bluuebunny/crossref_metadata_2025_split huggingface dataset:
GAMBARAN PELAKSANAAN SISTEM RUJUKAN PUSKESMAS DI DAERAH KEPULAUAN
Authors: Welembuntu Meistvin , Gobel Iswanto 
Published: February 2022

Salah satu prioritas reformasi kesehatan adalah meningkatkan dan pemerataan pelayanan yang bermutu bagi masyarakat di daerah terpencil dan kepulauan. Salah satu permasalahan di daerah kepulauan dan daerah terluar seperti pada wilayah kerja Puskesmas Nusa Tabukan adalah sistem rujukan dari Puskesmas menuju Rumah Sakit Tipe C yaitu RSD Liun Kendage Tahuna. Oleh karena itu perlunya suatu studi untuk memiliki gambaran pelaksanaan sistem rujukan puskesmas di daerah Kepulauan. Penelitian ini merupakan penelitian deskriptif, dengan rancang bangun cross sectional. Penelitian ini dilakukan di kampung Nipa, Pulau Nusa yang merupakan wilayah kerja Puskesmas Nusa Tabukan. Populasi dalam penelitian ini adalah seluruh masyarakat yang pernah mendapatkan pelayanan rujukan berupa pendampingan oleh perawat atau petugas kesehatan rerata dalam 3 tahun terakhir dengan jumlah sampel sebanyak 59 orang. Hasil Penelitian ini menunjukkan pelaksanaan rujukan pasien di wilayah kepulauan Puskesmas Nusa Tabukan berjalan dengan baik walaupun belum terdapat perahu/ambulance laut yang terstandar dan masih menggunakan perahu komersil/masyarakat yang dimodifikasi sementara untuk SOP pelaksanaan rujukan secara baku belum ditetapkan dan masih bersifat fleksibel. Diharapkan kerjasama antara pihak pemerintah daerah melalui Dinas Kesehatan dan perangkat kampung dalam memfasilitasi transportasi rujukan pasien.

One of the priorities for health reformation is to improve and equal health services to the community in remote areas and archipelagos. One of the problems in the islands and outermost areas, for example in the working area of ​​the Nusa Tabukan Health Center, is the referral system from the Public Health to Type C Hospital, namely RSD Liun Kendage Tahuna. Therefore, a study is needed to have an overview of the implementation of the Public Health center referral system in the Archipelago area. This research was a descriptive study, with a cross-sectional design. This research was conducted in Nusa Utara Island, which is the working area of ​​the Nusa Tabukan Health Center. The population of this study was all people who had received referral services in the form of assistance by nurses or health workers in the last 3 years on average with a total sample of 59 participants. The results of this study indicate that the implementation of patient referrals in the islands of Nusa Tabukan Health Center is going well even though there is no standardized boat/ambulance and still uses modified commercial/community boats, while the operating standard procedure (SOP )referral has not been established and it depends on the situation. This research recommends that cooperation between local government through the Health Department and village officials should facilitate the transportation of the patient.
Patrimônio Moderno de Aracaju
Authors: Chaves Carolina Marques , Galvão Fernando de Medeiros 
Published: February 2022

