bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fitness, body composition, and metabolic risk scores in children and adolescents: the UP&DOWN study
Authors: Sánchez-Delgado Alejandro , Pérez-Bey Alejandro , Izquierdo-Gómez Rocío , Jimenez-Iglesias José , Marcos Ascensión , Gómez-Martínez Sonia , Girela-Rejón María José , Veiga Oscar L , Castro-Piñero José 
Published: November 2022

AbstractWe aimed to analyse the longitudinal association between physical fitness (PF) and body composition (BC) with a metabolic risk score (Met4) in children and adolescents and to elucidate whether the association between PF and Met4 differs when using relativized or absolute fitness variables. A total of 188 children (86 females) and 195 adolescents (97 females) were included. Cardiorespiratory fitness (CRF) was determined by the 20-m shuttle run test, and muscular fitness (MF) was determined by hand grip and standing long jump tests. Height and weight were measured, and the body mass index (Kg/m2) was calculated. Triceps and subscapular skinfolds were assessed to compute body fat percentage. Met4 was computed from systolic blood pressure, triglycerides, high-density lipoprotein cholesterol, and glucose levels. Relative CRF was longitudinally and negatively associated with Met4 in female children (β =  −0.031, p = 0.025), while absolute CRF was positively associated with Met4 in male children and adolescents (β = 0.000, p < 0.05). Relative upper and lower-body MF were longitudinally and negatively associated with Met4 in female adolescents (β =  −1.347, β =  −0.005, p < 0.05), while absolute lower-body MF was positively associated with Met4 in male children (β = 0.000, p = 0.019). BC was longitudinally and positively associated with Met4 in male children (β-ranging from 0.011 to 0.055, all p < 0.05) and male adolescents (β-ranging from 0.011 to 0.046, all p < 0.05). Conclusion: BC is more strongly associated with Met4 than PF in children and adolescents. An optimal body weight status should be considered the main objective of health-promoting programs at childhood and adolescence. Furthermore, the way of expressing the fitness variables determines the direction of the association with Met4.

What is Known:• Physical fitness is an important health indicator in children and adolescents, with great amount of previous evidence supporting the preventive role of maintaining optimal levels of both cardiorespiratory and muscular fitness for future cardiometabolic issues.

What is New:• The way of reporting physical fitness variables can affect the associations between physical fitness features and cardiometabolic outcomes. Since body composition variables have a great impact on both physical fitness and cardiometabolic health, relativizing physical fitness performance by body composition could lead to erroneous conclusions.
Contravariant Finiteness and Iterated Strong Tilting
Authors: Huisgen-Zimmermann Birge , Nazemian Zahra , Saorín Manuel 
Published: November 2022

AbstractLet $\mathcal {P}^{<\infty } ({\Lambda }\text {-mod})$

P

<
∞

(
Λ
-mod
)
be the category of finitely generated left modules of finite projective dimension over a basic Artin algebra Λ. We develop a widely applicable criterion that reduces the test for contravariant finiteness of $\mathcal {P}^{<\infty } ({\Lambda }\text {-mod})$

P

<
∞

(
Λ
-mod
)
in Λ-mod to corner algebras eΛe for suitable idempotents e ∈Λ. The reduction substantially facilitates access to the numerous homological benefits entailed by contravariant finiteness of $\mathcal {P}^{<\infty } ({\Lambda }\text {-mod})$

P

<
∞

(
Λ
-mod
)
. The consequences pursued here hinge on the fact that this finiteness condition is known to be equivalent to the existence of a strong tilting object in Λ-mod. We moreover characterize the situation in which the process of strongly tilting Λ-mod allows for unlimited iteration: This occurs precisely when, in the category $\text {mod-}\widetilde {\Lambda }$
mod-

Λ

~

of right modules over the strongly tilted algebra $\widetilde {\Lambda }$

Λ

~

, the subcategory of modules of finite projective dimension is in turn contravariantly finite; the latter condition can, once again, be tested on suitable corners eΛe of the original algebra Λ. In the (frequently occurring) positive case, the sequence of consecutive strong tilts, $\widetilde {\Lambda }$

Λ

~

, $\widetilde {\widetilde {\Lambda }}$

Λ

~

~

, $\widetilde {\widetilde {\widetilde {\Lambda }}}, \dots $

Λ

~

~

~

,
…

, is shown to be periodic with period 2 (up to Morita equivalence); moreover, any two adjacent categories in the sequence $\mathcal {P}^{<\infty } (\text {mod-}\widetilde {\Lambda })$

