bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of subclinical Cardiovascular Disease in healthy HIV infected patients at the University Teaching Hospital in Lusaka, Zambia
Authors: Kabwe L. , Lakhi S. , Kalinichenko S. , Mulenga L. 
Published: September 2023

Background: Cardiovascular diseases are among the leading cause of morbidity and mortality worldwide. The association between HIV and CVD has been established in many studies. However, information is still lacking on subclinical disease as well as its associated risk factors in this population. This study aimed at establishing the prevalence of subclinical CVD among clinically healthy HIV people attending their regular out- patient visits. It also looked at risk factors (traditional and non traditional) as well as the association of CVD to the CD4 count.
Methods: we enrolled a total of 243 asymptomatic HIVinfected patients from the HIV outpatient clinic at the University Teaching Hospital. Data collected included demographic characteristics, duration of HIV infection, drug history including HAART regimen and cardiovascular risk factors (hypertension, diabetes and smoking). Clinical data included blood pressure, weight and height. Laboratory data included CD4 counts, serum creatinine, total cholesterol and triglycerides. We tested for subclinical CVD using 3 tools: Ankle Brachial Index (ABI) to measure for the presence of peripheral artery disease, 12 lead Electrocardiogram (ECG) for electrical abnormalities and transthoracic Echocardiography (ECHO), to measure abnormalities in cardiac structure and function. At analysis, patients where dichotomised into those with CD4≤350 and those with CD4>350.
Results: participants characteristics were as follows: the mean age, 42 years (SD±10); 143 (58.5%) females; CD4≤350cells/ml was found in 140 (57.6%); 112(86.2%) were receiving HAART with 86.2% being on 1st line regimen. Systolic hypertension was present in 84(34.6%), diastolic hypertension in 89(36.6%) and 39.5% had creatinine clearance<90. Diabetes and current smoking were not very common (3.3% and 2.9% respectively). High total cholesterol was found in 19(7.82%) of the participants while 37(15.23%) had high triglycerides. On ECG, ECHO and ABI, abnormalities were found in 53.9%, 44.4% and 20.2% respectively). The commonest cardiac lesion on both ECG and ECHO was left ventricular hypertrophy (27.4% and 23.3% respectively). Participants with CD4≤350 had higher prevalence of abnormalities on ECG (P=0.022) and ABI (P=0.043). Clinical factors associated with increased risk of subclinical CVD on multivariate logistical regression included CD4≤350, systolic BP>140mmHg and diastolic BP >90mmHg.
Conclusions: Prevalence of subclinical CVD in healthy HIV infected patients is high and those with CD4≤350 have a higher risk. Hypertension is the most important traditional CVD risk factor in this population. There is need to screen HIV patients attending their routine clinic visits for hypertension and subclinical CVD. ABI and ECG are readily available in most institutions and can be used with minimal expertise.
Promoviendo el Aprendizaje Activo en el Aula universitaria: Estrategias, Beneficios y Desafíos
Authors: Mendoza-Zambrano María Guadalupe , Meza-Montes Jéssica Katherine , Vélez-Falcones Ana Cecilia 
Published: September 2023

La participación activa de los estudiantes es esencial para el éxito de la enseñanza y el aprendizaje. Sin embargo, lograr esta participación representa un desafío particular para los docentes, ya que las nuevas generaciones de estudiantes demandan enfoques de aprendizaje que fomenten actitudes más positivas hacia su formación.
Este artículo explora diversas estrategias, como una perspectiva diferente sobre la evaluación, actividades basadas en el aprendizaje activo, el ciclo de aprendizaje a través de experiencias y la gamificación, que pueden ser alternativas valiosas para incorporar en el proceso de enseñanza-aprendizaje. La tradicional transmisión unilateral de conocimientos por parte del profesor en la educación superior debe ser reemplazada por un entorno que promueva la autoformación de los alumnos.
Los resultados obtenidos en este estudio demuestran que fomentar la participación de los estudiantes en el aula es un desafío constante, independientemente de la experiencia del docente en la profesión. En última instancia, este artículo enfatiza la importancia de un diseño de curso deliberado como clave para lograr la participación activa de los alumnos.
Políticas públicas de la comunicación y desarrollo del turismo en la provincia de Puno
Authors: Calderon Tumi Juan Alfredo , Caleron Tumi Marianela Jhajaira 
Published: September 2023

