bluuebunny/crossref_metadata_2025_split huggingface dataset:
Opting out of Medicare: Characteristics and differences between optometrists and ophthalmologists
Authors: Maywood Michael J. , Ahmed Harris , Parikh Ravi , Begaj Tedi 
Published: September 2024

Objective
To determine the rate of Medicare opt-out among optometrists and ophthalmologists and to contrast the differences in the characteristics and geographic distribution of these populations.

Design
A retrospective cross-sectional study.

Setting
Using a publicly available Centers for Medicare & Medicaid Services (CMS) data set, we collated data for ophthalmologists and optometrists who opted out in each year between 2005 and 2023. We calculated the rate of opt-out annually in each year window and cumulatively from 2005 to 2023. Comparative analysis was used to identify clinician characteristics associated with opt-out.

Main outcomes and measures
Both annual and cumulative rate of ophthalmologist and optometrist opt-out from Medicare.

Results
The estimated prevalence of Medicare opt-outs was 0.52% (77/14,807) for ophthalmologists and 0.38% (154/40,526) for optometrists. Ophthalmologists opting out were predominantly male (67.5%), had a longer practice duration (average 31.8 years), and were more often located in urban areas (83.1%), compared to optometrists (53.2% male, average 19.6 years in practice, 59.1% in urban areas, p = 0.04, p<0.001, p<0.001 respectively). Approximately 83% of ophthalmologists were either anterior segment or oculoplastics specialties, while the majority (52.1%) of optometrists were in optometry-only practices; >75% of identified clinicians were in private practice. Geographical distribution across the US showed variable opt-out rates, with the top 3 states including Oklahoma (3.4%), Arizona (2.1%), and Kansas (1.6%) for ophthalmology and Idaho (4.3%), Montana (3.1%), and Wyoming (1.4%) for optometry.

Conclusions and relevance
Few ophthalmologists and optometrists opt-out of Medicare but this trend has significantly increased since 2012. Of those who disenrolled from Medicare, 83% of ophthalmologists were in urbanized areas while 41% of optometrists were in non-urbanized areas. Because reasons for Medicare opt-out cannot be solely determined by administrative data, further investigation is warranted given the potential impact on healthcare accessibility.
Health professionals’ attitudes towards traditional healing for mental illness: A systematic review protocol
Authors: Wollie Alemayehu Molla , Usher Kim , Maharaj Reshin , Islam Md Shahidul 
Published: September 2024

Background
Mental illness is a global problem that receives less attention, particularly in developing countries. Integrating modern treatment with traditional healing approaches has been proposed as one way to address mental health problems, especially in developing countries. Despite health professionals’ participation in traditional healing being crucial to integrative approaches, their participation is limited to date. This review protocol is designed to explore the attitudes of health professionals towards traditional healing practices in mental health services.

Methods
The review will follow the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Searching databases, including PubMed/Medline, PsychINFO, EMBASE, Scopus, and the Web of sciences will be conducted. Additionally, Google and Google Scholar will be searched for other information, including grey literature. Moreover, a manual search of identified articles’ reference lists will also be conducted to help ensure all potential papers are included in the review. Qualitative, quantitative, and mixed study methods published in English between January 2014 and April 2024 will be included. The qualities of the included studies will be assessed using the Mixed Methods Appraisal Tool (MMAT) Version 2018. A mixed-method synthesis will be used to synthesis the results.

Discussion
It is crucial for healthcare professionals to provide culturally sensitive care to empower people to manage their health. This systematic review will summarize the attitudes of health professionals towards the adoption and delivery of traditional healing approaches to people experiencing mental illness. Therefore, the findings of this review will support integration between traditional healers and modern mental health practitioners for the treatment of mental illness.

