bluuebunny/crossref_metadata_2025_split huggingface dataset:
Is high body mass index a factor that increases postoperative hemorrhage and bile complication rates in right lobe living donor liver transplant recipients?
Authors: ANILIR Ender , SÖNMEZ TOPCU Feyza , ORAL Alihan , CİVAN Hasret , BAYRAMOĞLU Mert , SAHIN Emrah , ERSAN Veysel , DİRİCAN Abuzer , ÜNAL Bülent 
Published: September 2023

Purpose: High Body Mass Index emerges as an important perioperative and postoperative risk factor for liver transplantation We aimed to examine the effect of increased BMI on perioperative follow-up parameters and per-postoperative complications in liver transplant recipients.
Materials and methods: One hundred and seventy-two patients who underwent living-donor liver transplantation for end stage liver cirrhosis were included in the study. Whether there was a difference between cold ischemia time, operation time, blood product transfusion rates, hospital, biliary complications, hepatic vein thrombosis, portal vein thrombosis, NASH etiology, postoperative hemorrhage, sepsis, and primary graft dysfunction were analyzed statistically in terms of those with a BMI of 25 and above and those below 25.
Results: Anhepatic phase duration (p=0.047) and cold ischemia duration (p=0.009) were statistically longer in patients with BMI >25.
Conclusion: Prolonged anhepatic phase and cold ischemia times may be important in terms of the effect of increased BMI on postoperative graft survival.
Análises comparativas de atividade física, antropometria e perfil lipídico entre indivíduos obesos com perfis metabolicamente saudáveis e não saudáveis
Authors: Loureiro Leticia Lara , Sant'Ana Santos Jessica , Rossi de Almeida Vitor , Martins da Silva Daniela , Lopes Motoyama Yuri , Rossi de Almeida Flavio 
Published: September 2023

A obesidade é considerada um dos principais problemas de saúde pública atualmente, e está associada ao desenvolvimento de outras patologias crônicas e anormalidades metabólicas, como doenças cardiovasculares (DCVs), hipertensão e dislipidemias. No entanto, existe um subconjunto de indivíduos, denominado obesos metabolicamente saudáveis (OMS), que, embora apresentem sobrepeso, não manifestam estas outras anormalidades metabólicas características. A prática de exercícios físicos é essencial no controle da obesidade, e a ausência ou prática insuficiente dela pode levar ao aumento de morbi/mortalidade, não estando associada apenas ao aumento de peso. Assim, buscamos comparar os perfis antropométrico, cardiovascular e lipídico dos indivíduos obesos metabolicamente anormais (OMA) e dos indivíduos obesos metabolicamente saudáveis, bem como comparar a prática de atividade física entre estes grupos, para entender se estes perfis se apresentam mais favoráveis no grupo OMS, independente do excesso de gordura corporal, e se este grupo é mais ativo fisicamente, reduzindo o risco de DCVs. Para isso, realizamos um estudo com voluntários de ambos os sexos, com idade ≥ 18 anos e IMC > 25Kg/m. Analisamos a prática de atividade física (IPAQ) e exame sanguíneo, avaliando o perfil lipídico (colesterol total e frações, e triglicérides). As comparações entre as variáveis foram estabelecidas por Teste T, Correlação de Pearson e o teste de Chi-quadrado para resultados paramétricos, utilizando o valor de p≤ 0,05. Menos da metade dos indivíduos declararam-se hipertensos e revelaram-se dislipidêmicos. A média do IMC classificou-os no grupo de obesidade grau 1 (um), entretanto, houve diferenças entre as medidas e índices antropométricos, perfis cardíaco e lipídico e a regularidade da prática de atividade física de ambos os grupos. Desta forma, concluímos que o grupo OMS apresentou perfis mais favoráveis em relação ao grupo OMA, e são fisicamente mais ativos, podendo ser estes os fatores que caracterizam e contribuem para o desenvolvimento do fenótipo mais favorável.
EEG Features for Driver’s Mental Fatigue Detection: A Preliminary Work
Authors: Kamaruzzaman Muhammad ‘Afiq Ammar , Othman Marini , Hassan Raini , Abdul Rahman Abdul Wahab , Mahri Nurhafizah 
Published: September 2023

