bluuebunny/crossref_metadata_2025_split huggingface dataset:
Seasonal overturning variability in the eastern North Atlantic subpolar gyre: a Lagrangian perspective
Authors: Tooth Oliver John , Johnson Helen Louise , Wilson Chris , Evans Dafydd Gwyn 
Published: June 2023

Abstract. Both observations and ocean reanalyses show a pronounced seasonality in the strength of the Atlantic meridional overturning circulation (MOC) within the eastern North Atlantic subpolar gyre (eSPG). However, attributing this overturning seasonality to seasonal dense water formation remains challenging owing to the wide distribution of recirculation timescales within the Iceland and Irminger basins. Here, we investigate the nature of seasonal overturning variability using Lagrangian water parcel trajectories initialised across the Overturning in the Subpolar North Atlantic Program (OSNAP) East section within an eddy-permitting ocean sea ice hindcast. By adopting a Lagrangian perspective, we show that the seasonal minimum of the Eulerian overturning at OSNAP East in autumn results from a combination of enhanced stratification and increased southward transport within the upper East Greenland Current. This convergence of southward transport within the MOC upper limb is explained by decreasing water parcel recirculation times in the upper Irminger Sea, consistent with a gyre-scale response to seasonal wind forcing. To account for the diversity of recirculation times within the eSPG, we also quantify the Lagrangian overturning (LMOC) as the total dense water formation along water parcel trajectories. The majority of water parcels, sourced from the central and southern branches of the North Atlantic Current, fail to return to OSNAP East prior to experiencing wintertime diapycnal transformation into the lower limb, and thus they determine the mean strength of the LMOC within the eSPG (8.9 ± 2.2 Sv). The strong seasonality of the LMOC is explained by a small collection of upper-limb water parcels, circulating rapidly (≤ 8.5 months) in the upper Irminger and central Iceland basins, whose along-stream transformation is determined by their month of arrival at OSNAP East.
Wastewater-based epidemiology for health and lifestyle
Authors: Castiglioni Sara , Li Xiqing , Burgard Dan , Thai Phong 
Published: June 2023

Wastewater-based epidemiology was widely used to monitor the spreading of COVID-19. We now know that the technique has the potential help us studying a wide range of population health issues and lifestyle aspects, including dietary habits, illegal drug usage or medications. We shall discuss the issue with Sara Castiglioni (Istituto Mario Negri), Xiqing Li (Peking University), Phon Thai (University of Queensland) and Daniel Burgard (University of Puget Sound). * This event is supported by the WeChat channel: Environmentor 2017
Catheter-associated urinary tract infection and urinary catheter utilization ratio over 9 years, and the impact of the COVID-19 pandemic on the incidence of infection in medical and surgical wards in a single facility in Western Qatar
Authors: Garcell Humberto Guanche , Al-Ajmi Jameela , Arias Ariadna Villanueva , Abraham Joji C , Garmendia Angel M Felipe , Hernandez Tania M Fernandez 
Published: June 2023

Introduction: Catheter-associated urinary tract infection (CAUTI) is a frequently reported healthcare-associated infection in critical and non-critical patients. Limited data are available about CAUTI incidence in non-critical patients. We aim to describe the incidence of CAUTI over 9 years and evaluate the impact of the pandemic on the incidence in non-critical acute care patients.
Methods: A retrospective observational study of CAUTI in medical-surgical and maternity wards was carried out at a public hospital in the west of the State of Qatar. Data collected included the annual CAUTI incidence (per 1,000 device days), urinary catheter utilization ratio (UC-UR), etiology, and antimicrobial resistance.
Results: 115,238 patient days and 6,681 urinary catheters (UC) days were recorded over the study period, and 9 and 4 CAUTI were confirmed in medical-surgical and maternity wards, respectively. The infection rate was 1.9 per 1,000 UC days, and the UC-UR was 0.06. The CAUTI rate was higher in medical-surgical wards over the COVID-19 period (2.4 × 1,000 UC days) in comparison with the non-COVID-19 period (1.7 × 1,000 UC days) (RR 1.46; 1.12–1.80). However, in the maternity ward, the result was 0 and 2.5 × 1,000 UC days during these periods, respectively. No differences were observed in the infection rate among periods for all patients (RR 1.06; 0.81–1.31). Multidrug-resistant organisms were identified in 7 patients, and non-multidrug-resistant in 6 cases.
Conclusion: The study findings describe a lower CAUTI risk over 9 years in non-critical acute care patients. The impact of COVID-19 on the CAUTI risk is mainly related to medical patients who had previously been admitted to critical care. The infection control program should consider these data as a benchmark for quality improvement.
Fellowship-Trained Orthopaedic Trauma Surgeons Achieve Better Postoperative Radiographic Parameters After Intramedullary Nailing of Intertrochanteric Femur Fractures when Compared With Non-trauma–Trained Surgeons
Authors: Shaath M. Kareem , Yawman Jonathan , Anderson Tyler , Avilucea Frank R. , Langford Joshua R. , Munro Mark W. , Haidukewych George J. 
Published: June 2023

