bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of Railway Bridge Girder Installation and Construction Technology--Based on BIM Technology
Authors: Ke Long , Wan Ronghui 
Published: May 2024

Abstract
The emergence of BIM technology has caused changes in the field of construction, which is of great significance to improving the construction technology and management level of roads and bridges. In this paper, the overall framework of the railroad bridge BIM model is constructed by utilizing several BIM software to display its corresponding geometric construction information and line information. Based on the relevant information, construction simulation technology is combined with BIM technology to propose a lean management model for a railroad bridge construction site. Specifically, it first checks the mechanical properties of the bridge plate to ensure the safety of its installation, and then optimizes the progress of the construction phase under the constraints of the construction site, realizes the deviation warning, and ensures the optimal completion of the construction project. The results show that the paving layer connection structure has an optimal load transfer effect in the range of 0-502kN. However, cracking at the critical point of the pressure plate can result in plastic deformation before. At the same time, the vibration of the abutment plays an important role in the safety of the overall bridge structure, and the abutment height of the bridge should be controlled within 40M. By optimizing the construction schedule of beams and slabs, the contract period can be shortened by up to 19 days, and the expected cost can be reduced by 760,000 yuan. The research results accumulate methods for applying BIM technology in the installation and construction stages of railway bridge beams and slabs.
Analysis of the application of 3D technology in digital media art animation design
Authors: Chen Chengliang 
Published: May 2024

Abstract
The animation market is experiencing significant growth and diversification, with an expanding audience base and increasingly sophisticated aesthetic demands. This paper presents the development of a digital media art animation design system, leveraging four pivotal 3D technologies: mesh space deformation, 3D coordinate transformation, keyframe interpolation, and model collision detection. The system is enhanced with modules for scene editing, particle systems, and animation editing, which decompose the intricate special effects design of digital media art animations into manageable, editable components that offer real-time feedback. Furthermore, the system’s rendering capabilities and the animation design’s visual appeal were subjected to empirical evaluation. The findings indicate that within a 3D technology framework, the animation designs achieved average scores of 7.4371, 6.4720, and 7.0155 for recognizability, fidelity to the intended design, and overall impression, respectively, fulfilling the anticipated outcomes. Additionally, the animations produced are highly scalable and can be rendered swiftly and efficiently across diverse platforms. This study provides valuable insights for enhancing the effective deployment of 3D technologies in digital media art and animation design.
Innovation of teaching mode of economic management informationization in colleges and universities based on the RDMIE model
Authors: Deng Fukang , Chen Xiaofang 
Published: May 2024

Abstract
The accelerated application of emerging technologies in the financial field in the era of informationization has put forward brand-new challenges and requirements for the development of disciplines as well as the teaching mode of economics and management majors in colleges and universities. In this paper, the teaching resource base of economics and management majors is first constructed on the basis of the RNMIE model combined with cloud computing and other technologies. Then the theory of self-organizing behavior is introduced to build a three-dimensional informatization teaching platform for economics and management majors. On this basis, combined with the online learning teaching resources analysis model, the personalized recommendation method of hybrid recommendation is used to recommend matching resources for economics and management students. The learning satisfaction assessment model is constructed with the students’ learning satisfaction assessment system and structural equation model. Simulation tests and example analyses were conducted to recommend resources and ensure student satisfaction in the three-dimensional computer-based teaching platform for economics and management in colleges and universities. It is found that when the number of nearest neighbors increases from 5 to 50, the MAE of personalized recommendation of economic and management teaching resources based on hybrid recommendation decreases by 30.91%, and the direct utility path coefficient of teaching effect on students’ learning satisfaction is 0.62. The teaching resources of economics and management constructed by combining the RNMIE model can help students realize the diversified choices of teaching resources and also provide a new reference for the innovative informationized teaching mode of economics and management majors.
Monitoring to improve quality of life in women with bleeding disorders
Authors: Noone Declan , d’Oiron Roseline 
Published: May 2024

