bluuebunny/crossref_metadata_2025_split huggingface dataset:
External Capital Analysis on Sustainability of MSMEs Led by Women
Authors: Fauzia Hana , Hasanah Alfiah 
Published: February 2023

Micro small and medium enterprises (MSMEs) led by women have many challenges to confront continue to exist. Various external capitals come with advantages and disadvantages. The investigation looks at the business sustainability of MSMEs led by women by comparing banks or non-banking institutions as the source of the main capital as the main independent variables as well as other variables such as employee, characteristics of female entrepreneur; age, education, marriage status, participation in arisan, household characteristics ; asset, size, young children and elderly member. The data from Indonesian Family Life Survey (IFLS) 2014 is used and probit estimation is applied. The result shows that women led MSMEs are more likely to sustained the business as much as 1.8 percentage points if they start the business from informal financial institutions/friends/family (non-banking) as a source of funding compared to women led MSMEs that start the funding from bank institutions. Estimations results also show that factors such as age, education, participation in arisan, household size, and employee also positive and significantly contribute to the business survival of women led MSMEs. However, other factors such as married status, household assets, and having children, are negatively contribute to the business survival of women led MSMEs.
Evolving landscape of clinical trials in gastroenteropancreatic neuroendocrine neoplasms in the past two decades
Authors: Yang Kaili , Li Jiarui , Cheng Yuejuan , Bai Chunmei 
Published: February 2023

Background
Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) are heterogenous malignancies that require well-designed trials to develop effective management strategies. This cross-sectional study aimed to illustrate the current landscape of clinical trials in GEP-NENs to provide insights for future research.

Materials and methods
We reviewed all clinical trials registered on ClinicalTrials.gov between 1 January 2000 and 31 December 2021 with GEP-NEN in the ‘condition or disease’ field.

Results
We included 206 eligible trials. Most trials enrolled less than 50 patients (59.8%) and were sponsored by institutions other than government or industry (67.0%). Most trials were conducted in high-income countries (86.6%) and countries located in Europe (30.1%) or Northern America (29.6%). The overall result reporting rates of GEP-NEN trials was 41.4%, and the median time from primary completion to result reporting was 101 months. Characteristics that improved the reporting of results included larger sample size, tumor differentiation specification for inclusion, progression-free survival as primary endpoint, industry sponsorship, and multicenter or multinational participation (all P < 0.05). Compared with trials registered between 2000 and 2011 (n = 28), trials registered between 2012 and 2021 (n = 178) were more likely to specify the Ki-67 index for inclusion (68.0% vs 35.7%, P = 0.002) and to be conducted outside Europe or Northern America (16.4% vs 3.7%, P = 0.02), while the sample size and the sponsorship did not change significantly.

Conclusions
Novel management options have been explored for GEP-NENs with more specific inclusion criteria during the past two decades. More efforts are needed to promote international collaborations in clinical trials and enhance timely result dissemination.
Mixed Embeddedness de Brasileiros na Alemanha: Evidencias Empíricas e Elementos para o Debate
Authors: Cruz Eduardo Picanço , Falcão Roberto Pessoa de Queiroz , Leite José Geraldo Lamas 
Published: February 2023

O objetivo deste artigo é fomentar o debate a respeito da imigração brasileira na Alemanha, por meio do exame de aspectos da incorporação mista (mixed embeddedness) da comunidade e dos empresários. A coleta de dados se deu por meio de entrevistas em profundidade realizadas pelo aplicativo de reuniões por tele-presença Google Meets, tendo sido realizadas 31 entrevistas semiestruturadas com empresários brasileiros na Alemanha. Adicionalmente, uma survey respondida por uma amostra de 652 imigrantes brasileiros na Alemanha, acessados por meio das redes sociais, forneceu dados para estatísticas descritivas desse grupo. Os aspectos relativos à incorporação mista, evidenciam vários aspectos novos no contexto da comunidade brasileira na Alemanha, tais como características sociodemográficas dos entrevistados, típicos da comunidade brasileira que habita na Alemanha, sendo a maioria branca, do sexo feminino, com alto nível de escolaridade, e negócios tanto voltados tanto o público alemão quanto para a comunidade brasileira local. A pesquisa evidencia ainda onde se originam suas redes de negócios, a importância da proficiência da língua alemã e da adaptação cultural para superar as barreiras institucionais, assim como o uso de elementos étnicos para promoção de negócios com apelo cultural brasileiro.
Kondisi Self Awareness Pada Anak Korban Bullying
Authors: Lutfiah Zahra Salsa , Miratul Hayati  
Published: February 2023

