bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Survey on Female Employment and the Quality of Their Family Relationships in Mahabad, Iran (2017–2018)
Authors: Dadparvar Shabnam , Nasiri Hesam 
Published: October 2024

Abstract
The primary objective of this descriptive survey is to examine the correlation between women’s employment and the quality of their family relationships in Mahabad, a Kurdish city in the northwest of Iran. This locale has distinct cultural norms and perspectives concerning female employment. The statistical sample consists of all married women aged between 20 and 60 years and employed within the urban areas of Mahabad from 2017 to 2018. This group encompasses a total of 2,995 individuals (N = 2995). Employing Cochran’s formula, the sample size was determined to be n = 350. Participants were selected through multi-stage clustering and systematic random sampling methodologies. Data were collected through a researcher-designed questionnaire, with a Cronbach’s alpha coefficient estimated at 0.89, indicating satisfactory reliability. Descriptive and inferential statistical techniques were employed for data analysis, including the chi-square test and percentage frequency distribution tables. The study’s central hypothesis was validated using the chi-square test at a 5% significance level. Consequently, the research findings substantiate that, within the context of Mahabad, employed women exhibit a higher quality of family relationships than their unemployed counterparts. Given the historically limited discourse on the circumstances of Kurdish women in smaller regions, and the prevailing tendency to focus primarily on the challenges faced by women at the lower strata of society, this research serves as a valuable contribution towards a more comprehensive understanding of the lives of this particular cohort of Kurdish women residing in the modest city of Mahabad. By delving into the dimensions of employment and the quality of their marital relationships, this study strives toward shedding light on the positive impacts of women’s participation on their family dynamics. The insights gleaned from this research hold the potential to serve as a model that can be extrapolated to benefit women in other regions across the Middle East in the future.
Our Current Attitude towards Science Determines the Future of Our Planet
Authors: Zhang Kaiqiang 
Published: October 2024

Abstract
This article examines the intertwined relationship between modern scientific advancement and its potential to shape the future of Earth’s ecological and societal well-being. While scientific innovations have brought about unprecedented developments, they also present new challenges, particularly regarding sustainability and ecological balance. By tracing humanity’s historical relationship with nature and the rise of specialized sciences, the article reflects on the dual nature of technological progress. It calls for a balanced approach, one that prioritizes wisdom alongside knowledge to avoid irreversible harm to the planet. Through philosophical reflections, the article emphasizes the need for responsible innovation, urging researchers to consider the long-term consequences of their work for Earth’s future.
Gender Disparities and Femininity in the Third Mission: The Example of Blog Writing
Authors: Gunnarsson Nina Veetnisha 
Published: October 2024

Abstract
The “third mission” in academia refers to work that makes research accessible and relevant to policymakers, stakeholders, and the public. This article explores the third mission from a gender and feminist perspective, analysing blog posts to illustrate gender disparities in Swedish academia. The analysis identifies gender differences in blog post frequency, topics, and styles. Women tend to write about general and popular themes with an emotionally charged and inclusive approach. In contrast, men focus more on research-related topics with an ostensibly neutral and assertive style. This difference reflects traditional gendered communication patterns, where women often adopt a relational style, and men take a factual approach. These gendered norms can potentially affect research focus and career progression. The implications suggest that these patterns reinforce societal gender norms, perpetuating disparities and limiting women’s voices in academic and research settings.
Wear and friction behavior of wrinkled-Ti3C2Tx /epoxy composites
Authors: Berber Messaoud , Haddad Adel , Liu Lu , Chiker Nabil , Ying Guobing , Benamor Abdessabour , Badji Riad , Hadji Mohamed 
Published: October 2024

Herein, the tribological behavior of the epoxy/wrinkled-Ti3C2Tx MXene composites against 440C stainless steel under dry sliding conditions was investigated. Due to the inherent brittleness and poor wear resistance of epoxy resin, wrinkled-Ti3C2Tx MXenes (delaminated using MTHPA: methyl tetrahydrophthalic anhydride) were incorporated in various concentrations (0.1-1 Wt.%). The sliding experiments showed little impact of MXenes’ addition on the friction coefficient values. Meanwhile, the wear resistance of epoxy was significantly improved, particularly with 0.2 wt% MXene, showing a 91.82% improvement. This improvement of the epoxy’s wear properties at a low MXene concentration is attributed to the homogenous MXene distribution and strong interfacial adhesion. The present study opens up new horizons for the application of epoxy/wrinkled-Ti3C2Tx MXene nanocomposites as dry sliding wear components.
Pancreatic insulinomas: Our 15-year surgical experience
Authors: Karahan Furkan , Karaıslı Serkan , Atay Arif , Dilek Osman Nuri , Hacıyanlı Mehmet 
Published: October 2024

