bluuebunny/crossref_metadata_2025_split huggingface dataset:
Late-onset myocardial infarction and autoimmune haemolytic anaemia in a COVID-19 patient without respiratory symptoms, concomitant with a paradoxical increase in inflammatory markers: a case report
Authors:   IDTM UMG COVID-19 Group, Pelle Maria Chiara , Tassone Bruno , Ricchio Marco , Mazzitelli Maria , Davoli Chiara , Procopio Giada , Cancelliere Anna , La Gamba Valentina , Lio Elena , Matera Giovanni , Quirino Angela , Barreca Giorgio Settimo , Trecarichi Enrico Maria , Torti Carlo 
Published: December 2020

Abstract
Background
In December 2019, a new coronavirus (named severe acute respiratory syndrome coronavirus 2, SARS-CoV-2) spread from China, causing a pandemic in a very short time. The main clinical presentation of SARS-CoV-2 infection (COVID-19, coronavirus disease-2019) is pneumonia, but several cardiovascular complications may also occur (e.g., acute coronary syndromes, pulmonary embolism, stroke, arrhythmias, heart failure and cardiogenic shock). Direct or indirect mechanisms induced by SARS-CoV-2 could be implicated in the pathogenesis of these events.

Case presentation
We report herein the third case of COVID-19 autoimmune haemolytic anaemia (AIHA) reported so far, which occurredwithout any other possible explanations in a Caucasian patient. The patient also suffered from ST-elevation myocardial injury.

Conclusions
Both complications occurred quite late after COVID-19 diagnosis and were probably precipitated by systemic inflammation, as indicated by a significant delayed increase in inflammatory markers, including interleukin-6 (IL-6).
“It might be a statistic to me, but every death matters.”: An assessment of facility-level maternal and perinatal death surveillance and response systems in four sub-Saharan African countries
Authors: Kinney Mary V. , Ajayi Gbaike , de Graft-Johnson Joseph , Hill Kathleen , Khadka Neena , Om’Iniabohs Alyssa , Mukora-Mutseyekwa Fadzai , Tayebwa Edwin , Shittu Oladapo , Lipingu Chrisostom , Kerber Kate , Nyakina Juma Daimon , Ibekwe Perpetus Chudi , Sayinzoga Felix , Madzima Bernard , George Asha S. , Thapa Kusum 
Published: December 2020

Background
Maternal and perinatal death surveillance and response (MPDSR) systems aim to understand and address key contributors to maternal and perinatal deaths to prevent future deaths. From 2016–2017, the US Agency for International Development’s Maternal and Child Survival Program conducted an assessment of MPDSR implementation in Nigeria, Rwanda, Tanzania, and Zimbabwe.

Methods
A cross-sectional, mixed-methods research design was used to assess MPDSR implementation. The study included a desk review, policy mapping, semistructured interviews with 41 subnational stakeholders, observations, and interviews with key informants at 55 purposefully selected facilities. Using a standardised tool with progress markers defined for six stages of implementation, each facility was assigned a score from 0–30. Quantitative and qualitative data were analysed from the 47 facilities with a score above 10 (‘evidence of MPDSR practice’).

Results
The mean calculated MPDSR implementation progress score across 47 facilities was 18.98 out of 30 (range: 11.75–27.38). The team observed variation across the national MPDSR guidelines and tools, and inconsistent implementation of MPDSR at subnational and facility levels. Nearly all facilities had a designated MPDSR coordinator, but varied in their availability and use of standardised forms and the frequency of mortality audit meetings. Few facilities (9%) had mechanisms in place to promote a no-blame environment. Some facilities (44%) could demonstrate evidence that a change occurred due to MPDSR. Factors enabling implementation included clear support from leadership, commitment from staff, and regular occurrence of meetings. Barriers included lack of health worker capacity, limited staff time, and limited staff motivation.

