bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors affecting nutritional status among children aged below five years in Rwanda’s Western and Southern Provinces
Authors: Sunday Francois Xavier , Ilinde Delice Niyigena , Izabayo Rudatinya Patrick , Kwizera Philemon , Kanimba Philbert , Rutayisire Reverien , Umugwaneza Maryse 
Published: August 2024

Abstract
Background
The state of a child’s nutrition is a critical indicator of their overall health and wellbeing. Public health still faces challenges from undernutrition, especially in developing nations across the globe. In Rwanda, around 33% of children aged under five years suffer from chronic undernutrition. Many factors, such as poverty, illiteracy, poor WASH practices, improper child feeding practices, and insufficient healthcare, are the leading causes of undernutrition. The study aims to assess infant and young child feeding practices, WASH, food security, and their association with the nutritional status of children under five years in Rwanda’s Western and Southern provinces.

Methods
A community-based cross-sectional study design was applied to study factors affecting the nutritional status of children under five years in 439 households in the Karongi, Nyabihu, and Nyamagabe districts of Rwanda. The study assessed anemia, stunting, underweight, and wasting indicators, and collected data was analyzed using SPSS version 25.

Results
The study findings indicate that among the children surveyed, 29.2% (128) were identified as stunted, 5.9% (26) were underweight, 2.3% (10) suffered from wasting, and 20.9% (31) had anemia. Factors associated with these conditions included larger household size [AOR = 2.108; 95% CI (1.016–4.371)], positively associated with stunting. Additionally, children from households where the head was above 60 years old were more likely to exhibit stunting [AOR = 4.809; 95% CI (1.513, 15.283)]. Furthermore, a high household dietary diversity score was positively linked to being underweight [AOR = 6.061; 95% CI (1.535,23.942)].

Conclusion
Household characteristics like size, dietary diversity, and the age of the household head affect children’s nutritional status. Improving these conditions would enhance children’s nutritional status.
A 15-year experience in pediatric palliative care: a retrospective hospital-based study
Authors: Schiavon Mirella , Lazzarin Pierina , Agosto Caterina , Rusalen Francesca , Divisic Antuan , Zanin Anna , Mercante Anna , Mirisola Valentina , Papa Simonetta , Giacomelli Luca , Benini Franca 
Published: August 2024

Abstract
Background
The current Italian scenario of pediatric palliative care (PPC) services is characterized by inadequate coverage of the territory. Therefore, it is important to improve the referral of patients to the most appropriate setting (community care, general PPC, or specialized PPC) and to improve the delivery of PPC care.

Methods
Aiming at obtaining information about the referrals to the Padua Pediatric Hospice that could help estimate the investments needed to improve the provision of care, a retrospective analysis has been carried out. The rate of proper referral and discharge, the number of patients followed at the hospice, the mortality rate, and the length of follow-up were analyzed, and, when possible, data were stratified by oncological and non-oncological diseases.

Results
The analysis showed that of the 870 patients referred to the Padua Pediatric Hospice between 2008 and 2022, 76% were affected by non-oncological conditions. 82% of patients referred were taken in charge and most of the remaining patients have been inappropriately referred. The analysis showed a growing number of total referrals, which increased by 195% from 2008 to 2022. An increase in proper referrals and referrals of non-oncological patients was observed alongside a decrease in oncological patient referrals and a trend toward a decrease in discharge rates. A decreased mortality was observed in patients with non-oncological conditions, with only 6% of deceased patients in 2022. Moreover, a longer survival with a median follow-up length of 43 months was observed among patients with non-oncological conditions who were followed up at the Padua Pediatric Hospice for more than 12 months. Conversely, the short survival rate observed for oncological patients suggests that those patients should have been referred to PPC earlier to benefit from palliative care for longer periods.

