bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Abject as Body Language in Imre Kertész’s Fateless and Alaine Polcz’s One Woman in the War
Authors: Zsadányi Edit 
Published: August 2019

Among the various analyses that examine Imre Kertész’s Fateless, little attention has been paid to the relationship between body and narrative. Using Julia Kristeva’s concept of the abject, I focus on excerpts in the novel in which power breaches the boundaries of the protagonist’s body, Gyuri Köves, as he endures detainment in various concentration camps. In this paper I argue that it is the dehumanized and abjectified body that rebels against totalitarianism by refusing to accept a deceptive survival scenario. When the perspective of death has been accepted, the concept of the abject paradoxically reveals that is the identity’s inherent motherly aspect that is able to provide a human perspective to an abjectified person. After comparing excerpts in Fateless and One Woman in the War by Alaine Polcz, another narrative in which violence breaks the boundaries of the body, I will reach the conclusion that the body itself forms the final frontier of dictatorship. Once totalitarian dictatorship penetrates the body, it loses its influence over the victim as death offers a more humane, more bearable life.
Three Ethical Mystics
Authors: Goodman Daniel Ross 
Published: August 2019

AbstractThis article posits, based upon a comparative reading of various writings of Ralph Waldo Emerson, Abraham Joshua Heschel, and Abraham Isaac Kook, that not only does ethics hold an important place in the spiritual life of these mystically oriented, ethically valenced writers, but that for them ethics and spirituality are inextricably intertwined. For these writers, ethics is a sine qua non for spirituality, and spirituality is intimately interlaced with, and lends support to, the ethical life. Concomitantly, this article postulates that in advancing this claim about ethics, Emerson, Heschel, and Kook wrote with a studied lyrical, poetic prose—a poetics of ethics—in order to impress upon their readers the importance, and the beauty, of the ethical life.
Proceso de enseñanza-entrenamiento de jóvenes en el fútbol: posibilidades a partir de un modelo ondulatorio
Authors: Baggiotto-Bettega O. , Rafaela-Galatti L. , Ibáñez-Godoy S. , Antunez-Medina A. , José-Scaglia A. 
Published: August 2019

El proceso de enseñanza-entrenamiento del fútbol debe ser coherente con el contexto en que se realiza, considerando los problemas y potencialidades, en busca de calificar las acciones técnico-tácticas y proporcionar la mejora en el juego. En esta perspectiva, este estudio de naturaleza teórica tiene como objetivo presentar un modelo ondulatorio para la enseñanza-entrenamiento del fútbol. Así, se presenta el modelo ondulatorio para el fútbol, adaptado de Ibáñez (2011), como una manera de ayudar en la organización y sistematización de los contenidos táctico-técnicos de ataque y defensa durante las etapas de formación, así como orientar la aplicación y evaluación de este proceso.
The design of a youth athlete development process in soccer must be coherent with the major context, considering challenges and potentialities, and qualifying tactical-technical competences. Considering that, this theoretical study aims to present a “wavy model” for soccer, adapted from Ibáñez (2011), as a supporter for the organization and systematization of the tactical-technical defensive and offensive game phases, as much as insure the coaching and assessment process.
Efecto del ejercicio y la actividad física sobre las funciones ejecutivas en niños y en jóvenes. Una revisión sistemática
Authors: Medina-Cascales JA , Alarcón-López F. , Castillo-Díaz A. , Cárdenas-Vélez D. 
Published: August 2019