Provocados a pensar a conservação da Arquitetura Moderna em Aracaju, a produção residencial unifamiliar aparece como um objeto de estudo recorrente em razão de sua vulnerabilidade a demolições ou adequações para novos usos. Nesse sentido, procura-se contribuir para esse debate ao apresentar os resultados de um projeto de extensão universitária que, após 04 meses de trabalho acerca do tema “casas modernas de Aracaju”, registra o valor cultural reconhecido em um conjunto de oito residências situadas entre os bairros Centro e São José. Assim, esta comunicação volta aos documentos e à documentação a fim de contribuir para futuras ações que visem a proteção e conservação de parte do patrimônio moderno na cidade de Aracaju, mais especificamente relacionado à produção residencial unifamiliar de meados do século XX.
A inventariação do conjunto de oito residências modernas foi feita tomando por referência as informações demandas pelas ficha de registro do Docomomo Internacional (versão completa) e SICG (Sistema Integrado de Conhecimento e Gestão do IPHAN). A pesquisa histórica buscou orientar a representação de três fases do projeto: projeto original (as designed), obra construída (as built) e estado atual (as is). O levantamento de dados acerca das duas últimas fases foi feito através de depoimento oral dos moradores (ou antigo moradores), fotografias de época e levantamento arquitetônico (identificação e medições diretas). Além das fichas para inventariação dos bens foram desenvolvidos modelos 3D digitais com identificação das referidas fases. Para detalhar os processos e os resultados desta documentação será apresentada a Residência Souza Freire (1956-1958).
crise como oportunidade para repensar o Ordenamento Territorial
Authors: Delgado Cecília 
Published: February 2022

As crises, como a atual pandemia Covid - 19, são oportunidades para repensar os sistemas alimentares, mas a falta de acesso à terra especialmente nos perímetros urbanos é um obstáculo. Defende-se que o Ordenamento Territorial deve considerar a Agricultura Urbana como um instrumento de fortalecimento do tecido urbano e periurbano através do uso permanente ou temporário dos vazios urbanos não construídos. A Agricultura Urbana garante a soberania alimentar e responde de forma imediata às carências de famílias devastadas pelas crises económicas. Como não implica uma ocupação irreversível dos solos enquadra-se numa perspetiva de transformação dos vazios urbanas no que denominamos de “Zonas Agrícolas de Inclusão Social”.
Propomos ilustrar o estado da arte em Portugal através de dois processos distintos. O primeiro ilustra uma iniciativa sediada na Área Metropolitana do Porto, gerida por uma empresa de resíduos sólidos desde 2003, que tem vindo a coordenar a implementação de Hortas Urbanas nos vários municípios da região metropolitana. O segundo estudo de caso descreve a iniciativa da Câmara Municipal de Lisboa, iniciada em 2011, através de desenvolvimento de Parques Hortícolas que conjugam lazer com atividade agrícola. Os dois exemplos atestam a pertinência de uma política pública de acesso à terra que agregue as políticas de Ordenamento Territorial, Agricultura, e coesão social.
A identificação e documentação das escolas padrão Art Déco no Rio Grande do Sul
Authors: Cabral Lisiê Kremer , Costa de Oliveira Ana Lúcia , Carlucio Cordeiro José Henrique 
Published: February 2022

As atividades escolares no Brasil, em seu princípio, eram exercidas em residências particulares ou instituições religiosas e, portanto, usufruíam de pouca infraestrutura. Com o decorrer dos anos e a valorização da educação pelo Estado, especialmente entre o final do século XIX até a década de 1920, começaram a ser construídos edifícios específicos para esta função. A partir de 1920, houve uma reestruturação do sistema escolar, buscando ampliar o acesso à educação. A partir dessas novas diretrizes, foram propostas melhorias nos programas e no ambiente escolar. O racionalismo das construções permitiu agilidade e economia nas obras, fazendo com que fossem propostas novas concepções para as escolas. Nesse interim o governo do Rio Grande do Sul criou um projeto padrão, a ser disseminado em diferentes localidades, com adaptações de acordo com o número de usuários. Com o objetivo de apresentar as instituições escolares Art Déco de projeto padrão no Rio Grande do Sul, este artigo contextualiza o cenário político-social em que essas construções foram idealizadas, junto à compilação de dados encontrados através de levantamentos e buscas em arquivo históricos, analisando de maneira mais aprofundada o material de duas escolas estaduais pertencentes a esse programa - Escola Cruzeiro do Sul, em São Lourenço do Sul/RS; Instituto Estadual de Educação Assis Brasil, em Pelotas/RS.
Pengetahuan Dan Kepatuhan Penerapan Protokol Kesehatan Pada Pengunjung Praktik Mandiri Bidan Di Desa Rajagaluh Kidul
Authors: Marlina Leni , Marisa Dewi Erna , Nurlaili Lely 
Published: February 2022

