Gambaran Faktor Eksternal sebagai Hambatan dalam Pengambilan Obat pada Penderita Kusta di Wilayah Kerja Puskesmas Sikumana Kota Kupang

Leprosy is a chronic infectious disease caused by leprosy germs (Mycobacterium leprae), which attack the skin and peripheral nerves. Treatment in leprosy patients needs to be done to break the chain of transmission and prevent defects. Routine taking of drugs is an important indicator in the efforts of treatment and support the patient to take medication until the completion of treatment. This study aims to the external barriers in drug-taking in leprosy patients at Sikumana Primary Health Center in Kupang. This was a qualitative research with the phenomenological approach. There were nine informants in this study consisting of the Multibacillary (MB) leprosy patiens, their families, public figures, and health workers. The data was obtained by interviews and observations. Furthermore, the data analysis was conducted qualitatively. The results showed that the obstacles in getting the leprosy medicines were the access to the health facilities and COVID-19 pandemic. In addition, there were problems about negative peers influence and slow services in acquiring the medicines. The role of health agencies should be more proactive in fulfilling leprosy drugs during the COVID-19 pandemic by delivering drugs to leprosy sufferers

Participacion de las aqps en la migración e invasión de células del citotrofoblasto humano

Las acuaporinas se encuentran expresadas en la placenta y en las membranas fetales donde modulan el transporte de agua, sin embargo nuevos roles para estos canales han surgido recientemente, destacándose su participación en fenómenos de migración celular. El establecimiento de la placenta requiere que las células del citotrofoblasto adquieran un fenotipo invasivo que les permita invadir y remodelar la vasculatura uterina para asegurar un apropiado flujo sanguíneo e intercambio fetoplacentario. Una invasión desregulada puede desencadenar patologías placentarias tales como restricción del crecimiento intrauterino y preeclampsia.Facultad de Ciencias Médica

Participacion de las aqps en la migración e invasión de células del citotrofoblasto humano

Las acuaporinas se encuentran expresadas en la placenta y en las membranas fetales donde modulan el transporte de agua, sin embargo nuevos roles para estos canales han surgido recientemente, destacándose su participación en fenómenos de migración celular. El establecimiento de la placenta requiere que las células del citotrofoblasto adquieran un fenotipo invasivo que les permita invadir y remodelar la vasculatura uterina para asegurar un apropiado flujo sanguíneo e intercambio fetoplacentario. Una invasión desregulada puede desencadenar patologías placentarias tales como restricción del crecimiento intrauterino y preeclampsia.Facultad de Ciencias Médica

Emotional intelligence impairments in women with fibromyalgia: Associations with widespread pain.

This study aimed at testing the differences in emotional intelligence ability between women with fibromyalgia (cases) and their age-matched counterparts not with fibromyalgia from the general population (controls) and analysing the association between emotional intelligence ability and widespread pain in women with fibromyalgia. A total of 133 cases and 77 controls participated in this cross-sectional study. Controls performed better than cases on emotion understanding. Higher emotion perception and management were significantly associated with lower widespread pain. Therefore, women with fibromyalgia may experience difficulties in understanding emotional information. In fibromyalgia, higher emotion perception and management abilities are independently related to lower widespread pain.pre-print424 K

GALAXY: A new hybrid MOEA for the Optimal Design of Water Distribution Systems

This is the final version of the article. Available from American Geophysical Union via the DOI in this record.The first author would like to appreciate the financial support given by both the University of Exeter and the China Scholarship Council (CSC) toward the PhD research. We also appreciate the three anonymous reviewers, who help improve the quality of this paper substantially. The source code of the latest versions of NSGA-II and ε-MOEA can be downloaded from the official website of Kanpur Genetic Algorithms Laboratory via http://www.iitk.ac.in/kangal/codes.shtml. The description of each benchmark problem used in this paper, including the input file of EPANET and the associated best-known Pareto front, can be accessed from the following link to the Centre for Water Systems (http://tinyurl.com/cwsbenchmarks/). GALAXY can be accessed via http://tinyurl.com/cws-galaxy

