bluuebunny/crossref_metadata_2025_split huggingface dataset:
Is it ‘just’ trauma? Use of trauma-informed approaches and multi-agency consultation in mental healthcare of looked after children
Authors: Miller Nic , Nair Sreekumar , Majumder Pallab 
Published: February 2023

SummaryThis article presents three case studies of patients that a child and adolescent mental health service (CAMHS) have supported and its purpose is to encourage discussion of two key learning points. The first of these is the utility of developmental trauma as an approach for children with mental health presentations. The second centres on the importance of multi-agency working when working with young people, principally those within the UK's local authority care system (‘looked after children’), who have had traumatic experiences in order to enhance positive outcomes. We also want to encourage consideration of the implications of developmental trauma for current core CAMHS therapeutic models in an attempt to reach beyond the often held narrative that the trauma formulation implies there is ‘just trauma, no mental illness’.
Thyroid Hormone Receptor-β Agonists in NAFLD Therapy: Possibilities and Challenges
Authors: Li Limei , Song Yan , Shi Yongquan , Sun Liangliang 
Published: February 2023

Abstract
Nonalcoholic fatty liver disease (NAFLD) is a progressive metabolic liver disease with an unknown pathogenesis and no FDA-approved drug treatment to date. Hypothyroidism has been identified as a risk factor for NAFLD as thyroxine is required for regulating metabolism in adults. Thyroxine has been shown to reduce fat in the livers of murine models with experimentally induced NAFLD. The use of synthetic thyroxine has been shown to increase lipid metabolism leading to weight loss; however, thyroxine has also been shown to cause many side effects, especially in the heart. Overcoming these cardiac side effects involves designing agonists specific to one of the 2 gene subtypes for the thyroid hormone (TH) receptor (TR), TRβ. While the other TH receptor subtype, TRα, is mainly expressed in the heart and is responsible for thyroxine's cardiac function, TRβ is mainly expressed in the liver and is involved in liver function. Using TRβ-specific agonists to treat NAFLD can prevent cardiac and other adverse side effects. Several TRβ-specific agonists have shown positive therapeutic effects in NAFLD animal models and have entered clinical trials. We seek to provide a comprehensive updated reference of TRβ-specific agonists in this review and explore the future therapeutic potential of TRβ-specific activation in the treatment of NAFLD.
Breaking the 30-day barrier: Long-term effectiveness of a nurse-led 7-step transitional intervention program in heart failure
Authors: Alcoberro Lidia , Moliner Pedro , Vime Joan , Jiménez-Marrero Santiago , Garay Alberto , Yun Sergi , Pons-Riverola Alexandra , Ramos-Polo Raúl , Ras-Jiménez Mar , Tajes Marta , Hidalgo Encarna , Calero Esther , Ruiz Marta , José-Bazán Nuria , Ferre Carles , Delso Cristina , Alcober Laia , Enjuanes Cristina , Comin-Colet Josep 
Published: February 2023

Background and aims
Heart failure (HF) programs successfully reduce 30-day readmissions. However, conflicting data exist about its sustained effects afterwards and its impact on mortality. We evaluated whether the impact of a new nurse-led coordinated transitional HF program extends to longer periods of time, including 90 and 180 days after discharge.

Methods and results
We designed a natural experiment to undertake a pragmatical evaluation of the implementation of the program. We compared outcomes between patients discharged with HF as primary diagnosis in Period #1 (pre-program; Jan 2017—Aug 2017) and those discharged during Period #2 (HF program; Sept 2017—Jan 2019). Primary endpoint was the composite of all-cause death or all-cause hospitalization 90 and 180 days after discharge. 440 patients were enrolled: 123 in Period #1 and 317 in Period #2. Mean age was 75±9 years. There were more females in Period #2 (p = 0.025), with no other significant differences between periods. The primary endpoint was significantly reduced in the HF program group, at 90 [adjusted OR 0.31 (0.18–0.53), p <0.001] and at 180 days [adjusted OR 0.18 (CI 0.11–0.32), p <0.001]. Such a decrease was due to a reduction in cardiovascular (CV) and HF hospitalization. All-cause death was reduced when a double check discharge planning was implanted compared to usual care [0 (0%) vs. 7 (3.8%), p = 0.022].

