bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evolving heritage in modern China: transforming religious sites for preservation and development
Authors: Zhu Yujie 
Published: September 2024

AbstractThis paper explores the intricate interactions between heritage and religion in modern China, as well as the broader social and political implications of these interactions in relation to national heritage policies and local developmental practices. By conducting a longitudinal analysis of the social history of Baosheng Temple, this research traces its transformations over the past hundred years from a historically religious site to a local built heritage dedicated to preserving and displaying religious relics. This transformation highlights a shift in the role of religious relics from carriers of practice and thought to focal points for heritage preservation, aimed at supporting nation-building and, more recently, promoting local development through the tourism industry. These changes reflect continuous local responses to broader social transformations towards a modern nation-state as well as the influence of Western ideas and practices. The findings of this research illuminate the evolving values associated with religious heritage and the corresponding implications for Chinese modernity within a secular state context.
Totally endoscopic robotic repair of coronary sinus atrial septal defect with concomitant tricuspid annuloplasty
Authors: Noda Kazuki , Takahashi Yosuke , Morisaki Akimasa , Sakon Yoshito , Nishiya Kenta , Inno Goki , Nishimoto Yukihiro , Nagao Munehide , Shibata Toshihiko 
Published: September 2024

Abstract
Background
The coronary sinus type of atrial septal defect is rare. Standard treatment typically involves intracardiac repair using conventional sternotomy or thoracotomy incisions; however, robotic technology can offer a feasible alternative due to its ability to provide a high-quality surgical view of this anomaly.

Case presentation
A 72-year-old man presented with asymptomatic atrial septal defect. Echocardiography revealed a direct communication between the left atrium and CS with left-to-right shunt flow and a Qp/Qs ratio of 2.1:1. The coronary sinus type of atrial septal defect was indicated for the totally endoscopic robotic repair considering few comorbidities. We present a successful robotic repair of coronary sinus atrial septal defect with concomitant tricuspid annuloplasty via the right atrium, properly identifying the boundary between the mitral annulus and coronary sinus through a high-quality surgical view.

Conclusion
Robotic repair can serve as a viable and therapeutically effective alternative for cases of coronary sinus atrial septal defect with concomitant tricuspid annuloplasty.
Intrathecal Drug Delivery System in Prepontine Cistern for Patients with Intractable Craniofacial Cancer Pain: A Multicenter Retrospective Study
Authors: Long Dongju , Li Xinning , Zhang Yu , Luo Jia , Liu Bojing , Hong Bo , Yang Fan , Zou Cong , Ge Feng , Zhang Aimin , Zhou Huacheng , Xiao Yanying , Wang Yaping 
Published: September 2024

BACKGROUND:
Patients with craniofacial cancer frequently suffer from severe pain. The traditional intrathecal, oral, or intravenous analgesics could only provide insufficient pain relief with many side effects. Thus, a more effective analgesia approach is required. This study aimed to investigate the safety and efficacy of placing the catheter of an intrathecal morphine pump in the prepontine cistern for the treatment of craniofacial cancer pain.

METHODS:
We performed a retrospective study of patients with primary or metastatic craniofacial cancer pain who received the catheter placement of an intrathecal morphine pump into the prepontine cistern in eleven medical centers from September 2019 to December 2023. Friedman test and pairwise signed-rank test were used to evaluate the difference in numeric rating scale (NRS) scores, the number of breakthrough pain episodes, dose of intrathecal morphine, and dose of systemic morphine equivalents (oral, patch, intravenous) from preoperative period to postoperative days 1, 7, and 30. P values were corrected for multiple comparisons using Bonferroni test.

