bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intestinal Stomas; Basics, Complications and Controversy: Systematic review
Authors: Elnaim Abdel Latif , Wong Michael , Sagap Ismail 
Published: December 2024

Introduction Intestinal stomas, including ileostomies and colostomies, are surgically created openings in the abdominal wall to divert bowel contents for treating various benign and malignant conditions. Stomas, which can be temporary or permanent, play a critical role in decompressing the bowel, diverting contents, or protecting surgical anastomoses. Despite their benefits, stoma-related complications occur in 10%-70% of cases and significantly affect patients’ quality of life, including social and psychological well-being. Objectives: This systematic review categorizes stomas by presentation, fate, anatomical site, and construction, reviews complications, and examines nutritional, psychological, and social impacts, management controversies, and cost-reduction strategies. Methods We reviewed clinical studies, guidelines, and expert recommendations on stoma types, complications, and management challenges. Results Stomas are classified by presentation (emergency/elective), fate (temporary/permanent), anatomical site (ileostomy/colostomy), and construction (loop/divided). Complications (10%-70%) include skin irritation, stenosis, hernias, prolapse, and retraction. Nutritional support, particularly tailored diets for high-output stomas, is crucial. Stomas have considerable social and psychological impacts, but these can be improved through support groups and specialized care. Management controversies include timing of stoma closure, indications for diverting stomas, and approaches to leaks. The financial burden, including costs of managing complications, can be reduced by enhancing patient support and healthcare resources. Conclusions Optimal stoma care requires a multidisciplinary, patient-centered approach to improve physical and mental health outcomes. Despite ongoing management controversies, patient autonomy and well-being remain central. Strengthening support systems and healthcare resources is essential for better clinical and financial outcomes for stoma patients.
SHARIFA SALIMOVA BAXSHIYONALARINING O‘ZIGA XOS XUSUSIYATLARI
Authors: Eshanova Z.Q. 
Published: December 2024

Maqolada Sharifa Salimova ijodidagi baxshiyona asarlar tahlili orqali ularning o‘ziga xos xususiyatlari hamda davr muammolari tasvirini berishda folklorning turli unsurlaridan foydalanishdagi shoira mahorati yoritilgan. Shuningdek, Sh.Salimovaning “Baxshiyona” turkumi bir xil kompozitsion strukturaga ega emasligi, xalq dostonlari, ertakona motiv va obrazlar stilizatsiyasi asosida shakllantirilgani asoslangan
В статье освещены особенности произведений в стиле бахшияна в творчестве поэтессы Шарифы Салимовой на основе их анализа, а также освещено мастерство поэтессы в использовании различных элементов фольклора для описания проблем того времени. Также обосновано, что цикл Ш.Салимовой “Бахшияна” не имеет одинаковой композиционной структуры и сформирован на основе стилизации народных дастанов, сказочных мотивов и образов
The article illuminated the features of works in the Bakhshiyana style in the poetry of Sharifa Salimova based on their analysis, is also highlighted the poetess's skill in using various elements of folklore to describe the problems of that time. It is also substantiated that Sh. Salimova's cycle “Bakhshiyana” lacks a uniform compositional structure and is crafted through the stylization of folk dastans, fairy tale motifs, and imagery
Case Study Analysis Of Successful Companies' Use Of Digital Twin To Reduce Waste
Authors: Abbas Yas , Hameed Ali , mohammed Ghufran 
Published: December 2024

The purpose of this research is to build a review study to analyse the situation of successful companies in the use of digital twinning to reduce waste and losses that occur in the lack of accurate investment of time and efforts made, and from this basis was presented a set of previous studies related to digital twinning in order to determine the findings of these studies and discuss them by identifying points of similarity and difference between these studies, And then come up with an idea and a new mechanism to determine the behaviours that companies can pursue in order to apply digital twinning, and on this basis the research discussed the conceptual framework of digital twinning and then the mechanisms through which companies can use it in order to develop their ability to achieve strategic success and competitiveness, the research has come out with several results, foremost of which was that digital twinning works to build a digital model that parallels competing companies through data analysis, improving their efficiency, accelerating innovation, predicting trends, and Then improve the customer experience and achieve integration between the current systems and the systems pursued by other companies.
<span>ĐÁNH GIÁ THỰC TRẠNG SÂU BỆNH HẠI VÀ NHU CẦU SỬ DỤNG CHẾ PHẨM SINH HỌC PHÒNG TRỪ SÂU BỆNH TRÊN CÂY DƯA VÀNG KIM HOÀNG HẬU</span>
Authors: Trần Xuân Cương 
Published: December 2024