P

<
∞

(
mod-

Λ

~

)
, $\mathcal {P}^{<\infty }(\widetilde {\widetilde {\Lambda }}\text {-mod})$

P

<
∞

(

Λ

~

~

-mod
)
, $\mathcal {P}^{<\infty }(\text {mod-}\widetilde {\widetilde {\widetilde {\Lambda }}}), \dots $

P

<
∞

(
mod-

Λ

~

~

~

)
,
…

, alternating between right and left modules, are dual via contravariant Hom-functors induced by tilting bimodules which are strong on both sides. Our methods rely on comparisons of right $\mathcal {P}^{<\infty }$

P

<
∞

-approximations in the categories Λ-mod, eΛe-mod and the Giraud subcategory of Λ-mod determined by e; these interactions hold interest in their own right. In particular, they underlie our analysis of the indecomposable direct summands of strong tilting modules.
Gesundheitsversorgung für Frauen nach häuslicher und sexualisierter Gewalt am Beispiel des Landes Hessen
Authors: Haneck Stefanie , Hahn Daphne 
Published: November 2022

Zusammenfassung
Hintergrund
Häusliche und sexualisierte Gewalt stellt eine Bedrohung für die Gesundheit von Frauen dar. Seit die Istanbul-Konvention 2018 in Deutschland in Kraft trat, besteht die Anforderung einer adäquaten Gesundheitsversorgung für gewaltbetroffene Frauen. Bisher gibt es keine systematischen Übersichten zu regional bestehenden Versorgungsangeboten und -situationen im Bereich der gesundheitlichen Versorgung nach Gewalterlebnissen.

Ziel der Arbeit
Es wird ein Überblick über die Versorgungsangebote und -situationen im Gesundheitsbereich sowie deren Rahmenbedingungen in Hessen gegeben sowie identifizierte Versorgungslücken aufgezeigt.

Methode
Es wurden 34 Expert*inneninterviews mit Gesundheitsfachkräften in Kliniken und anderen Gesundheitseinrichtungen, mit Mitarbeiter*innen von Koordinierungsstellen und Beratungsstellen sowie Frauenbeauftragten geführt. Die Interviews wurden mit der Qualitativen Inhaltsanalyse ausgewertet. Ergänzend erfolgte eine Internetrecherche nach Gesundheitsangeboten, die auf Gewalt spezialisiert sind.

Ergebnisse
Die Ergebnisse zeigen, dass in Hessen Angebote zur gesundheitlichen Versorgung nach häuslicher und sexualisierter Gewalt nicht in jedem Landkreis vorhanden sind. Insbesondere im ländlichen Raum ist eine adäquate gesundheitliche Versorgung nicht gesichert, was zu ungleichen Chancen für die Betroffenen führt. Es konnten Unterschiede zwischen Angeboten, die auf Gewalt spezialisiert sind, und anderen Gesundheitseinrichtungen festgestellt werden. Während innerhalb der spezialisierten Angebote Vorgaben zu Inhalten und Abläufen existieren, ist die Versorgung in anderen Einrichtungen vom persönlichen Engagement der jeweiligen Gesundheitsfachkräfte abhängig.

Schlussfolgerung
Im Sinne der Istanbul-Konvention kann in Hessen eine adäquate Gesundheitsversorgung nach häuslicher und sexualisierter Gewalt nicht gewährleistest werden und es besteht weiterer Handlungsbedarf.
Quality prediction for milling processes: automated parametrization of an end-to-end machine learning pipeline
Authors: Fertig Alexander , Preis Christoph , Weigold Matthias 
Published: November 2022

AbstractThe application of modern edge computing solutions within machine tools increasingly empowers the recording and further processing of internal data streams. The datasets derived by contextualized data acquisition form the basis for the development of novel data-driven approaches for quality monitoring. Nevertheless, for the desired data-driven modeling and data handling, heavily specialized human resources are required. Additionally, domain experts are indispensable for adequate data preparation. To reduce the manual effort regarding data analysis and modeling this paper presents a new approach for an automated parametrization of an end-to-end machine learning pipeline (MLPL) to develop and select the best-performing quality prediction models for usage in machining production. This supports domain experts with a lack of specific knowledge of data science to develop well-performing models for machine learning-based quality prediction of milled workpieces. The results show that the presented algorithm enables the automated generation of data-driven models at high prediction performances to use for quality monitoring systems. The algorithm’s performance is tested and evaluated on four real-world datasets to ensure transferability.
Recommendations of the Spanish brachytherapy group of the Spanish Society of Radiation Oncology and the Spanish Society of Medical Physics for interstitial high-dose-rate brachytherapy for gynaecologic malignancies
Authors: Gutiérrez Miguélez Cristina , Rodríguez Villalba Silvia , Villafranca Iturre Elena , Fuentemilla Urio Naiara , Richart Sancho Jose , Córdoba Lago Sofía , Pino Sorroche Francisco , Gracia Lucio Ruth , Herreros Martínez Antonio , Najjari-Jamal Dina ,   GEB (Spanish Brachytherapy Group)
Published: November 2022

