bluuebunny/crossref_metadata_2025_split huggingface dataset:
Uwięzieni przodkowie czy eksponaty? NAGPRA i amerykańskie muzea
Authors: Dżurak Ewa 
Published: October 2024

Tekst jest wprowadzeniem do problematyki okoliczności, w jakich doszło do uchwalenia w 1990 r.oku Ustawy o ochronie i repatriacji grobów rdzennych Amerykanów (Native American Grave Protection and Repatriation Act - NAGPRA), a także samego procesu wdrażania tego prawa. Autorka charakteryzuje sposoby dawnego traktowania artefaktów kultur rdzennych Amerykanów, które przyczyniły się ostatecznie do protestów organizowanych przez grupy rdzennej ludności Ameryki oraz organizacje broniące ich praw do ochrony szkieletowych szczątków przodków oraz dorobku ich kultur. Wskazuje, że działania te ostatecznie doprowadziły do ​​zatwierdzenia ustawy - NAGPRA. W imię jej zasad, muzea, organizacje lub kolekcje, które otrzymują jakikolwiek rodzaj finansowania federalnego, są zobowiązane do tworzenia inwentarzy swoich kolekcji plemiennych, w szczególności wykazów szczątków ludzkich i zwracania ich właścicielom, w celu umożliwienia właściwego pochówku. NAGPRA obejmuje ochroną nie tylko szczątki ludzkie, ale także obiekty religijne i inne przedmioty o przypisanej wielkiej wartości kulturowej. Muszą być one zwrócone poszczególnym grupom na ich żądanie. Przez ostatnie 30 lat muzea na terenie całych Stanów Zjednoczonych reagowały na to prawo dość powoli i wiele artefaktów chronionych na mocy NAGPRA było nadal eksponowanych w rozmaitych kolekcjach. W styczniu 2023 r. wprowadzono kolejne przepisy mające na celu przyspieszenie procesu przestrzegania NAGPRA. Ustalają one bardziej rygorystyczne terminy i dają rdzennym ekspertom większe uprawnienia w zakresie oceny znaczenia, proweniencji i wartości obiektów. Muzea zobowiązano też do zakończenia swoich inwentaryzacji przed 2029 r. Nowe przepisy spowodowały zamknięcie wielu wystaw publicznych i zmianę sposobów współpracy między grupami rdzennej ludności a poszczególnymi muzeami.
Formative Evaluation digitaler Weiterbildung im Handwerk: Eine Prozessbeschreibung zur Förderung der digitalen Transformation im Tischler- und Steinmetzhandwerk
Authors: Friedrich Ina , Tasliarmut Melisa , Hoffmann Holger , Schwarzkopf Marc , Bullinger Angelika C. 
Published: October 2024

