bluuebunny/crossref_metadata_2025_split huggingface dataset:
Imagining the Elements with Gaston Bachelard and Claire Denis: ‘Weighted’ Images, Drift and Diffusion in L’Intrus/The Intruder
Authors: Walton Saige 
Published: July 2023

Abstract
Adapted from philosopher Jean-Luc Nancy’s semi-autobiographical text, The Intruder remains one of French director Claire Denis’ most transnational and yet dreamlike works. In this article, I pair philosopher Gaston Bachelard (in particular, his concept of the material and dynamic imagination and his reveries on water and air) with Denis to explore how The Intruder enacts an imagining of the elements and an elemental poetics of film form. Bringing Bachelard into a dialogue with Saad Chakali’s, Rosalind Galt’s and Nancy’s writing on the film’s imagery, I also approach The Intruder as an image-poem that is structured by poetically ‘weighted’ images and by recurrent symbolism. Shot through with an oneiric sense of drift, voyaging and diffusion, I explore some of the ways that Denis’s elemental imaginings of air and oceanic water reflect an affective politics.
Rainbows of Comfort in Rising Seas: How Literalist Bible Interpretations Impact Climate Change Communication in the Marshall Islands
Authors: Simonelli Andrea C. , Novalski Kaitlyn 
Published: July 2023

Abstract
The Republic of the Marshall Islands is beginning to feel the impacts of climate change. Its geography and low-lying landscape have put it at a disadvantage to fight the coming seas. National leadership and environmental groups continue to provide locals with communications about the challenges to come. While climate change is a concept of science, there may be local barriers to its public internalization. This study seeks to determine if there is a relationship between fundamentalist Christian views, climate change communication, and Marshallese perceptions of global environmental change. The Marshall Islands has a deeply religious population, the majority of whom are fundamentalist Christians. A mixed-methods survey is employed to assess the impact that the belief in biblical literalism, the Noahic Covenant, and apocalyptic narratives exert over Marshallese views of environmental change. Results demonstrate that nonelite Marshallese inhabitants do not see climate change as an existential threat but rather as a sign of the end times and the Second Coming of Christ. This has significant implications for human security and migration outcomes if current climate communication methods are ineffective with respect to urgency. If locals see climate impacts through a religious lens, climate change communication must incorporate biblical concepts and address contextual understandings.

Significance Statement
The purpose of this study is to investigate how biblical literalism impacts the way in which Marshall Islanders interpret information on climate change and its impacts. Religion is a strong factor in the development of cosmology and/or worldview of all peoples; it provides a lens through which people understand the events of their existence. Our results show that climate impacts are interpreted by the followers of some literalist sects to be signs of biblical apocalypse. Viewing climate impacts as divine will pose a challenge to the need for relocation planning, adaptation, and personal safety.
Policy framework that addresses malnutrition in Namibia: A retrospective qualitative review
Authors: Mukisa George Waliomuzibu , Shumba Tonderai W , Lourens Andrit 
Published: July 2023

Background Although Namibia has made strides in improving the policy enabling environment, eradication of malnutrition is still elusive. Objective This review was aimed at determining the extent to which food and nutrition-related policies in Namibia address malnutrition. Methods This study used a qualitative approach by retrospectively analysing policy frameworks that address malnutrition in Namibia from 1991 to 2022. The analysis employed the policy triangle framework to elucidate the contextual factors, content, actors and process involved in the policy development. Moreover, a comparative analysis of Namibian policies and those of other southern African countries was undertaken. Results The review showed that there is a considerable degree of coherence in policy goals and strategies to address malnutrition despite parallel coordination structures. Policy process involved limited consultations with local communities which might have jeopardised the formulation of community problem-tailored interventions, ownership and participation in policy implementation. There is a strong political commitment to the eradication of malnutrition in Namibia. The Office of the Prime Minister played a leading role in policy development. Influential actors such as the UN agencies elevated the nutrition agenda. Further, the Namibian policy framework was generally similar to those of other southern African countries. Conclusions The review showed that Namibia has relevant and comprehensive policies to address malnutrition, however, contextual factors indicated high levels of malnutrition still exist in the communities. Further research is needed to understand the barriers and enablers to optimal nutrition for children under five years in Namibia.
Determination of potential absorbance bands of fumonisin B1 in methanol with near infrared spectroscopy
Authors: Laubscher Anja , Rose Lindy J , Williams Paul J 
Published: July 2023

