bluuebunny/crossref_metadata_2025_split huggingface dataset:
Challenges experienced by nurses in implementing Adolescent and Youth Friendly Services in clinics of the Limpopo province
Authors: Malahlela Anna M. , Muthelo Livhuwani , Mbombi Masenyani O. , Ntho Tshepo A. , Phukubye Thabo A. , Ntshayintshayi Peaceful N. , Ramalata Tendani A. 
Published: September 2024

Background: Effective implementation of Adolescent and Youth Friendly Services (AYFS) that are accessible, acceptable and effective for diverse youth population groups is significant to enhancing youth health. Because of various factors, improving youth health is a challenge in clinics in rural areas.Aim: This study aims to explore and understand the challenges nurses experience while implementing AYFS programmes in Kganya local area clinics of the Capricorn district, Limpopo province, South Africa.Setting: The study was conducted in the clinics of Kganya local area of Capricorn district, Limpopo province, South Africa.Method: A qualitative, phenomenological, exploratory, descriptive design is employed in this study. Twelve nurses were selected using purposive sampling. Data were collected through semi-structured interviews with an interview guide. Notably, data were analysed using Tesch’s open coding method.Results: Two themes emerge from this study: ‘Challenges experienced related to the implementation of Adolescent and Youth Friendly Services’ and ‘Suggestions to improve Adolescent and Youth Friendly Services’.Conclusion: The results of this study confirm that nurses experience diverse challenges while implementing AYFS. Challenges include a lack of trained staff and material resources and the negative attitudes of adolescents, parents and community members.Contributions: This study’s findings might help identify the gaps in implementing the AYFS programmes. The findings may assist policymakers and the National Department of Health (NDoH) to monitor and review the effectiveness of the AYFS programme standards.
Intentionally unilateral prostatic artery embolization: Patient selection, technique and potential benefits
Authors: Moschouris Hippocrates , Stamatiou Konstantinos 
Published: September 2024

BACKGROUND
Prostatic artery embolization (PAE) is a promising but also technically demanding interventional radiologic treatment for symptomatic benign prostatic hyperplasia. Many technical challenges in PAE are associated with the complex anatomy of prostatic arteries (PAs) and with the systematic attempts to catheterize the PAs of both pelvic sides. Long procedure times and high radiation doses are often the result of these attempts and are considered significant disadvantages of PAE. The authors hypothesized that, in selected patients, these disadvantages could be mitigated by intentionally embolizing PAs of only one pelvic side.
AIM
To describe the authors’ approach for intentionally unilateral PAE (IU-PAE) and its potential benefits.
METHODS
This was a single-center retrospective study of patients treated with IU-PAE during a period of 2 years. IU-PAE was applied in patients with opacification of more than half of the contralateral prostatic lobe after angiography of the ipsilateral PA (subgroup A), or with markedly asymmetric prostatic enlargement, with the dominant prostatic lobe occupying at least two thirds of the entire gland (subgroup B). All patients treated with IU-PAE also fulfilled at least one of the following criteria: Severe tortuosity or severe atheromatosis of the pelvic arteries, non-visualization, or visualization of a tiny (< 1 mm) contralateral PA on preprocedural computed tomographic angiography. Intraprocedural contrast-enhanced ultrasonography (iCEUS) was applied to monitor prostatic infarction. IU-PAE patients were compared to a control group treated with bilateral PAE.
RESULTS
IU-PAE was performed in a total 13 patients (subgroup A, n = 7; subgroup B, n = 6). Dose-area product, fluoroscopy time and operation time in the IU-PAE group (9767.8 μGy∙m2, 30.3 minutes, 64.0 minutes, respectively) were significantly shorter (45.4%, 35.9%, 45.8% respectively, P < 0.01) compared to the control group. Clinical and imaging outcomes did not differ significantly between the IU-PAE group and the control group. In the 2 clinical failures of IU-PAE (both in subgroup A), the extent of prostatic infarction (demonstrated by iCEUS) was significantly smaller compared to the rest of the IU-PAE group.
CONCLUSION
In selected patients, IU-PAE is associated with comparable outcomes, but with lower radiation exposure and a shorter procedure compared to bilateral PAE. iCEUS could facilitate patient selection for IU-PAE.
Cryoablation of osteoid osteomas: Is it a valid treatment option?
Authors: Michailidis Antonios , Panos Athanasios , Samoladas Efthimios , Dimou Georgios , Mingou Georgia , Kosmoliaptsis Panagiotis , Arvaniti Maria , Giankoulof Christos , Petsatodis Evangelos 
Published: September 2024

