bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Association of Homelessness With Rates of Diabetes Complications: A Population-Based Cohort Study
Authors: Sharan Ruchi , Wiens Kathryn , Ronksley Paul E. , Hwang Stephen W. , Booth Gillian L. , Austin Peter C. , Spackman Eldon , Bai Li , Campbell David J.T. 
Published: June 2023

OBJECTIVETo estimate the rates of diabetes complications and revascularization procedures among people with diabetes who have experienced homelessness compared with a matched cohort of nonhomeless control subjects.RESEARCH DESIGN AND METHODSA propensity-matched cohort study was conducted using administrative health data from Ontario, Canada. Inclusion criteria included a diagnosis of diabetes and at least one hospital encounter between April 2006 and March 2019. Homeless status was identified using a validated administrative data algorithm. Eligible people with a history of homelessness were matched to nonhomeless control subjects with similar sociodemographic and clinical characteristics. Rate ratios (RRs) for macrovascular complications, revascularization procedures, acute glycemic emergencies, skin/soft tissue infections, and amputation were calculated using generalized linear models with negative binomial distribution and robust SEs.RESULTSOf 1,076,437 people who were eligible for inclusion in the study, 6,944 were identified as homeless. A suitable nonhomeless match was found for 5,219 individuals. The rate of macrovascular complications was higher for people with a history of homelessness compared with nonhomeless control subjects (RR 1.85, 95% CI 1.64–2.07), as were rates of hospitalization for glycemia (RR 5.64, 95% CI 4.07–7.81) and skin/soft tissue infections (RR 3.78, 95% CI 3.31–4.32). By contrast, the rates of coronary revascularization procedures were lower for people with a history of homelessness (RR 0.76, 95% CI 0.62–0.94).CONCLUSIONSThese findings contribute to our understanding of the impact of homelessness on long-term diabetes outcomes. The higher rates of complications among people with a history of homelessness present an opportunity for tailored interventions to mitigate these disparities.
A Scoping Review of the Relation Between Toothbrushing and Diabetes Knowledge, Glycemic Control, and Oral Health Outcomes in People With Type 2 Diabetes
Authors: Lipman Ruth D. , O’Brien Kelly K. , Bardsley Joan K. , Magee Michelle F. 
Published: June 2023

Objective
Given the bidirectional relationship between type 2 diabetes and periodontal disease, this study sought to compile the available data regarding the relationship between home oral hygiene, specifically toothbrushing, and glycemic control and oral health in people with type 2 diabetes.

Methods
A systematic scoping review was conducted using a combination of controlled vocabulary and keyword terms for type 2 diabetes and home oral care in PubMed and CINHAL. Publications from the past 20 years were considered for inclusion. Study data were summarized.

Results
A total of 11 studies met our inclusion criteria. In all survey research identified, self-report of more frequent toothbrushing in people with type 2 diabetes was always found to be associated with self-report of better glycemic control and was often associated with better clinician-conducted measures oral health. In the interventional studies identified, health coaching about oral health was associated with improvements in glycemic control, and health coaching compared with health education was found to be associated with enhanced improvement in glycemic control and self-reported toothbrushing behavior.

Conclusion
The available data suggest that improved engagement in toothbrushing behavior may be associated with improved oral health and better glycemic control in people with type 2 diabetes. Whether improvement in glycemic control is a direct result of change to the oral environment, succeeding with one behavior change stimulating engagement in other health behavior changes, a combination of the two, or something else cannot be determined from this review. Additional studies are needed to further explore the potential for oral health coaching to improve the well-being of people with type 2 diabetes.
<strong>The association of homelessness with rates of diabetes complications: A population-based cohort study</strong>
Authors: Sharan Ruchi , Wiens Kathryn , Ronksley Paul , Hwang Stephen , Booth Gillian , Austin Peter , Spackman Eldon , JT Campbell David 
Published: June 2023

