bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evolution of the prevalence and antimicrobial resistance among Escherichia coli isolated as a cause of infection in patients admitted to a iv-level hospital in Lima, Peru
Authors: Flores-Paredes* Wilfredo , Luque* Nestor , Albornoz Roger , Rojas Nayade , Espinoza Manuel , Ruiz Joaquim , J Pons Maria 
Published: October 2022

The levels and evolution of antimicrobial resistance of Escherichia coli during 01/2009-06/2010 (Period 1), 01/2012-06-2013 (Period 2) and 07/2013-12/2014 (Period 3) were analyzed. Identification, susceptibility levels to 13 antibiotics and the presence of extendedspectrum β-lactamases (ESBLs) were determined. Overall, 9,918 microorganisms were isolated as a cause of infection. Of these 3,016 (30.4%) were E. coli, with 1,770 (59%), 992 (33%) and 254 (8%), from the Medicine and the Surgery Departments and the Intensive Care Unit (ICU), respectively. There was a significant increase (p=0.0002) of E. coli throughout considered periods. The isolates presented high levels of resistance (>60%) to cephalosporins, ciprofloxacin and cotrimoxazole, being only susceptible to imipenem (0.3% of resistance) and tigecycline. Overall the analysis of evolution of antimicrobial resistance showed that resistance to cephalosporins and amikacin significantly increased, while, the ones of piperacillintazobactam, cotrimoxazole and gentamicin had significantly decreased. Nevertheless, the ICU isolates showed an inverse scenario for cephalosporins. These findings agree with an increase of ESBLs on the Medicine (56% to 66%; p<0.0001) and on the Surgery (54% to 62%; p=0.0197) departments, with a parallel decrease in the ICU (76% to 68%). In summary, high levels of antimicrobial resistance have been reported among E. coli, with worrisome levels of ESBL. A continuous surveillance of antimicrobial resistance levels in the area is needed.
KEY WORDS: Escherichia coli; antimicrobial resistance; cephalosporins
Brain Blood Flow Immediately after a Head Impact in Rugby Players: Importance of Sex
Authors: Serrador Jorge , Breen Paul 
Published: October 2022

Sports-related concussions have become a major health concern. According to the US Center for Disease Control and Prevention, it is estimated that there are 1.6-3.8 million concussions occurring annually. While head injury commonly occurs in contact and collision sports, it has been challenging to establish a clear understanding of the mechanisms underlying such an injury. Recent data demonstrates that even mild head injuries can produce cognitive impairments that persist months and years post trauma without any associated imaging abnormalities on CT or MRI. Although 25% of the 800,000 mild head injury cases reported each year demonstrate persistent cognitive deficits, we do not currently have an effective diagnostic tool to differentiate these patients with silent brain injury from those that will fully recover. In addition, female players have higher rates of concussion and longer recovery periods, but there is a lack of data on sex differences in male and female players with concussions. This talk will examine changes in brain blood flow that occur immediately after a head injury by measuring internal carotid artery blood flow on the field in rugby players. We will examine how brain blood flow response differs in male and female rugby players and how it is critical to consider sex in our understanding of the pathophysiology of concussion. The goal of this work is to develop a physiological biomarker that may be used to diagnose concussion on the field that will result in persistent problems.
David, Uriah, Jesus, and Judas: An Intertestamental Pattern of Betrayal
Authors: Stulac Daniel J. D. , Smith David Andrew 
Published: October 2022

Abstract
This essay is a study in typological exegesis across the testaments of the Christian Bible. Specifically, in light of early Christian conviction that Jesus of Nazareth is the anointed son of David, we seek to understand how the story of David’s violent murder of Uriah the Hittite and rape of Bathsheba figure within a canonical framework in which Jesus is presented as David’s heir and yet also as the one in whom the Davidic legacy of violent betrayal reaches fulfillment. Beginning with a literary reading of David’s sins and their legacy in Samuel–Kings, the essay moves to consider the under-studied reference to Uriah and his wife in the Matthean genealogy and its import for Matthew’s presentation of Jesus as a “son of David.” We suggest that in the gospel tradition, David’s violence concentrates in the obscure figure of Judas Iscariot, who, like Uriah the Hittite, appears last in the roll of individuals faithful to their Israelite king (Matt 10:4; Mark 3:19; Luke 6:16; see 2 Sam 23:39). In contrast to Uriah’s fidelity to David—but in step with David’s betrayal of Uriah—Judas’s treachery demonstrates why typological readings of Jesus as the Davidic heir remain necessarily complex. The Gospels identify Jesus as a new son of David, and in so doing, they also present him as one who transforms that scriptural paradigm through his symbolic reversal of David’s sin.
“Concerning That Day and Hour”: In Defense of Patristic Exegesis
Authors: Stevenson Austin 
Published: October 2022

