bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of calcium chloride substitution on the physicochemical properties of Minas Frescal cheese
Authors: da Silva Fernanda Lopes , Fusieger Andressa , Moreira Maria Tereza Cratiú , Oliveira Isabelle Carolina , Perrone Ítalo Tuler , Silva Naaman Francisco Nogueira , Stephani Rodrigo , de Carvalho Antônio Fernandes 
Published: June 2023

AbstractThe aim in this research paper was to investigate the effect of using calcium monophosphate (MCP) and MCP mixed with commercial phosphates salts, in total or partial replacement of calcium chloride (CaCl2) in the manufacture of Minas Frescal cheese. Initially, model cheeses were made to perform the rheological analysis during the coagulation process. Of these, the five best treatments were chosen to carry out the production of Minas Frescal cheese, used only CaCl2 and MCP, and partial replacements of MCP + polyphosphate, MCP + potassium monophosphate (MKP) and MCP. The cheeses showed no significant difference in physicochemical composition, yield and syneresis, however, the cheese with partial replacement of CaCl2 by MCP + polyphosphate and MCP + MKP showed the highest hardness values, like the control. This demonstrates that it is possible to replace calcium chloride without significant changes in the physicochemical characteristics and yield of Minas Frescal cheese, and it is still possible to modulate the hardness of the cheese produced according to the type of calcium/phosphate source used. This allows the industry to replace the source of calcium in the manufacture of Minas Frescal cheese according to the desired hardness.
Reintermediation in FinTech: Evidence from Online Lending
Authors: Balyuk Tetyana , Davydenko Sergei 
Published: June 2023

AbstractWe document the unique structure of the peer-to-peer lending market. Originally designed as decentralized, the market has become highly, but not fully, reintermediated. The platforms’ software now performs essentially all tasks related to loan evaluation, whereas most lenders are passive and automatically fund most applications on offer. Yet unlike banks, and in contrast to theories predicting full reintermediation, the platforms provide detailed loan information, and some active loan pickers coexist with passive investors. We argue that while intermediation attracts unsophisticated passive investors, transparency in the presence of active investors resolves the lending platform’s moral hazard problem inherent in intermediated markets.
Presuppositions are more persuasive than assertions if addressees accommodate them: Experimental evidence for philosophical reasoning
Authors: Thoma Dieter , Becker Kira , Kißler Anica 
Published: June 2023

AbstractBest practice and descriptive research claim that presuppositions, such as the “too” in “#MeToo,” increase the persuasiveness of arguments. Surprisingly, there is hardly any causal evidence for this claim. Therefore, we tested experimentally if advertisements and political statements with presuppositions are more persuasive than equivalent assertions. In 1999, Sbisà already theorized that “persuasive presuppositions” incidentally urge addressees to extend their (ideological) knowledge to make true the unstated assumptions writers have about what their addressee knows, which leads to greater agreement. Following Sbisà, we hypothesized that the persuasiveness depends on the addressee’s need and willingness to accommodate the presupposed content. In three experiments, we manipulated (a) the presupposition trigger using either the German additive particle auch “too,” the iterative particle wieder “again,” or factive verbs compared to assertive equivalents and (b) the preceding discourse context which supported the presupposition or not. Results show that presuppositions are perceived as more persuasive if they convey discourse-new information, largely irrespective of addressees’ ideological involvement. Also considering eye-tracked reading, we suggest that the integrative cognitive process of presupposition accommodation initiates their persuasive edge. The findings imply that persuasive communication benefits from the use of lexically conveyed presuppositions if they are sufficiently informative to trigger accommodation.
Dynamic changes in postnatal growth predict adolescent mental health problems in survivors of extremely low birth weight (ELBW)
Authors: Mathewson Karen J. , Brook Christina A. , Saigal Saroj , Van Lieshout Ryan J. , Schmidt Louis A. 
Published: June 2023

AbstractAlthough individuals born at extremely low birth weight (ELBW; ≤1000 g) are known to be at greater risk for mental health problems than individuals born at normal birth weight (NBW; ≥2500 g), contributions of postnatal growth to these relations have not been fully explored. We compared individual differences in the Ponderal Index [(PI; weight(kg)/height(m3)] and head circumference (HC) in predicting internalizing and externalizing behaviors in childhood and adolescence in a cohort of ELBW survivors (N = 137) prospectively followed since birth. Baseline models indicated that infants who were born thinner or with smaller HC showed greater PI or HC growth in the first 3 years. Latent difference score (LDS) models showed that compensatory HC growth in the first year (ΔHC = 20.72 cm), controlled for birth HC, predicted ADHD behaviors in adolescence in those born with smaller HC. LDS models also indicated that the PI increased within the first year (ΔPI = 1.568) but decreased overall between birth and age 3 years (net ΔPI = −4.597). Modeling further showed that larger increases in the PI in the first year and smaller net decreases over 3 years predicted more internalizing behaviors in adolescence. These findings suggest early growth patterns prioritizing weight over height may have negative effects on later mental health in ELBW survivors, consistent with developmental programming theories.
Refugees and Their Unforeseen Future
Authors: Goniewicz Krzysztof , Khorram-Manesh Amir , Goniewicz Mariusz 
Published: June 2023

