bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of surgeons’ gender with elective surgical lists in the State of Florida is explained by differences in mean operative caseloads
Authors: Dexter Franklin , Epstein Richard H. , Fahy Brenda G. 
Published: March 2023

Background
A recent publication reported that at three hospitals within one academic health system, female surgeons received less surgical block time than male surgeons, suggesting potential gender-based bias in operating room scheduling. We examined this observation’s generalizability.

Methods
Our cross-sectional retrospective cohort study of State of Florida administrative data included all 4,176,551 ambulatory procedural encounters and inpatient elective surgical cases performed January 2017 through December 2019 by 8875 surgeons (1830 female) at all 609 non-federal hospitals and ambulatory surgery centers. There were 1,509,190 lists of cases (i.e., combinations of the same surgeon, facility, and date). Logistic regression adjusted for covariables of decile of surgeon’s quarterly cases, surgeon’s specialty, quarter, and facility.

Results
Selecting randomly a male and a female surgeons’ quarter, for 66% of selections, the male surgeon performed more cases (P < .0001). Without adjustment for quarterly caseloads, lists comprised one case for 44.2% of male and 54.6% of female surgeons (difference 10.4%, P < .0001). A similar result held for lists with one or two cases (difference 9.1%, P < .0001). However, incorporating quarterly operative caseloads, the direction of the observed difference between male and female surgeons was reversed both for case lists with one (-2.1%, P = .03) or one or two cases (-1.8%, P = .05).

Conclusions
Our results confirm the aforementioned single university health system results but show that the differences between male and female surgeons in their lists were not due to systematic bias in operating room scheduling (e.g., completing three brief elective cases in a week on three different workdays) but in their total case numbers. The finding that surgeons performing lists comprising a single case were more often female than male provides a previously unrecognized reason why operating room managers should help facilitate the workload of surgeons performing only one case on operative (anesthesia) workdays.
Impact of FCGR2A R131H, FCGR3A F158V and FCGR3B NA1/NA2 polymorphisms on response to Fc-containing TNF inhibitors in Tunisian rheumatoid arthritis patients
Authors: Mahmoud Ines , Moalla Myriam , Ben Tekaya Aicha , Bouden Selma , Rouached Leila , Tekaya Rawdha , Saidane Olfa , Gorji Yousr , Elleuch Mohamed , Laatar Ahmed , Hamdi Wafa , Abdelmoula Leila , Sfar Imen 
Published: March 2023

Abstract

Objectives
Single nucleotid polymorphisms (SNPs) of Fc-gamma receptors (FcgRs), by inducing a variation of their affinity to the Fc-region of immunoglobulins, might influence the efficacy of Fc-containing biologics prescribed in rheumatoid arthritis (RA). Our aim was to investigate associations of FCGR2A, FCGR3A and FCGR3B SNPs with TNF-inhibitors (TNFi)’ response in Tunisian RA patients.

Methods
A cross-sectional, observational and analytic multicentric cohort study was conducted in a group of 47 Tunisian RA patients treated with (etanercept [ETA], adalimumab [ADL] and infliximab [IFX]). Treatment outcome was evaluated after 6 months. R131H-FCGR2A, F158V-FCGR3A and NA1/NA2-FCGR3B SNPs were genotyped.

Results
The analytic study including all types of TNFi showed that FCGR3A-F/F low-affinity receptor was associated with a greater decrease of DAS28, while FCGR3B-NA1/NA1 high-affinity receptor was associated with a lower decrease of DAS28 in ADL group. Furthermore, both of high affinity receptors FCGR3B-NA1/NA1 and FCGR3A-V/V were more prevalent in non-responders to ADL, according to EULAR criteria.

Conclusions
Identifying reliable biomarkers of response to biologics in RA is necessary to improve responsiveness, preserve joints’ functions and structure, and reduce treatment’s cost. Our study showed that FCGR3A and FCGR3B polymorphisms might have an impact on TNFis’ response in RA Tunisian patients since bad response was more frequent in homozygous carriers of high affinity alleles FCGR3A-V and FCGR3B-NA1.
Using TRACE to establish the analysis model of Kuosheng nuclear power plant for decommissioning transition phase
Authors: Hsu Wen-Sheng , Yang Jung-Hua , Chen Hsuan-Che , Chen Shao-Wen , Wang Jong-Rong 
Published: March 2023

