bluuebunny/crossref_metadata_2025_split huggingface dataset:
Innovation in healthcare: leadership perceptions about the innovation characteristics of artificial intelligence—a qualitative interview study with healthcare leaders in Sweden
Authors: Neher Margit , Petersson Lena , Nygren Jens M , Svedberg Petra , Larsson Ingrid , Nilsen Per 
Published: July 2023

Abstract
Background
Despite the extensive hopes and expectations for value creation resulting from the implementation of artificial intelligence (AI) applications in healthcare, research has predominantly been technology-centric rather than focused on the many changes that are required in clinical practice for the technology to be successfully implemented. The importance of leaders in the successful implementation of innovations in healthcare is well recognised, yet their perspectives on the specific innovation characteristics of AI are still unknown. The aim of this study was therefore to explore the perceptions of leaders in healthcare concerning the innovation characteristics of AI intended to be implemented into their organisation.

Methods
The study had a deductive qualitative design, using constructs from the innovation domain in the Consolidated Framework for Implementation Research (CFIR). Interviews were conducted with 26 leaders in healthcare.

Results
Participants perceived that AI could provide relative advantages when it came to care management, supporting clinical decisions, and the early detection of disease and risk of disease. The development of AI in the organisation itself was perceived as the main current innovation source. The evidence base behind AI technology was questioned, in relation to its transparency, potential quality improvement, and safety risks. Although the participants acknowledged AI to be superior to human action in terms of effectiveness and precision in some situations, they also expressed uncertainty about the adaptability and trialability of AI. Complexities such as the characteristics of the technology, the lack of conceptual consensus about AI, and the need for a variety of implementation strategies to accomplish transformative change in practice were identified, as were uncertainties about the costs involved in AI implementation.

Conclusion
Healthcare leaders not only saw potential in the technology and its use in practice, but also felt that AI’s opacity limits its evidence strength and that complexities in relation to AI itself and its implementation influence its current use in healthcare practice. More research is needed based on actual experiences using AI applications in real-world situations and their impact on clinical practice. New theories, models, and frameworks may need to be developed to meet challenges related to the implementation of AI in healthcare.
Prognostic factors determining the surgical interference of biliary atresia in Egyptian infants: single-center experience
Authors: Abdel-Aziz Samira A. , Taha Mohamed , Balabel Mohamed , Hegazy Osama , Salah Esam , Soltan Mervat , Tahoon Marowa A. , Sobhy Gihan A. 
Published: July 2023

Abstract
Background
Biliary atresia is associated with considerable morbidity, and it is the most frequent indication for pediatric liver transplantation. Hepatic portoentostomy (HPE), Kasai procedure, is used commonly as the first line of treatment but its long-term efficacy still remains controversial. In this study we decided to illustrate most of the perioperative clinical, biomarkers, histopathological, and surgical parameters that may determine the outcome in operated infants with biliary atresia within 5 years at our center at national liver institute (NLI). We analyzed the perioperative risks for surgical failure in 100 infants with BA, diagnosed and treated from June 2012 to June 2017. Infant included in the study categorized into two groups according to the surgical outcome, failed and successful group. The successful surgical outcome of biliary atresia was determined by the clearance of jaundice within 6 months where total serum bilirubin ≤ 2 mg/dL. Both groups were compared according to perioperative clinical, laboratory, ultrasonographic, endoscopic detection of bile, histopathological characteristics, excised biliary remnant duct size, and type of surgical interference.

Results
After surgical interference, infants with successful outcome were 33% and those with failed outcome were 67%. Younger age, lower preoperative serum GGT, delayed onset of jaundice after the first 2 weeks of life, and lower levels of post-operative 1-month serum total and direct bilirubin, were significantly associated with successful outcome (P = 0.001, 0.041, 0.025, and 0.001 respectively). Also gall bladder contractility, endoscopic duodenal bile test, degree of hepatic fibrosis, bile duct size, surgical type of BA, and type of surgical interference were significant risk factors affecting the surgical outcome of BA (P = 0.003, 0.037, 0.005, 0.024, 0.001, and 0.002 respectively).

