bluuebunny/crossref_metadata_2025_split huggingface dataset:
Khat Chewing Practices and Treatment Discontinuation among People with Serious Mental Illness at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia
Authors: Habte Fikreselam , Kassaw Chalelgn 
Published: February 2025

Comorbid substance use in individuals with serious mental illness (SMI) is considered a risk factor for treatment discontinuation. There are limited studies on the association of khat (Catha edulis F) chewing, a common practice in Ethiopia and Eastern Africa, with treatment discontinuation. The objective of this study was to assess the influence of khat chewing on treatment discontinuation among people with serious mental illness at Amanuel Mental Specialized Hospital, Addis ababa, Ethiopia. Cross sectional study was undertaken. Data was collected using semi structured questionnaire and data abstraction format from patient’s medical record. A total of 805 with 405 khat chewer and 400 non-chewer individuals with SMI were involved in the study. The data was analysed using SPSS V-23; binary logistic regression was used and p value less than 0.05 in multivariate analysis was considered significant. The prevalence of treatment discontinuation was 34.3% without significant difference between khat chewer and non-chewer individuals (p = 0.445). Treatment discontinuation was significantly associated with relapse and suicide ideation. The odds of treatment discontinuation was 2.3 times higher in relapsing individuals compared to the nonrelapsing individuals with serious mental illness, AOR (95% CI) of 2.3 (1.6 - 3.5). The odd of treatment discontinuation was 1.7 times higher in individuals with suicidal ideation compared to those who don not have suicide ideation, AOR (95% CI) of 1.7 (1.2 -2.5). In conclusion one third of patients with SMI had treatment discontinuation. Relapse and suicide ideation, which were associated with treatment discontinuation, increases hospitalization and associated treatment burden in individuals with SMI. There should be mechanism to closely follow patients at community level to detect and manage treatment discontinuation as early as possible.
Validity and Reliability of the Amharic CDLQI for Evaluating Quality of Life in Ethiopian Atopic Dermatitis Patients
Authors: Aynalem Minychel Wale , Ali Eskinder Eshetu , Fentie Atalay Mulu , Berha Alemseged Beyene 
Published: February 2025

Atopic dermatitis (AD) is a chronic relapsing inflammatory skin disease that substantially impacts healthrelated quality of life (HRQoL) in people of all ages. However, its impact is substantially high in children. The Cardiff Child Dermatology Life Quality Index (CDLQI) is one of the most well-known dermatologyspecific instruments to measure HRQoL of children suffering from skin diseases. The tool has been translated into 44 languages in 28 countries to measure the effects of more than 14 skin conditions, including AD. However, the Amharic version of CDLQI tool has not yet been validated. Thus, the objective of this study was to validate the Amharic version of the CDLQI tool for AD patients in Ethiopia. A facility-based cross-sectional study was conducted. A total of 200 children (5 - 16 years) with confirmed AD were interviewed. Bartlett’s (BS) test of sphericity and the Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy were used to ascertain the appropriateness of the data for factor analysis. Pearson correlation matrix, confirmatory factor analysis (CFA) and Cronbach’s alpha test were performed to assess convergent validity, construct validity and internal consistency of the tool, respectively. The Minimum Discrepancy Function divided by Degrees of Freedom (CMIN/DF) was 4.7 indicating a reasonable fit of the model. The comparative fit index (CFI) was 0.935 indicating good fit of the model. Cronbach’s alpha coefficient was 0.87 showing a good internal consistency between the 10 items in the tool. Inter-item correlation coefficients ranged from 0.15 and 0.715. The overall finding demonstrated that the Amharic version of CDLQI tool was a reliable and valid tool to assess the quality of life for children diagnosed with AD in Ethiopia. Further cultural validation and feasibility studies are recommended among patients with other conditions.
Eficácia do ultra-som pulsado e do laser de baixa potência na diminuição da dor crônica provocada pelas disfunções temporomandibulares: estudo comparativo
Authors: MARAFON JULIANE , COELHO TALITA REGINA , NAKAYAMA GUSTAVO KIYOSEN , BERTOLINI GLADSON RICARDO FLOR 
Published: February 2025