A Model for Solving the Optimal Water Allocation Problem in River Basins with Network Flow Programming When Introducing Non-Linearities

[EN] The allocation of water resources between different users is a traditional problem in many river basins. The objective is to obtain the optimal resource distribution and the associated circulating flows through the system. Network flow programming is a common technique for solving this problem. This optimisation procedure has been used many times for developing applications for concrete water systems, as well as for developing complete decision support systems. As long as many aspects of a river basin are not purely linear, the study of non-linearities will also be of great importance in water resources systems optimisation. This paper presents a generalised model for solving the optimal allocation of water resources in schemes where the objectives are minimising the demand deficits, complying with the required flows in the river and storing water in reservoirs. Evaporation from reservoirs and returns from demands are considered, and an iterative methodology is followed to solve these two non-network constraints. The model was applied to the Duero River basin (Spain). Three different network flow algorithms (Out-of-Kilter, RELAX-IVand NETFLO) were used to solve the allocation problem. Certain convergence issues were detected during the iterative process. There is a need to relate the data from the studied systems with the convergence criterion to be able to find the convergence criterion which yields the best results possible without requiring a long calculation time.We thank the Spanish Ministry of Economy and Competitivity (Comision Interministerial de Ciencia y Tecnologia, CICYT) for funding the projects INTEGRAME (contract CGL2009-11798) and SCARCE (program Consolider-Ingenio 2010, project CSD2009-00065). We also thank the European Commission (Directorate-General for Research & Innovation) for funding the project DROUGHT-R&SPI (program FP7-ENV-2011, project 282769). And last, but not least, to the Fundacion Instituto Euromediterraneo del Agua with the project "Estudio de Adaptaciones varias del modelo de optimizacion de gestiones de recursos hidricos Optiges".Haro Monteagudo, D.; Paredes Arquiola, J.; Solera Solera, A.; Andreu Álvarez, J. (2012). A Model for Solving the Optimal Water Allocation Problem in River Basins with Network Flow Programming When Introducing Non-Linearities. Water Resources Management. 26(14):4059-4071. https://doi.org/10.1007/s11269-012-0129-7S405940712614Ahuja R, Magnanti T, Orlin J (1993) Network flows: theory, algorithms and applications. Prentice Hall, New YorkAndreu J, Capilla J, Sanchís E (1996) AQUATOOL, a generalized decision-support system for water resources planning and operational management. J Hydrol 177:269–291Bersetkas D (1985) A unified framework for primal-dual methods in minimum cost network flows problems. Math Program 32:125–145Bersetkas D, Tseng P (1988) The relax codes for linear minimum cost network flow problems. Ann Oper Res 13:125–190Bersetkas D, Tseng P (1994) RELAX-IV: A faster version of the RELAX code for solving minimum cost flow problems. Completion Report under NSFGrant CCR-9103804. Dept. of Electrical Engineering and Computer Science, MIT, BostonChou F, Wu C, Lin C (2006) Simulating multi-reservoir operation rules by network flow model. ASCE Conf Proc 212:33Chung F, Archer M, DeVries J (1989) Network flow algorithm applied to California aqueduct simulation. J Water Resour Plan Manag 115:131–147Ford L, Fulkerson D (1962) Flows in networks. Princeton University Press, PrincetonFredericks J, Labadie J, Altenhofen