bluuebunny/crossref_metadata_2025_split huggingface dataset:
Practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in South Gondar Zone, Amhara Region, Ethiopia, 2020
Authors: Yirdaw Berhanu Wale , Gobeza Mengistu Berhanu , Tsegaye Gebreegziabher Netsanet 
Published: December 2022

IntroductionTraditional uvulectomy is widely practiced in Africa especially in sub-Saharan countries including Ethiopia. Studies conducted in different times and areas of the world have shown that the level of practice of uvulectomy and its associated factors were varied from country to country. Therefore, this study was carried out to assess the practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in the South Gondar Zone.ObjectiveThis study aimed to assess practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in South Gondar Zone, Amhara Region, Ethiopia, 2020.MethodA community–based cross-sectional study was conducted on 634 participants who were selected using a multistage with a simple random sampling method. Data were collected using a structured interviewer-administered Amharic version questionnaire; it was entered into Epi Data and analyzed using SPSS. Descriptive statistics were calculated and logistic regressions were fitted to declare statistical significance at p-value < 0.05 and 95% CI.ResultThe prevalence of traditional uvulectomy in this study was 52.5% (95% CI, 48.6–56.3%). Moreover, lack of information [AOR = 2.975 (1.677–5.277)], perceived as uvula causes illness [AOR = 4.888 (2.954–8.086)], future intention or will perform [AOR = 4.188 (2.584–6.788)], perceived as traditional uvulectomy should not be eradicated [AOR = 1.893 (1.172–3.057)]), saw the previous good result [AOR = 9.396 (5.512–16.016)], health personnel hospitality problem [AOR = 5.922 (2.392–14.664)] and did not get cured by pharmacologic treatment [AOR = 3.918 (2.073, 7.405)] were significantly associated with traditional uvulectomy.Conclusion and recommendationThe prevalence of traditional uvulectomy was high. Lack of information, perceived as uvula causes illness, future intention to uvulectomy, perceived as traditional uvulectomy should not be eradicated, saw the previous good result, health personnel hospitality problem and did not get cured by pharmacologic treatment were the factors significantly associated with traditional uvula cutting. Therefore, special attention will be given to creating further awareness to the community at large and setting controlling mechanisms for the health care delivery system.
La arquitectura doméstica en Carthago Nova (siglos II a. C.-III d. C.): síntesis de un problema arqueológico
Authors: Gómez Marín Javier 
Published: December 2022

Esta publicación trata de sintetizar la notable cantidad de estructuras y restos de arquitectura doméstica documentada en la ciudad romana de Carthago Nova. Las diferentes intervenciones de carácter arqueológico que de manera intermitente se han ido desarrollando en la ciudad a lo largo de más de un siglo, así como algunos proyectos de arqueología urbana, han constatado la presencia de restos domésticos púnicos, bizantinos, islámicos y, por supuesto, romanos, siendo nuestro principal objeto de estudio e interés aquellos pertenecientes al periodo tardorrepublicano y altoimperial. La elaboración de esta síntesis pone de manifiesto las notables diferencias existentes entre las viviendas tardorrepublicanas y las pertenecientes al periodo altoimperial, siendo especialmente evidentes en aspectos tales como la técnica constructiva, los programas decorativos y ornamentales, o la planta. De igual manera, se aprecia un claro y marcado contraste entre las viviendas pertenecientes a las élites o a los individuos más acomodados de la ciudad en comparación con aquellos hogares propiedad de las gentes más humildes. Resulta especialmente destacable cómo los individuos más pudientes eligieron principalmente las laderas de las colinas de la ciudad como lugar donde emplazar sus viviendas. Este escrito también muestra varios ejemplos de viviendas pertenecientes al siglo III d. C., producto de la ocupación, reutilización y amortización de un edificio público, siendo ésta una dinámica presente durante este periodo en otras ciudades que se encontraban bajo la égida de Roma. En resumen, esta publicación constituye una versión actualizada que reúne todas las evidencias localizadas en la ciudad durante este periodo, exponiendo, además, sus principales características. Este conjunto de datos nos permite plantear futuras líneas de investigación de gran interés para el conocimiento de la arquitectura romana en Hispania y de su sociedad.
Tata Laksana Pasien Kritis pada Sumber Daya Terbatas
Authors: Kasim Riyanti Amujib , Arif Syafri Kamsul 
Published: December 2022