En la presente revisión sistemática cualitativa se intenta avanzar en el conocimiento sobre la incidencia de la actividad física sobre las funciones ejecutivas, focalizada en poblaciones sanas infantiles, adolescentes y jóvenes. Se identificaron, categorizaron y analizaron artículos de bases de datos electrónicas como ISI Web of Knowledge, SCOPUS, PubMed, SPORTDiscus, PsyINFO, ERIC, Google Scholar y Dialnet. Atendiendo a los criterios de inclusión/exclusión, siguiendo la declaración PRISMA para registrar y categorizar los resultados, y mediante la herramienta de evaluación de calidad “The Effective Public Health Practice Project”, se seleccionaron finalmente 44 investigaciones experimentales, estructuradas en episodios agudos y crónicos de actividad física bajo dos enfoques: cuantitativos y cualitativos. Los resultados muestran una superior cantidad de experimentos con episodios agudos cuantitativos (45,45%), frente a los agudos cualitativos (18,18%), crónicos cuantitativos (20,45%) y crónicos cualitativos (15,92%). Los análisis de estas investigaciones han permitido identificar los beneficios de los diferentes tipos de actividad física estudiados sobre los componentes ejecutivos.
This qualitative systematic review tries to advance knowledge about the effect of physical activity on executive functions, paying special attention to healthy children, teenagers and youngsters. Several articles have been identified, categorized and analyzed in electronic databases such as ISI Web of Knowledge, SCOPUS, PubMed, SPORTDiscus, PsyINFO, ERIC, Google Scholar and Dialnet. According to the inclusion/exclusion criteria, following the PRISMA statement to record and categorize the results and throughout the quality assessment tool "The Effective Public Health Practice Project”, 44 pieces of research, structured in acute and chronic episodes of physical activity under two approaches: qualitative and quantitative, were chosen. The results show a higher number of experiments with quantitative acute episodes (45,45%) against qualitative ones (18,18%), chronic quantitative (20,45%) and chronic qualitative episodes (15,92%). The analysis of these investigations has allowed identifying the benefits of different types of physical activity studied on executive components.
Selection of Linear Time Series Model on the Basis of Out-of-Sample Prediction Criteria
Authors: Henry Akpensuen Shiaondo , Lasisi Kazeem Eyitayo , Akpan Emmanuel Alphonsus , Elijah Edeghagba Eghosa 
Published: August 2019

Background: In linear time series, the in-sample model selection and the out-of-sample model selection are the two common approaches to model selection. However, empirical evidence based on out-of-sample forecast performance is generally considered more trustworthy than evidence based on in-sample performance, which is deficient in providing information about future observations.
Aim: The aim of the study is to select the best linear time series model suitable to predict Nigeria exchange rates for the period 2002-2018.
Materials and Methods: Data on naira to pound and naira to euro exchange rates from January 2002 to December 2018, comprising of 204 data points were considered. The data were divided into two portions; the first portion which comprises of 192 observations was used for model building while the second portion with 12 observations was used for out-of-sample prediction evaluation. The Box-Jenkins ARIMA iterative procedure was used in model building while the mean square error (MSE), root mean square error (RMSE), mean absolute error (MAE) and Theil’s U coefficient were the measures of accuracy adopted in selecting the best out-of sample model.
Results: Our results revealed that, based on in-sample model selection, ARIMA (0, 1, 1) and ARIMA (1, 1, 0) were the appropriate models with minimum information criteria. However, on the basis of out-sample forecast performance evaluation criteria, ARIMA (1, 1, 0) and ARIMA (1, 1, 2) were found to be appropriate out-of-sample models with minimum forecast evaluation criteria. In all, our results showed that, the out-of sample models performed better than their in-sample counterparts in their ability to forecast future values.
Conclusion: So far, this study revealed that out-of-sample is a better model selection criterion than the in-sample counterpart as evident in its ability to predict future values which is the very essence for modelling in time series.
Effect of Multispecies Probiotic Supplementation on Irritable Bowel Syndrome
Authors: Yazdani Ashtiani Saeed , Amery Mersad 
Published: August 2019

Background: Irritable bowel syndrome (IBS) is a common, chronic and sometimes disabling functional disorder of the gastrointestinal system and its treatment remains as health problem. Thus the aim of this study was to evaluate the Effect of multispecies probiotic supplementation, as a novel and Controversial therapeutic method on Irritable bowel syndrome.
Materials and Methods: In this randomized double blind Placebo-controlled clinical trial, 60 patients with IBS were enrolled. The patients were divided randomly into two groups. Patients in intervention group received two 500 mg probiotic capsules (Familact®) and in control group, received two 500 mg placebo capsules daily for 30 consecutive days. The symptoms and quality of life were measured and compared at the beginning and just after the end of study for each case.
Results: Results showed the mean score of Abdominal pain after 1 month of treatment in the probiotic group was significantly lower than the control group (1.76 ± 2.04 vs. 2.88 ± 2.25, P=0.049, respectively). While, other symptoms and quality of life did not change significantly (P>0.05). Furthermore, defecation habit and global symptoms improvement was similar after intervention in both groups and we did not observe significant differences in these items (P>0.05).
Conclusion: The results of this study showed the beneficial effects of multispecies probiotic supplementation in controlling IBS patients’ abdominal pain. thus it can be prescribed as a therapeutic option in addition to standard therapy and significantly lead to better control of this symptom in the short term.
Secure Messaging Use and Wrong-Patient Ordering Errors Among Inpatient Clinicians
Authors: Lou Sunny S. , Lew Daphne , Xia Linlin , Baratta Laura , Eiden Elise , Kannampallil Thomas 
Published: December 2024

