bluuebunny/crossref_metadata_2025_split huggingface dataset:
The multigenerational and cross-national artist family Verelst (c. 1618-1752): The myth of Cornelius and Maria
Authors: Hancox Peter 
Published: December 2024

The number of practising artists in the multigenerational Verelst family in the seventeenth and eighteenth centuries has led to confusion as to their identification, partly because of the repetition of names between generations. Pieter Verelst (c. 1618-1668) worked in Dordrecht, Rotterdam, The Hague and possibly London, training several of his sons, certainly Herman (1641-1699), Simon (1644-1717?), John (1648-1679), and possibly William (1651-1702). By the mid 1660s, Pieter, Herman, Simon and John were active in the Low Countries but struggling financially. Pieter and Simon emigrated to London with John following via France. Herman worked in Venice, Ljubljana, and Vienna (where he and his family had to flee ahead of the Turkish siege of 1683) before settling into a successful career in London.
Four of Herman’s children became portraitists. John (c. 1670-1734) was initially successful as a court painter but failed to maintain his position, ending in bankruptcy. Michael (c. 1675-1752) became a provincial artist in Nottingham. Lodvick (1668-1704) was also a portraitist. Adriana (c. 1683-1769) was successful with commissions from the aristocracy and landed gentry; an unsuccessful marriage deprived her of wealth but she received a generous legacy from a friend which compensated.
One of Pieter’s great grandchildren, William (1704-1752), was the last of the artistic line. Like his father, John (c. 1670-1734), he had a career with some success as a portraitist with commissions from the East India Company and the Georgia Trustees as well as landed gentry, although it ended in bankruptcy.
Literature from Weyerman in 1729 onwards refers to two other artists in the family: ‘Cornelius’ and a female artist at first named as ‘N. Verelst’ or ‘Mlle Verelst’ but eventually named as ‘Maria Verelst’ by Bryan in 1816. There is no contemporary evidence for either under those names: it is argued that they are mis-namings of William (1651-1702) and Adriana respectively.
Carnival in Trinidad
Authors: Murphy Patrick 
Published: December 2024

Abstract
This essay focuses on the Pierrot and the Pisse-en-lit Carnival characters during the 1880s and 1890s. Pierrots rambled on about recondite events; spelled out convoluted words in a show of their supposed wisdom; and brawled with other Pierrots to commandeer streets. As to the Pisse-en-lit, these often-transvested revelers displayed bloodied clothes; exposed their underwear to passers-by; simulated sexual intercourse; carried chamber pots on their heads; and/or held sticks protruding from between their legs. The article outlines Trinidad’s historical context and features sections on both the Pierrot and the Pisse-en-lit, followed by a brief conclusion. The Pierrot and the Pisse-en-lit were part of an unsettled cultural arena which was adjusting to unbridled migration to the cities, the consolidation of a Black middle class, and the growth of Victorian morality. Both born from and broken by the conditions of the nineteenth century, the figures emerged out of fraught circumstances, meeting their demise as those circumstances decisively shifted.
An Archive of Silences
Authors: Camoglu Arif 
Published: December 2024

Abstract
This article bridges the gap between postcolonial studies and Ottoman literatures by revisiting the Ottoman Turkish novel as an archive that indexes the silencing of domestically enslaved women. Centering its discussion on Ahmet Mithat Efendi’s novel, Felâtun Bey ile Râkım Efendi, I argue that Ottoman Turkish novels from the late nineteenth century register and contribute to a historical-political unvoicing of women who are detained in the slave economy of the empire. Enslaved women in numerous fictional works from the period are censored in that they are compelled to rehearse a language that shies away from confronting the institutionality of slavery and slave trade. I propose that this representational muting parallels, and thereby calls into question the ongoing marginalization of the Ottoman context of enslavement in postcolonial literary-historical interrogations.
The state of mental health in Greece: An international comparative analysis using data from the Global Mental Health Countdown 2030
Authors: Kotsis Konstantinos , Marchionatti Lauro Estivalete , Simioni André , Schafer Julia Luiza , Evans-Lacko Sara , Saxena Shekhar , Kline Sarah , Kousoulis Antonis , Koumoula Anastasia , Salum Giovanni Abrahão 
Published: December 2024