Background Insulinomas are rare endocrine tumors of the pancreas. The majority are benign, sporadic, and solitary. Surgery is the only curative treatment. In this study, we present our experiences with the perioperative management of sporadic and benign pancreatic insulinomas. Methods Patients who underwent surgery for pancreatic insulinoma in our clinic between 2008 and 2023 were retrospectively reviewed. Demographic data, preferred radiological methods, surgical procedures, and morbidity and mortality data were evaluated. Patients with malignant, invasive, or familial multiple endocrine neoplasia mutations were excluded from the study. Results Nineteen patients underwent surgery, with a median age of 49 years (range: 33–85). Symptoms related to hypoglycemia were the most commonly observed. The tumor location was identified preoperatively in 74% of cases using computed tomography. Palpation and intraoperative ultrasound identified the tumor location in 88% of patients. Enucleation (53%) were the most common surgical procedures. Pancreatic fistula occurred in three patients (17%). While serious morbidity was lower in patients who underwent enucleation, the rate of fistula formation was higher. Conclusion The accurate localization of insulinomas plays a crucial role in determining the appropriate surgical procedure. With high success rates and lower morbidity, enucleation is the recommended procedure for suitable patients.
Mixed methods process evaluation of an advance care planning intervention among nursing home staff
Authors: Gilissen Joni , Wendrich-Van Dael Annelien , Gastmans Chris , Deliens Luc , Vander Stichele Robert , Pivodic Lara , Van Den Block Lieve 
Published: October 2024

Background: We developed the ACP+ intervention to support nursing home staff with implementation of advance care planning. While ACP+ was found to improve staff’s self-efficacy, it did not change their knowledge about advance care planning. Aim: To describe the level of implementation, mechanisms of impact, and contextual factors. Design: Process evaluation embedded in a cluster randomized controlled trial in nursing homes (NCT03521206). Throughout and immediately following the 8-month ACP+ implementation, we collected weekly diaries, post-training surveys, attendance records, facility data, and conducted interviews ( n = 32). We applied descriptive statistics and thematic analysis. Setting and participants: Management, staff, and ACP+ trainers in seven intervention homes. Results: Although most participants reported they valued ACP+, 33% of eligible staff across nursing homes attended training (range: 6%–69%) and only a few reported they felt ready to engage in actual care planning conversations. Half of all nursing homes adapted parts of the intervention (e.g., more/fewer/shortened training; assigning a coordinating role for practical management). Enough time to consolidate skills, and management support were key for staff engagement in advance care planning, and limited time and staff shortages were significant barriers. Staff reported increased awareness of the importance of advance care planning and felt there was a more systematic way of organizing advance care planning. Conclusions: There was limited staff engagement. Management ownership, clear roles, and collaborative practices may enhance nursing home advance care planning. Accessible and ongoing training for all staff, and ample practical learning opportunities are needed.
A controlled study of MR DWI, FS-PDW, and CE-T1W imaging for the evaluation of the internal opening of anal fistulas
Authors: Liu Jingyi , Zhang Tingting , Sheng Lei 
Published: October 2024