Mental fatigue is one of the most typical human infirmities, resulting from an overload of work and lack of sleep which can reduce one’s intellectual resources. Different EEG features have been studied for detecting mental fatigue. This paper characterizes mental fatigue through the understanding of human EEG features for safe driving behaviour and to create an overview of the potential EEG features which are related to mental fatigue. A narrative review approach is employed for describing the neural activity of the human brain in mental fatigue. Specific EEG features in relation to driving tasks, relation to different EEG band waves, pre-processing and feature extraction methods are discussed. From this preliminary work, the increase of parietal alpha power seems to characterize the driver’s mental fatigue in most of the studies. We searched public EEG repositories for identifying potential data sources for our initial study. Finally, we propose a conceptual model that has potentials for identifying mental weariness. In conclusion, future works may involve the identification of other EEG features of higher importance for generalization across study conditions
Questioned Nationalism
Authors: Bendix John 
Published: September 2023

Zef Segal, The Political Fragmentation of Germany: Formation of German States by Infrastructures, Maps, and Movement, 1815–1866 (London: Palgrave Macmillan, 2019)
Christian Karner, Nationalism Revisited: Austrian Social Closure from Romanticism to the Digital Age (New York: Berghahn Books, 2020)
Bilateral cerebellopontine angle lipomas in an infant with encephalocele: illustrative case
Authors: Zhao Xiaochun , Prather Kiana Y , Tavakol Sherwin A , Gernsback Joanna E 
Published: September 2023

BACKGROUND
Bilateral cerebellopontine angle (CPA) lipomas are extremely rare. Herein the authors present a case of bilateral CPA lipomas in an infant along with a literature review of bilateral CPA lipomas.

OBSERVATIONS
A newborn girl was incidentally found to have bilateral CPA lipomas during the workup for an occipital encephalocele. The encephalocele was repaired primarily on day 2 after birth. The patient demonstrated no symptoms associated with the bilateral CPA lipomas. Eight cases of bilateral CPA lipomas were identified in the literature review and are summarized. Conservative management is the consensus strategy, given minimum growth of the tumor and the high risk of surgical intervention.

LESSONS
This is the first reported case of bilateral CPA lipomas in an infant as well as the first with a coexisting intracranial malformation. Intracranial lipomas share an extremely low growth rate and typically do not cause severe symptoms. The management of asymptomatic or mildly symptomatic bilateral CPA lipomas is usually conservative.
ANALYSIS OF MICROBIOCENOSIS OF ORAL FLUID IN PATIENTS WITH DEFECTS OF DENTITION, ZAKARPATTIA REGION RESIDENTS
Authors: Chobey A.S. , Klytinska O.V. , Kostenko O.Ye. , Dunets R.O. 
Published: September 2023

Dental diseases are among the most frequent diseases of the human body. The microflora of the oral cavity is specific, unlike the microflora of other cavities both in composition, quantity, and functions. The resident microflora will play an important role both in maintaining the normal physiological state of the oral cavity and in the development of dental diseases.
The aim of the study is to establish insemination with clinically significant microorganisms of oral fluid in patients with defects of dentition, Zakarpattia region residents.
The species and quantitative composition of microbiocenosis of the oral fluid of 282 (94 men and 188 women) patients with dentition defects, residents of the Zakarpattia region, confirms the formation and progression of inflammatory and inflammatory-dystrophic changes in the periodontal tissues.
In patients with bilateral end defects according to Kennedy, the predominance of anaerobic microflora was determined in the form of Klebsiella pneumonia (108), Prevotella spp. (7×105), Enterobacter spp. (102), Porphyromonas spp. (5×105), Staphylococcus epidermidis (104) and Staphylococcus aureus (1,2×103), Streptococcus pneumonia (108), Streptococcus viridans (103), Enterobacter spp. (102) and opportunistic microorganisms Candida albicans (104).
Among patients with unilateral end defects according to Kennedy, Enterococcus faecalis was defined. (103), Staphylococcus epidermidis (102–103) and Staphylococcus aureus (105), Streptococcus pneumonia (105–107), Streptococcus viridans (102–5×105), Stahylococcus haemolyticus (102), Candida albicans (5×102) and Escherichia coli coli (109).
In patients with included defects in the lateral areas according to Kennedy, there were cultured Klebsiella pneumonia (101–3.5×106), Prevotella spp. (4-5×101), Enterococcus faecalis (107), Peptostreptococcus micros (3.5×103–5×103), Staphylococcus haemolyticus (101–105) and Staphylococcus aureus (101–105), Streptococcus pneumonia (106–108 ), Streptococcus pyogenes (105–109), Candida albicans (102), Escherichia coli (107), Sarcina spp. (103) and Citrobacter spp. (104).
Microbiocenosis of the oral fluid of the fourth clinical group with included defects in the frontal areas according to Kennedy is presented Lactobacillus acidophilus (108-1011), Streptococcu mitis (108-1011), Bifidobacterium (108-1010), Streptococcus salivarius (1081010), Streptococcus mutans (107-109), Streptococcus pneumonia (104 –108), Streptococcus sanguis (105–107).
Therefore, in patients with dentition defects, the microflora of the oral fluid confirms the formation of inflammatory and inflammatory-dystrophic processes in the periodontal tissue due to the prevalence of anaerobic flora, while in the presence of inclusions in the frontal area, the prevalence of normal obligate microflora is diagnosed.
NİKSAR BÜYÜKYURT KÖYÜ MEZARLIĞI VE ÇANTI MEZARLAR ÜZERİNE BİR DEĞERLENDİRME
Authors: ÇELEMOĞLU Şuayip , YAZAR Turgay 
Published: September 2023

