bluuebunny/crossref_metadata_2025_split huggingface dataset:
Holy War of Images: New Islamic Religious Cinema between Ramadan Series and Internet Streaming
Authors: Patrizi Luca 
Published: August 2021

Abstract
More than thirty years after the first celebrated attempt to portray the Prophet Muhammad on the big screen (The Message, 1976), we have witnessed, from the new millennium onwards, a new wave of movies and tv series that focus on Islamic religious topics, in particular on the life of the Prophet. In this battle for hegemony in the visual representation of Islamic themes, the most active players are the Muslim Brotherhood Society, operating from their well-funded new base in Qatar, and Iranian Shi‘ism. Between movies and tv series designed and realized on the life of the Prophet, and the series created for the month of Ramadan on the life of prophets and prominent religious authorities of the past, the list is enriched every year with new titles. These are now able to find global diffusion and exert a global influence through various pay and free access streaming platforms. Some of these productions seem to match the needs of political propaganda of certain Islamic denominations, in some cases even winking at the action of certain radical movements.
Western Dualism and the Regulation of Cultural Production
Authors: Macmillan Fiona 
Published: August 2021

Abstract
This work sets out to consider the fate of creativity and forms of cultural production as they fall into and between the regimes of cultural heritage law and intellectual property law. It examines and challenges the dualisms that ground both regimes, exposing their (unsurprising) reflection of occidental ways of seeing the world. The work reflects on the problem of regulating creativity and cultural production according to Western thought systems in a world that is not only Western. At the same time, it accepts that the challenge in taking on the dualisms that hold together the existing legal regimes regulating creativity and cultural production lies in a critically nuanced approach to the geo-political distinction between the West and the rest. Like many of the distinctions considered in this book, this is one that holds and does not hold.
Etruscan Orientalization
Authors: Nowlin Jessica 
Published: August 2021

Abstract
The terms ‘orientalizing’ and ‘orientalization’ have been employed to describe an art historical style, historical period, and process of cultural interaction between East and West within the early first-millennium BCE Mediterranean. With particular focus on Etruria and Italy, this historiography explores the Orientalist framework at the heart of ‘orientalizing’ terms while outlining how modern political movements and ideologies of nationalism and colonialism have influenced interpretations of ‘orientalizing.’ By showing the political viewpoints underlying the origins of the term and the ways in which these positions have continued to shape modern interpretations of the effects of eastern imported objects, ideas, and practices in Etruria, this work argues that the term ‘orientalizing’ should no longer be used. Instead, the period should be fit into existing chronological periodizations, and the process of cultural change should be interrogated outside of an Orientalist discourse.
Usability testing of radiotherapy systems as a medical device evaluation tool to inform hospital procurement decision-making
Authors: Jiang Mingyin , Tu Xuancheng , Xiao Wanchao , Tang Jinhui , Li Qiang , Sun Dongjie , Wang Daoxiong 
Published: August 2021

Purpose: Poor usability designs of radiotherapy systems can contribute to use errors and adverse events. Therefore, we evaluated the usability of two radiotherapy systems through radiation therapists’ performance, workload, and experience that can inform hospital procurement decision-making about the selection of appropriate radiotherapy system for radiation therapist use. Methods: We performed a comparative usability study for two radiotherapy systems through user testing. Thirty radiation therapists participated in our study, in which four typical operational tasks were performed in two tested radiotherapy systems. User performance was measured by task completion time and completion difficulty level. User workloads were measured by perceived and physiological workload using NASA-TLX questionnaires and eye motion data. User experience was measured by the USE questionnaire. Results: Significantly less task completion time and an easier task completion difficulty level were shown with the Varian Trilogy than with the XHA600E. The study results suggest that higher perceived and physiological workloads were experienced with the XHA600E than with the Varian Trilogy. Radiation therapists reported better user experience with the Varian Trilogy than with the XHA600E. Five paired t-tests regarding user performance, user workload, and user experience between the Varian Trilogy and the XHA600E were performed, showing that the Varian Trilogy radiotherapy system has a better usability design than the XHA600E radiotherapy system. Conclusions: Based on study results, we confirmed that the Varian Trilogy radiotherapy system has a better usability design than the XHA600E radiotherapy system. Furthermore, the study results provide valuable evidence for hospital procurement decision-making regarding the selection of a suitable radiotherapy system for radiation therapists to use.
Predictive Pediatric Characteristics for Revision Tonsillectomy After Intracapsular Tonsillectomy
Authors: Sagheer S. Hamad , Kolb Caroline M. , Crippen Meghan M. , Tawfik Andrew , Vandjelovic Nathan D. , Nardone Heather C. , Schmidt Richard J. 
Published: August 2021

