bluuebunny/crossref_metadata_2025_split huggingface dataset:
Time to completely eradicate diabetic nephropathy
Authors: Sharaf El Din Usama A. A. , Salem Mona M , Abdulazim Dina O 
Published: November 2023

Abstract
Diabetes mellitus (DM) is the most important cause of end-stage renal disease, blindness, autonomic neuropathy, and heart failure. These complications endanger life expectancy, quality of life, and health costs in patients suffering from DM. These complications start to develop, especially in type 2 DM (T2DM), before the onset of this disease. Accumulating evidence proves that complications of diabetes are due to hyperglycemia that develops many years before the patients fulfill the diagnostic criteria of T2DM. Pathologic changes of diabetic kidney disease (DKD) in these patients have already developed by the time of onset of frank DM but are still clinically silent. These facts can explain the failure of the different sodium–glucose cotransporter 2 inhibitors (SGLT2Is) to completely prevent renal events even in diabetic patients with apparently normal kidneys. Many studies have used different SGLT2Is in patients devoid of diabetes without the fear of hypoglycemia. Available evidence pushes toward the use of SGLT2Is as early as the onset of prediabetes. This approach would eradicate not only DKD but also other known complications. The use of these agents by the onset of T1DM might be also justifiable. The early use of SGLT2Is as early as the onset of prediabetes might abort the development of DKD completely. This review provides insights for prospective studies that would make this hope a reality.
Legacies of Militarism: Ascriptive Republicanism and the Origins of America’s Contemporary Gun Culture
Authors: Filindra Alexandra 
Published: November 2023

Abstract
Scholars have associated gun culture with liberal individualism, but this is inconsistent with participants’ emphasis on political duty and obligation, the dominance of White men in this space, and the centrality of negative racial and gender priors. I argue that militarism – the valorization of firearms as a sign of good citizenship – is a constitutive part of one dimension of American identity which I call “ascriptive martial republicanism,” which combines the ideal of armed service with White male supremacy. I trace the origins of this conception of Americanism to the American Revolution and the military institutions that developed in the early republic. As a product of the 19th century military establishment, the National Rifle Association (NRA) brought this ideology into the 21st century, long after government abandoned it under pressure from the progressive movements of the 1960s. Through its political and legal advocacy, the group succeeded in making it once again part of the country’s institutional core via Supreme Court decisions. This new institutional regime represents a threat not only to the multicultural ethos but to democratic stability.
Assistive technologies and habit development: a Semiotic Model of Technological Mediation
Authors: Sørensen Bent , Thellefsen Martin , Thellefsen Torkild 
Published: November 2023

Abstract
In the field of philosophy of technology, the concept of mediation is central to understanding how technology shapes human experience and behavior. Our aim in this paper is to contribute to the understanding of technological mediation, in particular how and why it is possible. Technological mediation occurs within a mediation space between the technological realm and the user realm. In the technological realm, technology regularizes events and actions, while in the user realm, the user interprets the significative potential of the technology. This interpretation process is identical with use and involves the formation of user habits, which are constrained by technological, cognitive, and sociocultural factors. To provide a theoretical framework for our analysis, we propose the Semiotic Model of Technological Mediation (SMTM), which draws on Charles Peirceʼs semiotics. To illustrate our argument, we focus on assistive technology and provide a recurring example of the Medimi®Smart, a digital, comprehensive system for medication handling.
A simulation modeling methodology considering random multiple shots for shot peening process
Authors: Gao Hanjun , Lin Minghui , Guo Jing , Yang Liang , Wu Qiong , Ran Ziliang , Xue Nianpu 
Published: November 2023

Abstract
Shot peening (SP) process is a typical surface strengthening process for metal and metal matrix composites, which can significantly improve the fatigue life and strength. The traditional SP simulation model falls short as it only takes into account one or a few shots, proving insufficient for accurately simulating the entire impact process involving hundreds of shots. In this study, a random multiple shots simulation modeling methodology with hundreds of random shots is proposed to simulate the impact process of SP. In order to reduce the simulation error, the random function Rand of MATLAB is used to generate the shot distributions many times, and the shot distribution closest to the average number is selected and the three-dimension parametric explicit dynamics numerical simulation model is built using ABAQUS software. Orthogonal experiments are carried out to investigate the influences of shot diameter, incident impact velocity, and angle on the residual stress distribution, roughness, and specimen deformation. Results showed that the average relative errors of maximum residual compressive stress, roughness, and deformation of specimen between simulation model and experimental value are 30.99, 16.14, and 16.73%, respectively. The primary factors affecting residual stress and deformation is shot diameter, and the main factor affecting roughness is impact velocity.
On np-injective rings and Modules
Authors: Ahmed Ferman A. , Abdul-Jabbar Abdullah M. 
Published: November 2023

