bluuebunny/crossref_metadata_2025_split huggingface dataset:
Work Devotion as Identity Armor? How Single Professionals with Relationship Aspirations Use Career Decisions to Manage Their Identities
Authors: Oelberger Carrie 
Published: January 2024

Although scholarship has established how people with a partner, child, or other domestic obligations account for these responsibilities when making career decisions, we lack conceptual apparatus around how career decision making is informed by personal aspirations. Following a cohort of 89 international aid workers over eight years, I draw on in-depth interview (n = 126), survey (n = 551), and job transition data (n = 228) to detail how career decision making serves as a platform for identity management for single professionals who have aspirations for a long-term intimate relationship. I introduce the possibility space, which conveys how the ability to realize relationship aspirations is constrained for work-devoted professionals, especially for straight women and lesbian, gay, bisexual, and queer (LGBQ) people. Yet, they resist scaling back work. I detail why, presenting the three types of career decisions they made: (1) work devotion as identity armor, protecting and affirming their current aid worker identity; (2) temporary work alterations as identity diversification, carving out time to hopefully realize their desired relationship while postponing the affirmation of their aid worker identity; and (3) durable work alterations as identity restructuring, removing the aid worker identity from their identity network. This article’s model of career decision making as identity management and the broader theoretical explanation of how different behavioral practices can manage temporally distinct identities offers important contributions to scholarship on identity, the work-nonwork interface, labor market inequalities, and career decision making. Funding: This research was supported by the University of Minnesota’s Grant-in-Aid of Research, Artistry and Scholarship and a Stanford University Dissertation Support Grant.
Unravelling Beau's lines as a potential indicator of severe immune response in COVID-19 and reinfection
Authors: Agouridis Aris P. , Ntzani Evangelia E. , Anastasiou Georgia , Barkas Fotios , Rizos Evangelos C. 
Published: January 2024

Background: Beau's lines are transverse grooves in the nail plate that result from transient interruption of the growth of the proximal nail matrix. These rare nail disorders can be triggered mostly by infections or systemic diseases. Case Description: We describe a 65-year-old man who presented with nail changes on all fingernails. The patient, a non-smoker with no medication history, had severe immune responses during two hospitalisations, 9 and 4 months ago, for COVID-19. Both hospitalisations were accompanied by markedly elevated interleukin-6 levels, and treatment with tocilizumab on top of dexamethasone was required. The present examination revealed Beau's lines which were associated with both prior COVID-19 infections. Conclusions: Although nail changes look harmless, seeking Beau's lines during the physical examination might indicate past severe COVID-19 infection and a higher probability for reinfection and rehospitalisation.
Randomized controlled trial comparing traditional versus enhanced-fixation designs of a novel cemented total knee arthroplasty tibial component
Authors: Turgeon Thomas R. , Vasarhelyi Edward , Howard James , Teeter Matthew , Righolt Christiaan H. , Gascoyne Trevor , Bohm Eric 
Published: January 2024

AimsA novel enhanced cement fixation (EF) tibial implant with deeper cement pockets and a more roughened bonding surface was released to market for an existing total knee arthroplasty (TKA) system.This randomized controlled trial assessed fixation of the both the EF (ATTUNE S+) and standard (Std; ATTUNE S) using radiostereometric analysis.MethodsOverall, 50 subjects were randomized (21 EF-TKA and 23 Std-TKA in the final analysis), and had follow-up visits at six weeks, and six, 12, and 24 months to assess migration of the tibial component. Low viscosity bone cement with tobramycin was used in a standardized fashion for all subjects. Patient-reported outcome measure data was captured at preoperative and all postoperative visits.ResultsThe patient cohort mean age was 66 years (SD seven years), 59% were female, and the mean BMI was 32 kg/m2 (SD 6 kg/m2). Mean two-year subsidence of the EF-TKA was 0.056 mm (95% confidence interval (CI) 0.025 to 0.086) versus 0.006 mm (95% CI -0.029 to 0.040) for the Std-TKA, and the two-year maximum total point motion (MTPM) was 0.285 mm (95% upper confidence limit (UCL) ≤ 0.363) versus 0.346 mm (95% UCL ≤ 0.432), respectively, for a mean difference of -0.061 mm (95% CI -0.196 to 0.074). Inducible displacement also did not differ between groups. The MTPMs between 12 and 24 months for each group was below the published threshold of 0.2 mm for predicting early aseptic loosening (p < 0.001 and p = 0.001, respectively).ConclusionBoth the enhanced fixation and the standard tibial implant design showed fixation with a predicted low risk of long-term aseptic loosening.Cite this article: Bone Jt Open 2024;5(1):20–27.
Prevalence and factors associated with early resumption of sexual intercourse among postpartum women: Systematic review and meta-analysis
Authors: Abebe Gelaw Kelemu , Atalay Yibeletal Assefa , Yeshambel Adisu , Adella Getachew Asmare , Walle Belete Gelaw , Zeleke Liknaw Bewket , Gebeyehu Natnael Atnafu 
Published: January 2024

