bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nursing students' perceptions of teaching health care to LGBTQIA+ people
Authors: Araujo Willian Martins de , Borges Flávio Adriano , Lima Janaína Ferreira de , Silveira Walkiria Jéssica Araújo , Souza José Francisco Sampaio , Stofel Natália Sevilha , Carlos Diene Monique 
Published: April 2023

Objective: to analyze nursing students' perceptions about their professional training for health care of LGBTQIA+ people. Methods: qualitative study, conducted with 19 nursing students through semi-structured interviews. Data were processed and worked through lexical analysis using IRaMuTeQ® software. Results: the textual corpus gave rise to two categories: professional nursing training on health of LGBTQIA+ people (subdivided into: curricular spaces addressing health of LGBTQIA+ people and Formative deficits for health care of LGBTQIA+ people) and Extracurricular spaces of professional training on health of LGBTQIA+ people (subdivided into: informal and extracurricular learning on health of LGBTQIA+ people and Work context and autonomy in learning about LGBTQIA+ health). Conclusion: addressing the health of LGBTQIA+ people in the training of nurses needs to expand beyond specific classes, which demands the creation of spaces within the curricular matrices that address the specificities required by this population, without, however, relegating them to extracurricular activities. Contributions to practice: problematization of the training of nurses for the health care of LGBTQIA+ people.
The Current State of High-Flow Nasal Cannula Protocols at Children’s Hospitals
Authors: Willer Robert J. , Brady Patrick W. , Tyler Amy N. , Treasure Jennifer D. , Coon Eric R. 
Published: April 2023

OBJECTIVES
To describe the current state of non-ICU high flow nasal cannula (HFNC) protocols at children’s hospitals and explore associations between HFNC protocol type and utilization outcomes.

METHODS
We performed a cross-sectional study of the Pediatric Health Information Systems (PHIS) database. First, we designed a survey with the purpose of classifying HFNC protocols used at hospitals currently contributing data to PHIS. Next, we categorized hospitals based on their current HFNC protocol (ICU only, age-based non-ICU, or weight-based non-ICU). Finally, using the PHIS database, we compared hospital characteristics and patient-level bronchiolitis outcomes by HFNC protocol group.

RESULTS
We received survey responses from 36 of 44 (82%) hospitals contributing data to PHIS in 2021. During the time period studied, there was a steady increase in adoption of non-ICU HFNC protocols, with 71% of responding children’s hospitals reporting non-ICU HFNC protocols in 2021 compared with 11% before 2010. No differences in hospital characteristics were observed between ICU-only hospitals, age-based hospitals, or weight-based hospitals. Age-based hospitals had the highest proportion of bronchiolitis patients treated in the ICU (36.1%), whereas weight-based hospitals had the lowest proportion of patients treated in the ICU (21.0%, P &lt; .001). Length of stay was longer at age-based hospitals (2.9 days) as compared with weight-based and ICU-only hospitals (1.9 days, P &lt; .001).

CONCLUSIONS
Most children’s hospitals have adopted non-ICU HFNC protocols for patients with bronchiolitis, the majority of which are now utilizing weight-based maximum flow rates. Weight-based HFNC protocols were associated with decreased ICU utilization compared with age-based HFNC protocols.
Uma análise comparada de duas perspectivas de Nietzsche sobre o conceito de bem socrático-platônico
Authors: Pedroza Vieira Ricardo 
Published: April 2023

Este ensaio compara, principalmente, dois textos de Nietzsche, que apresentam duas visões aparentemente contraditórias sobre o conceito socrático- platônico de Bem, a saber, a nota póstuma NF 1888 14 [146] e o aforismo encontrado em Humano, Demasiado Humano, 102. Investigaremos por que Nietzsche faz afirmações aparentemente desconexas e o que isso sinaliza sobre seu caminho de pensamento e o conceito de perspectivismo.
AÇLIK VE KITLIK BAĞLAMINDA DOĞAL AFETLERİN ŞER’Î HÜKÜMLER ÜZERİNDEKİ ETKİSİ
Authors: ÇALIK Bünyamin 
Published: April 2023