Background: Effective mental health systems depend on the functioning of a variety of factors that can be systematically monitored across countries. Macro-level assessments are needed to identify potential areas for improvement in the health sector, particularly in countries that face significant access barriers such as Greece. Aim: To analyze Greece’s mental health-related indicators in comparison to countries with similar socioeconomic contexts and geography and identify priority areas for the national mental health system. Methods: Data was sourced from the Global Mental Health Countdown 2030, an initiative gathering 48 indicators from 193 countries, classifying metrics into four domains: mental health system performance, determinants of mental health, factors influencing the demand for care, and wellbeing. We analyzed 39 indicators available for Greece to perform a comparative analysis with three groups of countries (27 European Union, 55 high-income, and 52 upper-middle income nations). We employed content analysis to organize mental health system indicators into a framework to inform policy and practice. Results: Greece exhibited low performance in several indicators related to mental health provision, with four metrics falling below the 12.5th centile for all comparative groups (‘interventions in primary care’, ‘policy implementation’, ‘promotion and prevention’, and ‘frequency of collection of data’). A content-analysis framework grouped indicators into categories related to the mental health system, with low-scoring metrics clustering around ‘policy and planning’, ‘affordability of care’, ‘coordination of services’, and ‘data collection and quality assessment’. Conclusion: This analysis provides a contextualized overview of Greece’s mental health system, identifying areas for improvement based on a panel of evidence-based indicators. Priority policy actions should focus on enhancing mental health insurance coverage and freely-available mental health services, organizing provision into a stepped-care and coordinated service network, and establishing systematic data monitoring mechanisms with unified electronic registers.
Peripheral refraction of young adults with myopia: a cross-sectional study
Authors: Alsaqr Ali , Alharbi Manal , Aldossary Noura , Alruwished Abdulaziz , Alharbi Mohammed , Alghaib Khalid , Alabdulkarim Abeer , Shatha Alhamdan , Abusharha Ali 
Published: December 2024

Objective Peripheral refraction is associated with myopia development. Due to a varying prevalence of myopia across different ethnic groups, the aim of the present study was to investigate the peripheral refraction profile in an Arabic population. Methods Adults attending an optometry clinic were recruited into this cross-sectional study. Peripheral refraction of the right eyes was measured using an open field autorefractor under noncycloplegic conditions along the temporal-nasal meridians (15° and 35°) in participants with emmetropia, or low, moderate, or high myopia. Refractions were converted into power vector components, including the spherical equivalent of central refraction, J0 and J45 astigmatism. STROBE guidelines were followed for study reporting. Results A total of 138 adults (aged 20–29 years) were enrolled. Relative peripheral refractive error (RPRE) varied between refractive groups and increased with eccentricity. The RPRE was more hyperopic in myopia groups, with the nasal visual field being more hyperopic. A significant relationship was found between RPRE and central refraction, but not with J0 and J45 scores. Conclusions Participants with moderate myopia exhibited more hyperopic RPRE compared with previous findings in other ethnic groups. Hyperopic RPRE was significantly associated with myopia. Accurate RPRE measurement are essential for designing personalized lenses to slow down myopia progression. This study provides an RPRE baseline in the population investigated, which will be useful for future studies on personalized lens design, including spectacles and contact lenses.
Standardized Clinical Infectious Diseases Pharmacy Care Delivery and Antimicrobial Stewardship Program Management Within a Large, Integrated Healthcare System
Authors: Harmon Stacy Lynn , LaChance Erik , Miller Jessica L , Patel Sreya , Patel Amolee R 
Published: December 2024

