bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comprehensive cost-effectiveness of diabetes management for the underserved in the United States: A systematic review
Authors: Bosetti Rita , Tabatabai Laila , Naufal Georges , Menser Terri , Kash Bita 
Published: November 2021

Background
Diabetes mellitus affects almost 10% of U.S. adults, leading to human and financial burden. Underserved populations experience a higher risk of diabetes and related complications resulting from a combination of limited disposable income, inadequate diet, and lack of insurance coverage. Without the requisite resources, underserved populations lack the ability to access healthcare and afford prescription drugs to manage their condition. The aim of this systematic review is to synthesize the findings from cost-effectiveness studies of diabetes management in underserved populations.

Methods
Original, English, peer-reviewed cost-effectiveness studies of diabetes management in U.S. underserved populations were obtained from 8 databases, and PRISMA 2009 reporting guidelines were followed. Evidence was categorized as strong or weak based on a combination of GRADE and American Diabetes Association guidelines. Internal validity was assessed by the Cochrane methodology. Studies were classified by incremental cost-effectiveness ratio as very cost-effective (ICER≤US$25,000), cost-effective (US$25,000<ICER≤US$50,000), marginally cost-effective (US$50,000<ICER≤US$100,000) or cost-ineffective (ICER>US$100,000). Reporting and quality of economic evaluations was assessed using the CHEERS guidelines and Recommendations of Second Panel for Cost-Effectiveness in Health and Medicine, respectively.

Findings
Fourteen studies were included. All interventions were found to be cost-effective or very cost-effective. None of the studies reported all 24 points of the CHEERS guidelines. Given the considered cost categories vary significantly between studies, assessing cost-effectiveness across studies has many limitations. Program costs were consistently analyzed, and a third of the included studies (n = 5) only examined these costs, without considering other costs of diabetes care.

Interpretation
Cost-effectiveness studies are not based on a standardized methodology and present incomplete or limited analyses. More accurate assessment of all direct and indirect costs could widen the gap between intervention and usual care. This demonstrates the urgent need for a more standardized and comprehensive cost-effectiveness framework for future studies.
Percutaneous transhepatic drainage is safe and effective in biliary obstruction—A single-center experience of 599 patients
Authors: Kokas Bálint , Szijártó Attila , Farkas Nelli , Ujváry Miklós , Móri Szabolcs , Kalocsai Adél , Szücs Ákos 
Published: November 2021

Background
Historically, surgical bilioenteric bypass was the only treatment option for extrahepatic bile duct obstruction, but with technological advancements, percutaneous transhepatic drainage (PTD) and endoscopic solutions were introduced as a less invasive alternative. Endoscopic methods may lead to a decreasing indication of PTD in the future, but today it is still the standard treatment method, especially in hilar obstructions.

Methods
In our retrospective data analysis, we assessed technical success rate, reintervention rate, morbidity, mortality, and the learning curve of patients treated with PTD over 12 years in a tertiary referral center.

Results
599 patients were treated with 615 percutaneous interventions. 94.5% (566/599) technical success rate; 2.7% (16/599) reintervention rate were achieved. 111 minor and 22 major complications occurred including 1 case of death. In perihilar obstruction, cholangitis were significantly more frequent in cases where endoscopic retrograde cholangiopancreatography had also been performed prior to PTD compared to PTD alone, with 39 (18.2%) and 15 (10.5%) occurrences, respectively.

Discussion
The results and especially the excellent success rates demonstrate that PTD is safe and effective, and it is appropriate for first choice in the treatment algorithm of perihilar stenosis. Ultimately, we concluded that PTD should be performed in experienced centers to achieve low mortality, morbidity, and high success rates.
Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital
Authors: Sripongpunkul Chuthamas , Petchlorlian Aisawan , Chattaris Tanchanok , Thanapluetiwong Saran , Sriwannopas Orapitchaya , Chansirikarnjana Sirintorn , Assavapokee Taweevat , Srisuwarn Praopilad , Ruangritchankul Sirasa 
Published: November 2021

Background
Unintentional weight loss (UWL) is defined as unintentional reduction of more than 5% of baseline body weight over 6 to 12 months. UWL is a common problem in the older adults, resulting in increased rate of morbidity and mortality. With specific reference to Thailand, no information on factors associated with UWL in older adults could be traced. The aims of this research were to identify the factors associated with UWL and to assess the common causes of UWL among older adults in the geriatric outpatient clinic of university hospital.

