bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rapid Deployment of Team Nursing During a Pandemic: Implementation Strategies and Lessons Learned
Authors: Jones Kelly L. , Johnson Maren R. , Lehnertz Andrea Y. , Kramer Robert R. , Drilling Kelly E. , Bungum Lisa D. , Bell Sarah J. 
Published: March 2022

Background
The COVID-19 pandemic increased the number of patients requiring intensive care nation-wide, leading to nurse staffing shortages in many units.

Local Problem
At the beginning of the statewide COVID-19 surge, a tertiary teaching hospital in the upper Midwest experienced a sharp increase in patients needing intensive care. To relieve the resulting staffing shortage, it implemented a pilot program to bring general care nurses into its 21-bed mixed specialty intensive care unit to free intensive care unit nurses to help staff the hospital’s COVID-designated units.

Methods
Using a team nursing model, the intensive care unit recruited, oriented, and incorporated 13 general care nurses within 4 days. Education and resources were developed to distinguish team nurses from intensive care unit nurses, introduce them to the intensive care unit environment, outline expectations, communicate between team nursing pairs, and guide charge nurses in making staffing decisions and assignments. Staff feedback identified additional resources, barriers, and successes. An adaptive process was used to improve and update tools and resources on the basis of staff needs.

Results
The pilot program ran for 6 weeks. Positive outcomes included a reduced need for float nurses and self-perceived reduction in nursing workload. The principal barrier was charge nurses’ challenges involving staffing-to-workload balance based on the existing staffing model. This model identified productivity of a general care nurse and an intensive care unit nurse as equivalent, despite differences in their skill sets.

Conclusion
Team nursing in the intensive care unit is an agile tactic easily replicated in dire staffing situations.
Intricacies of Ultrasound-guided Lumbar Plexus Block in Octogenarians
Authors: Diwan Sandeep , Nair Abhijit , Dadke Madhuri , Sancheti Parag 
Published: March 2022

Background:
Ultrasound (US)-guided lumbar plexus block (LPB) could be technically challenging in elderly patients. The lumbar paravertebral sonoanatomy is undescribed in the elderly. In an attempt to understand the relevant sonoanatomy, identify the lumbar plexus elements, and understand the difficulties that encountered while performing LPB in elderly patients, we retrospectively analyzed US of 23 elderly patients who were administered US-guided LPBs.

Methods:
After institutional ethics committee approval, we retrospectively reviewed stored US images of lumbar paravertebral sonoanatomy in 23 elderly patients and analyzed psoas major muscle, lumbar vertebral body, lumbar nerve, and lumbar artery.

Results:
On US examination, features of psoas major muscle, lumbar vertebral body, lumbar nerve, and lumbar artery were noted and analyzed.

Conclusion:
US-guided visualization of the components of the lumbar paravertebral area is difficult and inconsistent in the elderly. Therefore, we suggest performing a scout scan, identify the structures, and use neurostimulation all the time for performing LPB in these patients.
Fabrication of Low-cost Realistic Three-dimensional Static Kidney Phantom for Ultrasound-guided Biopsy Applications
Authors: Fohely Firas , Oglat Ammar A. , Sabarna Khaled , Shweiki Zakaria , Hamoudeh Bayan , Shalaan Rulin 
Published: March 2022

Background:
The rapid growth of using ultrasound-guided interventional procedures, including biopsy and drainage, which considered painful procedures, leads to improving the practice cycle of ultrasound-guided procedures. Fabrication of low-cost tissue-mimicking phantoms that serve as a training tool medium for kidney needle biopsy procedures has dramatically overcome the drawbacks associated with these practices, such as reducing the number of miss lesions, medical errors, and recurrence rate as well as these phantoms are widely available and considered a good substitute for cadavers which were not always available and relativity expensive. However, several drawbacks are associated with current kidney phantom models, mainly the short shelf life and the high fabrication cost.

Methods:
This study aims to fabricate a realistic three-dimensional static mature human kidney phantom from low cost and available material for training on ultrasound-guided interventional procedures mainly biopsy test; the material used to fabricate our model is the gelatin-agar mixture.

Results:
This model proved that it is a tissue-mimicking material by measuring their acoustic properties which nearly the same as real human kidney tissue.

