bluuebunny/crossref_metadata_2025_split huggingface dataset:
Increasing Materiality and Emerging Concepts of Ethnic Religious Identity: The Case of ‘Kirat Religion’ in Nepal
Authors: Wettstein Marion , von Stockhausen Alban , Gaenszle Martin 
Published: September 2024

Abstract
Traditionally lacking temples, mass processions, pilgrimage traditions, full time ritual specialists, or painting traditions, religious practice among the Rai of eastern Nepal was until recently characterized by low visibility. After the ‘People’s War’ at the turn of the millennium, new political ideas understand religion as one of the core features of ethnic identity. Since this reconceptualization of the ‘New Nepal’, an increase of materiality, and hence visibility, in what is today called Kirat religion can be observed. In this article, three case studies are presented as a basis to discuss the link between materiality, religion, and ethnic activism: a newly installed pilgrimage site in eastern Nepal, a recently built temple in the capital Kathmandu, and an upcoming type of festival clothing. Pointing out that in this case materiality is employed to achieve a political end, we come to the conclusion that the effects the material objects have on people are specific to a certain moment in time and depend on pre-existing concepts and practices of religion in a given society.
Anti-immigrant rhetoric of populist radical right leaders on social media platforms
Authors: Klein Ofra 
Published: September 2024

Abstract
Social media platforms have become crucial channels for radical right populist leaders to broadcast anti-immigrant views. These politicians employ various rhetorical appeals, such as pathos (emotional language), logos (logical arguments), and ethos (speaker credibility), to sway public opinion. This study considers the anti-immigrant rhetoric of prominent European populist radical right leaders across X, Instagram, and Facebook, analysing the prevalence of these rhetorical strategies across different platforms. From the perspective of mediatization theory, politicians can adjust their messages to fit with the design and formats of various social media platforms. Party leaders often resort to emotional appeals on X, with its limited space for communication, as well as on Facebook, where emotional interaction buttons and discussion features can encourage emotional rhetoric as well. Logical appeals (logos) are common on platforms such as Facebook and X, which offer options to easily share information in the form of texts and links. Additionally, ethos, associated with speaker’s credibility, is common in posts on platforms that facilitate closer engagement with the party leaders’ constituents, such as Facebook and Instagram. These findings underscore the importance of considering platform design when shaping political communication strategies.
Rectal thionamide administration in the setting of thyroid storm: a case report and review of the literature
Authors: Barnett Maxim John Levy , Casipit Carlo , Sathi Sri Ram Teja , Rodriguez Ana Del Carmen Rivadeneira 
Published: September 2024

Summary
Thyroid storm is a clinical diagnosis characterized by life-threatening multisystemic organ involvement in the setting of uncontrolled hyperthyroidism. Current estimates suggest a mortality rate of up to 30%. Treatment often consists of the administration of thionamide medications, iodine solution(s), corticosteroids, and beta-blockers; in extreme circumstances, both plasmapheresis and thyroidectomy are subsequent therapeutic options. Thionamides are typically administered orally, with the intent of preventing further thyroid hormone synthesis; however, in the literature, there are instances whereby oral access cannot be obtained, and alternative routes of administration are required. We present a case of a patient who presented with a thyroid storm due to lack of adherence to methimazole. During admission, he was found to have significant abdominal pain and ultimately a duodenal perforation requiring strict nil-per-os (NPO) status, due to which he was unable to receive oral thionamides. Due to the lack of availability of intravenous formulations of thionamides in the United States, this patient was treated with an enema compound of propylthiouracil for a total of five per rectum (PR) doses. He would later develop hepatocellular injury, requiring discontinuation and eventual transition to oral methimazole. The literature pertaining to alternative-route thionamide administration is scant, and therefore this case report and literature review is written to provide an up-to-date review and further educate all levels of clinicians about this infrequent (but emergent) situation.

Learning points

Thyroid storm is a clinical diagnosis for which urgent recognition is required to prevent untoward mortality.

Treatment for thyroid storm requires prompt administration of thionamides, iodine, corticosteroids, and beta-blockers. In extreme circumstances, treatment considerations include plasmapheresis and thyroidectomy.

Infrequently, patients with a thyroid storm may not be able to tolerate oral medications, for which alternative routes of access are required.