Bullying behavior has a negative impact on victims of bullying, among others, has an impact on low self-awareness, anxiety, fear and even depression, insomnia, difficulty concentrating, not confident, sustainable, meaning that someone who is a victim of bullying will have the potential to become bullying behavior in the future. The purpose of this study was to determine the condition of self-awareness of children who are victims of bullying. This study uses a qualitative approach to the phenomenological method. Data collection was carried out through in-depth interviews with informants, then the data that had been collected was analyzed using Miles Huberman analysis. This study explains the condition of self-awareness of children who are victims of bullying aged 7-8 years which includes the form of bullying behavior, the impact of bullying behavior and also the condition of self-awareness of children who are victims of bullying behavior.
PROJETOS POLÍTICO PEDAGÓGICOS DA EDUCAÇÃO PATRIMONIAL:
Authors: Gonçalves Ana , De Mari Cezar Luiz 
Published: February 2023

Este artigo é um produto da pesquisa realizada para o mestrado em Educação, cujo objeto é o projeto político pedagógico apresentado pela UNESCO para educação patrimonial, por meio das iniciativas por ela encorajadas para preservação do patrimônio cultural e natural. A partir de uma pesquisa qualitativa de análise documental das recomendações, declarações e convenções da UNESCO, foi possível reconstruir as propostas e usos políticos da educação patrimonial e projetos político pedagógicos planejados por esta agência. O resultado apresentado é um panorama da política pedagógica idealizada para a preservação patrimonial e sua exploração econômica, seja como suporte para criação de redes sustentáveis para comunidades tradicionais, exploração responsável pelo turismo cultural por agentes públicos e privados e responsabilidade científica e pedagógica na preservação de bens culturais materiais e imateriais. A contribuição deste artigo é, ao final, uma reflexão sobre a importância do estabelecimento de critérios para avaliar os impactos destes projetos políticos pedagógicos para o público por ele visado.
Processo de ambientalização curricular e a educação para sustentabilidade no curso de Administração: o caso da Universidade do Oeste Paulista
Authors: Gusmão Stephanie Funari Amaral , Bertolli Suzana Chiai Bertolli , Arana Alba Regina Azevedo 
Published: February 2023

A preocupação ambiental e as ações que visam a sustentabilidade estão sendo colocadas como metas nos Planos de Logística Sustentável de diversas instituições de ensino superior publicas e privadas. O potencial para formação de profissionais para o mercado regional, justifica a importância em se avaliar o modo como o curso de Administração em uma universidade do Oeste Paulista tem incorporado as problemáticas ambientais na formação de bacharéis. Este estudo teve como objetivo avaliar o processo de Ambientalização Curricular no curso de graduação em Administração da Universidade do Oeste Paulista em Presidente Prudente – SP. A metodologia utilizada foi a de análise documental tendo como base o plano de desenvolvimento institucional, projeto pedagógico do curso, planos de ensino, projetos de pesquisa e extensão desenvolvidos pelo curso. Foi utilizada a técnica de questionário junto a coordenação do curso. Os dados foram avaliados por meio de análise de conteúdoe pelos indicadores de Ambientalização curricular elaboradas pela Rede ACES. Os resultados indicaram que do total de planos de ensino avaliados, 13% apresentam indicadores de ambientalização curricular. Contudo, tanto a instituição quanto a coordenação do curso mostram que as ações voltadas para a sustentabilidade são praticadas na universidade e se mostram anunciadas na proposta pedagógica do curso, atendendo as características do processo de Ambientalização Curricular proposto pela Rede ACES.
Impactos de características escolares sustentáveis no comportamento ecológico e no bem-estar infantil
Authors: Savariz Bôlla Kelly Daiane , Milioli Geraldo 
Published: February 2023