Nghiên cứu được tiến hành trên địa bàn huyện Quảng Xương, tỉnh Thanh Hóa nhằm đánh giá thực trạng sâu bệnh hại, nhu cầu sử dụng chế phẩm sinh học phòng trừ sâu bệnh trên cây Dưa vàng Kim Hoàng Hậu. Kết quả nghiên cứu cho thấy bệnh thối gốc, chết ẻo cây con và bệnh phấn trắng là các loại bệnh phổ biến gây hại trên cây Dưa vàng Kim Hoàng Hậu. Đối với côn trùng gây hại, rầy mềm và bọ phấn xuất hiện khá phổ biến và gây hại mạnh nhất so với các đối tượng côn trùng gây hại khác. Kết quả điều tra phỏng vấn nông hộ cho thấy, phần lớn nông dân trồng dưa, chiếm 72 – 82% số người được hỏi, mong muốn và có nhu cầu sử dụng thuốc sinh học để thay thể hoặc hạn chế sử dụng thuốc hóa học để bảo vệ cây trồng và sức khỏe người tiêu dùng.
Estudio sobre las Cooperativas de Ahorro y Crédito en el Ecuador en el período 2015-2022
Authors: Morales Tipáz Oscar P. 
Published: December 2024

Este artículo realiza un estudio integral y detallado sobre el desempeño financiero de varias cooperativas de ahorro y crédito en Ecuador durante un período de siete años de 2015 a 2022. A través de un análisis en profundidad de indicadores financieros clave, la salud económica de estas instituciones y sus Se examina su contribución al desarrollo socio económico del país.
Durante el estudio se analizan los siguientes indicadores financieros: Activos Productivos Anuales, Liquidez, Solvencia, Rentabilidad, Morosidad, Eficiencia y Calidad de Activos. Se evalúa el valor total de los activos productivos anuales, incluidas las cuentas por cobrar, los bienes realizables, las propiedades y equipos, y otros activos.
La liquidez se examina mediante el cálculo de los fondos disponibles en comparación con las obligaciones públicas. La solvencia se evalúa relacionando el patrimonio con los activos totales. El rendimiento de los activos (ROA) y el rendimiento del capital (ROE) se calculan para medir la eficiencia y la generación de beneficios. La calidad de la cartera de crédito se analiza utilizando la tasa de morosidad y contaminación. La eficiencia operativa se evalúa analizando los gastos operativos en relación con los activos totales y los activos productivos. Además, se evalúa la calidad de los activos, considerando la proporción de activos productivos sobre los activos totales. Los resultados de este análisis financiero brindarán una comprensión profunda del desempeño y la estabilidad de las cooperativas de ahorro y crédito en Ecuador durante el período seleccionado. Estos hallazgos serán de gran relevancia para la academia, los reguladores financieros y las propias cooperativas, con el objetivo de mejorar la toma de decisiones financieras y promover el desarrollo sostenible dentro del sector cooperativo, beneficiando en última instancia a la sociedad ecuatoriana en su conjunto.
Cambios en aberraciones de la córnea pos cirugía de cataratas con implante de lente secundario: una revisión exploratoria
Authors: Assis Reveiz Jorge , Giraldo Oliveros Simon , Roncancio Buitrago Laura 
Published: December 2024

Introducción: La extracción de catarata con implante de lente intraocular (LIO) es uno de los procedimientos quirúrgicos más realizados se considera seguro y efectivo, con resultados postoperatorio positivos en la visión, sin embargo se desconoce el cambio en las aberraciones corneales que produce el procedimiento
Objetivo: Realizar una síntesis de la evidencia disponible, sobre los cambios en las aberraciones post operatorias a cirugía de cataratas con implante de lente secundario en población adulta.
Metodología: Se realizó una revisión exploratoria de literatura, de la evidencia científica disponible sobre la magnitud y distribución de las aberraciones corneales post cirugía de cataratas con implante de lente secundario.
Resultados: Fueron seleccionados 13 estudios en la síntesis, que sumaron un total de 636 usuarios interviniendo 6,52 ojos, el promedio de edad fue de 55,8 ±17,3 años, con mayor participación de mujeres, los sistemas de clasificación del lente con mayor frecuencia de uso fueron los intraoculares estándar, acri.smart y colamer, el 84,6% de las intervenciones quirúrgicas fueron por facoemulsificación, en cuanto al tipo de incisión realizada en el procedimiento fue más prevalente la micro incisión (MICS) con el 46,1% seguido por la Clear Corneal Incisión (CCI) con el 38,4%.
Conclusión: Entre los cuatro tipos de aberraciones evaluados (coma, esféricas, trefoil, HOA) el mayor cambio medio se registró en trefoil con 0,0637 micrones, al comparar las medianas persiste el trefoil como la aberración con mayor cambio pre y pos cirugía.
GOVERNANÇA DA INTELIGÊNCIA ARTIFICIAL NO PODER JUDICIÁRIO BRASILEIRO:
Authors: Atheniens Alexandre , Marques-Neto Humberto Torres 
Published: December 2024

