bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influencing factors of home hospice care needs of the older adults with chronic diseases at the end of life in China: a cross-sectional study
Authors: Wang Lei , Li Yaru , Zhao Rui , Li Jiangxu , Gong Xiangru , Li Hongyu , Chi Yuan 
Published: May 2024

IntroductionChronic diseases are becoming a serious threat to the physical and mental health of older people in China as their aging process picks up speed. Home hospice care addresses diverse needs and enhances the quality of life for older adult individuals nearing the end of life. To ensure the well-being of chronically ill older adults at the end of life, it is vital to explore and assess the multidimensional hospice needs of terminally ill older individuals in their homes. The aim of this study was to investigate the current situation of home hospice care needs of Chinese older adults with chronic diseases at the end of life, and to analyze the influencing factors (sociodemographic and disease-related factors).MethodsIn this cross-sectional study, 247 older adult people with chronic diseases at the end of life were selected from the communities of 4 community health service centers in Jinzhou City, Liaoning Province from June to October 2023 by random sampling method. A general information questionnaire and the home hospice care needs questionnaire developed by our research group were used to investigate. Independent samples t-test or one-way ANOVA was used to compare the differences in the scores of different characteristics, and the factors with significant differences were selected for multivariate linear regression analysis to determine the final influencing factors.ResultsThe total score of home hospice needs of the dying older adult was 115.70 ± 12, with the mean scores for each dimension in descending order being Information Needs (3.96 ± 0.61), Social Support Needs (3.96 ± 0.44), Spiritual Needs (3.92 ± 0.43), Physical Needs (3.60 ± 0.59), Psychological Needs (3.37 ± 0.65). Status of residence, duration of illness (year), the type of disease, and self-care ability were influential factors in the total score of home hospice needs.DiscussionThe need for hospice care for the terminally ill older adult is high, and healthcare professionals should implement services according to the influencing factors of need to meet their multidimensional needs and improve their quality of life.
Existence of cholera outbreak, challenges, and way forward on public health interventions to control cholera outbreak in Guraghe Zones, southern Ethiopia, 2023
Authors: Berhe Tamirat Melis , Fikadu Yohannes , Sahle Tadesse , Hailegebireal Aklilu Habte , Eanga Shamil , Ketema Temesgen , Wolde Shimelis Getu 
Published: May 2024

IntroductionIn Ethiopia, despite major improvements seen in health service delivery system, the country continues to be significantly affected by cholera outbreaks. Cholera remains a significant public health problem among the vulnerable populations living in many resource-limited settings with poor access to safe and clean water and hygiene practices. Recurring cholera outbreaks are an indication of deprived water and sanitation conditions as well as weak health systems, contributing to the transmission and spread of the cholera infection.ObjectiveTo assess the cholera outbreak, its challenges, and the way forward on public health interventions to solve the knowledge and health service delivery gaps related to cholera control in Guraghe Zone, Ethiopia, 2023.MethodsActive surveillance of the cholera outbreak was conducted in all kebeles and town administrative of Guraghe zone from 7/8/2023 to 30/10/2023. A total of 224 cholera cases were detected during the active surveillance method. Data obtained from Guraghe zone offices were exported to SPSS version 25 for additional analysis. The case fatality rate, incidence of the cases, and other descriptive variables were presented and described using figures and tables.ResultA total of 224 cholera cases were detected through an active surveillance system. In this study, the case fatality rate of cholera outbreak was 2.6%. To tackle the cholera outbreak, the Guraghe zone health office collaborated with other stakeholders to prepare four cholera treatment centers. The absence of OCV, inaccessible safe water, low latrine coverage, inappropriate utilization of latrines, and absence of cholera laboratory rapid diagnostics test in Guraghe Zone are barriers to tackling the outbreak.ConclusionEthiopia National Cholera Plan targeted eradicating cholera by 2030, 222 cholera outbreak occurred in Guraghe Zone, Ethiopia. To minimize and control cholera mortality rate oral cholera vaccinations should be employed in all areas of the region. Sustainable WASH measures should be guaranteed for the use of safe water and good hygiene practices. Early diagnosis and treatment should be initiated appropriately for those who are infected.
Establishing adherence–concentration–efficacy thresholds of TDF–FTC pre-exposure prophylaxis for HIV prevention in African women: a protocol for the Women TDF–FTC Benchmark Study
Authors: Wu Linxuan , Saina Matilda , Brown Clare , Chege David , Donnell Deborah , Glidden David V. , Ngure Kenneth , Mugo Nelly R. , Akelo Nina , Schaafsma Torin , Anderson Peter L. , Mugwanya Kenneth K. 
Published: May 2024

