bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impactos do PROCAD para fortalecimento da pesquisa em Educação Integral no interior da Amazônia
Authors: Sartori Leandro , Colares Maria Lilia Imbiriba Sousa 
Published: November 2024

Este artigo mapeia os impactos do projeto As experiências pedagógicas das políticas de educação integral na Amazônia: rede de pesquisa e formação no PPGE/UFOPA, aprovado no PROCAD. Situamos o leitor quanto ao surgimento e as metas do PROCAD em contribuição aos programas de pós-graduação em consolidação e procedemos a análise de seus impactos no referido programa. O levantamento de dados foi constituído a partir de relatórios e foi realizada consulta a uma amostra das produções, as dissertações defendidas no programa. Os resultados apontam o impulsionamento de produções; aprofundamento da compreensão sobre as políticas indutoras de educação integral e a consolidação da formação acadêmica dos estudantes que, em sua maioria, são profissionais da educação.
Current state of the placenta accreta spectrum issue: prospects for organ-preserving treatment
Authors: Voronina M. D. , Dolgiev D. A. , Dolgieva R. A. , Mirovaeva A. S. , Garaeva Z. F. , Ivanova Yu. K. , Sarapultsev I. V. , Turdieva E. I. , Rakov V. A. , Kuklina V. K. , Manelov A. E. , Khalilova K. Kh. 
Published: November 2024

Introduction. Placenta accreta spectrum (PAS) is the preferred term approved by most international organizations that refers to the range of pathologic adherence of the placenta. PAS is a serious problem with incidence rate of 1/272 in-labor women. Today, peripartal hysterectomy is considered as the generally accepted global practice for PAS management, however, this approach is related to high level of maternal mortality and the impossibility of pregnancy in the future.Aim: to analyze publications on the available methods for PAS diagnostics and management by highlighting organ-preserving treatment including assessment of relevant risks and benefits compared with other methods as well as prospects for patients.Materials and Methods. Research papers were searched for in the databases eLibrary, PubMed and Google Scholar released until August 2024. The following search queries were used: "placenta accreta spectrum", "PAS", "PAS and organ-preserving treatment", "PAS and peripartum hysterectomy", "PAS and organ-preserving management". The selection of publications was carried out in accordance with the recommendations of PRISMA initiative that allowed to analyze 75 studies included in the review.Results. Organ-preserving PAS treatment is a reasonable alternative to peripartal hysterectomy, because it provides better results with lower risk to maternal health. It is worth noting that each of these methods has own unique features. For instance, organ-preserving treatment may last longer to achieve a desired result, but at the same time it can reduce a risk of complications and improve a woman's quality of life in the long term. Along with this, peripartal hysterectomy may be more effective in the short term, but it is associated with a higher risk of complications.Conclusion. A doctor should provide a woman with all the necessary information about the risks and benefits of each method, as well as help a woman make an informed decision based on her individual needs and preferences. Organ-preserving PAS treatment contributing to preserve fertility offers a better quality of life with lower risk to maternal health. Ultimately, a choice between peripartal hysterectomy and organ-preserving treatment depends on a specific situation as well as woman's state of health.
DISCURSIVIDADES PRESENTES EM “OS CAVALEIROS DO ZODÍACO”: uma análise do diálogo entre Máscara da Morte e Mestre Ancião
Authors: Soares Thiago Barbosa 
Published: November 2024

Este artigo possui o objetivo de descrever e interpretar um diálogo entre dois personagens de Os Cavaleiros do Zodíaco (Kurumada, 1986), Máscara da morte, cavaleiro de ouro de Câncer, e mestre Ancião, cavaleiro de ouro de Libra, no episódio trinta e nove da animação. Para a realização desse exame, cria-se duas seções estruturantes para alcançar esse objetivo, a primeira, intitulada Considerações teórico-metodológicas, na qual se faz um recenseamento dos principais operadores instrumentalizados pela Análise do Discurso arqueogenealógica, como discurso, enunciado, formação discursiva e episteme. Na segunda, Considerações analíticas: uma dialética do óbvio, empregam-se os elementos expostos anteriormente para se realizar uma leitura verticalizada do objeto desta investigação. Como resultados encontrados, tem-se a verificação do funcionamento das formações discursivas conservadora e revolucionária, de mestre Ancião e Máscara da Morte, respectivamente, orientando os enunciados conforme as epistemes moralista e relativista presentes no enquadramento social do diálogo.
Violencia política, paz social y derecho
Authors: Del Picó Rubio Jorge 
Published: November 2024

