bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cancer in female firefighters: The clinicobiological, psychological, and social perspectives
Authors: Kunz Kenneth Robert , Turcotte Kate , Pawer Samantha , Zheng Alex , Purewal Amanat , Wellar Alyssa , Karmali Shazya , Garis Len , Thomas Larry S. , Pike Ian 
Published: April 2023

ObjectivesThis study explored how demographic characteristics, life experiences, and firefighting exposures have an impact on cancer among female firefighters, and described the types and biologic characteristics of cancers as reported by women in the fire service.MethodsThe online survey was available from June 2019 to July 2020. Questions related to demographic characteristics, lifestyle factors, firefighting exposures, and cancer diagnoses. Descriptive analyses characterized variables by the presence or absence of cancer. Qualitative data provided insight into both firefighting and cancer experiences among women.ResultsThere were 1,344 female firefighter respondents from 12 different countries, 256 of whom provided information on their cancer diagnosis. North American respondents made up 92% of the total. Those with cancer were older, had been in the fire service longer, had more career fires and toxic exposures, and were less likely to still be in active service. They also reported more tobacco use, and more full-term pregnancies. There were no differences in family history of cancer between the two groups. The average age at diagnosis was 39.0 years. The major types of cancer reported included breast (25.4%), cervical (21.1%), melanoma (20.7%), base cell/skin (16.4%), and uterine (14.8%). The cancer was detected when seeking medical attention for symptoms (42.1%), during routine health screening (29.8%), and during specific cancer screening (28.1%). The stage of cancer was reported by 44.5%, and 30.9% included the histopathological grade. Treatments included surgery (72.7%), chemotherapy (14.8%), radiotherapy (13.7%), and observation (13.7%). Challenges associated with cancer included psychosocial (33.2%), financial (18.8%), physical (6.6%), and spiritual (6.3%). Concerns about reporting a cancer experience to their employer included the desire to keep health information private (11.3%), a feeling of vulnerability (7.4%), and being perceived as weak (7.0%). Lack of support from their employer or insurer was also noted.ConclusionFemale firefighters experienced a wide variety of different types of cancers which may come earlier than similar cancers in the public. These findings can help inform resource allocation, the development of new policies, and the need for broader presumptive coverage to support female firefighters diagnosed with cancer.
Patterns of better breast cancer care in countries with higher human development index and healthcare expenditure: Insights from GLOBOCAN 2020
Authors: Azadnajafabad Sina , Saeedi Moghaddam Sahar , Mohammadi Esmaeil , Delazar Sina , Rashedi Sina , Baradaran Hamid Reza , Mansourian Morteza 
Published: April 2023

BackgroundThe huge burden of breast cancer (BC) necessitates the profound and accurate knowledge of the most recent cancer epidemiology and quality of care provided. We aimed to evaluate BC epidemiology and quality of care and examine the effects of socioeconomic development and healthcare expenditure on disparities in BC care.MethodsThe results from the GLOBOCAN 2020 study were utilized to extract data on female BC, including incidence and mortality numbers, crude rates, and age-standardized rates [age-standardized incidence rates (ASIRs) and age-standardized mortality rates (ASMRs)]. The mortality-to-incidence ratio (MIR) was calculated for different locations and socioeconomic stratifications to examine disparities in BC care, with higher values reflecting poor quality of care and vice versa. In both descriptive and analytic approaches, the human development index (HDI) and the proportion of current healthcare expenditure (CHE) to gross domestic product (CHE/GDP%) were used to evaluate the values of MIR.ResultsGlobally, 2,261,419 (95% uncertainty interval (UI): 2,244,260–2,278,710) new cases of female BC were diagnosed in 2020, with a crude rate of 58.5/100,000 population, and caused 684,996 (675,493–694,633) deaths, with a crude rate of 17.7. The WHO region with the highest BC ASIR (69.7) was Europe, and the WHO region with the highest ASMR (19.1) was Africa. The very high HDI category had the highest BC ASIR (75.6), and low HDI areas had the highest ASMR (20.1). The overall calculated value of female BC MIR in 2020 was 0.30, with Africa having the highest value (0.48) and the low HDI category (0.53). A strong statistically significant inverse correlation was observed between the MIR and HDI values for countries/territories (Pearson's coefficient = −0.850, p-value &lt; 0.001). A significant moderate inverse correlation was observed between the MIR and CHE/GDP values (Pearson's coefficient = −0.431, p-value &lt; 0.001).ConclusionsThis study highlighted that MIR of BC was higher in less developed areas and less wealthy countries. MIR as an indicator of the quality of care showed that locations with higher healthcare expenditure had better BC care. More focused interventions in developing regions and in those with limited resources are needed to alleviate the burden of BC and resolve disparities in BC care.
Born too soon in a resource-limited setting: A 10-year mixed methods review of a special care baby unit for refugees and migrants on the Myanmar-Thailand border
Authors: Hashmi Ahmar , Darakamon Mu Chae , Aung Ko Ko , Mu Mu , Misa Prapatsorn , Jittamala Podjanee , Chu Cindy , Phyo Aung Pyae , Turner Claudia , Nosten Francois , McGready Rose , Carrara Verena I. 
Published: April 2023

