bluuebunny/crossref_metadata_2025_split huggingface dataset:
Study of functional properties of different bifurcation types of the splenic vasculature
Authors: Dadashev A. Sh. , Kafarov E. S. , Zenin O. K. , Miltykh I. S. 
Published: November 2024

Background. The study using numerical modeling of functional properties (conductive, distributive, pillar) of digital models of 4 types of bifurcations of the intraorgan arterial vasculature is a valuable tool to find its morphometric reference and subsequently the criterion of normality.Aim: To establish the functional properties of different types of splenic arterial bifurcations through their numerical modeling based on morphometry results.Material and Methods. Modelling was carried out on the basis of previously obtained morphometric characteristics of different types of splenic arterial bifurcations: type 1, the diameter of the parent (proximal) segment (D) is not equal to the diameters of the larger (dmax) and smaller (dmin) subsidiary branches (distal segments) D ≠ dmax ≠ dmin; type 2, D = dmax, D ≠ dmin; type 3, D ≠ dmax, dmin = dmax; type 4, D = dmax = dmin. The ANSYS Student computer software was used to calculate the values of splenic arterial bifurcation indices characterizing the conductive and support functions, and the Vasculograph computer software was used to calculate the distribution function.Results. It was found that the value of the bifurcation parameter of splenic arterial bifurcations of different types characterizing: 1) conductive function decreases in the order of type 1 complete asymmetry, type 2 lateral asymmetry, type 4 complete symmetry and type 3 unilateral symmetry; 2) the distributive function decreases in the direction of type 1 complete asymmetry, type 2 lateral asymmetry, type 3 unilateral symmetry, and type 4 complete symmetry 3) the pilar function decreases in the direction of type 1 complete asymmetry, type 2 lateral asymmetry, type 3 unilateral symmetry, and type 4 complete symmetry.Conclusion. The obtained results indicate that different types of splenic arterial bifurcations are oriented to fulfil heterogeneous functions. This should be taken into account when seeking a reference and subsequently a morphometric criterion of splenic vasculature norm, which can be used for radial diagnostics.
STUDENTS’ APPROACH TOWARDS BLENDED LEARNING: A COMPARATIVE ANALYSIS
Authors: Chowdhury Suvashree Roy 
Published: November 2024

Blended learning is a novel concept that supports both the offline and online learning. This system of learning amalgamates the traditional method and ICT (Information and Communication) teaching and learning. This mode of teaching and learning espouses both the chalk and blackboard method of disbursing knowledge as well as computers and virtual platforms. Blended learning is a well-established and versatile educational approach. This mode of learning and teaching combines traditional in-person learning with online components. It includes both face-to-face classroom sessions and supplements these with online learning materials. This combination enhances learner engagement across a spectrum of learning styles (Claned, 2023). This present study targets to find out undergraduates’ approach towards blended learning. Some demographics have also been undertaken. Objective: The study objectives was to find out significant differences among undergraduates in relation to certain demographic aspects. Hypotheses: as per the objective Null hypotheses were prepared. Research Design: The study followed a descriptive survey research design. Statistics: As per suitability both inferential and descriptive statistics were applied. Result: A gender difference was noticed in terms of approach towards blended learning. However, result outcome also revealed other aspects of approach towards blended learning. Inferences could be drawn about the attitude of the undergraduates from other statistical result outcome in this study.
Suspensión de dupilumab en dermatitis atópica. ¿es una opción la suspensión? Seguimiento de 12 casos
Authors: Casas-Vargas Mirian , Cáceres-Salamanca Cindy , Ordóñez-Rubiano María Fernanda 
Published: November 2024

