bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Need for Advance Care Planning as a Pivotal Means for Respecting the Patient’s Will in Poland: Learning Points from Swiss and Australian Models
Authors: Dzierżanowski Tomasz , Crawford Gregory B. , Larkin Philip , Kubiak Rafał , Krones Tanja 
Published: October 2023

Abstract
Self-determination is pivotal for a patient’s autonomy. Decisions at the end of life should reflect the human right to decide on the last days of life according to personal beliefs, philosophy, preferences, and values. Advance Care Planning (ACP) aims to ensure that patients receive medical care consistent with their values, goals, and priorities during progressive life-threatening chronic illness. We present decades-long experience of the implementation of ACP in different legal systems, in Switzerland and Australia, and the current legal situation of pro futuro statements in Polish law. Irrespective of jurisdiction and despite the apparent benefits of ACP, its implementation may face numerous impediments, i.e. poor public health messaging, a lack of skilled, trained personnel to deliver and sustain ACP initiatives, misunderstanding of the practical application of an advance care directive in real terms, and misperception of ACP as a form of crypto-euthanasia. Addressing these impediments would be a prerequisite for its successful national implementation. Furthermore, successful implementation needs public dialogue, collaboration between legislators and healthcare professionals, and engagement with the public, patients, and caregivers to foster a greater understanding of the true meaning of self-determination.
The Issue of the Axiological Consistency of the Criminal Provisions Regulating the Causing of Human Death
Authors: Sitarz Olga 
Published: October 2023

Abstract
This article aims to assess whether the criminal law regulations on causing human death are consistent with each other, but primarily whether they are coherent with the axiology of the entire legal system in that area. First, the author presents the significance of axiological consistency and – based on the Constitutional provisions, rulings of the Constitutional Tribunal and arguments of representatives of the doctrine – decodes the basic assumptions relating to the protection of human life. Further, by means of an examination of the provisions of the Criminal Code and the law on infertility treatment, the author diagnoses a state of complete axiological inconsistency in the area of a criminal law response to causing death, pointing to the causes of that state of affairs. The significance of axiological consistency indicated at the outset (on numerous levels) does not let one ignore that conclusion.
The Death of an Insolvent Entrepreneur in the Light of Bankruptcy Law Regulations
Authors: Cybulska-Bienioszek Agnieszka , Witosz Aleksander J. 
Published: October 2023

Abstract
This study aims to identify and analyse the specific regulations of the Bankruptcy Law to the extent that they relate to the death of an insolvent debtor. The authors attempt to determine the correct interpretation de lege lata, and where it is justified, draw conclusions de lege ferenda. Due to the fact that regulations must be interpreted together with the provisions of inheritance law and other regulations, their correct interpretation may be difficult. This study contains an analysis of three possible cases: when death occurred after the filing of a bankruptcy petition, during the course of bankruptcy proceedings, but also on the brink of bankruptcy before the petition was filed by an authorized person. In the event of death after filing for bankruptcy or after its declaration, the problem is essentially of a procedural nature and is generally resolved by identifying the persons participating in the proceedings (usually a trustee). On the other hand, in the event of the death of an insolvent entrepreneur before they file for bankruptcy, the Bankruptcy Law provides for a separate procedure. At the same time, it seems that due to the distinctness of this situation, the introduction of a different, specific definition of insolvency is justified, which the authors present in this study.
Late-Onset Sepsis in Very Low Birth Weight Infants
Authors: Klinger Gil , Bromiker Ruben , Zaslavsky-Paltiel Inna , Klinger Sharon , Sokolover Nir , Lerner-Geva Liat , Reichman Brian ,   ISRAEL NEONATAL NETWORK
Published: October 2023

BACKGROUND AND OBJECTIVES
Late–onset sepsis is associated with significant morbidity and mortality among very low birth weight (VLBW) infants. Our objective was to determine risk factors associated with late-onset sepsis and to present temporal trends in overall and pathogen-specific rates.

METHODS
Population-based study by the Israel Neonatal Network on VLBW infants (≤1500 g) born between 1995 and 2019. Late-onset sepsis required clinical symptoms and microbiologic confirmation. Bivariate and multivariable analyses were performed to identify risk factors. The study period was divided into 4 epochs. Overall and pathogen-specific late-onset sepsis rates for each epoch were compared.