Background Anal fistula (AF) is an abnormal tunnel under the skin connecting the anal canal in the colon to the skin of buttocks. Fat-suppressed (FS) proton density-weighted (PDW) imaging is mainly used for the diagnosis of diseases involving bones and joints. Until now, its value in the diagnosis of anal fistula has been rarely reported. Purpose To compare three magnetic resonance imaging (MRI) sequences – diffusion-weighted imaging (DWI), FS-PDW), and contrast-enhanced (CE) T1-weighted (T1W) imaging – for the diagnostic value of the internal opening of AF. Material and Methods MRI scans of 132 patients suspected of having AF between December 2021 and April 2023 were retrospectively analyzed. In total, 65 patients who underwent preoperative MRI and were treated surgically were included. The lesion conspicuity and accuracy for featuring AF were calculated by evaluating the three imaging datasets DWI, FS-PDW, and CE-T1W imaging, with surgical findings serving as the reference standard for the presence of fistulas. The statistical analysis included the application of the chi-square test and Kruskal–Wallis test. Results In 65 patients with AF, 87 internal openings of AF were confirmed. In terms of the diagnostic accuracy of the internal openings, both FS-PDW and CE-T1W imaging sequences were significantly better than DWI sequences, and the difference was statistically significant ( P < 0.05). Conclusion The FS-PDW imaging sequence showed comparable diagnostic performance of the internal opening of AF to CE-T1W imaging, which can provide an important diagnostic basis for clinical procedures.
Enhanced performance of low-dielectric siloxane-polyimide copolymers: Synthesis and properties
Authors: Li Jian Qiao , Zeng Ming , Xu Xin Hao , Diao Li , Xie Jia Qi , Chen An Hua , Yang Yu Pei , Peng Ya 
Published: October 2024

Low-dielectric polyimides (PI) films with outstanding overall performance are attractive for next generation microelectronic applications. Herein, a series of two different FPIs and BPIs derived from 4,4′-diaminodiphenyl ether (ODA) and two different functional dianhydrides, 4,4'-(hexafluoroisopropylidene) biphthalic anhydride (6FDA) and 4,4′-(4,4′-isopropyldiphenoxy) biphthalic anhydride (BPADA), respectively, were synthesized by a conventional two-step methodology that included thermoimidatization. Additionally, employing aminopropyl-terminated polydimethylsiloxane PDMS (molecular weight = 1000) as the source of siloxane-oxygen bonds, a series of polyimide siloxane (SiFPIs and SiBPIs) copolymers were synthesized by varying the siloxane content (ranging from 0 to 5 wt%) within the copolymer structure. The effects of siloxane bond on the thermal, solubility, water resistance, dielectric and mechanical properties of polyimide were investigated systematically. The integration of siloxane significantly enhanced the solubility of these copolymers in polar aprotic solvents (DMAC, DMF, NMP), expanding their applicability in diverse processing environments. Crucially, these copolymers exhibited remarkably low dielectric constants—2.90 for SiFPI at 3% PDMS and 2.92 for SiBPI at 4% PDMS—coupled with low loss values, positioning them as prime candidates for advanced microelectronic applications. All the composite films have high thermal stability near pure PI. The introduction of PMDS into PI can improve the elongation at break and at the same time, the composite films still remained with higher modulus and tensile strength. Extensive hydrophobicity assessments through contact angle and water absorption studies underscored the copolymers’ superior moisture resistance, a critical parameter for their potential deployment in high-performance, environmentally sensitive electronic components.
Chinese Studies: Researches and services in the National Library of China
Authors: He Nianlun 
Published: October 2024

Background The Chinese Studies Center of the National Library of China is an institution focusing on the collection, research and service of Chinese studies literature. Since the last century, the National Library of China (NLC) has started to collect a wide range of Chinese studies literature, and has now formed a huge special collection covering multiple languages and disciplines. Purpose This article introduces the origin of construction of the Chinese Studies Center (CSC), its service positioning, development status, major achievements and future outlook, with the aim of clarifying ideas for better development of the NLC’s Chinese studies collection and research services, and for the promotion of the development of Chinese studies to a higher level. Research Design The article aims to build a research framework to assess the role and potential of the CSC in promoting Chinese studies by reviewing its history and analyzing its service orientation and development direction. Study Sample: The research sample includes the CSC's resources, services, accomplishments and cooperations. Data Collection and/or Analysis: The article assesses the performance and influence of the CSC by collecting and analyzing information on its resources, services, achievements and academic exchanges. Results The CSC has basically formed a multi-dimensional development pattern integrating reading services, consulting and reference services, literature research, website construction, scientific research cooperation and foreign exchanges. Its service positioning has become clearer, its responsibilities richer, its research capability further enhanced, and it has achieved social benefits and a series of good results, making a great contribution to the development of Chinese studies. Conclusions The CSC has played an important in promoting Chinese studies and it will continue to enrich the collection of Chinese studies literature, promote the construction of Chinese studies catalogue, create a one-stop research and service platform, and carry out exchanges and cooperation in Chinese studies worldwide, so as to promote the further development of Chinese studies.
SLE patient satisfaction with care in Jordan: A single-center study
Authors: Alsawad Ghina , Mahmoud Ayham , Qarain Tareq , Toubasi Ahmad , Adwan Marwan 
Published: October 2024