A given R-module is called a right np-injective module if for any non-nilpotent element of , and any right R-homomorphism can be extended to , if is np-injective, then is a right np-injective ring. A given ring is called right weakly np-injective if for each non-nilpotent element of , there exists a positive integer such that any right R-homomorphism can be extended to . A given ring is a right weakly np-injective ring, if . In the matrix ring, we poved that is right np-injective, for some , if is right Weakly np-injective. So, We extended many of the known properties and characterizations of right np-injective rings and modules. Finally, the main result in np-injective module found that the R-module is np-injective module if and only if for any the short exact sequence of R-modules, is also a short exact sequence, where and .
Dual Antiplatelet Therapy Regimens and Duration for Intracranial Stenting Procedures: Literature Review
Authors: Paliulytė Milda , Šustickas Gytis 
Published: November 2023

Objectives of the study. Our aim was to analyse different antithrombotic drug regimens and duration in intracranial stenting procedures (stent assisted coiling, flow diverter) for unruptured aneurysms and based on the literature review from 2017–2023 to implement dual antiplatelet therapy algorithm for neuro-interventional procedures in Lithuania. Research methods and methodology. A comprehensive literature search of PubMed, BioMed Central, BMJ Journals, EBSCO Publishing, SAGE Journals Online, ScienceDirect, SpringerLink was conducted by two independent readers (MP, GŠ) for studies published from January 2017 to April 2023. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. 23 studies: 6 retrospective cohort, 11 retrospective case-control, 1 prospective cohort, 1 prospective randomized-control, 1 systemic literature review, 3 metanalysis observational studies were identified. Results and conclusions. We found widespread variation in practices even among the same country centres, lending credence to the importance of a future prospective studies of dual antiplatelet drug therapy (DAPT) regimens and duration for the purpose of deriving optimal methods and streamlining tactics. Our suggested algorithm for DAPT in neuro-interventional procedures in Lithuania is provided in Graph 1.
Firework-Related Chorioretinitis Sclopetaria: A Case Report and Literature Review
Authors: Kazlauskaitė Greta , Misevičė Aušrinė 
Published: November 2023

Chorioretinitis sclopetaria is a rare consequence of ocular injury caused by the forces of a high-velocity object passing very close to the globe. Injury results in a full-thickness rupture of the retina and choroid, while the sclera remains unaffected. The location of rupture affects visual recovery and final best-corrected visual acuity. Retinal detachment or non-resorbable vitreous hemorrhage may require surgical treatment, but in most cases the initial treatment is observation. Therefore, a timely and correct diagnosis of traumatic chorioretinitis is essential to avoid unwarranted surgical intervention. Although most patients have a final corrected visual acuity improvement after trauma, the visual prognosis is poor. Herein we report the case of a patient diagnosed with chorioretinitis sclopetaria after sustaining trauma by a firework. We also discuss the prevalence of chorioretinitis sclopetaria, risk factors, the pathophysiological mechanism, the main clinical findings, treatment options, and outcomes.
Poke Plan: An Initiative to Improve Distraction and Pain Mitigation With Venous Access in Hospitalized Children
Authors: Monk Samantha , Luthi Daniel , Eads Jill , Gannon Colleen , Henrekin LaMonica , Croland Trina , Kendhari Harleena , Shen Sprina , Tripathi Sandeep , Shaikh Nadia 
Published: November 2023

BACKGROUND
Adequate pain control and anxiety relief during peripheral intravenous cannula (PIV) placement improves patient, parental, and staff satisfaction and reduces health care–induced stress in children. We noted a low rate of analgesic/anxiolysis use (&lt;20%) and child life utilization (3%) in our institution. This quality improvement project was initiated to increase pain mitigation strategies in hospitalized children requiring PIV access.

METHODS
From November 2020 to March 2021, we created a key driver diagram and summarized possible interventions with the aim to increase our use of pain control strategies to &gt;40% and child life utilization to 25%. For 12 months, 8 Plan-Do-Study-Act cycles were conducted focusing on nursing education and training, improved documentation, electronic medical record optimization, easy access to analgesics and anxiolytics, family involvement, and weekly huddles. Our primary measure was the percentage use of pain medications for PIV access. The utilization of PIV experts from the ICU (advanced practice registered nurses and physicians) served as the balancing measure.

RESULTS
A total of 883 patient charts were reviewed. The use of topical anesthetics and anxiolytics increased from 16.2% at baseline to 78.9% after the implementation of the quality improvement project. Eighty percent of parents reported their child was kept comfortable during the procedure using pain mitigation and comfort measures. A slight increase from 2% to 5.8% was noted in the utilization of advanced practice registered nurses and intensivists.