Las políticas públicas de la comunicación son un fenómeno educativo, estratégico y dinamizador de valor comunicacional, que se expresa utilizando medios, instrumentos, habilidades y otros mecanismos para impulsar la gestión pública y el desarrollo del turismo. Nuestro objetivo, es relacionar las políticas públicas de la comunicación y el desarrollo del turismo en la municipalidad provincial de Puno. La investigación es de tipo explicativo-correlacional, diseño no experimental y enfoque cuantitativo, utilizando el diseño estadístico SPSS V-26 para la sistematización de datos. El tipo de muestreo es probabilístico, para determinar la muestra se utiliza el subtipo de muestreo al zar simple, porque otorga la misma probabilidad de ser elegidos a todos los elementos de la población. Los resultados están relacionados con la aplicación de las políticas públicas para el desarrollo económico social vinculado al ciclo de las políticas públicas, para comprender la utilidad de la publicidad, comunicación audiovisual y cultura, afianzando estas políticas en el fortalecimiento de las formas de organización, desarrollo institucional e importancia que tiene el turismo social y cultural. La conclusión general según el SPSS V-26 precisan un valor del coeficiente de correlación de Pearson igual a + 0.397**. Por lo tanto, existe una correlación positiva entre ambas variables a un nivel de error del 0.05 o 5%, el cual se evidencia el mayor grado de relación entre políticas públicas de la comunicación y desarrollo turístico en la municipalidad provincial de Puno.
PULMONARY DISEASES IN HIV–INFECTED INDIVIDUALS IN HIGH HIV AND TUBERCULOSIS PREVALENCE SETTINGS: THE STRUCTURE AND FEATURES OF CLINICAL AND RADIOLOGIC MANIFESTATIONS
Authors:   Novokuznetsk State Institute of Postgraduate Medical Education – a branch of the Russian Medical Academy  of Postgraduate Education, Novokuznetsk, Russia, Viktorova I.B. , Zimina V.N. ,   Peoples’ Friendship University of Russia named after Patrice Lumumba, Moscow, Russia, Kravchenko A.V. ,   Central Research Institute of Epidemiology of the Russian Federal Service for Surveillance  on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor), Moscow, Russia
Published: September 2023

The aim of the study: to examine the structure, clinical and radiologic manifestations of pulmonary diseases in hospitalized HIV-infected adults in high HIV and tuberculosis prevalence settings. Materials and methods. A retrospective longitudinal study of all pulmonary diseases in HIV infected individuals (n = 185) admitted to the Internal Medicine Department of Novokuznetsk City Hospital #2 in 2017–2018. Results. The median CD4 cell count was 155 cells/μl. The most frequent diseases were community acquired pneumonia (38.4%), tuberculosis (27.0%), and septic pneumonia (16.8%). Their frequency was not associated with severity of immunodeficiency. Pneumocystis pneumonia was detected in 7.6%, other opportunistic infections (cytomegalovirus pneumonia and lymphoma) were diagnosed in 1.6% and 0.5% of cases respectively. Chronic obstructive pulmonary disease was diagnosed in 10.3% of cases. Two or more pulmonary conditions were established in 11.4% of cases. Hospital mortality accounted for 8.1% and was associated with severe immunodeficiency (CD4 < 50 cells/μl). Conclusion. Determination of the major clinical and radiological patterns typical for different pulmonary diseases enabled to establish the pillar signs for differential diagnosis and treatment tactics in HIV-infected individuals with lung pathology.
PHARMACOLOGICAL SURVEILLANCE IN PHTHISIOLOGY: REGULATORY, CLINICAL AND PHARMACOLOGICAL ASPECTS
Authors:   Central TB Research Institute, Moscow, Russia, Zakharov A.V. , Yakimova M.A. ,   Central TB Research Institute, Moscow, Russia, Stepanyan I.E. ,   Central TB Research Institute, Moscow, Russia, Romanov V.V. ,   Central TB Research Institute, Moscow, Russia, Ergeshov A.E. ,   Central TB Research Institute, Moscow, Russia,  A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
Published: September 2023

The article highlights the issues of safety of drugs able to induce numerous adverse events. It also describes the history of the development of pharmacological surveillance, provides the principal concepts, rules, and regulatory documents related to clinical studies and use of drugs.
The Religious Right and Anti-Genderism in Colombia
Authors: Corredor Elizabeth S. 
Published: September 2023

