bluuebunny/crossref_metadata_2025_split huggingface dataset:
Revisando a História da enfermagem com Florence Nightingale: Revolução na Higiene e organização hospitalar.
Authors: Silva Marcus Sávio de Sousa , Carvalho Enyedja Kerlly Martins de Araújo , Patrocínio Maria Dapaz Pereira  do , Camargos Tayane dos Santos , Morais Rainally Sabrina Freire de , Silva Ana Claudia Rodrigues da , Barbosa Thays Menezes Guimarães , Camargos Jonathan Pires de , Bezerra Laysla de Arruda Fontenele , Fachini Mérlim , Neto Carleone Vieira dos Santos , Zanoni Rodrigo Daniel 
Published: October 2023

Este artigo tem como propósito aprofundar o conhecimento sobre a vida e legado de Florence Nightingale, com ênfase em sua notável influência na enfermagem moderna. Analisamos seu papel durante a Guerra da Crimeia, seus métodos revolucionários de administração hospitalar e o impacto contínuo que ela exerce sobre a prática da enfermagem contemporânea. Foram empregados os indexadores Google Scholar, Scopus e Web of Science como ferramentas de pesquisa para a seleção dos artigos. Foram utilizados os seguintes termos de busca: "Enfermagem”, “Florence Nightingale”, “Higiene”, “Cuidados de Saúde”, “Guerra da Crimeia”, “Diagrama Rosa”, “Legado” e “Enfermagem Moderna". Ao final desse processo, foram obtidos um conjunto de 20 fontes de literatura, que inclui livros e artigos acadêmicos, que serviram como base para os resultados desta pesquisa. A meta deste estudo é oferecer uma compreensão mais abrangente das origens da enfermagem e inspirando a aplicação dos princípios de Nightingale em suas trajetórias profissionais.
Pediatric Resident Communication of Hospital Discharge Instructions
Authors: Glick Alexander F. , Farkas Jonathan S. , Gadhavi Jasmine , Mendelsohn Alan L. , Schulick Nicole , Yin H. Shonna 
Published: October 2023

Objective:
Suboptimal provider-parent communication contributes to poor parent comprehension of pediatric discharge instructions, which can lead to adverse outcomes. Residency is a critical window to acquire and learn to utilize key communication skills, potentially supported by formal training programs or visual reminders. Few studies have examined resident counseling practices or predictors of counseling quality. Our objectives were to (1) examine pediatric resident counseling practices and (2) determine how formal training and presence of discharge templates with domain-specific prompts are associated with counseling.

Methods:

We conducted a cross-sectional survey of a convenience sample of residents in the American Academy of Pediatrics Section on Pediatric Trainees. Outcomes included resident self-report of frequency of (1) counseling in domains of care and (2) use of health literacy-informed counseling strategies (pictures, demonstration, Teach Back, Show Back) (6-point scales; frequent =
often/usually/always
). Predictor variables were (1) formal discharge-related training (e.g., lectures) and (2) hospital discharge instruction template with space for individual domains. Logistic regression analyses, utilizing generalized estimating equations when appropriate to account for multiple domains (adjusting for resident gender, postgraduate year), were performed.

Key Results:

Few residents (
N
= 317) (13.9%) reported formal training. Over 25% of residents infrequently counsel on side effects, diagnosis, and restrictions. Resident reported use of communication strategies was infrequent: drawing pictures (24.1%), demonstration (15.8%), Teach Back (36.8%), Show Back (11.4%). Designated spaces in instruction templates for individual domains were associated with frequent domain-specific counseling (adjusted odds ratio [aOR] 4.1 [95% confidence interval: 3.5–4.8]). Formal training was associated with frequent Teach Back (aOR 2.6 [1.4–5.1]) and Show Back (aOR 2.7 [1.2–6.2]).

Conclusions:

Lack of formal training and designated space for domain-specific instructions are associated with suboptimal counseling at discharge by pediatric residents. Future research should focus on determining the best mechanisms for teaching trainees communication skills and optimizing written instruction templates to support verbal counseling. [

HLRP: Health Literacy Research and Practice
. 2023;7(4):e178–e186.

