bluuebunny/crossref_metadata_2025_split huggingface dataset:
The queen bee phenomenon in Canadian surgical subspecialties: An evaluation of gender biases in the resident training environment
Authors: Goff Lydia , Greene Helena , Munn Alexandra , Furey Andrew , Smith Nicholas 
Published: March 2024

Background
The queen bee phenomenon (QBP) describes the behavioural response that occurs when women achieve success in a male-dominated environment, and in this position of authority, treat their female subordinates more critically. It has been demonstrated in business, academia, the military, and police force. The goal of this study was to determine whether the QBP occurs in surgical specialties. We hypothesized that female surgeons, fellows, and senior surgical residents would be more critical in their assessment of junior female residents than their male counterparts.

Methods
A scenario-based survey was distributed via email to all Canadian surgical programs between February and March 2021. Scenarios were designed to assess either female or male learners. Centers distributed surveys to attending surgeons, surgical fellows, resident physicians, and affiliate surgeons. Respondents average Likert score for female-based and male-based questions were calculated. Subgroup analyses were performed based on gender, age, seniority, and surgical specialty.

Results
716 survey responses were collected, with 387 respondents identifying as male (54%) and 321 identifying as female (45%). 385 attending surgeons (54%), 66 fellows (9%), and 263 residents (37%) responded. The mean Likert scores for female respondents assessing female learners was significantly lower than male learners (p = 0·008, CI = 95%). During subgroup analysis, some specialties demonstrated significant scoring differences.

Discussion
The QBP was shown to be present among surgical specialties. Female respondents assessed female learners more critically than their male counterparts.

Conclusion
These findings highlight the importance of tackling organizational biases to create more equitable educational and work environment in surgery.
High Body Mass Index and Response to Anti-Tumor Necrosis Factor Therapy in Pediatric Crohn’s Disease
Authors: Ebach Dawn R. , Jester Traci W. , Galanko Joseph A. , Firestine Ann M. , Ammoury Rana , Cabrera Jose , Bass Julie , Minar Phillip , Olano Kelly , Margolis Peter , Sandberg Kelly , Linnville Tiffany M. , Kaplan Jess , Pitch Lisa , Steiner Steven J. , Bass Dorsey , Moses Jonathan , Adler Jeremy , Gulati Ajay S. , Wali Prateek , Pashankar Dinesh , Ivanova Anastasia , Herfarth Hans , Wohl David A. , Benkov Keith J. , Strople Jennifer , Sullivan Jillian , Tung Jeanne , Molle-Rios Zorela , Saeed Shehzad A. , Bousvaros Athos , Kappelman Michael D. 
Published: March 2024

INTRODUCTION:
Obesity is common among patients with pediatric Crohn's disease (PCD). Some adult studies suggest obese patients respond less well to anti-tumor necrosis factor (TNF) treatment. This study sought compares anti-TNF response and anti-TNF levels between pediatric patients with normal and high body mass index (BMI).

METHODS:
The COMBINE trial compared anti-TNF monotherapy with combination therapy with methotrexate in patients with PCD. In this secondary analysis, a comparison of time-to-treatment failure among patients with normal BMI vs BMI Z-score >1, adjusting for prescribed anti-TNF (infliximab [IFX] or adalimumab [ADA]), trial treatment assignment (combination vs monotherapy), and relevant covariates. Median anti-TNF levels across BMI category was also examined.

RESULTS:
Of 224 participants (162 IFX initiators and 62 ADA initiators), 111 (81%) had a normal BMI and 43 (19%) had a high BMI. High BMI was associated with treatment failure among ADA initiators (7/10 [70%] vs 12/52 [23%], hazard ratio 0.29, P = 0.007) but not IFX initiators. In addition, ADA-treated patients with a high BMI had lower ADA levels compared with those with normal BMI (median 5.8 vs 12.8 μg/mL, P = 0.02). IFX trough levels did not differ between BMI groups.

