bluuebunny/crossref_metadata_2025_split huggingface dataset:
Citrato de clomifeno en pacientes infértiles con síndrome de ovario poliquístico
Authors: González Ayala Diego Alexander , Pereira Maldonado Erika Jamilet , Chiliquinga Villacis Sixto Isaac , Pinto Sánchez Yazmin Lisseth 
Published: August 2024

Introducción: El síndrome de ovario poliquístico es una condición patológica endócrino-metabólica, de etiología multifactorial, caracterizado por hiperandrogenismo, ovarios poliquísticos y/o oligo-anovulación, además de manifestaciones clínicas diversas entre ellas, la infertilidad. El objetivo principal de esta investigación es describir al citrato de clomifeno en pacientes infértiles con síndrome de ovario poliquístico, mediante una revisión sistemática detallada, proporcionando una perspectiva integral sobre la eficacia, seguridad y utilidad clínica de este medicamento. Metodología: Estudio descriptivo retrospectivo observacional no experimental que recopiló 178 artículos bajo criterios de inclusión y exclusión en las bases de datos PubMed, Scielo, Science-Direct y EBSCO, mediante la utilización de una ecuación de búsqueda formulada mediante palabras claves y operadores booleanos, luego de lo cual se procedió al cribado de los mismos mediante la metodología PRISMA. Resultados y Discusión: El citrato de clomifeno es la principal medida terapéutica para tratar la infertilidad en pacientes con síndrome de ovario poliquístico, debido a que induce la ovulación y maduración folicular, además que mejora la tasa de embarazo y nacidos vivos. Sin embargo, su uso por más de 6 ciclos se asocia con un mayor riesgo de resistencia medicamentosa, junto con otros factores de riesgo como la obesidad o la predisposición genética. Conclusión: El citrato de clomifeno sigue siendo el fármaco de primera línea para el tratamiento de la infertilidad secundaria al síndrome de ovario poliquístico debido a que mejora significativamente la tasa de ovulación, embarazo y nacidos vivos.
Lesbianism and its Complexities: An Analysis of Amanyal’ Enyoka by B Chili and M Ndlovu
Authors: Madingiza Themba Mandlenkosi 
Published: August 2024

This paper analyses the representation of homosexuality regarding lesbianism as portrayed in the play Amanyal' Enyoka (2013) by Buyi Chili and Mandla Ndlovu. The main characters in Amanyal' Enyoka, Pat and Sindi, a married couple, are portrayed as lesbians and are used to explore female same-sex relationships in a society dominated by heterosexuality, homophobia, and heterosexism. The paper aims to challenge ways of thinking about gender and sexuality. The findings are that the general representation of lesbians in the play shows that a large part of society does not understand the dynamics of sexual diversity, particularly in semi-rural and rural areas. This misunderstanding creates unfounded claims about homosexuality and exposes homosexuals to further stigmatisation. The government and relevant stakeholders need to do more awareness to educate society about the misogyny that lesbians face and create safe environments for their well-being.
Estudos iniciais sobre a curricularização da extensão universitária em Circo
Authors: Vieira Poliana 
Published: August 2024

Este artigo apresenta estudos iniciais do projeto de pesquisa que abordará a curricularização da extensão universitária em Circo nas carreiras de Artes Cênicas e Educação Física. Para os antecedentes de investigação, foram considerados normativas da profissão em Circo no Brasil, artigos acadêmicos e plataformas de pesquisa unificada do Ministério da Educação. Sobre a formação circense foram observadas poucas ocorrências nos níveis técnicos e de especialização, havendo no nível superior ocorrências apenas na extensão universitária. Percebeu-se também que o Circo aparece em áreas distintas do conhecimento e entre as carreiras de Artes Cênicas e Educação Física, quando localizada na extensão universitária. O marco teórico considera Paulo Freire, que problematiza conhecimento popular e academia, na influência de autores como o uruguaio Humberto Tommasino e a brasileira Simone Imperatore, que pesquisam sobre a extensão universitária e a curricularização na América Latina, e também a pesquisa de Mário Fernando Bolognesi, que fundamenta as principais características do Circo enquanto linguagem. Como descobertas, o artigo apresenta o impacto das ditaduras no desenvolvimento da extensão universitária crítica na América do Sul, e a diversidade de espaços e áreas do conhecimento onde o Circo se encontra, apontado na ambivalência do Sublime e do Grotesco do Corpo enquanto matriz do Circo, como possível justificativa dessa diversidade de ocorrências.
Palavras chave: extensão universitária 1, curricularização 2, circo 3, cultura 4.
Competencias emocionales, bienestar y experiencias educativas de profesoras de secundarias en la frontera
Authors: Angulo Moreno Ángel de Jesús , González Barrón Lucía Margarita 
Published: August 2024