Currently, available alternatives include intravenous methimazole (in Europe and Japan), as well as both enema and suppository preparations of propylthiouracil and methimazole.
ТІНЬОВІ ЛІКВІДНІ КАПІТАЛИ БІЗНЕСУ: ФОРМУВАННЯ І ВИКОРИСТАННЯ
Authors: ЗИМОВЕЦЬ Владислав 
Published: September 2024

Розміри збитків українського бізнесу з початку повномасштабного вторгнення перевищують можливості держави щодо їх відшкодування. Одним з імовірних джерел фінансування відновлення бізнесу можуть бути тіньові резерви, які тривалий час акумулювалися за межами фінансової системи. Розроблено методичний інструментарій для оцінювання обсягу тіньового ліквідного капіталу як потенційного джерела підтримки життєздатності бізнесу.
Сучасні підходи до оцінювання обсягів тіньової економіки, засновані на показниках потоку, не дозволяють визначити обсяги тіньового ліквідного капіталу. Для заповнення цієї прогалини запропоновано концептуальний підхід, побудований на основі комбінування даних банківської статистики і оцінюваних обсягів нелегального відпливу капіталу. Його застосування дало змогу оцінити обсяги тіньового ліквідного капіталу, яких достатньо для покриття 2/3 прямих збитків бізнесу від війни (за оцінками на початок 2024 р.) і 100 % дефіциту робочого капіталу.
Показано, що від початку повномасштабного вторгнення обсяг відпливу капіталу з України становив 40 млрд дол., і бізнес утримувався від його реінвестування. Заморожування ліквідних капіталів поза фінансовою системою країни створює загрозу для фінансової безпеки держави, генерує додаткові систематичні ризики, послаблюючи стійкість публічних фінансів і обмежуючи пропозицію капіталу на внутрішньому ринку. Під час війни протидія нелегальному відпливу капіталів є критично важливим завданням для фінансової безпеки країни. Функціональна спроможність політики протидії нелегальному відпливу капіталу і приховуванню доходів є невисокою, наявним інструментарієм охоплено менш як 2 % загального обсягу тіньових доходів. Запропоновано передбачити обов’язковість декларування доходів і майна кінцевих бенефіціарів пов’язаних з бізнесом осіб (власників тіньового ліквідного капіталу), що ускладнить реінвестування прихованих доходів і посилить контроль за кругооборотом тіньового ліквідного капіталу.
Hospital Diversity, Equity, and Inclusion Efforts: Perspectives of Patient and Family Advisors
Authors: Casillas Carlos A. , Beck Andrew F. , Rodriguez Laura Rangel , Patel Ushma , Rouse LaToshia , Ward Valerie L. , Jackson Darcel , Dardess Pam , Unaka Ndidi 
Published: September 2024

BACKGROUND AND OBJECTIVESPatient and family advisory councils are common within children’s hospitals. However, lack of diversity among patient and family advisors (PFAs) may result in exclusion of crucial perspectives and perpetuate inequities. We sought to understand PFA perspectives on how children’s hospitals should approach: (1) recruitment and support of PFAs from groups at greater risk of health inequities; and (2) development of meaningful partnerships with PFAs or patient and family advisory councils on institutional diversity, equity, and inclusion (DEI) efforts.METHODSWe conducted a qualitative study of PFAs of children’s hospitals from communities at greater risk for health inequities based on self-identified race, ethnicity, gender, socioeconomic status, disability, language, or other factors. Focus groups were virtual and group discussions were recorded, transcribed, and analyzed using inductive qualitative analysis.RESULTSIn total, 17 PFAs participated across 5 focus groups (4 in English, 1 in Spanish). We identified 6 themes: (1) PFA diversity is necessary to understand existing health inequities; (2) diversity needs to be considered broadly; (3) recruiting for diverse PFAs requires intentionality, visibility of PFACs within and outside of the hospital, and deliberate connections with families and communities; (4) efforts to increase PFAC diversity must be accompanied by work to develop inclusive environments; (5) diversity efforts require meaningful engagement and equity; and (6) diverse PFACs can enrich DEI efforts but require organizational commitment and follow-through.CONCLUSIONSInsights from our qualitative study of PFAs can be used by healthcare systems to foster diversity and inclusion in PFACs and advance hospital DEI efforts.
Sustainable adaptation of the historical buildings to offices
Authors: Goriel Wafaa Anwar Sulaiman , Abu-Lail Dana Maher Ayoub , Molnár Tamás , Zoltán Erzsébet Szeréna 
Published: September 2024

