bluuebunny/crossref_metadata_2025_split huggingface dataset:
Generalized granuloma annulare in an infant clinically manifested as papules and atrophic macules: A case report
Authors: Zhang Dong-Yuan , Zhang Li , Yang Qin-Yan , Li Jiazheng , Jiang Hong-Chao , Xie Yu-Cheng , Shu Hong 
Published: November 2023

BACKGROUND
Granuloma annulare (GA) has diverse clinical manifestations including papules, plaques, and nodules on the extremities that are skin-colored, pink, or purple. Approximately 15% of all GA cases are considered generalized GA.
CASE SUMMARY
Herein, we describe the case of a pediatric patient who initially presented with papules and later developed generalized atrophic macules. Upon examination, two different morphologic lesions were histopathologically confirmed: Epithelioid nodular GA and scattered histiocytic infiltrative GA. This patient exhibited rare clinical manifestations that differed throughout the course of the disease. The varying histopathological types and clinical manifestations of GA may be linked to the different stages of the disease.
CONCLUSION
This rare case demonstrates the different histopathological features of different stages and clinical manifestations of granuloma annulare in an infant.
CONTINENTES DA FILOSOFIA, ORNITORRINCO E O PENSAMENTO DECOLONIAL
Authors: Pinheiro Harald 
Published: November 2023

Discutir as diversas razões do Epistemicídio e do colonialismo europeu, bem como apresentar importantes registros e configurações da filosofia africana. A metáfora do ornitorrinco é analisada aqui sob o prisma do pensamento decolonial. Na mesma perspectiva que esse animal desmoronou conceitos, experimentações já consagradas das ciências da natureza nos séculos XVII e XVIII, não conseguiu se adequar às categorias de ordem e espécie, o mesmo ocorre no sentido da literatura e do pensamento decolonial, ao estremecer os alicerces das ciências humanas na atualidade. Por fim, desconstruir as razões de hostilidade entre o pensameto grego e africano em suas bases essenciais na origem do filosofar.
Palavras-Chave: Pensamento decolonial, geofilosofia, epistemicídio, filosofia africana
Abstract
Discuss the various reasons for Epistemicide and European colonialism, as well as present important records and configurations of African philosophy. The platypus metaphor is analyzed here from the perspective of decolonial thinking. In the same perspective that this animal collapsed concepts, already consecrated experiments of the natural sciences in the 17th and 18th centuries, it was unable to adapt to the categories of order and species, the same occurs in the sense of literature and decolonial thought, when shaking the foundations of human sciences today. Finally, deconstruct the reasons for hostility between Greek and African thought in its essential bases in the origin of philosophizing.
Keywords: Decolonial thought, geophilosophy, epistemicide, African philosophy.
Transformation process meets innovation leadership—an analysis of new challenges in change theory
Authors: Heilemann Gerhard , Faix Werner G. 
Published: November 2023

AbstractThe continuous changes in the business environment require transformation processes and innovation in organizational structures to maintain competitiveness. Innovation is required for future orientation and need an appropriate leadership style to be implemented in the company successfully. Various studies in the literature examine the topic of change models and the requirements for effective implementation of changes. Based on the constant change in the labor market, which is due to ongoing digitalization, the need for research of transformation, change-management and radical or disruptive innovation remains topical. A new challenge arises with a transformation in the entire company which affects all essential business processes. Because several levels are simultaneously affected by the transformation process, a more complex concept is required for the implementation than it could be found in the literature. There is a lack of empirical research in general for innovation-driven transformation processes and a missing connection to the implementation of radical or disruptive innovation in company. The aim of this paper is to investigate the need for new research in change theory. The focus is on the importance of innovation leadership for a radical or disruptive innovation change process, what is to be classified under a comprehensive transformation process in the company. In addition, the need for an innovation transformation model is established.
The economic burden of Chagas disease: A systematic review
Authors: Andrade Mônica Viegas , Noronha Kenya Valéria Micaela de Souza , de Souza Aline , Motta-Santos André Soares , Braga Paulo Estevão Franco , Bracarense Henrique , de Miranda Maria Carolina Corrêa , Nascimento Bruno Ramos , Molina Israel , Martins-Melo Francisco Rogerlândio , Perel Pablo , Geissbühler Yvonne , Quijano Monica , Machado Isis Eloah , Ribeiro Antônio Luiz Pinho 
Published: November 2023