The contamination of maize, a major staple food in South Africa, with fumonisin B1 (FB1), has become a major food safety concern. The regulation of this mycotoxin is extremely important and requires efficient detection methods. Near infrared (NIR) spectroscopy has gained widespread interest as a rapid and non-destructive mycotoxin analysis method. The purpose of this study was, therefore, to determine the NIR absorbance bands of FB1. The spectra of 30 FB1 solutions, constituted in methanol, as well as 30 methanol-only samples were recorded in the spectral range of 1000–2500 nm (10,000 – 4000 cm−1). The data was pre-processed with multiplicative scatter correction (MSC) and a partial least squares discriminant analysis (PLS-DA) model was computed. The variable importance in projection (VIP) scores and selectivity ratio (SR) values were used for wavelength selection. A new PLS-DA model was computed with 454 chosen wavelengths and the regression vector of this model was investigated to further identify and remove irrelevant wavelengths. The final model was computed with 150 wavelengths and nine latent variables (LVs) and obtained a classification accuracy of 100% for both the calibration and external validation sets. By investigating the regression vector of the final PLS-DA model, potential FB1 absorbance bands were identified at 1446 nm, 1453 nm, 1891 nm, 2036 nm, 2046 nm, 2148 nm, 2224 nm, 2262 nm and 2273 nm. This study was therefore able to identify the previously unknown NIR absorbance bands of FB1 at 100 ppm.
Association of MSX1 Gene Variants with Nonsyndromic Cleft Lip and/or Palate in the Pakistani Population
Authors: Memon Anny , Khidri Feriha Fatima , Waryah Yar Muhammad , Nigar Roohi , Bhinder Munir Ahmad , Shaikh Ahmed Muhammad , Shaikh Hina , Waryah Ali Muhammad 
Published: July 2023

Objectives This study investigated the association of MSX1 gene variants rs3821949 and rs12532 with nonsyndromic cleft lip and/or palate (NSCL/P) in the Pakistani population. Design Comparative cross-sectional study. Setting: Multicenter of CL/P malformation. Patients/Participants: Unrelated Non-Syndromic cleft Lip/Palate patients and healthy controls were enrolled. Methods One hundred ( n = 100) subjects with NSCL/P and n = 50 unrelated healthy controls were enrolled in a multicenter comparative cross-sectional study. A tetra amplification refractory mutation system (ARMS) polymerase chain reaction (PCR) was performed to analyze MSXI gene single nucleotide variants (SNVs). Results Among 100 NSCL/P subjects, the majority were males (56%; male: female = 1.27: 1). Most of the cases (74%) had cleft lip and palate (CLP) compared to isolated clefts. Genotyping of MSX1 gene variant rs3821949 showed an increased risk for NSCL/P in various genetic models ( P < 0.0001), and the A allele exhibited a more than 4-fold increased risk among cases (OR = 4.22: 95% CI = 2.16–8.22; P < 0.0001). Our investigation found no significant difference between the rs12532 variation and NSCL/P. Conclusion Our study findings suggest that MSX1 gene variants may increase predisposition to NSCL/P in the Pakistani population. Further studies comprising large samples are required to identify the genetic aetiology of NSCL/P among our people.
Pilot study evaluating feasibility and utility of pharmacist-driven oral antineoplastic agent monitoring program
Authors: Allen Stefan M , Cervantez Sherri R , Frei Bradi L , Koeller Jim M 
Published: July 2023

