bluuebunny/crossref_metadata_2025_split huggingface dataset:
Advanced Hybrid Closed-Loop Therapy Compared With Standard Insulin Therapy Intrapartum and Early Postpartum in Women With Type 1 Diabetes: A Secondary Observational Analysis From the CRISTAL Randomized Controlled Trial
Authors: Beunen Kaat , Gillard Pieter , Van Wilder Nancy , Ballaux Dominique , Vanhaverbeke Gerd , Taes Youri , Aers Xavier-Philippe , Nobels Frank , Van Huffel Liesbeth , Marlier Joke , Lee Dahae , Cuypers Joke , Preumont Vanessa , Siegelaar Sarah E. , Painter Rebecca C. , Laenen Annouschka , Mathieu Chantal , Benhalima Katrien 
Published: September 2024

OBJECTIVE
To determine efficacy and safety of intrapartum and early postpartum advanced hybrid closed-loop (AHCL) therapy compared with standard insulin therapy in pregnant women with type 1 diabetes (T1D).

RESEARCH DESIGN AND METHODS
CRISTAL was a double-arm, open-label, randomized controlled trial performed in Belgium and the Netherlands that assigned 95 pregnant participants with T1D 1:1 to a MiniMed 780G AHCL system (n = 46) or standard insulin therapy (n = 49). This prespecified, secondary observational analysis focused on differences in glycemic control and safety outcomes between participants from the original AHCL group who continued AHCL intrapartum (n = 27) and/or early postpartum (n = 37, until hospital discharge) and those from the original standard insulin therapy group using standard insulin therapy intrapartum (n = 45) and/or early postpartum (n = 34).

RESULTS
Of the 43 and 46 participants in the AHCL and standard insulin therapy groups, respectively, completing the trial, 27 (62.8%) in the AHCL group continued AHCL and 45 in the standard insulin therapy group (97.8%) continued standard insulin therapy intrapartum. Compared with standard insulin therapy, intrapartum AHCL was associated with more time in range 3.5–7.8 mmol/L (71.5 ± 17.7% vs. 63.1 ± 17.0%, P = 0.030) and numerically lower time above range &gt;7.8 mmol/L (27.3 ± 17.4% vs. 35.3 ± 17.5%, P = 0.054), without increases in time below range &lt;3.5 mmol/L (1.1 ± 2.4% vs. 1.5 ± 2.3%, P = 0.146). Early postpartum, 37 (86.0%) participants randomized to AHCL continued AHCL, with a median increase in insulin-to-carbohydrate ratios of 67% (interquartile range −14 to 126). Similar tight glycemic control (3.9–10.0 mmol/L: 86.8 ± 6.7% vs. 83.8 ± 8.1%, P = 0.124) was observed with AHCL versus standard insulin therapy. No severe hypoglycemia or diabetic ketoacidosis was reported in either group.

CONCLUSIONS
AHCL is effective in maintaining tight glycemic control intrapartum and early postpartum and can be safely continued during periods of rapidly changing insulin requirements.
INOVAÇÕES NO MANEJO DA RESISTÊNCIA ANTIMICROBIANA EM HOSPITAIS DE ENSINO: UMA REVISÃO DE ESCOPO
Authors: Campos Tatiana da Silva , Camargo Fernanda Carolina 
Published: September 2024

A Resistência antimicrobiana tem implicações sanitárias e políticas em escala global. Soma-se aos desafios de controle de infecção nos serviços de saúde que requerem esforços coordenados e multissetoriais envolvendo perspectivas clínico-biológicas, socioeconômicas e políticas nos âmbitos global, nacional e local. Objetiva-se identificar na produção científica, inovações para o manejo da resistência antimicrobiana em hospitais de ensino. Para tal, se tornaram elegíveis: artigos completos de acesso livre nos idiomas português, inglês e espanhol entre 2013 a 2023. Foram excluídos: artigos de revisões, editoriais, carta ao editor, guidelines, projeto de pesquisas, monografias, dissertações e teses. As bases de dados pesquisadas foram: Lilacs, (n=81) (PubMed (n=138), Cochrane Library (n=0), Embase (n=208), Web Of Science (n=0) e Scopus (n=1554). Resultaram em uma amostra final composta por 17 artigos publicados em periódicos indexados na área da saúde. Os períodos com maior concentração de publicação sobre o tema foram os anos de 2015 (23,5%) e 2020 (23,5%). Foram mais frequentes, estudos quantitativos descritivos (70,6%), sendo: retrospectivos (n=5), transversal (n=4) e prospectivo (n=3). Estes resultados permitiram inferir que existe uma lacuna na produção desses estudos realizados no Brasil ou na América Latina. A maioria dos estudos analisados foram desenvolvidos em países europeus, 41%; asiáticos 35%; africanos 12%; norte e sul-americanos, 6% cada. De forma geral, os resultados desta revisão podem apoiar a difusão e incorporação de inovações para o manejo da resistência antimicrobiana em hospitais de ensino e impactar para o melhor desenvolvimento das ações locais, nacionais e globais, contribuindo para a agenda política de enfrentamento da RAM.
Intricate nexus of FDI, remittances, emigration, tourism and growth: Navigating economic landscape of Croatia
Authors: Nikšić Radić Maja , Bogdan Siniša 
Published: September 2024