Bu çalışmamızda açlık, kıtlık ve doğal afetler sebebiyle insanların hal ve durumlarında oluşacak sıkıntılarda ve meşakkatlerde, İslam hukukundaki hükümler üzerinde meydana gelebilecek değişiklikler incelenecektir. Özellikle günümüzde şahit olduğumuz bazı İslam ülkelerinde meydana gelen açlık ve kıtlık durumlarını dikkate aldığımızda böylesi bir çalışmanın faydalı olacağı kanaatindeyiz.
İnsanoğlunun tarih boyunca en büyük endişelerinden birini açlık sorunu oluşturmuş; yoksulluk, sefalet ve ölümle birlikte açlık “mahşerin dört atlısı”ndan biri sıfatıyla anılır olmuştur.
Açlık, kıtlık ve doğal afetler, tabiatın iç ve dış dinamikleri sonucunda ve insan iradesi dışında veya insan faktörü ile oluşan ve insan yaşamını derinden etkileyen olaylardır. Açlık, kıtlık ve doğal afetler dünyanın oluşumundan itibaren tüm canlı ve cansız fiziki ve yaşamsal olarak en çok etkileyen ve çaresiz bırakan olaylar olmuşlardır.
Toplumsal boyutta, gıda güvencesinin yetersizliği ve açlık nedeniyle birçok sorun ortaya çıkmakta, ülkesel huzursuzluklar oluşmakta ve savaşlar olmaktadır.
Aslında israf edilmeden kullanılması halinde, yeryüzünün kaynakları bugünkü dünya nüfusundan çok daha fazlasını beslemeye yeterlidir. Sanayi devriminden sonra ortaya çıkan gelişmeler; tarımda makineleşme, gübreleme, ilaçlama ve sulama imkânlarının gelişmesi gibi nedenlerle tarımsal üretimdeki verimlilik inanılmaz ölçülerde artmıştır. Yeryüzünde tarıma elverişli topraklar sınırlı olmasına rağmen, verimlilik artışları sayesinde birim araziden elde edilen ürün miktarı büyük oranda artırılabilmektedir.
Bu çalışma konusu Hz. Peygamber döneminde ve takip eden yıllarda da yaşanan açlık ve kıtlık gibi afetlerde İslam hukuku üzerinde ne gibi etkileri olduğunu tespit etmektir.
Betonarme binalarda düzensiz çerçeveleşmenin yanal ötelemeye etkilerini bulmak için yeni bir yaklaşım
Authors: KARACA Hakan , AYDIN Ersin , SEVERCAN Metin Hakan 
Published: April 2023

Yapıların yanal performanslarının analitik çözümlere gerek duyulmadan doğru öngörülebilmesi yapısal tasarımcı ve de mimar için çok fazla deneyim gerektiren uzmanlık işidir. Bilgi ve deneyime dayalı bu öngörünün daha doğru ve kesine yakın olacak şekilde güçlendirilmesi için yeni bir tahmin algoritmasına gerek vardır. Bu bağlamda, çalışmada, betonarme yapılarda kolonların yerleşim düzensizliğinin sayısallaştırılması için kolon yoğunluğu haritası kavramı geliştirilmiş, düzensizliğin sayısallaştırılması sayesinde de kolon yerleşim düzensizliği ile maksimum çatı katı ötelemesi arasındaki ilişkinin ortaya çıkarılması amaçlanmıştır. Kolonların plandaki yerleşim düzensizliğinin ötelemelerde artışa neden olacağı bilinmekle birlikte düzensizlik oranı ile öteleme arasındaki ilişkiyi ortaya koymak için seçilen bir tam düzenli model üzerinde farklı kolon düzensizlikleri olan 16 adet model geliştirilmiştir.
Doğrusal tepki-spektrum çözümlemeleriyle ile doğrusal olmayan itme analizleri yapılarak bütün modeller için kat ötelemeleri, taban kesme kuvvetleri hesaplanmış, ayrıca doğrusal yöntemle, dışmerkezlik, kütle katılım oranları ve ana salınım periyotları gözlemlenmiştir. Kısaca, düzensizliğin sayısallaştırılması hem mimari hem de yapısal açıdan tasarımcıların elini daha çok güçlendirebilecek yeni bir yaklaşım olmakla birlikte, deneyime dayalı öngörünün bir ileri aşaması olarak geliştirilen bu algoritma, tasarımcılar için bir değerlendirme aracı olarak kullanılabilecektir.
The Effect of Thixoforming Process on The Microstructures and Mechanical Properties of Al-Si-Cu-Mg Alloy
Authors:   Programme for Mechanical Engineering, Centre for Engineering Materials and Smart Manufacturing (MERCU) Faculty of Engineering & Built Environment, Universiti Kebangsaan Malaysia, Bangi, Malaysia, Samat Saziana , Omar Mohd Zaidi ,   Programme for Mechanical Engineering, Centre for Engineering Materials and Smart Manufacturing (MERCU) Faculty of Engineering & Built Environment, Universiti Kebangsaan Malaysia, Bangi, Malaysia, Mohamed Intan Fadhlina ,   Programme for Mechanical Engineering, Centre for Engineering Materials and Smart Manufacturing (MERCU) Faculty of Engineering & Built Environment, Universiti Kebangsaan Malaysia, Bangi, Malaysia, Muhammad Aziz Ahmad ,   Programme for Mechanical Engineering, Centre for Engineering Materials and Smart Manufacturing (MERCU) Faculty of Engineering & Built Environment, Universiti Kebangsaan Malaysia, Bangi, Malaysia
Published: April 2023

