bluuebunny/crossref_metadata_2025_split huggingface dataset:
They Make Death, and I'm the Labor of Life”
Authors: Ftouni Layal 
Published: June 2024

Abstract
How is life affirmed under conditions of death, destruction, and debilitation? This article addresses this question by looking at the practice of sperm smuggling in Palestine as a life-affirming practice. The practice of sperm smuggling emerges in a context where reproductive injustices against Palestinians are daily occurrences of life under Israeli settler colonialism. The legal, social, and militarized targeting of Palestinian mothers and children, the mass incarceration of Palestinian men, and the attack on infrastructures of livability are Israeli biopolitical and necropolitical strategies of incapacitating the conditions necessary for the sustenance and reproduction of life in Palestine. Against this backdrop, the author argues that the practice of sperm smuggling circumvents settler-colonial efforts to curtail the reproduction of life and inaugurates a practice of life-making and a conception of life beyond its adjudication in the language of “rights.” Critically engaging with the work of Judith Butler and Rosi Braidotti, the author argues that sperm smuggling enacts an “affirmation of life” that refuses submission to the totalizing hold of physical, social, and political death.
Poetic Schemas
Authors: Rodríguez Judith 
Published: June 2024

Abstract
This article reads the affective charge of ethnonationalism and antiblackness in Puerto Rican poetics and performance. Moving from the “legible” affect in Afro–Puerto Rican feminist poet Julia de Burgos's ethnonational poetry to the “illegible” affect experienced on stage by Afro–Puerto Rican queer theater and performance artist Javier Cárdona Otero, this article provides a fragmented trajectory of the antiblack and white supremacist affective violence constitutive of art-making in Puerto Rico. In doing so, it locates an aesthetic collusion between ethnonationalism and antiblackness that in turn illuminates how the aesthetics of Puerto Ricanness can be antiblack, a claim that calls into question Puerto Rican nationalism's desire or need for ethnic difference.
Physical activity on the mental health of children and adolescents during COVID-19 pandemic-induced school closures—A systematic review
Authors: Zhong Bingbing , Sun HaiChun , Wang Guixiang , Junwen Shu , Tang Shaohua , Gao Yuan , Chen Hanwen , Lu TianCi , Yan Jun 
Published: June 2024

Propose
To review published Physical Activity (PA) on the Mental Health of Children and Adolescents aged 5 to 18 years during COVID-19 pandemic-induced school closures.

Methods
From the database creation to April 2022, 10 databases are retrieved, with 4427 records filtered, 14 included in this research. The research takes Agency for Healthcare Research and Quality (AHRQ) evaluation standards.

Results
The thesis selects 14 studies from 6 countries, involving 400009 children and adolescents. These studies happened during the lockdown of COVID-19 (from December 2019 to April 2021). During the lockdown of COVID-19, schools were closed, which was considered part of a more extensive lockdown. Schools were closed for 1 to 4 weeks. There were 10 high quality studies (71.4%) and 4 medium quality studies (28.6%). 4 studies report that the pandemic reduces the time of PA but increases the time of watching screen and sitting. 10 studies (71.4%) identify that PA is positive for the mental health, because it helps reduce mental symptoms to a certain extent, especially anxiety, depression, and emotional disorders. 5 studies show that PA may not improve the mental health of children and adolescents under 12 during the pandemic. 4 studies indicate that the influence of PA on mental health of children and adolescents is determined by the amount of activity, including the extent, intensity, frequency, and duration, etc.

Conclusions
In this narrative synthesis of reports from the class suspension period, reports that PA has a improve on the mental health of children and adolescents to a certain extent. it is found that PA may be helpful in reducing mental health symptoms of children and adolescents who are influenced by class suspension because of the COVID-19 pandemic. Therefore, stakeholders of the mental health of children and adolescents around the world should recommend PA because it is a practicable and beneficial way for long-term mental support.
Estimation of calories intake, iron, zinc, and selenium among children of the underprivileged area in Sindh, Pakistan
Authors: Kapoor Aneel , Baig Fizzah , Channa Naseem Aslam , Othman Sahar Shafik , Abualhamael Shahad Abduljalil , Baig Mukhtiar 
Published: June 2024

Introduction
Malnutrition is one of the most serious community health issues in developing countries. This study estimated total energy intake, Iron (Fe), Zinc (Zn), Selenium (Se), Calcium (Ca), and Phosphate (PO4) levels among school-going children (aged 13–17 years) of the underprivileged area in Sindh, Pakistan.

