bluuebunny/crossref_metadata_2025_split huggingface dataset:
Public Health Insurance Coverage for Immigrants during Pregnancy, Childhood, and Adulthood: A Discussion of Relevant Policies and Evidence
Authors: Wherry Laura R. , Fabi Rachel E. , Steenland Maria W. 
Published: September 2024

Abstract
Context: Despite major expansions in public health insurance under Medicaid and the Children's Health Insurance Program over the last 60 years, many immigrants remain ineligible for coverage.
Methods: The authors discuss the existing federal and state policies that extend public health eligibility to low-income pregnant immigrants, children, and nonelderly adults. They also conduct a literature review and summarize quasi-experimental evidence examining the impact of public health insurance eligibility expansions on insurance coverage, health care use, and health outcomes among immigrants.
Findings: Public health insurance eligibility for immigrants varies widely across states because of the implementation of different federal and state policy options. Previous studies on expanded eligibility identified positive effects on insurance coverage and health care utilization among pregnant and child immigrants as well as some evidence indicating improved health outcomes. Additional research is required to understand the longer-term impacts of expanded coverage and to examine impacts of recent state expansions for adults.
Conclusions: A complicated patchwork of federal and state policies leads to major differences in immigrant access to publicly funded insurance coverage across states and population groups. These policies likely have important implications for immigrant access to health care and health.
Plunge-diving into dynamic body acceleration and energy expenditure in the Peruvian booby
Authors: van Oordt Francis , Silva Jaime , Patterson Allison , Elliott Kyle H. 
Published: September 2024

ABSTRACT
Daily energy expenditure (DEE) is the result of decisions on how to allocate time among activities (resting, commuting and foraging) and the energy costs of those activities. Dynamic body acceleration (DBA), which measures acceleration associated with movement, can be used to estimate DEE. Previous studies of DBA–DEE correlations in birds were carried out on species foraging below their thermoneutral zone, potentially decoupling the DBA–DEE relationship. We used doubly labelled water (DLW) to validate the use of DBA on plunge-diving seabirds, Peruvian boobies (Sula variegata), foraging in waters above their thermoneutral zone (&gt;19°C). Mass-specific DEEDLW in boobies was 1.12 kJ day−1 g−1, and higher in males than in females. DBA alone provided the best fitting model to estimate mass-specific DEEDLW compared with models partitioned per activity and time budget models. Nonetheless, the model parametrizing activity at and away from their onshore breeding colony was the most parsimonious (r=0.6). This r value, although high, is lower than that of all other avian studies, implying that temperature is not the main cause of DBA–DEE decoupling in birds. Time at the colony (∼80% of the day) was the largest contributor to DEE as it was the most time-consuming activity and involved nest defence. However, foraging was the most power-consuming activity (4.6 times higher activity-specific metabolic rate than resting at the colony), and commuting flight was higher than in other gliding seabirds. In short, DBA alone can act as a proxy for DEE, opening avenues to measure the conservation energetics of this seabird in the rapidly changing Peruvian Humboldt Current system.
Risk factors and risk prediction model for mucocutaneous separation in enterostomy patients: A single center experience
Authors: Liu Yun , Li Hong , Wu Jin-Jing , Ye Jian-Hong 
Published: September 2024

