bluuebunny/crossref_metadata_2025_split huggingface dataset:
“When we have served meat, my husband comes first”: A qualitative analysis of child nutrition among urban and rural communities of Rwanda
Authors: Albin Maria Qambayot , Igihozo Gloria , Musemangezhi Shuko , Namukanga Edith Nachizya , Uwizeyimana Theogene , Alemayehu Gebremariam , Bekele Abebe , Wong Rex , Kalinda Chester 
Published: July 2024

Background
Stunting among children under five years of age is a global public health concern, especially in low-and middle-income settings. Emerging evidence suggests a gradual reduction in the overall prevalence of stunting in Rwanda, necessitating a qualitative understanding of the contributing drivers to help develop targeted and effective strategies. This qualitative study explored the lived experiences of women and men to identify key issues that influence childhood nutrition and stunting as well as possible solutions to address the problem.

Methods
Ten (10) focus group discussions (FGDs) were conducted with fathers and mothers of children under five years of age from five districts, supplemented by forty (40) in-depth interviews (IDIs) with Nurses and Community Health Workers (CHWs). Transcripts were coded inductively and analysed thematically using Dedoose (version 9.0.86).

Results
Three themes emerged: (1) Awareness of a healthy diet for pregnant women, infants, and children with subthemes Knowledge about maternal and child nutrition and feeding practices; (2) Personal and food hygiene is crucial while handling, preparing, and eating food with subthemes, food preparation practices and the feeding environment (3) factors influencing healthy eating among pregnant women, infants, and children with subthemes; Barriers and facilitators to healthy eating among pregnant women and children.

Conclusion
Several factors influence child stunting, and strategies to address them should recognise the cultural and social contexts of the problem. Prioritisation of nutrition-based strategies is vital and should be done using a multifaceted approach, incorporating economic opportunities and health education, especially among women, and allowing CHWs to counsel households with conflicts.
Patient perceptions of the impact of inducible laryngeal obstruction on quality of life
Authors: McConville Katherine M. , Thibeault Susan L. 
Published: July 2024

Background
Inducible laryngeal obstruction (ILO) accounts for or contributes to dyspnea in a noteworthy proportion of treatment seeking populations including those misdiagnosed with asthma. Despite increasing awareness of the disorder, literature exploring patient experience is limited. The aim of this work is to report patient perspectives on ILO and the way in which it impacts quality of life.

Methods
This qualitative study utilized methods detailed in the literature on grounded theory and phenomenological research to analyze interviews collected from participants diagnosed with ILO. Interviews were conducted, audio recorded, and transcribed. Transcriptions underwent content-analysis using Burnard’s 14 step method [15], which included review of content codes across multiple raters until consensus regarding analyses was reached.

Results
Twenty-six participants were included in the study. Most participants were female (92%). Ages ranged from 18–72 with a mean age of 45 for female participants and 37 for male participants. Without specific prompting to do so, all participants offered descriptions of the specific symptoms they experienced and the triggers for their symptoms. In the content analysis process, "descriptions of symptoms and triggers” was thus labeled a theme that was present in all interviews. Seven additional themes were shared consistently and judged to encapsulate the interview material. These themes were: 2) diagnosis and treatment, 3) emotional impact of ILO, 4) perception of health and prognosis, 5) ameliorating factors, 6) influence of ILO on lifestyle, 7) the physical impact of ILO, and 8), social consequences of ILO. In addition, 54 subthemes were identified.

Conclusions
Patients appear to place particular emphasis on the emotional and psychosocial consequences of ILO as well as factors that ameliorate the condition. As such, future efforts to treat ILO and to collect outcomes measures should account for these aspects of the patient experience.
Youth-friendly health service in Ethiopia: Assessment of care friendliness and user’s satisfaction
Authors: Alamdo Andamlak Gizaw , Debelle Fanna Adugna , Gatheru Peter Muriuki , Manu Adom , Enos Juliana Yartey , Yirtaw Tewodros Getinet 
Published: July 2024

Background
Health facilities’ level of readiness to provide adolescent and youth-friendly health services (AYFHS) is crucial for preventing and reducing teenage pregnancies and maternal mortality. This study examined friendliness and satisfaction with AYFHS among users.

