bluuebunny/crossref_metadata_2025_split huggingface dataset:
Examining the Impact of a GI Hospitalist Model on the Outcomes of Double Balloon Enteroscopy: A Single Center Retrospective Study
Authors: Babbar Shaili , Latorre Melissa 
Published: March 2024

Abstract
Background
A GI hospitalist (GIH) is a physician who practices in the inpatient setting performing consultations and endoscopic procedures. Obscure small bowel bleeding is a common inpatient diagnosis that is difficult to manage and associated with longer hospitalizations. Having an onsite GIH physician with expertise in video capsule endoscopy (VCE) and double balloon enteroscopy (DBE) has the potential to improve patient outcomes.
Aims
This study will be the first to explore how implementing a GIH model and providing a GIH with training in DBE can affect the outcomes of patients with small bowel pathology.
Methods
We performed a retrospective study of patients who received an inpatient DBE at an academic medical center before and after initiation of a GIH model and credentialing of a GIH in DBE. We compared outcomes, including procedure volumes, diagnostic and therapeutic yields, procedure duration, time-to-procedure, and length of stay.
Results
There was a 46.5% increase in the number of DBEs performed by the GIH. The diagnostic yield increased from 56.3–74.0% (OR 2.2, 95% CI 1.2–4.2), and the proportion of DBEs with a therapeutic intervention increased from 38.0–65.4% (OR 3.1, 95% CI 1.4-7.0). The total procedure time increased from 77.8 minutes to 96.4 minutes (p < 0.05) with a GIH.
Conclusions
Having a GIH perform inpatient DBEs was associated with an increased number of procedures, duration of procedures, diagnostic yield, and therapeutic interventions. The onsite presence of a GIH with competency in DBE improves the care of hospitalized patients with small bowel pathology.
The protective effect of sildenafil on colon anastomosis in a rat model undergoing hypertermic intraperitoneal chemotherapy
Authors: Başak Ahmet , Aydın Mehmet Timuçin , Fersahoğlu Mehmet Mahir , Taşdelen İksan , Somay Adnan , Teke Emre , Durum Erdem , Memişoğlu Kemal 
Published: March 2024

Abstract
Aim: The aim of the study is to investigate the effects of sildenafil on colonic anastomosis healing in rats treated with hyperthermic intraperitoneal chemotherapy.
Method: In our study, 30 Wistar-albino rats were used. 10 rats were used in each 3 groups: sildenafil, control and sham group. Left colon anastomosis was performed on rats in all three groups. HIPEC procedure was applied to sildenafil group and control group. At postoperative process, sildenafil was given orally to the sildenafil group. On the 7th day, the anastomotic loop was excised, and bursting pressure, and adhesion were evaluated. Anastomotic loop was evaluated histopathologically. The results were compared statistically.
Results: When the results were evaluated, considering bursting pressure, and adhesion between the sildenafil group and control group, there was no difference. Considering adhesion, the sham group was superior to the other two groups. In the histopathological examination, it was observed tha the sham group was significantly superior to the other two groups in terms of anastomototic re-epitelization and muscle seperation. There was significant difference between the sildenafil group and the control group in terms of fibrosis and granulation.
Conclusion: On colon anastomosis performed together with HIPEC application, histopathologically positive effects of sildenafil were observed. There was no difference considering burst pressure of colon anastomosis.
Measuring the degree of congestion in two-stage DEA: A case of Chinese textile, wearing apparel, and accessories industry
Authors: Ren Xian-tong , Song Yao-yao , Yang Guoliang 
Published: March 2024