BACKGROUND
Mucocutaneous separation (MCS) is a common postoperative complication in enterostomy patients, potentially leading to significant morbidity. Early identification of risk factors is crucial for preventing this condition. However, predictive models for MCS remain underdeveloped.
AIM
To construct a risk prediction model for MCS in enterostomy patients and assess its clinical predictive accuracy.
METHODS
A total of 492 patients who underwent enterostomy from January 2019 to March 2023 were included in the study. Patients were divided into two groups, the MCS group (n = 110), and the non-MCS (n = 382) based on the occurrence of MCS within the first 3 weeks after surgery. Univariate and multivariate analyses were used to identify the independent predictive factors of MCS and the model constructed. Receiver operating characteristic curve analysis was used to assess the model’s performance.
RESULTS
The postoperative MCS incidence rate was 22.4%. Suture dislodgement (P < 0.0001), serum albumin level (P < 0.0001), body mass index (BMI) (P = 0.0006), hemoglobin level (P = 0.0409), intestinal rapture (P = 0.0043), incision infection (P < 0.0001), neoadjuvant therapy (P = 0.0432), stoma site (P = 0.0028) and elevated intra-abdominal pressure (P = 0.0395) were potential predictive factors of MCS. Suture dislodgement [P < 0.0001, OR: 28.0075 95%CI: (11.0901-82.1751)], serum albumin level (P = 0.0008, OR: 0.3504, 95%CI: [0.1902-0.6485]), BMI [P = 0.0045, OR: 2.1361, 95%CI: (1.2660-3.6235)], hemoglobin level [P = 0.0269, OR: 0.5164, 95%CI: (0.2881-0.9324)], intestinal rapture [P = 0.0351, OR: 3.0694, 95%CI: (1.0482-8.5558)], incision infection [P = 0.0179, OR: 0.2885, 95%CI: (0.0950-0.7624)] and neoadjuvant therapy [P = 0.0112, OR: 1.9769, 95%CI: (1.1718-3.3690)] were independent predictive factors and included in the model. The model had an area under the curve of 0.827 and good clinical utility on decision curve analysis.
CONCLUSION
The mucocutaneous separation prediction model constructed in this study has good predictive performance and can provide a reference for early warning of mucocutaneous separation in enterostomy patients.
Protocol for exploring pathways to equitable outcomes in post-stroke aphasia and dysphagia
Authors: Ellis Charles , Perraillon Marcello , Lindrooth Richard , Jacobs Molly , Hegland Karen , Grubaugh Anouk , Adams-Mitchell Candice 
Published: September 2024

Introduction
Longstanding racial disparities in stroke-related outcomes have been well documented. However, the underlying causes of observed disparities have neither been clearly determined nor have strategies to mitigate disparities been developed. Evidence suggests that racial disparities may be partially explained by structural barriers that can arise from implicit and explicit provider biases, institutional practices, public policies, or characteristics of the community where patients reside and recover from their conditions. The objective of this study is to move beyond traditional measures of disparities by identifying the mechanisms that drive these observed disparities in aphasia and dysphagia across the continuum of care. In this study we will follow stroke survivors for 12 months post-discharge, which will allow us to examine the patient, provider, health system, and administrative factors that impact their aphasia and dysphagia recovery.

Methods
This study will utilize a 100% sample of Medicare fee-for-service claims data for persons hospitalized for stroke. Patients discharged from acute stroke care will be followed for at least 12 months to measure the timing of post-acute care transition(s) and post-acute care speech-language pathology (SLP) utilization. Functional communication and swallowing outcomes will be measured at initiation, conclusion of post-acute care treatment, and points in-between allowing us to link improvement of functional communication (i.e., aphasia) and swallowing ability (i.e., dysphagia) to aphasia/dysphagia treatments as patients transition through post-acute settings. Then, using regression decomposition methods, we will examine the relationships between race and: (a) where patients receive treatment, (b) the timing of transition between sites of care, and (c) the quality of care received. Decomposition methods will allow us to elucidate the multiple factors that contribute to underlying observed health disparities by quantifying the extent to which differences between the outcomes of two groups are explained by 1) differential endowments or characteristics, such as geographic access, education, risk factors, or insurance coverage; or 2) differences in decision-making, defined as between group differences in outcomes despite equal endowments or unmeasured differences.

Discussion
We hypothesize that racial disparities in aphasia and dysphagia outcomes will not only result from differences in the quantity and timing of services provided in the post-acute and community settings, but also structural differences at the community level. These findings will provide a more comprehensive understanding of healthcare use and outcomes.
Type 2 diabetes severity in the workforce: An occupational sector analysis using German claims data
Authors: Safieddine Batoul , Grasshoff Julia , Sperlich Stefanie , Epping Jelena , Geyer Siegfried , Beller Johannes 
Published: September 2024

Background
Individuals of working age spend a significant amount of time at the workplace making it an important context for disease prevention and management. The temporal development and prevalence of T2D have been shown to differ in the working population based on gender, age group and occupational sector regardless of socioeconomic status. Given potential differences in risk factors associated with different work environments, this study aims to define vulnerable occupational groups by examining T2D severity and its trends in working men and women with T2D of two age groups and among nine occupational sectors.