AbstractThe present document includes consensus-based recommendations from the Brachytherapy Group (GEB) of the Spanish Society of Radiation Oncology (SEOR) and the Spanish Society of Medical Physics (SEFM) for interstitial high-dose-rate (HDR) brachytherapy (BT) for gynaecologic malignancies. A nine-item survey—which included questions on experience with interstitial BT; indications and technique; applicator type; magnetic resonance imaging (MRI)-based planning; dose; fractionation schedule; and treatment planning—was sent to all radiation oncology departments (n = 174) in Spain in 2021. Responses were received from 36 centres (50% of all centres [n = 72] with a BT unit). The consensus-based recommendations presented here are based on a review of the available literature, professional experience among the group of experts, and in-person discussions held during the annual meeting of these two societies. We describe the results of the survey and the following: indications; contraindications; patient selection; description of applicators; role of imaging in planning; contouring; dose prescription; dosimetric reconstruction; optimisation; and dose indications for cancers of the cervix, vagina, and vulva. The various clinical scenarios in which interstitial BT is used in the treatment of gynaecological tumours are described in detail, including cervix intracavitary/interstitial hybrid HDR-BT; cervix perineal templates/freehand implants; primary vaginal malignancies/vaginal recurrences; and vulvar interstitial implants.
Inter-Organisational Entanglements in Migrant Support Ecologies: Action and Collaboration Supporting Labour Market Integration
Authors: Lugosi Peter , Allis Thiago , Della Croce Clara , Morano-Foadi Sonia 
Published: November 2022

AbstractThis paper examines inter-organisational behaviours in what we call ‘migrant support ecologies’ – shared physical and abstract spaces where multiple organisations work to help migrants access and transition within the labour market. Drawing on composite data generated through studies conducted in the UK and Brazil, we argue that actors and organisations in such environments operate in ‘common goal domains’, in which objectives are related but not necessarily integrated or coordinated, and they consequently adopt diverse interactional practices. We distinguish between four ideal types of migrant support organisation based on their activity scope and stakeholder focus before outlining how different organisations and their constituent actors engage in tactical and strategic coupling practices, reflecting shorter and more episodic interactions alongside complex, multithreaded ones. The findings show how different forms of cooperative arrangements may be pursued based on organisations’ capacities, focus and the types of value they seek to create for organisations, migrants and wider societies.
A tree-of-tangles theorem for infinite tangles
Authors: Elm Ann-Kathrin , Kurkofka Jan 
Published: November 2022

AbstractCarmesin has extended Robertson and Seymour’s tree-of-tangles theorem to the infinite tangles of locally finite infinite graphs. We extend it further to the infinite tangles of all infinite graphs. Our result has a number of applications for the topology of infinite graphs, such as their end spaces and their compactifications.
Prevalence and risk factors for nerve injury following shoulder dislocation
Authors: Hardie C. M. , Jordan R. , Forker O. , Fort-Schaale A. , Wade R. G. , Jones J. , Bourke G. 
Published: November 2022

Abstract
Background
The glenohumeral joint dislocation can be associated with major nerve injury. The reported prevalence and risk factors for major nerve injury are variable and this injury can have a severe and life-long impact on the patient. The objectives of this study were to analyse the prevalence of major nerve injury following shoulder dislocation and examine risk factors. Management and outcomes of nerve injury were explored.

Methods
A 1 year retrospective cohort study of 243 consecutive adults who presented with a shoulder dislocation was performed. Data were collected on patient demographics, timings of investigations, treatment, follow-up, and nerve injury prevalence and management. The primary outcome measure was prevalence of nerve injury. Risk factors for this were analysed using appropriate tests with Stata SE15.1.