Abstract

This paper develops a method to identify congestion and measure the degree of congestion in two-stage data envelopment analysis (DEA). First, the congestion in the two-stage DEA is defined. Next, based on the definition, a slack-based method is proposed to identify congestion and measure the degree of congestion in the two-stage DEA. We compare our method with the congestion identification method in one-stage DEA and find that the two-stage DEA can provide more accurate congestion information than treating the production process as a black box. The method we propose is used to assess congestion in the Chinese textile, wearing apparel, and accessories industry. The empirical results show that the degree of congestion in the Chinese textile, wearing apparel, and accessories is getting worse, although it has been weakening from 2013–2014. The information can be used to support the corresponding policymaking for the managers of both government and enterprises.
MS275 induces tumor immunosuppression by up-regulating PD-L1 and enhances the efficacy of anti-PD-1 immunotherapy in colorectal cancer
Authors: Chen Sihan , Mao Zhigang , Tang Deng , Su Mi , lai Meng , Yan Xiya , Yan Ruiting , Lan Siqi , Zhang Ji , Wang Yufang 
Published: March 2024

Abstract
The histone deacetylase inhibitor MS275 (Entinostat) demonstrates anti-tumor effects against various types of solid tumors in vitro. But its effectiveness in clinical trials is limited. The underlying reasons remain to be determined. The purpose of this study was to explore how to enhance the anti-tumor effects of MS275 in colorectal cancer(CRC). Our data showed that MS275 inhibited CRC cell proliferation and induced apoptosis, irrespective of gene mutation status. However, MS275 did not effectively suppress tumor growth in the AOM-DSS CRC model as observed in vitro. MS275 decreased CD3 + T cell tumor infiltration and created an anti-tumor immunosuppressive microenvironment in the AOM-DSS CRC model. MS275 also decreased the percentage of CD8 + T cells while increasing the percentage of CD4 + T cells in tumor-lymphocyte mixed culture. Reshaping tumor immune response may contribute to the less pronounced anti-tumor effect of MS275 observed in vivo compared to in vitro. Further study show that the increased PD-L1 expression in CRC both in vivo and in vitro following MS275 treatment. Moreover, the anti-tumor effects of MS275 were enhanced by combining it with an anti-PD-1 antibody. This combination treatment also increased CD3 + T cell tumor infiltration and M1 macrophage polarization in the AOM-DSS CRC model, thereby leading to an anti-tumor immune response. Therefore, the combination of MS275 and anti-PD-1 immunotherapy represents a potential strategy for low PD-L1 expression tumors and should be considered a promising treatment approach for colon cancer.
A accessory renal artery arising from the lumbar artery
Authors: Li Jiawei , Shi Mengwei , Ji Qingyu 
Published: March 2024

Abstract
Background
The presence of accessory renal arteries is a common variation of the renal artery and is important for surgical planning. These arteries are typically reported to originate from the abdominal aorta, common iliac artery, or mesenteric arteries, but there have been no reports of accessory renal arteries originating from the lumbar artery.
Case presentation
A dynamic enhanced scan of the kidneys with virtual reality display showed two blood supply vessels to the left kidney. One vessel originated from the abdominal aorta and supplied the upper and middle portions of the kidney, while another vessel originated from the left lumbar artery and supplied the lower portion of the kidney.
Conclusion
This case highlights a rare variation of the renal artery, where an accessory renal artery originates from the lumbar artery. Understanding such variations is crucial in surgery to avoid complications.
Utilizing Phonetic Similarity for Cross-source and Cross-language Toponym Matching - a Benchmark and Prototype
Authors: Sagi Tomer , Zaga Moran , Rusinek Sinai , Fekete Marcell Richard , Bjerva Johannes , Hose Katja 
Published: March 2024

Abstract
The writings of one ancient civilization often overlap in time and space with others. Many of these sources comprise unstructured text in ancient languages, causing scholars studying these civilizations to be siloed, often relying on sources in a single language. Recent efforts to extract structured information from historical scripts into place (toponym) and people databases (prospographies) have followed this pattern, focusing on one civilization or even one scholar. The path to creating a common database runs through aligning names or toponyms between sources from disparate languages utilizing different scripts. Existing multi-lingual orthographic (string-based) comparison often relies on transliteration to a common script (Latin/English). Transliteration often creates multiple options and even more confusion. However, when integrating sources that overlap in space and time, the languages often share a common phonetic background. This commonality may prove beneficial. In this work, we present a benchmark for comparing toponyms from two linguistically and culturally related languages, namely Hebrew and Arabic. We provide a benchmark comprised of a set of dataset pairs created from both historical sources written in ancient variants of these languages as well as a modern dataset curated from Wikidata. We empirically evaluate several toponym comparison approaches over the benchmark: transliteration to a common script, direct transliteration, and phonetic comparison using a common phonetic representation. We discuss the results and the limitations of the various methods and outline future work.
Effect of solvent exchange on silica aerogel properties via ambient pressure drying
Authors: Hu Xiaodong , Li Hao , Tong Chunyi , Yang Shun , Li Yuqiong , Zhu Rilong , He Deliang , Weng Baicheng 
Published: March 2024

