bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk of hospital malnutrition, inflammatory markers, and medical nutrition therapy in digestive surgery patient: a retrospective cohort study from eastern indonesia.
Authors: Marola Kartika , Bukhari Agussalim , Daud Nurpudji , Warsinggih  , Aminuddin  , Marniar  
Published: February 2025

Introduction: The prevalence of hospital malnutrition in Indonesian 23.9% - 60.5%. It is important to evaluate nutritional status of patients at admission to prevent malnutrition and to identify the need for nutritional therapy. Nutrition, immunity, and the gastrointestinal tract are closely interrelated. Malnutrition is widely reported in surgical patients, especially those who have undergone major surgery, and is a particular risk in patients undergoing surgery for upper gastrointestinal cancer or colorectal cancer. Studies show a high prevalence of malnutrition or high nutritional risk during hospital admission, but this is rarely assessed in the clinical setting, especially for patients undergoing elective surgery. There has been no study on digestive surgery patients receiving medical nutritional therapy (MNT).
Method: Cohort retrospective study. This study used medical record data with a total sample of digestive surgery patients. This study identified the MUST modified scores of digestive surgery patients, with albumin, NLR, and TLC values. Assess length of stay , mortality rate, and medical nutritional therapy.
Result: The most common diagnosis is rectal cancer. Moderate MUST score in 144 patients (40.7%), low MUST score in 140 patients (39.6%) and high MUST scores in 69 patients (19.5%). 96 patients (27%) received medical nutrition therapy, 71% with severe protein energy malnutrition diagnosis, 29% with moderate protein energy malnutrition diagnosis.
As transformações do ator-personagem no rito cinematográfico
Authors: Ventura Cristiane Moreira , Satler Lara Lima 
Published: February 2025

Considerando a emergência da forma híbrida de certa cinematografia brasileira contemporânea, a qual se utiliza em sua estratégia de realização a performance do ator-personagem em seus papéis sociais, pretendemos examinar a realização como um rito de passagem, a fim de compreender as transformações que ocorrem tanto no modo de fazer cinema, quanto às que ocorrem com o próprio ator-personagem ao se “iniciar” no meio cinematográfico.
Epifanias de Urubutsin na sagração de Upaon-Açu: montagem e memória na insurreição do conhecimento.
Authors: Greciano Merino Alberto 
Published: February 2025

O presente trabalho procura desenvolver uma reflexão crítica sobre as possibilidades estéticas do cinema para investigar as múltiplas facetas que fundamentam a realidade e sobre sua capacidade para que esse exercício se torne uma forma de pensar e proceder diante da história. Para tal fim, desenvolve-se uma análise interpretativa da tática discursivo-reflexiva utilizada na montagem do filme "Urubutsin e a Sagração de Upaon-Açu". As possibilidades que traz esse procedimento de montagem vão se embasar a partir de um marco teórico que aborda conceitos transversais para definir o caráter conflituoso e instável na/da imagem. O interesse é aventar a ideia de que as imagens são tocadas por contingências para instigar uma consciência de que a mirada sobre a realidade é uma tomada de posição social e historicamente determinada.
O audiovisual pervasivo do Movimento Brasil Livre nos Sites de Redes Sociais
Authors: Lepri Adil Giovanni 
Published: February 2025

O artigo pretende contribuir para pensar o papel do audiovisual no campo da política contemporânea, com um olhar que dá centralidade ao campo de estudos do cinema e do audiovisual, realizando a análise fílmica de uma parcela do audiovisual presente nos Sites de Redes Sociais (SRS), com foco na produção do Movimento Brasil Livre (MBL) durante o período do impeachment da presidenta Dilma Rousseff. A partir do entendimento que as matrizes do excesso, o sensacionalismo, o regime de atrações e a emergência de uma “câmera-corpo” são fundamentais na construção de endereçamento e engajamento dos espectadores, percebe-se como é operada uma certa gestão sensacionalista da política calcada nesses aspectos.
Framing the wall: The Palestinian resistance against the occupation in Five Broken Cameras (2011)
Authors: Amaral Diego Granja do 
Published: February 2025

