bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dementia care coordinator service in Kent and Medway: a realist evaluation protocol
Authors: Abrams Ruth , Gage Heather , Maben Jill , Grosvenor Wendy , Sykes Kath , Touray Morro 
Published: July 2023

BackgroundDementia care is a key priority for both NHS England and the UK government. National guidelines highlight the importance of care coordination to address the challenges people living with dementia and their carers can encounter when trying to access the health and care system. To counter these challenges, Kent and Medway Integrated Care Board (ICB) have recently implemented a proactive dementia care coordinator (DCC) service to support people with dementia and their carers from pre-diagnosis to end-of-life care.AimTo understand how the DCC service works (or does not work), for whom, and in what circumstances. The findings will inform service development and future investment decisions.Design & settingThis study will use a realist approach to evaluate the DCC service in Kent and Medway ICB, south-east England, which has a population of 1.9 million, comprising 42 primary care networks (PCNs; groups of general practices) each having a DCC.MethodAn initial programme theory will be developed from existing literature, and in collaboration with stakeholders. Mixed methods, including questionnaires to DCCs, service provider metrics, and qualitative interviews, will be used to collect data on service provider and service user experiences. Interpretive comparative analysis and narrative synthesis, including evaluation of service costs against outcomes, will produce a refined final programme theory.ResultsThe results from this project will produce evidence-based recommendations to help improve service delivery and possible service expansion.ConclusionThis protocol describes a realist evaluation designed to investigate the recently implemented DCC service in Kent and Medway ICB.
COLGAJO DE MUSTARDÉ COMO TRATAMIENTO DE UN CARCINOMA BASOCELULAR. A PROPÓSITO DE UN CASO.
Authors: Fuenzalida Mery Lucas , Villalobos Cabrera Keilo Tomás , Miranda Palta Rodrigo , Cabané Toledo Patricio Eduardo 
Published: July 2023

Introducción: El carcinoma basocelular es actualmente el cáncer de piel más frecuente, siendo su principal factor de riesgo la exposición a radiación ultravioleta. Su tratamiento es la resección quirúrgica, según riesgo de recurrencia. La reconstrucción facial posterior a la resección se enfrentará según la unidad estética de la cara, lo cual determinará la técnica quirúrgica a utilizar.Materiales y Métodos: El siguiente caso clínico aborda la resección de un carcinoma basocelular nodular morfeiforme ubicado en mejilla y ala nasal, y posterior reconstrucción mediante el uso de un Colgajo de Mustardé, con resultado exitoso.Resultados: Evolución favorable, con reseccion completa de la lesion tumoral y vitalidad del colgajo postoperatorio. Cursó con una leve desviación nasal que cedió con masaje de la cicatriz. Se puede plantear una plastía de retoque del ala nasal a futuroConclusión: Presentamos un caso clínico de un carcinoma basocelular facial con alto riesgo de recurrencia que fue tratado en forma segura y efectiva con un colgajo de Mustardé.
An Insurance Value Modeling Approach That Captures the Wider Value of a Novel Antimicrobial to Health Systems, Patients, and the Population
Authors: Chan Mei S. , Holloway Richard , King Robert , Polya Rosie , Sloan Rebecca , Kowalik Jack C. , Ashfield Tom , Moore Luke S.P. , Porter Thomas , Pearson-Stuttard Jonathan 
Published: July 2023

