bluuebunny/crossref_metadata_2025_split huggingface dataset:
Associations of exposure to blood heavy metal mixtures with Toxoplasma infection among U.S. adults: a cross-sectional study
Authors: Zhou Jing , Xing Chen , Chen Yuting , Shen Jilu 
Published: November 2024

IntroductionResearch increasingly links environmental exposure to toxic metals with health risks, yet the effect of combined metal exposure on Toxoplasma infection remains underexplored. This study investigates the relationship between concurrent heavy metal exposure and Toxoplasma infection in adults.MethodsWe analyzed data from 10,746 adults aged 20–80 from NHANES, with 1,869 positive for Toxoplasma gondii IgG. The study assessed associations between lead (Pb), cadmium (Cd), and mercury (Hg) with Toxoplasma infection risk using single-metal logistic regression, RCS analysis, WQS regression, and qgcomp models.ResultsEach metal showed an independent association with Toxoplasma infection risk. Pb had a non-linear association, while Hg had a linear one. Analysis of multiple metals indicated a positive correlation between heavy metal exposure and infection risk, particularly in younger and middle-aged adults, with Pb showing the strongest link.DiscussionOur findings reveal a significant association between heavy metal exposure and Toxoplasma infection risk, especially in younger demographics, with lead being a key factor. This highlights the importance of understanding environmental metal exposure’s impact on public health and informs the development of prevention strategies.
Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review
Authors: Wahyuningsih Sri , Widati Sri , Praveena Sarva Mangala , Azkiya Mohammad Wavy 
Published: November 2024

IntroductionSexual and reproductive health (SRH) among adolescents is a critical aspect of global health. Rural adolescents often encounter significant barriers to reproductive health awareness, elevating their risks for unintended pregnancies, sexually transmitted infections (STIs), and other reproductive health issues. This systematic review seeks to identify and analyze the barriers hindering reproductive health awareness among rural adolescents.MethodsThis review followed PRISMA guidelines. Literature searches were conducted in PubMed, ScienceDirect, Google Scholar, and Taylor &amp; Francis, focusing on studies published from 2019 to 2024. Keywords included “Adolescent,” “Rural,” “Reproductive Health,” “Awareness,” and “Barriers.” Studies were screened based on eligibility criteria, and data were extracted and analyzed to identify key barriers at the individual, interpersonal, social/community, and health services levels.ResultsOut of 669 records, 20 studies met the inclusion criteria. Identified barriers at the individual level included lack of knowledge, myths, misconceptions, and feelings of shame and fear. Interpersonal barriers were related to poor communication between parents and adolescents and misinformation from peers. Social and community barriers encompassed rigid social norms, stigma, and discrimination. Health services barriers included limited access and negative experiences with reproductive health services.DiscussionRural adolescents face complex barriers to reproductive health awareness driven by factors at the individual, interpersonal, social, and health services levels. Comprehensive interventions, such as educational campaigns, training for healthcare providers, and improved access via mobile or online platforms, are essential to enhance reproductive health awareness and outcomes.Systematic Review Registrationhttps://www.crd.york.ac.uk/, PROSPERO (CRD42024554439).
The Mental Health Impacts of Fuel Poverty: A Global Scoping Review
Authors: Khavandi S. , Mccoll L. , Leavey C. , McGowan V. J. , Bennett N. C. 
Published: November 2024

ObjectivesFuel poverty, defined in this study as a household’s inability to meet basic energy needs, presents a significant challenge. We aimed to map research on the impact of fuel poverty on mental health.MethodsWe searched peer review and grey literature repositories. Studies were considered eligible if they focused on both fuel poverty and mental health.Results47 studies were included. 64% were published in the last 3 years. 43% focused on the UK sub-geography, with the next most common being Spain (17%) and China (13%). 55% had a quantitative study design. Conceptualisation and operationalisation of fuel poverty varied across studies and contexts. 58% focused on specific vulnerable populations. 46 studies reported evidence of a detrimental association between fuel poverty and mental health. We broadly summarise the role of fuel poverty on mental health under four headings: economic, social, behavioural and environmental.ConclusionWe highlight a need for clear and explicit conceptualisation of fuel poverty, in conjunction with consideration of pathways connecting fuel poverty to mental health, to advance the field and facilitate research which can improve population health.
Facility-Level Variation in Nephrology Care among Veterans after Urinary Stone Diagnosis
Authors: Thomas Kaleb , Ganesan Calyani , Liu Sai , Thomas I-Chun , Montez-Rath Maria E. , Soerensen Simon John Christoph , Chertow Glenn M. , Leppert John T. , Pao Alan C. 
Published: November 2024