ZusammenfassungTraditionell werden im Tischler- und Steinmetzhandwerk spezifische Fachkenntnisse durch das Prinzip des „learning by doing“ unter Anleitung qualifizierter Kolleg:innen oder im Fall von Maschinen durch herstellergebundene Präsenzschulungen vermittelt. Diese Art der Weiterbildung wird jedoch nur in seltenen Fällen hinsichtlich des Lernerfolgs, der Usability, der Didaktik sowie der zielgruppenspezifischen Passung systematisch evaluiert. Digitale Weiterbildungsformate gewinnen für die Vermittlung dieser Kompetenzen zunehmend an Bedeutung, da sie den Wissenszuwachs zeit- und ortsunabhängig ermöglichen und im dynamischen Arbeitsumfeld des Handwerks Unterbrechungen des Lernprozesses zulassen. In der bestehenden Literatur fehlen jedoch Vorgehensmodelle zur Entwicklung und Evaluation sowie Erkenntnisse über die konkreten Bedürfnisse von Lerner:innen im Handwerk.Dieser Beitrag präsentiert daher einen formativen Evaluationsprozess, der auf den Prinzipien des Design-based Research und des User-centered Design basiert. Er erläutert detailliert die Planung des Evaluationsprozesses und der eingesetzten Methoden sowie die daraus resultierenden Ergebnisse. Der Evaluationsansatz fördert nicht nur die kollaborative Arbeit mit Praktiker:innen, sondern berücksichtigt auch die Bedürfnisse der Lerner:innen im Handwerk durch einen iterativen Evaluationsprozess. Im Rahmen von mehrfachen Design- und Redesign-Phasen wurden Konstrukte wie Usability, Lernmotivation und Akzeptanz durch qualitative und quantitative Methoden erhoben. Die Ergebnisse zeigen, dass eine intensive Nutzer:innenintegration und die fortlaufende Anpassung digitaler Bildungsangebote hilfreich für die erfolgreiche Umsetzung digitaler Lehr- und Lernformate im Handwerk sind. Die Resultate unterstreichen die Bedeutung einer formativen Evaluation als Instrument zur Entwicklung nutzer:innenzentrierter digitaler Bildungsressourcen und leisten einen wichtigen Beitrag zur Evaluation von digitalen Bildungsangeboten im Handwerk.
Medical imaging utilization in migrants compared with nonmigrants in a universal healthcare system: A population-based matched cohort study
Authors: Di Giuseppe Giancarlo , Sutradhar Rinku , Pequeno Priscila , Kwan Marilyn L. , Miglioretti Diana L. , Smith-Bindman Rebecca , Pole Jason D. 
Published: October 2024

Background
Medical imaging is an integral part of healthcare. Globalization has resulted in increased mobilization of migrants to new host nations. The association between migration status and utilization of medical imaging is unknown.

Methods and findings
A retrospective population-based matched cohort study was conducted in Ontario, Canada from April 1, 1995 to December 31, 2016. A total of 1,848,222 migrants were matched 1:1 to nonmigrants in the year of migration on age, sex, and geography. Utilization of computed tomography (CT), magnetic resonance imaging (MRI), radiography, and ultrasonography was determined. Rate differences per 1,000 person-years comparing migrants to nonmigrants were calculated. Relative rates were calculated using a recurrent event framework, adjusting for age, sex, and time-varying socioeconomic status, comorbidity score, and access to a primary care provider. Estimates were stratified by migration age: children and adolescents (≤19 years), young adults (20 to 39), adults (40 to 59), and older adults (≥60). Utilization rates of CT, MRI, and radiography were lower for migrants across all age groups compared with Ontario nonmigrants. Increasing age at migration was associated with larger differences in utilization rates. Older adult migrants had the largest gap in imaging utilization. The longer the time since migration, the larger the gap in medical imaging use. In multivariable analysis, the relative rate of imaging was approximately 20% to 30% lower for migrants: ranging from 0.77 to 0.88 for CT and 0.72 to 0.80 for MRI imaging across age groups. Radiography relative rates ranged from 0.84 to 0.90. All migrant age groups, except older adults, had higher rates of ultrasonography. The indication for imaging was not captured, thus it was not possible to determine if the imaging was necessary.

Conclusions
Migrants utilized less CT, MRI, and radiography but more ultrasonography. Older adult migrants used the least amount of imaging compared with nonmigrants. Future research should evaluate whether lower utilization is due to barriers in healthcare access or health-seeking behaviors within a universal healthcare system.
Regional variations in primary percutaneous coronary intervention for acute myocardial infarction patients: A trajectory analysis using the national claims database in Japan
Authors: Itoshima Hisashi , Shin Jung-ho , Sasaki Noriko , Goto Etsu , Kunisawa Susumu , Imanaka Yuichi 
Published: October 2024

Background
Previous studies have demonstrated geographical disparities regarding the quality of care for acute myocardial infarction (AMI). The aim of this study was two-fold: first, to calculate the proportion of patients with AMI who received primary percutaneous coronary interventions (pPCIs) by secondary medical areas (SMAs), which provide general inpatient care, as a quality indicator (QI) of the process of AMI practice. Second, to identify patterns in their trajectories and to investigate the factors related to regional differences in their trajectories.