Purpose Infectious Diseases (ID) pharmacy expertise is crucial for the success of antimicrobial stewardship (AMS) efforts. As health systems expand due to mergers and acquisitions, ID pharmacy teams strive to deliver consistent care across the enterprise. This report describes the fusion of multiple AMS practice models during the integration of health systems to optimize and standardize care delivery. Summary The merger of two large, community hospital systems necessitated the recalibration of services of both legacy antimicrobial stewardship programs (ASPs). While there was agreement that ID pharmacists perform daily prospective audit and feedback of antimicrobials and respond to diagnostics and cultures, the prioritization of practices across the enterprise that retained allowances for individual hospital nuance was paramount. The result was a practice model dedicated to consistent patient care regardless of geographic location, socioeconomic status, or reliance on a single ID pharmacist's availability. Additionally, the team coordinates the system ASP, in collaboration with medical staff. This includes implementation of stewardship initiatives, formulary management and guideline and document control. Lastly, ID pharmacists serve as a resource for prescribers and pharmacy staff and leadership. Conclusion The development of a standardized ID pharmacy practice model delivered through a hybrid of remote and in-person coverage addressed disparities in clinical services, education and ASP management. Complexities such as care gaps during leave are reconciled with this process while maintaining the minimum expectations of every ID pharmacist. This was especially crucial to establish consistent patient care across state lines with the rise of virtual services and inability to develop on-site rapport.
D-Penicillamine Induced Myelotoxicity: A Unique Case
Authors: Abdulla Aliya , Rezvani Aryan , Nelsen Christopher , Sigala Mariah I. 
Published: December 2024

Purpose: A case of D-penicillamine-related myelotoxicity in a patient with Wilson’s disease is reported. Summary: There is a paucity of literature regarding D-penicillamine (DPA) induced myelotoxicity in the setting of Wilson’s disease (WD). A 22-year-old male presented with a 1-week history of bleeding gums and dizziness. Four months prior, he had been diagnosed with Wilson’s disease and started on a regimen of DPA. His blood counts demonstrated profound pancytopenia. Due to concern for suspected drug-induced myelotoxicity, DPA was discontinued. Parvovirus B19, Epstein-Barr virus, cytomegalovirus, and varicella zoster virus polymerase chain reaction studies were negative and there was no evidence of hematological malignancy. Bone marrow biopsy demonstrated hypocellularity and trilineage hypoplasia with corresponding aspirate flow cytometry confirming the absence of acute leukemia. The patient was started on subcutaneous granulocyte-colony stimulating factor, provided transfusion support with packed red blood cells and platelets. Despite these measures, his blood count failed to recover, and he was discharged on eltrombopag 150 mg daily with plans for outpatient transfusion support. DPA was permanently discontinued, and he was prescribed trientine 750 mg daily. Unfortunately, his myelotoxicity remained consistent, requiring regular transfusions. He is currently undergoing evaluation for bone marrow transplant. Conclusion: DPA-induced myelotoxicity is a rare clinical entity. Our case demonstrates a unique clinical presentation of this phenomenon. Guidelines to mitigate the risk of and treat this toxicity remain to be determined.
Empowering diabetic foot ulcer prevention: A novel cloud-based plantar pressure monitoring system for enhanced self-care
Authors: Wu ShuiCai , Bin GuangYu , Shi WenFei , Lin Lan , Xu YongSong , Zhao Dong , Morgan Stephen P. , Sun Shen 
Published: December 2024

