bluuebunny/crossref_metadata_2025_split huggingface dataset:
Levels of health expenditure and payment coping mechanisms for persons living with diabetes and hypertension both singly and in comorbidity in Enugu, Southeast, Nigeria
Authors: Okafor Chinyere Nkiruka , Obikeze Eric Nwabuike , Young Ekenechukwu Esther , Onwujekwe Obinna Emmanuel 
Published: June 2024

Context:
The burden of diabetes mellitus (DM) and hypertension (HTN) both singly and in comorbidity has gained increased attention, especially in developing countries and this has great socioeconomic consequences. In Nigeria, the prevalence of both diseases is known to be increasing, while government health expenditure (HE) is not.

Aim:
The study examined the levels of expenditure and payment coping mechanisms for persons living with diabetes and HTN both singly and in comorbidity in Enugu, Nigeria.

Methods:
The study was a quantitative, cross-sectional, descriptive study done among patients attending the medical outpatient clinics. HTN and DM are the two noncommunicable diseases that were considered in this study. Data were separated into those with diabetes, HTN, or both. A descriptive analysis of sociodemographic characteristics was done. Analysis was done by estimating the direct and indirect costs. The catastrophic HE was also conducted. The mean, Chi-square, and P value were calculated in each group to assess differences in association.

Results:
Respondents were 817 with a mean age of 62.3 years. Respondents’ mean monthly income after food expenditure was N39465.43 ($129.0). One month earlier, 36.5%, 32.4%, and 31.1% of respondents spent more than 10% of their income on diabetes, HTN and in comorbidity, respectively, while in the current visit, 43.2%, 22.8%, and 32.0% of respondents spend more than 10% of their income on diabetes, HTN, and in comorbidity, respectively.

Conclusion:
The study shows that out-of-pocket is a major method of payment for diabetes and HTN. Therefore, the two diseases need to be included in the national safety net.
Morbidity and mortality after elective cancer surgery—How does recent Covid-19 infection impact outcome: A prospective, comparative study
Authors: Hemrajani Manisha , Mongia Pooja , Gupta Pushplata , Joad Anjum K. 
Published: June 2024

Abstract

Background and Aims:
Post-Covid-19 cancer patients are likely to have poor postoperative outcomes following cancer surgeries. This is mainly because of the coexisting risk factors unique to cancer patients like immunosuppression, chemotherapy, and radiotherapy-induced risk of infection and malnutrition. The purpose of this study was to compare the postoperative morbidity in cancer patients with and without a history of Covid infection.

Material and Methods:
This was a prospective observational study. Subjects were divided into post-Covid 19 (PC) and non-Covid 19 (NC) groups based on the history of SARS CoV2. Preoperative data including details of past Covid infection, chemotherapy, radiotherapy, comorbidity index, Portsmouth-Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (P-POSSUM) score, and nutritional indices were recorded for patients undergoing elective cancer surgery. Thirty-day postoperative morbidity, mortality was recorded.

Results:
Of the total patients (n = 414), 109 had postoperative complications (26.33%), reported to be higher in the PC group (33.87%) than the NC (25%) (P value: 0.19). Pulmonary complications were commonest with higher incidence in PC (25.8%) group (P value: 0.001). It was 40% in 2–4 weeks after Covid 19 diagnosis reducing to 18% and 25% in 4–8 weeks and 8–12 weeks, respectively. The overall mortality rate was 0.72%. P-POSSUM morbidity score was similar between the two groups. (PC: 38.30 ± 19.4; Covid negative 37.8 ± 16.7 P value 0.84). Old age, hypothyroidism, and low Prognostic nutritional index were associated with a higher incidence of complications.

Conclusions:
Cancer patients with a history of Covid infection undergoing elective surgery are at a higher risk of postoperative pulmonary complications.
The Effectiveness of Telemedicine Consultation in Improving Outcomes of Asthma in the Paediatric Population: A Systematic Review and Meta-Analysis
Authors: Ong Leong Tung , Loh Audrey Joe Chii , Chee Nicholas Ming Zher 
Published: June 2024