Conclusions
Considering these data, it is expected that the number of patients needing PPC services will steadily increase in the next years. Hence, there is a need to invest resources to provide the best care delivery model encompassing specific pathways for the transition into adulthood, the establishment of networks within all the Italian regions, and an efficient referral to the more suitable setting of care.
Pediatric rehabilitation delivery: discussion is an antidote to disconnection and discontent
Authors: Beeri Maurit 
Published: August 2024

AbstractPediatric rehabilitation is fundamentally different from that of adults. Child physiology differs significantly from that of adults, necessitating specialized rehabilitation approaches. Unique injuries and varying metabolic rates underscore the need for tailored care, which changes over the years as the child grows and develops. Waiserberg’s paper, “When Everyone is Responsible, No One Takes Responsibility”: Exploring Pediatric Physiotherapy Services in Israel,” sheds light on a critical issue. While senior practitioners oversee policy implementation and service delivery, practical physiotherapy treatment lacks continuous monitoring. This is a critical issue. Ideally, every child who requires long-term clinical therapeutic interventions to keep up with peers in mobility, communication and cognitive skills should be assessed by specialists several times throughout the school years, and their personalized rehabilitation plan discussed, reviewed, and adjusted according to their progress. The absence of a standardized protocol for overseeing and directing comprehensive rehabilitation plans leaves therapists feeling alone and adrift, whether working in schools or medical settings. Such an assessment would be an opportunity to create a registry, which is currently nonexistent. The collected data would be a priceless resource in policy decision-making and service planning.
Hematopoietic stem/progenitor cell transplantation recovers immune defects and prevents lymphomas in Atm-deficient mice
Authors: de Oliveira Bruna Sabino Pinho , Giovinazzo Alessandro , Putti Sabrina , Merolle Matilde , Orsini Tiziana , Tocchini-Valentini Giuseppe D. , Lancrin Christophe , Naro Fabio , Pellegrini Manuela 
Published: August 2024

Abstract
Background
Ataxia-telangiectasia (A-T) is a rare autosomal recessive multi-system and life-shortening disease, characterized by progressive cerebellar neurodegeneration, immunodeficiency, radiation sensitivity and cancer predisposition, with high incidence of leukemia and lymphoma. A-T is caused by mutations in the gene encoding for ATM protein that has a major role in maintaining the integrity of the genome. Because there are no cures for A-T, we aimed to tackle immunodeficiency and prevent cancer onset/progression by transplantation therapy.

Methods
Enriched hematopoietic stem/progenitor cells (HSPCs), collected from bone marrow of wild-type mice, were transplanted in the caudal vein of 1 month old conditioned Atm−/− mice.

Results
Genomic analyses showed that transplanted Atm positive cells were found in lymphoid organs. B cells isolated from spleen of transplanted mice were able to undergo class switching recombination. Thymocytes were capable to correctly differentiate and consequently an increase of helper T cells and TCRβhi expressing cells was observed. Protein analysis of isolated T and B cells from transplanted mice, revealed that they expressed Atm and responded to DNA damage by initiating an Atm-dependent phosphorylation cascade. Indeed, aberrant metaphases were reduced in transplanted Atm-deficient mice. Six months after transplantation, Atm−/− mice showed signs of aging, but they maintained the rescue of T cells maturation, showed DNA damage response, and prevented thymoma.

Conclusion
We can conclude that wild-type enriched HSPCs transplantation into young Atm-deficient mice can ameliorate A-T hematopoietic phenotypes and prevent tumor of hematopoietic origin.
The influencing factors of green technology innovation in renewable energy companies based on hyper-network
Authors: Sun Hui , Yan Yan , Han Yonghua 
Published: August 2024

AbstractGreen technology innovation is a critical factor in ensuring the long-term stable development of renewable energy enterprises. Based on the super network theory, this paper constructs a network model of green technology innovation influencing factors of renewable energy enterprises, which includes the knowledge sub-network of green technology innovation of renewable energy enterprises, the research and development member sub-network of green technology innovation team of renewable energy enterprises and the policy sub-network of green technology innovation of renewable energy enterprises. It explores the mechanism of its influence on innovation in the preparation stage. Simulation analysis by Netlogo software concludes that innovation knowledge sharing, R&D membership, and innovation policy all have a significant positive impact on green technology innovation in renewable energy companies.
LcMPK3 and LcMPK6 positively regulate fruitlet abscission in litchi
Authors: Wang Fei , Liang Zhijian , Ma Xingshuai , He Zidi , Li Jianguo , Zhao Minglei 
Published: August 2024

