bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of mindfulness-based stress reduction on quality of life of breast cancer patient: A systematic review and meta-analysis
Authors: Wang Xiaohui , Dai Zhicheng , Zhu Xinying , Li Yu , Ma Limin , Cui Xinghui , Zhan Tongxia 
Published: July 2024

Background
Breast cancer is the most common malignancy that occurs in women. Due to the pain caused by the disease itself and the adverse reactions in the treatment process, breast cancer patients are prone to anxiety, depression, fear of recurrence, and other negative emotions, which seriously affect the quality of life. As a systematic stress reduction therapy, mindfulness-based stress reduction is widely applied to the treatment of breast cancer patients and has been found by a growing number of studies to relieve stress, regulate mood, and improve the state. However, due to the absence of recent research and uniform outcome measures, previous studies have failed to fully explain the role of mindfulness-based stress reduction in improving the quality of life in breast cancer patients.

Objective
We conducted a systematic review and meta-analysis to evaluate and compare the effects of mindfulness-based stress reduction therapy and standard care on the quality of life and psychological status of breast cancer patients.

Methods
We searched PubMed, Web of Science, Embase, China’s National Knowledge Infrastructure and the Cochrane Central Registry of Controlled Trials up to July 2023 to identify candidate randomized clinical trials addressing the values of mindfulness-based stress reduction in breast cancer patients.

Results
A total of 1644 patients participated in 11 randomized controlled trials. The results of the meta-analysis showed that mindfulness-based stress reduction therapy can significantly reduce negative emotions such as perceived stress (MD = -1.46, 95%CI = -2.53 to -0.38, p = 0.03), depression (MD = -1.84, 95%CI = -3.99 to -0.30, p = 0.0004), anxiety (MD = -2.81, 95%CI = -5.31 to -0.32, p = 0.002), and fear of recurrence (MD = -1.27, 95%CI = -3.44 to 0.90, p = 0.0004). Mindfulness-based stress reduction therapy also has certain advantages in improving the coping ability (MD = 1.26, 95%CI = -3.23 to5.76, p = 0.03) and the emotional state (MD = -7.73, 95%CI = -27.34 to 11.88, p = 0.0007) of patients with breast cancer.

Conclusion
Our analyses support that, compared with standard care, mindfulness-based stress reduction therapy can significantly improve patients’ coping ability, reduce adverse emotions and improve patients’ emotional states.
Treponema pallidum genetic diversity and its implications for targeted vaccine development: A cross-sectional study of early syphilis cases in Southwestern Colombia
Authors: Salazar Juan C. , Vargas-Cely Fabio , García-Luna Jonny A. , Ramirez Lady G. , Bettin Everton B. , Romero-Rosas Nelson , Amórtegui María F. , Silva Sebastián , Oviedo Oscar , Vigil Julie , La Vake Carson J. , Galindo Ximena , Ramirez Jose D. , Martínez-Valencia Alvaro J. , Caimano Melissa J. , Hennelly Christopher M. , Aghakhanian Farhang , Moody M. Anthony , Seña Arlene C. , Parr Jonathan B. , Hawley Kelly L. , López-Medina Eduardo , Radolf Justin D. 
Published: July 2024

Background
Venereal syphilis, caused by the spirochete Treponema pallidum subsp. pallidum (TPA), is surging worldwide, underscoring the need for a vaccine with global efficacy. Vaccine development requires an understanding of syphilis epidemiology and clinical presentation as well as genomic characterization of TPA strains circulating within at-risk populations. The aim of this study was to describe the clinical, demographic, and molecular features of early syphilis cases in Cali, Colombia.