This paper looks at the documentary Five Broken Cameras (Palestine, Israel, France, Netherlands, 2011) to discuss the temporal implications of a quotidian under occupation. More specifically, the investigation casts light over the peaceful resistance against the Israeli wall in the Palestinian village of Bil’in portrayed by the lenses of Emad Burnat, a Palestinian villager who becomes the village´s filmmaker after the acquisition of his first camera. Upon the analysis, I claim that in the context of the Palestinian struggle, cinema is both an integral part of the resistance and an instrument to structure the experience of time in an area fragmented by the occupation.
‘Just one more feed’: the impact of traumatic birth on breastfeeding
Authors: Norman Alyson , Allen Bronwen , Fraser Matilda , Baptie Grace 
Published: February 2025

Background/Aims A range of factors influence breastfeeding behaviour, including maternal mental health. Traumatic births have an impact on maternal mental health and have been found to negatively affect breastfeeding behaviour. The aim of this study was to better understand the impact of traumatic birth on breastfeeding experiences. Methods A total of 19 women aged 20–43 years who reported having a traumatic birth since 2010 and attempting to breastfeed were recruited for one-to-one semi-structured interviews. Data were analysed thematically. Results Four main themes were identified: bonding with baby, over/compensation, empowerment and physical complications. Breastfeeding reduced the psychological impact of traumatic birth through effective infant bonding and a sense of empowerment. However, it could also lead to a sense of failure, distress and pain. Conclusions Increased support is needed for people who have experienced a traumatic birth to ensure successful breastfeeding. Such support may help to ameliorate the sense of failure experienced by individuals following ‘failed’ birthing experiences. Implications for practice Greater support is needed for those breastfeeding after a traumatic birth, including longer-term support with mental health. Equipment should be available to assist with feeding complications and there should be an opportunity to debrief and talk through any negative experiences that may impact breastfeeding.
Allergic rhinitis and asthma – one airway, one approach
Authors: Bostock Beverley 
Published: February 2025

Beverley Bostock looks at the importance of making a diagnosis of allergic rhinitis and determining the severity of symptoms so that appropriate treatment strategies and ongoing management can be implemented. Allergic rhinitis (AR) can cause nasal, ocular and throat symptoms which can significantly affect quality of life. The impact can be felt from the condition alone or through its link with other conditions, most notably asthma. There is a bidirectional relationship between AR and asthma in that each increases the risk of the other. Both diagnoses are part of the atopic spectrum and often co-exist with other allergy-related conditions. People with atopic diseases require access to evidence based interventions, so accurate diagnosis and assessment of symptom severity is essential to optimise treatment strategies and ongoing management.
Analisis Pertumbuhan Ekonomi Provinsi Jawa Timur Beserta Faktor-Faktornya Menggunakan Model Robust Geographically Weighted Regression-Pendugaan M
Authors: Mushaharah Halimah Nur , Kusumawati Rosita , Isnaini Bayutama 
Published: February 2025

<p>Economic growth is a successfull benchmark of nation-building and plays a role in a nation’ welfare. Economic growth in districts/cities measured by gross regional domestic product at constant prices (GRDP constant prices). East Java is the second province after DKI Jakarta as the biggest contributor to the Indonesian economy in 2022 with economic growth rate values calculated by GRDP constant prices. However, East Java’s economic growth has gaps. As 23 of 38 districts/cities in East Java have economic growth values lower than national economic growth. Glaring gaps could be identified as an outlier and it could happen by many factors. This study aims to model economic growth and its factors with a robust analysis model against an outlier called robust geographically weighted regression-M estimation (RGWR-M). This study used secondary data from BPS Provinsi Jawa Timur and KEMENKEU’s SIKD data portal namely HDI, public health center, population density, economic activity, capital expenditure, and GRDP constant prices in East Java Province in 2022. The result showed that RGWR-M is the best model when an outlier is detected compared to OLS and GWR in analyzing factors that are suspected to affect economic growth in East Java Province in 2022 with MAD’s values. RGWR-M model produces six mapping groups of significantly influential variables and one group of uninfluential variables. The groups formed to have different parameter estimation results in each district/cities.</p><p><strong><em>Keywords:</em></strong><strong> </strong><em>GRDP constant prices; outlier; RGWR-M</em>.</p>
COMPARARTIVE PHYTOREMEDIATING POTENTIALS OF Jatropha curcas, Ixora coceinea, Codiaeum variagatum, Andropogum tectorium, Panicum maximum, Zea mays, Cajanus cajan FOR Pb2+, Cd2+, Zn2+ AND Co2+
Authors: Anarado Charity Ebere , Anarado Chigozie , Obumselu Onyeka , Iziga Chinasa , Onyilogwu Ebuka , Anarado Ijeoma 
Published: February 2025