Abstract
Systematic structures to understand the incidence and prevalence of bleeding disorders in women and girls are in place in some countries and becoming more robust, though there is still room for improvement. More co-ordinated data gathering is providing new insights into the diagnosis and treatment of girls with bleeding disorders and demonstrating clear deficits in care compared with boys that can have important implications around puberty. Recognition and recording of female symptoms such as heavy menstrual bleeding (HMB) may lag behind that of symptoms with a greater perception bias, such as joint bleeds, and affect quality of life and wellbeing. Addressing inequity of symptom recognition and recording is needed to drive appropriate and timely treatment interventions. New symptom tools can empower patients to differentiate normal from abnormal bleeding so they can seek and receive help. Greater awareness among health care professionals (HCPs) of women's bleeding disorders and the establishment of referral networks for diagnosis and treatment, with multidisciplinary assessment and follow-up, are still needed.
Shared decision-making for gene therapy in haemophilia care
Authors: Fletcher Simon , Jenner Kathryn , Khair Kate 
Published: May 2024

AbstractShared decision-making (SDM) is an important part of patient-centred care in which healthcare professionals (HCPs) and patients/caregivers jointly reach care decisions through a two-way exchange and synthesis of information based on clinical evidence and patient preference. SDM was described in haemophilia care in 2014 as two-sided intervention to aid patient decision-making. However, as the range of haemophilia treatments has expanded, identifying the optimal haemophilia treatment for an individual has become more complex. This is particularly so in the case of gene therapy, a onetime-only, irreversible treatment. In this context, it is vital that people with haemophilia (PwH) and their families continue to be involved in care decisions in an informed and interactive way. For gene therapy, this must include being well informed about the gene therapy process, enabling the patient to engage in fully informed SDM and consent, and ensuring that issues around long-term durability, potential side effects, the need for long-term follow-up are understood with a recognition that the ‘unknown unknowns’ are also unknown to HCPs. Both HCPs and patient organisations have a key role to play in providing PwH with access to relevant information and education, tailored to individual needs and free of jargon. Considerable education and support are required before PwH can make a truly informed decision about having gene therapy. Use of structured SDM tools such as the SHARE approach can help to support this. There is a need for SDM educational tools that include written/visual information and the use of standardised checklists may be helpful for both PwH and HCPs. The most important part of this process is that PwH want to undergo gene therapy – and this is only an option if they are fully educated and informed by fully educated and informed healthcare teams.
A creative approach to managing a case of haemophilia A with inhibitors in a low-resource country: case report
Authors: Bhatia Simran , Archana M V , Bhat Vasudeva , Balthillya Ganesh M , Badagabettu Sulochana 
Published: May 2024

Abstract
The development of antibodies to therapeutic factor VIII, known as inhibitors, is a leading cause of morbidity and mortality in people with haemophilia. This is particularly challenging in areas where access to novel treatment options is limited. This case report presents a clinical scenario in South Western India involving a 16-year-old male with severe haemophilia A with high titre inhibitors, who sustained a tibia-fibula shaft fracture necessitating emergency surgical intervention. The successful management of this patient required a multidisciplinary approach, encompassing haemostasis optimisation, innovative factor replacement strategies to work around financial constraints, and a comprehensive rehabilitation plan. The patient’s history of multiple factor VIII concentrate transfusions contributed to inhibitor development. Limited funds for bypassing agents prompted the utilisation of fresh frozen plasma to achieve haemostasis before access to FEIBA and recombinant factor VII. Emicizumab, a subcutaneously administered bispecific antibody, was used to assist perioperative haemostasis. A comprehensive rehabilitation plan with regular physiotherapy was followed. Emicizumab prophylaxis was initiated and the patient now shows improvement. This case emphasises the importance of novel treatment options such as FEIBA and emicizumab in dealing with complications in haemophilia such as inhibitors. In resource-limited settings, there is still a need to improve the availability of these life-saving interventions to optimise surgical outcomes in such cases.
Short- and longer-term goals for change – A report from the 2nd workshops of the EHC Think Tank Workstreams on Access Equity and Future Care Pathways
Authors: Gacser Zita , Skouw-Rasmussen Naja , Bourke Steven , ten Ham Renske , Hosszú Dalma 
Published: May 2024

Abstract

Introduction
The second series of workshops for the EHC Think Tank Workstreams on Access Equity and Future Care Pathways involved working towards consensus on addressing challenges to progress around achieving equitable access to care and shaping rare disease care pathways that meet patient needs while remaining practicable and affordable to healthcare providers. This report summarises workshop outcomes from these two workstreams, in which stakeholder participants identified a ‘guiding star’ determining the direction of ongoing focus, defined achievable ‘near star’ milestones, and enablers and constraints to achieving these.