Introduction:
Intertrochanteric femoral fractures are common orthopaedic injuries accounting for nearly 30% of all fracture-related hospitalizations. Because many factors predictive of failure are related to technical aspects of the surgery, the purpose of this study was to compare radiographic parameters after fixation, comparing fellowship-trained orthopaedic trauma surgeons with surgeons who did not complete an orthopaedic trauma fellowship.

Methods:
We initiated a search for CPT code 27245 across our hospital network to identify 100 consecutive patients treated by five fellowship-trained orthopaedic traumatologists and 100 consecutive patients treated by community surgeons. Patients were then stratified based on their surgeon's subspecialty training (trauma vs community). Primary outcome variables were neck-shaft angle (NSA), a comparison of the repaired NSA with the uninjured side, tip-apex distance, and reduction quality.

Results:
One hundred patients were included in each group. The mean age in the community group was 77 years compared with 79 years in the trauma group. The mean tip-apex distance for the trauma group was 10 mm compared with 21 mm for the community group (P < 0.001). The mean postoperative NSA for the trauma group was 133° compared with 127° for the community group (P < 0.001). The mean difference of the NSA of the repaired side compared with the uninjured side was 2.5° of valgus in the trauma group compared with 5° of varus for the community group (P < 0.001). There were 93 good reductions in the trauma group compared with 19 in the community group (P < 0.001). There were 0 poor reductions in the trauma group and 49 in the community group (P < 0.001).

Discussion:
Overall, we have shown that fellowship-trained orthopaedic trauma surgeons achieve better reductions when treating intertrochanteric femur fractures with intramedullary nails. Orthopaedic residency training should emphasize teaching proper techniques and acceptable parameters for reduction and implant placement when treating geriatric intertrochanteric femur fractures.
TÜRK HUKUKUNDA TAPU MEMURUNUN RE’SEN TERKİN VE DÜZELTME YETKİSİ
Authors: TEKELİOĞLU Numan 
Published: June 2023

