณ์ ผลของการใช้ระบบการดูแลผู้ป่วยโรคเบาหวานผิดนัดที่พัฒนาขึ้น พบว่า ในระยะหลังทดลอง กลุ่มทดลองมีความรู้เกี่ยวกับโรคเบาหวาน (M = 11.9, SD = 1.8) มากกว่า ก่อนทดลอง (M = 8.9, SD = 2.0) และมากกว่ากลุ่มควบคุม (M = 9.2, SD = 2.1) อย่างมีนัยสำคัญทางสถิติ (t = -11.667 และ 6.344, p < .001) พฤติกรรมการดูแลตนเองโดยรวม (M = 66.0, SD = 6.2) มากกว่าก่อนทดลอง (M = 56.1, SD = 7.0) และมากกว่ากลุ่มควบคุม (M = 56.7, SD = 7.6) อย่างมีนัยสำคัญทางสถิติ (t = -16.371 และ 6.290, p < .001) ระดับน้ำตาลในเลือด (M = 127.8, SD = 27.3) น้อยกว่าก่อนทดลอง (M = 173.7, SD = 48.9) และน้อยกว่ากลุ่มควบคุม (M = 192.1, SD = 51.9) อย่างมีนัยสำคัญทางสถิติ (t = 7.341 และ -7.336, p < .001) นอกจากนี้กลุ่มทดลองมีความพึงพอใจ (M = 34.7, SD = 1.6) มากกว่ากลุ่มควบคุม (M = 30.6, SD = 3.4) อย่างมีนัยสำคัญทางสถิติ (t = 7.145, p < .001)
ข้อเสนอแนะ ระบบการดูแลผู้ป่วยโรคเบาหวานผิดนัดที่พัฒนาขึ้นในครั้งนี้ มีประสิทธิผลที่ดี และผู้ป่วยมีความพึงพอใจมากกว่าระบบเดิม จึงควรนำไปใช้และขยายผลต่อไป
Gender Based Violence
Authors: Jain Indu Bharti 
Published: October 2024

Gender-based Violence (GBV), sometimes referred to as physical and Sexual Violence (SGBV), is any dangerous act of sexual, physical, psychological, mental and emotional abuse committed against a person and based on socially discriminatory (i.e. gender) differences between men and women. As international reports suggest 1 in 3 women globally may experience physical or sexual abuse in their lifetime. Men and boys are also targeted sometimes in displaced or refugee females living in humanitarian crisis and armed conflict have also experienced sexual violence. The differences between man and woman have certainly taken the form of the beast that now devours the ranks of women in society. There would be no women in India if we do nothing now. The natural sex ratio is estimated to be between 103 males and 107 per 100 females, and any of the above numbers are considered to promote female fetal fertilization. In India, the cause of female feticide is a strong belief that women have a lower social value than men. Lack of education among women, inadequate women's leadership, and negative perceptions of women as "economic burdens" contribute to this perception.
Pendampingan Sulih Teks Bahasa Inggris pada Konten Video Pegiat Konservasi Ikan di Kabupaten Blitar
Authors: Yohana Elva , Akmal Syerian Alfariel Mumtazha 
Published: October 2024

Program Pengabdian Masyarakat ini bertujuan untuk melakukan pendampingan kepada Kelompok Masyarakat Fajar Bengawan dalam memberikan sulih teks (subtitle) bahasa Inggris pada narasi video tentang konservasi ikan Badher Bank sebagai bentuk upaya melestarikan dan mempromosikan kawasan wisata konservasi ke masyarakat luas dan dunia internasional melalui kunjungan wisatawan domestik maupun wisatawan mancanegara. Badher Bank merupakan kawasan tempat pelesterian ikan Bader/ Tawes (Barbonymus gonionotus Bleeker) yang terletak di desa Tawangrejo Kecamatan Binangun Kabupaten Blitar. Melalui program pendampingan sulih teks pada konten video tentang Kawasan konservasi diharapkan dapat menjadi media promosi bagi Desa Tawangrejo Kecamatan Binangun Kabupaten Blitar untuk memperkenalkan kawasan wisata alami kepada masyarakat sekitar, masyarakat yang lebih luas hingga ke mancanegara. Luaran dari pengabdian ini berupa video dengan teks narasi berbahasa Inggris yang ditambahkan menjadi sulih teks.
Solidification Process Modeling of Equiaxed Investment Castings with Transient Nonuniform Boundary Condition Definition
Authors: Olson Weston , Stemmler Michael , Fernandez Erik , Kapat Jayanta 
Published: October 2024