DISCUSSION:
Overweight and obese patients with PCD are more likely to experience ADA treatment failure than those with normal BMI. Higher BMI was associated with lower drug trough levels. Standard ADA dosing may be insufficient for overweight children with PCD. Among IFX initiators, there was no observed difference in clinical outcomes or drug levels, perhaps due to weight-based dosing and/or greater use of proactive drug monitoring.
Geusun Ulun Museum as Sumedang Larang Kingdom Assets Entry Points of Tourism Destinations in Sumedang
Authors: NURBAETI Nurbaeti , RATNANINGTYAS Heny , PANTJA DJATI Sundring 
Published: March 2024

Visit to the Geusun Ulun Museum are still very low compared to other tourist attractions in West Java; a management strategy for the Geusan Ulun Museum is needed. This study aims to apply a SWOT analysis to the Prabu Geusan Ulun Palace as an entry point for Sumedang tourist destinations. The research was conducted by observation and interviews. The results showed that the Geusun Ulun Museum had the highest score of 3.82 in quadrant/position I, which means that the condition of the Geusun Ulun Museum is very profitable and has opportunities and strengths so that it can take advantage of current opportunities; the strategy used is the SO/Strenght Opportunity strategy including: (1) Improving the presentation of collections to be more informative and conceptual; (2) The Nazir Prince Wakaf Sumedang Foundation, the manager of the Geusun Ulun Museum, is actively promoting and developing the Royal Sunda Museum; (3) The strategic location of the Museum is the main attraction for tourists; (4) The remaining land area is still widely used for facilities and infrastructure that still need to be created; (5) Cooperating with the private sector to promote through the internet about the Geusun Ulun Museum; (6) Package and synergize tour packages with travel agents.
Experimental investigation of generating superheated steam using a parabolic dish with a cylindrical cavity receiver: A case study
Authors: Obaid Naseer W. , Abdulkareem Mishaal A. 
Published: March 2024

Abstract
This study uses solar energy to convert steam from a saturated to a superheated state using a solar steam superheater system. This collector system comprised a parabolic dish with a cylindrical cavity. The parabolic dish is of 2 m diameter and 0.83 m focal distance, covered with a reflective surface made of 1,283 rectangular pieces of mirrors, each of 3.5 cm × 4 cm that were fixed in place with glue type (FnTai). The receiver is a stainless-steel cylindrical cavity having a diameter of 17 cm and a length of 25 cm. A helical copper coil with a diameter of 10 mm and a length of 6 m was inserted inside the cylindrical cavity. The experimental work utilized saturated steam produced separately from an auxiliary electric boiler system, which was made along with other system components. A 0.011 kg/s of saturated steam at a temperature of 112°C enters the copper coil and is heated by the solar radiation reflected by the parabolic dish onto the receiver. As a result, the temperature of the steam is increased to 169.5°C at the receiver outlet. It was found that the collector efficiency is 55.6%. In addition, the convection and radiation heat losses are 12.14 and 10.98%, respectively. Also, the heat losses of (spillage, reflection, and conduction) were estimated to be 21.18%. The mass flow rate and pressure of the saturated steam from the boiler and entering the receiver affected the superheated steam production process. The process of superheating the steam, coupled with the subsequent improvement in thermal performance, indicates an increased efficiency of the collector. This is achieved by boosting the generation of useful heat and mitigating heat losses.
Distributed generation aggregators considering low-carbon credits optimize dispatch strategies
Authors: Wang Ruohan , Xing Hongwei , Chen Yunlong , Zhang Jianhui , Li Entang , Li Jing 
Published: March 2024

Abstract
Against the backdrop of China’s implementation of the “dual carbon” target and carbon emissions trading policies, renewable energy generation technologies have matured and received support from related policies. Distributed power sources have played a crucial role in the power system, and aggregators have integrated a large number of distributed power sources with diverse characteristics, shielding the complex characteristics of the underlying distributed power sources from grid scheduling. This article introduces the revenue optimization of low-carbon integration to optimize the aggregator’s scheduling model, designs distributed renewable energy generation units, and studies the solution strategy based on quantum genetic algorithms for large-scale optimization scheduling problems. The aggregator’s optimization variables divide the entire optimization problem and consider low-carbon integration to achieve distributed management of green energy parks, providing a feasible theoretical framework for the further development of distributed power sources. It has important practical significance in energy conservation, emissions reduction, and ecological environmental protection.
Pituitary stalk interruption syndrome due to novel ROBO1 mutation presenting as combined pituitary hormone deficiency and central diabetes insipidus
Authors: Misgar Raiz Ahmad , Chhabra Ankit , Qadir Ajaz , Arora Sidharth , Wani Arshad Iqbal , Bashir Mir Iftikhar , Masoodi Shariq Rashid 
Published: March 2024