Methods
We included patients hospitalized with AMI between April 2014 and March 2020 from the national health insurance claims database in Japan and calculated the proportion of pPCIs across 335 SMAs and fiscal years. Using these proportions, we conducted group-based trajectory modeling to identify groups that shared similar trajectories of the proportions. In addition, we investigated area-level factors that were associated with the different trajectories.

Results
The median (interquartile range) proportions of pPCIs by SMAs were 63.5% (52.9% to 70.5%) in FY 2014 and 69.6% (63.3% to 74.2%) in FY 2020. Four groups, named low to low (LL; n = 48), low to middle (LM; n = 16), middle to middle (MM; n = 68), and high to high (HH; n = 208), were identified from our trajectory analysis. The HH and MM groups had higher population densities and higher numbers of physicians and cardiologists per capita than the LL and LM groups. The LL and LM groups had similar numbers of physicians per capita, but the number of cardiologists per capita in the LM group increased over the years of the study compared with the LL group.

Conclusion
The trajectory of the proportion of pPCIs for AMI patients identified groups of SMAs. Among the four groups, the LM group showed an increasing trend in the proportions of pPCIs, whereas the three other groups showed relatively stable trends.
"Atherosclerotic" phenotype of rheumatoid arthritis. What do we know about it?
Authors: Gordeev A. V. , Matyanova E. V. , Pozhidaev E. V. , Zotkin E. G. , Lila A. M. 
Published: October 2024

Several studies have shown that systemic rheumatoid inflammation may cause induction and accelerated progression of atherosclerotic vascular lesions, which in turn may lead to more frequent development of cardiovascular diseases (CVD) in patients with rheumatoid arthritis (RA) compared to the general population.Objective. To evaluate the presence, nature and role of conventional and RA-specific risk factors for the development of CVD in patients with active RA in real-life clinical practice.Material and methods. Data from 967 patients with confirmed active RA were analyzed. Biologic disease-modifying antirheumatic drugs (DMARDs) or targeted DMARDs were prescribed/switched due to the ineffectiveness of previous therapy. Patients were divided into two groups: with and without CVD. In addition, comparable age subgroups of elderly (60–74 years) and middle-aged (45–59 years) patients were formed in each group. In all patients, clinical and laboratory parameters of RA activity, presence of extra-articular manifestations, the severity and progression of RA and characteristics of pharmacotherapy were analyzed. In addition, concomitant diseases and several traditional risk factors for the development of CVD were analyzed in all RA patients.Results and discussion. In patients with similar RA activity and duration, there is a parallel, tatistically significant accumulation of traditional CVD risk factors with increasing age-related CVD. The incidence of arterial hypertension, diabetes mellitus, chronic kidney disease, chronic obstructive pulmonary disease, thyroid pathology, anemic syndrome, dyslipidemia, hyperuricemia and obesity was significantly higher in the group of elderly RA patients with CVD than in the group of middle-aged patients.Conclusion. It seems appropriate to identify a specific variant of RA that is closely associated with atherosclerosis.
Clinical characteristics of patients with chronic post-traumatic pain: data from a prospective study
Authors: Bialik A. A. , Karateev A. E. , Makarov M. A. , Nesterenko V. А. , Bialik V. E. , Bialik E. I. 
Published: October 2024