Taşınmazlar üzerindeki işlemlerin güvenilirliğini sağlamak bakımından tapu sicilinin güncelliğini koruması önem arz etmektedir. Bu bakımdan en çok sorun teşkil eden husus, tapu sicilindeki kayıtların gerçek hak durumunu yansıtmamasıdır. Tapu kayıtları ile gerçek hak durumunun birbirinden farklı olması pek çok sebepten kaynaklanabilir. Bunlardan birini, hukuki değerini kaybetmiş olan tapu kayıtlarının halen tapu sicilinde yer alması teşkil etmektedir. Hukuki değerini kaybeden kayıtların terkini, tapu sicilinin güncelliğini sağlamaya hizmet eden işlemlerden biridir. İsviçre kanun koyucusu, 2012 yılında yürürlüğe giren eşya hukukuna dair revizyonda, tapu müdürünün belirli durumlarda tapu sicilindeki kaydı re’sen terkin edebileceğine dair bir düzenlemeyi İsviçre Medeni Kanunu’na eklemiştir. Böylece hukuki değerini kaybeden kayıtların sicilden terkinini kolaylaştıran bir prosedürün yerleşmesi amaçlanmıştır. Türk Medeni Kanunu’nda ise, tapu memuruna re’sen terkin yetkisi veren açık bir düzenleme bulunmamaktadır. Bununla birlikte, muhtelif özel kanunlarda bilhassa şerhler bakımından belirli durumlara özgü olarak tapu memuruna re’sen terkin yetkisi verilmiştir. Ancak uygulamada tapu memurlarının kanunda açıkça belirtilen hallerde dahi re’sen terkin yoluna gitmediği görülmektedir.
Tescilin şartları yönünden kanuna uygun olan fakat muhtelif sebeplerle yanlış girilen bilgilerin düzeltilmesi gerekmektedir. Düzeltme işlemi bakımından Türk ve İsviçre Medeni Kanunları benzer düzenlemelere sahiptir. İlgililerin yazılı rızaları olmadıkça, tapu memuru tapu sicilindeki yanlışlığı ancak mahkeme kararı ile düzeltebilmektedir. Kanun yalnızca basit yazı yanlışlıkları bakımından tapu memuruna re’sen düzeltme yetkisi tanımaktadır. Ancak bu hükmün de uygulama bakımından bir karşılığı olduğu söylenemez. Özellikle sık karşılaşılan, malikin ad-soyad ya da baba adı gibi bilgilerinin yanlış yazılmasına ilişkin olaylarda tapu müdürlüğüne ilgililer tarafından başvuru yapılması gerekmektedir. Bunun yanında, tapu kaydındaki yanlışlığın düzeltilmesi için dava açılması da mümkündür. Ancak bu tür davalarda Yargıtay’ın önce tapu sicili müdürlüğüne başvuruyu dava şartı olarak kabul etmesi sorun yaratmış ve konunun Anayasa Mahkemesi önüne gelmesine yol açmıştır. Anayasa Mahkemesi’nin hak ihlali kararı vermesiyle birlikte, tapu kayıtlarındaki yanlış yazımların düzeltilmesi için doğrudan dava açılması mümkün hale gelmiştir.
A EFICÁCIA DA TERAPIA COMPORTAMENTAL DIALÉTICA NO TRATAMENTO DO TRANSTORNO DE PERSONALIDADE BORDERLINE: UMA REVISÃO INTEGRATIVA
Authors: Gomes Elziane Bandeira , Ribeiro Thiago do Nascimento 
Published: June 2023

A terapia Comportamental Dialética é uma abordagem que demostra resultados positivos significativos no tratamento do transtorno de personalidade boderline. Dessa forma, este trabalho tem como objetivo analisar os impactos emocionais enfrentadas pelos pacientes com transtorno borderline, como também verificar a eficácia da TCD no tratamento do transtorno, avaliando as principais técnicas desta abordagem afim de obter respostas significativas na diminuição dos sintomas. Quanto á metodologia, trata-se de uma revisão integrativa, em que a busca realizada utilizou as bases de dados PubMed, Capes Periódica, Biblioteca Virtual em Saúde (BVS), Scielo e Cochrane, publicados entre janeiro/2018 a Dezembro/2022, utilizando os descritores: Terapia comportamental dialética, borderline e ensaio clinico randomizado, nos idiomas inglês e português. Como resultado apresentou melhorias significativas na redução de comportamentos autodestrutivos para o suicídio, comportamentos agressivos para a raiva, aprendizado de habilidades de enfrentamento, tolerância ao sofrimento, regulação emocional e impulsividade. Sugere-se que mais pesquisas sejam feitas abordando sobre a terapia comportamental dialetica, nota-se muitas possibilidades para elaboração de novos estudos, explorando para tratamento de outros tipos de transtorno, além do borderline.
EFEKTIVITAS PELAKSANAAN PEMBELAJARAN PENDIDIKAN JASMANI DI SMP NEGERI 4 PUTIK KABUPATEN KEPULAUAN ANAMBAS KEC. PALMATAK
Authors: Ade Putra  , Ni Putu Nita Wijayanti  , Agus Sulastio  , Ramadi  , Andrew Rinaldi Sinulingga  
Published: June 2023