Methods
The study is based on claims data of the statutory health insurance provider AOKN. The study population consisted of all insured working individuals with T2D. T2D severity was measured using the adapted diabetes complications severity index—complication count (DCSI-CC). Mean DCSI-CC scores were calculated over four time periods between 2012 and 2019 for men and women of the age groups 18–45 and 46+ years and among nine occupational sectors. Trends of DCSI-CC were investigated using ordinal logistic regression analyses to examine the effect of time-period on the odds of having higher DCSI scores.

Results
Overall, there was a significant rise in T2D severity over time in working men and women of the older age group. Moreover, the study displayed occupational sector differences in T2D severity and its trends. Over all, working men of all sectors had higher DCSI-CC scores compared to working women. Individuals working in the sector “Transport, logistics, protection and security” and “Construction, architecture, measuring and building technology” had higher T2D severity, while those working in the “Health sector, social work, teaching & education” had relatively lower T2D severity. There was a gender-specific significant increase over time in T2D severity in the above-mentioned occupational sectors.

Conclusion
The study displayed gender, age group and occupational sector differences in T2D severity and its trends. Working individuals could thus benefit from personalized prevention interventions that consider occupational contexts. As a next step, examining T2D trends and severity in specific occupations within the vulnerable occupational sectors is needed.
Influence of peer discussions on trust in recommendations for prevention of mother-to-child transmission (PMTCT) of HIV
Authors: Philemon Rune Nathaniel , Mboya Innocent B. , Mmbaga Blandina T. , Bartlett John , Msuya Sia E. 
Published: September 2024

Background
Mothers attending prevention of mother-to-child transmission (PMTCT) of HIV clinics seem to lack knowledge on many aspects of PMTCT, among which is breastfeeding. Breastfeeding recommendations in PMTCT have changed several times over the years leaving some confused and doubtful of what is currently recommended. One method shown to help improve their knowledge and acceptance of PMTCT recommendations is the use of peer educators. We sought to determine if mothers engage in discussions with other mothers during clinics and how these engagements influence trust in PMTCT recommendations.

Methods
We interviewed 524 mothers with children under two years enrolled in PMTCT clinics in Kilimanjaro, Tanzania. We selected 5 clinics with the highest numbers of PMTCT enrolment from each district in the region. In each clinic, over a one-month period, we recruited all mothers attending the PMTCT clinic. We collected information on their engagement in discussions regarding PMTCT during clinics and how they perceived the information from their peers in relation to that from healthcare providers.

Results
Fifty-five percent of the mothers reported engaging in peer discussions. Of the 90 (17%) mothers who reported noticing a change in PMTCT recommendations, 33 (36.7%) reported trusting previous recommendations more. A greater proportion (52.9%) of mothers who engaged in peer discussions reported trusting the information from peers more than that from healthcare workers.

Conclusions
Peers have a great influence on mothers, which is concerning when their knowledge shared is outdated. Harnessing their influence and training them on current recommendations might be key to improving adherence to PMTCT recommendations.
Effects of cell culture time and cytokines on migration of dental pulp stem cell‐derived chondrogenic cells in collagen hydrogels
Authors: Yao Li , Flynn Nikol , Kaphle Pranita 
Published: September 2024

AbstractThe transplantation of collagen hydrogels encapsulating human dental pulp stem cell (DPSC)‐derived chondrogenic cells is potentially a novel approach for the regeneration of degenerated nucleus pulposus (NP) and cartilage. Grafted cell migration allows cells to disperse in the hydrogels and the treated tissue from the grafted location. We previously reported the cell migration in type I and type II hydrogels. It is important to explore further how cell culture time affect the cell motility. In this study, we observed the decreased motility of DPSC‐derived chondrogenic cells after culturing for 2 weeks compared with cells cultured for 2 days in these gels. The Alamarblue assay showed the cell proliferation during the two‐week cell culture period. The findings suggest that the transitions of cell motility and proliferation during the longer culture time. The result indicates that the early culture stage is an optimal time for cell transplantation. In a degenerated disc, the expression of IL‐1β and TNFα increased significantly compared with healthy tissue and therefore may affect grafted cell migration. The incorporation of IL‐1β and TNFα into the collagen hydrogels decreased cell motility. The study indicates that the control of IL‐1β and TNFα production may help to maintain cell motility after transplantation.
Varieties and transformations in emic interpretations of Catholic rituals in contemporary Podhale: a semiotic perspective on religious change
Authors: Wójciak Dorota 
Published: September 2024

