bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of Government-Sponsored Community Health Programs for Older Adults: A Systematic Review of Published Evaluation Studies
Authors: Chandrashekhar Arun , Thakur Harshad P. 
Published: September 2022

Objective:Population aging is an ongoing challenge for global health policy and is expected to have an increasing impact on developing economies in years to come. A variety of community health programs have been developed to deliver health services to older adults, and evaluating these programs is crucial to improving service delivery and avoiding barriers to implementation. This systematic review examines published evaluation research relating to public and community health programs aimed at older adults throughout the world.Methods:A literature search using standardized criteria yielded 58 published articles evaluating 46 specific programs in 14 countries.Results:Service models involving sponsorship of comprehensive facilities providing centralized access to multiple types of health services were generally evaluated the most positively, with care coordination programs appearing to have generally more modest success, and educational programs having limited effectiveness. Lack of sufficient funding was a commonly-cited barrier to successful program implementations.Conclusion:It is important to include program evaluation as a component of future community and public health interventions aimed at aging populations to better understand how to improve these programs.
WHY ARE CRYPTOCURRENCIES VULNERABLE TO PUMP-AND-DUMP SCHEMES IN EUROPE?
Authors: Constantino Torres Jorge E. 
Published: September 2022

Cryptocurrency is a digital exchange medium stored in the Distributed Ledger Technology (DLT) and form the basis for the term crypto-assets. This paper focuses on the group of cryptocurrencies (or crypto-assets) that belong to Public Permissionless Blockchains and explains historical pump-and-dump, and how this old scheme appears to be applied now to cryptocurrency trading. This work explores the nature of the blockchain ecosystem, where cryptocurrencies exist, and proposes that ironically the encryption and immutability nature of the blockchain make cryptocurrencies vulnerable to pump-and-dump schemes. The lack of adequate regulation in Europe leaves cryptocurrencies vulnerable to pump-and-dump schemes causing an overall effect of vulnerable consumers expossed to fraudsters. Cryptocurrency pump-and-dump also affects investors, the development of cryptocurrencies, and the blockchain itself.
A CLINICAL CASE OF ABDOMINAL MORCELLOMAS
Authors: Galimov O. V. , Khanov V. O. , Minigalin D. M. , Galimov D. O. 
Published: September 2022

Aim of the study is to present a clinical case of abdominal morcellomas.Methods: The technique of morcellation involves not only incisions, but also a significant crushing of tumor cells, which can eventually lead to the spread of the disease. Fibroids left in the abdominal cavity during morcellation continue their development and can reach tumors of considerable size. An observation of the detected parasitic uterine fibroids several years after laparoscopic myomectomy is presented.Result: Histological examination of the removed preparation shows a microscopic picture of the uterine leiomyoma node of a typical structure in a thin fibrous capsule. It was received a normal postoperative course and a patient was discharged from hospital on the 4th day.Conclusion: Abdominal morcellomas after laparoscopic interventions on the uterus is a rare complication associated with the parasitic persistence of myomatous tissue on the abdominal organs. The risks of such complications of endosurgery indicate the need for strict compliance with all technical aspects of using a devices for the evacuation of removed tissues, careful intraoperative monitoring and sanitation of the abdominal cavity.
The Gas-phase Reaction of NH2 with Formaldehyde (CH2O) is not a Source of Formamide (NH2CHO) in Interstellar Environments
Authors: Douglas Kevin M. , Lucas Daniel I. , Walsh Catherine , West Niclas A. , Blitz Mark A. , Heard Dwayne E. 
Published: September 2022