Background
Chagas disease (CD) is a neglected disease affecting millions worldwide, yet little is known about its economic burden. This systematic review is part of RAISE project, a broader study that aims to estimate the global prevalence, mortality, and health and economic burden attributable to chronic CD and Chronic Chagas cardiomyopathy. The objective of this study was to assess the main costs associated with the treatment of CD in both endemic and non-endemic countries.

Methods
An electronic search of the Medline, Lilacs, and Embase databases was conducted until 31st, 2022, to identify and select economic studies that evaluated treatment costs of CD. No restrictions on place or language were made. Complete or partial economic analyses were included.

Results
Fifteen studies were included, with two-thirds referring to endemic countries. The most commonly investigated cost components were inpatient care, exams, surgeries, consultation, drugs, and pacemakers. However, significant heterogeneity in the estimation methods and presentation of data was observed, highlighting the absence of standardization in the measurement methods and cost components. The most common component analyzed using the same metric was hospitalization. The mean annual hospital cost per patient ranges from $25.47 purchasing power parity US dollars (PPP-USD) to $18,823.74 PPP-USD, and the median value was $324.44 PPP-USD. The lifetime hospital cost per patient varies from $209,44 PPP-USD for general care to $14,351.68 PPP-USD for patients with heart failure.

Discussion
Despite the limitations of the included studies, this study is the first systematic review of the costs of CD treatment. The findings underscore the importance of standardizing the measurement methods and cost components for estimating the economic burden of CD and improving the comparability of cost components magnitude and cost composition analysis. Finally, assessing the economic burden is essential for public policies designed to eliminate CD, given the continued neglect of this disease.
Improving care engagement for mobile people living with HIV in rural western Kenya
Authors: Ayieko James , Charlebois Edwin D. , Maeri Irene , Owino Lawrence , Thorp Marguerite , Bukusi Elizabeth A. , Petersen Maya L. , Kamya Moses R. , Havlir Diane V. , Camlin Carol S. 
Published: November 2023

Background
Antiretroviral therapy (ART) assures major gains in health outcomes among people living with HIV, however, this benefit may not be realized by all due to care interruptions. Mobile populations comprise a subgroup that is likely to have sub-optimal care engagement, resulting in discontinuation of ART. We sought to evaluate the barriers to care engagement among highly mobile individuals living with HIV and explore options aimed at improving engagement in care for this group.

Methods
Qualitative in-depth interviews were conducted in 2020 among a purposive sample of twelve persons living with HIV and eight health care providers in western Kenya, within a mixed methods study of mobility in communities participating in the SEARCH trial (NCT01864603). We explored the barriers to care engagement among mobile individuals living with HIV and explored different options aimed at enhancing care engagement. These included options such as a coded card containing treatment details, alternative drug packaging to conceal drug identity, longer refills to cover travel period, wrist bands with data storage capability to enable data transfer and “warm handoff” by providers to new clinics upon transfer. Data were inductively analyzed to understand the barriers and acceptability of potential interventions to address them.

Results
Stigma and lack of disclosure, rigid work schedules, and unpredictability of travel were major barriers to care engagement for highly mobile individuals living with HIV. Additionally, lack of flexibility in clinic schedules and poor provider attitude were identified as health-system-associated barriers to care engagement. Options that enhance flexibility, convenience and access to care were viewed as the most effective means of addressing the barriers to care by both patients and providers. The most preferred option was a coded card with treatment details followed by alternative drug packaging to conceal drug identity due to stigma and longer refills to cover travel periods.

