bluuebunny/crossref_metadata_2025_split huggingface dataset:
Healthy eating index patterns in adults by sex and age predict cardiometabolic risk factors in a cross-sectional study
Authors: Artegoitia Virginia M. , Krishnan Sridevi , Bonnel Ellen L. , Stephensen Charles B. , Keim Nancy L. , Newman John W. 
Published: June 2021

Abstract
Background
Associations between diet and cardiometabolic disease (CMD) risk may vary in men and women owing to sex differences in eating habits and physiology. The current secondary analysis sought to determine the ability of sex differences in dietary patterns to discriminate groups with or without CMD risk factors (CMDrf) in the adult population and if this was influenced by age.

Methods
Diet patterns and quality were evaluated using 24 h recall-based Healthy Eating Index (HEI-2015) in free-living apparently healthy men (n = 184) and women (n = 209) 18–65 y of age with BMIs of 18–44 kg/m2. Participants were stratified into low- and high-CMDrf groups based on the presence/absence of at least one CMDrf: BMI > 25 kg/m2; fasting triglycerides > 150 mg/dL; HDL cholesterol < 50 mg/dL-women or < 40 mg/dL-men; HOMA > 2; HbA1c > 5.7. Sex by age dietary patterns were stratified by multivariate analyses, with metabolic variable associations established by stepwise discriminant analysis.

Results
Diet quality increased with age in both sexes (P < 0.01), while women showed higher fruit, vegetable and saturated fat intake as a percentage of total energy (P < 0.05). The total-HEI score (i.e. diet quality) was lower in the high-CMDrf group (P = 0.01), however, diet quality parameters predicted CMDrf presence more accurately when separated by sex. Lower ‘total vegetable’ intake in the high-CMDrf group in both sexes, while high-CMDrf men also had lower ‘total vegetables’, ‘greens and beans’ intake, and high-CMDrf women had lower ‘total fruits’, ‘whole-fruits’, ‘total vegetables’, ‘seafood and plant-proteins’, ‘fatty acids’, and ‘saturated fats’ intakes (P < 0.05). Moreover, ‘dairy’ intake was higher in high-CMDrf women but not in men (sex by ‘dairy’ interaction P = 0.01). Sex by age diet pattern models predicted CMDrf with a 93 and 89% sensitivity and 84 and 92% specificity in women and men, respectively.

Conclusions
Sex and age differences in dietary patterns classified participants with and without accepted CMDrfs, supporting an association between specific diet components and CMD risk that differs by sex. Including sex specific dietary patterns into health assessments may provide targeted nutritional guidance to reduce the burden of cardiovascular disease.

Trial registration
ClinicalTrials.gov: NCT02367287. ClinicalTrials.gov: NCT02298725.
Faith and spirituality as psychological coping mechanism among female aid workers: a qualitative study
Authors: Ozcan Ozgul , Hoelterhoff Mark , Wylie Eleanor 
Published: June 2021

AbstractDespite evidence that faith-based and spiritual coping supports people’s mental health, stigmata prevail in the aid sector around the need for psychological support in general and around this coping mechanism in particular. This qualitative research examines female aid workers’ experiences and aims to elucidate how this mechanism supports mental health in stressful, conflict, or disaster-affected living and working environments. Inductive thematic analysis of 14 semi-structured interviews reveals three themes around (a) specificities of the aid work context, (b) benefits and gains through this coping mechanism and related processes, and (c) potential downsides. Interview findings suggest a faith-based and spiritual approach helped interviewees feel grounded, calm, resilient, and present in difficult environments. Participants experienced a resolute identity, space for self-care, as well as access to community, belonging, and connection across national, faith, and spiritual boundaries. Results raise the importance of de-stigmatizing faith-based and spiritual coping and invite further discussion among practitioners.
Słownictwo specjalistyczne w prozie Olgi Tokarczuk jako wyzwanie translatorskie
Authors: Tanuszewska Lidia 
Published: June 2021

Specialized Terminology in the Prose of Olga Tokarczuk as a Translation Challenge
This article is a description of my experiences as a translator of four novels by Olga Tokarczuk into Macedonian. I found specialist vocabulary related to various fields of science to be one of the most important translation problems of her prose. In this text, I identify this problem and the challenges that lie behind it – primarily related to the need to develop translator’s competences and the fact that the relatively young Macedonian language lacks dictionary equivalents for many scientific terms. I also describe the translation strategies I undertook, which enabled me to understand and translate these terms into Macedonian.
A generalization of a result on the sum of element orders of a finite group
Authors: Tărnăuceanu Marius 
Published: June 2021