Chronic post-traumatic pain (CPTP) is diagnosed when pain persists for ≥3 months after injury. This is a serious condition that significantly limits patients' quality of life and ability to work and is one of the predictors of the development of post-traumatic osteoarthritis.Objective. To investigate the clinical features of CPTP after knee injury.Material and methods. The study group comprised 103 patients (mean age 39.4±12.5 years, 51.5% women). All patients had a knee injury with diagnosed involvement of the anterior cruciate ligament and/or meniscus and suffered from pain ≥1 month after the injury ≥4 points on the numerical rating scale (NRS, 0–10). Patients were assessed after 3 and 6 months. Pain intensity during movement, at rest and at night and functional impairment were assessed using NRS. KOOS, EQ-5D, PainDETECT, CSI, Pain Catastrophizing, HADS, FIRST and FACIT questionnaires.Results and discussion. After 3 months, the number of patients with CPTP was 33 (32.0%). After 6 months, these patients had significantly more severe symptoms than patients with knee injuries without CPTP (control group, n=70). In the CPTP and control groups, the median pain during movement was 5.0 [4.0; 6.0] and 1.0 [0.0; 1.0] respectively, p12 was found in 24.2 and 2.9% of cases, p <0.001 ; pain at rest – 2.0 [2.0; 3.0] and 0.0 [0.0; 1.0], p <0.001 <0.001;; pain at night – 2.0 [1.0; 3.0] and 0.0 [0.0; 0.0], p <0.001; KOOS score – 4.0 [1.0; 5.5] and 2.0 [1.0; 3.5], p <0.001; quality of life according to EQ-5D – 0.65 [0.52; 0.73] and 0.89 [0.69; 1.0], p <0.001; according to EQ-5D scale – 64.0 [50.0; 70.0] and 80.0 [70.0; 90.0], p <0.001 ; a PainDETECT score of >12 was found in 24.2 and 2.9% of cases, p< 0.0037; according to HADS, depression ≥11 – in 21.2 and 2.9%, p< 0.001, according to HADS, anxiety ≥11 – in 24.2 and 4.3%, p=0.0038; CSI ≥40 – in 9.0 and 0%, p=0.03; pain catastrophizing ≥30 – in 12.1 and 0%, p=0.005; FIRST ≥5 – in 6.1 and 0%, p=0.358; FACIT <30 – in 15.2 and 2.9%, p=0.004. After 6 months, statistically significant differences were found between the CPTP group and the control group in all sections of KOOS questionnaire (p <0.001 for all parameters).Conclusion. Three months after knee injury, 32.0% of patients developed CPTP. All had moderate/severe pain with impaired function and reduced quality of life, one in five patients had symptoms of neuropathic pain, signs of depression and anxiety. Patients with CPTP showed significant changes in all sections of KOOS questionnaire.
Comparative analysis of the frequency of comorbid diseases in axial psoriatic arthritis and other variants of axial spondyloarthritis. Data from a hospital cohort
Authors: Yanushonite A. A. , Korsakova Yu. L. , Korotaeva T. V. , Gubar E. E. , Loginova E. Yu. , Urumova M. M. , Dimitreva A. E. , Glukhova S. I. 
Published: October 2024

Objective: to compare the frequency of comorbid diseases in axial psoriatic arthritis (axSpA) and in other variants (OV) of axial spondyloarthritis (axSpA).Material and methods. We studied 60 patients, 30 with axPsA (15 men and 15 women, mean age – 49.1±10.4 years, disease duration – 12.6±6.9 years) and 30 with OV axSpA (16 men and 14 women, mean age – 42.9±9.7 years, disease duration – 16.30±8.3 years). All patients underwent a standard rheumatological examination. The diagnosis of comorbid diseases was confirmed using ICD-10 codes. The Cumulative Illness Rating Scale (CIRS), Charlson comorbidity index (CCI) and the weighted version of Functional Comorbidity Index (w-FCI) were used to assess comorbidity.Results and discussion. Comparative analysis of the two groups revealed that axPsA patients were older than OV axSpA patients (p <0.05). Occurrence of back pain before the age of 40 was observed in 60% of axPsA cases, compared to 86.7% in OV axSpA (p<0.05). The limitation of spinal and hip mobility was less severe in axPSA than in OV axSpA. The median side flexion was 12.3 [10; 15] and 9.5 [8; 11] cm, the Schober test was 4.2 [3; 5] and 3.0 [2; 4] cm and intermalleolar distance was 95.9 [86; 102] and 83.0 [75; 100] cm, respectively (p<0.05). Patients with axPsA were more likely to have peripheral arthritis compared to patients with OV axSpA: 27 (90%) and 11 (36.7%) cases, respectively (p<0.05) and higher laboratory indices of activity: median ESR, 31.9 [10; 38] and 20.4 [5; 14] mm/h, and CRP, 20.5 [2.8; 20.7] and 13.6 [0.9; 12.0] mg/L, respectively (p<0.05). In the axPsA and OV axSpA groups, circulatory system diseases were found in 50 and 50% of patients, metabolic disorders in 76.6 and 76.6%, and gastrointestinal diseases in 46.7 and 70 %. Obesity was more common in axPsA than in OV axSpA – in 40 and 16.7% of patients, respectively (p<0.05).Conclusion. A high frequency of comorbidities, mainly cardiovascular and metabolic diseases, was found in both groups. These data should be considered in the choice of therapy and optimization of existing treatment algorithms.
Clinical and immunologic abnormalities in COVID-19
Authors: Karibova A. K. , Akhmedkhanov S. S. , Kudae M. T. , Malaev H. M. 
Published: October 2024