Introduction
Postpartum sexual health is indicated by a resumption of sexual activity as well as arousal, desire, orgasm, and sexual satisfaction. The issue of resuming sexual intercourse after childbirth has received limited attention because healthcare professionals rarely provide adequate care to postnatal women. The present study aimed to ascertain the overall prevalence of early resumption of sexual intercourse among most women.

Methods
Searches were conducted in PubMed, Web of Science, Science Direct, Google Scholar, African Journals Online, and the Cochrane Library. Data were extracted using Microsoft Excel, and STATA version 14 was used for analysis. Publication bias was checked by funnel plot, Egger, and Begg regression tests. A p-value of 0.05 was regarded to indicate potential publication bias. Using I2 statistics, the heterogeneity of the studies was evaluated. By country, a subgroup analysis was conducted. A sensitivity analysis was carried out to determine the effect of each study’s findings on the overall estimate. The random effects model was used to assess the overall effect of the study and then measured using prevalence rates and odds ratio with 95% CI.

Results
Twenty-one studies with 4,482 postpartum women participants were included in the study. The pooled prevalence of early resumption sexual intercourse among post-partum women was 57.26% (95% CI 50.14, 64.39) with significant heterogeneity between studies (I2  =  99.2%; P-value ≤ 0.000) observed. Current contraceptive use (AOR = 1.48, 95%CI = 1.03, 6.21), primipara (AOR = 2.88, 95%CI = 1.41, 5.89), and no history of severe genital injury on the last delivery (AOR = 2.27, 95%CI = 1.05, 4.93) were significantly associated with early resumption of sexual intercourse.

Conclusion
This study found that more than half of women resumed sexual intercourse early after giving birth. This suggests that a significant number of women may be at higher risk of unwanted pregnancies, short birth intervals, and postpartum sepsis. Thus, stakeholders should improve the integration of postpartum sexual education with maternal health services to reduce the resumption of postpartum sexual intercourse.
The changes in health service utilisation in Malawi during the COVID-19 pandemic
Authors: She Bingling , Mangal Tara D. , Adjabeng Anna Y. , Colbourn Tim , Collins Joseph H. , Janoušková Eva , Li Lin Ines , Mnjowe Emmanuel , Mohan Sakshi , Molaro Margherita , Phillips Andrew N. , Revill Paul , Smith Robert Manning , Twea Pakwanja D. , Nkhoma Dominic , Manthalu Gerald , Hallett Timothy B. 
Published: January 2024

Introduction
The COVID-19 pandemic and the restriction policies implemented by the Government of Malawi may have disrupted routine health service utilisation. We aimed to find evidence for such disruptions and quantify any changes by service type and level of health care.

Methods
We extracted nationwide routine health service usage data for 2015–2021 from the electronic health information management systems in Malawi. Two datasets were prepared: unadjusted and adjusted; for the latter, unreported monthly data entries for a facility were filled in through systematic rules based on reported mean values of that facility or facility type and considering both reporting rates and comparability with published data. Using statistical descriptive methods, we first described the patterns of service utilisation in pre-pandemic years (2015–2019). We then tested for evidence of departures from this routine pattern, i.e., service volume delivered being below recent average by more than two standard deviations was viewed as a substantial reduction, and calculated the cumulative net differences of service volume during the pandemic period (2020–2021), in aggregate and within each specific facility.