Este artículo propone una reflexión contemporánea acerca de la violencia basada en una evaluación jurídica finalista de la paz. Para estos efectos, distingue y relaciona estos dos conceptos, particularmente respecto de sus expresiones políticamente motivadas, así como destaca la funcionalidad del derecho para conseguir paz negativa y la consiguiente moralidad de la paz positiva. Al proceder de esta forma, considera los trabajos escritos por autores contemporáneos influyentes como referencia, después de lo cual proyecta una perspectiva legal sobre la violencia a través del análisis de tres dimensiones de este fenómeno que descansan en categorías de la teoría del derecho y la filosofía jurídica. Este trabajo concluye que las motivaciones finalistas que producen conflicto entre Estados, grupos e individuos admiten similitudes entre ellas mismas cuando son empujadas al máximo nivel de incivilidad e irracionalidad. Del mismo modo, afirma que la distinción entre derecho y moral es utilizada impropiamente por quienes usan la violencia como método para la acción política porque pretenden justificar sus acciones en ella para desconocer o evadir su ser como sujetos gobernados por el derecho.
Spatial Scale Modulates Stochastic and Deterministic Influence on Biogeography of Photosynthetic Biofilms in Southeast Asian Hot Springs
Authors: Pointing Stephen , George Christaline , Kortheerakul Chananwat , Khunthong Nithiya , Bhunjun Chitrabhanu , Chan Kok-Gan , Daroch Maurycy , Hyde Kevin , Lee Patrick , Luo Danli , Goh Kian Mau , Waditee-Sirisattha Rungaroon 
Published: November 2024

Abstract

Hot springs, with their well-characterized major abiotic variables and island-like habitats, are ideal systems for studying microbial biogeography. Photosynthetic biofilms are a major biological feature of hot springs but despite this large-scale studies are scarce, leaving critical questions about the drivers of spatial turnover unanswered. Here, we analysed 395 photosynthetic biofilms from neutral-alkaline hot springs (39–66 °C, pH 6.4–9.0) across a 2,100 km latitudinal gradient in Southeast Asia. The Cyanobacteria-dominated communities were categorized into six biogeographic regions, each characterized by a distinct core microbiome and biotic interactions. We observed a significant decline in the explanatory power of major abiotic variables with increasing spatial scale, from 62.6% locally, 55% regionally, to 26.8% for the inter-regional meta-community. Statistical null models revealed that deterministic environmental filtering predominated at local and regional scales, whereas stochastic ecological drift was more influential at the inter-regional scale. These findings enhance our understanding of the differential contribution of ecological drivers and highlight the importance of spatial scale in shaping biogeographic distributions for microorganisms.
Anti-glycaemic effect of the Chinese modified DASH diet combined with 23% low-sodium salt in patients with hypertension and type 2 diabetes: A preliminary study
Authors: An jiaxian , Liu Guowei , Luo Wenjun , Zhou Xiaomeng , Mei Ying , Zhang Ziyan , Zhao Li , Huang Yao , Mu Lihong 
Published: November 2024

Abstract

Background
Although many previous trials have formalized the blood glucose-lowering effect of the DASH diet, relevant reports in China remain limited. This study aimed to explore the anti-hyperglycaemic effect of the Chinese Modified Dietary Approaches to Stop Hypertension diet combined with 23% low-sodium salt in patients with hypertension and type 2 diabetes.
Methods
We conducted a randomized controlled single-blinded trial with a semi-open design; 100 participants were randomly assigned to Group A (control), Group B (23% low-sodium salt), and Group C (meal pack) for 8 weeks of dietary intervention. All participants were followed up weekly to collect glycaemia data (standardized meal tolerance test), salt use, and adverse events.
Results
After the intervention, the mean blood glucose (fasting/postprandial glucose) decreased by 0.72/2.43 mmol/L, 2.02/2.52 mmol/L, and 2.06/4.29 mmol/L in Groups A–C, respectively, with significant differences compared with baseline (P < 0.001). Comparison between groups showed that postprandial glucose in Group C was lower than that in Group A (-1.272 mmol/L, P = 0.016). Except the fasting blood glucose control rate in Group A, the blood glucose control rate in all other groups improved significantly after the intervention (P < 0.05). No serious adverse events occurred during the trial.
Conclusion
This dietary intervention lowered blood glucose in patients with hypertension and type 2 diabetes and can effectively improve the postprandial glucose control rate.
Trial registration:
All procedures reported in this study were conducted in an ethical and responsible manner and in full compliance with all relevant codes of experimentation and legislation (Trial registration: ChiCTR2000029017. Registered January 11, 2020-Prospective registration, http://www.chictr.org.cn/.)
Sustainable low-carbon AI control framework for urban district heating system
Authors: Junjie Liu , Yanmin Wang , Zhiwei Li , Han Meng , Yiwen Sun , Yu Zhuang , Yi Li 
Published: November 2024