Covid-19 merupakan penyakit menular yang disebabkan oleh jenis coronavirus yang baru ditemukan pada tahun 2019 dan menjadi sebuah pandemi yang terjadi di Negara seluruh dunia. Gejala-gejalanya adalah demam, batuk, sulit bernafas disertai dengan sesak, lemas, nyeri otot, diare dan gejala gangguan nafas lainnya. Cara terbaik untuk mencegah infeksi adalah dengan menghindari terpapar virus penyebab, menaati protokol kesehatan sebagai upaya pencegahan penularan dalam praktik kehidupan sehari-hari. Tujuan penelitian ini untuk mengetahui tingkat pengetahuan dan kepatuhan penerapan protokol kesehatan pada pengunjung Praktik Mandiri Bidan Swasta Di Desa Rajagaluh Kidul. Jenis atau desain penelitian yang digunakan adalah metode deskriptif. Dalam penelitian ini, peneliti menggunakan teknik pengambilan sampel secara purposive sampling dengan sample sebanyak 79 responden. Instrument yang digunakan adalah kuesioner yang disesuaikan dengan tujuan peneliti. Hasil penelitian didapatkan bahwa mayoritas responden memiliki pengetahuan yang baik tentang protokol kesehatan sebanyak (57,0%) dan sebagian besar kepatuhan pengunjung terhadap penerapan protokol kesehatan berkepatuhan tinggi sebanyak (45,6%). Kesimpulan hasil penelitian pengujung berpengetahuan baik dan kepatuhan pengunjung berkepatuhan tinggi artinya ada hubungannya antara pengetahuan dengan kepatuhan, jadi pengetahuan memberikan pengaruh yang signifikan terhadap perilaku kepatuhan
Qualimetric approach to assessing the quality of support and support of continuing education of teaching staff: managerial aspect
Authors: Maron Arkadiy 
Published: February 2022

The article analyzes the problem of creating an integral effective system of support and maintenance of continuing education of teachers in the conditions of the municipal system. The modern understanding of the complexity of the treatment of continuing education, its personality-developing nature, creative embodiment, institutional support and step-by-step development are mentioned. The substantiation of the basic theoretical foundation of this study is based on the characteristics of municipal, the specificity of the study on the quality of education and its criteria and indicators. Based on the application of the qualimetric approach, the algorithm of the quality assessment process, its stages – conceptualization, processing, evaluation, etc. is described. The results of the study are presented in the form of evaluation procedures, development of educational and developmental effects, criteria and indicators of productive support for continuing education of teaching staff.
Psychological safety of an inclusive educational environment: a risk-resource approach
Authors: Slusareva Elena 
Published: February 2022

Currently, inclusive education is considered as one of the strategic directions of the national education system. The leading condition for the effective implementation of joint learning of students with different educational opportunities is the creation of an inclusive educational environment that meets the needs of all subjects of educational relations, and, first of all, the need for security. One of the leading approaches in the psychology of the safety of the educational environment is the risk-resource approach aimed at identifying threats and preventing risks that arise in the educational environment and affect the psychological safety of the subjects of educational relations (teachers, students and their parents).The purpose of the study was to identify the risks and resources for ensuring the psychological safety of an inclusive educational environment. Based on the concept of psychological safety, the article proposes a definition of an inclusive educational environment; the structure of an inclusive educational environment, consisting of three components: spatial-subject, content-methodical (psycho-didactic) and socio-psychological. Based on the provisions of the risk-resource approach, the risks that arise at the level of each structural component of the environment and affect the psychological safety of the subjects of educational relations are meaningfully justified. On this basis, we consider the resources that allow us to prevent or minimize the risks that arise in an inclusive educational environment: at the level of the spatial and subject component-the architectural and information accessibility of an educational organization; at the level of the content and methodological component – the personal and professional readiness of teachers to implement inclusive educational practices based on a personality-oriented model of interaction; at the level of the socio-psychological component-the readiness of the subjects of educational relations for positive interaction in an inclusive educational environment.
Assessment of Sources and Pollution Level of Airborne Toxic Metals through Foliar Dust in an Urban Roadside Environment
Authors: Gajbhiye Triratnesh , Malik Tanzil Gaffar , Kang Chang-Hee , Kim Ki-Hyun , Pandey Sudhir Kumar 
Published: February 2022

