bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge and attitude towards traditional male circumcision and the risk of HIV transmission in Indonesia: a cross-sectional study
Authors: Asa Gregorius Abanit , Fauk Nelsensius Klau , Gesesew Hailay Abrha , Ward Paul Russell 
Published: December 2024

Abstract

Background: Traditional male circumcision (TMC) is still practised in Indonesia, under the condition that the newly circumcised males must engage in one or multiple sexual intercourses with unrelated women to heal the circumcision wound, a term known as sifon. This study aims to assess the knowledge and attitude towards TMC and the risk of human immunodeficiency virus (HIV) transmission among men irrespective of their circumcision status, in West Timor, Indonesia.
Method: A cross-sectional survey was designed to gather information from 422 men in West Timor, Indonesia. The participants completed the questionnaire assessing the knowledge and attitude towards TMC and HIV. Data were collected from January to April 2024. Data were analysed using bivariate and multiple logistic regression.
Results: The level of knowledge and attitude of respondents regarding TMC and HIV-associated risk factors was 52.8% and 56.4% respectively. Participants who were unemployed were six times [AOR: 6.04, 95% CI (3.28-11.12)] more at risk of HIV than participants who were employed. Participants who were traditionally circumcised were four times more likely [AOR: 4.95, 95% CI (1.37-17.78] to have inadequate knowledge compared to those who were uncircumcised. Participants aged between 18-28 years were six times more likely to show unfavourable attitudes [AOR: 6.62, 95% CI (3.60-12.17)] towards TMC compared to participants aged 40-49 years. Participants with low levels of education were five times [AOR: 5.81, 95% CI (2.16-15.62] more likely to show unfavourable attitudes than participants who graduated from senior high school and university. Participants who were unemployed were five times [AOR: 5.193, 95% CI (2.03-13.23] more likely to show unfavourable attitudes compared to their counterparts.
Conclusion: TMC remains a common practice in West Timor, Indonesia. The findings indicate the need for HIV education and awareness-raising campaigns for communities practising TMC to provide information about the risks of HIV transmission through unsafe traditional circumcision practices, as well as the benefits of safe medical circumcision.
Advancing Chinese Survey Document Retrieval: Multilingual Models and Semantic Understanding for Structured Information Extraction
Authors: Xia Yixin 
Published: December 2024

Abstract

The rapid digitalization of archival documents in China has generated an overwhelming volume of survey documents, requiring efficient retrieval systems for both research and administrative purposes. This study aims to explore innovative approaches for Chinese survey document retrieval by leveraging multilingual pre-trained models, advanced semantic understanding techniques, and structured data extraction. The research will focus on addressing challenges unique to the Chinese language, such as complex character semantics, idiomatic phrases, and hierarchical content structures in survey documents. By integrating natural language processing (NLP), optical character recognition (OCR), and retrieval models, the study seeks to enhance document accessibility, improve search accuracy, and facilitate information retrieval across diverse Chinese survey datasets.
#12 – Sexualität & Medien Teil 3
Authors: Struckmeyer Kati , Voß Heinz-Jürgen , Spahn Annika 
Published: December 2024

Medien spielen bei der Sexualaufklärung eine elementare Rolle und entsprechend ist ein Blick auf die Medien auch im Studium der Sexualwissenschaften immer wichtiger. Darüber und grundsätzlich das Potenzial von Medien beim Thema Sexualität und Aufklärungsarbeit unterhält sich Kati im Interview mit Prof. Dr. Heinz-Jürgen Voß, Professor für Sexualwissenschaft und sexuelle Bildung an der Hochschule Merseburg (2:50-32:15). Wichtige Aufklärungsarbeit für lesbische, schwule, bi+sexuelle, a_sexuelle, a_romantische, trans, nicht-binäre, inter*, polyamouröse und queere Jugendliche und Kinder leistet das ‚Queer Lexikon‘ mit einem Lexikon für einen Überblick über sexuelle und geschlechtliche Vielfalt, einen Kummerkasten oder etwa Erklärvideos auf Instagram. Annika Spahn erzählt Kati (ab Minute 32:20) mehr von dem gemeinnützigen Verein und der Idee dahinter.
Mehr Infos zum Rahmenkonzept ‚Sexuelle Bildung in Einrichtungen‘
Zum Queer-Lexikon
Patients' Barriers to Effective Pain Management: A Correlational Study
Authors: Alzghoul Bashar I. , M. Seedahmed Hussam , Mohamad Ibraheem Khalid 
Published: December 2024

Background
Dealing with pain management is an issue that greatly impacts the well-being and health outcomes of individuals living with chronic pain. This research aimed to explore how patient-related obstacles affect the pain management practices of nurses, in public Jordanian hospitals.