Abstract
Let G be a finite group and let ψ(G) denote the sum of element orders of G. It is well-known that the maximum value of ψ on the set of groups of order n, where n is a positive integer, will occur at the cyclic group Cn
. For nilpotent groups, we prove a natural generalization of this result, obtained by replacing the element orders of G with the element orders relative to a certain subgroup H of G.
One in a billion: a patient with Marfan syndrome and familial hypocalciuric hypercalcaemia
Authors: Ann Tee Su , Brennan Paul , L Mitchell Anna 
Published: June 2021

Summary
Marfan syndrome is an autosomal dominant multisystem disorder that has an estimated incidence of 1 in 5000. It is caused by mutations in the FBN1 gene, which encodes the extracellular matrix protein type 1 fibrillin. Familial hypocalciuric hypercalcaemia (FHH), also inherited in an autosomal dominant pattern, is a rare benign disorder characterised by hypercalcaemia, hypocalciuria and relative hyperparathyroidism with normal or high plasma PTH levels, with an estimated incidence of between 1 in 10 000 to 1 in 100 000. We report a unique case of a 26-year-old man referred for investigation of hypercalcaemia, who also had clinical features of Marfan syndrome but no previous genetic investigations. Calculated fractional urinary excretion of calcium was low (0.0005) following correction of vitamin D deficiency, raising the possibility of FHH. Genetic testing for Marfan syndrome and FHH, via a hyperparathyroidism multiplex gene panel test, revealed a novel truncating variant in the FBN1 gene (c.8481T>G; p.(Tyr2827Ter)), consistent with Marfan syndrome; and a pathogenic truncating variant in the CaSR gene (c.741dupT; p.[Asp248Ter]), which confirmed the diagnosis of FHH. The patient’s mother was subsequently found to have mild hypercalcaemia (adjusted calcium 2.76 mmol/L) and is also heterozygous for the same CaSR mutation. Genetic testing of his father confirmed the presence of the same FBN1 gene mutation. This case illustrates the importance of making robust diagnoses in the era of modern genomic medicine, confirming FHH as the cause of hypercalcaemia means that no treatment is warranted and the patient can be reassured.

Learning points

Familial hypocalciuric hypercalcaemia (FHH) should always be excluded during the investigation of hypercalcaemia by measuring urinary calcium: creatinine clearance ratio.

Diagnosing FHH is important as the condition is benign and misdiagnosing patients with primary hyperparathyroidism could potentially lead to unnecessary morbidity from parathyroid surgery.

Genetic testing is increasingly available for a variety of inherited conditions including Marfan syndrome and FHH. Patients who present with clinical features suggestive of a particular genetic condition should undergo prompt, appropriate confirmatory testing wherever possible.

Taking a thorough family history is vital when assessing patients presenting with endocrine conditions, as this could prompt cascade testing and appropriate genetic counselling where necessary.
A educação em português em contextos multiculturais
Authors: Ançã Maria Helena 
Published: June 2021

A sociedade portuguesa, como as outras sociedades europeias, foi-se tornando multicultural, fenómeno que se estendeu à Escola. Neste âmbito, e partindo de contextos escolares plurais, pretendemos analisar como sete estudantes de um Mestrado em Ensino, da Universidade A, desenvolveram o seu estudo empírico em escolas do Ensino Básico (EB), onde realizaram o Estágio Pedagógico: temáticas, opções metodológicas e contributos para a Educação em Português, configurando-se o produto final deste trabalho como o Relatório de Estágio/de Mestrado. Os resultados apontam para temáticas mais próximas da diversidade linguística e cultural e menos para a reflexão sobre o Português; as opções metodológicas são de natureza qualitativa, por se tratar de investigações educativas em línguas; por fim, os estudos destacam a importância atribuída ao fator ‘língua’ pelos alunos do EB, ou seja, as suas perceções sobre as línguas (língua conhecida/desconhecida, próxima/distante) que os aproximaçam ou afastam dos alunos estrangeiros.
BENİGN KEMİK DIŞI KAYNAKLI KRANYOVERTEBRAL BÖLGE LEZYONLARI VE YAKLAŞIM
Authors: OĞUZOĞLU Ali Serdar , ŞENOL Nilgün , SADEF Mustafa , GOKSEL Murat 
Published: June 2021

