bluuebunny/crossref_metadata_2025_split huggingface dataset:
Voice and Silence in Assia Djebar and Adania Shibli
Authors: Silmi Amirah 
Published: June 2023

Abstract
This essay considers the works of two Arab writers, Assia Djebar and Adania Shibli, to examine how silences in their texts are signs of both oppression and of resistance and rebellion. It seeks to show how the silences as well as the cries and incomprehensible voices of the colonized defy colonial and hegemonic narratives by resisting incorporation into the order of the intelligible and recognizable. Both writers believe in the power of words, but their words, liberated from the function of signification, release silences as they release the voices of the colonized in their multiplicity. Djebar's texts present no binary opposition between silence and voice; in the continuous search for the voices of colonized women, voice and silence are inextricably intertwined. In Shibli's Minor Detail, as in many of Djebar's texts, the search for voices takes the form of a journey backward, but the voices of the colonized are not retrieved, and we are left with only their silence. Moreover, whatever audible voices there are in Shibli's text become markers of silence; it is thus silence that speaks in Shibli's text. By virtue of their very lack of discursive power, the silences and voices released in these writers' works retain the freedom that comes with transgression and remind us of the flight that writing can be.
Major depression disorder - etiology and treatment
Authors: Czuchryta Paulina , Babiak Rafał , Bajak Karolina , Domańska Anastazja , Gawęda Agnieszka , Grabek Agata , Rutkowska Julia , Rzęsa-Tokarczyk Żaneta , Skorek Klaudia , Urbańczyk Agnieszka 
Published: June 2023

Introduction and purpose: The problem of major depression disorder (MDD) affects more and more people. In a few years, it may become the most common disease after cardiovascular diseases and cancer. MDD are manifested by a depressed mood, decreased energy, loss of interest and the ability to enjoy life, as well as a number of other additional symptoms. Untreated MDD can lead to disability. This entails not only consequences for the sick person but also increased social costs. That is why it is so important to know the causes of its formation and to look for new therapeutic methods.
State of knowledge: The development of MDD is influenced by genetic factors, inflammatory factors and hormonal disorders, changes in the structure of the brain, disorders in neurotransmission. The microbiome-gut-brain axis affects mood regulation and neurotransmission in the brain. Bacteria such as Escherichia, Shigella, Enterococcus, Streptococccus, Alistipes, Parabacterioides, Veillonella have been identified as having a potential negative effect on the development of MDD and response to treatment. The use of probiotics containing Lactobacillus helveticus R0052, Bifidobacterium longum and Clostridium butyricum MIYAIRI 588 may help reduce the symptoms of MDD. In recent years, the US Food and Drug Administration (FDA) has approved the intranasal preparation of esketamine for the treatment of treatment-resistant depression and major depressive disorder with severe suicidal thoughts. Unlike other antidepressants, it has a quick effect on reducing symptoms.
Summary: Due to the global problem of MDD, further research is needed to better understand the mechanisms of its formation. Particular attention should be paid to the influence of microbiota.
The role of B lymphocytes in selected rheumatological and neurological diseases
Authors: Zarańska Julia , Aab Arkadiusz , Miejska-Kamińska Marta , Kamiński Filip , Liszka Adriana 
Published: June 2023

Introduction: B lymphocytes are responsible for humoral immune response. They play a crucial role in the development of the immune response and are essential in preventing infections as well as autoimmune and neoplastic diseases. They also constitute an important therapeutic target and are used in genetic and immunological therapies. In some cases, B cells can contribute to the pathogenesis of various diseases.
Aim of study: The aim of this study is to summarize the current knowledge on the diverse role of B lymphocytes in selected rheumatic and neurological diseases using available scientific literature.
Materials and Methods: This review was conducted using Pubmed and Google Scholar databases from 2009-2023. The research strategy was based on the following terms: B lymphocytes, monoclonal antibodies, myasthenia gravis, multiple sclerosis, systemic lupus erythematosus, systemic sclerosis, central nervous system damage, optic neuritis, Devic's syndrome.
Conclusion: B lymphocytes play a significant role in the pathogenesis of many rheumatic and neurological diseases, therefore they represent a target for modern therapies. Their role and potential use are complex and differ depending on the specific disease entity. Further research will allow for the development of new targeted therapies, giving hope for improving the effectiveness of patient treatment.
Early infant diagnosis testing for HIV in a hard-to-reach fishing community in Uganda
Authors: Ndyanabo Remegio , Nalugya Aisha , Ssekamatte Tonny , Nakafeero Mary , Kisakye Angela , Mukose Aggrey David 
Published: June 2023