<p><strong>Objective:</strong> To estimate the rates of diabetes complications and revascularization procedures among people with diabetes who have experienced homelessness compared with a matched cohort of non-homeless controls.</p>
<p><strong>Research Design and Methods:</strong> A propensity-matched cohort study was conducted using administrative health data from Ontario, Canada. Inclusion criteria included a diagnosis of diabetes and at least one hospital encounter between April 2006 and March 2019. Homeless status was identified using a validated administrative data algorithm. Eligible people with a history of homelessness were matched to non-homeless controls with similar sociodemographic and clinical characteristics. Rate ratios for macrovascular complications, revascularization procedures, acute glycemic emergencies, skin/soft tissue infections, and amputation were calculated using generalized linear models with Negative Binomial distribution and robust standard errors. </p>
<p><strong>Results:</strong> 1,076,437 people were eligible for inclusion in the study, and of these, 6944 were identified as homeless. A suitable non-homeless match was found for 5219 individuals. The rate of macrovascular complications was higher for people with a history of homelessness compared to non-homeless controls (RR=1.85; 95%CI:1.64-2.07), as were rates of hospitalization for glycemia (RR=5.64; 95%CI: 4.07-7.81) and skin/soft tissue infections (RR=3.78; 95%CI: 3.31-4.32). By contrast, the rates of coronary revascularization procedures were lower for people with a history of homelessness (RR=0.76; 95%CI: 0.62-0.94). </p>
<p><strong>Conclusions:</strong> These findings contribute to our understanding of the impact of homelessness on long-term diabetes outcomes. The higher rates of complications among people with a history of homelessness present an opportunity for tailored interventions to mitigate these disparities.</p>
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<strong>Unmasking Barriers in the Delivery of Preconception Counseling and Contraception Provision for Patients With Type 1 or Type 2 Diabetes</strong>
Authors: A. Abushamat Layla , Sayres Lauren , Jeffers Rebecca , Nielsen Chloe , A. Barbour Linda , Zaman Adnin 
Published: June 2023

<p> </p>
<p>Suboptimal glycemic control among women with type 1 or type 2 diabetes before conception and during the early part of pregnancy is a powerful risk factor for fetal anomalies, macrosomia, and stillbirth. Major congenital anomalies occur in up to 25–30% of infants of women with type 1 or type 2 diabetes (1). Hyperglycemia during fetal organogenesis (5–8 weeks after the last menstrual period) is a considerable teratogen, and, consequentially, the risk of fetal anomalies related to preexisting maternal diabetes can be reduced to background risk when glycemic control is at goal.</p>
<strong>A Scoping Review of the Relation Between Toothbrushing and Diabetes Knowledge, Glycemic Control, and Oral Health Outcomes in People With Type 2 Diabetes </strong>
Authors: D. Lipman Ruth , K. O’Brien Kelly , K. Bardsley Joan , F. Magee Michelle 
Published: June 2023

<p> </p>
<p><strong>Objective. </strong>Given the bidirectional relationship between type 2 diabetes and periodontal disease, this study sought to compile the available data regarding the relationship between home oral hygiene, specifically toothbrushing, and glycemic control and oral health in people with type 2 diabetes. </p>
<p><strong>Methods. </strong>A systematic scoping review was conducted using a combination of controlled vocabulary and keyword terms for type 2 diabetes and home oral care in PubMed and CINHAL. Publications from the past 20 years were considered for inclusion. Study data were summarized. </p>
<p><strong>Results. </strong>A total of 11 studies met our inclusion criteria. In all survey research identified, self-report of more frequent toothbrushing in people with type 2 diabetes was always found to be associated with self-report of better glycemic control and was often associated with better clinician-conducted measures oral health. In the interventional studies identified, health coaching about oral health was associated with improvements in glycemic control, and health coaching compared to health education was found to be associated with enhanced improvement in glycemic control and self-reported toothbrushing behavior. </p>
<p><strong>Conclusion. </strong>The available data suggest that improved engagement in toothbrushing behavior may be associated with improved oral health and better glycemic control in people with type 2 diabetes. Whether improvement in glycemic control is a direct result of change to the oral environment, succeeding with one behavior change stimulating engagement in other health behavior changes, a combination of the two, or something else cannot be determined from this review. Additional studies are needed to further explore the potential for oral health coaching to improve the well-being of people with type 2 diabetes. </p>
Dampak Penerapan Model Pembelajaran Inkuiri Terbimbing terhadap Hasil Belajar IPA dan Kemampuan Berpikir Kritis Siswa
Authors: Mulyanti Ni Made Budhi , Gading I Ketut , Diki  
Published: June 2023