Pembelajaran penjasorkes belum berlangsung secara optimal sesuai dengan kurikulum tingkat satuan pendidikan dengan gejala-gejala yang teramati antara lain adalah dalam perencanaan pembelajaran guru penjasorkes belum keseluruhan menyusun silabus dan RPP berdasarkan kurikulum tingkat satuan pendidikan. Berdasarkan gejala ini maka yang yang menjadi masalah dalam penelitian ini adalah kurang efektif pembelajaran penjasorkes di SMP Negeri 4 Putik. penelitian ini bertujuan untuk mengetahui bagaimana Efektivitas Pelaksanaan pembelajaran Pendidikan Jasmani di SMP Negeri 4 Putik. Populasi dalam penelitian ini sebanyak 36 siswa. Teknik penarikan menggunaakan total sampling. Teknik pengumpulan data dalam penelitian ini menggunakan instrumen berupa angket atau kuisioner tertutup. Dari hasil penelitian yang telah dilakukan, dapat diambil kesimpulan bahwa Secara keseluruhan hasil persentase skor rata-rata tingkat Pelaksanaan Pembelajaran Pendidikan Jasmani Di SMP Negeri 4 Putik sudah efektif yaitu 76,07%. Pelaksanaan pembelajaran pendidikan jasmani olahraga dan kesehatan di SMP Negeri 4 Putik berdasarkan hasil penelitian termasuk kategori baik.
Kata kunci: Efektivitas, pembelajaran pendidikan jasmani
Pengaruh Latihan Bola Gantung Terhadap Kemampuan Passing Sepak Sila Dimasa Pandemi Covid 19 Pada Atlet Six One Medan Deli
Authors: Indra Setiawan  , Ahmad Al Munawar  , Keliat Pedomanta 
Published: June 2023

Penelitian ini bertujuan untuk mengetahui pengaruh latihan passing bola di gantung terhadap kemampuan passing sepak sila pada atlet Six One Medan Deli Tahun 2021. Metode yang digunakan dalam penelitian ini adalah metode experiment. Dengan pelaksanaan latihan yaitu latihan passing bola di gantung. Sampel adalah siswa yang mengikuti kegiatan ekstrakurikuler sepak takraw berjumlah 10 orang. Instrumen penelitian untuk pengumpulan data dengan test passing sila yang bertujuan untuk melihat kemampuan sepak sila. Penelitian dilaksanakan selama 16 x pertemuan latihan termasuk pre test dan post test dengan intensitas latihan 3 (tiga) kali dalam seminggu. Dari data pre-test dan data post-test kemampuan sepak sila kelompok latihan passing bola di gantung diperoleh t hitung sebesar 0,130 serta t tabel 0,258 dengan = 0,05 (t hitung > t tabel ) berarti Ho ditolak dan Ha diterima. Dengan kesimpulan, latihan passing bola di gantung secara signifikan berpengaruh terhadap kemampuan passing sepak sila pada atlet Six One Medan Deli Tahun 2021.
Analisis Kesulitan Dan Media Pembelajaran Kosakata Bahasa Inggris Bagi Siswa SMP NEGERI 2 Gebang
Authors: Ikhsan Muhammad Nur , Yeny Mardianti Zebua  , Fatin Nadifa Tarigan  
Published: June 2023

