bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors affecting communication during telephone triage in medical call centres: a mixed methods systematic review
Authors: Fotland Siri-Linn Schmidt , Midtbø Vivian , Vik Jorunn , Zakariassen Erik , Johansen Ingrid Hjulstad 
Published: June 2024

Abstract
Background
Telephone triage is used to optimise patient flow in emergency primary healthcare. Poor communication can lead to misunderstandings and compromise patient safety. To improve quality, a comprehensive understanding of factors affecting communication in medical call centres in primary care is needed. The aim of this review was to identify such factors and to describe how they affect communication during telephone triage.

Method
A mixed-method systematic review was performed. In April 2021 and June 2023, MEDLINE, Embase, CINAHL, and Web of Science were searched for original studies describing communication during telephone triage in primary care medical call centres handling all types of medical problems from an unselected population. All studies were screened by two authors, blinded to each other’s decisions. Disagreements were resolved by a third author. A framework was created by the thematic synthesis of the qualitative data and later used to synthesise the quantitative data. By using convergent integrated synthesis, the qualitative and quantitative findings were integrated. The Mixed Methods Appraisal Tool was used to assess methodological limitations.

Results
Out of 5087 studies identified in the search, 62 studies were included, comprising 40 qualitative, 16 quantitative and six mixed-method studies. Thirteen factors were identified and organised into four main themes: organisational factors, factors related to the operator, factors related to the caller and factors in the interaction. Organisational factors included availability, working conditions and decision support systems. Factors related to the operator were knowledge and experience, personal qualities and communication strategies. Factors related to the caller were individual differences and the presented medical problem. Factors in the interaction were faceless communication, connection between operator and caller, third-person caller and communication barriers. The factors seem interrelated, with organisational factors affecting all parts of the conversation, and the operator’s communication in particular.

Conclusion
Many factors affect the structure, content, and flow of the conversation. The operators influence the communication directly but rely on the organisation to create a working environment that facilitates good communication. The results are mainly supported by qualitative studies and further studies are needed to explore and substantiate the relevance and effect of individual factors.

Systematic review registration
PROSPERO CRD42022298022.
Perioperative capacity and contextual challenges in teaching hospitals of southern Ethiopia: explanatory sequential mixed-methods research
Authors: Mulugeta Hailemariam , Zemedkun Abebayehu , Mergia Getachew , Abate Semagn M. , Gebremariam Mintesnot , Jemal Bedru , Nenko Getachew , Gebremichael Genet , Besha Aschalew , Aregu Mekonnen B. 
Published: June 2024

Abstract
Background
Previous Ethiopian literature on surgical capacity and challenges has focused on quantitative investigations, lacking contextual understanding. This explanatory sequential mixed-methods research (MMR) aimed to assess perioperative capacity and contextual challenges at three teaching hospitals in southern Ethiopia.

Methods
A quantitative survey assessed workforce, infrastructure, service delivery, financing, and information systems. The survey findings were explained by qualitative semi-structured interviews of twenty perioperative providers. Descriptive statistics were integrated with qualitative thematic analysis findings using the narrative waving approach. Key findings from both datasets were linked using a joint display table.

Results
The survey revealed shortages in the specialist workforce (with a ratio of 0.58 per 100,000 population), surgical volume (at 115 surgeries per 100,000 population), equipment, supplies, financing, and perioperative data tracking. Hospitals’ radiology services and blood products were only available 25–50% of the time, while anesthetic agents and essential laboratory services were often available 51–75% of the time. Perioperative management protocols were used rarely (1–25% of the time). Over 90% of patients lack health insurance coverage. Qualitative data also revealed scarcity of perioperative resources and equipment; unaffordable perioperative costs, lack of health insurance coverage, and unforeseen expenses; poor patient safety culture and communication barriers across the perioperative continuum of care; workforce shortages, job dissatisfaction, and concerns of competence; and weak national governance, and sociopolitical turmoil, and global market volatility exacerbating local challenges. These challenges are linked to risks in quality of care and patient safety, according to clinicians.