]
A Refined Teach-back Observation Tool: Validity Evidence in a Pediatric Setting
Authors: Abrams Mary Ann , Crichton Kristin Garton , Oberle Edward J. , Flowers Stacy , Crawford Timothy N. , Perry Michael F. , Mahan John D. , Reed Suzanne 
Published: October 2023

Background:
Teach Back (TB) is recommended to assess and ensure patient understanding, thereby promoting safety, quality, and equity. There are many TB trainings, typically lacking assessment tools with validity evidence. We used a pediatric resident competency-based communication curriculum to develop initial validity evidence and refinement recommendations for a Teach-back Observation Tool (T-BOT).

Objective:
This study aimed to develop initial validity evidence for a refined T-BOT and provide guidance for further enhancements to improve essential TB skills training among pediatric residents.

Methods:
After an interactive health literacy (HL) training, residents participated in recorded standardized patient (SP) encounters. Raters developed T-BOT scoring criteria, then scored a gold standard TB video and resident SP encounters. For agreement, Fleiss' Kappa was computed for >2 raters, and Cohen's Kappa for two raters. Percent agreement and intraclass correlation (ICC) were calculated. Statistics were calculated for gold standard (GS) and TB items overall for all six raters, and for five faculty raters. Agreement was based on Kappa: no agreement (≤0), none to slight (0.01–0.20), fair (0.21–0.40), moderate (0.41–0.60), substantial (0.61–0.80), almost perfect (0.81–1.00).

Key Results:

For six raters, Kappa for the GS was 0.554 (moderate agreement) with 71.4% agreement; I
CC
= .597; for SP encounters, it was 0.637 (substantial) with 65.4% agreement; I
CC
= .647. Individual item agreement for SP encounters average was 0.605 (moderate), ranging from 0.142 (slight) to 1 (perfect). For five faculty raters, Kappa for the GS was 0.779 (substantial) with 85.7% agreement; I
CC
= .824; for resident SP encounters, it was 0.751 (substantial), with 76.9% agreement; I
CC
= .759. Individual item agreement on SP encounters average was 0.718 (substantial), ranging from 0.156 (slight) to 1 (perfect).

Conclusion:

We provide initial validity evidence for a modified T-BOT and recommendations for improvement. With further refinements to increase validity evidence, accompanied by shared understanding of TB and rating criteria, the T-BOT may be useful in strengthening approaches to teaching and improving essential TB skills among health care team members, thereby increasing organizational HL and improving outcomes. [

HLRP: Health Literacy Research and Practice
. 2023;7(4):e187–e196.

]
Weighted nonlinear flag manifolds as coadjoint orbits
Authors: Haller Stefan , Vizman Cornelia 
Published: October 2023

AbstractA weighted nonlinear flag is a nested set of closed submanifolds, each submanifold endowed with a volume density. We study the geometry of Fréchet manifolds of weighted nonlinear flags, in this way generalizing the weighted nonlinear Grassmannians. When the ambient manifold is symplectic, we use these nonlinear flags to describe a class of coadjoint orbits of the group of Hamiltonian diffeomorphisms, orbits that consist of weighted isotropic nonlinear flags.
A new lower bound in the conjecture
Authors: Bright Curtis 
Published: October 2023

AbstractWe prove that there exist infinitely many coprime numbers a, b, c with
$a+b=c$
and
$c>\operatorname {\mathrm {rad}}(abc)\exp (6.563\sqrt {\log c}/\log \log c)$
. These are the most extremal examples currently known in the
$abc$
conjecture, thereby providing a new lower bound on the tightest possible form of the conjecture. Our work builds on that of van Frankenhuysen (J. Number Theory 82(2000), 91–95) who proved the existence of examples satisfying the above bound with the constant
$6.068$
in place of
$6.563$
. We show that the constant
$6.563$
may be replaced by
$4\sqrt {2\delta /e}$
where
$\delta $
is a constant such that all unimodular lattices of sufficiently large dimension n contain a nonzero vector with
$\ell _1$
-norm at most
$n/\delta $
.
Evaluation of the Performance of a 3D-Printed Smartphone-Based Retinal Imaging Device as a Screening Tool for Retinal Pathology in Mozambique
Authors: Varo Rosauro , Postigo María , Bila Rubao , Dacal Elena , Chiconela Hélio , García-Villena Jaime , Cuadrado Daniel , Vladimirov Alexander , Díez Nuria , Vallés-López Ramón , Sitoe Antonio , Vitorino Pio , Mucasse Campos , Beltran-Agullo Laura , Pujol Olivia , García Virginia , Abdala Mariamo , Sallé Lucía , Anton Alfonso , Santos Andrés , Ledesma-Carbayo María J. , Luengo-Oroz Miguel , Bassat Quique 
Published: October 2023