Conclusion
Highly mobile individuals living with HIV desire responsive, flexible, convenient and patient-centered care delivery models to enhance care engagement. They embraced simple health delivery improvements such as coded cards, alternative drug packaging and longer refills to address challenges of mobility.
Early marriage and its associated factors among women in Ethiopia: Systematic reviews and meta-analysis
Authors: Gebeyehu Natnael Atnafu , Gesese Molalign Melese , Tegegne Kirubel Dagnaw , Kebede Yenalem Solomon , Kassie Gizachew Ambaw , Mengstie Misganaw Asmamaw , Zemene Melkamu Aderajaw , Moges Natnael , Bantie Berihun , Feleke Sefineh Fenta , Dejenie Tadesse Asmamaw , Abebe Endeshaw Chekol , Anley Denekew Tenaw , Dessie Anteneh Mengist , Bayih Wubet Alebachew , Adella Getachew Asmare 
Published: November 2023

Background
Early marriage is defined as the union of one or both partners before reaching the age of 18 for the first time. This practice is widely prevalent in underdeveloped countries, particularly in Ethiopia, and has been observed to have detrimental effects on the educational and personal development of both male and female individuals.

Methods
The present study conducted a comprehensive search of the Science Direct, Scopus, Google Scholar, EMBASE, and PubMed databases. The data were extracted using Microsoft Excel (version 14) and analyzed using STATA statistical software. To examine publication bias, a forest plot, rank test, and Egger’s regression test were utilized. Heterogeneity was assessed by calculating I2 and conducting an overall estimated analysis. Additionally, subgroup analysis was performed based on the study region and sample size. The pooled odds ratio was calculated.

Results
Out of a total of 654 articles, 14 papers with 67,040 research participants were included in this analysis. The pooled prevalence of early marriage among women in Ethiopia was 56.34% (95% CI: 51.34–61.34), I2 = 78.3%). The Amhara region exhibited the highest prevalence of early marriage, with a rate of 59.01%, whereas the Oromia region demonstrated the lowest incidence, with a prevalence rate of 53.88%. The prevalence of early marriage was found to be 58.1% for a sample size exceeding 1000, and 50.9% for a sample size below 1000. No formal education (AOR = 5.49; 95%CI: 2.99, 10.07), primary education (AOR = 3.65; 95%CI: 2.11, 6.32), secondary education (AOR = 2.49; 95%CI: 1.60, 3.87), rural residency (AOR = 4.52; 95%CI: 1.90, 10.74) and decision made by parents (AOR = 2.44; 95%CI: 1.36, 4.39) were associated factors.

Conclusion and recommendation
In Ethiopia, there was a high rate of early marriage among women. The research findings indicate that early marriage is more prevalent among mothers who possess lower levels of educational attainment, reside in rural areas, and are subject to parental decision-making. Our stance is firmly in favor of expanding the availability of maternal education and promoting urban residency. Furthermore, the promotion of autonomous decision-making by clients regarding their marital affairs is of paramount importance to family leaders.
Envelhecendo com o tempo: Atividade Física como estilo de vida - Aging with time: Physical activity as a lifestyle
Authors: Freiberg Neto Johannes Carl 
Published: November 2023