Methods
The study involved a selection of 98 registered nurses who completed a self-administered questionnaire to assess patient-related barriers and pain management practices. The collected data was analyzed using SPSS and PLS SEM to test hypotheses.

Results
It was discovered that patient-related obstacles had an impact on pain assessment as well as both pharmacological and non-pharmacological interventions. Additionally, the study revealed that nurses displayed moderate level of pain management practices. The R2 values showed that patient related barriers explained a substantial amount of variance in pain management practices.

Discussion
This investigation underscored the importance of addressing patient related barriers when it comes to managing patients’ pain. It was recommended that nurses take on a role in empowering patients to overcome their obstacles and enhance their own pain management techniques. Furthermore, there is a need for research into other factors influencing pain management practices. The study acknowledged limitations within its methodology.

Conclusion
By demonstrating how patient-related barriers impact the way nurses handle patient pain, this study contributes insights to the existing literature on effective pain management. The study offered recommendations and suggestions for improving nursing practice and conducting future research on pain management.
Expert Consensus on Interprofessional Collaboration (IPC) Guidelines on Stunting Management in Indonesian Primary Healthcare (Puskesmas)
Authors: Sentika Rachmat , Setiawan Trisna , Kusnadi   , Rattu Deborah Johana , Yunita Irma , Basrowi Ray Wagiu , Masita Bertri Maulidya , Makrufardi Firdian 
Published: December 2024

Background
Stunting remains a significant public health challenge in Indonesia, with a prevalence of 21.6%, as of 2022. Despite government efforts, progress in reducing stunting rates has been uneven across the country. Primary healthcare facilities (Puskesmas) play a crucial role in implementing stunting prevention and management strategies, but their effectiveness is often hampered by a lack of coordinated interprofessional collaboration.

Objective
This study aimed to develop expert consensus guidelines for Interprofessional Collaboration (IPC) in stunting management within Indonesian primary healthcare settings, identifying key professionals, defining roles, and proposing strategies to enhance collaboration.

Methods
The expert consensus process, involving 51 participants from various healthcare disciplines and organizations, identified doctors, nutritionists, nurses, midwives, and public health specialists as key professionals, with specific roles outlined for each.

Results
Consensus was reached on focusing interventions for the life cycle, particularly the first 1000 days of life, and on the importance of primary healthcare transformation. Strategies to enhance collaboration included leadership from Puskesmas heads, clear role delineation, regular coordination meetings, and periodic interprofessional training.

Conclusion
There was unanimous support for developing comprehensive IPC guidelines, with 81% deeming it very important. Implementation recommendations included guideline socialization among Puskesmas leadership and professional organizations and organizing interprofessional collaboration training.
Prevalence and Risk Factors of Hypertension among Young Adults: An Indonesian Basic Health Survey
Authors: Putri Laluna Rachma , Azam Mahalul , Nisa Alfiana Ainun , Fibriana Arulita Ika , Kanthawee Phitsanuruk , Shabbir Syed Abdul 
Published: December 2024

Introduction
Hypertension patients aged under 40 years have low awareness and under-diagnosis, hence poor blood pressure control. The prevalence of undiagnosed hypertension in men and women aged 26 to 35 years is 55% and 44%, respectively. This study aimed to provide information on the prevalence and risk factors for hypertension among young adults based on the basic health survey (Riset Kesehatan Dasar; RISKESDAS) in Indonesia.

Methods
This cross-sectional study utilized secondary data from the RISKESDAS 2018 with a total of 140,073 subjects aged 26-35 years. The characteristics of the subjects were presented as proportion. This study performed a chi-square test and involved multivariate analysis using binary logistic regression for all parameters with p-value <0.25 in the chi-square test.