Conclusion
This study was the first to apply a standardised scoring methodology to assess subnational- and facility-level MPDSR implementation progress. Structures and processes for implementing MPDSR existed in all four countries. Many implementation gaps were identified that can inform priorities and future research for strengthening MPDSR in low-capacity settings.
How medical education survives and evolves during COVID-19: Our experience and future direction
Authors: Kim Ju Whi , Myung Sun Jung , Yoon Hyun Bae , Moon Sang Hui , Ryu Hyunjin , Yim Jae-Joon 
Published: December 2020

Background
Due to the outbreak of coronavirus disease 2019 (COVID-19), school openings were postponed worldwide as a way to stop its spread. Most classes are moving online, and this includes medical school classes. The authors present their experience of running such online classes with offline clinical clerkship under pandemic conditions, and also present data on student satisfaction, academic performance, and preference.

Methods
The medical school changed every first-year to fourth-year course to an online format except the clinical clerkship, clinical skills training, and basic laboratory classes such as anatomy lab sessions. Online courses were pre-recorded video lectures or live-streamed using video communication software. At the end of each course, students and professors were asked to report their satisfaction with the online course and comment on it. The authors also compared students’ academic performance before and after the introduction of online courses.

Results
A total of 69.7% (318/456) of students and 35.2% (44/125) of professors answered the questionnaire. Students were generally satisfied with the online course and 62.2% of them preferred the online course to the offline course. The majority (84.3%) of the students wanted to maintain the online course after the end of COVID-19. In contrast, just 13.6% of professors preferred online lectures and half (52.3%) wanted to go back to the offline course. With the introduction of online classes, students' academic achievement did not change significantly in four subjects, but decreased in two subjects.

Conclusions
The inevitable transformation of medical education caused by COVID-19 is still ongoing. As the safety of students and the training of competent physicians are the responsibilities of medical schools, further research into how future physicians will be educated is needed.
Health care expenditure in the last five years of life is driven by morbidity, not age: A national study of spending trajectories in Danish decedents over age 65
Authors: Hansen Anne Vinkel , Mortensen Laust Hvas , Trompet Stella , Westendorp Rudi 
Published: December 2020

Background
The high level of medical spending at the end of life is well-documented, but whether there is any real potential for cost reductions there is still in question, and studies have tended to overlook the costs of care.

Aim
To identify the most common health care spending trajectories over the last five years of life among older Danes, as well as the determinants of following a given trajectory.

Methods
We linked Danish health registries to obtain data on all health care expenditure (including hospital treatment, prescription drugs, primary care and costs of communal care) over the last five years of life for all Danish decedents above age 65 in the period 2013 through 2017. A latent class analysis identified the most common cost trajectories, which were then related to socio-economical characteristics and health status at five years before death.

Results
Total health care expenditures in the last five years of life were largely independent of age and cause of death. Costs of home care and residential care increased steeply with age at death whereas hospital costs decreased correspondingly. We found four main spending trajectories among decedents: 3 percent followed a late-rise trajectory, 11 percent had accelerating costs, and two groups of 43 percent each followed moderately or consistently high trajectories. The main predictor of total expenditure was the number of chronic diseases.

Interpretation
Spending at the end of life is largely determined by chronic disease, and age and cause of death only determine the distribution of expenses into care and cure.
COVID-19-related stigmatization among a sample of Egyptian healthcare workers
Authors: Mostafa Aya , Sabry Walaa , Mostafa Nayera S. 
Published: December 2020

ObjectivesTo explore coronavirus disease 2019 (COVID-19)-related stigma and its associated factors among Egyptian physicians.MethodsA cross-sectional study using an anonymous online questionnaire was conducted from 7 to 21 June 2020. The survey was distributed via social media and email to physicians working in Egypt through convenience sampling.Results509 physicians participated in the study (mean age: 41.5±10.2). 138 (27.1%) participants were directly involved in the care of COVID-19 patients. 159 (31.2%) participants reported severe level of COVID-19-related stigma. Participants’ mean overall COVID-19-related stigma score was 40.6±8.0. The mean subscale scores were: personalized stigma 26.0±5.7, disclosure concerns 9.3±2.2, negative self-image 6.9±1.6, and concern with public attitudes 24.4±4.9. In the multivariable regression analyses, the overall COVID-19-related stigma score was higher in participants with lower qualifications (β = -0.19, 95% CI: 2.32, -0.64, p = 0.001), and in those working in a quarantine hospital (β = 0.08, 95% CI: 0.01, 7.14, p = 0.050).ConclusionsA considerable proportion of Egyptian physicians in this exploratory study experienced COVID-19-related stigmatization. These preliminary findings highlight the need for specific research and targeted interventions particularly addressing COVID-19-related stigmatization among healthcare workers.
Effect of cesarean section on initiation of breast feeding: Findings from 2016 Ethiopian Demographic and Health Survey
Authors: Gedefaw Getnet , Goedert Martha H. , Abebe Eskeziaw , Demis Asmamaw 
Published: December 2020