BACKGROUND
Osteoid osteoma is a benign bone tumor with characteristic clinical symptomatology. The selected method for its treatment is percutaneous radiofrequency ablation. However, percutaneous cryoablation is an alternative method with certain advantages.
AIM
To evaluate percutaneous computed tomography (CT)-guided cryoablation for the treatment of osteoid osteoma in young patients and adults.
METHODS
A total of 25 patients were treated with percutaneous CT- guided cryoablation for osteoid osteomas between October 2020 and March 2023 at a single institution. All patients were above 14-years-old (mean age, 24-years-old), and all procedures were performed under local anesthesia. Of the 25 patients, 8 were female and 17 were male. Tumor sites included the femur (n = 9), medial malleolus (n = 4), sacral ala (n = 4), facets (n = 4), humerus (n = 3), and tibia (n = 1). One cryoprobe was used in each procedure and, when possible, the lesion was covered by the ice-ball using an extraosseous position without penetrating the nidus. All necessary thermal protective techniques were used depending on the anatomical structure at risk.
RESULTS
All patients treated had complete response (100% clinical success rate) starting on the day of the procedure. Technical success was achieved in all cases. Visual analog scale (VAS) scores at 1 year were 0, compared to a mean VAS score of 8.5 ± 1 (SD) before the procedure. No recurrences were reported at the 1-year follow-up and no complications were observed. In 11/25 cases, an extraosseous position of the cryoprobe was used with less procedural time achieving technical and clinical success and no complications with less patient discomfort. All patients were discharged from the hospital on the same day as the procedure.
CONCLUSION
Cryoablation of osteoid osteomas is an efficacious and safe procedure with durable clinical results. Its greatest advantage is that the procedure can be performed under local anesthesia using an extraosseous position of the cryoprobe when possible.
Acquired factor XIII deficiency presenting with multiple intracranial hemorrhages and right hip hematoma: A case report
Authors: Wang Lei , Zhang Ning , Liang Dong-Cheng , Zhang Hao-Ling , Lin Le-Qing 
Published: September 2024

BACKGROUND
Factor XIII (FXIII) deficiency is a rare yet profound coagulopathy. FXIII plays a pivotal role in hemostasis, and deficiencies in this factor can precipitate unchecked or spontaneous hemorrhaging. Immunological assays for detecting FXIII inhibitors are indispensable for diagnosing acquired FXIII deficiency; however, the availability of suitable testing facilities is limited, resulting in prolonged turnaround times for these assays.
CASE SUMMARY
In this case study, a 53-year-old male devoid of significant medical history presented with recurrent intracranial hemorrhages and a hematoma in the right hip. Subsequent genetic analysis revealed a homozygous mutation in the ACE gene, confirming the diagnosis of acquired FXIII deficiency.
CONCLUSION
This case underscores the significance of considering acquired deficiencies in clotting factors when evaluating patients with unexplained bleeding episodes.
Prolonged course of Paxlovid administration in a centenarian with COVID-19: A case report
Authors: Zhang Yi-Xue , Tang Juan , Zhu Dan , Wu Chun-Yan , Liang Mei-Lan , Huang Yuan-Tao 
Published: September 2024

