bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient, family member, and health care provider perspective on barriers and facilitators to diabetic retinopathy screening in Thailand: A qualitative study
Authors: Kumar Geetha , Velu Saranya , Pardhan Shahina , Sapkota Raju , Ruamviboonsuk Paisan , Tadarati Mongkol , Chotcomwongse Peranut , Nganthavee Variya , Pattanapongpaiboon Warisara , Raman Rajiv 
Published: August 2023

Objectives
Diabetic retinopathy (DR) can cause significant visual impairment which can be largely avoided by early detection through proper screening and treatment. People with DR face a number of challenges from early detection to treatment. The aim of this study was to investigate factors that influence DR screening in Thailand and to identify barriers to follow-up compliance from patient, family member, and health care provider (HCP) perspectives.

Methods
A total of 15 focus group discussions (FGDs) were held, each with five to twelve participants. There were three distinct stakeholders: diabetic patients (n = 47) presenting to a diabetic retinopathy clinic in Thailand, their family members (n = 41), and health care providers (n = 34). All focus group conversations were transcribed verbatim. Thematic analysis was used to examine textual material.

Results
Different themes emerged from the FGD on knowledge about diabetes, self-care behaviors of diabetes mellitus (DM), awareness about DR, barriers to DR screening, and the suggested solutions to address those barriers. Data showed lower knowledge and awareness about diabetes and DR in both patients and family members. Long waiting times, financial issues, and lack of a person to accompany appointments were identified as the major deterrents for attending DR screening. Family support for patients was found to vary widely, with some patients reporting to have received adequate support while others reported having received minimal support. Even though insurance covered the cost of attending diabetes/DR screening program, some patients did not show up for their appointments.

Conclusion
Patients need to be well-informed about the asymptomatic nature of diabetes and DR. Communication at the patient level and shared decision-making with HCPs are essential. Family members and non-physician clinicians (such as diabetes nurses, diabetes educators, physician assistants) who work in the field of diabetes play a vital role in encouraging patients to attend diabetes and DR follow-ups visits regularly.
The reintroduced Dinaric lynx population dynamics in PVA simulation
Authors: Potočnik Hubert , Skrbinšek Tomaž , Kos Ivan 
Published: August 2023

In the study, we modelled population dynamics of the reintroduced Dinaric lynx population. We used data obtained by monitoring to estimate population dynamics–spatial expansion, abundance estimates, and mortalities–since the reintroduction in 1973 and up to the present day, and then looked for demographic and habitat parameters that would provide the best fit of a lynx population model to this data. We tried to evaluate the importance of these parameters for future population dynamics and viability (PVA) of this lynx population. We constructed a number of 100-year simulations using a range of demographic parameters, different prey availabilities and simulating other potential human related factors that might affect the lynx population. We found that there introduced lynx population must have had high fecundity rates with more than1.6 kittens survived per female and per litter to reach abundances over 100 individuals despite the high human related mortality. The elasticity analysis revealed that adult survival is by far the most important demographic parameter for the lynx population dynamics. PVA highlighted two important factors that had a major impact on population growth dynamics and related risk of population extinction: changes in the survival rates of subadult and adult individuals and, especially, the quality of habitat with regard to prey availability. Survival rates of subadult and adult lynx are directly influenced by human activities, mainly manifested through illegal shooting, and are difficult to control. Quite opposite to that, the quality of habitat with regard to prey availability can be directly influenced through management. Since habitat quality can have a significant role for the lynx population dynamic and viability, even in presence of minor, difficult to control changes in survival rates of subadults and adults, adequate prey species management might be one of the most important short-term conservation priorities
Seizing the World: From Concepts to Reality
Authors: Hommen David 
Published: August 2023