Este trabalho apresenta dois recursos fisioterapêuticos (laserde baixa potência 830 nm e ultra-som pulsado) aplicados a dores crônicasprovocadas pela disfunção temporomandibular (DTM). O objetivo foiverificar e comparar a eficácia desses recursos na diminuição do quadrodoloroso. Foram selecionados dez pacientes que apresentavam dorcrônica pela DTM, e que não apresentavam fratura e/ou luxaçãorecidivante da articulação temporomandibular. Cinco pacientes realizaramtratamento com o ultra-som pulsado na freqüência de 1,0 MHz com dosede 1,0 W/cm2, 5 min; e 5 pacientes, tratamento com laser contínuo empontos próximos e sobre área de dor, com dose de 4 J/cm2. Foramrealizadas terapias diárias, 5 por semana, durante 2 semanas. Aplicou-seuma avaliação inicial contendo a escala visual analógica de dor (EVAD), uma relação de sintomas associados, palpação dos músculos associados emobilidade articular; essa mesma avaliação foi repetida ao final dotratamento. Também se aplicou uma ficha de evolução diária, contendo aEVAD, que era aplicada antes e após a terapia. Nos dez pacientes houveredução da dor ao final do tratamento: na terapia com ultra-som o quadrodoloroso diminuiu em 49,2% (p=0,0947), e com laser a diminuição foi de72,4% (p=0,0367). Na evolução diária da dor, o laser apresentou, emmédia, uma diminuição de 0,8 ponto (p=0,0757) (na EVAD) contra 1,2ponto do ultra-som (p=0,0002). Pode-se concluir que o laser foi maiseficaz na analgesia provocada após o término do tratamento, e o ultra-somfoi mais eficaz na analgesia imediata.
Tratamento da má oclusão de Classe II de Angle utilizando o distalizador Jones jig seguido do aparelho fixo corretivo
Authors: PATEL MAYARA PAIM , CANUTO LUIZ FILIPHE GONÇALVES , ARAKI JANINE DELLA VALLE , FREITAS KARINA MARIA SALVATORE , HENRIQUE JOSÉ FERNANDO CANSTANHA 
Published: February 2025

A etiologia da má oclusão de Classe II é consideradamultifatorial, sendo assim, o plano de tratamento pode ser diversificadode acordo com os componentes esqueléticos envolvidos, maxila e/oumandíbula, bem como, com a severidade da discrepância ânteroposterior.O tratamento da má oclusão de Classe II dentária envolve umadistalização de molares superiores ou extrações dentárias, sendo que emambas as terapias, uma mínima cooperação por parte do paciente énecessária. Os distalizadores intrabucais foram desenvolvidos com opropósito de corrigir a Classe II independente da colaboração dospacientes, contudo, a experiência clínica demonstrou que mesmo mínima,a cooperação será necessária. Esses dispositivos promovem umadistalização rápida e eficiente, porém, caracterizada inúmeras vezes pelaangulação e extrusão dos molares superiores. Este trabalho tem comopropósito apresentar o desenvolvimento de um caso clínico caracterizadopor uma má oclusão de Classe II e suave apinhamento no arco superior; a paciente foi submetida ao tratamento utilizando inicialmente odistalizador Jones jig seguido do aparelho fixo corretivo.
As competências das inteligências múltiplas através da comunicação no jogo do PAS
Authors: STIVAL NEY , TAURA HILDA MASSAKO , STIVAL THAYSA BEATRIZ MAIA , KADOWAKI ADRIANA SHIZUE 
Published: February 2025

O presente trabalho trata-se de um estudo participativo e exploratório,como proposta de estabelecimento de um método educativo, através dacapacitação contínua dos 20 (vinte) alfabetizadores do PAS - ProgramaAlfabetização Solidária, para aplicação do conhecimento adquirido aosalfabetizandos nas salas de aula. Desta forma, nas capacitações in loco, osalfabetizadores foram orientados para aplicar aos alfabetizandos os jogosde comunicação que envolveram as inteligências múltiplas com várioseixos temáticos, os quais foram desenvolvidas em sincronia com osobjetivos e as atividades previstos no PAS. Estes jogos de comunicaçãoforam escolhidos devido à sua adequação ao processo de alfabetização. Opresente trabalho foi desenvolvido durante o módulo XIV e está emaplicação no módulo XV, compondo o conjunto de 20 jogos que foram eestão sendo aplicados nas salas. Ao abordar as competências dasinteligências múltiplas da comunicação no jogo, observa-se que, apesar desuas especificidades, elas possuem formas flexíveis de serem aplicadas eque as relações entre sons, letras, expressões etc. nem sempre apresentamrelações biunívocas, constituindo-se, por isso mesmo, em aspectos a serem superados no domínio da comunicação. A partir de aspectosexplorados no presente trabalho, foi possível apontar para algunsencaminhamentos pedagógicos, permeando-se entre eles a preocupaçãode garantir ao alfabetizando um desempenho eficiente da fala e da escritanas reais situações em que tal desempenho se faça necessário.
Efeitos do Aumento da Temperatura na Comunidade do Santo Antônio e Quilombo São José, Localizados no Município de Laranjal do Jari - AP
Authors: Azevedo Joyce Batista Costa , Muniz Luziene Socorro dos Santos , Cardoso Rafaella Fernandes , Silva Meuksedek Alves da , Sathler Maicon Lemos 
Published: February 2025