BACKGROUND
According to the population statistics in 2023, there were 110000 people aged over 100 years in China, and the experience of using Paxlovid (nirmatrelvir/ritonavir) for centenarians is particularly valuable. This article reports our experience of using Paxlovid in a centenarian with the novel coronavirus disease 2019 (COVID-19) infection.
CASE SUMMARY
A 103-year-old female with mild COVID-19 and renal insufficiency was given sufficient Paxlovid for 2 days and a half dose for 3 days. During treatment, the patient was complicated with lung infection and heart failure, and nucleic acid remained positive. After expert consultation, a full dose of Paxlovid was given again on the 9th day of admission for 2 days and a half dose for 3 days. Meanwhile, anti-heart failure and antibiotics were administered; the heart failure and pulmonary infection were improved. Finally, on the 33th day of admission, nucleic acid turned negative, body temperature returned to normal, cough and sputum, fatigue, poor appetite and other symptoms basically improved. The patient was given Paxlovid via nasal feeding for 2 courses without deterioration of liver and kidney function, diarrhea, nausea and vomiting, myalgia, chest tightness and other side effects, and was discharged from hospital with good recovery.
CONCLUSION
This case suggests that Paxlovid can be used cautiously in centenarians with renal insufficiency and two courses of treatment can be considered in patients with persistent positive nucleic acid.
Sustainable Development Objetive 12: Eco-Efficiency Ratio of the District Municipality of Campoverde, Province of Coronel Portillo - Peru
Authors: Cisneros Alizon , Mercado-Jauregui Gabriel , Reategui-Inga Manuel , Corilloclla Yovana Quinto , Coaguila-Rodriguez Peter , Lu José Kalión Guerra 
Published: September 2024

Objective: Determine the eco-efficiency index of the District Municipality of Campoverde, 2023.

Method: To diagnose the eco-efficiency baseline, the 2016 Eco-efficiency Guide for Public Sector Institutions from the Ministry of the Environment was used. The Delphi survey was applied to experts to determine the importance of the eco-efficiency indices, and for the eco-efficiency index itself, th Manuel Emilio Reátegui Ingae methodology for estimating the level of sustainable development of territories was employed.

Results: The consumption indicators are: 22.47 kWh/worker/month (electricity), 39.16 gallons/vehicle/month (90-octane gasoline), 124.14 gallons/vehicle/month (diesel), 3.48 m³/worker/month (water), 0.01 kg/worker/month (paper and ink or toner) and 0.02 kg/worker/month (other papers).

Originality/Value: By determining the state of eco-efficiency, measures can be taken to improve the consumption of resources demanded by the District Municipality of Campoverde.
Sovereign Human Being
Authors: Jeutner Valentin 
Published: September 2024

Sovereign is who decides; and who decides is responsible.The book develops these two arguments by comparing Carl Schmitt's and Dietrich Bonhoeffer's theories of sovereignty.
Carl Schmitt was an influential jurist of Nazi Germany. Dietrich Bonhoeffer was a Lutheran priest hanged for his involvement in a plot to assassinate Adolf Hitler. In many ways, the two men could not be more different. But they both struggled with the question of how to maintain order and how to prevent violence at times of crisis.
In this considered work, Jeutner brings these two thinkers into careful dialogue. They both agreed that order is established not by appealing to existing norms or general principles but by an individual's sovereign decision. Ascribing sovereignty to individuals communicates that they always have a choice and that they are always responsible for these choices. Thus, it is not just powerful individuals who have the choice to bring wars to an end or who can combat climate change.
This exploratory work reveals that, by making sovereign decisions, ordinary individuals, too, can work towards the peaceful resolution of conflicts or reduce their carbon footprint. Making such sovereign decisions is not easy for individuals who are taught to follow orders and norms. For this reason, this book supplements the comparative analysis of Schmitt and Bonhoeffer with an action-guiding decision-making framework. While the proposed framework departs from Schmitt's and Bonhoeffer's theses by recognizing the agency, responsibility, and sovereignty of all individuals, Jeutner argues that this acknowledgement of the universal sovereignty of individuals is the only way to bring about the orderly and peaceful world of which Schmitt and Bonhoeffer dream.
Qanat
Authors: Lightfoot Dale 
Published: September 2024

