bluuebunny/crossref_metadata_2025_split huggingface dataset:
Towards Comprehensive Guidance for States in the African Region to respond to Children’s Rights in Emergencies, Disasters and Pandemics
Authors: Bouah Nicole , Sloth-Nielsen Julia 
Published: June 2021

Abstract
The covid-19 pandemic spread has it impacted health systems, economies and communities across the African continent. It has also exacerbated risks already faced by children: limiting access to education, reducing protection from sexual and gender-based violence, harmful traditional and cultural practices including child, early or forced marriage (cefm), female genital-mutilation (fgm); and further limiting access to reproductive services and food insecurity. This article illustrates that because demonstrably different considerations arise by comparison to children’s experiences in the global north, it would be a valuable contribution for the African Committee of Experts on the Rights and Welfare of the Child to develop a General Comment on state responses to upholding children’s rights in the context of epidemics, pandemics and emergencies, tailored to the specificities of the region.
Beyond the “Epopee of Ben Guerdane”: Exploring the Plurality of Resistance at the South-Eastern Tunisian Border
Authors: Simoncini Guendalina 
Published: June 2021

Abstract
This article aims to shed light on the plural form of resistance performed around the South-Eastern Tunisian border area through the case study of the ordinary people of Ben Guerdane’s resistance to the jihadi attack of 7th March 2016. Placing the so-called “epopee of Ben Guerdane” in a broader historical context, it seeks to explore the fluctuations between resistance and repression along the border area both in the past and in the present, showing how multifaceted the repertoire of resistance – which includes anti-colonial struggle, guerrilla action, regime opposition, subversions, forms of everyday resistance and jihadi insurrection – has been. Following the insight of Critical Border Studies, the border will be considered as an epistemological viewpoint rather than simply a geopolitical device, considering the central role of material and symbolic borders and boundaries that shape the living experiences of Ben Guerdane’s inhabitants. The article relies on qualitative data collected during long-term fieldwork in addition to shifting the focus of the study of the Tunisian-Libyan border from national security to an approach that prioritizes the experiences of ordinary people.
I Call Center in Marocco: uno studio sulle condizioni di lavoro nel settore
Authors: Galiazzo Francesca 
Published: June 2021

Abstract
This article examines the main factors behind bad working conditions in the Call Centers of Morocco. The research is based on fieldwork including 15 semi-structured interviews and in the analysis of government records, labour legislation, academic studies, statistics and other reports from international organizations. The interviews were carried out in Arabic and French in 2018 in Casablanca, Rabat, Fès, Meknès and they involved workers, former workers, trade union leaders and employers from the Call Center sector. Thanks to the interviews we are able to assess in detail the issues faced by workers and, consequently, to explore them. The article highlights the fact that the bad working conditions are caused by a combination of multiple factors, such as the effects of neoliberal reforms, the economic dependence on Europe but also the inefficiency of the labour inspections.
The first part discusses the broad factors including the telecommunications’ sector reforms, international agreements, legal and tax reforms that exacerbate directly or indirectly the working conditions.
The second part aims to investigate the centers organization and other micro-factors that affect the possibility of claiming rights and speaking out against unfair practices.
A Systematic Literature Review to Compare Clinical Outcomes of Different Surgical Techniques for Second Branchial Cyst Removal
Authors: Meijers Sebastiaan , Meijers Rutger , van der Veen Erwin , van den Aardweg Maaike , Bruijnzeel Hanneke 
Published: June 2021