Conclusion
The study identifies deficiencies in the health system and sociopolitical landscape affecting safe surgery conduct. It highlights the need for comprehensive health system strengthening to expand workforce, upgrade facilities, improve safety culture, resilience, and leadership to ensure timely access to essential surgery. Exploring external factors, such as the impact of national governance and sociopolitical stability on reform efforts is also essential.
The (In)Vulnerable: the futures of the Halligen in the North Sea in the face of climate change
Authors: Jank-Humann Anna 
Published: June 2024

AbstractIslands and small island groups are among the areas most affected by global climate change and face major adaptation challenges. Their role as hotspots of climate change impacts is widely recognized in the scientific literature, and it is not uncommon for small islands to act as poster children for particular climate-related vulnerability. Nonetheless, many island communities have a long tradition of living with oceanic influences, and the question is whether such habitats, where terrestrial and marine ecosystems overlap, have characteristics that contribute to greater self-regulation and resilience. The question is further whether and how the future or possible futures of such an exposed region and society could unfold, considering the negative impact of climate change and the resulting burden of natural disasters. The Halligen in the southern North Sea are an exceptional example of such a situation, and they are to be examined in this study particularly due to their extremely uncertain future. Questions regarding the future arise even more urgently due to the rapidly advancing sea-level rise in the course of climate change. They were already evident in a local field research in 2014 and for current reasons the collected interview material shall be analyzed under this prospective point of view. So what, under these harsh circumstances, might the futures of the Halligen look like? What does it mean for the future of a habitat and a society when the constant risk of storm surges is multiplied by the global risk of climate change and rising sea level? By examining this question from an interdisciplinary perspective in the present study, multiple answers can be provided. The futures differ significantly depending on the perspective from which one looks into the future. However, it is precisely this multidimensionality and heterogeneity that can pose an advantage when considering the unpredictability of future developments. Choosing this very specific region for the study also adds to the benefit – because: If the conditions change, if the strength of the environmental influences change in regions where two ecosystems overlap and which are particularly vulnerable due to their islandness, dealing with and adapting to the consequences of global warming becomes a glimpse into the future of all of us.
Characterization of systolic and diastolic function, alongside proteomic profiling, in doxorubicin-induced cardiovascular toxicity in mice
Authors: Krüger Dustin N. , Bosman Matthias , Van Assche Charles X.L. , Wesley Callan D. , Cillero-Pastor Berta , Delrue Leen , Heggermont Ward , Bartunek Jozef , De Meyer Guido R. Y. , Van Craenenbroeck Emeline M. , Guns Pieter-Jan , Franssen Constantijn 
Published: June 2024

Abstract
Background
The anthracycline doxorubicin (DOX) is a highly effective anticancer agent, especially in breast cancer and lymphoma. However, DOX can cause cancer therapy-related cardiovascular toxicity (CTR-CVT) in patients during treatment and in survivors. Current diagnostic criteria for CTR-CVT focus mainly on left ventricular systolic dysfunction, but a certain level of damage is required before it can be detected. As diastolic dysfunction often precedes systolic dysfunction, the current study aimed to identify functional and molecular markers of DOX-induced CTR-CVT with a focus on diastolic dysfunction.

Methods
Male C57BL/6J mice were treated with saline or DOX (4 mg/kg, weekly i.p. injection) for 2 and 6 weeks (respectively cumulative dose of 8 and 24 mg/kg) (n = 8 per group at each time point). Cardiovascular function was longitudinally investigated using echocardiography and invasive left ventricular pressure measurements. Subsequently, at both timepoints, myocardial tissue was obtained for proteomics (liquid-chromatography with mass-spectrometry). A cohort of patients with CTR-CVT was used to complement the pre-clinical findings.

Results
DOX-induced a reduction in left ventricular ejection fraction from 72 ± 2% to 55 ± 1% after 2 weeks (cumulative 8 mg/kg DOX). Diastolic dysfunction was demonstrated as prolonged relaxation (increased tau) and heart failure was evident from pulmonary edema after 6 weeks (cumulative 24 mg/kg DOX). Myocardial proteomic analysis revealed an increased expression of 12 proteins at week 6, with notable upregulation of SERPINA3N in the DOX-treated animals. The human ortholog SERPINA3 has previously been suggested as a marker in CTR-CVT. Upregulation of SERPINA3N was confirmed by western blot, immunohistochemistry, and qPCR in murine hearts. Thereby, SERPINA3N was most abundant in the endothelial cells. In patients, circulating SERPINA3 was increased in plasma of CTR-CVT patients but not in cardiac biopsies.