Forming of metals in their semi-solid state is one of the options for producing near net shape parts. It can produce a strong and highly reliable product. Al-Si-Cu-Mg casting alloy is commonly used in automotive engine components which is now widely used in the semi-solid processing. The main physical properties of the aluminium alloy and alloying element content such as silicon, copper and magnesium, plays an important role in determining the mechanical properties of the alloy. In this paper, the effect of the formation process of Al-Si-Cu-Mg permanent die casting alloy and the thixoforming process has been investigated towards the evolution of microstructure and mechanical properties. Compound phases, shapes and morphology of the two processes were compared. The porosity effect was examined at permanent die castings and thixoforming process. The result of image analysis showed significant change of the thixoforming process of α-aluminum solid phase structure in spherical shape. Size and morphology, as well as the uniformity of the silicon eutectic phases and intermetallic compound distributions of Al2Cu, Al5Fe Si and Al15(Mn,Fe)3Si2 changed due to the compression during thixoforming process. Thixoforming process of the Al-Si-Cu-Mg alloy exhibit the lowest percentage and microporosity area thus proved that porosity issue significantly reduced during the aluminium alloy solidification process in thixoforming process . The tensile properties of thixoformed alloy improved significantly with its ultimate tensile strength, yield strength, and elongation to fracture at 193MPa, 163MPa and 1.6%,respectively.
Climate Change Awareness and Adaptations Among the Farming and Animal Rearing Communities of the Central Sokoto Close-Settle Zone, North-Western Nigeria
Authors:   Social, Environmental and Developmental Sustainability (SEEDS) Research Centre, Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Magaji Jibrillah Abubakar , Jaafar Mokhtar ,   Social, Environmental and Developmental Sustainability (SEEDS) Research Centre, Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Kuok Choy Lam ,   Department of Geography, Usmanu Danfodiyo University, Sokoto, Nigeria
Published: April 2023

General consensus almost exists amongst scholars across many fields that climate change is a reality, its impacts are already with us and no part of the world or group of people are immune from its impacts. In facts, during recent decades scholars are busy assessing its impact now and in the foreseeable future. Within the fragile dryland ecosystem of Sokoto in the North-western part of Nigeria, some of the immediate impacts of climate change includes declining rainfall, increasing temperature and extreme weather events such as droughts, severe windstorms, heat waves and flooding among others. These presents some serious threats to both the natural ecosystem and people depending on the ecosystem for their livelihood particularly crop farmers and livestock pastoralists that constitutes over 70% of the inhabitant of the area. Under this kind of situation, the need for increasing awareness about the causes, impacts, mitigation and adaptation to climate change cannot be over emphasised particularly among farmers and herdsmen due to the high sensitivity of their livelihood sources to climate change. Using a semi-structured questionnaire with both open and close ended questions and simple statistical techniques, this research tries to investigate the level of climate change awareness and adaptation strategies among farmers and herdsmen in the Sokoto Close-settled Zone of North-western Nigeria. The result revealed a fair level of awareness of climate change particularly amongst the youth in the area. Some climate change adaptation strategies in the area and their implications were also discussed while recommendations on the way forward provided.
Lactoferrin Influence on the Course of Suppurative Corneal Ulcer
Authors: Kolesnikov A. V. , Nemtsova E. R. , Shishkin M. M. , Shchul’kin A. V. , Barenina O. I. , Kirsanova I. V. 
Published: April 2023

