bluuebunny/crossref_metadata_2025_split huggingface dataset:
Successful management of concurrent COVID-19 and Pneumocystis Jirovecii Pneumonia in kidney transplant recipients: a case series
Authors: Li Guoping , Ji Daxi , Chang Youcheng , Tang Zheng , Cheng Dongrui 
Published: November 2023

Abstract
Background
Pneumocystis pneumonia (PCP) is a life-threatening pulmonary fungal infection that predominantly affects immunocompromised individuals, including kidney transplant recipients. Recent years have witnessed a rising incidence of PCP in this vulnerable population, leading to graft loss and increased mortality. Immunosuppression, which is essential in transplant recipients, heightens susceptibility to viral and opportunistic infections, magnifying the clinical challenge. Concurrently, the global impact of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been profound. Kidney transplant recipients have faced severe outcomes when infected with SARS-CoV-2, often requiring intensive care. Co-infection with COVID-19 and PCP in this context represents a complex clinical scenario that requires precise management strategies, involving a delicate balance between immunosuppression and immune activation. Although there have been case reports on management of COVID-19 and PCP in kidney transplant recipients, guidance on how to tackle these infections when they occur concurrently remains limited.

Case presentations
We have encountered four kidney transplant recipients with concurrent COVID-19 and PCP infection. These patients received comprehensive treatment that included adjustment of their maintenance immunosuppressive regimen, anti-pneumocystis therapy, treatment for COVID-19 and other infections, and symptomatic and supportive care. After this multifaceted treatment strategy, all of these patients improved significantly and had favorable outcomes.

Conclusions
We have successfully managed four kidney transplant recipients co-infected with COVID-19 and PCP. While PCP is a known complication of immunosuppressive therapy, its incidence in patients with COVID-19 highlights the complexity of dual infections. Our findings suggest that tailored immunosuppressive regimens, coupled with antiviral and antimicrobial therapies, can lead to clinical improvement in such cases. Further research is needed to refine risk assessment and therapeutic strategies, which will ultimately enhance the care of this vulnerable population.
A different approach to teaching pre-clerkship students physical diagnosis: standardized patient instructor-senior medical student teaching teams
Authors: Spelde Audrey , Blatt Benjamin , Lewis Karen L. , Owens Jennifer L. , Greenberg Larrie 
Published: November 2023

Abstract
Background
Faculty have traditionally taught the physical examination (PE) to novice medical students (pre-clerkship students.), despite recruiting and cost issues and problems standardizing their approach.

Activity
We present a model using standardized patient instructor (SPI)-fourth year medical student (MS4) teams to teach PE to pre-clerkship students, leveraging the benefits of co-teaching and peer-assisted learning.

Results
Surveys of pre-clerkship students, MS4s and SPIs indicate positive perceptions of the program, including MS4s reporting significant growth in their professional identities as educators. Pre-clerkship students' performance on the spring clinical skills exams was equivalent to or better than their peer performance pre-program implementation.

Implications
SPI-MS4 teams can effectively teach novice students the mechanics and clinical context of the beginners’ physical exam.
Master’s degree in sexual and reproductive health: enhancing career development opportunities for midwives in Mali
Authors: Sidibé Cheick S. , Brückner Tanya , Zwanikken Prisca , van der Kwaak Anke , Traoré Lalla Fatouma , Touré Ousmane , Broerse Jacqueline E.W. , Dieleman Marjolein 
Published: November 2023

Abstract
Background
Midwives’ contribution to improving outcomes for women and newborns depends on factors such as quality of pre-service training, access to continuing professional development, and the presence of an enabling work environment. The absence of opportunities for career development increases the likelihood that health professionals, including midwives, will consider leaving the profession due to a lack of incentives to sustain and increase motivation to remain in the field. It also limits the opportunities to better contribute to policy, training, and research. This study aimed to assess the influence of a Master in Sexual and Reproductive Health (SRH) at the INFSS on midwives’ career progression in Mali.