Background
Early initiation of breast feeding has great importance for both mothers and newborns. Despite, recommendations for exclusive and early initiation of breast feeding within one hour of birth, Ethiopia reports that 58% of infants under six months of age are exclusively breastfed. Cesarean deliveries may affect timing of breastfeeding initiation, establishment of milk supply and infant breastfeeding interest compared to vaginal deliveries. The aim of this study was to assess the impact of cesarean delivery on breastfeeding initiation.

Methods
A cross-sectional study was conducted with a total of 7115 study participants from the 2016 Ethiopian Demographic Health Survey (EDHS). Both descriptive and analytical statistical analysis was employed. Univariable and multivariable logistic regression analyses were used to identify anyassociations between variables. Odds ratios with its corresponding 95% confidence intervals (CI) were reported. During multivariable analysis, variables with p-value < 0.05 were considered as statistically significant.

Results
The prevalence of late initiation of breast feeding among women with their last live birth was 25.03% (95%CI; 20.5–32.2). Significant factors associated with late initiation of breastfeeding were cesarean delivery [AOR = 4.06 (95%CI, 2.66–6.2)], primipara mother [AOR = 1.45(95%CI, 1.13–1.7)], and having an unplanned pregnancy [AOR = 1.35(95%CI, 1.1–1.65)]. Positively associated with early initiation of breastfeeding was the mother’s age, for women between 20–34 years-old. This association, reported as a negative association of late initiation of breast feeding was [AOR = 0.77(95%CI, 0.61–0.98)].

Conclusion
Cesarean delivery adversely affects the initiation of breast feeding. Cesarean delivery, unplanned pregnancy, and being primiparous, were associated with late initiation of breastfeeding. Women between the ages of 20–34 years of age had a reduced chance of late initiation of breastfeeding. Providing counseling regarding the strategy and importance of early initiation of breast feeding, could have crucial importance for the mother and her newborn.
Idiopathic Terminal Ileal Ulceration Mimicking Crohn's in the Setting of Antiretroviral Therapy Initiation
Authors: Nasir Umair M. , Paer Jeffrey , Jiang Yi , Mirani Neena M. , Ahlawat Sushil , Pergament Kathleen M. 
Published: December 2020

ABSTRACT
Antiretroviral therapy (ART) has precipitously decreased the morbidity associated with human immunodeficiency virus but can unmask and exacerbate opportunistic infections and autoimmune diseases. Various diseases have been reported in association with ART initiation, but there is scant literature describing inflammatory colitis in the setting of ART initiation. We present a 39-year-old man with chronic untreated human immunodeficiency virus and central nervous system toxoplasmosis who developed persistent diarrhea after initiation of ART. A comprehensive infectious workup was negative. Computed tomography demonstrated terminal ileum enteritis, which was confirmed by colonoscopy. Biopsy of the terminal ileum revealed fibrinous exudate and granulation tissue.
Realizácia STEM aktivít v školských výchovno-vzdelávacích zariadeniach
Authors: Bieliková Michaela 
Published: December 2020