Abstract
In this paper, I examine intergenerational differences in emic interpretations of various types of ritual references in the religious culture of the Podhale region (Poland), which is known for its lavish celebrations of Catholic holidays and rites of passage. Drawing on Roy Rappaport’s theory of ritual communication, particularly the distinction between self-referential and canonical messages, I analyze Podhale highlanders’ attitudes toward the self-referential messages communicated by ritual participants. The analysis of my respondents’ narratives revealed that a change in attitude toward ritual messages considering individual social status correlates with a change in the conceptualization of the ritual’s reference to its transcendent object. This paper presents this phenomenon through the lens of the basic concepts of Charles Sanders Peirce’s theory of semiosis and demonstrates that some changes in the religious culture of Podhale can be interpreted as changes in the dynamics between the components of the sign.
Temperature-dependent diffraction studies on the stannides Sr3Rh4Sn4, Sr3Ir4Sn4 and Sr2.43Eu0.57Ir4Sn4
Authors: Kösters Jutta , Bönnighausen Judith , Block Theresa , Pöttgen Rainer 
Published: September 2024

Abstract
The stannides Sr3Rh4Sn4 and Sr2.43Eu0.57Ir4Sn4 (Na3Pt4Ge4-type, space group I

4
‾

$\overline{4}$

3m) were synthesized by induction-melting of the elements in sealed tantalum tubes followed by an annealing sequence to increase the crystallinity. Their polycrystalline samples were characterized by powder X-ray diffraction and the structures were refined from single crystal X-ray diffractometer data. The basic building units are [Rh4Sn4] respectively [Ir4Sn4] stellae quadrangulae which condense to rigid three-dimensional networks. A striking crystal chemical feature of the Na3Pt4Ge4-type phases are pronounced anisotropic displacements of the divalent cations. Additional structure refinements of Sr3Rh4Sn4 and Sr2.43Eu0.57Ir4Sn4 and the previously reported stannide Sr3Ir4Sn4 at 90 K reveal less anisotropic behavior in going to lower temperatures.
Encontrando el amor compañero: amor de pareja de mujeres firmantes de paz, durante y después de la guerra
Authors: Quiroga Cruz Marcela 
Published: September 2024

Este artículo nace, en parte, de las reflexiones y análisis de entrevistas realizadas a cinco mujeres firmantes de la paz, provenientes de las farc-ep, para una investigación[1] sobre el amor de pareja de estas mujeres, en el contexto de la reincorporación de ese extinto grupo guerrillero. Luego de la firma del Acuerdo de paz, recoge narrativas sobre cómo vivieron sus relaciones de pareja durante y después de la guerra. A cinco años de la firma del acuerdo, el balance refleja una nueva forma de amor que riñe con el concepto de amor romántico; dejando para las participantes del estudio el reto de leer su subjetividad, incluso desde la posibilidad de la individualización, y de comprender el amor compañero como una experiencia política que atraviesa la subjetividad de las relaciones humanas.

[1] Estudio realizado para obtener el título de Magíster en Trabajo social con énfasis en familia y redes sociales de la Universidad Nacional de Colombia.
Ladakhi Kitchen
Authors: Reifenberg Gabriele 
Published: September 2024

The book of this name was reviewed by James Crowden in the last issue of PPC. I was so intrigued by it that I obtained from its author permission to reprint her introduction and fifteen of her favourite recipes, together with a couple of the illustrations by the artist the late Abdul Salam Tak, and the poem by Sonam Sopari. Prospect Books customers will not be surprised at the close relationship of the Ladakhi kitchen to that of Tibet described by Rinjing Dorje in his Food in Tibetan Life. Rinjing, by the way, still flourishes in Seattle, as does his family. He has been able to revisit his homeland.
I have made a few small alterations to the text to accommodate it to its new setting, and I should point out that the book has its full quiver of practical tips, pronunciation guide and glossary. It also has a nice map which I have not reproduced here. I am very grateful to Gabriele Reifenberg, who was assisted by Phuntsog Angmo and Tsewang Dolma, for allowing this reproduction. Should you want copies of the book itself, it can be bought for a minimum donation of £8.00 (to include postage and packing) from the author at 5 Owlstone Road, Cambridge CB3 9JH.
Myxoid leiomyosarcoma-decoding the puzzle in the Pandora’s box-pre to post operative
Authors: Janani Ponn M. , Natarajan Usha , Veerappan Venkatachalam , Tirukurungudi Nambi Anirudhan 
Published: September 2024