Methods
A cross-sectional study was conducted among 419 adolescents and youths recruited from six health institutions in the East Shewa Zone, Oromia region, and Addis Ababa, Ethiopia from August 1 to October 28, 2022. Based on the WHO Quality Assessment Guidebook, the friendliness of AYFHS was evaluated as a proxy for the quality of care. Descriptive measures were computed to summarize the participants’ socio-demographic characteristics. Bivariate and multivariable logistic regression analysis was used to evaluate the potential association between each independent variable and client satisfaction. The type, magnitude, and precision of association were presented using an adjusted odds ratio (AOR) with 95% Confidence Intervals (CI) and a p-value of < 0.05 ascertained statistical significance.

Results
The overall friendliness was 69%: Specifically, 82% of the participants stated the service was accessible, 72% said it was acceptable, and 90% thought it was effective. However, only 33% and 34% of respondents reported the services were equitable and appropriate respectively. The overall satisfaction with AYFHS was 25.3%. Increased age (AOR = 0.70, 95% CI: 0.57–0.86), being female (AOR = 0.11, 95%CI: 0.04–0.33), no prior information about AYFHS (AOR = 0.20, 95%CI: 0.10–0.44), and higher number of sexual partners (AOR = 0.3, 95%CI: 0.21–0.65) were factors statistically associated with client satisfaction with AYFHS.

Conclusions
The overall quality of AYFHS was sub-optimal and did not meet the four components of WHO’s good quality standards; equity, appropriateness, acceptability, and accessibility must be improved. Female and older adolescents and youths and those with a higher number of sexual partners should be targeted for intervention.
A treadmill training program in a gamified virtual reality environment combined with transcranial direct current stimulation in Parkinson’s Disease: Study protocol for a randomized controlled trial
Authors: Bosch-Barceló Pere , Climent-Sanz Carolina , Martínez-Navarro Oriol , Masbernat-Almenara Maria , Pakarinen Anni , Ghosh Pradip K. , Fernández-Lago Helena 
Published: July 2024

Background
Parkinson’s Disease (PD) affects movement and cognition, and physiotherapy, particularly treadmill gait training, has potential in addressing movement dysfunctions in PD. However, treadmill training falls short in addressing cognitive aspects and adherence. Virtual reality (VR) and gamification can enhance motor and cognitive retraining and improve adherence. People with Parkinson’s Disease (PWPD) have decreased motor skill learning efficiency, but tDCS can improve motor and cognitive learning.

Methods
78 participants with PD will be randomly allocated in a 1:1:1 ratio to one of three groups: (1) treadmill + Gamified Virtual Reality Environment (GVRE) + tDCS training group; (2) treadmill + GVRE training group or (3) treadmill training group. Participants will follow a 6-week, 12-session treadmill gait training plan, gradually increasing session duration from 20 to 45 minutes. Participants in (1) and (2) will undergo a GVRE training protocol, with (1) also receiving tDCS for the first 20 minutes of each session. Assessments will occur at baseline, post-intervention, and at a 6-week follow-up. The primary outcome measure will be gait speed during single and dual-task performance. Secondary measures will include additional gait parameters, executive tests for cognitive performance, and clinical outcomes for disease stage, cognitive status, and physical condition.

Discussion
This randomized clinical trial presents an innovative neurorehabilitation protocol that aims to improve gait and cognition in PWPD. The study also examines how tDCS can enhance motor and cognitive training. Results could contribute to enhancing the motor and cognitive state of PWPD through a GVRE and tDCS-based neurorehabilitation protocol.

Trial registration
NCT05243394. 28/02/2024 –v3.2
Older Age as a Worrisome Feature in Patients With Intraductal Papillary Mucinous Neoplasms: A Long-Term Surveillance Study
Authors: Tange Shuichi , Oyama Hiroki , Kawaguchi Yoshikuni , Hakuta Ryunosuke , Hamada Tsuyoshi , Ishigaki Kazunaga , Kanai Sachiko , Noguchi Kensaku , Saito Tomotaka , Sato Tatsuya , Suzuki Tatsunori , Tanaka Mariko , Takahara Naminatsu , Ushiku Tetsuo , Hasegawa Kiyoshi , Nakai Yousuke , Fujishiro Mitsuhiro 
Published: July 2024

INTRODUCTION:
Aging has been implicated in the development of various cancer types. No study has specifically investigated age at intraductal papillary mucinous neoplasm (IPMN) diagnosis in relation to the long-term risk of pancreatic carcinogenesis.

