bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving health education through a patient-clinician partnered intervention in the patient with genitourinary cancer.
Authors: Parker Jessica 
Published: January 2024

TPS525 Background: Health literacy is associated with health equity, acts as a cornerstone in optimizing patient care and is associated with improved quality of life. The objective of this project is to improve health literacy in patients with genitourinary cancer through a patient-clinician partnered education intervention. Synthesis of Literature Utilization of a targeted education program delivered in-person using voice instruction demonstrated the greatest significant effect on health-related quality of life; the additional of illustration and text further improved this metric. Optimal health related quality of life is associated with greater comprehension of disease and adherence to treatment plan, heightened self-efficacy, and improvement in patient-provider communication. Methods: The intervention is a patient-clinician partnered written form used in conjunction with verbal instruction. The patient documents reasons for the visit and primary concerns to be addressed prior to the provider encounter during the visit. The Action Plan then records the treatment plan and next steps discussed during the visit. A Confidence Ruler acts as a visual representation of patient confidence in the plan of care, acting as a prompt to the provider to ensure adequate information transfer at conclusion of the visit. The patient then retains the written form highlighting the care discussion for reference and recall as needed. Evaluation A five-point Likert test will measure change pre/post intervention; data will be analyzed in a cohort looking at improvement in overall mean. The HRQOL-14 and the CHLT-6 modified will be used to assess baseline health related quality of life and health literacy respectively followed by cohort analysis of the means to determine efficacy outcomes. The primary outcome is to improve health literacy in all patients within a genitourinary oncology clinic population using is a written tool in concurrence with verbal instruction with secondary focus on improving health-related quality of life in the same population. Recommendation Health literacy must be assessed each visit to optimize patient care outcomes and quality of life. Targeted health education must be patient specific and titrated to individual health literacy needs.
“The Bathed Ones”: Transformation into Gods among the Precontact Nahua
Authors: Madajczak Julia 
Published: January 2024

Abstract
In the sixteenth century, Fray Diego Durán gave rise to a scholarly myth that the primary purpose of Nahua ritual baths was “purification.” This article deconstructs his interpretation, focusing on baths performed on deities’ impersonators (ixiptla), and particularly the so-called tlaaltiltin, “bathed ones.” It argues that “baths,” which often consisted of merely sprinkling one’s face with water, had, above all, a transformative power. In the case of deities’ impersonators, they helped them change their ontological status, converting humans into gods and, sometimes, the other way around. The article concludes that the fabrication of a deity’s ixiptla necessarily involved applying a special kind of liquid, different for every god. Like godly attires, these “waters” contained the god’s traits or essence that enabled the transformation.
REQUIREMENTS FOR THE INNOVATIVE INFRASTRUCTURE TO ENSURE TECHNOLOGICAL SUPERIORITY OF THE RUSSIAN ECONOMY
Authors: Galimova Margarita P. 
Published: January 2024

Addressing the challenge of ensuring a technological breakthrough in the Russian economy by generating and commercializing indigenous technologies under conditions of sanctions pressure is a pressing task that can be solved based on accelerating innovation development in industry, including the manufacturing sector that provides the means of production for all types of economic activities. An innovative infrastructure is called upon to create a motivating and favorable environment for the realization of full innovation cycles, commercialization, scaling, and diffusion of innovations, which at the present stage does not meet the demands of consumer-innovators and generates technological backwardness. The need for transformation of the innovation infrastructure has become apparent.
To determine the directions of transformation, it is proposed to apply a client-oriented approach, which shifts management emphases from optimizing internal processes to optimizing solutions for consumer problems.
The article utilizes elements of the quality structuring method, namely, identifying consumer requests and analyzing the compliance of innovative infrastructure elements with requirements. Based on the analysis, directions for transformation are formulated, with subsequent ranking and evaluation of effectiveness.
Purpose. The objective is to identify and structure the requirements for an innovative infrastructure that ensures national technological superiority, based on a client-oriented approach in the context of transitioning to a digital economy and geopolitical instability.
Methodology in article: The article employs a general scientific method of analysis and synthesis, as well as a method of descriptive literature review. To present the results of the research, a tabular method is applied. The methodological foundation of the study is the client-oriented approach.
Results: The requirements of consumers to the innovative infrastructure have been identified and structured, enabling the creation and maintenance of an effective innovative environment for the growth of innovative and technological activities of industrial enterprises as a key condition for ensuring technological superiority under destructive sanction pressures.
Practical implications: The obtained results are advisable to be applied in the development of innovative strategies and in justifying the choice of innovative infrastructure objects for addressing technological breakthrough challenges.
Guerra en la zona gris y conflicto étnico
Authors: Belo Dani , Carment David 
Published: January 2024