Background: Traditional health economic evaluations of antimicrobials currently underestimate their value to wider society. They can be supplemented by additional value elements including insurance value, which captures the value of an antimicrobial in preventing or mitigating impacts of adverse risk events. Despite being commonplace in other sectors, constituents of the impacts and approaches for estimating insurance value have not been investigated. Objectives: This study assessed the insurance value of a novel gram-negative antimicrobial from operational healthcare, wider population health, productivity, and informal care perspectives. Methods: A novel mixed-methods approach was used to model insurance value in the United Kingdom: (1) literature review and multidisciplinary expert workshops to identify risk events for 4 relevant scenarios: ward closures, unavoidable shortage of conventional antimicrobials, viral respiratory pandemics, and catastrophic antimicrobial resistance (AMR); (2) parameterizing mitigable costs and frequencies of risk events across perspectives and scenarios; (3) estimating insurance value through a Monte Carlo simulation model for extreme events and a dynamic disease transmission model. Results: The mean insurance value across all scenarios and perspectives over 10 years in the UK was £718 million, should AMR remain unchanged, where only £134 million related to operational healthcare costs. It would be 50%-70% higher if AMR steadily increased or if a more risk-averse view (1-in-10 year downside) of future events is taken. Discussion: The overall insurance value if AMR remains at current levels (a conservative projection), is over 5 times greater than insurance value from just the operational healthcare costs perspective, traditionally the sole perspective used in health budgeting. Insurance value was generally larger for nationwide or universal (catastrophic AMR, pandemic, and conventional antimicrobial shortages) rather than localized (ward closure) scenarios, across perspectives. Components of this insurance value match previously published estimates of operational costs and mortality impacts. Conclusions: Insurance value of novel antimicrobials can be systematically modeled and substantially augments their traditional health economic value in normal circumstances. These approaches are generalizable to similar health interventions and form a framework for health systems and governments to capture broader value in health technology assessments, improve healthcare access, and increase resilience by planning for adverse scenarios.
PENGARUH PENGGUNAAN BAHAN AJAR KIMIA DASAR MATERI KINETIKA KIMIA BERBASIS STEM-PROBLEM BASED LEARNING TERHADAP HASIL BELAJAR MAHASISWA PENDIDIKAN KIMIA UNIVERSITAS SRIWIJAYA
Authors: Putri Siska , Suhery Tatang , Sari Diah Kartika , Edi Rodi 
Published: July 2023

Penelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh penggunaan bahan ajar kimia dasar berbasis STEM-Problem Based Learning materi kinetika kimia terhadap hasil belajar mahasiswa Pendidikan Kimia Universitas Sriwijaya. Penelitian ini merupakan penelitian eksperimen semu dengan non-equivalent control group design. Teknik pengumpulan data pada penelitian ini adalah tes, lembar observasi, dan wawancara. Uji persyaratan analisis pada penelitian ini meliputi uji homogenitas dan normalitas. Uji hipotesis yang dilakukan adalah independent sample t test, dengan membandingkan nilai thitung dengan ttabel. Dari hasil uji t tersebut diperoleh nilai thitung 15,233 > ttabel 1,998, sehingga H0 ditolak. Dengan demikian dapat disimpulkan bahwa bahan ajar kimia dasar materi kinetika kimia berbasis STEM-Problem Based Learning memberikan pengaruh positif terhadap hasil belajar mahasiswa, dan dapat secara efektif digunakan dalam proses belajar mengajar.
Управління інноваційним розвитком закладу загальної середньої освіти на основі організованої синергії
Authors: Назаренко Людмила 
Published: July 2023

У статті на теоретико-методологічному рівні досліджено концепцію управління інноваційним розвитком загальноосвітнього навчального закладу на основі позитивної організованої синергії. На основі самостійно сформованих наукових позицій обґрунтовано, що концепція позитивної організованої синергії є основою управління інноваційним розвитком закладу загальної середньої освіти шляхом забезпечення необхідних умов формування внутрішньої самоорганізації, вироблення і застосування механізмів її стимулювання і підтримки з метою досягнення певного синергетичного ефекту для поліпшення ефективності виконання спільної мети, завдань, функцій у процесі інноваційних змін.
Визначено умови формування самоорганізації в різних підсистемах освітньої діяльності, а саме: розвиток внутрішньої активності професійних груп, реалізація політики відкритих комунікацій, виокремлення в структурі закладу освіти відносно автономних підсистем. Доведено, що забезпечення означених вище умов сприятиме не лише чуттєво-емоційному, а й когнітивному сприйняттю нових професійних завдань, формуванню діяльної поведінки за типом «активне самозалучення» (перша умова); реалізації політики відкритих комунікацій, що необхідно для ефективного інформаційного обміну між «суб’єктами творення змін», швидкого прийняття правильних управлінських рішень, злагодженості роботи всього колективу (друга умова); делегуванню певних повноважень для виконання особливо важливої місії та забезпечення координації їх взаємодії (третя умова).
ВОПРОСЫ ОПРЕДЕЛЕНИЯ СПОРНОГО РОДСТВА У СЕЛЬСКОХОЗЯЙСТВЕННЫХ ЖИВОТНЫХ И ИХ ПРИКЛАДНОЕ ЗНАЧЕНИЕ В СУДЕБНОЙ СИСТЕМЕ
Authors: Нурбаев Серик , Бисенов Утепберген , Ирзагалиев Косыбек , Утаубаева Алма , Мамырханова Сайран 
Published: July 2023