BackgroundPreterm birth is a major public health concern with the largest burden of morbidity and mortality falling within low- and middle-income countries (LMIC).Materials and methodsThis sequential explanatory mixed methods study was conducted in special care baby units (SCBUs) serving migrants and refugees along the Myanmar-Thailand border. It included a retrospective medical records review, qualitative interviews with mothers receiving care within SCBUs, and focus group discussions with health workers. Changes in neonatal mortality and four clinical outcomes were described. A mix of ethnographic phenomenology and implementation frameworks focused on cultural aspects, the lived experience of participants, and implementation outcomes related to SCBU care.ResultsFrom 2008–2017, mortality was reduced by 68% and 53% in very (EGA 28–32 weeks) and moderate (EGA 33–36 weeks) preterm neonates, respectively. Median SCBU stay was longer in very compared to moderate preterm neonates: 35 (IQR 22, 48 days) vs. 10 days (IQR 5, 16). Duration of treatments was also longer in very preterm neonates: nasogastric feeding lasted 82% (IQR 74, 89) vs. 61% (IQR 40, 76) of the stay, and oxygen therapy was used a median of 14 (IQR 7, 27) vs. 2 (IQR 1, 6) days respectively. Nine interviews were conducted with mothers currently receiving care in the SCBU and four focus group discussions with a total of 27 local SCBU staff. Analysis corroborated quantitative analysis of newborn care services in this setting and incorporated pertinent implementation constructs including coverage, acceptability, appropriateness, feasibility, and fidelity. Coverage, acceptability, and appropriateness were often overlapping outcomes of interest highlighting financial issues prior to or while admitted to the SCBU and social issues and support systems adversely impacting SCBU stays. Interview and FGD findings highlight the barriers in this resource-limited setting as they impact the feasibility and fidelity of providing evidence-based SCBU care that often required adaptation to fit the financial and environmental constraints imposed by this setting.DiscussionThis study provides an in-depth look at the nature of providing preterm neonatal interventions in a SCBU for a vulnerable population in a resource-limited setting. These findings support implementation of basic evidence-based interventions for preterm and newborn care globally, particularly in LMICs.
Active aging awareness and well-being among older adults in Portugal
Authors: Costa Andreia , Henriques Joana , Alarcão Violeta , Henriques Adriana , Madeira Teresa , Virgolino Ana , Sousa Joana , Feteira-Santos Rodrigo , Arriaga Miguel , Rocha Jorge , Nogueira Paulo 
Published: April 2023

ObjectiveThis study aims to assess the active aging awareness of older adults in mainland Portugal and their levels of overall well-being and to identify social and health-related factors.MethodsA cross-sectional study was conducted with a representative sample of 613 older adults, aged 65 or older, who participated in the PROKnos – Knowing Social Prescribing needs of the elderly study in Portugal. The questionnaire consisted of the Active Ageing Awareness Questionnaire and the World Health Organization – Five Well-Being Index, as well as sociodemographic, economic, and health status questions. Correlation coefficients, t-tests for independent samples, and one-way ANOVA were used to explore potential associations between variables.ResultsThe active aging awareness levels were significantly higher for women (p = 0.031), and those who were younger (p = 0.011), more educated (p &lt; 0.001), had a better financial situation (p &lt; 0.001), and had better health (p &lt; 0.001). The same pattern was found for well-being, except in relation to gender, as men had higher levels (p = 0.016). These variables were found to be correlated.DiscussionEven though active aging is an important strategy to implement, it is indispensable to consider the perceptions and conditions that need to be in place before that. This study reveals that several social and health-related factors are associated with well-being and active aging awareness, as well as the differences between groups that exist in mainland Portugal in relation to that. This emphasizes how vital it is to address social inequalities in active aging efforts, which are not necessarily uncovered when only considering actual active aging measures.
Intra-osseous plasma rich in growth factors enhances cartilage and subchondral bone regeneration in rabbits with acute full thickness chondral defects: Histological assessment
Authors: Torres-Torrillas Marta , Damia Elena , Romero Ayla del , Pelaez Pau , Miguel-Pastor Laura , Chicharro Deborah , Carrillo José M. , Rubio Mónica , Sopena Joaquín J. 
Published: April 2023

