bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stroke and liminality: narratives of reconfiguring identity after stroke and their implications for person-centred stroke care
Authors: Hall Joseph , van Wijck Frederike , Kroll Thilo , Bassil-Morozow Helena 
Published: December 2024

BackgroundThe complex physical, cognitive, and psychological consequences of stroke can disrupt a survivor's sense of pre-stroke normality and identity. This can have a substantial impact on their individual and social lives. Individual reports about life after stroke have improved our understanding of this impact. However, stroke support systems, struggling with increased demands due to a growing stroke population and guideline requirements, require deeper insights based on synthesised narratives into what can enable stroke survivors to rebuild their lives and identities positively to provide person-centred care.MethodsA qualitative study using Charmaz's Constructivist Grounded Theory (GT) method. Semi-structured interviews lasting 60–90 min were conducted. These interviews were held at least 12 months post-stroke.FindingsThirty participants were interviewed from across the UK (14 women, 16 men; aged 31–86; 1–25 years post-stroke). Participants reported the disruption stroke could cause to their sense of identity. The concept of liminality, that describes the ambiguous, transformative state between two distinct stages, where an individual or group exists “betwixt and between” stable conditions, explains the challenge to identity post-stroke. Participants reported developing an uncertain sense of identity as they struggled to structure identity in the same way they did before stroke. This is because the participants' characteristics, traits, hobbies, or future life plans, as well as social relationships and roles, were affected by stroke. Subsequently, participants began a process of reconfiguring their identity, an often-long-term process that involved coming to terms with, and integrating, the impact of stroke on their lives. As a result, participants could enter an indefinite period of sustained liminality as they contend with long-term change and continued uncertainty.ConclusionThe concept of liminality, which emerged from individual stroke narratives for the first time, conveyed the adaptive and enduring nature of a stroke survivor's journey. Post-stroke liminality may continue indefinitely, sustained by a survivor's subjective individual and social situation. This new insight justifies the urgent call for long-term rehabilitation and support that is tailored towards the unique nature of a survivor's circumstances. Further work is required to understand how tailored, long-term and person-centred support can encourage survivors to positively reconfigure their identity.
Disinfection of dental root canals by cold atmospheric plasma: a systematic review and meta-analysis of dental biofilm
Authors: Sanesi Lorenzo , Puca Valentina , Caponio Vito Carlo Alberto , Pinti Morena , Balice Giuseppe , Femminella Beatrice , Paolantonio Michele , Cela Ilaria , Kaushik Nagendra Kumar , Choi Eun Ha , Grande Rossella , Sardella Eloisa , Perrotti Vittoria 
Published: December 2024

AimThe intricate structure of the tooth root canals has a role in the colonization and biofilm formation in hidden areas that are hardly reached by standard endodontic treatments. This review aims at summarizing data from in vitro and ex vivo studies for a better understanding of the application of cold atmospheric plasma (CAP) for the disinfection of dental root canals.MethodsPubMed, Scopus, and Web of Science databases were screened. Characteristics of the included studies were extracted, and a meta-analysis on ex vivo studies was carried out to evaluate the effect of CAP on colony forming unit assay of Enterococcus faecalis (E. faecalis). The study was performed following the PRISMA 2020 guidelines.ResultsA total of 31 studies fulfilled the selection criteria. Only 2 investigations reported an indirect plasma treatment, 28 trials used direct CAP administration, while 1 study applied both methods. Most of the studies were conducted on E. faecalis using as carrier gas Helium or Argon alone or in combination with Oxygen as well air. A considerable heterogeneity among studies was found regarding treatments which varied for source type, settings, and protocols of application. Despite this, CAP showed effectiveness in reducing E. faecalis colony forming unit with a standardized mean difference of 4.51, 95% C.I. = 2.55–6.48, p-value &lt; 0.001.ConclusionThe data demonstrated the antimicrobial effect of direct CAP application against microorganisms. In-vitro studies showed an effect that depended on the time and distance of treatment, while the meta-analysis performed on ex vivo studies showed that the effect of CAP was independent of time and distance.Systematic Review Registrationhttps://doi.org/10.17605/OSF.IO/BJ59V, identifier OSF registries.
Physical fitness levels among children in northeast Italy by sex and age group: a comparison with teachers’ assessments and children in other European countries
Authors: Toscani Andrea , Pedersen Arve Vorland 
Published: December 2024