O presente artigo analisa a implementação da inteligência artificial no Poder Judiciário brasileiro, com foco na governança digital e seus impactos processuais. A pesquisa examina os desafios regulatórios e operacionais decorrentes da adoção de sistemas de IA nos tribunais, considerando especialmente os riscos da fragmentação normativa e a necessidade de um marco regulatório unificado. Por meio de uma abordagem analítica e propositiva, o estudo identifica potenciais violações ao devido processo legal e à segurança jurídica resultantes da multiplicidade de normas administrativas emanadas individualmente pelos tribunais. A metodologia empregada combina análise documental e estudo comparativo das experiências de implementação de IA no Judiciário. Como resultado, propõe-se um novo modelo de governança estruturado em três pilares fundamentais: regulação específica centralizada, comitê nacional de governança e programa de certificação de sistemas. Conclui-se pela urgência na implementação de um framework regulatório robusto que harmonize a inovação tecnológica com as garantias processuais fundamentais.
Temporal disruption in tuberculosis incidence patterns during COVID-19: a time series analysis in China
Authors: Zhang Jiarui , Sun Zhong , Deng Qi , Yu Yidan , Dian Xingyue , Luo Juan , Karuppiah Thilakavathy , Joseph Narcisse , He Guozhong 
Published: December 2024

Background
Despite extensive knowledge of tuberculosis (TB) and its control, there remains a significant gap in understanding the comprehensive impact of the COVID-19 pandemic on TB incidence patterns. This study aims to explore the impact of COVID-19 on the pattern of pulmonary tuberculosis in China and examine the application of time series models in the analysis of these patterns, providing valuable insights for TB prevention and control.

Methods
We used pre-COVID-19 pulmonary tuberculosis (PTB) data (2007–2018) to fit SARIMA, Prophet, and LSTM models, assessing their ability to predict PTB incidence trends. These models were then applied to compare the predicted PTB incidence patterns with actual reported cases during the COVID-19 pandemic (2020–2023), using deviations between predicted and actual values to reflect the impact of COVID-19 countermeasures on PTB incidence.

Results
Prior to the COVID-19 outbreak, PTB incidence in China exhibited a steady decline with strong seasonal fluctuations, characterized by two annual peaks—one in March and another in December. These seasonal trends persisted until 2019. During the COVID-19 pandemic, there was a significant reduction in PTB cases, with actual reported cases falling below the predicted values. The disruption in PTB incidence appears to be temporary, as 2023 data indicate a gradual return to pre-pandemic trends, though the incidence rate remains slightly lower than pre-COVID levels. Additionally, we compared the fitting and forecasting performance of the SARIMA, Prophet, and LSTM models using RMSE (root mean squared error), MAE (mean absolute error), and MAPE (mean absolute percentage error) indexes prior to the COVID-19 outbreak. We found that the Prophet model had the lowest values for all three indexes, demonstrating the best fitting and prediction performance.

Conclusions
The COVID-19 pandemic has had a temporary but significant impact on PTB incidence in China, leading to a reduction in reported cases during the pandemic. However, as pandemic control measures relax and the healthcare system stabilizes, PTB incidence patterns are expected to return to pre-COVID-19 levels. The Prophet model demonstrated the best predictive performance and proves to be a valuable tool for analyzing PTB trends and guiding public health planning in the post-pandemic era.
Efficacy of different dietary therapy strategies in active pediatric Crohn’s disease: a systematic review and network meta-analysis
Authors: Ma Jiaze , Chong Jinchen , Qiu Zhengxi , Wang Yuji , Chen Tuo , Chen Yugen 
Published: December 2024

Background
Dietary therapy strategies play an important role in the treatment of pediatric patients with Crohn’s disease (CD), but the relative efficacy of different dietary therapy strategies for Crohn’s remission is unknown. This study aims to compare the effectiveness and tolerance of these dietary therapy strategies for active pediatric CD.

Methods
We searched the medical literature up to August 30, 2024 to identify randomized controlled trials (RCTs) of dietary therapy strategies for pediatric CD. The primary outcomes were clinical remission rate and tolerance, secondary outcomes included differences between pre- and post-treatment levels of albumin, C-reactive protein (CRP), and fecal calprotectin levels. A network meta-analysis (NMA) was performed by using the frequentist model. For binary outcome variables and continuous outcome variables, odds ratios (OR) and mean differences (MD) with corresponding 95% confidence intervals (CI) were utilized, respectively. The ranking of dietary therapy strategies was determined based on the surface under the cumulative ranking area (SUCRA) for each comparison analyzed.