AbstractMitogen-activated protein kinase (MAPK) cascades have been discovered to play a fundamental role in regulating organ abscission. However, the identity of protein substrates targeted by MAPK cascades, as well as whether the role of MAPK protein cascades in the abscission process is conserved across different plant species, remain unknown. Here, the role of homologs of MPK3 and MPK6 in regulating fruit abscission were characterized in litchi. Ectopic expression of LcMPK3 or LcMPK6 in Arabidopsis mpk3 mpk6 mutant rescued the deficiency in floral organ abscission, while silencing of LcMPK3 or LcMPK6 in litchi significantly decreased fruitlet abscission. Importantly, a total of 49 proteins interacting with LcMPK3 were identified through yeast two-hybrid screening, including two components of the MAPK signaling cascade, five transcription factors, and two aquaporins. Furthermore, the interaction between LcMPK3/6 with LcBZR1/2, core components in brassinosteroids signaling that suppress litchi fruitlet abscission, was confirmed using in vitro and in vivo assays. Moreover, phos-tag assays demonstrated that LcMPK3/6 could phosphorylate LcBZR1/2, with several phosphorylation residues identified. Together, our findings suggest that LcMPK3 and LcMPK6 play a positive regulatory role in fruitlet abscission in litchi, and offer crucial information for the investigation of mechanisms underlying MPK3/6-mediated organ abscission in plants.
Far-Right Orientalism and the Uyghurs: Revisiting Gunnar Jarring
Authors: Eden Jeff 
Published: August 2024

Abstract
No scholar has had a greater impact on the study of Xinjiang and the Uyghurs than the Swedish Orientalist and diplomat Gunnar Jarring (1907–2002). This is thanks, above all, to the remarkable archive of manuscripts from the region that he collected and curated. Known as the Jarring Collection, it may be the largest assemblage of manuscripts by Xinjiang Muslims held anywhere in the world outside China. How was this collection created, and what biases may have informed its development? By exploring the context in which the core of the Jarring Collection was developed, this article reveals unsettling allegations about Jarring’s activities during a shadowy, little-known period in his life — a dark period in Sweden’s history, during which academic and political elites were in thrall to a far-right zeitgeist that dovetailed with Germany’s Nazi movement. The article concludes by considering some implications of the Jarring Collection's biases for the study of Xinjiang and the Uyghurs.
Proletarian Melodrama: Censorship, Popularization, and Consumerism in Colonial Korea
Authors: Bae Sangmi 
Published: August 2024

Abstract
This article introduces the 1933 novel After the Doll’s House by Ch’ae Mansik as an example of how revolutionary messages were presented through melodramatic narratives in colonial Korean proletarian literature. Between 1928 and 1930, several members of the Korea Artista Proleta Federacio (KAPF), most notably Kim Kijin, insisted that melodrama—a narrative form widely distributed in popular newspapers—could circumvent censorship to introduce revolutionary representations to the public. Although few proletarian authors initially agreed with Kim’s approach, many proletarian novels, especially those serialized in newspapers such as After the Doll’s House, adopted key elements from melodrama. Accordingly, this article explores how modern melodrama in colonial Korea as imported from Japan and Europe was uniquely adapted and transformed to deliver Marxist messages through localized literary symbols and tropes, despite strict censorship under the Government-General of Korea and the commercial demands of the publication market. After the Doll’s House thereby evidences how melodramatic narrative in colonial Korean proletarian literature was an effective strategy for expressing radical ideas within the restrictions of colonial rule as well as for creating a hybrid literary form under oppressive social conditions.
“Flat Surface” as Material Metaphor: “Bad” Cover Design, “Good” Storytelling, and Post-Fordist Sensibility in Chinese Web Novels
Authors: Yang Renren 
Published: August 2024