Methods
Children from Mithi City, District Tharparkar, were selected for this cross-sectional investigation. Students from various schools from both genders who fulfilled the selection criteria were selected. A questionnaire was filled, and five ml blood samples were taken to analyze blood parameters. Each participant’s estimated nutrient intake (ENI) per day was assessed and matched to the recommended daily allowance (RDA) to determine their micro and macronutrient intake.

Results
A total of 300 school-going children [150(50%) boys (mean age 15± 0.8 years) and 150(50%) girls (mean age 14±1.3years)] were included in this study. Total calories (1449±949 Kcal vs. 1245±215 Kcal; p < .001), carbohydrates (138±27 gm vs. 126 ±25 gm; p < .001) protein (47±9.1 gm vs. 44±6 gm; p < .001) was significantly higher among boys compared to girls. In contrast, calcium (1094±105 mg vs. 1144±100; 0.004), phosphate 1050±125 vs. 1148±147; p<0.001), iron (9.2±1.7 mg vs. 10±1.3 mg; p<0.001), and Zinc (7.4±1.8 mg vs. 9.9±1.7 mg; p<0.001) intake was significantly higher among girls than boys. Gender-wise comparison of serum metals in school-going children showed that serum iron was significantly lower among girls than boys (100.86±25.65 μg/dl vs. 78.48±28.66 μg/dl; p<0.001), and no difference was found in serum Zn, Se, and Ca levels. Total proteins were also significantly lower among girls than boys (6.48±1.01g/dl vs. 4.87±1.4301g/dl; p<0.001). Serum iron, Ca, and total proteins were significantly lower among girls with normal ranges compared to boys with normal ranges. Total protein was significantly lower among girls below normal ranges than boys with normal ranges (p < .001). The correlation of carbohydrates, protein, and fat with some serum biochemical parameters in school-going children showed that serum Fe was significantly linked with proteins (r = 0.255; p < .0.05).

Conclusion
Our findings showed a concurrent shortage of macro and micronutrients. The current study also revealed that total energy intake was lower than the RDA and significant Fe, Zn, and Se deficiencies. The findings highlight the importance of measures aimed at improving children’s nutritional status.
Prognostic value of combining 24-hour ASPECTS and hemoglobin to red cell distribution width ratio to the THRIVE score in predicting in-hospital mortality among ischemic stroke patients treated with intravenous thrombolysis
Authors: Krongsut Sarawut , Srikaew Surachet , Anusasnee Niyada 
Published: June 2024

Background
Acute ischemic stroke (AIS) is a significant global health issue, directly impacting mortality and disability. The Totaled Health Risks in Vascular Events (THRIVE) score is appreciated for its simplicity and ease of use to predict stroke clinical outcomes; however, it lacks laboratory and neuroimaging data, which limits its ability to predict outcomes precisely. Our study evaluates the impact of integrating the 24-hour Alberta Stroke Program Early CT Score (ASPECTS) and hemoglobin-to-red cell distribution width (HB/RDW) ratio into the THRIVE score using the multivariable fractional polynomial (MFP) method (combined THRIVE-MFP model) compared to the THRIVE-c model. We aim to assess their added value in predicting in-hospital mortality (IHM) prognosis.

Materials and methods
A retrospective study from January 2015 to July 2022 examined consecutive AIS patients receiving intravenous thrombolysis. Data on THRIVE scores, 24-hour ASPECTS, and HB/RDW levels were collected upon admission. The model was constructed using logistic regression and the MFP method. The prognostic value was determined using the area under the receiver operating characteristic curve (AuROC). Ischemic cerebral lesions within the middle cerebral artery territory were evaluated with non-contrast computed tomography (NCCT) after completing 24 hours of intravenous thrombolysis (24-hour ASPECTS).