Abstract
The first experimental study of the low-temperature kinetics of the gas-phase reaction of NH2 with formaldehyde (CH2O) has been performed. This reaction has previously been suggested as a source of formamide (NH2CHO) in interstellar environments. A pulsed Laval nozzle equipped with laser-flash photolysis and laser-induced fluorescence spectroscopy was used to create and monitor the temporal decay of NH2 in the presence of CH2O. No loss of NH2 could be observed via reaction with CH2O, and we place an upper limit on the rate coefficient of <6 × 10−12 cm3 molecule−1 s−1 at 34 K. Ab initio calculations of the potential energy surface were combined with Rice–Rampsberger–Kassel–Marcus (RRKM) calculations to predict a rate coefficient of 6.2 × 10−14 cm3 molecule−1 s−1 at 35 K, consistent with the experimental results. The presence of a significant barrier, 18 kJ mol−1, for the formation of formamide as a product, means that only the H-abstraction channel producing NH3 + CHO, in which the transfer of an H atom can occur by quantum mechanical tunneling through a 23 kJ mol−1 barrier, is open at low temperatures. These results are in contrast with a recent theoretical study, which suggested that the reaction could proceed without a barrier and was therefore a viable route to gas-phase formamide formation. The calculated rate coefficients were used in an astrochemical model, which demonstrated that this reaction produces only negligible amounts of gas-phase formamide under interstellar and circumstellar conditions. The reaction of NH2 with CH2O is therefore not an important source of formamide at low temperatures in interstellar environments.
Statistical Evidence for Small-scale Interchange Reconnection at a Coronal Hole Boundary
Authors: Mason Emily I. , Uritsky Vadim M. 
Published: September 2022

Abstract
Much of coronal hole (CH) research is focused upon determining the boundary and calculating the open flux as accurately as possible. However, the observed boundary itself is worthy of investigation, and holds important clues to the physics transpiring at the interface between the open and closed fields. This Letter reports a powerful new method, an application of the correlation integral which we call correlation dimension mapping, by which the irregularity of a CH boundary can be objectively quantified. This method highlights the most important spatial scales involved in boundary dynamics, and also allows for easy temporal analysis of the boundary. We apply this method to an equatorial CH bounded on two sides by helmet streamers and on the third by a small pseudostreamer, which we observed at maximum cadence for an hour on 2015 June 4. We argue that the relevant spatial scales are in the range of ∼5–20 Mm, and we find that the boundary complexity depends measurably upon the nature of the neighboring closed structure. The boundary along the pseudostreamer shows signs of highly localized, intermittent-complexity variability, likely associated with abrupt changes in the magnetic topology, which would be elegantly explained by interchange reconnection. By contrast, the helmet streamer boundary supports long-lived, high-complexity regions. These findings support the recent predictions of interchange reconnection occurring at very small scales in the corona.
A 53-year-old Woman with Visual Hallucinations
Authors: Khan Mohammad Amjad Ullah , Bhatti Nadeem H. , Briones David F. 
Published: September 2022

CME Educational Objectives

1.
Identify clinical features and longitudinal course of Cotard's syndrome.

2.
Manage patient outcome by better diagnostic clarification.

3.
Evaluate complexity of clinical presentation of mood disorder.
A 39-year-old Man with Abdominal Pain
Authors: Mlak Krzysztof , Dziuba John , Lachover Leonard 
Published: September 2022

CME Educational Objectives

1.
Review a rarely reported case of psychosis involving a request to have surgical removal of specific organ.

2.
Discuss medical and psychiatric differential diagnosis of psychosis and abdominal pain.

3.
Review the literature pertaining to psychosis and somatic complaints.
Le port antique de Missua (Sidi Daoud)
Authors: Trabelsi Soumaya 
Published: September 2022

Cette étude analyse le port antique de Missua (Sidi Daoud, cap Bon, Tunisie), qui a fait l’objet d’un programme de recherches archéologiques et paléo-environnementales. Des carottages ont été effectués dans le bassin portuaire ainsi que des prospections sous-marines. L’étude haute-résolution des sédiments a permis la caractérisation et la reconstitution chrono-stratigraphique et bio-sédimentologique des milieux littoraux. L’étude archéologique a permis de définir un ensemble de deux bassins portuaires équipés de jetées en blocs de maçonnerie et situés au nord et au sud de Sidi Daoud.
Palaeogeography of Ancient Lasaia (SE Crete, Greece)
Authors: Mourtzas Nikos , Kolaiti Eleni 
Published: September 2022

