bluuebunny/crossref_metadata_2025_split huggingface dataset:
Technological Vigilance and its Impact on Improving the Dimensions of Health Service Quality an Analytical Study of the Opinions of Functional and Medical Staff at Azadi Hospital in Dohuk and Gulan Hospital in Akre
Authors: Shamsadden Faris Younus , Zeebaree Mohammed Rasheed Yaseen 
Published: December 2024

Abstract
This study aims to evaluate the level of technological vigilance in relation to health service quality at Azadi Hospital in Dohuk and Gulan Hospital in Akre. The study also aims to determine how technological vigilance and its dimensions (market vigilance, information vigilance, and competitive vigilance) affect the health service quality in these hospitals. The importance of this research lies in providing a theoretical and practical framework that explains the relationship between technological vigilance and health service quality.

The study used a descriptive-analytical approach and relied on questionnaires to collect data. The randomly selected staff members from Azadi and Gulan Hospitals have participated in the survey. A total of 40 questionnaires were distributed to supportive and medical staff at Azadi Hospital, and 34 questionnaires were distributed to supportive and medical staff at Gulan Hospital. A total of 62 questionnaires were returned from both hospitals .In general, the research attempts to answer the following questions:
1-What is the nature and type of correlations between dimensions of technological vigilance and the health service quality among supportive and medical staff at Azadi and Gulan Hospitals?
2- What is the nature and type of influence relationships between dimensions of technological vigilance and the health service quality among supportive and medical staff at Azadi and Gulan Hospitals?
The research aims to the following:

Describe and diagnose the levels of dimensions of technological vigilance and health service quality among supportive and medical staff at both hospitals.
Test the correlation between dimensions of technological vigilance and the health service quality among supportive and medical staff at both hospitals.
To investigate the impact of dimensions of technological vigilance and the quality of health services among supportive and medical staff at both hospitals.The researchers employed various statistical tools to analyze and test research hypotheses for the data collected through questionnaires from supportive staff (administrators, engineers, and accountants) and medical staff (doctors and nurses) in the two investigated hospitals. The research drew several conclusions, with the most important one confirming a significant and positive correlation between technological vigilance and its dimensions, and health service quality. The study also found a significant and positive effect between these two variables. The study also showed that the competitive vigilance dimension had the highest significant and positive correlation and effect on health service quality, followed by informational technological vigilance and market technological vigilance, respectively. Based on the findings, various suggestions have been put forward.
Integrated management of lakes, reservoirs, and their basins is critical for a climate-resilient planet: an urgent wake-up call from collective amnesia
Authors: Hirji Rafik F. , Duda Alfred 
Published: December 2024

ABSTRACT
Integrated management of lakes and reservoirs and their basins is vital for preserving their significant socioeconomic and ecological benefits, which are essential for climate resilience. Lakes and reservoirs store 88% of the Earth's fresh surface water, providing water, food, energy security, flood protection, drought mitigation, and ecosystem services. This article highlights the rapid depletion and deterioration of these Lentic (standing) waters and the consequent loss of valuable benefits, threatening the global water supply and exacerbating environmental and climate crises. It discusses the evolution of lake management practices and contrasts these with strategies for managing lotic (flowing) waters. It summarizes collaborative best practices for Lake Basin Governance developed through a multiagency partnership. It reviews recent global initiatives to sustainably manage lakes, integrate storage, address aging dams, and foster partnerships and cooperation. It highlights the widespread failures across international water and environmental policies and institutions. The article calls on the global water and environmental community to awaken from collective amnesia, act, and implement best practices for governing lakes, reservoirs, and basins. Our companion article examines the institutional inertia hindering integrated action and offers collaborative opportunities for integrating land and water management in lake and reservoir basins to enhance climate resilience.
Optimising Venturi flume oxygen transfer efficiency using uncertainty-aware decision trees
Authors: Tiwari Nand Kumar , Panwar Dinesh 
Published: December 2024

