bluuebunny/crossref_metadata_2025_split huggingface dataset:
Designing and Validating a Model for Retaining Doctors and Specialists in Deprived Areas of the Country: A Mixed Approach
Authors: Norouzzadeh Ahad 
Published: March 2023

Introduction: One of the major challenges of the health system is the limited access of people in deprived areas to healthcare services. This is because the doctors and specialists do not stay there for long. This research also aims to design a model for retaining doctors and specialists in deprived areas of the country.
Methods: This research was exploratory in terms of purpose and descriptive in terms of type. It was a field study conducted in two qualitative and quantitative stages in 2022. In the first stage, 20 doctors and specialists from deprived areas in the northwest of the country were selected through purposive sampling using the chain-referral method (snowball sampling). In the second stage, 200 doctors working in universities of medical sciences in northwestern provinces were randomly selected. For analysis, content analysis method and Atlas-ti and Smart PLS were used.
Results:Based on the findings, the following contents were identified as the components and indicators of retaining doctors and specialists in deprived areas of the country; employment with 6 indicators, financial support with 3 indicators, social with 5 indicators, policy-making with 4 indicators, motivation with 7 indicators, professional and career improvement with 7 indicators, management and systematic factors with 5 indicators, and finally, mental and psychological factors with 3 indicators.
Conclusion: The "social" component with a path coefficient of 0.921 had the highest coefficient, and "management and systematic factors" component with a value of 0.722 had the lowest coefficient in the designed model.
Peningkatan Kesehatan Gigi dan Mulut dengan Pendekatan Art Therapy pada Siswa Taman Kanak-Kanak di Jember
Authors: Ermawati Tantin 
Published: March 2023

Kesehatan gigi dan mulut pada anak pra sekolah/ TK masih sangat perlu diperhatikan, karena penyakit gigi dan mulut pada anak masih berada dalam posisi penyakit terbanyak yang tersebar diseluruh wilayah di Indonesia. Merawat kesehatan gigi anak sejak dini merupakan cara terbaik untuk menjaga gigi dan mulut tetap sehat. Saat usia bayi sampai umur 5 tahun (balita), perlu mengajarkan pentingnya perawatan gigi agar tidak terjadi kerusakan maupun penyakit mulut saat dewasa. Berdasarkan observasi lapang yang telah dilakukan tim pengabdi di TK Al Ikhlas jember menunjukkan bahwa tingkat karies pada siswa masih cukup tinggi, dimana rata-rata setiap anak mengalami karies gigi susu. Tujuan kegiatan ini untuk meningkatkan pemahaman dan pengetahuan akan pentingnya menjaga kesehatan gigi dan mulut pada anak-anak terutama pada siswa Taman Kanak-Kanak melalui pendekatan Art Therapy (cergam) kesehatan gigi dan mulut. Pendekatan Art Therapy ditekankan pada seni meliputi cerita bergambar, dongeng, menggambar dan mewarnai. Menggunakan cergam anak-anak lebih tertarik dan bisa menjadi salah satu strategi dalam upaya promosi kesehatan yang efektif yang dapat merangsang kemampuan imajinatif non verbal. Kegiatan pengabdian yang dilakukan dapat meningkatkan pengetahuan serta meningkatkan derajat kesehatan gigi dan mulut siswa TK Al Ikhlas Jember.
La Ley aplicable a los contratos internacionales en la historia de los conflictos de leyes
Authors: Carrascosa González Javier 
Published: March 2023

El presente estudio persigue desvelar las claves de determinación de la ley aplicable a los contratos internacionales en la historia. Desde la Antigüedad y la Alta Edad Media hasta el siglo XXI. Se analizan las conexiones como el lugar de celebración del contrato, el lugar de cumplimiento de las obligaciones derivadas del contrato, la elección de la ley aplicable, la residencia habitual del contratante que debe realizar la prestación característica y la cláusula de los vínculos más estrechos. En dicho estudio, se exponen las aportaciones de grandes juristas del Derecho internacional privado, como Bartholo da Sassoferrato, Rochus Curtius, Charles Dumoulin, F.k. Von Savigny y especialmente Jacobo de las Leyes. Este trabajo sostiene, contra la visión marxista de la historia del Derecho, que el progreso del Derecho internacional privado se debe a personas, con nombres y apellidos, auténticos genios del Derecho Internacional privado.
G. Moreno Cordero. Validez de las resoluciones civiles y canónicas sobre crisis matrimoniales entre España y Colombia: una visión renovada
Authors: Carrascosa González Javier 
Published: March 2023