Objective: During the last 2 decades, new treatment methods have been developed for the surgical removal of second branchial cysts which result in less visible scars. The aim of this systematic review is to assess which surgical technique for second branchial arch cyst removal results in the lowest complication and recurrence rates with the highest scar satisfaction. Methods: Two authors systematically reviewed the literature in the Cochrane, PubMed, and EMBASE databases (search date: 1975 to December 2nd, 2020) to identify studies comparing surgical outcomes of second branchial arch cyst removal. Authors appraised selected studies on directness of evidence and risk of bias. Results are reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Results: Out of the 2442 retrieved articles, 4 articles were included in the current review including a total of 140 operated cysts. Only 2 studies included pre-operatively infected cysts. Follow up ranged from 3 to 24 months. Complication rates ranged from 0 to 27.3% (conventional: [0–10.4%]; endoscopic/retro-auricular: [0–27.3%]). None of the patients presented with postoperative recurrence. Significantly higher scar satisfaction was found in adult patients who underwent endoscopic or retro-auricular hairline incision cyst removal. Conclusion: No recurrence of disease occurred during (at least) 3 months of follow up using either conventional surgery or endoscopic/retro-auricular techniques. Although more (temporary) complications occur using endoscopic and retro-auricular techniques, patients report a significantly higher scar satisfaction 3 to 6 months after surgery in comparison to the conventional technique. Future studies are needed to support these findings.
Livelihood Diversification of Forest Dwellers – A Necessity or Choice?
Authors: Agarwalla Shradha , Saha Debolina 
Published: June 2021

The forest as an ecosystem plays a vital role in protecting the environment and meeting indispensable human needs. Restrictions on forestry activities for safeguarding the environment and seasonality in collection often count for vulnerable livelihood of the forest-fringe dwellers. This paper is an attempt to assess the existing opportunities for livelihood diversification of the forest dwellers residing at the Simlipal National Park region, India, through the Herfindahl–Hirschman Index; and to determine the key factors responsible for the scopes and realization of livelihood diversification through econometric modeling. The analysis is done across blocks with having different forest-zonal geographies and human characteristics to comprehend and ensure sustainable livelihood for a better future. JEL Classification: C80, Q23, Q56, C50, Q01, Q2
Feminist Solidarities and Coalitional Identity: The Popular Feminism of the Marcha das Margaridas
Authors: Motta Renata 
Published: June 2021

The Marcha das Margaridas is a mass mobilization in Brazil led by women’s organizations within rural unions in alliance with other social movements and nongovernmental organizations, including transnational partners such as the World March of Women. The main political subjects are rural working women, a political identity that articulates gender, class, and urban-rural inequalities. These are foundational for the popular feminism of the Marcha. An examination of the Marcha das Margaridas guided by a theoretical discussion of poststructural feminism and postcolonial feminism on the role of political identities in building coalitions reveals that it expands the agenda of popular feminism in its relationship to historical feminist agendas and intersectional feminisms and in its coalition politics with men and the left. A Marcha das Margaridas é uma mobilização de massa no Brasil liderada por organismos de mulheres dentro de sindicatos rurais em aliança com outros movimentos sociais e organizações não governamentais (ONGs), incluindo parceiros transnacionais como a Marcha Mundial das Mulheres. Os principais sujeitos políticos são as mulheres trabalhadoras rurais, uma identidade política que articula as desigualdades de gênero, classe e urbano-rurais. Estes são fundamentais para o feminismo popular da Marcha. Um estudo da Marcha das Margaridas guiado por uma discussão teórica do feminismo pós-estrutural e do feminismo pós-colonial sobre o papel das identidades políticas na construção de coalizões revela que ela expande a agenda do feminismo popular em sua relação com agendas feministas históricas e feminismos intersetoriais, como também em sua coalizão política com os homens e a esquerda.
Prone positioning in non‐intubated patients with coronavirus – A single‐centre experience in Hong Kong
Authors: Man Man‐Yee , Lam Sin‐Man , Shum Hoi‐Ping , Li Kin‐Chio , Lau Swan , Ip Vincent Hing‐Lung , Yan Wing‐Wa 
Published: June 2021

