bluuebunny/crossref_metadata_2025_split huggingface dataset:
Romanus mos ? La culture funéraire romaine et ses transformations (IIe siècle av. J.-C. – IIe siècle apr. J.-C.)
Authors: Laubry Nicolas 
Published: October 2023

Cette contribution s’attache à mettre en lumière certains traits d’une culture funéraire romaine entre le IIe siècle av. J.-C. et le IIe siècle apr. J.-C. Cette période est, en effet, une époque de transformations dans les pratiques funéraires à Rome et dans les territoires où s’est imposée sa domination. Étroitement liées aux dynamiques sociales et culturelles engendrées par la constitution de l’empire, elles témoignent à la fois de mutations et de variations, qui peuvent s’interpréter aussi comme une reconfiguration et comme la constitution d’une culture funéraire romaine partagée. Trois dimensions sont envisagées : le paysage funéraire et les formes de monumentalité ; la dimension religieuse de la mort, et plus particulièrement les formes de ritualité qui l’entouraient ; enfin, l’ancrage institutionnel et social du souci des morts et les cadres de sa prise en charge.
Les pratiques funéraires dans le sud-est des Gaules de la fin de l’âge du fer au haut Moyen Âge à partir des données de terrain
Authors: Blaizot Frédérique 
Published: October 2023

Cet article propose de discuter les faits archéologiques illustrant les relations entre les vivants et les morts, en sélectionnant trois moments au sein des dix premiers siècles apr. J.-C. en Gaule : le début de l’ère, la fin de l’époque romaine et l’époque carolingienne. Il apparaît que la sphère funéraire constitue un système autonome néanmoins en relation avec les événements socio-culturels. Les transitions se traduisent par l’introduction de nouveaux éléments matériels ou par des réinterprétations de pratiques antérieures : les changements, radicaux, sont soudains et se rapportent à des mutations d’ordre structurel qui nécessitent la construction de nouvelles références.
Pluralité des modèles et transformations des espaces et des pratiques funéraires en Italie du IVe au IXe siècle
Authors: Zornetta Giulia 
Published: October 2023

La diffusion du christianisme et la transformation des élites qui a suivi à la fois la dissolution des structures publiques de l’Empire romain et l’arrivée de nouveaux peuples ont conduit à l’affirmation de nouvelles stratégies de représentation des morts et de leurs groupes parentaux, dont la pratique des sépultures ad sanctos et le dépôt de riches objets funéraires. Cette étude retrace les transformations des pratiques funéraires intervenues entre le IVe et le IXe siècle, c’est-à-dire dans la période précédant l’établissement d’un monopole de l’Église dans ce domaine, en les reliant aux transformations sociales qui ont eu lieu dans cette période et aux stratégies de distinction mises en œuvre par les élites.
Tensions autour du cadavre : « révolutions » médicales, transition funéraire en France
Authors: Carol Anne 
Published: October 2023

Cette contribution confronte deux chronologies : celle des transitions funéraires et celle des révolutions médicales. Chacun de ces processus entraîne des pratiques autour du corps mort généralement considérées comme conflictuelles. On se concentrera ici sur la façon dont l’avènement de la médecine moderne s’articule avec la transition funéraire qui s’amorce aux XVIIIe et XIXe siècles pour contextualiser, nuancer mais aussi préciser les fronts de conflit, notamment autour du traitement des cadavres.
Continuité et changements dans la pratique funéraire en Angleterre au XVIe siècle
Authors: Harding Vanessa 
Published: October 2023

Dans le Londres du Moyen Âge et du début de l’époque moderne, les funérailles remplissaient toute une palette de fonctions, qu’elles soient eschatologiques, sociales ou encore émotionnelles. Bien que la Réforme protestante ait remis en question plusieurs éléments des traditions chrétiennes d’inhumation, et malgré les changements dans la liturgie et la pratique, on peut aussi repérer des continuités significatives. D’anciennes pratiques ont trouvé de nouvelles justifications ; de nouvelles traditions sont apparues pour remplacer celles qui avaient été abandonnées. Le choix était essentiel : la possibilité permanente de mettre en forme un spectacle funéraire reflétant l’identité religieuse, civique et personnelle de l’individu semble avoir contribué à faciliter la transition et à satisfaire les besoins et les désirs des participants. Les funérailles font donc partie d’un récit plus large de changement et d’adaptation relativement pacifique.
Confronting the human papillomavirus–HIV intersection: Cervical cytology implications for Kenyan women living with HIV
Authors: Kangethe James M. , Gichuhi Stephen , Odari Eddy , Pintye Jillian , Mutai Kenneth , Abdullahi Leila , Maiyo Alex , Mureithi Marianne W. 
Published: October 2023