Este artigo apresenta uma pesquisa de campo realizada em quatro escolas de ensino fundamental localizadas na Região Sul do Brasil, com objetivo de comparar o impacto de diferentes características escolares sobre a relação entre criança e natureza, o bem-estar dos infantes e sua satisfação com a escola. Foram realizadas entrevistas individuais com crianças de quatro turmas de 4º ano, com professoras titulares e com as diretoras das instituições. A pesquisa indica que a união de determinadas características escolares tem a capacidade de favorecer tanto a construção de valores ecológicos e de atitudes e comportamentos sustentáveis, quanto a satisfação com a escola e o bem-estar dos alunos no ambiente escolar, contribuindo para a construção de sociedades sustentáveis.
Fotografias da relação ser humano-natureza presentes nos Cadernos de Ciências da rede estadual paulista: possibilidades para a Educação Ambiental
Authors: Vido Náyra Rafaéla Vido Rafaela , Bonotto Dalva Maria Bianchini 
Published: February 2023

Diante dos problemas ambientais, uma educação ambiental crítica deve possibilitar a revisão dos padrões de relação ser humano–natureza a eles subjacentes. A fotografia pode servir como possibilidade para esse trabalho, permitindo trabalhar com as dimensões de conhecimentos, valores e participação política voltadas a esse objetivo. Assim considerando, a partir de um estudo documental de caráter qualitativo, analisamos fotografias envolvendo a relação ser humano-natureza presentes nos Cadernos de Ciências oferecidos às escolas estaduais pelo programa São Paulo Faz Escola em 2018. Identificamos fotos nas concepções utilitarista, sustentável e reparadora, mas neste texto abordaremos somente a utilitarista, que prevaleceu no material. Os resultados indicaram que as fotos poderiam favorecer um trabalho mais adequado, propiciando uma reflexão mais ampla da questão e uma compreensão mais apropriada da relação ser humano-natureza vigente, contribuindo para um tratamento crítico da questão ambiental.
Experimental validation of antisurditant use of triazine-indole derivative on exposure of high intensity noise
Authors:   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia, Dvoryanchikov V. V. , Kuznetsov M. S. ,   Kirov Military Medical Academy, Saint Petersburg, 194044, Russia, Pastushenkov V. L. ,   LLC „Farm-Trisan”, Saint Petersburg, 191015, Russia, Glaznikov L. A. ,   Kirov Military Medical Academy, Saint Petersburg, 194044, Russia, Karev V. E. ,   Children’s Scientific and Clinical Center of Infectious Diseases, Saint Petersburg, 197022, Russia
Published: February 2023

In the study on the model of acoustic trauma in experimental animals (mice), the otoprotective effect of the triazine-indole derivative was shown due to the influence on the expression level of hypoxia-inducible factor (HIF) in the Corti organ and spiral ganglion cells. For therapeutic purposes, the drug was administered as a 1% solution at a dosage of 5, 7, 10 mg/kg 2 hours after acoustic exposure. For preventive purposes, the drug was administered at a dosage of 5, 7, 10 mg/kg for 3 days before acoustic exposure. The comparator drug was Cytoflavin. The control group received a saline solution. The immunohistochemical study was carried out using an anti-mouse polymerized immunohistochemical imaging system and mouse monoclonal antibodies to HIF1. In immunohistochemical preparations scanned using a digital scanner, the HIF1-positive area (%) in the cochlea and spiral ganglion cells was calculated using a morphometric program. The color was evaluated by the average cytochemical coefficient. It was found that the severity of HIF expression depended on the dose of the administered drug and coincided with electrophysiological changes in experimental animals. The antisurditant effect of the triazine-indole derivative is realized by influencing the level of HIF expression, which allows it to be regarded as a target molecule when using the drug.
Perforations Tympaniques: Aspects Epidemiologiques et Etiologiques en Orl au Centre Hospitalier Universitaire Sylvanus Olympio de Lome au Togo
Authors: Winga Foma , Essobiziou Amana , Hervey Reoulembaye Djim , Gérémie Ananidjin , Uziel Boko , Bathokédéou Amana 
Published: February 2023