Abstract
Telemedicine facilitates clinicians in providing virtual consultations and assessments to paediatric patients, offering a more convenient and efficient healthcare delivery. The aim of this study was to assess the efficacy of telemedicine compared with usual care in paediatric asthma. A systematic literature search was conducted in PubMed, Scopus, Embase, and Ovid SP. Risk ratios (RRs) were used for dichotomous outcomes, and standardised mean differences (SMDs) were used for continuous outcomes with 95% confidence intervals (CIs). A total of 10 studies were included in the meta-analysis. The telemedicine group had more asthma symptom-free days compared with the usual care group with an SMD of 0.18 (95% CI = 0.04–0.32). The telemedicine group had a higher rate of well-controlled asthma in telemedicine compared with the usual care group with an RR of 1.27 (95% CI = 1.14–1.42). The present findings suggest that telemedicine may be an effective alternative to in-person visits for improving asthma control.
An Unusual Cause of Diffuse Alveolar Haemorrhage: Post-Streptococcal Glomerulonephritis or Vaping Associated Lung Injury
Authors: Freer Geraud J. , Pandharikar Nagaraj , Jayasuriya Geshani 
Published: June 2024

Abstract
Diffuse alveolar haemorrhage (DAH) is associated with various clinical entities. Its connection with post-streptococcal glomerulonephritis (PSGN) is uncommon, especially in children, with only two previously reported cases. With the increased prevalence of vaping, DAH has also been described in the context of e-cigarette or vaping-associated lung injury. We present a case of DAH associated with PSGN and vaping exposure in a 14-year-old male. Two weeks after receiving penicillin for pharyngitis, he presented with acute respiratory distress and acute kidney injury, necessitating non-invasive ventilation. High-dose methylprednisolone therapy (30 mg/kg/day) was administered, considering the available evidence from uncontrolled case studies in paediatric and adult populations suggesting benefit in patients with DAH due to PSGN requiring respiratory support. He subsequently experienced rapid improvement in his respiratory and renal function. We believe DAH was due to PSGN, and that smoking cigarettes and vaping may have increased the risk of pulmonary haemorrhage in this context. We hypothesize that early steroid therapy may have been beneficial and should be considered in such patients.
Pengaruh Audit Tenure, Opinion Shopping, dan Pertumbuhan Perusahaan Pada Opini Audit Going Concern Pada Perusahaan Manufaktur Subsektor Perkebunan dan Subsektor Tekstil yang Terdaftar di Bursa Efek Indonesia
Authors: Wibowo Muhammad Prasetyo , Andri Shofwan , Lubis Ainun Yusriyah , Barus Muhammad Joni 
Published: June 2024

Opini audit going concern merupakan hal yang menjadi pertimbangan para pengguna laporan keuangan untuk mengambil keputusan dalam berinvestasi. Opini audit going concern yang diterima oleh suatu perusahaan menunjukan bahwa adanya keraguan auditor akan kengsunagn hidup suatu perusahaan.Tujuan dari penelitian ini untuk membuktikan pengaruh audit tenure, opinion shopping, dan pertumbuhan perusahaan terhadap penerimaan opini audt going concern pada perusahaan manufaktur subsektor perkebunan dan subsektor tekstil tahun 2017-2018 yang terdaftar di BEI. Opini audit going concern merupakan peringatan awal (early warning) bagi para pengguna laporan keuangan guna menghindari kesalahan dalam pengambilan keputusan.Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling.dengan menggunakan regresi logistik dengan jumlah sampel sebanyak 26 perushaan sesuai dengan kriteria yang telah ditentukan sebelumnya. Berdasrakan hasil penelitian ini menunjukan bahwa opini audit tahun sebelumnya secara signifikan berpengaruh positif terhadap penerimaan opii audit going concern. Sedangkan untuk variabel audit tenure, opinion shopping, dan pertumbuhan perusahaan tidak berpengaruh signifikan terhadap opini audit going concern.
Evolution of the still life in Chinese ink painting (the first half of the 20th century)
Authors: Неглинская М.А. 
Published: June 2024