The remains of the Hellenistic-Roman harbour-town of Lasaia are situated in southeastern Crete on a headland at the NE end of the bay of Kaloi Limenes, while at a short distance from the shore lies the island of Traphos. The application of a geoarchaeological method allowed us to reconstruct the palaeogeography of the coast and track the evolution of the ancient harbour of Lasaia from the Minoan palatial period to Hellenistic-Roman times to the 17th century AD.The palaeogeography of the seafront of ancient Lasaia followed the relative sea level changes that occurred during the last 4,000 years along the coast of central and eastern Crete: from a tied island connected to the mainland by a strip of land when the sea level was at 4.15 ± 0.30 m between ca. 1900 BC and ca. 1600 BC, and 2.50 ± 0.20 m bmsl between ca. 1600 BC and ca. 1200 BC, to a low promontory jutting out into the sea within a short distance from the coast of Traphos when the sea level was at 1.20 ± 0.10 m bmsl between ca. 1200 BC and AD 1604, and finally to a narrow shore opposite the island, when the sea level rose to 0.55 ± 0.05 m bmsl during the AD 1604 earthquake, which remained there for a significant period of time within the last 400 years.During the Minoan palatial period, an artificial outer breakwater at the SW end of Traphos Island appears to have formed a protected harbour basin. In Hellenistic-Roman times, the outer breakwater had been submerged and an inner breakwater was constructed, leaving a channel between it and the island that allowed mariners to pass from the western to the eastern basin depending on the weather. In the early 17th c., the island was isolated from the mainland and provided shelter for Cretan refugees.
Le pari sportif chez les jeunes au Cameroun
Authors: Kouomoun Abdou , Ndam Salifou 
Published: September 2022

Le pari sportif basé sur les rencontres des matchs de football, baptisé « Parifoot », est devenu le « refuge » de nombreux jeunes dans les métropoles camerounaises. En s’intéressant au contexte sociopolitique et économique ayant favorisé le développement de ce phénomène au Cameroun et les profils des jeunes qui y sont impliqués, à Yaoundé – la capitale et l’une des deux villes les plus peuplées du pays –, cette contribution examine la façon dont l’exposition des jeunes à la pauvreté, au chômage et au sous-emploi les pousse à capitaliser leur culture « footballistique » dans ce jeu, tout en espérant gagner de l’argent pour améliorer leurs conditions de vie, dans un contexte de mondialisation du sport.
L’eau de l’or : à l’heure des éthiques de l’environnement
Authors: Leclerc-Olive Michèle 
Published: September 2022

À partir d’une comparaison entre divers conflits opposant communautés villageoises et entreprises aurifères (en Amérique latine et en Afrique de l’Ouest) sur l’usage de l’eau, l’article soutient que l’analyse du statut du couple eau/or dans les problématiques éthiques actuelles conduit à reconnaître les droits de certains éléments de la Nature. Pour ce faire, il rappelle comment sont appréhendées aujourd’hui la transition écologique imposée par le dérèglement climatique et les différentes éthiques de l’environnement. Il montre également la difficulté à estimer l’« eau virtuelle » de l’or : difficulté révélatrice de l’insuffisance des éthiques environnementales classiques et des limites des économies orthodoxes. Une éthique de l’or à la hauteur des enjeux écologiques actuels pourrait bien conduire à une révision radicale des bases épistémologiques de nos représentations du monde.
Les « stucs perchés » d’al-Habis (Pétra), nouvelles approches
Authors: Fournet Thibaud 
Published: September 2022