IntroductionPhysical fitness is associated with health-related quality of life, especially among youth. Although schools play an important role in promoting children's physical activity, in Italy the lack of qualified physical education teachers in primary schools may be compromising children's achievement of recommended levels of physical activity.MethodsTo test that possibility, we measured the physical fitness of 170 children (i.e., 79 boys and 91 girls) 6-10 years old in two schools in Cadore, Veneto, in northeast Italy, using the Physical Fitness Test, a tool developed in Norway and previously used among children there and in Lithuania. Teachers in Italy also assessed their students' physical fitness, and their rankings were correlated with the children's test results. The test battery included nine elements: a standing broad jump, hopping 7 m on both feet, hopping 7 m on one foot, throwing a tennis ball, pushing a medicine ball, climbing wall bars, a 10 × 5 m shuttle run, a 20 m run, and a 6 min Cooper test.ResultsTest scores generally increased with age and more steeply among boys than girls, and boys outperformed girls on most items. Children in Italy performed similarly to children in Norway but outperformed ones in Lithuania on nearly every item across sex and age groups. The correlation between teachers' predictions and the actual test results was rather low for boys (.538, p &lt; .001) and even lower for girls (.360, p &lt; .001).DiscussionData revealed similar results in physical fitness between the three countries, albeit with some differences for individual items. However, primary school teachers in Italy assessed physical fitness rather poorly, possibly due to their lack of specific academic training in physical education and thus limited perception of physical fitness compared with academically trained physical education teachers. Last, because the procedure for categorizing children by age may significantly affect the results and subsequent between-group comparisons, researchers comparing children in different age groups should report their procedures for categorizing age.
Treatment of blunt splenic injury in children in China
Authors: Wang Wu , Lei Haiyan , Zhang Wenhan , Li Wenhai , Bian Hongqiang , Yang Jun 
Published: December 2024

IntroductionNonoperative management (NOM) is recognized as a viable treatment for pediatric closed splenic trauma. However, clinical guidelines are applied inconsistently, resulting in different treatment strategies in different regions. This study aimed to investigate the independent risk factors influencing the length of stay in pediatric closed splenic injuries and to analyze the key determinants in the choice of surgical treatment to optimize inpatient management and patient care and improve outcomes.MethodsA retrospective evaluation of medical records of pediatric patients with blunt splenic injury (BSI) admitted to Wuhan Children's Hospital from 2020 to 2024 was conducted. The dataset included demographics, mechanism of injury, injury grade, associated injuries, therapeutic measures, and outcomes, which were subjected to statistical analysis. Factors influencing length of hospital stay and treatment regimen were also analyzed.ResultsA total of 88.5% of patients underwent NOM, with 11% requiring splenic embolization due to hemodynamic instability or arterial hemorrhage. Surgery was required in 11.5% of patients, primarily for combined gastrointestinal perforation, or peritonitis. One patient died due to brain injury. Trauma scores and transfusion requirements were higher in the surgical group (37.7 ± 16.1 vs. 17.2 ± 13.1, p &lt; 0.001; 21.7% vs. 100%, p &lt; 0.001). Multivariate logistic regression showed that gastrointestinal complications significantly influenced the decision to operate (p = 0.0087). A generalized additive model showed a corresponding increase in length of stay with increasing injury severity, with the curve flattening in the mid to high ISS range (40–60).ConclusionNOM remains an effective and preferred treatment strategy for pediatric BSI, particularly in the setting of stable hemodynamic parameters. This approach reduces the need for surgical intervention and associated complications while preserving splenic function. The study highlights that gastrointestinal complications are important determinants of surgical management. Further research into long-term outcomes and advancements in conservative management are needed.
The Role of COVID-19 in Excess Mortality in Slovakia: A Novel Approach Based on Healthcare Billing Records
Authors: Barančok Peter , Dudek Ján , Ištokovičová Petra , Kandilaki Daniela , Kotrč Michal , Löffler Ľubica , Mišík Matej , Mužik Roman , Saal Beáta , Vrbiková Martina , Zajac Rudolf , Selvek Martin , Pažitný Peter 
Published: December 2024