Background: High-risk human papillomavirus (HR-HPV) is the primary cause of cervical cancer, leading to over 311 000 global deaths, mainly in low- and middle-income countries. Kenyan women living with HIV (WLHIV) face a disproportionate burden of HR-HPV.Objectives: We determined the prevalence of HR-HPV infections and their association with cervical cytology findings among Kenyan WLHIV.Method: We conducted a cross-sectional study among WLHIV attending the HIV care and treatment clinic at the Kenyatta National Hospital (KNH), Kenya’s national referral hospital. Study nurses collected a cervical sample with a cytobrush for HR-HPV genotyping using Gene Xpert® assays and HPV Genotypes 14 Real-TM Quant V67-100FRT. Bivariate analysis explored the associations.Results: We enrolled 647 WLHIV (mean age of 42.8 years), with 97.2% on antiretroviral therapy (ART) and 79% with a suppressed viral load ( 50 copies/mL plasma). The prevalence of any and vaccine-preventable HR-HPV was 34.6% and 29.4%, respectively, with HPV 52 being the most common genotype (13.4%). Among WLHIV with HR-HPV infections, 21.4% had abnormal cervical cytology. Women with multiple HR-HPV infections were more likely to have abnormal cytology compared to those with single HR-HPV infections (34.9 vs 9.3%, adjusted odds ratio [aOR] = 6.2, 95% confidence interval [CI]: 2.7–14.1, P = 0.001). Women with HR-HPV infection (single or multiple) were more likely to be on the second-line ART regimen compared to those without HR-HPV infections (53.1% vs 46.7%, aOR = 2.3, 95% CI: 1.3–4.1, P = 0.005).Conclusion: Among WLHIV at KNH, abnormal cytology was common and more frequent among women with multiple HR-HPV infections.
Acute and Subacute Oral Toxicity Characterization and Safety Assessment of COVID Organics® (Madagascar’s Anti-COVID Herbal Tea) in Animal Models
Authors: Aina Oluwagbemiga Olarewaju , Okoyenta Onyinye Celestina , Okolo Clemen Abu , Kareem Kafilat Olaide , Ajibaye Olusola , Adeogun Adedapo O. , Salako Babatunde L. 
Published: October 2023

Introduction:
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. No drug has been generally approved as safe and effective for the treatment of COVID-19. Several therapeutic agents such as COVID Organics® (CVO) have been explored as treatment options. CVO is an herbal tea composed of 62% of Artemisia
annua and 38% of other plants. There is presently no existing scientific report and data on the safety and efficacy of CVO herbal drug. Thus, acute and subacute toxicity studies were undertaken to evaluate the safety and toxicity of CVO on short- and long-term usage in animal models.

Materials and Methods:
Phytochemical and nutritional compositions of CVO were determined using standard methods. Acute oral toxicity was investigated using female Swiss albino mice (three per group). While subacute oral toxicity was done using female and male Swiss albino rats (five per group). The animals were administered 2000 mg/kg, 5000 mg/kg, therapeutic dose; 5500 mg/kg and supratherapeutic dose; 11,000 mg/kg of CVO herbal product. The control group received water ad
libitum. The oral toxicity studies were done in accordance with Organization for Economic Corporation and Development guidelines. The experimental protocol was approved by the Institutional Animal Care and Use Committee, Nigerian Institute of Medical Research (Ethics No. IRB/17/043).

Results:
CVO is rich in antioxidants: flavonoids (10.3%), tannins (29.1%), and phenolics (434.4 mg). It contains proteins (33.8%), carbohydrates (34.5%), fat (6.8%), and fiber (0.5%). In the acute toxicity study, no mortality was recorded in all the treated and untreated groups. The lethal dose of CVO is >5000 mg/kg body weight. The hematological, biochemical, lipid profile, and histologic parameters were all normal at therapeutic doses when compared to the control group.