Amaç
Kranyovertebral bileşkede (KVB) birçok farklı patoloji
görülebilmektedir. En sık menengiom olmak üzere,
schwannom, ependimom, hemanjioblastom bu bölgede
yerleşen kemik dışı kaynaklı benign lezyonlardır.
Bu çalışmada, kliniğimize başvuran kranyovertebral
bileşkede kemik dışı kaynaklı lezyonu olup, vertebral
artere hakim olabilmek ve stabilizasyonun korunabilmesi
için posterior yaklaşım yapılan ve enstrüman
kullanılmayan hastaların değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem
Süleyman Demirel Üniversitesi Nöroşirürji kliniğine
2020 yılında başvuran ve opere edilen 3 hastanın verileri
değerlendirildi. Hastaların 2’si erkek, 1’i kadın ve
yaş ortalamaları 47 idi (37-66). Posterior yaklaşımla
hemilaminektomi sonrası intraoperatif nöromonitör
kullanılarak mikrocerrahi ile intradural lezyonlar çıkarıldı.
Bulgular
İki hastada patolojik tanı schwannom, bir hastada
ise menengiom olarak rapor edildi. Hastalarda postoperatif
dönemde nörolojik defisit gelişmedi. Her 3
vakada da başlangıç motor evoked potansiyel (MEP)
değerlerine göre kapanış MEP değerlerinde düzelme
gözlendi (%4,3; %6,7; %9,4 düzelme).
Sonuç
Bu bölge lezyonlarına anterior ve posteriordan farklı
şekillerde yaklaşımlar bildirilmiştir. Cerrahi teknikler
değerlendirilirken mümkün olan en geniş ve en güvenli
tümör rezeksiyonu yapabilmek öncelikli amaç
olmalıdır. Stabilitenin korunduğu dorsal yerleşimli lezyonlarda
enstrümansız posterior yaklaşım tercih edilebilir.
RETINAL MICROVASCULAR DIFFERENCES IN TYPE 2 DIABETES WITHOUT CLINICALLY APPARENT RETINOPATHY: AN OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY STUDY
Authors: KARABULUT Müjdat , KARALEZLİ Aylin , KARABULUT Sinem , SÜL Sabahattin 
Published: June 2021

Objective
We aimed to determine early microvascular changes
in type 2 diabetes mellitus patients without clinically
apparent retinopathy by optical coherence tomography
angiography.
Material and Methods
80 eyes of patients with diabetes mellitus and without
clinically apparent retinopathy, and 80 eyes of age
and sex-matched healthy participants were included
in this observational case-control study. Vessel
density in superficial and deep retinal vessel plexus,
foveal avascular zone area, and choriocapillaris flow
area in a macular 6.00 × 6.00 mm scan size were
evaluated and compared.
Results
The groups were similar for age and gender (p=0.971
and p=1.000, respectively). The mean duration of
diabetes was 10.38±6.31 years (range, 1-25 years)
in the study group. Choriocapillaris flow area was
significantly lower in the study group than in the
control group (p
Penerapan pendekatan saintifik dilengkapi LKS pada mata pelajaran Geografi untuk meningkatkan kemampuan berpikir analitis siswa kelas XI IPS 2 SMAN 8 Malang
Authors: Rahayu Purwa Sasmita , Handoyo Budi , Purwito Hendri 
Published: June 2021

The ability of analytical thinking is one of the cognitive aspects that must be mastered by students. Pre-research observation results conducted in Class XI IPS 2, SMAN 8 Malang There were about 22 students from 35 students who scored below the average or around 62.9 percent. the data confirms that there are some students who still cannot solve the type C4 (Analysis) questions. Based on the research that has been done, it can be obtained that 1) there is an increase in students' analytical thinking skills in cycles I and II, 2) The application of the Scientific Approach with LKS is proven to be able to improve the student’s analytical thingking in class XI IPS 2, SMAN 8 Malang.
Kemampuan berpikir analitis merupakan salah satu aspek kognitif yang harus dikuasai oleh siswa. Hasil observasi pra penelitian yang dilakukan di Kelas XI IPS 2, SMA Negeri 8 Malang Terdapat sekitar 22 siswa dari 35 siswa yang mendapat nilai di bawah rata- rata atau sekitar 62.9 persen. data tersebut memperkuat bahwa terdapat beberapa siswa yang masih belum dapat menyelesaikan soal tipe C4 (Analisis). Berdasarkan penelitian yaang telah dilakuan didapatkan hasil 1) adanya peningkatan kemampuan berpikir analitis siswa pada siklus I dan II 2) Penerapan Pendekatan Saintifik dilengkapi LKS terbukti mampu meningkatkan kemampuan berpikir analitis siswa kelas XI IPS 2 SMAN 8 Malang.
The Psychological Wellbeing of University Students Amidst COVID-19 Pandemic
Authors: Ebrahim Ahmed H , Dhahi Ali , Husain Mohamed A , Jahrami Haitham 
Published: June 2021