Resumo: Com o envelhecimento, há evidências de que muitas das mudanças de força e flexibilidade associadas à idade, relacionadas à função muscular e ao metabolismo, são causadas por mudanças no estilo de vida secundárias ao envelhecimento, sendo a inatividade física a principal delas. O aumento da idade é acompanhado por alterações do sistema neuromuscular, com diminuição na performance da força muscular, equilíbrio, mobilidade articular e aptidão cardiovascular, influenciando na dinâmica do aparato locomotor e no desempenho das atividades da vida diária. O presente artigo discute a atividade fícica e suas implicações ante o envelhecimento a partir de uma revisão da literatura. Obsevou-se que, em relação a fáscia, o envelhecimento tende a conduzir a mudanças relacionadas à densificação da matriz extracelular e intramuscular, as quais implicam no aumento de rigidez muscular e complacência da elasticidade do tecido fascial fibroso, atuando na perda de força muscular e diminuição da amplitude de movimento. Concluiu-se que o envelhecimento é um processo progressivo de mudanças desfavoráveis para os tecidos conectivos colagenosos, e a participação em programas de treinamento de alongamento mostram melhoras relativas na flexibilidade, enquanto o sedentarismo exacerba os efeitos de degradação das interconexões do tecido conectivo fascial, aumento de rigidez e diminuição da complacência do colágeno. Palavras-chave: Envelhecimento. Atividade física. Fáscia. Abstract: With aging, there is evidence that many of the age-associated changes in strength and flexibility, related to muscle function and metabolism, are caused by lifestyle changes secondary to aging, with physical inactivity being the main one. Increasing age is accompanied by changes in the neuromuscular system, with a decrease in the performance of muscle strength, balance, joint mobility and cardiovascular fitness, influencing the dynamics of the locomotor apparatus and the performance of activities of daily living. This article discusses physical activity and its implications for aging based on a literature review. It was observed that, in relation to fascia, aging tends to lead to changes related to the densification of the extracellular and intramuscular matrix, which imply an increase in muscle stiffness and compliance of the elasticity of the fibrous fascial tissue, acting in the loss of muscle strength and decreased range of motion. It was concluded that aging is a progressive process of changes unfavorable to collagenous connective tissues, and participation in stretching training programs shows relative improvements in flexibility, while sedentary lifestyle exacerbates the effects of degradation of fascial connective tissue interconnections, increased stiffness and decreased collagen compliance. Keywords: Aging. Physical activity. Fascia.
Existimos, a que será que se destina? Narratividades, cuidado e práticas em saúde - We exist, what is it for? Narrativities, care and practices in health
Authors: Monteiro Fabiana Ribeiro , Viana Jayne Martins , Sousa Carolina dos Santos , Paixão Taynara Pontes , Silva Leanderson Dias da , Lima Herlem Anny dos Santos , Oliveira Yuri Monteiro de 
Published: November 2023

Resumo: O presente artigo apresenta o relato de experiência da produção de conteúdo digital e ações presenciais de um projeto de extensão que tem como objetivo desenvolver ações de cultura preventiva e autocuidado no sentido intensivo-processual. No atual cenário de pandemia vários profissionais da área da saúde vêm se mobilizando num enfrentamento que vem extraindo o máximo das suas capacidades técnicas, laborais, emocionais e sociais. Problemas como cansaço físico e estresse psicológico, insuficiência e/ou negligência com relação às medidas de proteção e cuidado à saúde desses profissionais, bem como dos acadêmicos da saúde, necessitam de um agenciamento psicossocial a fim de auxiliar na produção de atitudes éticas, experienciais e potentes para a qualidade das práticas em saúde. Através dos pressupostos teórico-metodológicos da Análise Bioenergética foi possível constatar e desenvolver a abertura do biossistema e da integração autoperceptiva desses atores sociais que auxiliam na expressão e na produção de narrativas necessárias aos territórios da saúde. Palavras-chave: atenção básica, profissionais da saúde, autocuidado, corpo. Abstract: This article presents the experience report of the production of digital content and face-to-face actions of an extension project that aims to develop preventive culture and self-care actions in the intensive-procedural sense. In the current pandemic scenario, several health professionals have been mobilizing in a confrontation that has been extracting the most of their technical, work, emotional and social capacities. Problems such as physical fatigue and psychological stress, insufficiency and/or negligence in relation to the protection and health care measures of these professionals, as well as health academics, need a psychosocial agency in order to assist in the production of ethical, experiential and ethical attitudes. potent for the quality of health practices. Through the theoretical-methodological assumptions of Bioenergetic Analysis, it was possible to verify and develop the opening of the biosystem and the self-perceptive integration of these social actors that help in the expression and production of narratives necessary for health territories. Keywords: primary care, health professionals, self-care, body.
Agressividade, Negatividade e Afetividade: Revisitando o lado positivo de viver esses sentimentos - Aggressiveness, Negativity and Affectivity: Revisiting the positive side of experiencing these feelings
Authors: Paula Ana Silvia 
Published: November 2023

