bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Illusion of Neutralism: The Indigenous Third Force and the Filipino Republic from the Late 1940s to the 1950s
Authors: Osteria Tristan Miguel 
Published: June 2023

Abstract
It often has been an illusion that Filipinos lack indigeneity due to the ties with the United States since 1898. Lost in these mists were the indigenous agendas that lay underneath the official narratives. The article presents a background and then examines the administration of Elpidio Quirino, president of the Philippines from 1948 to 1953, particularly his neutralist Pacific Pact initiative and the failed use of military force against the Huks. It concludes with a discussion of the rise of Ramón Magsaysay. It then examines Magsaysay, Philippine president from 1953 to 1957, beginning as defense secretary, support from the United States, the Magsaysay myth, his counterinsurgency campaign against the Huks, his election as president, international leadership, and legacies after his death. The study will show how the top-down policies of Quirino reliant on military force gave way to the unifying, reformist, inclusive, and inspirational leadership of Magsaysay, which became a kind of third force apart from the oligarchy and the Communists.
The U.S.-China Trade War and Policy Resilience
Authors: Ashbee Edward , Hurst Steven 
Published: June 2023

Abstract
One can attribute the Trump administration’s pursuit of a trade war against the People’s Republic of China (prc) to a range of variables, including its re-election hopes, commitment to protectionism as an economic weapon, fears about Beijing’s pursuit of artificial intelligence, and broader strategic concerns about the global balance of power. This article argues that another explanation for President Donald J. Trump’s ability to change trade policy towards China was the structural weaknesses of the trade policy regime that emerged at the end of the 1990s when Congress adopted Permanent Normal Trade Relations as a designation for free trade in July 1998 and the prc joined the World Trade Organization in December 2001. Those weaknesses owed much to the ways in which the United States initially framed the new trade regime with the prc and the limited, only partially conclusive, character of the debate that took place at the time. Despite the growth and embedding of supply chains between China and the United States, these inbuilt weaknesses contributed to the progressive erosion of the trade policy regime during the years that followed. Within this context, few constituencies were ready to lobby for the prc after January 2017 and the Trump administration faced little opposition to its change of trade policy.
Armand Point’s The Princess and the Unicorn
Authors: Sciortino Cassandra 
Published: June 2023

Abstract
This article discusses the literary and visual symbolism in Armand Point’s The Princess and the Unicorn. Point composed several versions of this mysterious legend in pastel, enamel, and bas-relief. Under the artistic influences of the medieval tapestry of the Lady and the Unicorn, the French painter Gustave Moreau, and the Italian Renaissance painter Alessandro Botticelli, Point unveils a spiritual creation that in its form, content, and medium seeks to evoke the ‘soul’ in a work of art.
Enhancement of tracking resistance of silicone rubber through charge dissipation and radical capture by fluorosilane-grafted iron oxide
Authors: Xie Chixin , Zeng Xingrong , Huang Hengchao , Jiang Jinbo , Chen Wanjuan 
Published: June 2023

Fluorosilane-grafted iron oxide (F-Fe2O3) was prepared via surface grafting reaction between iron oxide and perfluorooctyltriethoxysilane. The effect of F-Fe2O3 on the tracking resistance (TR) of addition-cured liquid silicone rubber (ALSR) was investigated by the inclined-plane test (IPT), surface potential decay test (SPDT), thermogravimetry (TGA), corona aging test and scanning electron microscopy (SEM). F-Fe2O3 delayed the occurrence of the intensive arc discharge and reduced the number of arc discharges. The corona resistance and TR of ALSR were effectively improved. ALSR/F-Fe2O3 with 0.15 phr F-Fe2O3 content passed the IPT at 4.5 kV, showing an erosion mass of 3.17%. The hydrophobicity and thermal stability of ALSR were also enhanced. The SPDT showed that F-Fe2O3 effectively dissipated charge. The results of thermal stability and corona resistance tests revealed that F-Fe2O3 could capture free radicals generated by the oxidation of methyl side groups of ALSR chains and thus inhibit the thermal degradation of ALSR during the arc discharge. Moreover, the charge dissipation by F-Fe2O3 could diminish the accumulation of charges in ALSR and reduce the damage of charges to the chains during arc discharge. Therefore, the TR of ALSR was enhanced.
Governance of digital supply networks: Systematic literature review and research agenda
Authors: Keller Jakob , Lasch Rainer , Matook Sabine 
Published: June 2023

