bluuebunny/crossref_metadata_2025_split huggingface dataset:
Epidemiological characteristics and spatiotemporal patterns of hand, foot, and mouth disease in Hubei, China from 2009 to 2019
Authors: Wang Wuwei , Rosenberg Mark W. , Chen Hongying , Gong Shengsheng , Yang Mengmeng , Deng Dacai 
Published: June 2023

Background
Hand, foot, and mouth disease (HFMD) is a public health issue in Hubei and studies of- spatiotemporal clustering at a fine scale are limited. The purpose of this research was to analyze the epidemiological characteristics, temporal variation characteristics, and spatiotemporal clustering of HFMD cases at the town level from 2009 to 2019 to improve public health outcomes.

Methods
Mathematical statistics, a seasonal index, wavelet analysis, and spatiotemporal scans were used to analyze epidemiological characteristics, time series trends, and spatiotemporal clusters of HFMD in Hubei.

Results
EV-A71 (Enterovirus A71) and CVA16 (Coxsackievirus A16) constitute the two primary pathogens of the HFMD epidemic in Hubei, among which EV-A71 is the dominant pathogen, especially in 2016. In terms of age distribution, a major peak occurred at 0–5 years and a very small increase appeared at 25–35 years, with the former having a higher incidence among males than females and the latter having the opposite difference between males and females. The number/rate of HFMD cases exhibited a considerable increase followed by a moderate decline from 2009 to 2019, with the first large peak in April-July and a smaller peak in November-December. HFMD in Hubei exhibited the characteristics of a 270-day cycle with multiscale nesting, which was similar to the periodicity of HFMD cases caused by EV-A71 (9 months). Cities with a higher incidence of HFMD formed a part of an “A-shaped urban skeleton”. Subdistricts had the highest incidence of HFMD, followed by towns and villages. The spatiotemporal scan results showed one most likely cluster and 22 secondary clusters, which was consistent with the geographic location of railways and rivers in Hubei.

Conclusions
These findings may be helpful in the prevention and control of HFMD transmission and in implementing effective measures in Hubei Province.
Weight loss during follow-up in patients with acute heart failure: From the KCHF registry
Authors: Seko Yuta , Kato Takao , Morimoto Takeshi , Yaku Hidenori , Inuzuka Yasutaka , Tamaki Yodo , Ozasa Neiko , Shiba Masayuki , Yamamoto Erika , Yoshikawa Yusuke , Kitai Takeshi , Yamashita Yugo , Iguchi Moritake , Nagao Kazuya , Kawase Yuichi , Morinaga Takashi , Toyofuku Mamoru , Furukawa Yutaka , Ando Kenji , Kadota Kazushige , Sato Yukihito , Kuwahara Koichiro , Kimura Takeshi 
Published: June 2023

Backgrounds
The prognostic implication of weight loss after discharge from acute heart failure (AHF) remains unclear. We sought to investigate the association of weight loss between discharge and 6-month visit with subsequent clinical outcomes in patients with AHF.

Methods
We analyzed 686 patients with AHF in the prospective longitudinal follow-up study derived from the Kyoto Congestive Heart Failure registry, and divided them into 2 groups based on the weight loss at 6-month index visit. We defined the weight loss as ≥ 5% decrease in body weight from discharge to 6-month index visit.

Results
There were 90 patients (13.1%) with a weight loss at 6-month visit. Patients in the weight loss group compared with those in the no weight loss group had higher body weight at discharge and lower body weight at 6-mont visit. Patients in the weight loss group had a lower systolic blood pressure, higher brain-type natriuretic peptide, lower serum albumin, lower hemoglobin, higher prevalence of heart failure with reduced ejection fraction at 6-month visit, and a lower prescription rate of inhibitors of renin-angiotensin system than those in the no weight loss group. The cumulative 6-month incidence of all-cause death was significantly higher in the weight loss group than in the no weight loss group (14.2% and 4.3%, log-rank P<0.001). The excess adjusted risk of the weight loss group relative to the no weight loss group remained significant for all-cause death (HR 2.39, 95%CI 1.01–5.65, P = 0.048).