Methods and findings
We conducted a cross-sectional study to identify individuals with early syphilis (ES) in Cali, Colombia through a city-wide network of public health centers, private sector HIV clinics and laboratory databases from public health institutions. Whole blood (WB), skin biopsies (SB), and genital and oral lesion swabs were obtained for measurement of treponemal burdens by polA quantitative polymerase chain reaction (qPCR) and for whole-genome sequencing (WGS). Among 1,966 individuals screened, 128 participants met enrollment criteria: 112 (87%) with secondary (SS), 15 (12%) with primary (PS) and one with early latent syphilis; 66/128 (52%) self-reported as heterosexual, while 48 (38%) were men who have sex with men (MSM). Genital ulcer swabs had the highest polA copy numbers (67 copies/μl) by qPCR with a positivity rate (PR) of 73%, while SS lesions had 42 polA copies/μl with PR of 62%. WB polA positivity was more frequent in SS than PS (42% vs 7%, respectively; p = 0.009). Isolation of TPA from WB by rabbit infectivity testing (RIT) was achieved in 5 (56%) of 9 ES WB samples tested. WGS from 33 Cali patient samples, along with 10 other genomic sequences from South America (9 from Peru, 1 from Argentina) used as comparators, confirmed that SS14 was the predominant clade, and that half of all samples had mutations associated with macrolide (i.e., azithromycin) resistance. Variability in the outer membrane protein (OMP) and vaccine candidate BamA (TP0326) was mapped onto the protein’s predicted structure from AlphaFold. Despite the presence of mutations in several extracellular loops (ECLs), ECL4, an immunodominant loop and proven opsonic target, was highly conserved in this group of Colombian and South American TPA isolates.

Conclusions
This study offers new insights into the sociodemographic and clinical features of venereal syphilis in a highly endemic area of Colombia and illustrates how genomic sequencing of regionally prevalent TPA strains can inform vaccine development.
Legacies of Ancient Greece in Contemporary Perspectives, Thomas M. F. Gerry (ed.) (2023)
Authors: Stergiopoulou Katerina 
Published: July 2024

Review of: Legacies of Ancient Greece in Contemporary Perspectives, Thomas M. F. Gerry (ed.) (2023)
Wilmington, DE: Vernon Press, xvv + 293 pp.,
ISBN 978-1-64889-111-3, h/bk, €72.00
ISBN 978-1-64889-554-8, p/bk, €40.00
Tracheal Stent Ingestion: Unveiling Complications and Innovations in Management
Authors: Vikash Fnu , Osayande Osagiede , Pang Maoyin 
Published: July 2024

ABSTRACT
Airway stenting has become integral to the therapeutic endoscopic management of benign and malignant obstructive airway diseases. Despite the increased use of stents, the absence of clear guidelines for surveillance and maintenance poses the potential for unique stent-associated complications. Our case reports a rare incident of tracheal stent dislodgement, leading to its ingestion and unexpected discovery within the stomach. This case serves the purpose of shedding light on a rare yet potentially life-threatening complication and discussing types of stent and characteristics to enhance gastroenterologists' understanding of stent-related challenges and equips them to anticipate and strategize the appropriate course of action.
Esophagitis Dissecans Superficialis After Thermal Injury
Authors: Ahmed Abdillahi , King William , Middleton Charles E. , Sharma Anil 
Published: July 2024

ABSTRACT
Esophagitis dissecans superficialis (EDS) is a rare esophageal condition characterized by sloughing of the esophageal mucosal epithelium, typically associated with a desquamating dermatologic disorder or mucosal irritants. We present a case of a 49-year-old man who presented for thermal burns sustained from an outdoor heater explosion. On body trauma imaging, he was incidentally found to have a midcervical esophageal prominence causing asymptomatic posterior tracheal compression. Endoscopy with esophageal biopsy were performed and consistent with EDS. He never exhibited symptoms associated with this diagnosis. To our knowledge, thermal injury has been a purported, albeit without case reference, etiology of EDS.
Analytical performance specifications for trace elements in biological fluids derived from six countries federated external quality assessment schemes over 10 years
Authors: Arnaud Josiane , Weykamp Cas , Wenzel Ross , Patriarca Marina , González-Estecha Montserrat , Janssen Liesbeth , Fofou-Caillierez Ma’atem Beatrice , Alemany Montserrat Ventura , Patriarca Valeria , de Graaf Irene , Persoons Renaud , Panadès Mariona , China Bernard , Winkel Marieke te , van der Vuurst Hans , Thelen Marc 
Published: July 2024

Abstract

Objectives
This article defines analytical performance specifications (APS) for evaluating laboratory proficiency through an external quality assessment scheme.