BackgroundOral pre-exposure prophylaxis (PrEP) using co-formulated emtricitabine (FTC) and tenofovir disoproxil fumarate (TDF) is a potent HIV prevention method for men and women, with its efficacy highly dependent on adherence. A pivotal HIV efficacy study combined with a directly observed pharmacological study defined the thresholds for HIV protection in men who have sex with men (MSM), which are the keys to PrEP promotion and development of new PrEP agents. For African women at risk for HIV and belonging to a priority group considered due to disproportionately high incident HIV infections, the variable adherence in PrEP clinical trials and the limited pharmacologic data have resulted in a lack of clarity about the PrEP adherence required for HIV protection. We propose a study to quantify the adherence–concentration–efficacy thresholds of TDF/FTC PrEP among African cisgender women to inform decisions about optimal PrEP dosing and adherence for HIV protection.MethodsWe randomized 45 low-risk HIV-uninfected African women, aged 18–30 years old, to directly observe the TDF/FTC PrEP of two, four, or seven doses per week for 8 weeks. A complementary age-matched pregnant women cohort at high risk of HIV, who will receive seven doses per week, was recruited (N = 15) with the primary aim of establishing benchmark concentrations in dried blood spots and peripheral blood mononuclear cells. Plasma, whole blood (WB), urine, hair, vaginal fluid, and vaginal tissue (non-pregnant women only) were archived for future testing. Drug concentrations were measured using methods validated for each biological matrix. Pharmacokinetic models were fitted to drug concentrations to quantify concentration–adherence thresholds. To define the drug concentrations associated with HIV protection, we applied the newly defined thresholds from the primary pharmacologic trial to the subset of women randomized to TDF/FTC or TDF in the Partners PrEP Study with the drug concentration assessed in plasma and WB samples. Multiple imputation was used to construct a data set with drug concentrations at each visit when an HIV test was performed for the entire cohort, replicating the work for MSM.DiscussionThe proposed study generated the first African women-specific TDF–PrEP adherence–concentration–efficacy thresholds essential for guiding the accurate interpretation of TDF/FTC PrEP programs and clinical trials of novel HIV prevention products using TDF/FTC as an active control.
Clinical Trial RegistrationClinicalTrials.gov, identifier (NCT05057858).
Evaluation of Gamma-Aminobutyric Acid (GABA) as a Functional Feed Ingredient on Growth Performance, Immune Enhancement, and Disease Resistance in Olive Flounder (Paralichthys olivaceus) under High Stocking Density
Authors: Bae Jinho , Moniruzzaman Mohammad , Je Hyeong-Woo , Lee Seunghan , Choi Wonsuk , Min Taesun , Kim Kang-Woong , Bai Sungchul C. 
Published: May 2024