Este artículo reseña: G. Moreno Cordero. Validez de las resoluciones civiles y canónicas sobre crisis matrimoniales entre España y Colombia: una visión renovada. Aranzadi, Cizur Menor (Navarra), 2022, 336 pp.
Boletín de Noticias "Entre Patologos" de Alconpat Internacional (V5N1, 2023)
Authors:   Alconpat Internacional, Fuchs Hernández Humberto , Zozaya Ortíz Alexia Xiomara ,   Alconpat Internacional, Castro Borges Pedro ,   Alconpat Internacional
Published: March 2023

En este boletín podemos encontrar la agenda anual de Alconpat Internacional, donde se presenta, con una gran fuerza y compromiso por parte de las distintas direcciones y por las seccionales nacionales, las actividades que se contemplan durante el año 2023. Entre los eventos programados para el primer cuatrimestre del año se encuentran: los cursos de educación continua; los talleres de recomendaciones técnicas, cuya información detallada se encuentra en este número. Así mismo podemos encontrar información sobre el CONPAT 2023, que se realizará en Bolivia a finales de este año e información de semana anual de RILEM en 2023 y la convocatoria que ACI nos hace para participar en los próximos premios anuales ACI Excellence in Concrete Construction Awards. Por último, podemos encontrar, “En la opinión de” que nos muestra un punto de vista interesante relacionado con la sustentabilidad de elementos de la infraestructura vial de Bolivia.
Clinical efficacy of Dapagliflozin in patients with type 2 diabetes and Heart Failure with Reduced Ejection Fraction associated with coronary artery disease
Authors: Gu Chonghuai , Xiang Xuejun , Zheng Yuanxi , Sun Aijiao , Chen Jing , Qiao Rui , Zhao Xin 
Published: March 2023

Abstract
Objective: To study the clinical efficacy of Dapagliflozin in patients with coronary heart disease (CHD) combined with Heart Failure with Reduced Ejection Fraction (HFrEF) and type 2 diabetes mellitus (T2DM) who have CHD.
Methods: A retrospective analysis of 202 patients with CHD and T2DM who were hospitalized in our department of cardiovascular medicine and underwent PCI treatment from November 2019 to November 2022 was conducted. Patients were divided into two groups according to whether they received Dapagliflozin treatment: the Dapagliflozin group (n=100) and the control group (n=102). A subgroup analysis was performed on the 80 HFrEF patients in the total population, which was also divided into two groups: the Dapagliflozin group (n=44) and the control group (n=36). The incidence of major adverse cardiovascular events (MACE) during hospitalization and the median follow-up period (224.5 days) was recorded and analyzed in both the total population and the subgroup.
Results: The results of the analysis of the total patient population showed no statistical differences between the two groups in baseline data and related clinical treatment conditions (P>0.05). The follow-up period event analysis showed that the overall MACE event rate in the Dapagliflozin group was lower than that in the control group (6.00% vs. 17.65%), but not statistically significant (P=0.071). The COX regression analysis of MACE events showed that the use of Dapagliflozin was an independent protective factor for MACE events [HR=0.166, 95% CI (0.026-0.953), P=0.047]. In the HFrEF subgroup analysis, there was no significant difference between the two groups in the baseline data analysis (P>0.05). The COX regression analysis in the subgroup analysis showed that the use of Dapagliflozin was a strong protective factor for the HFrEF subgroup during the follow-up period [HR=0.250, 95% CI (0.017-0.518), P<0.001]. Further analysis using the Kaplan-Meier method showed that the event rate in the Dapagliflozin group was significantly lower than that in the control group.
Conclusion: The use of Dapagliflozin in patients with CHD combined with HFrEF and T2DM may be effective in reducing the incidence of MACE.
Prognostic viewing for patients with esophageal carcinoma with oligometastatic recurrence after curative resection
Authors: Li Tingting , Ke Dongmei , Fu Xiaobin , Dai Yaqing , Yao Qiwei , Li Jiancheng 
Published: March 2023