Key Points

Only 6% of patients with urinary stone disease visit a nephrology clinic within 6 months of a stone event in the Veterans Health Administration.Nephrology care within 6 months of a stone event can vary by as much as 72% across different Veterans Health Administration facilities.Efforts to increase access to nephrology, in addition to urology, may improve quality of health care to patients with urinary stone disease.

Background
Prevention is a cornerstone for the management of recurrent urinary stone disease. Current guidelines recommend metabolic evaluation, lifestyle modification, and medical treatment of patients with urinary stone disease. Nephrologists are uniquely qualified to evaluate stone risk and formulate treatment strategies to reduce that risk. The objective of this study was to determine the frequency of nephrology visits after a urinary stone diagnosis, a key window of opportunity to assess stone risk.

Methods
We used nationwide data from the US Veterans Health Administration to identify patients who had an incident stone diagnosis between 2016 and 2018. We examined the proportion of patients who visited a nephrology clinic within 6 months of stone diagnosis.

Results
We identified 42,927 veterans with urinary stone disease. Only 2432 (5.6%) visited a nephrology clinic within 6 months of the index diagnosis. The proportion of patients who visited a nephrology clinic after their stone diagnosis ranged between 0.7% and 20.7% across 104 Veterans Health Administration sites, with a median of 4.6% (25%–75% range, 3.4%–7.0%). The median rate ratio for a nephrology follow-up visit after a stone diagnosis was 1.72. Veterans with CKD were significantly more likely to visit a nephrology clinic relative to veterans without CKD (odds ratio, 5.19; 95% confidence interval, 4.69 to 5.74).

Conclusions
Nephrologists are infrequently and variably involved in the care of patients after a urinary stone diagnosis, suggesting potential for quality improvement.
Association of Fibroblast Growth Factor 23 and Cardiac Mechanics in the Cardiovascular Health Study
Authors: Jain Keertana , Katz Ronit , Isakova Tamara , Kizer Jorge R. , Sharma Shilpa , Psaty Bruce M. , Shah Sanjiv , Ix Joachim , Mehta Rupal 
Published: November 2024

Background:
Elevated levels of fibroblast growth factor 23 (FGF23) are associated with left ventricular hypertrophy and heart failure (HF) in individuals with and without kidney disease. Prior studies investigated the association of FGF23 and structural cardiac changes using conventional echocardiography, which is limited in its ability to detect early cardiac dysfunction. We investigated the relationship between FGF23 levels and cardiac dynamics using two-dimensional speckle tracking echocardiography (2D-STE), a novel imaging modality.

Methods:
This was a cross-sectional analysis of data from the Cardiovascular Health Study, an ongoing prospective, population-based cohort study. The study population included 506 participants from CHS with available c-terminal (cFGF23) and intact FGF23 (iFGF23) measurements from 1996-1997 and 2D-STE images from 1994-1995. Forty two percent of the study population had CKD, defined as an eGFR < 60 ml/min/1.73m2, and the mean eGFR was 63 ml/min/1.73m2. The primary exposures were cFGF23 and iFGF23. The primary outcomes were six 2D-STE parameters performed at the 1994-1995 study visit. Linear regression models were used to examine the independent associations of FGF23 with six cardiac 2D-STE indices adjusting for demographics, cardiovascular risk factors, markers of kidney disease severity, and inflammation.

Results:
cFGF23 levels were moderately correlated with iFGF23 levels in the CHS population. In fully adjusted models, cFGF23 was associated with left atrial dysfunction, but no other cardiac imaging parameter (β estimate -2.47; 95% Confidence Interval -4.68, -0.25; Table 2). iFGF23 was not associated with any of the six 2D-STE indices. Limitations include small sample size and noncurrent FGF23 measurements and 2D-STE imaging.