ABSTRACT.
Low-income countries carry approximately 90% of the global burden of visual impairment, and up to 80% of this could be prevented or cured. However, there are only a few studies on the prevalence of retinal disease in these countries. Easier access to retinal information would allow differential diagnosis and promote strategies to improve eye health, which are currently scarce. This pilot study aims to evaluate the functionality and usability of a tele-retinography system for the detection of retinal pathology, based on a low-cost portable retinal scanner, manufactured with 3D printing and controlled by a mobile phone with an application designed ad hoc. The study was conducted at the Manhiça Rural Hospital in Mozambique. General practitioners, with no specific knowledge of ophthalmology or previous use of retinography, performed digital retinographies on 104 hospitalized patients. The retinographies were acquired in video format, uploaded to a web platform, and reviewed centrally by two ophthalmologists, analyzing the image quality and the presence of retinal lesions. In our sample there was a high proportion of exudates and hemorrhages—8% and 4%, respectively. In addition, the presence of lesions was studied in patients with known underlying risk factors for retinal disease, such as HIV, diabetes, and/or hypertension. Our tele-retinography system based on a smartphone coupled with a simple and low-cost 3D printed device is easy to use by healthcare personnel without specialized ophthalmological knowledge and could be applied for the screening and initial diagnosis of retinal pathology.
Metodología juego-trabajo y su importancia en el desarrollo de habilidades cognitivas en niños de preescolar en el distrito de Penonomé.
Authors: Pérez Dayse , Castro B. José 
Published: October 2023

Con el pasar de los tiempos los cambios tecnológicos, científicos y humanísticos específicamente en el campo de la educación han tenido un gran avance sobre todo en los métodos utilizados por los maestros en su quehacer pedagógico, en la educación preescolar, la metodología juego-trabajo ha surgido como una estrategia para optimizar las experiencias de aprendizaje en los niños logrando así que estas sean más significativas e interesantes, evadiendo de esta manera la educación rutinaria que mantenía al niño pasivo y sin oportunidad de explotar su potencial.
Por ello, este estudio se enfoca en conocer la importancia de la metodología juego-trabajo y la relación que tiene en el desarrollo de las habilidades cognitivas en los infantes de preescolar. Se ejecutó un estudio descriptivo con un enfoque cuantitativo y se utilizó como herramienta para recolección de información una encuesta estructurada con 10 preguntas relacionadas al tema en estudio. Este instrumento fue aplicado a 40 docentes del distrito de Penonomé, pero solo fue contestada de manera completa por 20 docentes de preescolar de estas escuelas. Los resultados determinaron que 65% de los docentes consideran que la metodología juego-trabajo desarrolla habilidades en los niños de preescolar, cabe mencionar que un 35% indica que esta metodología no aporta o no potencia ningún tipo de habilidades en los infantes de preescolar. El 50 % de los encuestados señalan que esta metodología aporta o potencia habilidades cognitivas necesarias para los niños de este nivel educativo, lo que indica que hay docentes que no la utilizan, por ende, es necesario dar a conocer lo importante que es para el niño que se retome en las aulas de clases esta metodología que resulta de muchos beneficios para ellos.
Evaluation of the potential benefits of alkaline drinking water on tumor development reveals vascular protective effects
Authors: García-Gómez Raquel , Prieto Ignacio , Amor Sara , Patel Gaurangkumar , Fuente María de la , Granado Miriam , Monsalve Maria 
Published: October 2023