Conclusions
Younger age and lower preoperative GGT and post-operative 1-month serum total and direct bilirubin level are good predictors for the surgical outcome of BA infants with better performance of age and post-operative 1-month serum total and direct bilirubin level. This may determine infants with the high-priority for transplant referral postoperatively.
Diabetes and hypertension MobileHealth systems: a review of general challenges and advancements
Authors: Stephen Bliss Utibe-Abasi , Uzoewulu Benedicta C. , Asuquo Phillip Michael , Ozuomba Simeon 
Published: July 2023

AbstractMobile health (mHealth) systems are sipping into more and more healthcare functions with self-management being the foremost modus operandi. However, there has been challenges. This study explores challenges with mHealth self-management of diabetes and hypertension, two of the most comorbid chronic diseases. Existing literature present the challenges in fragments, certain subsets of the challenges at a time. Nevertheless, feedback from patient/users in extant literature depict very variegated concerns that are also interdependent. This work pursues provision of an encyclopedic, but not redundant, view of the challenges with mHealth systems for self-management of diabetes and hypertension.Furthermore, the work identifies machine learning (ML) and self-management approaches as potential drivers of potency of diabetes and hypertension mobile health systems. The nexus between ML and diabetes and hypertension mHealth systems was found to be under-explored. For ML contributions to management of diabetes, we found that machine learning has been applied most to diabetes prediction followed by diagnosis, with therapy in distant third. For diabetes therapy research, only physical and dietary therapy were emphasized in reviewed literature. The four most considered performance metrics were accuracy, ROC-AUC, sensitivity, and specificity. Random forest was the best performing algorithm across all metrics, for all purposes covered in the literature. For hypertension, in descending order, hypertension prediction, prediction of risk factors, and prediction of prehypertension were most considered areas of hypertension management witnessing application of machine learning. SVM averaged best ML algorithm in accuracy and sensitivity, while random forest averaged best performing in specificity and ROC-AUC.
Association of perceived male sexual dysfunction and sexually transmitted disease to female sexual function among Indonesian women
Authors: Manurung Mega Anara , Rahardjo Harrina Erlianti 
Published: July 2023

BACKGROUND Male sexual dysfunction (MSD)’s impact on female partners is challenging to understand. Male erectile dysfunction (ED) and ejaculation disorder likely affect female sexual function. This study aimed to examine the prevalence of female sexual dysfunction and disorder as well as the relationship between perceived MSD and female sexual function using the validated Indonesian short version of the 6-item Female Sexual Function Index (FSFI-6).
METHODS This cross-sectional study was conducted at Cipto Mangunkusumo Hospital, Jakarta, Indonesia, from February 2018 to February 2019. About 702 Indonesian married women, including patients, visitors, and medical and nonmedical staff, provided the sociodemographic, FSFI-6, quality of life, and sexual function (ED, ejaculation disorder, and desire problems), and sexually transmitted disease (STD) data. The association between categorical variables was evaluated using Fisher’s test. Logistic regression was used for multivariate analysis, and a p-value of 0.05 was considered statistically significant.
RESULTS Among 702 women, about 242 had sexual dysfunction (34.5%), 20 had sexual disorder (2.8%), 172 had low desire (24.5%), 72 had low arousal (10.3%), 253 had orgasmic function (36.0%), and 575 had sexual pain (81.9%). The respondents reported their partners’ STD, desire problems, ED, and ejaculation disorder. Female sexual disorder and low desire were associated with perceived ED. Female sexual disorder was associated with STD (Wald = 10.3, p = 0.001) and desire problems (Wald = 6.89, p = 0.008). No other MSD was associated with female sexual function.
CONCLUSIONS Perceived STD and male desire problems affected female sexual disorder.
Concentric triangular mapping with iterative substitution method for PAPR reduction in OCDM system without SI
Authors: Singh Mohit Kumar , Goel Ashish 
Published: July 2023