Aunque el panorama internacional contemporáneo está dominado por guerras intrastatales, las relaciones internacionales difícilmente pueden considerarse pacíficas. En otras palabras, los Estados continúan participando en conflictos, pero por debajo del umbral de la guerra abierta. El artículo examina las tendencias generales y las consecuencias que el conflicto étnico tiene para la guerra futura, ya que los Estados emplean tácticas híbridas y estrategias de la zona gris para apoyar a sus parientes étnicos. Muchos de los conflictos étnicos actuales pueden describirse como secesionistas, en los cuales Estados externos y otros actores internacionales se ven involucrados en un conflicto, o irredentistas, en los cuales dos o más estados entran en guerra por una reclamación irredentista. El uso de tales conflictos étnicos por parte de interventores externos para participar en conflictos en la zona gris se está convirtiendo en una norma en los asuntos internacionales. El texto se centra en los casos de las intervenciones en la zona gris de Rusia en Georgia, Ucrania y la región Báltica, y se contrastan con los casos de Azerbaiyán-Armenia, el Sáhara Occidental, así como Etiopía-Eritrea, para mostrar tanto la continuidad como la transformación en la guerra. Se cierra identificando algunas de las razones por las cuales hay variación en estos casos y las implicaciones que esto tiene para la gestión de conflictos y el futuro de la guerra.
Digital Approaches to Societal Grand Challenges: Toward a Broader Research Agenda on Managing Global-Local Design Tensions
Authors: Nambisan Satish , George Gerard 
Published: January 2024

Policy/Practice-Focused Abstract Despite considerable and continued resource investments, effective solutions to broad-scope problems of social interest or societal grand challenges (GCs) have proven to be elusive in many domains. In multiactor situations that characterize GCs, divergent goals, needs, priorities, and capabilities of global and local actors create organizing design tensions that need to be considered before solutions can be enacted. Emergent digital technologies can play an important and transformative role in addressing the organizing design tensions that pervade such collective action problems. In this article, we draw on Elinor Ostrom’s principles of public value creation and identify a set of eight organizing design tensions that arise from employing global and local perspectives in addressing GCs. We consider novel digital approaches—that involve alternative arrangements of digital and socio-political elements in GC settings—to resolving each of these design tensions. Our discussion foreshadows the considerable opportunity for information systems research to contribute to the broader dialog on GCs; inform GC-related policy and practice at global and local levels; and, more broadly, speed the identification and enactment of effective solutions to grand challenges.
Joint Mixability and Notions of Negative Dependence
Authors: Koike Takaaki , Lin Liyuan , Wang Ruodu 
Published: January 2024