METHODS:
Within a prospective cohort of 4,104 patients diagnosed with pancreatic cysts, we identified 3,142 patients with IPMNs and examined an association of age at IPMN diagnosis with the incidence of pancreatic carcinoma. Using the multivariable competing-risks proportional hazards regression model, we estimated subdistribution hazard ratios (SHRs) and 95% confidence intervals (CIs) for pancreatic carcinoma incidence according to age at IPMN diagnosis.

RESULTS:
During 22,187 person-years of follow-up, we documented 130 patients diagnosed with pancreatic carcinoma (64 with IPMN-derived carcinoma and 66 with concomitant ductal adenocarcinoma). Older age at IPMN diagnosis was associated with a higher risk of pancreatic cancer incidence (P
trend = 0.002). Compared with patients younger than 55 years, patients aged 55–64, 65–74, and ≥ 75 years had adjusted SHRs of 1.80 (95% CI, 0.75–4.32), 2.56 (95% CI, 1.10–5.98), and 3.31 (95% CI, 1.40–7.83), respectively. Patients aged 70 years and older had a numerically similar adjusted SHR compared with patients younger than 70 years with worrisome features defined by the international consensus guidelines (1.73 [95% CI, 1.01–2.97] and 1.66 [95% CI, 0.89–3.10], respectively).

DISCUSSION:
Older patients with IPMNs were at a higher risk of developing pancreatic carcinoma during surveillance. Surgically fit elderly patients may be good candidates for periodic surveillance aimed at a reduction of pancreatic cancer-related deaths.
Badges in the Carpe Diem MOOC
Authors: Lokuge Dona Kulari , Gregory Janet , Salmon Gilly , Pechenkina Ekaterina 
Published: July 2024

Throughout March and April 2014, the Learning Transformations Unit at Swinburne University of Technology (Melbourne, Australia) developed and delivered the Carpe Diem MOOC (CD MOOC) via the Blackboard CourseSites platform (coursesites.com). The CD MOOC, which attracted 1426 registrations, provided participants with the opportunity to learn about the Carpe Diem learning design process and to apply it to their own educational practice. We discuss the challenges and opportunities faced by the CD MOOC designers and moderators in offering participants the opportunity to obtain digital badges for recognition and reward of their participation and completion of tasks in the CD MOOC. Here we present findings of research into the impact of badges on the completion of learning tasks and the motivation of participants. We demonstrate that many of the CD MOOC participants, who were generally well-educated and mature professionals, were motivated by digital badges – some through to course completion.
Imaging manifestations of ductal adenoma of the breast: A case report
Authors: Zhu Yaning , Yu Haitong , Zheng Zhaolong , Liu Zewen , Li Qin , Wu Xiqing 
Published: July 2024

Abstract
Tubular adenomas of the breast are rare benign epithelium-derived tumours, and so few cases have been reported. Most often, the tumours are palpable, well-circumscribed masses in women of childbearing age and are commonly diagnosed as fibroadenomas both clinically and radiographically. We describe the case of a premenopausal patient with tubular adenoma of the breast who presented with small nipple discharge and a palpable breast mass. On imaging, tubular adenomas are practically indistinguishable from fibroadenomas and most commonly present as oval, circumscribed masses that are hypoechoic on ultrasound. On magnetic resonance imaging (MRI), tubular adenomas may present as lobulated or oval masses with a hyperintense signal on T2-weighted imaging and inhomogeneous internal enhancement on dynamic contrast-enhanced MRI. Pathologic findings after resection of the mass confirmed the diagnosis of tubular adenoma.
“Real Comrades in Struggle and Suffering”: Women’s Experiences in the Vapniarka Concentration Camp
Authors: Ştefan Olga 
Published: July 2024

Abstract
From the 1200 Jews interned at the Vapniarka concentration camp, slightly over one hundred were women. A regime of extermination was imposed in the early months of captivity through the toxic pea fodder distributed as food. More than half of the survivors remained either with paralysis or some other permanent illness. This article focuses on the female experience in the camp, the self-perception of women in contrast to the representation of women by men, as expressed through various narratives such as novel testimonies, oral histories, and autobiographies. Using narrative analysis I show how the prisoners of Vapniarka perceived their participation in different forms of resistance to fascist attempts at extermination and how time and place of telling impacted the language used. This is the first article focusing on the topic of the women of Vapniarka.
Der märchenhafte Populismus, oder: Die Politik der Gattung
Authors: Dümling Sebastian 
Published: July 2024