Conclusion
A new nurse-led coordinated transitional bundle of interventions model reduces the composite endpoint of all-cause death and all-cause hospitalization both at 90 and 180 days after a discharge for HF, also in high-risk populations. Such a decrease is driven by a reduction of CV and HF hospitalization. Reduction of all-cause mortality was also observed when the full model including a more exhaustive discharge planning process was implemented.
Women’s multidimensional empowerment index and essential newborn care practice in Bangladesh: The mediating role of skilled antenatal care follow-ups
Authors: Sen Kanchan Kumar , Jamee Ahsan Rahman , Bari Wasimul 
Published: February 2023

Introduction
The World Health Organization recommended a set of five neonatal care practices that are most essential for good health of a newborn. As good essential newborn care (ENC) practice reduces the risk of neonatal morbidity and mortality, this paper focuses how women’s multidimensional empowerment index is associated with this practice through the skilled antenatal care. To the best of knowledge, no such study has been conducted yet. The composite index of women’s multidimensional empowerments was constructed using family decision, intimate partner violence, social status, healthcare access and economic status of women; and skilled antenatal care was defined if a pregnant woman received eight or more checkups during pregnancy from skilled health professionals.

Materials and methods
Data extracted from Bangladesh Demographic and Health Survey, 2017–18 have been utilized in the study. A total of 2441 mothers have been considered who delivered their last live birth at home within three years preceding the survey. A mediation analysis was performed considering the structural equation modeling to find out the adjusted association of women’s empowerment on both skilled antenatal care and good ENC practice, but the unadjusted associations were also checked using a chi-square test. To test the indirect as well as total effect of women’s empowerment through skilled antenatal care on good ENC practice, bias-corrected standard errors were estimated using a bootstrapping sampling.

Results
Good ENC practice was considerably low in Bangladesh with 7.6% of newborns receiving the practice. Both adjusted and unadjusted analyses showed the significant association of women’s empowerment with both skilled antenatal care and good ENC practice. The study revealed that the indirect effect of high empowerment through skilled antenatal care was greater than its direct effect on good ENC practice.

Conclusion
This study explored that the prevalence of good ENC practice can be accelerated through women’s empowerment, where skilled antenatal care plays an important mediating role in improving good ENC practice among highly empowered mothers. The study suggests that a woman should follow the latest guidelines recommended by WHO for antenatal care follow-up. Policymakers can modify some of the maternal and child health care interventions based on the research findings.
How project management principles affect Lean Six Sigma program and projects
Authors: Zanezi André Caron , Carvalho Marly Monteiro de 
Published: February 2023

Goal: This paper aims to explores and understand which project management principles most contributes to implementing Lean Six Sigma program and projects.
Design/Methodology/Approach: Through a systematic literature review, some key works related to the objective were searched in Scopus and Web of Science databases in order to provide metadata that could be further analysed and used as source of information to answer the research questions of this work.
Results: The research provides evidence that project alignment with organizational goals plays a significant role in Lean Six Sigma program success, referring the importance of a structured portfolio management. To complement the list of principles, stakeholder’s management and well-defined project scope also contributes to same success metrics. In the other hand, risk management, project schedule and hybrid project management approaches remain unclear in the literature, do not providing sufficient data to validate its relation to success.
Limitations of the investigation: As principal limitation could be pointed the project selection by title and abstract analysis and the coding scheme. Both points are not easy to be replicated, but the final sample could retrieve closer results.
Practical Implications: For practitioners, this work contributes summarizing in a quantitative form which are the principal principles in project management that could be used to implement or improve Lean Six Sigma project and programs.
Originality/ Value: This work brings for academics what were discussed early about the constructs Lean Six Sigma and Project Management and which are the gaps that remains unclear.
Comparative Analysis of Slamming Phenomenon Prediction between U and V Hulls using Strip Theory Method
Authors: Hakim Muhammad Luqman , Firdaus Ahmad , Ahadyanti Gita Marina , Yulianto Totok 
Published: February 2023