Methods
A case-control study was conducted from June 1st, 2020 to December 31st, 2020. Eighty older adults aged 60 years or older were enrolled in the UWL group while the non-UWL group consisted of 160 participants. Data collection was performed by structural questionnaire including baseline characteristics, psychosocial factors, health information, lifestyle behaviors, and medications. The factors associated with UWL were analyzed by using univariate and multivariate logistic regression analysis. Causes of UWL were recorded from electronic medical records.

Results
The mean age of the 240 participants was 79.6 years (SD 7.4). Most patients were female (79.2%) and had fewer than 12 years of education (62.6%). The three common causes of UWL were reduced appetite (20.1%), dementia and behavioral and psychological symptoms of dementia (13.7%) and medications (11.0%). Multivariate logistic regression analysis showed that a Charlson Comorbidity Index (CCI) score of >1 (OR 2.55, 95% CI 1.37–4.73; P = 0.003), vitamin D deficiency (OR 4.01, 95% CI 1.62–9.97; P = 0.003), and hemoglobin level of <12 g/dL (OR 2.47, 95% CI 1.32–4.63; P = 0.005) were factors significantly associated with UWL.

Conclusions
Factors associated with UWL were CCI score >1, vitamin D deficiency, and hemoglobin level of <12 g/dl. The early detection of these associated factors, reduced appetite, dementia and polypharmacy may be important in UWL prevention in older adults.
FUZZY FMEA APPLICATION TO IDENTIFICATION RISK IN-PROCESS PRODUCTION OF TOYOTA HI-ACE WIRING HARNESS PRODUCT
Authors: Septiyana Diah 
Published: November 2021

In product manufacture, the high failure rate problem of produce product is the number of product defects. Several types of defects have a high enough percentage. To solve this problem, we need to identify the failures and to get the assessment information of the three risk factors. Our research using the traditional FMEA method at the production of Wiring Harness products to shows the current condition of various modes of failure in those areas. This study focuses on implementing fuzzy FMEA to identify the potential risks that may occur along with the assembling of the Wiring Harness process. The fuzzy FMEA approach is preventing product and process problems before they occur, this paper is also expected to result in some mitigation effort that can be applied to improve the Wiring Harness production process. With the Fuzzy FMEA method, we have found the highest FRPN value that shows the highest defect such as damage insulation is 8.5, damage terminal is 8.5, and the damaged part is 8.5 and the highest RPN from the traditional FMEA is damage insulation (324). To solve this problem, we propose to use the fishbone diagram and give suggestions for improvements to the highest failure modes that are damaged insulation.
Effect Of Leadership and Work Motivation on Employee Performance Through Knowledge Sharing Behavior
Authors: Inang Nur Iman 
Published: November 2021

This study explains the influence of leadership and work motivation on employee performance at private universities (PTS) within the province of Southeast Sulawesi which is mediated by knowledge-sharing behavior. Research method uses a survey approach and explanatory research. The sampling technique is probability sampling with the unit of analysis, namely the employees of private universities (PTS). Data analysis was conducted to test the hypothesis by using PLS software.
Results show that leadership has a positive and significant effect on knowledge sharing behavior and employee performance. Work motivation has a significant positive effect on knowledge sharing behavior and employee performance. Knowledge sharing behavior has a positive effect on employee performance.
Finally, research can prove that leadership and work motivation together have a positive and significant effect on employee performance and knowledge sharing behavior acts as a mediation of the relationship between leadership and work motivation with employee performance.
Gen Z Perceptions and Expectations upon Entering the Workforce
Authors: Mărginean Alina Elena 
Published: November 2021