Antecedentes:
Dupilumab es el primer tratamiento biológico aprobado para la dermatitis atópica (DA) moderada a severa con excelente perfil de seguridad y eficacia pero hasta el momento con poca literatura sobre la duración de tratamiento.
Objetivo: Abrir la discusión hacia nuevos estudios sobre la posibilidad de suspender Dupilumab en algunos pacientes con DA
Métodos: Realizamos una revisión retrospectiva de las historias clínicas de 101 pacientes con DA que estaban recibiendo dupilumab. Los casos elegibles incluyeron pacientes que suspendieron el tratamiento, independientemente del motivo de la interrupción.
Resultados: Se identificó 12 pacientes (11,8%) los cuales suspendieron el medicamento por las siguientes causas: dificultades en el seguro médico (58,3%), efectos adversos (8,3%), embarazo (8,3%), no inidicación de dupilumab (8,3%) y dificultad de acceso a medicamentos durante la pandemia de COVID-19 (8,3%).
Luego de la suspensión de dupilumab , 3 (33.3%) pacientes requirieron terapia inmunomoduladora y 1 (11%) paciente fototerapia, los restantes continuaron solo con tópico 8 (55%).
Conclusiones: Nuestro artículo abre la posibilidad de más estudios sobre la suspensión de Dupilumab en pacientes con DA en las que sobresalen características como: un tiempo más corto de la enfermedad, menos comorbilidades atópicas, menor uso de inmunomoduladores sistémicos previo inicio de dupilumab.
Capital Matching, Environmental Regulation and Carbon Emission Performance
Authors: Shan Yan  , Wen Zhong  , Zhiqing Yan  
Published: November 2024

Under the “dual carbon” goal, local governments in China have strategically focused on enhancing capital utilization efficiency and enforcing environmental regulations to improve carbon emission performance. This dual approach targets the intertwined challenges of economic development and environmental protection. Utilizing data from 266 prefecture-level cities in China from 2007 to 2019, this study systematically investigates the effects of capital matching and environmental regulation on carbon emission performance through the spatial Durbin model and the instrumental variable method. The results indicate that both capital matching and environmental regulation significantly enhance carbon emission performance. Capital matching demonstrates positive spatial spillover effects; whereas environmental regulation exhibits negative spatial spillover effects. Furthermore, there are synergistic effects between capital matching and environmental regulation that jointly enhance carbon emission performance. To address potential biases caused by endogenous environmental regulation, the study uses the proportion of environment-related words in provincial government work reports as an instrumental variable for environmental regulation. Additionally, to capture the heterogeneity in the environmental governance willingness and intensity of prefecture-level municipal governments, the study constructs heterogeneous instrumental variables. These variables are derived by multiplying the proportion of a prefecture-level city’s total industrial output value to the province’s total industrial output value with the proportion of environment-related words in the provincial government work reports. Analyses based on these instrumental variables reveal that endogenous issues in environmental regulation lead to an overestimation of its positive impact on carbon emission performance.
Vitamin E in dairy cattle feeding (review)
Authors: Tuaeva E. V. 
Published: November 2024

Vitamin E (tocopherol) is a fat–soluble vitamin that has a significant effect on the growth and health of animals. Currently, 8 tocopherol isomers have been synthesized; their peculiarity lies in the different distribution of methyl groups in the chromane core. In animals, vitamin E isomers cannot convert into each other and their biological activity varies significantly. Tocopherol has a powerful antioxidant effect, protecting substances from oxidation in the body, and plays an important role in maintaining normal metabolic processes and physiological functions. Vitamin E protects cell membranes from oxidative damage by hydrogen peroxide, helps maintain the immunomodulatory effect and increases the body's resistance to various pathogens. In addition, it performs an essential function in embryogenesis, nucleic acid metabolism, ascorbic acid biosynthesis and ensures the preservation of structural and functional characteristics of tissues. The α-tocopherol isomer has the highest biological activity. The use of α-tocopherol feed additives in the feeding of agricultural animals is presented in the form of a natural form of RRR or a synthetic form of all-rac, including all eight stereoisomers (four with the 2R configuration and four with the 2S configuration) in equal quantities. This review based on 105 publications offers a set of modern knowledge and research focused on the study of the physiological role of vitamin E in the nutrition of dairy cattle, as well as analyzes the effect of various dosages of α-tocopherol on zootechnical indicators.
Comparative evaluation of cows of different lineages according to their productivity and reproductive qualities
Authors: Titova S. V. 
Published: November 2024