Choosing the right hull shape is important in designing a ship, for example, a U-section or V-section of the hull. The hull shape will affect various aspects, such as design, resistance, seakeeping, structure and production. The ship hull must be properly designed so that it can operate according to the ship’s mission. From the seakeeping aspect of the ship's motion at sea, the difference in the hull shape will result in different motions and dynamic effects such as the slamming phenomenon. Based on the difference in the hull shape cases, this study analyzed the difference in the probability of slamming between the U and V hulls. Both hulls were made based on Formdata and almost all parameters were made the same. Parameters that cannot be forced to be the same are WSA (wetted surface area), (coefficient of waterplane area), and (distance of keel to buoyancy), where those parameters determine the difference in the results. The calculation of RAO (operator amplitude response) was obtained using the strip theory method which assisted by Maxsurf Motion software. The results became the input for the calculation of the slamming probability. The study results show that the U hull has a higher probability of slamming occurrence than that of the V hull, with the difference in values ranging from 20% to 35%. Therefore, the U hull will get more frequent slamming loads, so it has the potential to have a higher structural failure (fatigue) than that of the V hull.
On the Localization of the Evangelistic Work of the Disciples of Christ at Batang in the Border Region of Sichuan and the Close of Its Mission 1919–1932
Authors: Zhao Aidong 
Published: February 2023

Abstract
In 1908, The Disciples of Christ from the U. S. established a mission in Batang/Ba’an located in the Border Region of Sichuan, aiming to launch evangelistic, educational, medical work, etc. Chuanbian Ba’an Jiduhui was established by the baptized Chinese and western Christians in 1919. This paper discusses the localized characteristics of the Disciples’ evangelistic work in Batang and its interaction with a local society through the examination of the initial Contract signed by all the baptized members in 1919, the organizational features and membership structure, evangelistic work, the situation of local pastors and other employees, and the entrustment of the mission work to the local Board of Trustees before all the missionaries evacuated Batang in 1932. It reveals how missionary activities affected the social lives of both Hans and Tibetans through organized activities in Batang, and how complex local factors, especially armed conflicts, conversely restricted missionary activities. Serving as a typical case, the study indicates that a local society in modern China, with its own logic for development, did not passively accept the impacts of the West and globalization.
Simple Factor Realized Stochastic Volatility Models
Authors: Kawakatsu Hiroyuki 
Published: February 2023

Abstract
This paper considers the use of multiple noisy daily realized variance measures to extract a denoised latent variance process. The class of stochastic volatility models used for signal extraction has the important feature that they can be written as a linear state space model. As a result, prediction of the denoised latent variance and likelihood evaluation can be carried out efficiently using the Kalman filter. This is in contrast to stochastic models that jointly model the return and variance, which require computationally expensive nonlinear filtering for prediction and inference. The gain from using multiple noisy daily variance measures is examined empirically for the S&P 500 index using daily OHLC (open-high-low-close) data.
Mycobacterium xenopi infection of the kidney and lymph nodes: A case report
Authors: Zeng Guoyang , Lu Jiajie 
Published: February 2023

Abstract
The incidence of nontuberculous mycobacterial (NTM) infection has been increasing globally. Further, it has been reported that early NTM infection diagnosis and treatment can considerably improve patient prognosis. However, traditional methods for detecting pathogenic microorganisms are associated with several limitations, and optimal treatment regimens for several NTM infections have not yet been established. Here, we report the case of a 22-year-old woman with renal and lymph node Mycobacterium xenopi infection. This patient presented with repeated fever and systemic lymphadenopathy events for more than 2 years, but the etiology of the disease was unclear. We performed metagenomic next-generation sequencing (mNGS) using tissue sections from the patient’s left kidney and successfully identified M. xenopi. Thereafter, the patient’s condition was effectively controlled via treatment with rifampicin, clarithromycin, and ethambutol hydrochloride (orally administered after hemodialysis). Further, this case showed that the clinical symptoms of NTM infection are atypical and highly occult, especially for extrapulmonary NTM infections, which are difficult to diagnose. Therefore, mNGS may be a powerful tool for diagnosing NTM infections. The combination therapy used showed efficacy and thus could serve as a reference treatment for kidney and lymph node M. xenopi infection.
A közös értékteremtés fogalma a szolgáltatástudományban
Authors: Garai Zsolt 
Published: February 2023