Research justification. Corneal ulcer is a common corneal pathology dangerous because of its complications, which occur in 2.5–37.9 % of cases despite modern treatment. Thus, the development of novel methods improving the results of corneal ulcer treatment is very important.Research objective was to evaluate the efficacy of lactoferrin-based therapy for experimental suppurative corneal ulcer.Material and methods. The study was performed in male chinchilla rabbits. Three intact rabbits (6 eyes) were used as control animals. Staphylococcus suppurative corneal ulcer was modeled in both eyes of 63 experimental animals. These rabbits were randomized into three groups. The first group was administered placebo therapy, the second group received antibacterial therapy, and the third group — instillations of lactoferrin. The area of ulcerative lesion was used as the measure of the therapeutic efficacy of the treatment. Then, a histological study was performed, and microsamples were photographed with LOMO TC-500 digital camera (Russia).Results. Lactoferrin instillations resulted in reliable increase in the number of transfers from infiltration stage to epithelization stage, decrease in the percentage of ulcerations, and in the proportion of critical thinning of the cornea, as well as decrease in the proportion of perforations. However, it was noticed that lactoferrin treatment when continued after the end of epithelization process resulted in excessive formation of opaque scar tissue.Conclusion. Local administration of lactoferrin stimulates the epithelium regeneration and the formation of the connective tissue and thus prevents the development of complications of suppurative corneal ulcer. However, the identified excessive formation of opaque scar tissue in lactoferrin treatment lasting too long has to be taken into consideration when developing the optimal scheme for lactoferrin treatment.
KANDUNGAN UNSUR HARA MAKRO PADA KOMPOS FIBER DAN TANDAN KOSONG KELAPA SAWIT (Elaeis guineensis Jacq.)
Authors: Iswahyudi Herry , Iskandar M. Didi 
Published: April 2023

This research on Observing the content of macro nutrients in OPEFB and Fiber compost aims to determine the levels of macro nutrients N, P, K, and C-Organic contained in the compost produced in this have a look at. The composting process used EM4 material and AC water to be a mixture of ingredients in composting. EFB and Fiber composted in this composting process were 2 Kg each. This composting process lasted for 31 days. After the compost was riped, the tests for the nutrient content of N, P, K, C-Organic, and C/N ratio were conducted in the laboratory. The results of the laboratory tests on OPEFB and Fiber with indicators of N, P, K, C-Organic and C/Nratio showed that there was a variation in yield between EFB compost and Fiber compost. It showed that the different of macronutrient content of OPEFB had a N value of 2.29%, P 0.18%, K 1.54%, C- Organic 41.83%, and a C/N ratio of 17.9. Fiber compost content has a value of N 1.47%, P 0.12%, K 2.04%, C-Organic 51.13%, and a C/N ratio of 34.8. The results of the laboratory tests showed that the OPEFB compost made in this research has complied with the requirements of SNI compost 19-7030-2004.
Rural–Urban Differences in Vaccination and Hesitancy Rates and Trust: US COVID-19 Trends and Impact Survey on a Social Media Platform, May 2021–April 2022
Authors: Soorapanth Sada , Cheung Rex , Zhang Xinzhi , Mokdad Ali H. , Mensah George A. 
Published: April 2023

Objectives. To analyze rural–urban differences in COVID-19 vaccination uptake, hesitancy, and trust in information sources in the United States. Methods. We used data from a large survey of Facebook users. We computed the vaccination, hesitancy, and decline rates and the trust proportions among individuals hesitant toward COVID-19 information sources for rural and urban regions in each state from May 2021 to April 2022. Results. In 48 states with adequate data, on average, two thirds of states showed statistically significant differences in monthly vaccination rates between rural and urban regions, with rural regions having a lower vaccination rate at all times. Far fewer states showed statistically significant differences when comparing monthly hesitancy and decline rates for urban versus rural regions. Doctors and health professionals received the highest level of trust. Friends and family were also among the most trusted sources in rural areas where the vaccination uptake was low. Conclusions. Rural–urban difference in hesitancy rates among those still unvaccinated was much smaller than the rural–urban difference in vaccination rates, suggesting that access to vaccines may be another contributor to the lower vaccination rates in rural areas. (Am J Public Health. 2023;113(6):680–688. https://doi.org/10.2105/AJPH.2023.307274 )
Reconstruction of a Distal Humeral Fracture with Articular Bone Loss Using Osteochondral Allograft
Authors: Mendez-Daza Carlos Hernán , Arce-Eslava Paola Andrea 
Published: April 2023

Case:A 31-year-old right-hand–dominant man sustained an open left distal humerus fracture resulting in a complete loss of the lateral column involving 30% of the articular surface and the lateral collateral ligament complex. Reconstructive surgery was conducted in 2 stages, beginning with articulated external elbow fixation followed by reconstruction with a fresh osteochondral allograft. Outcomes were satisfactory with no elbow pain or instability, and osseointegration was demonstrated in radiographs.Conclusion:The technique described in this report can be a viable option for treating young patients with a severe distal humerus fracture complicated and can provide favorable clinical and radiological outcomes.
Multi-Attribute Measurement Framework of Service Quality using Interval-valued Pythagorean Fuzzy in Emerging Markets
Authors: Nalluri Venkateswarlu , Chen Long-Sheng , S. Hanumantha Rao 
Published: April 2023