Guiding Stars
The Access Equity Workstream proposed focusing on developing a healthcare system that enables patients to benefit from care and treatment fairly and impartially. The Future Care Pathways Workstream agreed that their focus would be on developing care pathways that provide the right intervention at the right time by the right healthcare professional in the right formats with a variety of delivery methods to suit the person.

Near Stars
For the Access Equity Workstream, changes in narrative and behaviour were the achievable milestones that the group agreed to prioritise. Greater stakeholder collaboration and consistent data collection and use will be important enablers for change. Participants proposed greater emphasis on investment and value (instead of cost and return) and a change of mindset from ‘fixing the patient’ to achieving a healthy life through early intervention and preventing comorbidities. However, lack of clarity over what constitutes ‘value’ and around stakeholders' responsibilities, limited outcome measures and resistance to change may constrain progress. A near star for the Future Care Pathways workstream was the development of seamless, personalised care pathways with integrated digital and AI-based technologies to enable real-time measurement of pathway effectiveness. Participants felt that understanding and respecting patient behaviour and the nudges and incentives needed to promote pathway acceptance will be important. As in the Access Equity Workstream, they recognised the role of routine, standardised data collection for measuring outcomes, sharing information and informing decision-making. They predicted that building trust between stakeholder groups (including patients, healthcare providers, academic and life science companies) and using patient networks and advocates effectively would enable collaboration and ensure that patient needs and insights are acted upon. However, financial and legal aspects, inadequate implementation of technological infrastructure, limited systems integration, and lack of stakeholder time, effort and energy are all potential constraints that will need to be addressed.
Living, Caring, Learning – The power of qualitative research in bleeding disorders care: One voice, from soloist to choir
Authors: Fletcher Simon 
Published: May 2024

Abstract
With over three decades of nursing experience, Simon reflects on his experience as a research nurse at the Oxford Haemophilia and Thrombosis Centre at a time of huge change for haemophilia care and treatment. He recalls the impact of conversations with people with haemophilia about gene therapy, how these challenged his assumptions about living with haemophilia, and how this prompted him to pursue a PhD. Highlighting the importance of listening to individual patient stories, Simon discusses how qualitative research contributes to a deeper understanding of what it is to live with a bleeding disorder. He considers the role of nurses in research and the importance of collaboration between research and clinical nursing teams as new treatments for haemophilia and other bleeding disorders emerge.
Ecosystem Services Evaluation of the Danube Delta: An Analysis Using Hierarchical Multifactor Regression
Authors: Aivaz Kamer-Ainur , Șerbănescu Maria 
Published: May 2024

Abstract
The present study aims to assess the ecosystem services of the Danube Delta through a complex multi-factor hierarchical regression analysis. Using three different regression models, the research addresses multiple dimensions of human-nature interaction in this area of major ecological and cultural importance. First, the attractiveness of ecosystem services (VF1) was investigated, identifying a positive impact of improved infrastructure and tourism service provision on the local economy and visitor experience. It was also found that this attractiveness needs to be weighed with specific demographic and social needs. Secondly, the current perception and potential for conservation and tourism (VF2) was examined, revealing the link between effective resource management and the region’s tourism value. Thus, positive perceptions of conservation practices were found to be determinant in establishing the value of the Delta as a tourist destination. Finally, the impact of obstacles to Delta development (VF3) was considered, highlighting the importance of an integrated approach to development planning in the region. The recognised obstacles involve environmental, economic and social factors, and indicate the need for balanced management of natural resources. The results of the study highlight the need for multidisciplinary collaboration for effective management of the Danube Delta, emphasising the need to protect this unique habitat while promoting sustainable and inclusive development for the benefit of current and future generations.
Investigating the Air Travel-Tourism Relationship Using Granger Causality Analysis: The Case of Turkish Destinations
Authors: Yaşar Mehmet 
Published: May 2024

Abstract
One of the main benefits of air transport is that it allows people to travel quickly from one place to another. This allows people to reach their destinations faster than other modes of transport for purposes such as tourism, business and education. The aim of this study is to investigate the causality relationships between air travel and tourism demand by each market segment. The causality relationship between the number of domestic passengers, international passengers and total number of passengers and the number of domestic tourists, international tourists and total number of tourists is analyzed on a monthly basis for the period 2017–2021 in Turkey with Granger causality analysis. The findings revealed a two-way causal relationship between the number of domestic travelers and the demand for domestic tourism, as well as a two-way relationship between the demand for total travelers and the demand for total tourism. There is a unidirectional causal connection between the demand for inbound tourists and the quantity of international travelers. The research is expected to add to the body of work on the outcomes. It will also have implications for those who make decisions about infrastructure and policy.
Do Loyal Customers Buy Differently? Examining Customers’ Loyalty in a Self-Service Setting
Authors: Țichindelean Mihai , Ogrean Claudia , Herciu Mihaela 
Published: May 2024