Abstract
This article focuses on examining Gen Z-ers’ opinions and expectations regarding their present or future jobs, as well as their views on their future careers. The exploratory study performed on members of this cohort revealed, among others, that Gen Z-ers appreciate a secure job, financial stability, and prefer working for big companies. They choose jobs which reflect their passions and look for informal and relaxed environments, where they can have their own well defined office space. This cohort wishes to be mentored at work and is brutally aware that success must come with career-long learning. Despite being said to be digital natives, they feel the need to bond with colleagues and to freely speak their mind.
Discharge of a Triangular Orifice under Free Flow Conditions
Authors: Sosnowska Anna 
Published: November 2021

Abstract
In this paper, flow through a free triangular orifice is considered. The comparison of two formulas was conducted for discharge calculations: a large orifice formula and a small orifice formula. The results show that, above a certain value of upstream head to orifice height ratio there is no need for small-large formula discrimination. The differences in the outcomes for the two formulas are negligible for upstream head to orifice height ratios greater than 3. This means that a small orifice formula can be used instead of a large orifice formula. Calculations were performed for different variants of triangle orientation (with tip downwards, sidewards and upwards) as well as for different dimensions of orifice (equilateral and isosceles). The calculations also included different submergence levels of the upper edge of the orifice and variable dimensions of the orifice with constant upstream head. Neither of these conditions affect the relative deviation values for small and large orifice formulas.
Role of N-terminal pro-B-type natriuretic peptide and troponin T in predicting right ventricular recovery in myocardial infarction
Authors: Somuncu Mustafa Umut , Tatar Fatih Pasa , Kalayci Belma , Avci Ahmet , Gudul Naile Eris , Serbest Nail Guven , Demir Ali Riza , Can Murat 
Published: November 2021

Abstract

Objectives
The determinants of right ventricular (RV) recovery after successful revascularization in ST-elevation myocardial infarction (STEMI) patients are not clear. Besides, the relationship between Troponin T (TnT), N-terminal pro-B-type natriuretic peptide (NT-proBNP) and improvement in RV function is also unknown. This study hypothesizes that a lower TnT and NT-proBNP level would be associated with RV recovery.

Methods
One hundred forty-eight STEMI patients were included in our study. Echocardiography were performed before and 12–18 weeks after discharge. Patients were divided into three groups according to the changes in tricuspid annular plane systolic excursion (TAPSE) as 53 patients with ≥10% change, 41 patients with 1–9% change, and 54 patients ≤0% change. RV recovery was accepted as ≥10% TAPSE improvement and the predictors of RV recovery were investigated.

Results
RV recovery was detected in 35.8% of the patients. Low baseline left ventricular ejection fraction (OR: 0.91 [0.84–0.98], p=0.023), NT-proBNP (OR: 0.93 [0.89–0.98], p=0.014), TnT (OR: 0.84 [0.68–0.93], p=0.038), inferior myocardial infarction (OR: 2.66 [1.10–6.40], p=0.028), wall motion score index ratio (OR: 0.93 [0.88–0.97], p=0.002) and post-percutaneous coronary intervention TIMI flow 3 (OR: 5.84 [1.41–24.22], p=0.015) were determined as independent predictors of RV recovery. Being in the high TnT group 4.2 times, and being in the high NT-proBNP group 5.3 times could predict the failure to achieve RV recovery. Furthermore, when high TnT level was combined with high NT-proBNP level, the odds ratio of failure to achieve RV recovery was the highest (OR: 8.03 [2.59–24.89], p<0.001).