Background This study was prompted by the crucial impact of abnormal plantar pressure on diabetic foot ulcer development and the notable lack of its monitoring in daily life. Our research introduces a cloud-based, user-friendly plantar pressure monitoring system designed for seamless integration into daily routines. Objective This innovative system aims to enable early ulcer prediction and proactive prevention, thereby substantially improving diabetic foot care through enhanced self-care and timely intervention. Methods A novel, user-centric plantar pressure monitoring system was developed, integrating a wearable device, mobile application, and cloud computing for instantaneous diabetic foot care. This configuration facilitates comprehensive monitoring at 64 underfoot points. It encourages user engagement in health management. The system wirelessly transmits data to the cloud, where insights are processed and made available on the app, fostering proactive self-care through immediate feedback. Tailored for daily use, our system streamlines home monitoring, enhancing early ulcer detection and preventative measures. Results A feasibility study validated our system's accuracy, demonstrating a relative error of approximately 4% compared to a commercial pressure sensing walkway. This precision affirms the system's efficacy for home-based monitoring and its potential in diabetic foot ulcer prevention, positioning it as a viable instrument for self-managed care. Conclusions The system dynamically captures and analyzes plantar pressure distribution and gait cycle details, highlighting its utility in early diabetic foot ulcer detection and management. Offering real-time, actionable data, it stands as a critical tool for individuals to actively participate in their foot health care, epitomizing the essence of self-managed healthcare practices.
Assessment of perceived realism in AI-generated synthetic spine fracture CT images
Authors: D N Sindhura , Pai Radhika M , Bhat Shyamasunder N , Pai M M Manohara 
Published: December 2024

Background Deep learning-based decision support systems require synthetic images generated by adversarial networks, which require clinical evaluation to ensure their quality. Objective The study evaluates perceived realism of high-dimension synthetic spine fracture CT images generated Progressive Growing Generative Adversarial Networks (PGGANs). Methodology The study used 2820 spine fracture CT images from 456 patients to train an PGGAN model. The model synthesized images up to 512 × 512 pixels, and the realism of the generated images was assessed using Visual Turing Tests and Fracture Identification Test. Three spine surgeons evaluated the images, and clinical evaluation results were statistically analysed. Result Spine surgeons have an average prediction accuracy of nearly 50% during clinical evaluations, indicating difficulty in distinguishing between real and generated images. The accuracy varies for different dimensions, with synthetic images being more realistic, especially in 512 × 512-dimension images. During FIT, among 16 generated images of each fracture type, 13–15 images were correctly identified, indicating images are more realistic and clearly depict fracture lines in 512 × 512 dimensions. Conclusion The study reveals that AI-based PGGAN can generate realistic synthetic spine fracture CT images up to 512 × 512 pixels, making them difficult to distinguish from real images, and improving the automatic spine fracture type detection system.
Nutritional counseling's impact on muscle mass and quality of life in stage 4 chronic kidney disease malnourished patients
Authors: Sun Weiyan , Liu Lingxi 
Published: December 2024

Background Chronic Kidney Disease (CKD) is a significant public health issue, affecting 37 million people in the United States. CKD often leads to malnutrition, particularly in advanced stages, contributing to muscle wasting, reduced quality of life, and increased healthcare costs. Objective This retrospective study aimed to investigate the impact of early nutritional intervention and counseling on muscle mass and quality of life in malnourished stage 4 chronic kidney disease (CKD) patients. Methods Clinical data from stage 4 CKD patients with concomitant malnutrition admitted to a single center from January 2023 to December 2023 were retrospectively analyzed. Patients were divided into a standard intervention group and an early nutritional intervention and counseling group. Baseline characteristics, muscle mass parameters, quality of life assessments, nutritional parameters, and adverse events were compared between the two groups. Results The baseline characteristics of the study participants were well-balanced between the two groups. The early nutrition intervention group demonstrated significant improvements in muscle mass parameters, including grip strength, skeletal muscle mass, muscle strength, calf circumference, and handgrip measurement, compared to the standard intervention group. Additionally, the early nutrition intervention group showed significant enhancements in several aspects of quality of life, including physical functioning, mental health, energy/fatigue, and general health scores. Improvements in nutritional parameters, such as protein intake, caloric intake, vitamin D levels, iron levels, and zinc levels, were also observed in the early nutrition intervention group. Notably, no significant differences in adverse events were found between the two groups. Conclusion The study highlights the significant benefits of early nutritional intervention and counseling for malnourished stage 4 CKD patients. Early nutritional support positively impacts muscle mass, quality of life, and nutritional parameters. These findings emphasize the importance of nutrition in CKD management and the need for comprehensive nutritional support as a key component of care. This research paves the way for further studies and clinical initiatives to enhance nutritional care and improve the standard of care for CKD patients.
Effectiveness of duloxetine for the treatment of vestibular migraine
Authors: Zhang Tengteng , Zhang Shuping , Sun Jinghui , Zhang He , Lv Luting , Li Jie , Wang Jiandong , Yu Zhidan , Che Fei , Wu Shuqin 
Published: December 2024