Abstract
The purpose of the current paper is to study how customer loyalty varies in time according to customer segments and external factors. In the first part of the paper, the authors have reviewed in a funnel-like manner the relevant literature, starting with relationship marketing and customer relationship management theories, and ending with customer loyalty. To achieve the paper’s research purpose, buying behavior data (recency of last transaction, buying frequency and monetary value spent) from a company’s internal information system was analyzed for 2019 and 2020, respectively. RFM model was applied on the 2019 data and resulted in three segments: heavy, medium, and low users - segments which varied in their loyalty for the year 2020. Based on the obtained findings, the authors concluded that the more intense a customer’s buying behavior is, the higher their probability is of being loyal in the future. A second conclusion assumes that customers characterized by intense buying behavior are less vulnerable to external threats, the Covid-19 pandemic in our case.
Grüne Transformation in Deutschland – nur mit echter Energiewende ein ökologischer und ökonomischer Erfolg
Authors: Gornig Martin , Kemfert Claudia 
Published: May 2024

Abstract
In order to achieve climate targets, a comprehensive energy transition is necessary in which nearly all energy comes from renewable sources. The switch to renewable energies is not only of enormous strategic importance in terms of climate protection. In combination with the technological innovations it triggers, renewable energy also creates the scope for climate-neutral growth.
Zunehmende Fachkräfteengpässe – Warum sind ländliche Räume besonders betroffen?
Authors: Buch Tanja , Fuchs Michaela , Helm Janina , Niebuhr Annekatrin , Peters Jan Cornelius , Sieglen Georg 
Published: May 2024

Abstract
Over the past decade, firms’ recruitment problems have increased significantly in Germany. We show that skill shortages have been more pronounced in rural areas and that the gap between rural and urban regions has slightly increased. The intensity of a local skill shortage is linked to regional labour market conditions, the occupational composition and the share of small establishments. However, the most important factor is a more advanced demographic change in rural areas. Of all factors considered, the proportion of older workers correlates most strongly with the regional vacancy rate.
Implementasi Kebijakan Pupuk Subsidi di Dinas Tanaman Pangan Hortikultura dan Perkebunan Kabupaten Sinjai
Authors: Irmalasari Linda , Luthfi Muhammad , Baharuddin Baharuddin 
Published: May 2024

The provision of subsidy fertilizers for farmers is intended to increase progress in innovation changes in human resource development in the agricultural sector, subsidies as a supporting factor of optimal implementation of government policies against subsidized fertilizer policies developed by the government based on the needs of the community, especially farmers. In its application, this fertilizer is intended for farmers to increase productivity and improve economic level, also minimizes costs. The purpose of this study is to find out how the implementation of subsidized fertilizer policy in Indonesia. The findings in this study are one of the programs of government policy related to subsidized fertilizers, namely the farmer card program registered in the Group Needs Definitive Plan (RDDK) system. However, according to surveys, there is still a scarcity of subsidized fertilizers so that the price becomes expensive. And many farmers who are not part of the Group Needs Definitive Plan (RDDK) system also need subsidized fertilizers, but the government only provides them to farmers who are members of the RDDK system. In addition, the Indonesian government has implemented various measures to ensure the distribution of subsidized fertilizers to farmers, one of the steps taken is to socialize changes in subsidized fertilizer policies.
The Detrimental Impacts of Plastic Pollution on Wildlife
Authors: Garcês Andreia , Pires Isabel 
Published: May 2024

About 11 million tonnes of land-based plastic waste make its way into the ocean each year and affect also terrestrial habitats. Plastic pollution creates adverse problems for wildlife. Marine, coastal and terrestrial species are affected. Animals can be entanglement or accidentally ingesting plastic. Plastic ingestion can block digestive tracts or pierce internal organs in wildlife. It can also choke, and starve animals by thinking they’re full from eating plastic or provoque wounds. Microplastics have been found in almost every vertebrate and invertebrate species. This material can lead to could cause liver and cell damage as well as disruptions to reproductive systems. In this brief review, we present the main impacts of plastics on wildlife and what we can do to decrease their negative impacts.