bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evidence on the links between water insecurity, inadequate sanitation and mental health: A systematic review and meta-analysis
Authors: Kimutai Joan J. , Lund Crick , Moturi Wilkister N. , Shewangizaw Seble , Feyasa Merga , Hanlon Charlotte 
Published: May 2023

Background
Water insecurity and inadequate sanitation have adverse impacts on the mental health of individuals.

Objective
To review and synthesize evidence on the relationship between water insecurity, inadequate sanitation, and mental health globally.

Data sources
Relevant studies were identified by searching PubMed, PsycINFO, and EMBASE databases from inception up to March 2023.

Study eligibility criteria
Only quantitative studies were included. The exposure was water insecurity and or inadequate sanitation. The outcome was common mental disorders (CMD: depression or anxiety), mental distress, mental health or well-being. There was no restriction on geographical location.

Participants
General population or people attending health facilities or other services.

Exposure
Water insecurity and/ or inadequate sanitation.

Risk of bias
The effective Public Health Practice Project (EPHPP) assessment tool was used to assess quality of selected studies.

Synthesis of results
A meta-analysis was conducted using a random effects statistical model.

Results
Twenty-five studies were included, with 23,103 participants from 16 countries in three continents: Africa (Kenya, Ethiopia, Ghana, Uganda, South Africa, Malawi, Mozambique, and Lesotho), Asia (Nepal, Bangladesh, India, and Iran) and the Americas (Brazil, Haiti, Bolivia and Vietnam). There was a statistically significant association between water insecurity and CMD symptoms. Nine studies reported a continuous outcome (5,248 participants): overall standardized mean difference (SMD = 1.38; 95% CI = 0.88, 1.87). Five studies reported a binary outcome (5,776 participants): odds ratio 5.03; 95% CI = 2.26, 11.18. There was a statistically significant association between inadequate sanitation and CMD symptoms (7415 participants), overall SMD = 5.36; 95% CI = 2.51, 8.20.

Limitations
Most of the included studies were cross-sectional which were unable to examine temporal relationships.

Conclusions
Water insecurity and inadequate sanitation contribute to poorer mental health globally.

Implications of key findings
Interventions to provide basic water, sanitation and psychosocial support, could substantially contribute to reducing the burden of CMD alongside other health and social benefits.

Trial registration
PROSPERO registration number: CRD42022322528.
Development and characterization of a copolymeric micelle containing soluble and insoluble model drugs
Authors: Mohammadi Farhad , Moradi Alireza , Tavakoli Fatemeh , Rahmati Samaneh , Giti Rashin , Ramezani Vahid 
Published: May 2023

Objectives
Micelles are nano-sized particles with a core-shell structure that are made by natural or synthetic polymers or copolymers. The aim of this study was to develop and characterize a copolymeric micelle using two polymers loaded with hydrophilic and lipophilic drugs.

Methods
Poly(ethylene glycol) and poly(ε-caprolactone) (PEG-PCL) were used to form a copolymeric micelle which was further loaded with either moxifloxacin or clarithromycin as hydrophilic and lipophilic drug samples, respectively. Characterization tests were done including fourier transform-infrared (FT-IR) spectroscopy, proton nuclear magnetic resonance (1H NMR) spectroscopy, encapsulation efficiency, particle size, zeta potential, polydispersity index, transmission electron microscopy, and in-vitro release test.

Results
The construction of the copolymer was confirmed by the results of FT-IR and 1H NMR spectroscopy tests. The encapsulation efficiency test exhibited that loading was about 50% for twelve formulations. Particle size, zeta potential, polydispersity index, and transmission electron microscopy confirmed the formation of monodispersed, uniform, and nano-sized micelles with a few negative charges. The kinetic model of release was fitted to the Higuchi model.