BackgroundIntra-articular (IA) combined with intra-osseous (IO) infiltration of plasma rich in growth factors (PRGF) have been proposed as an alternative approach to treat patients with severe osteoarthritis (OA) and subchondral bone damage. The aim of the study is to evaluate the efficacy of IO injections of PRGF to treat acute full depth chondral lesion in a rabbit model by using two histological validated scales (OARSI and ICRS II).MethodologyA total of 40 rabbits were included in the study. A full depth chondral defect was created in the medial femoral condyle and then animals were divided into 2 groups depending on the IO treatment injected on surgery day: control group (IA injection of PRGF and IO injection of saline) and treatment group (IA combined with IO injection of PRGF). Animals were euthanized 56 and 84 days after surgery and the condyles were processed for posterior histological evaluation.ResultsBetter scores were obtained in treatment group in both scoring systems at 56- and 84-days follow-up than in control group. Additionally, longer-term histological benefits have been obtained in the treatment group.ConclusionsThe results suggests that IO infiltration of PRGF enhances cartilage and subchondral bone healing more than the IA-only PRGF infiltration and provides longer-lasting beneficial effects.
In Situ Sustained Macrophage-Targeted Nanomicelle–Hydrogel Microspheres for Inhibiting Osteoarthritis
Authors: Li XiaoXiao , Li Xingchen , Yang Jielai , Du Yawei , Chen Liang , Zhao Gang , Ye Tingjun , Zhu Yuan , Xu Xiangyang , Deng Lianfu , Cui Wenguo 
Published: April 2023

There are still challenges in applying drug nanocarriers for in situ sustained macrophage targeting and regulation, due to the rapid clearance of nanocarriers and burst drug release in vivo. Herein, a nanomicelle–hydrogel microsphere, characterized by its macrophage-targeted nanosized secondary structure that allows it to accurately bind to M1 macrophages through active endocytosis, is employed for in situ sustained macrophage targeting and regulation, and addresses the insufficient osteoarthritis therapeutic efficacy caused by rapid clearance of drug nanocarriers. The 3-dimensional structure of a microsphere can prevent the rapid escape and clearance of a nanomicelle, thus keeping it in joints, while the ligand-guided secondary structure can carry drugs to accurately target and enter M1 macrophages, and release drugs via the transition from hydrophobicity to hydrophilicity of nanomicelles under inflammatory stimulation inside the macrophages. The experiments show that the nanomicelle–hydrogel microsphere can in situ sustainably target and regulate M1 macrophages for more than 14 days in joints, and attenuate local “cytokine storm” by continuous M1 macrophage apoptosis promotion and polarization inhibition. This micro/nano-hydrogel system shows excellent ability to sustainably target and regulate macrophage, realizes the improvement of drug utilization and efficacy inside the macrophage, and thereby can be a potential platform for treating macrophage-related diseases.
Analisis Video Pembelajaran Simbol Pancasila Melalui Aplikasi Canva Kelas 1 SDN Plamongansari 02
Authors: Ahlul Mufid Himayanti  , Muhammad Prayito  , Joko Sulianto  , Sri Wikyuni  
Published: April 2023

Education is an important element in human life. various technological developments participate in the role of education. the use of technology is important to convey information as a learning medium. Processlearning is an arrangement of elements, including people, materials, facilities, equipment, and processes, which interact and communicate with each other to achieve learning objectives. From this study is to convey learning by utilizing video editing applicationCanva on learning the symbols of Pancasila. in this study, carried out by qualitative methods through observation and interviews. Pancasila symbols made using the Canva application. Learning Pancasila symbols through learning videos made with applicationsCanva effective for increasing students' understanding of Pancasila values. Students are more interested and easy to understand learning material when it is presented in an interesting and interactive video. Learning Pancasila symbols through videolearning made with Canva can be an effective choice to increase students' understanding of Pancasila values. The results of this study can be used as recommendations for teachers to develop more innovative and interesting learning media to increase learning effectiveness.