RESULTS
The study population comprised 31 612 VLBW infants, of whom 7423 (23.5%) had late-onset sepsis. An increased adjusted risk of late-onset sepsis was associated with gestational age &lt;27 w (odds ratio [OR] 8.90, 95% confidence interval [CI] 7.85–10.09) and delivery room resuscitation (OR 1.43, 95% CI 1.34–1.52) and a decreased adjusted risk among infants born between 2013 and 2019 (OR 0.32, 95% CI 0.29–0.35). Late-onset sepsis rates declined from 29.5% in 1995 to 2000 to 13.0% in 2013 to 2019. Gram-negative and fungal rates decreased in all epochs, whereas gram-positive rates decreased only in the last epoch. The adjusted hazard ratios (95% CI) decreased in the 2013 to 2019 versus 1995 to 2000 epochs and were: all late-onset sepsis, 0.40 (0.37–0.43); gram-positive, 0.47 (0.37–0.59); gram- negative, 0.54 (0.48–0.61); fungal, 0.17 (0.12–0.22).

CONCLUSIONS
The strongest risk factor for late-onset sepsis was gestational age &lt;27 w. Over a 25-year period, the pathogen-specific rates of late-onset sepsis among VLBW infants decreased approximately twofold for gram-positive and gram-negative bacterial infections and sixfold for fungal infections.
Imaging the Sources of the March 2021 Seismic Sequence in Thessaly Basin (Central Greece) from Kinematic Slip Inversion and Backprojection of Waveform Envelopes
Authors: Vavlas Nikolaos , Fountoulakis Ioannis , Roumelioti Zafeiria , Evangelidis Christos P. , Kiratzi Anastasia 
Published: October 2023

ABSTRACT
In March 2021, a series of three moderate events with moment magnitudes Mw 6.3, 6.0, and 5.5 occurred within a span of 10 days in northern Thessaly, Greece, resulting in a stop–start pattern. The moment tensors (MTs) obtained from the events suggested normal faulting along distinct yet adjacent southeast–northwest-trending faults, indicating a sequential triggering process. We applied two methods to investigate the spatial and temporal characteristics of the source process of the triplet. This approach includes linear slip inversion of regional seismic waveforms and static Global Positioning System offsets, along with backprojection of regional waveforms using the Source-Scanning Algorithm technique. The detailed modeling suggests that three adjacent, subparallel (∼300°), and low-angle, detachment-type structures were responsible for the earthquakes. The stress axes orientation was determined by inverting a dataset of recomputed MTs combined with published solutions of the sequence. The results indicated a clockwise rotation of the local extensional axis by ∼25° compared to the regional ∼north–south extension. This rotation is consistent with the orientation of the modeled seismogenic structures. Inversions for both nodal planes and grid-searching fault geometry and orientation showed that for the first-two strongest events, the activated fault planes dipped to the northeast, whereas an antithetic (southwest dipping) fault was activated during the last weaker event. For the Mw 6.3 event, both the independent analyses indicated an overall rupture duration of ∼10 s, energy bursts above and near the hypocenter, up-dip (toward the southwest) rupture propagation in the early stages of the source process, and a bilateral rupture at later stages.
Una visión sistemática de la Importancia del Interés Superior del Niño en Sudamérica
Authors: Ysla Briones Dalesska Isabel , De Piérola García Violeta María 
Published: October 2023

El reconocimiento del Principio del Interés Superior del Niño se aprobó en 1989 y con ello se pretendía proteger los derechos inherentes de los niños, permitiéndoles gozar de una protección Legal que garantiza su óptimo desarrollo durante su infancia, protegiendo los aspectos económicos, emocionales y físicos.
El objetivo fue investigar la importancia del Principio de Interés Superior del Niño en Sudamérica, a partir de la interpretación de la Corte Interamericana de Derechos Humanos, analizando el derecho internacional y nacional, además del contexto actual en los delitos que vulnera este principio.
La metodología fue de revisión bibliográfica estructurada de enfoque cualitativo, con diseño multimodal de análisis temático fenomenográfico desde 20 artículos de las bases de open access de Scielo, Scopus, Wos, realizando una búsqueda desde el método prisma, utilizando el método híbrido inductivo-deductivo. El muestreo fue no probabilístico, con criterios de inclusión y exclusión desde una revisión sistemática de artículos encontrados en la base de datos de revistas indexadas de rigor científico, con una antigüedad de siete años.
Los resultados y discusión advierten que en los países de Sudamérica se estableció como prioridad el proteger los derechos del niño y con ello velar el principio de interés superior.
Se concluye que, existe predisposición de las autoridades competentes de plena protección de los derechos del niño.
El mercadeo de la barbarie. Paisajes de violencia en la frontera norte de México
Authors: Salazar Gutiérrez Salvador 
Published: October 2023