Results
This study reports the prevalence of hypertension among young adults to be 4.1%. A study also found that female (POR:=1.225 95% confidence interval (CI): 1.119-1.341), unmarried (POR=0.711; 95% CI:0.556-0.908), low-level education (POR=1.286; 95% CI:1.195-1.384), unemployed (POR=1.267; 95% CI:1.166-1.377), BMI≥25 (POR=2.472 (2.295-2.662), diabetes mellitus (POR=3.688; 95% CI:2.630-5.173), emotional mental disorder (POR=2.041; 95% CI:1.856-2.244), instant food consumption (POR=1.108; 95% CI:1.025-1.197) were related to the occurrence of hypertension among young adults.

Conclusion
The prevalence of hypertension among young adults was 4.1%. Females, married, low level of education, unemployed, BMI≥25, diabetes mellitus, having a mental disorder, and consumption of instant food altogether increase the risk of getting hypertension among young adults aged 26-35 years old.
Work Systems Analysis of Emergency Nurse Patient Flow Management Using the Systems Engineering Initiative for Patient Safety Model: Applying Findings From a Grounded Theory Study
Authors: Benjamin Ellen , Giuliano Karen K 
Published: December 2024

Abstract

Background
Emergency nurses actively manage the flow of patients through emergency departments. Patient flow management is complex, cognitively demanding work that shapes the timeliness, efficiency, and safety of patient care. Research exploring nursing patient flow management is limited. A comprehensive analysis of emergency nursing work systems is needed to improve patient flow work processes.

Objective
The aim of this paper is to describe the work system factors that impact emergency nurse patient flow management using the System Engineering Initiative for Patient Safety model.

Methods
This study used grounded theory methodologies. Data were collected through multiple rounds of focus groups and interviews with 27 emergency nurse participants and 64 hours of participant observation across 4 emergency departments between August 2022 and February 2023. Data were analyzed using coding, constant comparative analysis, and memo-writing. Emergent themes were organized according to the first component of the System Engineering Initiative for Patient Safety model, the work system.

Results
Patient flow management is impacted by diverse factors, including personal nursing characteristics; tools and technology; external factors; and the emergency department’s physical and socio-organizational environment. Participants raised concerns about the available technology’s functionality, usability, and accessibility; departmental capacity and layout; resource levels across the health care system; and interdepartmental teamwork. Other noteworthy findings include obscurity and variability across departments’ staff roles titles, functions, and norms; the degree of provider involvement in patient flow management decisions; and management’s enforcement of timing metrics.

Conclusions
There are significant barriers to the work of emergency patient flow management. More research is needed to measure the impact of these human factors on patient flow outcomes. Collaboration between health care administrators, human factors engineers, and nurses is needed to improve emergency nurse work systems.
Artificial Raising on Milk Replacer and Finishing Diet Did Not Affect Color and Oxidative Stability of Longissimus Lumborum Muscles From Polypay Ram Lambs
Authors: Mondal Koushik , Suman Surendranath P. , Purvis Katherine G. , Rentfrow Gregg , Ely Donald G. , Davis Brittany E. , Weinert-Nelson Jennifer , Wang Yifei , Salim Ana Paula A. A. 
Published: December 2024

Lamb production traits are affected by pre-weaning management (such as artificial raising on milk replacer) and finishing (forage vs. concentrate) strategies. The objective of the current study was to examine the effects of pre-weaning management and finishing systems on the color and oxidative stability of longissimus lumborum (LL) muscles from ram lambs. Polypay ram lambs were raised conventionally with ewes (CR; n = 10) or artificially on milk replacer (AR; n = 10). After weaning at 60 d, ram lambs in AR and CR were equally divided and randomly allocated to finishing on a high-forage (50:50 forage:concentrate; HF) or a high-concentrate (85:15 concentrate:forage; HC) diet until reaching the live weight of 59 kg. The lambs were harvested, and the LL muscles from both sides of the carcasses (24 h postmortem) were fabricated into 2.5-cm-thick chops. Carcass characteristics were evaluated while harvesting and fabricating. The chops were placed on polystyrene trays, overwrapped with oxygen-permeable polyvinyl chloride film, and randomly assigned to refrigerated storage (2°C) in the darkness for either 0, 3, or 6 d. Instrumental color, R630/580, pH, lipid oxidation, and metmyoglobin reducing ability (MRA) were evaluated at the end of each storage period. Pre-weaning management and finishing system (HF and HC) had no influence (P &gt; 0.05) on the carcass characteristics, surface L* (lightness), a* (redness), b* (yellowness), R630/580, pH, and MRA of LL chops. The R630/580 and MRA decreased (P &lt; 0.05) during storage in both CR and AR chops, whereas lipid oxidation and yellowness (b* value) increased (P &lt; 0.05) in both CR and AR during storage. These findings suggested that milk replacer could be employed as a practical strategy in lamb production without compromising fresh lamb color.
Las infracciones de tránsito en Roma y en la actualidad. Algunas consideraciones = Traffic violations in Rome and today. Some considerations
Authors: Juárez Norma Alicia , Peralta Soledad Andrea 
Published: December 2024