Abstrakt: Predkladaná teoretická štúdia sa zameriava na možnosti realizácie STEM (science, technology, engineering, and mathematics) aktivít v neformálnom vzdelávaní, konkrétne v školských kluboch detí (SR) a školskej družine (školní družina – ČR). V príspevku sa zameriavame na spôsob realizácie a hodnotenia STEM aktivít v poškolských zariadeniach a programoch (afterschool clubs, out of school clubs, afterschool program), ktoré sa realizujú v zahraničí, ako aj na vplyv týchto aktivít na samotného žiaka (jeho prospech, správanie, socializáciu a pod.). Priestor, v ktorom vidíme uplatnenie týchto aktivít v našom (slovenskom a českom) prostredí, je v rámci viacerých režimových činností, t.j. v odpočinkových, záujmových 1 a pohybovo-rekreačných činnostiach, konkrétne však v prírodovedno-environmentálnej tematickej oblasti výchovy (zájmové činnosti přírodovědně-ekologické) a pracovno-technickej tematickej oblasti výchovy (zájmové činnosti pracovně-technické) zaraďovaných do spomenutých činností. V týchto zariadeniach vidíme rozšírené možnosti (priestorové aj časové) pri realizácii STEM aktivít v porovnaní s klasickým vyučovaním, kde je pedagóg obmedzený predovšetkým triednohodinovým systémom.
Kľúčové slová: hodnotenie, poškolské programy, STEM aktivity, školní družina, školský klub detí.
Translators and interpreters’ voice on the spread of English as a lingua franca in Italy
Authors: Bendazzoli Claudio 
Published: December 2020

Abstract
This paper presents the results of an online survey on the spread of ELF in the translation and interpreting (T&I) industry in Italy. It follows previous perception studies based on a limited number of ad-hoc interviews or broader surveys including unsolicited comments on ELF. This study is the first attempt to carry out a large-scale, online survey among professional translators and interpreters specifically to analyze how they perceive the effects of the increasing use of English by non-native speakers and the resulting consequences on their job. A total of 247 T&I professionals took part in the survey, answering questions about their professional profile, ELF-related features found in source texts, the resulting strategies and solutions adopted to deal with them, and the future developments of T&I. Overall, several challenges are voiced by survey participants, from greater comprehension difficulties to fewer jobs, thus confirming the results of previous studies. However, ELF use also seems to provide new opportunities in more specialized settings and enable better communication with a broader client base. In fact, opposite views can be highlighted in most survey items, pointing to the need to increase the awareness of both service users and providers about the positive and negative effects of the global language par excellence.
On the convergence of discrete optimum control process to its continuous analogue
Authors: Bistrickas V. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
В. Бистрицкас. К вопросу о сходимости дискретного процесса оптимального управления к непрерывному
V. Bistrickas. Diskretinio optimalaus valdymo proceso konvergencijos į tolydinį klausimu
On the accuracy of Gaussian approximation to the distribution of sum of independent identically distributed random variables
Authors: Bikelis A. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
А. Бикялис. О точности аппроксимации распределений сумм независимых одинаково распределенных случайных величин нормальным распределением
A. Bikelis. Apie nepriklausomų vienodai pasiskirsčiusių atsitiktinių dydžių pasiskirstymo aproksimavimo tikslumą normaliniu pasiskirstymu
Some equilibrium strategies in the games on the unit square
Authors: Sūdžiūtė D. , Gorelik L. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
Д. Суджюте, Л. Горелик. Некоторые уравновешенные пары стратегий в играх на единичном квадрате
D. Sūdžiūtė, L. Gorelik. Kai kurios pusiausvyros strategijos lošimuose vienetiniame kvadrate
On positional connections of central punctors space
Authors: Žiaukienė S. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
С. П. Жяукене. Связности в пространстве центральных пункторов
S. Žiaukienė. Centrinių punktorių erdvės sąryšiai
Coalitional differential three-person game
Authors: Skėrus S. , Jačiauskas J. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
С. Л. Скерус, И. П. Ячяускас. Коалиционная дифференциальная игра трех лиц
S. Skėrus, I. Jačiauskas. Koalicinis diferencialinis trijų asmenų lošimas
On the error of the estimate of the spectral function of a stationary process
Authors: Bentkus R. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
Р. Бенткус. Об ошибке оценки спектральной функции стационарного процесса
R. Bentkus. Apie stacionaraus proceso spektrinės funkcijos įvertinimo paklaidą
On weak convergence of the sums of multidimensional stochastic point processes
Authors: Grigelionis B. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
Б. Григелионис. О слабой сходимости сумм многомерных случайных точечных процессов
B. Grigelionis. Apie daugiamačių atsitiktinių taškinių procesų sumų silpną konvergenciją
Two limit theorems for non-identically distributed summands
Authors: Nagayev A. V. , Hodjabagian S. S. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
А. В. Нагаев, С. С. Ходжабагян. Две предельные теоремы для неодинаково распределенных слагаемых
A. V. Nagajevas, S. S. Chodžabagianas. Pora ribinių teoremų nevienodai pasiskirsčiusių dydžių sumoms
Abschätzung des Restglieds im zentralen Grenzwertsatz mit der zufälligen Anzahl zufälliger Summanden
Authors: Nakas A. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
А. Накас. Оценка остаточного члена в центральной предельной теореме со случайным числом случайных слагаемых
A. Nakas. Liekamojo nario įvertinimas centrinėje ribinėje teoremoje, kai dėmenų skaičius yra atsitiktinis
On some properties of the risk function in the generalized “two—armed bandit” problem
Authors: Surgailis D. 
Published: December 2020