Objective: to find approaches to improve diagnostics of the debut of rheumatic manifestations, associated with COVID-19.Material and methods. Data from 1000 patients from the COVID-19 registry were included in the prospective cohort study. In all patients, the diagnosis of COVID-19 was confirmed by polymerase chain reaction. Of these patients, 380 (41.8% men and 58.2% women, mean age 47.0±2.5 years) had rheumatic manifestations. Patients were examined using routine clinical methods. Immunological markers of rheumatic diseases were determined, including antibodies against cyclic citrullinated peptide, rheumatoid factor, antiphospholipid antibodies and antinuclear factor (ANF), and an immunoblot for antinuclear antibodies was performed if ANF titer was >1:160.Results and discussion. Patients had the following rheumatic manifestations: arthralgias (in 342), myalgias (in 23), skin rashes (in 15). ANF titers >1:160 were found in 57.6% of patients. No reliable data indicating the development of an antiphospholipid syndrome were found in the study group. Lupus anticoagulant was detected in 5.7% of cases, antibodies against β2-glycoprotein in 5.7%, antibodies against cardiolipin in 3.8%. High ANF titers were found in 63.9% of patients with arthralgia. Gender-specific differences were found when analyzing the correlation between ANF titers and rheumatic manifestations: in men, high ANF tires were associated with myalgias, and in women with arthralgias. The presence of rheumatic manifestations depended directly on the severity of the disease. A correlation between arthralgia and leucopenia was also found – leucocyte count < 3,9 ‧109 /L was a predictor of arthralgias. The sensitivity and specificity of the model were 99.3 and 91.2%, respectively.Conclusion. The results suggest that COVID-19 can provoke the development of immunological abnormalities that may subsequently lead to the development of an autoimmune diseases (AID). The optimal approach to prevention and early detection of AID in patients with coronavirus infection caused by SARS-CoV-2 is to monitor laboratory parameters – leukocyte count and CRP level. If rheumatic manifestations are present, the use of immunological and imaging examinations is also recommended.
Benign paroxysmal positional vertigo: diagnosis, treatment, rehabilitation. Current concepts on the role of betahistine in the complex treatment of patients with benign paroxysmal positional vertigo
Authors: Parfenov V. A. , Zamergrad M. V. , Zaitseva O. V. , Guseva A. I. , Lilenko S. V. , Melnikov O. A. , Baybakova E. V. , Voronov V. A. 
Published: October 2024