Latar belakang: Perawatan kritis merupakan komponen penting dari sistem perawatan kesehatan di seluruh dunia. Idealnya perawatan pasien sakit kritis di unit perawatan intensif (ICU) dikelola dengan tenaga kesehatan profesional yang sangat terspesialisasi, pemantauan secara sistematis dan penggunaan peralatan penunjang yang lengkap. Sayangnya, komponen ini tidak selalu tersedia terutama pada fasilitas kesehatan pesisir yang terbatas sumber daya. Hal ini berpotensi menyebabkan beban penyakit lebih besar dan hasil lebih buruk sehingga diperlukan pendekatan khusus dalam pelayanan perawatan kritis.Kasus: Perempuan 71 tahun body max index (BMI) 21,3 dikonsulkan perawatan ICU dengan diagnosis sementara bendungan paru akut dan pneumonia. Tata laksana pasien sepsis dan bendungan paru akut dengan menggunakan panduan parameter klinis dan memanfaatkan sumber daya dengan segala keterbatasannya.Pembahasan: Mengenali pasien dengan sepsis merupakan langkah penting untuk pengobatan yang efektif. Namun, pada tempat dengan sumber daya terbatas, definisi sepsis internasional tidak dapat sepenuhnya terpenuhi. Modifikasi definisi sepsis, sepsis beratn dan syok sepsis diperlukan agar bisa diterapkan pada situasi apapun termasuk tempat dengan sumber daya terbatas.Kesimpulan: Sepsis dan bendungan paru merupakan kondisi gawat darurat yang memerlukan terapi agresif dalam upaya penyematanan jiwa. Meskipun dengan semua keterbatasan yang ada, terapi agresif harus tetap dilakukan menggunakan pendekatan panduan literatur dan mengikuti perkembangan klinis yang ditunjukkan oleh pasien.
New observations on the rarely reported tropical dinoflagellates Tripos lanceolatus and T. schroeteri from the Colombian Caribbean, South Pacific and Indian Oceans
Authors: Castro-Cera Luis , Vega-Díaz Darío , Eriksen Ruth S. , Leblanc Karine , Hallegraeff Gustaaf M. 
Published: December 2022

Abstract
We report the circumtropical dinoflagellate Tripos lanceolatus (Kofoid) F. Gómez from the Colombian Caribbean, provide a new record from the tropical western Pacific off Tonga, and the first record from the Australian sector of the Indian Ocean. We present the first scanning electron micrographs of thecal ornamentation and apical pore structure which show its morphological similarities to T. furca (Ehrenberg) F. Gómez within the subgenus Biceratium. We also report the more widely distributed tropical species T. schroeteri (B. Schröder) F. Gómez from the Colombian Caribbean, and compare it to the first scanning electron micrographs of the morphologically similar T. digitatus (F. Schütt) F. Gómez within the subgenus Archaeceratium.
Empowering quality data – the Gordian knot of bringing real innovation into healthcare system
Authors: Horgan Denis , Hamdi Yosr , Lal Jonathan A. , Nyawira Teresia , Meyer Salomé , Kondji Dominique , Francisco Ngiambudulu M. , De Guzman Roselle , Paul Anupriya , Nallamalla Krishna Reddy , Park Woong-Yang , Triapthi Vijay , Tripathi Ravikant , Johns Amber , Singh Mohan P. , Phipps Maude E. , Dube France , Abu Rasheed Hadi Mohamad , Kozaric Marta , Pinto Joseph A. , Stefani Stephen Doral , Aponte Rueda Maria Eugenia , Alarcon Ricardo Fujita , Barrera-Saldana Hugo A. 
Published: December 2022

Abstract

Objectives
The introduction of Personalised Medicine (PM) into healthcare systems could benefit from a clearer understanding of the distinct national and regional frameworks around the world. Recent engagement by international regulators on maximising the use of real-world evidence (RWE) has highlighted the scope for improving the exploitation of the treasure-trove of health data that is currently largely neglected in many countries. The European Alliance for Personalised Medicine (EAPM) led an international study aimed at identifying the current status of conditions.

Methods
A literature review examined how far such frameworks exist, with a view to identifying conducive factors – and crucial gaps. This extensive review of key factors across 22 countries and 5 regions revealed a wide variety of attitudes, approaches, provisions and conditions, and permitted the construction of a comprehensive overview of the current status of PM. Based on seven key pillars identified from the literature review and expert panels, the data was quantified, and on the basis of further analysis, an index was developed to allow comparison country by country and region by region.

