bluuebunny/crossref_metadata_2025_split huggingface dataset:
TUÂN THỦ QUY TRÌNH AN TOÀN THỦ THUẬT NỘI SOI DẠ DÀY CỦA NHÂN VIÊN Y TẾ TẠI KHOA CHẨN ĐOÁN HÌNH ẢNH–GIẢI PHẪU BỆNH LÝ TRUNG TÂM Y TẾ HUYỆN VĨNH TƯỜNG, TỈNH VĨNH PHÚC NĂM 2022
Authors: Lê Thị Hằng , Nguyễn Tuấn Thành 
Published: March 2023

Mục tiêu: Mô tả thực trạng tuân thủ quy trình an toàn thủ thuật nội soi dạ dày của nhân viên y tế ở khoa Chẩn đoán hình ảnh - Giải phẫu bệnh lý tại Trung tâm y tế huyện Vĩnh Tường, tỉnh Vĩnh Phúc, năm 2022. Phương pháp: nghiên cứu mô tả cắt ngang, kết hợp phân tích định lượng và định tính ở 90 ca nội soi dạ dày từ tháng 7/2022 - 10/2022. Kết quả: Tỷ lệ tuân thủ của NVYT chung cho cả 3 giai đoạn của quy trình thủ thuật nội soi dạ dày đạt tỷ lệ 78,9%. Tỷ lệ tuân thủ cao nhất ở giai đoạn tiến hành thủ thuật nội soi với tỷ lệ 95,56%, thấp nhất là giai đoạn sau khi thủ thuật là 87,8%. Đối với tỷ lệ tuân thủ quy trình ATTT ở cả 3 giai đoạn của 3 nhóm NVYT: cao nhất là nhóm BS với tỷ lệ tuân thủ là 94,44%, nhóm KTV có tỷ lệ tuân thủ thấp nhất với 84,44%. Một số tiêu chí của bảng kiểm ATTT nội soi có tỷ lệ tuân thủ chưa cao như “kiểm tra máy nội soi trước khi tiến hành nội soi” (tỷ lệ tuân thủ là 93,33%); “Lau sạch ống nội soi và các phụ kiện trong bồn dung dịch tẩy rửa có hoạt tính enzyme” (tỷ lệ tuân thủ là 90%). Kết luận: Tỷ lệ tuân thủ của NVYT chung cho cả 3 giai đoạn của quy trình thủ thuật nội soi dạ dày khá cao. Tuy nhiên, còn một tỷ lệ thấp chưa tuân thủ, vì vậy NVYT cần nâng cao ý thức trách nhiệm đảm bảo ATTT trong 3 giai đoạn của quy trình nội soi dạ dày đặc biệt tăng cường công tác hướng dẫn người bệnh những thông tin cần thiết sau nội soi và thực hiện tốt việc xử lý dụng cụ nội soi.
The role of tropical upwelling in explaining discrepancies between recent modeled and observed lower-stratospheric ozone trends
Authors: Davis Sean M. , Davis Nicholas , Portmann Robert W. , Ray Eric , Rosenlof Karen 
Published: March 2023