Conclusion:
The results of practicing interventional procedures on our phantom model showed good and easy uses for interventional procedures training as well as make it a preferable and economically affordable model.
ẢNH HƯỞNG CỦA LIỀU LƯỢNG PHÂN LÂN ĐẾN KHẢ NĂNG SINH TRƯỞNG, PHÁT TRIỂN VÀ NĂNG SUẤT LẠC TRONG VỤ XUÂN TẠI THỪA THIÊN HUẾ
Authors: Thanh Đức Trần , Thị Mỹ Duyên Nguyễn , Thùy Phương Nguyễn , Thị Diệu Hạnh Trương 
Published: March 2022

Nghiên cứu này được tiến hành tại Thừa Thiên Huế với mục tiêu xác định được liều lượng phân lân thích hợp, góp phần tăng năng suất, phẩm chất và hoàn thiện quy trình kỹ thuật sản xuất lạc tại tỉnh Thừa Thiên Huế. Nghiên cứu đã bố trí thí nghiệm gồm 5 nghiệm thức, 3 lần nhắc lại theo phương pháp khối ngẫu nhiên đầy đủ. Kết quả nghiên cứu cho thấy lượng phân lân phù hợp (tính cho 1 ha) bón cho cây lạc trong vụ xuân tại tỉnh Thừa Thiên Huế là 01 tấn super lân trên nền 08 tấn phân chuồng + 500 kg vôi + 80kg urê + 120 kg KCl.
Aqueous system-level processes and prokaryote assemblages in the ferruginous and sulfate-rich bottom waters of a post-mining lake
Authors: Petrash Daniel A. , Steenbergen Ingrid M. , Valero Astolfo , Meador Travis B. , Pačes Tomáš , Thomazo Christophe 
Published: March 2022

Abstract. In the low-nutrient, redox-stratified Lake Medard
(Czechia), reductive Fe(III) dissolution outpaces sulfide generation from
microbial sulfate reduction (MSR) and ferruginous conditions occur without
quantitative sulfate depletion. The lake currently has marked overlapping C,
N, S, Mn and Fe cycles occurring in the anoxic portion of the water column.
This feature is unusual in stable, natural, redox-stratified lacustrine
systems where at least one of these biogeochemical cycles is functionally
diminished or undergoes minimal transformations because of the dominance of
another component or other components. Therefore, this post-mining lake has scientific
value for (i) testing emerging hypotheses on how such interlinked
biogeochemical cycles operate during transitional redox states and (ii) acquiring insight into redox proxy signals of ferruginous sediments underlying a
sulfatic and ferruginous water column. An isotopically constrained estimate
of the rates of sulfate reduction (SRRs) suggests that despite high genetic
potential, this respiration pathway may be limited by the rather low amounts
of metabolizable organic carbon. This points to substrate competition
exerted by iron- and nitrogen-respiring prokaryotes. Yet, the planktonic
microbial succession across the nitrogenous and ferruginous zones also
indicates genetic potential for chemolithotrophic sulfur oxidation.
Therefore, our SRR estimates could rather be portraying high rates of anoxic
sulfide oxidation to sulfate, probably accompanied by microbially induced
disproportionation of S intermediates. Near and at the anoxic
sediment–water interface, vigorous sulfur cycling can be fuelled by ferric
and manganic particulate matter and redeposited siderite stocks. Sulfur
oxidation and disproportionation then appear to prevent substantial
stabilization of iron monosulfides as pyrite but enable the interstitial
precipitation of microcrystalline equant gypsum. This latter mineral
isotopically recorded sulfur oxidation proceeding at near equilibrium
with the ambient anoxic waters, whilst authigenic pyrite sulfur displays a
38 ‰ to 27 ‰ isotopic offset from ambient sulfate,
suggestive of incomplete MSR and open sulfur cycling. Pyrite-sulfur
fractionation decreases with increased reducible reactive iron in the
sediment. In the absence of ferruginous coastal zones today affected by
post-depositional sulfate fluxes, the current water column redox stratification in the post-mining Lake Medard is thought relevant for
refining interpretations pertaining to the onset of widespread redox-stratified
states across ancient nearshore depositional systems.
Spatiotemporal evolution and meteorological triggering conditions of hydrological drought in the Hun River basin, NE China
Authors: Yue Shupeng , Sheng Xiaodan , Yang Fengtian 
Published: March 2022