ABSTRACT

This study optimizes standard oxygen transfer efficiency (SOTE) in Venturi flumes investigating the impact of key parameters such as discharge per unit width (q), throat width (W), throat length (F), upstream entrance width (E), and gauge readings (Ha and Hb). To achieve this, a comprehensive experimental dataset was analyzed using multiple linear regression (MLR), multiple nonlinear regression (MNLR), gradient boosting machine (GBM), extreme gradient boosting (XRT), random forest (RF), M5 (pruned and unpruned), random tree (RT), and reduced error pruning (REP). Model performance was evaluated based on key metrics: correlation coefficient (CC), root mean square error (RMSE), and mean absolute error (MAE). Among the proposed models, M5_Unprun emerged as the top performer, exhibiting the highest CC (0.9455), the lowest RMSE (0.1918), and the lowest MAE (0.0030). GBM followed closely with a CC value of 0.9372, an RMSE value of 0.2067, and an MAE value of 0.0006. Uncertainty analysis further solidified the superior performance of M5_Unpruned (0.7522) and GBM (0.8055), with narrower prediction bands compared to other models, including MLR, which exhibited the widest band (1.4320). One-way analysis of variance confirmed the reliability and robustness of the proposed models. Sensitivity, correlation, and SHapley Additive exPlanations analyses identified W and Hb as the most influencing factors.
A Robust RP-HPLC Method for Simultaneous Quantification, Validation and Stability Studies on Vildagliptin (VILD), Dapagliflozin (DAPA) and Metformin Hydrochloride (METF) in its Combined Dosage Formulation
Authors: Mandal Susmita S. , Barsagade Anup G. 
Published: December 2024

Background:
Vildagliptin, Dapagliflozin and Metformin Hydrochloride are anti-
hyperglycemic agents. Anti-hyperglycemic agents are drugs that stimulate insulin secretion
and lower the glucose level in the blood. They were investigated as a medication for Diabetes
Mellitus (DM). Various studies have reported the HPLC, HPTLC, LC/MS methods
for the estimation of individuals of VILD, DAPA and METF. However, until date stability
indicating HPLC analysis method has not been reported for the estimation of VILD,
DAPA and METF in combined glucagon secretion in a glucose-dependent manner.

Introduction:
The objective of present work was to develop and validate the stability of RPHPLC
method for the estimation of Vildagliptin (VILD), Dapagliflozin (DAPA) and Metformin
Hydrochloride (METF) in combined dosage form.

Methods:
In this research work, High Performance Liquid Chromatography (HPLC) was
used for validation in the chromatography. In the HPLC, Methanol and Potassium Dihydrogen
phosphate buffer (85:15 v/v) were used as mobile phases. HPLC analysis was performed
at 230 nm. The method was validated with different parameters such as linearity,
precision, accuracy, specificity, and robustness, limit of detection (LOD) and limit of
quantitation (LOQ). The RF values of VILD, DAPA and METF were 6.24 ± 0.05 min, 8.34 ±
0.05 min. and 3.68 ± 0.05 min, respectively. The accuracies of drug recovery were 0.6398
%,0.3680 %, 0.6398 % and over the range of 1–4 μg/ml, 20-80 μg/ml and 15-85 μg/ml of
VILD, DAPA and METF, respectively.

Results:
Degradation products found in stress conditions did not interfere with the detection
of VILD, DAPA and METF; therefore, the proposed technique can be considered stable.
Significant degradation products of VILD, DAPA and METF were obtained in an acid at
METF at 2.05 ± 0.05 min. (MDP-1) and degradation product for oxidation of METF at 2.11 ± 0.05
min. (MDP-2). When alkaline hydrolysis was conducted, photolytic and thermal conditions
were applied alone or in combination with METF, no degradation product of VILD, DAPA
and METF was found.

Conclusion:
The developed and validation method was satisfactorily applied for the analysis
of pharmaceutical preparations and proved specific and accurate for quality control of
the cited drugs in their combined dosage form.
Comparative Analysis of Common Structural Systems for Pedestrian Bridges in Kuwait
Authors: Karam Fatma , Khajah Fajer , Mohammed Narjes , Albaghli Shaikha , Alhameedah Alshaimaa , Alqaryouti Yousef 
Published: December 2024

Introduction
Pedestrian bridges are crucial urban infrastructure, providing safe passage over roads, railways, and waterways. Different structural systems like trusses, steel girders, and reinforced concrete beams are used, but more research is needed to determine the best design for specific regional contexts.