Este artículo aborda un aspecto del proceso comunicativo relacionado con la producción mediática, en el que más que ubicar a los medios como fuente en la generación y responsabilidad de la violencia y los miedos que ésta produce, se comprenden desde la lógica de la mediación en la que se han convertido en elementos importantes en relación con otros, tales como la comunidad, las instituciones y la colectividad. Analizar la responsabilidad que se asume desde la producción mediática significa también problematizarla a partir de procesos más complejos en el surgimiento y establecimiento de la violencia como referente que comienza a dominar las dinámicas y relaciones cotidianas de la ciudad fronteriza del norte de México. AbstractThe purpose of the article is to explore a dimension of the communicative process related to media production. Its objective is to go beyond identifying the media as the source of violence and the fears it generates. Rather, it tries to understand the ways the media relates to other factors such as the community and the institutions. To speak about the responsibility of media production, is also to analyze complex processes involved in the generation and permanence of violence, as a referent that begins to dominate the dynamics and daily relations of the frontier city of the north of México.
Evaluation of Ultrasonographic Characteristics and Cytopathological Results of Autonomous (Toxic) Thyroid Nodules
Authors: ÇALIŞKAN Mustafa 
Published: October 2023

Objective: Thyroid nodules are clinical conditions frequently encountered in the community and known to be associated with malignancy. In this study, it was aimed to determine the frequency of malignancy in patients diagnosed with autonomous (toxic) thyroid nodules (TTN). In addition, the effectiveness of ultrasonography (US) findings and fine needle aspiration (FNA) results in helping the diagnosis of malignancy were investigated.
Methods: Autonomous (Toxic) thyroid nodule was diagnosed by presence of nodule on US in the presence of subclinical or clinical hyperthyroidism, and detection of suppression in other parts of the gland with increased activity in scintigraphy performed with Tc‐99m pertechnetate. Fine-needle aspiration was performed on patients who were considered suspicious by ultrasonographic findings. The histopathology results of the patients who were found to need surgical resection were recorded.
Results: 125 patients with autonomous (toxic) thyroid nodules were included in the study. Of the patients, 82 (65.60%) were female and 43 (34.40%) were male, with a mean age of 63.55±11.13 years. Ultrasonography revealed that nodules were less frequently located in the isthmus and left upper pole. The presence of microcalcification was detected in 8 (6.4%) patients. Histopathologically, the nodules of 2 (1.6%) patients were found to be malignant. Both patients who were found to be malignant were male and their nodules were seen as hypoechoic on US.
Conclusions: Since it has been seen that autonomic (toxic) thyroid nodules may be related to malignancy, careful evaluation of male patients with a hypoechoic image on US was considered appropriate.
Soil cover transformation after the laying of a high-voltage power line
Authors: Zakharova M. K. , Morgach Yu. R. , Sukhacheva E. Yu. 
Published: October 2023