Rendahnya kemampuan berpikir kritis siswa juga sering ditemui pada kegiatan pembelajaran di sekolah-sekolah. Hal ini akan mempengaruhi hasil belajar yang rendah. Penelitian ini bertujuan untuk menganalisis model inkuiri terbimbing terhadap hasil belajar IPA dan kemampuan berpikir kritis siswa kelas 5 SD. Penelitian ini merupakan penelitian eksperimen semu (quasi eksperimental) dengan design yang digunakan yaitu pretest-post test control group design. Populasi dalam penelitian ini adalah 110 orang siswa, sampel penelitian sejumlah 39 orang ditentukan dengan menggunakan teknik random sampling terpilih 20 orang siswa kelas 5 dan 19 orang siswa kelas 5. Metode pengumpulan data menggunakan tes. Data dianalisis menggunakan Uji MANOVA. Hasil penelitian menunjukkan secara simultan hasil belajar IPA dan kemampuan berpikir kritis siswa yang mengikuti model pembelajaran inkuiri terbimbing dipadukan dengan multimedia digital lebih baik dibandingkan dengan siswa yang tidak mendapatkan perlakuan tersebut, dengan nilai Fhit sebesar 5,047 dan nilai signifikansi kurang 0,01. Sehingga dapat disimpulkan pembelajaran dengan model inkuiri terbimbing dipadukan dengan multimedia digital secara simultan mampu meningkatkan hasil belajar IPA dan kemampuan berpikir kritis siswa kelas 5 SD. Implikasi penelitian ini diharapkan penerapan model pembelajaran inkuiri terbimbing yang telah terbukti secara empiris dan berkontribusi positif dalam peningkatan hasil belajar dan kemampuan berpikir kritis.
Control-Enhancing Mechanisms in State-Owned Companies – Analysis of Companies Listed on the Warsaw Stock Exchange
Authors: Miążek Radosław 
Published: June 2023

Abstract

Purpose
In countries with a developed economy, including Poland, the state seeks to retain control of enterprises (companies) operating in so-called strategic sectors, such as fuel and energy, chemical industry, transport, and telecommunications infrastructure. Proper control of these entities not only determines the effective implementation of economic policy, but it is also important to ensure the economic sovereignty of the state and public security.
The purpose of this study is to identify and analyze control-enhancing mechanisms in SOEs listed on the Warsaw Stock Exchange (WSE), taking into account the division between majority and minority state ownership.

Methodology
Analysis of documentation.

Findings
Based on the analysis of statutes and shareholder structures of the investigated entities, it is established that for companies with minority state ownership, the state uses control-enhancing mechanisms to gain effective control of the company. Similar mechanisms are also applied in companies with majority state ownership, where these mechanisms contribute to achieving full control of the company. The most commonly used mechanism is a dominant shareholder status and limitation of voting rights for shareholders other than the state.

Originality
Apart from state-owned companies, this analysis also included companies indirectly controlled by the state.
Determinants of inheritance and gifts taxation in the European Union
Authors: Kudła Janusz , Woźniak Rafał , Walczyk Konrad , Dudek Maciej , Kruszewski Robert 
Published: June 2023

Abstract
Inheritance and gift taxation vary widely among countries in both the design and tax burden. We analyze the impact of a series of factors, such as the country’s affluence, political preferences, preferences for equity, aging ratio, fiscal standing of the state, and the country’s size, on inheritance tax systems. The applied methods involve the random effects ordered logistic regression for tax design and tobit correlated-random effect models for tax revenues. We find that inheritance tax design is mainly determined by demographic factors while tax revenues depend on a broader group of factors including political orientation of a state, condition of an economy, and the size of a country. Higher preferences for equal distribution and commitment to democratic norms are associated with higher tax revenues. Good economic condition of the state boosts revenues, as does country’s higher population. The results shed some light on future evolution of inheritance taxation.
Local context of local government participation in the innovation networks: Evidence from Poland
Authors: Godlewska Malgorzata , Mackiewicz Marta 
Published: June 2023