Methods
This mixed methods study was conducted using an online questionnaire, semi-structured interviews, and a document review. The study participants included graduates from two cohorts (N = 22) as well as employers, managers, and teachers of the graduates (N = 20). Data were analysed according to research questions, comparing, and contrasting answers between different groups of respondents.

Results
The study revealed that graduates enrolled in the programme primarily to improve their knowledge and skills in management and public health. The graduates’ expected roles are those of programme and health project manager and participation in planning and monitoring activities at national or sub-national level. The managers expected the programme to reflect the needs of the health system and equip midwives with skills in management and planning. The Master enhanced opportunities for graduates to advance their career in fields they are not usually working in such as management, research, and supervision. However, the recognition of the master’s degree and of the graduates’ profile is not yet fully effective.

Conclusion
The master’s degree in SRH is a capacity building programme. Graduates developed skills and acquired advanced knowledge in research and management, as well as a postgraduate degree. However, the master programme needs to be better aligned with health system needs to increase the recognition of graduates’ skills and have a more positive impact on graduates’ careers.
The impact of music listening intervention on Asia elderly with dementia: a systematic review
Authors: Lin Chen , Xuanxu He , Yuyang Xue , Zhongqiu Xu , Gao Chunhai 
Published: November 2023

AbstractFrom an initial pool of 2303 studies, ten eligible and potential studies were selected through rigor inclusion and exclusion criteria for this systematic review to examine music therapy's effect on dementia. The review included 967 participants, with the majority being female. A significant number of studies were conducted in Taiwan. Although several cognitive ability assessment methods were employed in the selected studies, the Mini-Mental State Examination (MMSE) was the most commonly used tool for evaluating the effects of music therapy on dementia. Overall, the current review demonstrates that music therapy can be a valuable strategy for treating patients with dementia, with its outcomes including improved cognitive function and potentially slowing the progression of the disease's severity. Therefore, this study can significantly contribute to future studies and practices aimed at using music therapy to treat dementia.
Mechanical properties of white clay used as wall painting substrate material: measurement of strength and modulus of elasticity of simulated substrate material of wall paintings Hiten at Kondo, the main hall at Horyu-ji Temple
Authors: Ishikawa Kazuki , Ogura Daisuke , Iba Chiemi , Takatori Nobumitsu , Wakiya Soichiro 
Published: November 2023

Abstract
Preserving cultural artifacts while minimizing the energy consumption and costs associated with environmental control is crucial. This often requires predicting artifacts degradation caused by temperature and humidity. Here, mechanical damage can be predicted by comparing stress and damage criteria. Although the constitutive coefficients and damage criteria of various materials have been extensively studied, the mechanical properties of white clay remain unknown. This material is a crucial component of various artifacts including some important cultural artifacts and national treasures of Japan. Thus, this study aims to identify the strength and elastic properties of simulated white clay mimicking the substrate of the wall paintings Hiten at Kondo, the main hall at Horyu-ji Temple. Following existing literature, we created the simulated white clay by combining clay, paper fiber, and rice glue. We fabricated 36 distinct specimen patterns by varying the equilibrium humidity and material mixing ratios. We measured the tensile strength using splitting tensile tests and, compressive strength, Young's modulus, and Poisson’s ratio using compressive tests. The tensile strength, compressive strength, Young’s modulus, and Poisson’s ratio ranged from 0.0785–1.17(MPa), 0.358–3.67(MPa), 0.0394–0.274 (GPa), and 0.10–0.44(-), respectively, with variations depending on the equilibrium humidity and ratio of material mixing. We also formulated the results as functions that depend on the equilibrium humidity and material mixing ratios. These findings can be used to predict stress and damage to targeted wall paintings and to inform the preservation and restoration of cultural artifacts containing white clay.