Gamma-aminobutyric acid (GABA) is a non-protein amino acid that is found in the brain and central nervous system of animals as an inhibitory neurotransmitter. It has been shown to have a variety of physiological functions, including stress reduction and immune enhancement. This study investigated the effects of dietary supplementation with GABA on growth, serum biochemistry, innate immunity, and disease resistance in juvenile olive flounders (Paralichthys olivaceus) challenged with Edwardsiella tarda under high-stocking density. A control diet and three experimental diets were prepared, with 150 mg/kg (GABA150), 200 mg/kg (GABA200), and 250 mg/kg (GABA250) of GABA added to each diet, respectively. Each experimental diet was fed to olive flounders in triplicate with an initial weight of 12.75 g ± 0.3 g in 40 L tanks at two stocking densities: normal density (20 fish/tank) and high density (40 fish/tank). After 8 weeks of the feeding trial, growth, feed utilization, whole-body proximate compositions, blood analyses, and non-specific immune responses were measured, and challenge tests were performed. There were no significant differences in the weight gain (WG) and specific growth rate (SGR) among fish fed the GABA-supplemented diets at the two stocking densities. However, the normal-density groups showed significantly higher WG and SGR than the high-density groups (p < 0.05). There was no significant difference in feed efficiency and protein efficiency ratio among all groups. Moreover, there was no significant difference in the whole-body proximate composition analysis (p > 0.05). There were no significant differences in cortisol levels in fish fed the GABA at both densities, but the high-density group showed a significantly higher cortisol than the low-density group. Blood GABA significantly increased in a dose-dependent manner regardless of the density groups (p < 0.05). Superoxide dismutase activity showed significantly higher levels than the control group, but there was no significant effect of the stocking densities in fish fed the GABA diets (p < 0.05). Myeloperoxidase activities in fish fed the GABA200 and GABA250 diets showed significantly higher levels at both of the stocking densities (p < 0.05). Lysozyme activity was significantly higher in the GABA150 group than in the CON, GABA200, and GABA250 groups (p < 0.05). After 15 days of challenge tests with Edwardsiella tarda, the cumulative survival rates of the GABA150, GABA200, and GABA250 groups were significantly higher than that of the CON group (p < 0.05). The results suggested that the optimal dietary GABA level for juvenile olive flounder culture is 150 mg/kg, regardless of rearing density, to enhance growth, immunity, and disease resistance.
Application and Mechanism of Mixed Anionic/Cationic Collectors on Reverse Flotation of Hematite
Authors: Wang Juanjuan , Lu Dongfang , Han Xue 
Published: May 2024

In order to enhance the reverse flotation effect of hematite, dodecyl trimethyl ammonium chloride (DTAC) and a mixed anionic/cationic collector of DTAC and tall oil were selected for flotation studies on quartz and hematite. Surface tension tests, FT-IR, XPS analysis, and molecular dynamics (MD) simulations were also conducted in order to investigate the interaction mechanism of the mixed collector on the quartz surface. The results revealed that, at a natural pH (approximately 7.0) and 298 K, and with a dosage of 20 mg/L for the mixed collector (mDTAC:mtall oil = 3:1) and 4 mg/L for causticized starch, the recovery rates of quartz and hematite were 94.67% and 8.69%, respectively. Compared to the use of a single DTAC, the mixed DTAC/tail oil collector enhanced the flotation effect under constant variables. Additionally, a comparison of temperature and surface tension for monomineral flotation and artificially mixed ore flotation tests showed that the mixed collector was less influenced by temperature, compared to the single DTAC, and exhibited good resistance and more effective separation of quartz and hematite at lower temperatures. The analysis of FT-IR, XPS, and MD simulations revealed that the single DTAC collector primarily adsorbed onto quartz through physical adsorption and hydrogen bonding, while the combination of tall oil and DTAC enhanced the adsorption of the collector on the quartz surface.
Nanuq super-mâle. L'ours blanc dans l'espace imaginaire et le temps social des Inuit de l'Arctique canadien
Authors: Saladin d'Anglure Bernard 
Published: May 2024

Abstract
The figure of the polar bear in the inuit culture has been underestimated and little studied by the classical ethnographers. Reexamination of ancient and recent data enables us to demonstrate how this figure dominates the inuit imaginary space of myths, dreams and rites and also how it is omnipresent in the inuit social time. However, it is in shamanic practices that the privileged status of the bear as principal help spirit comes out in strongest relief. Through numerous variations of scale and analogies operated by shamanic thought the polar bear assumes its full meaning as a support, as an instrument and as a symbol of male power. Several drawings by inuit artists illustrate the demonstration.
À propos du culte de l'ours chez les Êvenk
Authors: Vasilevič Glafira Makar’evna 
Published: May 2024