Results
Of 243 patients with shoulder dislocation, 14 (6%) had neurological deficit. Primary dislocation (p = 0.004) and older age (p = 0.02) were significantly associated with major nerve injury. Sex, time to successful reduction and force of injury were not associated with major nerve injury in this cohort. Patients with nerve injury made functional recovery to varying degrees. Recurrent shoulder dislocation was common accounting for 133/243 (55%) attendances.

Conclusions
Shoulder dislocation requires careful assessment and timely management in the ED. A 6% rate of nerve injury following shoulder dislocation was at the lower border of reported rates (5–55%), and primary dislocation and older age were identified as risk factors for nerve injury. We emphasise the importance of referring patients with suspected major nerve injury to specialist services.
Verticale samenwerking: een duurzaam perspectief?
Authors: van den Broek Anneloes , Metz Margot , Raams Eefje , Bongers Inge 
Published: November 2022

SamenvattingAchtergrond: Verticale samenwerking in de vorm van een duurzame coalitie tussen zorgaanbieders en zorgverzekeraars vraagt om fundamentele wijzigingen. Inzicht in impactvolle factoren is van belang voor het welslagen van duurzame coalities.Methode: Het betreft een beschrijvend en exploratief onderzoek. De vragenlijst ‘Succesfactoren in samenwerking’ werd geconstrueerd, gevalideerd en afgenomen bij 44 respondenten uit diverse duurzame coalities, werkzaam bij elf ggz-instellingen, drie ziekenhuizen en drie zorgverzekeraars.Resultaten: Verticale samenwerking wordt ingezet ten behoeve van een verbetering van de waardecreatie en kostenbesparing. Bij de onderzochte duurzame coalities was het belang dat gehecht werd aan twintig indicatoren, die bepalend zijn voor het succes van samenwerking, hoger dan hoe deze in de praktijk verliepen. Bij tien succesindicatoren was dit significant. Bovenal lijken zorgverzekeraars in vergelijking met zorgaanbieders meer waarde te hechten aan indicatoren van de invalshoeken belangen en relatie. Zorgaanbieders vonden dat de balans tussen inhoudelijke en procesmatige aandacht voor samenwerking in de praktijk minder goed verliep dan zorgverzekeraars aangaven.Conclusie: Verticale samenwerking tussen zorgaanbieder en zorgverzekeraar kan tot een duurzaam perspectief leiden indien draagvlak en procesvertrouwen permanent actief op de agenda staan. Vervolgonderzoek gericht op discrepanties kan een verdiepingsslag realiseren. Optimalisatie van het procesontwerp en continu monitoren dragen bij aan verbetering van onderlinge relaties.
Micro-climatic variations across Malawi have a greater influence on contamination of maize with aflatoxins than with fumonisins
Authors: Ng’ambi Justin Temwani , Atehnkeng Joseph , Monjerezi Maurice , Ngongondo Cosmo , Vunain Ephraim , Ching’anda Connel , Ortega-Beltran Alejandro , Cotty Peter J. , Matumba Limbikani , Bandyopadhyay R. 
Published: November 2022

AbstractThis study reports levels of aflatoxin and fumonisin in maize samples (n = 1294) from all agroecological zones (AEZs) in Malawi. Most maize samples (> 75%) were contaminated with aflatoxins and 45% with fumonisins, which co-occurred in 38% of the samples. Total aflatoxins varied across the AEZs, according to mean annual temperature (P < 0.05) of the AEZs. Samples from the lower Shire AEZ (median = 20.8 µg/kg) had higher levels of aflatoxins (P < 0.05) than those from the other AEZs (median = 3.0 µg/kg). Additionally, the majority (75%) of the positive samples from the lower Shire AEZ had aflatoxin levels exceeding the EU regulatory limit (4 µg/kg), whereas 25%, 37%, and 39% of positive samples exceeded the threshold in the mid-elevation, Lake Shore and upper and middle Shire, and highlands AEZs, respectively. The lower Shire AEZ is characterised by higher mean temperatures throughout the year and low erratic rainfall. However, total fumonisins did not show significant variation across AEZs, but all positive samples exceeded 150 µg/kg, required for tolerable daily intake of 1.0 µg/kg body weight per day, established by the European Food Safety Authority Panel on Contaminants in the Food Chain. Therefore, results of this study suggest that contamination of maize with aflatoxin responds to micro-climate more than with fumonisins. In addition, the data will be useful to public health policy-makers and stakeholders to articulate and implement monitoring and mitigation programs.
Adoptees’ views and experiences of direct-to-consumer (DTC) genomic testing: an exploratory interview study from the UK
Authors: Kay Alison C. , Taverner Nicola V. 
Published: November 2022