Today the rate of anthropogenic transformations of the soil cover significantly exceeds the rate of its natural restoration. According to a modern digital soil map at a scale of 1 : 200,000 in the Leningrad Region anthropogenically modified subtypes of natural soils, which were formed as a result of human economic activity, predominate. The article considers anthropogenic changes in soils and soil cover of the territory of the high-voltage power line. The study area of 100×500 meters is located in the Tikhvinsky district between the settlements of Kalivets and Novaya Ust-Kapsha. The landscape of the territory belongs to the lake-glacial plain, the soil-forming rocks are lake-glacial sands and sandy loam. Natural soils that are not affected by technological works are found only in the forest, outside the clearing laid during the construction of the power line. These are Albic Podzol, Entic Podzol, Histic Albic Podzol, Histic Entic Podzol and Histic Gleysol. It was revealed that in the study area, the horizons of the original natural soils are partially or completely cut off, turbated, compacted, which led to the formation of their anthropogenically transformed subtypes: over-compacted, abraded, turbid and stratified. Sometimes soil material is exposed to the surface and moved over the study area by tens of meters. After the construction of the high-voltage line, new formations appeared in the soil cover, such as Podzol Nudispodic, buried soils and several types of non-soil formations. It is revealed that each technological operation (logging, installation of power transmission line supports, organization of places for technological operations and the creation of temporary roads) is characterized by its own special disturbances in the soil cover. Thus, after the construction of the power line, there were no natural soils with an undisturbed structure in the soil cover. In addition to the fundamental transformation of the soil cover at the site, natural vegetation was reduced, the mesorelief was partially disrupted and the microrelief was almost completely changed. All these anthropogenic transformations will affect the quality of the ecological functions of the soil cover. During the further operation of power transmission lines, such as clearing a cut-out clearing, updating fire-prevention mineralized strips, maintaining the power grid, disturbances of the soil cover will be periodically repeated, preventing the ecosystem from returning to its original state.
Satisfacción del alumnado tras la aplicación de la metodología MAES en el aula de simulación de la escuela universitaria de enfermería de Ávila
Authors: González Marta , Jiménez Vaquero Cesár , Lozano Molina Ainhoa , Bermejo Gil Beatriz María 
Published: October 2023

La simulación clínica es una forma de enseñanza que se está implantando en muchas facultades cmo método de formación que permite llevar a la práctica actuaciones clínicas en un entorno realista y sib riesgo para los pacientes. Permite también, mejorar las habilidades de comunicación de los estudiantes, la autoeficacia, la competencia clínica y las habiliadades de resolución de problemas. El Grado de Enfermería de la Escuela Universitaria de Ávila, centro adscrito a la Universidad de Salamanca, implementa en el curso 2021-22, la simulación con metodología MAES cmo nuevo sistema de aprendizaje.El objetivo de este estudio es evaluar la satisfacción de los estudiantes del Grado de Enfermería con la Simulación Clínica de Alta Fidelidad. La muestra está formada por los estudiantes de 2º, 3º y 4º curso (n=150) a los que se les administró el cuestionario de 15 items “Calidad y Satisfacción en el método de enseñanza-aprendizaje de Simulación Clínica".
Los resultados obtenidos muestran que la simulación con metodología MAES es un método útil de enseñanza que motiva al aprendizaje y mejora las habilidades técnicas. Se observa también que los casos en escenarios simulados ayudan a priorizar las actuaciones de enfermería, al mismo tiempo que aumentan su seguridad y confianza, y que la metodología MAES fomenta el trabajo en equipo.
Es necesaria una continua formación para poder darle a los casos simulados la duración y el contenido adecuados, integrando la teoría impartida en las aulas con la práctica en un entorno seguro, que complemente y capacite al alumnado de enfermería para la vida profesional.
Proposed Methodology and Application of Statistical Analysis Methods on MPD Surface Back Pressure Control System's Performance Evaluation in Extended Reach Drilling (ERD) Wells
Authors: Houng N. H. , Palacios J. 
Published: October 2023

Abstract
Over the years, the performance of MPD systems is often called into question when it comes to Surface Back Pressure (SBP) applications to maintain the desired downhole pressure set point, thus eroding the confidence level in applying constant bottomhole pressures at target depths – whether at bit or a fixed depth.
In this paper, the performance of various MPD systems is evaluated utilizing statistical analysis, including offline Change Point (CP) inference and Regression analysis on the downhole Pressure While Drilling (PWD) data as a result of the SBP applied during drilling operations. The paper also proposes an objective methodology in the evaluation process, minimizing the influence of various MPD systems’ operating philosophies.
The main criteria of the evaluation process are to determine the variances between the modelled and actual MPD setpoint downhole pressure against PWD data at target depth, depending on various operation types.
In order to reduce the influence of varying operating philosophies across different MPD systems, the methodology proposed focuses on drilling operations and common data across wells. Analytical methods, including offline Change Point Analysis, are used to identify the sequence of events, operation types and pumps-off events. The trending of ESD and ECD are then determined based on operation categories. Finally, the variances and standard deviation between PWD data and setpoint EMWs are determined using regression analysis as well as normal median and mean values analysis to evaluate the performance of the MPD system and also to determine factors that could affect the performance of the system.
Calculation of Reservoir Fluid Influx While Underbalanced Drilling
Authors: Azarnejad Faramarz , Azarnejad Arash 
Published: October 2023