Conclusions
Polymeric micelles consisting of PEG-PCL copolymer were loaded with adequate concentrations of hydrophilic (moxifloxacin) and lipophilic (clarithromycin) model drugs, with a mean particle size under 300 nm. Therefore, copolymeric micelles can be used as a suitable drug delivery system for mucous membranes and skin.
Predictors of discharge to home/community following inpatient-rehabilitation in a US national sample of Guillain-Barre-Syndrome patients
Authors: Kushner David S. , Johnson-Greene Doug , Felix Elizabeth R. , Miller Cheryl , Cordero Maite K. , Thomashaw Stacy A. 
Published: May 2023

Background
Guillain-Barre-Syndrome (GBS), an autoimmune polyneuropathy causing acute flaccid paralysis, is a rare condition with1-2 cases per 100,000 annually (approximately 5000 cases/year) in the United States (US). There is a paucity of published data regarding patient outcomes in association with discharge destinations following inpatient-rehabilitation (IR) in this patient population, thus this study.

Objectives
To analyze IR efficacy, and possible predictors of discharge to home/community in a US-national-sample of GBS patients.

Methods
Retrospective-observational-cohort study of 1304 GBS patients admitted to IR comparing discharge disposition destinations (community/home, skilled-nursing-facility [SNF], or return to acute-care) by demographic (age, gender) and clinical variables (length-of-stay [LOS], case-mix-index [CMI], and Functional-Independence-Measure [FIM] score changes). Multinomial-logistic-regression and discriminant-function-analysis were performed to determine model fit in predicting discharge destination.

Results
81.8% were discharged to home/community- average LOS 19-days, total-FIM-gain 43.2; 9.8% discharged to SNFs- average LOS 27.5-days, total-FIM-gain 27.2; and 8.4% discharged to acute-care- average LOS 15.4-days and total-FIM-gain 16.5, (F = 176, p < .001). Stepwise-linear-regression for prediction of community discharge showed change in FIM-Bed/chair/wheelchair-Transfers was the most significant predictor (Wald = 42.2; p < .001), followed by CMI (Wald = 26.9; p < .001), change in FIM-walking/wheelchair (Wald = 14.9; p < .001), and age (Wald = 9.5; p < .002). Using discriminant-function-analysis to test model validity for predicting discharge disposition, FIM-change for Bed/chair/wheelchair Transfers, Walking, and Self-Care as predictors resulted in a classification rate of 78.1%, 92% of variance explained, and Eigenvalue of .53 (p < .001).

Conclusions
Total-FIM scores improved in all groups, and most patients were discharged to home/community suggesting IR efficacy. The ability to transfer bed/chair/wheelchair was the most important predictive factor associated with discharge destination.
Failed MitraClip procedure with pull out of the anterior leaflet
Authors: Rutschow Susanne , Wilkenshoff Ursula , Gross Michael C. 
Published: May 2023

Abstract
MitraClip is an attractive and less invasive alternative to mitral valve surgery in serve mitral regurgitation in patients with moderate or severe risk for operation. It has been described to be effective and safe in functional as well as in degenerative mitral regurgitation. We report a case of MitraClip procedure with the pull out of the anterior leaflet during the intervention. The patient underwent cardiopulmonary support and surgical intervention with a good outcome. With this report, we illustrated the etiology and management of this complication.
A review and comparison of post registration midwifery curriculum in Sri Lanka with global standards
Authors: Jayathilake Sunethra , Jayasuriya-Illesinghe Vathsala , Molligoda Himani , Samarasinghe Kerstin , Perera Rasika 
Published: May 2023

Abstract
This paper presents the findings of a study comparing the post-registration midwifery curriculum (PRMC) taught in Sri Lanka with the International Confederation of Midwives (ICM) curriculum and five other selected curricula from other parts of the world to train midwifery trained registered nurses (MTRNs). In so doing, we consider the historical origins of post-registration midwifery training and its implications for modern teachings in Sri Lanka and other low-middle income countries (LMICs). Data collected through document review are read, summarized, and compared using checklists across different curricula components, content, and length. The wide variation in terms of length of the programs, content covered, the ratio of theoretical to practical content, and the range of skills and competencies developed has implications for the individual and professional growth of MTRNs. While there is a need to align the PRMC with the ICM standards to ensure safer maternity care in Sri Lanka, implications for developing and promoting the growth of midwifery as a strong independent body in LMIC is discussed.
„Seelsorge beim Hausarzt?“ Möglichkeiten und Hinderungsgründe für spirituelle Gespräche in der hausärztlichen Praxis – eine qualitative Studie
Authors: Mächler Ruth , Straßner Cornelia , Sturm Noemi , Krisam Johannes , Stolz Regina , Schalhorn Friederike , Valentini Jan , Frick Eckhard 
Published: May 2023

Zusammenfassung

Hintergrund: Im Rahmen des Forschungsprojektes „Ganzheitliches Versorgungsprogramm für ältere Patienten zur Stärkung von spirituellen Bedürfnissen, sozialer Aktivität und Selbstfürsorge in der hausärztlichen Versorgung (HoPES3)“ wird die Implementierung von Spiritual Care in allgemeinärztlichen Praxen untersucht.