Abstract

Objectives
The genetic causes of pituitary stalk interruption syndrome (PSIS) remain elusive in 95 % of cases. The roundabout receptor-1 gene (ROBO1) plays critical roles in axonal guidance and cell migration. Recently, mutations in the ROBO1 gene have been reported patients with PSIS.

Case presentation
We report a 2.9-year-old boy with PSIS who presented with combined pituitary hormone deficiency, central diabetes insipidus, and the classical triad of MRI findings. Through clinical exome sequencing using next-generation sequencing techniques, a previously unidentified novel heterozygous frame shift mutation in the ROBO1 gene was identified. This is the first report of ROBO1 mutation associated with posterior pituitary dysfunction.

Conclusions
We conclude and emphasize that ROBO1 should be investigated in patients with PSIS. Our case is unique in the published literature in that we are first time reporting posterior pituitary dysfunction as manifestation of ROBO1 mutation. The full clinical spectrum of the mutations may not be fully known.
The role of bile acids in human aging
Authors: Jin Lihua , Shi Linsen , Huang Wendong 
Published: March 2024

Abstract
Bile acids are recognized as important signaling molecules that enable fine-tuned inter-communication from the liver, through the intestine, to virtually any organ, thus encouraging their pleiotropic physiological effects. Aging is a complex natural process defined as a progressive decline in cellular and organismal functions. A causal link between bile acids and the aging process is emerging. However, there are gaps in our understanding of the molecular mechanisms and precise targets responsible for the alteration of bile acid profiles and their role in the aging process. Intestinal barrier dysfunction leads to endotoxemia, systemic inflammation, insulin resistance, diabetes, lipid accumulation, obesity and fatty liver diseases, and health decline and death. In fact, intestinal barrier dysfunction is suggested to be an evolutionarily conserved hallmark of aging. Bile acids may modulate the aging process by regulating intestinal barrier integrity.
Scholem’s Kafka: Not a Nihilistic, but Rather a Secular, Kabbalist
Authors: Weinberg Steven 
Published: March 2024

Abstract
Gershom Scholem devised the ironic formulation that Kafka’s literature depicts the Kabbalah from a secular perspective. This declaration, when unraveled, offers an indispensable key to understanding Scholem’s views on Kafka. Scholem’s formulation stems from his dialectical perspective of Jewish history and his reliance on the notion of Zimzum therewith. For Scholem, Kafka’s literature manifests the tenor of the Kabbalah without the Kabbalah’s content. The kabbalistic tenor of his literature reflects Kafka’s actual world in which God’s commandments have dissipated but the faintest whisperings of God can still be sensed. This state of the world is that of the Zimzum at its nadir. Scholem describes Kafka as caught on the border between religion and nihilism; he cannot be religious because when the Zimzum is at its nadir all religious content has disappeared. Yet, Kafka is also not a nihilist because he holds on to the possibility of God’s return in a future epoch. In fact, ironically, it is Kafka’s depiction of God’s hiddenness which causes Scholem to write so adoringly of him despite his bordering on nihilism. That is because for Scholem, one who depicts God’s hiddenness, while seeming to embrace nihilism, is actually prophesizing, albeit unconsciously, Judaism’s glorious return.
The Jewish Risk: Philip Roth in Sixties West Germany
Authors: Sina Kai 
Published: March 2024

Abstract
When Philip Roth died in May 2018, he was the best-known American writer in Germany. By that point, his difficult early years on the German book market were long forgotten. If one investigates the archives of Rowohlt Verlag, where Roth’s first books were published in Germany, there is explicit talk of a “risk.” The publisher feared that Roth’s portrayal of Jewish characters in all their ambivalence and complexity could affirm anti-Semitic sentiment in Germany. Therefore, Rowohlt’s efforts to position Roth in the literary field of the Federal Republic were accompanied by deliberate risk management. This paper reconstructs the publishing house’s strategy and its contexts.
Hollow core optical fiber enabled by epsilon-near-zero material
Authors: Zhang Leon , Love Stuart , Anopchenko Aleksei , Lee Ho Wai Howard 
Published: March 2024