ObjectivesThere is little research on the rate and risk factors for revision tonsillectomy after primary intracapsular tonsillectomy. Our study aimed to determine the revision rate following intracapsular tonsillectomy, identify patient characteristics that may increase the probability of revision surgery, and report the tonsillar hemorrhage rate after revision.Study DesignLevel III, retrospective case‐control study.SettingA tertiary care pediatric center (Alfred I. duPont Hospital for Children, Wilmington, Delaware).MethodsA case‐control study of pediatric patients who underwent intracapsular tonsillectomy between January 1, 2004, and December 31, 2018, was performed. Patients aged 2 to 20 years were analyzed and compared with matched controls who underwent intracapsular tonsillectomy within 7 days of the same surgeon’s case. In total, 169 revision procedures were included with 169 matched controls.ResultsA 1.39% revision rate was observed among a total of 12,145 intracapsular tonsillectomies. Among the 169 patients who underwent a revision procedure, the mean time between cases was 3.5 years. Tonsillitis was the most common diagnosis prompting revision tonsillectomy. Four (2.4%) patients underwent operative control of a postoperative tonsillar hemorrhage after revision surgery. Younger patients (P <. 001) and patients with a history of gastroesophageal reflux disease (P =. 006) were more likely to undergo revision tonsillectomy.ConclusionPatients below age 4 years and patients with gastroesophageal reflux disease may be at increased risk of undergoing revision tonsillectomy after primary intracapsular tonsillectomy. These factors should be considered when selecting an intracapsular technique for primary tonsillectomy in pediatric patients.
Hypoglossal Nerve Stimulation Usage by Therapy Nonresponders
Authors: Coca Kimberly K. , Heiser Clemens , Huntley Colin , Boon Maurits , de Vries Nico , Mamidala Madhu , Gillespie M. Boyd 
Published: August 2021

ObjectiveThe purpose of this study is to examine differences in therapy usage and outcomes of therapy between responder (R) and nonresponder (NR) groups in an international, multicenter prospective registry of patients undergoing hypoglossal nerve stimulation for obstructive sleep apnea (OSA).Study DesignDatabase analysis (level III).SettingInternational, multicenter registry.MethodsThe studied registry prospectively collects data pre‐ and postimplantation, including sleep parameters, Epworth score, patient experience, and safety questions, over the course of 12 months. Patients are defined as a “responder” based on Sher criteria, which require a final apnea‐hypopnea index (AHI) of ≤20 and a final AHI reduction of >50% at their 12‐month follow‐up.ResultsOverall, there were 497 (69%) R and 220 (31%) NR. Most patients in both groups experienced improvement in quality of life following implantation (96% of R; 77% of NR) with reductions in oxygen desaturation index and Epworth score. At final follow‐up, the R group demonstrated significantly better adherence to recommended therapy (>4 hours/night) (P =. 001), average hours of nightly use (P =. 001), final Epworth scores (P =. 001), and degree of subjective improvement (P <. 001).ConclusionPatients classified as NR to upper airway stimulation continue to use therapy with improvement in percent time of sleep with O2 <90%, reduction in daytime sleepiness, and improvement in quality of life. Therefore, ongoing usage of the device should be encouraged in NR patients who note improvement while integrating additional strategies to lower the long‐term effects of OSA.
Sexuality and Intimacy Needs Within a Hospitalized Palliative Care Population: Results From a Qualitative Study
Authors: Kelemen Anne , Van Gerven Clara , Mullins Katherine , Groninger Hunter 
Published: August 2021