AbstractAnti-genderism has taken hold in Latin America as in other parts of the world but presents a more unique arrangement of religious right activity compared its European counterparts due to the entrance of conservative evangelicals. To better understand this phenomenon, this chapter examines two anti-gender campaigns in Colombia, whereby Catholic and evangelical leaders led back-to-back oppositional movements against a national anti-bullying program for LGBTQI youth and the inclusion of women’s and LGBTQI rights in the country’s 2016 peace process. Operating at both the grassroots level and in the realm of party politics, these right-against-rights mobilisations, while short-lived, had substantial impact on major national policy in their defaming of so-called gender ideology. The Colombian case highlights how the evolving nature of right-wing movements and the changing religio-political landscape in Latin America has significant implications for gender and LGBTQI rights in the region.
The Transnational Force of Anti-LGBT+ Politics in Latin America
Authors: Ritholtz Samuel , Mesquita Miguel 
Published: September 2023

AbstractIn the wake of recent advancements of LGBTQI rights, one of the world’s most coordinated transnational counter-rights backlash movements against feminist and queer-inclusive state practices has occurred in Latin America. Originally organized around local issues and funded by religious groups, the movement has received political support throughout the region and now operates at the international level. It has brought together a remarkably diverse range of actors—many for the first time under the same umbrella. This chapter explores the process through which anti-right groups have mobilized against queer and gender-inclusive state practices. It looks at the genesis of this movement and considers key inflection points in its history. In exploring this history, it seeks to explain an interesting puzzle: Why has this movement produced such extreme action in response to seemingly benign efforts, such as national anti-bullying and ‘homotolerant’ education campaigns in Brazil, Colombia, Paraguay, and Peru? Building off literatures of political homophobia and anti-rights movements, the chapter argue that queer-inclusive efforts by the government produce unique framing opportunities for anti-rights groups to mobilize a diverse coalition within Latin American societies to advance broader uncivil political goals.
Resisting Redistribution with Recognition: A Radical Neoliberal Countermovement in Santa Cruz, Bolivia
Authors: Krausova Anna 
Published: September 2023

AbstractThis chapter studies the framing strategies of a radical neoliberal countermovement in Santa Cruz, Bolivia, between 2007 and 2020. To elucidate the strategies and relative successes of this countermovement, the chapter presents a mixed-method study, combining a narrative analysis of interviews with leaders with quantitative text analysis of the online frames of the countermovement’s leading organisation, the Santa Cruz Civic Committee. In opposition to the left-wing multicultural reforms of the Morales administration between 2007 and 2020, this countermovement publicly supported a certain multiculturalism, but while recognition of cultural diversity was presented as legitimate, claims for material redistribution were not, amounting to resisting redistribution with recognition. How has this countermovement maintained its mobilizing capacity and political influences? In combining a frame that drew on broadly accepted historical constructions of cruceño identity with a politically opportune frame about authentic indigeneity, the movement’s framing enjoyed broad popular resonance regionally, and gained recognition internationally.
Metrical Resolution in Early Middle English
Authors: Goering Nelson 
Published: September 2023

Abstract
This chapter examines two Middle English poems of about the year 1200 for evidence of metrical resolution. A sampling of the long alliterative poem Brut by Laȝamon suggests that line-final words such as stude ‘place’, which have two light syllables, behave metrically like monosyllables (e.g. lond ‘land’), and unlike heavy disyllables such as stondeð ‘stands’. Potential evidence for resolution in the rhyming Moral Ode has been debated and doubted, but this chapter shows that a close reexamination of the evidence strongly supports the conclusion that this poem, too, made use of poetic resolution. The widespread use of poetic resolution in early Middle English aligns well with the evidence of ie-reduction in pointing to the continued use of the bimoraic trochee in the phonology of at least some dialects during this period.
Later Middle English Prosody
Authors: Goering Nelson 
Published: September 2023

Abstract
This chapter examines the prosodic effects of changes in vowel quantity in Middle English, focusing especially on open-syllable lengthening. It is argued that this really is a process of lengthening in open syllables, and not, as a popular alternative hypothesis proposes, a compensatory lengthening for loss of schwa. In a broader historical context, open-syllable lengthening had the potential to disrupt the bimoraic trochee as the prosodic basis for English foot structure, but this did not take place in all dialects. Instead, perhaps partly due to French influence on the lexicon, competing processes such as trisyllabic shortening served to retain the bimoraic trochee.
Resolution in Fornyrðislag
Authors: Goering Nelson 
Published: September 2023

Abstract
The Norse metre fornyrðislag shows resolution in some contexts, but this also often fails to apply. In contrast to Beowulf, there is no syllable-weight conditioning like Kaluza’s law. The common proposal that resolution can fail in verse-final position is rejected. Instead, non-resolution takes place under two conditions: immediately after a syllable bearing some degree of stress, or in a word such as konungum ‘kings (dative plural)’ with a heavy medial syllable. This can be explained as a further development of the system found in Beowulf, with more stringent limitations on both resolved feet and overheavy feet (with three or more moras).
Verso il dramaturg: rilevarsi nell’officina di Simona Gonella
Authors: Malinarić Jovana 
Published: September 2023