La organización del territorio conquistado por Roma a partir de las guerras púnicas, hizo necesario un cambio en el esquema de administración. La armónica estructura de Magistraturas, Senado y Comicios adaptada al resto de la península itálica, no alcanzaría para el extenso territorio que se extendía más allá de suelo itálico. Aparece, entre otras disposiciones, la Lex Iulia Municipalis que dispone normas de ordenación del tránsito y de la utilización del espacio público. En la segunda parte abordaremos la temática de las infracciones de tránsito en nuestro sistema jurídico actual. Realizando una breve cronología sobre la legislación de tránsito en Argentina, la Ley de Tránsito 24.449 con sus modificaciones. Asimismo, realizaremos una síntesis de la implementación de la inteligencia artificial en este ámbito, tema hoy cuestionada, sobre si su aplicación a ciertas áreas resultará o no beneficiosa en la resolución de los problemas entre los ciudadanos.

Abstract: The organization of the territory conquered by Rome from the Punic Wars made a change in the administration scheme necessary. The harmonious structure of Magistrates, Senate and Comitia, adapted to the rest of the Italian Peninsula, would not be enough for the extensive territory that extended beyond Italian soil. Among other provisions, the Lex Iulia Municipalis appears, which establishes rules for the organization of traffic and the use of public space. In the second part we will address the issue of traffic violations in our current legal system. Marking a brief chronology of traffic legislation in Argentina, Traffic Law 24.449 with its modificactions. Likewise, we will carry out a synthesis of the implementation of artificial intelligence in this area, a topic that is questioned today, regarding whether or not its application to certain áreas will be beneficial in solving problems among citizens.
Trajetória profissional dos egressos dos Programas de Mestrado em Educação da Universidade Miguel de Cervantes
Authors: Rojas Oscar , Vivas Amely , Barrera Elizabeth 
Published: December 2024

El presente estudio analiza las trayectorias laborales de graduados de los programas de magíster de la Universidad Miguel de Cervantes de Chile. Un estudio descriptivo, siguiendo la metodología de Yin (2023), permite realizar una investigación empírica profunda sobre un fenómeno actual: las trayectorias laborales de los egresados de la Universidad Miguel de Cervantes. Este enfoque además incorpora el contexto real de sus experiencias, se basó en un estudio descriptivo correlacional. La muestra se compuso por 345 profesionales egresados en ambos programas de Magíster Profesional de Educación de la Universidad Miguel de Cervantes de las cohortes enero, marzo y junio 2021. Se aplicó un cuestionario a la totalidad de los egresados (censo) a los 345 egresados mediante correo electrónico. Para analizar los datos recopilados, se utilizaron los programas Excel y SPSS versión 19. Los resultados se presentan mediante frecuencias relativas porcentuales, permitiendo comparar el comportamiento de las diferentes variables que conforman la trayectoria laboral.
Dental Dam Isolation for Crown Removal, Atraumatic Tooth Extraction, Immediate Implant Placement, and Restoration Cementation: A Case Study
Authors: Guzman-Perez G , Rojas-Rueda S , Floriani F , Unnadkat A , Fu C-C , Jurado CA 
Published: December 2024

SUMMARY

Objectives:
This case report describes the clinical protocols for the removal of crowns, tooth extraction, immediate implant placement, and cementation of new crowns, all performed under total or partial isolation with a dental dam.