Abstract
With the use of all the data concerning bear-worship founded in literature or obtained during her travels, the author tries to find out the age and the place where bear-worship appeared among the Evenki.
She gives a summary of several myths collected in different places of the evenk territory, she quotes the tabooes concerning bears and their substitution-names, then she describes the rituals performed during the bear's hunting, cooking and eating. She concludes that bear-worship spread out during the migration of the evenkis' ancestors in the mountainous forests, east and west from the Baikal and owing to their marriage with foreign ethnies, whose ethnonyms — Ngamêndri, Mangi and Torgani — have now two meanings : "ancestor" and "bear" .
ANALISIS STRATEGIS PADA SILOAM INTERNATIONAL HOSPITAL - 2022
Authors: Sarosa Rinaldo Adi 
Published: May 2024

Siloam merupakan salah satu rumah sakit swasta terbesar di Indonesia dengan layanan yang cukup lengkap dan memiliki sejarah yang cukup panjang dari tahun 1996. Indonesia memiliki penduduk sekitar 275 juta, dimana menurut WHO perbandingan dokter di indonesia harusnya 1:1000 (Putri, 2023) dan Indonesia mempunyai rasio 0.63 pada tahun 2022 (Ahdiat, 2023). dari data yang ada, hampir 1 juta masyarakat Indonesia datang berobat ke Malaysia, sedangkan ada 750 ribu yang ke Singapura (Yanwardhana, 2023). Berdasarkan informasi tersebut saya memilih Siloam International Hospital supaya bisa mendorong Siloam untuk memiliki strategi pengembangan bisnis yang bagus, sekaligus bisa meningkatkan mutu dan jangkauan layanan terbaik ke seluruh Indonesia dengan harga yang terjangkau, sehingga orang-orang Indonesia tidak perlu berobat jauh-jauh ke luar negeri dan bisa menikmati layanan kesehatan terbaik dengan biaya terjangkau.
PENGARUH AUDIT REPORT LAG DAN KUALITAS AUDIT TERHADAP AUDITOR SWITCHING (STUDI EMPIRIS PADA PERUSAHAAN YANG TERCATAT DI INDEKS KOMPAS 100 BURSA EFEK INDONESIA TAHUN 2020-2022)
Authors: Sagala Clarissa Grace S. , Malau Harman 
Published: May 2024

ABSTRAK
Penelitian ini mengkaji pengaruh dari audit report lag dan kualitas audit terhadap auditor switching pada perusahaan yang tercatat di Indeks Kompas 100 Bursa Efek Indonesia Tahun 2020-2022. Dengan menggunakan pendekatan kuantitatif dan sumber data yang didapatkan merupakan data sekunder, penelitian ini berhasil menggumpulkan sampel sebanyak 51 perusahaan, yang mewakili total 153 sampel data, melalui teknik purposive sampling dari keseluruhan 100 perusahaan. Analisis dilakukan dengan memanfaatkan teknik statistik deskriptif dan regresi logistik, dengan pengolahan data menggunakan SPSS versi 29. Berdasarkan hasil yang diperoleh, nilai Nagelkerke R Square sebesar 0,061, mengindikasikan bahwa audit report lag dan kualitas audit hanya mampu menjelaskan pengaruh sebesar 6,1% pada auditor switching, sementara 93,9% dipengaruhi oleh variabel-variabel lain di luar penelitian ini. Hasil menunjukkan bahwa baik audit report lag maupun kualitas audit tidak memiliki pengaruh signifikan terhadap auditor switching, baik secara parsial maupun simultan.
Kata Kunci: Keterlambatan Laporan Audit, Kualitas Audit, Pergantian Auditor
Social networks as leading sources of information in war conditions
Authors: Makarova Maria 
Published: May 2024

