bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predictability of Keratorefractive Lenticule Extraction Is Equal to Variance of Preoperative Manifest Refraction Measurement
Authors: Taneri Suphi , Arba-Mosquera Samuel , Förster Anika , Dick H. Burkhard 
Published: November 2024

Purpose
To compare variance of manifest refraction (MR) measurement and variance of refractive outcomes after keratorefractive lenticule extraction (KLEx) in the same cohort.

Methods
This was a retrospective study of consecutive patients attending at least three preoperative refractions before undergoing KLEx. All manifest refractions were performed according to a standard protocol. Additionally, automated refraction, spectacles prescription, wavefront refraction, and tomography/topography were also considered when determining the treatment refraction. Variance of postoperative outcomes was compared to variance of MR measurement.

Results
The difference in MR of 153 eyes between the first and last preoperative visit showed a mean pairwise absolute difference of 0.22 ± 0.22 diopters (D) (range: 0.00 to 1.25 D) in spherical equivalent (SE). The 95% limit of agreement (LoA) was within 0.73 D for sphere, 0.60 D for cylinder, and 0.61 D for SE. Standard deviation (SD) for corrected distance visual acuity (CDVA) was 0.06 logarithm of the minimum angle of resolution (logMAR) and the 95% LoA was within 1.3 Snellen lines. The differences between reproducibility of the two last preoperative MR and the variance of postoperative outcomes after KLEx (ie, the isolated repeatability of corneal lenticule extraction) was SD of 0.13 D for sphere, cylinder, and SE, and 11 degrees in axis, respectively.

Conclusions
Predictability of KLEx was equal to variance of refraction measurement. Isolated repeatability of the laser treatment was better than the reproducibility of MR. Thus, the authors have shown for the first time that precision of KLEx has reached such a level today that further improvement is limited by MR measurements.

[
J Refract Surg
. 2024;40(11):e814–e823.]
Non-inferiority of Cataract Surgery in a Stand-Alone Unidirectional Airflow System Versus in a Conventional Operating Room: A Retrospective Study
Authors: Partouche Sarah , Fabro Filippo , Arnaud Artus , Senicourt Lucile , Gatinel Damien , Panthier Christophe 
Published: November 2024

Purpose
To demonstrate the non-inferiority of a stand-alone unidirectional airflow system, the SurgiCube (Surgi-Cube International BV), for cataract surgery compared to a conventional operating theater (OT).

Methods
This was a retrospective and comparative cross-sectional study conducted at the Rothschild Foundation, Paris, France. All patients who underwent cataract surgery using the SurgiCube between February 2020 and February 2023 were included and compared to a separate group of patients with cataract surgery performed in a conventional OT and under topical anesthesia during the same period. Patients with less than 1 month of follow-up after surgery were excluded. We collected relevant information from the patient's medical records. Main outcome measures, incidence of endophthalmitis, intraoperative and postoperative complication incidence, 1-month logarithm of minimum angle of resolution (logMAR) visual acuity and intraocular pressure, and operating times were analyzed.

Results

A total of 1,901 eyes in the SurgiCube group were compared to 5,474 eyes in the OT group. The occurrence of endophthalmitis was 0.05% (n = 1) in the SurgiCube group versus 0.07% (n = 4) in the OT group (
P
= 1.00; odds ratio = 0.72 [95% CI = 0.01 to 7.28]). The percentage of procedures with at least one perioperative complication was 2.6% in the SurgiCube group and 2.7% in the OT group (
P
= .87; odds ratio = 0.96 [95% CI = 0.68 to 1.34]). The percentage of procedures with a postoperative complication was 6.31% in the SurgiCube group and 6.6% in the OT group (
P
= .59; odds ratio = 0.94 [95% CI = 0.75 to 1.17]. Average visual acuity at 30 days was 0.04 logMAR in the SurgiCube group and 0.07 logMAR in the OT group (
P
= .62). The average operating times were 16.8 and 19.7 minutes for the SurgiCube and OT groups, respectively (
P
< .001). The average occupation room times were 26.2 and 32.3 minutes for the SurgiCube and OT groups, respectively (
P
< .001).

Conclusions
Cataract surgery in the SurgiCube seems to be non-inferior to cataract surgery in a conventional OT.