Abstract. Several analyses of satellite-based ozone measurements
have reported that lower-stratospheric ozone has declined since the late
1990s. In contrast to this, lower-stratospheric ozone was found to be
increasing in specified-dynamics (SD) simulations from the Whole Atmosphere
Community Climate Model (WACCM-SD) despite the fact that these simulations
are expected to represent the real-world dynamics and chemistry relevant to
stratospheric ozone changes. This paper seeks to explain this specific
model and observational discrepancy and to more generally examine the
relationship between tropical lower-stratospheric upwelling and lower-stratospheric ozone. This work shows that, in general, the standard
configuration of WACCM-SD fails to reproduce the tropical upwelling changes
present in its input reanalysis fields. Over the period 1998 to 2016,
WACCM-SD has a spurious negative upwelling trend that induces a positive
near-global lower-stratospheric column ozone trend and that accounts for much of
the apparent discrepancy between modeled and observed ozone trends. Using a
suite of SD simulations with alternative nudging configurations, it is shown
that short-term (∼ 2-decade) lower-stratospheric ozone trends
scale linearly with short-term trends in tropical lower-stratospheric
upwelling near 85 hPa. However, none of the simulations fully capture the
recent ozone decline, and the ozone and upwelling scaling in the WACCM
simulations suggests that a large short-term upwelling trend
(∼ 6 % decade−1) would be needed to explain the
observed satellite trends. The strong relationship between ozone and
upwelling, coupled with both the large range of reanalysis upwelling trend
estimates and the inability of WACCM-SD simulations to reproduce upwelling
from their input reanalyses, severely limits the use of SD simulations for
accurately reproducing recent ozone variability. However, a free-running
version of WACCM using only surface boundary conditions and a nudged quasi-biennial oscillation
produces a positive decadal-scale lower-stratospheric upwelling trend and a
negative near-global lower-stratospheric column ozone trend that is in
closest agreement with the ozone observations.
Valgarður: a database of the petrophysical, mineralogical, and chemical properties of Icelandic rocks
Authors: Scott Samuel W. , Lévy Léa , Covell Cari , Franzson Hjalti , Gibert Benoit , Valfells Ágúst , Newson Juliet , Frolova Julia , Júlíusson Egill , Guðjónsdóttir María Sigríður 
Published: March 2023

Abstract. The Valgarður database is a compilation of data describing the
physical and geochemical properties of Icelandic rocks. The dataset
comprises 1166 samples obtained from fossil and active geothermal systems
as well as from relatively fresh volcanic rocks erupted in subaerial or
subaqueous environments. The database includes petrophysical properties
(connected and total porosity, grain density, permeability, electrical
resistivity, acoustic velocities, rock strength, and thermal conductivity) as
well as mineralogical and geochemical data obtained by point counting, X-ray
fluorescence (XRF), quantitative X-ray diffraction (XRD), and cation
exchange capacity (CEC) analyses. The database may be accessed at https://doi.org/10.5281/zenodo.6980231 (Scott et al., 2022a). We present
the database and use it to characterize the relationship between lithology,
alteration, and petrophysical properties. The motivation behind this
database is to (i) aid in the interpretation of geophysical data,
including uncertainty estimations; (ii) facilitate the parameterization of
numerical reservoir models; and (iii) improve the understanding of the
relationship between rock type, hydrothermal alteration, and petrophysical
properties.
Variations of extreme precipitation events with sub-daily data: a case study in the Ganjiang River basin
Authors: Liu Guangxu , Xiang Aicun , Wan Zhiwei , Zhou Yang , Wu Jie , Wang Yuandong , Lin Sichen 
Published: March 2023

Abstract. Climate warming increases the intensity of extreme precipitation. Studying extreme precipitation patterns and changes is vital to reducing risk. This paper investigates thresholds, changes and timescales for extreme precipitation using sub-daily records from meteorological stations in the Ganjiang River basin. We use the gamma distribution and select the L-moment method to estimate the parameters α and β. Results show that (1) continuous precipitation events of 36 h contributed the most precipitation to the total but with lower frequency, which would be key events for flood monitoring; (2) the intensity and the occasional probability of extreme precipitation will increase in spring in the future in stations like Yifeng, Zhangshu and Ningdu, which will in turn increase the risk of storm floods; and (3) spatial distribution of extreme precipitation risk shows that the risk increases as elevation increases in the northern lowland and the Jitai Basin in the midstream region, while the risk in the southern mountainous region decreases as elevation increases. These findings will facilitate emergency preparedness, including risk management and disaster assistance, in the study areas.
Caractérisation des Surfaces Pastorales en Région PACA par SIG et Télédétection: Questions de Méthodes et Premiers Résultats
Authors: SHAQURA Imad , LASSEUR Jacques 
Published: March 2023