This review aims to summarize the current evidence relating to university students’ psychological wellbeing amidst the COVID-19 pandemic. A scoping review using PRISMA-ScR guideline (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) was first conducted to determine if the evidence can be systematically reviewed and meta-analyzed. The search was executed via Google Scholar (Google LLC, Mountain View, CA, USA), MEDLINE/PubMed (US National Library of Medicine, Bethesda, MD, USA), Science Direct (Elsevier, Amsterdam, the Netherlands), Scopus (Elsevier, Amsterdam, the Netherlands), and Web of Science (Clarivate Analytics, Philadelphia, Pennsylvania, USA). A total of 90 original articles were selected for the scoping review. Meta-analysis of a total of 46284 cases revealed an overall pooled prevalence rate for anxiety symptoms was 29.1% [95% CI: 20.9, 39.0] (K=9, N=22357), and 23.2% [95% CI: 15.7, 32.9] (K=12, N=23927) for depression symptoms. COVID-19 had a significant impact on university students' psychological wellbeing.
Keywords: Adolescents; Psychological distress; Mental health; Pandemic; nCov; SARS-COV-2
Evaluation of Different Polymerization Methods of Ocular Prosthesis Acrylic Resins on Subcutaneous Tissue Inflammatory Response in Rats
Authors: Da Silva Emily , Goiato Marcelo C , Bitencourt Sandro , Dos Santos Daniela , Brito Victor , Takamyia Aline , Penitente Paulo , Oliveira Sandra 
Published: June 2021

Objectives: The aim of this study was to evaluate the influence of different polymerization methods of acrylic resin for ocular prostheses on the subcutaneous tissue inflammatory response of rats. Methods: Samples were prepared by: water bath (WB), microwave energy (MW), or autopolymerization (AP) (n=20/group). The inflammatory response (cell count and immunohistochemical analysis of IL-1β, IL-6, TNF-α, IL-17, and MIP-3α) was analyzed by the implantation of a sample from each group in the subcutaneous tissue of 20 Wistar rats, and evaluated after 7, 15, 30, and 60 days. Quantitative and qualitative data were submitted to ANOVA and Tukey test (p<0.05) and to visual comparison, respectively. Results: There was a moderate inflammatory infiltrate for MW and AP groups and a light infiltrate for the WB group after 7 days. The inflammatory infiltrate and the immunolabeling of tested targets decreased gradually during the 60 days. The AP group had the highest immunolabeling of TNF-α (7 days), IL-1β and IL-17 (15, 30 days), and IL-6 (30, 60 days). The WB and MW groups showed a greater immunolabeling at 15 and 30 days, while the MW group also had high results at 60 days. Conclusion: Polymerization by microwave energy and by chemical activation resulted in a higher inflammatory response.
Keywords: Ocular Prosthesis, Acrylic Resins, Biocompatibility Testing
EFFECTS OF TOTAL QUALITY MANAGEMENT (TQM) ON FINANCIAL AND NON-FINANCIAL PERFORMANCE: EVIDENCE FROM HIGHER EDUCATIONAL SECTOR OF PAKISTAN
Authors: Shafqat Tehmeena , Mushtaq Rabia , Tahir Zonaib , Shaheen Wasim Abbas 
Published: June 2021

Purpose: This research explores the causal linkage between TQM and financial performance or non-financial performance within the higher education sector of Pakistan. In this regard, the link between each element of total quality management, including tangibles, reliability, responsiveness, assurance, and empathy, was explored and empirically analyzed concerning financial and non-financial performance.
Methodology: The regression and correlation statistical measures, using SPSS version 20.0, were used to study the linkage of TQM with financial and non-financial performance. The study utilized a quantitative research approach for data collection purposes, and data was gathered from 220 employees of well-established higher educational institutes of Islamabad and Rawalpindi with the help of a directly administered survey approach.
Results: The results support the causal linkage between TQM and financial or non-financial performance. The findings indicate that TQM has a significant positive link with the financial and non-financial performance of service organizations within the higher education sector of Pakistan.
Applications of this study: The higher education industry is the backbone of every nation, especially the developing countries. The higher education sector of developing countries, such as Pakistan, has been facing issues of quality, and hence the implementation of TQM practices can have a considerable effect on its improvement. This study provides valued insights for higher education practitioners to revise policies for the positive growth and development of this sector.
The Novelty of this study: The contribution of this research is the investigation of TQM practices on financial and non-financial performance of higher educational institutes of a developing nation, i.e. Pakistan, where it is relatively a new concept. It was found that TQM practices have a significant impact on financial and non-financial performance.
UJI ORGANOLEPTIK, DAYA TERIMA DAN KANDUNGAN GIZI SORBET KELOPAK BUNGA ROSELLA
Authors: Fadhilah Tri Marta 
Published: June 2021