Results
Evidence of disruptions were found: from April 2020 to December 2021, services delivered of several types were reduced across primary and secondary levels of care–including inpatient care (-20.03% less total interactions in that period compared to the recent average), immunisation (-17.61%), malnutrition treatment (-34.5%), accidents and emergency services (-16.03%), HIV (human immunodeficiency viruses) tests (-27.34%), antiretroviral therapy (ART) initiations for adults (-33.52%), and ART treatment for paediatrics (-41.32%). Reductions of service volume were greatest in the first wave of the pandemic during April-August 2020, and whereas some service types rebounded quickly (e.g., outpatient visits from -17.7% to +3.23%), many others persisted at lower level through 2021 (e.g., under-five malnutrition treatment from -15.24% to -42.23%). The total reduced service volume between April 2020 and December 2021 was 8 066 956 (-10.23%), equating to 444 units per 1000 persons.

Conclusion
We have found substantial evidence for reductions in health service delivered in Malawi during the COVID-19 pandemic which may have potential health consequences, the effect of which should inform how decisions are taken in the future to maximise the resilience of healthcare system during similar events.
Metabolomic signature between diabetic and non-diabetic obese patients: A protocol for systematic review
Authors: Tai Yuxing , Yang Xiaoqian , Gang Xiaochao , Cong Zhengri , Wang Sixian , Li Peizhe , Liu Mingjun 
Published: January 2024

Background
Type 2 diabetes mellitus (T2DM) is a chronic and progressive condition defined by hyperglycemia caused by abnormalities in insulin production, insulin receptor sensitivity, or both. Several studies have revealed that higher body mass index (BMI) is associated with increasing risk of developing diabetes. In this study, we perform a protocol for systematic review to explore metabolite biomarkers that could be used to identify T2DM in obese subjects.

Methods
The protocol of this review was registered in PROSPERO (CRD42023405518). Three databases, EMBASE, PubMed, and Web of Science were selected to collect potential literature from their inceptions to July December 2023. Data for collection will include title, authors, study subjects, publication date, sample size, detection and analytical platforms, participant characteristics, biological samples, confounding factors, methods of statistical analysis, the frequency and directions of changes in potential metabolic biomarkers, and major findings. Pathway analysis of differential metabolites will be performed with MetaboAnalyst 5.0 based on the Kyoto Encyclopedia of Genes and Genomes (KEGG) and the Human Metabolome Database.

Results
The results of this systematic review will be published in a peer-reviewed journal.

Conclusion
This systematic review will summarize the potential biomarkers and metabolic pathways to provide a new reference for the prevention and treatment of T2DM in obese subjects.
D-dimer levels to exclude pulmonary embolism and reduce the need for CT angiography in COVID-19 in an outpatient population
Authors: Kovács Anita , Hantosi Dóra , Szabó Nikoletta , Letoha Annamária , Lengyel Csaba , Földesi Imre , Burián Katalin , Palkó András , Veréb Dániel , Kincses Zsigmond Tamás 
Published: January 2024

Objectives
Emerging results indicate that, in COVID-19, thromboembolic complications contribute to the high mortality and morbidity. Previous research showed that the prevalence of pulmonary embolism (PE) is between 25–50% in COVID-19 patients, however, most of these reports are based on data from patients with severe pneumonia, treated in intensive care units.

Materials and methods
We conducted a retrospective, single-center, observational study to estimate the prevalence of PE in COVID-19 patients who underwent CT angiography and to identify the most important predictors.
Adult outpatients with COVID-19, who presented at our COVID Outpatient Clinic between 1st and 31st of March in 2021 and underwent CTA examination were included in this study. Multiple linear regression analysis was used to identify predictors of PE in COVID-19 patients. The predictors were: age, gender, disease duration, CT severity index and log-transformed quantitative D-dimer (logQDDIM) value.