ImportanceUse of secure messaging for clinician-to-clinician communication has increased exponentially over the past decade, but its association with clinician work is poorly understood.ObjectiveTo investigate the association between secure messaging use and wrong-patient ordering errors.Design, Setting, and ParticipantsThis cohort study included inpatient attending physicians, trainee physicians, and advanced practice practitioners (APPs) from 14 academic and community hospitals. Secure messaging volume was assessed over a 3-month period (February 1 to April 30, 2023).ExposureSecure messaging volume per clinician-day, measured as the count of secure messages sent and received by a clinician on a given clinician-day.Main Outcomes and MeasuresRetract-and-reorder events were used to identify wrong-patient ordering errors, and the presence of any retract-and-reorder event on a clinician-day was the primary outcome. Multilevel logistic regression was used to examine the association between secure messaging volume and wrong-patient ordering errors after adjusting for clinician age, sex, patient load, order volume, and clinical service.ResultsA total of 3239 clinicians (median [IQR] age, 37 [32-46] years; 1791 female [55.3%]; 1680 attending physicians [51.2%], 560 trainee physicians [17.3%], and 999 APPs [30.8%]) with 75 546 clinician-days were included. Median secure messaging volume was 16 (IQR, 0-61) messages per day. Retract-and-reorder events were identified on 295 clinician-days (0.4%). Clinicians with secure messaging volume at the 75th percentile had a 10% higher odds of wrong-patient ordering errors compared with those at the 25th percentile (odds ratio [OR], 1.10; 95% CI, 1.01-1.20). After stratifying by clinician role, the association between secure messaging and wrong-patient ordering errors was observed only for attending physicians (OR, 1.20; 95% CI, 1.02-1.42) and APPs (OR, 1.18; 95% CI, 1.00-1.40).Conclusions and RelevanceIn this cohort study of inpatient clinicians, higher daily secure messaging was associated with increased odds of wrong-patient ordering errors. Although messaging may increase cognitive load and risk for wrong-patient ordering errors, these results do not provide conclusive evidence regarding the direct impact of secure messaging on errors, as increased messaging may also reflect greater care coordination, increased patient complexity, or communication of the presence of a wrong-patient ordering error.
Symptom Recovery in Children Aged 5 to 12 Years With Sport-Related and Non–Sport-Related Concussion
Authors: Ledoux Andrée-Anne , Sicard Veronik , Bijelic Vid , Barrowman Nick , van Ierssel Jacqueline , Beer Darcy , Boutis Kathy , Burns Emma , Craig William , Freedman Stephen B. , Gagnon Isabelle , Gravel Jocelyn , Sangha Gurinder , Yeates Keith Owen , Osmond Martin , Zemek Roger ,   Pediatric Emergency Research Canada (PERC) Predicting and Preventing Postconcussive Problems in Pediatrics (5P) Concussion Team
Published: December 2024

ImportanceThere is limited research on clinical features and symptom recovery from sport-related concussion (SRC) and non-SRC in younger children.ObjectiveTo investigate the trajectory of symptom recovery in children aged 5 to 7 years and 8 to 12 years with SRC and non-SRC at 1, 2, 4, 8, and 12 weeks postinjury.Design, Setting, and ParticipantsThis secondary analysis of a prospective multicenter cohort study (Predicting and Preventing Postconcussive Problems in Pediatrics) included participants aged 5 to 12 years with acute concussion who presented to 9 pediatric emergency departments within the Pediatric Emergency Research Canada network between August 2013 and June 2015. Analyses were conducted from September 2023 to May 2024.ExposureParticipants had a concussion consistent with the Zurich consensus diagnostic criteria and 85% completeness of the Post-Concussion Symptom Inventory (PCSI) at each time point.Main Outcomes and MeasuresThe primary outcome was symptom change, defined as current minus preinjury ratings 1, 2, 4, 8, and 12 weeks postinjury, measured using the PCSI. Symptoms were self-rated for children aged 8 to 12 years and child- and parent-rated for children aged 5 to 7 years. Mixed-effect models were conducted using total PCSI score adjusting for random effects; fixed-effect indicators included injury setting (SRC and non-SRC), time, injury setting × time, and other variables associated with recovery.ResultsA total of 1747 children, including 513 aged 5 to 7 years (mean [SD] age, 6.57 [0.85] years; 320 male [62.4%]) and 1234 aged 8 to 12 years (mean [SD] age, 10.68 [1.40] years; 806 male [65.3%]) were recruited, of whom 477 aged 5 to 7 years and 1157 aged 8 to 12 years were included in the analysis. Of those included in the analysis, 207 aged 5 to 7 years (43.4%; mean [SD] age, 6.68 [0.84] years; 142 male [68.6%]) and 790 aged 8 to 12 years (67.2%; mean [SD] age, 10.77 [1.40] years; 547 male [69.2%]) sustained an SRC. No significant differences in recovery curves across time postinjury were found between those with SRC and non-SRC (5-7 years: β = −0.09; 95% CI, −1.10 to 0.92; 8-12 years: β = 0.11; 95%CI, −1.50 to 1.70).Conclusions and RelevanceIn this cohort study of children aged 5 to 12 years with an acute SRC or non-SRC, symptom recovery trajectories over time were similar in both groups. This finding suggests similar management protocols can be used for sport and nonsport mechanisms of injury (excluding assault and motor vehicle crash) in the younger population.
Racial and Ethnic Disparities in Regulatory Air Quality Monitor Locations in the US
Authors: Kelly Brenna C. , Cova Thomas J. , Debbink Michelle P. , Onega Tracy , Brewer Simon C. 
Published: December 2024