Abstract
Sorbet is a frozen product that is broadly consumed as a dessert. The appearance is likely ice cream, however, it used different ingredients. This product is made from a mixture of fresh fruit and sweeteners through crushed, stirred, and frozen processes. Generally, high-quality sorbet has a soft texture, does not melt quickly, has a uniform appearance, and has attractive colors, flavorful. This study investigates the characteristics, acceptability, and nutrition content of sorbet. An experimental study with a Randomized Block Design (RBD) was used in this study with two factors, stevia (1%, 2%, 3%) and Carboxyl Methyl Cellulose (CMC) (0.5%, 1%, 1.5%). The data were analyzed using ANOVA for continuous variables followed by LSD test for these show significant differences. The study revealed that taste, color, the texture was significantly different between the group, but the aroma was not significantly different. The hedonic test results in the highest value in a sample of 586 (66.7%) with the use of 3% stevia and 1.5% CMC. The Kruskal-Wallis test showed no significant difference in anthocyanin levels, however, vitamin C levels were significant differences between groups. The conclusion is that rosella sorbets can be accepted by the public and contain anthocyanin and vitamin C.

Keywords: Organoleptic Test, Acceptability, Nutritional Content, Rosella sorbet

ABSTRAK
Sorbet merupakan produk pangan beku yang umumnya dikonsumsi sebagai dessert atau makanan penutup. Sorbet memiliki penampakan seperti es krim namun menggunakan bahan baku berbeda, karena produk ini terbuat dari campuran buah segar dan pemanis yang dihancurkan, diaduk lalu dibekukan. Kualitas sorbet yang baik pada umumnya yaitu tekstur yang lembut, tidak cepat meleleh, kenampakan seragam, serta warna menarik, citarasa dan aroma yang lezat. Penelitian ini bertujuan untuk menganalisis karakteristik, daya terima dan kandungan antosianin dan vitamin C sorbet rosella. Desain penelitian yang digunakan yaitu penelitian experimental design yang membandingkan dua kelompok dengan membandingkan penambahan stevia (1%, 2%, 3%) dan CMC (0,5%, 1%, 1,5%). Rancangan penelitian yang digunakan adalah rancangan acak kelompok (RAK). Hasil uji statistik menggunakan analisis ANOVA dan dilanjutkan dengan uji BNT didapatkan hasil adanya beda nyata pada indikator rasa, warna, tekstur sedangkan pada indikator aroma tidak ada beda nyata. Hasil uji hedonik didapatkan nilai tertinggi pada sampel 586 (66,7%) dengan penggunaan stevia 3% dan cmc 1,5%. Hasil Uji Kruskal-Wallis menunjukkan tidak terdapat perbedaan yang signifikan pada kadar antosianin dan untuk kadar vitamin C pada sorbet rosella terdapat perbedaan yang signifikan. Kesimpulannya sorbet rosella dapat diterima oleh masyarakat dan mengandung antosianin serta vitamin C.
Kata Kunci: Uji Organoleptik, Daya Terima, Kandungan Gizi, Rosella sorbet
Aquifer and Pond Relationship Under Potential Influence of Eucalyptus and Sugarcane
Authors: Terada Rafael , Hirata Ricardo , Galvão Paulo , Saraiva Fernando , Tasse Norio , Bernardino Mariana Luiz , Conicell Bruno 
Published: June 2021

Abstract
A hydraulic interaction between a pond and shallow aquifer in a watershed surrounded by cultivations of sugarcane and eucalyptus trees was evaluated in Brazil. The pond, located in lower topographic levels, was prematurely interpreted as the local shallow aquifer's discharge area, suggesting the groundwater could flow towards the pond. However, water table gradients indicated opposite directions, bringing up questions about the eucalyptus root's potential to access groundwater, consequently lowering the water level and changing the groundwater flow directions. Physicochemical parameters, stable isotopes of δ18O and δ2H, major ions analysis were determined in samples of groundwater and pond water; and geophysical surveys and groundwater level measurements were performed before and after the eucalyptus cutting. The results showed 1) the eucalyptus does not have a significant influence on the groundwater dynamic; 2) the pond behaves as a recharge, not a discharge area; and 3) previously considered as a local flow, the interaction between groundwater and pond is determined by an intermediate flow system, controlled by a near spring, independently of the seasonal variation and land uses.