Conclusions:
In a limited sample of individuals enrolled in the CHS with c- and i-FGF23 measurements, we did not find consistent associations between FGF23 levels and 2D-STE parameters. Further investigations in a larger population with concurrent 2D-STE are needed to better understand the associations of FGF23 with early changes in cardiac mechanics.
Prospective Analysis of Arteriovenous Fistula Performance in the Context of Competing Risks
Authors: Ghimire Anukul , Lloyd Anita M. , Szigety Susan , Merino Jose Luis , Alibhai Karim , Winkelaar Gerrit , Quinn Robert R. , Tonelli Marcello 
Published: November 2024

Key Points

Among 257 newly created arteriovenous fistulas, primary nonfunction occurred in 49%, and only 55% were ultimately used for dialysis.Loss of arteriovenous fistula patency was lower when competing risks were accounted for compared with conventional Kaplan–Meier analysis.We present icon-array plots that summarize our data and may be used a decision aid for patients in the future.

Background
Many patients with newly created arteriovenous fistulas (AVFs) may die before the AVF is needed for hemodialysis. However, formal competing risks (CRs) frameworks are rarely used to report AVF patency, which may lead to biased estimates. We sought to identify the proportion of newly created AVF experiencing primary nonfunction and describe long-term patency using a CR framework.

Methods
We conducted a prospective observational study in 257 adults with newly created AVF in Alberta, Canada. The primary outcome was primary nonfunction. Secondary outcomes included loss of primary patency, loss of assisted primary patency, and loss of secondary functional patency. Results were presented using icon-array plots to form the basis for future decision aids.

Results
Participants were 63.0% male, with mean age 62.3 years and median follow-up 18.5 months (range, 0.02–180 months). Of 257 participants, 50 could not be assessed for function or primary nonfunction, usually because of death. Of the remaining 207, 102 (49.3%) had primary nonfunction, and function was ultimately established for 142 (68.6%). Thus, only 142 of the 257 participants (55.3%) ultimately used the AVF for hemodialysis. High rates of CRs led to biased results from Kaplan–Meier analyses of lost patency. When accounting for CRs, loss of primary patency among AVFs with established function was 36.6%, 65.5%, and 66.2%, at 1, 3, and 5 years, respectively.

Conclusions
Only 55% of fistulas were ultimately used for hemodialysis when accounting for CRs and primary nonfunction. These results and the icon-array plots may inform discussions surrounding vascular access options for patients.
Eventos Científicos: Herramientas de Gestión para la Socialización de Resultados de Ciencia
Authors: Semanat Ortiz Yohandra , Parada Ulloa. Adaris , Mayet Comerón Taimé 
Published: November 2024

El desarrollo de la investigación científica constituye un eje fundamental de la gestión universitaria, siendo la difusión de sus resultados un elemento relevante de la educación superior. El objetivo de este trabajo se orienta a presentación de las pautas metodológicas para la gestión de los eventos científicos como herramienta para la socialización de los resultados de ciencia. Lo cual fue posible por la aplicación de una metodología participativa que articula tres momentos, partir de la práctica, la teorización y vuelta a la práctica. Se significa que el evento científico es esencial en la divulgación de los resultados investigativos, y, la gestión de eventos científico es considerada como estrategia de marketing para el posicionamiento de la institución universitaria en estándares internacionales.
Implementasi Small Area Estimation Hierarchical Bayes - Beta Difference Benchmark dalam Estimasi NEET Lulusan Perguruan Tinggi
Authors: Salis Dian Rahmawati , Japany Adham Malay , Rodliyah Ratih , Ibad Syaikhul , Pulungan Ridson Al farizal , Ramadhan Yogi 
Published: November 2024