Results
843 COVID-19 patients were included into the study. 82.56% (693 patients) of the infected patients had a pulmonary CTA examination and D-dimer levels (mean age: 59.82 years ± 15.66). 7.61% (53 patients) of the patients had PE. 2.02% (14 patients) of the patients had main branch or lobar PE.
The multiple regression analysis found that only logQDDIM was a significant predictor. A logQDDIM cut-off value of 0.0169 (1.0171 ug/ml serum D-dimer) predicted PE with 99% sensitivity (p<0.0001, degree-of-freedom = 570, AUC = 0.72).

Conclusions
We demonstrated in a large cohort of COVID-19 patients that a cut-off value of QDDIM of 1ug/ml can exclude pulmonary embolism in an outpatient setting, implicating that QDDIM might potentially supersede CTA as a screening approach in COVID-19 outpatient clinics.
Psychometric properties of the Fluoride Hesitancy Identification Tool (FHIT)
Authors: Carle Adam C. , Pallotto Isabella , Edwards Todd C. , Carpiano Richard , Kerr Darragh C. , Chi Donald L. 
Published: January 2024

Introduction
Some caregivers are hesitant about topical fluoride for their children despite evidence that fluoride prevents caries and is safe. Recent work described a five domain model of caregivers’ topical fluoride hesitancy. We developed the Fluoride Hesitancy Identification Tool (FHIT) item pool based on the model. This study sought to evaluate the FHIT’s psychometric properties in an effort to generate a short, simple to score, reliable, and valid tool that measures caregivers’ topical fluoride hesitancy.

Methods
In 2021 and 2022, we conducted an observational, cross-sectional study of caregivers, collecting data from two independent caregiver samples (n1 = 523; n2 = 612). The FHIT item pool included 33 items. We used confirmatory factor analyses (CFA) to examine whether the FHIT items measured five separate domains as hypothesized and to reduce the number of items. We then fit item response theory (IRT) models and computed Cronbach’s alpha for each domain. Last, we examined the construct validity of the FHIT and evaluated scoring approaches.

Results
After dropping 8 items, CFA supported a five factor model of topical fluoride hesitancy, with no cross-loadings (RMSEA = 0.079; SRMR = 0.057; CFI = 0.98; TLI = 0.98). We further reduced the items to four per domain (20 items total). Marginal alphas showed that the item sets provided reliability of ≥0.90 at hesitancy levels at and above average. The domains correlated more strongly with each other and topical fluoride refusal than with other questions on the survey.

Discussion
Our results support the FHIT’s ability to reliably and validly measure five domains of topical fluoride hesitancy using the average score of the four items in each domain.
Práticas pedagógicas em educação especial na pandemia da covid-19: uma revisão de literatura
Authors: Rosa Alexsandra dos Santos , Bridi Fabiane Romano de Souza 
Published: January 2024

Trata-se de uma Revisão Integrativa de Literatura realizada nas bases de dados: CAPES; SCIELO e BDTD/IBICT, no período de 2020 a 2022. Objetiva identificar e reunir a produção científica realizada no cenário da pandemia da Covid-19, relacionadas aos desafios e efeitos emergentes nas práticas pedagógicas dos professores de educação especial que atuam no Atendimento Educacional Especializado. As buscas nas bases de dados identificaram 1381 ocorrências que, após passarem pelos filtros, critérios de inclusão e exclusão, resultaram em sete produções para análise. Identificou-se que nas bases selecionadas ainda são encontrados poucos estudos relacionados à prática pedagógica do professor de educação especial neste período. A análise aponta que o grande desafio foi reinventar a docência na pandemia, especialmente ao ter como recurso disponível o tecnológico. Foi preciso reordenar as formas interventivas e desenvolver uma variedade de atividades, métodos e materiais diversificados.
PALAVRAS-CHAVE: Educação Especial. Práticas pedagógicas. Atendimento Educacional Especializado. Covid-19.
L-Fuzzy fixed point results in ℱ -metric spaces with applications
Authors: Lateef Durdana 
Published: January 2024

Abstract
Jleli and Samet in [On a new generalization of metric spaces, J. Fixed Point Theory Appl. 20 (2018), 128 (20 pages)] introduced the notion of ℱ -metric space as a generalization of traditional metric space and proved Banach contraction principle in the setting of this generalized metric space. The objective of this article is to use ℱ -metric space and establish some common fixed point theorems for (