Concept of value co-creation in service scienceZsolt GaraiIn this paper I examine the conceptual innovation in service science, related to co-creation of value. To understand better the service logic behind the concept, I first reconstruct the need for such a reform, and I argue that under some interpretations the concept cannot play the role we expect from it. I illustrate the application of these interpretations in a specific domain of its best practices, namely in ITILv3 and ITILv4. Then, to frame and clarify some philosophical underpinnings behind the concept, I relocate the idea into an ancient concept of joint action and friendship. I identify some presuppositions of the idea of collectively shared and created values in virtue of this philosophical analogy, namely concerning its instrumentalism on practical reasoning about ends and values.
Aporte nutricional y perfil sensorial del panetón enriquecido con almendras, pasas y arándanos deshidratados
Authors: Chiroque Velásquez Grisel Violeta 
Published: February 2023

Introducción. En Perú, el panetón, pan tipo brioche con pasas y frutas confitadas, es un producto de alto consumo durante todo el año. Su elaboración requiere de gran cantidad de harina, grasa y azúcar, por lo que su consumo en exceso contribuye a generar problemas de obesidad y enfermedades cardiovasculares y metabólicas. Objetivo. Determinar el aporte nutricional y evaluar el nivel de aceptación del panetón enriquecido con almendras, pasas rubias y arándanos deshidratados, como alternativa saludable, sin modificar los atributos organolépticos característicos que reconocen sus consumidores. Materiales y métodos. En el laboratorio de fisicoquímica de la Universidad de Barranca (Lima, Perú), en el mes de diciembre del 2019, se formularon tres tipos de panetón que sustituyeron el relleno tradicional por almendras, pasas rubias y arándanos deshidratados, para una composición final del 40, 45 y 50 % p/p. Se sometieron a evaluación sensorial mediante pruebas de preferencia por ordenamiento para calificar los atributos (color, olor, sabor y textura) y prueba de aceptación con escala hedónica, para calificar la aceptación del producto final. Al producto de mayor aceptación, se le realizó análisis fisicoquímico, para determinar el aporte nutricional de la propuesta. Resultados. La formulación de mayor aceptación fue de 45 % de relleno, aun cuando las diferencias entre los tratamientos no fueron significativas (p>0,05). En cuanto al contenido de macronutrientes, este fue similar a lo que se oferta en el mercado (p>0,05); en relación con los micronutrientes, se observó por porción de 100 g, un aporte de 8 g de ácidos grasos insaturados, 0,36, 5,8, 4,9, 33,3, 9,3, y 109 mg de vitaminas B2, B3, E, hierro, zinc y calcio, respectivamente. Conclusiones. Las almendras, pasas rubias y arándanos deshidratados mejoraron la densidad nutricional del panetón, sin afectar significativamente las características organolépticas del producto.
San Pedro, un sitio destacado en la historia de Cuba
Authors: García Perdigón Jorge Rolando 
Published: February 2023

El histórico combate desarrollado en San Pedro, el 7 de diciembre de 1896, uno de los más controvertidos de la historia militar cubana contra el dominio español por las numerosas versiones que de él se dieron, tuvo un fatal desenlace por la pérdida del Mayor General Antonio Maceo Grajales y de su ejemplar ayudante Panchito Gómez Toro.
Sobre cómo ocurrió la muerte de Maceo y Panchito, sus versiones, la evolución del lugar y sus posteriores transformaciones hasta hoy en día, profundiza la presente investigación. Destacando su importancia como sitio histórico y relevancia como Monumento Nacional. Además de reflejar la señalización del terreno hasta la actualidad, deteniéndonos en los principales proyectos diseñados para perpetuarlo para las nuevas generaciones de cubanos.
EULALIA BERNARD, IN MEMORIAM
Authors: Barahona Riera Macarena 
Published: February 2023