Abstract
Since the fourth century, Mark 13:32/Matt 24:36 have regularly been taken in hand as evidence of Jesus’s ignorance and used to advance subordinationist, kenotic, or Ebionite christological agendas. Meanwhile, modern biblical scholars regularly use patristic commentary on this passage as evidence that the classical Christian tradition advanced ahistorical, docetic eisegesis. In this essay, I consider patristic commentary on this pericope to show that these criticisms are unwarranted. The church fathers did not consider Jesus’s humanity to be an abstract, philosophical conundrum. Rather, their approach was driven by intertextual concerns set within a theistic metaphysical framework. They did not resolve a competition between Jesus’s humanity and divinity in favor of his divinity but upheld the confession that he was fully God and fully man in the face of a variety of approaches that threatened to corrupt or relinquish his humanity. I suggest that certain philosophical developments in the thought of Thomas Aquinas (1225–1274) allow us to make distinctions that both uphold the patristic exegetical tradition and extend it in ways that do greater justice to the passage.
Evaluating the color stability of two esthetic ceramic materials after different surface treatments and accelerated aging procedures
Authors: Gül Özge Deniz , Agüloğlu Süleyman 
Published: October 2022

Aim: Observing and evaluating the long/short-term discoloration tendency of the esthetic prosthetic materials of lithium disilicate-based glass-ceramics (IPS e.max CAD LT) and leucite-based feldspathic glass-ceramics (VITA Mark II) materials, which are esthetically very close to each other at first glance.
Methodology: 80 samples of A2 colored lithium disilicate and feldspathic blocks samples were overglazed and polished separately to evaluate the surface treatment procedures according to CIELAB color coordinates. For accelerated aging purposes, half of the examples were treated to red wine, and the other half were treated to coffee. Color changes were calculated using the ΔE formula. The results were put into record as ΔE-1, ΔE-2, and ΔE-3. Records of the results were evaluated using IBM SPSS Statistics Standard Concurrent User V 25 statistics package program. Data distribution regarding numerical variety and changes were evaluated using the Shapiro Wilk normality test and Q-Q graphics.
Results: The data was evaluated using O'Brien clinical color tolerance scales. None of the samples has shown a perfect (ΔE=0-0.5) color match after 4 weeks of accelerated aging. Every group has shown results of significant statistical changes at various rates and percentages and divided into 4 subgroups as excellent, good, clinically acceptable and incompatible categories.
Conclusion: Since aging procedures affect ceramic systems' ΔE values in a variety of ways, the aging protocol utilizing in vitro aging techniques for color changing should be evaluated alongside ceramic type and surface finishing procedures.
MACRONUTRIENT STATUS AND PHYSICO-CHEMICAL PROPERTIES OF SOILS AROUND THE GAS FLARE SITE AT OYIGBO IN RIVERS STATE, NIGERIA
Authors: OSAGIE OSAMUDIAMEN , OSUJI LEO C. , HART ADUABOBO I. 
Published: October 2022