Abstract
Silica aerogel has been widely used in aerospace, energy construction, petrochemical industry, etc. Its physicochemical properties strongly correlate to the modification methods, such as aging and surface hydrophobicity treatments. Among these methods, solvent exchange plays a key role in synthesizing silica aerogel by ambient pressure drying. In order to facilitate the ambient pressure drying preparation of silica aerogel for industrial application, we designed an efficient automatic solvent exchange device for silica wet gels, and systematically studied the influence of solvent exchange on the physicochemical properties of silica aerogel via ambient pressure drying. After aging and surface hydrophobic modification, the silica wet gels undergo solvent exchange at different temperatures and times. The results show that with the increase of temperature and time, the moisture content of solvent in silica wet gel, as well as the bulk density and thermal conductivity of silica aerogel decrease. Moreover, we studied the effect of solvents with different surface tensions on the physicochemical properties of silica aerogels. The use of solvents with low surface tension can produce silica aerogels with lower bulk density and thermal conductivity, while the specific surface area, pore diameter and pore volume increase. These findings emphasize the importance of solvent exchange to improve the ability of gel particle network skeleton to withstand irreversible pore collapse via ambient pressure drying.
Awareness of Patients’ rights in Clinical Services among Clients Attending the Outpatients Department at Mawenzi Regional Referral Hospital, Tanzania
Authors: Ernest Bahat , Ochieng Joseph , Kwagala Betty 
Published: March 2024

Abstract

Without the appropriate understanding of the patient’s rights, the healthcare team may at times be prone to various tendencies, such as failure to respect patient autonomy, such as acting in a paternalist manner, or making clinical decisions on behalf of the patient or family; another way it can occur includes cases in which not all options, risks or side effects may be appropriately disclosed. This study explored the awareness of patients’ rights to clinical services among clients attending the outpatient department at the Mawenzi Regional Referral Hospital. Methods: This was an exploratory cross-sectional study design that employed qualitative methods for data collection. The study was carried out among 34 clients attending the outpatient department at Mawenzi Regional Referral Hospital in the Kilimanjaro region, Tanzania: the medical unit, the Care and Treatment Clinic (CTC) unit, the gynecology unit, and the TB and leprosy unit. In-depth interviews were conducted with 20 participants, while 14 participants participated in group discussions. The data were analysed via inductive thematic analysis, which allowed the data to identify and determine the themes in this study, which were then presented in the form of extracts or quotes. Nvivo 12 software was used to support the data analysis. Results: The majority of the participants were aware of patients' rights. They cited patient rights such as the right to medical care, the right to information, the right to privacy, and the right to choices and dignity. The minority were not able to do so because of challenges such as information not reaching everyone in the community (information scarcity) and a language barrier. Conclusion: To increase awareness, there is a need for more sensitization of patients' rights through the client's service charter for health facilities and a relevant health policy to guide the implementation of patients' rights.
Perception of patients’ rights in clinical services among clients attending the outpatientdepartment at the Mawenzi Regional Referral Hospital, Tanzania
Authors: Ernest Bahat , Ochieng Joseph , Kwagala Betty 
Published: March 2024