The equiaxed investment casting process is a multi-physics problem which requires knowledge from engineers who have expertise in materials, metallurgy, fluid dynamics, thermodynamics, and heat transfer. Process modeling is a tool used by foundries to help predict casting defects such as shrinkage porosity, hot tears, and poor grain structure. The reliability of these predictions is strongly dependent on the accuracy of the thermal boundary conditions set in the model. In this work, a SGT5-2000E Vane 4 cast in Rene 80 nickel-based superalloy was modeled, using the FEA simulation package ProCAST, with two different methodologies. One methodology had very little effort invested into defining the thermal domain. The other methodology involved a thorough consideration of all heat transfer mechanisms acting on the mold. An extensive literature search was performed to define a unique natural convection heat transfer coefficient for each set of surfaces on the mold. The transient boundary layer development was also captured in the definition of the heat conditions. The shrinkage porosity predictions of the models were compared to real-world x-ray data and the transient nonuniform methodology predictions were much more representative than the low fidelity heat transfer methodology predictions. The low fidelity heat transfer model did predict some shrinkage, but not where it appeared in reality. The process modeler will be misdirected by the model results when deriving a solution to the casting process if the real-world physics are not appropriately accounted for in the model. This will be very counterproductive when the foundry is using the model to reduce developmental trials by running trials in model space. References and derived parameters are provided for material properties, emissivity of shell and insulation wraps, and external mold spatially varying heat transfer coefficients.
A retrospective analysis of a newly proposed imaging-etiologic classification for acute ischemic stroke with large vascular occlusion based on MRI and pathogenesis
Authors: Li Hao , Li Zhaoshuo , Xia Jinchao , Shen Lijun , Duan Guangming , Wang Ziliang 
Published: October 2024

Background
Endovascular treatment (EVT) has emerged as the preferred initial therapeutic option for acute ischemic stroke (AIS) with large vascular occlusion (LVO). To facilitate more targeted EVT interventions, we propose a novel imaging-etiologic classification system derived from a comprehensive analysis of preoperative MRI and pathogenesis in AIS patients.

Methods
From June 2020 to December 2021, a retrospective analysis was conducted on 184 consecutive AIS patients who underwent preoperative MRI and subsequent EVT at the Henan Provincial Cerebrovascular Hospital Stroke Center. Patients’ medical histories were comprehensively reviewed. According to MRI, anterior circulation infarction (ACI) and posterior circulation infarction (PCI) were divided into four groups respectively (A-D & a-d). Three types (1–3) of etiology were identified based on pathogenesis. The types were respectively evaluated by screening test with intra-operative finding of EVT.

Results
Our imaging-etiologic classification achieved an overall positive rate of 90.2% (166/184) when compared to the gold standard. The screening test for each type demonstrated excellent validity (Youden’s index ≥ 0.75) and reliability (Kappa ≥ 0.80).

Conclusion
The imaging-etiologic classification represents a simple yet comprehensive approach that can be readily applied in the management of AIS with LVO. It can rapidly and effectively locate the vascular occlusion, and reveal the pathogenesis.
Disturbance Impacts on Thermal Hot Spots and Hot Moments at the Peatland‐Atmosphere Interface
Authors: Leonard R. M. , Kettridge N. , Devito K. J. , Petrone R. M. , Mendoza C. A. , Waddington J. M. , Krause S. 
Published: December 2017