Objectif : décrire les aspects épidémiologiques et étiologiques des perforations tympaniques. Patients et Méthode: Il s’est agi d’une étude rétrospective descriptive des perforations de la membrane tympanique au service d’ORL du centre hospitalier universitaire Sylvanus Olympio de Lomé allant du 1er Janvier 2021 au 31 Mai 2022. Etaient inclus tous les dossiers des patients dont la plainte ou l’une des plaintes se rapportait à l’oreille, avec entre autres, une perforation tympanique à l’examen otoscopique. Les données ont été traitées et analysées par le logiciel SPSS 28.0. Résultats : 153 dossiers ont répondu aux critères d’étude. L’âge moyen des patients était de 29 ans avec une étendue de la variable de 9 mois à 83 ans. Le sexe masculin a été rapporté dans 79 cas avec un sex-ratio de 1,1. Les patients exerçant une fonction libérale représentaient 34% des cas. Le motif de consultation était une otorrhée purulente dans 40,5% des cas. L’otoscopie avait montré une perforation unilatérale dans 83,7% des c as dont 43,8% des cas à droite. Cette perforation était non marginale dans 79,2% des cas et non ponctiforme dans 56,7% des cas. Les perforations étaient dues à l’otite moyenne aigue dans 51% des cas, à l’otite moyenne chronique suppurée simple dans 24,2% des cas et aux traumatismes dans 22,8% des cas. Conclusion: la perforation tympanique est souvent due à l’otite moyenne aigue chez les patients jeunes consultant pour une otorrhée purulente dans le contexte d’exercice des auteurs.

Objective: To describe the epidemiological and etiological aspects of tympanic perforations. Method: A descriptive retrospective study of perforations of the tympanic membrane presenting in the ENT department of the Sylvanus Olympio university hospital in Lomé from January 1, 2021 to May 31, 2022. All records patients whose chief complaint or one of the complaints was ear related including a tympanic perforation on otoscopic examination, were considered and included in the data collection. Data was processed and analyzed using SPSS 28.0. Results: 153 files met the study criteria. The average age of patients was 29 years old with a variable range between 9 months 83 years. The male gender was reported in 79 cases with a sex ratio of 1.1. Patients exercising a liberal profession represented 34% of cases. The main reason for consultation was purulent otorrhea in 40.5% of cases. Otoscopy had shown a unilateral perforation in 83.7% of cases including 43.8% of cases on the right ear. This perforation was non-marginal in 79.2% of cases and irregular in 56.7% of cases. Perforations were following acute otitis media in 51% of the cases, simple chronic suppurative otitis media in 24.2% of the cases and traumatic injury in 22.8% of the cases. Conclusion: Tympanic perforation is often due to acute otitis media, particulary in young patients.
TREND CHANGES IN THE FUEL AND ENERGY BALANCE OF UKRAINE: CAUSES AND CONSEQUENCES
Authors: Shchurov Igor 
Published: February 2023

The article analyzes the fuel and energy balance of Ukraine. The structural and trend changes of the domestic energy market are determined. A comparison of the volume of consumed energy in terms of its production and import with real GDP showed that the economy of Ukraine is characterized by a decrease in energy intensity. A positive thing is the decrease in the share of energy imports in the structure of fuel and energy security and the increase in the share of renewable energy sources. The formation of the energy market of Ukraine takes place under the influence of three main vectors: the policy of development of the international and world energy market, the policy of energy security of Ukraine, the policy of environmental security and the reduction of negative impact on the environment.
The need to ensure the development of oil and gas enterprises has been proven, since natural gas plays an important role in the process of transition from the use of fossil energy resources to alternative energy sources. In modern conditions, the safe functioning of the enterprises of the oil and gas complex is important, which is manifested in three components: economic, ecological and energy security.
Comparison of “Human” and Artificial Intelligence Hand-and-Wrist Skeletal Age Estimation in an Epiphysiodesis Cohort
Authors: Kluck Dylan G. , Makarov Marina R. , Kanaan Yassine , Jo Chan-Hee , Birch John G. 
Published: February 2023

Background:
We previously demonstrated that the White-Menelaus arithmetic formula combined with skeletal age as estimated with the Greulich and Pyle (GP) atlas was the most accurate method for predicting leg lengths and residual leg-length discrepancy (LLD) at maturity in a cohort of patients treated with epiphysiodesis. We sought to determine if an online artificial intelligence (AI)-based hand-and-wrist skeletal age system provided consistent readings and to evaluate how these readings influenced the prediction of the outcome of epiphysiodesis in this cohort.