Research background: In Croatia, a small-open and growing economy that lags behind more developed countries, globalisation has had a considerable impact on economic stability. The globalised world economy, characterised by international trade, capital flows and migration, has strongly influenced the economic landscape of Croatia. Although foreign direct investment (FDI) and remittances are fuelling economic growth, emigration poses a major challenge. In addition, the vital tourism sector in Croatia emphasises these relationships and can increase overall economic prosperity.
Purpose of the article: The main purpose of this study is to analyse the causal relationships between FDI, remittances, emigration and economic growth in Croatia. In addition, it examines the causal relation between FDI, remittances and tourism growth. Moreover, this study examines the relationships between emigration and FDI, as well as emigration and remittances.
Methodology: This study adopted a methodological approach that includes time series analysis and panel data analysis to consider the complexity of this issue in more detail. Specifically, the study applied a two-pronged approach such as time series analysis to investigate the causal relationships between FDI and emigration, FDI and tourism growth, remittances and emigration as well as remittances and tourism growth. In parallel, panel data analysis devoted itself to analysing the subtle inter-relationships between FDI, remittances, emigration and their combined effects on economic growth using the same methodological approach.
Findings & value added: Key findings show several causal relationships in the Croatian context: emigration substantially affects FDI, remittances influence emigration patterns, a bidirectional causal relationship exists between FDI and tourism growth and tourism growth boosts remittance flows. FDI boosts economic growth in Croatia, which, in turn, causes the flow of remittances and patterns of emigration. The importance of this study lies in highlighting the potential significance of FDI and remittances, as well as the crucial role of tourism in Croatia while emphasising the potential threat posed by emigration to the Croatian economy. These findings provide a crucial framework for policymakers to design targeted strategies that navigate these inter-connected factors, ensuring sustainable economic growth in similar small, growing economies worldwide.
Morfometría de la cuenca del río Areco, Provincia de Buenos Aires, Argentina
Authors: Zanandrea Juan Francisco , Gaspari Fernanda J. , Perdomo Santiago , Laurencena Patricia 
Published: September 2024

El análisis morfométrico de una cuenca hidrográfica consiste en el estudio de sus características geométricas y topográficas, tales como el área, la forma, la red de drenaje, la jerarquía de los cursos de agua y el relieve. Estos parámetros permiten evaluar el comportamiento hidrológico superficial y su vulnerabilidad frente a fenómenos naturales como fuertes crecidas que pueden derivar en inundaciones, conformando una herramienta básica para la modelación hidrológica. El objetivo del trabajo fue caracterizar y analizar morfométricamente la cuenca hidrográfica del río Areco, Argentina. La metodología fue la determinación de parámetros de forma, de drenaje y de relieve con base geoespacial, aplicando teledetección, con el sistema de información geográfica QGIS 3.28 Firenze, en conjunción con complementos estadísticos y planillas de cálculos. Los resultados alcanzados expresan un área total de 3.994,57 km2, perímetro de 439,06 km, longitud máxima de 110,80 km y ancho medio de 36,05 km. Estas características expresan que la cuenca posee forma ligeramente alargada según el Factor Forma (FF= 0,33), en coherencia con el coeficiente de Gravelius que indica forma rectangular-oblonga (Kc= 1,96). El río Areco posee un orden de drenaje de grado 5, una longitud máxima del curso de agua de 135,14 km, con una densidad de 0,31, una frecuencia de 0,06 y una pendiente del cauce 0,00035 m/m, alcanzando un tiempo de concentración de 62 h según la metodología Kirpich. La descripción morfométrica lograda conforma un análisis geoespacial cuanti-cualitativo de la cuenca, definiendo parámetros para la modelización hidrológica que apoye a la planificación y gestión hídrica-ambiental.
THE MANTRA OF “DARE TO FIGHT" AS A CONFUCIAN VALUE IN XI’S FOREIGN POLICY
Authors: Aurelia Angel 
Published: September 2024