La falaise orientale du Jabal al-Habis, massif rocheux qui surplombe à l’ouest le temple du Qasr al-Bint, garde les vestiges de deux parois richement stuquées, perchés à une vingtaine de mètres au-dessus du sol. Ces décors, miraculeusement préservés mais inaccessibles, ont récemment fait l’objet d’une tentative de restitution, sans avoir pu être précisément mesurés. Cet article, qui s’appuie sur une modélisation numérique tridimensionnelle de la paroi, permet d’en proposer un relevé détaillé et une restitution renouvelée. Il explore également, à l’aide du négatif que la structure a laissé dans le rocher, les solutions architecturales susceptibles d’expliquer la présence de ces stucs à une telle hauteur. L’impressionnant bâtiment qui découle de cette analyse s’appuyait et s’ancrait à la falaise sur plus de 23 m de haut. Son contexte archéologique et stylistique nous incite à en proposer une datation hypothétique dans le dernier tiers du ier s. av. J.-C.
État des lieux à Tell Umm el-ʿAmr (bande de Gaza) : la question des baptistères
Authors: Elter René 
Published: September 2022

Depuis la fin des années 1990, quatre baptistères ont été identifiés sur le site archéologique du monastère de Tell Umm el-ʿAmr situé au centre de la bande de Gaza. Ils s’échelonnent dans le temps entre les ve et vie siècles. Leur étude montre que leurs déplacements et transformations sont liés aux différents programmes architecturaux de développement du sanctuaire. Cet article est une première synthèse qui traite de la question des baptistères du monastère de Saint Hilarion. Il pose la question du rôle du monastère, lieu voué à la vénération des reliques, dans les campagnes de conversions menées au courant des ve et vie siècles entre le sud de Gaza et l’Égypte.
Baptistères-martyria de Syrie
Authors: Khoury Widad , Fernández † Romualdo 
Published: September 2022

Catalogue raisonné de 25 baptistères syriens, principalement issus du Massif calcaire, classés selon la position occupée par la cuve au sein du complexe ecclésial. Sept types de baptistères peuvent être ainsi distingués, depuis les simples sacristies aménagées jusqu’aux édifices indépendants et aux baptistères monumentaux associés à des églises de pèlerinage. Dans tous ces cas cependant, la présence de reliquaires éclaire l’étroite relation établie, en Syrie protobyzantine, entre les dispositifs du baptême et le culte des athlètes et des martyrs.
¿Son las pruebas nacionales un indicador válido para realizar comparaciones entre escuelas? Una aproximación mediante la evaluación diagnóstica de Media 2013
Authors: Morales Romero Daniel 
Published: September 2022

En la presente investigación fueron comparadas las notas de los estudiantes de 8vo grado en las Pruebas Nacionales del año 2011 con la proporción de respuestas correctas que dieron los del mismo grado en la Evaluación Diagnóstica de Educación Media del 2013. Los de 8vo grado que obtuvieron mejores calificaciones, lo hicieron dando más respuestas correctas en una proporción de 3% a 11% en la evaluación del 2013.
Se encontró, además, que tanto las notas de la escuela como la de las Pruebas Nacionales predicen consistentemente el desempeño de los estudiantes en la evaluación diagnóstica, lo que resulta plausible en el sentido de que estas últimas puedan ser usadas como un indicador del desarrollo educativo de las escuelas, lo que permitirá realizar comparaciones entre ellas.
População Economicamente Ativa E Chefes Familiares Imigrantes No Oeste Do PR – Impactos No Desenvolvimento Regional - Uma Análise Por Setores Da Economia
Authors: Rippel Ricardo , Limberger Rippel Valderice Cecília , Michelon Márcia Terezinha 
Published: September 2022