Digitalization changes the formal structures and procedures of supply networks and provides better abilities for interfirm governance. At the same time, digital supply networks require fewer human interactions, which reduces the relevance of social aspects for safeguarding against opportunism and effective coordination. Prior research examined selected digital technologies and their influence on specific governance dimensions. However, these findings exist in isolation, and a comprehensive understanding of how digitalization impacts different aspects of governance is missing. In this article, the analysis of 156 articles in a systematic literature review presents an integrative perspective on the effects of digitalization on interfirm governance, with technology amplifying, simplifying, and deteriorating governance. The study concludes with an agenda for future research on interfirm governance and managerial implications for companies governing digital supply networks. JEL Classification: D23
Methylene diphenyl diisocyanate occupational exposure data in industry (1998–2020): A descriptive summary from an industrial hygiene perspective
Authors: Spence Mark W , Plehiers Patrick M , George Angel , Hankett Jeanne 
Published: June 2023

This paper provides an overview of airborne methylene diphenyl diisocyanate (MDI) concentrations in workplaces across North America and Europe. A total of 7649 samples were collected between 1998 and 2020 by producers of MDI during product stewardship activities at customer sites, primarily using validated OSHA or ISO sampling and analysis techniques. As would be expected from the low vapor pressure of MDI, 80% of the concentrations were less than 0.01 mg/m3 (1 ppb) and 93% were less than 0.05 mg/m3 (5 ppb). Respiratory protection is an integral part of Industrial Hygiene practices; therefore, its use was studied and summarized. While covering a variety of MDI applications, a large number of samples was obtained from composite wood manufacturing facilities, offering specific insight into potential exposures associated with different process sections and job types in this industry sector. Given the potential presence in industrial processes of MDI-containing dust or aerosols, future work should place increased emphasis on also investigating dermal exposure. The data reported in this paper provide valuable information for product stewardship and industrial hygiene purposes throughout the MDI-processing industry.
Low awareness but high acceptability of pre-exposure prophylaxis for HIV among men who have sex with men and transgender persons in Delhi, India
Authors: Sethi Adhish Kumar , Haldar Partha , Rai Sanjay Kumar , Kant Shashi , Rajan Shobini , Kumar Parveen , Mishra Jitendra Kumar , Singh Bhawani 
Published: June 2023

Background: HIV pre-exposure prophylaxis (PrEP) is part of India’s HIV prevention policy. We aimed to determine awareness of and willingness-to-use PrEP among men-who-have-sex-with-men (MSM) and transgender-persons (TG) in Delhi, India. Methods: A cross-sectional study was conducted at five purposively selected targeted-intervention projects in Delhi. Participants included self-identified MSM/TG aged ≥18 years, with negative/unknown HIV serostatus. A structured interview schedule, developed using formative research, was used. Primary outcomes were awareness of, and willingness-to-use PrEP. Socio-demographic and behaviour variables included age, living situation, education, anal-sex, condom-use and experiences of physical-violence. Determinants of outcome were identified in univariable logistic regression; variables associated at p < .25 were included in multivariable regression models. Results: Of 400 (224 MSM, 176 TG), mean ± SD age 25.7 ± 7.2 years, 14.5% (95% CI 11.0, 18.0) were aware of PrEP, while 63.3% (95% CI: 58.6, 68.1) reported willingness-to-use PrEP. PrEP-awareness was independently associated with formal-education (adjusted odds ratio; AOR = 1.20), professional occupation (AOR = 5.45) and condom-use (AOR = 3.07). Willingness-to-use PrEP was higher if participants had recent anal-sex (AOR = 2.29), had used condoms during anal-sex (AOR = 2.09), or recently experienced physical-violence (AOR = 3.65). Conclusions: PrEP awareness was low, but most were willing to use PrEP, implying that communication is key to PrEP awareness and uptake.
Investigation into the psychological impact of the COVID-19 pandemic for people living with HIV
Authors: Lo Sze Wing Karina , Muschialli Luke , Fernandez Thomas , Smith Colette , Peppa Dimitra , Burns Fiona 
Published: June 2023

