bluuebunny/crossref_metadata_2025_split huggingface dataset:
Challenges facing provision of low-cost housing in the Eastern Cape province
Authors: Ngumbela Xolisile , Mahlala Sandiso , Tafeni Zolani , Khonjelwayo Mthunzi 
Published: December 2024

This paper examines the challenges facing the provision of low-cost housing conundrum, with specific reference to the Eastern Cape Province. The paper will further explore policy alternatives to the idea of low-cost housing scheme delivery over time with a view to improving delivery of low-cost housing inquest for integrated sustainable communities in the province. Against the above stated background, the aim of this paper is to investigate challenges facing the provision of low-cost housing on the people of Eastern Cape Province. The guiding research question of this paper is: what is the efficacy way of implementing integrated low-cost housing strategy in addressing the problem of affordable housing shortage for the poor in the Province through the Integrated Human Settlement Plan? This papers setting is in the Eastern Cape Province, South Africa. A mixed method approach is employed to explore and describe the complexities at play in the policy tensions conundrum in the Eastern Cape Province. The findings of this paper suggest that the goal and vision of Integrated Human Settlement Plan should be consistently communicated in clear simple terms to all affected, especially the rural poor communities as they are most affected by the provision of low-cost housing provision. This article contributes to the scholarship of Public Administration and Development Management of resources surrounding the ongoing debate on the implementation of Integrated Human Settlement programme’s and government interventions that are targeted at low income and poor communities in South Africa with regard to transformation, development and policy implementation. The main argument of this paper is that with an adequate policy execution of the government’s development agenda we can improve service delivery as well as integrated human settlement that brings human dignity to the province of the Eastern Cape.
ESTÁGIO SUPERVISIONADO NA LICENCIATURA EM QUÍMICA EAD:
Authors: Martins Milhomem Camila , Adorania Pereira Duarte Claudia , Victor Barbosa de Jesus Santos João , Barilli Juliana , Holzbach Juliana Cristina , Beatriz da Silva Damiana 
Published: December 2024

O ensino de química no ensino médio, enfrenta desafios consideráveis devido à complexidade dos conteúdos. O lançamento do Programa Nacional das Escolas Cívico-Militares (PECIM), em 2019, possibilitou a popularização da experiência da gestão educativa compartilhada entre civis e militares. Essas instituições se caracterizam por sua disciplina e abordagem tradicional, que nem sempre promovem o máximo engajamento dos alunos em conteúdos complexos. As particularidades dessas instituições representam excelente oportunidade de aplicação de novas metodologias de ensino, sobretudo na formação de professores da educação básica. A intervenção pedagógica realizada centrou-se na ligação prática entre os semioquímicos, substâncias químicas utilizadas na comunicação entre organismos e o inseto Paederus irritans (Potó), conhecido localmente por causar dermatites em humanos. A escolha desse exemplo serviu para aproximar a matéria teórica ao cotidiano dos alunos, aumentando a relevância dos conteúdos ministrados. Os resultados sugerem que a implementação de metodologias ativas, via aplicativos como o Kahoot, pode superar as barreiras de engajamento e compreensão encontrados em aulas tradicionais, evidenciando melhorias notáveis no aprendizado. Além dessa integração de tecnologia, o estudo reforça a importância de abordar o ensino de química de maneira inovadora, capaz de captar o interesse dos estudantes, especialmente em ambientes educacionais com estruturas pedagógicas e disciplinares mais estruturadas.
INTEGRAÇÃO ENSINO E SERVIÇO EM SAÚDE: ARRANJOS ORGANIZACIONAIS DA GESTÃO ESTADUAL DO TOCANTINS ENTRE 2013 E 2020
Authors: Caixeta e Ferreira Renovato Kamila , De Souza Cleto Marcelo 
Published: December 2024