Abstract

The purpose of this study is to develop a quantitative assessment of service quality for grocery stores operators to translate the customer’s expectations and perceptions into measurement framework specifications- taking the emerging market context as our reference. The service quality is computed using human assessment. The newly developed framework with interval-valued Pythagorean fuzzy to access the service quality have an added advantage of handling vague human assessments, which is lacked by conventional service quality assessment techniques. Therefore, this study proposed a two-phase service quality analysis using an extended interval-valued Pythagorean fuzzy approach. Firstly, the number of service quality dimensions are identified with a systematic literature review, and secondly, the rank of factors and proposed measurement framework by the interval-valued Pythagorean fuzzy approach. Although, this study results confirmed that tangibility and reliability are the major service quality dimensions from the customer’s expectations. The originality of the present study aids grocery store operators to take group decision-making on high-priority areas so that resources can be properly deployed to meet people's mobility needs.
Fe(II)/LXQ-10 bifunctional resin materials for boosting synergistic adsorption/oxidation of benzene in industrial waste gas
Authors: Yuan Ying , Lei Siyuan , Jin Xinyu , Wang Chunyu , Zhai Ziyi , Zhao Chaoyue , Zhou Changsong 
Published: April 2023

Abstract
A series of adsorption/oxidation bifunctional material with different Fe(II) loading amounts was prepared by using ultra-high crosslinking adsorption resin (LXQ-10) as a carrier and FeCl2 as an impregnating solution. The bifunctional material was characterized by BET, SEM, XRD, XPS, and EPR. The effects of Fe loading, reaction temperature, and space velocity on benzene adsorption efficiency were investigated using a self-made experimental equipment to explore the optimal reaction condition. The adsorption results were fitted and analyzed by using four typical models: quasi-first-order kinetic model, quasi-second-order kinetic model, Elovich kinetic model, and Weber and Morris kinetic model. The quasi-first-order kinetic model had the highest R2 value (0.998) and the best applicability. The fitting effect of the Freundlich equation (R2 = 0.997) was better than that of the Langmuir equation (R2 = 0.919). Furthermore, the effects of Fe loading, H2O2 concentration, benzene inlet concentration and temperature on the catalytic oxidation efficiency of benzene were also studied, and it was found that the catalytic oxidation efficiency of 3-Fe(II)/LXQ-10 can always be maintained at about 95% at a temperature of 303 K and an H2O2 concentration of 150 mmol/L. Compared with the adsorption efficiency, the catalytic oxidation efficiency of bifunctional resin materials in heterogeneous Fenton system was remarkably improved and had excellent stability. A possible migration and transformation path during benzene removal was proposed on the basis of the analysis results of gas chromatography–mass spectrometry (GC–MS) intermediates. This study provided a new process idea for the adsorption and oxidative degradation of VOCs.
Comparison of clinical outcomes among cancer patients treated in and out of clinical trials
Authors: Duenas Jose Alexander Carreno , Sanchez Natalia , Bonilla Carlos Eduardo 
Published: April 2023

Abstract
Background. It is unknown if participation in a cancer clinical trial confers clinical benefits to patients. There is not enough scientific evidence in this regard and the available publications are scarce and provide ambiguous and limited information.
Objective. Compare overall and progression-free survival and response to treatment among those who met the eligibility criteria and accepted to participate and those who refused to participate in cancer clinical trials.
Methods. An observational cross-sectional study with an analytical component was carried out, which included patients diagnosed with cancer who participated in phase III clinical trials and patients who, being eligible, refused to participate. The patients were cared for at the National Institute of Cancerology in Colombia between 2019 and 2022. Analysis of differences in proportions and means of sociodemographic and clinical variables was included; overall survival and progression-free survival time were described and the survival curves between groups were compared. Variables related to survival were determined using a Cox regression model and Hazard Ratios were calculated.
Results. 112 patients were included (51 participants and 61 refusers). Median progression-free survival for participants was 18.1 months (95%CI 14.0-22.2) vs 24.0 months (95%CI 16.4-31.5) in refusers p=0.23 and median overall survival for participants was 21.9 months (95CI % 17.6-26.1) vs refusers 33.2 months (CI95% 24.0-42.3), for the participating women it was 21.6 months (14.7-28.5 IC95%) vs refusers 22.7 months (9.3-36.0 IC95%) and for the group of participating men was 16.7 months (14.3-19.1 IC95%) and for refusers 32.4 months (25.5-39.3 IC95%). In the Cox proportional hazards model, only ECOG 1 was a better predictor of survival HR 0.48 (95%CI 0.23-0.97) p=0.042.
Conclusion. This investigation found that participation in a clinical trial regarding rejection was associated with improved response rates, with no significant difference in overall or progression-free survival outcomes.