Abstract
The Unit 1 of Kuosheng nuclear power plant is in the decommissioning transition phase and still has spent fuel in the core of reactor now. The time to reach the TAF (top of active fuel) for water level and reach 600/800 °C for cladding temperature are the key parameters in the safety analysis, these affect that the plant has how much time to handle transients. Therefore, to study the water level and cladding temperature for station blackout (SBO) and loss of coolant accident (LOCA) transients in the decommissioning transition phase, the analysis model of Kuosheng nuclear power plant was established by using TRACE code. To evaluate the effect of the decay heat of spent fuel on the water level and cladding temperature, the sensitivity analysis of decay heat was also performed in this study.
Der digitale Fabrikzwilling
Authors: Burggräf Peter , Adlon Tobias , Schäfer Niklas 
Published: March 2023

Abstract
Nach wie vor hindern vielfältige Herausforderungen Unternehmen an der Umsetzung digitaler Fabrikzwillinge. Zusätzlich muss die Entwicklung von Softwarelösungen auf die industriellen Anforderungen abgestimmt werden. Daher werden in diesem Beitrag die Ergebnisse einer Studie vorgestellt, in der relevante Anwendungsfälle und deren Implementierungsstatus untersucht wurden. Darauf aufbauend wird eine Landkarte erstellt, um die industrielle Etablierung digitaler Fabrikzwillinge voranzutreiben.
Digitalisierung ohne Programmierung
Authors: Vettermann Steven 
Published: March 2023

Abstract
Der Fachkräftemangel und fehlende wirtschaftliche Startimpulse hemmen die Digitalisierung im betrieblichen Umfeld. Einen Ausweg bietet die Nutzung von Low-Code/No-Code-Umgebungen, die es Mitarbeiter:innen ermöglichen, die Steuerung von Anlagen einfach selbst grafisch zu modellieren, zu testen oder auch zu ändern, anstatt sie zu programmieren. Zusätzlich hilft ein Stufenkonzept, um schnell den wirtschaftlichen Nutzen aufzuzeigen. Im Folgenden wird das und eine beispielhafte Umsetzung beschrieben.
Hürden der Digitalisierung in KMU
Authors: Fischer Tobias 
Published: March 2023

Abstract
Digitalisierung ist heute allgegenwärtig. Wo im Privaten bereitwillig neue digitale Tools, Apps und Funktionen genutzt werden, tun sich Unternehmen in der Umsetzung von Digitalisierungsprojekten oft schwer. Dieser Beitrag beleuchtet die Motive für Digitalisierungsvorhaben, ihre Hürden sowie die Auswirkung auf die Arbeitsbelastung von Mitarbeitenden und versucht in der Verknüpfung mit den Grundprinzipien des Kontinuierlichen Verbesserungsprozesses, Handlungsempfehlungen für eine erfolgreiche Umsetzung dieser abzuleiten.
Determination of Solar Chimney Inlet Temperature by Regression Methods
Authors: Ateş Fatmanur , Aksoy Bekir , Şenol Ramazan , Üçgül İbrahim , Koyun Arif 
Published: March 2023

AbstractBecause the greenhouse gases caused by fossil fuels contribute to global warming, the orientation toward renewable energy sources is increasing rapidly. One of these sources is solar chimneys. The region where a solar chimney is installed is important for its efficiency, and if the energy to be produced from the solar chimney can be determined, comments can be made about the region where it will be installed. In determining the energy to be produced from a solar chimney, the chimney inlet temperature must be known. In this study, it is planned to make an application on a solar chimney in Isparta province. First, a prototype solar chimney was installed on the campus of Süleyman Demirel University (SDU) by the SDU Renewable Energy Resources Research and Application Center. A unique data set was created with input data from sensors in the collector area of the solar chimney and output data from a sensor located at the mouth of the chimney. In this study, the flue inlet temperature values were estimated by using 10 different regression methods, one of which was a model specific to this study. In addition, hyperparameter adjustments of the regression models were made with different optimization methods. With Random Forest- Elastic-Lasso.Net (REL.Net) and ElasticNet architecture among the 10 methods, the chimney inlet temperature was obtained with accuracy rate of approximately 99 %.
Nonsymbolic Numerosity Maps at the Occipitotemporal Cortex Respond to Symbolic Numbers
Authors: Cai Yuxuan , Hofstetter Shir , Dumoulin Serge O. 
Published: March 2023