Background People living with HIV (PLWH) report high levels of anxiety. This study assessed the prevalence of COVID-19-related anxiety in PLWH. Methods Participants were recruited from two UK HIV clinics (01/03/2020 - 30/05/2022) and asked to complete the Coronavirus Anxiety Scale. The proportion with scores ≥9 (cut-off for dysfunctional pandemic-related anxiety) and ≥1 (reporting of any pandemic-related anxiety) were analysed. Results 115 PLWH were included, predominantly identifying as male (83.5%, n = 96), white (58.3%, n = 67) and reporting post-secondary education (82.6%, n = 95), with a median age of 51 years (range 22–93). Median CAS score was 0, with 4.4% scoring ≥9 ( n = 5). More women scored ≥9 than men (16.7% ( n = 3) and 2.1% ( n = 2) respectively). Black African (13.6%, n = 3) and Other Ethnic Minority PLWH (25%, n = 2) had a greater proportion of scores ≥9 than White/Asian PLWH (both 0%). SARS-CoV-2 exposure was associated with scores greater than 1 but not greater than 9. CAS score was not associated with lower CD4 (<350 cells/mm3), detectable HIV viral load (≥50 copies/ml), or a history of pre-pandemic anxiety. Conclusions Pandemic-related anxiety was low, but we identified a sub-population reporting dysfunctional pandemic related anxiety. Future work should further investigate the psychological impact of the pandemic on this group.
“But can chatbots understand sex?” Attitudes towards artificial intelligence chatbots amongst sexual and reproductive health professionals: An exploratory mixed-methods study
Authors: Nadarzynski Tom , Lunt Alexandria , Knights Nicky , Bayley Jake , Llewellyn Carrie 
Published: June 2023

Background Artificial Intelligence (AI)-enabled chatbots can offer anonymous education about sexual and reproductive health (SRH). Understanding chatbot acceptability and feasibility allows the identification of barriers to the design and implementation. Methods In 2020, we conducted an online survey and qualitative interviews with SRH professionals recruited online to explore the views on AI, automation and chatbots. Qualitative data were analysed thematically. Results Amongst 150 respondents (48% specialist doctor/consultant), only 22% perceived chatbots as effective and 24% saw them as ineffective for SRH advice [Mean = 2.91, SD = 0.98, range: 1–5]. Overall, there were mixed attitudes towards SRH chatbots [Mean = 4.03, SD = 0.87, range: 1–7]. Chatbots were most acceptable for appointment booking, general sexual health advice and signposting, but not acceptable for safeguarding, virtual diagnosis, and emotional support. Three themes were identified: “ Moving towards a ‘digital’ age’“, “ AI improving access and service efficacy”, and “ Hesitancy towards AI”. Conclusions Half of SRH professionals were hesitant about the use of chatbots in SRH services, attributed to concerns about patient safety, and lack of familiarity with this technology. Future studies should explore the role of AI chatbots as supplementary tools for SRH promotion. Chatbot designers need to address the concerns of health professionals to increase acceptability and engagement with AI-enabled services.
Breaking the 80:20 rule in health research using large administrative data sets
Authors: Vik Shelly , Seidel Judy , Smith Christopher , Marshall Deborah A 
Published: June 2023