Background
Infants born to HIV-infected mothers are at a high risk of acquiring the infection. The World Health Organization recommends early diagnosis of HIV-exposed infants (HEIs) through deoxyribonucleic acid polymerase chain reaction (DNA PCR) and rapid HIV testing. Early detection of paediatric HIV is critical for access to antiretroviral therapy (ART) and child survival. However, there is limited evidence of the factors associated with receiving early infant diagnosis (EID) tests of the HIV testing protocol among HEIs in fishing communities in Uganda. This study established the factors associated with receiving EID tests of the HIV testing protocol among HEIs in a hard-to-reach fishing community in Uganda.

Methods
A cross-sectional study was conducted among HEIs in selected healthcare facilities in Buvuma islands, Buvuma district. We obtained secondary data from mother-infant pair files enrolled in the EID program using a data extraction tool. Data were analysed using STATA Version 14. A modified Poisson regression analysis was used to determine the factors associated with not receiving the 1st DNA PCR test among HEIs enrolled in care.

Results
None of the HEIs had received all the EID tests prescribed by the HIV testing protocol within the recommended time frame for the period of January 2014-December 2016. The proportion of infants that had received the 1st and 2nd DNA PCR, and rapid HIV tests was 39.5%, 6.1%, and 81.0% respectively. Being under the care of a single mother (PR = 1.11, 95% CI: 1.01–1.23, p = 0.023) and cessation of breastfeeding (PR = 0.90, 95% CI: 0.83–0.98, p = 0.025) were significantly associated with not receiving the 1st DNA PCR.

Conclusion
Our study revealed that none of the HEIs had received all the EID tests of the HIV diagnosis testing protocol. Receiving the 1st DNA PCR was positively associated with being an infant born to a single mother, and exclusive breastfeeding. Our findings highlight the need for the creation of an enabling environment for mothers and caregivers in order to increase the uptake of early diagnosis services for HEIs. Awareness-raising on the importance of EID should be scaled up in fishing communities. Demographic characteristics such as marital and breastfeeding status should be used as an entry point to increase the proportion of HEIs who receive EID tests.
Bayesian versus diagnostic information in physician-patient communication: Effects of direction of statistical information and presentation of visualization
Authors: Brose Sarah Frederike , Binder Karin , Fischer Martin R. , Reincke Martin , Braun Leah T. , Schmidmaier Ralf 
Published: June 2023

BackgroundCommunicating well with patients is a competence central to everyday clinical practice, and communicating statistical information, especially in Bayesian reasoning tasks, can be challenging. In Bayesian reasoning tasks, information can be communicated in two different ways (which we calldirections of information): The direction ofBayesian information(e.g., proportion of people tested positive among those with the disease) and the direction ofdiagnostic information(e.g., the proportion of people having the disease among those tested positive). The purpose of this study was to analyze the impact of both the direction of the information presented and whether a visualization (frequency net) is presented with it on patient’s ability to quantify a positive predictive value.Material and methods109 participants completed four different medical cases (2⨯2⨯4 design) that were presented in a video; a physician communicated frequencies using different directions of information (Bayesian information vs. diagnostic information). In half of the cases for each direction, participants were given a frequency net. After watching the video, participants stated a positive predictive value. Accuracy and speed of response were analyzed.ResultsCommunicating with Bayesian information led to participant performance of only 10% (without frequency net) and 37% (with frequency net) accuracy. The tasks communicated with diagnostic information but without a frequency net were correctly solved by 72% of participants, but accuracy rate decreased to 61% when participants were given a frequency net. Participants with correct responses in the Bayesian information version without visualization took longest to complete the tasks (median of 106 seconds; median of 13.5, 14.0, and 14.5 seconds in other versions).DiscussionCommunicating with diagnostic information rather than Bayesian information helps patients to understand specific information better and more quickly. Patients’ understanding of the relevance of test results is strongly dependent on the way the information is presented.
Hindering and enabling factors for young employees with common mental disorder to remain at or return to work affected by the Covid-19 pandemic – a qualitative interview study with young employees and managers
Authors: Wallberg Martina , Tinnerholm Ljungberg Helena , Björk Brämberg Elisabeth , Nybergh Lotta , Jensen Irene , Olsson Caroline 
Published: June 2023