O horizonte de pesquisa apresentado neste artigo está no detalhamento e compreensão da relação integrada entre ensino e serviço em saúde promovido pela Secretaria de Estado da Saúde (SES-TO). A pesquisa é de caráter descritivo, bibliográfico e documental. Os resultados são apresentados de forma quanti-qualitativa, a partir da coleta de informações de fontes secundárias no recorte temporal de 2013 a 2020. Atualmente, estão em operação 37 instituições de ensino, sendo 13 públicas e 24 privadas. Semestralmente, a média de vagas de estágio se aproxima de 4000, e de residentes são 127 alunos por ano. Dentre os arranjos organizacionais, o Termo de Cooperação Institucional (TCI) que estabelece condições de cooperação mútua entre a SES-TO e as instituições de ensino, se mostra fundamental na gestão e monitoramento das vagas para os estágios supervisionados obrigatórios e residências nas Unidades de Saúde e Setores de Gestão. Como resultado, identificou-se um arranjo organizacional relacionado à integração ensino serviço bem estruturado, o que contribui para o aprimoramento da aprendizagem, no entanto, identificou-se a ausência de participação de usuários do SUS nas decisões dessa política pública, o que acarreta baixa densidade do controle social.
ANÁLISE DOS INDICATIVOS EDUCACIONAIS DA ESCOLA MUNICIPAL CORONEL LINO SAMPAIO
Authors: Mendes Caetano de Souza Renata Klicia 
Published: December 2024

O referido artigo é resultado de pesquisas e análises dos indicativos e informações descritos da Escola Municipal Coronel Lino Sampaio localizada na cidade de Pires do Rio, estado de Goiás. Entao a partir das informações coletadas do referido site foram analisados indicativos educacionais a partir de dados como aprendizagem dos alunos, perfil escolar matrículas em cada etapa, taxa de aprovação, infraestrutura, Ideb e nível sócio-econômico da referida escola, do estado de Goiás e do Brasil. Foi realizado análises comparativas dos dados coletados entre os diferentes anos que escola tem disponibilizado bem como comparando os dados da escola com dados de escolas da cidade de Pires do Rio do Estado de Goias e ate mesmo do Brasil. Os dados analisados apresentam informaçoes que colaboram para o que o processo ensino-apredizagem ocorra de forma eficiente e satisfatoria, apontando dificuldades,pontos fortes e objetivos a serem alcançados para que esse processo seja satisfatório e acessível a todos os alunos como previsto em lei.
“CAMBAXIRRA DA REVOLUÇÃO” E O “FALCÃO COM HÉRNIA VESTIDO DE NOIVA”:
Authors: Evangelista Ana 
Published: December 2024

O século XX foi marcado por intensos conflitos que levaram o mundo a se dividir entre diferentes concepções políticas e ideológicas. A partir dos acontecimentos da Revolução Russa, da Crise de 1929 e, mais tarde, da Guerra Fria, figura-se, no plano internacional e nacional, um acentuado debate entre comunismo e anticomunismo. Essa lógica passa a influir e atuar nos diferentes campos e aspectos da sociedade, sejam eles político, econômico, intelectual ou artístico. Nesse sentido, o presente artigo faz uma breve exposição da trajetória institucional de Oduvaldo Vianna Filho e Nelson Rodrigues, ambos expoentes da dramaturgia no Brasil, a fim de entender a contribuição dos dois intelectuais no cenário cultural brasileiro, e, através da análise da discussão que os dois dramaturgos travaram em 1961, busca-se compreender o lugar que ocupam e o papel que os dois desempenharam na construção do imaginário comunista e anticomunista do país.
Understanding and evaluating operator engagement ethos and practices: Examples from the UK Deep Geothermal Sector
Authors: Ryder Stacia , Rohse Melanie , Abesser Corinna 
Published: December 2024