Abstract
Background:Ethical principles and patients’ rights should guide all encounters with patients. Failureto observe ethical guidelines can lead to patientdissatisfaction and medical malpractice,and without anappropriate understanding of the patient’s rights, the healthcare team may at times be prone to various tendencies, such as failure to respect patientautonomy, such as acting in a paternalist manner or making clinical decisions on behalf of the patientor family. Anotherway to do socan occur, including cases in which not all options, risks or side effects may be appropriately disclosed. This study explored the awareness of patients’ rights toclinical services among clients attending the outpatient department at the Mawenzi Regional Referral Hospital.
Methods:This was an exploratory cross-sectional study design that employed qualitative methods fordata collection. The study was carried out among 34 clients attending the outpatient department at Mawenzi Regional Referral Hospital in the Kilimanjaro region, Tanzania: the medical unit, the Care and Treatment Clinic (CTC) unit, the gynecology unit, and the TB and leprosy unit. In-depth interviews were conducted with 20 participants, while 14 participants participated in group discussions. The datawere analysed via inductive thematic analysis, which allowed the data to identifyand determine the themes in this study, which were then presented in the form of extracts or quotes. Nvivo 12 software was used to support the data analysis.
Results: The majority of the participants perceived that patients' rights were well implemented in health facilities and that they were satisfied with them. The minority stated that they are not satisfied with patients' rights because of various challenges that cause their rights to be poorly implemented. The main reasons for the poor implementation and dissatisfaction suggested were corruption in health facilities, the beating of patients, wastage of time while in health care facilities, poor communication with some health care providers, a shortage of medical equipment and healthcare providers, gaps in existing regulations, and follow-up.
Conclusions:To enhance satisfaction with patients' rights, there is a need for more sensitization of patients' rights through the client's service charter for health facilities and a relevant health policy to guide the implementation of patients' rights.
Highly Birefringent Low Loss NestedHollow Core Anti-resonant Fiber With A Silicon Layer
Authors: ASHA LUTFUN NAHAR , chakrabarti kisalaya 
Published: March 2024

Abstract
In this paper, a single ring hollow-core anti-resonant fiber (HC-ARF) with five elliptical nested tubes and a silicon layer is presented and investigated. The geometrically optimized HC-ARF, proposed here, exhibits highest birefringence of 2.95×10− 4 at 1550 nm by maintaining a birefringence level of > 10− 4 for a bandwidth of 58 nm. The confinement loss of this fiber reaches to a very low value of 7.57×10− 3 dB/m at 1550 nm and sustains a loss of < 0.75 dB/m within the highly birefringent region. A higher order mode extinction ratio of 51, for our fiber, ensures a singlemode operation at 1550 nm.Moreover, the HC-ARF offers low bend loss of 0.08 dB/m at 2 cm of bend radius and the bend loss remains < 0.08 dB/m from 3 cm of bend radius to onwards.
Louisfuchsite, Ca2(Mg4Ti2)(Al4Si2)O20, a new rhönite-type mineral from the NWA 4964 CK meteorite: A refractory phase from the solar nebula
Authors: Ma Chi , Krot Alexander N. , Nagashima Kazuhide , Dunn Tasha 
Published: March 2024

Abstract
Louisfuchsite (IMA 2022-024), with an end-member formula Ca2(Mg4Ti2)(Al4Si2)O20, is a new refractory mineral identified in a Ca-Al-rich inclusion (CAI) from the NWA 4964 CK3.8 carbonaceous chondrite. Louisfuchsite occurs with spinel, perovskite, grossmanite, plus secondary rutile, titanite, and ilmenite in three regions in the CAI. The mean chemical composition of type louisfuchsite by electron probe microanalysis is (wt%) Al2O3 25.48, SiO2 18.40, MgO 17.92, TiO2 15.36, Ti2O3 3.13, CaO 14.92, FeO 3.30, V2O3 0.67, Cr2O3 0.08, total 99.26, giving rise to an empirical formula of Ca2.00(Mg3.44Ti1.494+Fe0.36Ti0.343+Al0.24V0.073+Ca0.06Cr0.01)Σ6.01(Al3.63Si2.37)Σ6.00O20. Louisfuchsite has the P1 rhönite structure with a = 10.37(1) Å, b = 10.76(1) Å, c = 8.90(1) Å, α = 106.0(1)°, β = 96.0(1)°, γ = 124.7(1)°, V = 741(2) Å3, and Z = 2, as revealed by electron backscatter diffraction. The calculated density using the measured composition is 3.44 g/cm3. Louisfuchsite is a new refractory phase from the solar nebula, crystallized from an 16O-rich (Δ17O ~ −24 ± 2‰) refractory melt with the initial 26Al/27Al ratio of (5.09 ± 0.58) × 10−5 under reduced conditions. The mineral name is in honor of Louis Fuchs (1915−1991), a mineralogist at Argonne National Laboratory, for his many contributions to mineralogical research on meteorites.
Investigation of Cracking in Reinforced Concrete Structures by Means of Standardized Deformation Models
Authors: Morgunov Mikhail V. , Lyudkevich Anzhelika A. 
Published: March 2024