Conclusion:
The acute and subacute oral toxicity studies revealed that CVO is not toxic. The specific organ toxicity evaluations also indicated that CVO has no toxic effects on blood parameters and vital organs structure and function at therapeutic dose. Thus, CVO is safe for short- and long-term usage. We recommend that CVO should be subjected to efficacy studies to investigate whether it is effective for COVID-19 treatment as claimed by the manufacturer.
The Comparison of Cerebral Oxygenation among Mechanically Ventilated Children Receiving Protocolized Sedation and Analgesia versus Clinician’s Decision in Pediatric Intensive Care Unit
Authors: Prawira Yogi , Irlisnia  , Oswari Hanifah , Pudjiadi Antonius Hocky , Parwoto Bambang Tridjaja Asmara Apri , Gayatri Anggi 
Published: October 2023

Introduction:
Adequate sedation and analgesia are two crucial factors affecting recovery of intensive care patients. Improper use of sedation and analgesia in intensive care patients may adversely lead to brain oxygen desaturation. This study aims to determine cerebral oxygenation as measured by near-infrared spectroscopy (NIRS) and inotropic interventions received among mechanically ventilated children in the pediatric intensive care unit (PICU).

Methods:
This study is a nested case − control study in the PICU of Indonesian tertiary hospital. Children aged 1 month to 17 years on mechanical ventilation and were given sedation and analgesia were included in the study. Subjects were divided into two groups according to the protocol of the main study (Clinical Trial ID NCT04788589). Cerebral oxygenation was measured by NIRS at five time points (before sedation, 5-min, 1, 6, and 12 h after sedation).

Results:
Thirty-nine of the 69 subjects were categorized into the protocol group and the rest were in the control group. A decrease of >20% NIRS values was found among subjects in the protocol group at 5-min (6.7%), 1-h (11.1%), 6-h (26.3%), and 12-h (23.8%) time-point. The mean NIRS value was lower and the inotropic intervention was more common in the control group (without protocol), although not statistically significant.

Conclusion:
This study found that mechanically ventilated children who received sedation and analgesia based on the protocol had a greater decrease of >20% NIRS values compared to the other group. The use of sedation and analgesia protocols must be applied in selected patients after careful consideration.
Earthquake disaster impact on health care of cancer patients: Single center experience
Authors: ÜNSAL Oktay , YAZICI Ozan , YILDIRIM ÖZDEMİR Nuriye , SAVAŞ Gözde , ÖZET Ahmet 
Published: October 2023

Background: The earthquakes in February 2023 in Turkey had a major impact on Turkey's health system, causing damage to hospitals and health centres in the affected areas. Cancer patients are one of the groups that are highly influenced by the disaster. The aim of this study was to evaluate some of the demographic and clinical characteristics of cancer patients who are getting health care in earthquake-affected areas.
Material and Methods: Fifty cancer patients who lived in 11 cities of Turkey affected by the earthquake and were admitted to Gazi University Department of Medical Oncology after the earthquake between 15 February 2023 and 15 March 2023 were included in the study. Data such as demographic characteristics, cancer diagnosis, time of cancer treatment, and earthquake history were taken retrospectively from nationally-linked electronic records (E-nabız).
Results: Breast cancer was the most common diagnosis of these patients. Most of the patients were taking active treatment (60%). Chemotherapy and hormonotherapy were the most common treatment modalities (20% and 18%, respectively). The median delay in the active treatment of 14 cancer patients was 24 days (2-60).
Conclusions: The earthquake disaster has led to important impacts on cancer patients' care in most affected areas. The human, financial and medical resources should be improved. Especially if detailed nationally-linked electronic records are provided, cancer patients will not have difficulty seeking health care. This disaster should be an important stimulus for hospitals and healthcare systems to improve the care of patients during disasters.
An underestimated old friend: Serum protein electrophoresis in the differential diagnosis of glomerulopathies
Authors: ŞAHİN Ahmet Bilgehan , BAKKAL Safiye , GÜLLÜLÜ Saide , ORUÇ Ayşegül , YILDIZ Abdülmecit , AYDIN Mehmet Fethullah , ERSOY Alparslan , OCAKOĞLU Gökhan , GÜLLÜLÜ Mustafa 
Published: October 2023