Introduction:Significant ventilator‐associated pneumonia and mortality were found in COVID‐19 patients who required mechanical ventilation which calls for non‐invasive means in managing respiratory failure.Methods:We retrospectively reviewed patients admitted to the intensive care unit of Pamela Youde Nethersole Eastern Hospital in Hong Kong with severe acute respiratory syndrome coronavirus 2 infection from 28 November to 15 December 2020. Patients’ laboratory, respiratory parameters and outcome data were recorded and analysed.Results:Eleven received prone ventilation. The median age was 67 (inter‐quartile range: 59–72) years, and median COVID‐19 GRAM score was 151 (inter‐quartile range: 133–181), representing a high‐risk group. There were significant improvements 1 h after awake proning in SpO2 (95% vs 92%, p = 0.008), FiO2 (0.4 vs 0.5, p = 0.003), SpO2/FiO2 (240 vs 184, p = 0.005), respiratory rate (19 vs 26, p = 0.006) and respiratory rate – oxygenation index (13.22 vs 7.67, p = 0.003; Table 1). Although not reaching statistical significance, the median PaO2, PaCO2 and PaO2/FiO2 improved after proning. The overall intubation rate was 22% and intensive care unit mortality was 22%, which is in contrast to 65.5% and 27.6%, respectively, in the first three waves. Although did not reach statistical significance, those received prone ventilation tend to have a lower ICU mortality (9.1% vs 42.9%, p = 0.245) and hospital mortality (18.2% vs 42.9%, p = 0.326).Conclusion:Awake proning potentially minimizes complications from invasive ventilation and provides a low‐cost low‐risk treatment option in COVID‐19 patients with respiratory failure. This is particularly important when healthcare resources are strained at times of a pandemic.
Through-and-Through Dissection of the Soft Palate for Pharyngeal Flap Inset: A “Good-Fast-Cheap” Technique for Any Etiology of Velopharyngeal Incompetence
Authors: Carr Michael , Skarlicki Michaela , Palm Sheryl , Bucevska Marija , Bone Jeffrey , Gosain Arun K. , Arneja Jugpal S. 
Published: June 2021

Objective: To determine the efficacy and resource utilization of through-and-through dissection of the soft palate for pharyngeal flap inset for velopharyngeal incompetence (VPI) of any indication. Design: Retrospective review. Setting: Tertiary care center. Patients: Thirty patients were included. Inclusion criteria were diagnosis of severe VPI based on perceptual speech assessment, confirmed by nasoendoscopy or videofluoroscopy; VPI managed surgically with modified pharyngeal flap with through-and-through dissection of the soft palate; and minimum 6 months follow-up. Patients with 22q11.2 deletion syndrome were excluded. Intervention: Modified pharyngeal flap with through-and-through dissection of the soft palate. Main Outcome Measure(s): Velopharyngeal competence and speech assessed using the Speech-Language Pathologist 3 scale. Results: The median preoperative speech score was 11 of 13 (range, 7 to 13), which improved significantly to a median postoperative score of 1 of 13 (range 0-7; P < .001). Velopharyngeal competence was restored in 25 (83%) patients, borderline competence in 3 (10%), and VPI persisted in 2 (7%) patients. Complications included 1 palatal fistula that required elective revision and 1 mild obstructive sleep apnea that did not require flap takedown. Median skin-to-skin operative time was 73.5 minutes, and median length of stay (LOS) was 50.3 hours. Conclusions: This technique allows direct visualization of flap placement and largely restores velopharyngeal competence irrespective of VPI etiology, with low complication rates. Short operative time and LOS extend the value proposition, making this technique not only efficacious but also a resource-efficient option for surgical management of severe VPI.
Evaluation of the management of PARP inhibitor toxicities in ovarian and endometrial cancer within a multi-institution health-system
Authors: Hatch Rachel V , Patel Sweta U , Cambareri Christine , Uritsky Tanya , Martin Lainie P 
Published: June 2021