Myxoid leiomyosarcomas (MLMS) are a rare form of uterine cancer developed from the smooth muscles of the uterus. It is a very aggressive tumour and usually presents as abdomino pelvic mass. This is a case report of a 47-year-old parous, perimenopausal lady with huge abdominopelvic mass mimicking ovarian cancer preoperatively, but postoperatively turned out to be MLMS. It was a tumor of size 40×30×9 cm, weighing 12 kg. Histopathological examination revealed myometrial neoplasm composed of atypical spindle to stellate cells disposed as loose sheets within an abundant myxoid stroma. Immunohistochemically, SMA and Ki-67 were positive, which clinched the diagnosis. Postoperatively, chemotherapy was decided for the patient, and she is presently doing well after a year of surgery.
Removal of eriochrome black T from aqueous solution using coffee husk as bioadsorbent
Authors: Almeida Amancio Nathan , E Colpa Poliana Coste , Guardabaxo Cíntia Moda Salatino , Silva Carla Beatriz , Da Silva Leandro Gustavo 
Published: September 2024

The eriochrome black T dye belongs to the azo dye class and is often used as an indicator in complexometric titrations and as a fiber dye in industrial processes. It constitutes a direct threat to human health and the environment due to its toxic and carcinogenic nature. Separating this dye from wastewater is essential before its release into water bodies. In this work, the adsorption capacity of eriochrome black T in aqueous solution conferred on the chemically modified or unmodified coffee husk fibers was evaluated. Adsorption experiments were performed in triplicate and batch. The results obtained were adjusted and presented as adsorption isotherms using the Langmuir-Freundlich model. The mass value of adsorbed dye was 483.9 mg ± 17.35 mg and 547.2 mg ± 22.98 mg of eriochrome black T per gram of unmodified and chemically modified coffee husk, respectively, indicating great potential of coffee husk as an adsorbent for the removal of anionic azo dyes in aqueous solution.
Insights into Acinetobacter baumannii AMA205's Unprecedented Antibiotic Resistance
Authors: Traglia German Matias , Pasteran Fernando , Moheb Samyar , Akhtar Usman , Gonzalez Sebastian , Maldonado Carolina , Furtado Nicholas , Mohamed Ahmed , Escalante Jenny , Tuttobene Marisel R. , Quillen Araceli , Fontan Claudia , Albornoz Ezequiel , Corso Alejandra , Bonomo Robert. A , Rao Gauri G. , Tolmasky Marcelo. E. , Ramirez Maria Soledad 
Published: September 2024

The rise of antibiotic-resistant bacteria in clinical settings has become a significant global concern. Among these bacteria, Acinetobacter baumannii stands out due to its remarkable ability to acquire resistance genes and persist in hospital environments, leading to some of the most challenging infections. Horizontal gene transfer (HGT) plays a crucial role in the evolution of this pathogen. The A. baumannii AMA205 strain, belonging to sequence type ST79, was isolated from a COVID-19 patient in Argentina in 2021. This strain’s antimicrobial resistance profile is notable as it harbors multiple resistance genes, some of which had not been previously described in this species. The AmpC family β-lactamase blaCMY-6, commonly found in Enterobacterales, had never been detected in A. baumannii before. Furthermore, this is the first ST79 strain known to carry the carbapenemase blaNDM-1 gene. Other acquired resistance genes include the carbapenemase blaOXA-23, further complicating treatment. Susceptibility testing revealed high resistance to most antibiotic families, including cefiderocol, with significant contributions from blaCMY-6 and blaNDM-1 genes to the cephalosporin and carbapenem resistance profiles. The A. baumannii AMA205 genome also contains genetic traits coding for 111 potential virulence factors, such as the iron-uptake system and biofilm-associated proteins. This study underscores A. baumannii&#039;s ability to acquire multiple resistance genes and highlights the need for alternative therapies and effective antimicrobial stewardship to control the spread of these highly resistant strains.