The emergence of the industrial revolution has led to an enormous increase in heavy metal pollution of the biosphere which subsequently became a threat to the environment and human life. Heavy metal pollution has been recognised as one of the most critical threats to soil and water resources, together with human health. The potential of Jatropha curcas, Ixora coceinea, Codiaeum variagatum(male and female), Andropogum tectorium, Panicum maximum, Zea mays and Cajanus cajan as suitable phytoremediators for soil matrix polluted with Zinc (Zn), Cobalt (Co), Cadmium (Cd) and Lead (Pb) at 0.1M and 0.5M concentrations, and at 8 and 12 weeks of inoculation is the aim of this work.The plants were grown in soils polluted with 0.1m and 0.5M solutions of Pb2+, Cd2+, Co2+ and Zn2+, harvested after 8 and 12 weeks of inoculation. They were washed, air-dried, ashed, digested and concentrations of the metal ions in the plants were analysed. The results showed that there were significant interaction effects between the plants and the concentration of metal ions in the absorption of Pb2+(P< 0.01), Cd2+(P< 0.01), Co2+ (P< 0.01) and Zn2+ (P< 0.001). There was also significant interaction effects plants and the time of harvest in absorption of Pb2+(P< 0.01), Cd2+(P= 0.02) and Zn2+ (P< 0.001). No significant interaction was observed for absorption of Co (P= 0.36). At 0.5M concentration of Pb2+ and Cd2+, the mean Pb2+ and Cd2+absorptions in Codiaeum variagatum (female) were significantly higher than those of other plants. Also Ixora coceinea had the highest mean absorption of Co2+ when inoculated with 0.5M of the metal ion and at 8 weeks. While the mean Zn2+ absorption in Codiaeum variagatum (male) was significantly than those of other plants when inoculated with 0.5M Zn2+ and at 12 weeks. The flowering plants- Codiaeum variagatum (male and female) and Ixora coceinea showed better absorption of the metal ions than all other plants. These potentials shown by the flowering plants indicated that the plants could serve both aesthetic and phytoremediating functions at the same time.
Vortex memory effect of light for scattering-assisted massive data transmission
Authors: Ye Zhiyuan , Ding Chen-Xin , Zhao Jilun , Hou Wanting , Men Xue-Jiao , Cui Yi , Liu Hong-Chao , Wang Hai-Bo , Xiong Jun 
Published: February 2025

The optical memory effect (ME) is a physical phenomenon that enables imaging through scattering media. Here we report an extended optical ME known as vortex ME (VME) in a continuous orbital angular momentum (OAM) space. When the azimuthal phase mode index ℓ carried by a vortex beam shifts slightly with Δℓ, the scattering medium (SM)-encoded optical speckles will remain spatially correlated, and the correlation coefficient decays in the form of sinc2(Δℓ). Even after passing through a strong multilayer SM, the inherent orthogonality among OAM variables will be transferred to the speckle-based correlation spectrum intact. The speckle-encoded OAM fractional spectrum enables high-resolution observations of the angular double-slit interference pattern in a single shot. For a vortex beam with a multiplexed OAM fraction spectrum, a generalized group VME (GVME) can be manifested, and it is confirmed that a strong SM can be an OAM-invariant system. Furthermore, we present a speckle-encoded secure optical communication scheme to reliably transmit color image data under various high-scattering conditions, with no need to measure the complex transmission matrix. The proof-of-principle experiments, with a channel capacity of >16 bits or polarization (or wavelength) multiplexing-enabled ∼32.1 bits per shot, achieve a low symbol error rate (<0.5%). This work provides an intriguing physical perspective of speckles for understanding continuous fractional OAM and the unerasable orthogonality, as well as promising approaches for diverse optical applications.
Exploring ethical considerations in medical research: Harnessing pre-generated transformers for AI-powered ethics discussions
Authors: Mori Takuya , Watanabe Takuya , Kosugi Shinji 
Published: February 2025