Pendidikan merupakan unsur penting dalam kehidupan manusia. berbagai perkembangan teknologi ikut serta dalam peran pendidikan. pemanfaatan teknologi menjadi hal penting untuk menyampaikan informasi sebagai media pembelajaran. Proses pembelajaran adalah susunan unsur-unsur, termasuk orang, bahan, fasilitas, peralatan, dan proses, yang saling berinteraksi dan berkomunikasi untuk mencapai tujuan pembelajaran.. tujuan dari kajian ini adalah untuk menyampaikan pembelajaran dengan memanfaatkan aplikasi edit video Canva pada pembelajaran simbol-simbol Pancasila. dalam kajian ini, dilakukan dengan metode kualitatif melalui observasi dan wawancara. simbol-simbol Pancasila yang dibuat menggunakan aplikasi canva. Pembelajaran simbol-simbol Pancasila melalui video pembelajaran yang dibuat dengan aplikasi Canva efektif untuk meningkatkan pemahaman siswa tentang nilai-nilai Pancasila. Siswa lebih tertarik dan mudah memahami materi pembelajaran ketika disajikan dalam bentuk video yang menarik dan interaktif.pembelajaran simbol-simbol Pancasila melalui Video pembelajaran yang dibuat dengan Canva dapat menjadi pilihan efektif untuk meningkatkan pemahaman siswa terhadap nilai-nilai Pancasila . Hasil kajian ini dapat dijadikan rekomendasi bagi para guru untuk mengembangkan media pembelajaran yang lebih inovatif dan menarik untuk meningkatkan efektivitas pembelajaran.
The Fusion of Onyms: on the Issue of the Formation of Telescopic Proper Nouns
Authors: Streltsov Alexey 
Published: April 2023

The article deals with proper names formed by means of blending, i.e. merging two or more words, at least one of which, in its turn, is a proper name – an onym. It is stated that words formed in this way are mainly English, but they also occur in
Russian, German and French, although to a much lesser extent. All blended onyms can be divided into several groups, of which the most numerous are anthroponyms (baby-names, fused names and / or surnames of married couples, combined names
of characters, concocted by fans, etc.) and toponyms. This way of merging proper names is especially popular in the United States – in particular, names for groups of states and border-towns. Despite the predominance of English-language examples in
general, there are some blended nicknames in Russian, many of which are facetious, or even derogatory. A relatively small number of blended onyms are names of enterprises and organizations, trademarks, and objects of material culture. We were the
first to single out a separate group – names of holidays. The most common is the fusion of clipped stems of one or both words, although there are cases of overlapping and insertion, as well as blends formed of three stems. This paper will be of interest
to both lexicologists, since it deals with the issues of word formation and specialists in the field of onomasiology, since the research is focused on proper names.
«Simple» («Non-Sstyle») Word in the Metarealism of the Russian Diaspora: Poetics of Dmitry Dragilev (Berlin)
Authors: Seifert Elena 
Published: April 2023

The purpose of the article is to comprehend the «simple word» in metarealistic poetics. The material is the lyrics of Dmitry Dragilev (the poet was born in1970 in Riga, lives in Berlin). The native (Russian) language of a Russian author who is abroad absorbs the numerous realities of the actuality surrounding the poet. The author of the article relies on the structural-descriptive method. A «simple» («non-style») word in Dragilev’s metarealistic poetics reacts sharply to a context enriched with metaphors, often developing into a metaphor, acquiring a different meaning that does not belong to it, sometimes without losing its direct
meaning. A «simple» word is interesting to the poet and its sound shell, goes beyond the limits of the language game, in rare cases it grows into a metametaphor poem. Being slang or vernacular, the «simple» word loses its stylistic humiliation and is rapidly enriched due to the context. German, Latvian, English words by
Dragilev not only participate in the creation of macaronicisms, but also expand the metaphorical space of the poem to polylingual infinity. The macaronicism verses of the Berlin poet go beyond the limits of metarealistic poetics, and in them
the potential burlesque nature of the «simple» word is preserved and developed.
The «non-style» word is imperceptible in metarealistic poetics, because it quickly merges with its other elements, becoming like them.
Erikoislääkärien kokemuksia johtamiskoulutuksesta
Authors: Tuononen Tiina , Kottonen Annariitta , Lammintakanen Johanna , Suominen Liisa , Heistaro Sami 
Published: April 2023