Zusammenfassung
Der Beitrag versucht, sich mittels einer Re-Lektüre der klassischen (kulturanthropologischen) Gattungstheorie der diskursiven Dimension des zeitgenössischen Populismus anzunähern. Dabei wird der Begriff „Kollektivgattung“ entwickelt. Dieser bezieht sich auf eine Gattung, die dadurch gekennzeichnet ist, dass sie einerseits empirische Kollektive, andererseits Imaginarien des Kollektiven adressiert. Letztere verheißen, Differenz zu tilgen und Ganzheit zu stiften. Um die Argumentation zu veranschaulichen, unternehme ich eine Parallellektüre von zwei auf den ersten Blick kaum miteinander verwandten Text- und Erzählformen: Märchen und populistische Invektiven. Obwohl sie in der Tat wenig gemein haben, sind – so meine These – die Regeln von Kollektivgattungen für beide prägend.
Der rückprojizierte Erfolg
Authors: Winzer Axel 
Published: July 2024

Zusammenfassung
Die Kinder- und Hausmärchen der Brüder Grimm sind das mit Abstand international erfolgreichste deutschsprachige Buch. Aber ab welchem Zeitpunkt genau lässt sich der Bestsellerstatus belegen? 2016 aufgetauchte Archivbestände und weitere Rezeptionsdokumente belegen, dass der Verkaufserfolg in Deutschland erst viel später einsetzte als bislang angenommen.
Communicating intergenerational justice and climate change: a study of youth-generated environmental discourses
Authors: Aiello Jacqueline , Di Martino Emilia 
Published: July 2024

Abstract
Awareness of climate change as an intergenerational issue with inequitable risk burden for younger generations is a relatively recent phenomenon. However, youth activists have already managed to come to occupy a meaningful role in climate advocacy. Accepting the invitation to search for positive new discourses to live by, this paper applies a positive discourse analytical lens to the study of the online discourses produced by the youth climate activists of Generation Climate Europe (GCE), the largest coalition of youth-led networks on climate and environmental issues at the European level, examining how GCE newsletters and podcasts use discursive strategies and multimodal resources to communicate their message. The (corpus-assisted) positive discourse analysis of this GCE-produced content revealed that the youth activists designed a complex virtual space brimming with cross-references, intertextuality, and options for its audience that projected an identity for the coalition as a productive, solution-oriented, and agentive organization. The discourses produced by GCE were carefully tailored to a specific interpretive community and they aimed to both claim and impart authority and expertise. GCE’s interactional practices strove to generate wiggle room to resist the status quo and advocate for critical issues such as intergenerational justice and institutional transparency. In disclosing these results, the authors hope to have contributed to understandings of how sustainable climate advocacy is currently being enacted by youth within digital communication across platforms.
Array tomography: trails to discovery
Authors: Micheva Kristina D. , Burden Jemima J. , Schifferer Martina 
Published: July 2024

Abstract
Tissue slicing is at the core of many approaches to studying biological structures. Among the modern volume electron microscopy (vEM) methods, array tomography (AT) is based on serial ultramicrotomy, section collection onto solid support, imaging via light and/or scanning electron microscopy, and re-assembly of the serial images into a volume for analysis. While AT largely uses standard EM equipment, it provides several advantages, including long-term preservation of the sample and compatibility with multi-scale and multi-modal imaging. Furthermore, the collection of serial ultrathin sections improves axial resolution and provides access for molecular labeling, which is beneficial for light microscopy and immunolabeling, and facilitates correlation with EM. Despite these benefits, AT techniques are underrepresented in imaging facilities and labs, due to their perceived difficulty and lack of training opportunities. Here we point towards novel developments in serial sectioning and image analysis that facilitate the AT pipeline, and solutions to overcome constraints. Because no single vEM technique can serve all needs regarding field of view and resolution, we sketch a decision tree to aid researchers in navigating the plethora of options available. Lastly, we elaborate on the unexplored potential of AT approaches to add valuable insight in diverse biological fields.
Happiness and Joy in Aristotle and Bergson as Life of Thoughtful and Creative Action
Authors: Marren Marina 
Published: July 2024