Abstract

In urban district heating systems (DHSs) of China, the conventional system control method can easily lead to uneven indoor temperature of end buildings, resulting in high energy consumption. The carbon emission of DHSs exceeds the total carbon emissions of the United Kingdom. Here we establish a sustainable low-carbon control framework that integrates artificial intelligence (AI) capabilities, covering the entire process of indoor temperature sensing, transmission, analysis, and utilization. The heating plan is developed using AI prediction methods and is corrected based on the deviation between indoor temperature measured and set values. We validate this solution in an actual DHS, with indoor temperature stability exceeding 0.95 and a heat saving range of 5.16-8.01%. According to rough estimates, 29.66 million tons of carbon emissions can be reduced annually from DHS. Our research can improve user's thermal comfort, reduce heat consumption, and contribute to achieving carbon emissions and sustainability for DHS.
Fingerprint localization based on Hybrid TOA, AOA, and RSS measurements
Authors: Liu Shuiwei , Tang Lei , Wang Zhangsheng 
Published: November 2024

Abstract

This paper presents a novel joint TOA-AOA-RSS fingerprint localization method aimed at reducing the necessity for collecting extensive fingerprint data for database construction. Initially, The Time-of-Arrival(TOA) is employed for coarse localization to narrow down the fingerprint database. Subsequently, Angle-of-Arrivals(AOAs) and Received Signal Strengths(RSSs) were used as feature parameters to construct the fingerprint database together with the coarse localization coordinates obtained from the TOA. Finally, a matching algorithm is utilized to determine the coordinate of the localization point. Additionally, we introduce an improved Self adaptive weighted K nearest neighbor (ISAWKNN) algorithm is proposed based on Hybrid TOA,AOA, and RSS measurements. Simulation results illustrate the proposed algorithm improving the localization accuracy.
Orifice surface temperature measurement of a LaB 6 hollow cathode using a near-infrared two-color radiation thermometer
Authors: Oshio Yuya , Hirai Keito , Watanabe Hiroki , Horisawa Hideyuki , Funaki Ikkoh 
Published: November 2024

Abstract

This study measured the two-dimensional orifice surface temperature of a 20-A-class LaB6 hollow cathode using a near-infrared two-color radiation thermometer. The thermometer technique resolved the orifice plate temperature with an accuracy of approximately 123 ℃. With this technique, the surface temperature of the orifice was found nearly uniform, with no observed temperature gradient on the orifice plate. Consequently, the operational characteristics of the hollow cathode are discussed in relation to the average surface temperature. Data analysis revealed that the orifice temperature was not sensitive to the mass flow rate; conversely, it was highly sensitive to the discharge current. The findings suggest that the orifice temperature is unaffected by internal pressure but is instead correlated with the insert temperature, which is related to the thermionic emission necessary to sustain the discharge current. Moreover, for the same input power, the orifice temperature was higher in the high-current, low-voltage mode—also known as the spot mode—indicating efficient emitter heating. The measurement system developed in this study provides a more precise evaluation of the orifice temperature and allows for estimating the internal conditions of a hollow cathode, thus facilitating more appropriate design evaluations under various operating conditions.
An Unusual Case of Primary Pulmonary Synovial Sarcoma
Authors: DOLE SACHINKUMAR , BARTHWAL M S 
Published: November 2024