Confucianism is a philosophy and belief system that has deeply influenced Chinese culture. As the time goes by, China is still embodies Confucian values in its political moves. One significant move is on their newest foreign policy mantra with the point “Dare to Struggle “which differs from Deng’s mantra and more diplomatic. This research uses quantitative analysis with descriptive method to describe how China still uses Confucianism in their political move. “Dare to Struggle “ point has matched with Yi and Zhi values.
The Role of Marketing in the Management of Health Services: the Case of the Madalena Clinic Group
Authors: Morão António , Brito Carlos , Nogueira Sónia , Dias Rui , Galvão Rosa 
Published: September 2024

Objective: The main objective of this study was to analyse the role of internal marketing in managing health services in the Clinicas de Santa Madalena (CSM) group.

Theoretical Framework: Internal marketing is a management strategy aimed at motivating and involving employees, aiming to improve the performance and quality of services, which positively impacts customer satisfaction.
Method: It uses a qualitative methodology based on a case study and semi-structured interviews at six clinics in the Santa Madalena group.

Results and Discussion: The main results indicated that: i) information campaigns, promotion of oral health programmes and the creation of positive experiences are common internal marketing practices; ii) training actions, internal communication, and the involvement of professionals contribute to the integration and retention of employees; iii) team motivation and integration are critical factors for the quality of the services provided; and iv) dimensions such as reliability, responsiveness, trust, courtesy, competence and tangible elements influence patients' perception of quality.

Conclusion: The study recommends further research into internal marketing in the health sector, with collaboration between academia and companies.
Experimental Study for Enhancement of Water Flow in Horizontal Pipelines by Using Nanoparticles of Zinc Oxide and Poly Acrylic Acid
Authors: Dhiaa Asmaa H. , Shubbar Sawsan D. A. , Mahdi Fouad Kadhim , Mahmoud Khaleda Abdullah , Diwan Abbas Ali 
Published: September 2024

Process industries need to move fluid over long distances in pipes of various capacities, consuming a lot of energy and raising the cost of establishing and maintaining pumping stations. Therefore, additives were used to reduce such costs and overcome fluid resistance. This work used Poly Acrylic acid (PAA) added to the water at different concentrations of 100, 200, 300, 400, and 500 ppm. This work used rough pipes (P.V.C. covered in sand) of different diameters, i.e., 17, 23, and 26.5 mm, to experiment. After that, the 500 ppm of (PAA+ water) solution was mixed with 0.3% and 0.6% Zinc Oxide Nanoparticles (ZnO) at different flow rates, i.e., 44.2, 40, 35.9, 31, 26.2, and 20.8) l/min at 25 °C The effect of polymer, nanoparticle concentrations, flow rate, and diameter on percentage drag reduction (%Dr) and friction factor was investigated. The results showed an increase of percentage drag reduction % Dr was observed as NP concentration and bulk velocity increased. The drag reduction enhancement was 47% at 0.6% ZnO NP concentration with 500 ppm of PAA solution at a 44.2 l/min flow rate and a diameter of 17mm. The experimental data were also used to calculate the friction factors. The results showed a decrease in friction factors when using a 500 PAA solution: 37% and 54% for 0.6% ZnO NP with the solution.
High-frequency ultrasonography for the detection of subclinical arthritis in chronic plaque psoriasis patients – A cross-sectional study
Authors: Vendhan Senkadhir , Vasudevan Biju , Rai Roma , Neema Shekhar , Krishnan Lekshmi Priya , Kamboj Parul 
Published: September 2024

Background
Psoriatic arthritis (PsA) is seen in almost 30–40% cases of psoriasis. Psoriasis precedes the onset of PsA in 85% of cases. Delay in the diagnosis of PsA may lead to poor functional outcomes and morbidity. Screening psoriasis patients with high-frequency ultrasound helps to diagnose arthritis at an early stage leading to prompt intervention and possible reduction in the morbidity associated with the disease.

Objectives
To determine the role of high frequency ultrasonography (USG) in the detection of subclinical PsA.