Conclusions
Lower TnT and lower NT-proBNP level was associated with better improvement in RV function in STEMI patients.
Optimal design of aerospace structures using recent meta-heuristic algorithms
Authors: Korkmaz Faik Fatih , Subran Mert , Yıldız Ali Rıza 
Published: November 2021

Abstract
Most conventional optimization approaches are deterministic and based on the derivative information of a problem’s function. On the other hand, nature-inspired and evolution-based algorithms have a stochastic method for finding the optimal solution. They have become a more popular design and optimization tool, with a continually growing development of novel algorithms and new applications. Flexibility, easy implementation, and the capability to avoid local optima are significant advantages of these algorithms. In this study, shapes, and shape perturbation limits of a bracket part, which is used in aviation, have been set using the hypermorph tool. The objective function of the optimization problem is minimizing the volume, and the constraint is maximum von Mises stress on the structure. The grey wolf optimizer (GWO) and the moth-flame Optimizer (MFO) have been selected as nature-inspired evolution-based optimizers.
Corrosion of brass subjected to cast-off cooking oil blended with diesel
Authors: Govindharajan Sangeetha , Raman Saratha , Shanmugam Viswapriya , Rathanasamy Rajasekar , Palaniappan Sathish Kumar 
Published: November 2021

Abstract
With the aim of leaving a smaller ecological footprint and to develop fuels which will change the energy needs of the future in a sustainable manner, the present study aims at investigating the corrosion phenomenon of brass using biodiesel fuel from cast-off cooking oil (CCO) in various blending ratios with commercial diesel (5 %, 10 % and 20 %) on brass. The mechanism of corrosion of brass in biodiesel has not been adequately investigated, and in the literature there is still a drop in the knowledge of the corrosion of brass from which many diesel engine parts are made. The corrosion rate of brass has been evaluated by mass loss and electrochemical methods. As a complementary technique, conductivity was monitored before and after each test. Surface morphology was examined by optical microscope. The surface morphology of brass samples in NaCl was coated in dark deposits that indicated corrosion. Some pitting was found in O99, and no significant change was found in oil-diesel blends. There is a positive correlation between the corrosivity and conductivity of the test media. The wettability studies also assisted in determining the non-corrosive nature of biodiesel.
Microstructure and mechanical properties of a semi-centrifugal compression processed Al6013 and Cu bimetal
Authors: Avcı Uğur , Erdoğdu Yusuf Eren 
Published: November 2021

Abstract
In this study, aluminum Al6013 and copper (Cu) cylindrical bimetal was manufactured by means of an original production method. The optical microscope and scanning electron microscope (SEM) images of the bimetal material produced through this approach, semi-centrifugal compression, were used in microstructural investigations following which metallurgical transition zones were defined. Through an energy dispersive X-ray (EDX) analysis of the defined regions, the chemical content of the regions were determined. Micro hardness values of the regions were determined and comparisons were made with the chemical content and hardness values of the materials used in the bimetal production before the manufacturing process. In addition, the mechanical properties of the materials were compared by applying tensile tests to the bimetallic components Cu and Al6013 and to the bimetal material produced. In the light of the values obtained, the general properties of the bimetal material produced through this new approach were presented.
Glossary of terms relating to electronic, photonic and magnetic properties of polymers (IUPAC Recommendations 2021)
Authors: Vohlídal Jiří , Graeff Carlos F. O. , Hiorns Roger C. , Jones Richard G. , Luscombe Christine , Schué François , Stingelin Natalie , Walter Michael G. 
Published: November 2021

Abstract
These recommendations are specifically for polymers and polymer systems showing a significant response to an electromagnetic field or one of its components (electric field or magnetic field), i.e., for electromagnetic-field-responsive polymer materials. The structures, processes, phenomena and quantities relating to this interdisciplinary field of materials science and technology are herein defined. Definitions are unambiguously explained and harmonized for wide acceptance by the chemistry, physics, polymer and materials science communities. A survey of typical electromagnetic-field-responsive polymers is included.
Governance mittelständischer Innovations-tätigkeit – Implikationen des Doing-Using-Interacting-Modus
Authors: Thomä Jörg , Bizer Kilian 
Published: November 2021