ObjectivesPropose a methodology to identify COVID-19 associated deaths using healthcare billing records and evaluate its effectiveness by comparing the results with excess mortality data from 2020 to 2022 and confirmed COVID-19 deaths.MethodsA retrospective quantitative analysis was conducted by merging healthcare billing records with cause of death data. The term “COVID-19 associated death” was defined as any death occurring within a defined timeframe following a confirmed contact with COVID-19. This category includes individuals who died directly due to COVID-19, with COVID-19 as a contributing factor, or as an aftermath of a COVID-19 infection, as well as those who died from other causes but had previously contracted COVID-19. This broader definition provides a more comprehensive measure of excess mortality compared to the officially confirmed COVID-19 deaths attributed to the virus.ResultsWe identified 35,399 COVID-19 associated deaths during the 3-year pandemic in Slovakia compared to 21,395 confirmed COVID-19 deaths.ConclusionThe identification of COVID-19 associated deaths with our methodology offers a more accurate explanation for the notably high excess mortality observed in Slovakia (31,789 deaths) during the pandemic, relative to the EU27. Given the high level of excess mortality, the officially confirmed deaths are likely underestimated, and the presented methodology provides a more precise measure of mortality. Additionally, healthcare billing records prove valuable in identifying these deaths at the individual patient level using claims data of health insurance companies, which is crucial for implementing targeted preventive measures and improving preparedness for future pandemics.
Betalains: A Narrative Review on Pharmacological Mechanisms Supporting the Nutraceutical Potential Towards Health Benefits
Authors: Martinez Renata M. , Melo Cristina P. B. , Pinto Ingrid C. , Mendes-Pierotti Soraia , Vignoli Josiane A. , Verri Waldiceu A. , Casagrande Rubia 
Published: December 2024

Betalains are naturally occurring pigments sourced mainly from Beta vulgaris (beetroot), Hylocereus spp. (dragon fruit), Amaranthus spp., and Opuntia spp. Betalains are widely used for their vibrant colors and health-promoting properties. These nitrogenous, water-soluble pigments are crucial colorants in the food industry, responsible for the red, purple, and yellow plant tissues, predominantly in the order Caryophyllales. They are grouped into betacyanins, with reddish-violet hues, and betaxanthins, yellow to orange. Examples include beetroot stems for betacyanins and yellow pitaya pulp for betaxanthins. Several pharmacological activities were reviewed in the scientific literature, describing their potential implications for human health. In this review, we focused on the main and latest studies on the pharmacological effects and mechanisms of betalains, including antioxidant, anti-inflammatory, antihypertensive, hypolipidemic, antidiabetic, hepatoprotective, neuroprotective, anticancer, and antimicrobial properties, in both in vitro and in vivo studies. Overall, betalain consumption is considered safe, with no major adverse effects or allergic reactions reported. We also approached topics such as the pharmacokinetics, bioavailability, stability, and enhanced stabilization of betalains. This article provides a comprehensive overview of bioactive potential of betalains, highlighting the biochemical mechanisms involved. The current knowledge broadens the clinical applicability of betalains, making them potential sources of nutraceutical compounds that can be used to develop functional foods.
Depression Symptoms Do Not Worsen Over Time in a Cohort of CKD Patients
Authors: Knapp Christopher D. , Horak Kayla , Roetker Nicholas S. , Fink Abigail , Gao Allan , Johansen Kirsten L. , Murray Anne , Hart Allyson 
Published: December 2024

Background:
The prevalence of depression is high in the chronic kidney disease (CKD) (20-40%) and dialysis (30-50%) populations. Less is known about how depressive symptoms change over time in patients with CKD.

Methods:
Participants in the Brain in Kidney Disease (BRINK) cohort study completed a depressive symptom questionnaire (PHQ-9) and serum creatinine testing annually. We used linear mixed effects models to examine changes in PHQ-9 scores over time and compared rates of change between participants with different ranges of eGFR impairment and those with normal eGFR.