Несовершенство законодательной системы в области определения родства у сельскохозяйственных животных открывает лазейки для злоупотреблений. В полной мере это касается технического регулирования в области судебной молекулярно-генетической экспертизы, где от совершенства системы стандартизации в конечном итоге зависит юридический статус и судьба конкретных людей. В настоящее время по этой проблеме существуют лишь разрозненные и зачастую несогласованные внутриведомственные нормативные документы типа методических рекомендаций, методических указаний и инструкций, некоторые положения которых подвергаются справедливой критике. В большинстве «Методических указаниях» имеются многочисленные противоречия, неточности, неоднозначные указания, допускающие противоположные трактовки, неполные разъяснения, что недопустимо для руководства, рассматриваемого как юридический документ. Эти вопросы могут стать решающими в суде при согласии или несогласии с результатами ДНК-экспертизы. Такие недостатки способны существенно повлиять на качество судебно-генетической экспертизы и привести к назначению дополнительной или повторной экспертизы. Требования, устанавливаемые нормативными документами по стандартизации, должны основываться на современных достижениях науки, техники и технологии, международных (региональных) стандартах, правилах, нормах и рекомендациях по стандартизации, прогрессивных национальных стандартах других государств.
В этом плане трудно переоценить своевременность публикации «Международных рекомендаций к стандартам по проверке отцовства», которые подготовлены большим коллективом Комиссии по проверке отцовства при Международном обществе по судебной генетике. Заслуживает внимания основной принцип, которым руководствовалась Комиссия: за основу был взят международный стандарт ISO 17025:1999 «Общие требования к компетентности испытательных и калибровочных лабораторий». Особенность стандартов ISO состоит в том, что при применении их в специфических областях допускается введение дополнительных «указаний по применению», если только они никоим образом не изменяют смысла ни одного из параграфов исходного текста.
Исключительно важным представляется требование к профессиональной подготовке персонала лаборатории.
В Казахстане разработан и внедрен с 2019 г. Национальный стандарт Республики Казахстан «Генетический анализ происхождения животных. Методика определения идентификации и контроля» СТ РК 3074 -2017 [9].
Вопросы к установлению более удаленных степеней родства для сельскохозяйственных животных становятся актуальными в связи широким привлечением генетической экспертизы в уголовных и гражданско-правовых системах общества.
PENGEMBANGAN PEMBANGKIT LISTRIK HYBRID UNTUK MEMENUHI KEBUTUHAN LISTRIK DESA CIPEUJEUH, KABUPATEN BANDUNG
Authors: Kristyadi Tarsisius , Hermanto Agus , Taufiq Eka , Nugraha Noviyanti , Arfianto Teguh , Hadiatna Febrian 
Published: July 2023

Desa Cipeujeuh merupakan salah satu desa di kecamatan Pacet kabupaten Bandung yang membutuhkan listrik untuk penerangan jalan, pengelolaan kolam, dan pengelolaan air bersih. Ada potensi sumber energi yang dapat dimanfaatkan untuk menghasilkan listrik yaitu aliran air irigasi dan potensi sinar matahari. Tujuan kegiatan ini adalah memberdayakan masyarakat desa Cipeujeuh supaya dapat mengelola sumber energi terbarukan untuk keperluan masyarakat desa tersebut. Mitra kegiatan ini adalah pemerintah desa Cipeujeuh kabupaten Bandung Jawa barat. Pengabdian dilakukan dengan memberikan pendampingan dalam instalasi dan pengelolaan pembangkit listrik hybrid. Pembangkit listrik ini merupakan hasil penelitian dari dosen Itenas yaitu turbin aksial horizontal dengan head yang sangat rendah. Turbin ini dipasang untuk memanfaatkan saluran irigasi buatan yang ada di Desa Cipeujeuh bersama-sama dengan PLTS membentuk pembangkit listrik hybrid. Manfaat kegiatan ini adalah listrik yang dihasilkan dapat digunakan untuk penerangan jalan, aerasi kolam, dan untuk menjalankan sistem air bersih. Kontribusi mitra adalah penyediaan lokasi, peralatan dan sarana untuk pembangkit listrik. Mereka berperan aktif dalam pelaksanaan kegiatan ini yaitu dalam pengoperasian dan perawatan serta proses pembangunan pembangkit listrik. Mitra melaksanakan pemasangan, pengoperasian dan perawatan berdasarkan teknologi yang ditawarkan. Hasil kegiatan pengabdian masyarakat ini adalah perangkat pembangkit listrik hybrid yang dapat dimanfaatkan untuk penerangan, kebutuhan air minum, dan aerasi kolam ikan sehingga masyarakat tidak perlu mengeluarkan biaya listrik untuk keperluan tersebut
PENDIRIAN KOPERASI PRODUSEN BAGI SMALL MEDIUM ENTERPRISES IN CULINARY DI KOTA SURABAYA
Authors: Utomo Sulistyo Budi , Suprihhadi Heru , Dewi Mega Arisia , Widiarma In'am 
Published: July 2023