Results
Among a cohort of 345 patients diagnosed with AIS who received intravenous thrombolysis, 65 individuals (18.8%) experienced IHM. The combined THRIVE-MFP model was significantly superior to the THRIVE-c model in predicting IHM (AuROC 0.980 vs. 0.876, p<0.001), 3-month mortality (AuROC 0.947 vs. 0.892, p<0.001), and 3-month poor functional outcome (AuROC 0.910 vs. 0.853, p<0.001).

Conclusion
The combined THRIVE-MFP model showed excellent predictive performance, enhancing physicians’ ability to stratify patient selection for intensive neurological monitoring and guiding treatment decisions. Incorporating 24-hour ASPECTS on NCCT and HB/RDW proved valuable in mortality prediction, particularly for hospitals with limited access to advanced neuroimaging resources.
Determinants of advanced age pregnancy in Ethiopian; multi-level analysis of Ethiopian demographic health survey 2016
Authors: Tesega Aynamaw Embiale , Enyew Aynadis , Tesfaye Degefa Gomora , Geta Girma , Argaw Muche , Belay Alamirew Enyew 
Published: June 2024

Background
Advanced maternal-age pregnancy has become a serious public health problem in both developed and developing countries due to adverse birth outcomes for the mother, fetus, or newborn. However, there are limited studies conducted to identify determinants of advanced-age pregnancy in Ethiopia. Therefore, this study aimed to assess individual and community-level determinants of advanced age pregnancy in Ethiopia.

Methods
This study was based on 2016 Ethiopian Demographic and Health Survey data. Three thousand two hundred ninety-two weighted samples of pregnant women were included in this analysis. A multilevel logistic regression model was conducted to assess the determinants of advanced-age pregnancy among the study participants in Ethiopia.

Results
maternal age at first birth (AOR = 4.05, 95% CI: 1.77–9.22), level of maternal education [primary education 2.72 times (AOR = 2.27, 95 CI: 1.55–4.76) and secondary and above education (AOR = 5.65, 95% CI: 1.77–17.70)], having a history of alcohol (AOR = 11.8, 95% CI: 5.71–24.42), parity (AOR = 3.22, 95% CI: 2.69–3.84), number of household member (AOR = 1.22, 95% CI: 1.05–1.41), family planning unmet need for spacing of pregnancy (AOR = 4.79, 95% CI: 2.63–8.74), having sons/daughters elsewhere (AOR = 1.89, 95% CI: 1.22–2.94), had higher community poverty level (AOR = 2.37, 95% CI: 1.16–4.85), those had higher community unmet need for family planning (AOR = 5.19, 95% CI: 2.72–9.92) were more likely to have advanced age pregnancy. Whereas Living in an Emerging region (AOR = 0.29, 95% CI: 0.14–0.59) and living in a metropolitan city (AOR = 0.03, 95% CI: 0.03–0.38), were less likely to have advanced age pregnancy.

Conclusions
increased Maternal age at first birth, level of maternal education, history of alcohol drinking, increased number of parity and household members, family planning unmet need for spacing, had sons/daughters elsewhere, had higher community poverty level, those had higher community unmet need for family planning positively, whereas living in the emerging region and living in metropolitan’s city was negatively affect advanced age pregnancy. Help women to have informed decision-making and create platforms to women have special care during this age of pregnancy. Empower women on family planning and socioeconomic status.
Exploring the pathogenesis and immunological profiles of psoriasis complicated with MASLD
Authors: Tan Shuhui , Liu Mingyue , Feng Fei , Li Ruicheng , Tian Rui , Nie Zhenhua 
Published: June 2024

Background
Both psoriasis and metabolic dysfunction-associated steatotic liver disease (MASLD) are immune-mediated chronic inflammatory diseases. Psoriasis manifests itself mainly as skin damage, while MASLD mainly involves the liver promoting liver fibrosis, which has a significant impact on patient health and quality of life. Some clinical studies have shown that there are mutually reinforcing mechanisms between these two diseases, but they are not clearly defined, and this paper aims to further explore their common pathogenesis.

Methods
Gene expression profiling datasets (GSE30999, GSE48452) and single cell datasets (GSE151177, GSE186328) for psoriasis and MASLD were downloaded from the Gene Expression Omnibus (GEO) database. Common differential gene sets were obtained by gene differential analysis, and then functional enrichment of differential genes was performed to find associated transcription factors and PPI protein network analysis. Single-cell datasets were validated for gene expression and explored for cellular communication, gene set differential analysis and immune infiltration analysis.