The article analyzes statistics and trends in the development of social networks in Ukraine in recent years. The important role of social networks as a source of information, primarily news, in the conditions of the Russian-Ukrainian war has been proven.
It was found that among social networks for obtaining information since the beginning of the full-scale invasion of Russia into the territory of Ukraine, Telegram is gaining more and more popularity among Ukrainian users, ahead of YouTube and Facebook. Social networks are used more by young people than older generations, but there is a trend of increasing the social network audience among older people to obtain information during the war. Statistical data on the use of social networks and messengers for receiving news are provided, and their rating in 2022—2023 is analyzed.
The criteria by which users search for information on the Internet are highlighted. It was emphasized that the majority of Ukrainians in forced emigration abroad receive information about news in Ukraine primarily from messengers and social networks.
Attention is drawn to the growing risks of news consumption in social networks in war conditions: disinformation, fake news, bot farms, etc., which prompts users to carefully analyze events.
Analysis of the delivery state of Ukrainian publications mandatory copies in 2022
Authors: Ustinnikova Tetiana , Zhyhun Tetiana 
Published: May 2024

The article examines the results of analytical research on the state of delivery of mandatory copies (МС) of publications by subjects of the publishing business and activities of print media in 2022, as well as the results of observations regarding their reporting on the release of publishing products. In order to determine the dynamics of МС delivery, the received quantitative indicators of processing results are presented in comparison with 2021.
Analisis Pengaruh Motivasi, Komitmen, dan Budaya Organisasi Terhadap Kinerja Karyawan dengan Kepuasan Kerja sebagai Mediasi
Authors: Katagame Romario , Indarto Indarto , Kuswardani Kuswardani 
Published: May 2024

Penelitian ini bertujuan untuk menganalisis pengaruh motivasi, komitmen dan budaya organisasi terhadap kinerja karyawan serta Menganalisis Pengaruh Motivasi, Komitmen Dan Budaya organisasi terhadap Kinerja karyawan dengan Kepuasan kerja sebagai variabel mediasi Di Kantor Yayasan Binterbusih Semarang. Penelitian ini menggunakan metode kuantitatif. Populasi dalam penelitian ini adalah karyawan yang bekerja di Kantor Yayasan Binterbusih Semarang yang berjumlah sebanyak 51 Orang. Penarikan sampel dalam penelitian ini yaitu menggunakan sampling Nonbrobability Sampling dengan teknik purposive sampling yang dimana yang dimana bersifat tertutup yang akan digunakan sebagai sampel. Data penelitian ini menggunakan geogle formulir. Data tersebut dianalisis dengan menggunakan analisis statistik deskriptif dan analisis regresi linear berganda bertahap dengan bantuan spss ver 25. Hasil penelitian menunjukkan bahwa ada pengaruh positif dan signifikan antara Motivasi dan Budaya organisasi terhadap Kepuasan kerja sedangkan komitmen tidak berpangaruh positif dan signifikan terhadap kepuasan kerja. Disisi lain tidak ada pengaruh motivasi, Komitmen dan Budaya organisasi terhadap Kinerja karyawan. Dan adanya pengaruh kepuasan Kerja terhadap Kinerja karyawan. di kantor binterbusih semarang. Oleh karena itu, hipotesis dalam penelitian belum bisa dikatakan diterima atau dengan kata lain beberapa variabel tersebut belum mampu untuk menjelaskan besarnya variabel independen terhadap variabel dependen.yang di mediasi oleh Kepuasan Kerja.
An Analysis Of Grammatical Error In Writing Narrative Text At XI Grade Students Of SMA Negeri 5 Pematang Siantar
Authors: Purba Anita , Benarita  , Alpriani Yolanda  
Published: May 2024