Abstract
Concentrations of 19 elements (Al, Fe, Ca, K, Mg, Na, S, Ti, Ba, Sr, Zn, V, Cu, Mn, Cr, Pb, Ni, Co, and Cd) in foliar dust samples were determined from 6 different roadside locations of Bilaspur city (Chhattisgarh), India. Principal component analysis (PCA) indicated the significance of vehicular activities followed by sources such as firework events and other industrial/regional/transboundary sources in foliar dust in the area of study. Risk assessment of metal levels in foliar dust was performed using several indices based on the data collected from different sites. The geo-accumulation index (Igeo) analysis indicated foliar dust was moderately and extremely polluted with S and Cd, respectively, while practically unpolluted with most other elements (Al, Fe, Ca, K, Mg, Na, Ti, Ba, Sr, Zn, V, Cu, Mn, Cr, Pb, Ni, and Co). The values of pollution (I
POLL) index and contamination factor (CF) of Cd indicated a high pollution level. Comparable results were found for the ecological risk (Eri) of Cd (above 320) with a very high Eri at all sites. In addition, the overall Eri index (RI) of foliar dust at all sites was very high due to a greater Cd contribution.
COVID-19 Induced Secondary Hemophagocytic Lymphohsitocytosis: A Case Series
Authors: I. Elbanoni Omelkhir , Elhashmi Haloom A. , Madani Mariam M. , Elabbud Huda A. , Alougly Shirin I. , Elghariani Nourz A. 
Published: February 2022

Hemophagocytic lymphohistiocytosis (HLH) is a lethal and rapidly progressive hyper-inflammatory state that lead to development of fulminant multi-organ failure. HLH is divided into primary or familial HLH (FHL) and secondary HLH (sHLH). It can be triggered by a variety of agent that affect the immune system, infection is a common triggering agent. Recently, Coronavirus disease (COVID-19) has spread all over the world and was declared a pandemic. COVID-19 infection in children can induce serious hyper-inflammatory syndrome termed multisystem inflammatory syndrome (MIS-C). Clinically MIS-C patients present with features that resemble Kawasaki’s disease or toxic shock syndrome and the clinical and laboratory manifestations may also similar to that of secondary hemophagocytic lymphohistiocytosis, or macrophage activation syndrome (MAS).
The reported HLH syndrome in children with COVID-19 increased during 2020-2021. In this case series we present two pediatric patient diagnosed as sHLH post- COVID-19 infection with a brief literature review of similar pediatric patients.
Shift detection discrepancy between ExacTrac Dynamic system and cone‐beam computed tomography
Authors: Chow Vivian U. Y. , Cheung Michael L. M. , Kan Monica W. K. , Chan Anthony T. C. 
Published: February 2022