Introduction:The current hybrid war in Ukraine clearly shows the impacts of modern warfare on civilians. Infrastructure, including healthcare facilities, energy sources, and every entity supporting the lifeline of the people are under attack, leaving no options but to leave the country for those who can. Since the outbreak of the conflict, over three million Ukrainian women and children have migrated to the neighboring countries. Although women and children might be the healthiest groups among refugees, they create other challenges within healthcare.Method:Qualitative and quantitative methods which describes all possible impacts of the war on the refugees’ situation in three periods of time.Migration: During this period, besides the risk of trauma, there are other types of diseases such as infectious diseases that influence the outcome of the migration.Settlement: This period consists of emergency physical and psychological conditions that bring the refugees to the hospitals. Hygenic issues and exposure to new diseases such as Covid-19 can be part of this period. Additionally, there might be social adjustment issues that need to be discussed.The post-conflict: Consists of PTSD and other psychological impacts of the war, which may change the course of the life of many survivors. The final impact of the failure in social adjustment may also result in long-term socio-cultural issues.Results:We expect that the results of the submitted projects demonstrate the unforeseen physical and psychological wounds in refugees, irrespective of their age and background. One major outcome would be the failure of the social adjustment and if possible, a comparison with previous wars’ refugees.Conclusion:The research will conclude by presenting a summary of all results and categorization of the conditions that influence the well-being of refugees as well as the host country. New recommendations will be available based on the experience gained and the results presented.
Integrated Civilian-Military Air Operations in the Wake of Hurricane Ian
Authors: Steenberg Matthew , Abo Benjamin 
Published: June 2023

Introduction:Hurricane Ian impacted Southwest Florida in September 2022 leaving massive destruction. Notably, the barrier islands were isolated by destroyed bridges and docks. Delivery of Search and Rescue, Medical Care, and other aid required a joint Civilian-Military Air Operation to provide essential services.Method:This presentation will detail the just-in-time development and operation of a massive joint civilian-military air operation in order to provide essential disaster response services.Results:Components of the joint air operation included:
the establishment of a regional air asset request centercreation of a command structure for air mission taskingthe use of an airborne military air traffic control asset for forward controlsetting up a helibase at an international airportcreation of multiple helispots in remote damaged areas with forward control assetsthe coordination with numerous private, NGO, municipal, county, state, federal, and military agenciesheavy, medium, and light lift helicopter operationsboth civilian and military dedicated medevachoist and water rescue operationsaccommodating a US presidential visit during operationsTogether these operations supported the transportation needs of Search and Rescue, Medical, Command, Planning, and Logistics Operations for XXX days until the establishment of reliable ground transportation.Conclusion:This presentation will not only provide insight into the planning and operation of the joint air operation but will also share the impacts on the medical care from the physicians who were directly involved in the medical care delivered on the barrier islands of Florida.
Region 1 RDHRS Disaster Telehealth System
Authors: Boyle Tehnaz , Biddinger Paul , Leeber Jack 
Published: June 2023

Introduction:Disasters can quickly overwhelm a healthcare system’s capacity and exacerbate existing gaps in access to specialty care. The Region 1 RDHRS has developed a disaster telehealth system. This presentation will highlight how a proof of concept developed into a prototype system, and how it is becoming operational. We will elaborate on the barriers of implementing a telehealth system to provide access to acute consultation with disaster-relevant specialists, and the steps the Region 1 RDHRS is taking to develop solutions.Method:An RDHRS is a tiered system across states and regions created to deliver a more coherent and comprehensive response to health security threats. A key RDHRS capability is providing disaster telehealth services to target gaps in healthcare coverage, allowing providers to access disaster-relevant clinical expertise in the immediate aftermath of a catastrophic no-notice event.The Region 1 RDHRS disaster telehealth system can rapidly mobilize a national pool of volunteer specialists to support overwhelmed local providers at the point of care. This system is flexible to support a range of disasters and easy to navigate without prior training. The system is device-agnostic and functions on existing telecommunication systems without requiring new hardware/software installation.Results:Operationalizing a telehealth system to deliver acute episodic unscheduled care across state lines is fraught with challenges. We collaborated with various subject matter experts to develop solutions that allow for rapid volunteer verification, training, and mobilization. Despite advances driven by COVID-19, barriers related to license portability, liability protection, and credentialing of volunteer specialists across state lines remain complex. We are developing disaster waivers and template documents that can be rapidly implemented via executive action at state and regional levels.Conclusion:The Region 1 RDHRS team is collaborating with the other pilot sites within the RDHRS program to develop a unified national disaster telehealth response based on this model.
Ukraine War: How Humanitarian Medicine can Reduce Morbidity and Mortality in the Prehospital Space
Authors: Quinn John , Kurinnyi Slava , Rus Marielle , Dhabalia Trisha , Barach Paul 
Published: June 2023