CONCLUSIONS
Implementation of a standardized approach for PIV placement improved team communication and provided better preparation for pain control before needle insertions in hospitalized children.
Homelessness Among Sexual Minority Youth
Authors: Deal Cameron , Gonzales Gilbert 
Published: November 2023

OBJECTIVES
This study examines the prevalence and types of homelessness experienced by sexual minority and heterosexual youth. Then, we examine whether state-level nondiscrimination policies and/or public attitudes on sexual diversity are associated with reduced homelessness among sexual minority youth. Finally, we investigate the differences in health risk behaviors at the intersections of sexual minority and homelessness status.

METHODS
We conducted a secondary data analysis using a large population-based sample from 21 states collected in the 2017 and 2019 Youth Risk Behavior Surveys. Self-reported data were obtained from sexual minority (n = 28 405) and heterosexual (n = 136 232) youth through a survey administered in high schools. We assessed the prevalence of homelessness and the types of homelessness. Sexual minority-stratified bivariate and multivariable analyses assessed associations between homelessness, state-level policy and cultural environments, and health-risk behaviors.

RESULTS
Sexual minority youth were significantly more likely (12%) to be homeless compared with heterosexual youth (4.1%). Greater acceptance of sexual diversity at the state-level was associated with reduced homelessness among both sexual minority and heterosexual youth. Finally, homeless sexual minority youth experienced a broad array of health risk behaviors in excess of both nonhomeless sexual minority youth and homeless heterosexual youth.

CONCLUSIONS
Sexual minority high school students were more likely to experience homelessness than their heterosexual peers. Public attitudes and greater acceptance of sexual diversity were associated with lower levels of sexual minority homelessness. More research and public health programs are needed to prevent and address homelessness among sexual minority youth.
Cyber-physical recreation of six DOF industrial robot arm
Authors: Erdei Timotei István , Nusser Dávid Péter , Husi Géza 
Published: November 2023

AbstractThe Cyber-Physical and Vehicle Manufacturing Laboratory, a model Industry 4.0 laboratory, is applying new innovative solutions to improve the quality of education. As part of this, a digital twin of the lab was designed and built, where users can practice. In the virtual space, it is possible to apply the known robot motion types, and the tool centre and wrist speed have been measured virtually. Robot control tasks can be performed “offline” using parameters. This information can then be transferred to the actual physical robot unit. The stable diffusion 1.5 deep learning model generates 2D geometric shapes for trajectory, allowing users to perform unique tasks during education. The Google Colab cloud-based service was used to teach our rendered-type dataset. For the 3D simulation frame, we used V-REP, which was developed on a desktop PC equipped with an Intel Core i5 7600K processor, Nvidia GTX1070 VGA with 8 GB of DDR5 VRAM, and 64 GB of DDR4 memory modules. The following material describes an existing industrial six-axis robot arm and its implementation, which can be controlled and programmed while performing virtual measurements after integrating into a Cyber-Physical system and using deep learning techniques.
Decisions with general scope in the light of special sectoral regulations in the Hungarian administrative system
Authors: Kálmán János 
Published: November 2023

AbstractIn the 21st century, the two administrative instruments that have the greatest impact on the legal situation of members of society, administrative enforcement and administrative legislation, have been and are being confronted with a number of social challenges (global economic crisis, refugee crisis, epidemics and pandemics). The challenges of the 21st century require public intervention to provide a rapid, accurate and effective response to the problems that arise, while ensuring legality and the protection of the rights of the citizens. The first responses to social problems are provided by sectoral regulations, which may conflict with general rules of administrative procedure. The study analyses administrative decisions of general scope in the light of special sectoral regulation and review the points of conflict with general rules of administrative procedure. The study concludes with a proposal.
Values on the horizon: Did the loss of innocence of conflict of laws change the relationship to the foreign?
Authors: Provazník Patrik 
Published: November 2023

AbstractWhile the complexity of the methodological and legislative-technical apparatus of conflict of laws has, in the eyes of its critics, created an aura of impermeability, they are, in fact, instruments through which a relationship to the foreign is conveyed and articulated. However, conflict of laws is not an immutable system of rules but rather a technique that undergoes varying degrees of development depending on the changing premises on which it is built. These are notably defined by different approaches to the values that frame the conflicts resolution. Depending on these values, the available instruments of conflict of laws are used to achieve different objectives. This results not only in a confluence of different methods but also in changes within a particular method. Against the backdrop of the value transformations of conflict of laws, this paper seeks to demonstrate that the abandonment of methodological purism of conflict of laws necessarily entails the abandonment of relational purism towards the foreign. By contrast, insofar as transformations within the dominant multilateral method are concerned, it is argued that the changes in value orientation have not led to a fundamental change in the nature of the relationship to the foreign.
Constitutional interpretation and populism: A comparison between Italy and Hungary
Authors: Gianello Simone , Zicchittu Paolo 
Published: November 2023