Background: Serum protein electrophoresis (SPEP) is an easy test separating serum proteins based on their physical and chemical properties. Although it is frequently used in the differential diagnosis of multiple myeloma and various chronic inflammatory diseases, its value in the etiologic classification of glomerular diseases has yet to be studied.
Material and Methods: We retrospectively reviewed the medical records of patients who underwent renal biopsy from 2008 to 2016 at our institution. We excluded patients who can not be classified as primary (PGn) or secondary glomerulonephritis (SGn). Univariate and multivariate logistic regression analyses were performed for the prediction of SGn.
Results: Four hundred thirty-two patients were included in the study. Of those, 57.9% had PGn. Rheumatological diseases, malignancies, and infections were the most common etiologic causes of SGn, accounting for nearly 75%. Univariate analysis revealed that alpha-1 (α1), gamma (Ɣ), and albumin fractions significantly differ between PGn and SGn groups. ROC curve analysis determined the cut-off value of (α1*Ɣ)/albumin ratio as 1.48. Multivariate analysis revealed that total serum protein and (α1*Ɣ)/albumin ratio were significantly independent predictors for SGn (p=0.020 and p
EVALUACIÓN DE LA EFICIENCIA ENERGÉTICA DE UN EDIFICIO PATRIMONIAL DE LA PLATA, ARGENTINA
Authors: Fernandez Juan Matias , Bassualdo Rapetti Julián , Dittler Candela , Gualtieri Pedro , Gómez Analía Fernanda 
Published: October 2023

Por más que su valor social y cultural es incuantificable, los edificios patrimoniales no necesariamente contemplan en su diseño la eficiencia energética. Al ser algunos referentes ante la sociedad en la que se implantan, la aplicación de mejoras en estos les permite actuar de modelo ante su entorno, potenciando a la comunidad aplicar esas medidas, sumando acciones contra el cambio climático. Se identificó un edificio patrimonial cumpliendo funciones cívicas en la ciudad de La Plata. Se midió cada componente de su envolvente térmica: carpinterías, muros y cubiertas. Se dialogó con sus usuarios y se estudiaron sus planos, definiendo cuantitativamente conductividad térmica con normas locales y morfología. Se simuló su comportamiento térmico para el período estival y se plantearon mejoras sin modificar partes originales, entre ellas . Se verificó que observando la normativa local permite lograr un ahorro energético de hasta 54%. Se logró así una propuesta sustentable sin comprometer su patrimonialidad.
Increased Graduation Rates in Students Who Take One or More Experiential Learning Classes during Their Undergraduate Program of Study
Authors: Rost Jim , Swayze Anita Carol , Janet McCormick  
Published: October 2023

A large American university in the southeastern United States has infused experiential learning into academic courses to create a national model that is both sustainable and replicable. The EXL Scholars Program has consistently shown growth and significant positive outcomes by providing students with opportunities for hands-on experiences in their fields of study, service learning opportunities, valuable networking with professionals, and an opportunity to explore career paths through real-world activities. Student learning assessments provide evidence that the EXL Scholars Program has a positive benefit for students and does enhance students’ learning experiences as stated in the program’s motto, EXL: Experience the Advantage. This article will explore how the program has been institutionalized and how students who participate in the Experiential Learning Scholars Program graduate at a significantly higher rate than those students who do not.
Exploring the Transformative Effects of Service-Immersion Programs on Faculty
Authors: Clark Richard , Menkhaus James , McGinnness Anne , Sutterluety Megan 
Published: October 2023

Service-immersion programs are prevalent at many universities, often housed in ministry, mission, or service-learning departments. These experiences vary from domestic to international exploration, often lasting five to twelve days. Unlike study abroad programs that usually last a semester, service immersion “trips” are shorter and often include some sort of community service component. Current scholarship in experiential learning has focused on the influence of service immersion programming on undergraduate students. What is missing from this literature is the effect of immersion participation on adult accompaniers such as faculty. Since these adults share the same basic experience as the students, they may experience some of the transformative development as their students. Using Mezirow’s Transformative Learning Theory, as our guide, we explored three areas of transformative development – the influence of the immersion experience on faculty themselves, how the experience affected the faculty members’ relationships with students, and how the experience affected classroom instruction. The results were positive as the participating faculty reported positive personal growth, a deeper understanding of their students, and an enhanced learning environment that included the classroom as well as additional opportunities such as mentoring.
Promoting Student Success and DE&I in Experiential Education at an HBCU: STEM Lab Internship Programs
Authors: Perchiniak Erin , Fees Joseph , Silver Alexa 
Published: October 2023

Over the past four years, a Howard Hughes Medical Institute (HHMI) Inclusive Excellence grant supported Delaware State University (DSU) to increase student success and foster faculty development in the STEM (Science, Technology, Engineering, and Mathematics) fields. One component of this grant has provided students, particularly early sequence (freshman and sophomores), the opportunity to participate in a lab internship program. This program has provided students with access to vital research experience and removed some of the barriers for student opportunities, particularly for minority and first-generation students, in STEM fields. The internship program is rooted in principles of diversity, equity, and inclusion and is a cost-effective model for increasing experiential opportunities for STEM students. This paper will share the logistics and inclusive parameters of the program, survey data from student and faculty mentors, as well as highlight the benefits of incorporating an early experiential learning opportunity for students in STEM fields. The paper demonstrates the steps to create a low-cost lab program and how future internships experiences can be designed with diversity, equity, and inclusion as core principles.
Website Sistem Pakar Untuk Diagnosa Penyakit Gigi Pada UPT Puskesmas Babat Toman
Authors: Dwi Indah Lestari  , Prima Sakti Popy , Juliansa Hengki 
Published: October 2023