Türklerde ölüm, yaşamın bir parçası olarak kabul edildiğinden, ölen kişinin ruhu için saygı duyulan ve ölümsüzlüğü temsil eden bir mezarın olması büyük önem taşımaktadır. Somut kültürel mirasımızın önemli öğelerinden biri olan mezarlar ile mezar taşları, yapıldıkları dönemin ekonomik, sosyal ve kültürel yapısı hakkında bilgiler vermektedir. Ayrıca bölgenin yaşam, inanç ve sanat özelliklerini yansıtmaları bakımından tarihi vesika niteliği taşımaktadır.
Anadolu’daki önemli yerleşmelerden biri olan Niksar, Türk İslam mezarları ve mezar taşları bakımından oldukça zengindir. İlçe merkezindeki Anadolu’nun en eski Türk mezarlıklarından olan Melikgazi Mezarlığı dışında, Niksar’a bağlı köylerde de Osmanlı Dönemi’ne ait mezarlar ve mezar taşları bulunmaktadır. Bu köylerden biri olan Niksar’a 26 km uzaklıktaki Büyükyurt köyünde çantı teknikli mezarlar tespit edilmiştir.
Bu çalışmada Niksar ilçesinin Büyükyurt köyü mezarlığı ele alınarak tanıtılmış ve şimdiye kadar örneği bilinmeyen çantı tekniğinde ahşap mezarlar üzerine bir değerlendirme yapılmıştır. Ayrıca çantı teknikli mezarların Türk-İslam mezar geleneği içerisindeki yeri belirlenmeye çalışılmıştır. Anadolu’da fazla yaygın olmayan bir mezar tipi olan çantı teknikli bu mezarların korunması ve gelecek kuşaklara aktarılması önem taşımaktadır.
Electronic human resource management and its impact on talent management in the Jordanian Universities
Authors: Aldiabat Bassam 
Published: September 2023

Background Talent management plays an essential role as part of the HRM function in managing all employees, resulting in high performance. The role of human resources management has rapidly changed from focusing solely on recruitment, employee benefits and payroll to strategic human resources, focusing on sustaining and driving business strategies. Objectives This study sought to determine the extent to which electronic human resource management and talent management principles were used in Jordanian universities. Additionally, it examined how electronic human resource management, including its components of hiring, training, and performance evaluation, might affect talent management in public universities. Methods The study sample, which included 470 faculty members, deans of faculties, and heads of departments at Jordanian universities, was given a questionnaire. Using the statistical software SPSS, simple and multiple regression were used to test the study’s hypotheses. The arithmetic means, and standard deviations were utilized to determine the levels of application of the study variables from the faculty’s point of view. Results The results of the study revealed that the application level of electronic human resource management and talent management is medium. There is a statistically significant effect of electronic human resources management on talent management. Multiple regression was used to test the sub-hypotheses that showed a statistically significant effect of training and electronic performance evaluation on talent management and the absence of an effect of electronic recruitment on talent management. Conclusion Jordanian universities use electronic human resources management for operational rather than strategic purposes. Therefore there is no need to improve the infrastructure for electronic human resources management and talent management and align that with the general strategy of universities.
Biomechanical stability of oblique lateral interbody fusion combined with four types of internal fixations: finite element analysis
Authors: Hao Jiayu , Tang XianSheng , Jiang Nizhou , Wang Hong , Jiang Jian 
Published: September 2023