Цель статьи — обобщить развитие жанра натюрморт в традиционной для Китая тушевой живописи гохуа 1910–1950-х годов. Исследованы предметные композиции ведущих мастеров — У Чаншо и Ци Байши. Период их творческого подъема сопровождался резкими социальными переменами в китайском обществе, с чем связана политизация искусства, затронувшая и созданные художниками живописные натюрморты. Жанровые и стилевые новации мастеров гохуа первой половины ХХ века способствовали рождению современного китайского искусства. В статье проанализировано соответствие смысла живописных изображений и каллиграфии. Автор исходит из установленного ранее факта: начало китайскому натюрморту положили композиции XVIII века, изображающие «сто древних предметов» (байгу) и новогоднюю инсталляцию (суйчжао-ту). В статье показано сохранение традиций и обновление тематики в китайских натюрмортах постимператорского периода.
The purpose of the article is to summarise the development of the still life genre in the traditional Chinese ink painting Guohua of the 1910s–1950s. The subject compositions of the leading masters, Wu Changshuo and Qi Baishi, have been studied. The period of their creative rise was accompanied by dramatic social changes in Chinese society, which was associated with the politicisation of art and also affected the still life paintings created by the artists. The genre and style innovations of two Guohua masters during the first half of twentieth century contributed to the birth of modern Chinese art. The article analyses the correspondence between the meaning of pictorial images and calligraphy. The author proceeds from the previously established fact: the beginning of Chinese still life was laid by the 18th century compositions depicting One Hundred Ancient Objects (Baigu) and the New Year's installation (Suizhao-tu). The article shows the preservation of traditions and renewal of themes in Chinese still lifes of the post-imperial period.
The phenomenon of “rustic realism” in the work of the painters of the Southwest China
Authors: Лю Ц. 
Published: June 2024

В работе исследуется направление «деревенский реализм», историко-политические, социокультурные факторы, повлиявшие на его зарождение и развитие в китайском изобразительном искусстве последней трети XX столетия. Изучение «деревенского реализма», ставшего неким индикатором, отражающим атмосферу эпохи, особенности мировоззрения, в том числе диалога восточной и западной культур, актуально как для китайского, так и для российского искусствоведения на современном этапе. Однако этот феномен еще не получил исчерпывающего осмысления. Предлагаемая статья является попыткой комплексного рассмотрения «деревенского реализма» в творчестве живописцев юго-запада Китая как знакового явления в художественной культуре страны XX века. На основе переводов, изучения и систематизации сведений, рассредоточенных в разных источниках, автор детально исследует генезис «деревенского реализма» и его роль в истории современного китайского изобразительного искусства; раскрывает общественно-политические и социально-философские аспекты этого направления, выявляет динамику изменения художественно-выразительных средств и иконографической системы, анализирует конвергенцию западного и национального на примере репрезентативных полотен ведущих представителей «деревенского реализма» юго-запада Китая, возглавивших направление.
The paper examines the direction of “rustic realism”, the political and sociocultural factors, affecting its origin and processes of reception in Chinese fine art in the last third of the 20th – beginning of the 21st centuries. Multidimensional study of the “rustic realism”, which has become a litmus test reflecting the atmosphere of the epoch, the peculiarities of the world-view, including the dialogue between Eastern and Western cultures, is relevant for both Chinese and Russian art history at the present stage. However, the phenomenon of the “rustic realism” has not yet received an exhaustive understanding. The article is the first attempt to comprehensively consider “rustic realism” in the work of the painters from south-western China as a landmark phenomenon in the country's artistic culture of the 20th century. The author investigates the genesis of “rustic realism” and its role in the history of modern Chinese fine arts, based on systematisation of information dispersed in Russian, Chinese and English sources. The author also considers the socio-political and socio-philosophical aspects of this art direction, the dynamics of changes in artistic and expressive means and iconographic system, and analyses the convergence of Western and national styles on the example of representative paintings of leading of “rustic realism” of Southwest China, who headed the direction.
ESOTERISME ABU SYUJA’ AL-ASHFAHANI DAN EKSOTERISME YUSUF AL-QARADHAWI DALAM ELABORASI PERSPEKTIF EKONOMI ZAKAT
Authors: Achmad Sjamsudin  
Published: June 2024

Zakat memiliki perspektif ekonomi. Abu Syuja’ al-Ashfahani dalam Taqrib mengelaborasi perspektif ekonomi zakat secara garis besar mengenai (1) Harta yang wajib dizakati (2) Syarat wajib zakat, dan (3) Nishab. Sementara Yusuf al-Qaradhawi dalam Fiqh al-Zakat mengelaborasi perspektif ekonomi zakat secara garis besar zakat adalah bagian dari sistem finansial dan sosial Islam. Penelitian ini bertujuan untuk menelaah elaborasi Abu Syuja’ al-Ashfahani dan Yusuf al-Qaradhawi tentang perspektif ekonomi zakat. Berfokus kepada dua kitab fikih, yakni: Taqrib karya Abu Syuja’ Ahmad Ibn al-Husain Ibn Ahmad al-Ashfahani (lahir 433 H/1042 M, wafat 593 H/1166 M) dan Fiqh al-Zakat karya Yusuf al-Qaradhawi (lahir 9 September 1926, wafat 26 September 2022). Penelitian ini menggunakan pendekatan deskriptif analitis, dan termasuk ke dalam penelitian kepustakaan (library research) karena sumber datanya berasal dari literatur yang berbasis perpustakaan. Hasil penelitian ini adalah Abu Syuja’ al-Ashfahani mengelaborasi perspektif ekonomi zakat secara esoteris. Sementara Yusuf al-Qaradhawi mengelaborasi perspektif ekonomi zakat secara eksoteris.