RESULTS:
The study included 33 patients. The median (interquartile range [IQR]) of NRS scores at days 1, 7, and 30 postimplant were 2.0 (1.0–3.5), 2.0 (1.0–2.0), and 1.0 (1.0–2.0), respectively, which was significantly lower than that before surgery (median, 8.0; IQR, 7.0–10.0; all P < .001). Compared to baseline number/d of breakthrough pain episodes (median, 6.0; IQR, 4.5–10.0), there was a progressive decrease in the number/d of breakthrough pain episodes at day 1, day 7, and day 30 postimplant, and the median (IQR) were 1.0 (0.0–3.0), 2.0 (0.0–3.0), and 0.0 (0.0–1.2), respectively (all P < .001). Approximately 78.8% and 96.7% of patients reported pain relief >50% at days 1 and 30 postimplant, respectively. Compared with that at day 1 postimplant, the proportion of patients with a pain relief rate >75% at day 30 postimplant also increased with continued intrathecal treatment. Compared to the dose of baseline systemic morphine equivalents (median, 228 mg.d−
1; IQR, 120–408 mg.d−
1), the dose of systemic morphine equivalents reduced significantly from 0(0–120) mg.d−
1 at day 1 postimplant (P = .001), to 0 (0–0) mg.d-1 at days 7 and 30 postimplant (both P < .001). Few patients reported perioperative adverse events, including nausea, constipation, hypotension, urinary retention, dry mouth, headache, and sedation. No severe adverse events occurred.

CONCLUSIONS:
Placing the catheter tip of an intrathecal morphine pump into the prepontine cistern could effectively relieve refractory craniofacial cancer pain with an extremely low total morphine dose requirement and few adverse events. This procedure could be considered in patients with severe refractory craniofacial cancer pain.
For Grades or for Learning? Influence of Academic Orientations on Vietnamese Undergraduates' Learning Strategy Use and Mental Well-Being
Authors: Đinh Minh Hùng Đức , Nguyễn Hà Thị Việt 
Published: September 2024

<p style="text-align:justify">The use of grades as an extrinsic motivator in formal schooling has been demonstrated in previous research to have negative implications for students’ learning and mental health. This subject matter has been particularly absent from the research literature in Vietnam, where the obsession with grades is self-evident. The present study aims to explore Vietnamese university students’ orientations toward learning and grades, learning strategy use, mental well-being, and how these variables correlate. In addition, the study examines the potential interplay between learning orientation and grade orientation to influence the latter two variables. A quantitative research design was employed to achieve these goals. Survey responses were collected from 38 second- and third-year students majoring in English Language at a large, public university during a summer semester. Specifically for learning strategy use, participants were directed to pull from their experiences in a Public Speaking course that they had completed in the previous semester. Results revealed that a learning orientation was moderately related to both adaptive learning strategy use and mental wellness, whereas a grade orientation was only negatively related to learning strategy use and unrelated to mental well-being. Moreover, a strong learning orientation alone resulted in the most positive outcomes for both learning and mental health, and higher levels of grade orientation weakened those outcomes. Limitations of the study, directions for future research in this area, and implications for students and educators are then discussed. </p>
Managing Vogt–Koyanagi–Harada disease during pregnancy with steroid pulse therapy: A case report
Authors: Ueyama Kyouhei , Kakinuma Toshiyuki , Mori Keisuke , Hayashi Ayumi , Kakinuma Kaoru , Okamoto Rora , Kaneko Ayaka , Yanagida Kaoru , Takeshima Nobuhiro , Ohwada Michitaka 
Published: September 2024

BACKGROUND
High-dose steroid administration is a common initial therapeutic approach for Vogt–Koyanagi–Harada disease (VKH). Nonetheless, administering substantial doses of steroids to pregnant women necessitates meticulous consideration due to the potential impacts on the mother and fetus. We present a case wherein steroid pulse therapy was administered to a patient who developed VKH during the late stages of pregnancy.
CASE SUMMARY
The patient was a 26-year-old nulliparous woman. At 33 weeks and 1 day of her pregnancy, she experienced a decline in visual acuity and noticed metamorphopsia in her left eye. Examination revealed bilateral serous retinal detachment, leading to VKH diagnosis. A collaborative effort involving the departments of ophthalmology, internal medicine, and neonatology was initiated. Steroid pulse therapy was administered at 34 weeks and 1 day of pregnancy under hospital supervision. Complications, such as threatened preterm labor and gestational diabetes, emerged, necessitating the initiation of oral ritodrine hydrochloride and insulin therapy. Then, serous retinal detachment was resolved, and visual acuity was restored. Labor pains initiated 32 days post-initiation of steroid pulse therapy (at 38 weeks and 4 days of gestation), culminating in a normal delivery. Mother and newborn experienced an uneventful puerperal course and were discharged from the hospital on the 5th day following delivery.
CONCLUSION
VKH management in pregnancy requires multidisciplinary coordination, emphasizing collaboration with ophthalmologists and specialists in internal medicine and neonatology.
Rare incidence of mucosa-associated lymphoid tissue lymphoma presenting as buccal fat pad tumor: A case report
Authors: Miyake Keitaro , Hirasawa Kazuhiro , Nishimura Haruka , Tsukahara Kiyoaki 
Published: September 2024