Abstract
Hollow core optical fibers of numerous guiding mechanisms have been studied in the past decades for their advantages on guiding light in air core. This work demonstrates a new hollow core optical fiber based on a different guiding mechanism, which confines light with a cladding made of epsilon-near-zero (ENZ) material through total internal reflection. We show that the addition of a layer of ENZ material coating (e.g. indium tin oxide layer) significantly reduces the loss of the waveguide compared to the structure without the ENZ layer. We also show that the propagation loss of the ENZ hollow core fiber can be further improved by integrating ENZ materials with lower loss. This study presents a novel type of hollow core fiber, and can find advanced in-fiber photonic applications such as laser surgery/spectroscopy, novel gas-filled/discharge laser, in-fiber molecular/gas sensing, and low-latency optical fiber communication.
Electronic energy structure of the (100) In4Se3 surfaces at different preparation and treatment in ultraviolet photoelectron spectroscopy study
Authors: Tuziak O.Ya. , Makar T.R. , Dzyuba V.I. , Nenchuk T.M. , Galiy P.V. 
Published: March 2024

The (100) surface of In4Se3 layered crystal was obtained in situ, ions sputtered and exposed to UHV for hours. The UPS spectra for these surfaces, atomically clean, and after the mentioned treatments, were recorded and analyzed to obtain electronic spectra of In4Se3 (100) surface. The first-principles calculations were performed by DFT-GGA method, and for the In4Se3 underestimated (0.21 eV) band gap was attained. The calculated total density of states of In4Se3 in general coincides with a UPS spectrum for an atomically clean cleaved surface. Thus the study of the band structure of (100) In4Se3 cleavage surfaces after the ion sputtering or exposure to UHV for more than several hours is uninformative, and such effects on the sample should be avoided.
Karl Popper y la crisis de la democracia en América Latina
Authors: Arteta Ripoll Cristóbal 
Published: March 2024

El famoso autor de Las sociedades abiertas y sus enemigos, Karl Popper, nos permite con los postulados teóricos de su racionalismo crítico analizar las tendencias del pensamiento económico, sociológico y político que intentan implementar un “neo corporativismo, dudosamente democrático”, en la era de la globalización, contrario a una de las tesis del pensador vienés de mantener y fortalecer las democracias como característica central de las sociedades abiertas. Ello en el marco de las nuevas circunstancias mundiales, creadas por la hegemonía globalizadora, tales como: la caída del socialismo real, la crisis de las ideologías, la debilidad de las políticas de izquierda, la desmovilización del sindicalismo y el gran entusiasmo que despierta, aunque diezmado, la agenda neoliberal alrededor del libre mercado. La gran importancia de Popper radica en articular debidamente su concepción epistemológica con el discurrir de la política y sus tendencias democráticas y totalitarias en el mundo contemporáneo. A los intelectuales, si son demócratas, les corresponde defender la esencia de la democracia que no es otra cosa que la “soberanía o poder soberano del pueblo”, soportando todas las dificultades e inconveniencias que se deriven de su accionar en la vida política. A pesar de sus críticas a la oligarquización partidista, y de la tendencia intelectual a rechazar y atacar los partidos, dice que es conveniente soportarlos por la necesidad de su existencia para la democracia. Sus planteamientos en el plano científico y político tienen hoy una singular importancia para entender y comprender las complejidades del mundo científico y político.
A Systematical Review of Readiness For Change of Human and Organization Resources a Case study in Health Organization
Authors: Diwanti Dyah Pikanthi , Nawai Norhaziah 
Published: March 2024