Background
During the COVID-19 pandemic, changes in working life occurred, even in Sweden, where there was no general lockdown. The aim of this study was to examine how the COVID-19 pandemic was perceived as affecting the hindering and enabling factors among young employees with CMD to remain at or return to work, here as investigated from the perspective of young employees and managers.

Material and methods
A qualitative design was applied with semistructured interviews with 23 managers and 25 young employees (20–29 years old). The interviews were recorded and transcribed verbatim, and the parts of the interviews related to the aim of this article were analysed using conventional content analysis.

Results
The hindering factors were changed working conditions, decreased well-being when spending more time at home, and uncertainty. The enabling factors were decreased demands, increased balance, and well-functioning work processes. For managers it is important to be aware of warning signals indicating blurred boundaries between work and private life, to create and maintain well-functioning communication, and leave room for recovery.

Conclusion
The hindering and enabling factors can be described as two sides of the same coin. Changes in the working conditions during the pandemic led to difficulties for both young employees and managers when the margins of maneuver were insufficient.
Does the Cambridge classification alone predict the possibility to perform echocardiographic examination in lateral recumbency in dogs affected by brachycephalic obstructive airways syndrome?
Authors: Bagardi Mara , Locatelli Chiara , Ghilardi Sara , Creta Federica , Pasquinelli Beatrice , Brambilla Paola G. , Romussi Stefano 
Published: June 2023

Objectives
To evaluate if the functional grading system (Cambridge classification) of brachycephalic obstructive airways syndrome (BOAS) and the temperament score can be useful tools in predicting the feasibility of echocardiographic examination in lateral recumbency. The hypothesis is that the temperament of the dog, rather than the severity of BOAS alone, can exacerbate respiratory symptoms (dyspnea, stertor, stridor and/or cyanosis) during lateral containment.

Methods
Prospective cross-sectional study. Twenty-nine French Bulldogs were included and classified according to the Cambridge classification for the BOAS and to the Maddern score for the temperament. Receiver operating characteristic analysis was used to evaluate the sensitivity (Se) and specificity (Sp) of the Cambridge classification, of the temperament score and their sum to predict the feasibility of the echocardiography in lateral recumbency without dyspnea/cyanosis.

Results
8 females (27.59%) and 21 (72.41%) males French Bulldogs of 3 years (IQR25-75 1–4), and 12.45 kg (IQR25-7511.5–13.25) were included. The Cambridge classification alone was not predictive for the possibility of performing the echocardiography in lateral recumbency, unlike temperament score and the sum of the two classification indices. The diagnostic accuracy of Cambridge classification (AUC 0.81, Se 50%, Sp 100%), temperament score (AUC 0.73, Se 75%, Sp 69%), and their sum (AUC 0.83, Se 75%, Sp 85%) cut-offs was moderate for each score.

Clinical significance
The dog’s temperament, and therefore its susceptibility to stress, rather than the severity of BOAS (Cambridge classification) alone, is a good predictor of the possibility of performing the echocardiographic examination in standing instead of lateral recumbency.
Multiple Gastric Dieulafoy Lesions
Authors: Pemmada Vikas , Bhat Ganesh , Shetty Athish , Bhat Bharath Kumar , Murali Megha , Vasudevan Geetha 
Published: June 2023

ABSTRACT
Dieulafoy lesions (DLs) are an uncommon nonvariceal cause of gastrointestinal bleeding. Although advanced endoscopic treatment is successful in majority, rarely radiologic intervention or surgery may be needed. Most of the reported case series described single DLs, and very limited data were available about multiple or synchronous DLs. We report a rare case of multiple DLs of the stomach refractory to repeated endoscopic interventions by hemoclips, regional diluted adrenaline injections, hemospray, and argon photocoagulation therapies and requiring total gastrectomy and roux-en-y esophagoduodenostomy surgery.
ANALISIS EFEKTIFITAS SIMPANG U-TURN PADA JL. LETJEN SUPRAPTO MENGGUNAKAN METODE MANUAL KAPASITAS JALAN INDONESIA 1997 (STUDI KASUS U-TURN SP PLAZA BATAM)
Authors: Karuniansyah Muhammad Fadhil 
Published: June 2023