Methods
Standard deviations for proficiency assessment were derived from Thompson’s characteristic function applied to robust data calculated from participants’ submissions in the Occupational and Environmental Laboratory Medicine (OELM) external quality assurance scheme for trace elements in serum, whole blood and urine. Characteristic function was based on two parameters: (1) β – the average coefficient of variation (CV) at high sample concentrations; (2) α – the average standard deviation (SD) at low sample concentrations. APSs were defined as 1.65 standard deviations calculated by Thompson’s approach. Comparison between OELM robust data and characteristic function were used to validate the model.

Results
Application of the characteristic function allowed calculated APS for 18 elements across three matrices. Some limitations were noted, particularly for elements (1) with no sample concentrations near analytical technique limit of detection; (2) exhibiting high robust CV at high concentration; (3) exhibiting high analytical variability such as whole blood Tl and urine Pb; (4) with an unbalanced number of robust SD above and under the characteristic function such as whole blood Mn and serum Al and Zn.

Conclusions
The characteristic function was a useful means of deriving APS for trace elements in biological fluids where biological variation data or outcome studies were not available. However, OELM external quality assurance scheme data suggests that the characteristic functions are not appropriate for all elements.
The IAPM New York 2024 declaration on professional responsibility and abortion
Authors: Chervenak Frank A. , Stajonevic Milan , Grünebaum Amos 
Published: July 2024

Abstract
The International Academy of Perinatal Medicine (IAPM) firmly supports abortion as a fundamental reproductive right, as declared at their annual meeting on June 28, 2024, in New York City. This stance, grounded in professional responsibility, respects both autonomy and beneficence-based obligations to pregnant patients and fetal patients. The IAPM asserts that access to safe, legal abortion services is essential for gender equality, public health, and social justice. Their declaration aligns with international human rights standards, advocating for abortion legalization up to fetal viability and beyond in cases of maternal health risks or severe fetal anomalies. This comprehensive approach underscores the critical role of healthcare professionals in providing compassionate reproductive healthcare, aiming to reduce maternal mortality and improve public health outcomes globally.
FINANCIAL OPPORTUNITIES AND BARRIERS TO PROVIDING HEALTH-CARE SERVICES TO PEOPLE WITH DISABILITIES: THE EXPERIENCE OF PHYSICIANS
Authors: Rupšienė Liudmila , Saveljeva Regina , Batuchina Aleksandra , Grubliauskienė Jūratė 
Published: July 2024

The World Health Organization acknowledges that the health of people in the European region has improved significantly, but not everywhere and not equally for all. It has set a strategic goal to improve the health of all, and reduce health inequalities. In meeting this goal, Lithuania purposefully strives to reduce inequalities in the health condition of individuals attributed to different social groups, and differences in accessibility to health care. The primary focus is on people with disabilities. In compliance with the UN Convention on the Rights of Persons with Disabilities, Lithuania seeks to provide people with disabilities with health-care services and programmes of the same availability, quality and level which are provided or applied to other individuals, free of charge or at a reasonable price. However, research has revealed a great deal of problems in fulfilling this obligation. The present article focuses on physicians’ experience, and aims to understand, from a physician’s perspective, the financial opportunities and barriers that they encounter in rendering health-care services to people with disabilities. A survey involving 107 physicians was carried out in 2019 and 2020. The research results showed that Lithuania is making progress in increasing funding to the health-care system in a targeted way covering a wide range of its domains. Therefore, physicians have plenty of opportunities to refer patients with disabilities to other professionals for consultation without any financial constraints, to prescribe reimbursable medication, to carry out laboratory and radiological tests, to give instructions to caregivers on patient care, and to hospitalise a patient or transfer him/her to another hospital. The situation is somewhat worse with prescribing the most appropriate reimbursable measures and reimbursable rehabilitation treatment, and the worst situation has emerged in the sphere of reimbursable psychological and social assistance, because these services are usually granted a minimum level of funding. The trends established verify that there is a strong need to develop a more effective public health policy in Lithuania, to reform the health-care system, and to invest in improving its quality, so that the country can take more measures to ensure the health of the population and the inclusive equality of people with disabilities in the health-care system.
The Complexity of Defining and Assessing the Most Demanding Periods of Play in Team Sports: A Current Opinion
Authors: Lino-Mesquita João , Baptista Ivan , Nakamura Fábio Yuzo , Casanova Filipe , Yousefian Farzad , Travassos Bruno , Afonso José 
Published: July 2024