Methods
A cross-sectional study was conducted in a dermatology and radiology department of Armed Forces Medical College, Pune between July 2021 and December 2022. Patients of chronic plaque psoriasis with no clinical evidence of arthritis were assessed using high-frequency USG. Various parameters such as bony erosions, synovial thickening, tendon thickening, tendon hypo-echogenicity, calcifications and power doppler signals were assessed.

Results
A total of 117 patients were included in the study. The distal interphalangeal joint (DIP) and Achilles tendon were the most commonly affected sites. Synovial thickening in DIP was observed in 67 (57%) patients and Achilles tendon thickening was observed in 39 (33%) patients.

Limitations of the study
The cross-sectional nature of the study is the major limitation. A longitudinal study will be required to understand the clinical relevance of ultrasonographic changes in these patients. Another limitation of the study is the lack of age and gender-matched controls. Future research should include such controls to ensure more accurate results.

Conclusion
Subclinical arthritis is common in patients with chronic plaque psoriasis. High-frequency ultrasound is a useful tool for detecting subclinical synovitis and enthesitis in asymptomatic patients. The DIP joint and Achilles tendon ultrasound can be used for screening for early detection of PsA.
AÇÕES EM PERÍODO DE CRISE: VALE A PENA INVESTIR? UM GUIA PARA INVESTIDORES
Authors: Casamali Kleidiane , Ellwanger Manuela Pozza , Ellwanger Maurício Pratzel , Suchek Eduardo Murara , Silva Robson de Faria 
Published: September 2024

Objetivo: Este estudo analisa o comportamento das ações de duas empresas do setor de aviação brasileiro durante a pandemia de COVID-19. Utilizando o índice de Sharpe, avaliamos a variação e o retorno dessas ações em comparação com o Ibovespa e a taxa Selic. Investigamos se investir em ações durante períodos de crise é uma estratégia viável, considerando diferentes perfis de investidores (longo, médio e curto prazo). Os resultados indicam que, apesar dos retornos negativos em muitos períodos, o investimento em ações ofereceu um retorno superior à taxa Selic, demonstrando que pode ser vantajoso investir em ações mesmo durante crises econômicas.

Referencial Teórico: O referencial teórico destaca as teorias de risco e retorno, com foco em crises econômicas, especialmente as pandêmicas. A volatilidade e o desempenho das ações, conforme observado durante a pandemia de COVID-19, serão interpretados com base em teorias financeiras, fundamentando a análise subsequente.

Método: A metodologia utiliza uma análise quantitativa baseada em dados diários do mercado financeiro coletados via Python. As ações de duas empresas de aviação foram analisadas quanto à sua variância, desvio padrão, covariância e correlação em relação ao Ibovespa e à taxa Selic. O Índice de Sharpe foi calculado para avaliar a relação risco-retorno, fornecendo uma perspectiva detalhada sobre o comportamento das ações durante o período estudado.

Resultados e Discussão: Os resultados indicam uma alta volatilidade das ações durante o período pandêmico, com oscilações significativas em relação ao Ibovespa e à taxa Selic. Apesar de períodos de retorno negativo, a recuperação gradual no pós-pandemia sugere que, para investidores de longo prazo, o investimento em ações poderia oferecer retornos superiores à taxa Selic. A discussão contextualiza esses achados, destacando a resiliência do setor de aviação e as limitações do estudo.

Implicações da Pesquisa: As implicações práticas incluem orientações para investidores sobre a gestão de risco e decisões de investimento no setor de aviação. Teoricamente, o estudo contribui para a compreensão do comportamento do mercado acionário em períodos de crise, oferecendo insights sobre a resiliência e recuperação do setor.

Originalidade/Valor: Este estudo oferece uma análise detalhada e original do comportamento do setor de aviação brasileiro durante a pandemia de COVID-19. Os resultados são relevantes tanto para investidores quanto para pesquisadores, fornecendo uma compreensão aprimorada do impacto de crises pandêmicas no mercado financeiro.
Development of Sustainable Urban-Rural Integration: Dongtan Case Study
Authors: Ji Ningbin 
Published: September 2024