Introduction:The 2022 Russian invasion of Ukraine exacts a heavy death toll throughout Ukraine. Morbidity and mortality of warfighters and vulnerable civilian communities are inversely proportional to quality access to a viable medical evacuation chain. The military inspector is one option to fill the gap in prehospital medicine to reduce morbidity and mortality by providing damage control resuscitation/surgery (DCR/DCS).Method:Qualitative and quantitative methodologies are applied. Qualitatively describing the medical evacuation of Shane, providing death estimates of the point of injury to receipt of DCR/DCS. Provide interoperable care across the military-civilian and humanitarian sectors. Describe the standardized and consistent evacuation chains across the entire battlefront from the point of injury to the Role 1/Role 2 echelons of care.Results:The medical evacuation chain for this current iteration of Russian violence is currently inadequate, not standardized, not well integrated at the military-civilian interface. Preventable morbidity and mortality from conventional Russian weapon systems have increased.Conclusion:Armed Forces of Ukraine to engage with NATO and EU colleagues to acquire the methodology and practical applications to reduce preventable morbidity and mortality. Standardized approaches to the concept of damage control resuscitation and damage control surgery to the paradigm of tactical combat casualty care can help reduce morbidity and mortality. The Ukraine crisis and Russian war is killing people in Ukraine, prehospital medicine must address and focus on reducing preventable causes of morbidity and mortality.
Football Stampede in Kanjuruhan Stadium from the Perspective of Disaster Preparedness on Mass Casualty Incident: A Case Study of Mass Gathering Event
Authors: Yogadhita Gde , Agustin Widiana 
Published: June 2023

Introduction:The lack of planning and coordination by the mass gathering event organizers involving other stakeholders, especially from the health sector, caused mass casualty incidents which could not be managed in a timely manner and resulted in many victims. This was worsened by the fact that the nearest health facilities to the mass gathering event did not have a disaster management plan such as a hospital disaster preparedness plan which, if any, was not operational. No firm regulation forced, monitored, and evaluated the necessity of high-risk mass gathering events to have such a preparedness plan yet in Indonesia.Method:Using a case study qualitative research method by conducting media observations and listening to webinars on experiences with health workers involved in handling the social disaster of the Kanjuruhan tragedy. Supported by analysis of policy reviews and in-depth interviews with the involved stakeholders on the field.Results:This is ongoing research, the results have not been finalized. However, from the information that has been obtained so far, it can be concluded that there is no synergy between the plans prepared by the football match organizing committee, police, local government, and nearest referral health facilities. This was identified by the absence of a medical director at the referral health facility, the absence of in and out access for the medical team to the mass gathering event location, and the absence of crowd management at the site of the incident resulted in 720 injured and 135 of them dead. This made the incident the second worst football stampede incident in history.Conclusion:Specific mass gathering regulation specific to football matches is required as Indonesia has a risk of hooliganism in some areas. This will be mandatory for the organizing committee to comply with and involve relevant stakeholders, especially the local health sector.
Use of the U.S. National Poison Data System (NPDS) to Detect and Describe Potentially Harmful, Non-Traditional Behaviors Taken by Individuals to Prevent, Treat, or Cure COVID-19
Authors: Schnall Amy , Hanchey Arianna , Peralta Angela , Chang Art ,   America's Poison Centers Toxicology Team
Published: June 2023