The article presents the results of a comparative study of the milk productivity and reproductive ability of the first-calf cows of the black-and-white Holstein breed in the context of genealogical lines. The initial material was information from the primary zootechnical and breeding records of cows (n = 3211). For comparative analysis, groups of animals were formed in accordance with their linear affiliation: the first group – individuals of the Vis Beck Ideal 1013415 line, the second – the Montwick Chieftain 95679 line, the third – the Reflection Sovering 0198998 line. It was found that the animals of the V. B. Ideal line differed in the highest coefficient of lactation (1363 kg) and the coefficient of lactation constancy (93.2 %). According to the level of milk yield between the groups, the differences were not significant. Cows of the R. Covering line had the best indicators of reproductive ability. They had the lowest age of first fruitful insemination (16.7 months) and calving (26.8 months), as well as the shortest interbody period (13.4 months). They also outperformed the animals of the compared lines in terms of reproductive ability (0.91) and fertility index (46.3). In terms of calf yield per 100 heads (82.8 %), the best were cows of the M. Chieftain line. In all lines, positive correlation coefficients were obtained between milk yield and service and interbody periods (+0.237...+0.278), which indicate that with an increase in milk yield, the duration of service and interbody periods increases, and this indicates a process of deterioration in the reproductive abilities of cows. Cows were evaluated according to the fertility index (according to I. Dokhi). It was found that cows with a rating of "good" fertility, compared with animals rated "medium" and "low", had lower milk yield, shortened duration of the service period and increased reproductive ability. The line of R. Sovering was distinguished by the largest number of cows (56.9 % heads) with good reproductive ability, the average value of the fertility index was 51.2. The presence of low negative correlation coefficients between the fertility index and milk yield, against the background of an increase in milk yield, indicates a decrease in the fertility of cows.
Development and Implementation of a Value-Based Care Telehealth Emergency Medicine Program: Triage and Care Alignment in an Integrated Health System
Authors: Smith Austin , Martinez Julie , Taylor Joel , Douglas Kelcie , Bledsoe Joseph 
Published: November 2024

Background: Acute unscheduled episodic care is an area of potential cost savings, given the high frequency and cost of unnecessary emergency department (ED) utilization.
Methods: We developed a provider-assisted patient navigation program using a telehealth platform designed to decrease ED utilization and reduce costs while providing exceptional patient satisfaction.
Results: Urgent care (UC) visits were analyzed from July 1, 2022, to June 30, 2023. The “ED comparison” group (n = 68,320) consisted of patients discharged to home after receiving care in the ED. The “avoided ED visits” group included patients (n = 7,430) who received care in a lower-acuity setting and did not require emergency services within 48 hours. The calculated overall medical expense savings comparing the costs between the ED vs. lower-acuity settings revealed that 50% (n = 450) of consultations were managed as outpatients, avoiding ED visits. Evaluation of distribution by source revealed that 67% of ConnectCare consults resulted in admission, 48% for UC, while 36% of patients were service center consults. Conversely, 31% of consultations resulted in recommendations to go to the ED, and 16% of these were assisted transfers where the Telehealth Emergency Medicine (TeleEM) clinician communicated with the receiving ED. Among the 280 patients directed to the ED, 243 were sent because of immediate clinical acuity, 28 were because of logistical or scheduling issues, three for non-qualifying insurance for outpatient workup, and six were redirected to the ED following diagnostic results. Our analysis suggests an estimated average avoided medical expense of $1,701 per case to insurers and patients if an ED visit was avoided.
Conclusion: Implementing a TeleEM program to assist with triage and resource alignment, as well as identification and outpatient management of patients while avoiding an ED visit, is feasible within an integrated health system. Our TeleEM program may be a model for other integrated health systems.
A New Institution for Serbian Memory
Authors: Zorić Vukašin 
Published: November 2024