O objetivo do artigo é o de examinar o cenário da imigração e do desenvolvimento do Oeste do Paraná via reconcentração fundiária e qualificação educacional de 1950 até 2000. No trabalho analisa-se o perfil dos chefes de família imigrantes da área argumentando-se que inicialmente eram detentores de um perfil de baixa qualificação educacional. Porém com a modernização do campo, a urbanização e o fortalecimento dos setores secundário e terciário ocorreu na área um movimento de reconcentração fundiária e o oeste parananense passou a demandar mão-de-obra com nível educacional mais elevado. Houve assim uma ascenção na qualificação dos imigrantes, fundamentalmente fruto da redução das oportunidades de inserção ocasionada pelo esgotamente da ocupação extensiva da região. De modo que, como os indivíduos migram quando e para onde vislumbram melhores oportunidades, e dado que as exigências de qualificação no Oeste do Paraná, se elevaram, os imigrantes pouco qualificados reduziram sua participação no processo de inserção na área aumentando proporcionalmente a participação dos chefes de família mais instruídos no total dos movimentos fato que influiu diretamente no desenvolvimento regional.
Association between GSTM1, GSTT1 gene polymorphisms and asthma in adult patients from Tikrit population of Iraq
Authors: Semaa A. Shaban  , H. Salih Maan , Adnan F. AL-Azzawie  
Published: September 2022

Introduction and Aim: Asthma is known as a polygenic and multifactorial disease. The underlying debate about the role of genetics in the development of asthma is still unclear. The objectives of this research are to examine whether the GSTM1 and GSTT1 gene polymorphisms are associated with asthma susceptibility. Materials and Methods: A total of 70 patients with asthma and 20 healthy individuals were investigated in this study. Genotyping was carried out by using PCR protocol for analysis of GSTM1 and GSTT1 null/positive genotypes. Results: Patients with asthma (34.285%) demonstrated a greater prevalence of the GSTM1, GSTT1 (-) genotype than the healthy subject (10%, P-value 0.012). A positive correlation was found between GSTT1, GSTM1 (+) genotype and healthy individuals (40%) compared with asthmatic patients (24.285%). Conclusion: The results of this research support the idea that GSTM1, GSTT1 (-) genotype may play critical roles in asthmatic inflammatory response. Further experimental investigations are needed to estimate the role of GSTM1 and GSTT1 polymorphisms in asthma.
FAKTOR- FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU ANC DI PUSKESMAS BATANGTORU
Authors: Thirtinia Deby 
Published: September 2022

Angka kematian ibu yang tinggi disebabkan dua hal pokok yaitu masih kurangnya pengetahuan mengenai penyebab dan penanggulangan komplikasi dalam kehamilan, persalinan, nifas, serta kurang meratanya pelayanan antenatal care. Penelitian ini bertujuan untuk mengetahui Faktor- Faktor yang Berhubungan dengan Perilaku ANC di Puskesmas Batangtoru Tahun 2020. Dengan menggunakan metode cross sectional. Teknik sampling menggunakan Total Sampling dengan sampel 32 responden. Teknik pengumpulan data menggunakan kuesioner dan buku KIA. Teknik analisis data menggunakan uji chi Square. hasil penelitian ini menunjukkan: ada hubungan yang bermakna antara pengetahuan, sikap dan ketersediaan akses dengan Perilaku ANC di Puskesmas Batangtoru Tahun 2020 dengan hasil analisa bivariate hasil uji statistik Chi- Square dan Uji Kolmogrov-Smirnov diperoleh nilai pengetahuan (p=0,002), sikap (p=0,008) dan ketersediaan akses (p=0,006) < α (0.05). Kepada petugas kesehatan dalam pelaksanaan asuhan pada kehamilan dapat meningkatkan penyuluhan dan memberikan informasi tentang ANC.
Kata Kunci : Pengetahuan, sikap, ketersediaan akses, Kunjungan ANC
ABSTRACT
The high maternal mortality rate is caused by two main things, namely the lack of knowledge about the causes and handling of complications in pregnancy, childbirth, postpartum, and inequality of antenatal care services. This study aims to determine the factors associated with ANC Behavior at the Batangtoru Health Center in 2020. By using the cross sectional method. The sampling technique used total sampling with a sample of 32 respondents. The data collection technique used a questionnaire and a KIA book. The data analysis technique used the chi Square test. The results of this study indicate: there is a significant relationship between knowledge, attitudes and availability of access with ANC Behavior at the Batangtoru Health Center in 2020 with the results of the bivariate analysis, the results of the Chi-Square statistical test and Kolmogrov-Smirnov test obtained the value of knowledge (p = 0.002), attitude (p = 0 , 008) and the availability of access (p = 0.006) <a (0.05). To health workers in the implementation of care for pregnancy, it can improve education and provide information about ANC.
Keywords : Knowledge, attitudes, availability of access, ANC visits
HUBUNGAN PENDIDIKAN DAN PENGETAHUAN IBU TENTANG ASI ESKLUSIF DENGAN PEMBERIAN ASI PERAH PADA IBU BEKERJA
Authors: Pebrianthy Lola 
Published: September 2022