Objective: Using finite element analysis to identify the optimal internal fixation method for oblique lateral lumbar interbody fusion (OLIF), providing guidance for clinical practice.Methods: A finite element model of the L4 – L5 segment was created. Five types of internal fixations were simulated in the generated L4-L5 finite element (FE) model. Then, six loading scenarios, i.e., flexion, extension, left-leaning, right-leaning, rotate left, and rotate right, were simulated in the FE models with different types of fixations. The biomechanical stability of the spinal segment after different fixations was investigated.Results: Regarding the range of motion (ROM) of the fused segment, OLIF + Bilateral Pedicle Screws (BPS) has a maximum ROM of 1.82° during backward bending and the smallest ROM in all directions of motion compared with other models. In terms of the von Mises stress distribution on the cage, the average stress on every motion direction of OLIF + BPS is about 17.08MPa, and of OLIF + Unilateral Vertebral Screw - Pedicle Screw (UVS-PS) is about 19.29 MPa. As for the von Mises stress distribution on the internal fixation, OLIF + BPS has the maximum internal fixator stress in left rotation (31.85 MPa) and OLIF + Unilateral Pedicle Screw (UPS) has the maximum internal fixator stress in posterior extension (76.59 MPa). The data of these two models were smaller than those of other models.Conclusion: OLIF + BPS provides the greatest biomechanical stability, OLIF + UPS has adequate biomechanical stability, OLIF + UVS-PS is inferior to OLIF + UPS synthetically, and OLIF + Double row vertical screw (DRVS) and Individual OLIF (IO) do not present significant obvious advantages.
Patient motivators to use opioids for acute pain after emergency care
Authors: Punches Brittany E. , Brown Jennifer L. , Taul Natalie K. , Sall Hawa A. , Bakas Tamilyn , Gillespie Gordon L. , Martin-Boone Jill E. , Boyer Edward W. , Lyons Michael S. 
Published: September 2023

IntroductionPatients are stakeholders in their own pain management. Factors motivating individuals to seek or use opioids therapeutically for treatment of acute pain are not well characterized but could be targeted to reduce incident iatrogenic opioid use disorder (OUD). Emergency departments (EDs) commonly encounter patients in acute pain for whom decisions regarding opioid therapy are required. Decision-making is necessarily challenged in episodic, unscheduled care settings given time pressure, limited information, and lack of pre-existing patient provider relationship. Patients may decline to take prescribed opioids or conversely seek opioids from other providers or non-medical sources.MethodsUsing a framework analysis approach, we qualitatively analyzed transcripts from 29 patients after discharge from an ED visit for acute pain at a large, urban, academic hospital in the midwestern United States to describe motivating factors influencing patient decisions regarding opioid use for acute pain. A semi-structured interview guide framed participant discussion in either a focus group or interview transcribed and analyzed with conventional content analysis.ResultsFour major themes emerged from our analysis including a) pain management literacy, b) control preferences, c) risk tolerance, and d) cues to action.DiscussionOur findings suggest targets for future intervention development and a framework to guide the engagement of patients as stakeholders in their own acute pain management.
Overexpression of FTO inhibits excessive proliferation and promotes the apoptosis of human glomerular mesangial cells by alleviating FOXO6 m6A modification via YTHDF3-dependent mechanisms
Authors: Zhuang Xingxing , Liu Tao , Wei Liangbing , Gao Jiarong 
Published: September 2023