Results
We identified seven common differential genes, all of which were upregulated.The IL-17 pathway, tumor necrosis factor (TNF-α) pathway were shown in strong association with both diseases, and five transcription factors regulating the differential genes were predicted. Two key genes (MMP9, CXCL10) and three key transcription factors (TF) (IRF1, STAT1, NFKB1) were obtained by PPI protein network analysis. Single cell dataset verified the expression of key genes, and combined with gene set differential analysis, immune infiltration revealed that CD4+ T cells, NK cells and macrophages were heavily infiltrated in both diseases. IL-17, IL-1 and cGAS-STING pathways were highly expressed in both diseases, and both diseases share a similar immune microenvironment.

Conclusions
Our study reveals the common pathogenesis of psoriasis and MASLD from gene expression to immune cell similarities and differences, identifies key genes and regulatory pathways common to both, and elucidates the similarities in the immune microenvironment of both diseases, providing new ideas for subsequent studies on targeted therapy.
Is Stroke risk analysis (SRA) a reliable method for predicting atrial fibrillation? A systematic review
Authors: Gomes Rafael Alessandro Ferreira , Sá Michel Pompeu Barros de Oliveira , Montenegro Marcela Vasconcelos , Furtado Ludmila Cristina Camilo , Costa José Henrique Cardoso Ferreira da , Coutinho Daniel Barros , Silva Johnnes Henrique Vieira , Sobral Filho Dário Celestino 
Published: June 2024

Introduction
Atrial fibrillation is responsible for a considerable number of cases of cardioembolism, accounting for 17% to 30% of the etiologies of all strokes. The software known as Stroke Risk Analysis (SRA) detects patients at high risk of paroxysmal atrial fibrillation by analyzing a continuous electrocardiogram recorded over different periods of time.

Objectives
This article aims to carry out a systematic review investigating the effectiveness of the SRA method in predicting the risk of stroke patients having paroxysmal atrial fibrillation as the cause of the event.

Methods
The methods correspond to the format of the International Prospective Register of Systematic Reviews Protocol, according to CRD Identification Code: CRD42021253974. A systematic search was carried out in BMJB, PubMed/MEDLINE, Science Direct and LILACS. Six cohort studies met the inclusion criteria, representing a total of 2,088 participants with stroke, and compared the detection of patients with paroxysmal atrial fibrillation on the continuous recording electrocardiogram with a time variation of 1 to 48h with the use of SRA.

Results
Studies have shown that SRA has a high negative predictive value (between 96 and 99.1%) and can contribute to the selection of patients at high risk of paroxysmal atrial fibrillation to be referred for implantable cardiac monitoring to continue the investigation.

Conclusions
A sequential combination of SRA with implantable cardiac monitoring is a promising strategy for detecting undiagnosed paroxysmal atrial fibrillation. Thus, the SRA can act as a cost-effective pre-selection tool to identify patients at higher risk of having paroxysmal atrial fibrillation as a possible cause of stroke and who may benefit from implantable cardiac monitoring. However, the lack of randomized studies is a limitation that must be considered.
Can viewing a 3D movie improve visual function in children with a history of amblyopia and neurotypical children?: A pilot study
Authors: Asensio-Jurado Laura , Argilés Marc , Quevedo-Junyent Lluïsa , Mestre Clara , Levi Dennis M. 
Published: June 2024

Purpose
The aim of this pilot study was to determine whether viewing an immersive 3D movie with large disparities in a cinema resulted in improved visual acuity (VA), stereoscopic depth perception (ST), and improved eye alignment in residual amblyopic children and children without amblyopia.

Methods
A total of 24 children aged between 5 and 12 years with a history of anisometropic and/or strabismic amblyopia, that had been previously treated and who currently have residual amblyopia (N = 14), and in children with typical development without amblyopia (N = 10) viewed the movie in 3D Sing 2 in a cinema for 110 minutes. Visual acuity, stereoacuity and ocular deviation were assessed before viewing the movie, and three months later. Stereoacuity and ocular deviation were also measured immediately after viewing the movie.