The study aimed to determine the historical development of Readiness for Change Of Human Resources in Health Organizations from the initial findings to current developments and future readiness for change in human and organizational resources. The study administered a systematic review of approximately 100 journals on readiness for change human and organizational resources. The findings from the development of readiness for change human and organizational resources referred to a review of readiness for change human and organizational resources development from several points of view, including a review of factors that influence the readiness of changes in human resources and organizations both internally and externally in Health Organization. In addition, the change readiness assessment is to examine the level of readiness of conditions organizational commitment is a psychological attachment between an employee and his organization. Another external factor that affects readiness to face change is the psychological climate.
Navigating endoscopic challenges in situs inversus totalis: strategies for optimal procedure completion and patient safety
Authors: Mangan Simone H. , Ng Justin , Ng Jessica 
Published: March 2024

Flexible endoscopy is a gold standard diagnostic test for the evaluation of the gastrointestinal tract and an accessible intervention in clinical practice. Completion rates are generally high while perforation rates are low in experienced hands. Situs inversus totalis (SIT) is a rare congenital abnormality that involves the complete transposition of all the viscera. In less-experienced hands, incompletion and perforation rates may increase in patients with SIT due to unfamiliarity with anatomy. The purpose of this case report is to present methods such as reverse manoeuvres to assist in the safe completion of an endoscopy in SIT when technical difficulties arise. Using a case of a patient in a rural hospital who presented for a colonoscopy who had SIT, we discuss the use of adjuncts, variations in segment specific manoeuvres, traditional positioning and abdominal pressure points in-order to perform a safe and successful endoscopy in a patient with SIT.
Fortalecendo a Educação Continuada em Saúde: Letramento em Saúde por meio de cursos MOOC
Authors: Araujo Londero Carolina , De Almada Ghiorzi Bruna , Canavese Daniel , Polidoro Mauricio 
Published: March 2024

Objetiva-se relatar o processo de curadoria realizada em cursos MOOC, disponíveis pela plataforma Lumina educação para todos- Universidade do Rio Grande do Sul (UFRGS), destinados a profissionais da saúde, da educação, da assistência social, da segurança e do conselho tutelar, pois o cuidado deve permear áreas multiprofissionais. Trata-se de uma pesquisa documental que buscou obter materiais cientificamente validados por meio de revisão da literatura e dos meios de comunicação, no período compreendido entre junho e julho de 2022. A curadoria, atentou-se primordialmente ao contexto social, em particular à conturbada pandemia do Covid-19, inextricavelmente entrelaçada com a disseminação desenfreada de informações, denominadas infodemias. Ainda assim, para sustentar as discussões, propõe-se a exposição do processo de construção individual de cada curso. A realização das curadorias nos cursos MOOCs gerou uma ampla discussão em relação ao LS, o que permitiu uma abrangência temática para os profissionais da área da saúde.

Palavras-chave: Curadoria de Dados; Educação; Letramento em Saúde; Cursos.
The Effect of the Time of In-hospital Cardiopulmonary Resuscitation on the Immediate Outcome in Pediatric Patients
Authors: Gharib Behdad , Memarian Sara 
Published: March 2024

Background: We aimed to identify the factors affecting the in-hospital Cardiopulmonary Resuscitation (CPR) to investigate the effect of the time of in-hospital CPR on its immediate outcome in pediatric patients.
Methods: This retrospective study investigated CPR events performed at a teaching hospital in Tehran, Iran, from March 2018 to March 2019. After obtaining the necessary academic and ethical approvals, the pertinent data were transcribed from patient records and analyzed. No identifying data about patients or their families were extracted.
Results: Chi-square test showed a significant difference in the occurrence of CPR on two-hour time blocks (p=0.041), with dips at 0-2 a.m. and 12-2 p.m. and heights at 2-4 p.m. and 6-8 p.m. (representing 5, 6, 17 and 17 CPR events, respectively). The occurrence of CPR during the night shift was significantly less than in the morning and evening shifts (p=0.000 and 0.005 respectively). Of 161 subjects with a known immediate outcome of CPR, 86 (53.4%) survived, and 75 (46.6%) died. The outcome was significantly less favorable in the evening shift compared to the morning shift (p=0.028), but no significant differences in the outcome were found between morning and night shifts (p=0.163), evening and night shifts (p=0.256), day and night (p=0.637) or workdays and weekends (p=0.925).
Conclusion: We found a significantly higher occurrence of CPR at 2-4 p.m. and 6-8 p.m., at the beginning and end of the evening shift and a higher rate of post-CPR death in this shift.