Introduction Poly-adenosine diphosphate ribose polymerase inhibitors (PARPi) have become a cornerstone of therapy in the management ovarian cancer and other cancers. PARPi are associated with significant toxicities and management strategies are primarily founded on clinical trial experience. This study aimed to provide an evaluation of patients receiving PARPi therapy within an academic health-system. Methods A retrospective, observational study of adult patients with gynecologic malignancy was conducted at the University of Pennsylvania Health System. Data was collected on patients prescribed a PARPi between December 2014 and October 2019. The primary endpoint was the status of PARPi therapy at the end of the study period. Key secondary endpoints included toxicity management strategies, time to discontinuation due to toxicity, progression free survival (PFS), and overall survival (OS). Results Of the 85 patients included, 45 (53%) received olaparib, 24 (28%) niraparib, and 16 (19%) rucaparib. Twenty-nine patients (34%) continued on therapy, 15 (18%) discontinued due to toxicity, and 41 (48%) discontinued due to progression. Fifty-one percent of patients required a dose reduction due to toxicities. The median time to discontinuation due to toxicity was 69 days (9-353). Median PFS was 181 days (9-365) and median OS was 338 days (9-365). Conclusion PARPi therapy is associated with numerous toxicities that are best managed through a multi-modal approach. Importantly, about half the patients in the current study required a dose reduction. Overall, this observational study outlines the incidence of PARPi toxicities and reviews potential management strategies, further guiding practitioners in an area with limited real-world experience.
A tale of orbital cellulitis and retinopathy of prematurity in an infant: First case report
Authors: Kaur Kirandeep , Gurnani Bharat , Kannusamy Veena , Yadalla Dayakar 
Published: June 2021

Purpose: Orbital cellulitis is an infectious pathology affecting fat and muscles behind the orbital septum. Retinopathy of prematurity (ROP) is an abnormal retinal blood vessel proliferation affective preterm low birth weight infants. Here we report the first case report of a 4-month-old infant who presented to our outpatient setting with orbital cellulitis and bilateral ROP sequelae. Case report: A 4-month-old female infant was brought by her mother to the OPD with sudden onset redness, discharge, and swelling in the right eye accompanied by fever for 1 day. The child was born preterm at 8 months gestational age with a birth weight of 1.3 kg. Ocular examination revealed orbital cellulitis. Bruckner’s reflex revealed an altered red glow. Ultrasound B scan confirmed bilateral localized highly reflective peripheral anterior looping membranes suggestive of retinal detachment as sequelae of ROP. The child was treated with topical eyedrops 0.5% Moxifloxacin 2 hourly and was referred to a tertiary hospital for higher management in the form of intravenous injections of Cefixime 50 mg/kg in two divided cases with Vancomycin 60 mg/kg/day in two divided doses for 5 days in a critical care unit (CCU). Conclusion and importance: Orbital cellulitis is an emergency ocular condition that should be promptly treated with a multidisciplinary approach. There is a high probability of missing the posterior segment pathology in such cases. Meticulous history taking, detailed ocular examination along with Bruckner’s reflex help in immediately clinching the correct diagnosis in such cases and safeguards the clinician from any medicolegal issues in the future.
Social work in sport: Playmakers in the athletic arena
Authors: Newman Tarkington J , Magier Erica , Okamoto Katlin , Kimiecik Carlyn , Shute Lauren , Beasley Lauren , Tucker Anita R 
Published: June 2021

Summary An emerging area of social work practice is within sport and athletics. Due to the complex nature of sport and the diverse needs of sport participants, social workers are optimally positioned to be critical change agents. However, there is a lack of empirical research dedicated to exploring this unique area of practice. The current study explores the unique values, knowledge, and skills social workers use when working in sport, as well as describes the roles that social workers fulfill. Findings Semi-structured interviews were conducted with 15 social workers who work in youth sport, collegiate athletics, and professional sports. Their occupations ranged from psychotherapists to athletic counselors to coaches. Findings from the thematic analysis provide insight to the values, knowledge, and skills used in sport that social workers developed from their formal education. For instance, social workers, through their commitment to promoting diversity and inclusion, are trained to take a strength-based, person-centered approach when working with individuals and teams. Applications Findings highlight the dynamic and diverse roles social workers fulfill as change agents who aim to enhance human wellbeing within a variety of sport systems and settings. Social workers not only work in collegiate athletic departments, but they also provide needed services to youth who are socially vulnerable through sport-based programming and strength-based coaching. The current study helps to not only advance the field of social work, but also advocates for social workers in sport settings. Ultimately, social work professionals are optimally positioned to be playmakers in the athletic arena.
Intraoperative haemodynamics and postoperative intensive care unit admission in older patients with cancer
Authors: Afonso Anoushka M , Sastow Dahniel , Cadwell Joshua B , Downey Robert J , Fischer Gregory W , Shahrokni Armin 
Published: June 2021