AbstractTo highlight the systemic interdependencies in office building design, this paper dives into the complexities of converting old structures into modern workspaces. The study addresses the challenges of adaptive reuse by concentrating on case studies and design issues and provides insights into how to maintain historical integrity while satisfying the demands of contemporary workplace needs. The research concludes with a real-world example that shows how design concepts derived from the analysis may be successfully used.
Testing of Velodyne PUCK VLP-16 and RPLIDAR A1 LIDARS for a mobile mapping system
Authors: Brindza Ján , Kajánek Pavol , Erdélyi Ján , Kyrinovič Peter 
Published: September 2024

AbstractThe paper focuses on describing the developed low-cost mobile mapping system for the purpose of automated mapping using simultaneous localization and mapping techniques. The paper also focuses on testing the light detection and ranging that form that system. The mobile mapping system consists of a combination of multiple sensors, including a trio of 2D and 3D light detection and ranging a stereo camera, an inertial measurement unit, and rotary encoders.The components make up three subsystems, which are detailed described. A section of the paper is dedicated to the light detection and ranging tests performed in the accuracy of measured distance and measured geometry. In the final section of the paper, planned tests for the remaining components of the mobile mapping system are described.
Opioid Prescriptions for US Patients Undergoing Long-Term Dialysis or with Kidney Transplant from 2011 to 2020
Authors: Kimmel Paul L. , Fwu Chyng-Wen , Nolin Thomas D. , Schulman Ivonne H. , Givens Shannon S. , Wilkins Kenneth J. , Mendley Susan R. , Gipson Debbie S. , Greer Raquel C. , Norton Jenna M. , Chan Kevin E. , Eggers Paul W. 
Published: September 2024

Key Points

The rate of prescription of opioid medication decreased between 2011 and 2020 for patients with ESRD.The risk of death for dialysis and kidney transplant patients increased as morphine milligram equivalents in prescriptions increased.

Background
Pain is important for patients with kidney failure, but opioid medication prescriptions are associated with morbidity and mortality. The Centers for Disease Control and Prevention issued opioid prescription guidelines in 2016 and 2022, associated with dramatically decreased prescription rates in the United States. It is critical to know whether nationwide opioid prescription rates for patients with kidney failure have decreased.

Methods
We analyzed the United States Renal Data System database from 2011 to 2020 to describe trends in the proportion of patients with ESKD who received one or more, or long-term, opioid prescriptions, examined factors associated with long-term opioid prescriptions, and evaluated associations of all-cause death with short-term or long-term opioid prescriptions.

Results
From 2011 to 2022, the percentage of patients with kidney failure (dialysis and kidney transplant) who received at least one or more, or who had received long-term, opioid medication prescriptions decreased steadily, from 60% to 42%, and from 23% to 13%, respectively (both P for trend < 0.001). The largest reductions in prescription rates were for hydrocodone and oxycodone. Similar trends existed for dialysis and kidney transplant patients. Women, the poor, and those in rural settings were more likely to receive long-term opioid prescriptions. Prescription rates were highest in White patients and those aged 45–64 years. Short-term and long-term opioid medication prescriptions were associated with higher mortality in both dialysis and kidney transplant patients.

Conclusions
The opioid prescription rates of patients with ESKD decreased between 2011 and 2020. Higher mortality risk was associated with both short-term and long-term opioid prescriptions. Mortality risk was monotonically associated with morphine milligram equivalents in patients with kidney failure who received long-term opioid prescriptions.
Successful recovery of anti-SRP myopathy with subcutaneous methotrexate after 17 years of poor response to immunomodulation
Authors: Harada Yohei , Guntrum Debra , Veerapandiyan Aravindhan , Lizarraga Alexis , Mammen Andrew , Herrmann David 
Published: September 2024

An 18 year old woman presented with a year of progressive proximal limb weakness. Serum creatine kinase (CK) was elevated and electromyography suggested an irritable myopathy. Muscle biopsy revealed severe, chronic, active, necrotizing myopathy. Myositis-specific autoantibodies were initially negative; however, an immune-mediated necrotizing myopathy was suspected. She had only minimal response to variable immunomodulatory therapies over 17 years, with progression of weakness. Subsequent repeat testing confirmed positive anti-Signal Recognition Particle (SRP) autoantibodies. A thigh MRI, 17 years after symptom onset, showed extensive fatty replacement and significant muscle atrophy, suggesting a low likelihood of response to further immunosuppression. Nonetheless, motor function significantly improved after initiation of subcutaneous methotrexate (MTX). She has been stable off immunosuppressive therapy for 4.5 years. This report exemplifies that a protracted clinical course, extensive fatty replacement and atrophy on muscle MRI and normal CK levels do not preclude a late response to immunomodulatory therapy in anti-SRP myopathy.
ИНТЕЛЛЕКТУАЛЬНАЯ СОБСТВЕННОСТЬ В СФЕРЕ МЕДИЦИНЫ: ВОПРОСЫ ЖИЗНИ И СМЕРТИ
Authors: MAGGS Peter B. 
Published: September 2024