L’articolo tratta il divenire della figura polivalente e sofisticata del dramaturg all’interno della prassi teatrale italiana. In particolare, prendendo in esame l’esempio di Simona Gonella, cerca di delineare i tratti peculiari del suo mestiere interrogandosi sui modi in cui il suo lavora influenza la creazione artistica. Attraverso l’analisi dei due ultimi lavori, Book is a Book is a Book e Macbeth, le cose nascoste, si evince quello che potrebbe essere definito come “lo sguardo del dramaturg” quale connettore delle diverse parti del lavoro del gruppo. Il lavoro è stato fatto in collaborazione con Simona Gonella, che ha concesso all’autrice dell’articolo l’intervista e i materiali utilizzati.
The article deals with the becoming of the polyvalent and sophisticated figure of the dramaturg within Italian theatre practice. In particular, by examining the example of Simona Gonella, it attempts to outline the peculiar traits of her craft by questioning the ways in which her workinfluences artistic creation. Through the analysis of her two most recent works, Book is a Book is a Book and Macbeth, le cose nascoste, we gain insight into what could be defined as 'the dramaturg's gaze' as a connector of the different parts of the group's work. The work was done in collaboration with Simona Gonella, who granted the author of the article the interview and the materials used.
Pengaruh Bauran pemasaran terhadap keputusan pembelian hijab pada CV Zam Zam Candimulyo Jombang
Authors: Ramadani Ahmad Rowaib , Rohmad Prio Santoso  
Published: September 2023

This study aims to determine the influence of marketing mix on purchasing decisions. This research took the object of CV Zam Zam Candimulyo jombang. The type of research used is quantitative research, the population in this study is customers who buy or order hijab at CV Zam Zam Candimulyo jombang which ranges from 150 people per month with a sample of 60 people. The results showed (1) the influence of the product has a partial influence on the decision to purchase hijab on CV Zam Zam Candimulyojombang (2) the influence of price has a partial effect on the decision to purchase hijab on CV Zam Zam Candimulyo jombang (3) the influence of place has a partial influence on the decision to buy hijab on CV Zam Zam Candimulyo Jombang (4) the influence of promotion has a partial influence on the decision to purchase hijab on CV Zam Zam Candimulyo Jombang (5) the influence of the marketing mix has a simultaneous and significant influence on the decision to purchase hijab on CV Zam Zam Candimulyo Jombang.
Determinants of Audit Report Lags of Public Companies in Indonesia
Authors: Annisa Agre Regita , Febrianto Rahmat 
Published: September 2023

The Indonesian Financial Service Authority (FSA) mandates that every listed company submit its financial reports by the end of the fourth month following the end of the financial year. When COVID-19 struck the world in 2020, the FSA extended the reporting deadline until the end of May. This policy was implemented to account for delays caused by COVID-19. This research aims to determine the factors associated with audit report lags and ensure the timeliness of financial reporting. This research is categorized as descriptive verification research. The descriptive method employed in this study aims to elucidate the determinants of audit report lags. The verification research aspect involves conducting hypothesis tests to examine the relationship between profitability, leverage, the size of Public Accounting firms, and audit opinions on audit report lags. Our research was conducted to gather empirical evidence regarding the relationship between profitability, leverage, the size of accounting firms, and audit opinions on audit report lag. This research contributes to maintaining the relevance of the information contained in financial reports. The test results indicate that profitability positively correlates significantly with audit report lags. Companies audited by the Big Four firms have shorter audit durations compared to non-Big Four firms.Additionally, companies with standard audit opinions experience shorter audit durations than those with non-standard audit opinions. Leverage was found to have no significant correlation with audit report lags. Our findings suggest that smaller firms tend to delay their reports. However, they are published as soon as possible when audited by a reputable accounting firm and receive a standard audit opinion. The COVID-19 pandemic may have prompted our sample companies to postpone their reports. Future studies should consider the pandemic's impact on audit report lag.
Solid carbon dioxide: hexacoordinate carbon?
Authors: Rzepa Henry 
Published: September 2023