Resumo: O presente artigo tem como objetivo principal desenvolver uma reflexão acerca dos conceitos de “agressividade” e “raiva” utilizando como metodologia a revisão bibliográfica de importantes teóricos, a exemplo de Alexander Lowen, David Boadella, Bennett Shapiro e W. Reich. Pretende-se problematizar e apontar a importância da agressividade e da raiva enquanto impulsos ordenadores e positivos para a elaboração e o crescimento do sujeito. Para isso, me utilizo também de exemplos clínicos para fundamentar meus apontamentos. Palavras- Chave: agressividade; raiva; análise bioenergética. Abstract: The present article has the purpose of developing a reflection concerning concepts of “aggressiveness” and “anger”, using as methodology literature review of leading theorists, such as Alexander Lowen, David Boadella, Bennett Shapiro and W. Reich. The aim is to problematize and point out the importance of aggressiveness and anger as positive and ordering impulses towards the preparation and development of the individual. Clinical examples are also used for the purpose of substantiating my accounts. Keyword: aggressiveness; anger; bioenergetic analysis.
Penerapan Jaringan Distribusi Sistem District Meter Area (DMA) SPAM Semarang Barat dalam Optimalisasi Penurunan Kehilangan Air Ditinjau dari Aspek Teknis dan Finansial (Studi Kasus : Area Pelayanan Reservoir Manyaran 1)
Authors: Buko Bagus Tri , Sarminingsih Anik , Samadikun Budi Prasetyo 
Published: November 2023

Drinking water is one of basic human needs that is very important to improve the quality of human life and economic growth of a region. PDAM Tirta Moedal, Semarang City developed “SPAM Semarang Barat” 1,000 liters/sec to serve water demand in West Semarang, Ngaliyan and Tugu sub-districts. Water losses in PDAM Kota Semarang is still at 40.10%, indicating that water distribution is not optimal. DMA is a strategy in managing water loss, especially real water loss, by dividing an open water supply network into isolated zones with smaller water meter. In this study, a technical and financial study was conducted regarding the implementation of DMA in the SPAM Semarang Barat distribution specifically for the Manyaran 1 Reservoir service area . The real water loss is caused by visible or invisible leakage of distribution pipes (background leakage). The billed authorized consumption is estimated at 4,189,607 m3/year, the unbilled authorized consumption is 7,361 m3/year. Apparent water loss is estimated at 147,455 m3/year or about 2%, while real water loss is around 2,172,896 m3/year or about 34%. The Infrastructure Leakage Index or ILI for the Manyaran 1 Reservoir distribution is 49. It means that PDAM is wasting some resource, which caused losses. Epanet 2.0 shows that peak hours pressure is between 30 – 70 m, there is no pressure below 10 m. Velocity at peak hours is in the range of 0.1 – 1.0 m/s. The investment requirement for DMA development in the Manyaran 1 service area Rp. 18,786,292,828, - for development of services as much as 5,843 SR. District Meter Area in distribution system is estimated to reduce the leakage rate by up to 20%, so that the potential revenue will increase by Rp. 26,083,764,633,-. It means that DMA is one of ways to solve water leakage problem.
Jasa Lanskap pada Pekarangan Transmigran Bali di Wilayah Lampung Timur
Authors: Ali Muhammad Saddam , Arifin Hadi Susilo , Nurhayati Nurhayati , Astawan Made 
Published: November 2023

The transmigration home garden was one of the potential providers of landscape services, such as ecological, economic, social and cultural services. These landscape services can improve people's welfare. The Balinese transmigrant home garden in East Lampung became the research location to see the services of the home garden landscape. Ecological approaches, economic analysis, and socio-culture analysis were carried out to determine the role of the home garden in providing landscape services. The Balinese transmigrant home garden pattern was built based on the Rwa Bhineda concept which regulates the layout of the building. The composition of pekarangan plants was analyzed using the vertical diversity, horizontal diversity, and Summed Dominance Ratio (SDR) values of the plants. In addition, it also analyzed economic services in the form of additional income and reduced costs for consumption. The results showed that several plants such as coconut, mango, banana, and flower ornamental plants had high SDR value up to 45%. These plants are used as a component of religious rites for the Balinese transmigrant community. Home garden also provided economic services, namely additional income and reduced consumption costs up to 100% per month/family. Home garden landscape services for Balinese transmigrants were proof that community welfare can be realized through sustainable use of home gardens and had implications for the achievement of transmigration goals.