This work assessed the impact of gas flaring on soils surrounding the gas flare stack at Oyigbo in Rivers State, Nigeria. Soil samples were collected at 10m, 50m, and 100m from the flare point and analysed for physico-chemical properties, including primary and secondary soil macronutrients, such as nitrogen, phosphorus, calcium, and magnesium. The results obtained from the investigation of the soil properties were all within the set benchmark values of EGASPIN-DPR. A One-way Analysis of Variance (ANOVA) showed that there were no significant differences (p < 0.05) in the concentration of the physico-chemical parameters and nutrients of both surface and sub-surface soils, irrespective of their distances from the flare point. For example, total organic carbon (TOC) in the soil within 10m of the gas flare point was 1.4±0.02% at surface level and 1.4±0.01% at sub-surface level. At a distance of 50m from the flare point, the total organic carbon (TOC) recorded a mean value of 1.4±0.02%, while a mean of 1.4±0.01% was recorded at a distance of 100m from the flare point. Although flare particulates could bring about acid deposition on the surrounding soils, which would decrease soil pH, the results obtained in this work showed a reverse trend of a slightly lower pH at a further 100 m distance compared to the pH range obtained 10 m away from the flare point. This trend could be attributed to anthropogenic activities, which cannot occur near the scorching temperature of the flared gas, which exceeds 1300 oC. This might have encouraged the acidification of the soils further away from the flare point.
Effects of the COVID-19 pandemic on the use and attitudes towards urban public spaces
Authors: Mela Athina , Varelidis George 
Published: October 2022

The benefits of interaction with urban public space, particularly green spaces are numerous for citizens, especially those who live in metropolitan areas. The outbreak of the pandemic, as well as the restrictive measures put in place to prevent the virus's spread, caused enormous changes in people's daily lives and activities. Using a structured questionnaire, the current study intends to capture the shift in attitudes and perceptions of residents of the Attica region during the 2nd wave of restriction measures (7/11/20 – 3/7/21). During the pandemic, visitation in urban public spaces increased, according to the data. The great majority of participants preferred to visit mostly urban public areas within walking distance of their residence (up to 15 minutes), especially in the afternoon and relatively frequently, with 45 percent claiming to visit them "daily" or "3-4 times a week," and only 3% claiming “never”. The analysis showed an increase in the visits during the pandemic from participants who reported better-perceived quality of the spaces, better accessibility, safety during the day, and a feeling of relaxation in the free public spaces of their area. Additionally, those reported living in areas with many available spaces were more likely to increase the frequency of visits during the pandemic.
Pathologist-Verified Billing: Correction Rates of Miscoded Frozen Section Cases
Authors: Hedgepeth John , Randall Cara , Massey Tracie , Bookhout Christine 
Published: October 2022

Context.—
With the adoption of Epic/Beaker at our institution, surgical pathology specimens are assigned a Current Procedural Terminology (CPT) charge code at the time of accessioning, and pathologists have been made responsible for verifying the accuracy of the code before signing out the case.

Objective.—
To determine with what frequency attending pathologists reassigned the correct charge code to a specimen when the code assigned at accessioning was incorrect, as well as to estimate the potential financial impact of missed changes.

Design.—
We reviewed all specimens received for frozen section during a 7-month period, identified specimens where the default charge code that our departmental protocol assigns at frozen section (88305) was incorrect, and assessed the rate of successful code change by pathologists and the potential financial cost of each missed change.

Results.—
Three hundred fifty-two of 2191 frozen section specimens (16%) required a change in the 88305 charge code. The codes for 195 specimens (55%) were correctly changed by the attending pathologist, while 157 (45%) were not changed (149) or were changed to an incorrect charge code (8). Individual pathologist change rates ranged from 0% to 100%, with a mean and median change rate of 43% and 24%, respectively. Using average code reimbursements at our institution, the loss in revenue from the 157 missed and incorrect frozen section changes was estimated at $13 788 ($1970 per month).

Conclusions.—
Pathologists showed highly variable rates of correcting CPT charge codes when the incorrect code had been previously assigned to a case, with associated loss of revenue from missed and incorrect code changes.
The Effect of Transformational Leadership and Organizational Culture on Employee Performance of PT. Permodalan Nasional Madani Persero Regional Bandar Lampung
Authors: Winda . , Jimad Habibullah , Mardiana Nova 
Published: October 2022