J (1998) Decision support system for conjunctive stream-aquifer management. J Water Resour Plan Manag 124:69–78Harou JJ, Medellín-Azuara J, Zhu T et al (2010) Economic consequences of optimized water management for a prolonged, severe drought in California. Water Resour Res 46:W05522Hsu N, Cheng K (2002) Network Flow Optimization Model for Basin-Scale Water Supply Planning. J Water Resour Plan Manag 128:102–112Ilich N (1993) Improvement of the return flow allocation in the Water Resources Management Model of Alberta Environment. Can J Civ Eng 20:613–621Ilich N (2009) Limitations of network flow algorithms in river basin modeling. J Water Resour Plan Manag 135:48–55Kennington JL, Helgason RV (1980) Algorithms for network programming. John Wiley and Sons, New YorkKhaliquzzaman, Chander S (1997) Network flow programming model for multireservoir sizing. J Water Resour Plan Manag 123:15–21Kuczera G (1989) Fast Multireservoir Mulltiperiod Linear Programming Models. Water Resour Res 25:169–176Kuczera G (1993) Network linear programming codes for water-supply headworks modeling. J Water Resour Plan Manag 119:412–417Labadie J (2004) Optimal operation of multireservoir systems: state-of-the-art review. J Water Resour Plan Manag 130:93–111Labadie J (2006) MODSIM: river basin management decision support system. In: Singh W, Frevert D (eds) Watershed models. CRC, Boca Raton, pp 569–592Labadie J, Baldo M, Larson R (2000) MODSIM: decision support system for river basin management. Documentation and user manual. Dept. Of Civil Engineering, CSU, Fort CollinsManca A, Sechi G, Zuddas P (2010) Water supply network optimisation using equal flow algorithms. Water Resour Manag 24:3665–3678MMA (2000) Libro blanco del agua en España. Ministerio de Medio Ambiente, Secretaría general Técnica, Centro de PublicacionesMMA (2008) Confederación Hidrográfica del Duero. Memoria 2008. http://www.chduero.es/Inicio/Publicaciones/tabid/159/Default.aspx . Last accessed 25 June 2012Perera B, James B, Kularathna M (2005) computer software tool REALM for sustainable water allocation and management. J Environ Manag 77:291–300Rani D, Moreira M (2010) Simulation-optimization modeling: a survey and potential application in reservoir systems operation. Water Resour Manag 24:1107–1138Reca J, Roldán J, Alcaide M, López R, Camacho E (2001a) Optimisation model for water allocation in deficit irrigation systems I. Description of the model. Agric Water Manag 48:103–116Reca J, Roldán J, Alcaide M, López R, Camacho E (2001b) Optimisation model for water allocation in deficit irrigation systems II. Application to the Bembézar irrigation system. Agric Water Manag 48:117–132Sechi G, Zuddas P (2008) Multiperiod hypergraph models for water systems optimization. Water Resour Manag 22:307–320Sun H, Yeh W, Hsu N, Louie P (1995) Generalized network algorithm for water-supply-system optimization. J Water Resour Plan Manag 121:392–398Wurbs R (1993) Reservoir-system simulation and optimization models. J Water Resour Plan Manag 119:455–472Wurbs R (2005) Modeling river/reservoir system management, water allocation, and supply reliability. J Hydrol 300:100–113Yamout G, El-Fadel M (2005) An optimization approach for multi-sectoral water supply management in the greater Beirut area. Water Resour Manag 19:791–812Yates D, Sieber J, Purkey D, Hubert-Lee A (2005) WEAP21 – a demand-, priority-, and preference-driven water planning model. Part 1: model characteristics. Water Int 30:487–500Zoltay V, Vogel R, Kirshen P, Westphal K (2010) Integrated watershed management modeling: generic optimization model applied to the Ipswich river basin. J Water Resour Plan Manag 136:566–57