In this study, a detailed analysis of the use of standardized deformation models is carried out to calculate the design characteristics of reinforced concrete elements, such as crack resistance. For theoretical verification of the values of the moment of cracking, calculation methods based on the use of a nonlinear deformation model are used.A theoretical study of cracking moment using a non-linear deformation model shows that the application of a two-line diagram of concrete deformation allows to obtain the most accurate values of cracking moment.
Accounting for Vibration Loads in the Design of Acoustic Reverberation Chamber Structures in the Midas FX Software Package
Authors: Vanus Dakhi S. 
Published: March 2024

This article outlines the main provisions in the design of an acoustic reverberation chamber, methods for modeling such objects in engineering and construction practice. A finite element model of an object is presented in the Midas FX software package. As a result of the calculation, it is possible to evaluate the components of the stress-strain state in concrete and in structural elements or on the contact surface, the effect of vibration loads on RAC structures, their interaction with the foundation and soil base, as well as analysis of the use of vibration isolators in the RAC foundation Based on the results of the analysis, recommendations are given for perform calculations of system elements, select design solutions.
Prediction of the Remaining Service Life of Reinforced Concrete Structures
Authors: Terekhov I. A. , Trekin N. N. , Kodysh E. N. 
Published: March 2024

The main indicators of durability, which characterize the time of operation of the structure before the onset of an emergency condition, are the total service life and the remaining service life, the determination of which allows a more reasonable approach to the issue of planning current or major repairs in the building. The most common engineering techniques that allow predicting the remaining service life for reinforced concrete structures are considered: according to standard terms and analogous objects, according to external signs, based on changes in reserve coefficients and strength criteria. Their modifications are given for a number of techniques. Based on the results of the analysis of the methods, their main advantages and disadvantages were established. As a proposal to improve the existing approaches, a methodology is proposed in which the interval between visual examinations is taken for the remaining period of operation.
BARGAINING POSITIONS OF WOMEN & FEMALE CANDIDATES IN POLITICAL CONTESTATION
Authors: Tualeka Chalid 
Published: March 2024

After 25 years of reform and several elections, the 30% quota for women's representation as legislators - both at the national level (DPR RI), as well as at the regional level (Provincial DPRD) and Regency/City DPRD, can be said to have never been fulfilled. In the 2019 election, women's representation in the DPR RI only reached 20.8% or 120 people out of the 575 members of the DPR RI. This fact, of course, raises questions. The fact that several elections have taken place and the level of women's representation in parliament (central/regional DPR) has not yet reached the ideal minimum level (30%) is an interesting phenomenon and needs to be explained. Through this study, the researcher/author tries to analyze and explain this phenomenon from the perspective of Classical Sociology , namely from a Marxist, Durkheimian and Weberian perspective. By analyzing the problem using a sociological approach, it is intended to provide a theoretical and empirical picture of " what " and " why " the phenomenon of women's low bargaining power ( gaining ) in the political arena still occurs. It is hoped that the results of this study can provide constructive input for more equal contemporary political dynamics, especially for increasing women's representation in the field of practical politics . The method used in this research is the Qualitative Descriptive Method with the research objective to examine the central theme of women's representation in legislative institutions. The results of the research show that there is the phenomenon of women's votes, then there is the phenomenon of female legislative candidates, the existence of political parties and female legislative candidates, as well as the existence of problems in the political arena ( Political Barriers ) .