Results:
At baseline, 147 participants had normal eGFR, 424 had impaired eGFR without dialysis dependence, and 31% reported a diagnosis of depression, with a mean baseline PHQ-9 score of 4.3. Participants were followed for up to 5 years. After adjustment for factors associated with depression, mean PHQ-9 scores decreased (improved) by 0.25 points per year (95% confidence interval [CI] 0.07, 0.42) among participants with normal eGFR (>60 ml/min/1.73m2) and by 0.35 points (95% CI 0.14, 0.56), 0.30 points (95% CI 0.13,0.46) and 0.42 points (95% CI 0.06, 0.77) among participants with eGFR of 45 to 59 ml/min/1.73m2, 30 to 44 ml/min/1.73m2, and participants who developed dialysis dependence, respectively. PHQ-9 scores among participants with eGFR <30 ml/min/1.73m2 did not change significantly. We did not observe any statistically significant differences in mean change in PHQ-9 score between participants with any degree of eGFR impairment and those with normal eGFR, nor between participants with dialysis-dependence and those with eGFR of ≤15 ml/min/1.73m2. Participants with a PHQ-9 score ≥5 had 80% greater odds of immediate study attrition than participants with a PHQ-9 score of 0-4.”

Conclusions:
The mean PHQ-9 scores of participants were largely stable over time, and we observed no differences in the change in PHQ-9 scores between those with impaired eGFR and those with normal eGFR.
Нелиберальная парадигма и пути преодоления кризиса российской социальной организации
Authors: ЦИТКИЛОВ П.Я. 
Published: December 2024

В статье дан критический анализ идеологического концепта превосходства либеральной общественной системы. Показано, что для преодоления кризисных тенденций в российской социальной организации нужны системные изменения. В статье сформулированы некоторые меры, позволяющие их осуществить. Эти меры структурированы в рамках трех основных блоков: экономического, управленческо-правового и гуманитарно-социального. Сделан вывод, что системные изменения станут реальностью, если потребность в их проведении осознают широкие слои населения Российской Федерации.
The article gives a critical analysis of the ideological concept of the superiority of the liberal social system. It is shown that in order to overcome crisis trends in the Russian social organization, systemic changes are needed. The article formulated some measures that allow them to be implemented. These measures are structured in the framework of three main blocks: economic, administrative-legal and humanitarian-social. It is concluded that systematic changes will become a reality, if the need of their implementation is recognized by wide sections of the population of the Russian Federation.
Нематериальные факторы, влияющие на динамикутехнологического развития России
Authors: МОСКВИН Л.Б. 
Published: December 2024

В статье рассматривается роль неэкономических факторов в развитии нашей страны и показано, что без них не может быть реализована ни одна серьезная реформа.
The article deals with the role of noneconomical factors in the technological development of our country and shows that without them not any serious reform can be realized.
Понятие личности и его утрата в философии и современной культуре
Authors: ПОЛОЗОВА И.В. 
Published: December 2024

В статье рассматривается понятие человеческой личности, основы которого были заложены в христианскую эпоху. Показывается, что отказ европейской культуры от своих христианских основ влечет за собой и утрату человеческой личности.
The article deals with the concept of human personality, the foundations of which were laid in the Christian era. It is shown that the rejection of European culture from its Christian foundations entails the loss of human personality.
Проблема величия Гитлера как вождя и спикера
Authors: МИХАЙЛОВА Р.В. , ПЕТРОВА Н.Н. , СИДОРЕНКО Л.П. 
Published: December 2024

В статье рассматриваются проблемы величия спикера на основе речи А. Гитлера - его духовного завещания Бог живет только в гордых сердцах . Исследование показывает, что речь немецкого лидера, как многие его другие речи, является манипуляцией сознанием немцев. Гитлер был довольно знаменит и произносил очень яркие и злободневные речи для того времени. Он стал харизматической личностью. Но он осуществлял свои идеи аморальным способом. Поэтому фюрера нельзя рассматривать в качестве великого человека, великого спикера.
The article discusses the problems of the greatness of the speaker based on the speech of A. Hitler - his spiritual testament God lives only in proud hearts. The study shows that the speech of the German leader, like many of his other speeches, is a manipulation of the minds of the Germans. Hitler was quite famous and made very bright and topical speeches for that time. He became a charismatic person. But he carried out his ideas in an immoral way. Therefore, the Fuhrer cannot be regarded as a great man, a great speaker.
Российская молодежь и государство в условиях социокультурной трансформации
Authors: ТУТОВА Л.Н. 
Published: December 2024