U-Turns are employed as a particular access for drivers who want to switch lanes while they're moving. However, the problem that often occurs is that this intersection can be the main cause of congestion on a road. In the case of the U-Turn intersection of Arterial Road Jl. Letjen Suprapto, to be exact, is across from SP Plaza Batu Aji. Traffic jams are often caused by this, especially in the afternoon during work hours. in accordance with the 1997 Indonesian Highway Capacity Manual, This study tries to evaluate the intersection's performance and determine whether it is the primary cause of persistent traffic congestion. The technique used to obtain data is observation and documenting. The results showed that the road capacity value was 2884.1 pcu/hour. Traffic volume value in the direction of Muka Kuning - Tg. Uncang of 1458.7 pcu/hour. 2475.4 pcu/hour in the opposite direction. 1033 vehicles were shown at 17:30-18:00 as making U-turns with an average travel time of 08'36". As a result of vehicles making u-turns, delays occur which hinder the passage of vehicles through the road segment resulting in congestion. This is the main cause of congestion on this road section with a road service value of 0.51 or a service level of C. These results indicate that the road segment is still stable, but vehicle speed is starting to be controlled. The research's conclusions can act as a guide for further investigation.
Studi luas genangan banjir pada suatu das yang memiliki bangunan tanggul(study kasus das way pisang)
Authors: PUTERI LIDYANA 
Published: June 2023

Abstract: Way Pisang is a river in south Lampung Regency – Lampung, that potentially flooding every year, crossing the Penengahan, Palas and Sragi Districts. The floods that occur almost every year, has an impact on the moral and material losses to the residents who lived around the location.Flood prevention around the Way Pisang river is done by adding some embankments for its rehabilitation. The simulations of the embankment infrastructure existed carried out using HEC-RAS software. This simulations were carried out at certain locations that profiled potentially welled up at B.34 to A.76 or Sta. 01 to 109.From its modeling, resulting that the existence of an embankment with a high puddle area in year 2007, for Q10 are 270/Ha and for Q25 are 330/Ha. Furthermore, flood inundation area flooded in year 2015 was 310/Ha for Q10 and 340/Ha for Q25.Keywords: Way Pisang, Embankment and HEC-RAS.
Analisis Karakteristik Perjalanan dan Pengguna Moda Kombinasi (Trans Jogja dan Sepeda)
Authors: Adrie Fadhilah Maretha , Dewi Diah Intan Kusumi 
Published: June 2023

Permasalahan kota besar di negara berkembang seperti kemacetan dan peningkatan polusi udara menjadi salah satu isu global yang perlu diatasi segera. Integrasi angkutan umum direkomendasikan sebagai salah satu solusi yang mampu mengatasi permasalahan ini dengan mengkombinasikan penggunaan kendaraan non-motorized sebagai feeder . Namun, penelitian mengenai pengguna dan perjalanan moda kombinasi masih belum dipelajari secara spesifik dan empiris. Penelitian ini bertujuan untuk menganalisis hal ini secara spesifik yang bertujuan untuk memberikan gambaran mengenai karakteristik perjalanan dan pengguna sebagai pertimbangan dalam penyediaan transportasi di Kota Yogyakarta. Pengumpulan data melalui kuesioner, diolah dan dianalisis menggunakan statistik deskriptif menghasilkan kesimpulan bahwa pengguna Trans Jogja didominasi oleh masyarakat dengan kelompok umur usia produktif dan berjenis kelamin perempuan. Sebagian besar dari mereka memiliki profesi sebagai Mahasiswa dengan pendapatan menengah dan memiliki maksud perjalanan menggunakan Trans Jogja untuk berwisata dengan perjalanan satu kali dalam seminggu. Selama ini, sebagian besar pengguna berjalan kaki untuk menjangkau halte dan tujuan setelah naik atau turun dari Trans Jogja. Namun beberapa dari mereka menyatakan cukup kewalahan jika jarak yang ditempuh dari asal-halte atau halte-tujuan memiliki jarak yang cukup jauh. Oleh karena itu, diusulkan penggunaan sepeda sebagai feeder dalam mengatasi permasalahan ini, dan berdasarkan analisis persepsi, 78% pengguna Trans Jogja bersedia untuk menggunakan sepeda sebagai feeder menuju Trans Jogja.
Screening and characterization of fungal taxol-producing endophytic fungi for evaluation of antimicrobial and anticancer activities
Authors: Pandy Rajapriya , Kumar Senthuran Suresh , Suresh Perumal , Annaraj Jamespandi , Pandi Mohan , Vellasamy Shanmugaiah , Sagadevan Suresh 
Published: June 2023