Methods
This research paper presents a comparison of various structural systems for pedestrian bridges, with a focus on a practical case study in Kuwait. The study evaluates five common pedestrian bridge designs: steel, concrete, and three truss arrangements. The designs were assessed based on multiple criteria, such as cost, construction time, structural weight, carbon emissions, and vibration performance. Using a decision-making matrix (DMM) and engineering judgment, Truss 3 (X-bracings without verticals) was identified as the optimal design. It features a unique bracing system that enhances its properties. Truss 3 was found to be the lightest design at 561.6 kN, with moderate CO2 emissions of 64.2 tons and a cost of 4288.5 KD per span. Detailed design and safety checks were conducted using ETABS software. The final design was detailed and presented using Autodesk Revit.

Results
The findings highlight the importance of using integrated frameworks and multi-criteria decision analysis (MCDA) to select suitable structural systems that meet technical and regional sustainability goals.

Conclusion
This research aims to provide a robust solution tailored to the unique conditions of Kuwait, ensuring safety, efficiency, and sustainability for pedestrian bridge infrastructure.
A review article on the Ayurvedic aspects of Manyastambha
Authors: Jyoti Singh Thakur  , Nikhila Ranjan Nayak  , Ranjip Kumar Dass  
Published: December 2024

In today’s era, because of the stressful and fast lifestyle people are suffering from various degenerative diseases. Manyastambha is one of the lifestyle disorders which have a very high prevalence at present. Manyastambha is the clinical entity in which the back of the neck becomes stiff or rigid, painful, Stambh in the cervical region, and neck movement are hampered. Manyastambha has been enumerated in eighty Vataja Nanatmja Vyadhis as well as Urdhwajatrugata Vikaras. It can be clinically co-related with cervical Spondylosis in modern medicine. Cervical Spondylosis is a degenerative condition of the cervical spine. Ruk and Stambha are the primary symptoms. It may cause pressure on nerve roots with subsequent sensory or motor disturbances if severe. The prevalence of cervical spondylosis is rising due to the increase in a busy, professional, and social life, poor sitting posture in offices, continuous work, working long hours on computers, night jobs, watching hours of television, sleeping on abnormally soft mattresses and pillows, and placing the bare minimum importance on healthy physical, mental, and dietary habits.
An insight on Vicharchika and its management
Authors: Puja Agarwal  , HML Meena  , Rashmi Mutha  , Shinsha  , Annu  
Published: December 2024

The skin serves as the body's interface with the external environment, constantly interacting with physical, chemical, and biological agents. These interactions can lead to specific reaction patterns, resulting in characteristic skin lesions across various body parts. Environmental stimuli vary, and the body's innate resilience determines the occurrence of spontaneous remissions and relapses. In Ayurveda, skin diseases are categorized under Kustha, further divided into Mahakustha and Kshudra Kustha. Vicharchika falls under the latter category. It is characterized by symptoms such as itching (Kandu), eruptions (Pidaka), dark discoloration (Shyva Varna), and excessive discharge (Bahusrava). Charaka Samhita describes Vicharchika with predominance of Kapha, while Sushruta Samhita highlights symptoms indicating Pitta dominance. Vicharchika is regarded as a challenging condition to treat, categorized as a minor skin disorder (Kshudra-Kustha) yet considered a significant health issue. Ayurvedic texts outline various Sodhana (purification) and Shamana (palliative) treatments to balance the Doshas involved in Kustha. Shamana therapies include applications of medicated pastes (Lepa), internal medications (Pradeha), and herbal oils (Taila). Overall, addressing Vicharchika requires a comprehensive approach that integrates Ayurvedic principles with lifestyle modifications aimed at restoring balance and promoting skin health.
Alternative Health and Conventional Medicine Discourse About Cancer on TikTok: Computer Vision Analysis of TikTok Videos
Authors: Muenster Roxana Mika , Gangi Kai , Margolin Drew 
Published: December 2024

Background
Health misinformation is abundant online and becoming an increasingly pressing concern for both oncology practitioners and patients with cancer. On social media platforms, including the popular audiovisual app TikTok, the flourishing alternative health industry is further contributing to the spread of misleading and often harmful information, endangering patients’ health and outcomes and sowing distrust of the medical community. The prevalence of false and potentially dangerous treatments on a platform that is used as a quasi–search engine by young people poses a serious risk to the health of patients with cancer.

Objective
This study seeks to examine how cancer discourse on TikTok differs between alternative health and conventional medicine videos. It aims to look beyond mere facts and falsehoods that TikTok users may utter to understand the visual language and format used in the support of both misleading and truthful narratives, as well as other messages.