Kata Kunci: Esoterisme, Eksoterisme, Perspektif, Ekonomi, Zakat
Parental, Peers and Teachers’ Factors as Correlates of Career Choice among Adekunle Ajasin University Undergraduates, Ondo State, Nigeria
Authors: Ojewola, Florence O. Ph.D  
Published: June 2024

Purpose: The study investigated parental, peers and teachers’ factors as correlates of career choice among Adekunle Ajasin University undergraduates in Ondo State, Nigeria.
Materials and Methods: Correlational survey research design was adopted for this study. The population of this study consisted of all Adekunle Ajasin University undergraduates. The sample consisted 296 respondents randomly selected from eight faculties in the University. Simple random sampling technique was used to select six faculties while purposive sampling procedure was used to select fifty respondents from each of the six faculties. A total of 296 respondents were used for the study. A self- designed instrument was used to collect Information on parental, peers and teachers’ factors as correlates of career choice among AAUA students. Four hypotheses were generated and tested at 0.05 level of significance. Regression and Pearson Product Moment Correlation were the statistical tools employed to test the hypotheses in the study.
Findings: The findings indicated that there were joint contributions of Peers’, teachers’ and parental influence on the career choice of AAUA students. The result indicated that the students of AAUA were influenced by their peers in their career choice. The influence of parents’ and teachers’ were not prominent in the career choice of AAUA students. Therefore, it is concluded that peers, parental and teachers’ factors collectively influenced the career choice of AAUA students.
Implications to Theory, Practice and Policy: It was recommended that parents and teachers need to encourage their children in their choice of career and be careful not to force any career on them. Career guidance and counselling should be made available to the young people so as to assist them in choosing correct and proper career that they have passion for.
Anthropocene Metabolism - Natural Resources and Carbon Capture in the Age of Climate Crisis
Authors: Havsteen-Mikkelsen Asmund 
Published: June 2024

This article explores the concept ‘Anthropocene metabolism’, which refers to how the metabolism of the human body has changed during The Great Acceleration of the Anthropocene with huge consequences for domesticated animals and wild nature. Furthermore, the article explores the conditions for the metabolic processes of the body and the natural resources that go into providing food for the planet's eight billion inhabitants. The infrastructure around the consumption of food is shown to have been made possible by a vast and globalised ‘Anthropocene arena’, defined by a huge dependency on fossil fuels. The article thereafter explores the climate crisis as a hybrid crisis and argues that the shift to a plant-based diet could reduce the environmental impact of our global metabolism and thereby free agricultural land for re-wilding and re-forestation, allowing for massive carbon capture. Finally, it is assessed how the reforestation of approximately 28 million square kilometres would be able to mitigate climate change.

Received: 15 December 2023 | Revised: 26 February 2024 | Accepted: 20 June 2024

Conflicts of Interest
The author declares that he has no conflicts of interest to this work.

Data Availability Statement
Data available on request from the corresponding author upon reasonable request.

Author Contribution Statement
Asmund Havsteen-Mikkelsen: Conceptualization, Methodology, Investigation, Writing - original draft, Writing - review & editing.
Clinical Characteristics and Outcomes of Elective Gynecologic Cases Using Modified Medically Necessary, Time Sensitive (MeNTS) Scoring System in the Prioritization of Surgery at the Philippine General Hospital during the COVID-19 Pandemic
Authors: Macanip, MD Divine S. , Amosco, MD, PhD Melissa D. , Uichanco, MD, MHA Ernesto S. 
Published: June 2024

