bluuebunny/crossref_metadata_2025_split huggingface dataset:
Research on the health status and influencing factors of the older adult floating population in Shanghai
Authors: Wu Lianxia , Li Wei , Wang Shaogu , Weihua Guan , Wang Xianyu 
Published: May 2024

IntroductionOver the past decade, against the dual background of population aging and mobility, the older adult/adults floating population has become a new type of mobile group in China, continually congregating in large cities, posing significant challenges to the socio-economic development, eldercare services, and public management of these metropolises. Shanghai, as a mega-city and the economic center of the China, is typically representative of the national population.MethodsBased on the dynamic monitoring data of Shanghai’s floating population in 2018, this research uses mathematical statistics and binary Logistic regression models.ObjectiveThis research analyzes the demographic characteristics and health status of the older adult/adults floating population in Shanghai in the new era and reveals its primary influencing factors.Results and discussion(1) A prominent contradiction in the scale and structure of the older adult/adults floating population, with widowed and low-educated mobile older adult/adults requiring attention. (2) There is a lack of health knowledge, and the proportion of local reimbursement is low. Over 90% of migrant older adult/adults self-assessed their health (with a very few unable to care for themselves), far higher than the proportion of older adult/adults who are not sick (injured) or uncomfortable (actually healthy), which exceeds 70%. The health status of migrant older adult/adults deteriorates with age, and those who have never attended school and live alone have the worst health status. (3) Older adult/adults people with advanced age and low educational levels are at risk of health issues, while a better living environment can reduce the risk of illness in the older adult/adults floating population. Low family income, poor housing affordability, and the medical burden brought about by illness can easily lead to older adult/adults floating populations falling into the trap of older adult/adults poverty, and older adult/adults people from central regions and those who migrate along have difficulty adapting to city life, leading to poor self-assessed health. Meanwhile, community/enterprise health education helps to enhance the health protection awareness of the older adult/adults floating population. Finally, based on the governance concept of “mobility publicness,” several public management and service optimization strategies for social support for the older adult/adults floating population in Shanghai are proposed.
Secular trends of dental caries and association with nutritional status: a retrospective analysis of 16,199 Chinese students from three successive national surveys from 2010 to 2019
Authors: Hao Changfu , Hao Yudan , Lou Xiaomin , Wang Xiaolin , Liu Weiping , Zhou Huijun , Ban Xiaolei , Wu Wencan , Wang Xuejie , Wang Xian 
Published: May 2024

IntroductionThe prevalence of dental caries (DC) among students in developing countries has increased at an alarming rate, and nutritional status has been shown to be associated with DC in children and adolescents with inconsistent conclusions. We aimed to understand the trends of DC prevalence in students aged 7, 9, 12, and 14 years and to explore the relationship between DC prevalence and nutritional status.MethodsWe recruited 16,199 students aged 7, 9, 12, and 14 years in China by multi-stage, stratified, random sampling methods from 2010 to 2019. Permanent caries were measured using the Decay, Loss, and Filling (DMF) index and prevalence rate. Deciduous caries were measured using the decay, loss, and filling (dmf) index and prevalence rate. Nutritional status was assessed using body mass index (BMI) and hemoglobin levels. Logistic regression analysis was used to assess the association between nutritional status and the DC prevalence in children and adolescents, incorporating information concerning family-related factors.ResultsThe results indicated that DC prevalence increased from 39.75% in 2010 to 53.21% in 2019 in Henan province, with deciduous teeth and permanent teeth being 45.96 and 27.18%, respectively, in 2019. The total caries rate decreased with age (p &lt; 0.05), and the caries rate of girls was higher than that of boys in 2019 (55.75% vs. 50.67%) (p &lt; 0.001). The prevalence of dental caries among primary and secondary school students in areas with medium economic aggregate was the highest, followed by cities with the best economic development level, and cities with low economic levels have a lower prevalence of dental caries. The dental caries prevalence was negatively correlated with body mass index. In the fully adjusted model, underweight children had a higher caries prevalence (OR = 1.10, 95%CI: 0.86–1.41). Children with anemia had a higher prevalence of dental caries (OR = 1.18, 95%CI: 0.98–1.42).ConclusionThe DC prevalence of students in Henan Province was high, with a tendency to increase. Females, young individuals, and those with a higher economic level showed a positive correlation with the prevalence of caries. In the process of economic development, particular attention should be paid to early childhood caries prevention. Nutritional status should be taken seriously among children and adolescents, and the oral health system should be improved to keep pace with economic development.
Beyond reducing direct medical cost: examining health outcomes in tuberculosis through a difference-in-differences analysis of South Korea’s out-of-pocket payment exception policy
Authors: Yu Sarah , Moon Daseul , Jeong Dawoon , Kang Young Ae , Lee Gyeong In , Choi Hongjo 
Published: May 2024