Results
The results show that United States of America is leading according to overall outcome whereas Kenya scored the least in the overall outcome.

Conclusions
Still, common approaches exist that could help accelerate take-up of opportunities even in the less prosperous parts of the world.
Slope characteristics of urban construction land and its correlation with ground slope in China
Authors: Duan Junhao , Peng Qiuzhi , Huang Peiyi 
Published: December 2022

Abstract
Since the 21st century, China’s urban construction land has been growing rapidly, piquing academic interest. However, mountainous counties account for the majority in China, previous studies have concentrated on the horizontal expansion characteristics of construction land, leaving a gap in the vertical expansion. This study used datasets for urban construction land and digital elevation model to analyze the spatiotemporal evolution characteristics of construction land slope in 2670 China’s counties, by exploratory spatial data analysis. Furtherly, we explored the slope relationship between ground and construction land using regression analysis. The findings indicate what follows: (1) The average slope of construction land had a spatial pattern of “high in the south and low in the north,” with significant spatial agglomeration characteristics. And it had increased with the urban expansion, shifting the slope-weighted mean center toward the southeast while enhancing spatial agglomeration. (2) There was a significant and steadily rising linear association between the urban construction land slope and ground slope, due to spatial heterogeneity; the most affected counties were primarily located near the Sichuan basin. According to the results, we provided suggestions for the rational use and sustainable development of land in cities, especially for mountainous regions in a period of rapid urbanization.
Revisiting English written VP-ellipsis and VP-substitution: a dependency-based analysis
Authors: Dai Zheyuan , Liu Haitao , Yan Jianwei 
Published: December 2022

Abstract
The present study quantitatively investigates the structural features of English written VP-ellipsis (VPE) and VP-substitution (VPS) under the theoretical framework of dependency grammar. Results show that: (a) Both VPE and VPS are human language mechanisms that follow the least effort principle; (b) Dependency distance of segmental and discontinuous linguistic units under the influence of VPE and VPS conform to the right-truncated Zipf-Alekseev distribution; (c) Dependency-based indices are effective in distinguishing similar structures of VPE and VPS, especially the Do-Support in ellipsis and Do + X in substitution. The study not only explores the regularity of partial segments of human language under the mechanisms of VPE and VPS, but also offers quantitative evidence for distinguishing confusing structures in VPE and VPS, which may aid in raising the retrieving precision of similar linguistic structures in corpora.
Effects of UV stress on Shewanella azerbaijanica bioremediation response
Authors: Ghasemi Razieh , Talebloo Newsha , Parsa Parisa , Saffarian Parvaneh , Baradaran Samaneh , Zarei Mahsa , Fatemi Faezeh 
Published: December 2022

Abstract

Shewanella azerbaijanica roles as a live electrode, passing electrons from electron donors to electron acceptors, to gain energy from the extracellular electron transfer (EET) pathway. The present study, considered the quantitative expressions of the major EET reductase genes (mtr cluster), together with uranium removal, live-cell counting, and spectrophotometry in UV-C treated bacteria (0, 60, 120 and 180 s). The simultaneous decline in the uranium removal and cell counting, along with major mtr gene expression patterns (mtrABDEF), approved the negative effects of UV-C radiation on uranium bioreduction in S. azerbaijanica. Uranium removal and cell counting decreased to 25.49% and 0.45 × 109 cells/mL in the 180s UV-C treated sample, respectively at 2 mM uranium concentration, while no decline trend found in 0.5 mM for the counted cells and uranium removal tests. No considerable expression of omcA and omcB (mtrC) genes were traced due to spontaneous mutagenesis during the in vitro serial passages, proposing a novel alternative EET pathway in S. azerbaijanica during uranium bioreduction process. The results could pave the way for further researches to modify the bioremediation process through genetic manipulation.
Ankunft im Museum
Authors: Sagurna Stephan 
Published: December 2022