AbstractAccurate detection of patient shift is essential during radiation therapy such that optimal dose is delivered to the tumor while minimizing radiation to surrounding normal tissues. The shift detectability of a newly developed optical surface and thermal tracking system, which was known as ExacTrac Dynamic (EXTD), was evaluated by comparing its performance with the image guidance under cone‐beam computed tomography (CBCT). Anthropomorphic cranial and pelvis phantoms with internal bone‐like structures and external heat pad were utilized to study the shift detection discrepancy between EXTD system and CBCT. Random displacements within the range of ± 2 cm for translations and ± 2 degrees for rotations were intentionally applied to the phantom. Positional shifts detected by optical surface and thermal tracking (EXTD_Thml), stereoscopic X‐ray (EXTD_Xray), and CBCT were compared in 6 degrees of freedom. The translational difference between EXTD_Thml and CBCT was 0.57 ± 0.41 mm and 0.66 ± 0.40 mm for cranial and pelvis phantom, respectively, while it was 0.60 ± 0.43 mm and 0.76 ± 0.49 mm between EXTD_Xray and CBCT, respectively. For rotational movement, the difference between EXTD_Thml and CBCT was 0.19 ± 0.16° and 0.19 ± 0.22° for cranial and pelvis phantom, respectively, while it was 0.13 ± 0.18° and 0.65 ± 0.46° between EXTD_Xray and CBCT, respectively. This study demonstrated that the EXTD system with thermal mapping ability could offer comparable accuracy for shift detection with CBCT on both cranial and pelvis phantoms.
Evolution of disability in spinocerebellar ataxias type 1, 2, 3, and 6
Authors: Jacobi Heike , Schaprian Tamara , Beyersmann Jan , Tezenas du Montcel Sophie , Schmid Matthias , Klockgether Thomas ,   the EUROSCA and RISCA Study Groups
Published: February 2022

AbstractObjectiveThe aim was to study the evolution of disability in spinocerebellar ataxias (SCAs) type 1, 2, 3, and 6 (SCA1, 2, 3, 6).MethodsWe analyzed data of two longitudinal cohorts (RISCA, EUROSCA) which recruited ataxic and non‐ataxic SCA1, SCA2, SCA3, and SCA6 mutation carriers. To study disability, we used a five‐stage system for ataxia defined by walking ability (stages 0–3) and death (stage 4). Transitions were analyzed using a multi‐state model with proportional transition hazards. Based on the hazard estimates, transition probabilities and the expected lengths of stay in each stage were calculated. We further studied the effect of sex and CAG repeat length on progression.ResultsData of 3138 visits in 677 participants were analyzed. Median SARA scores for SCA1, SCA2, SCA3, and SCA6 ranged from 1.5 (interquartile range [IQR] = 0.0–3.5) to 3.5 (IQR = 1.4–6.1) in stage 0, 11.5 (IQR = 9.6–14.0) to 13.8 (IQR = 11.0–16.0) in stage 1, 19.0 (IQR = 17.0–21.0) to 23.8 (IQR = 19.5–27.0) in stage 2, and 28.5 (IQR = 26.0–32.5) to 34.0 (IQR = 32.6–37.1) in stage 3. Modeling allowed to calculate the subtype‐specific probability to be in a certain stage at a given age and duration of each stage. CAG repeat length was associated with faster progression in SCA1 (HR, 95% CI: 1.1, 1.1–1.2), SCA2 (1.2, 1.1–1.3), and SCA3 (1.1, 1.0–1.2). In SCA6, female sex was associated with faster progression (1.7, 1.1–2.6).InterpretationOur data are important for counselling of patients, assessment of the relevance of outcome markers, and design of clinical trials.
Proteomic profiling of sporadic late‐onset nemaline myopathy
Authors: Naddaf Elie , Dasari Surendra , Selcen Duygu , Charlesworth M. Cristine , Johnson Kenneth L. , Mauermann Michelle L. , Kourelis Taxiarchis 
Published: February 2022