Abstract
Underbalanced drilling is one of the drilling techniques which relies on reservoir fluid influx. After more than 2 decades of the invention of the underbalanced drilling technology, the calculation of the fluid influx into the wellbore is yet to be improved. A knowledge of the fluid influx into the wellbore while drilling is required for accurate hydraulic modelling for designing a successful underbalanced drilling operation.
In this paper, the influx from the reservoir is defined by applying a transient mathematical solution with the possibility of incrementing the wellbore length in time. The mathematical model allows for permeability variation along the wellbore length leading to the possibility of formation evaluation while drilling. The results, through few examples, show that permeability is directly affecting the influx magnitude while drilling.
Enabling Safe Drilling and Completion Operations Through Negative Margin Formations with Managed Pressure Drilling and Wellbore Strengthening
Authors: Radzi Razif Md , Wan Joachim , Mathew Magdeline 
Published: October 2023

Abstract
While wellbore strengthening techniques have been proven successful in strengthening weak permeable zones to achieve higher fracture gradients, the extent of their effectiveness is variable. This paper discusses an integrated approach where Managed Pressure Drilling (MPD) is incorporated and designed in conjunction with wellbore strengthening strategies to drill wells with formation strength below borehole stability requirements, thus allowing fail-safe outcomes from depleted drilling and completion operations, ultimately reducing the consequence of failure, and simplifying recovery efforts.
There are two main benefits of incorporating MPD. First, MPD enables a reduction in the required drilling margin, and this in turn prevents an over-reliance on the effectiveness of wellbore strengthening strategies. Second, MPD provides the ability to reduce downhole pressure, reducing the consequences of unexpected loss circulation events. Mud weight selection was carefully engineered with several factors taken into consideration, including shale inhibition, impact on completion operations, and consequence of MPD system failure.
Eight hole sections across four deep-water subsea wells were initially designed to be drilled with wellbore strengthening strategies alone, however, a loss circulation event led to challenging remediation and recovery efforts. Upon incorporating this MPD design, while seven other hole sections were drilled successfully without any loss circulation events, one hole section encountered loss circulation, and this design allowed an instant reduction in surface back pressure to stop the losses, effectively "failing safely". Four lower completion operations were also successfully executed with this design incorporated.
Reservoir Characterization in Transient Wellbore Conditions Resulting from Unintended Hydraulic Fracture Communications Utilizing MPD
Authors: Kvalo P. E. M. , Duarte M. , Vargas N. , Laird E. , Sullins T. , Boddy T. , Janes C. 
Published: October 2023

Abstract
MPD for reservoir characterization in green field applications is often seen as vital for providing operators with valuable information about the reservoir's physical properties while drilling. This aspect of Managed Pressure Drilling (MPD) in mature fields is not often a driver for implementation as these characteristics are typically well-defined. However, external factors such as unintentional communication between drilling and fracking operations can significantly alter known reservoir characteristics. The proppant exponentially enhances the permeability of both the child and parent well. While the fracturing fluid initially increases the pore pressure and stress environment in the near wellbore region, followed by its subsequent reduction, the rate of which is dependent on the dominant regime: flow back on the parent well, pressure equalization of the reservoir, and/or diffusion of fluid into the drilling mud.
The challenges and interactions associated with unintended frac communication and how primary reservoir characteristics are fundamentally altered as a result will be discussed. Additionally, the results of each reservoir characterization test can be interpreted to adjust the plan forward and utilized to navigate these transient wellbore conditions. Thus, providing clear insight into the wellbore's evolving drilling window, enabling the safe drilling and completion of the "fracked into" well.