AbstractIn this essay, I shall defend a transcendental argument for epistemological realism: the view that mind-independent yet cognitively accessible entities exist. The proposed argument reasons from the fact that we are conceptual creatures to the existence of a knowable outer world as a condition of the possibility of such creatures. I first lay down my general approach to concepts and conceptualization, according to which concepts are rules that agents follow in their cognitive activities. I go on to explicate the peculiar normative nature of rules and rule-following, from which I extract, following Wittgensteinian considerations, an intractable problem for any idealist account of concept possession. I argue that the very possibility of conceptualizing requires the existence of external objects that enable the cognizer to regulate their use of concepts, and close with some remarks on the resultant nature and scope of metaphysical knowledge.
A novel 3D woven carbon fiber composite with super interlayer performance hybridized by CNT tape and copper wire simultaneously
Authors: Zhu Yu , Che Zhe , Du Youpei , Hou Peiyu , Zhang Lijun , Wang Junpeng , Zhang Tao , Dai Zhen , Hong Yiqiang , Han Weijian 
Published: August 2023

Abstract
In this work, a novel binary hybrid woven carbon nanotube (CNT) tape/copper wire carbon fiber reinforced epoxy resin composite is prepared. The mode I interlaminar fracture toughness (G
IC) is employed to critically evaluate the delamination performance. A comparison of the G
IC value with that of the carbon fiber reinforced composite confirms that incorporating CNT tapes and copper wires into the composite increases the value by 263%. In the transverse and through-thickness direction, the conductivity of the laminate increases to 458 and 193 S/m, which is increased by 196 and 675%, respectively. The thermal conductivity along the thickness direction is increased to 2.27 W/m K, an increase of 134%. The volume fraction of CNT tapes and copper wire are as low as approximately 0.87 and 0.47 vol%, respectively. 3D woven composites have potential applications in high-performance structures and lightning striking protection such as aircraft, ships, and engines, which benefits by the innovative through-thickness implantation of composites using CNT tape and copper wire.
Assessment of performance degradation of a mixed flow low bypass turbofan engine through GasTurb simulation
Authors: Rath Narahari , R. K. Mishra , Kushari Abhijit 
Published: August 2023

Abstract
Aero engine performance analysis is very important for engines under development as well as for engines in service for condition monitoring. Predictions of aero engine performance and ability of building the simulation model is an invaluable asset for designers, manufacturer and end-use operator. This paper presents the methodology in establishing the baseline performance of a twin spool mixed flow low bypass turbofan engine through extensive testing at engine test bench. The baseline data is used to validate a GasTurb model which is subsequently used for assessment of off-design performance and component degradation responsible for performance deterioration at various service hours. The estimated exhaust gas temperatures by the model for degraded engines are in good agreement with the measured data. The model further assesses the drop in HP compressor efficiency and shift in operating line which will be very useful for taking judicious decision for withdrawal of engines and is expected to reduce or delay withdrawals and increase the availability of engines at operating base.
Investigation of alkali halide crystals AX (A = Li, Na, K; X = F, Cl, Br) by elastic, mechanical and ultrasonic analysis
Authors: Singh Anurag , Singh Devraj 
Published: August 2023

Abstract
The ultrasonic attenuation studies of alkali halides single crystal AX (A = Li, Na, K and X = F, Cl, Br) have been investigated along <100>, <110> and <111> directions at room temperature. For this investigation, a most appropriate potential model for studying physical studies of rock-salt type alkali halides, the Coulomb and Born–Mayer model has been used to evaluate higher order elastic constants. The second order elastic constants are used to compute the mechanical properties and ultrasonic velocities of the chosen materials. Additionally, the thermal properties have also been evaluated along different orientations. Thermoelastic loss is very small in comparison to the attenuation due to phonon-phonon interaction mechanism at room temperature. The achieved results of AX have been discussed and compared with available experimental and theoretical results.
O que é comer bem? A visão de pessoas em situação de vulnerabilidade no município de Ponta Grossa (PR)
Authors: Silva Hellen Vitória , Jaronski Priscilla Garbelini , Medeiros Mirna de Lima , Raiher Augusta Pelinski 
Published: August 2023