[
J Refract Surg
. 2024;40(11):e884–e891.]
Susciter un changement politique à Cuba par le numérique : le projet ZunZuneo de l’USAID
Authors: MATTELART Tristan 
Published: November 2024

Si se sont multipliés les travaux qui explorent la manière dont différents groupes d’activistes mobilisent les technologies numériques pour contourner les censures dans les régimes autoritaires, plus rares sont les recherches qui se penchent sur la façon dont des États ont recours à ces mêmes technologies pour peser, de l’extérieur, sur la nature de ces régimes. C’est à cette question que nous nous intéressons dans cet article, à partir du cas de ZunZuneo, un projet développé, entre 2009 et 2012, par la United States Agency for International Development (USAID), visant à créer un réseau de communication alternatif à Cuba. Nous montrons, d’abord, comment, dès le début des années 1990, le développement des technologies numériques a été vu par Washington comme un moyen de favoriser un changement politique à Cuba. Puis, à partir d’un important corpus de documents officiels, nous auscultons le projet ZunZuneo, les acteurs, publics et privés, qui l’ont porté, les objectifs qui lui ont été assignés, les audiences qu’il vise et la façon dont il a été mis en place.
Transforming Bacterial Lower Respiratory Tract Infection Diagnosis: A Study on the Efficiency of the FilmArray Pneumonia Panel
Authors: Lin Hung-Hsin , Chung Hsing-Yi , Perng Cherng-Lih , Lin Li-Fan , Lin Hsin-Ting , Shang Hung-Sheng 
Published: November 2024

Abstract

Background:
Lower respiratory tract infections (LRTIs) significantly contribute to global morbidity and mortality. Conventional bacterial LRTIs diagnosis relies on microbiological methods, which are time-consuming. The Biofire® FilmArray® Pneumonia Panel (FAPP) offers a faster and more accurate detection of respiratory pathogens but shows conflicting results with conventional cultures.

Aim:
We assessed the agreement between bacterial organisms and resistance genes identified using FAPP and standard culture techniques.

Methods:
This single-center retrospective study analyzed 400 patient samples, comparing the positive predictive value (PPV), negative predictive value (NPV), sensitivity, and specificity with conventional cultures. The prevalence of bacterial organisms and resistance markers in FAPP and cultures was estimated.

Results:
In 400 samples, 692 bacterial targets and 216 resistance markers were detected using FAPP. FAPP detection was 3.9 times higher than bacterial culture. The overall PPV, NPV, sensitivity, and specificity were 23.55%, 99.76%, 92.61%, and 90.92%, respectively. Multiple pathogens were found in 177 samples (46.3%) with FAPP.

Conclusion:
FAPP provides rapid and sensitive detection of respiratory bacterial infections. However, results should be interpreted with the clinical context. Further studies are needed to clarify its clinical impact and cost-effectiveness.
Vulnerabilidad socio-ambiental del accidente ofídico en el contexto políticas públicas
Authors: Barrios Aular Doris Josefina 
Published: November 2024

Este artículo es avance de tesis doctoral y actividad académica en accidente ofídico; como evento transita vacíos legales imperceptibles a consecuencia del impacto ambiental que deriva a proceso social. Empero, al elaborar Estado del Arte, faltan antecedentes y referentes investigativos al tema. A efectos, la finalidad: analizar accidente ofídico desde la vulnerabilidad socio-ambiental en el contexto políticas públicas. Desde esta perspectiva, casuísticas publicadas describen accidente ofídico desde el envenenamiento mediante determinantes de salud, cuya base social de vulnerabilidad es laboral-productiva, obviando factores de causalidad ambiental, ocupacional; desplazamiento poblacional y generación de enfermedad desatendida al faltar antivenina. Así, accidente ofídico como problema de salud pública, desde el ejercicio práctico, no aplica análisis crítico al problema; no identifica proceso social; ni construye realidad política, porque no categoriza población en afectada y/o agresora de lo ambiental. Tal situación, impide agendar accidente ofídico a políticas públicas en lo político argumentativo de justicia social, ambiental, principios y valores ético-morales de representación racional; ya que, para discusión no depende de actores protagónicos expositivos. Metodología: investigación cualitativa, nivel descriptivo, de campo, estudia casos, paradigma analítico interpretativo; instrumento propio; aplica entrevista, población y muestra opinática; valida información por triangulación de datos y opinión de expertos. Conclusión: se busca incluir accidente ofídico a agenda de políticas públicas atinente a vulnerabilidad socio ambiental; modificar esquema de análisis práctico a crítico-teórico; elaborar alternativas a discutir con actores gubernamentales, no gubernamentales, grupos interés social, individual, colectivo y académico, pues, accidente ofídico como proceso social, es problema de todos.
A response to Jindra, Jindra, and DeGenero’s “Contrasts in Religion, Community, and Structure at Three Homeless Shelters: Changing Lives”
Authors: Dej Erin 
Published: November 2024