Objective: To explore the application of online analytic processing (OLAP) to improve the efficiency of analytics using large administrative health data sets. Methods: 18 years of administrative health data (1994/95 to 2012/13) were obtained from the Alberta Ministry of Health in Canada. The data sets included hospitalization, ambulatory care and practitioner claims data. Reference files were obtained that provided information including patient demographics, resident postal code, facility, and provider details. Population counts and projections for each year, sex, age were included for rate calculations. These sources were used to develop a data cube using OLAP tools. Results: Time required for analyses was reduced to 5% of that required when comparing run-time for simple queries that did not require linkage of data sets. The data cube negated the need for many intermediary steps for data extraction and analyses for research activities. Conventional methods required over 250 GB of server space for multiple analytic subsets, compared to only 10.3 GB for the data cube. Conclusions: Cross-training in information technology and health analytics is recommended to provide capacity to better leverage OLAP tools which are available with many common applications.
A Comparative Study of 2-Corner, 3-Corner, and 4-Corner Arthrodesis for Midcarpal Arthritis
Authors: Ring Justine , Clark Tod A. , Giuffre Jennifer L. 
Published: June 2023

Background: Four-corner fusion (4CF) is a common treatment for midcarpal arthritis; however, alternatives including 2-corner fusion (2CF) and 3-corner fusion (3CF) have been described. Limited literature suggests 2CF and 3CF may improve range of motion but have higher complication rates. Our objective is to compare function and patient-reported outcomes following 4CF, 3CF, and 2CF at our institution. Methods: Adult patients undergoing 4CF, 3CF, and 2CF from 2011 to 2021 who attended at least one follow-up were included. Four-corner fusion patients were compared with those who underwent either 3CF or 2CF using staple fixation. Outcomes include nonunion rate, reoperation rate, progression to wrist fusion, range of motion, and patient-reported pain, satisfaction, and Disabilities of the Arm, Shoulder, and Hand (DASH) scores. Results: A total of 58 patients met inclusion criteria. There were 49 4CF and 9 2CF or 3CF patients. Nonunion rates, progression to wrist fusion, and repeat surgery for any indication were not significantly different among groups. Range of motion (flexion-extension, radial-ulnar deviation) and grip strength at postoperative visits were not significantly different. Significantly more 4CF patients required bone grafting. Pain, overall satisfaction, and DASH scores were similar. Conclusions: Although prior studies suggest increased risk of nonunion and hardware migration after 2CF/3CF, we did not observe higher complication rates compared with 4CF. Range of motion, strength, and patient-reported outcomes were similar. While 4CF is traditionally the procedure of choice for midcarpal fusion, we found that when using a staple fixation technique, 2CF and 3CF have comparable clinical and patient-reported outcomes yet decrease the need for autologous bone grafting.
Risk Factors for Secondary Revision After Finger Amputations
Authors: Adapa Nikhil , Adkins Zachary B. , Hidden Krystin A. , Goyal Kanu S. 
Published: June 2023

Background: Digit amputations are relatively simple and are often performed in the setting of trauma or infection. However, it is not uncommon for digit amputations to undergo secondary revision due to complications or patient dissatisfaction. Identifying factors associated with secondary revision may alter treatment strategy. We hypothesize that the secondary revision rate is affected by digit, initial level of amputation, and comorbidities. Methods: A retrospective chart review was conducted on patients undergoing digit amputations in operating rooms at our institution from 2011 to 2017. Secondary revision amputations were defined as a separate return to the operating room following initial surgical amputation, excluding emergency room amputations. Patient demographics, comorbidities, level of amputation, and complications were collected. Results: In all, 278 patients were included with a total of 386 digit amputations and mean follow-up of 2.6 months. Three hundred twenty-six primary digit amputations were performed in 236 patients (group A). Sixty digits were secondarily revised in 42 patients (group B). The secondary revision rate was 17.8% for patients and 15.5% for digits. Patients with heart disease and diabetes mellitus were associated with secondary revision, with wound complications being the leading indication overall (73.8%). Medicare covered 52.4% of patients in group B versus 30.1% in group A ( P = .005). Conclusion: Risk factors for secondary revision include Medicare insurance, comorbidities, previous digit amputations, and initial amputation of either the index finger or the distal phalanx. These data may serve as a prediction model to aid surgical decision-making by identifying patients at risk of secondary revision amputation.
Perspectives of adolescents with neurofibromatosis 1 and cutaneous neurofibromas: Implications for clinical trials
Authors: Cannon Ashley , Sarin Kavita Y , Petersen Andrea K , Pichard Dominique C , Wolters Pamela L , Erickson Gregg , Lessing Andrés J , Li Peng , Röhl Claas , Rosser Tena , Widemann Brigitte C , Blakeley Jaishri O , Plotkin Scott R 
Published: June 2023