A alimentação é um fenômeno social, econômico, antropológico e cultural. Portanto, o entendimento do que é “comer bem” altera-se segundo a época, espaço geográfico, faixa etária, classe social, saúde e qualidade de vida do respondente. Tencionando abranger diferentes níveis de segurança alimentar (SA) nesta questão, buscou-se compreender o que significa “comer bem” para indivíduos em situação de vulnerabilidade no município de Ponta Grossa/PR, especialmente os assistidos pelo CRAS com benefício eventual de auxílio-alimentação. A construção do artigo baseou-se na revisão bibliográfica, aplicação de questionário à 302 famílias sobre aspectos socioeconômicos e alimentares. Demonstrou-se que a vulnerabilidade direciona o entendimento do que é “comer bem” ao simples ato de ingerir alimentos, deixando questões cu
Valorização dos queijos artesanais brasileiros: Aplicabilidade de três sinais distintivos de qualidade para o queijo coalho a partir da visão de especialistas.
Authors: Martinelli Lucas , Dos Anjos Flávio Sacco 
Published: August 2023

Diante do cenário contemporâneo alimentar, a valorização das produções tradicionais e artesanais se torna objeto de análise para diferentes sinais distintivos de qualidade. O estudo do caso do queijo coalho artesanal, envolto neste contexto, expõe a necessidade de uma maior atenção por parte das instituições e da sociedade civil para uma questão fundamental: a manutenção dos saberes e fazeres tradicionais geracionalmente compartilhados. No Brasil, entre os dispositivos destinados a valorização e salvaguarda de artigos alimentares, os que melhor se relacionam às produções queijeiras artesanais, são três: a patrimonialização cultural imaterial, as indicações geográficas e o selo Arte. Buscando entender seus possíveis cruzamentos com o queijo coalho artesanal, a captação de relatos de especialistas sobre essas matérias se demonstrou de extrema importância para visualizar possíveis caminhos a serem traçados para o futuro deste artigo alimentar brasileiro. Desta maneira, empregando uma revisão de literatura sobre temas fundamentais e a captação de dados primários a partir da aplicação de análise de conteúdo ao material resultante de oito entrevistas qualitativas de roteiro semiestruturado, se tornou possível expandir as noções da aplicabilidade destes três sinais distintivos de qualidade ao caso do queijo coalho artesanal da região nordeste do Brasil. Ademais, se conclui que todos os três dispositivos, apesar de suas especificidades, detêm potenciais para a salvaguarda dos produtores, produtos e produções deste alimento, bem como se tornou possível visualizar possíveis limites para um futuro registro do coalho artesanal.
High Diversity of Tick-associated Microbiota from Five Tick Species in Yunnan, China
Authors: Zhang Jie , Ni Xue-Bing , Chen Zi-Yun , Zhang Yun , Wei Ran , Gong Zheng-Da , Zhu Dai-Yun , Cui Xiao-Ming , Shao Zong-Ti , Liu Hong-Bo , Li Yu-Qiong , Wang Jian , Gao Zi-Hou , Duan Xing-De , Jiang Hang , Jiang Jia-Fu , Lam Tommy Tsan-Yuk , Huang En-Jiong , Jia Na , Du Chun-Hong 
Published: August 2023

Objective:
Ticks are obligate blood-sucking vectors for multiple zoonotic diseases. In this study, tick samples were collected from Yunnan Province, China, which is well-known as the “Global Biodiversity Hotspot” in the world. This study aimed to clarify the microbial populations, including pathogens, associated with ticks and to identify the diversity of tick-borne microbiota in this region.

Methods:
The 16S rRNA full-length sequencing from pooled tick DNA samples and PCR amplification of pathogenic genera from individual samples were performed to understand tick-associated microbiota in this region.

Results:
A total of 191 adult ticks of 5 tick species were included and revealed 11 phyla and 126 genera bacteria, including pathogenic Anaplasma, Ehrlichia, Candidatus Neoehrlichia, Rickettsia, Borrelia, and Babesia. Further identification suggested that Rickettsia sp. YN01 was a variant strain of Rickettsia spp. IG-1, but Rickettsia sp. YN02 and Rickettsia sp. YN03, were potentially two new SFGR species.