Abstract
Direct-to-consumer (DTC) genomic testing for ancestry and health may appeal to adoptees looking to fill gaps in their family information. There are only a handful of published studies on adoptees’ views and experiences of DTC testing and none of these is from the UK. The recent UK House of Commons Science and Technology Committee report (GB Parliament, House of Commons 2021) did not address the gains or challenges for adopted people specifically, although the Committee did consider that robust evidence of opportunities or risks for any user of a DTC testing kit is limited. In this study presented here, semi-structured interviews were conducted with ten UK adult adoptees recruited via social media. Reflexive thematic analysis (Braun and Clarke 2006, 2019) of the interview transcripts identified three main themes: Decisional influencers of longing, uncertainty and normalisation of DNA kit use; Informational drivers to gain clarity but avoid new worrisome information; and talk around Negotiating Visibility to birth family and commercial third parties. A further theme of Meaning Making related to adoptees’ views of testing outcomes as bringing feelings of resolution or discordance. This study identified many challenging deliberations for adoptees in evaluating whether to take a DTC test and what to do when their results were returned. Additionally, adoptees’ consideration of data privacy issues appears hampered by already having shared identifying information about themselves in their wider adoptee search. Further research is encouraged.
Prospective Teachers’ Diagnostic Thinking on Students’ Understanding of Multi-Digit Multiplication: A Content-Related Analysis on Unpacking of Knowledge Elements
Authors: Dröse Jennifer , Prediger Susanne 
Published: November 2022

AbstractTeachers’ in-depth diagnostic thinking has been shown to be crucial for student-centered teaching as they need to perceive and interpret students’ understanding for well-informed decision-making on adaptive teaching practices. The paper presents a content-related approach to analyzing diagnostic thinking processes with respect to the mathematical knowledge elements that prospective teachers identify as students’ resources and obstacles. Prospective teachers’ challenge is that some relevant knowledge elements first have to be unpacked, because compact concepts (such as the place value concept) or procedures (such as for multi-digit multiplication) comprise several smaller knowledge elements (such as the positional property) that have to be made explicit for students to foster their learning processes adequately. Our study examines what knowledge elements prospective teachers perceive and interpret in a transcript vignettes on multi-digit multiplication (of decimal and natural numbers) and its underlying basic arithmetic concepts (place value understanding and meaning of multiplication) in written diagnostic judgments on students’ resources and obstacles (N = 196). A comparative design within the vignette is used to investigate how far the process of perceiving can be supported by thematic cues. The analysis reveals that those knowledge elements cued in the vignette by being already unpacked and explicitly addressed are perceived and interpreted more often (but with lower correctness) than those that are uncued and therefore have to be unpacked by the prospective teachers themselves. This confirms the need to prepare prospective teachers for unpacking mathematical concepts themselves.
Smoke Alarms for Informal Settlements: Monitoring and Challenges from a Large-Scale Community Rollout in Cape Town, South Africa
Authors: Pharoah Robyn , Zweig Patricia , Walls Richard , Eksteen Rodney 
Published: November 2022

AbstractThis article presents the findings of a pilot project to test the large-scale rollout of smoke alarms in an informal community in Cape Town, South Africa. The work provides novel insight into the effectiveness and challenges associated with using smoke detectors in low-income communities. Technical details and detector considerations are also provided that will assist in enhancing future interventions. The project installed 1200 smoke detection devices in TRA informal settlement in the suburb of Wallacedene, in the City of Cape Town, and monitored their effectiveness for a period of 12 months. The monitoring showed that there were 11 real activations, where the presence of the devices likely saved lives and homes. The project also identified a series of challenges, especially in relation to nuisance alarms, where everyday household emissions, dust, and insect ingress caused false alarms, leading some participants to uninstall devices. The findings of the pilot study suggest that although smoke detectors could provide a valuable tool for reducing the frequency and impact of informal settlement fires in South Africa and elsewhere, they need to be adapted to meet the specific needs and conditions encountered in informal dwellings. Modifications, such as adjusting device sensitivity, preventing dust and insect ingress and tailoring devices to everyday conditions, will be essential to make smoke alarms more suitable and effective in the future. Smoke alarms could become an important component of low-income community fire safety if such challenges can be addressed.