Data survei yang dihasilkan oleh BPS menjadi sumber data dalam perhitungan berbagai indikator SDGs. Akan tetapi, tidak semua indikator dapat diestimasi secara reliable terutama pada level disagregasi yang rinci. Beberapa indikator menghadapi masalah ketidakcukupan sampel sehingga memiliki nilai Relative Standard Error (RSE) yang tinggi jika diestimasi secara langsung. Salah satunya adalah indikator persentase usia muda lulusan perguruan tinggi yang sedang tidak sekolah, bekerja atau mengikuti pelatihan (NEET). Indikator tersebut hanya tersedia hingga level provinsi. Disagregasi menurut karakteristik lainnya hanya tersedia pada level nasional. Oleh karena itu, penelitian ini bertujuan untuk mengestimasi NEET lulusan perguruan tinggi pada level Kabupaten/kota di Pulau Sumatera tahun 2023 dengan model SAE HB Beta. Kemudian untuk menjaga konsistensi dengan estimasi langsung pada level provinsi yang telah memiliki RSE cukup baik, akan dilakukan proses benchmark dengan metode difference benchmark. Berdasarkan hasil yang didapatkan, metode difference benchmark mampu meningkatkan validitas dari hasil estimasi menggunakan model SAE HB Beta.
Информационное взаимодействие, как элемент антикризисного управления Единой государственной системы предупреждения и ликвидации чрезвычайных ситуаций Новосибирской области
Authors: К.И. Банников , В.А. Онов 
Published: November 2024

В статье рассмотрена возрастающая потребность по наращиванию и совершенствованию системы предупреждения. Обосновывается применение современных подходов, методов и информационных технологий, внедрения элементов искусственного интеллекта для прогнозирования чрезвычайных ситуаций.
The article considers the increasing need to build up and improve the warning system. The application of modern approaches, methods and information technologies, the introduction of artificial intelligence elements for predicting emergency situations is substantiated.
Система безопасности территории: институциональная структура и межведомственное взаимодействие
Authors: М.А. Булгаков , Е.В. Щербенко 
Published: November 2024

В статье анализируется проблема взаимодействия органов исполнительной власти, в полномочия которых входит решение вопросов защиты населения и территорий от чрезвычайных ситуаций. Рассмотрена роль органов местного самоуправления в обеспечении безопасности населения во всех сферах жизнедеятельности. Охарактеризованы структура и организация межведомственного взаимодействия территориальной подсистемы РСЧС Новосибирской области.
The article analyzes the problem of interaction of executive authorities, whose powers include the solution of issues of protection of the population and territories from emergency situations. The role of local self-government bodies in ensuring the safety of the population in all spheres of life is considered. The structure and organization of interdepartmental interaction of the territorial subsystem of the Russian Emergencies Ministry of the Novosibirsk region are characterized.
О вопросах проектирования систем противопожарной защиты
Authors: Н.Ю. Проскова 
Published: November 2024

В статье дана оценка последствий исключения проектирования систем противопожарной защиты из перечня лицензируемых видов работ и услуг. Описаны проблемы осуществления федерального государственного пожарного надзора и нормативно-правового регулирования деятельности организаций, осуществляющих проектирование систем противопожарной защиты на эксплуатируемых зданиях и сооружениях. Рассмотрены актуальные изменения правового поля. Предложены инструменты повышения качества проектной документации на пожарную автоматику и способы урегулирования административной ответственности за нарушение обязательных требований в области пожарной безопасности, допущенных при проектировании.
The article analyzes the results of excluding the design of fire protection systems from the list of licensed types of work and services. The problems of the implementation of federal state fire supervision and regulatory regulation of the activities of organizations engaged in the design of fire protection systems on operated buildings and structures are described. The current changes in the legal field are considered. Tools for improving the quality of project documentation for fire automation and ways of settling administrative responsibility are proposed.
Информационные технологии как средство повышения эффективности функционирования органов управления МЧС России
Authors: П.В. Романенко 
Published: November 2024

Статья посвящена изучению эффективности различных методов сценарного анализа и моделирования при планировании и оперативном управлении мероприятиями по предупреждению и ликвидации причин и последствий техногенных катастроф и чрезвычайных ситуаций.
The article is devoted to the research of efficiency of different methods of scenario analysis and modeling in planning and operative management of activities for prevention and liquidation of causes and consequences of man-caused disasters and emergencies.
Некоторые особенности тушения пожара водяным паром
Authors: К.Ф. Щербаков 
Published: November 2024

В статье рассмотрено направление тушения пожара при помощи технологии образования водяного тумана, а также описаны преимущества и недостатки данного метода. Сделан акцент на широкое распространение технологии водяного тумана в различных местах из-за его экологичности, малого расхода воды и имеет очень широкую перспективу развития
The article considers the direction of fire extinguishing using the technology of water mist formation, and also describes the advantages and disadvantages of this method. Emphasis is placed on the widespread use of water mist technology in various places due to its environmental friendliness, low water consumption and has a very broad development perspective
Информационно-аналитическая поддержка управления медицинским обеспечением авиационного пожарно-спасательного центра МЧС России
Authors: А.А. Ожогин 
Published: November 2024