Forschungsfragen: Wie reagieren kranke ältere Menschen auf das Angebot einer spirituellen Anamnese? Was sind hinderliche Faktoren für spirituelle Gespräche in Hausarztpraxen?

Methode: Ärzte und Ärztinnen aus 24 Praxen boten 164 ihrer Patienten und Patientinnen eine spirituelle Anamnese an. Mit 29 der Patienten bzw. Patientinnen wurden bis zu sechs Monate später qualitative leitfadengestützte Interviews geführt. Die Interviews wurden mittels Reflexive Thematic Analysis (RTA) ausgewertet.

Ergebnisse: Insgesamt hatten von den 29 befragten Patienten/Patientinnen nur elf das vollständige Anamnesegespräch geführt, die Mehrheit hatte das Gespräch abgelehnt. Als Gründe werden angegeben: Vorbehalte gegenüber religiösen Institutionen, Einschätzung der Thematik als „zu persönlich“ und ein Bedürfnis nach Selbstwirksamkeit. Die Beziehung zum Arzt oder der Ärztin wird mehrheitlich positiv geschildert, gleichzeitig wird ein allgemeines Bedürfnis nach einem Austausch auf Augenhöhe deutlich.

Diskussion: In den Reaktionen der Patienten/Patientinnen kann die Wirkung einer Machtasymmetrie in der Arzt-Patienten-Beziehung beobachtet werden, verstärkt durch das strukturelle Setting der Praxis sowie durch Parallelen des Gesundheitssystems mit religiösen Systemen, die bei der spirituellen Anamnese zum Tragen kommen können.

Schlussfolgerung: Bei Weiterbildungen im Feld Spiritual Care sollte die Sensibilität für das Thema Machtasymmetrien gestärkt werden.
¿Dónde están los fantasmas?: Lo invisible como un significante lingüístico
Authors: Suárez Edgar 
Published: May 2023

La semántica léxica defiende que, en la comunicación, existe un código lingüístico que al ser cifrado permite entender cómo se estructuran y actúan los significados de una palabra según su nivel de arbitrariedad. Ahora bien, en este artículo se aborda los sentidos y usos de la palabra fantasma, la cual es el resultado de una metaoperación que se constituye en una imagen (de base cognitiva), en tanto que esta se hace imagen (operación comunicativa) entre el significante y el significado. La conceptualización de nuestros fantasmas revela, respecto a nuestro sentido común, una respuesta de su significación en el cerebro asociado a ideas que en el lenguaje se conciben desde un carácter positivo, neutro o negativo. Por ende, la invisibilidad es una respuesta posible a su contacto mágico con la naturaleza y a un saber supersticioso que se opone al poder dominante del saber organizado en lo lingüístico. La finalidad de este artículo es explorar, a partir del psicoanálisis, una manera de observar a los fantasmas como una creación significante en el lenguaje (desde afuera, hacia adentro), sobre todo como punto de unión a los procesos semióticos que permiten crear terminologías culturales desde una perspectiva antropológica, artística y emocionalmente estética.
Marcos psicosociales del discurso argumentativo en la ecología migratoria hacia Chile
Authors: Noemi Cristian , Rossel Sebastián 
Published: May 2023