Results
Overall, 14 studies involving 564 participants were included. In terms of clinical remission rate, the partial enteral nutrition (PEN) plus Crohn’s disease exclusion diet (PEN+CDED) (OR = 7.86, 95% CI [1.85–33.40]) and exclusive enteral nutrition (EEN) (OR = 3.74, 95% CI [1.30–10.76]) exhibited significant superiority over PEN alone. The tolerance of PEN+CDED was significantly higher than that of EEN (OR = 0.07, 95% CI [0.01–0.61]). According to the surface under the cumulative ranking area (SUCRA) values, the PEN+CDED intervention (90.5%) achieved the highest ranking in clinical remission rate. In terms of tolerance, PEN+CDED ranked first (88.0%), while EEN ranked last (16.3%).

Conclusions
In conclusion, PEN+CDED was associated with the highest clinical remission rate and tolerance among the various dietary therapy strategies evaluated. Despite limitations in the studies, this systematic review provides evidence that PEN+CDED can be used as an alternative treatment to exclusive enteral nutrition and is more suitable for long-term management in children.
Analysis of the Cost of Cultivation and Returns for Cluster Bean in the Gird Region of Madhya Pradesh, India
Authors: Rundla Surendra , Shrivastava S.C. , Lamba Hemant Kumar , Singh Sudhir , Nitharwal Kavita , Yadav Deepak 
Published: December 2024

Cluster bean or guar (Cyamopsis tetragonoloba) (2n=14) is an annual legume plant widely grown for its gum, vegetable, fodder and green manure values. India produces around 80% of the world's cluster beans. It is the most important crop of drought region, because it has a deep root system and excellent in surviving water stress condition. This research paper was carried out to identify the cost of cultivation and returns of grid region of Madhya Pradesh of cluster bean for the year 2019-20. Multi-stage sampling was used for the selection of the farmers for the present research. Morena district of Madhya Pradesh was selected purposively as its first rank in the area and production of cluster bean in the state. Total 90 farmers were selected and the nearest organized grain mandi of Sabalgarh was selected purposively for this research. Both the primary and secondary data were collected. The results showed that at overall farm level per hectare cost of cultivation of Cluster bean in Morena district was noted ₹ 26772.60, Cost A1 at overall farm level was seen ₹ 16753.22/ha, has been that overall cost of production at cost A1/ A2 was observed ₹ 1355.50/qt average yield of guar were achieved 12.38 qt/ha Net return at aggregate level under cost A1 A2, B1 ,B2, C1, C2 and C3 were reported ₹ 39882.77/ha, ₹ 39882.77/ha, ₹ 39276.03/ha, ₹ 29863.36/ha, ₹ 37079.88/ha, ₹ 27667.21/ha and ₹ 27377.52 /ha, the B;C ratio over cost A1 Rs3.37, A2 Rs3.37, B1 3.25, B2 2.10, C1 2.88, C2 1.94, and C31.92 was observed. B; C ratio overall farm level was seen 1.92 referred crop is under profitable situation.
Does low lead exposure affect blood pressure and hypertension?
Authors: Kim Min Gi , Kim Young Wook , Ahn Yeon-Soon 
Published: December 2019

Abstract

Objectives
Historically, little was known about the effects of low blood lead level (BLL &lt; 10 μg/dL) on hypertension (HTN). The purpose of this study was to assess the effects of low BLL on blood pressure (BP) and HTN in lead-exposed male workers in the Republic of Korea.

Methods
From the year 2000 to 2004, 12,060 male workers underwent an Annual Specialised Medical Check-up for lead; 7,341 subjects had a peak BLL &lt; 10 μg/dL and were selected for the study. The quartiles of peak BLL in lead-exposed workers were as follows: first (0.01-3.68 μg/dL), second (3.69-5.19 μg/dL), third (5.20-6.86 μg/dL), and fourth (6.87-10.00 μg/dL). To examine the relationship between BLL and pre-HTN (systolic BP [SBP] ≥120-140 mmHg; diastolic BP [DBP] ≥80-90 mmHg) and between BLL and HTN (SBP ≥ 140 mmHg; DBP ≥ 90 mmHg), the quartiles of BLL were used as independent variables in multiple logistic regression analysis.