Introduction Systemic Lupus Erythematosus (SLE) is a chronic multi-systemic autoimmune disease that mainly affects young females. SLE’s chronicity and high level of complications yield frequent clinic visitations & hospital admissions, increasing the necessity to investigate the healthcare system and improve patient satisfaction and quality of life. Objective This study aimed to understand SLE patients’ points of view on the healthcare system in Jordan, especially given the chronic nature of the disease. With a clearer understanding, improvements can be made to benefit both the patients and the healthcare system. Methods A cross-sectional study of 79 patients following up at the University of Jordan Hospital, rheumatology clinics were interviewed over the phone. Result The majority of patients were satisfied overall with the treatment services and medications as rated on a Likert scale of 1-5 (4.28 ± 1.01 and 4.19 ± 0.96, respectively) despite a quarter of patients complaining of adverse effects from the medications. The use of oral corticosteroids was significantly associated with a lower General Satisfaction Rate ( p = 0.050), while high income (1000 Jordanian Dinars and above) and fatigue contributed to a lower Medication Satisfaction Rate ( p = 0.016 and 0.000, respectively). A good physician-patient relationship was the most commonly cited reason for general satisfaction (73.4%) and was positively associated with the general ( p = 0.000) and medication satisfaction ( p = 0.004) rates. Conclusion SLE patients perceived high satisfaction rates despite adverse effects and symptoms. These higher satisfaction rates were seen predominantly due to good physician-patient relationships.
Identification of Astragalus Polysaccharide as a Neuroprotective Agent via Activating Klotho-mediated Nrf2 Pathway
Authors: Liu Kuo , Ding Nannan , Han Mengying , Shen Shuping , Li Lin , Bian Fang , Chen Li , Zhang Ji , Qu Lailiang , Yang Dan 
Published: October 2024

Background Neurodegenerative diseases (NDs) have become a significant public health problem, and oxidative stress (OS) serves as a pivotal factor in the pathological progression of NDs. Pharmacological research indicates that Astragalus polysaccharide (APS, extract of Astragalus membranaceus) has antioxidant and antiaging effects, closely related to NDs. Objectives The potential of APS in treating NDs remains uncertain. Herein, the neuroprotective effect of APS was evaluated. Materials and Methods The H2O2-induced PC12 cell damage model was established to assess the neuroprotection of APS. Cell viability was determined by MTT. Cell images were observed using ImageXpress Micro Confocal analysis. Apoptosis of the cells and intracellular levels of reactive oxygen species (ROS) were detected using flow cytometry. The expression of Klotho, nuclear factor erythroid 2-related factor 2 (Nrf2), heme oxygenase-1 (HO-1), thioredoxin reductase 1 (TrxR1), and NAD(P)H quinone oxidoreductase 1 (NQO1) was determined by Western blot (WB). Results APS exerted significant protection against H2O2-caused cell death dose-dependently, and APS could significantly reduce the intracellular ROS and relieve cell apoptosis. Furthermore, we found that APS could upregulate the expression of Klotho and Nrf2 dose-dependently, and the expression levels of Nrf2-mediated antioxidant proteins increased significantly, including HO-1, TrxR1, and NQO1. Moreover, we found that APS upregulated Klotho and Nrf2-mediated antioxidant proteins time-dependently. The expression of klotho peaked at 6 hours after treatment with APS (400 mg/L). Subsequently, the protein level of Nrf2 reached the maximum at 12 hours, and the downstream NQO1, HO-1, and TrxR1 levels peaked at 24 hours. Conclusion This study demonstrates that APS is promising for further development against oxidative stress-related NDs.
Open Dorsal Closing-Wedge Calcaneal Osteotomy for Haglund Exostosis–Related Heel Pain
Authors: Rutishauser Thomas , Stephan Anika , Stadelmann Vincent A. 
Published: October 2024