Abstract
OCDM, a new MCM scheme, has been proposed in the literature. Like widely used OFDM, OCDM also has a drawback of high PAPR. PAPR reduction schemes like SLM and PTS require information about phase factors i.e. SI used at the transmitting end for PAPR reduction for recovery of original data signal at the receiver. Transmission and recovery of SI is always a concern. In this paper a new CTM-IS method has been proposed for PAPR reduction of OCDM signal without SI. Main objective of the proposed scheme is to improve the error performance of SI free SLM and PTS based schemes without any degradation in PAPR reduction. PAPR performance and SER performance, over AWGN as well as multipath Rayleigh fading channels, of OCDM signal with proposed CTM-IS scheme is evaluated. Analytical expression for SER of the proposed CTM-IS scheme over AWGN channel is also derived. The computational complexity of the proposed CTM-IS scheme is also presented. Performance of the proposed CTM-IS scheme is compared with the existing MSM combined with SLM (MSM-SLM), CCM combined with SLM (CCM-SLM) and OM combined with SLM (OM-SLM) schemes. The proposed CTM-IS scheme has demonstrated to offer a theoretical power gain of about 3.01 dB, 2.55 dB, and 14.23 dB over MSM-SLM, CCM-SLM and OM-SLM schemes, respectively. Proposed CTM-IS scheme provides better SER performance with respect to MSM-SLM, CCM-SLM and OM-SLM without any loss in the PAPR performance. Moreover, computational complexity of CTM-IS scheme is less than that of MSM-SLM and CCM-SLM schemes.
THE COADJUVANCY OF THE MALAYSIAN REGULATORY POLICIES IN ADDRESSING THE CARTEL ACTIVITIES IN MALAYSIAN CORPORATIONS
Authors: Mohd Rozaimy bin Ridzuan  , Noor Amira Syazwani Abd Rahman  , Norhidayah Md Yusof  
Published: July 2023

Cartels pose significant turbulence in many aspects, ranging from the increase in prices of goods and services to affect long-run economic growth and productivity. In 2010, the Competition Act was formulated to promote economic development by promoting and protecting the process of competition, thereby protecting the interests of consumers and to provide for matters connected therewith. However, in terms of the enforcement of the Act, Malaysia is still at the infancy stage. Hence, this paper attempts to examine the effectiveness of the Act in mitigating the cartel activities in Malaysia. Besides that, this paper also attempts to examine the collaborative feasibility between the Competition Act 2010 and Whistleblower Protection Act 2010 (Regulatory Policies) in addressing the cartel activities in Malaysian firms. This paper also offers suggestions to the policy makers to strengthen the feasibility of the Competition Act. Methodologically, an extensive literature review was carried out by the researchers based on the policies formulated in Malaysia and developed countries. A content analysis was also performed to identify major themes and delineate a crucial means to address cartel activities in Malaysia. The finding of the study revealed that there is a room for improvement in the Malaysian Competition Act 2010. Besides, the collaborative action between two regulatory policies are significant and it would be able to curb the cartel activities in Malaysia.
Mae el Aînin y el poder central marroquí
Authors: Mhaddarha Ahmed 
Published: July 2023