Introduction
In medical research involving human subjects, ethical review is essential to protect individuals. However, concerns have been raised about variations in ethical review opinions and a decline in review quality. Adequately protecting human subjects requires multifaceted opinions from ethics committee members. Despite the need to increase the number of committee members, resources are limited. To address these challenges, we explored the use of a generative pre- learning transformer, an interactive artificial intelligence (AI) tool, to discuss ethical issues in medical research.

Methods
The generation AI used in the research used ChatGPT3.5, which has learned ethical guidelines from various countries worldwide. We requested the generative AI to provide insights on ethical considerations for virtual research involving individuals. The obtained answers were documented and verified by experts.

Results
The AI successfully highlighted considerations for informed consent regarding individuals with dementia and mental illness, as well as concerns about invasiveness in research. It also raised points about potential side effects of off-label drug use. However, it could not offer specific measures for psychological considerations or broader ethical issues, providing limited ethical insights. This limitation may be attributed to biased opinions resulting from machine learning optimization, preventing comprehensive identification of certain ethical issues.

Conclusion
Although the validity of ethical opinions generated by the generative AI requires further examination, our findings suggest that this technology could be employed to prompt reviews and re-evaluate ethical concerns arising in research.
Physical determinants of daily physical activity in older men and women
Authors: Karavirta Laura , Aittokoski Timo , Pynnönen Katja , Rantalainen Timo , Westgate Kate , Gonzales Tomas , Palmberg Lotta , Neuvonen Joona , Lipponen Jukka A. , Turunen Katri , Nikander Riku , Portegijs Erja , Rantanen Taina , Brage Søren 
Published: February 2025

Introduction
The ability to perform bodily movement varies in ageing men and women. We investigated whether physical fitness may explain sex differences in daily physical activity energy expenditure (PAEE) among older people.

Methods
In this cross-sectional study, a population-based cohort of 75, 80, and 85-year-old men and women (n = 409, 62% women) underwent laboratory-based assessment of walking speed, maximal knee extension strength, and body fat percentage. Free-living physical activity was assessed as total PAEE, and light (LPA) and moderate-to-vigorous physical activity (MVPA) using individually calibrated combined accelerometry and heart rate sensing. Path modelling was used to examine indirect associations between sex, physical fitness, and physical activity.

Results
Men had better physical fitness and higher overall PAEE (mean 34.0 (SD 10.8) kJ/kg/day) than women (28.3 (8.4) kJ/kg/day, p<0.001). The path model for PAEE explained 33% of the variance. The direct association between sex and PAEE was non-significant, whereas the association between sex and PAEE mediated by body fat (β = 0.20, p<0.001) and walking speed (β = 0.05, p = 0.001) were statistically significant. Similarly, associations between sex and MVPA mediated by body fat (β = 0.11, p = 0.002) and walking speed (β = 0.05, p = 0.001) were significant, as were the associations between sex and LPA mediated by body fat (β = 0.24, p<0.001) and walking speed (β = 0.03, p = 0.019).

Conclusion
Differences in physical activity between men and women may reflect underlying differences in cardiorespiratory fitness and adiposity. These results highlight the importance of maintaining physical fitness to support active living in older adults.
Women’s enrollment in community-based health insurance and its determinants in Sidama national regional state, Ethiopia, 2024: A multilevel analysis
Authors: Debessa Kare Chawicha , Negeri Keneni Gutema , Dangisso Mesay Hailu 
Published: February 2025

Introduction
Accessing affordable and high-quality healthcare remains a persistent challenge in low- and middle-income countries like Ethiopia. Community-based health insurance (CBHI) programs offer a promising solution to expand healthcare coverage and provide financial protection, particularly for vulnerable populations such as women. This study aimed to investigate the factors that influence CBHI enrollment among women in Sidama National Regional State, Ethiopia, using a multilevel analysis.