Usaha yang tidak mengalami guncangan atau bisa disebut tahan dalam menghadapi “turbulence” dalam kondisi tidak menentu dan terbukti berdasarkan pengalaman pasca pandemi Covid 19 yang penuh dengan tantangan, maka Usaha Mikro Kecil dan Menengah (UMKM) sebagai jawabannya dan bahkan memberikan kontribusi pada perekonomian nasional serta pembukaan lapangan pekerjaan. Selain itu, manfaat UMKM dapat menyiapkan produknya berkulitas untuk berdaya saing, berinovasi pada digitalisasi dan memperluas akses pasar didalam negeri serta luar negeri. Hal ini, dapat mendorong kerjasama dengan mitra atau lembaga yang mempunyai tujuan yang sama untuk mewujudkan kesejahteraan bersama dengan menggandeng Koperasi. Metode pelaksanaannya dengan cara melakukan pelatihan secara offline terkait peranan penting pendirian koperasi untuk UMKM bersama Dekopinda Kota Surabaya, kemudian untuk menindaklanjuti kegiatan tersebut dilakukan pendampingan secara menyeluruh kepada semua pelaku UMKM yang terlibat, langkah-langkah pendampingan sebagai berikut: 1) Rancangan visi misi pendirian Koperasi 2) Konsultasi dengan Ketua Dekopinda Kota Surabaya 3) Verifikasi nama koperasi 4) Pengajuan pengesahan akta pendirian Koperasi dibantu notaris. Hasil Kegiatan pengabdian kepada masyarakat bagi anggota UMKM di Kota Surabaya ini telah berjalan dengan baik. Kegiatan ini memberikan manfaat bagi para anggota UMKM dalam terealisasinya pendirian Koperasi dan meningkatkan kesejahteraan anggotanya.
Transmission Spectroscopy of the Lowest-density Gas Giant: Metals and a Potential Extended Outflow in HAT-P-67b
Authors: Bello-Arufe Aaron , Knutson Heather A. , Mendonça João M. , Zhang Michael M. , Cabot Samuel H. C. , Rathcke Alexander D. , Ulla Ana , Vissapragada Shreyas , Buchhave Lars A. 
Published: July 2023

Abstract
Extremely low-density exoplanets are tantalizing targets for atmospheric characterization because of their promisingly large signals in transmission spectroscopy. We present the first analysis of the atmosphere of the lowest-density gas giant currently known, HAT-P-67b. This inflated Saturn-mass exoplanet sits at the boundary between hot and ultrahot gas giants, where thermal dissociation of molecules begins to dominate atmospheric composition. We observed a transit of HAT-P-67b at high spectral resolution with CARMENES and searched for atomic and molecular species using cross-correlation and likelihood mapping. Furthermore, we explored potential atmospheric escape by targeting Hα and the metastable helium line. We detect Ca ii and Na i with significances of 13.2σ and 4.6σ, respectively. Unlike in several ultrahot Jupiters, we do not measure a day-to-night wind. The large line depths of Ca ii suggest that the upper atmosphere may be more ionized than models predict. We detect strong variability in Hα and the helium triplet during the observations. These signals suggest the possible presence of an extended planetary outflow that causes an early ingress and late egress. In the averaged transmission spectrum, we measure redshifted absorption at the ∼3.8% and ∼4.5% level in the Hα and He i triplet lines, respectively. From an isothermal Parker wind model, we derive a mass-loss rate of

M

̇

∼

10

13

g

s

−
1

and an outflow temperature of T ∼ 9900 K. However, due to the lack of a longer out-of-transit baseline in our data, additional observations are needed to rule out stellar variability as the source of the Hα and He signals.
WIYN Open Cluster Study 89. M48 (NGC 2548) 2: Lithium Abundances in the 420 Myr Open Cluster M48 from Giants through K Dwarfs*

†
Authors: Sun Qinghui , Deliyannis Constantine P. , Steinhauer Aaron , Anthony-Twarog Barbara J. , Twarog Bruce A. 
Published: July 2023