Abstract
The destruction of the joint Yugoslav state was accompanied by a sharp alteration of the country’s narrative about the country’s experience of the Second World War, which shifted from a focus on the Yugoslav partisans to ethnically-classified civilian victims of war. In 1992, the Republic of Serbia founded the Genocide Victims’ Museum, which was responsible for the preservation of the memory of the victims of the genocide of Serbs, Jews, and Roma; the collection of information on war atrocities; and was also intended to fulfill the country’s obligations under the International Convention on Genocide Prevention and Punishment. This article explores the Genocide Victims’ Museum’s memory strategy in the context of contemporary Serbian history. It also analyzes the transformation of the narrative of victimhood formulated or supported by a state-sponsored institution, interpreting it as exemplary of the “shift from heroization to victimization” in the politics of memory within the European context.
On Victims, Heroes, and Gulag-gupvi Survivors
Authors: Iordachi Constantin 
Published: November 2024

Abstract
Employing a biographical, oral history approach, this article documents the life story of a war veteran and gupvi survivor in Hungary to illustrate the multiple synchronic as well as diachronic cleavages that exist between the official, societal, and collective memory regimes in postcommunist Eastern Europe. István Bicskei’s life story highlights, in a tangible way, the fact that the socially constructed notions of victimhood and heroism vary as a complex outcome of the interaction of multiple forms of human, institutional, and political agencies in an ever-changing historical context and in multi-layered cultural milieux. The article argues that these key cultural notions are closely tied to individual understandings of personhood, to national and collective identities, but also to ruling ideologies and political regimes. The article also highlights the glaring gap between official, scholarly, and local narratives about the past that exists in marginalized rural communities and points to the conspicuous lack of cultural “mediators” or “intermediators” between these distinct political, media, and social spheres, and between official and grassroots memory narratives.
The 1890s Bicycle Boom in the Ukrainian Lands: Local Mobilities between Technological Westernization and Imperial Politics
Authors: Martynyuk Olha 
Published: November 2024

Abstract
This is the first comparative study of the 1890s Bicycle Boom in the Ukrainian lands, which at that time were part of the Habsburg and Romanov Empires. This article reconstructs the world of bicycle producers, retailers, advocators, consumers, and riders, focusing on local agency in the adoption of Western cycling technologies. A comparison of bicycle clubs in the Ukrainian lands of the two empires illustrates how distinct imperial, ethnic, social, and gender politics influenced the social construction of cycling technologies. This article presents a portrait of technological progress in which local enthusiasts were key drivers of innovation, whereas the two imperial states responded with regulatory measures rather than actions that would promote technological development. Although Eastern Europe was late in launching its own mass production of bicycles, the cultural phenomenon of the 1890s Bicycle Boom in the Ukrainian lands, which stimulated great enthusiasm, public debates, and new standards of bodily performance, emerged simultaneously with the boom in bicycle-producing Western societies.
Socialist Wardens and Guards in Czechoslovakia and East Germany: The Replacement and Political Indoctrination of Prison Staff
Authors: Pinerová Klára 
Published: November 2024

Abstract
This article focuses on the replacement of prison staff in Czechoslovakia and East Germany, later the German Democratic Republic after 1945. The main focus is on the question of how the replacement of prison staff took place, what strategies Czechoslovakia and East Germany used to accomplish this task, and the extent to which local conditions and the overall evolution of the prison systems of the two countries played a role in the process. The other aim of the article is to understand the place of political indoctrination in the staffing of prisons in the two socialist countries and to show how the system of teaching new members of the prison staff changed over time. Comparing the replacement of prison staff shows that although both states were under Soviet influence and transformed their prison systems according to the Soviet model, the implementation of staff changes greatly depended on the distinct political, economic and social conditions of the two states.
The Effectiveness of The Song-Assisted Discovery Learning Model on Science Learning Outcomes at Sragen 06 State Elementary School
Authors: Wati Putri Sih Fanta , Sutikno Putri Yanuarita 
Published: November 2024