En los últimos años, la tendencia migratoria subcontinental hacia Chile —en razón de su dinamismo económico— ha alcanzado cifras nunca antes registradas y modificado el contexto demográfico del país. En este tenor, el trabajo analiza las representaciones psicosociales de los hablantes de esta nueva ecología discursiva y su relación con el flujo de información discursivo argumentativa que generan. Los resultados muestran que los hablantes chilenos tienen mayormente activados ciertos marcos psicosociales y, consecuentemente, generan secuencias argumentativas con punto de vista en contra con preferencia por argumentos ad misericordiam. Los hablantes inmigrantes tienen menor activación de los marcos psicosociales y, por consiguiente, generan punto de vista a favor fundamentado con argumentos de justicia.
Change of the Lithuanian Art (History) Canon: The Late Soviet Period and the Period of Independence
Authors: Šapoka Kęstutis 
Published: May 2023

The purpose of this article is to explicate socioideological mechanisms of the Lithuanian art (history) canon of the late Soviet period and the period of independence. It theoretically defines the concept of art (history) canon, an important aspect of which is socioideological predispositions. By drawing on representative publications and albums from the late Soviet period and the period of independence the article analyses how and to what extent the Lithuanian art (history) canon has changed or remained stable. The analysis uses the term ‘Quiet modernism’, which at the end of the first decade of the independence period was used to rebrand the image of Soviet-era artists and re-format the canon. The research showed that, during the time period under investigation, the Lithuanian art (history) canon has been shaped in line with both artistic principles and socioideological factors. The canon has been partly changing, but its core is still inert and static.
Argumentum Ornithologicum: How Avian Metaphors Help Understand Artistic Research Better
Authors: Gedutis Aldis , Michelkevičius Vytautas 
Published: May 2023

The article aims to examine the phenomenon of artistic research in the broader context of sciences and arts. For that purpose, Pierre Bourdieu’s methodological principle ‘exoticize the domestic’ is used. This principle enables to change and alter the epistemic perspective suggesting that ordinary and everyday things should be investigated as if they were alien and strange. In place of theoretical arguments for and against artistic research, an avian metaphor is invoked, which enables to exoticize the domestic sufficiently. By continuing and expanding the existing avian metaphors, the article aims to highlight those aspects of artistic research that are not easy to grasp and distinguish with the help of the usual arguments pro and con artistic research. The main question to be answered: how does the perception of artistic research change when looking at it as a phenomenon of the ornithological world?
Role of Corporate Social Responsibility in Improving Financial Performance: A Cross Sectional Study
Authors: Malhotra Rupa Khanna 
Published: May 2023

This study explores the relationship between corporate social responsibility (CSR) and the financial performance of businesses. CSR, a self-sustaining business model, enables companies to be held accountable for the effects of their operations on the social, economic, and environmental elements of society. Companies can fulfil their obligation to demand moral standards and behavior in the workplace through CSR, which will have a big impact on how the board of directors formulates its strategies. CSR-focused businesses go above and above what is required by law to reduce their negative social and environmental impacts. The study divides CSR initiatives into two categories: those that focus on symbolic and opportunistic CSR governance and those that are more determined and rigorous. The study highlights four CSR categories: economic responsibility, philanthropic responsibility, environmental responsibility, and ethical responsibility. In highlighting the relationship between CSR and a company's financial success, effects on the environment, employee and customer satisfaction, management of the firm's social connections, and societal influence, the investigation draws to a close.
Internet of Things as a Transformation Agent for New Age Businesses: An Empirical Study Current Status and Future Challenges
Authors: Negi Rakshit 
Published: May 2023

Internet of Things is transforming the world in every aspect. Businesses are one of the biggest beneficiaries of IoT as they are adapting with the transformation swiftly. Not only the businesses but everything which is connect to these businesses are getting advantages be it a Consumer, Government or other organizations. Digitization and IoT has changed the working approach of the companies. They are shifting more towards a digital path rather staying on a traditional way. This shift has benefitted the companies in many ways like the reach to the potential customer has increased and only interested customer can be targeted. Though the IoT proved to be beneficial but it does posses many threats to the business and to the consumer in the form of security breach and data exploitation etc. This paper with will discuss the current status of IoT in business and also highlight the future challenges might face by them.
A Decentralized Cloud Firewall Framework with Resources Provisioning Cost Optimization
Authors: Srivastava Prateek 
Published: May 2023