Introduction Oncologists are increasingly prescribing oral antineoplastic agents which have benefits and challenges impacting patient outcomes. Practice guidelines recommend monitoring symptoms and adherence without outlining any specific tools or methods for monitoring. Pharmacists are successful in monitoring patients on therapy and improving outcomes. We aimed to assess the feasibility and utility of a pharmacist-delivered and medical record-integrated adherence and symptom monitoring program for patients on oral antineoplastic agents. Methods This single-center, prospective, interventional study designed and implemented an adherence and monitoring program. A pharmacist contacted patients twice between clinic visits for three months. During telephone encounters, patients were verbally screened for medication adherence and assessed for new or changing symptoms using the Edmonton Symptom Assessment System as a signal of possible adverse events. We measured feasibility via patient enrollment, completed proportion of scheduled contacts, and pharmacist time. Utility was assessed through patient adherence, satisfaction surveys, healthcare resource utilization, and pharmacist interventions (i.e., patient education, adherence assistance, and symptom management). Results Fifty-one patients participated. Ninety-one percent of scheduled patient contacts were completed. Edmonton Symptom Assessment System was administered by pharmacy personnel 102 times. Patient-reported adherence was 100%. Overall satisfaction was 85% and 100%, for patients and physicians, respectively. Fifty-one (98%) pharmacist recommendations were accepted. There were 14 total utilizations of healthcare resources—5.2 per 1000 patient days. Conclusions This study suggests a pharmacist monitoring program for patients taking oral antineoplastic agents is feasible and provides utility. Further research is needed to evaluate whether this program improves safety, adherence, and outcomes in patients using oral antineoplastic agents.
The need for health information management professionals in Malawi health facilities
Authors: Chima Teddie , Mkwinda Esmie , Kumwenda Stephen 
Published: July 2023

Background: Health information management (HIM) is at the core of health organisations, providing essential information. In Malawi, there is a substantial deficit of qualified personnel, specifically health information managers, who can properly manage health information in electronic and paper-based formats. The nation has no higher education institution offering an academic programme in HIM. Objective: To investigate the need for HIM professionals in Malawi government health facilities, to determine the kinds of data managed by data users; competencies of HIM workers and challenges associated with the current HIM system. Method: A cross-sectional research design was adopted, with a qualitative approach to gather data from data users and key informants, using two focused interview guides. Data were collected from 13 participants from 6 government health facilities representing the primary, secondary and tertiary healthcare delivery levels. Data were analysed thematically. Results: Data users handled a diverse range of data, the majority having moderate skills in HIM. Both data users and key informants reported experiencing challenges in dealing with the existing HIM system. Findings also revealed key challenges associated with the absence, or inadequacy, of a well-trained HIM professional workforce in Malawi health facilities. Conclusion: Introducing a training programme in HIM would improve data management in health facilities in Malawi. Well-managed data would improve the delivery of health care services.
Designing for Health in Healthcare Deserts: A Medical City Master Planning Project in Nigeria
Authors: Lee Chanam , Zhong Sinan , Lee Sungmin , Ndubisi Forster 
Published: July 2023

Background: Many countries and communities in sub-Saharan Africa suffer from inadequate access to healthcare and healthy lifestyles as reflected in their high mortality and morbidity rates. Large-scale interventions like the medical city project presented in this article are necessary to address the significant health burdens faced by populations in this region. Objectives: This article shows how evidence-based approaches and multisectoral partnerships guided the development of the 327-acre Medical City master plan in Akwa Ibom, Nigeria. This is envisioned to be the first-of-its-kind medical city in this medically underserved “healthcare desert.” Methods: The five-phased, seven-year (2013–2020) master planning process was guided by the overarching design framework of “sustainable one health” along with its 11 objectives and 64 performance measures. The data/evidence used to guide the planning decision-making process came from case studies, literature reviews, stakeholder interviews, and on-site investigations. Results: The outcome of this project is a comprehensive medical city master plan that includes a self-contained, mixed-use community anchored by a hospital and a primary healthcare village. This medical city provides access to the full range of healthcare services (e.g., curative-to-preventive, traditional-to-alternative) and is supported by multimodal transportation systems and extensive green infrastructure. Conclusions: This project offers theoretical and practical insights on “designing for health” in a frontier market while responding to the complex local contexts that present many unique challenges and opportunities. Those insights provide useful lessons for researchers and professionals interested in promoting health and healthcare services in healthcare deserts.
Bilateral external jugular vein anomalies preventing hemodialysis catheter placement in a cat with anuria secondary to Lilium species intoxication
Authors: Palm Carrie A , Kopecny Lucy , Woerde Dennis J , Culp William TN 
Published: July 2023