AbstractSoil‐surface temperature acts as a master variable driving nonlinear terrestrial ecohydrological, biogeochemical, and micrometeorological processes, inducing short‐lived or spatially isolated extremes across heterogeneous landscape surfaces. However, subcanopy soil‐surface temperatures have been, to date, characterized through isolated, spatially discrete measurements. Using spatially complex forested northern peatlands as an exemplar ecosystem, we explore the high‐resolution spatiotemporal thermal behavior of this critical interface and its response to disturbances by using Fiber‐Optic Distributed Temperature Sensing. Soil‐surface thermal patterning was identified from 1.9 million temperature measurements under undisturbed, trees removed and vascular subcanopy removed conditions. Removing layers of the structurally diverse vegetation canopy not only increased mean temperatures but it shifted the spatial and temporal distribution, range, and longevity of thermal hot spots and hot moments. We argue that linking hot spots and/or hot moments with spatially variable ecosystem processes and feedbacks is key for predicting ecosystem function and resilience.
An Adjoint Sensitivity Method Applied to Time Reverse Imaging of Tsunami Source for the 2009 Samoa Earthquake
Authors: Hossen M. Jakir , Gusman Aditya , Satake Kenji , Cummins Phil R. 
Published: December 2017

AbstractWe have previously developed a tsunami source inversion method based on “Time Reverse Imaging” and demonstrated that it is computationally very efficient and has the ability to reproduce the tsunami source model with good accuracy using tsunami data of the 2011 Tohoku earthquake tsunami. In this paper, we implemented this approach in the 2009 Samoa earthquake tsunami triggered by a doublet earthquake consisting of both normal and thrust faulting. Our result showed that the method is quite capable of recovering the source model associated with normal and thrust faulting. We found that the inversion result is highly sensitive to some stations that must be removed from the inversion. We applied an adjoint sensitivity method to find the optimal set of stations in order to estimate a realistic source model. We found that the inversion result is improved significantly once the optimal set of stations is used. In addition, from the reconstructed source model we estimated the slip distribution of the fault from which we successfully determined the dipping orientation of the fault plane for the normal fault earthquake. Our result suggests that the fault plane dip toward the northeast.
Dominant Role of Atlantic Multidecadal Oscillation in the Recent Decadal Changes in Western North Pacific Tropical Cyclone Activity
Authors: Zhang Wei , Vecchi Gabriel A. , Murakami Hiroyuki , Villarini Gabriele , Delworth Thomas L. , Yang Xiaosong , Jia Liwei 
Published: December 2017

AbstractOver the 1997–2014 period, the mean frequency of western North Pacific (WNP) tropical cyclones (TCs) was markedly lower (~18%) than the period 1980–1996. Here we show that these changes were driven by an intensification of the vertical wind shear in the southeastern/eastern WNP tied to the changes in the Walker circulation, which arose primarily in response to the enhanced sea surface temperature (SST) warming in the North Atlantic, while the SST anomalies associated with the negative phase of the Pacific Decadal Oscillation in the tropical Pacific and the anthropogenic forcing play only secondary roles. These results are based on observations and experiments using the Geophysical Fluid Dynamics Laboratory Forecast‐oriented Low‐ocean Resolution Coupled Climate Model coupled climate model. The present study suggests a crucial role of the North Atlantic SST in causing decadal changes to WNP TC frequency.
Three‐Dimensional Sediment Dynamics in Well‐Mixed Estuaries: Importance of the Internally Generated Overtide, Spatial Settling Lag, and Gravitational Circulation
Authors: Wei Xiaoyan , Kumar Mohit , Schuttelaars Henk M. 
Published: December 2017

AbstractTo investigate the dominant sediment transport and trapping mechanisms, a semi‐analytical three‐dimensional model is developed resolving the dynamic effects of salt intrusion on sediment in well‐mixed estuaries in morphodynamic equilibrium. As a study case, a schematized estuary with a converging width and a channel‐shoal structure representative for the Delaware estuary is considered. When neglecting Coriolis effects, sediment downstream of the estuarine turbidity maximum (ETM) is imported into the estuary through the deeper channel and exported over the shoals. Within the ETM region, sediment is transported seaward through the deeper channel and transported landward over the shoals. The largest contribution to the cross‐sectionally integrated seaward residual sediment transport is attributed to the advection of tidally averaged sediment concentrations by river‐induced flow and tidal return flow. This contribution is mainly balanced by the residual landward sediment transport due to temporal correlations between the suspended sediment concentrations and velocities at the M2 tidal frequency. The M2 sediment concentration mainly results from spatial settling lag effects and asymmetric bed shear stresses due to interactions of M2 bottom velocities and the internally generated M4 tidal velocities, as well as the salinity‐induced residual currents. Residual advection of tidally averaged sediment concentrations also plays an important role in the landward sediment transport. Including Coriolis effects hardly changes the cross‐sectionally integrated sediment balance, but results in a landward (seaward) sediment transport on the right (left) side of the estuary looking seaward, consistent with observations from literature. The sediment transport/trapping mechanisms change significantly when varying the settling velocity and river discharge.
Brine Convection, Temperature Fluctuations, and Permeability in Winter Antarctic Land‐Fast Sea Ice
Authors: Wongpan P. , Hughes K. G. , Langhorne P. J. , Smith I. J. 
Published: December 2017