Methods
Using computer vision analysis and subsequent qualitative close reading of 831 TikTok videos, this study examined how alternative health and conventional medicine videos on cancer differ with regard to the visual language used. Videos were examined for the length of time and prominence in which faces are displayed, as well as for the background setting, location, and dominant color scheme.

Results
The results show that the alt-health and conventional health samples made different use of the audiovisual affordances of TikTok. First, videos from the alternative health sample were more likely to contain a single face that was prominently featured (making up at least 7.5% of the image) for a substantial period of time (35% of the shots), with these testimonial-style videos making up 28.5% (93/326) of the sample compared to 18.6% (94/505) of the conventional medicine sample. Alternative health videos predominantly featured cool tones (P<.001) and were significantly more likely to be filmed outdoors (P<.001), whereas conventional medicine videos were more likely to be shot indoors and feature warm tones such as red, orange, or yellow.

Conclusions
The findings of this study contribute to an increased understanding of misinformation as not merely a matter of individual falsehoods but also a phenomenon whose effects might be transported through emotive as well as rational means. They also point to influencer practices and style being an important contributing factor in the declining health of the information environment around cancer and its treatment. The results suggest that public health efforts must extend beyond correcting false statements by injecting factual information into the online cancer discourse and look toward incorporating both visual and rational strategies.
Global and Regional Prevalence of Domestic Violence During the COVID-19 Pandemic and Its Determinants: Protocol for a Systematic Review and Meta-Analysis
Authors: Bidhendi-Yarandi Razieh , Biglarian Akbar , Nosrati Nejad Farhad , Roshanfekr Payam , Behboudi-Gandevani Samira 
Published: December 2024

Background
Domestic violence is one of the most significant global public health priorities. This social problem could be accelerated by global catastrophes such as the COVID-19 pandemic. The structural changes due to the imposition of health measures, combined with personal and social problems, may worsen the situation.

Objective
This study aims to investigate the global and regional prevalence of domestic violence during the COVID-19 pandemic and its determinants.

Methods
We will perform a comprehensive review of the literature in PubMed, PsycINFO, Embase, Cochrane COVID-19 Register, and Applied Social Sciences Index and Abstracts, up to July 2024. This review will adhere to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines. Observational studies will be considered eligible if they have a population-based design, report the number of cases or prevalence of domestic violence during the COVID-19 pandemic, and report potential determinants. Studies in languages other than English, those with unclear data, case reports, conference proceedings, reviews, and letters will be excluded. To assess the methodological quality, a standardized critical appraisal checklist for studies reporting prevalence data will be used. A robust Bayesian approach will be applied using the STATA software package (version 14; STATA Inc) and JASP 0.19.1 (GNU Affero General Public License [GNU AGPL]) software.

Results
The search and screening for the systematic literature review are anticipated to be finished in October 2024. Data extraction, quality appraisal, and subsequent data synthesis will begin in November 2024. The review is expected to be completed by April 2025, and the study results will be published in 2025.

Conclusions
This systematic review and meta-analysis will address significant gaps in understanding the pandemic’s impact on domestic violence, providing a comprehensive assessment of its prevalence and contributing factors. Despite some limitations, the study incorporates diverse data sources and vulnerable groups to offer a detailed and accurate picture. The findings will inform targeted interventions and policy responses to mitigate the impact of future global crises on domestic violence rates.

Trial Registration
PROSPERO CRD42022351634; https://tinyurl.com/yth37jkx

International Registered Report Identifier (IRRID)
PRR1-10.2196/60963
Plasma Biomarkers of Kidney Health and Mortality in Diabetes and Chronic Kidney Disease in the REGARDS Study.
Authors: Chen Teresa K. , Estrella Michelle M. , Katz Ronit , Sarnak Mark J. , Grams Morgan E. , Cushman Mary , Levitan Emily B. , Parikh Chirag R. , Kimmel Paul L. , Bonventre Joseph V. , Coca Steven G. , Gutiérrez Orlando M. , Ix Joachim H. , Shlipak Michael G. 
Published: December 2024

Background:
Several plasma biomarkers of kidney health have been associated with chronic kidney disease (CKD) progression in persons with diabetes, but their associations with mortality risk have been largely unexplored.

