bluuebunny/crossref_metadata_2025_split huggingface dataset:
School Mental Health Professionals’ Perceptions of Principal Leadership and Working Conditions During Remote and Hybrid School Operations During the COVID-19 Pandemic
Authors: Griffard Megan K. Rauch , Marraccini Marisa E. , Wood Caitlin , Whitcomb Cason , Griffin Dana , Sartain Lauren 
Published: January 2023

Shortages of school counselors and other school mental health providers have presented ongoing concerns about meeting the mental health needs of students before, during, and following the COVID-19 global pandemic. During school closure due to COVID-19, school mental health professionals faced a variety of new challenges and stressors, presenting additional concerns that may be important to address for their recruitment and retention. To provide insight into the ways school principals can best support school-based mental health supports and services, this study aimed to understand the perspectives of school mental health professionals regarding principals’ leadership and support of positive workplace conditions during remote school operations due to COVID-19. Following a sequential mixed-methods design, this study included both quantitative and qualitative analyses, drawing on surveys completed by 74 school mental health professionals in a southeastern US state and in-depth interviews completed with a subsample of these professionals ( n = 14). Results of regression analyses suggested that positive perceptions of leadership and working conditions prior to school closures (measured retrospectively) were significantly associated with positive perceptions of leadership and conditions during remote/hybrid schooling. Results also suggested that principal support during remote/hybrid operations was positively associated with positive perceptions of working conditions. Findings from qualitative analyses indicated that many participants experienced supportive leadership practices from principals and cooperative team efforts among leaders and staff. Many participants also described challenges related to resources and service delivery. By positively cultivating and maintaining leadership and working conditions during school closures and other periods of stress and uncertainty, school leaders can help support the school professionals providing supports and services to some of our most vulnerable youth.
Marriage and Family Formation in the Contemporary Manggaraian Culture (Flores, Indonesia)
Authors: Gunawan Vinsensius Adi 
Published: January 2023

Indonesia, although it is developing rapidly, still offers many traditional circumstances that could be the subject of research. An example is Manggarai, a region in the western part of Flores Island. When founding a family, the inhabitants of Manggarai still practice the traditional way (adat).This procedure is based on the local concept that the family not only has a classical meaning as a nuclear family, called kilo, ca kilo or mbaru kilo), but also includes a much wider circle. This is why every path in the process of marriage becomes so urgent, which potentially creates a new relationship of two larger families (woe nelu). These circumstances play an important role in the social and political life of the Manggaraians, even when they live apart from their homeland.
Neurosurgical management of vertebral lesions in pediatric chronic recurrent multifocal osteomyelitis: patient series
Authors: Hug Nicholas F. , Purger David A. , Li Daphne , Rinsky Lawrence , Hong David S. 
Published: January 2023

BACKGROUND
Chronic recurrent multifocal osteomyelitis (CRMO) is a rare pediatric autoinflammatory disorder involving 2 or more inflammatory bone lesions separated in time and space associated with pathological vertebral fractures. There are no current guidelines for the role of pediatric spine surgeons in the management of this condition. The authors demonstrate the importance of close and early involvement of neurosurgeons in caring for patients with CRMO with vertebral involvement.

OBSERVATIONS
Fifty-six pediatric patients with clinical and radiographic evidence of CRMO were identified and clinical, radiographic, laboratory, and histopathological data were reviewed. All were evaluated via Jansson and Bristol CRMO diagnostic criteria. Ten had radiographic evidence of vertebral involvement (17.9%). Nine of these had multifocal disease. Five patients had multiple vertebrae affected. Six patients were evaluated for possible surgical intervention and one required intervention due to vertebra plana leading to a progressive kyphotic deformity and significant spinal canal stenosis.