Abstract
Innovation networks help to create innovation ecosystems by strengthen interactions between government, academia, business, and special institutions. The purpose of the article is to identify the relationship between the local context, i.e., the conditions and environment in which the Local Government Unit operates and their participation in the innovation networks. The analysis is based on a survey of 184 local government authorities in Poland, Local Administrative Unit level 2. The present study examines the hypothesis that the more supportive the local context is in the Polish municipalities and cities on district rights, the greater the engagement of local government authorities in local or regional innovation networks. The supportive local context was defined by a set of institutional, economic, geographical, demographic, cultural, political, managerial, and administrative factors. The research findings indicate that the key factors that influence the engagement of local government in local or regional innovation networks are institutional factors.
High resolution 2D plastic scintillator detectors for radiotherapy departments
Authors: Woźniak Grzegorz Zbigniew , Kozłowska Beata 
Published: June 2023

Abstract

Introduction
Plastic scintillation detectors (PSD) have been developed for over four decades and are widely used in a variety of fields, but one can find relatively few reports of their clinical use compared to other dosimetric solutions.

Material and methods
The inexpensive detector setup made of a Saint-Gobain BC-400 plastic scintillator and commercially available on the market CMOS-based DSLR Pentax camera was investigated. Build PSD detectors were irradiated with 6, 10 and 15 MV flattening filtered (FF) and 6 and 10 MV flattening filter free (FFF) photon beams using a clinical linear accelerator. Data were processed using Matlab software to remove background and artefacts. A comparison of the spatial resolution parameters to the Gafchromic EBT3 films was performed.

Results
Average dose difference between TPS and PSD was 1.1%. The measured spatial resolution was 0.29 mm, and it differed from the film by 1.1%. MTF50 for PSD was 0.57 mm higher than the Gafchromic film. Signal to dose fit function with an R-square equal to 0.999 was established. The standard deviation of mean pixels value for a series of measurements was below 0.1%, for variable dose rate dependence was below 0.6% and for different energies 1.1%.
It was demonstrated that such a setup allows a satisfactory signal-to-dose dependence and provides high spatial resolution at an affordable price compared to a 2D ion chamber or a diode detector array. Moreover, PSDs are reusable and provide a simple readout compared to Gafchromic films commonly used in radiotherapy departments.

Conclusions
Variable parameters of the camera allow to select signal values at the optimal level. The system presented excellent signal stability, high image resolution and a simple signal-to-dose relationship which encourages further work to investigate PSDs for use in radiation therapy departments.
Analisis Ketahanan Sosial Masyarakat “Nusantara” Dalam Pembangunan Ibukota Negara
Authors: Valentina Annisa , Elsera Marisa 
Published: June 2023

The development of New State Capital (IKN),"Nusantara", has been in progress and urgently needs more facilities to support its development like Jakarta, the capital of Indonesia. The development would bring more heterogenity of community after movement which may lead to social conflict. The purpose of this study is mapping the condition of social resillence in the "Nusantara" community and to examine the supporting and inhibiting factors for the development of social resilience. The approach applied in this article was a qualitative literature study, by examining the text from online news. The object of this study was development of IKN and its impact in social resilience. Data were collected through online assessments. After that, data were sorted, categorized, and analyzed. The results of the study show that the social resilience of local people is still weak; great effort is needed to strengthen local people’s resilience too increase ability of them to facie challenges in the IKN.
Prevalence of germline mutations in women with breast and/or ovarian cancer in a tertiary care center in Pune, India
Authors: Kulkarni Shriniwas Subhash , Nag Shona , Patra Abhilash , Pant Hira Ballabh , Agiwal Varun , Nirupama A. Y. , Chaudhuri Sirshendu , Murthy G. V. S. 
Published: June 2023

In India, the incidence of breast cancer accounted for 1,78,361 cases, whereas ovarian cancer accounts for 45,701 cases, according to Globocan Report 2020. These cancers are known to have a hereditary basis, and >10% of them are associated with pathogenic BRCA1 and BRCA2 mutations. The prevalence of BRCA1 and BRCA2 varies across various Indian studies and is reported to be 2.9–28%. However, gene mutations other than BRCA1 and BRCA2 which are shown to increase the risk of hereditary breast and ovarian cancer (HBOC) are underreported.

Objectives:
The objective of this study was to estimate the prevalence of deleterious germline mutations among women with breast and/or ovarian cancer.