Background: Palliative care (PC) clinicians are well trained to address physical, psychosocial and spiritual needs of patients who have a serious illness. However, one area that is often overlooked is intimacy and sexuality. Objective: To explore patient concerns regarding intimacy as it relates to illness, family reactions, physician conversations, and coping strategies and challenges. Methods: Eligible subjects (at least 18 years old, capacitated, receiving PC consultation at the lead author’s institution) participated in semi-structured interviews between November and December 2017. Transcripts were open-coded and analyzed using Dedoose 3.5.35 software. A constant comparative method was used to identify patterns in the data. Results: 21 interviews were analyzed and several themes emerged. Participants described the effect of physical and mental/emotional changes on their relationships. Family relationships, romantic relationships, and sexuality were prominent in patients’ experiences of intimacy and how it changed as the illness progressed. Relationships were often noted to strengthen during the course of illness, while sexual activity was frequently reported to be negatively impacted. Patients consistently reported little provider communication on the impact of illness on intimacy beyond instructions about what sexual activities they could or could not engage in. Conclusion: This study underlines the significant impact of serious, progressive illness on relationships, sexuality, and physical and emotional intimacy. It highlights that these topics continue to be priorities for patients with serious illness, and that medical teams frequently fail to address them at all. Future research should further explore these issues across diverse patient populations.
An American Perspective of the Dental and Public Health Initiatives in Cuba
Authors: Watson Colleen , Rhein Laura , Fanelli Stephanie M. 
Published: August 2021

Aim: To compare following the Cuban Revolution, Cuba’s economy and civil society was transformed by the initiation of a program of nationalization and political consolidation. The Cuban government operates a national health system and assumes fiscal and administrative responsibility for the healthcare of its citizens. Other industrialized nations continue to surpass the US in health-related outcomes indicating areas of improvement in its healthcare system. Assessing the successes and failures as well as the advantages and disadvantages of other countries’ healthcare systems may be instrumental in the development of modifications to the organization and delivery system of healthcare in the US. This paper aims to report the information attained from previous literature as well as from first-hand observations from a public health trip to Cuba in order to compare the healthcare systems in Cuba and the United States. Materials and Methods: A group of New York University College of Dentistry faculty and students traveled to Cuba in April 2019 for professional research and professional meetings (CFR 515.564). While in Cuba, the researchers took written notes of the lecture-based material and conversations. Upon return to the United States, published literature was searched for the collection of any additional data and all qualitative data and quantitative data was compiled and organized. Since 1959, Cuba has made continuous adjustments and improvements to its universal, free and accessible healthcare system. Results: There have been notable improvements to the country’s public health status, such as the implementation of an immunization program and subsequent eradication of communicable diseases, such as polio and rubella. Additionally, the implementation of the National Program on Dentistry guarantees dental care to all Cuban children under the age of 19. Today, the Cuban National Health System (NHS) initiatives have evolved to combat the novel coronavirus (COVID-19) pandemic. Conclusion: Recognizing the advantages as well as the disadvantages of the Cuba’s National Health System (NHS) would be useful for future policymakers in the United States. Cuban approaches to health could be tailored to the United States environment to improve healthcare effectiveness and population health status in the future.
A Method to Select Best Among Multi-Nash Equilibria
Authors: Punniyamoorthy M. , Abraham Sarin , Thoppan Jose Joy 
Published: August 2021

A non-zero sum bimatrix game may yield numerous Nash equilibrium solutions while solving the game. The selection of a good Nash equilibrium from among the many options poses a dilemma. In this article, three methods have been proposed to select a good Nash equilibrium. The first approach identifies the most payoff-dominant Nash equilibrium, while the second method selects the most risk-dominant Nash equilibrium. The third method combines risk dominance and payoff dominance by giving due weights to the two criteria. A sensitivity analysis is performed by changing the relative weights of criteria to check its effect on the ranks of the multiple Nash equilibria, infusing more confidence in deciding the best Nash equilibrium. JEL Codes: C7, C72, D81
Laryngeal Subsite Analysis of Granulomatosis With Polyangiitis (Wegener’s)
Authors: Minaya Natasha J. , Rao Vishwanatha , Naunheim Matthew R. , Song Phillip C. 
Published: August 2021