LESSONS
In conjunction with management by the primary pediatric rheumatology team using nonsteroidal anti-inflammatory drugs, disease-modifying anti-rheumatic drugs, immunotherapies, and bisphosphonates, given the risk of pathological fractures and potential resulting long-term neurological deficits, the authors recommend close monitoring and management by pediatric spine surgeons for any patient with CRMO with vertebral lesions.
Recurrent abdominal dislodgement of intrathecal pump and utility of infraclavicular site for patients with elevated body mass index: illustrative case
Authors: Buxton Kristin , Morgan Ann , Northam Weston T. , Stone Scellig S. D. 
Published: January 2023

BACKGROUND
Intrathecal baclofen, delivered via implanted pump, has been used to manage spasticity for approximately 40 years. The device is typically subcutaneously or subfascially implanted in the abdominal wall. There are very few cases reported of the pump being implanted in other locations.

OBSERVATIONS
This case describes the complicated course of a patient presenting with multiple episodes of catheter malfunction related to pump flipping in the abdominal pocket. The patient was successfully treated with repositioning of the pump into the infraclavicular fossa.

LESSONS
Infraclavicular placement of the implanted pump allowed for a more secure pocket base for this patient and less strain applied to the pump, minimizing the risk of disruption of pump positioning and interruption of drug delivery.
Research оn healthcare oxygen measures during the COVID-19 pandemic: latest trends and current priorities
Authors: Баула О. П. , Салій О. О. , Галстян А. Г. , Пазерська Т. В. 
Published: January 2023

Medical oxygen is a critically needed medicine in the treatment of coronavirus disease. During out breaks of the COVID-19 pandemic, the needs of health care institutions for medical oxygen increase by 5-6 times. The issue of the reliable functioning of the oxygen supply system of health care institutions during the COVID-19 pandemic is extremely urgent and requires systematic research.
The purpose of the work was to conduct research on measures to provide oxygen to health care facilities during the COVID-19 pandemic, to establish risk factors in its production and supply, and to determine priority directions for guaranteeing the ability to provide medical assistance in the treatment of coronavirus disease.
The methods of systematic approach, bibliographic, information search, marketing analysis, as well as generalization and analysis were used during the research.
The study showed that medical use of oxygen as a medicine, oxygen produced by medical devices, and technical oxygen was allowed at the state level. Domestic manufacturers produce medical oxygen that meets all regulatory requirements for medicinal products. In Ukraine, 36 drugs based on medical oxygen are registered, the production of which is carried out by 26 enterprises that have licenses for the production of medicinal products. During the pandemic, it was allowed for medical use of technical oxygen, which should meet the quality indicators of medical oxygen. The use of oxygen, which is produced by medical devices, which include oxygen generators and oxygen concentrators, which must meet the requirements of the Technical Regulations, became a significant measure for the expansion of oxygen therapy.
During the implementation of all measures to provide oxygen, there are risks of a national and branch nature, as well as specific risks associated with the characteristics of different types of oxygen (oxygen as a medicine, oxygen produced by medical devices, technical oxygen). The identified list of risks and their analysis in the provision of oxygen to health care facilities during the COVID-19 pandemic will provide an opportunity to develop the concept of general risk assessment and risk management processes to guarantee the ability to provide adequate medical care in the treatment of coronavirus disease.
Development conceptual of pharmacoeconomic model of technology for early diagnosis and pharmacotherapy of pulmonary arterial hypertension
Authors: Даценко І. С. 
Published: January 2023

Pulmonary arterial hypertension (PAH) is a rare, progressive disease with a poor prognosis in the absence of timely diagnosis and appropriate therapy. Despite significant advances in the treatment of PAH, many patients remain undiagnosed years after the onset of the disease. Evaluation of the implementation of early diagnostic technologies for PAH is increasingly being used to develop economic evidence for health care at the early stages of diagnosis. The development of models of early diagnosis technology for LAH is highly relevant and can be used in the development and management of new medical technologies, as well as to reduce the perceived risks during the implementation of screening programs for LAH diagnosis.
The objective of the paper: Conceptual development of a pharmacoeconomic model of the technology of early diagnosis and pharmacotherapy of PAH.
Our pharmacoeconomic analysis is based on the «cost–effectiveness» model, which reflects the effectiveness and associated costs of implementing diagnostic screening for early detection of patients with PAH. The analysis of input data of the existing health care system was conducted using systematic review, documentary, informational and graphical research methods.
The presented pharmacoeconomic model describes not only the structure of the incidence of PAH in the studied risk group or at the level of the entire population, but also takes into account the pharmacoeconomic evaluation of the complex technology of timely medical care for patients with PAH based on diagnostic screening.
A pharmacoeconomic model of the technology of early diagnosis and pharmacotherapy of pulmonary arterial hypertension was developed, which covered a horizon of 10 years and was conducted from the point of view of the existing health care system, showed that for patients with delayed diagnosis of PAH, the modeling determined the average life expectancy at the level of 4.13 years and 2.08 QALYs.
It has been determined that a diagnostic screening strategy for PAH would be cost–effective compared to no screening at different thresholds of diagnostic cost. However, other factors such as public awareness and acceptance of the screening programme and availability of human resources should be considered.
Chapter V: Abraham H. Maslow: The Mystery of Health
Authors: Gross Larry 
Published: January 2023