The book Contrasts in Religion, Community, and Structure at Three Homeless Shelters: Changing Lives seeks to explore the role of religion and personal transformation in people's experiences of homelessness. While the goals show promise, this response offers a critique of the claims provided by the authors. Here, I suggest that binary thinking around 'structural' and 'individual' causes of homelessness, methodological challenges, missing clarity on what amounts to 'success,’ and a lack of sensitivity to the narratives and experiences of people who are homeless does not advance the scholarship on homelessness. Instead, I point to concerns about how longstanding myths and stereotypes about homelessness may be reinforced through this form of analysis that individualizes and blames people for experiences that are ultimately driven by and mediated through structural barriers. The response also offers insight into where to take research of this nature, including an emphasis on how spirituality and caring for the whole person offers an opportunity to make a meaningful contribution to homelessness literature.
Keeping Clean: A Qualitative Analysis of Water, Sanitation, and Hygiene Among Residents of Recreational Vehicles in Seattle, WA US
Authors: Hamlet Leigh , Pruss Graham , Ballard April , Levy Karen , Fyall Rachel , Wilkerson Chris , Kaminsky Jessica 
Published: November 2024

The growing number of people living in vehicles in the urban United States in recent years makes their water, sanitation, and hygiene (WASH) an increasingly relevant public health issue. The WASH context of people living in recreational vehicles (RVs) presents unique challenges, especially as it relates to wastewater disposal. This study answers the question: How do RV residents typically manage their wastewater and meet their other WASH needs? We examined the experiences of RV residents in Seattle, Washington participating in Seattle Public Utilities’ mobile pump-out program, which has offered a free, typically monthly, door-to-door RV wastewater disposal service since 2020. We conducted semi-structured interviews with 31 clients and analyzed the data using qualitative content analysis. We found that RV resident water and hygiene experiences were similar to other urban unhoused populations, whereas their sanitation experiences were quite distinct, most notably with regard to open defecation prevalence and the relative risks of shared versus private sanitation. We proposed four WASH service delivery models that consider the possible implications of our findings for cities looking to engage with RV residents. The models included: mobile RV wastewater collection and water delivery, fixed RV dump stations and water resources, public WASH facilities available for all, and safe parking programs.
OPTIMASI DAN FORMULASI SEDIAAN KRIM WAJAH EKSTRAK DAUN PEGAGAN (Centella asiatica L.) SEBAGAI ANTIOKSIDAN
Authors: Anjani Fanny Sukma , Rahmawati Dewi , Yuwanda Alhara 
Published: November 2024

Pegagan diketahui mengandung antioksidan yang berguna untuk menjaga kecantikan wanita. Penelitian ini berfokus untuk mengetahui optimasi dan formulasi krim dari ekstrak daun pegagan (Centella asiatica L.) dan menguji aktivitas antioksidannya. Penelitian ini dilakukan secara experimental dengan metode DPPH, menggunakan alat spektrofotometer UV-Vis untuk melihat aktivitas antioksidan dari ekstrak daun pegagan (Centella asiatica L.) dan sediaan krim wajah ekstrak daun pegagan. Krim dibuat dengan konsentrasi zat aktif 2%, 4% dan 6%. Hasil uji organoleptik terdapat perbedaan warna dari setiap formula. Pengujian homogenitas krim ekstrak pegagan pada hari ke-0 dan ke 21 pada F1, F2, F3 adalah homogen. Hasil pengukuran pH pada ketiga formula sesuai dengan pH fisiologis kulit karena tidak lebih dari 6.5. Dari hasil pengamatan didapat bahwa nilai viskositas dari ketiga formulasi mengalami kenaikan setelah hari ke-21. Pengamatan daya sebar dilakukan pada hari ke-0 hingga ke-21, dimana nilainya tidak mengalami perubahan. Pada uji stabilitas, ketiga formula stabil hingga hari ke-21. Dari uji aktivitas antioksidan krim ekstrak pegagan diperoleh krim dengan konsentrasi ekstrak 2% memiliki persen inhibisi 51.12%, konsentrasi 4% memiliki persen inhibisi 48.24%, dan konsentrasi 6% memiliki persen inhibisi 47.60%. Berdasarkan hasil uji iritasi yang dilakukan pada kelinci setelah 72 jam menunjukan tidak adanya eritema maupun edema.
Two Testaments to Tell: Biblical Theology and the Canonical Shape of the Gospel
Authors: Spellman Ched 
Published: November 2024