Conclusions:
This study revealed the complexity of ecological interactions between host and microbe and provided insight for the biological control of ticks. A high microbial diversity in ticks from Yunnan was identified, and more investigation should be undertaken to elucidate the pathogenicity in the area.
Early Treatment of Multisystem Inflammatory Syndrome in Children
Authors: Jonat Brian , Geneslaw Andrew S. , Capone Christine A. , Shah Sareen , Bartucca Lisa , Sewell Taylor B. , Acker Karen P. , Mitchell Elizabeth , Cheung Eva W. 
Published: August 2023

BACKGROUND AND OBJECTIVES
Multisystem inflammatory syndrome in children (MIS-C) is a severe hyperinflammatory illness occurring after severe acute respiratory syndrome coronavirus 2 infection. The optimal treatment of MIS-C is unknown, although prior studies have indicated benefits of intravenous immunoglobulin (IVIG) and glucocorticoids. We hypothesize that early treatment with glucocorticoids is associated with shorter hospital length of stay (LOS).

METHODS
This study is a multicenter retrospective cohort study of patients hospitalized with MIS-C over a roughly 1-year period. The primary outcome was hospital LOS comparing subjects who received glucocorticoids within 48 hours of arrival to the treating hospital to those who did not. Secondary outcomes included ICU LOS. Unadjusted and adjusted analyses were performed.

RESULTS
The final analysis included 131 subjects. Subjects who received early glucocorticoids were more likely to receive early IVIG and to require ICU admission. Early glucocorticoid administration was associated with shorter ICU LOS (4 vs 9 days, P = .004) in the unadjusted analysis. In the adjusted analysis, early glucocorticoid administration and early IVIG administration were both independently associated with shorter hospital LOS (incidence rate ratio 0.75, P = .025; incidence rate ratio 0.56, P = .026, respectively).

CONCLUSIONS
Glucocorticoids and intravenous immunoglobulin were independently associated with shorter hospital length of stay when given early in hospitalization to MIS-C patients after accounting for potential confounding factors. The optimal dose and duration of treatment require further investigation, but this study supports early combination therapy with both IVIG and glucocorticoids for all children hospitalized with MIS-C.
Unveiling the burden of surgical site infections (SSI) and its determinants in tertiary care centre
Authors: Tiwary Satyendra K , Singh Rohit Kumar , Singh Sweta , Puneet  , Khanna Ajay K 
Published: August 2023

Surgical site infections (SSIs) are prevalent hospital-acquired infections that pose a significant risk to patients, often leading to complications and even death. The incidence of SSIs can vary among different hospitals due to various factors that influence their development. The objective of this study was to examine the occurrence and determine the factors associated with Surgical Site Infections (SSI). From August 2021 to July 2022, our tertiary care center conducted a retrospective observational study. The surgical sites were carefully assessed and categorized, and infected wounds underwent culture and sensitivity testing. The collected data was then analyzed using SPSS 13 software: Among the 360 patients studied, 78 (22%) developed surgical site infections (SSI). Risk factors for SSI included age, gender, BMI, diabetes, blood transfusion, and longer preoperative waiting time. Staphylococcus aureus was the predominant pathogen, and resistance to tetracycline was common.Surgical site infections (SSI) are prevalent, indicating a high incidence. Among the contributing factors, gender, extremes of BMI, diabetes mellitus, and blood transfusion emerge as influential risk factors associated with the occurrence of SSI.
Traditional Games and the Sri Lankan Culture; Reflection of Traditional Games as a Component of Implicit Culture of Sri Lanka
Authors: H P N Perera 
Published: August 2023

Traditional games are still preserved in Sri Lankan context since it acts as a major role in Sinhala new-year season. However, the vicinity of the traditional games such as Eluwan keema (catching of goats/Goats Play), and Gudu paneema (Tip-cat game) are gradually declining due to the inception of new games for the Sinhala New Year festival by unanimous people for different objectives. Traditional games have been so far identified as a reflection of explicit culture and therefore, the main aim of the study was to understand the relationship between traditional games and culture and to reveal whether the said is a sub-section of implicit culture with the use of prevailing literature. The main concentration of this research was given to present the cultural background of traditional games created by the mindsets of our forefathers and to understand the blend of implicit and explicit cultural knowledge that guided such activities. Thorough observations of traditional games played by different parties were also observed by the researcher to narrate the implicit cultural values embedded in such games. Literature reveals that playing a game is explicit but molding a game is part of the implicit culture. Traditional games are evolved throughout the years from their inception and had changed the basics from time to time. Changes include the costumes of the participants, the equipment used, and the objective of playing such games. In-depth interviews were conducted with fifteen elderly villages. The results of this study synthesized through observation, interviews, and secondary data review established that it can be treated that the traditional games of Sri Lanka as the reflection of components of implicit and explicit culture.
Tingkat Kepuasan Konsumen Terhadap Penerapan Bauran Pemasaran Pada UD Olsabara Sukses Sejahtera
Authors: Bustomi Muhamad Yazid , Dewi Indah Novita , Rusmiyati Rusmiyati , Pratiwi Wike , Faizal Faizal 
Published: August 2023