AbstractThis essay aims to compare the constitutional interpretation techniques used by the Italian Constitutional Court and the Hungarian one, facing the advancing of populist claims in Europe. After introducing the differences between the exercise of sovereignty in constitutional legal systems towards populistic regimes, the authors analyse some paradigmatic cases in which Constitutional Courts reacted to populistic waves. Through comparing the different legal instruments adopted to interpret the Constitution, this paper will therefore test the Italian and Hungarian legal system's concrete democratic evolution.
The quality of life in children with nephrotic syndrome at Prof I.G.N.G Ngoerah Hospital, Denpasar, Bali
Authors: Kresnandari Luh Putu Eka Sari , Gusti Ayu Putu Nilawati  , Windiani I Gusti Ayu Trisna , Adnyana I Gusti Agung Ngurah Sugitha , Soetjiningsih  , Mahakrishna Bagus Ngoerah , Murti Ni Luh Sukma Pratiwi 
Published: November 2023

Introduction: Nephrotic syndrome (NS) is a common chronic renal disease in children. For chronic illness, the patients requested regular hospital visits and required long term use of steroids or immunosuppressive agents. Besides agents needing therapy, the patients also face the probability of recurrent disease, multiple complications, hospitalization, side effect of treatment and fall into chronic renal disease. The impact could be physical or psychological (emotional, social, school performance). Thus, in this article, we provide the quality of life (QoL) evaluation among children with NS in Prof Dr. I.G.N.G. Ngoerah Hospital, Denpasar, Bali.
Methods: This cross-sectional study was conducted at Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar, Bali. The cases included 60 children with NS aged 2–18 years diagnosed as NS based on the medical record and attended a pediatric nephrology clinic from January 2022 until July 2022. The patient’s quality of life was assessed using the Pediatric Quality of Life Inventory (PedsQL) generated from 4.0. All the data were analyzed descriptively by using SPSS version 25. The data will be provided in the table.
Result: There were sixty children as study subjects, consisting of 36 (60%) male and 24 (40%) female. The Male gender was more dominant in this study (60% of study subjects). Female patients, lower-income families, duration of illness less than 1 year, group B NS (SRNS, steroid dependence NS), and children not in remission phase and on cyclophosphamide therapy demonstrate a higher proportion of QoL disturbance.
Conclusion: According to this study, we can conclude that most of the NS patients have not disturbed QoL based on the child and the parents’ reports.
The social meaning of abortion and the perils of a neoliberal rights-based discourse
Authors: Eberhardt Maeve 
Published: November 2023

In 2022, the United States Supreme Court overturned Roe v. Wade and thus ended the legal protection of access to abortion at the federal level. Using techniques of corpus linguistics paired with critical discourse analysis, this article examines how the word abortion is used in a corpus of newspaper reports covering the decision. The analysis uncovers a staunch position of the right to abortion as an abstracted notion, alongside a simultaneous legitimation of individuals acting on those rights in order to construct them as worthy. In essence, the news media discursively reproduce a hegemonic order that demands adherence to the system, valorises responsible subjects and obscures structural inequities of gender, race and class in the name of freedom of choice. Echoing the call of Black and Indigenous feminist activists, this article argues for a shift in discourse towards one of reproductive justice.
Factors Influencing Cervical Cancer Screening in Women Referring to the Therapeutic Centers of Tehran: A Cross-sectional Analysis
Authors: Pakan Goudarzi  
Published: November 2023

Cervical cancer is the second most common cancer in women; screening intervals are the basis of early diagnosis. Moreover, this study was conducted in Tehran, considering the importance of cervical cancer screening for diagnosing this cancer and the lack of sufficient information about the factors related to cervical cancer screening in women. However, this paper studies the extent of screening behaviors and factors influencing it in cervical cancer. This descriptive and analytical paper established the target population of 384 women of different ages who refer to healthcare centers in Tehran. The purpose of data collection was based on the researcher's questionnaire based on the studies and data of the patients registered in Shariati Medical Center in Tehran, whose reliability was confirmed by the test (Cronbach's Alpha= 0.7).
Furthermore, data was analyzed by SPSS and Smart PLS. This paper reveals that six factors influence the direct effect of cervical cancer screening. However, the factors include personal hygiene, psychological, pap smear test screening, colposcopy screening, social factors, and Health Care Utilization—the existing observation aimed to assess the influence of risk factors of cervical cancers. Accordingly, most cervical cancers may be diagnosed with previous knowledge of threat factors. Identification of excessive–risk populations and beginning early screening are influential in the early recognition of cervical cancers.