Abstract
Background: In this study, we aimed to precisely define oligometastatic recurrence (OLR) in patients with esophageal carcinoma (EC) treated with radical resection and investigate the role of local therapy plus chemotherapy in these patients.
Methods: Eighty-three patients with EC who underwent radical esophagectomy and two- or three-field lymphadenectomy, had newly diagnosed recurrence between January 2010 and May 2019 in our hospital, and met the inclusion criteria of the study were recruited. Overall survival (OS) curves after recurrence were analyzed using the Kaplan–Meier method, and a log-rank test was used to assess the OS differences between groups. Cox proportional hazards regression analysis was performed to identify independent factors.
Results: The median follow-up time was 15 months (range: 1–147 months). Patients with EC with≤ 5 safe and curative metastases located in a single organ had favorable overall survival compared to those with metastases located in 2–3 organs with or without regional recurrence and/or regional lymph node metastases. In our study, OLR was defined as the presence of a maximum of five safe and curative metastases in a single organ. Patients with EC in the OLR group treated with chemotherapy combined with local treatment (surgical resection, stereotactic body radiotherapy, conventional radiotherapy, and radiofrequency ablation) had a better three-year OS after recurrence than those who received chemotherapy (CT) alone (25.7% vs. 8.3%). The multivariate Cox regression model identified treatment method, differentiation degree, and pathological lymph node stage as independent factors affecting OS after recurrence.
Conclusion: OLR was defined as ≤ 5 safe and curative metastases in a single organ. Patients with EC with OLR after curative resection treated with chemotherapy combined with local treatment (CCLT) had favorable OS compared to those treated with CT alone. CCLT is a promising treatment option for patients withEC and OLR.
Tea consumption and risk of digestive tract tumors: a two-sample Mendelian randomization study
Authors: Wang Shiting , Xing Ying , Jin Zhichao , Wang Ruiping 
Published: March 2023

Abstract
Background-Tea intake is thought to have anti-cancer effects, but it is unclear whether tea intake has a causal association with digestive tract cancers. Our goal in conducting this two-sample Mendelian randomization (MR) study was to learn more about the possible causal link between tea consumption and digestive system tumors. Materials and Methods-At the genome-wide significance level (P < 5×10 − 8), thirty-two independent single nucleotide polymorphisms (SNPs) related to tea consumption were adopted as instrumental variables. The UK Biobank Consortium provided the summary statistics for digestive tract cancer. We employed inverse variance weighted (IVW) as our primary method, and we conducted a set of sensitivity analyses—including MR Pleiotropy RESidual Sum and Outlier, MR-Egger, and weighted median—to identify heterogeneity and pleiotropy. Results-The IVW analysis method showed that genetic liability to tea intake was associated with increased risk of liver and intrahepatic biliary cancer[OR = 1.0019, 95% confidence interval (CI) = 1.0003–1.0035, P = 0.020]. There was no statistically significant link between tea drinking and the development of other digestive tract cancers. [Esophagus cancer: OR = 1.0000, 95% CI = 0.9975–1.0025, P = 0.978; Stomach cancer: OR = 1.0007, 95% CI = 0.9982–1.0032, P = 0. 584; Pancreas cancer: OR = 0.9994, 95% CI = 0.9972–1.0016, P = 0.604; Small intestine cancer: OR = 0.9992, 95% CI = 0.9979–1.0006, P = 0. 281; colon cancer: OR = 0.9989, 95% CI = 0.99333–1.00446, P = 0. 707; Rectal cancer: OR = 1.0005, 95% CI = 0.9969–1.0042, P = 0. 767] was noted. Conclusion-This Mendelian randomization study indicates that tea intake might be a factor in an increased risk of liver and intrahepatic biliary cancer, whereas there was no evidence of a genetically predicted causal link between drinking tea and developing other malignancies of the digestive tract.
Clinical Risk Score for Predicting Oxygen Administration Required among Patients with SARS-CoV-2 Omicron Strains
Authors: Iwamura Narumichi , Tsutsumi Kanako 
Published: March 2023