Aims: A good company in managing human resources cannot escape the role of a leader in influencing and directing all actions to be in line with expectations. And organizational culture can provide an understanding of what the company expects from employees and how employees interact with other employees. Creating organizational culture in the work environment is something that can improve performance. This study aimed to determine the effect of transformational leadership on employee performance and the influence of organizational culture at PT. Permodalan Nasional Madani Persero Regional Bandar Lampung.
Study Design and Methodology: The sample of this study was 353 employees of PT. Permodalan Nasional Madani Persero Regional Bandar Lampung. Data were obtained through questionnaires and processed using the SEM AMOS analysis tool.
Results: The results of this study show that transformational leadership has a positive and significant effect on employee performance. Organizational culture has a positive and significant effect on employee performance.
Implications: This study suggests that PT. Permodalan Nasional Madani Persero Regional Bandar Lampung needs to increase awareness to all employees to further improve the organizational culture within the company by implementing a knowledge sharing program regularly every week, so that the transfer of knowledge and transfer of skills occurs, strengthen leadership attitudes that are able to influence and direct employees so that employees have motivation and confidence in superiors so that they can encourage maximum performance.
Image quality comparisons of coil setups in 3T MRI for brain and head and neck radiotherapy simulations
Authors: Kaza Evangelia , Guenette Jeffrey P. , Guthier Christian V. , Hatch Steven , Marques Alexander , Singer Lisa , Schoenfeld Jonathan D. 
Published: October 2022

AbstractPurposeMRI is increasingly used for brain and head and neck radiotherapy treatment planning due to its superior soft tissue contrast. Flexible array coils can be arranged to encompass treatment immobilization devices, which do not fit in diagnostic head/neck coils. Selecting a flexible coil arrangement to replace a diagnostic coil should rely on image quality characteristics and patient comfort. We compared image quality obtained with a custom UltraFlexLarge18 (UFL18) coil setup against a commercial FlexLarge4 (FL4) coil arrangement, relative to a diagnostic Head/Neck20 (HN20) coil at 3T.MethodsThe large American College of Radiology (ACR) MRI phantom was scanned monthly in the UFL18, FL4, and HN20 coil setup over 2 years, using the ACR series and three clinical sequences. High‐contrast spatial resolution (HCSR), image intensity uniformity (IIU), percent‐signal ghosting (PSG), low‐contrast object detectability (LCOD), signal‐to‐noise ratio (SNR), and geometric accuracy were calculated according to ACR recommendations for each series and coil arrangement. Five healthy volunteers were scanned with the clinical sequences in all three coil setups. SNR, contrast‐to‐noise ratio (CNR) and artifact size were extracted from regions‐of‐interest along the head for each sequence and coil setup. For both experiments, ratios of image quality parameters obtained with UFL18 or FL4 over those from HN20 were formed for each coil setup, grouping the ACR and clinical sequences.ResultsWilcoxon rank‐sum tests revealed significantly higher (p < 0.001) LCOD, IIU and SNR, and lower PSG ratios with UFL18 than FL4 on the phantom for the clinical sequences, with opposite PSG and SNR trends for the ACR series. Similar statistical tests on volunteer data corroborated that SNR ratios with UFL18 (0.58 ± 0.19) were significantly higher (p < 0.001) than with FL4 (0.51 ± 0.18) relative to HN20.ConclusionsThe custom UFL18 coil setup was selected for clinical application in MR simulations due to the superior image quality demonstrated on a phantom and volunteers for clinical sequences and increased volunteer comfort.
Minimum‐variance recursive state estimation for complex networks with stochastic switching topologies and random quantization under try‐once‐discard protocol
Authors: Xu Bing , Hu Jun , Yi Xiaojian , Chen Dongyan , Yu Hui , Wu Zhihui 
Published: October 2022

SummaryThis article is concerned with the issue of minimum‐variance recursive state estimation (MVRSE) for a class of nonlinear dynamical complex networks (NDCNs) with stochastic switching topologies and random quantization under the try‐once‐discard (TOD) protocol. Two sequences of Bernoulli distributed random variables with given occurrence probabilities are utilized to characterize the stochastic switching manners of network topologies and the randomly occurring quantized output measurements, where the quantization effects are portrayed by the uniform quantizer. Moreover, the TOD protocol is adopted to arrange the order of the information transmission of network nodes so as to alleviate the communication burden and mitigate the network congestions. The focus of the MVRSE issue is to develop a novel state estimation algorithm such that, for all stochastic switching topologies, random quantization effects and TOD protocol, an optimized upper bound of the estimation error covariance is guaranteed by properly designing the estimator gain. In addition, the theoretical proof is derived, which illustrates that the state estimation error is exponentially mean‐square bounded under certain conditions. Meanwhile, we also present the related theoretical analysis, which discusses the impact caused by random quantization. Finally, a numerical experiment is utilized to show the validity of the novel MVRSE approach.
Highly Dispersed NiO Clusters Induced Electron Delocalization of NiNC Catalysts for Enhanced CO2 Electroreduction
Authors: Li Hongqiang , Gan Kaining , Li Ran , Huang Huawei , Niu Jiabao , Chen Zhipeng , Zhou Jian , Yu Yan , Qiu Jieshan , He Xiaojun 
Published: October 2022