Медицинская интеллектуальная собственность стимулирует разработку и производство лекарств и устройств, которые спасают и продлевают жизни. Однако найти баланс между поощрением изобретательства путем предоставления монопольных прав и ограничением доступа к изобретениям теми же монопольными правами очень сложно. Недавно в Соединенных Штатах было принято законодательство, призывающее к важному эксперименту по нахождению этого баланса, фактически вынуждая фармацевтических производителей и других новаторов заключать контракты с государственной системой страхования пожилых людей по ценам, которые были бы ниже после истечения значительной части срока действия патента.
CHATGPT, ТЕКСТ, ИНФОРМАЦИЯ: КРИТИЧЕСКИЙ АНАЛИЗ
Authors: КОМАШКО Марина Николаевна 
Published: September 2024

Рассмотрены вопросы теории и практики, связанные с таким типом искусственного интеллекта, как большие языковые модели, в частности ChatGPT. Основное внимание уделено сферам человеческой деятельности, в которых обмен информацией, изложенной в виде текста, имеет наибольшее значение: науке, образованию и журналистике (медиасфере).
Описан опыт взаимодействия пользователей с чат-ботами. Достаточно подробно рассмотрен принцип работы больших языковых моделей. Это позволяет подвести читателя к выводу о том, что чат-боты не могут и не должны осуществлять мыслительный процесс вместо человека и создавать осмысленные, правдивые тексты, которые не нуждались бы в тщательной проверке и редактировании.
Также автор обосновывает вывод о том, что искусственный интеллект (по крайней мере, большие языковые модели) не имитирует деятельность человека, а осуществляет деятельность принципиально иного рода.
В заключительной части работы автор развенчивает миф о том, что чат-боты могут нанести непоправимый ущерб человеческой цивилизации путем внедрения дезинформации.
Efek Komunikasi Massa Terhadap Masyarakat di Era Society 5.0
Authors: Nazakhan Roudhotulloh , Wibawa Aji 
Published: September 2024

The rapid advancement of technology and communication brings significant changes to the industrial landscape and society as a whole. The concept 5.0, derived from the Fourth Industrial revolution, focuses on the use of technology and communication to solve social issues and create a better sustainability. Communication is considered cruialin society 5.0, particulary in the context of technologial development and digital transformation. In this era, society 5.0 is changing its methods of communication, and the impact of these changes is evident. This literatur review employs a method of collecting data from various written and electronic sources. The result indicate that mass communication has both negative and positif effects, and it is essential for individuals to learn about media literature to filter incoming information and understand and identify the quality of the message. With the continued development of technology and digital transformation, it is hoped that society can create a more inclusive, sustainable, and innovative future.
Kemajuan teknologi dan komunikasi yang terus berkembang membawa perubahan besar dalam tatanan industri dan kehidupan masyarakat. Konsep society 5.0 yang dihasilkan dari revolusi industri 4.0 berfokus pada penggunaan teknologi dan komunikasi untuk mneyelesaikan permasalahan sosial dan menciptakan keberlanjutan yang lebih baik. Komunikasi dalam society 5.0 dianggap penting, terutama dalam konteks pengembangan teknologi dan trasnformasi digital. Masyarakat dalam era society 5.0 mulai mengubah metode komunikasi mereka, dan perubahan komunikasi dalam masyarakat dapat dilihat dengan jelas. Metode yang digunakan dalam penelitian ini adalah metode kepustakaan, dengan mencari serta mengumpulkan data dari berbagai dokumen tertulis maupun elektronik. Hasil penelitian menunjukan bahwa komuniikasi massa memiliki efek positif dan negatif, dan tentunya masyarakat harus mempelajari literatur media sehingga dapat memfilter informasi yang diterima agar dapat memahami dan mengindentifikasi kualitas isi pesan yang diterima dan dengan pengembangan teknologi dan transformasi digital diharapkan masyarakat dapat menciptakan masyarakat yang inklusif, berkelanjutan dan inovatif.
Ilizarov ring fixator as a definitive management of fracture long bones of lower limb
Authors: Pandey Divyam , Upadhyaya Prashant , Shukla Abhishek , Johar SA Mustafa 
Published: September 2024