Objectives. The use of a scoring system that integrates various factors helps in decision-making and triage for Medically Necessary, Time Sensitive (MeNTS) surgical procedures during the COVID-19 pandemic. This study aimed to determine the clinical characteristics and outcomes of cases who were screened and underwent elective gynecologic surgery at a tertiary hospital using the MeNTS tool for prioritization.
Methods: A cross sectional study was carried out using data collected through medical chart review of all gynecologic cases screened in a 6-month period, from June 18, 2020 to December 18, 2020.
Results. A total of 155 gynecologic cases were screened, with 134 (86.4%) MeNTS cases and 21 (13.5%) non-MeNTS cases. The median length of stay (5 days), the median operating room time (3 hours and 30 minutes), and median estimated blood loss (400ml) were within the acceptable expected outcome as with the scoring system, albeit with some cases (53%) requiring blood transfusion attributed to low baseline hemoglobin levels. There were no cases with post-operative COVID-19 transmission, needing ICU care and intubation, nor mortalities reported.
Conclusions: The MeNTS scoring system allowed efficient handling of the backlog of elective gynecologic cases with minimal morbidity and absence of mortality. The study supports the utility of this scoring system in addressing the need of the healthcare system not just to optimally utilize and fairly allocate hospital resources but also to ensure the safety of the patient with the best health service delivery during the pandemic.
Saturated and monounsaturated fatty acids in human milk after gastric bypass: a case study.
Authors: Siqueira Trindade Oliveira Débora , Belfort Gabriella Pinto , Gonçalves Rosângela Simões , Chaves Célia Regina Moutinho de Miranda , Palha Adriane , Costa Roseli de Souza Santos da 
Published: June 2024

The Roux-en-Y gastric bypass is one of the most commonly used techniques in bariatric surgery for the treatment and control of obesity, involving restriction and malabsorption. Some studies have evaluated the micronutrient content and polyunsaturated fatty acids of human milk in women who have undergone bariatric surgery, but data about the saturated and monounsaturated fatty acids in nursing mother who underwent bariatric surgery human milk have been lacking.
In this case, we quantify the content of saturated and monounsaturated fatty acids in the stages of lactation: colostrum, transitional milk, and mature milk of a nursing mother undergoing gastric bypass surgery in Y-de-Roux two months before pregnancy.
The participant had 29-year-old. In December 2017, she underwent Roux-en-Y gastric bypass surgery, and, 2 months after the procedure, she became pregnant. Fatty acids were quantified on the Perkin Elmer Autosystem XL Chromatograph. High concentrations of myristic fatty acid and lower levels of trans fatty acids were observed in the human milk of women in our study compared to the milk of mothers who did not undergo bariatric surgery.
A limitation of the present study was that it represents a case study. Thus, we cannot state that the composition of fatty acids found in this case report reflects the composition of fatty acids in the human milk of all women who underwent BS. More studies are needed to better assess the implication of BS in the composition of fatty acids in human milk.
Machine Learning-Based Fake Online Review Comment Detection
Authors: Dr. Mage Usha U  , Jayakumar N  
Published: June 2024

The proliferation of online reviews has made them a vital source of information for consumers in making purchasing decisions. However, the prevalence of fabricated feedback has become a significant concern, undermining the trustworthiness of these platforms. This project aims to develop a machine learning-based system for detecting fake reviews[3] and assisting users in making informed choices. The Research study leverages a dataset consisting of labeled reviews, where each review is classified as fake or genuine[1]. This is used to train and judge the performance of a variety of machine learning models. The initial phase of the project involves preprocessing the textual data by applying techniques such as :
•	tokenization,
•	stop-word removal, and
•	stemming to extract relevant features.
Furthermore, the system incorporates natural language processing (NLP) methods:
•	to capture semantic and syntactic information, [2]
•	enabling a depth knowing of the review content. [4]
To increase the detection accuracy, the project explores the integration of additional contextual features, such as
•	User profiles,
•	Review timestamps, and
•	Review ratings.
These above provided info for establishing patterns and identifying anomalies associated with fake reviews[3].
ENFOQUE DEL TRATAMIENTO INTEGRAL DE LA TENDINITIS DEL HOMBRO
Authors: Darroman Hall Constantino , Mora Mora Ana Lucia , Bustamante Cruz Rosa Erlinda 
Published: June 2024

El dolor de hombro es una de las consultas que se atienden con mayor frecuencia en la práctica médica; es la tercera causa de dolor músculo esquelético, que afecta las actividades de la vida diaria, incluyendo el sueño. Se estima que el 40% de las personas lo presentan en algún momento de su vida. La prevalencia aumenta con la edad y con algunas profesiones o actividades deportivas. Los tendones del manguito rotador son la clave para un buen funcionamiento saludable del hombro y están sujetos a tendinitis, desgarros, rupturas o degeneración en la medida que usemos los hombros, hagamos esfuerzos exagerados o sufran traumas, lo que hace necesario acudir a terapias que contribuyan en el tratamiento y la pronta recuperación.