Trial registration
Protocol registration number: CRD42024535136.
Effects of voluntarily consumed sweetened alcohol and naringin on cardiac function in male and female Sprague–Dawley rats
Authors: Muhammad Jelani , Erlwanger Kennedy H. , Ibrahim Kasimu G. , Mokotedi Lebogang 
Published: September 2024

AbstractThis study assessed the impact of sweetened alcohol and naringin on cardiac function in Sprague‐Dawley rats. Male (n = 40) and female (n = 40) rats were allocated to control, sweetened alcohol (SOH), naringin (NA), and sweetened alcohol with naringin (SOH + NA) groups. SOH and SOH + NA rats received 10% alcohol + 20% fructose in gelatine; SOH + NA and NA rats received 50 mg/kg naringin in gelatine daily for 10 weeks. Echocardiography was performed to assess left ventricular (LV) function. LV cardiomyocyte diameters and collagen area fraction were determined by H&E and picrosirius‐red staining, respectively. In males, sweetened alcohol and naringin did not affect cardiac function. Female SOH rats had increased LV end‐diastolic posterior wall (p = 0.04), relative wall thicknesses (p = 0.01), and LV cardiomyocyte diameters (p = 0.005) compared with control. Female SOH and SOH + NA had reduced lateral e’ and e’/a’ and increased E/e’ (p < 0.0001). Female SOH (p = 0.01) and SOH + NA (p = 0.04) rats had increased LV collagen area fraction compared with controls. In males, neither sweetened alcohol nor naringin affected cardiac geometry or diastolic function. In females, sweetened alcohol induced concentric remodelling, impaired LV relaxation, and elevated filling pressures. Naringin may have the potential to improve the sweetened alcohol‐induced concentric remodelling; however, it did not ameliorate diastolic dysfunction in females.
Active Forgetting and Healthy Remembering in Nietzsche
Authors: Syea Emma 
Published: September 2024

Abstract
This paper advances a novel account of how active forgetting underpins Nietzsche’s conception of health. Recent work has focused on what active forgetting is but does not explain how this process facilitates what Nietzsche calls “spiritual health.” I show that active forgetting – unlike Freudian repression or sublimation – preserves spiritual health when it is challenged by experiential content such as trauma, and that it allows for the incorporation of such experiences. I offer a reconstruction of active forgetting which makes reference to the use of therapeutic narratives, which, although neither necessary nor sufficient for active forgetting, can aid and optimize this process in the face of traumatic experiences. My account provides a complex and clear distinction between forgetting and narrativization, in keeping with Nietzsche’s comments on the utility of adversity and the importance of resilience in relation to spiritual health.
Nondeictic accusative and dative clitics and their variant forms in European and Brazilian Portuguese
Authors: Duarte Maria Eugenia L. 
Published: September 2024

Abstract
This article raises the hypothesis that 3rd person, accusative o/a (“him/her”) and dative lhe (“to him”/ “to her”) clitics, as well as the indefinite clitic se (“one”), contrary to 1st and 2nd person me/te (“me/you”), were never part of the grammar of the populations who acquired Portuguese as L2 in Brazil; rather, 3rd person clitic pronouns have been learned by a small number of Brazilians with school access (0.5 %), in the beginning of the 19th century. To bring support to this hypothesis, socio-historical information is presented, according to which, during about 350 years of colonization, slaved Africans and their descendants constituted the largest part of the population; their contact with several waves of Portuguese immigrant workers contributed to the emergence of Brazilian dialects differing in many aspects from European Portuguese (EP). Data from European and Brazilian Portuguese (PB) popular theater plays, written across the 19th and the 20th centuries, show that EP exhibits a robust and stable system of 3rd person accusative and dative clitics, contrary to BP. Analyses of recorded EP and BP since the 1970s attest the extremely rare use of such clitics in BP, very close to the percentages shown in the more recent plays, whereas formal writing reveals the school relative success in the effort to teach 3rd person clitics.
Take a handful of nuts in a bowl! Turned wooden vessel with hazelnuts from Czarnówko against the background of other finds from cemeteries of the Wielbark culture
Authors: Skóra Kalina , Skrzyński Grzegorz 
Published: September 2024

Abstract
In 2009, during research of a cemetery of the Wielbark culture in Czarnówko (Lębork District, Pomerania), an inhumation grave was discovered, which contained the remains of a wooden bowl with copper alloy fittings. Inside it, several hazelnuts were preserved. This vessel, in the light of the analysis carried out, was made of alder wood using a turning technique. Discoveries of this type are not only rare in the area of the Wielbark culture, but also in the rest of Central European Barbaricum. This article presents the results of the archaeobotanical research and demonstrates the bowl in the broader context of Roman Period discoveries.
Russland und die Türkei – Annäherung unter zwei Rivalen
Authors: Theinert Lukas 
Published: September 2024