Abstract
The relationship between the Old Testament and the New Testament within the Christian Bible should be the defining focus of the discipline of biblical theology. This characterization provides a strong contrast with some historically oriented models of biblical theology and can also inform several intramural discussions within confessional approaches to the discipline. The viability of this large-scale exegetical inquiry can be seen in a stream of recent research that articulates a canonical approach to biblical theology. Several strategic passages in the New Testament also encourage this particular mode of biblical-theological reflection. An orienting focus on the relationship between the Testaments will not resolve every riddle in the discipline of biblical theology, but it can produce a gravitational pull that can hold together a diverse constellation of methodological commitments and theological conclusions.
Impacto Ambiental e das Mudanças Climáticas na Preservação do Património Arqueológico Costeiro em Zonas de Arriba, (Portugal): Um Estudo Abrangente e Urgente
Authors: Figueiredo Alexandra Águeda , Martinville Sarah 
Published: November 2024

A mudança climática é atualmente um dos desafios para a sustentabilidade do nosso planeta. Esta problemática transcende várias esferas e dimensões, especialmente no que concerne às regiões propensas a sofrer impactes decorrentes das alterações ambientais.A intensidade e rapidez com que essas mudanças estão a observar-se têm gerado situações cada vez mais visíveis e preocupantes na esfera do património cultural, as quais demandam uma compreensão mais aprofundada e estudos mais detalhados, para garantir uma maior salvaguarda dos sítios arqueológicos presentes em zonas sobretudo de interface costeiro. Com base nos estudos de afetação ambiental provenientes da Agência Portuguesa do Ambiente (APA) foram identificadas várias zonas sob alto risco de transformações nos próximos anos. Da mesma forma, a base de dados do Endovélico do Património Cultural, Instituto Público (PC-IP) apresenta um conjunto de registos de sítios arqueológicos reconhecidos por diferentes projetos e investigações. A junção e análise dos dados, presentes a uma distância até 100 metros da costa, bem como o entendimento de todas as circunstâncias inerentes ao processo de registo e recolha de dados, permitiram perceber, numa aproximação quantitativa, a gravidade do estado de conservação futura destes sítios e a necessidade de implementação de estratégias de salvaguarda por parte das autoridades competentes. Alguns dados são agora possíveis de avançar pelo projeto CoastLine do Laboratório de Arqueologia e Conservação do Património Subaquático do Instituto Politécnico de Tomar, do Centro de Geociências da Universidade de Coimbra (FCT DOI 10.54499/UIDP/00073/2020), do Centro de Investigação de Ciências Históricas e da Associação CAAPortugal. Neste artigo pretendemos apresentar as principais observações decorrentes deste projeto nas zonas de arriba.
Ecosystemisch rentmeesterschap
Authors: Heesakkers R.A.G. 
Published: November 2024

Ecosystemisch rentmeesterschap. Een theoretische duiding van de CSRD, CSDDD en andere ESG-gerelateerde ontwikkelingen in het ondernemingsrecht
De ESG-ontwikkelingen volgen elkaar razendsnel op. Wat betekent dat voor het ondernemingsrecht? In dit artikel identificeert de auteur drie diepere verschuivingen richting een meer wetenschappelijk en normatief bestuur van ondernemingen. Dat vraagt om een nieuw perspectief op de vennootschap als ingebed ecosysteem en op het bestuur als ecosystemisch rentmeester.
Macedonia’s Interests in Thrace and Conflicts with Athens
Authors: Müller Sabine 
Published: November 2024