Based on the background of the researcher , the problem can be formulated in the form of questions as follows: How is grammatical error analysis able to explain the ability of eleventh grade students at SMA Negeri 5 PematangSiantar in the 2022/2023 academic year to write narrative text The main objective of this study is to analyze grammatical errors made by students in writing narrative texts. Based on the formulation of the problem above, the researcher focuses on conducting research on analyzing grammatical errors in writing narrative texts. In this research, the researcher employed qualitative research, also known as descriptive research. The researcher used the surface structure taxonomy framework proposed by Dulay, Burt, and Krashen (1982) which categorizes errors into four types: omission, addition, misinformation, and misordering. It is located in the Jalan Medan Km 6,5. KecamatanSiantarMartoba, Kota PematangSiantar.There were 92 errors found by researchers on narrative texts made by 15 students of XI PMIA 1 hat were enough to pass the minimum score..It can be concluded that even though they are students with higher class references considered as students who have better language skills, they can still make errors. The percentage of misinformation was 44%, followed by Omission at 34%, then an additional 15%, and the latter misleading at 7%. From the analysis can be seen that the ability of students is still not perfect in writing narrative text. From this analysis it can be meant that students should be more practical in understanding the use of grammar, to be able to write narrative text to be even better for the future.
دراسة العلاقة بين معامل النفاذية وابعاد ثنائي الرنين النفقي
Authors: عبد الله أرجيعة أ.ربيعة , منصور القطراني أ.مبسوطة , حممو أ.د.إبراهيم 
Published: May 2024

يهدف هذا البحث لدراسة تأثر العوامل الهندسية لمنظومة من حاجزي جهد على النفاذية الكمية تمثل ثنائي الرنين النفقي RTD. استخدمت طريقة منظومة مصفوفات التحويلTransfer Matrix Method للنمذجة وحساب معامل النفاذية. المنظومة التي تم دراستها مكونة السلسلة AlxGa1-xAs/GaAs/AlxGa1-xAs. تبين أن عرض بئر الجهد وارتفاع حواجز الجهد هما العاملان الاكثر تأثيراً بينما يؤثر عرض الحاجز بأثر أقل.
تقدير الإشعاع الشمسي المباشر بمنخفض الجغبوب شمال شرق ليبيا ودوره في استدامة موارد الطاقة
Authors: رجب حمدو لشهب أ.سعد , رجب منصور ادويب عائشة 
Published: May 2024

ناقشت هذه الورقة تقدير الاشعاع الشمسي الكلي بمنخفض الجغبوب شمال شرق ليبيا، واعتمدت الدراسة على تقدير معدلات الإشعاع الشمسي للأعوام (2023، 2024، 2025، 2026، 2027)، حيث هدفت الدراسة إلى تحديد المواضع التي تحقق الاستفادة في استخدام الطاقة الشمسية، باستخدام تقنيات نظم المعلومات الجغرافية، واختيار وتحديد مواضع إقامة المحطات وفقاً لمعايير ثابتة عن طريق بناء نماذج الملائمة المكانية للوصول إلى موازنة يتم من خلالها تحديد هذه المواضع، وتم الاعتماد على عدة مناهج وأساليب للدراسة منها المنهج الإقليمي، ومنهج التحليل المكاني، والأسلوب الكمي التحليلي، والأسلوب الإحصائي، بالإضافة إلى أسلوب المعايير المتعددة، ومن أهم النتائج التي تم التوصل إليها، أن متوسط كمية الاشعاع الشمسي المقدرة لشهور فصل الصيف لعام 2023 تراوحت (301899ـ 358399) كيلو واط ساعة/م²، كما قُدر متوسط كمية الاشعاع الشمسي المقدرة لشهور فصل الصيف لعام 2024 بقيمة تراوحت (208724 ـ 249945) كيلو واط ساعة/م²، كما قُدر متوسط كمية الاشعاع الشمسي المقدرة لشهور فصل الصيف لعام 2025 بقيمة تراوحت (428511 ـ 507067) كيلو واط ساعة/م²، وبناءاً عليه تم اقتراح عدة مواضع ملائمة لإقامة مستجمعات للطاقة الشمسية.