Kurzfassung
Während des aktuellen Gazakrieges wird einmal mehr deutlich, dass die russisch-türkischen Beziehungen seit dem Fall der Sowjetunion meist dann enger werden, wenn die beiden Regime sich vom politischen Westen entfremdet fühlen. Doch zum vollständigen Bild gehört, dass sie mehr Rivalen als Partner sind: Im Affront gegen den Westen bündeln sie zwar vorübergehend ihre Kräfte, aber ihre neoimperialen Ordnungsvorstellungen machen sie zugleich zu Kontrahenten in der Gestaltung einer scheinbar gerechteren Weltordnung.
Equity-oriented food supports: Learnings from the Nova Scotia COVID-19 pandemic response
Authors: Blair Valerie , Eville Eleanor , Johnson Christine , Monahan Heather 
Published: September 2024

Abstract
Setting
Public health measures enacted during the COVID-19 pandemic significantly impacted Nova Scotians experiencing food insecurity. Public Health (PH), Nova Scotia Health, created a provincial Housing Isolation Program (HIP) which addressed barriers to isolation, including food access, for COVID-19 cases and contacts being followed by PH.

Intervention
HIP worked with partners to coordinate and respond to urgent food needs of isolating clients by providing grocery and meal delivery options. HIP also made referrals to government and community partners for income and food supports. This program was intended to minimize the spread of COVID-19 by facilitating isolation while meeting basic needs for people with no other means of support.

Outcomes
From December 2020 to March 2022, HIP completed grocery and meal deliveries for 579 clients, 1351 referrals to a provincial Income Support Program, and 231 referrals to external food supports. HIP staff worked with clients to manage potential perceptions of stigma. Challenges reported included the urgency of food needs, lack of social supports, and availability and accessibility constraints in rural communities, as well as difficulty accessing culturally appropriate foods and special diets.

Implications
This intervention demonstrates the importance of addressing food insecurity during emergency preparedness, planning, and response. During emergencies, planning and mobilizing food access requires an equity-oriented approach to overcome stigma. Broadly, continued reliance on charitable responses creates significant vulnerability during emergencies and addressing root causes of food insecurity through social policy will provide longer-term protection.
The importance of monitoring neurological manifestations in rehabilitation after radical hysterectomy
Authors: Begovich E. , Demyanov S. V. , Demyanov G. V. 
Published: September 2024

Background. Hysterectomy is currently one of the most frequently performed surgical operations in obstetrics and gynecology, second only to cesarean section. However, such intervention is often associated with the risk of complications, including neurological ones. Neurological consequences, due to their characteristics, go beyond physical manifestations and exert psycho-emotional pressure on patients.Objective: to determine the need for monitoring neurological manifestations in women undergoing rehabilitation after hysterectomy.Material and methods. The search and selection of studies in Russian and English languages were conducted according to PRISMA recommendations in scientific databases and electronic libraries: PubMed/MEDLINE, ScienceDirect, Google Scholar, Microsoft Academic, DOAJ, eLibrary, CiberLeninka. In total, 2569 publications were revealed; after subsequent screening 57 articles were selected, which were devoted to the study of neurological adverse effects of hysterectomy and met all the screening criteria.Results. Among all the neurological complications mentioned, the most common is chronic postoperative pain. It is detected in 30% of cases. At the same time, in the vast majority of cases, such pains are rare and are tolerated as mild discomfort. However, there is no unambiguous understanding of the nature of this complication. There is a theory about the essential role of estrogen production and substance P ratio in pain manifestations. Thus, a decrease in estrogen production with unchanged synthesis of substance P significantly reduces the pain threshold in patients, which is the cause of the observed chronic pain. A certain contribution to the formation of this neurological complication is made by residual ovarian syndrome, which is associated with incomplete removal of the ovaries during ovariectomy, traumatic neuroma and mononervopathy. Damage to the nerves or their plexuses in the pelvic area can cause intestinal and urinary disorders, leading to a decrease in the quality of life of patients. Excessive anxiety and depression are additional risk factors for the development of chronic pain after hysterectomy, and the accompanying postoperative changes often have a physical manifestation, for example, in the form of insomnia, restless legs syndrome and sexual dysfunction.Conclusion. Hysterectomy is certainly an effective way to treat a number of gynecological diseases, but it often causes complications that require correction of the rehabilitation program. Neurological negative manifestations need special monitoring, since the depressive state of patients may lead to chronicity of pathological processes.
CONHECIMENTO DA EQUIPE DE ENFERMAGEM SOBRE HIPODERMÓCLISE EM PACIENTES ONCOLÓGICOS ADULTOS EM CUIDADOS PALIATIVOS: REVISÃO INTEGRATIVA
Authors: Mariele Wedig Soares Alana , Souza dos Santos Vinicius , Basso da Silva Giovani 
Published: September 2024