Abstract

Background: An extremely rare intrathoracic tumour that typically affects young adults is primary pulmonary synovial sarcoma. It manifests as a big intrathoracic mass without involvement of the bone or mediastinal region. Tumour biopsy, immunostaining and histologic analysis can assist in determining the kind of tumour.
Case Presentation: We present a case of a 25 year old male with complaints of breathlessness and chest pain for a month. On radiological imaging he was found to have mass in upper and middle zones of right hemithorax. For confirmation of diagnosis patient underwent ultrasound guided biopsy of the lesion and histopathologhical examination (HPE) of the lesion. The histopathological features were suggestive of a rare type of lung malignancy. For further diagnosis regarding type of malignancy, immunohistochemical staining of the lesion was done with the help of with specific immunological markers, which confirmed the diagnosis of monophasic pulmonary sarcoma. On PET (positron emission tomography) CT (computed tomography) scan there were no features suggestive of distant metastasis especially in extremities which confirmed the diagnosis of primary pulmonary synovial sarcoma. Patient was started on chemotherapy regimen of Ifosfamide and Doxorubicin after oncologist’s opinion but was lost to follow up after 3rd cycle of chemotherapy.
Conclusions: Primary pulmonary synovial sarcoma is an extremely uncommon tumor in young adults as lung metastases from other sources mainly extremities are more common. Diagnosis of such rare tumour requires histopathological examination along with immunohistochemical staining of the lung lesions. A multimodal strategy of treatment involving resection, chemotherapy and radiation is used for the treatment of such tumours.
Stakeholder Perceptions and Experiences of Competency-Based Training with Entrustable Professional Activities (SPECTRE): Protocol of a Systematic Review and Thematic Synthesis of Qualitative Research
Authors: Phung Justin , Cowley Lindsay , Sikora Lindsey , Humphrey-Murto Susan , LaDonna Kori A , Touchie Claire , Khalife Roy 
Published: November 2024

Abstract

Background:
Competency-Based Medical Education (CBME) aims to align educational outcomes with the demands of modern healthcare. Entrustable Professional Activities (EPAs) serve as key tools for feedback and professional development within CBME. With the growing body of literature on EPAs, there is a need to synthesize existing research on stakeholders’ experiences and perceptions to enhance understanding of the implementation and impact of EPAs. In this synthesis, we will address the following research questions: How are Entrustable Professional Activities experienced and perceived by stakeholders in various healthcare settings, and what specific challenges and successes do they encounter during their implementation?
Methods:
Using Thomas and Harden’s thematic synthesis method, we will systematically review and integrate findings from qualitative and mixed-methods research on EPAs. The process includes a purposive literature search, assessment of evidence quality, data extraction, and synthesis to combine descriptive and analytical themes.
Discussion:
This study aims to provide insights into the use of EPAs for competency-based education, reflecting diverse contexts and viewpoints, and identifying literature gaps. The outcomes will guide curriculum and policy development, improve educational practices, and set future research directions, ultimately aligning CBME with clinical realities.
Trial Registration:
Not required
Balancing Mental Health: Predictive Modeling for Healthcare Workers During Public Health Crises
Authors: Wang Jiana , Feng Lin , Meng Nana , Yang Cong , Cai Fanfan , Huang Xin , Sun Yihang , Zhang Lu , Yao Pin , Sznajder Kristin K 
Published: November 2024