BACKGROUND
Mucosa-associated lymphoid tissue (MALT) lymphoma, a type of non-Hodgkin lymphoma, originates in the mucosal lining of body organs and internal cavities, including the nose, mouth, lungs, and digestive tract. The lymphoma develops when the body produces abnormal B lymphocytes. These lymphomas develop at the edge of the lymphoid tissue, called the marginal zone, and, hence, are classified as a type of marginal zone lymphomas. They are the most common type of marginal zone lymphomas although their occurrence is rare. To date, no previous cases of MALT lymphoma in the buccal fat pad have been reported.
CASE SUMMARY
We report the case of a patient who presented with a mass on the frontal cheek. Magnetic resonance imaging revealed a tumor in the buccal fat pad, and histopathological and immunohistochemical findings confirmed the diagnosis of MALT lymphoma. The patient had a history of Helicobacter pylori and hepatitis C virus infection, suggesting an association between these infective agents and MALT lymphoma.
CONCLUSION
Consideration of MALT lymphoma is essential in the differential diagnosis of frontal cheek masses.
Determinants of women’s empowerment in Nepal
Authors: van Dongen Daan-Max , Obrizan Maksym , Shymanskyi Vladyslav 
Published: September 2024

This study seeks to identify key determinants of women empowerment in Nepal using a rich set of socio-demographic and socio-economic characteristics as well as behavioral factors and regional indicators. Results showed that older age is generally associated with higher empowerment across all these domains, while partner controlling behavior tended to decrease empowerment in beliefs about violence and control over sexuality. Education level and wealth were correlated with increased empowerment in control over sexuality and safe sex, though not in the other two domains. Access to media showed mixed effects, reducing empowerment in decision-making but enhancing it in control over sexuality and safe sex. The results suggest that women’s empowerment has morphed from the purview of gender equality programs to its current state, where it is considered a broader goal for development.

Introduction
Nepal is characterized by low empowerment of women which may have negative effects on their health status as well as sexual and reproductive rights. We seek to identify key determinants of women empowerment in Nepal using a rich set of socio-demographic and socio-economic characteristics as well as behavioral factors and regional indicators.

Methods
This study utilizes 4,211 women aged between 15 and 49 years from the 2022 Demographic and Health Survey (DHS) for Nepal. Following the previous study for Mozambique, we use Principal Component Analysis (PCA) to identify components of women’s empowerment along three domains: beliefs about violence, decision-making and control over sexuality and safe sex. We use logistic regressions to identify significant predictors of empowerment in each domain and provide crude and adjusted odds ratios along with their 95% confidence intervals.

Results
We found that older age is generally associated with higher empowerment across all these domains. Interestingly, while partner controlling behavior tended to decrease empowerment in beliefs about violence and control over sexuality, it was linked to increased decision-making empowerment. Notable regional differences emerged, with higher levels of empowerment observed in the Madhesh and Sudurpashchim regions. Further, education level and wealth were correlated with increased empowerment in control over sexuality and safe sex, though not in the other two domains. Access to media showed mixed effects, reducing empowerment in decision-making but enhancing it in control over sexuality and safe sex.