VOTING BEHAVIOR IN 2022 NATIONAL ELECTION: A CAUSAL-COMPARATIVE AND CORRELATIONAL STUDY

The core of this study is the voting behavior of college students in the 2022 elections. It made use of the causal-comparative and correlational research designs to compare the voting behaviors of the respondents in terms of age and sex, and to determine the strength and direction of the relationship between the variable characteristics of the political candidates and the variable political process with respect to their influence on voting behavior. It included as respondents 41 purposively chosen Social Studies students of Notre Dame of Midsayap College. They were 18 to 23 years old, mostly females, and were all registered voters. Data were gathered through an online survey. Findings revealed that having a degree was considered by the respondents as a very important personal characteristic for the presidential and vice-presidential candidates, while being a member of a well-known family was considered by them as unimportant. Being honest and trustworthy was also considered by the respondents as a very important leadership characteristic for the said candidates. Meanwhile, being clear in their priorities is a political process that is very much likely to influence the respondents in choosing their president and vice-president while the giving of money or goods to voters is unlikely to influence them. Similarly, candidates being talked about in their locality is a political process that is likely to influence the respondents in choosing those candidates. The endorsement of candidates by a local leader is a political process that is likely to influence them in choosing those candidates, while endorsement by a church is very unlikely to influence them. Results bared that there is no significant difference on the voting behavior of the respondents with respect to their age and sex. Finally, there is a moderately strong positive relationship between the characteristics of the political candidates and the political process as to their influence on the voting behavior of the respondents, and such a relationship is highly significant.  Article visualizations

Random scenarios generation with minimun energy consumption model for sectoring optimization in pressurized irrigation networks using a simulated annealing approach

A pressurized irrigation network may operate in two ways, namely, on demand and organized under operating sectors. In the first case, the user decides when to irrigate, and the pumping station has to meet the discharge and pressure head requirements of the group of users that is demanding water at any time. In the second case, the operating hydrants at a given moment are previously established, which permits identification of scenarios related to lesser energy consumption. In this work, a new model was developed that identifies such scenarios. The optimization process is carried out by means of simulated annealing (SA). The model was applied to an example and the result obtained was compared with the same network operating on demand and sectorized using the criterion of hydrant elevation with respect to the pumping station. The scenario adopted for SA saved 11.8% and 15.5% in energy consumption compared with the two other scenarios, and decreased the installed power requirement by 38.3% and 21.6%, respectively.García Prats, A.; Guillem Picó, S.; Martínez Alzamora, F.; Jiménez Bello, MA. (2012). Random scenarios generation with minimun energy consumption model for sectoring optimization in pressurized irrigation networks using a simulated annealing approach. Journal of Irrigation and Drainage Engineering. 138(7):613-624. doi:10.1061/(ASCE)IR.1943-4774.0000452S613624138

Watson Brake, A Middle Archaic Mound Complex in Northeast Louisiana

Middle Archaic earthen mound complexes in the lower Mississippi valley are remote antecedents of the famous but much younger Poverty Point earthworks. Watson Brake is the largest and most complex of these early mound sites. Wry extensive coring and stratigraphic studies, aided by 25 radiocarbon dates and six huninescence dates, show that minor earthworks were begun here at ca. 3500 B.C. in association with an oval arrangement of burned rock middens at the edge of a stream terrace. The full extent of the first earthworks is not yet known. Substantial moundraising began ca. 3350 B.C. and continued in stages until some time after 3000 B.C. when the site was abandoned. All 11 mounds and their connecting ridges were occupied between building bursts. Soils,formed on some of these temporary surfaces, while lithics. fire-cracked rock. and,fired clay/loam objects became scattered throughout the mound fills. Faunal and floral remains from a basal midden indicate all-season occupation, supported by broad-spectrum foraging centered on nuts, fish, and deer All the overlying fills are so acidic that organics have not survived. The area enclosed by the mounds was kept clean of debris, suggesting its use as ritual space. The reasons why such elaborate activities first occurred here remain elusive. However some building bursts covary with very well-documented increases in El Nino/Southern Oscillation events. During such rapid increases in ENSO frequencies, rainfall becomes extremely erratic and unpredictable. It may be that early moundraising was a communal response to new stresses of droughts and flooding that created a suddenly more unpredictable food base