AbstractOxygen‐regulated Ni‐based single‐atom catalysts (SACs) show great potential in accelerating the kinetics of electrocatalytic CO2 reduction reaction (CO2RR). However, it remains a challenge to precisely control the coordination environment of NiO moieties and achieve high activity at high overpotentials. Herein, a facile carbonization coupled oxidation strategy is developed to mass produce NiO clusters‐decorated NiNC SACs that exhibit a high Faradaic efficiency of CO (maximum of 96.5%) over a wide potential range (−0.9 to −1.3 V versus reversible hydrogen electrode) and a high turnover frequency for CO production of 10 120 h−1 even at the high overpotential of 1.19 V. Density functional theory calculations reveal that the highly dispersed NiO clusters induce electron delocalization of active sites and reduce the energy barriers for *COOH intermediates formation from CO2, leading to an enhanced reaction kinetics for CO production. This study opens a new universal pathway for the construction of oxygen‐regulated metal‐based SACs for various catalytic applications.
MnO Enabling Highly Efficient and Stable Co‐Nx/C for Oxygen Reduction Reaction in both Acidic and Alkaline Media
Authors: Chen Cheng , Tang Zi‐Jun , Li Jia‐Yi , Du Cong‐Yi , Ouyang Ting , Xiao Kang , Liu Zhao‐Qing 
Published: October 2022

AbstractIn situ growing transition metals on N‐doped carbon by atomic doping produces a class of promising alternatives to replace Pt‐based catalysts for redox reactions, yet still suffer from unsatisfactory activity and durability in acidic and basic media. Herein, a simple synthetic strategy to fabricate an MnO modifying Co‐Nx/C catalyst with high activity and robust durability is presented. The interphase engineering well controls the Co and N species in the carbon matrix, affording the material with more pyridine N and graphite N; the interaction between Co‐Nx and MnO phase is also well discussed. Accordingly, the obtained Co‐Nx/C‐MnO catalyst exhibits excellent electrocatalytic properties towards oxygen reduction reaction, achieving a half‐wave potential of 0.87 and 0.66 V versus reversible hydrogen electrode in 0.1 m KOH and 0.1 m HClO4 solutions, as well as excellent durability with only −16.9 and −12.2 mV shift after 1000 cycles, respectively. This study provides insights into the design of noble‐metal‐free electrocatalysts from the perspective of active sites and catalyst carriers.
A Switchable One‐Compound Diode
Authors: Vogel Anna , Rabenbauer Alfred , Deng Philipp , Steib Ruben , Böger Thorben , Zeier Wolfgang G. , Siegel Renée , Senker Jürgen , Daisenberger Dominik , Nisi Katharina , Holleitner Alexander W. , Venturini Janio , Nilges Tom 
Published: October 2022

AbstractA diode requires the combination of p‐ and n‐type semiconductors or at least the defined formation of such areas within a given compound. This is a prerequisite for any IT application, energy conversion technology, and electronic semiconductor devices. Since the discovery of the pnp‐switchable compound Ag10Te4Br3 in 2009, it is in principle possible to fabricate a diode from a single material without adjusting the semiconduction type by a defined doping level. Often a structural phase transition accompanied by a dynamic change of charge carriers or a charge density wave within certain substructures are responsible for this effect. Unfortunately, the high pnp‐switching temperature between 364 and 580 K hinders the application of this phenomenon in convenient devices. This effect is far removed from a suitable operation temperature at ambient conditions. Ag18Cu3Te11Cl3 is a room temperature pnp‐switching material and the first single‐material position‐independent diode. It shows the highest ever reported Seebeck coefficient drop that takes place within a few Kelvin. Combined with its low thermal conductivity, it offers great application potential within an accessible and applicable temperature window. Ag18Cu3Te11Cl3 and pnp‐switching materials have the potential for applications and processes where diodes, transistors, or any defined charge separation with junction formation are utilized.