BackgroundUniversal health coverage and social protection are major global goals for tuberculosis. This study aimed to investigate the effects of an expanded policy to guarantee out-of-pocket costs on the treatment outcomes of patients with tuberculosis.MethodsBy linking the national tuberculosis report and health insurance data and performing covariate-adjusted propensity-score matching, we constructed data on health insurance beneficiaries (treatment group) who benefited from the out-of-pocket payment exemption policy and medical aid beneficiaries as the control group. Using difference-in-differences analysis, we analyzed tuberculosis treatment completion rates and mortality in the treatment and control groups.ResultsA total of 41,219 persons (10,305 and 30,914 medical aid and health insurance beneficiaries, respectively) were included in the final analysis (men 59.6%, women 40.4%). Following the implementation of out-of-pocket payment exemption policy, treatment completion rates increased in both the treatment and control groups; however, there was no significant difference between the groups (coefficient, −0.01; standard error, 0.01). After the policy change, the difference in mortality between the groups increased, with mortality decreasing by approximately 3% more in the treatment group compared with in the control group (coefficient: −0.03, standard error, 0.01).ConclusionThere are limitations to improving treatment outcomes for tuberculosis with an out-of-pocket payment exemption policy alone. To improve treatment outcomes for tuberculosis and protect patients from financial distress due to the loss of income during treatment, it is essential to proactively implement complementary social protection policies.
Real-time polymerase chain reaction detection and surgical treatment of thoracic and lumbar spondylitis due to Brucella infection: two typical case reports
Authors: Liu Bo , Ji Yun-xiao , Zhao Chang-song , Zhang Qiang 
Published: May 2024

BackgroundSpondylitis caused by Brucella infection is a rare but challenging condition, and its successful management depends on timely diagnosis and appropriate treatment. This study reports two typical cases of thoracic and lumbar brucellosis spondylitis, highlighting the pivotal roles of real-time polymerase chain reaction (real-time PCR) detection and surgical intervention.Case presentationCase 1 involved a 49-year-old male shepherd who presented with a 6-month history of fever (40°C), severe chest and back pain, and 2-week limited lower limb movement with night-time exacerbation. Physical examination revealed tenderness and percussion pain over the T9 and T10 spinous processes, with grade 2 muscle strength in the lower limbs. CT showed bone destruction of the T9 and T10 vertebrae with narrowing of the intervertebral space, whereas MRI demonstrated abnormal signals in the T9–T10 vertebrae, a spinal canal abscess, and spinal cord compression. The Rose Bengal plate agglutination test was positive. Case 2 was a 59-year-old man who complained of severe thoracolumbar back pain with fever (39.0°C) and limited walking for 2 months. He had a 2.5 kg weight loss and a history of close contact with sheep. The Rose Bengal test was positive, and the MRI showed inflammatory changes in the L1 and L2 vertebrae. Diagnosis and treatment: real-time PCR confirmed Brucella infection in both cases. Preoperative antimicrobial therapy with doxycycline, rifampicin, and ceftazidime-sulbactam was administered for at least 2 weeks. Surgical management involved intervertebral foraminotomy-assisted debridement, decompression, internal fixation, and bone grafting under general anesthesia. Postoperative histopathological examination with HE and Gram staining further substantiated the diagnosis. Outcomes: both patients experienced significant pain relief and restored normal lower limb movement at the last follow-up (4–12 weeks) after the intervention.ConclusionReal-time PCR detection offers valuable diagnostic insights for suspected cases of brucellosis spondylitis. Surgical treatment helps in infection control, decompression of the spinal cord, and restoration of stability, constituting a necessary and effective therapeutic approach. Prompt diagnosis and comprehensive management are crucial for favorable outcomes in such cases.
Lights and shadows on local recurrence after renal surgery: when, why and how to manage
Authors: Di Gianfrancesco Luca , Crestani Alessandro , Amodeo Antonio , Corsi Paolo , De Marchi Davide , Miglioranza Eugenio , Lista Giuliana , Vitelli Ferdinando Daniele , Simonetti Francesca , Busetto Gian Maria , Falagario Ugo Giovanni , Maggi Martina , Marino Filippo , Genovese Giannicola , Falabella Roberto , Porreca Angelo 
Published: May 2024