Numerosity, the set size of a group of items, helps guide human and animals' behavior and decisions. Numerosity perception is thought to be a precursor of symbolic numerical cognition. Previously, we uncovered neural populations selectively tuned to numerosities organized in a network of topographic maps in human association cortex. Here we investigate whether these numerosity maps are also involved in the processing of symbolic numbers, using 7T fMRI and a number-detection task. We recruited 7 participants (3 females) and found that the numerosity map at the temporal-occipital cortex (NTO) also responds to symbolic numbers. Furthermore, we found that numerosity-tuned neuronal populations at the NTO map in the left hemisphere are tuned to symbolic numbers. These results reveal different functions of the numerosity maps and support a link between numerosity representation and symbolic number processing in the ventral temporal-occipital cortex.SIGNIFICANCE STATEMENTHumans and other animals share an intuitive “number sense” to approximately represent numerosity. However, humans possess a unique ability to process number symbols (e.g., Arabic numbers). It has been argued that the human understanding of symbolic numbers is rooted in our ability to numerosity perception. Here we investigate whether numerosity-tuned neuronal populations organized at a network of topographic maps also respond to symbolic numbers. We find one of the maps at the temporal-occipital cortex is involved in symbolic numerical cognition and the neuronal populations are tuned to numbers. These results provide evidence for a link between nonsymbolic numerosity and symbolic number processing.
Telerreabilitação na fisioterapia neurofuncional pediátrica durante a pandemia de COVID-19: percepção dos pais, desafios e contribuições
Authors: Rodrigues Samara Maria Alves , Feliciano Jéssica Soares , Coutinho Paula Fernanda Ferreira , Melo Dianne Pereira Gonçalves , Gonçalves Rejane Vale 
Published: March 2023

INTRODUÇÃO: A telerreabilitação é uma modalidade de atendimento realizado à distância que foi considerada um recurso fundamental durante a pandemia da COVID-19. Entretanto, era uma modalidade ainda não vivenciada por muitos profissionais e familiares. OBJETIVO: Descrever a percepção dos pais ou responsáveis por crianças em tratamento fisioterapêutico, sobre os desafios e as contribuições da experiência com a telerreabilitação realizada em serviço ambulatorial durante a pandemia de COVID-19. MATERIAIS E MÉTODOS: Estudo observacional transversal exploratório, realizado com pais ou responsáveis por crianças, com idade entre 0 a 12 anos, com qualquer condição de saúde neurológica ou musculoesquelética em acompanhamento fisioterapêutico por telerreabilitação, no período de junho a agosto de 2021. Um questionário elaborado pelas autoras com perguntas sobre a percepção dos responsáveis, desafios e contribuições da telerreabilitação foi encaminhado para os responsáveis por meio de um link do Google Forms, via e-mail ou aplicativo de mensagem no celular, e foi auto aplicado. Realizaram-se análises descritivas dos dados coletados por meio da frequência de respostas dos pais ou responsáveis nas questões específicas. As variáveis numéricas foram apresentadas como média ± desvio-padrão e as variáveis categóricas, como frequências absolutas e relativas. RESULTADOS: Dezoito responsáveis receberam e responderam o questionário completamente. A mãe foi a responsável mais citada, a maioria das crianças receberam atendimento duas vezes na semana e o diagnóstico mais prevalente foi paralisia cerebral. Setenta e três por cento dos responsáveis avaliaram a telerreabilitação como acima do nível esperado e com contribuição além de suas expectativas. CONCLUSÃO: De acordo com a percepção dos pais, sobre os desafios e as contribuições da experiência com a telerreabilitação realizada em serviço ambulatorial, os benefícios parecem superar os desafios.
ВОПРОСЫ АВТОРСКОГО ПРАВА В ПРОЦЕССАХ ДИСТРИБУЦИИ И ПРОКАТА ДОКУМЕНТАЛЬНЫХ ФИЛЬМОВ В КАЗАХСТАНЕ
Authors: СУЛЕЙМЕНОВА Айнур Эдрисовна 
Published: March 2023