ImportanceUnderstanding exposure to air pollution is important to public health, and disparities in the spatial distribution of regulatory air quality monitors could lead to exposure misclassification bias.ObjectiveTo determine whether racial and ethnic disparities exist in Environmental Protection Agency (EPA) regulatory air quality monitor locations in the US.Design, Setting, and ParticipantsThis national cross-sectional study included air quality monitors in the EPA Air Quality System regulatory monitoring repository, as well as 2022 American Community Survey Census block group estimates for racial and ethnic composition and population size. Bayesian mixed-effects models of the count of criteria pollutant monitors measuring an area were used, adjusting for population size and accounting for spatial autocorrelation. Data were analyzed from March to June 2024.ExposureCensus block group–level racial and ethnic composition.Main Outcome and MeasuresNumber of regulatory monitors measuring a census block group by criteria pollutant (particulate matter [PM], ozone [O3], nitrogen dioxide [NO2], sulfur dioxide [SO2], lead [Pb], and carbon monoxide [CO]).ResultsThis analysis included 329 725 481 individuals living in 237 631 block groups in the US (1 936 842 [0.6%] American Indian and Alaska Native, 18 554 697 [5.6%] Asian, 40 196 302 [12.2%] Black, 60 806 969 [18.4%] Hispanic, 555 712 [0.2%] Native Hawaiian and Other Pacific Islander, 196 010 370 [59.4%] White, 1 208 267 [0.3%] some other race, and 10 456 322 [0.4%] 2 or more races). Adjusting for population size, monitoring disparities were identified for each criteria pollutant. Relative to the White non-Latino population, all groups were associated with fewer NO2, O3, Pb, and PM monitors. Disparities were consistently largest for Native Hawaiian and Other Pacific Islander populations, followed by American Indian and Alaska Native populations and those of 2 or more races. An increase in percentage of Native Hawaiian and Other Pacific Islander race was associated with fewer monitors for SO2 (adjusted odds ratio [aOR], 0.91; 95% BCI, 0.90-0.91), CO (aOR, 0.95; 95% BCI, 0.94-0.95), O3 (aOR, 0.95; 95% BCI, 0.94-0.95), NO2 (aOR, 0.97; 95% BCI, 0.91-0.94), and PM (aOR, 0.96; 95% BCI, 0.95-0.96). An increase in the percentage of those of Asian race was associated with slightly more SO2 (aOR, 1.04; 95% BCI, 1.03-1.04) monitors.Conclusions and RelevanceThis cross-sectional study of racial and ethnic disparities in the location of EPA regulatory monitors determined that data may not be equitably representative of air quality, particularly for areas with predominantly Native Hawaiian and Other Pacific Islander or American Indian or Alaska Native populations. Integration of multiple data sources may aid in filling monitoring gaps across race and ethnicity. Where possible, researchers should quantify uncertainty in exposure estimates.
Risk of Intracranial Hemorrhage Associated With Direct Oral Anticoagulation vs Antiplatelet Therapy
Authors: Coyle Mark , Lynch Amy , Higgins Meave , Costello Maria , Judge Conor , O’Donnell Martin , Reddin Catriona 
Published: December 2024