Introdução: A hipodermóclise consiste na administração de soluções ou medicamentos no espaço subcutâneo, ela entra como aliado nos cuidados a pacientes oncológicos em cuidados paliativos que estão com difícil rede venosa, entretanto ainda é pouco conhecida pelos profissionais Objetivo: Descrever os conhecimentos e as práticas da equipe de enfermagem na administração de medicamentos por hipodermóclise no contexto oncológico em cuidados paliativos, através de uma revisão integrativa. Método: Revisão integrativa, localizados por meio dos descritores “Hipodermóclise”, “Enfermagem”, “Medicamentos” e “Cuidados Paliativos". As bases consultadas foram: Biblioteca Virtual em Saúde, Scientific Electronic Library Online (SciELO), Base de Dados em Enfermagem (BDENF) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). O estudo teve como critérios de inclusão: Artigos em português, artigos dos últimos 10 anos (2013 a 2023) e disponíveis de forma gratuita. Os critérios de exclusão: Artigos em pediatria ou adolescentes, artigos em outras línguas e artigos pagos. Resultados: Selecionou-se 10 artigos, com maior prevalência de estudos de revisão integrativa (40%), tendo com nível de evidência 5 em sua maioria, sendo consultado somente períodos brasileiros. Conclusões: Mesmo diante das múltiplas vantagens clínicas aplicáveis em pacientes em cuidados paliativos, os estudos demonstram uma limitação no conhecimento do uso da hipodermóclise no ambiente hospitalar e acadêmico.
inovação frugal na democratização da pós-graduação stricto sensu no Brasil
Authors: Manica Inajara Patrícia , Ferreira Natalia , Maldaner Luis Felipe 
Published: September 2024

O artigo tem por objetivo discutir a relevância do modelo de inovação frugal e seus efeitos positivos na democratização da pós-graduação à distância no Brasil, para a formação de mestres nas escolas de negócios. Para fundamentar essa discussão, a pesquisa contextualiza os problemas e as desigualdades sociais que impedem a democratização da pós-graduação stricto sensu no país. A inovação frugal resulta na entrega de valor por meio de produtos e serviços de alta qualidade acessíveis à população de renda média e aos que estão na base da pirâmide. A metodologia utilizada para a construção da pesquisa foi “snowball sampling”. A técnica permite ao pesquisador encontrar informações nas bases de dados para que o conhecimento seja explorado, vivenciado e percebido um determinado contexto histórico. A pandemia do Covid-19 permitiu uma nova estética nos modelos atuais de ensino para alunos e professores através do uso de plataformas digitais. O estudo apresenta uma proposta de um ecossistema colaborativo entre universidade pública, universidade privada, empresas e governo para ampliar o acesso ao stricto sensu por intermédio de plataformas nas escolas de gestão e negócios para potenciais alunos que estejam aptos a ingressar, mas que não tenham acesso a educação executiva devido à restrição de renda
Política de gestão de pessoas como promotora da saúde física e mental no trabalho
Authors: Sörensen Albrecht Rafaela , Martins Fagundes Cabral Patrícia , Da Silva Freitas Junior José Carlos , Pöttker Daniel 
Published: September 2024