Abstract. The change of climate and environmental conditions has obviously
affected the evolution and propagation of drought in river basins. The Hun
River basin (HRB) is a region seriously troubled by drought in China, so it
is particularly urgent to evaluate the evolution of hydrological drought and
investigate the threshold of triggering hydrological drought in the HRB. In this
study, the standardized runoff index (SRI) was applied to reveal the evolution
characteristics of hydrological drought. Meanwhile, based on drought
duration and severity identified by the run theory, the copula function with
the highest goodness of fit was selected to calculate the return period of
hydrological drought. Furthermore, the propagation time from meteorological
to hydrological drought was determined by calculating the Pearson
correlation coefficients between 1-month SRI and multi-timescale
standardized precipitation index (SPI). Finally, based on the improvement of
the drought propagation model, the drought propagation thresholds for
triggering different scenarios of hydrological drought and its potential
influence factors were investigated. The results show that (1) the
hydrological drought showed a gradually strengthened trend from downstream
to upstream of the HRB from 1967 to 2019; (2) downstream of the HRB were
districts vulnerable to hydrological drought with longer drought duration
and higher severity; (3) the most severe drought with drought duration of 23
months and severity of 28.7 had corresponding return periods that exceed
the thresholds of both duration and severity of 371 and 89 years, respectively; (4) the propagation
time from meteorological to hydrological drought downstream of
reservoir has been significantly prolonged; and (5) the drought propagation
threshold downstream of the HRB was remarkably higher than that
upstream in all drought scenarios. Additionally, midstream showed the
highest drought propagation threshold at moderate and severe drought
scenarios, while downstream showed the highest drought propagation threshold in the extreme drought scenario.
Validation of wind resource and energy production simulations for small wind turbines in the United States
Authors: Sheridan Lindsay M. , Phillips Caleb , Orrell Alice C. , Berg Larry K. , Tinnesand Heidi , Rai Raj K. , Zisman Sagi , Duplyakin Dmitry , Flaherty Julia E. 
Published: March 2022

Abstract. Due to financial and temporal limitations, the small wind community relies upon simplified wind speed models and energy production simulation tools to assess site suitability and produce energy generation expectations. While efficient and user-friendly, these models and tools are subject to errors that have been insufficiently quantified at small wind turbine heights. This study leverages observations from meteorological towers and sodars across the United States to validate wind speed estimates from the Wind Integration National Dataset (WIND) Toolkit, the European Centre for Medium-Range Weather Forecasts (ECMWF) Reanalysis v5 (ERA5), and the Modern-Era Retrospective Analysis for Research and Applications, version 2 (MERRA-2), revealing average biases within ±0.5 m s−1 at small wind hub heights. Observations from small wind turbines across the United States provide references for validating energy production estimates from the System Advisor Model (SAM), Wind Report, MyWindTurbine.com, and Global Wind Atlas 3 (GWA3), which are seen to overestimate actual annual capacity factors by 2.5, 4.2, 11.5, and 7.3 percentage points, respectively. In addition to quantifying the error metrics, this paper identifies sources of model and tool discrepancies, noting that interannual fluctuation in the wind resource, wind speed class, and loss assumptions produces more variability in estimates than different horizontal and vertical interpolation techniques. The results of this study provide small wind installers and owners with information about these challenges to consider when making performance estimates and thus possible adjustments accordingly. Looking to the future, recognizing these error metrics and sources of discrepancies provides model and tool researchers and developers with opportunities for product improvement that could positively impact small wind customer confidence and the ability to finance small wind projects.
Multi-layered bandaging for lower limb lymphedema in vulva cancer
Authors: Dhamija Deepika , Chahal Aksh , Kaur Satinder 
Published: March 2022

Introduction: Gynaecological cancer growth represents more than one out of eight diseases.12.5% of female malignancies are genital group: uterus (4.8%), ovary (3.7%), cervix (2.7%), and others including vulva (1.3%). Vulva Cancer is generally an uncommon infection of women but currently the occurrence is of 2-3 for every 100,000 females and a middle age of 65-70, vulvar malignancy has shown an expanding frequency (20% somewhere in the range of 1973 and 2000) with simultaneously diminishing middle age at beginning throughout recent many years. Method: Multi layered bandaging was applied for 22 hours every day over left lower limb followed by a session of active exercises of lower limb muscles. Materials used: Stockinette (inner lining), Padding made of foam, short stretch bandages using measurement scales: Circumference measurement at given level, Quality of life EORTC QLQ- C30, LEFS Lower extremity functional scale. Conclusion: Multi layered bandaging reflected great results where p value is drawn (p= < 0.001)
Comparison of salivary leptin levels between underweight and overweight individuals and its role in orthodontic tooth movement
Authors: Jayachandran Tamizhmani , Ramya Ramya , Vikhashini Vikhashini , Surya S , Patri Vijeta , Raveendran Ranjith 
Published: March 2022