Conclusion
We showed that mice develop heart failure with impaired systolic and diastolic function as result of DOX treatment. Additionally, we could identify increased SERPINA3 levels in the mice as well as patients with DOX-induced CVT and demonstrated expression of SERPINA3 in the heart itself, suggesting that SERPINA3 could serve as a novel biomarker.
VHL mutation as a cause of three generations familial pheochromocytoma
Authors: Moran-Espinosa Mari Carmen , Diaz-García Héctor , Sánchez-Urbina Rocío , Granados-Riveron Javier T. , Rodriguez-Piña Miriam Deyanira , Avilés-García Ángeles Leyda , Rubio-Leal Miguel Ángel , Martínez-Camacho Karla Ariadna , Mendieta-Zeron Hugo 
Published: June 2024

Abstract
Background
Pheochromocytoma is a rare disease, and its familial occurrence is quite uncommon. The aim of this paper is to report a three-generation phenotypical expression of a case familial occurrence of pheochromocytoma.

Case presentation
A 25-year-old female, with a history of adrenalectomy for pheochromocytoma, arrived at the shock room during her third pregnancy with an adrenergic crisis and hypoglycemia. To prevent perinatal complications, the patient was stabilized and the newborn was delivered through a Kerr-type cesarean section. A detailed history revealed that the paternal grandfather of the patient had an unilateral pheochromocytoma, whereas her paternal uncle had a bilateral pheochromocytoma. Additionally, a brother of the patient presented a unilateral pheochromocytoma. Amplicons for PCR assays were designed to span the protein-coding segments of the three Von Hippel–Lindau (VHL) exons, and the PCR products were sequenced using the Sanger method. In the trace of exon 3, we detected in the sample of the proband a heterozygous guanine to adenine transition (NM_000551.4 c. 552G > A) within the protein-coding segment of exon 3 of the VHL gene, which leads to a substitution of the arginine residue at position 161 by a glutamine residue in the encoded peptide (NP_000542.1p.R161Q). This mutation was absent in two unaffected daughters.

Conclusion
A VHL mutation was suspected and confirmed in this family that was not transmitted to a fourth generation. This case illustrates the importance of molecular genetics methodologies to assist genetic counseling in cases of pheochromocytoma where familial aggregation is presumed.
A new mathematical technique and its Python program to assess wind potential
Authors: Rehman Shafiq Ur , Sadiq Naeem , Tariq Iqbal , Khan Mahwish Mobeen , Zahid Muhammad Mustaqeem , Rajput Ahmed Ali , Uddin Zaheer 
Published: June 2024

Abstract
Background
A new approach based on the Newton–Gauss method is used to find the Weibull parameters.

Results
A Python program was developed to employ the Newton–Gauss method. It is implemented to find Weibull parameters and wind potential of Pakistan’s eight cities (Hyderabad, Khuzdar, Multan, Quetta, Bahawalpur, Islamabad, Lahore, and Peshawar). Wind speed data recorded at an interval of ten minutes for 2016 is used to implement a Python program to calculate wind potential. To compare the values of the parameters, five known methods, the empirical method, method of moments, energy pattern factor method, maximum likelihood method, and modified maximum likelihood method, were also used to model and determine the wind potential. The root mean square error, mean absolute error, coefficient of determination, and Akaike information criterion were calculated to compare values of wind parameters and average wind speed. The correlation between recorded and modeled Weibull pdf was almost 99% for each city.