Methods:
JPEG images of perioperative hand radiographs for 76 subjects were independently submitted by 2 authors to an AI skeletal age web site (http://physis.16bit.ai/). We compared the accuracy of the predicted long-leg length (after epiphysiodesis), short-leg length, and residual LLD with use of the White-Menelaus formula and either human-estimated GP or AI-estimated skeletal age.

Results:
The AI skeletal age readings had an intraclass correlation coefficient (ICC) of 0.99. AI-estimated skeletal age was generally greater than human-estimated GP skeletal age (average, 0.5 year greater in boys and 0.1 year greater in girls). Overall, the prediction accuracy was improved with AI readings; these differences reached significance for the short-leg and residual LLD prediction errors. Residual LLD was underestimated by ≥1.0 cm in 26 of 76 subjects when human-estimated GP skeletal age was used (range of underestimation, 1.0 to 3.2 cm), compared with only 10 of 76 subjects when AI skeletal age was used (range of underestimation, 1.1 cm to 2.2 cm) (p < 0.01). Residual LLD was overestimated by ≥1.0 cm in 3 of 76 subjects by both methods (range of overestimation, 1.0 to 1.3 cm for the human-estimated GP method and 1.0 to 1.6 cm for the AI method).

Conclusions:
The AI method of determining hand-and-wrist skeletal age was highly reproducible in this cohort and improved the accuracy of prediction of leg length and residual discrepancy when compared with traditional human interpretation of the GP atlas. This improvement could be explained by more accurate estimation of skeletal age via a machine-learning AI system calibrated with a large database.

Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
Shoulder Pain and Dysfunction After Vaccination
Authors: Wright Jonathan O. , Wiggins Whitman , Smith Michael Seth , King Joseph J. , Wright Thomas W. 
Published: February 2023

Background:
Persistent shoulder pain and dysfunction after vaccination are relatively rare but well-known complications after inoculations into the deltoid muscle. The term SIRVA (shoulder injury related to vaccine administration) is frequently used to encompass many of these occurrences; however, multiple distinct pathologies with similar presentations have been reported after vaccination. We performed a systematic review of the literature on vaccine-related shoulder injuries to help guide practitioners in appropriate workup and treatment based on specific diagnoses.

Methods:
PubMed was used to search for combinations of multiple keywords (including vaccine, immunization, SIRVA, injury, inflammation, bursitis, Parsonage-Turner syndrome, and neuritis), and all references of each potential article were reviewed. A total of 56 articles were included. Patient demographics, vaccine information, presentation, diagnostic studies, treatment, and outcomes were recorded.

Results:
Diagnoses were divided into 3 categories: (1) local inflammatory reaction (SIRVA), (2) brachial neuritis, and (3) direct nerve injury. The included articles reported on 57 cases of SIRVA, 18 of brachial neuritis, and 4 of direct nerve injury. The diagnoses reported for the SIRVA cases included frozen shoulder, pseudoseptic arthritis, subacromial bursitis, rotator cuff injury, and lytic lesions of the humeral head. Various treatments were used, and most patients had resolution of symptoms with conservative treatment including physical therapy, analgesics, and/or corticosteroid injections. Advanced imaging rarely provided information that affected treatment. The brachial neuritis and direct nerve injury cases were typically confirmed with electromyography/nerve conduction studies. Treatment of these 2 categories was nonoperative in all cases, typically with analgesics and/or corticosteroids, and most patients had symptomatic improvement after a few months, with most patients regaining strength. However, some (1 of 3 patients with brachial neuritis and >1 year of follow-up and 2 of 4 patients with direct injury) had residual weakness.

Conclusions:
Medical professionals should be aware of the various pathologies that can lead to prolonged shoulder pain after vaccination. Fortunately, most of these conditions can be treated successfully with nonoperative modalities, although differentiating among the diagnoses can help guide treatment, as some likely benefit from systemic corticosteroids or localized corticosteroid injections. Outcomes for most patients have been good, with the majority recovering without residual pain or deficits.

Level of Evidence:
Prognostic Level IV.