Case series summary A 2-year-old female spayed Abyssinian cat was evaluated for lethargy and inappetence that first occurred approximately 4 days prior. In addition, urination had not been observed by the owner for 5 days. A Lilium species plant had been brought into the house approximately 5 days before initial evaluation, and intoxication was therefore suspected. Bloodwork revealed anemia, severe azotemia and hyperkalemia. As the cat was anuric with severe azotemia, hyperkalemia and fluid overload, intermittent hemodialysis was recommended. Attempts were made to place a hemodialysis catheter into the external jugular veins bilaterally, but after initial successful venipuncture, the instrumentation would not pass into either vein. During fluoroscopic angiography, no internal jugular veins or external jugular veins caudal to the thoracic inlet were visualized and venous drainage from the head occurred via the vertebral veins. Owing to the anomalous anatomy in the cervical region, a hemodialysis catheter could not be placed into either jugular vein. Alternative sites for the placement of an extracorporeal catheter were discussed with the owner, but humane euthanasia was elected. Relevance and novel information To the authors’ knowledge, this is the first report of a cat with bilateral external jugular vein anomalies resulting in blind endings that did not communicate with the vena cava. This was discovered during attempts to place a hemodialysis catheter for the management of anuric renal failure secondary to Lilium species intoxication. While this anatomical variation is likely uncommon, it is an important differential to consider when faced with challenging external jugular vein catheterizations in feline patients.
Development of a social skills training programme to target social isolation using virtual reality technology in primary mental health care
Authors: Ose Solveig Osborg , Thaulow Kristin , Færevik Hilde , Hoffmann Per Lund , Lestander Hedvig , Stiles Tore , Lindgren Martin 
Published: July 2023

Introduction People with severe mental illness often have a small or no network of friends and limited contact with their family and live social isolated lives. We developed a social skills training programme to be administered by public mental health professionals in helping those with mental illness to overcome their social isolation. Methods The programme was developed over 3 years in close collaboration among psychologists, service users, municipal mental health professionals, mental health service researchers and a local firm providing virtual reality (VR) training. We started with the simplest available equipment, that is, a cardboard headset combined with a smartphone, then we used Oculus Quest and now Oculus Quest 2. Results The resulting programme is comprised of eight steps from: 1) identify service user’s primary and secondary goals to 8) three-month follow-up. Conclusion Several factors made adoption and implementation of VR technology possible in a relatively short timeframe: namely, the municipality and service users were involved from the beginning of the development process, efforts were made to introduce VR to mental health professionals and allow them to reflect on its usability, solutions were low-tech and low cost, and the long-term research collaboration was established without municipal financial obligations.
Training and employee turnover: A social exchange perspective
Authors: Jun Minjong , Eckardt Rory 
Published: July 2023