ObjectiveTo analyze specific intralaryngeal findings associated with granulomatosis with polyangiitis (GPA).Study DesignRetrospective chart review.SettingTertiary referral center.MethodsA retrospective chart review was performed on all patients diagnosed with GPA who were evaluated at the laryngology division of Massachusetts Eye and Ear Infirmary between January 2006 and September 2019.ResultsForty‐four patients (14 male, 30 female) were evaluated for laryngeal pathology. The mean age at onset was 48 years. Nine patients (21%) were identified with only vocal fold disease, 11 (25%) with subglottic disease, and 8 (18%) with disease at the glottis and subglottis (transglottic). The remaining 16 patients (36%) had a normal airway upon examination although they presented with laryngeal symptoms. Patients with glottic disease had statistically significantly lower voice‐related quality of life scores than patients with isolated subglottic stenosis.ConclusionsAlthough laryngeal manifestations of GPA is often described as a subglottic disease presenting with respiratory symptoms, subsite analysis show that only 25% of patients had subglottic disease alone, with similar rates of glottic disease alone. Laryngeal subsites have different epithelial mucosa, function, and physiology, and understanding the specific sites of involvement will determine symptoms and enable better analysis of the underlying mechanisms of disease. Glottic disease is associated with a reduction in vocal fold motion and voice changes. Subglottic involvement presents more frequently with airway symptoms. Further research is necessary to better define the specific regions of laryngeal involvement in patients diagnosed with GPA.
Host lipidome and tuberculosis treatment failure
Authors: Shivakoti Rupak , Newman John W. , Hanna Luke Elizabeth , Queiroz Artur T.L. , Borkowski Kamil , Gupte Akshay N. , Paradkar Mandar , Satyamurthi Pattabiraman , Kulkarni Vandana , Selva Murugesh , Pradhan Neeta , Shivakumar Shri Vijay Bala Yogendra , Natarajan Saravanan , Karunaianantham Ramesh , Gupte Nikhil , Thiruvengadam Kannan , Fiehn Oliver , Bharadwaj Renu , Kagal Anju , Gaikwad Sanjay , Sangle Shashikala , Golub Jonathan E. , Andrade Bruno B. , Mave Vidya , Gupta Amita , Padmapriyadarsini Chandrasekaran 
Published: August 2021

IntroductionHost lipids play important roles in tuberculosis (TB) pathogenesis. Whether host lipids at TB treatment initiation (baseline) affect subsequent treatment outcomes has not been well characterised. We used unbiased lipidomics to study the prospective association of host lipids with TB treatment failure.MethodsA case–control study (n=192), nested within a prospective cohort study, was used to investigate the association of baseline plasma lipids with TB treatment failure among adults with pulmonary TB. Cases (n=46) were defined as TB treatment failure, while controls (n=146) were those without failure. Complex lipids and inflammatory lipid mediators were measured using liquid chromatography mass spectrometry techniques. Adjusted least-square regression was used to assess differences in groups. In addition, machine learning identified lipids with highest area under the curve (AUC) to classify cases and controls.ResultsBaseline levels of 32 lipids differed between controls and those with treatment failure after false discovery rate adjustment. Treatment failure was associated with lower baseline levels of cholesteryl esters and oxylipin, and higher baseline levels of ceramides and triglycerides compared to controls. Two cholesteryl ester lipids combined in a unique classifier model provided an AUC of 0.79 (95% CI 0.65–0.93) in the test dataset for prediction of TB treatment failure.ConclusionsWe identified lipids, some with known roles in TB pathogenesis, associated with TB treatment failure. In addition, a lipid signature with prognostic accuracy for TB treatment failure was identified. These lipids could be potential targets for risk-stratification, adjunct therapy and treatment monitoring.
Adequacy of maternal anesthesia depth with two sodium thiopental doses in elective caesarean section: a randomized clinical trial
Authors: Sabetian Golnar , Zand Farid , Mirhadi Fatemeh , Hadavi Mohammad Reza , Asadpour Elham , Dehghanpisheh Laleh , Fattahi Saravi Zeinabsadat , Razavi Seyed Mostajab 
Published: August 2021

Abstract
Background
Administration of an optimal dose of anesthetic agent to ensure adequate depth of hypnosis with the lowest risk of adverse effects to the fetus is highly important in cesarean section. Sodium thiopental (STP) is still the first choice for induction of anesthesia in some countries for this obstetric surgery. We aimed to compare two doses of STP with regarding the depth of anesthesia and the condition of newborn infants.