Статья посвящена широко дискуссируемой в современном научном сообществе теме о современной российской молодежи и тому, каким образом на ее жизненные стратегии оказали влияние трансформационные процессы в российском обществе. В завершение статьи автором дается оценка государственной молодежной политике и определяются ориентиры для ее совершенствования.
The article is devoted to the widely discussed topic in the modern scientific community about modern Russian youth and how their life strategies were influenced by transformational processes in Russian society. At the end of the article, the author gives an assessment of the state youth policy and sets out the guidelines for its improvement.
Детерминанты социальной напряженности в воинских коллективах
Authors: ДОРОФЕЕВ Д.В. , ЕВЕНКО С.Л. 
Published: December 2024

В статье рассматриваются научные подходы к определению сущности и содержания социальной напряженности в коллективах. Определяются основные научные направления изучения социальной напряженности в воинских коллективах. Дается авторское определение социальной напряженности в воинских коллективах, выделяются её содержательные компоненты.
The article discusses scientific approaches to determining the nature and content of social tension in groups. The main scientific directions of studying social tension in military collectives are determined. The authors definition of social tension in military collectives is given, its substantive components are highlighted.
Система социального кредита в КНР как метод борьбы с нелегальной миграцией
Authors: БАЛДАНОВА Р.А. 
Published: December 2024

В статье рассматривается, как Китай использует различные современные технологии в сфере государственного управления, а именно регулирование миграционных процессов. Также поднимается вопрос правового статуса иностранца в системе социального рейтинга гражданина.
The article discusses how China uses various modern technologies in public administration. The question of the legal status of a foreigner in the Social Credit System is also raised.
Роль национальных гражданских организаций в политической жизни современной Индонезии
Authors: ЮРЧИКОВ Н.В. 
Published: December 2024

Целью статьи является анализ деятельности гражданских организаций Индонезии, оценка их роли, а также уровня их влияния на политическую жизнь и культуру страны. Проведенное исследование показало важность и практическую значимость деятельности региональных гражданских организаций в общенациональной демократической повестке дня.
This article is aimed at analysis of Indonesian civil society organizations activity, evaluation of their role in and influence upon political life and culture of the state. This research demonstrates importance and practical significance of regional civil society organizations activities within nationwide democratic agenda.
Peningkatan Hasil Belajar Materi Transformasi Pada Siswa Kelas IX Menggunakan Problem Based Learning Berbantuan Media Animasi
Authors: Nadek Olfiana Marciana , Nenohai Juliana M. H. 
Published: December 2024

Penelitian ini dilatarbelakangi oleh hasil belajar matematika siswa kelas IXA UPTD SMP N 1 Landu Leko, Rote terkhususnya pada materi transformasi yang masih rendah. Tujuan dari penelitian ini ialah untuk meningkatkan hasil belajar matematika siswa kelas IXA UPTD SMP N 1 Landu Leko, Rote pada materi transformasi khususnya refleksi dan translasi. Jenis penelitian yang digunakan ialah Penelitian Tindakan kelas (PTK) yang mengacu pada model model Kemmis & Mc. Taggart yang terdiri dari 4 tahapan yaitu: 1) perencanaan; 2) pelaksanaan; 3) pengamatan; dan 4) refleksi. Teknik pengumpulan data yang digunakan adalah observasi dan tes sedangkan analisis datanya berupa deskriptif kualitatif dan kuantitatif. Hasil penelitian ini menunjukkan bahwa persentase keterlaksanaan aktivitas guru mengajar pada siklus I adalah 97,5% meningkat menjadi 100% pada siklus II, persentase keterlaksanaan aktivitas siswa pada siklus I adalah 85,71% meningkat menjadi 100% pada siklus II, dan persentase ketuntasan hasil belajar siswa secara klasikal pada siklus I adalah 60,86% dan meningkat menjadi 82,60% pada siklus II. Dengan demikian dapat disimpulkan bahwa penerapan model problem based learning berbantuan media animasi dapat meningkatkan hasil belajar siswa kelas IXA UPTD SMP N 1 Landu Leko, Rote pada materi transformasi (refleksi dan translasi)