Abstract
Annelise Kretschmer (1903–1987) zählt zu den bedeutenden deutschen Fotografinnen des 20. Jahrhunderts. Bereits während der Frühphase ihres Schaffens in der Weimarer Republik hat sie internationale Anerkennung erfahren. Ihr fotografischer Nachlass wurde über 30 Jahre von ihrer Tochter bewahrt und konnte Ende 2019 durch das LWL-Museum für Kunst und Kultur in Münster erworben werden. Der Beitrag schildert Weg und Workflow zur Übernahme des Konvoluts in die Sammlung des Museums mit dem erklärten Ziel den Bestand zu sichern, zu bearbeiten, zu präsentieren und für zukünftige Nutzungen zugänglich zu machen. In der chronologischen Abfolge des Projektberichts werden entscheidende Arbeitsschritte, Strategien und Herausforderungen beschrieben. Große und kleine Fortschritte, Projektmeilensteine und kritische Situationen finden ebenso Berücksichtigung wie Ereignisse, die direkten und indirekten Bezug zu Leben und Werk von Annelise Kretschmer aufweisen. Als Arbeitsprotokoll bietet der Bericht Einblicke in ein fotohistorisches Erschließungs- und Präsentationsprojekt und soll Inspiration und Anleitung im Umgang mit weiteren fotohistorischen Sammlungen sein.
Global Chopin: The 1949 Centenary and Polish Internationalism during the Early Cold War
Authors: Pierce J. Mackenzie 
Published: December 2022

Abstract
The 1949 Chopin Year was a large-scale cultural mobilization whose purpose was to bring Chopin’s music to hundreds of thousands of Poles and to promote it around the world, all funded and overseen by Poland’s newly established Communist state. Among the most striking aspects of the Chopin Year was its extensive international programming: not only did Polish diplomatic missions convince around thirty countries to organize Chopin celebrations that paralleled those in Poland, but they targeted countries outside the Soviet-dominated Eastern Bloc, despite the strictures of Stalinist-era anti-Westernism then growing across Eastern Europe. This article draws on unstudied archival sources from Polish ministries, musical institutions, and diplomatic missions to explore the historical and political forces at play in Poland’s Chopin-centered internationalism during the early Cold War. I demonstrate that cultural officials, composers, diplomats, and performers—all with varying stakes in state socialism—competed over the meaning of Chopin and his accomplishments when planning the Chopin Year. These various factions often agreed, however, on a decades-old view of the composer as both a national and an international figure, whose legacy was uniquely capable of promoting Polish causes on the global stage. By showing how the Chopin Year drew on and perpetuated a longue durée of Polish transnational contacts and discourse about the global Chopin, the article places Cold War internationalism within a longer lineage of border-crossing that had been a central aspect of European musical culture since at least Chopin’s lifetime.
Liraglutide 3.0 (Saxenda) in bariatric patients: a retrospective real-world clinical evaluation of effectiveness
Authors: Simenacz Amelia , Wilmington Rebekah , Green Carol , Ardavani Arash , Idris Iskandar 
Published: December 2022

Background: Glucagon-like peptide-1 analogues such as liraglutide 3.0 mg (Saxenda) have yielded signiﬁcant weight loss in clinical trials when combined with lifestyle interventions. Despite the recent approval of liraglutide 3.0 mg, its success among patients attending specialist bariatric units remains uncertain.
Objective: This study investigated the effectiveness of liraglutide 3.0 mg on weight, body mass index (BMI), treatment tolerability and its effects on glycated haemoglobin (HbA1c).
Methods: Clinical data were retrospectively obtained from medical records within Tier 3-4 bariatric weight management clinics. Wilcoxon signed rank tests were employed to establish the statistical signiﬁcance (p<0.05) of changes in weight and HbA1c.
Results: 33 patients were identiﬁed (72.7% female with mean baseline age, weight and BMI of 44.8 years, 156.6 kg and 55.0 kg/m2, respectively). Eighteen patients had completed 26 weeks of treatment. Of the 18 patients, the discontinuation rate due to side effects was 15.2%, indicating substantial treatment tolerance. After 26 weeks of treatment, BMI (±standard deviation) was signiﬁcantly reduced by 7.9±6.3% (p<0.05) and 72.2% of patients achieved at least 5% weight loss. Additionally, a signiﬁcant decrease in median HbA1c (4.5±4.5 mmol/mol) was observed (p<0.05), concurrent with increased remission from prediabetes.
Conclusion: This retrospective study revealed that liraglutide 3.0 mg, together with lifestyle management, reduced weight and improved glycaemic control. These results support liraglutide’s application in certain high-risk populations, including patients waiting for bariatric surgical intervention.
Modification of TSH-related genetic effects by indicators of socioeconomic position
Authors: Drogge Sophie-Charlotte , Frank Mirjam , Girschik Carolin , Jöckel Karl-Heinz , Führer-Sakel Dagmar , Schmidt Börge 
Published: December 2022