Abstract
[Background] With an increase in the number of patients with COVID-19, clinics and medical hospitals, particularly those providing primary health care have an increasing role in the appropriate and efficient triage of patients with COVID-19.
[Purpose] To identify predicting variables for the requirement for oxygen administration within 7 days among patients with SARS-CoV-2 Omicron strains. To establish a clinical risk score for predicting oxygen administration required within 7 days.
[Patients and Methods] A retrospective observational study of 584 outpatients with COVID-19 confirmed by polymerase chain reaction (PCR) test visited Sasebo Chuo Hospital between 28 April 2022 and 18 August 2022. Analyses were conducted after adjustment for background factors of age and sex with propensity score matching. We used Fisher test for nominal variables and Kruskal–Wallis test for continuous variables.
[Results] After adjustment for the background factors of age and sex, body temperature (p < 0.001), respiratory rate (p = 0.007), SpO2 (p < 0.001), and confirmation of pneumonia on computerized tomography (CT) (p = 0.032) were found to be significantly associated with oxygen administration requirement within 7 days. The positive/negative likelihood for requiring oxygen administration within 7 days of the risk score based on body temperature, age, respiratory rate and SpO2 are 2.9/0.0 with the cut-off value of 5 points and 18/0.4 with the cut-off value of 10 points. The area under the ROC curve of the risk score was 0.937 (95% Confidence Interval [CI]: 0.900-0.974).
[Discussion] Using the risk score which does not require a detailed history interview or CT scan but only age and vital signs may help make an efficient referral to a hospital where the patient can be admitted.
[Conclusions] Elevated body temperature, advanced age, increased respiratory rate, decreased SpO2, and pneumonia on CT were significantly associated with oxygen administration required within 7 days in the study population. The risk score using temperature, age, respiratory rate, and SpO2 could efficiently assess the risk of oxygen administration required within 7 days with good accuracy.
[Trial registration] 584 patients were retrospectively registered. The trial registration number is 2022-15. The date of registration is 26 April, 2022.
Study on Prevalence of One Humped Camel Mange and Its Associated Risk Factors in Selected Kebeles of Kebribeyah District of Fafan Zone, Somali Regional State, Ethiopia.
Authors: Ahmed Mustafe , Ibrahim Abdullahi , Mahamed Samatar 
Published: March 2023

Abstract
Camel mange is an extremely pruritic and contagious disease of camel caused by a small parasite Sarcoptes scabiei var cameli, It mostly affects the head, neck, flanks, inner side of the thighs and inguinal region of the animal. It is transmitted by direct or indirect contact, is one of the most important parasitic diseases affecting camels. Camel mange is economically important disease that hinders productivity and health of camel. Therefore, a cross sectional study was conducted between March to September 2021 to determine prevalence of camel mange mites and associated risk factors. A total of 384 animals were randomly selected and subjected to skin scrapings to recover mange from suspected lesions which was later on examined under microscope, out of the complete camels examined 116 (30.2%) camels were found positive for mange mite infestation. Only Sarcoptes scabiei var cameli was identified as the only mite species in all skin scraping samples collected from the suspected mange mite lesions. PA, sex and age showed no significant variation on mange infestation (P>0.05), while only body condition and herd size were shown statistically significant difference in prevalence of mange mites (P<0.05). This study indicates that camel populations in Kebribeyah district had large amount of mange mites which could hamper health and production status of the camels. Therefore, more emphasis should be given to improve the management system, further studies and control measures should be conducted to shrink the effect of mange mite infestation on camel husbandry.
Generating of squeezed state and entanglement in cavity optomechanical system
Authors: Yousif Taha I. , Daldowm Thowra AR. , Zhou Wenjun , Zhou Ling 
Published: March 2023

Abstract
We study theoretically a two-mode optomechanical system where two cavity modes are coupled to a single mechanical mode. It is shown that the whole system can yield good squeezing, which is comparable to that produced by dispersive coupling, the numerical results which we obtained showed periodic oscillations with a maximum peaks in one of the two quadrature component with a value less than 0.5. We also showed that entanglement can be achieved by calculating the variance in quadrature component of the field operators. Our results are useful in non- degenerate parametric oscillation.
A Two-Stage Dominance-Based Surrogate-Assisted Evolution Algorithm for High-Dimensional Expensive Multi-Objective Optimization
Authors: Wang Wanliang , Yu Mengjiao , Dai Rui , Chen Zhongkui 
Published: March 2023