AbstractObjectiveTo define the proteomic profile of sporadic late‐onset nemaline myopathy (SLONM) and explore its pathogenesis.MethodsWe performed mass spectrometry on laser‐dissected frozen muscle samples from five patients with SLONM, three of whom with an associated monoclonal protein (MP), and four controls, to determine the proteomic profile of SLONM. Furthermore, we assessed the role of the MP by evaluating the expression of the immunoglobulin light chain variable regions (IGVL).ResultsThere were 294 differentially expressed proteins: 272 upregulated and 22 downregulated. Among the top 100 upregulated proteins, the most common categories were: nuclear or nucleic acid metabolism (24%), extracellular matrix and basal lamina (17%), immune response (13%), and actin dynamics (8%). Downregulated proteins consisted mostly of contractile proteins. Among upregulated proteins, there were 65 with a role related to the immune system, including eight proteins involved in major histocompatibility complex 1 (MHC1) and antigen processing, 15 in MHCII complex and phagocytosis, and 23 in B and/or T‐cell function. Among nine upregulated immunoglobulin proteins, there were two IGVL genes. However, these were also detected in SLONM cases without an MP, with no evidence of clonally dominant immunoglobulin deposition. In muscle sections from SLONM patients, nemaline rods tended to accumulate in atrophic fibers with marked rarefaction of the myofibrils. Increased MHC1 reactivity was present in fibers containing nemaline rods as well as adjacent nonatrophic fibers.ConclusionOur findings suggest that aberrant immune activation is present in SLONM, but do not support a direct causal relationship between the MP and SLONM.
Consensus‐based robust least‐squares filter for multi‐sensor systems
Authors: Amiri Roshan Soheila , Rahmani Mehdi 
Published: February 2022

SummaryIn this article, a consensus‐based robust regularized least‐squares filter is designed for multi‐sensor systems with norm‐bounded uncertainties. In this approach, a min‐max optimization problem is presented based on a consensus protocol on estimates. The advantage of a consensus filter is that each node estimates its local states, in addition to reaching an agreement on estimates made by all sensors on the network. By introducing appropriate conversions the proposed optimization problem is converted to a robust regularized least‐squares problem. Solving this problem results in the structure of the proposed filter. Then, the recursive formulation of the filter is obtained in measurement form and information form. Finally, in order to investigate the efficacy, good proficiency, and robustness of the proposed consensus‐based robust least‐squares filter, it has been applied to an uncertain multi‐sensor system with 100 nodes and its results have been compared with existing consensus filters.
Promoting Electrochemical CO2 Reduction via Boosting Activation of Adsorbed Intermediates on Iron Single‐Atom Catalyst
Authors: Chen Jiayi , Wang Tingting , Wang Xinyue , Yang Bin , Sang Xiahan , Zheng Sixing , Yao Siyu , Li Zhongjian , Zhang Qinghua , Lei Lecheng , Xu Jiang , Dai Liming , Hou Yang 
Published: February 2022

AbstractSingle‐atom catalysts show great promise as non‐precious electrocatalysts for CO2 electroreduction reaction (CO2ER). However, it is still challenging to gain a fundamental understanding of the complicated dynamic behavior of CO2 activation to achieve high product selectivity. Herein, the authors report an unusual iron single‐atom catalyst, containing atomically dispersed Fe–N4 species and Fe3C nanoparticles (NPs) (Fe3C|Fe1N4). Having a fragmental‐rock‐shaped nanocarbon architecture, isolated Fe–N4 sites uniformly disperse with adjacent Fe3C NPs (<30 nm) in a carbon matrix. Benefiting from the strong coupling effect between Fe3C and Fe1N4 and unique spatial nanostructure, Fe3C|Fe1N4 displays exceptional CO2ER activity with a low onset potential of −0.3 V and high Faradaic efficiency of 94.6% at −0.5 V for CO production, acting as one of the most active Fe–N–C catalysts and even exceeding most other carbon supported non‐precious metal NPs. Experimental observations discover that the excellent CO2ER activity of Fe3C|Fe1N4 catalyst is attributable to the presence of Fe3C NPs that optimizes JCO of the coexisted Fe–N4 active sites. In situ attenuated total reflectance‐Fourier transform infrared analysis and theoretical calculations reveal that the Fe3C NPs strengthen the adsorption of CO2 on the isolated Fe–N4 sites to accelerate the formation of *COOH intermediate, and hence enhance the whole CO2ER performance.