Purpose Research on the impact of various intraoperative haemodynamic variables on the incidence of postoperative ICU admission among older patients with cancer is limited. In this study, the relationship between intraoperative haemodynamic status and postoperative intensive care unit admission among older patients with cancer is explored. Methods Patients aged ≥75 who underwent elective oncologic surgery lasting ≥120min were analysed. Chi-squared and t-tests were used to assess the associations between intraoperative variables with postoperative intensive care unit admission. Multivariable regressions were used to analyse potential predict risk factors for postoperative intensive care unit admission. Results Out of 994 patients, 48 (4.8%) were admitted to the intensive care unit within 30 days following surgery. Intensive care unit admission was associated with the presence of ≥4 comorbid conditions, intraoperative blood loss ≥100mL, and intraoperative tachycardia and hypertensive urgency. On multivariable analysis, operation time ≥240min (Odds Ratio [OR] = 2.29, p = 0.01), and each minute spent with intraoperative hypertensive urgency (OR = 1.06, p = 0.01) or tachycardia (OR = 1.01, p = 0.002) were associated with postoperative intensive care unit admission. Conclusion Intraoperative hypertensive urgency and tachycardia were associated with postoperative intensive care unit admission in older patients undergoing cancer surgery.
Outcomes of High Tibial Osteotomy With Versus Without Mesenchymal Stem Cell Augmentation: A Systematic Review and Meta-analysis
Authors: Tan Si Heng Sharon , Kwan Yiu Tsun , Neo Wei Jian , Chong Jia Yan , Kuek Tze Yin Joshua , See Jun Ze Fabian , Hui James Hoipo 
Published: June 2021

Background: The outcomes after high tibial osteotomy (HTO) with augmentation of intra-articular mesenchymal stem cell (MSCs) for medial tibiofemoral osteoarthritis remain controversial. Purpose: To pool existing studies to compare the outcomes of HTO with versus without intra-articular MSC augmentation when performed for medial tibiofemoral osteoarthritis. Study Design: Systematic review; Level of evidence, 3. Methods: The systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Included were clinical studies that compared the outcomes of HTO with intra-articular MSC augmentation (MSC group) versus without (control group). Pre- and postoperative outcomes were compared between groups from measures including the Lysholm score, International Knee Documentation Committee (IKDC) score, Knee injury and Osteoarthritis Outcome Score, Hospital for Special Surgery Knee Rating Scale, Tegner score, visual analog scale for pain, arthroscopic and histological grading scales, femorotibial angle, weightbearing line, and posterior tibial slope. Results: We reviewed 4 studies with a total of 224 patients. The MSC group demonstrated significantly greater improvement versus controls in the pooled Lysholm score (weighted mean difference [WMD], 6.64; 95% CI, 0.90 to 12.39) and pooled IKDC score (WMD, 9.21; 95% CI, 4.06 to 14.36), which were within or close to the minimal clinically important difference. Radiological outcomes were similar in both groups, including the femorotibial angle (WMD, –0.01; 95% CI, –1.10 to 1.09), weightbearing line, and posterior tibial slope. The studies were homogeneous, and no publication bias was noted. Conclusion: Intra-articular MSC augmentation for HTO may modestly improve functional outcomes as compared with HTO alone. However, adequate data are lacking to make definitive conclusions regarding the effect of MSC augmentation on pain or arthroscopic and histologic grading.