Methods:
In a random sample of 594 participants with diabetes and creatinine-based eGFR (eGFRcr) <60 ml/min/1.73m2 from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study, Cox proportional hazards regression was used to determine hazard ratios of mortality by plasma concentrations of soluble tumor necrosis factor receptors 1 and 2 (TNFR1, TNFR2), soluble urokinase-type plasminogen activator receptor (suPAR), kidney injury molecule 1 (KIM-1), chitinase 3-like 1 (YKL-40), and monocyte chemotactic protein 1 (MCP-1). Covariates included sociodemographic and clinical factors, urine albumin-to-creatinine ratio (UACR), and creatinine- and cystatin C-based eGFR (eGFRcr-cys).

Results:
At baseline, mean age was 70 years, 47% were men, 53% self-identified as Black, mean±SD eGFRcr-cys was 41±13 ml/min/1.73m2, and median (IQR) UACR was 32 (9, 224) mg/g. Correlations with eGFRcr-cys were stronger for TNFR1, TNFR2, and suPAR (r=-0.72 to -0.76) than for KIM-1, YKL-40, and MCP-1 (r=-0.10 to -0.40). With a median follow-up of seven years, 332 participants died. In models adjusted for sociodemographic and clinical factors, each SD higher baseline concentration of plasma TNFR1 (HR=1.28; 95% CI: 1.20, 1.38), TNFR2 (HR=1.61; 95% CI: 1.42, 1.82), suPAR (HR=1.33; 95% CI: 1.22, 1.44), KIM-1 (HR=1.20; 95% CI: 1.08, 1.33), and YKL-40 (HR=1.23; 95% CI: 1.11, 1.38) was associated with higher risk of all-cause mortality, whereas MCP-1 was not. Upon further adjustment for baseline eGFRcr-cys and UACR, only the associations for TNFR1 (HR=1.16; 95%CI: 1.04, 1.29), TNFR2 (HR=1.34; 95%CI: 1.12, 1.60), and suPAR (HR=1.23; 95% CI: 1.11, 1.36) persisted.

Conclusions:
Among adults with diabetes and CKD, higher plasma TNFR1, TNFR2, and suPAR were associated with all-cause mortality, independent of baseline kidney function.
Connotation and Value: The Images of China through the Works of Chinese-American Writer Maxine Hong Kingston in a Cross-Cultural Context
Authors: Zhang Yaqi 
Published: December 2024

The Woman Warrior, China Men and Tripmaster Monkey, three representative works written by contemporary Chinese-American writer Maxine Hong Kingston, are compatible with the historical tradition, value and spiritual pursuit of different culture of China and the United States. These masterpieces have established the author’s status in the American literary world. The author looks at traditional Chinese culture from the perspective of American culture, and at the same time deeply reflects on the conflict and integration of Chinese and American cultures in the Chinese community, and runs her perception and imagination of the two culture through her works. The works portray rich images of China, including the patriarchal society, the magical and spectral society, fictional “utopia” society, which show the survival situation of Chinese-American people, and then trigger the reflection on the construction of images of China in Chinese-American literature.
Centenarians in Colombia: a population-based cohort study on the impact of COVID 19
Authors: Birchenall-Jiménez Claudia , Amorocho-Barrera José Emilio , Rodríguez-Ortega Laura Marcela , Sanchez-Bolaños Erika , Jimémez-Barbosa Wilson Giovanni , Riascos-Ochoa Javier 
Published: December 2024

Introduction: This study examines the impact of COVID 19 on the centenarian population in Colombia, highlighting their vulnerability through a detailed demographic analysis. Materials and methods: A retrospective cohort study (March 2020 - December 2022) analysed 1,005 affected centenarians. Descriptive statistics, chi-square tests, and Kaplan Meier survival curves were used. Results: Of these, 65.47% were females; the mortality rate was 37.1%, which was higher in males (45.24%). The average time from symptom onset to recovery was 26.56 days, and the average time to mortality was 14.33 days. The Kaplan Meier curve showed greater survival in females (p=0.0001); the age specific curve showed no significant differences (p=0.084). Centenarians were concentrated in municipalities in special categories 1 and 6. Discussion: This study revealed increased mortality among male centenarians, emphasizing the need for extended follow-up due to the prolonged recovery time.