The abstracts (in two languages) can be found in the pdf file of the article.
Original author name(s) and title in Russian and Lithuanian:
Д. Сургайлис. О некоторых свойствах оптимальной цены в обобщенной задаче о двух типах оружия
D. Surgailis. Apie kai kurias rizikos funkcijos savybes apibendrintame uždavinyje apie dvi ginklų rūšis
The New Aesthetic of the Late Nineteen Twenties Reconsidering the Periodization of the Interwar Avant-Gardes
Authors: Forgács Éva 
Published: December 2020

AbstractThe avant-gardes of the nineteen twenties are discussed in the art historical literature as the art products of a rarely upbeat decade, which featured great utopian aspirations and progressive art between the wake of World War I and the Nazi takeover in Germany, as well as the consolidation of Stalinism in the Soviet Union. This essay depicts the decade as being far from a homogenous period, demonstrating that the early internationalism and sense of unlimited possibilities gave way, in or around 1923, to less idealistic, more pragmatic views and practices in even the avant-garde. If examined in this framework, the reception of avant-garde artists and works in the late 1920s that had been enthusiastically embraced in the first years of the decade, was understandably cooler. Professional eminence was overwriting great ideas. The lack of the earlier fervor had disappeared, not because the art was worse, but on account of the new Zeitgeist that brought about the new moral idea of utilitarianism, requiring that the artists be, first of all, of use to the community. Several artists and art writers suddenly turned against those ideas and art that they had only a short time earlier held in the highest esteem.
Analisis Kandungan Nutrisi Pada Produk Nugget Gonad Landak Laut Tripneustes gratilla (Linnaeus 1758)
Authors: Andi Lawi Yeni Savitri , Kariyanti Kariyanti , Ernawati Ernawati , Hasanah Nur 
Published: December 2020

Tujuan penelitian ini adalah mengidentifikasi kandungan proksimat/nutrisi terhadap produk Nugget gonad landak laut (NUGODA) dari hasil olahan gonad landak laut Tripneustes gratilla segar. Penelitian berlangsung selama tujuh bulan dengan 36 rancangan percobaan, sampel diambil dari daerah Kepulauan Barrang Lompo Makassar. Gonad segar yang didapatkan kemudian dibuat menjadi produk (NUGODA) Tripneustes gratilla setelah itu dianalisis kandungan gizi yang terdapat pada produk (proksimat) dengan metode AOAC. Hasil Penelitian ini menunjukkan nilai kandungan nutrisi dengan 4 perlakuan (A1,A2 ,A3,A4) dimana perbandingan gonad sebanyak (0 g,150 g,200 g,250 g). Didapatkan hasil terbaik kandungan nutrisi pada perlukan A4 dengan penambahan gonat sebanyak 250 g dengan rata-rata kadar protein yang dihasilkan 8.51 %, kadar lemak 5.63 %, Abu 2.13 % dan kadar air 60.37 % dimana hasil yang didapatkan telah memenuhi Standar Nugget Ikan (SNI 7758:2013).