La educación de calidad y la seguridad en el ámbito educativo están relacionados con los derechos humanos y la democracia, para estudiantes, así como para personal docente. Por ello, es de suma relevancia investigar sobre las experiencias, así como las implicaciones de la docencia a nivel secundaría en la frontera norte de México. Este texto tiene como objetivo caracterizar las relaciones de las competencias emocionales y las interacciones docente-estudiantes en la convivencia cotidiana como parte del perfil profesional de 12 profesoras de tres secundarias en el Municipio de Ciudad Juárez, Chihuahua. Desde la metodología cualitativa, se realizaron entrevistas semiestructuradas a las participantes. Los resultados indicaron la importancia que atribuyen las profesoras a las competencias emocionales como elemento fundamental para educar a sus estudiantes, resolver conflictos institucionales, y para transferir esas competencias a otros contextos personales y de bienestar. Se concluye que educar en competencias emocionales puede beneficiar las relaciones entre estudiantes y personal docente, puede impulsar la gestión de las actividades en el aula, reducir el estrés, ayudar al modelado de conductas, ayudar a la resolución de conflictos, generar comunicación efectiva, nos puede ayudar a tener sensibilidad cultural, prevenir el acoso y generar impactos positivos a largo plazo.
Developing Self-Management in Type 1 Diabetes at Secondary Schools: Who Is Responsible? A Qualitative Study
Authors: Gardener Lisa , Bourke-Taylor Helen , Desha Laura , Gardener Madeline , Turpin Merrill 
Published: August 2024

Abstract
Importance: Occupational therapists have the proven capacity to improve outcomes for young adults who are self-managing Type 1 diabetes (T1D). There is insufficient understanding of adolescents’ experiences of developing responsibility for diabetes self-management (DSM).
Objective: To investigate adolescents’ perceptions of sharing responsibility for T1D management at school.
Design: This study had a descriptive qualitative design and used semistructured interviews and thematic analysis. It is the second phase of a mixed-methods study with a sequential explanatory design that investigated mechanisms of responsibility-sharing at school.
Setting: Secondary school in Australia.
Participants: Purposive sample of adolescents (age 15–16 yr) with T1D (N = 11).
Results: Adolescents approached the complex occupation of school-based DSM primarily in partnership with their parents, with each adolescent having unique responsibilities while sharing others. Health care professionals and teachers reportedly had minimal involvement. Adolescents described owning most DSM tasks, with their perceptions of building independence limiting the sharing of this responsibility. A heightened sense of risk meant that adolescents were likely to communicate with others in cases of errant blood glucose readings. Current processes commonly resulted in reduced school participation.
Conclusions and Relevance: Adolescents valued working responsively and interdependently with their parents to manage T1D at school, which aligns with the occupational therapy model of co-occupation. Effective responsibility-sharing depends on clear, frequent, autonomy-supportive, team-based communications. Our results showed that patterns of communication for determining school-based DSM processes were fragmented and risk focused, with limited adolescent involvement, resulting in strategies that led to students at times being excluded from school activities.
Plain-Language Summary: This is the first study to use an occupational lens to examine the way in which adolescents share their responsibility for diabetes care at school. Diabetes self-management in secondary schools occurs more often when adolescents work interdependently with their parents to manage their diabetes. Adolescent involvement in formal school processes and a clearer allocation of team roles and responsibilities would better support health-promoting habits and school participation.
The use of multidimensional assessment in developmental age: How evaluation
of the emotional-autonomic state can facilitate the differential diagnosis in psychopathology. Description of two case studies
Authors: Guidotti Sara , Fiduccia Alice , Pruneti Carlo 
Published: August 2024