Ce travail consiste à caractériser l'espace pastoral de la région PACA en termes de distribution spatiale et de diversité des formations végétales concernées. Pour caractériser l'emprise spatiale des espaces pâturés nous avons analysé deux bases de données disponibles : le registre parcellaire graphique (RPG) issus des déclarations des agriculteurs dans le cadre de la politique agricole commune et une enquête pastorale (EP) réalisée à l'échelle des régions Provence Alpes Côte d'azur et Rhône Alpes. Nous avons ensuite caractérisé l'occupation du sol par télédétection en distinguant 5 clases de milieux (forêts, landes fermées, landes ouvertes, pelouses, sol nu) à l'échelle d'un géoterroir test de la région (Haut Verdon Annot-Saint André). Nos résultats montrent de fortes divergences entre les données issues des RPG et EP et montrent la pertinence de la création d'une cartographie dédiée au pastoralisme par télédétection selon une approche orientée objet comme voie de caractérisation de l'occupation du sol des espaces naturels pâturés usuellement mal renseigné à cette échelle large. A l'échelle de ce géoterroir test, quelques soit la source de donnée de spatialisation une forte proportion de l'espace pastoral (60 %) est en question soit en regard des règles d'admissibilité de ces surfaces aux soutiens publics de la PAC (30 %) ou des perspectives à moyen terme d'accessibilité pour les animaux à une ressource pâturable du fait de la forte dynamique de fermeture des milieux (30 % des surfaces déclarées appartenant à la catégorie landes fermées).
SECUELAS POST COVID EN ADULTOS ATENDIDOS EN EL “HOSPITAL SAN LUIS DE OTAVALO” 2021.
Authors: Santander Chimarro Robert Daniel , VALLE DAVILA María Fernanda 
Published: March 2023

La pandemia mundial ocasionada por el SARS-CoV-2 desencadenó una enfermedad respiratoria altamente infecciosa denominada Covid-19. Esta patología ha desarrollado una sintomatología altamente persistente durante semanas o meses posterior al proceso de recuperación del paciente. El objetivo de este estudio fue identificar las secuelas post Covid-19 en pacientes adultos atendidos en el “Hospital San Luis de Otavalo” en el año 2021. Estudio de abordaje cuantitativo, no experimental de tipo descriptivo y retrospectivo. La muestra no probabilística constituida de 140 pacientes que fueron hospitalizados con diagnóstico de Covid-19 y posteriormente dados de alta. Se realizó una revisión de historias clínicas y entrevista semiestructurada vía telefónica cumpliendo con todos los criterios éticos para su ejecución. Resultados: las secuelas identificadas son la disnea, fatiga, tos, depresión, parestesias, anosmia, dolor torácico, cefalea entre otras. Se concluye que existen secuelas ocasionada por la enfermedad de Covid-19, que afectan a diferentes sistemas del ser humano que requieren vigilancia, detección y tratamiento oportuno. Se debe brindar educación a pacientes y familiares sobre la presencia de secuelas post Covid 19 y la importancia de asistir a los controles programados, con la finalidad de prevenir complicaciones y mejorar la calidad de salud de la población.
DE L’INSTITUTION DU FONDS MINIER POUR LES GENERATIONS FUTURES EN REPUBLIQUE DEMOCRATIQUE DU CONGO
Authors: Lupapa Moses kalombo 
Published: March 2023

Il existe un contraste dérangeant entre les besoins des générations futures prônées par le législateur congolais de 2018 et les besoins des générations présentes qui ne jouissent pas sensiblement de recettes découlant de l’exploitation minière. Le pays figure parmi les plus pauvres du monde en termes de revenu par habitant. Le législateur ne doit pas non plus sacrifier les intérêts des générations présentes sur l’autel de l’équité. L’équité bien ordonnée devant commencer par les générations présentes.
Ainsi, nous demandons-nous : quelles furent les motivations profondes du législateur congolais pour instituer le fonds minier pour les générations futures au moment où les générations présentes ne jouissent pas de recettes découlant de l’exploitation des ressources naturelles ? Etait-il nécessaire d’instituer un tel fonds en RDC et quel serait son impact sur le développement durable ?
Monitoring intra-abdominal pressure for early detection of preeclampsia among pregnant women
Authors: Fouly Howieda , Mohamed Heba , Fathalla Mohamed 
Published: March 2023