Methods
A community-based cross-sectional study was conducted using a multistage sampling technique from December 15th to January 12th, 2024, in the central Sidama zone, Sidama National Regional State. The study included 835 women aged 18 years and older, residing both in rural and urban areas. Face-to-face interviews were conducted using a pre-tested questionnaire to collect comprehensive data on socio-demographic, economic, and scheme-related factors. Data collection utilized the Open Data Kit mobile application, and data analysis was performed using Stata version 16, employing multilevel modified Poisson modeling to identify determinants of CBHI enrollment.

Results
Among 845 samples, 835 women were interviewed, resulting in a response rate of 98.8%. Individual-level factors such as older age (APR = 1.02, 95%CI: 1.01–1.03, p<0.001), larger family size (APR = 1.09, 95%CI: 1.03–1.16, p = 0.001), and moderate wealth index (APR = 2.72, 95%CI: 1.28–5.79, p = 0.009) showed positive associations with CBHI enrollment, depicted a higher likelihood of individuals joining the insurance scheme. In addition, at the community level, higher rates of women’s literacy (APR = 1.73, 1.18–2.55, p = 0.005), and women’s autonomy (APR = 2.64, 95%CI: 1.50–4.65, p = 0.001) were positively correlated with CBHI enrollment.

Conclusions
The study revealed that the enrollment rate among women in the CBHI scheme was 35%, indicating a need for improved outreach efforts. Significant factors that affected enrollment included older age, larger family size, and moderate wealth. Additionally, positive community-level influences such as higher literacy rates and increased autonomy for women contributed to higher enrollment. To improve CBHI enrollment, the target should focus on younger women and those from smaller families. Financial support, such as subsidies for low-income women, can also encourage participation. Investing in women’s literacy and empowerment programs will enable them to make informed health choices, thereby increasing enrollment. Finally, ongoing research is necessary to track enrollment trends and identify barriers. Utilizing qualitative methods will yield insights into women’s perceptions of CBHI, facilitating more effective strategies. Implementing these recommendations can enhance women’s access to healthcare through CBHI.
Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study
Authors: Xue Jiangfeng , Zhao Lun , Shao Liang , Zhang Huiwang , Feng Yewei , Shuai Ping 
Published: February 2025

Background
Lean individual with non-alcoholic fatty liver disease (L-NAFLD) is a prominent area of research, yet its pathogenesis and association with other diseases such as atherosclerotic cardiovascular disease remain uncertain.

Object
A retrospective study, investigate the association between non-alcoholic fatty liver disease (NAFLD) and carotid plaque (CP) in lean [body mass index (BMI) <24Kg/m2] and non-lean (BMI≥24Kg/m2) populations, as well as identify the related influence factors.

Method
3,587 participants were eligible and categorized into 4 groups based on the presence with CP and BMI, binary logistic regression analysis was utilized alongside other statistical methods.

Results
L-NAFLD participants had a 1.395-fold higher risk of CP compared to lean individuals without NAFLD. Age, gender, systolic blood pressure, low-density lipoprotein cholesterol, fasting blood glucose, and Fibrosis-4 index (FIB-4) were identified as independent risk factors with cutoff values lower than the normal upper limits. However, this association was not observed among non-lean participants, regardless of confounding factors adjustment. Moreover, the impact of FIB-4 on the association of NAFLD and CP was more significant in lean CP participants (OR = 1.360 for 1.30 ~ 2.67, and OR = 2.002 for >2.67~<3.48) than in non-lean CP ones.

Conclusion
The L-NAFLD population had a higher risk of CP, while lean CP individuals experienced more severe liver fibrosis. Implementing stricter management of risk factors may improve the health status of high-risk populations.