BackgroundMental suffering involves cognitive, behavioral, and emotional aspects, which can manifest explicitly or remain implicit. The use of different clinical tools may allow the collection of information deriving from different channels. In the field of clinical psychopathology, there is scientific evidence regarding the use of psychophysiological parameters to identify emotional conditions characterized by hyperarousal or hypoarousal and thus favor the differential diagnosis.Participants and procedureOur work describes two case studies demonstrating that a multidimensional assessment can comprehensively help the differential diagnosis.ResultsThe first case concerns a child (9 years old) brought to an assessment for behavioral disorders. The psychological tests high-lighted irritability and mood alteration as prevalent concerning the behavioral manifestations (outbursts of anger, etc.). Additionally, a psychophysiological evaluation confirmed the depressive state characterized by a condition of psychophysical exhaustion. The second case concerns a girl (14 years old) diagnosed with major depressive disorder by a psychiatrist who treated her with psychotropic drugs. The antidepressants worsened her symptoms to the point of being the cause of suicidal attempts. The multidimensional evaluation documented the presence of hyperarousal at an emotional and autonomic level, a characteristic known in the literature to be a precursor of suicidal ideation.ConclusionsThese case studies represent clear examples of how only a multidimensional assessment can describe the entire suffering of the person and support their health through a personalized intervention.
Dinâmicas urbanas, gestão territorial e intermediação da cidade média de uruguaiana no contexto regional da Fronteira Oeste – RS – Brasil
Authors: Gamalho Nola Patrícia , Corrêa José Carlos Severo , Retamoso Alex Sander Barcelos , Silveira Rogério Leandro Lima da , Machado Brenda Eckel 
Published: August 2024

Em um mundo cada vez mais complexo e de relações multiescalares entre local, regional e global, torna-se um desafio interpretar as relações de centralidades nos contextos regionais. Nessa perspectiva, este artigo tem como desafio interpretar a cidade de Uruguaiana como cidade média/intermediária e sua inserção e relações no COREDE Fronteira Oeste - Rio Grande do Sul (Brasil). Diferentes atributos são identificados à região e município, como sua intrínseca relação com a cadeia de produção do agronegócio, sua posição geográfica de região de fronteira e seu contexto de produção espacial sócio-histórica. Os instrumentos metodológicos articularam revisão bibliográfica, análise de dados estatísticos e trabalho de campo. Como resultados, tem-se um “retrato” da cidade no contexto do COREDE e a confirmação de sua condição de cidade média.
Compound soil and atmospheric drought (CSAD) events and CO2 fluxes of a mixed deciduous forest: the occurrence, impact, and temporal contribution of main drivers
Authors: Scapucci Liliana , Shekhar Ankit , Aranda-Barranco Sergio , Bolshakova Anastasiia , Hörtnagl Lukas , Gharun Mana , Buchmann Nina 
Published: August 2024

Abstract. With global warming, forests are increasingly exposed to “compound soil and atmospheric drought” (CSAD) events, characterized by low soil water content (SWC) and high vapour pressure deficit (VPD). Such CSAD events trigger responses in both ecosystem and forest-floor CO2 fluxes, which we know little about. In this study, we used multi-year daily and daytime above-canopy (18 years; 2005–2022) and daily forest-floor (5 years; 2018–2022) eddy covariance CO2 fluxes from a Swiss forest site by the name of CH-Lae (a mixed deciduous montane forest). The objectives were (1) to characterize CSAD events at CH-Lae, (2) to quantify the impact of CSAD events on ecosystem and forest-floor CO2 fluxes, and (3) to identify the major drivers and their temporal contributions to changing ecosystem and forest-floor CO2 fluxes during CSAD events and CSAD growing seasons. Our results showed that the growing seasons of 2015, 2018, and 2022 were the three driest at CH-Lae since 2005 (referred to as the CSAD years), exhibiting similar intensity and duration of the CSAD events but considerably different pre-drought conditions. The CSAD events reduced daily mean net ecosystem productivity (NEP) in all 3 CSAD years by about 38 % compared to the long-term mean, with the highest reduction observed during 2022 (41 %). This reduction in daily mean NEP was largely due to decreased gross primary productivity (GPP; > 16 % below the long-term mean) rather than increased ecosystem respiration (Reco) during CSAD events. Furthermore, forest-floor respiration (Rff) decreased during the CSAD events in 2018 and 2022 (with no measurements in 2015), with a larger reduction in 2022 (41 %) than in 2018 (16 %), relative to the long-term mean (2019–2021). Using data-driven machine learning methods, we identified the major drivers of NEP and Rff during CSAD events. While daytime mean NEP (NEPDT) during the 2015 and 2018 CSAD events was limited by VPD and SWC, respectively, NEPDT during the 2022 CSAD event was strongly limited by both SWC and VPD. Air temperature had negative effects, while net radiation showed positive effects on NEPDT during all CSAD events. Daily mean Rff during the 2018 CSAD event was driven by soil temperature and SWC but was severely limited by SWC during the 2022 CSAD event. We found that a multi-layer analysis of CO2 fluxes in forests is necessary to better understand forest responses to CSAD events, particularly if the first signs of NEP acclimation to CSAD events – evident in our forest – are also found elsewhere. We conclude that CSAD events have multiple drivers with different temporal contributions, making predictions about site-specific CSAD events and long-term forest responses to such conditions more challenging.
South Asian summer monsoon enhanced by the uplift of the Iranian Plateau in Middle Miocene
Authors: Zuo Meng , Sun Yong , Zhao Yan , Ramstein Gilles , Ding Lin , Zhou Tianjun 
Published: August 2024