Background/Aims More than 99% of individuals with neurofibromatosis 1 develop cutaneous neurofibromas, benign nerve sheath tumors that manifest as nodules on the skin. These cutaneous neurofibromas emerge with age, appearing most commonly in adolescence. Nevertheless, few data have been published on how adolescents with neurofibromatosis 1 feel about cutaneous neurofibromas. The purpose of this study was to assess the perspectives of adolescents with neurofibromatosis 1 and their caregivers regarding cutaneous neurofibroma morbidity, treatment options, and acceptable risks-benefits of treatment. Methods An online survey was distributed through the world’s largest NF registry. Eligibility criteria included self-reported neurofibromatosis 1 diagnosis, adolescent child ages 12–17 years, ≥1 cutaneous neurofibroma, and ability to read English. The survey was designed to collect details about the adolescent’s cutaneous neurofibromas, views on morbidity related to cutaneous neurofibromas, social and emotional impact of cutaneous neurofibromas, communication regarding cutaneous neurofibromas, and views regarding current and potential future cutaneous neurofibroma treatment. Results Survey respondents included 28 adolescents and 32 caregivers. Adolescents reported having several negative feelings about cutaneous neurofibromas, particularly feeling worried about the potential progression of their cutaneous neurofibromas (50%). Pruritus (34%), location (34%), appearance (31%), and number (31%) were the most bothersome cutaneous neurofibroma features. Topical medication (77%–96%), followed by oral medication (54%–93%), was the most preferred treatment modality. Adolescents and caregivers most often replied that cutaneous neurofibroma treatment should be initiated when cutaneous neurofibromas become bothersome. The majority of respondents were willing to treat cutaneous neurofibromas for at least 1 year (64%–75%). Adolescent and caregivers were least willing to risk pain (72%–78%) and nausea/vomiting (59%–81%) as a cutaneous neurofibroma treatment side effect. Conclusions These data indicate that adolescents with neurofibromatosis 1 are negatively impacted by their cutaneous neurofibromas, and that both adolescents and their caregivers would be willing to try longer-term experimental treatments.
Poor effort on cognitive testing in voluntary research predicts failure in US Army Ranger School: Implications for clinical trial design
Authors: Turner Travis H , Newman Jill C , Marriott Bernadette P 
Published: June 2023

Introduction Failure to provide effortful performance on cognitive testing is not uncommon for participants in clinical trials and can significantly impact sensitivity to treatment effect. Whether poor effort on cognitive testing might relate to other behaviors of interest is unknown. In the current investigation, we examined whether effort on baseline cognitive testing in a randomized controlled trial to enhance resiliency in US Army Officers predicted subsequent success in Ranger school. Methods Baseline data on six cognitive tests were obtained from 237 US Army Officers entering a military training program prior to attempting Ranger School. Participation was voluntary and the Army was not informed of test scores. “Poor effort” was defined by chance-level accuracy or extreme outlier scores. Logistic regression examined likelihood of Ranger success according to the number of tests with poor effort. Results Overall, 170 (72%) participants provided good effort on all tests. For these participants, 47% were successful in Ranger, versus 32% with poor effort on one test and 14% with poor effort on two tests. Logistic regression analysis found poor effort on baseline testing predicted reduced likelihood of Ranger success, β =−.486, p = .005. Discussion A substantial number of participants exhibited poor effort on testing, and poor effort was predictive of failure in Ranger school. Findings highlight the importance of assessing effort in clinical trials involving cognitive outcomes and suggest application of cognitive effort testing in trials where other motivated behavior is targeted. Registration Clinical Trials.gov NCT02908932.