Abstract
The application to various fields and even has a positive impact on the health sector. Utilization of information technology in the health sector can be used to improve better health services, one of which is to diagnose dental disease. The prevalence of dental and oral health problems in Indonesia is still very high. Of the 57.6% of the population who have dental and oral health problems, it turns out that only 10.2% access dental health services [1]. To overcome these limitations, it’s necessary to make a tool in the form of an expert system to assist the community in making an early diagnosis and preventing more severe diseases. This designed system is based on a website that is used by expert and users, built using the PHP programming language and using MySQL database storage. With the waterfall methodology used in system development, it produces more structured and clear stages. The expert system built results in the process of diagnosing dental and oral diseases using the Forward Chaining method. The research was conducted in the dental field at UPT Puskesmas Babat Toman using a qualitative descriptive method. Research produces a website to help people diagnose dental disease as soon as the symptoms are experienced.
Keywords: website, expert system, dental disease, forward chaining
Abstrak
Penerapan ilmu komputer telah semakin meluas ke berbagai bidang bahkan memberikan dampak positif pula pada bidang kesehatan. Pemanfaatan teknologi informasi pada bidang kesehatan dapat digunakan untuk meningkatkan pelayanan kesehatan yang lebih baik, salah satunya adalah untuk melakukan diagnosa penyakit gigi. Prevalensi permasalahan kesehatan gigi dan mulut di Indonesia terbilang masih sangat tinggi. Dari 57,6 % penduduk bermasalah kesehatan gigi dan mulut ternyata yang mengakses pelayanan kesehatan gigi hanya 10,2 % [1]. Untuk mengatasi keterbatasan itu perlu dibuat alat bantu berupa sistem pakar untuk membantu kalangan masyarakat dalam mendiagnosa awal pencegahan penyakit yang lebih parah. Sistem yang dirancang ini berbasis website yang digunakan oleh pakar dan masyarakat, dibangun dengan menggunakan bahasa pemrograman PHP dan menggunakan penyimpanan database MySQL. Dengan metodologi waterfall yang digunakan dalam pengembangan sistem, menghasilkan tahap-tahap yang lebih terstruktur dan jelas. Sistem Pakar yang dibangun menghasilkan proses diagnosis penyakit gigi dan mulut menggunakan metode Forward Chaining. Penelitian dilakukan di Bidang Poli Gigi pada UPT Puskesmas Babat Toman menggunakan metode deskriptif kualitatif. Penelitian menghasilkan suatu website untuk membantu masyarakat dalam mendiagnosa penyakit gigi secepat atas gejala yang dialami.
Kata kunci: website, sistem pakar, penyakit gigi, forward chaining
Role of Venous Blood Gase (VBG) Analysis in Patient Triage in the Adult Emergency Department
Authors: Alwosibei Ahmed , Alqurashi Hanan , Alghazwi Mohammed 
Published: October 2023

Background:
In emergency and critical care settings, can a venous blood gas analysis improve clinical decision-making and patient outcomes?
Methods:
This is a cross-sectional study, conducted between January and June 2022 at a tertiary hospital in Saudi Arabia.
Results:
A total of 100 patients were included, using a convenience sample technique. Their mean age was 54 years, and theirmain chief complaints were shortness of breath (30%), abdominal pain (15%), and altered level of consciousness (14%). The venous blood gas (VBG) result was abnormal in 86 patients, and predicted the need for early intervention in 69 patients (69.7%). A significant association was found between patients requiring early intervention and those with an abnormal VBG (p=0.0005). Furthermore, the VBG results changed the Canadian Triage and Acuity Scale (CTAS) level in 32 patients (33.68%). A logistic regression analysis revealed that pre-testing factors such as age, gender, comorbidities, and chief complaints were not predictors of VBG results, the need for early intervention, or altered CTAS level.
Conclusion:
Our study concludes that VBG analysis can play an important role in patient triage in the emergency department (ED), allowing for earlier intervention and potentially improving outcomes.