Abstract. The South Asian summer monsoon (SASM) significantly intensified during the Middle Miocene (17–12 Ma), but the driver of this change remains an open question. The uplift of the Himalaya (HM) and the Iranian Plateau (IP) and global CO2 variation are prominent factors among suggested drivers. Particularly, the impact of high CO2 levels on the Miocene SASM has been little studied, despite the wide range of reconstructed CO2 values around this period. Here we investigate their effects on the SASM using the fully coupled Ocean–Atmosphere Global Climate Model, CESM1.2, through a series of 12 sensitivity experiments. Our simulations show that the IP uplift plays a dominant role in the intensification of the SASM, mainly in the region around northwestern India. The effect of the HM uplift is confined to the range of the HM and its vicinity, producing orographic precipitation change. The topography forcing overall out-competes CO2 variation in driving the intensification of the SASM. In the case of extremely strong CO2 variation, the effects of these two factors are comparable in the core SASM region, while in the western region, the topographic forcing is still the dominant driver. We propose a thermodynamical process linking the uplift of the IP and the enhanced SASM through the release of latent heat. When compared with reconstructions, the simulated response of SASM to the IP uplift is in good agreement with observed precipitation and wind field, while the effects of the HM uplift and CO2 variation are inadequate to interpret the proxies.
ON THE SEMANTIC-MOTIVATIONAL ASPECT OF THE NAMES OF SNOW WITH STEM KYR- IN THE YAKUT LANGUAGE
Authors: Николаев Е.Р. 
Published: August 2024

В статье рассматриваются мотивирующие признаки семантики общеякутских и диалектных названий снега с основой кыр- в якутском языке. Исследования в области номинации природных явлений актуальны в связи с интересом тюркологов и исследователей якутского языка к проблемам устройства тематических и лексикосемантических групп тюркских языков, в том числе и якутского языка. Также изучение названий снега приобрело актуальность во внелингвистическом отношении, в связи с необходимостью разработки связанного с понятиями холода, вечной мерзлоты и снега языкового фона бренда Республики Саха-Якутия. В процессе работы над статьей использованы методы описательного, семантического анализов. Наименования снега ранее не подвергались системному и целенаправленному изучению. Имеются отдельные статьи Ф. Н. Дьячковского, В. Г. Попова, Ю. В. Норманской, Л. С. Левитской, С. А. Иванова, Е. Р. Николаева и других ученых, посвященные данной тематике. В статье определены принципы номинации, которые раскрывают основные мотивирующие признаки названий снега с основой кыр-. Они обозначают одновременно и размер снега - мелкий, мелкозернистый и указывают на такой признак, как слой снега, - тонкий. Дефиниции якутских названий снега указывают на густоту такого снега в зависимости от определяющего слова (уут кыраhа, квMYKкыраhа и т. д.). Результатом исследования является то, что формальная сторона реконструкции семантики слова более прозрачна, чем семантическая сторона.
The article considers motivational features of the semantics of common Yakut and dialect names of snow with stem kyr- in the Yakut language. Research in the field of nomination of natural phenomena is relevant due to the interest of Turkologists and researchers of the Yakut language in the problems of the structure of thematic and lexico-semantic groups of Turkic languages, including the Yakut language. Besides, the study of the names of snow has become relevant in a non-linguistic sense due to the need to develop a linguistic background of the brand of the Republic of Sakha-Yakutia related to the concepts of cold, permafrost and snow. In the process of working on the article, methods of descriptive and semantic analysis were used. The names of snow have not previously been subjected to the systematic and purposeful study. There are certain articles by F. N. Dyachkovsky, V. G. Popov, Yu. V. Normanskaya, L. S. Levitskaya, S. A. Ivanov, E. R. Nikolaev and other scientists devoted to this topic. The article defines the principles of nomination, which reveal the main motivational features of the names of snow with stem kyr-. They indicate at the same time the size of the snow - fine, fine-grained, and indicate such a feature as a layer of snow - thin. Definitions of the Yakut names of snow indicate the density of such snow depending on the defining word (uutkyrakha, komukkyrakha, etc.). The result of the study is that the formal side of the reconstruction of the semantics of the word is more transparent than the semantic side.
MORAL-ETHICAL AND AESTHETIC IDEALS OF THE PEOPLE IN EPIC NARRATIVE OF FAIRY TALES RECORDED BY N. F. KATANOV (1889-1892)
Authors: Кошелева А.Л. 
Published: August 2024