β

\beta

-

ψ

\psi

)-contractions. Our results expand, generalize, and consolidate several known results in the literature. As applications of the main result, the solution for fuzzy initial-value problems in the background of a generalized Hukuhara derivative was discussed.
Methodology of automated quality management
Authors: Toibayeva Shara , Utepbergenov Irbulat 
Published: January 2024

Abstract
This research is devoted to the development of innovative technology for automation of the quality management system (QMS) of enterprises in Kazakhstan and its adaptation to the management system of enterprises. This article deals with quality, as an important strategic tool in business. System effectiveness evaluation of quality management enterprises is of great importance connected with the formation of rational decisions in the management of QMSs, including specificity of quality indicators, multi-level system, the necessity to choose the optimal number of performance indicators, and system status evaluation. The objective and relevance of this research are related to the need to (1) solve the problems of quality management in the digital economy, following from the relevant National programs of the Government of the Republic of Kazakhstan, which are important at this step of in-depth scientific research; (2) guarantee the competitiveness of domestic enterprises with high-quality requirements for products and services; (3) improve the efficiency of automated QMSs; (4) save resources (human and timing) in data processing. The method and model of automated enterprise quality management and intelligent automated system of quality management of enterprise integrated with ruling MICS (Management Information and Control System) subsystems are offered allowing to automate QMS implementation and support processes and increasing the validity, efficiency and effectiveness of management decisions by automating a number of functions of decision makers and personnel.
Kulturwörterbuch Deutsch als Fremdsprache: Neue Perspektiven
Authors: Pichler Anna Malena , Roelcke Thorsten 
Published: January 2024

Zusammenfassung
Das Kulturwörterbuch Deutsch als Fremdsprache ist ein an der Technischen Universität Berlin konzipiertes Wörterbuchprojekt für fortgeschrittene Deutschlernende (vgl. Roelcke 2015; 2020; Pichler 2021). Es setzt sich zum Ziel, den kulturspezifischen Wortschatz des Deutschen aufzuarbeiten und so eine Teilhabe an thematisch verwandten Diskursen zu ermöglichen, und wird derzeit am Fachgebiet Deutsch als Fremdsprache als ein Studierendenprojekt durchgeführt. Der vorliegende Beitrag stellt die lexikographischen und didaktischen Grundlagen vor, welche die Arbeit am Projekt bestimmen, und gibt abschließend einen Ausblick auf dessen weiteren Verlauf.
Manner expressions in Finnish and Estonian: their use in quotative constructions and beyond
Authors: Teptiuk Denys , Tuuling Eda-Riin 
Published: January 2024

Abstract
In this study, we look at manner demonstratives (such as ‘so’ and similative prepositions such as ‘like’) in complex sentences of two Finnic languages: Finnish and Estonian. We expand previous accounts of these manner expressions (MEs) in quotative constructions and investigate their use with epistemic (‘know’, ‘guess’) and perceptive (‘see’, ‘hear’, ‘feel’) verbs in non-standard written communications. In addition to the results from two Finnic languages, in the discussion of this article, we pay attention to the similarities found in the use of MEs with these verbs in Finno-Ugric languages spoken in Russia. The results show that MEs contribute to the expression of epistemic processes and perception in both languages. Manner demonstratives are used as endophoric markers pointing at demonstrations and descriptions of the event perceived. Co-occurring with the epistemic verb ‘know’, manner demonstratives induce a non-factive construal and cancel the presupposition that the speaker considers the proposition to be true. With inherently subjective verbs like ‘understand’ and in some contexts with perceptive verbs like ‘see, seem’, and ‘feel’, they indicate the subjective interpretation of the event. The reportative function is observed with the auditory perceptive verbs ‘hear’ and ‘be heard’, where the manner demonstratives highlight the reporter’s uncertainty or indicate the verbatim rendering of the report. Furthermore, they can express the speaker’s wishful thinking while co-occurring with a visual perceptive verb ‘see’. In turn, similative markers are used in reportative function as already established quotatives and mark reports as approximately reproduced or typical for the event described. Co-occurring with perceptive verbs, they can express the speaker’s doubt or mark propositions as counterfactual.