Conclusion
Body weight loss of ≥5% at 6-month visit after discharge was associated with subsequent all-cause death in patients with AHF.
Health Financing and Household Financial Protection in D.R. Congo: A Vector Autoregressive Model (VaR) Analysis
Authors: BINENE SABWE Emmanuel , LOWENGA KOYAMODJA Logas , LUBONGO MBILU Yannick , NTUNGILA NKAMA Floribert 
Published: June 2023

This paper examines the health-related expenditures of economic agents in the Democratic Republic of Congo (households, government and its external technical and financial partners). Given health care high costs of health care in the DRC, access to appropriate health care is hindered due to low income. As a result, government and its external technical and financial partners indispensably step in to ensure that vulnerable households are protected from ruinous expenses.
At the same time, the paper provides an overview of public finances in the DRC health sector using a theoretical approach and analyzes government intervention effects and their external technical and financial partners intervention effects using a vector autoregressive model (VaR) through random shock simulations and variance decomposition. This analysis is carried out assuming that socioeconomic environment is constant "all things being equal".
The result is that household health-related expenditure per capita forecasts can be significantly improved at 0.05 threshold by public health-related expenditure per capita and by health-related expenditure per capita forecasts engaged by external technical and financial partners.
The Impact of the Pandemic on the Economic Development about Small and Medium Sized Businesses
Authors: ZHAKUPOV Altynbek , YESSILOV Assylkhan , YELEMESSOV Alibek , ISMAILOVA Nargiz 
Published: June 2023

The article substantiates the use of a systems approach to the processes about business model switching in small businesses, as this approach was not previously demanded before the pandemic. In this regard, it is concluded that the study of strategic shifts made by small businesses in different segments of the economy is an important new stage in the development of the systems approach.
This paper proposes adapting the matrix approach to distinguish crisis states for small businesses according to the properties of their business models: divergent to crisis; crisis-resistant; adaptive; temporarily limited; externally supported; true bankruptcy.
A standardized decision-making procedure for digitalization has been developed, and the challenges that small businesses need to address when choosing a digitalization scenario as the minimum necessary sequence of actions, each element of which is necessary to realize the digital transition, have been identified.
Sensitivity of Countermovement Jump Variables in Professional Rugby Union Players Within a Playing Season
Authors: Howarth David J. , McLean Blake D. , Cohen Daniel D. , Coutts Aaron J. 
Published: June 2023

Abstract
Howarth, DJ, McLean, BD, Cohen, DD, and Coutts, AJ. Sensitivity of countermovement jump variables in professional rugby union players within a playing season. J Strength Cond Res 37(7): 1463–1469, 2023—The aim of this study was to explore the measurement sensitivity of a wide range of countermovement jump (CMJ) variables to a full European professional rugby union season. A secondary purpose was to compare 3 different data treatment methods for the calculation of CMJ variables. Twenty-nine professional rugby union players (mean ± SD; age 24 ± 4 years, height 183.7 ± 8.0 cm, body mass 101.6 ± 10.7 kg) completed a minimum of 12 CMJ testing sessions on Thursdays—a day preceded by a rest day and a minimum of 96 hours after a match—throughout a season. Measurement sensitivity, quantified by signal-to-noise ratio (SNR), was determined for 74 CMJ variables and was calculated by dividing the signal, (week-to-week variation expressed as a coefficient of variation [CV%]) by the noise (interday test/retest reliability expressed as CV%). We also identified variables which had no overlap between the 95% confidence intervals (CIs) for the signal and the noise. The 3 data treatment methods for comparison were (a) mean output across 3 jump trials (Mean3), (b) single output from the trial with the highest jump (BestJH), and (c) the trial with the highest flight time to contraction time ratio (BestFTCT). Most variables had an SNR >1.0 (Mean3 = 60/74; BestFTCT = 59/74; BestJH = 48/74). Fewer variables displayed a nonoverlap of 95% CIs (Mean3 = 23/60; BestFTCT = 22/59; BestJH = 16/48). Most CMJ variables during a professional rugby season demonstrated a signal that exceeded measured noise (SNR > 1.0) and that using the Mean3 or BestFTCT data treatment methods yields a greater number of variables considered sensitive within a season (i.e., SNR > 1.0) than when using BestJH. We also recommend the calculation of the 95% CIs for both signal and noise, with nonoverlap indicative of a greater probability that the responsiveness of the variable at team level (i.e., SNR) also applies at the individual level. As sensitivity analysis is cohort and environment specific, practitioners should conduct a sensitivity analysis using internal signal and noise data to inform their own monitoring protocols.
Face Masks at the Gymnasium: Physiological Responses and Mechanical Performance Are Not Compromised by Wearing Surgical or Filtering Facepiece 2 Masks in Healthy Subjects
Authors: Rial-Vázquez Jessica , Nine Iván , Guerrero-Moreno Jose María , Rúa-Alonso María , Fariñas Juan , Márquez Gonzalo , Giráldez-García Manuel Avelino , Méndez-Bouza Kevin Yoel , López-Pillado Hugo , Coutado-Sánchez Etham , Losada-Rodríguez Alejandro , Iglesias-Soler Eliseo 
Published: June 2023