Conclusion
Our results have many similarities but also notable differences with previous literature which emphasizes the importance of regular and region-specific studies of women’s empowerment, acknowledging the potential for its change over time and also the prevailing differences across regions.
‘Was my kidney biopsy worth it?’–A qualitative phenomenological study of patient experiences and perceived barriers to kidney biopsy
Authors: Toal Michael , Raynor Megan , McKeaveney Clare , O’Neill Ciaran , Quinn Michael , Hill Christopher , Maxwell Alexander Peter 
Published: September 2024

Background
Kidney biopsy is an important investigation in nephrology and facilitates the diagnosis of many conditions. It is an invasive procedure with the risk of significant complications, which limits its usage. There is minimal literature on how patients experience a kidney biopsy. Identifying and addressing barriers to access may expand opportunities for diagnosis and treatment. We hypothesise that patients experience kidney biopsy differently, depending on each individual’s circumstances.

Methods
Ten participants, who had undergone a total of twenty-three kidney biopsies were recruited through purposive sampling. They were interviewed about how they experienced the procedure, how they felt it had impacted their own medical care and about potential barriers and facilitators to access for other patients. A descriptive phenomenological approach was utilised and thematic analysis was applied to responses.

Results
Three main themes emerged: Unforeseen health concerns discovered, resilience and re-evaluation and the need for a patient-centred approach to biopsy. The experience of pain and discomfort varied amongst patients, but there was a significant emotional and psychological toll associated with kidney biopsy. All patients felt that the procedure had a positive impact on their treatment course through increased diagnostic information for them and their healthcare team. Further information in advance and the presence of trusted healthcare staff were identified as facilitators to kidney biopsy.

Conclusion
Kidney biopsy is experienced differently by patients. Improved information in advance by trusted healthcare professionals may reduce patient-related barriers to biopsy access.
The Future of Clothing: Will We Wear Suits on Mars?, Simone Achermann and Stephan Sigrist (2023)
Authors: Grosze Remington 
Published: September 2024

Review of: The Future of Clothing: Will We Wear Suits on Mars?, Simone Achermann and Stephan Sigrist (2023)
London and New York: Bloomsbury Visual Arts, 175 pp.,
ISBN 978-1-35013-859-9, p/bk, $27.00
Using Virtual Reality to Enhance Twenty-First-Century Skills in Elementary School Students: A Systematic Literature Review
Authors: Erita Yeni , Miaz Yalvema , Jupriani Jupriani , Hevria Silvi , Fauzi Rosmadi 
Published: September 2024

Abstract
Artificial intelligence (AI) and virtual reality (VR) are interconnected, integrated technologies that help to visualize AI systems and increase the fidelity and interactivity of VR in the educational field. Using VR and AI technology, teachers can promote thinking and knowledge in learning. This research aims to analyze and highlight several research publications that examine the use of VR to improve ES students’ twenty-first-century skills. The systematic literature review method conducts research to identify, evaluate, explore, and interpret all research results relevant to the research questions. This research has identified the potential of applying AI to twenty-first-century learning to revolutionize education through universal access, adaptation, and intelligent content creation for understanding concepts effectively. VR has a positive impact on students and teachers, as well as increasing motivation, understanding, and effectiveness in learning activities. We discovered that integrating VR into twenty-first-century learning among ES students is associated with increased engagement and motivation, better learning outcomes, and improved creativity and critical thinking skills. The results of this research provide constructive insight for teachers to improve the skills of ES students in the twenty-first century.
Thermal analysis of Fe3O4–Cu/water over a cone: a fractional Maxwell model
Authors: Hanif Hanifa , Saqib Muhammad , Shafie Sharidan 
Published: September 2024

Abstract
A hybrid nanofluid is a kind of nanofluid that is made by combining a base fluid with two distinct types of nanomaterials. Compared to nanofluids, they have been discovered to have better thermal properties and stability, which makes them viable options for thermal applications such as heat sinks, solar thermal systems, automotive cooling systems, and thermal energy storage. Moreover, the research of nanofluids is typically limited to models with partial differential equations of integer order, which neglect the heredity characteristics and memory effect. To overcome these shortcomings, this study seeks to enhance our understanding of heat transfer in hybrid nanofluids by considering fractional Maxwell models. In time-fractional problems, one of the most significant and useful tools is the Caputo fractional derivative. Therefore, the fractional-order derivatives are approximated using the Caputo derivative. However, the integer-order derivatives are discretized using an implicit finite difference method, namely, the Crank–Nicolson method. It is an unconditionally stable and a second-order method in time. The impact of pertinent flow parameters on fluid motion and heat transfer characteristics is examined and displayed in numerous graphs. The results indicate that the volume concentration of hybrid nanoparticles boosts temperature and Nusselt number. Moreover, increasing the magnetic parameter increases Lorentz’s resistive forces, which reduces the velocity and raises the temperature of the fluid, and these effects are more dominant at