Pembelajaran bahasa Inggris yang kurang menyenangkan dapat membuat siswa belajar pasif. Kurangnya perhatian terhadap proses belajar siswa di kelas sangat jauh dari kemajuan terutama di tingkat Sekolah Menengah Pertama. Alhasil, hasil belajar siswa menjadi rendah dan penguasaan kosakata bahasa Inggris tidak mengalami peningkatan. Tujuan dari penelitian ini adalah untuk menganalisis kesulitan dan strategi yang digunakan untuk menguasai kosakata bahasa Inggris siswa. Jenis penelitian ini menggunakan metode kualitatif deskripsi. Subyek penelitian ini adalah siswa kelas IX SMP Negeri 2 Gebang sebanyak 28 siswa. Metode pengumpulan data dilakukan dengan melakukan wawancara, hasil belajar (test) siswa dan dokumentasi. Berdasarkan hasil analisis data menunjukkan sekitar 22 siswa (78,57%) mendapatkan skor dibawah 60. Sedangkan siswa yang mendapatkan skor di atas 60 berjumlah 6 siswa (21,43%). Berdasarkan hasil wawancara dan observasi, beberapa guru menggunakan media pembelajaran digital untuk menarik minat siswa di kelas yaitu WhatsApp, Google classroom dan aplikasi Quizziz Untuk itu, penelitian lebih jauh dapat memaksimalkan pembelajaran yang dapat meningkatkan kosakata bahasa Inggris.
UJI KESESUAIAN PESAWAT PANORAMIC CHEPALOMETRIC DI LABORATORIUM JURUSAN TEKNIK RADIODIAGNOSTIK DAN RADIOTERAPI, POLTEKKES KEMENKES SEMARANG (UJI MENGGUNAKAN FILM GAFCHROMIC)
Authors: Nino Kurniawan Andrey , Rochmayanti Dwi , Dwi Prastanti Agustina 
Published: June 2023

Background: X-ray equipment used for radiographic examination according to Bapeten regulations must undergo a compliance test, both for new installation and for relocating. The Panoramic Chepalometry in the Department of Radiodiagnostics and Radiotherapy Techniques Semarang is a new device and has undergone a relocation from the initial installation. In addition, the unique condition of the Panoramic Chepalometry is direct image processing or direct radiography, so a special method is needed for testing x-ray collimation beams, namely using gafchromic films
Methods: The research is experimental with a one shot case study at the Laboratory of the Department of Radiodiagnostic and Radiotherapy Techniques, Poltekkes Kemenkes Semarang. The research object is a Panoramic cephalometry device. The measuring instrument used was Raysave, and the test parameters measured were: X-ray beam, voltage accuracy, time accuracy, linearity, reproducibility, HVL, and tube container leakage. The analysis of the test results is adjusted to Bapeten regulation no. 2 of 2018
Results: Parameter test results obtained: X-ray beam is still within normal limits, voltage accuracy measurement results obtained a maximum error of 2.73% (max. limit 6%), time accuracy obtained a maximum error of 7.8% (max. limit 10 %), linearity was not measured because the mA value was fixed, reproducibility was obtained CV at a voltage of 0.0012 and radiation output of 0.0006 (CV≤ 0.05), x-ray beam quality (HVL) was obtained at 3.72 mm Al at 80 kVp (HVL limit ≥ 2.3 mm Al), and no leakage in the tube housing
Conclusions: The results of the panoramic cephalometric compliance test at the Laboratory of the Department of Radiodiagnostic and Radiotherapy Techniques, Poltekkes Kemenkes Semarang, on 7 test parameters as a whole are still within normal limits according to Perka Bapeten no.2 of 2018
ANALISA KEPATUHAN PENGGUNAAN DOSE CONSTRAINT DI INSTALASI RADIOLOGI RUMAH SAKIT SEBAGAI IMPLEMENTASI ASAS OPTIMISASI DALAM KESELAMATAN RADIASI
Authors: Nadia Putri Maizza , Febrian Trihadijaya Agi , Arabella Hanum Talitha 
Published: June 2023

Background: No data has yet been found regarding the evaluation of the use of Dose Constraints in a hospital radiology installation. The purpose of this study was to determine the percentage of adherence to the use of dose constraints in a radiology installation as well as analysis and follow-up.
Methods: The research was conducted by making observations at 30 Hospitals on the island of Java, the researchers distributed a questionnaire survey in the form of 20 data using the exposure factor for Thorax PA examination which would then be inputted through the Si-INTAN application to obtain ESAK values.
Results: Based on 600 data on the use of exposure factors from 30 samples of hospitals on the island of Java, it was found that 21 or 70% of the hospitals adhered to the use of dose constraints and as many as 9 or 30% of hospitals do not comply with the use of the determined dose constraint.
Conclusions: Of the 9 hospitals that were not compliant with the use of the dose constraint, the highest ESAK value was obtained from RS-18, which was 0.939 mGy, which reached twice the stipulated I-DRL Thorax examination value. It can be seen that these hospitals used the most mAs. higher than other hospitals. The mAs values used range from 10-28 mAs. When compared with the lowest ESAK value, namely RS-3, it only uses 5 mAs for an adult thorax examination. to suppress ESAK doses to be lower we can use high tube voltages. to obtain an exposure with the same transmission at a patient thickness of 20 cm, namely by increasing one of the irradiation parameters of the tube voltage value by compensating for a decrease in the tube current-time value to produce an image density that is almost the same,and using very low mAs also results in a dose radiation is very small.
Levantamento etnobotânico acerca das plantas alimentícias não convencionais no entorno da unidade de conservação reserva de vida silvestre mata do junto em Sergipe
Authors: De Jesus Cristiane Neyre Almeida , Costa Jailton de Jesus , Oliveira Ingrid Carvalho Santos , Ribeiro Adauto de Souza , Sera Eduardo Keidin , De Santana Marlucia Cruz 
Published: June 2023