Training is often thought to benefit organizations; however, these benefits only materialize if trained employees remain at the organization. Empirical findings are mixed regarding the direction and significance of the training-turnover association, which implies there are important moderators for this association. Drawing on the social exchange theory, we posit the training-turnover association varies as a function of two characteristics of an organization’s employees: job qualification and educational background. We assess hypotheses for their moderating impact on the training-turnover link using the Human Capital Corporate Panel data sets from 2009 to 2017. The panel data analyses support the hypotheses regarding the interaction effects of training and job qualification on employee turnover and demonstrate three-way effects among training, job qualification, and educational background. We discuss the theoretical implications of these findings for the varied perceptions of the value of training and the value of staying at the organization from a social exchange perspective. JEL CLASSIFICATION: (1) M53 Training and (2) J63 Turnover; Vacancies; Layoffs
Effect of BMI on toxicities and survival among adolescents and young adults treated on DFCI Consortium ALL trials
Authors: Shimony Shai , Flamand Yael , Valtis Yannis K. , Place Andrew E. , Silverman Lewis B. , Vrooman Lynda M. , Brunner Andrew M. , Sallan Stephen E. , Stone Richard M. , Wadleigh Martha , Neuberg Donna S. , DeAngelo Daniel J. , Luskin Marlise R. 
Published: July 2023

Abstract
Adolescent and young adults (AYAs) with acute lymphoblastic leukemia (ALL) treated with asparaginase-containing pediatric regimens are commonly overweight or obese. We studied the association of body mass index (BMI) on outcomes of 388 AYAs aged 15 to 50 years treated on Dana-Farber Cancer Institute (DFCI) consortium regimens (2008-2021). BMI was normal in 207 (53.3%) and overweight/obese in 181 (46.7%). Patients who were overweight or obese experienced higher nonrelapse mortality (NRM; 4-year, 11.7% vs 2.8%, P = .006), worse event-free survival (4-year, 63% vs 77%, P = .003), and worse overall survival (OS; 4-year, 64% vs 83%, P = .0001). Because younger (aged 15-29 years) AYAs more frequently had a normal BMI (79% vs 20%, P &lt; .0001), we conducted separate analyses in each BMI group. We found excellent OS among younger and older (30-50 years) AYAs with normal BMI (4-year OS, 83% vs 85%, P = .89). Conversely, in AYAs who were overweight/obese, worse outcomes were seen in older AYAs (4-year OS, 55% vs 73%, P = .023). Regarding toxicity, AYAs who were overweight/obese experienced higher rates of grade 3/4 hepatotoxicity and hyperglycemia (60.7% vs 42.2%, P = .0005, and 36.4% vs 24.4%, P = .014, respectively) but had comparable rates of hypertriglyceridemia (29.5% vs 24.4%, P = .29). In a multivariable analysis, higher BMI was associated with worse OS, hypertriglyceridemia was associated with improved OS, and age was not associated with OS. In conclusion, among AYAs treated on DFCI Consortium ALL regimens, elevated BMI was associated with increased toxicity, increased NRM, and decreased OS. The deleterious effect of elevated BMI was more pronounced in older AYAs.
Evidence-based training and certification: the ERS thoracic ultrasound training programme
Authors: Pietersen Pia Iben , Bhatnagar Rahul , Rahman Najib M. , Maskell Nick , Wrightson John M. , Annema Jouke , Crombag Laurence , Farr Amy , Tabin Nathalie , Slavicky Marek , Skaarup Søren Helbo , Konge Lars , Laursen Christian B. 
Published: July 2023

Thoracic ultrasound has developed into an integral part of the respiratory physician's diagnostic and therapeutic toolbox, with high diagnostic accuracy for many diseases causing acute or chronic respiratory symptoms. However, it is vitally important that the operator has received the appropriate education and training to ensure a systematic and thorough examination, correct image interpretation, and that they then have the appropriate skills to integrate all the findings for patient benefit.In this review, we present the new European Respiratory Society thoracic ultrasound training programme, including a discussion of curriculum development, its implementation, and trainee evaluation. This programme enables participants to gain competence in thoracic ultrasound through structured, evidence-based training with robustly validated assessments and certification. The training programme consists of three components: an online, theoretical part (part 1), which is accessible all year; a practical course (part 2), with four courses held each year (two online courses and two on-site courses); and an examination (part 3) comprising an objective structured clinical examination (OSCE), which is hosted each year at the European Respiratory Society Congress.