Abstract
Bioactive compounds produced by fungal endophytes have potential benefits, such as low cost, rapid growth, facile genetic manipulation, and industrial scale-up with fewer negative effects. Millingtonia hortensis is a valuable medicinal plant found throughout South Asia. To the best of our knowledge, no reports are available for the screening of endophytic fungal taxol in this medicinal plant. Hence, seven previously reported endophytic fungi from Millingtonia hortensis L. were used in the present study. Of these, five were found to produce taxol. The agar well diffusion method was used to assess the antibacterial and antifungal activities of partially pure fungal taxol against human and fungal pathogens. Fungal taxol effectively inhibited all tested pathogens. Based on the significant antibacterial activity, the sorting of bacterial cells against the compounds (MID6 and MID9) was analyzed by flow cytometry. MID9 showed a moderate level of cell death compared to the control. The MTT assay was used to examine the cytotoxic effects of fungal taxol against the human liver cancer cell line HepG2. A significant decrease (0.05–0.5 μM) was observed in the cell viability and IC50 dosage was fixed as 0.25 μM after 24 h of treatment. Morphological changes were also observed. From these results, we conclude that this is the first description of the taxol-yielding potential of Cochliobolus hawaiiensis. In addition, fungal taxols exhibit potential antibacterial, antifungal, and anticancer effects. In the future, Cochliobolus hawaiiensis could be a new source of taxol, a revolutionary therapeutic drug.
Developing Assessment Literacy for Classroom-Based Formative Assessment
Authors: Yongqi GU Peter , LAM Ricky 
Published: June 2023

Abstract
Formative assessment (FA) has been increasingly recognised as a powerful tool to improve teaching and learning, and thereby increase educational effectiveness. As such, FA has been written into government directives and curriculum standards; and incorporated into teacher education programmes. At the classroom level, however, teachers have found FA a formidable task that is difficult to implement. This has been attributed to the teacher’s lack of assessment literacy, among other reasons. In this guest-editor introduction, we frame the special issue and its scope by highlighting the main issues involved. We then briefly introduce the 10 articles which we believe, taken together, advance our understanding of teacher formative assessment literacy and its development.
A Tale of Two Teachers: Construction of Novice University English Teachers’ Assessment Identity
Authors: GAN Ling , LAM Ricky 
Published: June 2023

Abstract
While teachers’ language assessment literacy (LAL) development has been researched exponentially, little is known about the construction of teachers’ assessment identity in their LAL development. The current study attempts to fill this gap by exploring how two novice university English teachers constructed their assessment identity in the Chinese context. Data were collected over three semesters through narrative frames, interviews, and field observations. The data revealed that the two teachers experienced a shift from not identifying themselves to be an assessor to being an assessor, along with their LAL development. They constructed their assessment identity with different trajectories. Specifically, one informant proactively made sense of her identities as an unswerving assessment practitioner and an ardent assessment explorer but preferred to label herself as a guide and “a stumbling novice assessor.” The other developed his identities as a confident feedback giver and a lenient marker, preferably identifying himself as “a life mentor.” These idiosyncratic construction trajectories were mainly influenced by teachers’ conceptions of assessment, prior assessment experiences, personal dispositions (e.g., self-efficacy, agency, reflection) and institutional requirements. Findings of this study offer insights into the under-researched area of teacher professional identity in language assessment and provide implications on how to become effective language assessors.