Abstract
In the past decades, surrogate-assisted evolutionary algorithms (SAEAs) have become one of the most popular methods to solve expensive multi-objective optimization problems (EMOPs). However, most existing methods focus on low-dimensional EMOPs because a large number of training samples are required to build accurate surrogate models, which is unrealistic for high-dimensional EMOPs. Therefore, this paper develops a two-stage dominance-based surrogate-assisted evolution algorithm for high-dimensional expensive multi-objective optimization (TSDEA) which utilizes the RBF model to approximate each objective function. First, a two-stage selection strategy is applied to select individuals for re-evaluation. Then considering the training time of the model, proposing a novel archive updating strategy to limit the number of individuals for updating. Experimental results show that the proposed algorithm has promising performance and computational efficiency compared to the state-of-the-art five SAEAs.
Classification of magnetic order from electronic structure by using machine learning
Authors: Jang Yerin , Kim Choong H. , Go Ara 
Published: March 2023

Abstract
Identifying the magnetic state of materials is of great interest in a wide range of applications, but direct identification is not always straightforward due to limitations in neutron scattering experiments. In this work, we present a machine-learning approach using decision-tree algorithms to identify magnetism from the spin-integrated excitation spectrum, such as the density of states. The dataset was generated by Hartree-Fock mean-field calculations of candidate antiferromagnetic orders on a Wannier Hamiltonian, extracted from first-principle calculations targeting BaOsO3. Our machine learning model was trained using various types of spectral data, including local density of states, momentum-resolved density of states at high-symmetry points, and the lowest excitation energies from the Fermi level. Although the density of states shows good performance for machine learning, the broadening method had a significant impact on the model's performance. We improved the model's performance by designing the excitation energy as a feature for machine learning, resulting in excellent classification of antiferromagnetic order, even for test samples generated by different methods from the training samples used for machine learning.
Public perception of socially assistive robots for healthcare in the EU: a large-scale survey
Authors: Aymerich-Franch Laura , Gómez Emilia 
Published: March 2023

Abstract
This paper presents the results of a large-scale survey (n = 1092) that explored the attitudes and opinions of European Citizens regarding the adoption of socially assistive robots (SARs) for healthcare in the EU. We examined which functions citizens would support and which they consider a threat to trustworthy SARs. We additionally explored the relationships between the perceived vulnerability of the care recipient and acceptance, between attitudes towards robots and gender, religious beliefs, and previous experience interacting with SARs, and whether the degree of responsibility taken in performing a role affects acceptance. The functions most negatively rated were triage and banning entrance. Privacy raised particular concern. We also found an inverse correlation between the perceived vulnerability of care recipients and acceptance. Additionally, we found a positive relationship between religious beliefs and fear of robots, a positive relationship between previous robot experience and attitudes towards them, and that females have less positive attitudes towards robots than males. Also, the degree of responsibility in a role determined acceptance. Involving citizens in the decisions concerning SARs deployment is important to build a society that people feel is fair in terms of robot coexistence. The results of the survey intend to provide evidence-based support to policies in this area.
Nutrasutical Contribution of Aloe-vera Gel for Making of Milk Cake During Festive Seasons in India
Authors: Saini Monika , Kapoor Raj , Garg Shriya , Satyam Kumar , Wajid Moh. Tawheed , Chitranshi Rishabh 
Published: March 2023

Abstract
This research work is formulated for nutrient enriched homemade milk cake development for festive sessions in India. The milk cake made up with cocked milk, aloe vera gel, and honey additionally as sweetener. The entire ingredients were going through a nutritional analysis. Aloe gel analyzed for parameter such as energy (72.96 Kcal), total protein (1.12gm), total carbohydrates (17.24 gm), total fat (0.11gm), total sugars (0.83 gm), vitamin C ( 4.49) , Calcium (27 mg ), Potassium (46 mg), Iron (2.15 mg), Sodium (2.89 mg). While in antioxidant activity Total Flavonoid Contain (3.90/100 gms) and dietary fibbers. Similarly honey used as natural sweetener was analyzed for parameters such as moisture (17.2) percent in 100gms, reducing sugar (71.80), Specific gravity 27ºC (1.37), total sugar (76.56) are also analyzed. It was observed in this entire experiment that the end product i developed by using natural food products with no additional chemicals are proven very useful and popular hunger killer among peoples of every age group as it is full of energy and health benefits.