A joint mix (JM) is a random vector with a constant component-wise sum. The dependence structure of a joint mix minimizes some common objectives, such as the variance of the component-wise sum, and it is regarded as a concept of extremal negative dependence. In this paper, we explore the connection between the joint mix structure and popular notions of negative dependence in statistics, such as negative correlation dependence, negative orthant dependence, and negative association. A joint mix is not always negatively dependent in any of these senses, but some natural classes of joint mixes are. We derive various necessary and sufficient conditions for a joint mix to be negatively dependent and study the compatibility of these notions. For identical marginal distributions, we show that a negatively dependent joint mix solves a multimarginal optimal transport problem for quadratic cost under a novel setting of uncertainty. Analysis of this optimal transport problem with heterogeneous marginals reveals a trade-off between negative dependence and the joint mix structure. Funding: T. Koike was supported by the Japan Society for the Promotion of Science [Grant JSPS KAKENHI JP21K13275]. R. Wang acknowledges financial support from the Natural Sciences and Engineering Research Council of Canada [Grants RGPIN-2018-03823 and RGPAS-2018-522590].
Status Ontologis Tuhan dalam Teologi Pembebasan Hassan Hanafi
Authors: Adi Candra Wirinata  , Thoriq Ad Dakhil  
Published: January 2024

Abstract
This article attempts to analyze Hassan Hanafi's theology of liberation. Belief in God has a great influence on human life. The direction of human life in the world is determined by his belief and understanding of God. In his theology of liberation, Hanafi positions God not as "distant" and "inaccessible", but God exists in human life in the world. Broadly speaking, Hanafi's theology of liberation is boosted by the theory of existence which believes in the absolute "Existence" of God as the "Real" which does not erase the "Existence" of Humans in the world as well as "the real". Through this view, Hanafi criticizes the thinking of classical scholars, both theologians and Sufis, who think that "Nothing is Real" except God. Hanafi gives a different view of the ontological status of God in Islamic theological thought. Hanafi's thinking encourages human life in the world to be more real and in accordance with the proposition that God created humans seriously as khalifah fi al-ard. With this in mind, Hanafi proposes and tries to shift civilization from the classical divine frame to neo-humanism.
Keywords: God, Liberation Theology, The Real

Absrak
Artikel ini berusaha menganalisis pemikiran teologi pembebasan Hassan Hanafi. Keyakinan kepada Tuhan memiliki pengaruh besar bagi kehidupan manusia. Arah hidup manusia di dunia ditentukan oleh keyakinan dan pemahamannya tentang Tuhan. Dalam teologi pembebasannya, Hanafi memposisikan Tuhan bukan sebagai “yang jauh” dan “tak terjangkau”, tapi Tuhan itu Ada dalam kehidupan manusia di dunia. Secara garis besar, teologi pembebasan Hanafi didongkrak oleh teori metafisika wujud yang meyakini “Ada-Nya” Tuhan sebagai “Yang Nyata” secara mutlak yang tidak menghapus “Ada-nya” Manusia di dunia juga sebagai “yang nyata”. Melalui pandangan ini Hanafi mengkritik pemikiran ulama klasik, baik kalangan teolog maupun sufi, yang beranggapan bahwa “Tidak Ada Yang Nyata” selain Tuhan. Hanafi memberi pandangan yang berbeda tentang status ontologis Tuhan dalam pemikiran teologi Islam. Pemikiran Hanafi mendorong hidup manusia di dunia semakin nyata dan sesuai dengan dalil bahwa Tuhan menciptakan manusia dengan sungguh-sungguh sebagai khalifah fi al-ard. Dengan pemikiran ini juga Hanafi mengusulkan dan berusaha untuk menggeser peradaban dari bingkai ketuhanan klasik ke neo-humanisme.
Keywords: Teologi Pembebasan, Tuhan, Yang Nyata
Effect of long-term in-row branch covering on soil microorganisms in pear orchards
Authors: Ji Minghui , Xu Jintao , Gao Lijuan , Li Longfei , Liu Huan , Hao Baofeng 
Published: January 2024