Conclusions
The new method only caters to those wind speeds that contribute to the wind potential; therefore, the average value of the wind speed is the least in the case of the new method. The maximum wind potential was observed for Hyderabad.
Augmentative biological control of stink bugs on soybean: the Brazilian scenario
Authors: de F. Bueno Adeney , Sutil Weidson P. , Roswadoski Leonardo , Colmenarez Yelitza Coromoto 
Published: June 2024

Abstract

Augmentative Biological Control (ABC) is one of the essential strategies for building a more sustainable agriculture, especially in commodities such as soybean, where the overuse of insecticides has been the subject of much concern over the last years. Due to its high potential for parasitism, the egg parasitoid
Telenomus podisi
has been considered one of the main ABC agents of stink bugs, especially
Euschistus heros
, one of the major pests of soybean in South America. In this context, this article presents a review of the current situation of ABC against stink bugs with
T
.
podisi
. Despite promising results, it should be taken into account that parasitoids are fragile organisms of small size, and biotic and abiotic factors can negatively impact their parasitism efficacy. Thus, we present published results with
T. podisi
to introduce a more sustainable management of stink bugs and discuss the existing challenges related to the correct adoption of
T. podisi
in ABC programs which need more attention in order to reach the greatest potential benefits.
Richard Green in South African Film: Forging Creative New Directions, Keyan G. Tomaselli and Richard Green (2023)
Authors: Felando Cynthia 
Published: June 2024

Review of: Richard Green in South African Film: Forging Creative New Directions, Keyan G. Tomaselli and Richard Green (2023)
Cape Town: BestRed, 270 pp.,
ISBN 978-1-92824-660-2, p/bk, USD $45.00
A személyiségközpontú felnőttoktatás szerepe a folyamatos tanulás korában
Authors: Németh" Balázs 
Published: June 2024

Elemzésünk áttekinti azt a csaknem nyolcvan esztendős folyamatot, amelynek keretében a közel évszázados előzményekre építve, a felnőttek oktatása és tanulása szorosan hozzákapcsolódott a demokratizálódás folyamatának legitimációs történéseihez, egyúttal hozzájárult úgy a hatékony foglalkoztatáshoz, mint a közösségek humanizáló fejlesztéséhez. Ugyanakkor nem mulasztjuk el azt sem, hogy rámutassunk a téma szempontjából nagyon is meghatározó tényezőkre, ezek között is az oktatáshoz való egyenlő hozzáférés és ennek medrében a második esély iskolája ügyeinek megerősödésére, vagy például a politikai és szakmai, vállalati/üzemi képzések újbóli kibontakozására a modernitás és jóllét, valamint a demokrácia és a folyamatos oktatás (lifelong education) összefüggésében.
Emellett arra is rámutatunk, hogy a már ötven éve is felbukkanó átfogó válságfolyamatok mennyiben individualizálták és ezzel a foglalkoztatás, a munkaerőpiac érdekvilágába tolták a felnőttek oktatását és képzését, kiszolgáltatva az oktatási és képzési politikákat a piaci érdekeknek a liberális demokráciák zömében, melyhez aztán az 1989-90 utáni politika rendszerváltások következtében Közép-Kelet-Európa is hamar „felzárkózott”.
Következtetéseinket az UNESCO CONFINTEA (Felnőttoktatási Világkonferencia) folyamat ún. Marrakech Framework for Action/ Marrakech Cselevési Program (2022) és az uniós New European Agenda on Adult Learning/Új Európai Felnőtt-tanulási Napirend (2021)” célkitűzéseinek tükrében fogalmazzuk meg, azzal a szándékkal, hogy érzékeltessük: a felnőtt tanulókat részvételre és jobb teljesítményre ösztönző minőségi „tanuló közösségek” formálásának törekvései ma is aktuálisak úgy a munka világát, mint a hatékony közösségi környezetet érintő cselekvések terén egyaránt.
A refined rodent model of anorexia nervosa: Simulating state‐specific effects of caloric restriction and weight restoration
Authors: Rosa‐Caldwell Megan E. , Breithaupt Lauren , Kaiser Ursula B. , Garland Eliza , Pinkham Sheridyn , Hancock Madisyn , Jalkut Sophie L. , Rutkove Seward B. 
Published: June 2024