Background: Elevated intra-abdominal pressure (IAP) is commonly present in critically ill patients. Where the trigger mechanism of preeclampsia is related to increase abdominal hypertension. Aim: Monitoring the intra-abdominal pressure for early detection of preeclampsia among pregnant women. Design: A quasi-experiment clinical practice research. Methods: a sample of 60 pregnant women divided into an intervention group included a total of 30 patients diagnosed with preeclampsia and 30 normotensives as a control group. Setting: The study conducted at obstetric ICU and emergency unit, woman's Health Hospital, Upper Egypt. Results: There is a statistically significant difference between intra-abdominal pressure and preeclampsia and its clinical feature. The risk factors' effects on intra-abdominal pressure, such as age and gravidity, have no statistically significant relationship. Conclusions: The study confirms that the range of intra-abdominal pressure in the preeclamptic group significantly higher than the normotensive group, and there is a positive correlation between elevated IAP and preeclamptic complications. Relevance to clinical practice: Applied continuous nursing monitoring of intra-abdominal pressure for all critical patients in the obstetric field is an essential part of nursing care to avoid abdominal compartment syndrome and organ complications.
Doctorado en Investigación Científica con mención en Ciencias de la Salud, período 2021-2025: Logros y Avances
Authors: Pedroza Manuel Enrique 
Published: March 2023

Con el objetivo de divulgar los logros y avances del Programa de Doctorado en Investigación Científica con mención en Ciencias de la Salud, (PRODIC_S), I Cohorte de la Facultad de Ciencias Médicas (FCCMédicas) de UNAN-Managua, se presenta este artículo. Se destacan como hallazgos relevantes: 1) Defendido el proyecto de investigación de cada doctorando. (2) Cumplimiento del plan académico del año 2021. (3) Definido el tutor científico para c/u de los doctorantes. (4) Al 30 de junio 2022, un 80 % de los doctorandos son becados por UNAN-Managua. (5) Se obtuvo una elevada satisfacción de los doctorandos sobre sus avances en el programa, el 90 % tuvieron muy alta satisfacción y un 10 % tuvieron alta satisfacción. (6) Acceso y disponibilidad al material académico, mediante la Plataforma Moodle del doctorado. (7) Cumplimiento del primer Ensayo científico. (8) Gestión institucional del programa fundamentado en el Modelo I+D+i. (9) Cumplimiento del proyecto de investigación doctoral. (10) Desarrollado un nuevo diseño curricular en seis módulos. (11) Disponibilidad del equipo de docentes fundadores de este programa.
Saving Animals: A Long Moral Arc
Authors: Thibodeau Lucille C. 
Published: March 2023

Abstract
Saving Animals, a study of three different kinds of animal sanctuaries, is the first major ethnography to describe how sanctuaries “unmake” the notion of animals as property that reduces them to “bare life.” The study relies on numerous engaging narratives about rescue animals, their mutual interactions, and their interactions with the people who care for them—narratives that illustrate how the sentience and subjectivity of animals provide a firm ground for the author's ethical considerations. An animal sanctuary is ideally an intentional community of cocitizens whose pragmatic and symbolic value resides in its ability to lay the foundation for a broad challenge to all violent practices of exploitation “targeted at a range of different others.” The patient, incremental work of sanctuaries has implications not only for the future of human-animal relations but more broadly for the future of humans on the planet. The ultimate vision of sanctuaries is a world outside that mirrors the world inside, a pantopia where there will be no “others,” only “us.”
Traditional Chinese medicine in treating Corona Virus Disease 2019: a systematic review and cost-effectiveness analysis
Authors: Shao Taihang , Wang Ke , Liao Xing , Tang Wenxi 
Published: March 2023