We conducted a study evaluating the clinical and radiologic results of the fracture long bones using an Ilizarov Ring fixator as definitive treatment. : Clinical, observational, descriptive, prospective and longitudinal study. Fifty patients were included, 31 males (62%) and 19 females (38%), whose age was 43.60 ± 14.37 years; the time elapsed from the accident to admission in the Emergency Room was 1-16 hours, with a mean of 5.1 ± 3.35 hours. 8 patients (16%) had a Gustilo Anderson grade I open fracture, and 29 patients (58%) a Gustilo Anderson grade II fracture and 13 patients (26%) had a Gustilo Anderson Grade IIIThey were also classified according to the AO classification, with the following resulting groups: 13 (26%) patients were A3, 15 (30%) were B3, 10(20%) B1, 9 (18%) were B2, and 3(6%) were A2. The dynamization of the fixator was done at a mean of 10.5 ± 1weeks.Forty-six patients had healing at 24 ± 3 weeks; Gustilo I fractures healed at 21± 3 weeks; Gustilo II fractures at 24 ± 3 weeks, Gustilo III fractures at 27± 3 weeks with a P value of 0.48. In 4 patients (8%), due to absence of healing, the external fixator was exchanged for an intramedullary nail with a bone graft.: This fixator is safe in properly selected patients, since the few complications that occurred are similar to other reports using different internal fixation methods. Early application of the Ilizarov fixator constitutes an excellent management of open long bone fractures, especially types II, IIIA and IIIB, due to good functional and radiological results. Despite the technical difficulties and some complications (which are mostly minor) IEF may be the preferred method in open long bone fractures, especially types II and III.
Longitudinal Impact of Dobbs v Jackson Women’s Health Organization on Abortion Service Delivery in Ohio, 2022‒2023
Authors: Smith Mikaela H. , McGowan Michelle L. , Kerestes Courtney , Bessett Danielle , Norris Alison H. 
Published: September 2024

Objectives. To assess the impact of Ohio’s abortion policy changes on abortion provision following Dobbs v Jackson Women’s Health Organization. Methods. We analyzed quantitative and write-in responses from an ongoing survey of 6 abortion facilities in Ohio for 3 time periods: January‒June 2022 (pre- Dobbs), July‒September 2022 (6-week ban in effect), and October 2022‒June 2023 (post- Dobbs, ban blocked). We disaggregated counts by method, gestation, and state of residence. Results. Following Dobbs, Ohio banned abortions after detection of embryonic cardiac activity, and monthly abortion provision decreased 56%. Several months after the ban was lifted, monthly abortion means exceeded pre- Dobbs means. The percentage of patients from out of state increased over time. Conclusions. The post- Dobbs enactment of a restrictive abortion ban drastically reduced availability of reproductive health care in Ohio. Nevertheless, Ohio remained an important destination for patients from surrounding states with abortion restrictions. Public Health Implications. Gestational bans decrease access to necessary health care; instead, states like Ohio should work to eliminate barriers to abortion care to support the health and well-being of people in their own and surrounding states. ( Am J Public Health. 2024;114(10):1034–1042. https://doi.org/10.2105/AJPH.2024.307775 )
Mitigating the Risk of Instability After Reverse Shoulder Arthroplasty
Authors: Bindi Victoria E. , Buchanan Timothy R. , Cueto Robert J. , Hones Keegan M. , Wright Thomas W. , Schoch Bradley S. , King Joseph J. , Hao Kevin A. 
Published: September 2024

» Instability and dislocation after reverse shoulder arthroplasty may occur in up to 31% of patients.» Clinical risk factors for instability include younger age, male sex, increased body mass index, preoperative diagnosis of proximal humerus fracture or rotator cuff pathology, history of instability of the native shoulder or after surgery, and a medical history of Parkinson’s disease.» Patients with rheumatoid arthritis and decreased proximity to the coracoid may also be at greater risk.» In patients at a high risk of instability, surgeons should consider a more lateralized prosthesis (particularly in patients with an incompetent rotator cuff), repairing the subscapularis (particularly when using a medialized prosthesis), and upsizing the glenosphere (>40 mm in male and 38–40 mm in female patients).» While potentially useful, less evidence exists for the use of a constrained liner (particularly with a lateralized glenosphere and/or in low-demand patients) and rotating the polyethylene liner posteriorly to avoid impingement.

Level of Evidence:

Level V. Narrative Review. See Instructions for Authors for a complete description of levels of evidence.