Abstract

Background
With a transition to Net Zero a priority for an increasing number of countries, the roll out of renewable energy technologies is set to accelerate. To be fair and inclusive, a renewable energy transition must combine technological roll out with enabling communities and citizens to be part of energy decision-making. Whilst participation in the energy system can take many forms, the siting and implementation of renewable energy infrastructure is one area with great potential for improving fairness and inclusivity. In the UK, one nascent renewable energy technology is geothermal energy. The purpose of our study is to understand how the geothermal industry is approaching engagement, in a nation where little geothermal development or research on the industry’s engagement practices has occurred. We examine UK geothermal operator approaches to community engagement across three different projects. Through qualitative methods we examine the connections between who is leading engagement practices, what their engagement ethos and values are, and what specific type of strategies and approaches to community engagement are deployed.
Results
We uncover sets of operator ethos that emphasize honesty, trust, and relationship-building as central to developing good practice engagement strategies. Further, we find across the cases that there is general support for geothermal energy and positive attitudes towards operators and how they are conducting community engagement. Our results provide early analysis of engagement practices in the UK geothermal industry and offer a model for good practice in community engagement around geothermal energy.
Conclusions
We conclude by recommending three approaches for enhancing community engagement as one aspect of societal concern in the context of geothermal energy and beyond: (1) enhancing engagement training for operators, (2) shifting engagement to a focus on community-based (and not just technical) concerns, and (3) developing a policy framework that mandates meaningful engagement processes.
The Impact of Social Support on the Improvement of Positive Coping Styles among Disadvantaged Breadwinner Mothers: A Case Study from a Chinese Province
Authors: Li Jingya , Yu Hanyan 
Published: December 2024

Abstract

This study analyzes the impact of social support on the improvement of positive coping styles among disadvantaged breadwinner mothers in a Chinese province.Results from 380 beneficiaries of an assistance program, analyzed through hypothesis testing and stepwise regression, show that perception and evaluation of social support directly enhance positive coping abilities and increase social trust, leading to positive coping styles. Although the extent of utilization of social support does not affect the change in individuals' positive coping strategies before and after receiving assistance, it significantly improves their sense of social trust. individuals lacking social support have fewer influencing factors on positive coping strategies and are more dependent on supportive social assistance. The findings highlight the need to enhance beneficiaries' service awareness, satisfaction, and social trust while ensuring precise, long-term service delivery to promote a problem-solving-oriented positive attitude and behavioral approach to life.
A case of a neonatal cardiac tumor with ventricular tachycardia undergoing emergency surgery
Authors: Li Pengju , Zhai Bo , Chen Yihua 
Published: December 2024

Abstract

Background
Primary heart tumors are more common in children, often without obvious symptoms. However, a small number of children may experience serious conditions such as arrhythmia, heart obstruction, and even death. When severe arrhythmia cannot be controlled by conservative treatment, surgical intervention is needed.
Case presentation:
A 20-day-old male neonate, born full-term via cesarean section, was admitted to the emergency department with complaints of jaundice for 16 days and a rapid heart rate detected for one day. The heart rate was recorded at 280 beats per minute. An electrocardiogram (ECG) initially suggested supraventricular tachycardia, later progressing to ventricular tachycardia. A bedside echocardiogram indicated an intracardiac mass. Conservative treatment failed to restore normal heart rhythm, then the patient underwent emergency surgery with tumor resection under general anesthesia and cardiopulmonary bypass. Post-surgery, ventilator-assisted breathing was administered, along with inotropic support, diuretics, anti-infective therapy, and fluid management. the heart rate and rhythm returned to normal. Postoperative pathology revealed the presence of a cardiac rhabdomyoma, and follow-up was arranged post-discharge.
Conclusion
Cardiac tumors in children are relatively rare, mostly benign, and have a good prognosis. But for some emergency situations or heart tumors that cause adverse effects, timely and effective intervention is needed to avoid adverse consequences.
A Cloud-Edge Collaborative Model Training Framework for Assisted Classification of Middle Ear Diseases Based on Ultra-High-Resolution Temporal Bone CT Images
Authors: Wu Ting , Tang Yu , Che Zigang , Zhao Jiangjiang , Wang Jue , Wu Yanfeng , Meng Wei , He Shuangba 
Published: December 2024