Results
We observed an improvement in visual acuity in the non-dominant (amblyopic) eye 3 months after viewing the movie in the amblyopic group (P<0.001). Stereopsis improved immediately after viewing the movie (P = 0.02), and after 3 months by ≈ 40% (P = 0.01). Moreover, improvements in stereopsis were also observed in children without amblyopia (P = 0.04). No significant changes in ocular deviation were observed in either group.

Conclusions
These pilot results suggest that brief exposure to large disparities by viewing a 3D movie in a cinema can help to improve stereopsis and visual acuity in children aged 5‒12 years with previously treated amblyopia, and provide a rationale for a randomized clinical trial.
Healthcare utilization in Ghana: Insights from the 2017 Ghana Living Standard Survey
Authors: Tuoyire Derek Anamaale , Baatiema Leonard , Dwomoh Duah , Bosomprah Samuel 
Published: June 2024

Introduction
The persistence of healthcare utilization disparities in Ghana despite several policy efforts highlights the urgency of understanding its determinants to enhance equitable health access. We sought to examine the determinants of healthcare utilization in Ghana.

Methods
We used the 2017 Ghana Living Standard Survey (GLSS) data. This was a cross-sectional design, which employed a stratified two-stage random sampling technique. We analyzed data involving 8,298 respondents with information on visits to healthcare facilities for services on account of illness or injury two weeks prior to the survey. Pearson’s chi-squared test was used to assess the distribution of healthcare utilization across background characteristics. Further, we used multivariable Poisson regression model with robust standard error to identify factors independently associated with healthcare utilization.

Results
Among the 8,298, the median age was 24 years (interquartile range = 7–47), 45% were males, and 45% had no education. About 42% of respondents utilized health services during an episode of illness or injury. Age, sex, educational level, marital status, wealth quintile, health insurance and severity of illness/injury were independently associated with healthcare utilization. Healthcare utilization increased significantly with wealth quintiles—those in the highest wealth quintiles had about 22% increased utilization compared to those in the lowest wealth quintiles (aPR = 1.22; 95%CI = 1.13–1.32) while it was about 77% higher among those who had valid health insurance compared to those without (aPR = 1.77; 95% CI = 1.68–1.86). Regarding severity of illness or injury, those with severe conditions were about 65% more likely to utilize healthcare services compared to those with acute conditions (aPR = 1.65; 95% CI = 1.53–1.78).

Conclusion
Our study underscores the importance of socio-economic factors and health insurance in healthcare utilization in Ghana. Addressing these can pave the way for more equitable access to healthcare services across all segments of the population.
The Evaluation of Kurikulum Merdeka with Context Input Process Product (CIPP) Model
Authors: Fitri Zayyana Zahrotul , Sukiman Sukiman , Nurusshoimah Nurusshoimah 
Published: June 2024

Structured curriculum evaluation is part of advancing education in a country. Because of its efforts, it can improve the curriculum in the development stage as well as those that have been implemented. Thus making education in the country more prepared in the future. The purpose of this study is to determine the readiness of the implementation of a kurikulum merdeka in terms of context, input, process, and obstacles in its implementation. The method used is a qualitative method with research subjects in the form of teachers and students. Data collection techniques through curriculum documents, photos of activities, and questionnaire data of TK Plus An-Nur Peterongan. Analysis techniques by sorting data, presenting data, and drawing conclusions. The results of the research from the aspects of context, input, and process show that TK Plus An-Nur Peterongan is overall ready to implement a kurikulum merdeka with an independent category of change. This is evidenced by the results of the analysis of school needs to achieve educational goals, locally charged learning activities, strengthening the Pancasila student profile project, literacy, STEAM, ethical values, and identity through the intracurricular and extracurricular learning process and cooperation with the community environment. The obstacles to the implementation of the kurikulum merdeka found in the evaluation of the CIPP model seen from the input aspect are the quality of teachers who are not from the Kindergarten department and learning resources or media that are not fulfilled for the introduction of numerical literacy. This research contributes in the form of understanding and advice to teachers that evaluating the curriculum used by schools with the CIPP model can determine the readiness of the school or an obstacle in implementing the curriculum.