The environmental impact issues, such as global warming and expansion of the urban zone, seem more serious and have become the biggest defining challenges of the 21st century. Climate change can lead to water shortages, desertification, land degradation, air pollution, rising sea levels, accelerated deforestation, and exacerbated economic pressures. Global urban growth greatly impacts changes in sociability, humanity, and the environment of the Earth. The human presence, especially in cities, seriously affects resource use and waste disposal, and they are consuming natural resources faster than the planet can sustain during urbanization, changing how people live. China, with a population of 1.3 billion, has seen tens of millions of people living in the countryside migrate to cities, especially megacities, since the 1980s. As a result of its decision to industrialize and urbanize to boost the economy, China has become the world’s second-largest consumer of energy. In recent years, China’s government has quickly recognized the lessons of “limits to growth” and has taken action by initiating the construction process in Dongtan, Shanghai, China. They are making efforts to build urban-rural integration communities to promote sustainable development. Based on a literature review focusing on Dongtan, research questions are raised according to the research objective: (1) What are the challenges of sustainable development in urban-rural integration? (2) What practices has Dongtan implemented for sustainable development, or how is sustainable development being applied to Dongtan? (3) What are the social, political, environmental, and economic concerns regarding the sustainable development of Dongtan? The sustainable urban-rural integration concerns the ecological, economic, environmental, and psychological aspects of urban-rural integration design and management. The overall objective is to promote sustainable development in economic, social, ecological, and spatial dimensions. It will be a liveable, complete community that makes economic, environmental, and social sense locally while also contributing to national and global sustainable development. It will serve as a compelling model for how to build sustainable urban-rural integration worldwide.
Pengaruh Purun Tikus (Eleocharis dulcis L.) dan Fosfat Alam Terhadap Reaksi Tanah Serta Erapan Fosfat Gambut
Authors: Damanik Z. , Anwar M. 
Published: September 2024

Tujuan penelitian ini adalah untuk mempelajari pengaruh penambahan kompos purun tikus dan fosfat alam terhadap reaksi tanah dan erapan fosfat tanah gambut. Rancangan yang digunakan adalah rancangan acak lengkap dengan dua factor dan tiga ulangan. Faktor pertama adalah kompos purun tikus (0, 10 dan 20 ton/ha) dan factor kedua adalah fosfat alam (0, 45, 90 dan 135 kg/ha). Hasil penelitian menunjukkan penambahan kompos purun tikus meningkatkan konstanta Langmuir dan jumlah tapak erapan fosfat tanah gambut, sebaliknya fosfat alam menurunkan jumlah tapak erapan fosfat. Interaksi kompos purun tikus dan fosfat alam nyata menurunkan kemasaman tanah.Kata Kunci : Erapan P, Fosfat Alam, Gambut, Purun
Ketertarikan Arthropoda Pada Blok Refugia (Cosmos caudatus, Helianthus annuus L., Zinnnia acceraso) Di Lahan Mangga Alpukat Di Desa Oro–Oro Ombo Kulon, Rembang, Pasuruan
Authors: Musarofa Musarofa , Windriyanti Wiwin , Rahmadhini Noni 
Published: September 2024

Mangga merupakan tanaman potensial untuk dikembangkan karena disukai oleh hampir semua lapisan masyarakat dan memiliki pasar yang luas. Permasalahan utama dalam pengembangan mangga adalah adanya serangan organisme pengganggu tanaman (OPT). Konsep pengendalian hama dengan menanam refugia pada sekeliling lahan tanaman berkemampuan memikat banyak musuh alami karena berfungsi sebagai sumber pakan maupun tempat perhentian. Penelitian ini bertujuan untuk memberikan informasi tentang kertetarikan arthropoda pada blok refugia di Desa Oro–oro Ombo Kulon. Pola penanaman refugia (C. caudatus, H. annuus L., Z. acceraso) yaitu dengan pola kombinasi tanam pinggir petak lahan (hedge rows) dan pola tanam sistem bank serangga (insectary bank). Pengamatan dilakukan dengan metode scan sampling yaitu dengan mengamati serangga yang hinggap pada refugia dengan menghitung jumlah spesies dan individu serangga pengunjung. Pengumpulan dan pengamatan serangga pada tanaman refugia di area tanaman mangga alpukat dilakukan dengan cara pengamatan secara langsung, menggunakan jaring ayun (sweep net), menggunakan yellow sticky traps, dan menggunakan pitfall trap. Data dianalisis secara kuantitatif dengan menghitung indeks keanekaragaman (H’) dan indeks kelimpahan relatif (IKR%). Pada penelitian ini ditemukan sebanyak 16963 individu, yang terdiri dari 104 spesies, 56 famili, dan 12 ordo serangga sebagai hama, predator, penyerbuk, parasit, dan pengurai.