В статье рассмотрены особенности документальных фильмов с точки зрения авторского права в процессах дистрибуции и проката в Казахстане. Так как наблюдаются сложности в процессах продвижения документальных фильмов в стране, необходимо обратить внимание на причины такого положения данной формы аудиовизуального медиапродукта. Телевидение не раскрывает в полной мере сути документального фильма, отрицательно влияя не только на восприятие документалистики со стороны аудитории, но и на восприятие данной формы произведения в правовом аспекте. Уверенность в том, что документальное кино только информирует и не имеет четкого авторства, обесценивает и подвергает сомнению возможность рассмотрения документального фильма как объекта авторского права. Также автор обращает внимание на трансформацию пассивного «героя» документалистики в активного «социального актера», который может потенциально претендовать на смежные права наряду со сценаристом и оператором. Цель исследования — определить проблемные вопросы и предложить пути решения в данном аспекте с учетом местного законодательства Республики Казахстан. В качестве метода исследования использован анализ законодательных актов Республики Казахстан, касающихся авторского права в документальном кино, а также анализ деятельности документалистов Казахстана, представляющих новое поколение документалистов в цифровой среде — Каната Бейсекеева и Рината Балгабаева. В заключение автор предлагает пересмотреть законодательство по вопросам авторского права с учетом специфики документальных фильмов (смежные права, музыка, защита от пиратства). Также автор отмечает необходимость учитывать изменения, которые привносит интернет-пространство и социальные медиа в вопросы охраны авторского права.
Feto-maternal outcome of second stage cesarean section in B. P. Koirala institute of health sciences: a retrospective study
Authors: Yadav Jyotsna , Shrestha Ramesh , Sah Archana , Bhagat Reena 
Published: March 2023

Background: Cesarean section (CS) is a common surgical procedure performed in obstetrics. The rate of rise of CS can be attributed to the increase in safety of the procedure, enhanced surgical techniques, improved antibiotics, increase in number of women requesting for CS. In general, caesarean delivery is associated with more severe maternal complications compared to vaginal deliveries. The stage of labour at which CS is undertaken has been shown to influence the rate/risk of complication.
Methods: It was an observational and retrospective study that depended on some clinical records related to more than 37 weeks’ gestation. The study was conducted in BP Koirala institute of health sciences, Dharan Nepal from 2021 December to 2022 December. The neonatal as well as maternal outcomes have been evaluated for CS among those who were observing the second stage in their labor period. The test statistics used to analyse the data were descriptive statistics chi-square test.
Results: The total delivery was 16131 out of which there were 6748 cesarean deliveries. Out of 6748 CS 65 patients had cesarean in second stage of labour. The most common cause of CS in second stage of labor was arrest of descent and dilatation (40%), followed by meconium-stained liquor (15.38%), occipito-posterior position (12.30%), and obstructed labour (3.07%) Being the least cause. One patient had to undergo peri-partum hysterectomy and the most common complication of second stage CS was prolong foleys catheterization (15 patients), post-partum febrile illness (20 patients out of 65), followed by wound infection, PPH, blood transfusion. The neonatal admission for NICU were birth asphyxia and respiratory distress were 50% each.
Conclusions: CS in the second stage of labor is correlated with considerably improved neonatal and maternal rate of morbidity along with expanded neonatal mortality. A proper judgment and skilled obstetrician are required to perform a second-stage CS. CS in the second stage of labor is a technically demanding procedure with an increased risk of maternal and neonatal morbidity compared to the CS in the first stage of labor.
COVID-19 related myopericarditis in a 29-year-old patient: A case report
Authors: Goh WP  , Khaw JY  , Tan JW  , Goh WA  , Aw Tan YL  , Tan SW  
Published: March 2023

The manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, are mainly characterized by respiratory symptoms. However, cardiac manifestations such as acute myopericarditis have been reported to be associated with COVID-19 infection. A 29-year-old female patient presented with a 2-day history of fever, cough, runny nose, and myalgia, and tested COVID-19 positive at Penang General Hospital, Pulau Pinang, Malaysia. On day 2 of admission, the patient complained of acute onset central chest pain, radiating to her back, associated with cold sweat, shortness of breath and generalised body ache. On examination, tachycardia and tachypnoea were elicited. The serial electrocardiography (ECG) showed persistent non-specific sinus tachycardia. Troponin T level was elevated at 99 ng/L (normal &#60;15 ng/L) and creatine kinase (CK) was at 10990 U//L (normal: &#60;190 U/L). Her chest radiograph revealed cardiomegaly and otherwise clear lung field. CT pulmonary angiogram demonstrated evidence of bilateral pleural effusion and pericardial effusion and ruled out pulmonary embolism. The diagnosis of myopericarditis was established based on clinical, electrocardiographic, radiological, and biochemical findings. She was treated successfully with IV morphine, oral colchicine, ibuprofen, and oxygen therapy. A follow-up echocardiogram 10 weeks post-COVID demonstrated complete resolution of pericardial effusion, with an election fraction of &#62;70%. COVID-19 patients may develop severe cardiac complications such as myopericarditis. Clinicians should have a high index of suspicion of COVID-related myopericarditis in COVID-19 management. Further study should be implemented to investigate the association between COVID-19 and myopericarditis.
Blockchain technology and corporate law
Authors: Sannikova Larisa 
Published: March 2023