Qanats are ubiquitous, yet unseen, anda clever way to create streamswhere none exist in nature.For 3,000 years, they have made life possible in impossible places and still sustain life and livelihoods in many countries today. After 30 years of field research, Dale Lightfoot provides the first comprehensive study of the qanat and sheds new light on their unique locations and distribution, their origins and history, their ecology, current status and use.
Qanats are remarkably engineered underground aqueducts, using gravity to bring water to villages and towns where reliable flowing surface water is scarce or absent. Although an ancient technology, more than 46,000 of them still flow around the world today, with their sustainable nature making them a focus of renewed interest.
Richly illustrated with images and a series of original maps, this is the most complete record to date of the locations and distribution of qanats worldwide, including examples from the Middle East, North Africa, Europe, Central Asia, China, India, Mexico and South America.
West Germany
Authors: Sneeringer Julia 
Published: September 2024

Julia Sneeringer’s book provides a concise overview of developments in the Federal Republic of Germany from the end of the Second World War and Germany’s division, to the unification of East and West Germany in 1990. Within the framework of key political and economic moments, it illuminates how West Germans experienced social, economic, and cultural change across four decades.
Chronologically structured and supplemented with timelines, each chapter in the book presents the major themes, events and developments occurring during the period. A focused bibliography is also included to offer guidance on further reading. Among the notable topics covered are:
· The redefining of German identity after Nazism · Democratization · The explosion of consumer culture · The protest movements of 1968 · Changing gender and sexual roles · Immigration and multiculturalism · Pop culture · Environmentalism · Terrorism · The return of the right in politics
West Germany in Focusis a peerless introduction to West Germany for anyone looking to understand the complexities of German history since 1945.
Living and Dying in Mesopotamia
Authors: Gadotti Alhena , Kleinerman Alexandra 
Published: September 2024

Exploring life, death, and the afterlife in Mesopotamia, Alhena Gadotti and Alexandra Kleinermanexamine how life and death experiences continually developed over the course of nearly three millennia of Mesopotamian history. To achieve this, the book follows the life cycle of the people of the Tigris and Euphrates River valleys from 3000 BCE to 300 BCE, from birth, through death, and beyond. This book is the first to interrogate the relationships between living and dying through case studies and primary evidence. Including letters written by both women and men, the book allows readers to enter the minds of the ancients.
First, the authors focus on life through topics such as the rituals surrounding birth, marriage, and religion. The authors then examine the common causes of death, the rituals associated with death, and the Mesopotamian views of the netherworld, its gods, and inhabitants. Concepts of gender fluidity, both in life and death, are considered alongside evidence from epigraphic data.
Illustrating daily life as a multifaceted subject affected by time, space, location, socioeconomics, and gender, this book creates a window into the conditions and concerns of the Mesopotamian people.
Aesthetics of Weather
Authors: Diaconu Madalina 
Published: September 2024

In an age of rife consumption and increasing need for consideration of sustainable social practices, an exploration of the aesthetics of weather from various angles becomes vital in shedding light on its importance to our experience of the changing world.
In response, offering the first in-depth and nuanced examination of the aesthetics of weather, this book underlines the relevance the concept has for scientific communication, for fostering sustainable patterns of behaviour and for rejecting the environmentally-damaging “consumption” of landscapes and fine weather. In addition, it provides examples taken from global, contemporary popular culture whilst calling attention to the socioeconomic and political dimensions of individual experience, demonstrating and analysing our fascination with, and cultural interpretations of, weather phenomena in our everyday lives.
Within its three sections, the volume reinvents traditional phenomenological methods to create socially, politically and historically embedded ‘phenomenographies’ and explore the importance of aesthetic practices in shaping our experience of weather and climate. It also provides a deeper engagement with general topics, such as the relationship between perception, emotion, imagination, and cognition in our aesthetic experience of the weather, combining these with aesthetic analyses of the so-called “fine weather”.
With its broad scope of inquiry ranging from Aristotle to eco-phenomenology, from the pioneers of scientific meteorology to contemporary art, and from everyday aesthetics to geoengineering, this book argues that an aesthetics of weather inflected by greater knowledge and the taking of a critical stance towards aestheticism can become a valuable ally to climate ethics in the Anthropocene.
Song of the Season
Authors: Hischak Thomas 
Published: September 2024