Esse trabalho trata-se de um estudo de caso e objetiva investigar como as políticas de gestão de pessoas podem ser promotoras da saúde física e mental dos colaboradores de uma indústria, identificando as principais necessidades dos colaboradores, no que tange a sua saúde física e mental. Busca ainda propor estratégias de gestão de pessoas que visem contribuir com a promoção da saúde física e mental. Esta temática está intrinsecamente relacionada aos Objetivos de Desenvolvimento Sustentável (ODS) da Agenda 2030 da ONU. Ao abordar a necessidade de equilibrar as demandas competitivas da indústria com a salvaguarda do bem-estar dos funcionários, este trabalho dialoga diretamente com o ODS 3 (Saúde e Bem-Estar) e o ODS 8 (Trabalho Decente e Crescimento Econômico). Com base em uma pesquisa de método misto, quantitativo e qualitativo, com a participação de 202 colaboradores de uma indústria no RS, que possuem níveis hierárquicos, gênero, idade e experiencia diversos. Na etapa quantitativa (questionário) e 05 entrevistas na etapa qualitativa. Os resultados possibilitaram a proposição de recomendações de inclusão ou alteração das políticas vigentes, a fim de proporcionar a promoção da saúde física e mental dos colaboradores, principalmente em relação a liderança, indicando a análise de escopo das atividades e dos níveis hierárquicos, promoção de desenvolvimento contínuo das habilidades de liderança e promoção de fóruns sobre saúde mental e diversidade.
Gestão das pessoas com deficiência
Authors: Meirelles Castro Luiz Guilherme , Mozzato Anelise Rebelato , Fiore de Farias Ícaro Romão Fiore de Farias 
Published: September 2024

Tendo como base a Gestão das Pessoas com Deficiência no contexto organizacional, esta revisão bibliométrica tem como objetivo apresentar a produção de artigos científicos sobre o tema, dentro das Ciências Sociais Aplicadas, em nível nacional e internacional. Para tanto, utilizou-se a bibliometria por ser uma técnica que mede a produção e a disseminação do conhecimento sobre determinado assunto. Assim, as buscas foram realizadas na base de dados nacional da Scielo e nas bases de dados internacionais da Scopus e Web of Science no período de 2007 até 2022. Os resultados demonstram um baixo volume na publicação de artigos nessa temática, além de uma série de detalhamentos relacionados a ela. Dessa forma, esta pesquisa apresenta um panorama, aponta as lacunas presentes na produção científica sobre o tema e salienta sua importância para a Gestão das Pessoas e as organizações.
Current status, challenges and analysis of financial investment for students: A case study of Vietnam
Authors: Giang Le Thu , Phuong Hoang Nguyen An , Phong Bui Hai 
Published: September 2024

In the dynamic landscape of global finance, the necessity for financial literacy has become increasingly prominent, especially among younger generations who face unprecedented financial risks and complexities. The paper outlines the critical role of financial education within school curricula, emphasizing its importance in preparing youth to navigate the complexities of financial products and services effectively. As financial responsibilities and decision-making increasingly shift from institutions to individuals, the need for comprehensive financial education from an early age is more pronounced than ever.
The paper explores various aspects of implementing financial education in schools, addressing the challenges of integrating such programs into existing curricula, securing necessary resources, and adequately training educators. Through a review of successful case studies from different countries, such as Australia, Brazil, and the United States, effective strategies and practices are highlighted. Particularly, we focus on the analysis the financial case studies of Vietnamese students. These examples demonstrate the importance of political support, stakeholder involvement, and sustainable program implementation to ensure the longevity and impact of financial education initiatives.
Additionally, the paper provides a comparative analysis of financial education learning frameworks, which illustrates the diverse approaches tailored to specific educational and national contexts. This analysis underscores the importance of adapting financial education to meet local needs while aligning with broader educational goals.
Furthermore, some key policy recommendations are offered to guide schools in supporting and committing to financial education. These include developing clear, measurable objectives for financial literacy programs, creating high-quality teaching materials, and fostering collaborations among governments, educational institutions, and financial experts.
Lastly, the paper discusses methods for monitoring and evaluating the effectiveness of financial education programs. It stresses the need for both quantitative and qualitative assessments to ensure these initiatives meet their goals and contribute to the overall financial well-being of students.
The conclusion calls for a sustained commitment to financial education, advocating for its integration into national educational policies and curricula. This strategic approach aims to leverage significant economic events to reinforce the value of financial literacy, ensuring that future generations are equipped to make informed financial decisions and contribute positively to the economy.