Introduction: The Aim of this study is to compare the concentration of salivary leptin levels between underweight and overweight individuals and its significance in orthodontic tooth movement. Methods: Fourty five underweight and overweight female subjects were taken in this study and they are divided into two groups, group I (underweight) and group II (overweight) depending on their mean body mass index. Angles class I malocclusion with bimaxillary protrusion were taken into this study. All subjects underwent upper first premolar extraction, and distal force is applied with lacebacks to maxillary canine. Salivary leptin samples were collected before force application (To), one hour after appliance placement T2, and one month after appliance placement (T3). Results: Overweight individuals show increased salivary leptin concentration three times greater than underweight individuals. Orthodontic tooth movement is decreased in overweight individuals when compared with underweight individuals. Conclusions: Increased salivary leptin levels showed a decreased tooth movement in overweight individuals than underweight individuals who showed decreased salivary leptin levels. Obese individuals require more orthodontic treatment duration time when compared with lean individuals.
Perjuangan melayani kesempatan mengenyam pendidikan di pelosok Tanjung Lesung, Sintang, Kalimantan Barat
Authors: Sainawati Sainawati , Samodra Y. Touvan Juni 
Published: March 2022

Best Practice ini disusun atas dasar kerja nyata yang telah dilakukan selama bertahun tahun. Usaha untuk memberikan layanan pendidikan yang layak dari daereh terpencil merupakan usaha yang harus dimulai dari kesadaran akan pentingnya mendidik generasi yang akan dating. Kebutuhan akan adanya sekolah Di Desa Tanjung lesung, Sintang, Kalimantan Barat merupakan hal yang sangat penting. SD engeri 18 Lubuk Kedang memcoba untuk mengawali pendirian sekolah jauh agar melayani pendidikan terhadap masyarakat. Sekolah jauh berdiri dengan bermodal dukungan masyarakat dengah hibah tanah dengan satu orang guru dan proses pembelajaran dilakukan di balai Desa. Terjadi lika liku selama sekolah jauh ini dilaksanakan sampai 7 tahun. Dukungan masyarakat, dewat adat, kepala dusun serta kepala desa menjadikan sekolah berkembang dengan baik. Akhirnya pada tahun 2020 sekolah jauh Tanjung Lesung di negerikan dengan SK nomor SK 55 Tahun 2020 termasuk dalam 10 sekolah lain yang statusnya dinegerikan. Dengan nama baru sekolah menjadi Sekolah Dasar Negeri 52 Tanjung Lesung.
CUMHURBAŞKANLIĞI HÜKÜMET SİSTEMİNDE İKİ DEFADAN FAZLA CUMHURBAŞKANI SEÇİLEMEME KURALI
Authors: ŞENTOP Mustafa 
Published: March 2022

16 Nisan 2017 tarihinde gerçekleştirilen halk oylaması sonucunda kabul edilerek yürürlüğe giren 21.01.2017 tarihli ve 6771 sayılı Kanun’la Türkiye Cumhuriyeti tarihinin en kapsamlı Anayasa değişikliklerinden birisi gerçekleştirilmiştir. Söz konusu Anayasa değişikliği ile Türkiye’de hükümet sistemi değişmiş; parlamenter hükümet sistemi yerini cumhurbaşkanlığı hükümet sistemine bırakmıştır. Bu kapsamda 6771 sayılı Kanun, yürütme erkinin oluşumu ile görev ve yetkilerine ilişkin Anayasa hükümlerinde önemli değişiklikler yapmış ve yeni esaslar benimsemiştir.
2017 tarihli söz konusu Anayasa değişikliği sonrasında Anayasa’nın 6771 sayılı Kanun’la değişik 101’inci maddesinde yer alan “bir kimse en fazla iki defa Cumhurbaşkanı seçilebilir” kuralının uygulanma şekline dair öğretide ve kamuoyunda bazı tartışmalar görülmüştür. Büyük ölçüde, 6771 sayılı Kanun’la değiştirilmeden önce de Anayasa’da aynı içerikte bir kuralın yer alıyor olmasına dayanan bu tartışmaların odağını, 2017 tarihli Anayasa değişikliğinden önce yapılan Cumhurbaşkanı seçimlerinin “bir kimse en fazla iki defa Cumhurbaşkanı seçilebilir” kuralının uygulanmasına etkisi oluşturmaktadır. Bu çerçevede çalışmada, yorum yöntemlerinden ve kanunların zaman bakımından uygulanmasına ilişkin ilkelerden hareketle, “parlamenter hükümet sistemi döneminde gerçekleştirilen Cumhurbaşkanlığı seçimlerinin, cumhurbaşkanlığı hükümet sisteminde en fazla iki defa Cumhurbaşkanı seçilebilme kuralı uygulanırken dikkate alınıp alınmayacağı” sorusunun cevabı aranacaktır.
DESAIN KEGIATAN EKSTRA KEAGAMAAN SEKOLAH DALAM PEMBENTUKAN KARAKTER RELIGIUS SISWA
Authors: Holilurrohman Moch. 
Published: March 2022