Рассмотрены две взаимоувязанные задачи, которые позволили руководителю в кратчайший срок найти оптимальное решение: что и сколько закупить; а также у кого и на каких условиях закупить. Полученный результат максимально удовлетворяет условиям эффективности: экономия денежных средств при максимально возможном количестве приобретаемых основных средств.
We have considered two interrelated tasks, which helped manager find an optimal solution as soon as possible: what and how much to purchase, and from whom and on what terms to purchase. The obtained result maximally satisfies efficiency conditions: saving money as much as possible with the maximum possible amount of purchased fixed assets.
Принципы, цели и задачи взаимодействия СМИ с государственными и общественными институтами
Authors: Л.А. Чикрий , Л.В. Юшкова 
Published: November 2024

В статье охарактеризованы принципы взаимодействия СМИ с государственными и общественными институтами, представлены цели и задачи данного процесса с пояснением различий причин и вариантов взаимоотношений. По результатам исследования сделан вывод о том, что СМИ взаимодействуют, как с общественными институтами, так и с органами государственной власти, а важность СМИ проявляется в связующей роли информационного проводника между всеми институтами
The article describes the principles of interaction of the media with state and public institutions, presents the goals and objectives of this process with an explanation of the differences in the causes and variants of relationships. According to the results of the study, it is concluded that the media interact with both public institutions and public authorities, and the importance of the media is manifested in the connecting role of an information conductor between all institutions.
Проблемы и специфика комплектования личного состава подразделений федеральной противопожарной службы, дислоцирующихся в районах Крайнего Севера и приравненных к ним местностях
Authors: К.А. Власенко , А.М. Медведев , А.О. Орсич , А.С. Ворслова 
Published: November 2024

В статье рассмотрены проблемы комплектования личного состава подразделений ФПС ГПС, расположенных в районах Крайнего Севера и приравненных к ним местностях. Проанализировав все недостатки в организации кадровой политики, возникла необходимость в выработке своевременного и эффективного управленческого решения на основании действующей нормативно-правовой базы, позволяющего успешно реализовывать кадровую политику.
The article addresses the problem of staffing the units of Federal Fire Service located in the areas of the Far North and the areas equated to them. All the shortcomings have been analyzed in organization of personnel policy and there was a need to develop an opportune and efficient decision that based on current framework, which make possible implement personnel policy.
К вопросу о необходимости совершенствования нормативной документации по пожарной безопасности в сфере строительства
Authors: Л.В. Канышева , Г.Ю. Юркин 
Published: November 2024

Рассмотрены изменения требований нормативной документации по пожарной безопасности за последние 10 лет, необходимость обновления нормативной документации. Анализируются некоторые изменения
The article provides how the requirements of regulatory documentation on fire safety have changed over the past 10 years. Why reissue regulatory documentation. What such changes lead to.
Прогноз количества пожаров в Луганской Народной Республике
Authors: В.В. Шлома 
Published: November 2024

В статье выполнено исследование пожаров в Луганской Народной Республики методами математической статистики. По данным за 12 месяцев 2021 г. построены ряды динамики количества пожаров; вычислены средние показатели динамики количества пожаров; выполнен анализ темпа их роста. Построен эмпирический закон распределения количества пожаров в I ‒ IV квартале 2021 г., с помощью которого найдены числовые оценки генеральной совокупности данных. С надежностью 95% построен доверительный интервал количества пожаров. Сделан прогноз о количестве пожаров в 2022 году.
The article carried out a study of fires in the Lugansk People's Republic by the methods of mathematical statistics. Based on the data for 12 months of 2021, series of the dynamics of the number of fires were built; calculated the average indicators of the dynamics of the number of fires; the analysis of their growth rate was carried out. An empirical law for the distribution of the number of fires in the 1st - 4th quarter of 2021 was constructed, with the help of which numerical estimates of the general data set were found. With a reliability of 95%, a confidence interval for the number of fires was built. A forecast was made about the number of fires in 2022.