ImportanceFor patients with atrial fibrillation, clinicians often prescribe antiplatelet therapy rather than oral anticoagulation, which may be related to a concern that direct oral anticoagulants (DOACs) are associated with a higher risk of intracranial bleeding, despite being less effective for stroke prevention.ObjectiveTo determine whether DOAC therapy, compared with single-agent antiplatelet therapy, was associated with an increased risk of intracranial and major hemorrhage.Data SourcesA systematic search of PubMed and Embase databases from inception to February 7, 2024, was performed.Study SelectionRandomized clinical trials that compared DOAC therapy with single-agent antiplatelet therapies were included. Trials with active follow-up of less than 30 days or a sample size less than 200 were excluded.Data Extraction and SynthesisThe study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. Data were extracted independently by 2 researchers. A random-effects meta-analysis model was used to report pooled treatment effects and 95% CIs.Main Outcomes and MeasuresThe primary outcome was occurrence of intracranial hemorrhage.ResultsA total of 9 randomized clinical trials were included (45 494 participants). DOAC therapy was not associated with significantly higher odds of intracranial hemorrhage compared with antiplatelet therapy (0.55% vs 0.48% over a mean trial follow-up of 17.1 months; odds ratio [OR], 1.15; 95% CI, 0.71-1.88), but there was heterogeneity among trials (I2 = 53.7%). In an analysis by DOAC agent, the respective estimates for intracranial hemorrhage risk were as follows: rivaroxaban, OR, 2.09 (95% CI, 1.20-3.64); dabigatran, OR, 1.00 (95% CI, 0.61-1.64); and apixaban, OR, 0.72 (95% CI, 0.44-1.17). Overall, DOAC therapy was associated with higher odds of major hemorrhage compared with antiplatelet therapy (2.41% vs 1.76% over a mean trial follow-up of 15.5 months; OR, 1.39; 95% CI, 1.07-1.80), with the following estimates by agent: rivaroxaban, OR, 1.91 (95% CI, 1.22-3.00); dabigatran; OR, 1.21 (95% CI, 0.86-1.69); and apixaban, OR, 1.09 (95% CI, 0.73-1.63).Conclusions and RelevanceIn this systematic review and meta-analysis, DOAC therapy was not associated with a significantly higher risk of intracranial hemorrhage compared with antiplatelet therapy, but was associated with a higher risk of major hemorrhage. These findings support the safety of DOAC compared with antiplatelet therapy with respect to risk of ICH and reinforce adherence with current atrial fibrillation guidelines.
Evaluating the dosimetric impact of deep‐learning‐based auto‐segmentation in prostate cancer radiotherapy: Insights into real‐world clinical implementation and inter‐observer variability
Authors: Arjmandi Najmeh , Mosleh‐Shirazi Mohammad Amin , Mohebbi Shokoufeh , Nasseri Shahrokh , Mehdizadeh Alireza , Pishevar Zohreh , Hosseini Sare , Tehranizadeh Amin Amiri , Momennezhad Mehdi 
Published: December 2024

AbstractPurposeThis study aimed to investigate the dosimetric impact of deep‐learning‐based auto‐contouring for clinical target volume (CTV) and organs at risk (OARs) delineation in prostate cancer radiotherapy planning. Additionally, we compared the geometric accuracy of auto‐contouring system to the variability observed between human experts.MethodsWe evaluated 28 planning CT volumes, each with three contour sets: reference original contours (OC), auto‐segmented contours (AC), and expert‐defined manual contours (EC). We generated 3D‐CRT and intensity‐modulated radiation therapy (IMRT) plans for each contour set and compared their dosimetric characteristics using dose‐volume histograms (DVHs), homogeneity index (HI), conformity index (CI), and gamma pass rate (3%/3 mm).ResultsThe geometric differences between automated contours and both their original manual reference contours and a second set of manually generated contours are smaller than the differences between two manually contoured sets for bladder, right femoral head (RFH), and left femoral head (LFH) structures. Furthermore, dose distribution accuracy using planning target volumes (PTVs) derived from automatically contoured CTVs and auto‐contoured OARs demonstrated consistency with plans based on reference contours across all evaluated cases for both 3D‐CRT and IMRT plans. For example, in IMRT plans, the average D95 for PTVs was 77.71 ± 0.53 Gy for EC plans, 77.58 ± 0.69 Gy for OC plans, and 77.62 ± 0.38 Gy for AC plans. Automated contouring significantly reduced contouring time, averaging 0.53 ± 0.08 min compared to 24.9 ± 4.5 min for manual delineation.ConclusionOur automated contouring system can reduce inter‐expert variability and achieve dosimetric accuracy comparable to gold standard reference contours, highlighting its potential for streamlining clinical workflows. The quantitative analysis revealed no consistent trend of increasing or decreasing PTVs derived from automatically contoured CTVs and OAR doses due to automated contours, indicating minimal impact on treatment outcomes. These findings support the clinical feasibility of utilizing our deep‐learning‐based auto‐contouring model for prostate cancer radiotherapy planning.