Pemberian ASI pada Ibu Bekerja terhambat pada waktu menyusui karena intensitas pertemuan Ibu dan Bayi berkurang. Alternatif yang bisa ditempuh adalah pemberian ASIP. Tujuan penelitian adalah untuk mengetahui Hubungan Pendidikan dan Pengetahuan tentang ASIP dengan Pemberian ASIP pada Ibu Bekerja di Puskesmas Batangtoru Tahun 2021. Metode Penelitian bersifat Survey analitik desain cross sectional dilaksanakan di Puskesmas Batangtoru. Populasi seluruh Ibu bekerja yang memiliki bayi usia ≥ 6 bulan sampel sebanyak 36 orang teknik Purvosive sampling. Hasil Pengumpulan data dengan kuesioner dan uji statistic Fisher dan Continuity Correlation. Pada analisa bivariat didapatkan p value < α, ada hubungan pendidikan dengan pemberian ASIP ( P value = 0,004) dan ada hubungan pengetahuan dengan pemberian ASIP (P value = 0,002). Kesimpulan ada hubungan pendidikan dan pengetahuan ibu tentang asi eksklusif dengan pemberian ASI perah pada ibu bekerja. Disarankan kepada Puskesmas meningkatkan Promosi kesehatan tentang ASIP agar ibu mau melakukan ASIP.`
PERILAKU PASANGAN USIA SUBUR (PUS) DALAM PENGAMBILAN KEPUTUSAN MENJADI AKSEPTOR KELUARGA BERENCANA DI DESA HUTATINGGI TAHUN 2020
Authors: Jufri Soleman 
Published: September 2022

Masalah utama yang dihadapi di Indonesia dibidang kependudukan adalah masih tingginya angka pertumbuhan penduduk dimana perilaku masyarakat dalam pengambilan keputusan menjadi akseptor keluarga berencana dipengaruhi beberapa faktor yang dilihat dari aspek-aspek agama, psikologis, sosial, budaya, dan sosioekonomi. Hambatan agama umumnya berupa pandangan yang bersifat pronatalis (setuju akan jumlah kelahiran yang alamiah). Penelitian ini bertujuan untuk mengetahui perilaku pasangan usia subur (PUS) dalam pengambilan keputusan menjadi akseptor keluarga berencana dengan jenis penelitian Kuantitatif dan desain deskriptif melalui pendekatan cross sectional. Jumlah sampel dalam penelitian ini adalah 71 orang. Pengambilan sampel dilakukan dengan menggunakan Total Sampling yang telah dilakukakan pada bulan Juli sampai Agustus 2020 di Desa Hutatinggi dengan menggunakan instrumen berupa kuesioner. Hasil penelitian menunjukkan bahwa dari 71 responden mayoritas pasangan usia subur memiliki pengetahuan baik sebanyak 36 orang (50,7%) dan mayoritas pasangan usia subur bersikap positif sebanyak 65 orang (92%) dalam pengambilan keputusan menjadi akseptor keluarga berencana (KB). Sebagai bahan pertimbangan dan masukan diharapkan pelayanan kesehatan untuk tetap meningkatkan penyuluhan keluarga berencana agar dapat menambah informasi sehingga pengetahuan pasangan usia subur tentang keluarga berencana akan tetap baik.