ABSTRACT
Background: Currently, corona virus disease 2019 (COVID-19) has infected 633,601,048 people worldwide according to World Health Organization, which leads to huge disease burden. A considerable number of trials of traditional Chinese medicine (TCM) have been carried out and have shown the efficacy of TCM in the treatment of COVID-19, but their cost-effectiveness has not been studied, especially in China. Therefore, we plan to perform a systematic review and cost-effectiveness analysis to explore the cost-effectiveness of using TCM in treating COVID-19.
Methods: A systematic review based on previously published secondary data from randomized controlled trials and observational studies which included TCM as one of the interventions for patients with COVID-19 will be performed. Patients with COVID-19 will be classified into five specific groups (patients without diagnosis; patients with mild, moderate, severe and critical symptoms). TCM versus western medicine on both effectiveness outcomes(cure rate and survival rate) and utility outcome(quality-adjusted life years) will be evaluated. A decision tree model will be established taking the perspective of Chinese health care system since the costs were paid by the Chinese government. Cumulative costs, Qalys, and incremental cost-effectiveness ratio will be selected as the outcome indicator. Sensitivity analysis will also be conducted to evaluate the impact of parameter uncertainty on the base-case analyses results. We will present results at various willingness-to-pay thresholds using a cost-effectiveness acceptability curve.
Discussion We hope to demonstrate the cost-effectiveness of TCM, see an improvement in the patients' quality of life, achieve a improvement in the cure rate and survival rate of COVID-19. If TCM is cost-effectiveness, it could be applied to clinical practice decision making.
Ethics and dissemination: Ethics approval is not required for the current study. Because the data used in this study is just the re-use of data which are already in the public domain. The results will be disseminated to general public, clinicians, academics and policy makers.
Registration number: CRD42021228887
Keywords: Traditional Chinese medicine; Corona Virus Disease 2019; decision tree model; systematic review; cost-effectiveness analysis
Peran Vitamin D pada Fungsi Sawar Permeabilitas Kulit
Authors: Damayanti Nita 
Published: March 2023

Salah satu fungsi utama kulit adalah membentuk sawar antara tubuh dan lingkungan eksternal. Fungsi sawar permeabilitas kulit salah satunya dipertahankan dengan proses diferensiasi dan proliferasi keratinosit pada lapisan epidermis. Efek vitamin D pada kulit termasuk memengaruhi proliferasi, diferensiasi, dan apoptosis keratinosit. Defisiensi serta kelainan aktivasi dan metabolisme vitamin D menyebabkan defek fungsi sawar permeabilitas kulit. Makalah ini membahas epidermis sebagai sawar permeabilitas kulit dan peran vitamin D pada sawar permeabilitas kulit.
One of the skin’s main functions is to form a protective barrier towards external environment. The protective function is maintained by differentiation and proliferation of keratinocytes in the epidermal layer. Vitamin D effects on the skin include proliferation, differentiation, and apoptosis of keratinocyte. Deficiency and abnormalities of vitamin D activation and metabolism impair skin’s function as permeability barrier. This paper discusses the epidermis as permeability barrier and the role of vitamin D in the skin permeability barrier.
Komplikasi Sistem Saraf Pusat pada COVID-19
Authors: Esterita Tasia , Wreksoatmodjo Budi Riyanto 
Published: March 2023