Abstract
Branches covering (BC) is a way to reuse the pruned branches and save the cost of ground cloth. This study investigated the effects of BC and ground-cloth covering on the soil microcosm environment by measuring the chemical properties and microbial communities at different soil depths for 6 years. The results revealed that BC significantly improved soil chemical properties, increased the abundance of bacterial microbial communities and the diversity and homogeneity of bacteria and fungi, while decreased the abundance of fungal microbial communities. There was a threshold value for the regulation of microbial communities by BC, which decreased the high-abundance communities (Proteobacteria, Ascomycota, etc.) and increased the low-abundance communities (Acidobacteriota, Basidiomycota, etc.). Fungi were more sensitive to BC than bacteria. The stability and homogeneity of microorganisms were stronger in the 15–25 cm soil layer. The bacterial phyla were dominated by Proteobacteria, with the top 10 phyla accounting for more than 80% of the relative abundance; the genera were dominated by MND1, with the top 10 genera accounting for about 10%. The fungal phyla were dominated by Ascomycota, with the top 10 phyla accounting for 50–90%; the genera were dominated by unidentified Pyronemataceae sp., with the top 10 genera accounting for 30–60%. The phyla that differed significantly between treatments were mainly Proteobacteria, Ascomycota, Acidobacteriota, and Basidiomycota. In addition, metabolism was the predominant function in bacteria, while Saprotroph was the predominant function in fungi. Bacteroidota correlated strongly with soil chemical properties and bacterial functions, while Chytridiomycota correlated strongly with soil chemical properties and Pathogen-Saprotroph-Symbiotroph. In conclusion, BC can improve soil nutrient content and optimize microbial community structure and function. Through initially assessing the effects of BC on soil nutrients and microorganisms in pear orchard rows, this study provides a reference for excavating key microorganisms and updating the soil row management model.
Physiologic measurements of cognitive load in clinical reasoning
Authors: Mullikin Dolores R. , Flanagan Ryan P. , Merkebu Jerusalem , Durning Steven J. , Soh Michael 
Published: January 2024

Abstract

Objectives
Cognitive load is postulated to be a significant factor in clinical reasoning performance. Monitoring physiologic measures, such as heart rate variability (HRV) may serve as a way to monitor changes in cognitive load. The pathophysiology of why HRV has a relationship to cognitive load is unclear, but it may be related to blood pressure changes that occur in a response to mental stress.

Methods
Fourteen residents and ten attendings from Internal Medicine wore Holter monitors and watched a video depicting a medical encounter before completing a post encounter form used to evaluate their clinical reasoning and standard psychometric measures of cognitive load. Blood pressure was obtained before and after the encounter. Correlation analysis was used to investigate the relationship between HRV, blood pressure, self-reported cognitive load measures, clinical reasoning performance scores, and experience level.

Results
Strong positive correlations were found between increasing HRV and increasing mean arterial pressure (MAP) (p=0.01, Cohen’s d=1.41). There was a strong positive correlation with increasing MAP and increasing cognitive load (Pearson correlation 0.763; 95 % CI [; 95 % CI [−0.364, 0.983]). Clinical reasoning performance was negatively correlated with increasing MAP (Pearson correlation −0.446; 95 % CI [−0.720, −0.052]). Subjects with increased HRV, MAP and cognitive load were more likely to be a resident (Pearson correlation −0.845; 95 % CI [−0.990, 0.147]).

Conclusions
Evaluating HRV and MAP can help us to understand cognitive load and its implications on trainee and physician clinical reasoning performance, with the intent to utilize this information to improve patient care.
Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses
Authors: Brashear Jessica , Mize Ryan , Laposata Michael , Zahner Christopher 
Published: January 2024

Abstract

Objectives
Diagnostic management teams (DMT) are groups of experts with specialized knowledge to guide test selection and interpretation of results. They have been active in institutions over the past 20 years. To date, there are limited data on whether the presence of experts to advise healthcare providers on appropriate laboratory test selection and interpretation of complex test results positively impacts patient care.

Methods
A retrospective study at a regional healthcare system with 257,000 patient encounters between 2011 and 2022 reviewing test interpretations provided by clinical laboratory experts on a diagnostic management team.

Results
Cases reviewed by the coagulation DMT were 6 times more likely to have an established, scientifically based diagnosis compared to those without a DMT. Patients who have a coagulation DMT review were twice as likely to receive a diagnosis vs. having no diagnosis.