IntroductionThis review aims to analyze the existing literature on local recurrence (LR) in patients undergoing partial nephrectomy (PN) for renal cell carcinoma, identifying relative risk factors, and exploring optimal clinical management strategies.MethodsA comprehensive literature search was conducted across bibliographic databases, primarily focusing on LR rates. Secondary outcomes included evaluation of positive surgical margins (PSM), nephrometry scores, pathological stage (T and grading), perioperative outcomes, time-to-LR, overall survival, and cancer-specific survival.ResultsDue to the heterogeneity, a narrative synthesis was performed. LR rates after PN varied in the literature; with PSM emerging as a significant risk factor. Other LR risk factors included pathological stage, nephrometry scores, and histological variants. However, evidence regarding optimal LR management in the absence of precise indications was lacking.ConclusionLR represents a significant clinical challenge; requiring multidisciplinary assessment and shared decision-making with patients. Given well-established risk factors, clinicians must tailor management strategies to optimize patient outcomes.
Exploring the scope and applications of anti-doping measures in ultramarathon: an analysis of the positions of ultramarathon race organizers
Authors: Colangelo Jill , Smith Alexander , Hachen Stefanie , Liebrenz Michael 
Published: May 2024

IntroductionWith ultramarathon attracting burgeoning interest, evidence has emerged about doping behaviors. However, currently, research into the anti-doping policy landscape and the adoption of testing and athlete surveillance is limited, including the applicability of rubric from the World Anti-Doping Agency (WADA) and National Anti-Doping Organizations (NADOs). Consequently, it remains unclear if anti-doping provisions have been developed and enforced in ultramarathon, which is a timely consideration given growth in the sport.MethodsThis study gathered perspectives on anti-doping and testing procedures from ultramarathon race organizers (UMROs). To that end, a sample of n = 35 prominent competitions was compiled using web materials and community engagement, encompassing elite and amateur entrants, diverse course designs, and prize money opportunities. Data-gathering was conducted across two phases between November and December 2023, with an initial review of UMRO web resources. Subsequently, UMROs were contacted via email to validate or ascertain their anti-doping and testing policies. Insights from UMRO respondents were reviewed and coded. UMROs who did not reply were excluded from the analysis.ResultsBased on this methodology, the positions of n = 17 UMROs were captured, covering 159 ultramarathon races and approximately 96,500 annual participants. Of these, n = 8 UMROs did not have a self-developed policy and their rubric was pursuant to external authorities like WADA and NADOs. n = 4 had created a specific proprietary policy, which often incorporated WADO or NADO materials. The remaining n = 5 UMROs reported no anti-doping controls were in place at the time of the study. There was also notable heterogeneity in testing and surveillance, ranging from rigorous procedures to an absence of protocols. Interestingly, none of the included UMROs explicitly reported that they had enacted anti-doping measures against athletes.DiscussionVarious determinants could inform these regulatory inconsistencies across UMROs, such as financial constraints, infrastructural and logistical barriers, cultural factors, and the lack of a unifying international federation in ultramarathon. Given the disparate approaches identified in our results, greater cooperation and education may be necessary to enhance understanding about the implications of doping and advance cohesive frameworks. This should involve collaborations with WADA and NADOs to promote best-practices and evidence-based exchanges within the community.
Sellar hemangiopericytoma masquerading as pituitary adenoma: an overlooked intriguing case study unveiling a rare surgical conundrum
Authors: Ebrahimzadeh Kaveh , Mirahmadi Eraghi Mohammad , Ansari Mohammad , Dmytriw Adam A. 
Published: May 2024

Hemangiopericytoma (HPC) constitutes less than 1% of all primary central nervous system tumors. It is a vascular neoplasm with potential malignancy that, in rare instances, manifests as a primary lesion within the brain. Typically, it originates from the meninges. Here, we describe an exceptionally uncommon sellar region solitary fibrous tumor/hemangiopericytoma (SFT/HPC) that mimicked a nonfunctional pituitary adenoma.Introduction and importance Case presentationA 54-year-old male was referred to our hospital due to progressive blurred vision in the left eye over the past year. A homogeneous iso-dense extra-axial intrasellar round mass with extension into the suprasellar region, mainly on the left side, along with bony erosion and osteolysis around the sellar region, was observed on a brain computed tomography (CT) scan. Brain magnetic resonance imaging (MRI) revealed a well-defined 251,713 mm mass with iso-signal on T1-weighted images and hypersignal on T2-weighted images, originating from the pituitary gland within the sella turcica. The mass avidly enhanced following Gadolinium injection and adhered to both carotid arteries without vascular compression or invasion. It extended to the suprasellar cistern and compressed the optic chiasm. The diagnosis was nonfunctional pituitary macroadenoma, leading to the decision for Endoscopic Trans-Sphenoidal Surgery (ETSS). A non-sustainable, soft, grayish mass was grossly and totally resected during the operation. Subsequently, there was a significant improvement in visual acuity during the early postoperative period. Histopathologic examination confirmed hemangiopericytoma (WHO grade II).ConclusionDue to its malignant nature, hemangiopericytoma should be included in the differential diagnosis of a sellar mass, both from a clinical and morphological perspective.
Srimad Bhagawat Gita and its Relationship to Other Religious Writings
Authors: Ramani Pramila 
Published: May 2024