As Plantas Alimentícias Não Convencionais – PANC possuem significativo valor nutritivo por serem fonte de vitaminas, sais minerais, carboidratos e proteínas que podem fazer parte da dieta ao serem consumidas como alimento alternativo. Entretanto, de um modo geral, são pouco valorizadas e conhecidas como ervas ou “mato”. Diante do exposto, o objetivo deste trabalho consiste em realizar um levantamento etnobotânico das espécies de PANC na Unidade de Conservação Reserva de Vida Silvestre Mata do Junco e comunidades do entorno em Capela/SE, ressaltando a importância das Plantas Alimentícias Não Convencionais quanto ao benefício na alimentação, podendo garantir a segurança alimentar e o direito da população a uma alimentação saudável, de forma digna e com cidadania, mantendo sua cultura alimentar. A metodologia utilizada nesta pesquisa empregou o levantamento das espécies de PANC na Unidade de Conservação Reserva de Vida Silvestre Mata do Junco, em Capela/SE e nas comunidades do seu entorno, com a identificação de 20 espécies, além de investigar o consumo e/ou cultivo pelas comunidades do entorno da mata. Para atingir esse objetivo, foram realizados os seguintes procedimentos metodológicos: aplicação de questionários e realização de entrevistas semiestruturadas com membros das comunidades do entorno da Unidade. Apesar de serem conhecidas pela maioria dos entrevistados, estes informaram que não utilizam as espécies na alimentação. Conclui-se que a falta de divulgação, a facilidade de acesso às comidas industrializadas, além do preconceito, são fatores que contribuem para a não utilização dessas plantas pelos moradores das comunidades estudadas.
Prevalence and associated factors of masked hypertension in nursing professionals working in oncology
Authors: Dos Santos Juliano , Meira Karina Cardoso , Coelho Juliana Chaves , Pierin Angela Maria Geraldo 
Published: June 2023

Introduction: Considering the process linked to working conditions, nursing professionals are exposed to situations that can increase the risk of cardiovascular diseases. Objective: To evaluate the prevalence and factors associated with masked hypertension (MHT) in nursing professionals. Methods: This was a cross-sectional study of 182 nursing professionals. Office blood pressure measurement and 24-hour Ambulatory Blood Pressure Monitoring (ABPM) were applied during a usual workday using Spacelabs 90207. An interview was conducted to evaluate biopsychosocial related to work and life habits variables. Fasting venous blood was drawn for biochemical analysis. MHT was defined as office blood pressure (SBP/DBP) ≤140/90 mmHg and mean daytime ABPM ≥ 135/85 mmHg and non-use of antihypertensive treatment. Poisson regression with robust variance was used to examine the relationship of MHT with associated factors. Results: The prevalence of MHT was 19.8% (95% confidence interval:15.67-23.93). The nursing professionals with masked hypertension had significantly higher than no MH: mean 24-hour, daytime, and nighttime systolic/diastolic BP in the ABPM. HMT was associated with age (1.06; 95%; confidence interval: 1.03-1.10) and shift work (2.18; 95%; confidence interval: 1.10-4.31). Conclusions: There was a high prevalence of MHT, and these outcomes were associated with age and shift work.