Coronavirus disease-19 disebabkan oleh virus SARS-CoV-2 yang menyebabkan pandemi sejak Maret 2020. COVID-19 tidak hanya menyebabkan komplikasi pernapasan dan kardiovaskular, tetapi dapat menyebabkan komplikasi sistem saraf pusat yang juga berkontribusi terhadap mortalitas dan morbiditas. Beberapa komplikasi sistem saraf pusat pada COVID-19 adalah stroke iskemik, stroke hemoragik, meningoensefalitis, acute transverse myelitis, dan ensefalopati. Stroke iskemik pada COVID-19 disebabkan oleh beberapa mekanisme, di antaranya koagulopati, disfungsi endotel, kardioemboli, invasi virus ke sistem saraf pusat, dan terapi imunoglobulin. Stroke hemoragik dapat disebabkan oleh kerusakan endotel akibat inflamasi menyebabkan disregulasi tekanan darah yang meningkatkan risiko stroke hemoragik. Meningoensefalitis pada COVID-19 disebabkan invasi virus langsung melalui cribriform plate atau karena kerusakan endotel yang menjadi pintu masuk SARS-CoV-2 ke otak. Mielitis transversa pada COVID-19 disebabkan hiperinflamasi sistemik, molecular mimicry, dan epitope spreading. Kegagalan organ multipel pada pasien COVID-19 akibat badai sitokin dapat menyebabkan ensefalopati.
Coronavirus disease-19 is caused by the SARS-CoV-2 virus that has been causing a pandemic since March 2020. Besides respiratory and cardiovascular complications, COVID-19 can cause complications to central nervous system that also contribute to mortality and morbidity. Some central nervous system complications in COVID-19 are ischemic stroke, hemorrhagic stroke, meningoencephalitis, acute transverse myelitis, and encephalopathy. Ischemic stroke in COVID-19 is caused by several mechanisms, including coagulopathy, endothelial dysfunction, cardioembolism, viral invasion of the central nervous system and immunoglobulin therapy. Hemorrhagic stroke can be associated with blood pressure dysregulation caused by inflammational endothelial damage. Meningoencephalitis in COVID-19 can be caused by direct viral invasion through the cribriform plate or due to endothelial damage that facilitate SARS-CoV-2 entrance to the brain. Transverse myelitis in COVID-19 is caused by systemic hyperinflammation, molecular mimicry and epitope spreading. Multiple organ failure in COVID-19 patients due to a cytokine storm can lead to encephalopathy.
Osteomielitis: Diagnosis, Tata Laksana Bedah, dan Medikamentosa
Authors: Theola Jason , Suryoadji Kemal Akbar , Yudianto Valentino Ryu 
Published: March 2023

Osteomielitis merupakan peradangan tulang dan sumsum tulang yang biasanya disebabkan oleh infeksi bakteri. Osteomielitis dapat menimbulkan gangguan fungsional irreversibel dan disabilitas. Namun, hingga saat ini, belum ada guideline khusus diagnosis dan manajemen tata laksana osteomielitis. Diagnosis dan tata laksana osteomielitis harus komprehensif agar memberikan hasil baik.
Osteomyelitis is an inflammation of bone and bone marrow which is usually caused by bacterial infection. Osteomyelitis can cause irreversible functional problems and disabilities. There is still no specific guidelines for diagnosis and management of osteomyelitis. Diagnosis and management must be conducted comprehensively to result in good recovery.
STEMI Inferior dengan Infark Ventrikel Kanan dan Posterior
Authors: Kurnia Andy 
Published: March 2023

Infark miokard dengan elevasi segmen ST atau ST elevation myocardial infarction (STEMI) inferior merupakan salah satu jenis sindrom koroner akut (SKA) dengan prognosis dan luaran cukup baik. Namun, bila didapatkan infark ventrikel kanan dan posterior, prognosis dan luaran akan menjadi lebih buruk. Oleh karena itu, gambaran EKG STEMI inferior dengan keterlibatan infark ventrikel kanan dan posterior perlu dikenali guna tata laksana yang tepat dan akurat.
Inferior ST elevation myocardial infarction is a subset of acute coronary syndrome (ACS) with better prognosis and outcome. However, if right ventricular (RV) and posterior infarction are involved, the prognosis and outcome may be worse. Recognizing the ECG pattern of inferior wall myocardial infarction with RV and posterior involvement is important to provide precise and accurate management.