One of the most remarkable stories ever written in India, the Mahabharata touches on many different facets of human existence. The novel imparts various ethical principles pertinent to our contemporary mechanistic culture. The teaching conveys that Dharma consistently prevails over Adharma. We must align ourselves with the principles of Dharma and exert our efforts towards achieving greatness. The combination of our impatience and intense desire will ultimately erode our state of calmness and lead to our downfall. This excerpt from the Mahabharata offers a glimpse into the inevitability of Dharma-yuddha, highlighting Arjuna’s perplexity at the beginning of the struggle and the subsequent resolution provide d by Master Krishna. The Bhagavad Gita is a conversation between Arjuna and the sovereign Krishna. An analysis is conducted on particular sections of the Bhagavad Gita, and their similarities and differences are examined with other religious texts.
Blurring the Literary Horizons in the Digital Age
Authors: Nandhini S 
Published: May 2024

Literature is the manifestation of the societal, political and cultural factors that govern that society. Every piece of literature is reflective of the shared social values, cultural identity and political ideologies that strengthen the ethnical, linguistic and anthropological studies. Transtition from one age to another is accelerated by the changing standards of living, geo-political influences and cultural values that distinguish one age from the other. The birth of digital era can be traced back to the rapid industralisation, globalization and consumerism culture. The inevitable phenomenon of digitalization has seeped into all fields namely commerce, media, education and healthcare which influence the way of living and living standards. It goes unsaid that literature mirrors the living conditions and characteristics of the age in which it is produced. Therefore, digitalization of literature can be considered as the natural outcome of the digital ways of living.
Total plate count and yeast mold count in liquid traditional medicine (Jamu) sold in the sukoharjo region market
Authors: Jamilatun Makhabbah , Lukito Pradea Indah 
Published: May 2024

Jamu is the name for traditional medicine from Indonesia. This liquid traditional medicine is made by boiling all the ingredients, then squeezing the juice and mixing it with boiled water. This simple process of making liquid traditional medicine can cause undesirable impacts, microbial contamination which can cause diseases such as Escherichia coli bacteria which can cause diarrhea. In Sukoharjo, in several areas, there are still many sellers of liquid traditional medicine selling their wares in the market. There is no information regarding the quality of this liquid traditional medicine. This research aims to determine microbial contamination in traditional medicinal liquids sold at the Sukoharjo Regional Market. Research methods include total plate count to determine bacterial contamination and yeast mold count to determine fungal contamination in the kencur rice liquid traditional medicine. The results of calculating the total plate count showed that 3 samples exceeded the contamination limit with the highest total bacterial value of Colony Forming Unit (CFU)/ml. The results of the research showed that from the calculation of yeast mold count, 9 samples exceeded the contamination limit with the highest total yeast mold value of CFU/ml. This results can provide information to the public to increase awareness of consuming herbal medicine and to the local government to provide education to herbal medicine traders. There are still several traditional medicine quality standards that have not been observed in this study, so it is recommended that the quality of the types of microorganisms contamination, be further analyzed
Parasitism capacity of telenomus sp. (hymenoptera: scelionidae) on spodoptera frugiperda, in refugia system
Authors: Ardina Ardina , Bakti Darma , Tobing Maryani Cyccu L. , Ubaidillah Rosichon , Darmawan Darmawan 
Published: May 2024

Fall armyworm (Spodoptera frugiperda) is one of the pests that attacks maize. There are many ways to control this pest problem one of which is to use insecticides. However, biological control this pest with nature conservation based on the concept of integrated pest control. Refugia plants offer pest control properties based on the IPM (Integrated Pest Management) concept by providing food for parasitoids as the natural enemies. This study aimed to know capacity parasitism of egg parasitoid S. frugiperda in refugia system. This research uses non-factorial randomized group design (RGD) study, the number of S. frugiperda egg parasitoids on maize fields with refugia plants around it was counted. There were 5 treatments with 5 replications applied in this study: Control/without refugia, maize plants with red refugia (Zinnia elegans), maize plants with yellow refugia (Melanpodium paludosumi), maize plants with white refugia (Turnera subulata), maize plants with red refugia, yellow and white. This study found two species of S. frugiperda egg parasitoids namely Telenomus remus Nixon (Hymenoptera: Scelionidae) and Telenomus dignus (Hymenoptera: Scelionidae) in the field. The overall rate of parasitism egg S. frugiperda was no significant effect. The treatment of maize plants with white and mixed-colour refugia (red, yellow, white) showed the highest egg parasitization at 15 days after planting (DAP). Meanwhile, the dominance of Telenomus remus Nixon parasitoid was at an average of 0.202% and the lowest dominance of Telenomus dignus at 0.030%.