This case-study occupies, of necessity, an unusual position in the research I am reporting. The reason for this is that the subject of the study is also the sponsor and advisor for the research. Moreover, my general psychological viewpoint and conceptions of creativity and the creative personality have been strongly influenced and greatly stimulated by contact with Abraham Maslow as advisor, teacher and writer. While I think it is accurate to say that the outline which guided the interview was my work, as was the definition of creativity I am using as a vade mecum, his influence certainly extends to these as well. However, it is my belief that this did not create any real difficulties in preparing the case-study.
The interview used for this study took place in two parts. The first, on August 8, 1963, lasted two hours and dealt with sections I and II of the outline (cf. Chapter II); the second, on October 11, 1963, also 2 hours, dealt with sections III, IV and V. In the preparation of this study I am using, besides the recorded interviews, information from writings and other personal communications.
A Regime Trusts No Grassroots: Local Governance Under Sisi: Securitisation, Untrust and Uncertainty
Authors: Awad Hani 
Published: January 2023

The epilogue addresses the elements of continuity and change in the politics of local governance in Egypt under the rule of Abdel Fattah Al-Sisi. An assessment of the most recent developments in the politics of local governance suggests that the regime is manoeuvring between the strategies of informal centralization and decentralization through manipulating election laws and procedures. Under al-Sisi, furthermore, there are indicators that security agencies, perhaps temporarily, are carrying out tasks that had been undertaken by the dissolved ruling party. The situation requires further scrutiny of local governance.
Shakespeare's Golden Ages
Authors: Johanson Kristine 
Published: January 2023

This book examines acts of nostalgia as rhetorical moves designed to precipitate future action. Diverging from critical paths that have focused on nostalgia as a memorializing practice or on Stuart nostalgia for Elizabeth, this monograph argues that Shakespeare’s Elizabethan history plays stage nostalgia as a future-focused political rhetoric. In doing so, the book suggests new directions for studying nostalgia. Case studies including Richard II and Julius Caesar demonstrate how Shakespeare creates a dramatic argument for nostalgia’s power and possibility, even as he represents the fruitlessness of trying to reclaim the past and the fiction of that past's ideal nature. In his dramaturgy, nostalgia functions as a persuasive call for (short-lived) political change. The book provides new interpretations of Shakespeare’s contemporaries to illustrate how his use of nostalgia depends on, innovates from and influences fellow playwrights Marlowe, Jonson, and the Queen’s Men. By reading literary, religious and political texts alongside Shakespeare's histories, this book attends additionally to the extra-dramatic valences nostalgic rhetoric obtains in Elizabethan England.
The Lessons of Nostalgia in Julius Caesar and Sejanus
Authors: Johanson Kristine 
Published: January 2023