AbstractThe view of happiness that I propose in this article and derive on the basis of Aristotle’s and Henri Bergson’s ideas recommends that we must first understand life as an activity – not as a sum of accumulated experiences and things; nor a set of projects; nor fateful or haphazard events that befall us, but as a formative activity in which we play a key role. Ἐνέργεια or de l’action are at the core of life and it is by getting a hold of this creative core that we stand to live happily (Aristotle) or joyously (Bergson). For both thinkers, the possibility of happiness and joy comes to the fore, to no small extent, as a certain orientation in our thinking, i.e., as φρόνησις and θεωρία, for Aristotle, and as philosophy for Bergson. Our thoughts inform our choices and actions as well as our view of the world, grounding our sense of meaning, purpose, and value of action. It is by reckoning with the ever-unfolding act of life and with our own actions in it (actions which can be vicious, senseless, and unexamined or creative and constitutive of a life well-lived) that we also take hold of the possibility of happiness and joy.
“Objective Possibility” in Lukács’s History and Class Consciousness
Authors: Miller Tyrus 
Published: July 2024

Abstract
This study explores the pivotal concept of “objective possibility” within Lukács’s History and Class Consciousness, a concept that has received less attention compared to more prominent ideas such as reification or totality. Lukács frequently refers to “objective possibility” and related terms in essays like “What Is Orthodox Marxism?” and “Class Consciousness,” emphasizing its importance in understanding class consciousness theoretically. The term’s roots for Lukács derive from Max Weber’s methodological writings, which drew from John Stuart Mill and Johannes von Kries and applied to historical and social causation. However, Lukács diverges from Weber’s use, focusing not on counterfactual historical events but on latent historical tensions in the present that can be actualized through collective action. The study argues that Lukács integrates Weberian objective possibility with Marxist and Hegelian language, utilizing it within a modal social ontology. This approach allows Lukács to theorize key questions of class consciousness, historical action, and revolution. By drawing on Hegel’s dialectics of possibility, actuality, and necessity, as well as Marxian contradictions in material conditions, Lukács reconfigures objective possibility from a heuristic tool for the writing of history to an ontologically significant element in the field of historical action.
Mythos and catharsis in Aristotle’s Poetics
Authors: Kyriakou Poulheria 
Published: July 2024

Abstract
The paper argues that catharsis in Aristotle’s Poetics is a two-pronged process, which applies both to the construction of the mythos by the poet and its reception by the audience. Catharsis may plausibly be taken as the poet’s distillation of events that constitute a mythos so as to clear away anything that might undermine its coherence or disturb its unity. The sequencing of fearful and pitiable events in the plot according to probability or necessity allows the audience to evaluate or reevaluate properly the relative importance of factors that determine or influence the behavior of the tragic characters and the fulfilment of their fate. In several cases at least, the plot also leads the audience to realize that other features such as the heroes’ social and intellectual advantages, which they and/or the characters may have considered important in principle, because of their cultural or social background, and/or in the early stages of the plot, were not involved in the downfall (or salvation) of the heroes. This gradual and plot-induced shift in the audience’s appreciation of the relative importance of various factors constitutes the catharsis experienced by the audience. They gain a clear(er) understanding of the reason(s) why the heroes suffer and how they bring about (or escape) disaster. Sophocles’ OT and Euripides’ IT, which Aristotle praises highly in the Poetics, are discussed as examples that illustrate how their plots lead the audience to experience catharsis.
In the Library, under a Tower Decorated with the Signs of the Zodiac... (in Lithuanian)
Authors: Būčys Žygintas 
Published: July 2024

Pacevičius, Arvydas. Vilniaus imperatoriškasis universitetas mokslinės informacijos gniaužtuose, 1803–1832 = The Imperial University of Vilna in the Clutches of Scholarly Information, 1803–1832. Vilnius: Vilniaus universiteto leidykla, 2022, 492 p., Iliustr. Isbn 978-609-07-0754-8 (spausdinta knyga), isbn 978-609-07-0755-5 (skaitmeninis EPUB).