Graphical Abstract
Modeling and economic evaluation of deep geothermal heat supply systems using the example of the Wealden near Hannover, Germany
Authors: Schlagermann Pascal , Reinicke Kurt M. 
Published: November 2023

AbstractGermany desires to become climate-neutral in its heat supply by 2045. From 2024 onward communities are legally required to develop a plan documenting how the objective will be achieved. Geothermal resources can be a major building block to reach the aspirational target if they can be developed at competitive costs. To evaluate the economic potential of geothermal resources is time and money consuming. Questions which need to be addressed in the context of such evaluations are: how can an economic recovery of geothermal heat be achieved, how can subsurface risks associated with an exploration be managed, and how competitive is a deep geothermal energy recovery compared to other options of heat supply? These questions are key to a development of deep geothermal heat, especially if the geothermal conditions are not as prominent as in already realized projects, but less favorable as in the deep clastic sediments of the North German Basin. With this contribution a procedure is presented and used to determine net present values and the associated levelized costs for deep hydrothermal heat recovery systems. It consists of modelling the geothermal cycle, sizing all necessary components, costing them, and calculating net present value and levelized cost. The thermal model is verified by comparing the modelled state variables pressure and temperature at relevant state points of the thermal cycle with actual data of a geothermal project. The cost model is validated with biding results and cost information from actual projects and modified as appropriate. In applying the model to a setting in the Hannover–Celle area with temperatures of around 70 °C, conditions are determined, which lead to positive net present values. The degree of their influence is determined in sensitivity analyses allowing a systemic optimization. The results show that for a coupled heat plant with geothermal heat supplied at baseload conditions, levelized costs of approx. 8 cents/kWh are achievable. The presented thermodynamic and cost models are considered helpful instruments for developing preliminary conceptual estimates, strategies for optimization, and portfolio management.
Effect of the sorbitol to glycerol weight ratio and sugarcane bagasse concentration on the physicomechanical properties of wheat starch-based biocomposite
Authors: Abdollahi Moghaddam Mohammad Reza , Hesarinejad Mohammad Ali , Javidi Fatemeh 
Published: November 2023

AbstractThis study involved fabricating thermoplastic wheat starch–sugarcane bagasse biocomposites through melt mixing method. The effect of sugarcane bagasse concentration at 3 levels of 0 wt.%, 7.5 wt.% and 15 wt.% of wheat starch and sorbitol:glycerol weight ratio at 4 levels of 0:4, 1:4, 2:4 and 4:4 on their physicomechanical properties was evaluated. The results indicated that increasing both of the weight ratio of sorbitol to glycerol and the concentration of bagasse generally led to a significant increase in tensile strength and modulus, but a decrease in elongation at break and equilibrium moisture content. The biocomposite containing the weight ratio of sorbitol:glycerol of 0:4 and bagasse concentration of zero, had the lowest tensile strength (0.22 MPa) and tensile modulus (0.23 MPa), and the highest elongation at break (103.1%) and equilibrium moisture content (30.6%) and conversely The biocomposite containing the weight ratio of sorbitol:glycerol of 4:4 and bagasse concentration of 15, had the highest tensile strength (5.3 MPa) and tensile modulus (371.5 MPa), and the lowest elongation at break (1.5%) and equilibrium moisture content (20.6%). Moisture absorption was also studied using the Peleg model, which showed that samples with lower weight ratios of sorbitol to glycerol and lower bagasse concentrations had higher initial moisture absorption rates and greater moisture absorption capacity. The investigation of thermal behavior of the biocomposites by TGA analysis showed improved thermal stability of the biocomposites by increasing both of the sorbitol:glycerol weight ratio and the bagasse concentration. Finally, the FTIR spectrum revealed an increase in hydrogen and polar bonds in the biocomposites compared to pure starch.
Graphical Abstract
As competências gerais da BNCC e sua relação com a área da linguagem
Authors: Abreu Maria Teresa Tedesco Vilardo 
Published: November 2023