The treatment of patients with benign paroxysmal positional vertigo (BPPV) is an urgent issue in modern medicine.Expert Council on the diagnosis and treatment of BPPV was held in Moscow on June 1, 2024. Timely diagnosis and effective treatment play a key role in the management of patients with BPPV, reduce the risk of falls and related injuries, prevent the development of emotional disorders and impairment of daily activities. Accurate patient routing and selection of appropriate treatment can significantly reduce the duration of disability and the burden on the healthcare system. Relatively simple positional tests aimed at detecting involvement of various semicircular canals have been found to be of paramount importance in the diagnosis of BPPV. Repositioning maneuvers are of paramount importance in the treatment of patients with BPPV. They vary depending on the canal affected and aim to move the otoliths out of the semicircular canals to the vestibule of the labyrinth. If repositioning maneuvers can not be performed, effective methods of vestibular gymnastics can be used. When discussing drug therapy, it was found that the use of betahistine in addition to repositioning maneuvers or vestibular gymnastics increases the efficacy of therapy, accelerates the recovery process and prevents the development of residual non-positional vertigo.
Addiction to analgesics in patients with chronic migraine and medication-overuse headache
Authors: Golovacheva V. A. , Golovacheva A. A. 
Published: October 2024

Patients with medication-overuse headache (MOH) and chronic migraine (CM) have varying degrees of addiction to painkillers (PK), which complicates treatment and leads to relapses. Development of addiction to PK is associated with various clinical and psychological characteristics and disorders in patients with MOH.Objective: to investigate the relationship between PK addiction and individual clinical and psychological characteristics in patients with CM and MOH.Material and methods. The study included 156 patients with CM and MOH (61 men and 95 women, mean age 34.1±8.9 years). Clinical and psychological characteristics were assessed in all patients using a clinical interview, tests and headache diaries. The relationship between PK addiction (according to the Leeds Dependence Questionnaire – LDQ) and clinical and psychological characteristics (duration of migraine and CM, frequency and intensity of headaches, duration of MOH, frequency of PK use, number of PK doses, personal and situational anxiety, depression, pain catastrophizing, beliefs about the body and health, coping strategies for stressful situations, daily activities during headache, insomnia) was investigated using regression analysis.Results. All patients had misconceptions and wrong behavior regarding PK. The majority (59%) of patients had moderate degree of PK addiction according to the LDQ. Twenty six percent of patients had other forms of addictive behavior (smoking, excessive alcohol consumption, overeating, excessive use of sleeping pills), and 52.6% of patients had relatives with addictive behavior. There was a statistically significantly positive correlation (R≥0.45; p<0.05) between PK addiction and smoking, alcohol consumption, use of sleeping pills, body mass index (BMI), frequency of PK use, attitudes towards pain, body and health (pain catastrophizing, hopelessness about pain, intolerance of body sensations, overestimation of symptom severity, catastrophizing in the interpretation of body symptoms), depression, personal anxiety and avoidance (maladaptive coping behavior). Adequate treatment of CM and MOH was provided in only 7.7% of patients.Conclusion: A positive association was found between PK addiction and smoking, alcohol consumption, use of sleeping pills, BMI, frequency of PK usage, attitudes towards pain, body and health, depression, personal anxiety and avoidance behavior.
ANN modeling for predicting muscle-implanted antenna performance for skin and fat thickness variations at 2.45 GHz
Authors: Ghosh Soham , Gupta Bhaskar 
Published: October 2024

Abstract
Implantable antenna is embedded in implantable medical devices to communicate with external world for continuous patient monitoring. The implantable antenna performance may vary with patients due to their different skin and fat thickness owing to their environment, location and concentration of collagen in skin, estrogen and testosterone concentration, age, diseases like obesity, Gottron syndrome etc. Estimation of IMA performance requires a proper description of its dependence on variable skin and fat thickness which is not studied extensively in previous related works. In this article, we have designed a muscle-implanted antenna at 2.45 GHz to examine its performance dependence on variable skin and fat thickness values. In this study, we have designed an artificial neural network (ANN) for prediction of antenna performance parameters at 2.45 GHz for wide range of skin and fat thickness variations. The designed ANN model can predict antenna performance with ∼0.99 % error. Here, accurate dependence analysis of radiation performance of implantable antenna in terms of S
11, realized gain, bandwidth and operating frequency on skin and fat thickness variations is performed which has not been studied yet and use of ANN in this field for accurate prediction is also a novel approach.