Abstract
We consider WIYN/Hydra spectra of 329 photometric candidate members of the 420 Myr old open cluster M48 and report lithium detections or upper limits for 234 members and likely members. The 171 single members define a number of notable Li-mass trends, some delineated even more clearly than in Hyades/Praesepe: the giants are consistent with subgiant Li dilution and prior MS Li depletion due to rotational mixing. A dwarfs (8600–7700 K) have upper limits higher than the presumed initial cluster Li abundance. Two of five late A dwarfs (7700–7200 K) are Li-rich, possibly due to diffusion, planetesimal accretion, and/or engulfment of hydrogen-poor planets. Early F dwarfs already show evidence of Li depletion seen in older clusters. The Li–T
eff trends of the Li Dip (6675–6200 K), Li Plateau (6200–6000 K), and G and K dwarfs (6000–4000 K) are very clearly delineated and are intermediate to those of the 120 Myr old Pleiades and 650 Myr old Hyades/Praesepe, which suggests a sequence of Li depletion with age. The cool side of the Li Dip is especially well defined with little scatter. The Li–T
eff trend is very tight in the Li Plateau and early G dwarfs, but scatter increases gradually for cooler dwarfs. These patterns support and constrain models of the universally dominant Li depletion mechanism for FGK dwarfs, namely rotational mixing due to angular momentum loss; we discuss how diffusion and gravity-wave-driven mixing may also play roles. For late G/K dwarfs, faster rotators show higher Li than slower rotators, and we discuss possible connections between angular momentum loss and Li depletion.
Multiheight Observations of Atmospheric Gravity Waves at Solar Disk Center
Authors: Vesa Oana , Jackiewicz Jason , Reardon Kevin 
Published: July 2023

Abstract
Atmospheric gravity waves (AGWs) are low-frequency, buoyancy-driven waves that are generated by turbulent convection and propagate obliquely throughout the solar atmosphere. Their proposed energy contribution to the lower solar atmosphere and sensitivity to atmospheric parameters (e.g., magnetic fields and radiative damping) highlight their diagnostic potential. We investigate AGWs near a quiet-Sun disk center region using multiwavelength data from the Interferometric Bidimensional Spectrometer and the Solar Dynamics Observatory. These observations showcase the complex wave behavior present in the entire acoustic-gravity wave spectrum. Using Fourier spectral analysis and local helioseismology techniques on simultaneously observed line core Doppler velocity and intensity fluctuations, we study both the vertical and horizontal properties of AGWs. Propagating AGWs with perpendicular group and phase velocities are detected at the expected temporal and spatial scales throughout the lower solar atmosphere. We also find previously unobserved, varied phase difference distributions among our velocity and intensity diagnostic combinations. Time–distance analysis indicates that AGWs travel with an average group speed of 4.5 km s−1, which is only partially described by a simple simulation, suggesting that high-frequency AGWs dominate the signal. Analysis of the median magnetic field (4.2 G) suggests that propagating AGWs are not significantly affected by quiet-Sun photospheric magnetic fields. Our results illustrate the importance of multiheight observations and the necessity of future work to properly characterize this observed behavior.
Continuous Filament Network of the Local Universe
Authors: Tugay Anatoliy , Tarnopolski Mariusz 
Published: July 2023

Abstract
Simulated galaxy distributions are suitable for developing filament detection algorithms. However, samples of observed galaxies, being of limited size, cause difficulties that lead to a discontinuous distribution of filaments. We created a new galaxy filament catalog composed of a continuous cosmic web with no lone filaments. The core of our approach is a ridge filter used within the framework of image analysis. We considered galaxies from the HyperLeda database with redshifts 0.02 ≤ z ≤ 0.1, and in the solid angle 120° ≤ R.A. ≤ 240°, 0° ≤ decl. ≤ 60°. We divided the sample into 16 two-dimensional celestial projections with redshift bin Δz = 0.005, and compared our continuous filament network with a similar recent catalog covering the same region of the sky. We tested our catalog on two application scenarios. First, we compared the distributions of the distances to the nearest filament of various astrophysical sources (Seyfert galaxies and other active galactic nuclei, radio galaxies, low-surface-brightness galaxies, and dwarf galaxies), and found that all source types trace the filaments well, with no systematic differences. Next, among the HyperLeda galaxies, we investigated the dependence of the g − r color distribution on the distance to the nearest filament, and confirmed that early-type galaxies are located on average further from the filaments than late-type ones.