Abstract

Background
During public health emergencies such as SARS, Ebola, and COVID-19, healthcare workers (HCWs) are often required to confront these crises, potentially leading to adverse mental health outcomes. Consequently, they are at a heightened risk of experiencing symptoms of depression and anxiety. It is widely recognized that psychological disorders can lead to severe consequences. Despite this, there remains a scarcity of research focused on developing predictive models to forecast the depression and anxiety levels of healthcare workers under these challenging conditions.
Methods
A total of 349 HCWs were selected from a Class-A tertiary hospital in the city of Shenyang, Liaoning Province in China. Depression and anxiety were assessed using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) scale, respectively. This study employed a random forest classifier(RFC) to predict the depression and anxiety levels of HCWs from three perspectives: individual, interpersonal, and institutional. Moreover, we employed The Synthetic Minority Over-sampling Technique (SMOTE) to address the issue of imabalanced data distribution.
Results
The prevalence of depression and anxiety among HCWs were 28.37% and 33.52%, respectively. The prediction model was developed using a training dataset (70%) and a test dataset (30%). The area under the curve (AUC) for depression and anxiety were 0.88 and 0.72, respectively. Additionally, the mean values of the 10-fold cross-validation results were 0.77 for the depression prediction model and 0.79 for the anxiety prediction model. For the depression prediction model, the top ten most significant predictive factors were: burnout, resilience, emotional labor, adaptability, working experience( < = 1year), physician, social support, average work time last week(9–11 hours), age(28–30 years), age(31–35 years old). For the anxiety prediction model, the top ten most significant predictive factors were: burnout, adaptability, emotional labor, age(31–35), average work time last week(9–11 hours), resilience, physician, social support, working experience( < = 1 year), female.
Conclusions
It is essential to develop multiple interventions that provide support both before and after a public health emergency, aiming at mitigating symptoms of depression and anxiety. SMOTE is a practical method for addressing imbalances in datasets. Mitigating burnout among HCWs, bolstering their resilience and adaptability, and ensuring reasonable work hours are crucial steps to prevent adverse mental health problems.
Burden of COVID-19 infection control among parents with adolescents in relation to healthcare factors
Authors: TANAKA Shiho 
Published: November 2024

Abstract

Although the pandemic was adequately managed in Japan, mental health problems, such as school refusal and obesity, continue to increase among adolescents in Japan. This study focuses on how health locus of control (HLOC) prior to the COVID-19 pandemic and dietary style may have impacted COVID-19 infection control and their role in the continuation of psychological burden and exhaustion. Specifically, it looks at how pre-pandemic healthcare and parenting styles influenced the burden of COVID-19 infection control through diet and were associated with depressed mood and overeating tendencies in parents of adolescents and young adults. In December 2022, this study was focused on pre-pandemic dietary habits, health management, and parent–child communication and a web survey was conducted among 908 parents with children in junior to senior high school living in metropolitan areas with a population of more than 1 million to determine their depressive mood and tendency to overeat. The results revealed that mothers had a higher burden of COVID-19 infection control than fathers in all three periods, although the fathers’ burden of infection control was more strongly associated with their depressive mood and tendency to overeat from 2020 to 2022. With regard to the HLOC, internal attribution type was negatively associated with infection control fatigue in both fathers and mothers. The attribution style “family” was associated with increased family bonding during the pandemic, whereas both fathers and mothers were more sensitive to food safety, increasing the burden of infection control.
SV40 stain-positive muscle invasive bladder cancer with BK virus infection after kidney transplantation： a case report and literature review
Authors: Todaka Masahiro , Ando Tadasuke , Fujinami Hiroyuki , Sejiyama Shinya , Hata Shinro , Inoue Toru , Shin Toshitaka 
Published: November 2024

Abstract

Background
Due to the immortalization gene (SV40) carried by the BK virus, its infection (reactivation) has been reported to be a risk for high-grade bladder cancer in immunosuppressed kidney transplant patients. We report a kidney transplant case in which SV40 stain-positive-muscle invasive bladder cancer.
Case presentation
The patient is a 74-year-old woman who received a kidney transplant in China 17 years ago. Although decoy cells were sometimes detected in urine cytology about once a year, there was no gross hematuria or urinary tract abnormality, and her graft kidney function was stable.
However, at the age of 73, urine cytology was suspicious for malignancy, and cystoscopy revealed a bladder tumor. Transurethral resection of the bladder tumor was performed, and pathology revealed high-grade muscle invasive bladder cancer with various variants and SV40-stained cells in the lesion.
Radical cystectomy was performed immediately, and pathology revealed invasive urothelial carcinoma pT3aN0M0 with positive ureteral resection margins.
Three weeks after cystectomy, FDG-PET/CT showed peritoneal dissemination not detected by contrast-enhanced CT.
Four courses of systemic chemotherapy with gemcitabine-cisplatin (GC) were administered, but the patient died of cancer 6 months after the diagnosis of bladder cancer.
Conclusion
Proactive screening of kidney transplant patients with BK virus infection is important because of the possibility of high-grade urothelial carcinoma even in the absence of hematuria; FDG-PET/CT is also useful for accurate staging of high-grade urothelial carcinoma.