Abstract
Rial-Vázquez, J, Nine, I, Guerrero-Moreno, JM, Rúa-Alonso, M, Fariñas, J, Márquez, G, Giráldez-García, MA, Méndez-Bouza, KY, López-Pillado, H, Coutado-Sánchez, E, Losada-Rodríguez, A, and Iglesias-Soler, E. Face masks at the gym: physiological responses and mechanical performance are not compromised by wearing surgical or filtering facepiece 2 masks in healthy subjects. J Strength Cond Res 37(7): 1404–1410, 2023—This study explored the effects of wearing 2 types of face masks on mechanical performance and physiological responses during high-intensity resistance exercise. Twelve healthy men performed 3 workout protocols in a randomized order: wearing a surgical or filtering facepiece 2 (FFP2) mask or without a mask. Each workout consisted of 3 sets of 10 repetitions of bench press (BP) and parallel squat (SQ) with a 12 repetition maximum load, including 2 minutes of recovery between sets and exercises. Mechanical performance was evaluated through the mean propulsive velocity and the number of repetitions completed during each session. Physiological responses were the oxygen saturation (SpO2), blood lactate concentration, heart rate (HR), and HR variability. Perceived exertion was recorded after each set, and The Beck Anxiety Inventory scale was completed at the end of each workout. The number of repetitions completed and the session mean propulsive velocity {(BP [m·s−1]: surgical: 0.35 ± 0.05; FFP2: 0.36 ± 0.04; nonmask: 0.38 ± 0.06) and (SQ: surgical: 0.43 ± 0.05; FFP2: 0.40 ± 0.07; nonmask: 0.41 ± 0.05)} were similar between conditions (p > 0.05). Heart rate recorded during sessions was similar across conditions: surgical: 119 ± 14, FFP2: 117 ± 13, and nonmask: 118 ± 10 bpm (p = 0.919). Face masks had no effect on SpO2, blood lactate concentration, HR variability, perceived exertion, and anxiety values (p > 0.05). Face masks do not compromise strength performance, physiological parameters, and perceived comfort of young and healthy individuals during a high-intensity resistance training session.
Experimental Dehydration of the Water-Ethanol Mixture by Pervaporation through Membranes Based on Polyvinyl Alcohol: What Conditions for Better Performance?
Authors: Regragui Anissa , Merzouk Nadia , Tarras Faissal , Idrissi Najib Al , Essamri Azzouz 
Published: June 2023

Abstract: The separation processes are of paramount importance in the industrial field. The techniques used to obtain separation membranes depend on the type of membrane and the applications envisaged.
Aim: The objective of the study is to focus on the master membrane allowing better pervaporation of the water-ethanol mixture by varying various parameters such as the polymer content, the polyacrylic acid (PAA) content and the operating variables such as the drying temperature and the stay in the oven.
Materials: We fabricated membranes to separate water-ethanol mixtures by the pervaporation process. First, films based on polyvinyl alcohol and acid polyacrylics were prepared using the appropriate solvent (water) with different PAA contents. We then characterized these films using the technique of infrared spectroscopy and the measurement of swelling of these membranes in water / ethanol mixtures. Pervaporation tests were carried out to measure the selectivity and flow of these films with respect to the mixture.
Results: All the membranes exhibit a higher permeation flux than that of pure PVA, especially when the PAA content is high. The selectivity to water of these crosslinked membranes, represented by the water content in the permeate is appreciable.
Conclusion: The addition of PAA to PVA makes possible the improvement of swelling, the flow is improved as well as the water selectivity and the permeability of the membrane which makes the PVA-PAA alloy a simple and effective method to ensure dehydration of the Water-Ethanol mixture.
The Psychological Aspect in the Dialogue of Civilizations : Stereotypes and Effects
Authors: Obead Dr. Hassan Hameed , Ali Salman 
Published: June 2023