ABSTRACT
In the context of training load monitoring, the most demanding periods of play (MDPs) have increasingly caught the interest of researchers. However, the MDPs analysis is currently embryonic, raising some conceptual and methodological questions. This current opinion synthesizes the methods used for the MDPs analysis while highlighting conceptual and methodological gaps and proposing a broader perspective on the topic. It is underlined that (a) the information available on the MDPs is mostly limited to external load (particularly running-based metrics), with scarce research focused on internal load; (b) the metrics have been analyzed in a univariate way, neglecting the multivariate scenarios from which the MDPs emerge; (c) the MDPs are highly variable over time due to the complex interaction between individual, tactical–technical, and contextual factors; and (d) scarce evidence is available regarding the contextualization of the MDPs from a tactical–technical perspective. Thus, the MDPs would benefit from cross-referencing external load with game moments and tactical actions while avoiding the idea of fixed benchmarks given the inherent match-to-match variability. Practitioners may consider replicating the MDPs (and their contexts) in (some?) training sessions as a complementary prescription strategy (metaphorically, the cherry on top, not the cake). However, the feasibility and effectiveness of such practices warrant investigation.
Spatial Accessibility and Uptake of Pediatric COVID-19 Vaccinations by Social Vulnerability
Authors: Khazanchi Rohan , Rader Benjamin , Cantor Jonathan , McManus Kathleen A. , Bravata Dena M. , Weintraub Rebecca , Whaley Christopher , Brownstein John S. 
Published: July 2024

BACKGROUND AND OBJECTIVES
Geographic accessibility predicts pediatric preventive care utilization, including vaccine uptake. However, spatial inequities in the pediatric coronavirus disease 2019 (COVID-19) vaccination rollout remain underexplored. We assessed the spatial accessibility of vaccination sites and analyzed predictors of vaccine uptake.

METHODS
In this cross-sectional study of pediatric COVID-19 vaccinations from the US Vaccine Tracking System as of July 29, 2022, we described spatial accessibility by geocoding vaccination sites, measuring travel times from each Census tract population center to the nearest site, and weighting tracts by their population demographics to obtain nationally representative estimates. We used quasi-Poisson regressions to calculate incidence rate ratios, comparing vaccine uptake between counties with highest and lowest quartile Social Vulnerability Index scores: socioeconomic status (SES), household composition and disability (HCD), minority status and language (MSL), and housing type and transportation.

RESULTS
We analyzed 15 233 956 doses administered across 27 526 sites. Rural, uninsured, white, and Native American populations experienced longer travel times to the nearest site than urban, insured, Hispanic, Black, and Asian American populations. Overall Social Vulnerability Index, SES, and HCD were associated with decreased vaccine uptake among children aged 6 months to 4 years (overall: incidence rate ratio 0.70 [95% confidence interval 0.60–0.81]; SES: 0.66 [0.58–0.75]; HCD: 0.38 [0.33–0.44]) and 5 years to 11 years (overall: 0.85 [0.77–0.95]; SES: 0.71 [0.65–0.78]; HCD: 0.67 [0.61–0.74]), whereas social vulnerability by MSL was associated with increased uptake (6 months–4 years: 5.16 [3.59–7.42]; 5 years–11 years: 1.73 [1.44–2.08]).

CONCLUSIONS
Pediatric COVID-19 vaccine uptake and accessibility differed by race, rurality, and social vulnerability. National supply data, spatial accessibility measurement, and place-based vulnerability indices can be applied throughout public health resource allocation, surveillance, and research.
Amor Loca
Authors: Halperin David M. 
Published: July 2024

La medicina, la psiquiatría, el psicoanálisis y la sociología abordan la subjetividad de lesbianas, gays, bisexuales y transgénero (LGTB) desde una perspectiva patologizante. Pero estas comunidades buscan explorar su vida interior fuera de estos discursos de normalización, siguiendo como referentes algunos iconos de la cultura popular como Judy Garland y Joan Crawford. En este artículo se analizan algunos de estos referentes y la adopción por parte de la comunidad LGTB de estas expresiones cinematográficas para escapar de los modelos normalizadores del mundo académico y científico.
Valoración del daño psicológico en el contexto jurídico colombiano
Authors: Carmona Rave Luz Marina , Valencia Ruiz Laura 
Published: July 2024