Abstract
This study discusses the design of extra-school religious activities in forming religious-character students at SMPN 31 Surabaya. The objectives of this study are: 1) To find out the school's efforts in forming religious character students at SMPN 31 Surabaya; 2) To find out what are the extra-religious activities of the school in forming students of religious character at SMPN 31 Surabaya; 3) To find out the supporting and inhibiting factors in designing extra-school religious activities in forming religious-character students at SMPN 31 Surabaya. This study includes research that uses a qualitative descriptive research approach and type. The data collection techniques used by researchers in this study were observation, interviews and documentation. The data analysis technique in this research is to use qualitative descriptive methods. From the research conducted by researchers, the results obtained are that the school's strategy in forming students of Surabaya's religious character is carried out in several ways both during learning activities and outside of school hours or religious extracurricular activities. What are the extra-religious activities of the school in forming students of religious character are Dhuha prayer in congregation, Prayer together before starting lessons, obligatory prayer in congregation, istighotsah together, reading and writing programs of the Koran, Islamic holidays, Friday program 'at sharing. As for the supporting and inhibiting factors in these activities, of course there are such as there are still some students who do not participate in the activity and also some inadequate infrastructure.
Single Nucleotide Polymorphisms at +45 T>G and at +276 G>T of the Adiponectin Gene and Plasma Adiponectin Level in Myanmar Type 2 Diabetic Patients
Authors: Thin Yu Khin , Myint Thein , Swe Latt Tint 
Published: March 2022

Introduction: Type 2 Diabetes Mellitus (T2DM) is one of the most common metabolic diseases and poses a substantial burden on health care systems globally. There is compelling data that genetic susceptibility to T2DM is polygenic. Genome-wide association studies have identified almost 50 loci associated with T2DM risk. Adiponectin gene polymorphism may be a causal role in the pathogenesis of insulin resistance and T2DM.
Aims: The aim of the study was to investigate the association between single nucleotide polymorphisms (SNP) at rs 2241766 (SNP+45 T>G) and at rs 1501299 (SNP+276 G>T) of adiponectin gene and plasma adiponectin level in Myanmar Type 2 Diabetic patients.
Study Design: It was a cross-sectional analytical study.
Methodology: 100 Type 2 Diabetic patients and 104 non-diabetic subjects were included. Genotype frequencies were determined by PCR-RFLP method and plasma adiponectin level was measured by ELISA method.
Results: Carrier groups (TG and GG genotypes of SNP+45) were more likely to develop T2DM risk than non-carrier groups (TT) [OR =1.8 (95% CI = 0.89-3.63, p = 0.09) and OR = 3.51 (95% CI = 1.07-11.54, p =0.04)] respectively. Carrier groups (GT and TT genotypes of SNP+276) were more likely to develop T2DM risk than non-carrier groups (GG) [OR =1.98 (95% CI =1.10-3.55, p = 0.02) and OR = 4.07 (95% CI =1.34-12.3, p = 0.01)] respectively. Therefore, G allele of SNP+45 was found to statistically increase T2DM risk than T allele and T allele of SNP+276 was found to statistically increase T2DM risk than G allele. Mean plasma adiponectin level (27.41±16.7µg/ml) of T2DM patients was significantly lower than that of non-diabetic subjects (37.19±26.77 µg/ml), (p =0.002). Mean plasma adiponectin levels of carrier groups (TG and GG of SNP+45) were significantly lower than that of non-carrier groups (TT). Mean plasma adiponectin levels of carrier groups (GT and TT of SNP+276) were significantly lower than that of non-carrier groups (GG).
Conclusion: SNP+45 T>G and +276 G>T of adiponectin gene are significantly associated with low plasma adiponectin level and type 2 diabetes mellitus in this study groups of Myanmar population.