Objective
Thyroid-stimulating hormone (TSH) is influenced by genetic and environmental factors such as socioeconomic position (SEP). However, interactions between TSH-related genetic factors and indicators of SEP have not been investigated to date. The aim of the study was to determine whether education and income as SEP indicators may interact with TSH-related genetic effect allele sum scores (GESTSH_2013 and GESTSH_2020) based on two different GWAS meta-analyses that affect TSH values in a population-based study.

Methods
In 4085 participants of the Heinz Nixdorf Recall Study associations between SEP indicators, GESTSH and TSH were quantified using sex- and age-adjusted linear regression models. Interactions between SEP indicators and GESTSH were assessed by GESTSH × SEP interaction terms, single reference joint effects and calculating genetic effects stratified by SEP group.

Results
Participants within the highest education group showed the strongest genetic effect with on average 1.109-fold (95% CI: 1.067–1.155) higher TSH values per GESTSH_2013 SD, while in the lowest education group, the genetic effect was less strong (1.061-fold (95% CI: 1.022–1.103)). In linear regression models including interaction terms, some weak indication for a positive GESTSH_2013 by education interaction was observed showing an interaction effect size estimate of 1.005 (95% CI: 1.000–1.010) per year of education and GESTSH_2013 SD. No indication for interaction was observed for using income as SEP indicator. Using the GESTSH_2020, similar results were observed.

Conclusion
Our results gave some indication that education may affect the expression of TSH-related genetic effects. Stronger genetic effects in high-education groups may be explained by environmental factors that have an impact on gene expression and are more prevalent in high SEP groups.
Treating Complications of Extracorporeal Life Support in a Patient with COVID-19 (Case Report)
Authors: Rybalko A. S. , Galkina S. N. , Saryglar A. S. , Kolerov V. A. , Voronin A. V. , Perekhodov S. N. , Karpun N. A. 
Published: December 2022

We present a case of mechanical hemolysis as a complication of extracorporeal membrane oxygenation (ECMO) occurring in a COVID-19 patient as a result of pump head thrombosis. After emergency extracorporeal circuit replacement, hemoadsorption was initiated to address the negative hemolysis effects and plasma free hemoglobin rise in the setting of rapid clinical deterioration and impaired renal function. During therapy hemolysis severity reduced, the lactate dehydrogenase (LDH) levels decreased, while the P/F ratio increased two-fold. The patient was discharged from hospital on day 54 without the need for either oxygen therapy or dialysis. In the discussion section we addressed frequent issues of choosing therapy for ECMO complications.Conclusion.The timely, properly chosen, and clinically relevant use of hemoadsorption combined with advanced high-technology therapeutic procedures can have a positive impact on the patient's outcome.
Epistemic inclusion in the Qanuilirpitaa? Nunavik Inuit health survey: developing an Inuit model and determinants of health and well-being
Authors: Fletcher Christopher , Riva Mylène , Lyonnais Marie-Claude , Baron Annie , Saunders Ida , Lynch Melody , Baron Marie 
Published: December 2022

Abstract
Objective
At the request of Nunavik Inuit health authorities and organizations, the Qanuilirpitaa? 2017 Nunavik regional health survey included an innovative “community component” alongside youth and adult epidemiological cohort studies. The community component objective was to identify and describe community and culturally relevant concepts and processes that lead to health and well-being.

Methods
A qualitative, community-based research process involving workshops and semi-structured interviews was used to generate a corpus of data on health concepts and processes specific to Inuit communities in Nunavik. Thematic analysis and repeated community validation allowed for the identification of three key dimensions of health salient to Inuit experience and eight community-level health determinants.

Results
The health model consists of three linked concepts: ilusirsusiarniq, qanuinngisiarniq, and inuuqatigiitsianiq, which reflect distinct dimensions of Inuit health phenomenology. The determinants community, family, identity, food, land, knowledge, economy, and services were generated through analysis and reflect community-level sources of health and well-being.

Conclusion
The development of the culturally grounded health models and determinants is an exercise of epistemic inclusivity through which researchers and Indigenous communities may form new and equitable paths of knowledge creation.