Background: N6-methyladenosine (m6A) is a prevalent post-transcriptional modification presented in messenger RNA (mRNA) of eukaryotic organisms. Chronic glomerulonephritis (CGN) is characterised by excessive proliferation and insufficient apoptosis of human glomerular mesangial cells (HGMCs) but its underlying pathogenesis remains undefined. Moreover, the role of m6A in CGN is poorly understood.Methods: The total level of m6A modification was detected using the m6A quantification assay (Colorimetric). Cell proliferation was assessed by EdU cell proliferation assay, and cell apoptosis was detected by flow cytometry. RNA sequencing was performed to screen the downstream target of fat mass and obesity-associated protein (FTO). MeRIP-qPCR was conducted to detect the m6A level of forkhead box o6 (FOXO6) in HGMCs. RIP assay was utilized to indicate the targeting relationship between YTH domain family 3 (YTHDF3) and FOXO6. Actinomycin D assay was used to investigate the stability of FOXO6 in HGMCs.Results: The study found that the expression of FTO was significantly reduced in lipopolysaccharide (LPS)-induced HGMCs and renal biopsy samples of patients with CGN. Moreover, FTO overexpression and knockdown could regulate the proliferation and apoptosis of HGMCs. Furthermore, RNA sequencing and cellular experiments revealed FOXO6 as a downstream target of FTO in regulating the proliferation and apoptosis of HGMCs. Mechanistically, FTO overexpression decreases the level of FOXO6 m6A modification and reduces the stability of FOXO6 mRNA in a YTHDF3-dependent manner. Additionally, the decreased expression of FOXO6 inhibits the PI3K/AKT signaling pathway, thereby inhibiting the proliferation and promoting apoptosis of HGMCs.Conclusion: This study offers insights into the mechanism through which FTO regulates the proliferation and apoptosis of HGMCs by mediating m6A modification of FOXO6 mRNA. These findings also suggest FTO as a potential diagnostic marker and therapeutic target for CGN.
Social distancing policy and mental health during COVID-19 pandemic: an 18-month longitudinal cohort study in South Korea
Authors: Bahk Yong-Chun , Jung Dawoon , Choi Kee-Hong 
Published: September 2023

BackgroundDespite the effectiveness of social distancing policies in preventing the spread of Coronavirus Disease 2019 (COVID-19), their impact on mental health remains a concern. Longitudinal studies investigating the psychological effects of social distancing are limited.MethodsLongitudinal data on psychological variables were collected eight times between May 2020 and November 2021 through online surveys in South Korea.ResultsThe participants in the study reported a worsening of depressive and anxiety symptoms, suicide risk, and psychological distress with increasing levels of social distancing. Specifically, during the third wave, when social distancing levels peaked, the highest levels of depression, anxiety, and psychological distress were observed, and the second-lowest levels of vitality were reported. Furthermore, psychological risk factors, such as depressive symptoms, anxiety symptoms, and suicidal risk, were closely associated with vitality levels in daily life.DiscussionsDuring the pandemic, although social distancing helped prevent the spread of COVID-19, it also led to increased depression, anxiety, suicide risk, psychological distress, and decreased vitality. Engagement at a personal level in fundamental daily activities is important to cope with psychological distress. Our results indicate that commitment to fundamental daily activities and following routines is an important protective factor against psychological distress, notwithstanding COVID-19.
Effects of work-family conflict on turnover intention among primary medical staff in Huaihai Economic Zone: a mediation model through burnout
Authors: Wen Zongliang , Xu Jintao , Yu Jinxun , Huang Xiaojing , Ni Yuting 
Published: September 2023

BackgroundCountries worldwide face the challenge of how medical personnel manage conflicts between work and family. Especially after the challenge of the COVID-19 epidemic, it is necessary to explore the possible mechanisms of work-family conflict, burnout, and turnover intention among primary medical staff.ObjectivesThis study aims to observe the turnover intention of Chinese primary medical staff and explore the relationship between work-family conflict, burnout, and turnover intention.MethodsA cross-sectional study included a turnover intention questionnaire, the Maslach Burnout Inventory-General Survey (MBI-GS), and the Work-Family Conflict Scale (WFCS) to understand turnover intention, burnout, and work-family conflict among primary medical staff in four cities (Xuzhou, Linyi, Huaibei, and Shangqiu cities) within the Huaihai Economic Zone. Spearman correlation analysis and hierarchical multiple regression analysis were used to examine the related factors of turnover intention. Structural equation modeling (SEM) was used to study the mediating role of burnout between work-family conflict and turnover intention.ResultsIn this study, there is a positive correlation between work-family conflict and turnover intention (P &lt; 0.01). Demographic characteristics, work-family conflict, and burnout explained 2.3%, 20.3%, and 8.8% of the incremental variances, respectively. Burnout mediated the association between work-family conflict and turnover intention.ConclusionsBurnout can be regarded as a mediator between two different variables: work-family conflict and turnover intention. Improving work-family conflict and alleviating burnout may play a key role in reducing the willingness of primary medical staff to resign. Corresponding measures can be taken to balance the conflict between work and family, alleviate burnout, reduce turnover rates, and build a primary medical staff team with higher medical service quality and stability.