The research paper deals with the subject of the psychological aspect in the dialogue of civilizations in terms of the types of personalities and their effects in a preface that regulates the search terms to define the psychological aspect and clarify what is meant by the dialogue of civilizations both linguistically and terminologically. Then, the researcher tackles two topics, the first is about the analysis of the psychological patterns of the interlocutors and the rules for dealing with them which subsume two requirements, the first about the psychological patterns of the interlocutors and the second about the rules for dealing with these patterns in the civilized dialogue. The second topic, it deals with the psychological effects in the dialogue of civilizations, and there are two requirements under it as well. Thefirst concerns the negative effects, and the second the positive effects. The Research adopts the descriptive analytical approach and utilizes the topics of psychology in the practice of the dialogue of civilizations to synthesize and mix knowledge between two different fields of knowledge to establish a construct capable of achieving cognitive integration between disciplines. Then the research paper reaches a number of conclusions, such as: The psychological patterns of interlocutors are numerous, including the nervous, the curious, the quarrelsome, and the quiet patterns. And among the rules for dealing with these patterns are: defining the psychological pattern, understanding the behavior, promoting spiritual nourishment and purity of faith, featuring discipline and psychological balance, and highlighting the need for guidance and psychological counseling. As for the psychological effects in the dialogue of civilizations, they are divided into negative ones, such as introversion, avoidance of dialogues, a sense of meaninglessness, the absence of goals, projecting interlocutors, and sabotaging dialogue. In contrast, the positive ones include: accepting difference, acceptance of dialogue, psychological exploration, self-review, emotional sharing, and continuous interaction. The paper recommends the need to activate the theory of psychology in the practice of the dialogues of civilizations, and to delve deeper into conducting research studies, especially the field ones to cover this topic, in order to be effective in the studies on the dialogue of civilizations.
Perfil dos evadidos no ensino médio técnico integrado
Authors: De Lima Rafael Peter , Orsato Andréia , Da Cunha Myriam Siqueira , De Oliveira Vinicius Pereira , Fernandes Renata Knorr Ungaretti 
Published: June 2023

Este artigo apresenta resultados parciais de pesquisa mais ampla, a qual tem como propósito analisar a evasão no ensino médio técnico integrado do câmpus Pelotas - Visconde da Graça, do Instituto Federal Sul-rio-grandense (IFSul/CaVG), entre 2015 e 2018. O tema é um desafio na educação, sobretudo na esfera pública, em diferentes níveis e modalidades. O objetivo deste estudo foi conhecer o perfil dos evadidos, por meio de dados quantitativos, coletados no sistema de gestão/registro acadêmico. Nesse processo, verificou-se insuficiência de informações sobre os estudantes, o que se coloca como barreira para efetivo enfrentamento da questão. Nesse contexto, ressalta-se a necessidade de aprimorar procedimentos institucionais, garantindo maior atenção à coleta de dados sobre os estudantes.
Evaluation of Apelin/APJ and Fibronectin Expression in Genitourinary Tumors: An Immunohistochemical Analysis
Authors: ŞAHİN Sevinç , AVCI Sema , ÇİÇEKDAĞI Işıl , GOLAL Ezgi 
Published: June 2023