Tras reconocer los supuestos jurídicos acerca de la valoración del daño y la dificultad para la comprensión de lo subjetivo en el ámbito legal; además de los interrogantes asociados a la reparación de afecciones psíquicas causadas por un ilícito, este artículo se presenta como una de las posibilidades para elucidar estos asuntos, por medio de la revisión de bibliografía sobre la valoración psicológica, a la luz de las leyes y jurisprudencia nacional e internacional. Inicialmente se alude al psicólogo como perito, para luego dar a conocer las tipologías de daño, las herramientas de evaluación, los actos indemnizatorios y restaurativos, y transversal a ello, se plantea disertaciones sobre la actual función del psicólogo como auxiliar de la administración de justicia.
FRAMEWORK FOR ENHANCING CUSTOMER LOYALTY OF TELECOMMUNICATION COMPANIES IN INDIA: A CASE OF RELIANCE JIO INFOCOMM LTD
Authors: Vevere Velga , Singh Kamaldeep , Linina Iveta 
Published: July 2024

Enhancing customer loyalty has become a significant concern for several organisations due to the increased competition in the industries. The Indian Telecommunication Industry has experienced a major shift after the launch of Reliance JIO. Many customers have been attracted to Reliance JIO, but it is important for this company to transform the existing customers into loyal customers. The objective of the research is to identify the factors that may increase the brand loyalty of the customer in this industry. To reach this objective the following tasks were set: (1) to research scientific literature on customer loyalty, in general, and in the sphere of telecommunications, in particular; (2) to work out research methodology; (3) to carry out empirical research and discuss results. The research question: What are the factors that can enhance the customer loyalty in the telecommunication industry? Data is collected via customer survey (n=250) and processed by SPSS. The main result of the research lies in the developed customer loyalty framework for telecommunication companies. Practical significance of results lies in recommendations how to enhance customer loyalty towards Reliance Jio Infocomm, Ltd.
HUMIDITY SENSING ELEMENTS BASED ON SILICA-GRAPHENE SURFACE LAYERS
Authors: Nedev Nedyu , Nenova Zvezditza , Kozhukharov Stephan , Ivanov Stefan , Nenov Toshko 
Published: July 2024

The paper presents humidity sensing elements based on silica-graphene surface layers, prepared via a sol-gel method. The samples were sintered at temperatures of 400 °C, 600 °C and 800 °C. Tetraethoxysilane was used as a precursor of SiO2 and as a dopant - graphene aggregates of nanoplatelets. A description of the sample preparation procedure is provided. Using a precise impedance analyzer and a calibrator for humidity and temperature, the changes in their resistance R were investigated with variations in relative humidity in the range of 30% to 90% at a temperature of 25 °C and at a frequency of 20 Hz. Morphological observations and map data analyses were carried out by Scanning Electron Microscopy (SEM) and Energy Dispersion Spectroscopy (EDX). The developed sensor elements have a good sensitivity to the humidity, and the resistance change reaches two orders of magnitude. Additions of graphene improve the sensitivity of the elements. The characteristics of the sensing elements at different sintering temperatures and different amounts of graphene dopant were modeled using an artificial neural network.
Tomorrow’s Chip Industry: Threats, Opportunities and Strategy Framework
Authors: Namaki M S S El 
Published: July 2024

Few industries are as volatile as the chip industry. The rather short history of the industry has witnessed all types of dramatic cyclical swings and disruptions, from the technological to the geo-political. Technology drove the industry from the simple “few transistors on a silicon wafer” state to the multi-million transistors on the same silicon wafer profile. And from simple transistor placement to Lith photography. Geo politics saw political leaders flying all the way around the world in order to ascertain access to supplies and declare readiness to pursue hostilities in order to defend these supplies. Yet all of that will most likely pale against potential events of the coming decade. The future state of technologies, the evolving forces of data sciences, and the unraveling currents of geopolitics will all induce grass root change. A blend of these disruptive forces will ex-pose the chip industry to genuine threats and, very likely, a few opportunities. And this will be the focus of the following article. A brief history of the chip industry will provide an introduction. An analysis of the prospective threat from never heard of technologies and heavy R &amp; D investment to high industry concentration and distinctive pattern of rivalry follows. Opportunities will also be there, some in industry product competencies and others in economic value added. A conclusion will project a possible future scenario, or hypothesis, of the chip industry.