This chapter re-examines the relationship between Julius Caesar and Ben Jonson’s Sejanus and shows how Shakespeare and Jonson employ nostalgia to different political ends. In Julius Caesar, nostalgia’s initial persuasive force exemplifies how language becomes the source of and means to political power. Sejanus—in many ways a response to Caesar—formulates nostalgia as a strictly radical discourse which becomes side-lined and impotent in the play’s politics. Shakespeare and Jonson re-create Roman histories at a time when Tacitus’s impact on history-writing was steadily rising, and this chapter first considers his influence on late-Elizabethan concerns with historiography and the intentions and purposes of writing history. Both playwrights illustrate Tacitus’s dramatic appeal as they stage his lament for a degenerate present and a longing for the republican past alongside his idea of the individual’s role in shaping history. In Julius Caesar the republican past appears tantalizingly close, and the chapter shows how nostalgic rhetoric once again seeds political action. Discussing Justus Lipsius, this chapter then shows how in Sejanus, Neostoicism is the only just response to imperial power and nostalgic longing. In both plays, the language that articulates a perfect past becomes evidence of the present’s fallen nature.
Characteristics of iodine-bearing silver-impregnated alumina sorbents and their direct solidification via hot isostatic pressing
Authors: Sakuragi Tomofumi , Yoshida Satoshi , Kato Osamu 
Published: January 2023

Waste management for radioiodine is a key issue for the sustainable nuclear fuel cycle. The iodine adsorption behavior on a bed column of a silver-impregnated alumina sorbent (AgA) under conditions designed to match those of the Rokkasho reprocessing facility dissolver off-gas (DOG) system was investigated using different volatilized iodine concentrations. Cross-sectional observations of iodine-bearing AgA grains revealed that iodine was adsorbed as silver iodide and silver iodate, and gradually distributed from the surface to the inside of the AgA. The iodine distribution throughout the AgA beds allowed us to estimate the length of the mass-transfer zone. This suggests that the iodine load fraction in AgA (adsorbed iodine/total impregnated silver) will be averaged to 50% in the expected facility equipment design. This study also describes the waste form durability after disposal. To reproduce the average iodine loading in the waste form, 100%-loaded AgA grains were mixed with an equal amount of commercially available alumina reagents and consolidated through hot isostatic pressing at 175 MPa and 1,325°C for 3 h. The resultant 50%-loaded solid was used for the static leaching test over 4.5 years, where the leached iodine was less than 0.2% under simple reducing conditions. This suggested that the HIPed solid of AgA from Rokkasho DOG showed preferable water resistance for after disposal safety.
Biofilm and Planktonic Antibiotic Resistance in Patients With Acute Exacerbation of Chronic Rhinosinusitis
Authors: Sabino Henrique Augusto Cantareira , Valera Fabiana Cardoso Pereira , Santos Denise Vieira , Fantucci Marina Zilio , Titoneli Carolina Carneiro , Martinez Roberto , Anselmo-Lima Wilma T. , Tamashiro Edwin 
Published: January 2023

IntroductionThe recalcitrant nature of patients with acute exacerbation of chronic rhinosinusitis (AECRS) potentially involves persisting colonization of the sinonasal mucosa by bacterial biofilms. Biofilms are known to be highly resistant to antibiotics, which may trigger or maintain chronic inflammation in the sinonasal mucosa. However, little is known about the relationship between the minimum inhibitory concentration (MIC) and antibiofilm concentrations of bacteria obtained from AECRS patients.Material and MethodsThirty bacterial strains from 25 patients with AECRS were identified and underwent MIC determination (VITEK® 2). The planktonic isolates were submitted to an in vitro formation of biofilms (Modified Calgary Biofilm Device) and determination of minimum biofilm inhibitory concentration (MBIC) and minimum biofilm eradication concentration (MBEC) for amoxicillin, amoxicillin/clavulanic acid, clarithromycin, and levofloxacin. MIC of the planktonic forms was compared with MBIC and MBEC levels, according to the breakpoints established by the Clinical Laboratory Standards Institute guidelines.ResultsThe main bacteria retrieved was S. aureus (60%), followed by other Gram-positive and Gram-negative bacteria in lower frequencies. 76.7% of strains formed biofilm in vitro (n=23/30). The planktonic isolates presented high rates of resistance for amoxicillin (82.6%) and clarithromycin (39.1%), and lower rates for amoxicillin/clavulanic acid (17.4%). The biofilm-forming bacteria counterparts presented higher levels of MBIC and MBEC compared to the MIC levels for amoxicillin, amoxicillin/clavulanic acid, and clarithromycin. Levofloxacin was highly effective against both planktonic and biofilm forms. Planktonic resistant forms were associated with levels of antibiofilm concentrations (MBIC and MBEC).ConclusionsBiofilm-forming bacteria from AECRS patients are prevalent, and biofilm forms are highly resistant to antibiotics compared to their planktonic counterparts. Antibiotic resistance observed in planktonic forms is a good indicator of biofilm resistance, although near 20% of susceptible planktonic bacteria can produce antibiotic tolerant biofilms.
Colonized patients by Candida auris: Third and largest outbreak in Brazil and impact of biofilm formation
Authors: de Melo Camylla Carvalho , de Sousa Bruna Rodrigues , da Costa Gisela Lara , Oliveira Manoel Marques Evangelista , de Lima-Neto Reginaldo Gonçalves 
Published: January 2023