IntroductionThe proposed benefits of alkaline water generally lack experimental supporting evidence.Material and methodsWe tested the effects of alkaline water on tumor development in C57BL/6 mice. To recapitulate early tumor development, mice were fed a high-fat diet and treated with DEN (50 µg/l) and TCPOBOP (0.5 µg/g) for 24 weeks.ResultsCell proliferation was significantly lower in animals receiving alkaline water, and VEGFR2 staining was higher in the vasculature, suggesting less advanced disease stages. B16-V5 cells were injected subcutaneously or through the tail vein to generate primary tumors or lung metastatic nodules, respectively. Subcutaneous tumors of mice exposed to alkaline water showed a lower proliferative index and vasculature with a better-preserved intima layer and structure. The number of lung metastatic nodules was lower in mice exposed to filtered water. The vascular effects were tested in a rat model of hypertension (spontaneously hypertensive rat – SHR). Following 12 weeks of alkaline water consumption, the aortic rings had an enhanced vasodilatory response to a nitric oxide donor (nitroprusside – NTP), and several inflammatory markers were reduced in blood and heart tissue.ConclusionsThese results indicate that alkaline water could have a protective effect on vascular function, reduce inflammation, and in the context of tumor development, reduce the incidence of metastasis.
Adaptive institutional change in municipal waste management
Authors: Georgiev Minko , Georgieva Vanya , Blagoeva Nadezhda 
Published: October 2023

Purpose. The paper proposes a new trajectory of institutional change that integrates economic (fiscal) and technical solutions in managing municipal waste.
Methodology / approach. The study adopts a model for the study of institutional change. A retrospective, quantitative analysis of institutional change, a legal-historical analysis of formal institutions, and a comparative-institutional analysis are used to substantiate the link between municipal waste quantities and Gross domestic product (GDP) growth. Using correlation and regression analysis, we examine the relationship between institutional change in municipal waste management and recycling.
Results. The study proves the impact of institutional change on municipal waste management in the EU and Bulgaria. It can change the relationship between GDP and the amount of waste and stimulate the implementation of more efficient and innovative waste management methods. The relationship between institutional change in municipal waste management are studied. The main idea is that more legal acts regulating municipal waste management and a higher human development index, wich reflects better and more efficient municipal waste management, will lead to higher recycling rates. The study discusses how institutional change aimed at effective municipal waste management can contribute to increased revenues and reduced costs for the government by promoting innovation in the sector, introducing more efficient waste collection and treatment technologies, and encouraging recycling.
Originality / scientific novelty. The study highlights the lack of a unified direction in rules and policies for municipal waste management in Bulgaria and its impact on the system’s efficiency. It aims to present a new approach to solving the problems related to municipal waste management in Bulgaria that focuses on the importance of institutional change.
Practical value / implications. The paper identifies differences between the municipal waste management systems in the EU and Bulgaria. The proposed financial and technical solutions help central and municipal administrations to create new institutions. These actions can be joint and better coordinated. All this should lead to changes in the regulatory framework. The new rules will contribute to stability and less need to change regulations, clarity for individuals and organisations to the optimal solutions for reducing municipal waste costs, and “pressure” on the central and local administration to take the necessary actions for such a change.
On the polarimetric backscatter by a still or quasi-still wind turbine
Authors: Gabella Marco , Lainer Martin , Wolfensberger Daniel , Grazioli Jacopo 
Published: October 2023

Abstract. Wind turbines negatively affect the performance of weather radars, especially when located in the proximity of a radar site. In March 2019, MeteoSwiss performed a measurement campaign by deploying a mobile X-band radar in Schaffhausen. It proved to be useful for mapping and characterizing
the maximum power returns by three wind turbines observed using standard
scanning strategies. In March 2020, the campaign was repeated using a
more sophisticated scan strategy: ∼ 100 min special
sessions of fixed pointing an antenna towards the nacelle of the closest wind
turbine (WT) located within a range of 7766 m from the radar, interleaved every
2 h by a scanning protocol identical to that of the March 2019 campaign.
Polarimetric radar signatures were derived every 64 ms using 128 radar pulses transmitted every 0.5 ms (pulse repetition frequency (PRF) = 2000 Hz). A thorough overview of the polarimetric signatures of the WT in still or quasi-still conditions has
been obtained based on 30 000 polarimetric measurables acquired
over 32 min on the first day of the campaign (4 March 2020). During
the first 2 min with zero rotor speed, the co-polar correlation
coefficient between the orthogonal polarization states, ρHV, was persistently equal to 1, similarly to the signature of a bright scatterer
observed by a non-rotating antenna. The changes between two consecutive
values of the differential reflectivity and radar reflectivity factor were
either 0 dBz or ±0.5 dBz. Due to the absence of precipitation, one
could assume that the standard deviation of the differential phase shift,
which was as small as 3.0∘, can be entirely attributed to the
variability of the differential backscattering phase shift. There were two
10 min periods during which the rotor moved less than 1 revolution. It
is worth noting that this slow movement could be associated with a change in
the blade pitch angle and the nacelle orientation, which caused extreme
changes in the radar reflectivity factor. For instance, two pairs of 64 ms
consecutive values reached 78.5 dBz, which is the absolute maximum
reached in the whole campaign (4–21 March 2020).
Modelling the regional sensitivity of snowmelt, soil moisture, and streamflow generation to climate over the Canadian Prairies using a basin classification approach
Authors: He Zhihua , Shook Kevin , Spence Christopher , Pomeroy John W. , Whitfield Colin 
Published: October 2023