Zusammenfassung
Die deutsche Forschungs- und Innovationspolitik fokussiert stark auf Lernen und Innovieren nach dem Prinzip „Science-Technology-Innovation“ (STI). Dies übersieht, dass gerade in Deutschland viele kleine und mittlere Unternehmen (KMU) in der Lage sind, in einem anderen Modus zu innovieren: mit „Learning by doing-Using-Interacting“ (DUI). Berücksichtigt man das breite Spektrum an Lernweisen, das sich zwischen diesen beiden Modi auf der Unternehmensebene entfaltet, dann ergibt sich ein viel breiterer innovationspolitischer Zugang zum Innovationsgeschehen im Mittelstand. Dieser lässt sich als systemische Innovationspolitik mit verschiedenen Governance-Bausteinen im Hinblick auf die Politik, Unternehmen und weitere Akteure beschreiben. Jüngste Vorschläge zur Weiterentwicklung der Innovationsindikatorik haben dafür eine mögliche Basis geschaffen. Gleichzeitig ermöglicht eine Reihe neuer Studien ein besseres Verständnis der Rolle, den der DUI-Modus für die Innovationsfähigkeit von deutschen KMU spielt. Die beiden Autoren erörtern daher deren Ergebnisse und ordnen diese ein.
Analysis of the seminar of creative music exercises
Authors: Fekete Anikó , Fehérvári Anikó , Bodnár Gábor 
Published: November 2021

Abstract
During the research entitled Teaching Creative Music, the focus is on getting to know creative music, which is becoming more and more widespread in Hungary, however using it, but still takes up little space in our music education, and its impact in high school and university environments is limited. The Kodály Concept contains a number of well-established practices also László Sáry’s collection of Creative Music Exercises (Sáry, 1999), mainly evoking Christian Wolff and John Cage, evoking the work of Stockhausen, also works well, but there is no teaching aid for the secondary school classes (9-12) based on different combinations of systematic vocal and rhythmic tasks – although in the 2017 NAT [“National Curriculum”], creative music activity as a reproduction is included as a requirement among the development tasks. There is also less experience among those pursuing higher music studies in terms of methodological preparation at the national level.
We believe that much more student-based assignments should be used in high school singing and music education so that their classroom motivation and musical creativity can develop further, and their subject-related knowledge deepen.
We are interested in the “rehabilitation” of this field, as there are a lot of opportunities in the creative music exercises, during which repetitive activity and musical creativity are essential, and Odena and Welch have already studied the latter (Odena–Welch, 2007).
Music pedagogical research supports the need to study the field, as high school students are undermotivated in their lessons and their musical creativity is not sufficiently exploited (Deliège–Wiggins, 2006).
In this article, we would like to explore an analysis of some of the practices of a creative music course over a semester in terms of how student activity and creativity changed during the 9 hours of the practice (measured with 3 groups per week). For all of this, we also use elements of Teachout and McKoy’s model, who examined music teacher attributes in terms of teacher success and failure.
Divulgación de información no financiera sobre capital intelectual en el reporte integrado: un estudio de caso en el mercado de capitales argentino
Authors: Ficco Cecilia , Luna Valenzuela Jonathan 
Published: November 2021

El objetivo fundamental de este trabajo es analizar la divulgación de información no financiera sobre capital intelectual (CI) en el reporte integrado (RI). Para dar cumplimiento al objetivo planteado se realiza un estudio descriptivo, adoptando el enfoque de estudio de caso, que permite analizar, en las prácticas de divulgación de información, aquella que refiere al CI y que se canaliza a través del RI. El estudio empírico se sustenta en el análisis de datos textuales y se realiza sobre una empresa perteneciente al sector financiero, pionera en la adopción del RI en el mercado de capitales argentino. Las evidencias obtenidas indican que la empresa analizada divulga información sobre CI y sus dimensiones, humana, estructural y relacional, en el RI; adoptando la estructura del marco del IIRC. Estos hallazgos apoyan la idea de que el CI está resurgiendo como parte del RI.