ObjectiveTo describe the clinical–epidemiological features of patients colonized by Candida auris in the largest outbreak in Brazil and to show the biofilm formation capacity of yeast strains.MethodsClinical yeasts suspected of C. auris isolated from urine and surveillance samples were seeded on chromogenic media at 30°C and Sabouraud agar at 42°C. matrix-assisted laser desorption/ionization–time of flight mass spectometry was used for reliable identification. After proteomic confirmation, the genomic approach and culture on Chromagar Candida Plus media were carried out. Biofilm formation was investigated based on metabolic activity, and the clinical–epidemiological profile of patients was described.ResultsA total of 11 C. auris clinical yeasts from nine patients were identified between the end of December 2021 and March 2022. Two clinical yeasts were isolates from urine and nine clinical yeasts were isolates from axillary and inguinal surveillance swabs. No case is related to previous Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. However, all the yeasts showed a high ability of biofilm formation.ConclusionC. auris requires great vigilance as its high capacity to colonize and form biofilms contributes to its dissemination. The rapid and precise identification of this species is essential for the management, control, and prevention of infections.
Ultra-high pressure balloon angioplasty for pulmonary artery stenosis in children with congenital heart defects: Short- to mid-term follow-up results from a retrospective cohort in a single tertiary center
Authors: Xia Shuliang , Li Jianbin , Ma Li , Cui Yanqin , Liu Techang , Wang Zhouping , Li Fengxiang , Liu Xumei , Li Shan , Sun Lu , Hu Lin , Liu Yubin , Ma Xun , Chen Xinxin , Zhang Xu 
Published: January 2023

ObjectiveBalloon angioplasty (BA) has been the treatment of choice for pulmonary artery stenosis (PAS) in children. There remains, however, a significant proportion of resistant lesions. The ultra-high pressure (UHP) balloons might be effective in a subset of these lesions. In this study, we analyzed the safety and efficacy with short- to mid-term follow-up results of UHP BA for PAS in children with congenital heart defects (CHD) in our center.MethodsThis is a retrospective cohort study in a single tertiary heart center. Children diagnosed with PAS associated with CHD were referred for UHP BA. All data with these children were collected for analysis with updated follow-up.ResultsA total of 37 UHP BAs were performed consecutively in 28 children. The success rate was 78.4%. A significantly (P = 0.005) larger ratio of the balloon to the minimal luminal diameter at the stenotic waist (balloon/waist ratio) was present in the success group (median 3.00, 1.64–8.33) compared to that in the failure group (median 1.94, 1.41 ± 4.00). Stepwise logistic regression analysis further identified that the balloon/waist ratio and the presence of therapeutic tears were two independent predictors of procedural success. The receiver operating characteristic curve revealed a cut-off value of 2.57 for the balloon/waist ratio to best differentiate success from failure cases. Signs of therapeutic tears were present in eight cases, all of whom were in the success group. Perioperative acute adverse events were recorded in 16 patients, including 11 pulmonary artery injuries, three pulmonary hemorrhages, and two pulmonary artery aneurysms. During a median follow-up period of 10.4 (0.1–21.0) months, nine cases experienced restenosis at a median time of 40 (4–325) days after angioplasty.ConclusionsThe UHP BA is safe and effective for the primary treatment of PAS in infants and children with CHD. The success rate is high with a low incidence of severe complications. The predictors of success are a larger balloon/waist ratio and the presence of therapeutic tears. The occurrence of restenosis during follow-up, however, remains a problem. A larger number of cases and longer periods of follow-up are needed for further study.