Abstract
The article deploys the material metaphor of “flat surface” to read the unexpected cross-modal affinities between amateurish cover design and professional storytelling in Chinese web novels. Canvassing the ways visual and verbal artifacts put into play metaphoric associations with “flat surface,” this essay interprets the popular fascination with flatness as a symptom of China's alignment with ubiquitous computing in its transition to a post-Fordist cultural economy when the world is increasingly conceived as a flat horizon. The author first exhibits a selection of spoof covers and argues that their willful indulgence in two-dimensionality is an antidote to the uncanny similarity of illusionist covers born out of what Mario Carpo calls “mass customization” in the digital era. Then the author turns to examine the web novel Zhuixu 赘婿 (Matrilocal Son-in-Law) by Fennu de Xiangjiao 愤怒的香蕉 (Angry Banana), a highly acclaimed alternate history fiction with a curiously lousy cover, focusing on how Angry Banana's cover designs and narrative storytelling convey the flattening effect. The author attributes the fascination with flatness to the rise of post-Fordism in China's cultural economy by demonstrating how the protagonist in Zhuixu succeeds in flattening “all under heaven” (tianxia 天下) by way of nonhumanizing his existence and weaponizing an internet of things (IoT) while embracing a post-Fordist network of work, life, and governance. Finally, the author furnishes a few more examples to suggest the broader trends toward flatness in Chinese web novels and concludes by discussing the critical edge of the metaphor of flatness in its applicability to post-Fordist cultural analysis.
Dynamic Control of Service Systems with Returns: Application to Design of Postdischarge Hospital Readmission Prevention Programs
Authors: Chan Timothy C. Y. , Huang Simon Y. , Sarhangian Vahid 
Published: August 2024

Dynamic Control of Service Systems with Returns Postdischarge interventions (e.g., follow-up phone calls, outpatient appointments) are commonly used to reduce unplanned hospital readmissions. Such interventions have been shown to be effective (to varying degrees) in reducing the probability of readmission (or return). The interventions are, however, costly, and hence, their benefits need to be carefully balanced with the costs. In “Dynamic Control of Service Systems with Returns: Application to Design of Postdischarge Hospital Readmission Prevention Programs,” Chan, Huang, and Sarhangian investigate how postservice interventions should be dynamically allocated, accounting for their costs as well as their benefits in terms of reducing returns and congestion costs. To this end, they study a transient queueing control problem and examine the structure of the optimal policy by analyzing associated fluid-control problems. The structural results motivate the design of intuitive surge protocols whereby different intensities of interventions are provided based on the congestion level of the system.
Diagnosis with Metagenomic Next-Generation Sequencing (mNGS) technology and real-time PCR for SARS-CoV-2 Omicron detection using various nasopharyngeal swabs in SARS-CoV-2 Omicron
Authors: Li Sujuan , Zhang Yuanhang , Tong Pengcheng , Yang Wei 
Published: August 2024

Background
The SARS-CoV-2 Omicron variant, with the main subtypes BA.5.2 and BF.7 in China, led to off-target effects on the S and N genes from December 1, 2022, to January 31, 2023. The kits used for studying and developing these agents were not adequately and independently evaluated. It is important to verify the performance of commercial Real-Time quantitative PCR (RT-qPCR) tests.

Objective
We conducted a clinical evaluation of two Real Time SARS-CoV-2 Omicron assays to verify their performance using various detection reagents and clinical specimens.

Methods
We performed clinical evaluations of two existing Chinese SARS-CoV-2 Omicron RT-qPCR kits 2019-nCoV nucleic acid diagnostic kits (Fosun Biotechnology, National instrument registration 20203400299, Shanghai, China) and COVID-19 nucleic acid detection kits (eDiagnosis Biomedicine, National instrument registration 20203400212, Wuhan, China) and using BSD (Bondson) (Guangzhou Bondson Biotechnology Co. Ltd, batch number 2022101), quality controls provided by the inspection center and a large number of clinically confirmed specimens.

Results
The concordance rates for the Fosun and eDiagnosis kits were 95% and 100%, respectively. The detection limit for the Fosun and eDiagnosis kits was verified to be 300 copies/mL and 500 copies/mL. The Fosun assay exhibited the largest coefficient of variation (CV) for ORF1ab and N gene at the detection limit concentration (4.80%, 3.49%), whereas eDiagnosis showed a smaller CV (0.93%, 1.10%). In the reference product from the Hangzhou Clinical Laboratory Center test, it was found that Fosun had the lowest sensitivity of 93.47% and a specificity of 100%, while eDiagnosis exhibited 100% for both sensitivity and specificity. The lowest single target gene detection rate of Fosun reagents was 68.7% for the ORF1ab gene and 87.5% for the N gene, while eDiagnosis detection rate was 100%. Among the clinical group S specimens, the missed detection rate of the Fosun reagent was 10.9%, which was higher than the 3.9% of eDiagnosis. However, there was no significant difference in the clinical diagnostic efficiency of the two reagents.