Results
In multiple linear regression analyses, SBP (β 0.04, P &lt; .01) and DBP (β 0.06, P &lt; .01) increased in line with a 1 μg/dL increase in BLL. The odds ratio (OR) of HTN in the fourth versus first BLL quartile (1.54; 95% confidence interval [CI]: 1.26, 1.89) was statistically significant.

Conclusion
SBP and DBP were statistically significantly associated with peak BLL. A BLL ≥ 6.87 μg/dL was associated with HTN; thus, even in workers with low BLLs (&lt;10 μg/dL), management of BP is likely to be necessary. Modulation of the current safety standards for BLLs in workers will be needed.
RETRACTED: CDKL5 promotes proliferation, migration, and chemotherapeutic drug resistance of glioma cells via activation of the PI3K/AKT signaling pathway
Authors: Jiang Zhenfu , Gong Tongtong , Wei Hong 
Published: December 2019

Gliomas, the most prevalent cancer in the central nervous system, are characterized by high morbidity and mortality, emphasizing the need to understand their etiology. Here, we report that cyclin‐dependent kinase‐like 5 (CDKL5) is highly expressed in gliomas, and CDKL5 overexpression promotes invasion, proliferation, migration and drug (β‐lapachone) resistance of glioma cells. In vitro, CDKL5 overexpression enhanced invasion, growth and migration of glioma cells, and stimulated the phosphoinositide 3‐kinase (PI3K)/AKT axis. Furthermore, CDKL5 overexpression in vivo promoted glioma proliferation, whereas CDKL5 knockdown had opposing effects. The effect of CDKL5 on drug resistance was eliminated if the PI3K/AKT axis was suppressed, and cisplatin combined with the PI3K/AKT suppressor XL147 remarkably prohibited proliferation in xenografts overexpressing CDKL5. Collectively, our findings suggest that CDKL5 acts through the PI3K/AKT axis in glioma cells, and indicate a possible role for CDKL5 in glioma therapy.
Introduction to World Literature Third Millenniumbceto 600ce
Authors: Denecke Wiebke 
Published: December 2019

AbstractThis chapter sketches major macroregions and spatiotemporal nodes from the third millenniumbceto 600ceand explores literary cultures in terms of their infrastructure, their places, occasions, and genres, and their relationship to knowledge production and transmission. Methodologically, this chapter proposes to move from definitions of “world literature” to a phenomenology of “the world literary” that captures more diverse phenomena (such as, for example, “preception”). It complements world‐systems approaches focused on economic networks by considering the peculiar reception trajectories of written artifacts that require not just connections but human interactive “connectivity.” And it calls to include a critique of antiquity's symbolic capital (its relation to modernisms) and its political capital (origin narratives for rampant nationalisms today) into the study of ancient worlds. Ultimately, the chapter argues that literatures of ancient worlds hold the promise to inspire new methods, concepts, and visions for the global humanities in the twenty‐first century.
TheTaNaKHand the Canons of Alexandria
Authors: Lange Armin 
Published: December 2019

AbstractThe concept of the Jewish Holy Scriptures as a closed and exclusive collection with a standardized text was developed during the reign of Herod the Great (40/37–4bce). While the critical editions and canons of the Alexandrian library provided a catalyst for this process, the resulting Jewish canon and its proto‐Masoretic standard text represent a genuinely Jewish realization of the concept of canon. Instead of a list of the most important Jewish authors, the Jewish canon represents an exclusive collection of Jewish holy writ. The formation of the Jewish canon and its standardized text should thus be understood both as a response to the increasing Greco‐Romanization under Herod's reign and as a document of the cultural impact of that Greco‐Romanization.
Teachings of the Venerable Masters: Laozi and theDaode jing
Authors: Komjathy Louis 
Published: December 2019

AbstractThis chapter examines the legendary Laozi (Lao‐tzu; Master Lao) and theDaode jing(Tao‐te ching; Scripture on the Dao and Inner Power), a key sacred text of the Daoist (Taoist) tradition. Although conventionally attributed to Laozi, theDaode jingis actually a multivocal anthology, containing a variety of historical and textual layers associated with various anonymous elders of the inner cultivation lineages of classical Daoism (so‐called “philosophical Daoism”). As an expression of the earliest Daoist religious community, emerging during the Warring States period (480–222bce), these lineages emphasized apophatic (emptiness‐/stillness‐based) meditation with the goal of mystical union with the Dao (Tao). In addition to covering this historical background and context, the present chapter examines cultural influences, interpretive legacies, and contexts of reception. In the process, attention is given to the factors that led to theDaode jingbeing identified as a “classic of Chinese literature” and of “world literature” by extension, rather than a classical Daoist text and eventually a central Daoist scripture with distinctive Daoist interpretations.