Abstract

Objective
Cholesteatoma and otitis media are two of the most common middle ear diseases, of which the treatment principles are different, making the differentiation between them of significant importance. Both chronic suppurative otitis media (CSOM) and middle ear cholesteatoma (MEC) can appear on CT images as low-density soft tissue-like masses partially filling the middle ear and mastoid cavities. However, typical CT imaging of MEC may show progressive destruction of auditory structures and adjacent cranial bones. Compared to high-resolution CT (HRCT), ultra-high-resolution CT (U-HRCT) offers inherent continuity and a more detailed display of the fine structures of the middle ear. This study proposes a "cloud-edge" collaborative training framework for middle ear disease classification that exploits temporal bone U-HRCT imaging data. By integrating the YOLO recognition algorithm, this framework aims to achieve auxiliary classification of MEC and CSOM based on U-HRCT images.
Design:
In the cloud-edge collaborative framework, the edge devices acquire U-HRCT imaging data and perform auxiliary classification of middle ear diseases using image recognition and inference techniques. The imaging data collected by the edge devices are transmitted to the cloud, where a unified model training process is executed, and the model containers are then deployed to the edge devices for future auxiliary diagnosis. The framework employed Mixup and Mosaic methods for data augmentation to enhance model robustness and improve generalization performance. The object detection models of the You Only Look Once (YOLO) family was used, and the final model selection was made based on their performance.
Results
This study found that this cloud-edge collaborative framework can effectively classify temporal bone U-HRCT imaging data for MEC and CSOM. In the test set, the framework successfully collected real CT image data, performed data processing and conducted model training as designed. Eventually, multiple models were trained, with different levels of detection ability assessed by selected metrics, allowing for trade-offs in model selection considering computation time and accuracy. The selected model was then deployed to the edge, where they performed auxiliary classification tasks at the edge device.
Conclusions
This study discussed the significance of temporal bone U-HRCT imaging in the diagnosis of CSOM and MEC and proposed a cloud-edge collaborative model training framework for auxiliary classification from U-HRCT imaging data. This approach maximizes the utility of the data, fully leverages the diversity of image recognition algorithms, and ensures a high level of accuracy in classification.
Medium-to-Long-Term Success Rate of Left Atrial Appendage Closure Using Endocardial Sutures and Postoperative Anticoagulant Strategies
Authors: Heng Wenzhong , Song Hongying , Zhang Rong , Zhou Shibo , Huang Maoxun , Wang Yong , Wu Huiying , Wang Tiance 
Published: December 2024

Abstract

Background
Surgical endocardial closure of the left atrial appendage (LAA) is reported to reduce the risk of stroke in patients with atrial fibrillation (AF). This retrospective study assessed the efficacy and safety of endocardial suture obliteration with medium-to-long-term follow-up.
Methods
A total of 50 patients with valvular diseases and AF, treated from 2013 to 2018, were included in the analysis. All underwent heart valve surgery, the Cox-Maze IV procedure, and LAA closure using the endocardial suture obliteration technique. Intraoperative transesophageal echocardiography (TEE) was performed to assess the LAA closure outcomes. Closure failure was defined as a remnant LAA (> 1 cm) or persistent flow between the left atrium (LA) and LAA. Patients were followed up for an average of 7.16 ± 1.73 years, with transthoracic echocardiography (TTE) and TEE used to assess the results.
Results
Intraoperative TEE revealed no remnants of the LAA or persistent flow in any patient post-closure. None of those monitored postoperatively with TEE exhibited a remnant LAA > 1 cm; however, 5 (10%) patients had persistent flow between the LA and LAA. Of these five patients with closure failure, four (75%) presented with thrombus in the LAA stump, and one experienced a stroke event.
Conclusion
Our center has widely adopted the intraoperative closure of the LAA due to its simplicity, minimal bleeding risk, cost-effectiveness, and high success rate. For patients with confirmed LAA closure based on TEE evaluation, continued use of anticoagulant drugs may not be necessary.
Advanced Practice Nurses for Fall Incidence prevenTion in robust very old adults: protocol for the APN-FIT hybrid randomized controlled trial
Authors: Huet Jeremie , Rat Cédric , Renaux Carine , Mayol Séverine , Costanza Sarah , Riche Valérie-Pierre , Deschamps Thibault , Caillet Pascal , de Decker Laure 
Published: December 2024