Conclusions
The ORF1ab and N assays of SARS-CoV-2 Omicron on the eDiagnosis platform yielded higher values compared to those on the Fosun platform. Consequently, the eDiagnosis kit has also been used as standard detection reagents. Considering that the Fosun reagent has a relatively low detection limit and targets three single genes, it is more advantageous as a confirmatory reagent for the new museum.
Patient experience with hospital care following the Maryland global budget revenue model: A difference-in-difference analysis
Authors: Shammas Ronnie L. , Li Jenna , Matros Evan , Aliu Oluseyi 
Published: August 2024

Introduction
As a result of the success of Maryland’s full risk capitated payment model experiment (Global Budget Revenue) in constraining healthcare costs, there is momentum for expanding the reach of such models. However, as these models are implemented, studies analyzing their long-term effects suggest unintended spillover effects that may ultimately influence patient experiences. The aim of this study was to determine whether implementation of the GBR was associated with changes in patient experience.

Methods
Cross-sectional study using a difference-in-difference analysis to examine changes in patient experiences according to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) domains before and after implementation of the GBR model. Acute care hospitals from 2010–2016 with completed HCAHPS surveys were included. Hospitals identified for inclusion were then matched, based on county location, to area level characteristics using the Area Health Resource File.

Results
A total of 844 hospitals were included. Compared to hospitals in non-GBR states, hospitals in GBR states experienced significant declines in the following HCAHPS domains: “would definitely recommend the hospital to others” [Average treatment effect (ATT) = -1.19, 95% CI = -1.97, -0.41)] and 9–10 rating of the hospital (ATT = -0.93, 95% CI = -1.71, -0.15). Results also showed significant increases in the HCAHPS domains: “if patient’s rooms and bathroom were always kept clean” (ATT = 1.10, 95% CI = 0.20, 2.00). There were no significant differences in changes for the other domains, including no improvements in: nursing communication, doctor communication, help from hospital staff, pain control, communication on medicines, discharge information, and quietness of the patient environment.

Conclusion
These findings suggest there should be efforts made to ascertain and mitigate potential adverse effects of care transformation initiatives on patient experience. Patients are stakeholders and their inputs should be sought and incorporated in care transformation efforts to ensure that these models align with improved patient experiences.
Cultivating Transnational Coalitional Subjectivity
Authors: Yam Shui-yin Sharon 
Published: August 2024

Abstract
In this article, I perform what Wendy Hesford calls “intercontextual reading” to trace how the coalitional potential between the Hong Kong anti-authoritarian movement and the U.S. Black Lives Matter protests is eclipsed by appropriation, disinformation, and misalignment, fueled specifically by Beijing and apologists for authoritarian non-Western regimes, that pitch grassroots movements, activists, and potential allies against each other. I then examine the rhetorical strategies deployed by Hong Kong public intellectuals to harness the “coalitional moments” between the two movements as they both struggle against state violence and police brutality. By doing so, I argue that as social movement discourse travels transnationally on digital spaces, we need to draw on methodologies in transnational rhetorical studies in order to fully contextualize the complex geopolitical, discursive, and political networks in which these rhetorical actions take place.
A Leak Free Phase Change Materials with Enhanced Thermal Buffering Properties by TiO2/Biochar
Authors: Ariyanti Dessy , Huda Khoirul , Bayu Samudra Muhammad , Lesdantina Dina , Adi Saputra Erwan , Hamzah Fazlena 
Published: August 2024

A leak free organic phase change material of palmitic acid with enhanced thermal buffering properties was synthesized by simple chemical TiO2/biochar encapsulation process. By utilizing the optimum amount of TiO2 as an encapsulation agent the minimalization of leakage phenomena during the phase change process can be achieved with the value 20-25% of weight loss. Furthermore, the additional sugar cane bagasse-based biochar that was introduced to the encapsulation system acts as a support matrix that enhances further the leakage properties into free leak category with the percentage of weight lost 1.1-1.4 %. Moreover, the introduction of sugar cane bagasse-based biochar in the encapsulation system of the palmitic acid PCM can improve the thermal buffering properties by keeping a package box temperature in the range of 2-80C for more than 20 h by means small increment of temperature 0.72oC/h. Keywords: PCM, encapsulation, palmitic acid, thermal buffering, leakage