Предметом нашего исследования стали сказки, записанные Н. Ф. Катановым в указанный период и принадлежащие народностям Присаянья. Это в основном хакасские роды сагайцев, качинцев, бельтыров, койбалов, проживающих в Абаканской долине Минусинского округа Енисейской губернии. Сказки, собранные Н. Ф. Катановым, - это народные произведения, названные самим Катановым «народной литературой», основанные на архаических явлениях духовной культуры народа, его содержательных и ярких фантастических универсалиях. В современной фольклористике - это один из инновационных векторов исследования, являющийся также свидетельством непреходящей значимости творческого наследия величайшего филолога-тюрколога и фольклориста.
The subject of our research is fairy tales recorded by N. F. Katanov during the specified period and belonging to the peoples of the Sayan Region. They are mainly Khakass kins of the Sagaians, Kachins, Beltyrs, Koibals living in the Abakan Valley of the Minusinsk District of the Yenisei Governorate. The fairy tales collected by N. F. Katanov are folk works, called by Katanov himself "folk literature", and which are based on archaic phenomena of the spiritual culture of the people, their meaningful and vivid fantastic universals. In modern folklore studies, it is one of the innovative vectors of research, which is also evidence of the enduring significance of the creative heritage of the greatest philologist- turkologist and folklorist.
Factors that influence the results of indirect decompression employing oblique lumbar interbody fusion
Authors: Bokov Andrey E , Kalinina Svetlana Y , Khaltyrov Mingiyan I , Saifullin Alexandr P , Bulkin Anatoliy A 
Published: August 2024

BACKGROUND
Indirect decompression is one of the potential benefits of anterior reconstruction in patients with spinal stenosis. On the other hand, the reported rate of revision surgery after indirect decompression highlights the necessity of working out prediction models for the radiographic results of indirect decompression with assessing their clinical relevance.
AIM
To assess factors that influence radiographic and clinical results of the indirect decompression in patients with stenosis of the lumbar spine.
METHODS
This study is a single-center cross-sectional evaluation of 80 consecutive patients (17 males and 63 females) with lumbar spinal stenosis combined with the instability of the lumbar spinal segment. Patients underwent single level or bisegmental spinal instrumentation employing oblique lumbar interbody fusion (OLIF) with percutaneous pedicle screw fixation. Radiographic results of the indirect decompression were assessed using computerized tomography, while MacNab scale was used to assess clinical results.
RESULTS
After indirect decompression employing anterior reconstruction using OLIF, the statistically significant increase in the disc space height, vertebral canal square, right and left lateral canal depth were detected (Р < 0.0001). The median (M ) relative vertebral canal square increase came to М = 24.5% with 25%-75% quartile border (16.3%; 33.3%) if indirect decompression was achieved by restoration of the segment height. In patients with the reduction of the upper vertebrae slip, the median of the relative increase in vertebral canal square accounted for 49.5% with 25%-75% quartile border (2.35; 99.75). Six out of 80 patients (7.5%) presented with unsatisfactory results because of residual nerve root compression. The critical values for lateral recess depth and vertebral canal square that were associated with indirect decompression failure were 3 mm and 80 mm2 respectively.
CONCLUSION
Indirect decompression employing anterior reconstruction is achieved by the increase in disc height along the posterior boarder and reduction of the slipped vertebrae in patients with degenerative spondylolisthesis. Vertebral canal square below 80 mm2 and lateral recess depth less than 3 mm are associated with indirect decompression failures that require direct microsurgical decompression.