Material and Methods:
A cross-sectional study was conducted in the department of oncology at a super specialty hospital. Patients were enrolled based on the current National Comprehensive Cancer Network guidelines for genetic risk and evaluation of HBOC. Demographic and clinical information was extracted from the electronic medical records of the hospitals from 2018 to 2021. Next-generation sequencing (NGS) was performed on the extracted DNA using a custom capture kit and classified based on the American College of Medical Genetics.

Results:
A total of 94 patients suspected of having HBOC were examined for deleterious germline mutations. The median age of the patient was 46 years (range: 38–57 years). Breast and ovarian cancer patients constituted 64.9% and 35.1%, respectively. The overall mutation detection rate was 25.5%. The positive mutation detection rate was 26.2% and 24.2% in breast and ovarian cancer, respectively, whereas the variant of uncertain significance rate was 18.03% and 24.2%, respectively. Among the pathogenic mutations, BRCA1 was the most common mutation in women with breast cancer (81.3%). In ovarian cancer, it was 50%. BRCA2 mutation was more prevalent in ovarian cancer (50%).

Conclusion:
Our study reports a higher prevalence of germline BRCA1 and BRCA2 mutations in breast and ovarian cancer as compared to other studies. Genetic testing can be offered to high-risk women regardless of family history. This will be useful during diagnosis and help physicians in planning subsequent treatment.
Penyusunan Pembukuan dan Digitalisasi Marketing Sebagai Wujud Peningkatan BUMDes di Desa Nglele
Authors: Aminin  , Moh.Bagus Nasrullo  
Published: June 2023

The establishment of Village Owned Enterprises (BUMDes) is the spearhead of Indonesia's development. However, not a few of the Bumdes programs are not running optimally. Lack of understanding of bookkeeping and program development in Bumdes is a problem that is often faced by village-owned enterprises. Therefore, together with students team in Nglele Village, they have helped improve the BUMDes Buana Sejahtera program in Nglele Village. Through the E-catalog registration program for MSMEs in Nglele village and also the bookkeeping assistance program is a form of developing the Bumdes program towards the era of digital marketing.
Keywords : The Role of BUMDes, E-Catalog, UMKM
COMO OS(AS) ALUNOS(AS) OUVINTES DO ENSINO MÉDIO INTEGRAL PODEM VIVENCIAR A LÍNGUA BRASILEIRA DE SINAS (LIBRAS)?
Authors: Ferreira Silva Coelho de Lemos Elsa , De Paula Chaguri Jonathas 
Published: June 2023

A inclusão é um fato imprescindível a ser respeitado e cada vez mais implantado na sociedade. Desse modo, este artigo justifica-se pela necessidade de pensar em formas de ensino que envolva o(a) aluno(a) ouvinte a fim de colaborar com a inclusão do(a) aluno(a) surdo(a) e despertar o interesse por aprender Libras. O objetivo é divulgar o resultado de uma intervenção didático-pedagógica realizada com os(as) alunos(as) ouvintes de uma turma do 2º ano do ensino médio integral de uma escola estadual do município de Timbaúba a vivenciarem a Língua Brasileira de Sinais (Libras), por meio da elaboração de placas informativas para o ambiente escolar. Com relação aos pressupostos teóricos, este trabalho fundamenta-se no Círculo de Bakhtin (BAKHTIN/VOLOCHÍNOV, 2006, BAKHTIN, 2003), com relação ao conceito dos gêneros discursivos e no Interacionismo Sociodiscursivo (DOLZ; NOVERRAZ; SCHNEUWLY, 2004; Costa-Hübes, 2009; 2011), quanto a elaboração de uma sequência didática, como forma de organizar didaticamente a elaboração de placas informativas em Libras para o ambiente escolar. Os aspectos metodológicos configuram-se por ser uma pesquisa-ação (ENGEL, 2000; TRIPP, 2005), de cunho qualitativo (GIL, 2002; 2008). Como resultado final, oportunizamos aos(às) alunos(as) a aprendizagem da Libras para se comunicarem e promoverem a inclusão de colega surdo(a) da escola ou qualquer outra pessoa surda que vive na sociedade. Para o(a) professor(a), o aperfeiçoamento de sua prática pedagógica no ensino da Libras na educação básica.