O foco temático deste artigo centra-se na discussão sobre as competências gerais postuladas na Base Nacional Comum Curricular – a BNCC – e a estreita relação desse elenco de competências e a área da linguagem. Portanto, nosso objeto de estudos é o documento normativo, lançado a público em 2018. O método de pesquisa é o analítico- comparativo, visto que se propõe cotejamento entre as referidas competências e as especificidades da área da linguagem. Os resultados da análise proposta encaminham para a estreita relação com os aspectos discursivos como fator determinante do referido documento, comprovando a hipótese inicial. Por conseguinte, entende-se a extrema necessidade de se pensar o Projeto Político Pedagógico das escolas dos diferentes municípios brasileiros, investindo em formação continuada, trazendo a lume os conceitos específicos da área da linguística textual para os docentes de diferentes áreas de conhecimento, a fim de que possam ser propostos caminhos teóricos- metodológicos para o desenvolvimento da proficiência dos estudantes da escola básica.
Staff Perceptions on Factors Affecting Access to Intimacy Education and Intimate Experiences for College Students With Intellectual and Developmental Disabilities
Authors: Stinnett Chelsea VanHorn , Plotner Anthony J. 
Published: November 2023

Abstract
College students with intellectual and developmental disabilities (IDD) are transitioning to more autonomous college settings in recent years. Intimacy education has been identified as a potential need; yet, there are factors that could facilitate or inhibit access to education, experiences, and support efforts in this area. The Continuum of Support for Intimacy Knowledge in College Survey (CoSIK-C) was used to examine whether inclusive postsecondary education (IPSE) staff members believe these factors affect students’ access to intimacy education and/or intimate experiences in college and whether the residential status of IPSE students affects these perceptions. Respondents indicated that seven factors affect whether students receive intimacy education or their ability to experience intimacy. A correlation between residential status of students enrolled in the IPSE and five factors was identified. Implications for practice and future research are provided.
Nematic liquid crystal filled D-shaped voltage sensor with enhanced performance for power monitoring and fault detection in extreme environments
Authors: Hassan Md. Walid , Mollah Md. Aslam 
Published: November 2023

A nematic liquid crystal voltage sensor with enhanced performance is proposed in this paper. The sensor is designed D-shaped using a single NLC filled core without the presence of air holes, which has made the sensor fabrication much simpler than previous sensors. The sensor also consists of a circular slot that provides a vast space for the surface plasmon resonance (SPR) phenomenon with a minimum amount of gold. The performance of the proposed sensor is carried out using a finite element method (FEM) based simulation. Following this, the sensor obtains a maximum wavelength sensitivity of 10 nm/V for a wide range of 190 V to 250 V with 5 V increments. The sensor also has a linearity of 0.9926 and a figure of merit (FOM) of 0.2V−1. It has a resolution of 0.01 V. The proposed sensor is a promising technology with a wide range of extreme and sophisticated applications. The sensor’s simple structure, high sensitivity, resolution, linearity, and FOM make it perfectly suitable for a variety of sensing applications, including power monitoring, fault detection, medical diagnosis, voltage lines, electronics, etc.
Evaluation of quality of life and associated factors in patients with intertrochanteric femoral fracture
Authors: Ghasemi Fatemeh , Esmaeilnejad-Ganji Seyyed Mokhtar , Manafi Rasi Alireza , Afzal Sina , Baroutkoub Mojtaba , Tavassoli Mehdi 
Published: November 2023

Background
Intertrochanteric fracture is a common injury among the elderly, causing fundamental lifestyle derangements, influencing the patients’ social and psychological functioning. We aimed to study the quality of life (QoL) and its different parameters in patients with this type of injury.

Materials and methods
In this cross-sectional study, all patients hospitalized with intertrochanteric fracture aged above 50 from 2020 to 2022 at the Shahid Beheshti Hospital in Babol, Iran, were included. Patients were primarily managed surgically and, in exceptional cases non-surgically, were followed up for at least 12 months after receiving treatment. During the follow-up period, patients were dialled and completed a questionnaire to assess the patient’s QoL by the 36-item Short Form Health Survey (SF-36). QoL parameters were analyzed based on patients’ sex, age, type of treatment, and height of fall causing fracture.

Result
A total number of 200 patients, including 101 (50.5%) males and 99 (49.5%) females, with a mean age of 74.76±11.36 years (range: 50–99), were included. Regarding the received treatment, 192 (96.0%) patients underwent surgery, and 8 (4.0%) underwent non-surgical treatment. In the study of SF-36 scores, the mean score of male patients was 42.31±14.58, and females scored 37.83±15.35, and the difference was statistically significant (P = 0.04). The mean score of QoL and its subscales among the 50–75 group patients was significantly higher than the 76–99 group (P<0.001). The average score of QoL was considerably higher in patients who had surgery (40.75±14.57) compared to those who had non-surgical treatment (24.30±19.85) (P = 0.01). Patients having a fall from a higher height had higher QoL after treatment.