Carbon dioxide is much in the news, not least because its atmospheric concentration is on the increase. How to sequester it and save the planet is a hot topic. Here I ponder its solid state structure, as a hint to its possible reactivity, and hence perhaps for clues as to how it might be captured. The structure was determined (DOI 10.1103/PhysRevB.65.104103) as shown below. The structure of solid carbon dioxide.
ABONMAN SİGORTA SÖZLEŞMELERİNİN TTK M. 1408 HÜKMÜ AÇISINDAN DEĞERLENDİRİLMESİ
Authors: YÜCE Aydin Alber 
Published: September 2023

Abonman sigorta sözleşmeleri, sigortalanan menfaatin sözleşmenin akdedilmesi anında henüz mevcut olmadığı sözleşmelerdir. Bu sözleşmeler, uygulamadaki ihtiyaca göre sıklıkla akdedilmekte olan sözleşmelerdir. Bu ihtiyaç doğrultusunda sigorta konusu menfaat somutlaştığında sigorta ettirenin yapacağı bildirimle sigorta himayesi ortaya çıkmaktadır. Sigorta himayesinin sonradan somutlaşan menfaate göre geçerli olması Türk Ticaret Kanunu’ndaki bazı kurallarla uyumlu değildir. TTK m. 1408 hükmü, sigorta konusu menfaatin sözleşmenin başlangıcında mevcut olmamasını geçersizliğe bağlamıştır. Fakat, abonman sigorta sözleşmelerinde de sigorta konusu menfaat sözleşmenin akdedilmesi anında yoktur. Bu durum, abonman sigorta sözleşmelerinin Türk Ticaret Kanunu’nun getirdiği ilkeler doğrultusunda geçerli olarak akdedilemeyeceği düşüncesini yaratmaktadır. Abonman sigorta sözleşmeleri ise uygulamada sıklıkla akdedilmekte, bu sözleşmelerden kaynaklanan uyuşmazlıklar da yargı kararlarına konu olmaktadır.
Abonman sigorta sözleşmeleriyle ilgili bu çelişki, öğretide de dikkat çekmiştir. Bu konuyla ilgili yapılan çalışmalarda ortak nokta, abonman sigorta sözleşmelerinin bir düzenlemeye kavuşturulması gerektiği yönündedir. Bunun dışında, konuyu ele alan yazarların kısmen örtüşen ve bazı hususlarda da birbirini dışlamayan farklı çözümler getirdiği görülmektedir. Bu çalışmada, öğretideki görüşler ve yargı kararlarına da temas etmek suretiyle bir değerlendirme yapılacak ve konuya dair bir çözüm önerisi sunulacaktır.
KAJIAN PERILAKU KETERGANTUNGAN PENERIMA PROGRAM KELUARGA HARAPAN (PKH) PERSPEKTIF QS. AN-NAHL AYAT 53-55 (STUDI DI DESA KRAMPON KECAMATAN TORJUN KABUPATEN SAMPANG)
Authors: Nor Islamy Sulaiha , Anas Zulviar , Mahsun  
Published: September 2023

Islam merupakan agama yang memperhatikan kesejahteraan umatnya, dalam mewujudkan kesejahteraan Islam telah menunjuk seorang pemimpin yang harus bertanggung jawab untuk kesejahteraan rakyatnya. Di Indonesia kewajiban pemerintah dalam mengentaskan kemiskinan sudah dilaksanakan berdasarkan pasal 1 ayat (9) UU No.11 Tahun 2009. Dalam hal mengakses bantuan, salah satu perilaku yang kerap terjadi di masyarakat yaitu terlalu mengharapkan bantuan yang diberikan oleh pemerintah. Penelitian ini adalah penelitian kualitatif deskriptif naratif dengan menggabungkan field research dan library research. Dalam pengambilan data, peneliti menggunakan metode observasi, wawancara dan dokumentasi, serta pendekatan tafsir. Peneliti menemukan beberapa faktor penyebab terjadinya perilaku ketergantungan terhadap bantuan PKH diantaranya; menyatakan PKH merupakan bantuan dari negara, tidak mempunyai pekerjaan dan tidak berpenghasilan, tidak mau bekerja, sangat mengharapkan bantuan serta meminta dilebihkan nominal bantuan. Faktor tersebut merepresentasikan perilaku ketergantungan yang terdapat dalam surat an-Nahl ayat 53-55. Dalam penafsirannya, jika perilaku tersebut dilakukan secara terus menerus, akibat yang didapat bukan hanya terhadap individu tetapi juga kelompok. Dimana tujuan utama negara memberikan bantuan untuk mengentaskan kemiskinan akan bergeser arah, menghadapkan pada kekufuran yang sesungguhnya dan akan tetap berada lingkaran kemiskinan.