A new flexible method for supplying more computer power in a shared media is called cloud computing. It offers a distributed paradigm based on self-evaluation methods to increase the system's processing power with less managerial worries. Clients, applications, platforms, servers, and infrastructures make up its components. This computing architecture provides end users with calculation skills as a computed service from the aforementioned components. Security management will lose importance when more devices and their integration become available. One needs to manage data, system, and confidentiality problems carefully since cloud users are growing daily. Therefore, in order to address protected access and integrity concerns in a cloud environment, new security firewall services must be deployed in addition to the current system. Numerous network-related issues, including load balancing, scheduling, traffic divergence, filtering, regulating the rate of arrival, instance management, and attack detection, make it difficult to implement firewalls for cloud computing. A centralised cloud firewall makes it very difficult to predict the response time. Consequently, a new line of work has been established for actually implementing the new firewall techniques for the cloud. In order to reduce the cost of ownership and operation, it also strives to achieve resource optimization-based provisions and guidelines.
Minimizing User Costs in Multi-Broker Mobile Cloud Computing Networks
Authors: Baligo Anil Kumar 
Published: May 2023

The success and disruption of cloud computing over the past few years is unparalleled.In order to quickly allocate or reallocate virtual computing as well as storage resources, Infrastructure as a Service (IaaS) providers offer commercially accessible services that enable scaling out or in computing capabilities in response to changing needs.Users can provide new apps using IaaS services without having to manage the supporting infrastructure. In this study, the system takes into account an MCC model in which several brokers allot cloud resources to mobile consumers. The approach is distinguished by a heterogeneous cloud architecture and by the many cloud service providers' pricing models. Both a public cloud and a cloudlet are part of it. A competitive strategy and a compete-then-cooperate approach are investigated by the system as a performance bound. The computer creates a cooperative issue with the restriction that none broker should be required to shell out beyond the dispute price, with the objective of lowering the overall average broker price. The system uses a mix of the branch and bound paradigm with sophisticated convex relaxation techniques to develop a novel globally optimum solution algorithm to handle the ensuing non-convex cooperative issue.
Hiding the Data Using Hybrid of LSB and AES in Encrypted Image
Authors: Das Purushottam 
Published: May 2023

Abstract
In this technique, which is known as "Reserving Room before Encryption," we first allotted some space for data embedding. Then, the picture was encrypted using the private key, which helps to safeguard the encryption process. Using a different private key, the data is then securely hidden in an encrypted image. Following points, we receive two private keys from the transmitter side, which increased the encryption and decryption processes' security. The data hiding the encrypted image and the two private keys are now sent to the receiver. Receivers can only retrieve data and images if they have access to the encryption key and the data concealing private key, respectively. Thus, the image and data were not easily recovered by the hackers. Because of this, despite the AES algorithm's mathematical soundness, the primary underlying issues with it, like as speed and the use of subpar or tiny prime integers that have resulted in severe security breaches, may be resolved. A basic and commonly utilised technology worldwide is public key cryptography. The majority of public key algorithms, including AES, are based on modular arithmetic. As a result, performing public key encryption and decryption requires performing several modular multiplications on very large values. As a result, symmetric key algorithms are known to be faster than public key algorithms. It has recently become increasingly commonplace to use GPUs for general-purpose computing. The extremely parallel features have been used to significantly improve the performance of many computer problems.
Generating Document Summary using Data Mining and Clustering Techniques
Authors: Rana Deepak Singh 
Published: May 2023

Abstract
This paper presents a novel approach to generating document summaries using data mining and clustering techniques, specifically K-means clustering and bisecting K-means clustering algorithms. With the exponential growth of textual data, there is an increasing need for efficient and accurate summarization techniques to aid users in understanding the key information within large collections of documents. This study explores the potential of data mining and clustering methods in extracting salient features from textual data and producing high-quality summaries. By applying K-means clustering and bisecting K-means clustering algorithms to the preprocessed textual data, the proposed approach groups similar sentences together and selects the most representative sentences from each cluster to form the final summary. The performance of the proposed method is evaluated using standard evaluation metrics, such as precision, recall, and F1-score, and compared with existing summarization techniques. The results demonstrate that the combination of data mining and clustering techniques provides a promising solution for generating accurate and concise document summaries, with potential applications in various domains, such as news aggregation, scientific literature summarization, and social media content analysis.