AbstractCurrent rodent models of anorexia nervosa (AN) often have accelerated weight loss that often do not allow for investigation of physiological ramifications of prolonged low weight status characteristic of AN. The purpose of this project was to refine a rodent model of AN to extend the duration of low weight status and allow for investigation of recovery. Eight‐week‐old female Sprague Dawley rats underwent 50%–60% food restriction for 30 days. Rats were group‐housed except during feeding, where AN rats were individually housed and given up to 2 h to consume food. Control (CON) rats were allowed to consume food ad libitum. To simulate recovery, a separate cohort of animals underwent the same food restriction protocol for 30 days, then rats (AN‐R) were allowed to consume food ad libitum to facilitate weight recovery for an additional 30 days. AN‐R rats were compared to age matched controls (CON‐R). AN rats lost ~15% bodyweight and were ~30% lighter than CON. Compared to CON, AN rats had ~35% lower fat content, ~18% lower bone mineral density, ~22% smaller plantaris muscle mass and ~52% smaller ovaries. Upon reintroduction of food, AN‐R rats achieved comparable bodyweights to CON‐R rats after ~10 days. However, after 30 days of recovery, AN‐R rats still had ~14% lower bone mineral density and ~11% smaller plantaris mass and ~21% smaller ovaries. This refinement of rodent AN results in physiological side effects of AN without reaching excessive weight loss requiring euthanasia. Moreover, some physiological consequences of simulated AN are not resolved with weight restoration.
Accounting Comparability and Labor Productivity: Evidence from China’s A-Share Listed Firms
Authors: Chen Xiangxiang , Gu Zhen 
Published: June 2024

Abstract
This study examines the impact of accounting comparability on firms’ labor productivity. Using a panel data of China’s A-share listed firms from 2011 to 2022, we find that accounting comparability is positively related to firms’ labor productivity, and with every one-unit increase in the level of accounting comparability, the firms’ labor productivity is expected to increase by 2.97 units. In the mechanism analysis, we find that promoting human capital accumulation and reducing agency cost are crucial channels through which accounting comparability improves firms’ labor productivity. In additional analysis, we find that the positive effect of accounting comparability on labor productivity is more pronounced when firms have higher financing constraints and lower levels of corporate governance, and their peer firms have stronger accounting information quality. Our findings add to the body of knowledge regarding the determinants of labor productivity, and the labor-economic consequences of accounting comparability, and provide firms with evidence-based insights into improving their labor productivity.
Reliability indices improvement according to grid code compliance applied to PV power plants (Algerian grid code case study)
Authors: Bahriya Badache , Hocine Labar , Mounia Samira Kelaiaia 
Published: June 2024

Abstract
The reliability of any electrical power system must be evaluated in order to increase durability. In accordance with the IEEE standard 1366, 2012, reliability is modeled by quality of service and profitability indices. This reliability highly depends on the applied grid code. An investigation was conducted on data recorded during these last five years since 2018 from OUED KEBRIT PV power plant located in Algeria. It was highlighted in this paper that the inverter power controller can decrease significantly the reliability. In many cases electrical protections of PV power plant react by disconnecting it, whereas the fault is outside. Data mining shows that many PV power plant breakdowns are not necessary. A modified active and reactive power control strategy was applied to the PV power plant and compared to the existing one. The proposal is based on software and hardware management. Thanks to the proposed strategy control, the PV power plant decoupled control is more reliable and was highly improved in this paper.
Berechnung und Nutzung von Unsicherheiten zertifizierter Werte von Referenzmaterialien
Authors: Recknagel Sebastian , Vogel Kristin 
Published: June 2024

Zusammenfassung
Referenzmaterialien sind entscheidend für die Qualitätssicherung von Laboratorien. Diese nutzen Referenzmaterialien unter anderem zur Validierung von Messverfahren und zur Kalibrierung von Geräten. Dabei ist zu beachten, dass zertifizierte Merkmalswerte stets eine gewisse Unsicherheit aufweisen. Die Ermittlung dieser Unsicherheitsbeiträge ist Gegenstand des Artikels. Des Weiteren wird ein Vorgehen beschrieben, wie die Unsicherheit von Messverfahren mit Hilfe eines Referenzmaterials bestimmt werden kann.