<p>This study aims to test the effectiveness of the song-assisted Discovery Learning learning model for science students’ learning outcomes. This happened because students still needed clarification about sorting digestive organs. This study uses an experimental method with a quantitative approach. The population of this study is grade V students of Sragen 6 State Elementary School, Sragen Regency, with a total of 62 students. Sampling was conducted with saturated samples, with 25 V-A students as the control class, 25 V-B students as the experimental class, and 12 as the instrument trial. The data collection techniques used are written tests, observations, and documentation. Data analysis techniques using prerequisite tests include instrument validity and reliability, initial data analysis with normality and homogeneity tests, and final data analysis using t-test and n-gain test. The study results showed a positive effectiveness of using the discovery learning model with an increase in the learning outcomes of grade V students; the calculation value was more significant than the table (3,767 &gt; 2,012). H0 is rejected, and Ha is accepted, meaning there is a difference in learning outcomes between the pretest and posttest in learning using the Discovery Learning learning model. Based on the above analysis, the posttest results show that the learning outcomes between the experimental class are higher than those of the control class. The difference is due to the treatment difference between the experimental and control classes. This study concludes that the discovery learning learning model effectively improves the learning outcomes of grade V students of Sragen 6 State Elementary School. The suggestion for this study is that teachers need to apply the discovery learning model as one of the innovative learning models to improve student learning outcomes. </p>
Mobile-Based Realistic Mathematics Learning Design to Improve Students' Reasoning Ability and Problem-Solving Ability
Authors: Umam Khoerul , Suhendri Huri , Nurhayati Lilis , Nuriadin Ishaq 
Published: November 2024

<p> Mathematical reasoning and problem-solving skills have become a very necessary need at this time. Students who do not have mathematical reasoning and problem-solving skills will have difficulty adapting to current technological advances. The purpose of this study is to design mobile-based mathematics learning to improve students' mathematical reasoning and problem-solving skills. The subjects of this study were junior high school students. The research method developed was ADDIE (Analysis, Design, Development, Implementation, Evaluation). The results of the study showed that improving students' mathematical reasoning skills had a very positive impact on students' mathematical problem-solving skills. These results provide additional contributions and references for mathematics teachers who want to add knowledge related to improving the quality of mathematics learning in the classroom.</p>
Functional Status and Comorbidities in Older Patient Attending Outpatient in a Tertiary Care Hospital: An Observational Study
Authors: Aryal Ananta , Aryal Anil , Pokharel Rhijuta , Timsina Shrinkhala , Gautam Shirjan , Jha Saurav , Pant Subash 
Published: November 2024

Introduction: With the increasing geriatric population, the demand of the geriatric care has been increasing worldwide. Numerous comorbidities like hypertension, COPD, diabetes mellitus, arthritis, are seen commonly in the older population of Nepal, affecting their quality of life. Assessing functional status of individual using Basic Activities of Daily Living and Instrumental Activities of Daily Life scoring is beneficial in predicting the mortality and morbidity among the group. This study hence focuses on determining the comorbidities and functional status of older population.
Methods: This descriptive cross-sectional study was conducted from February 2024 to May 2024 in tertiary care hospital at Kathmandu among population of age group above 60 years, after taking ethical approval from Institutional Review Committee (Reference number: 19012024/04). A total of 423 individuals were taken for the study. Data collection for socio-demographic information, comorbidities, functional assessment via Katz and Lawton scale was done and analysed using IBM SPSS.
Results: Among the total 423 participants visiting the outpatient department, 188 (44.44%) were males and 235 (55.56%) were females. Basic Activity of Daily Living using Katz scoring, suggested that 377 (89.13%; 95% CI: 85.76%-91.93%)) were independent. Using Lawton scoring for the assessment of Instrumental Activities of Daily Living, it was seen that 170 (40.19%; 95% CI: 35.48%-45.03%) were independent. There were 184 (43.50%) individual with comorbidities.
Conclusions: Most of the patients were independent in Basic Activities of Daily Living as per Katz Index of independence and almost half were independent in Instrumental Activities of Daily Living as per Lawton-Brody scale.