Chej Mae el Aînin ha sido un personaje importante en la historia del Magreb. Su influencia en las cabilas saharianas le permitió mantener unas relaciones privilegiadas con los sultanes marroquíes que pronto comprendieron el papel que Chej Maelainin podría desempeñar en su nombre en estas regiones alejadas del poder central.Fue el hombre de confianza y su vigía en el Sáhara en un sistema político en que el poder se mantiene fundamentalmente gracias a las relaciones personales del Chej Maelainin.Pero el beneficio no fue unidireccional ya que el chej pudo extender su influencia religiosa por todo el imperio gracias a la generosidad de los sultanes. AbstractChej Mae el Aînin has been an important figure in the history of the Maghreb. Its influence on the Saharan kabyles allowed him to maintain privileged relations with the Moroccan sultans. They understood soon the role that could play Chej Maelainin in these remote regions on their behalf. He was the man in the Sahara in a political system in which power is maintained due to the trust relationships of Chej Maelainin. But the benefits were not unidirectional as the chej was able to extend their religious influence to all the empire through the generosity of the sultans.
Barreras percibidas y nivel de actividad física en universitarios colombianos durante la pandemia por covid-19
Authors: Rubio Silva María Nancy , Córdoba Rentería Libardo , Orejuela Aristizabal Diego Fernando 
Published: July 2023

La pandemia de COVID-19 condujo a adoptar nuevos estilos de vida que implican riesgos en la salud física y mental; además, alteran la rutina familiar, social, laboral y académica. Los estudiantes que iniciaron estudios universitarios se encontraron ante un nuevo sistema de educación, por lo que se desconoce el comportamiento de la práctica de actividad física durante este periodo. Esta investigación tuvo como objetivo identificar las barreras percibidas y el nivel de actividad física en universitarios de primer semestre de la Institución Universitaria Escuela Nacional del Deporte, Colombia. Para ello, se realizó un estudio cuantitativo, descriptivo y transversal en el que participaron 381 estudiantes: 258 de fisioterapia y 123 de profesional en deporte, matriculados en el 2020-2 y 2021-1. Los instrumentos para recoger la información fueron el Cuestionario Internacional de Actividad Física (IPAQ) y el Barriers to Being Active Quiz (BBAQ). Los resultados mostraron que el 55,64% de los participantes reportó bajos niveles de actividad física, con porcentajes mayores en el grupo de fisioterapia; el 85,79% presentaron al menos una barrera para realizar actividad física, con diferencias estadísticamente significativas entre el grupo de fisioterapia comparado con el grupo de deporte para las barreras falta de tiempo, voluntad e influencia social. En conclusión, fue posible evidenciar bajos niveles de actividad física en el grupo de fisioterapia comparado con el grupo de deporte que reportó niveles de actividad física moderada y vigorosa más altos, en ambos grupos la falta de tiempo y falta de voluntad fueron las barreras percibidas más relevantes, pero en porcentajes diferentes.
Carbamazepine in Ventricular Extrasystoles Management: Clinical Case
Authors: Gordeev Leonid S. , Kulbachinskaya Ekaterina K. , Bereznitskaya Vera V. 
Published: July 2023

Carbamazepine is a drug that has been used for a long time to treat various neurological and psychiatric disorders. The drug has effect on many body systems and, in particular, on the cardiovascular. The cardiovascular effect of carbamazepine depends on several factors such as the presence/absence of any comorbidities and its plasma concentration. The drug’s antiarrhythmic effect was demonstrated previously in a number of experimental and clinical studies. In this article, we would like to present the clinical case of pediatric patient with frequent ventricular extrasystoles and arrhythmogenic myocardial dysfunction. Several antiarrhythmic drugs were ineffective in this patient, while carbamazepine administration contributed to the decrease in ectopic activity up to minimal values.
La fabricación de fibras artificiales en la ciudad de Burgos: un efímero enclave de la industria textil española durante la autarquía franquista / The manufacture of artificial fibres in the city of Burgos: an ephemeral enclave of the Spanish textile industry during Franco's autarchy (1939-1959)
Authors: Andrés López Gonzalo , Martín García Juan José 
Published: July 2023