From the late sixth century BC on, close connections between the political actors of Thrace, Hellespontine Phrygia, Persia, Athens, and, during their times of Greek supremacy, Sparta and Thebes are attested. When Macedonia advanced to the Hellespontine sphere, the basic understanding was ultimately disturbed. Aiming at controlling both sides of the straits, Philip could take the Phrygian satraps at the climax of their influence as an example and pursue a mirror-image policy. This paper explores the ways Philip’s connection with Artabazos may have provided him with insights into the political networks and structures in the area. It also considers the history of family ties between the Argeads and the family of Artabazos
Fundo de garantia por tempo de serviço (FGTS): processos e alterações
Authors: Perciliano Vitor Gabriel , Garcia Evelyn da Silva , Bressan Inês Cardin , Marcelino José Antônio 
Published: November 2024

O Fundo de Garantia do Tempo de Serviço (FGTS) foi criado para proteger o trabalhador demitido sem justa causa e passou por várias mudanças em sua legislação nos últimos anos. A Lei nº 14.438 de 2021 trouxe alterações significativas, assim como a implementação do FGTS Digital, que passará a ter os pagamentos recolhidos exclusivamente via PIX a partir de março de 2024. Este estudo analisou as modificações do FGTS e como dois escritórios de contabilidade em Bandeirantes enfrentaram os desafios dessas mudanças. O escritório A, estabelecido desde 1990, teve que lidar com a transição de processos manuais para digitais, exigindo capacitação contínua e ajustes. Enquanto o escritório B, fundado em 2021, iniciou suas atividades em um ambiente digitalizado, facilitando a adaptação. Ambos os escritórios destacaram a importância da capacitação e da busca pela excelência profissional para se manterem competitivos. A evolução tecnológica e a simplificação dos processos contábeis foram essenciais para o sucesso e longevidade no mercado contábil.
Hipomineralização Molar-Incisivo (HMI): abordagem conservadora de controle e tratamento - uma revisão de literatura
Authors: Oliveira Iorrana Morais de , Gomes Rafaela Lopes , Oliveira Bianca Pinto , Rodrigues Larissa Lúcia Abreu , Vitor Sheila Chaene Dias , Almeida Thaís Azevedo Cota de 
Published: November 2024

A Hipomineralização Molar Incisivo (HMI) é definida como um defeito congênito, de origem sistêmica, que acomete o esmalte de um ou mais de um primeiro molar permanente e está frequentemente associada aos incisivos permanentes. O objetivo do presente estudo é realizar uma revisão de literatura sobre as evidências científicas atuais acerca desta alteração qualitativa do esmalte, reunindo resultados apresentados das diversas possibilidades de intervenções clínicas. Os resultados das pesquisas atuais apontam que o uso das resinas compostas não é considerado uma solução eficaz. Em contrapartida, o uso do CIV (Cimento ionômero de vidro) e a terapia de fotobiomodulação exibem efeitos benéficos no que tange ao tratamento da HMI. Concluimos que, a realização de estudos mais robustos e com maior tempo de acompanhamento são necessários para direcionar os cirurgiões-dentistas numa conduta de tratamento cada vez mais assertiva para o manejo desta condição.
Tecnologias educacionais para o cuidado de enfermagem no Cateterismo Central de Inserção Periférica: revisão integrativa
Authors: Santos Clara Fernanda Beserra , Lima Luisa Helena de Oliveira 
Published: November 2024

O presente estudo tem como objetivo analisar na literatura as contribuições das tecnologias educacionais de enfermagem no cuidado ao paciente com catéter central de inserção periférica. Trata-se de uma revisão integrativa realizada nas bases MEDLINE, SCOPUS, Web of Science, LILACS e BDENF. A amostra foi constituída por 12 estudos primários, sem delimitação temporal ou de idioma. Utilizou-se os métodos descritivos de dados para análise dos resultados e síntese do conhecimento. Os estudos incluídos fundamentaram a construção, o desenvolvimento e a avaliação de ferramentas educacionais capazes de direcionar o cuidado de enfermagem na inserção, monitoramento, manejo e prevenção de complicações. Destacaram-se a simulação clínica, os aplicativos móveis, os programas e plataformas virtuais para treinamento, capacitação e educação permanente. Foram evidenciadas melhorias no conhecimento, habilidades técnicas e competências assistenciais de enfermeiros e estudantes de enfermagem, assim como na tomada de decisão, no desempenho profissional e nos indicadores de segurança do paciente. As tecnologias educacionais identificadas se mostraram eficazes para garantir boas práticas de enfermagem, melhorando o desempenho profissional e elevando a qualidade do cuidado aos pacientes com cateter central de inserção periférica.