The article analyses legislative initiatives aimed at regulating the use of blockchain in corporate governance. The tokenisation equity opens up new opportunities for companies to attract investment. As a result, many traditional companies are interested in converting traditional securities into security tokens. Countries aspiring to lead the blockchain industry are seeking to establish a legal framework for security tokens and a blockchain-based registration system for them. The use of blockchain brings with it not only the digital transformation of companies, but also the emergence of a new type of organization - decentralized autonomous organization (DAO). Existing legal forms are not appropriate for the DAO, which requires the creation of a new type of legal entity. Changes to corporate law that address these trends will eliminate legal risk and drive digital transformation of companies
La vie privée des jeunes adultes. Un bilan des recherches en sociologie de la sexualité, du couple et de la jeunesse
Authors: Giraud Christophe 
Published: March 2023

L’article propose un panorama des recherches sociologiques réalisées en France sur la vie affective et sexuelle des jeunes. Définie d’abord par rapport aux rôles adultes (actif professionnellement, conjoint, parents…), la jeunesse a été envisagée d’abord négativement comme une période de « latence», un temps suspendu d’attentes ou d’expérimentation. La vie intime des jeunes a alors été interprétée comme une «jeunesse sexuelle» émaillées d’expériences non-conjugales, instables, en raison de l’impossibilité à s’installer conjugalement.
Une autre approche construit les jeunes comme dépendants (de leurs parents) et en même temps autonomes. Ils vivent la jeunesse comme une période positive et valorisée de construction personnelle. La vie intime des jeunes adultes peut alors être comprise comme une période de socialisation active où s’expérimentent différents registres relationnels et s’acquière une expérience relationnelle amoureuse et sexuelle indispensable pour l’individu.
Algunos problemas relacionados con la integración de los miembros de la comunidad islámica en el sistema español de Seguridad Social
Authors: Cervilla Garzón María José 
Published: March 2023

Se abordan en este estudio dos tipos de problemas que pueden afectar a los miembros de la comunidad islámica, en relación a su posible integración en el Sistema español de Seguridad Social. Por una parte, los derivados de la posible prestación de servicios, tanto en el país islámico de origen como en el territorio español, siendo necesario coordinar las legislaciones de ambos Estados para el reconocimiento de prestaciones. Por otra, los provocados por determinadas prácticas e instituciones propias del derecho islámico, no reconocidas por nuestro ordenamiento jurídico, con particular referencia a la Kafala y a la continuidad que haya podido tener la doctrina del Tribunal Supremo sobre el reconocimiento de pensión de viudedad a todas las beneficiarias, en caso de matrimonio poligámico.
Responsabilidad por daños causados debido a productos defectuosos en caso de intervenciones médicas. A propósito de la sentencia del Juzgado de Primera Instancia de Madrid del 21 de junio de 2021
Authors: Cuenca Pinkert David 
Published: March 2023

El Juzgado de Primera Instancia de Madrid tuvo que pronunciarse en un supuesto prototípico que nos hace recordar la catástrofe del uso médico de la talidomida y a raíz del cual surgieron varias sentencias de ulteriores instancias en procedimientos paralelos e independientes, sobre la cuestión de si en caso de padecer daños un paciente tratado con un producto tóxico vendido por una empresa alemana y empleado en una intervención médica en España, es aplicable el derecho español a la pretensión indemnizatoria del paciente contra la aseguradora de la empresa, también germana, pudiéndose ejercitar mediante la acción directa contra la aseguradora, tan solo prevista en el propio ordenamiento.
Ésta sentencia de primera instancia se limita a aplicar precipitadamente la lex loci damni prevista en el artículo 4 (1) del Reglamento (CE) N° 863/2007 del Parlamento Europeo y del Consejo de 11 de julio de 2007 relativo a la ley aplicable a las obligaciones extracontractuales (en adelante: Roma II), zanjando así la cuestión sobre el derecho aplicable invocada por la demandada y logrando de este modo la aplicación del derecho español.
Resulta especialmente interesante analizar este panorama, pues a la luz de éste se demuestra cómo la actual jurisprudencia española solventa las cuestiones intrínsecas de derecho internacional privado, tales como la relación del Reglamento Roma II con el Convenio de la Haya de 2 de octubre del 1973, la aplicación del art. 5 Roma II en caso de daños causados por productos empleados en intervenciones médicas y la conexión alternativa del art. 18 Roma II, cuando el régimen al cual el contrato de seguro está sometido excluye la acción directa; cuestiones ignoradas o resueltas, a mi juicio, errónea o muy vagamente por los órganos jurisprudenciales.