Conclusion
This study revealed that patients with an intertrochanteric femoral fracture had poor QoL in all aspects. The overall QoL was significantly higher among male patients, younger patients, those who underwent surgical treatment, and the falls from higher heights. These findings highlight the necessity of long-term follow-up and support in patients with intertrochanteric fractures.
El proceso de remediación en la novela de Hélène Gaudy Un monde sans rivage (2019)
Authors: Ciprés Palacín Ángeles 
Published: November 2023

Dentro del marco teórico propuesto por especialistas de teoría de la literatura en relación con la intermedialidad y la remedialidad (Gil González y Pardo 2018) y teniendo en cuenta los planteamientos de Mario Praz (1979), Roland Barthes (1980), Irene Artigas (2013) o las reflexiones teóricas presentadas por Antonio Monegal (2000) en relación con la comparación entre la literatura y otras artes visuales, nos proponemos llevar a cabo un análisis de la novela de Hélène Gaudy. El objeto es analizar el proceso de remediación efectuado por la autora al proponerse novelar la historia de tres exploradores daneses cuyo globo despareció en el Ártico en 1897. El medio original se compone de las 48 imágenes recuperadas, en muchos casos realmente deterioradas, procedentes de los carretes de película que se encontraron en 1930 entre los restos del globo desaparecido, así como de fragmentos del diario de uno de los exploradores. El resultado literario es una novela en la que la ficción se sustenta en la mirada atenta de la autora sobre estas imágenes en blanco y negro y sobre los textos incompletos del diario.
El medio de origen (o hipermedio) en este caso es fundamentalmente la imagen mientras que el medio de acogida o (hipomedio) es una novela escrita a modo de carnet de viaje, ya que parece seguir la estructura del diario incompleto encontrado. Nuestro análisis nos permitirá establecer los mecanismos de representación de las imágenes en la palabra literaria al tiempo que ilustrará un ejemplo de remedialidad: un medio, las fotografías, representadas y descritas en otro medio, el texto literario. Una de las particularidades es la presencia simultánea del hipermedio en el discurso tejido por la autora.
Relationship between exercise capacity and fatigue, dyspnea, and lung function in non‐hospitalized patients with longCOVID
Authors: Njøten Kiri Lovise , Espehaug Birgitte , Magnussen Liv Heide , Jürgensen Marte , Kvale Gerd , Søfteland Eirik , Aarli Bernt Bøgvald , Frisk Bente 
Published: November 2023

AbstractLong COVID is a global health problem that impairs patients' functional status. More than 200 reported symptoms have been identified where fatigue, dyspnea, and exercise impairment are most common. This study aimed to describe exercise capacity, fatigue, dyspnea, and lung function in previously non‐hospitalized patients with long COVID, and examine the relationship between exercise capacity and fatigue, dyspnea, and lung function. Sixty‐five patients, 54 women (83%), mean age of 39 standard deviation (12) years, were included and completed spirometry, cardiopulmonary exercise test, stair climbing test (SCT), 30 second sit‐to‐stand test (30STST), and questionnaires regarding fatigue and dyspnea. Fatigue was reported by 95% of the participants, whereas 65% reported severe fatigue, and 66% reported dyspnea. Mean exercise capacity measured with peak oxygen uptake (V̇O2peak% pred.) was ≥85% in 65% of the participants. Mean forced expiratory volume in 1 s. and forced vital capacity were 96.6 (10.7)% and 100.8 (10.9)%, respectively, while reduced diffusion capacity for carbon monoxide (DLCO) was found in eight participants (13%). Reduced V̇O2peak kg−1and increased time on SCT were significantly associated with increased dyspnea and reduced DLCObut not with fatigue, while 30STST was associated with increased fatigue and dyspnea in previously non‐hospitalized patients with long COVID.