En el marco de un proyecto de acción social de la Universidad de Costa Rica que surgió al iniciar la década del 2010, y en colaboración con Radio Universidad, Macarena Barahona y Mónica Perea condujeron un programa de radio llamado Verso y acorde en voz alta, un espacio para la lectura de poesía en la voz de sus propios autores, con el objetivo de rescatar las voces de poetas, principalmente nacionales y latinoamericanos, aunque también se realizaron programas con autores de otras partes del mundo.
La publicación del poemario Tatuaje de Eulalia Bernard Little, motivó la visita de Macarena Barahona a la casa de la poetisa para grabar la lectura de algunos de sus más recientes poemas el 2 de junio del 2011, en su casa de habitación en San Pedro de Montes de Oca. La grabación la realizó el productor de Radio Universidad, Leo León. La poesía de Eulalia es una poesía disruptiva con respecto a la literatura costarricense de los años 70 y 80. Ella fue una voz contestataria, una voz poderosa, una mujer de familias migrantes de Jamaica; hizo de su poesía una bandera contra el racismo, contra la segregación, contra el patriarcado.
Kulttuuripolitiikkaa erilaisilla alueilla
Authors: Renko Vappu , Hirvi-Ijäs Maria 
Published: February 2023

Arvio kirjasta: Diane Saint-Pierre & Monica Gattinger (toim.) Cultural Policy. Origins, Evolution, and Implementation in Canada’s Provinces and Territories. University of Ottawa Press, 2021, 668 sivua, ISBN (Paper) 9780776628950
Effectiveness of instructional teaching package on knowledge regarding first aid and safety measures among school children
Authors: Kour Manpreet , Sharma Payal 
Published: February 2023

: Henry Sigerist, the medical historian, stated that “the people’s health ought to be the concern of the people themselves. They must struggle for it and plan for it. The war against disease and for health cannot be fought by physicians alone. It is the people’s war in which the entire population must be mobilized permanently.This school-based interventional study was conducted in Radharani Siksha Mandir High School located in Paltagarh, Singur Block of Hooghly district, West Bengal, among students of Class VI and Class VII on February–March. The middle school students were chosen keeping in view of their mid-adolescent age that makes them prone to injuries and accidents. All students of 6th standard and 7th standard were eligible to participate. Although educational intervention was imparted to all those present on the day of intervention, post intervention knowledge was assessed among only those students whose pre interventional knowledge score was available.Out of 230 students, 60% of the students belonged to Class VII and the rest in Class VI and half of them who participated in the study were girls (53.5%). The mean age of the study participants was 12.5 ± 0.73 years. Background data revealed that majority of their parents were educated up to tenth standard (48.7% fathers and 37.8% of mothers); father of 25.2% were farmers, 24.7% were daily laborers, 18.6% were doing business, 26.5% of them were skilled laborers, and 5.0% of them were in service while mothers of all students were homemakers. All of the students had heard of the term “first aid” and out of them, only 14 of them (6 girls and 8 boys) had reported any past practical experience of administering first aid. Among those who had heard about first aid, TV/radio was the major source of information (38.7%), followed by parents (24.3%), teachers (17.4%), friends (11.7%), and relatives (4.8%). 36.5% of the students answered that there was a chapter on first aid in their science book while the rest either denied (54.3%) or could not even remember (9.2%) any such chapter. However, all of them unanimously agreed that it was not taught as a part of their syllabus.The present study revealed that all the students had heard of the name of first aid which were similar to the findings of Priyangika and Hettiarachhi in a study conducted in Sri Lanka while Dasgupta et al. reported in her study that merely (15.2%) of the study subjects knew about the correct definition of the term first aid.”
The effect of individualized education on stylistic changesamong M.I. patients
Authors: Rai Dinesh Kumar , Kumar Anu V. 
Published: February 2023

Life is a precious, Lord -given gift to mankind. Pulse rate represents life & lack of it pronounces death. The heart pumps blood throughout the body from conception till the death. A heart is essential to sustain life.A true experimental, posttest research design was adopted. A sample of 60 post M I patients were selected by using non-probability convenient sampling technique, 30 in each experimental and control group. The mean knowledge level score and standard deviation of the experimental group was 21.86 (SD=2.20) higher than mean (10.57) and standard deviation (SD=3.49) of the control group and „t‟ value 14.72.Two mean „t‟ for independent samples showed a significant difference in the post test knowledge score on stylistic changesamong experimental and control group at 0.05 level. This finding indicated that the individualized education was highly effective. : Individualized education on the stylistic changeswas highly effective, eminent and cost-effective intervention for improving the knowledge and creating awareness among post myocardial infarction patients about the stylistic changesand helped them to adopt a healthy lifestyle post myocardial infarction.