Methods
In this clinical trial, parturient undergoing elective Caesarian section were randomized into two groups receiving either low-dose (5 mg/kg) or high-dose (7 mg/kg) STP. Muscle relaxation was provided with succinylcholine 2 mg/kg and anesthesia was maintained with O2/N2O and sevoflurane. The depth of anesthesia was evaluated using isolated forearm technique (IFT) and bispectral index (BIS) in various phases. Additionally, infants were assessed using Apgar score and neurobehavioral test.

Results
Forty parturient were evaluated in each group. BIS was significantly lower in high-dose group at skin incision to delivery and subcutaneous and skin closure. Also, significant differences were noticed in IFT over induction to incision and incision to delivery. Apgar score was significantly lower in high-dose group at 1 min after delivery. Newborn infants in low-dose group had significantly better outcomes in all three domains of the neurobehavioral test.

Conclusion
7 mg/kg STP is superior to 5 mg/kg in creating deeper hypnosis for mothers. However, it negatively impacts Apgar score and neurobehavioral test of neonates. STP seems to has dropped behind as an acceptable anesthetic in Cesarean section.

Trial registration
IRCT No: 2016082819470 N45, 13/03/2019.
Renal denervation in a patient with a highly tortuous renal artery using a guide extension catheter: a case report
Authors: Wang Peijiang , Wan Jindong , Hou Jixin , Liu Sen , Ran Fei 
Published: August 2021

Abstract
Background
Catheter-based renal denervation (RDN) has been introduced to treat resistant hypertension. Although the technology of RDN has been largely improved, denervation of tortuous renal arteries remains challenging.

Case presentation
This is a case report of a 49-year-old man with drug resistant hypertension. The patient was selected for RDN after ruling out possible causes of secondary hypertension. Computed tomography angiography showed a highly tortuous left renal artery. An Iberis multielectrode ablation catheter failed to reach the target vessel with a regular guiding catheter. A 5-French extension catheter was introduced into the proximal segment of the main left renal artery to provide extra support force, which enabled successful ablation of the highly tortuous left renal artery. His ambulatory blood pressure was significantly decreased at 1 month follow-up.

Conclusions
It is feasible and effective to use a guide extension catheter for denervation of highly tortuous renal arteries. The present study provides a useful method to ablate tortuous and angled renal arteries and branches.
Establishment of a novel scoring model for mortality risk prediction in HIV-infected patients with cryptococcal meningitis
Authors: Zhao Ting , Xu Xiao-Lei , Nie Jing-Min , Chen Xiao-Hong , Jiang Zhong-Sheng , Liu Shui-Qing , Yang Tong-Tong , Yang Xuan , Sun Feng , Lu Yan-Qiu , Harypursat Vijay , Chen Yao-Kai 
Published: August 2021

Abstract
Background
Cryptococcal meningitis (CM) remains a leading cause of death in HIV-infected patients, despite advances in CM diagnostic and therapeutic strategies. This study was performed with the aim to develop and validate a novel scoring model to predict mortality risk in HIV-infected patients with CM (HIV/CM).

Methods
Data on HIV/CM inpatients were obtained from a Multicenter Cohort study in China. Independent risk factors associated with mortality were identified based on data from 2013 to 2017, and a novel scoring model for mortality risk prediction was established. The bootstrapping statistical method was used for internal validation. External validation was performed using data from 2018 to 2020.

Results
We found that six predictors, including age, stiff neck, impaired consciousness, intracranial pressure, CD4+ T-cell count, and urea levels, were associated with poor prognosis in HIV/CM patients. The novel scoring model could effectively identify HIV/CM patients at high risk of death on admission (area under curve 0.876; p<0.001). When the cut-off value of 5.5 points or more was applied, the sensitivity and specificity was 74.1 and 83.8%, respectively. Our scoring model showed a good discriminatory ability, with an area under the curve of 0.879 for internal validation via bootstrapping, and an area under the curve of 0.886 for external validation.

Conclusions
Our developed scoring model of six variables is simple, convenient, and accurate for screening high-risk patients with HIV/CM, which may be a useful tool for physicians to assess prognosis in HIV/CM inpatients.