What links the popular songs "You'll Never Walk Alone", "Send in the Clowns", "Memory" and "I Am What I Am"? They all originated in Broadway musicals.Song of the Seasonis for those who believe that the score is at the heart of a musical and is the essential building block on which the rest of a show is built. Through a systematic historical survey from 1891 to 2023 it argues that the best musicals survive because of their songs, from early 20th century classics such asShow BoatandOklahoma!through to the contemporary sound ofDear Evan HansenandHamilton.
looking at outstanding songs from each Broadway season, the development and history of the musical is illustrated with a fresh perspective. As song styles and popular music tastes changed throughout the decades this structure charts the progress of American showtunes alongside popular music forms as songs evolved from the waltz and ragtime to jazz, rock, rap and hip-hop. Factual analysis and historical context combine to offer a rich picture of the American songbook from Irving Berlin to Elton John.
Song of the Seasonpaints a fresh picture for musical theatre students and fans alike, illustrating significant changes in the form through the music. Analyzed in an accessible and engaging way that doesn't rely on music theory knowledge, and including a link to playlist where all the 'songs of the seasons' can be listened to, it is a must-have for those looking to expand their knowledge of the form and trace the social history of the American showtune.
Basque Witch-Hunt
Authors: Machielsen Jan 
Published: September 2024

In June 1609, two judges left Bordeaux for a territory at the very edge of their jurisdiction, a Basque-speaking province on the Atlantic coast called the Pays de Labourd. In four months, they executed up to 80 women and men for the crime of witchcraft, causing a wave of suspects to flee into Spain and sparking terror there. Witnesses, many of them children, described lurid tales of cannibalism, vampirism, and demonic sex. One of the judges, Pierre de Lancre, published a sensationalist account of this diabolical netherworld. With other accounts seemingly destroyed, this witch-hunt – France's largest – has always been seen through de Lancre’s eyes. The narrative, re-told over the centuries, is that of a witch-hunt caused by a bigoted outsider.
Newly discovered evidence paints a very different, still darker picture, revealing a secret history underneath de Lancre’s well-known tale. Far from an outside imposition, witchcraft was a home-grown problem. Panic had been building up over a number of years and the region was fractured by factionalism and a struggle over scarce resources.The Basque Witch-Huntreveals that de Lancre was no outsider; he was a local partisan, married into the Basque nobility. Living at the Franco-Spanish border, the Basques were victims of geography. Geo-politics caused a local conflict which made the witch-hunt inevitable. The same forces eventually sent thousands of religious refugees from Spain to France where they, in turn, became new objects of popular fear and anger.
The Basque witch-hunt is justly infamous. This book shows that almost everything historians thought they knew about it is wrong.
Influence of Averroes on European Thought
Authors: Debeuf Koert 
Published: September 2024

By exploring the influence of the Andalusian philosopher, Averroes or Ibn Rushd (1126-1198 AD) on European philosophy from the 13th to the 18th century, Koert Debeuf sheds light on a neglected side of the history of philosophy: the influence of Arabic thought on European philosophy.
In this book Debeuf reveals the true extent of Averroes’s role, showing it as much larger than we read about in popular histories of philosophy. His ideas have been followed, fought and discussed in Europe for centuries, deeply influencing generations of thinkers.
Why has Averroes’ role been forgotten? By focusing on histories of philosophy written from the 17th to the 21st century, Debeuf provides a chronological overview that shows that Arabic philosophy was not just forgotten, but purposefully written out of the history of philosophy.
Until the early Enlightenment most European thinkers were convinced that the history of philosophy was universalistic. That changed in the 18th century with the rise and dominance of Christian and European idea. Although the battle against Arabic philosophy started more than 700 years ago we see how it is still alive today. This much-needed study encourages us to challenge and reassess our existing ideas about the history of philosophy and Eurocentric interpretations of one of philosophy's major figures.