AbstractVertical temperature strings are used in sea ice research to study heat flow, ice growth rate, and ocean‐ice‐atmosphere interaction. We demonstrate the feasibility of using temperature fluctuations as a proxy for fluid movement, a key process for supplying nutrients to Antarctic sea ice algal communities. Four strings were deployed in growing, land‐fast sea ice in McMurdo Sound, Antarctica. By smoothing temperature data with the robust LOESS method, we obtain temperature fluctuations that cannot be explained by insolation or atmospheric heat loss. Statistical distributions of these temperature fluctuations are investigated with sensitivities to the distance from the ice‐ocean interface, average ice temperature, and sea ice structure. Fluctuations are greatest close to the base (<50 mm) at temperatures >−3°C, and are discrete events with an average active period of 43% compared to 11% when the ice is colder (–3°C to −5°C). Assuming fluctuations occur when the Rayleigh number, derived from mushy layer theory, exceeds a critical value of 10 we approximate the harmonic mean permeability of this thick (>1 m) sea ice in terms of distance from the ice‐ocean interface. Near the base, we obtain values in the same range as those measured by others in Arctic spring and summer. The permeability between the ice‐ocean interface and 0.05 ± 0.04 m above it is of order 10−9 m2. Columnar and incorporated platelet ice permeability distributions in the bottom 0.1 m of winter Antarctic sea ice are statistically significantly different although their arithmetic means are indistinguishable.
Storm Surge Reconstruction and Return Water Level Estimation in Southeast Asia for the 20th Century
Authors: Cid Alba , Wahl Thomas , Chambers Don P. , Muis Sanne 
Published: December 2017

AbstractWe present a methodology to reconstruct the daily maximum storm surge levels, obtained from tide gauges, based on the surrounding atmospheric conditions from an atmospheric reanalysis (20th Century Reanalysis—20CR). Tide gauge records in Southeast Asia are relatively short, so this area is often underrepresented in studies based on long observational records, and there are just a few studies that have analyzed storm surge trends, variability or return water levels (RWLs) from numerical models in this area. Here we develop, calibrate, and validate a multivariate linear regression model that relates the storm surge with the principal components of the local atmospheric conditions. This allows us to reconstruct storm surges for the 147 year 20CR period (1866–2012) and therefore to calculate more robust RWLs from the entire simulated data set and subsets thereof. RWLs are obtained by fitting the monthly maxima values to the Generalize Extreme Value (GEV) distribution. We find an increase in the 50 year RWL from the second half of the 19th century to the present unrelated to mean sea level; this increase is less noticeable when comparing only recent periods. Therefore, further research is needed since there is evidence that atmospheric reanalyses can include spurious trends in the late 19th and early 20th. RWLs obtained from the statistical reconstruction are validated against the ones obtained from observations and from a numerical model. Agreements are generally higher when using surge levels from the statistical model, even before its calibration.
Remote Sensing of Waves Propagating in the Marginal Ice Zone by SAR
Authors: Shen Hui , Perrie William , Hu Yongcun , He Yijun 
Published: December 2017