Terveydenhuollon laadukkaan palvelutuotannon organisointi sekä jatkuvat hallinnolliset ja rakenteelliset muutokset edellyttävät onnistuakseen johtamista. Terveydenhuollon johtaminen on kuitenkin haasteellista. Puutteellista johtamista pidetään usein yhtenä syynä varsinkin julkisessa terveydenhuollossa koettuun pulaan ammattihenkilöistä. Tutkimuksen tarkoituksena oli kuvata Suomen Lääkäriliiton järjestämän Erikoislääkärien johtamiskoulutuksen vuosina 2010–2019 käyneiden erikoislääkäreiden kokemuksia koulutuksesta ja uramuutoksista. Tutkimuskysymykset olivat: 1) millaisia odotuksia Erikoislääkärien johtamiskoulutukseen (ELJ) osallistuneilla oli koulutuksesta, 2) mitä osaamista he kokivat koulutuksessa saaneensa sekä 3) millaisia muutoksia he kokivat urallaan koulutuksen jälkeen tapahtuneen. Tavoitteena oli tuottaa tietoa lääkärien ja hammaslääkärien johtamiskoulutuksen kehittämiseksi sekä johtamiskoulutukseen hakeutumisen edistämiseksi. Tutkimusaineisto (n = 115) kerättiin sähköisellä kyselylomakkeella, johon linkki lähetettiin kohderyhmälle (N = 504) sähköpostitse. Aineisto analysoitiin aineistolähtöistä laadullista sisällönanalyysiä käyttäen. Tutkimus osoitti koulutuksen vastanneen vastaajien odotuksia. Tärkeimpänä koulutuksen antina olivat lisääntynyt johtamisen ja hallinnon substanssiosaaminen, johtajuuden ymmärtäminen sekä vertaistuki ja verkostoituminen. Tulokset tukevat ELJ-koulutuksen tavoitteita ja siten lääkärijohtajille aikaisemmissa tutkimuksissa tunnistettuja osaamisvaatimuksia. Vastaajien uramuutoskokemukset liittyivät uralla etenemiseen ja henkilökohtaiseen muutokseen.
UNA – Menschzentrierte Automatisierung/UNA – Human Centered Automatization
Authors: Köhler Martina , Karelina Dascha 
Published: April 2023

Ein User Needs Assessment, kurz UNA, bietet die Möglichkeit, menschliche Bedürfnisse zu erfassen und zu analysieren. Im industriellen Kontext werden die Bedürfnisse der Mitarbeitenden selten berücksichtigt, was besonders bei der Einführung von Automatisierung oder künstlicher Intelligenz unzufriedene Mitarbeitende zur Folge haben kann und die Einführung unnötig erschwert. Im Nachfolgenden wird dieser Themenkomplex erläutert und eine Analysemöglichkeit vorgestellt.

The User Needs Assessment tool UNA is an analytical tool to capture human needs. Human needs are rarely considered in industrial practice, a fact that is often detrimental to the introduction of automatization or of artificial intelligence techniques and may lead to considerable discontent among employees. This paper discusses related topics and introduces an analysis tool to deal with them.
Datenerhebung in der Batteriezellenproduktion/Pilot plant for data-supported assembly of lithium-ion round cells
Authors: Lodwig Ragnar , Schulz Fabian 
Published: April 2023

Das Technikum des Zentrums für Digitalisierte Batteriezellenproduktion (ZDB) bietet ein realitätsnahes Produktionsumfeld im Labormaßstab. Durch die umfassende Erhebung von Anlagen-, Prozess- sowie Umgebungsdaten und deren Verknüpfung bietet es die Basis zur Entwicklung und Validierung neuer Fertigungsverfahren. Dabei können sowohl Digitalisierungsansätze als auch Konzepte auf Maschinen- oder Prozessebene adressiert werden. Dieser Beitrag legt das Augenmerk auf die Anlagen der Zellassemblierung.

The pilot plant at the Center for Digitalized Battery Cell Manufacturing (ZDB) offers a realistic production environment on laboratory scale. By comprehensively collecting and linking plant, process, and environmental data, it provides the basis for developing and validating new manufacturing processes. Both digitization approaches and concepts at machine or process level can be addressed. This paper focuses on cell assembly plants.