Background This study aims to estimate the effectiveness of duloxetine in treating vestibular migraine. Methods The study included a total of 72 patients who were admitted to the Neurology department between January 2020 and January 2022. Based on the presence or absence of duloxetine in their medical records, the patients were categorized into two groups: a duloxetine group and a control group. Parameters used to assess treatment effects on vestibular symptoms included DHI, VSS, SAS, SRSS, SF-36, and BPI. Follow-up and statistical analysis of all data were performed. Results Duloxetine treatment significantly reduced VSS, the DHI total score, and the number of vertiginous episodes in VM patients, while the other medicine treatment also decreased the incidence of vertiginous attacks. However, the reduction in duloxetine group presented a better treatment effect and a lower occurrence of adverse reactions contrasted to the control group. Conclusions This study indicates that duloxetine treatment offers significant improvements in comparison to other medicine treatment. These results align with previous research on migraine prevention and contribute to the mounting evidence that supports duloxetine was used to treat vestibular migraine.
Poly(ether-ketone)/silica nanocomposites: Storage modulus and hardness
Authors: Joshi Mandar , Goyal Akhilesh , Gadve Roshan , Upadhyay Gautam , Goyal R. K. 
Published: December 2024

Dynamic mechanical properties of the poly (ether-ketone) (PEK) based nanocomposites reinforced with 0–30 wt% (0–20.2 vol%) SiO2 nanoparticles (20–40 nm) were investigated at 1 Hz over the temperature range of 30°C–250°C for the application in printed circuit boards/electronic substrates. It was found that uniform dispersion of SiO2 nanoparticles in the PEK matrix resulted in significant increase in storage modulus and microhardness. The highest increase in storage modulus measured at 50°C (glassy region) and 250°C (rubbery region) was more than 100% and 250% than that of neat PEK, respectively. The nanocomposites exhibited lower peak values of the tan δ than that of neat PEK. Scanning electron microscopy revealed good interfacial adhesion between the PEK matrix and the SiO2 nanoparticles which was validated by Kubat parameter. The glass transition temperatures determined from the loss modulus and tan δ are slightly increased for the nanocomposites. However, differential scanning calorimetry could not detect glass transition temperature.
Electroconvulsive therapy use in New South Wales between 1944 and 1949
Authors: Draper Brian , Wijeratne Chanaka 
Published: December 2024

Aims To identify clinical and other factors associated with the use of electroconvulsive therapy (ECT) in New South Wales for the period 1944–1949 and to compare with contemporaneous practice. Method Annual reports of the Inspector-General of Mental Hospitals in NSW (1944/45 to 1948/49) were examined. Main findings Seven hospitals reported a total of 8964 courses of treatment during the period. Demographically, 60.6% of patients who received ECT were female, and rural hospitals reported 13.6% of courses. ECT was as likely to be given for non-affective psychoses (37.7%), as for affective psychoses (35.0%). ECT was also administered for confusional states and non-psychotic disorders. Better outcomes were observed for depression, anxiety and confusional states than non-affective psychoses. Recovery rates declined over the study period. Mortality was <1%. Conclusions The clinical indications for ECT in the mid-twentieth century in NSW were much broader than currently. There has been no change in the sex ratio of patients administered ECT or reported mortality.