Clinical Considerations:
The patient’s chief complaint was dissatisfaction with her smile. Radiographic and clinical evaluations led to the recommendation to replace the porcelain-fused-to-metal crowns on the maxillary central and lateral incisors with all-ceramic crowns. Considering the patient’s wide smile, ceramic veneer restorations were also recommended for the maxillary canines and first premolars. An immediate implant placement was advised to replace the fractured maxillary right central incisor.

Conclusions:
Well-planned dental care including crown removal, tooth extraction, immediate implant placement, and cementation of new restorations can be successfully executed under isolation using a dental dam. The isolation improves access, visibility, and hygiene by preventing cross-contamination during the cementation procedure. The final outcome fulfilled the patient’s esthetic demands.
Hydrodynamic Characteristics of the Pusher, Tractor and Schottel Types of the Azipod Propulsion System
Authors: Gholami Hossein , Ghassemi Hassan , He Guanghua , Shamsi Reza 
Published: December 2024

Abstract
The main purpose of this paper is to investigate the hydrodynamics performance of the three types (pusher, tractor and Schottel) of the azimuthing podded drive (AZIPOD) electric propulsion system. To evaluate the propulsive performance of the podded drive system, the Reynolds-Averaged Navier Stokes (RANS) solver is employed. KP-505 propeller as the research object, hydrodynamic open-water characteristics of this propeller was first calculated, and agreed well with test results. Then, numerical simulation of the thrust, torque and efficiency of the three types of the AZIPOD systems (Pusher, Tractor and Schottel) with KP-505 propeller at various yaw angles (from -30° to +30° with 15° increments) and different advance coefficients were compared. For the Schottel propulsion system, the effects of the number of propeller blades and the blade pitch-diameter ratio on performance are presented and discussed. Finally, the effect of sturt, support element and pod for pusher type on the pressure coefficient, thrust and torque of one blade and whole blades is investigated during one cycle.
An Energy Self-Sufficient Underwater Profiling Buoy Powered by Ocean Thermal Energy
Authors: Wang Xiaohao , Yang Yanan , Yin Songwei , Meng Xianghui 
Published: December 2024

Abstract
Unmanned underwater vehicles play an important role in ocean observation and exploration; however, they do not have long endurance due to energy limitations. This paper proposes an energy self-sufficient underwater profiling buoy that uses ocean thermal energy for buoyancy propulsion and as a power supply, to enable long-term ocean observations. Based on the principle of operation of the proposed buoy, an energy balance model is established that is used to calculate the energy captured by the heat exchangers and the energy consumption of the devices on board. The energy self-sufficiency rate is defined as an indicator for evaluating the impact of the key configuration parameters of the buoy on the energy self-sufficiency performance, which depends on the diving speed, diving depth, and system pressure of the accumulator. In addition, a buoyancy compensation unit with two accumulators is installed on the buoy to compensate for the impact of variations in seawater density on the buoyancy propulsion performance and to overcome buoyancy loss. When the diving speed of the buoy is around 0.24 m/s and the diving depth is above 900 m, the accumulator has an initial pressure of 10 MPa, a driving pressure of 11.1–17.9 MPa, and a charging pressure of 20 MPa, and the energy self-sufficiency rate of the buoy exceeds 100%. This work provides theoretical guidance for realising energy self-sufficiency for other unmanned underwater vehicles.
Stress Assessment of a Steel Bullet LPG Tank Under Differential Settlement Based on Geodetic Measurements and Sensitivity Analysis
Authors: Ferenc Tomasz , Gierasimczyk Rafał , Mikulski Tomasz 
Published: December 2024

Abstract
This paper presents an analysis of a steel bullet LPG tank in operation at a base in Poland. The structure was set on a sand-gravel pillow and rigid concrete slab, and its settlement was periodically measured at five measuring points along the structure. After a few years, differential settlement was observed. Based on geodetic data, we attempt to assess the current stress level in the structure. The proposed methodology uses a sensitivity analysis apparatus. A numerical model of the structure and sand-gravel pillow is analysed using the finite element method, and the impact of variation in the stiffness of the sand-gravel pillow on the vertical displacement of the tank is determined. The algorithm involves six iterations of calculations, and after each iteration, the stiffness modified sand-gravel pillow is determined. After the sixth iteration, the vertical displacement in the FEM model is found to be similar to the measured values in the real structure. The results obtained after the last iteration are used to assess the stress state in the bullet tank’s shell structure.