Introduction:On January 19, 2020, Washington State reported the first confirmed case of COVID-19. Two years later, the Centers for Disease Control and Prevention (CDC) reported over 90 million cases across every U.S. state and territory causing more than 1 million deaths, with numbers continuing to grow. As part of the overall pandemic response, CDC, in coordination with America’s Poison Centers, conducted enhanced surveillance of National Poison Data System (NPDS) data to detect potentially harmful, non-traditional behaviors taken to prevent, treat, or cure COVID-19 to provide situational awareness and ensure CDC continues to develop effective, evidence-based health communication messages and materials.Method:Data from the fifty-five U.S. poison centers (PCs) are uploaded in near real-time to NPDS. CDC monitored several categories including cleaners and disinfectants, medications/vitamins, and behaviors such as suicide and drug use. We characterized exposures by daily call volume, age group, management site, route of exposure, and medical outcome compared to previous years. We also conducted follow-up detailed review for certain anomalies, spikes, or extreme adverse events.Results:We reported PC data to several task forces within the CDC Emergency Operations Center. The daily number of exposures increased sharply beginning in March 2020 for exposures to cleaners and disinfectants. For example, bleach exposure calls saw a 62.1% increase compared to 2019. Several medications saw spikes in calls in coordination with media coverage of certain treatments (e.g., hydroxychloroquine) throughout the pandemic.Conclusion:This data helped ensure a coordinated public health response to COVID-19 and maximized the unique role of PCs in addressing public and medical provider concerns and questions. Results led to several actions including notifications to state health departments, targeted messaging, and tailored response efforts. PCs are a valuable resource for providing guidance and advice about exposures to hazardous substances and can help reduce the burden on the healthcare system.
Mass Hospital Evacuation During COVID-19 Pandemic: Experience of Hospital Cluster Infection in Taiwan
Authors: Hsiau Yawen 
Published: June 2023

Introduction:A mass hospital evacuation occurred in Taiwan in 2021 due to the clustered COVID-19 infection in Hospitals. To maintain essential services with limited manpower, 74 patients are triaged and evacuated to 12 hospitals in 6 cities in 16 hrs for further treatment.Method:All patients were evaluated by physicians for discharge. The patients who still needed hospitalization were classified into three groups according to the risk of infection1. The high-risk group of patients were cared for by infected staff directly; the moderate-risk group were patients admitted to the same ward but didn’t receive care from infected staff. The low-risk group were patients avoiding infection outbreak. Only the low-risk group patients were transferred, excluding patients with unstable vital signs, hospice, and prison. Command Center of HICS of TGH set up a transfer execution team to handle this task.Results:There were 74 patients transferred, including 56 from internal medicine and 18 from the surgery ward. Most of the transfers are concentrated within 16 hours. These patients were transferred to 12 emergency hospitals in 6 cities. The average transport time was 1.5 hours and the longest was about 3 hours due to the distance and traffic.The 17 private ambulances and 11 Fire Department ambulances were dispatched and transferred 60 patients. In addition, there were 14 patients evacuated by small buses. No mortality or COVID-19 infection had been reported within 3 days after this mass evacuation, only one patient had been intubated after one hour of arrival to hospital due to condition deterioration.Conclusion:A hospital evacuation is a complicated process, especially during a pandemic. All infection control measures create difficulties in the patient transfer process. Well-prepared evacuation plans, regular drills, well-trained personnel, an organized command system, and regional cooperation are the keys to mass evacuation in a disaster.
Toxic Fumes Exposure–More than Just an Airway Concern – RETRACTED
Authors: Ho Shu Fang , Ng Mingwei , Chong Terence , Tan Kenneth 
Published: June 2023

Introduction:Exposure to toxic fumes from an industrial chemical fire may not only lead to airway burns and inhalational injury but also toxic exposure via the transdermal route.Method:A 45-year-old gentleman presented with dyspnea two hours after a ten-minute exposure to toxic fumes while fighting an industrial chemical fire without personal protective equipment. He reported voice hoarseness and chest tightness. Nasoendoscopy demonstrated paranasal sinus soot and significant upper airway edema. Awake fiber-optic intubation was performed for prophylactic airway protection in the Burns ICU but bronchoscopy did not reveal any inhalational burns.However, the patient developed worsening lactic acidosis (serum lactate 2.8mmol/L to 8.1mmol/L with pH 7.28) within 12 hours post-exposure. Carboxyhemoglobin was 0.9%. Toxicology was consulted for suspicions of transdermal HAZMAT contamination, in particular cyanide given the profound lactic acidosis. The patient was given two doses of hydroxocobalamin and brought to the Hospital Decontamination Unit for de-gowning and thorough wash-down. The chemical scan meter showed high levels (352IU) of an unknown chemical on his skin pre-decontamination, which could not be detected post-decontamination. Lactate improved to 5.0mmol/L within two hours post-decontamination while acidosis resolved at eight hours post-decontamination. The patient was extubated and discharged without sequelae.Results:To our knowledge, no other human cases of transdermal cyanide poisoning have been reported. Cyanide interferes with mitochondrial oxidative phosphorylation pathways to cause toxicity and death if untreated. However, its effects via transdermal exposure are often delayed compared to exposure via more conventional inhalational routes. This makes recognition difficult and compounds the challenge of long turnaround time for blood cyanide tests. Increased transdermal absorption is possible through intact skin if moistened by sweat.Conclusion:The potential for transdermal HAZMAT absorption from exposure to toxic fumes is underrecognized. It is crucial to maintain vigilance given the challenges in diagnosing transdermal cyanide toxicity and importance of initiating treatment early.