Conclusions
This study demonstrates that for several objective clinical outcomes, specifically diagnostic conclusions and length of stay, a DMT of coagulation experts assessing patients’ test results has had a major impact on outcomes and delivery of care.
Thermal performance of radiant floor cooling with phase change material for energy-efficient buildings
Authors: Kamil Qusay , Abd Najim 
Published: January 2024

Abstract
In this article, we propose a novel radiant floor cooling system employing phase change materials (PCMs) with the applicability of a thermal energy simulation (TES) using two different TESs (spiral and counter). The numerical simulation was done with the help of a computational fluid dynamic program tool, namely, the ANSYS FLUENT 2022R2 software package. The results indicated that the cooling system’s performance is not greatly improved by the water mass flow rate (0.5 kg/s). Such radiant floor cooling systems can be calculated and designed with the help of the model. The results also showed that the PCM took a long time to dissolve with respect to the counterblow model (144 min) more than the spiral model reached (130 min) and thus benefited from storing and reducing energy consumption during peak load. The results also showed the temperature range of melting during the charging process is about 27–29°C, while it ranges between 22 and 26°C) during the discharge process. It is found that, generally, the counter pattern is the best configuration, allowing better thermal homogenization.
“… God Said”: Toward a Quantum Theology of Creation
Authors: Walton Ryder Dale 
Published: January 2024

Abstract
This work argues that because Quantum Mechanics (QM) is superb at simulating natural, physical phenomena, so-called quantum-native phenomena, and that Quantum Natural Language Processing (QNLP), its child, is also quantum-native, God’s generative language of physical creation is native to a quantum world; therefore, it is now possible to postulate an argument for God’s creation of the world through language without requiring divine revelation. This argument is, in essence, an extension of the Augustinian argument – the baseline argument from mathematics and abstract objects – for the existence of God that accounts for contemporary advances in QM. Additionally, this work invites further research and investigation into applying category theory to model the theistic universe thereby allowing both modeling and simulations of the symbolic world.
Mucosa-associated lymphoid tissue lymphoma of thyroid and adrenal glands with primary adrenal insufficiency
Authors: Hsieh Chi-Ta , Yu Jui-Ting , Tsao Tang-Yi , Tseng Yao Hsien 
Published: January 2024

Summary
A 69-year-old woman presented with weight loss, fever, dizziness, exertional dyspnea, and drenching night sweats. Imaging showed a thyroid goiter at the left lobe that measured 5.6 × 3.4 × 3.5 cm in size. On computed tomography, she was found to have large adrenal masses. Core needle biopsy of the left thyroid mass revealed the presence of a mucosa-associated lymphoid tissue extranodal marginal zone B cell lymphoma. Non-Hodgkin’s lymphomas (NHL) typically develop in lymph nodes or other lymphatic tissues. There have been cases where the thyroid has been affected, and the secondary involvement of the adrenal gland is common. In reported cases, 7–59% of patients with NHL exhibited symptoms of thyroid dysfunction. Our patient presented no symptoms of thyroid dysfunction or Hashimoto’s thyroiditis. The patient had bilateral adrenal lymphomas that led to adrenal insufficiency. Immunochemotherapy provided a good response in this case, as seen by the rapid improvement in thyroid and adrenal mass on follow-up PET/CT.

Learning points

Thyroid lymphoma requires a high index of suspicion for diagnosis in patients with a rapidly growing thyroid tumor, even in the absence of chronic inflammatory thyroid disease.

Depending on the extent of involvement, adrenal lymphoma may rapidly cause adrenal insufficiency.

In the setting of acute illness, appropriate levels of plasma cortisol are often unclear, necessitating early initiation of glucocorticoid therapy based on clinical suspicion, especially when features like bilateral adrenal masses and elevated ACTH levels are present.

Treatment modalities include chemotherapy and radiation therapy for localized lesions, together with hormone replacement for organ dysfunction.

The origin of the tumor influences the clinical outcome of patients with lymphoma simultaneously involving the thyroid and adrenal glands.