AbstractWave‐ice interactions are important in high sea state conditions, when waves propagate from the open ocean into the marginal ice zone (MIZ) and the pack ice. In situ observations of waves and wave‐ice interactions can be obtained at a small number of MIZ locations in costly and challenging experiments, whereas remote sensing using satellite RADARSAT‐2 SAR (synthetic aperture radar) images can observe waves throughout the MIZ, in all weather conditions. We present a methodology to retrieve MIZ wave parameters from polarimetric SAR data. As an application, we describe the characteristics of waves propagating from open water into the MIZ, as generated by a strong low pressure system that developed to the east of Greenland. As waves penetrate the MIZ, SAR remote sensing observations suggest increased dominant wavelengths, attenuated wave energy and shifted mean wave directions. The SAR observations and estimates for retrieved wave attenuation in the MIZ are shown to be consistent with wave attenuation theory and in situ field observations. Thus, valuable estimates of MIZ waves over large spatial scales at high‐resolution are provided by the SAR measurements.
Greater Role of Geostrophic Currents in Ekman Dynamics in the Western Arctic Ocean as a Mechanism for Beaufort Gyre Stabilization
Authors: Zhong Wenli , Steele Michael , Zhang Jinlun , Zhao Jinping 
Published: December 2017

AbstractSeven different methods, with and without including geostrophic currents, were used to explore Ekman dynamics in the western Arctic Ocean for the period 1992–2014. Results show that surface geostrophic currents have been increasing and are much stronger than Ekman layer velocities in recent years (2003–2014) when the oceanic Beaufort Gyre (BG) is spinning up in the region. The new methods that include geostrophic currents result in more realistic Ekman pumping velocities than a previous iterative method that does not consider geostrophic currents and therefore overestimates Ekman pumping velocities by up to 52% in the central area of the BG over the period 2003–2014. When the BG is spinning up as seen in recent years, geostrophic currents become stronger, which tend to modify the ice‐ocean stress and moderate the wind‐driven Ekman convergence in the Canada Basin. This is a mechanism we have identified to play an important and growing role in stabilizing the Ekman convergence and therefore the BG in recent years. This mechanism may be used to explain three scenarios that describe the interplay of changes in wind forcing, sea ice motion, and geostrophic currents that control the variability of the Ekman dynamics in the central BG during 1992–2014. Results also reveal several upwelling regions in the southern and northern Canada Basin and the Chukchi Abyssal Plain which may play a significant role in physical and biological processes in these regions.
Spatial and Temporal Patterns of Chlorophyll Concentration in the Southern California Bight
Authors: Nezlin Nikolay P. , McLaughlin Karen , Booth J. Ashley T. , Cash Curtis L. , Diehl Dario W. , Davis Kristen A. , Feit Adriano , Goericke Ralf , Gully Joseph R. , Howard Meredith D. A. , Johnson Scott , Latker Ami , Mengel Michael J. , Robertson George L. , Steele Alex , Terriquez Laura , Washburn Libe , Weisberg Stephen B. 
Published: December 2017

AbstractDistinguishing between local, anthropogenic nutrient inputs and large‐scale climatic forcing as drivers of coastal phytoplankton biomass is critical to developing effective nutrient management strategies. Here we assess the relative importance of these two drivers by comparing trends in chlorophyll‐a between shallow coastal (0.1–16.5 km) and deep offshore (17–700 km) areas, hypothesizing that coastal regions influenced by anthropogenic nutrient inputs may have different spatial and temporal patterns in chlorophyll‐a concentration from offshore regions where coastal inputs are less influential. Quarterly conductivity‐temperature‐depth (CTD) fluorescence measurements collected from three southern California continental shelf regions since 1998 were compared to chlorophyll‐a data from the more offshore California Cooperative Fisheries Investigations (CalCOFI) program. The trends in the coastal zone were similar to those offshore, with a gradual increase of chlorophyll‐a biomass and shallowing of its maximum layer since the beginning of observations, followed by chlorophyll‐a declining and deepening from 2010 to present. An exception was the northern coastal part of SCB, where chlorophyll‐a continued increasing after 2010. The long‐term increase in chlorophyll‐a prior to 2010 was correlated with increased nitrate concentrations in deep waters, while the recent decline was associated with deepening of the upper mixed layer, both linked to the low‐frequency climatic cycles of the Pacific Decadal Oscillation and North Pacific Gyre Oscillation. These large‐scale factors affecting the physical structure of the water column may also influence the delivery of nutrients from deep ocean outfalls to the euphotic zone, making it difficult to distinguish the effects of anthropogenic inputs on chlorophyll along the coast.