t
=
5

t=5

.
Novel PIK3R1 gene mutation associated with SHORT syndrome: a case report of a 15-year-old female
Authors: Osman Amani , Morsi Amr , El-Refee Sherif , Suliman Sara 
Published: September 2024

Abstract

Objectives
To present the clinical journey and management of a 15-year-old female with SHORT syndrome, highlighting the diagnostic challenges and the novel genetic mutation identified.

Case presentation
A 15-year-old Filipino female was initially seen in a dermatology clinic at 9 years old for axillary skin darkening, indicative of acanthosis nigricans. Early evaluations revealed elevated blood glucose levels, resulting in a pediatric diabetes diagnosis without the usual hyperglycemic symptoms. Her medical history was notable for premature birth, intrauterine growth restriction, a cardiac murmur from patent ductus arteriosus and a bicuspid aortic valve, delayed teething, and distinct dysmorphic features. Genetic testing identified a novel PIK3R1 gene mutation. Treatment with metformin significantly improved her glycemic control and lipid profiles. The patient also displayed delayed puberty and polycystic ovary syndrome-like symptoms, but growth hormone deficiency was excluded. Endocrine evaluation for her short stature and lipodystrophy confirmed the presence of the PIK3R1 mutation.

Conclusions
This case highlights the importance of thorough endocrine and genetic evaluations in patients with complex clinical presentations like SHORT syndrome. The identification of a novel PIK3R1 gene mutation expands the understanding of the genetic basis of this syndrome and underscores the need for individualized treatment approaches.
Reliability of self-reported pubertal development scale for girls in early adolescent: a school population-based study
Authors: Lin Cuilan , Pan Dongxue , Yu Tingting , Huang Sizhe , Lai Xin , Peng Jianming , Zhang Bihong , Liu Shijian , Fu Simao 
Published: September 2024

Abstract

Objectives
The study aimed to evaluate the correlation between self-reported pubertal developmental scale (PDS) and physically assessed Tanner staging by an experienced pediatrician among girls.

Methods
In a school population-based study in Zhongshan, China, we recruited 1,722 girls in grades 1–3 by a multistage stratified cluster random sampling method. Participants completed self-reported PDS questionnaire prior to physical examination. Breast development was evaluated by a female pediatrician combined with ultrasound examination for overweight/obese girls; pubic hair development was evaluated. Otherwise, we tested follicle-stimulating hormone (FSH) and luteinizing hormone (LH) for some participants.

Results
We observed a weak association between Tanner-derived composite stage (TDCS) and puberty category scores (PCS) (τ=0.288, p<0.001) among all girls. There was correlation (τ=0.314, p=0.001) between ultrasound-derived composite stage (UDCS) and PCS among overweight/obese girls. Moreover, among overweight/obese girls, PCS was positively correlated with LH (r=0.265, p=0.008), but not FSH (r=0.155, p=0.123), and when the basal LH value was greater than 0.3 mIU/mL, the proportion of PCS stage ≥2 (9/18) was higher than the proportion of TDCS ≥2 (5/18). As for the determination of pubertal onset, when UDCS was used as the gold standard, the specificity of PCS was 0.86 and positive predictive value was 90.00 %.

Conclusions
There was a weak correlation between PCS and TDCS among girls early adolescence. Moreover, among overweight/obese girls, combining hormone values, ultrasonographic stage of breast, and the positive predictive value of PCS, we posit that self-reported PDS might be a more reliable method than TDCS to evaluate pubertal development among overweight/obese girls.