Entre 1939 y 1959, durante la autarquía franquista, en la ciudad de Burgos se implanta un singular conjunto de industrias textiles de fibras artificiales. A partir de la Sociedad Española de Seda Artificial (SESA), se conforma un enclave fabril que se posiciona como el tercer centro nacional en este subsector textil. Este núcleo productivo suma más de 80 empresas, cerca de 4.000 trabajadores y adquiere una cuota de mercado sostenida en torno al 12% de la producción española. Pero desde mediados de los años cincuenta, las fábricas burgalesas de seda artificial sucumbirán al progreso de los nuevos mercados y desaparecerán con rapidez. En esta investigación se analiza este efímero enclave de la industria textil española de la posguerra. Mediante el uso de distintas fuentes estadísticas y documentación de archivo, se reflexiona sobre las dificultades de la industrialización autárquica pero también se atestiguan sus ventajas de oportunidad, en el contexto de la estrecha vinculación de Burgos con el franquismo. Asimismo, se profundiza en la participación de inversores catalanes en las fábricas textiles burgalesas, verificando la hegemonía de esta región en el desarrollo del ciclo textil español. Y, finalmente, se comprueba el trascendente impacto que esta industria tuvo en la estructura espacial y socioeconómica de la ciudad. Pese a su pronta desaparición, las fábricas de fibras textiles artificiales constituyen el germen de la industrialización local y prefiguran la identidad que adquirirá definitivamente Burgos como ciudad industrial mediante su posterior designación como Polo de Promoción y Desarrollo.
Memorias del Congreso Internacional de Periodismo en Debate 2019
Authors: Orbe Tania , Samson Eric 
Published: July 2023

Esta publicación recoge las memorias del IX Congreso Internacional “Periodismo en Debate” que se efectuó del 14 al 16 de noviembre de 2019. El tema central del evento fue: “FORMATOS PERIODÍSTICOS DEL SIGLO XXI en defensa de los derechos humanos”.
Este evento respondió a la necesidad de desarrollar nuevos formatos para el periodismo y la reivindicación de los formatos tradicionales como crónicas y reportajes largos en la cobertura de temas relacionados a los derechos humanos como violencia intrafamiliar, femicidio, xenofobia, migración, abuso sexual, entre otros. El Congreso Internacional “Periodismo en Debate” ya lleva nueve ediciones y estamos preparando la décima edición de aniversario para noviembre de 2020.
Memorias del 4to Simposio de Investigación & Conservación en Galápagos GSC– DPNG
Authors: Muñoz-Pérez Juan Pablo , Tacle Sofía , Carrión Bonilla Ana Lucía , Vintimilla-Palacios Cristina , Yépez Maryury 
Published: July 2023

En el marco del aniversario número 60 de creación del Parque Nacional Galápagos, como área protegida, estamos muy contentos acerca del desarrollo de IV simposio anual sobre investigación y conservación, organizado por la Dirección Parque Nacional Galápagos (DPNG) y el Galápagos Science Center (GSC) , es un evento único que reunió a participantes interdisciplinarios y multiculturales de todo el mundo con un interés y objetivo común: la investigación aplicada y la conservación de Galápagos y su entorno.
El conocimiento científico es el eje del desarrollo de los pueblos , razón por la cual, el simposio pretendió compartir este conocimiento con la comunidad. El simposio fomentó la discusión, el debate y el intercambio de conocimientos, técnicas de investigación y experiencia para hacer frente a nuevas preguntas sobre la investigación y retos en la conservación de Galápagos .
El cuarto simposio anual se llevó a cabo junio 25 y 26 , 2019 08:00-19:00. En el Centro de Convenciones Charles Darwin en la Isla San Cristóbal-Galápagos.
El simposio tuvo como objetivo principal evidenciar la importancia de la investigación como un campo de búsqueda de soluciones y compartir los esfuerzos nacionales, regionales e internacionales de conservación, proporcionando un lugar para el intercambio de las prácticas de investigación y conservación de punta.
Los expositores del simposio han sido capaces de promover su investigación, conectar con otras personas que trabajan en su campo, y capacitar a los futuros investigadores. La idea de esta reunión fue también proporcionar una oportunidad única para que los participantes colaboren en proyectos, crear nuevas asociaciones y crear las redes internacionales vitales para la conservación exitosa.