Abstract. This study evaluated the effects of climate perturbations on snowmelt, soil
moisture, and streamflow generation in small Canadian Prairies basins using a modelling approach based on classification of basin biophysical characteristics. Seven basin classes that encompass the entirety of the
Prairies Ecozone in Canada were determined by cluster analysis of these
characteristics. Individual semi-distributed virtual basin (VB) models
representing these classes were parameterized in the Cold Regions
Hydrological Model (CRHM) platform, which includes modules for snowmelt and
sublimation, soil freezing and thawing, actual evapotranspiration (ET), soil moisture dynamics, groundwater recharge, and depressional storage dynamics including fill and spill runoff generation and variable connected areas. Precipitation (P) and temperature (T) perturbation scenarios covering the range of climate model predictions for the 21st century were used to evaluate climate sensitivity of hydrological processes in individual land cover and basin types across the Prairies Ecozone. Results indicated that snow accumulation in wetlands had a greater sensitivity to P and T than that in croplands and grasslands in all basin types. Wetland soil moisture was also more sensitive to T than the cropland and grassland soil moisture. Jointly influenced by land cover distribution and local climate, basin-average snow accumulation was more sensitive to T in the drier and grassland-characterized basins than in the wetter basins dominated by cropland, whilst basin-average soil moisture was most sensitive to T and P perturbations in basins typified by pothole depressions and broad river valleys. Annual streamflow had the greatest sensitivities to T and P in the dry and poorly connected Interior Grasslands (See Fig. 1) basins but the smallest in the wet and well-connected Southern Manitoba basins. The ability of P to compensate for warming-induced reductions in snow accumulation and streamflow was much higher in the wetter and cropland-dominated basins than in the drier and grassland-characterized basins, whilst decreases in cropland soil moisture induced by the maximum expected warming of 6 ∘C could be fully offset by a P increase of 11 % in all basins. These results can be used to (1) identify locations which had the largest hydrological sensitivities to changing climate and (2) diagnose underlying processes responsible for hydrological responses to expected climate change. Variations of hydrological sensitivity in land cover and basin types suggest that different water management and adaptation methods are needed to address enhanced water stress due to expected climate change in different regions of the Prairies Ecozone.
APPLICATION OF VECTOR AUTOREGRESSIONS FOR FORECASTING MONETARY POLICY
Authors: Akylbekov A. A. , Seitkaziyeva A. M. , Kenzhalina Zh. Sh. 
Published: October 2023

The purpose of the study is to consider the theoretical and empirical application of methods and models of vector autoregressions to analyze the infl uence of various macroeconomic variables in the construction of a monetary policy model.Methodology. The research methods used are generalization of experience regarding the use of vector autoregressions, factor analysis, methodology for evaluating VAR models containing fi fteen real, price, monetary and external variables. A number of tests were conducted to assess the quality of the analyzed model: impulse response analysis, forecasting and simulations.This article analyzes the infl uence of factors on each other, as well as the interpretation of the results, which can be further used to obtain practical recommendations for improving the methods of research and forecasting monetary policy.Originality / value of the research. The paper analyzes the advantages and disadvantages of diff erent approaches in the construction of vector autoregressive models, both in the selection of factors and their preparation for use in the model. This article examines the observation period from 2010 to 2021, that is, before and after the introduction of the infl ation targeting regime, and the assessment of the pandemic shock in Kazakhstan, without aff ecting the shocks of 2022.Findings. The work carried out made it possible to verify the applicability of vector autoregression methods, this statement is confi rmed by the inverse predictive power of the models. In this paper, the eff ectiveness of the proposed models was evaluated on macro factors in Kazakhstan.