Abstract

Background
Falls in older adults represent a major cause of disability and a pivotal indicator of the transition from robustness to frailty. Despite their proven effectiveness, the implementation of large-scale prevention programs has proved challenging, requiring the mobilization of extensive skills and human resources. In France, the role of Advanced Practice Nurses (APN) is becoming increasingly prominent, given their multimodal approach and nursing expertise, along with their clinical expertise.
Methods
This study is a hybrid, type 1, multicenter, randomized, open-label, superiority trial conducted in seven medical centers in the Pays de la Loire region in France. The primary objective is to assess the effect of a 12-month personalized multimodal follow-up by APNs on the incidence of falls in non-frail patients (Clinical Frailty Scale ≤ 3) aged over 80. Furthermore, a mixed ancillary study focusing on the intervention implementation will be conducted, and a cost-utility analysis will be performed. All 386 participants will be enrolled by APNs during an initial comprehensive geriatric assessment (CGA) and will be eligible to participate in a tailored home-based physical activity program. The intervention group will be followed by the APN 1, 3, 6, 9 and 12 months after inclusion. Primary and secondary outcomes, including those relating to intrinsic capacity domains, will be assessed in all participants during a second CGA at M12.
Discussion
In addition to a reduction in the incidence of falls, we expect that APNs will reduce the number of patients progressing to pre-frailty, frailty and impaired mobility. This study stands out for its hybrid design and the comprehensiveness of the geriatric assessment for assessing outcomes. The inclusion of 386 participants may be challenging and the retrospective collection of data on falls may be subject to memory biases. However, the results are likely to improve knowledge of the effect of APN follow-up in older adults and to optimize the implementation of APN-driven fall prevention programs in real-life situations.
Trial registration
This study has been registered on clinicaltrials.gov, NCT06617806, registration date 2024-09-26.
Dynamic alterations of novel thrombotic molecular markers in acute ischemic stroke patients after intravenous thrombolysis: a retrospective cohort study
Authors: Sun Wei , Xie Shuhua , Liu Fugan , Xie Yuqing , zhu Yunhui , Wu Pengcheng , Zhu Jiajia , Liu Xianghong 
Published: December 2024

Abstract

Background:
Novel thrombotic molecular markers include the thrombin-antithrombin complex (TAT), plasmin inhibitor-plasmin complex (PIC), thrombomodulin (TM), and tissue plasminogen activator-plasminogen activator inhibitor-1 complex (t-PAIC). These molecular markers facilitate the early assessment of coagulation and fibrinolysis system functions, as well as vascular endothelial injury; however, their clinical application following intravenous thrombolysis for acute ischemic stroke (AIS) remains unclear. Therefore, our study aims to evaluate the dynamic levels of these novel thrombosis-related molecular markers within 24 hours after intravenous thrombolysis in patients with AIS and analyze their relationship with patients outcome.
Methods:
We conducted a retrospective cohort study based on the data of 77 patients with AIS who underwent alteplase intravenous thrombolysis between November 2022 and February 2024. Novel thrombotic markers were evaluated at four time points: prior to thrombolysis, 1 hour after thrombolysis, 6 hours after thrombolysis, and 24 hours after thrombolysis. Based on the modified Rankin scale (mRS) score at day 90 post-discharge, patients were categorized into the good outcome group (mRS ≤ 1) and the poor outcome group (mRS > 1). Stepwise multivariate logistic regression was employed to analyze the association between 90-day functional outcomes and the measured variables. The area under the receiver operating characteristic curve (AUC) was utilized to assess the predictive ability of novel thrombotic markers.
Results:
Our study demonstrated that, compared to the poor outcome group, the good outcome group exhibited significant lower serum TAT levels both prior to thrombolysis and at 6 hours post-thrombolysis (all p < 0.05), and serum TM and t-PAIC levels were also significantly elevated in the good outcome group at 1 hour, 6 hours, and 24 hours following thrombolysis (all p < 0.05). Stepwise logistic regression analysis indicated that increased serum TM and t-PAIC levels at 24 hours post-thrombolysis were protective factors for a good 90-day outcome. The AUC values of TM, t-PAIC, and TM combined with t-PAIC for predicting 90-day functional outcomes were 0.918 (sensitivity 80.0%; specificity 85.7%), 0.658 (sensitivity 91.4%; specificity: 45.2%), and 0.984 (sensitivity: 97.1%; specificity 97.6%), respectively.
Conclusion:
Novel thrombotic molecular markers might serve as indicators for the early monitoring of dysfunction in the coagulation-fibrinolysis system and endothelial injury following intravenous thrombolysis for AIS. TM and t-PAIC exhibit predictive value regarding the outcome of intravenous thrombolysis in AIS, providing insights for future research on the protective role of TM in AIS.