Background/Aims: Cancer is a leading cause of death worldwide, making cancer research and the development of new treatment methods crucial. Bladder, endometrial, and prostate cancers are among the most prevalent forms of cancer. This study aimed to investigate the expression and distribution of endogenous apelin/APJ receptor and fibronectin in these genitourinary tumors and compare them to benign tissues to contribute new data to the literature.
Material and Method: Immunohistochemical methods were applied to 44 cases, including benign and malignant formalin-fixed paraffin-embedded tissues of the endometrium, prostate, and bladder.
Results: The findings showed a significant increase in apelin, APJ, and fibronectin expression in endometrioid adenocarcinoma, urothelial carcinoma, and prostatic adenocarcinoma compared to benign tissues. Moreover, the expression of these molecules had a direct correlation with each other in these tumors. However, in prostatic adenocarcinoma and endometrioid adenocarcinoma, as the tumor grade increased, the expression of these molecules decreased.
Conclusions: This is the first study to examine the co-expression and distribution of endogenous apelin/APJ receptors and fibronectin in genitourinary tumors and compare them histologically with benign counterparts, to the best of our knowledge. This underscores the novelty and significance of our findings, providing a foundation for further exploration of the potential roles of these molecules in tumorigenesis and cancer therapies.
The Last 20 Years of Psychodrama in Turkish and International Academic Papers: A Document Analysis Study
Authors: SUMBAS Ezgi , ULUSOY Yağmur 
Published: June 2023

Objective: This study aims to examine its distribution according to problem areas of the publications in which the effectiveness of psychodrama is examined between 2001 and 2021 in Turkish academic papers and international academic papers.
Method: In this study, document analysis, which is a qualitative data collection method, was used. A total of 48 publications were reached within the scope of this research. Content analysis was performed.
Results and Conclusions: It is noted that studies examining the effectiveness of psychodrama on psychological health in Turkish academic papers and international academic papers are at the forefront and that there is limited research on career development. It has been found that articles and thesis studies in Turkish academic papers mostly focus on the effect of psychodrama on psychological health, social skills, and interpersonal relations; while studies in international academic papers focus on its effect on psychopathology and psychological health. It is seen that the publications examining the effectiveness of psychodrama in Turkish academic papers and international academic papers are most frequently related to young adults, and least frequently related to children and middle-aged adults. When compared to its use as a method, it has been concluded that psychodrama is mostly used as a technique in publications in Turkish academic papers and international academic papers.
Correlations between weight perception and overt risk-taking among Canadian adolescents
Authors: Bartlett Sydney , Bataineh Jana , Thompson Wendy , Pickett William 
Published: June 2023

Abstract
Objective
Perceptions of body weight represent an important health issue for Canadian adolescents. While associations between weight perception and mental health concerns like eating disorder symptomatology are well established, there is need for more Canadian evidence about how weight perception is associated with overt risk-taking among adolescents, and further how such associations differ by biological sex.

Methods
We conducted a national analysis of grade 9–10 students participating in the 2017–2018 cycle of the Health Behaviour in School-aged Children (HBSC) study in Canada. This analysis described contemporary patterns of alternate weight perception and then examined the strength and statistical significance of such associations by biological sex, with tobacco, alcohol, and cannabis use, binge drinking, fighting, and illicit drug use as outcomes. Behaviours were considered both individually and in combination. Analyses were descriptive and analytical, with regression models accounting for the nested and clustered nature of the sampling approach.

Results
Responses from 2135 males and 2519 females were available for a complete case series analysis. A total of 26% and 35% of males and females, respectively, perceived themselves as “too fat” while 20% and 9% identified as “too thin”. Females perceiving themselves as “too fat” reported higher likelihoods of engaging in individual and scaled indicators of overt risk-taking. Conversely, among males, alternate weight perception was associated with lower levels of such behaviours.

Conclusion
As males and females perceive and react to weight perception differently, clinical and health promotion strategies should be developed and uniquely targeted to groups of adolescents in regards to weight perception and risk-taking.
Aglomerados urbanos
Authors: Furtado Raimundo Nonato Oliveira 
Published: June 2023

<p>O presente trabalho estabelece as diferenciações perceptíveis, situadas na relação <br />meio ambiente-aglomerados urbanos, cujo teor de composição está alicerçado em teorias econômicas e aspectos jurídico-políticos do Estado, estabelecidos a partir da ruptura homem-natureza, numa ordem diferencial-reducionista revela os desequilíbrios da ação humana em relação ao próprio homem e à fixação de padrões comportamentais geram riscos a sobrevivência humana e da própria Terra.</p>