Background: Dorsal closing-wedge calcaneal osteotomy (DCWCO) is a treatment option for persistent Haglund exostosis–related heel pain after failed conservative management. In modifying the orientation of the calcaneal tendinous insertion site and reducing mechanical stress, the consequences of DCWCO-associated biomechanical changes on everyday foot function remain unknown. Methods: This retrospective cohort study analyzed routinely collected clinical data as well as data from our foot and ankle registry. One hundred twenty patients (66 males, 54 females, 17-77 years) who underwent DCWCO from January 2016 to December 2019 were included. Adverse events were collected from the patient files. Foot Function Index (FFI) scores were collected before (baseline) and at 6, 12, and 24 months postsurgery. Radiographic parameters including the Achilles tendon moment arm and X/Y ratio were evaluated from standard preoperative and 6-week postoperative radiographs. Correlations between FFI and biomechanical changes were calculated for men and women separately with the Pearson correlation coefficient and Bonferroni correction. Results: One intra- and 18 postoperative adverse events were documented. Mean baseline FFI pain decreased from 47.9 ± 17.2 to 12.0 ± 17.5 points at 24 months with an average decrease of −21.8 ± 21.3 points occurring within the first 6 months postsurgery. A similar trend was also seen with the FFI disability score (49.6 ± 20.3 to 12.8 ± 17.6 points). The mean decrease in Achilles tendon moment arm was −8.1 ± 3.8 mm and mean X/Y ratio increased from 2.6 ± 0.3 to 3.8 ± 1.0. There were no significant correlations between the FFI score and radiographic changes. Conclusion: DCWCO effectively alleviates exostosis-related heel pain and associated disabilities. Improvements can still be expected up to 2 years after surgery. Radiographic changes of the foot and ankle are significant but do not correlate with patient-reported outcome measures.
Sedated Colonoscopy may not be Beneficial for Polyp/Adenoma Detection
Authors: Han Jie , Cao Rongrong , Su Dongshuai , Li Yingchao , Gao Cong , Wang Ke , Gao Fei , Qi Xingshun 
Published: October 2024

Background Sedated colonoscopy has been increasingly selected. However, the effect of sedated colonoscopy on polyp/adenoma detection rate (PDR/ADR) remains controversial among studies. Methods In this retrospective study, the medical records of 11 504 consecutive patients who underwent colonoscopy at our department from July 1, 2021 to December 31, 2022 were collected. Patients were divided into sedated and unsedated groups according to the use of intravenous sedation during colonoscopy. Overall PDR/ADR, right-side, transverse, and left-side colon PDR/ADR, and single and multiple PDR/ADR were calculated. By adjusting for age, gender, body mass index, inpatient, screening/surveillance, cecal intubation time, colonoscopy withdrawal time ≥6 min, and an endoscopist’s experience ≥5 years, multivariate logistic regression analyses were performed to evaluate the association of sedated colonoscopy with overall PDR/ADR, right-side, transverse, and left-side colon PDR/ADR, and single and multiple PDR/ADR, where the absence of PDR/ADR was used as reference. Odds ratios (ORs) with their 95% confidence intervals (CIs) were calculated. Results Overall, 2275 patients were included, of whom 293 and 1982 underwent sedated and unsedated colonoscopy, respectively. Multivariate logistic regression analyses showed that sedated colonoscopy was independently associated with lower overall PDR/ADR (OR = 0.640, 95% CI = 0.460-0.889, P = 0.008), right-side colon PDR/ADR (OR = 0.591, 95% CI = 0.417-0.837, P = 0.003), single PDR/ADR (OR = 0.659, 95% CI = 0.436-0.996, P = 0.048), and multiple PDR/ADR (OR = 0.586, 95% CI = 0.402-0.855, P = 0.005), but not transverse or left-side colon PDR/ADR. Conclusion Sedated colonoscopy may not be beneficial in terms of overall PDR/ADR, right-side colon PDR/ADR, and number of polyps/adenomas. Thus, it should be selectively recommended. Additionally, it should be necessary to explore how to improve the quality of sedated colonoscopy.