Consumer satisfaction level of a product could be seen from the performance assessment of the attributes of the marketing mix. The aims of this research were (1) to analyze the level of consumer satisfaction on the marketing mix, (2) to determine priority strategies for increasing customer satisfaction. This research was conducted in December 2021 at UD Olsabara Sukses Sejahtera which was located in the North Sangatta Sub District, Kutai Timur District. The sampling technique used was accidental sampling, namely the sampling by taking visitors of Olsabara who want to be interviewed and to fill out a questionnaire. During the research process, 52 people were willing to be interviewed, so the number of samples was 52 respondents. Data analysis by using the customer satisfaction index (CSI) method, which used to determine the level of consumer satisfaction of the marketing mix at UD Olsabara. Beside that, an important performance analysis (IPA) diagram was used to determine priority strategies for increasing customer satisfaction. The results showed that the level of consumer satisfaction (CSI) was 80.46% which was included in the very satisfied category. The main priority matrix strategy was the attributes which was in quadrant I as the main priority for business owners, namely offline promotion, online promotions, supporting parking facilities, and sales person knowledge of products, and available delivery services.
AVAILABILITY OF INFRASTRUCTURE AND CLEAN AND HEALTHY LIVING BEHAVIOR IN PUBLIC AND PRIVATE JUNIOR HIGH SCHOOLS: A COMPARATIVE STUDY
Authors: Kartini  , Sumarmi Sri 
Published: August 2023

Introduction: Students can achieve a high level of health and obtain good learning achievements by maintaining clean and healthy living behavior (PHBS). Aims: analyze differences in knowledge, attitudes, and practice in private and public junior high school students regarding PHBS. Methods: This research used a comparative design. The study subjects were grade IX students from a private and public junior high school in Surabaya with total sample of 185 students. The observed variables were knowledge, attitude, and practice on clean and healthy living behavior. Data were statistically analyzed using Independent T-test for the continuous data, and chi-square test applied to the categorical data. Result: showed that the average knowledge score of private and public junior high school students is still sufficient (34.5±12.3), while attitude (63.7±10.4) and practice (53.4±6.4) regarding clean and healthy living behavior (PHBS) in private and public junior high school students were categorized as positive and good. Statistical analysis revealed that there was different score for knowledge of PHBS between students in private and public junior high school (p = 0.002), but score of attitude and practice were not different between two groups, with p-value of 0.084 and 0.746, respectively. Conclusion: It concluded that knowledge on clean and healthy living seems not followed by the attitude and practice in daily living of students in state and private junior high school students.
Differences in the Effect of Deep Breathing and Prone Position on the Oxygen Saturation Value among COVID-19 Survivors in a Sub-district of East Java Province
Authors: Sunarto Sunarto , Devy Anggraini Lilis , Mardi Harnanto Addi 
Published: August 2023

Background. To date, the COVID-19 pandemic has become a major problem in all countries of the world. Indonesia registered as a country with a significant drop in cases. The highest percentage of outcomes in COVID-19 survivors were fatigue and shortness of breath. Medical rehabilitation therapy for COVID-19 survivors is critically needed to maintain and improve quality of life by preventing or reducing the development of functional impairment and disability and by ameliorating and reducing complications.
Methods. Quasi-experimental research design with pretest-posttest design on COVID-19 survivors. The sample is 120 respondents consisting of 60 respondents in the Deep Breathing group and 60 respondents in the Prone position group.
Results. The study showed that there was a significant difference in oxygen saturation value (ρ value 0.004 < 0.05) between the Deep Breathing and the Prone in COVID-19 survivors.
Conclusion. There is a significant difference (ρ 0.004) in oxygen saturation values in COVID-19 survivors who are given Deep Breathing and Prone position.