As comunidades fluviais Santo Antônio e Quilombo São José, localizada as margens do Rio Jari-AP, estão sujeitas às mudanças climáticas como os eventos hidrológicos extremos tornando-se frequentes. Estas populações são extremamente vulneráveis as transformações, pois os ciclos hidroclimáticos sazonais norteiam seu modo de vida. A pesquisa de percepção sobre os efeitos do aumento da temperatura é necessária para analisar como eles estão reagindo aos impactos dessas mudanças e quais estratégias adaptativas são adotadas, levando ao objetivo da presente pesquisa que visa compreender os impactos provocados por essas variações. A obtenção dos dados foram obtidas por meio de entrevistas. Os resultados indicam que o conhecimento empírico aponta que os ciclos do rio estão mudando, que as chuvas diminuíram e o aumento da temperatura é uma realidade, levando-os a adaptar-se para superar esse novo desafio. Sendo necessário os gestores desenvolverem políticas públicas voltadas à problemática local.
Dickens the Enchanter
Authors: Conrad Peter 
Published: February 2025

A kaleidoscopic investigation of Dickens’s imagination and the world he created.
See Dickens as never before in this creative biography, which delves into his novels, journalistic essays and letters to reveal his strange, hilarious but obsessive personal character and the audacity of a mind that set out, as he said, to rearrange the universe.
Peter Conrad’s bold rediscovery of Dickens suggests that he alone rivals Shakespeare and in some ways betters him. As well as re-examining the great novels, Conrad’s book probes the journalism in which Dickens reports on his risky ventures into the urban underworld. It also describes the celebrated but dangerously over-intense public readings in which, as at a seance, he allowed his most terrifying characters to take possession of him. Ultimately it reveals how the forces of creation and destruction come together in Dickens, who despite his reputation for jollity and effusive sentiment found it increasingly hard to control the madness and violence of his own self-destructive genius.
Dickens the Enchantertakes us deep into an imagination whose power and originality struck some contemporaries as godlike while others thought it demonic. If you already love Dickens, it will renew your understanding of him; if you have yet to read him, it will lure you into his astonishing, alarming, enchanted world.
German Troops in the American Revolution (2)
Authors: MacNiven Robbie 
Published: February 2025

Fully illustrated, this is the second volume in a detailed study of the German auxiliary troops who fought for Britain in the American Revolutionary War.
During the American Revolutionary War (1775–83), German auxiliary troops provided a vital element of the British war effort. While the largest body of German troops was from Hessen-Cassel (see the first volume of this study), the British also fielded troops from Braunschweig-Wolfenbüttel, Hessen-Hanau, Waldeck and Pyrmont, Brandenburg Ansbach and Brandenburg-Bayreuth, and Anhalt-Zerbst. This volume also covers the Hanoverian soldiers involved in the sieges of Gibraltar and Menorca.
Fighting on a host of battlefields from Saratoga to Yorktown, these hired soldiers provided the Crown Forces with much-needed manpower and contributed crucial combat skills in the form of theJäger, renowned specialists in open-order warfare. Featuring eight specially commissioned artwork plates and an array of carefully chosen illustrations, many in colour, this lively study examines the organization, uniforms, weapons and equipment of these troops who fought for King George in the New World.
Challenging Sports Governing Bodies
Authors: Lewis Adam , Taylor Jonathan , De Marco Nick , Segan James 
Published: February 2025

Challenging Sports Governing Bodies covers the decision to challenge the actions of a sports governing body and considers the causes of action that form a basis for them. This title refers to this important area of practice that more company, commercial and regulatory practitioners are venturing in to.
The text is encyclopaedic in nature and practice based providing a practical analysis of key issues for practitioners. Footnotes are used to identify the leading cases for propositions in the main text and to help with finding similar and relevant cases.
To ensure this work is comprehensive in its subject matter there is a short section on Remedies focusing on internal appeal routes and arbitration.
This title is included in Bloomsbury Professional's Sports Law online service.
Caché (Hidden)
Authors: Wheatley Catherine 
Published: February 2025

Ever since its world premiere at the Cannes film festival in May 2005, audiences have been talking about Michael Haneke’s Caché. The film’s enigmatic and multi-layered narrative leaves its viewers with many more questions than answers. The plot revolves around the mystery of who is sending a series of sinister videos and drawings to Georges Laurent (Daniel Auteuil), the presenter of a literary talkshow. As Georges becomes increasingly secretive, much to the distress of his wife Anne (Juliette Binoche), a culprit fails to surface. And even at the film’s end, audiences are left struggling to make sense of what has gone before.
This hasn’t stopped people trying. As Catherine Wheatley examines, a wealth of critical writing surrounds Caché, with various explanations having been offered as to what the film is ‘really’ about. In an in-depth and illuminating account, Wheatley examines the key themes at the heart of the ‘meaning’ of Caché: the film as thriller; post-colonial bourgeois guilt; political accountability and lastly, reality, the media and its audiences, tracing these strands through the film by means of close readings of individual scenes and moments. Inspired by the director’s claim that we might understand the film as a set of Russian dolls, each of which is complete in itself but together forms a whole in which layers of unseen depth are concealed, Wheatley avoids a single, unifying approach to understanding Caché. Instead, her detailed analysis of the film’s shifting perspectives opens up the multiplicity of meanings that Caché contains, in order to understand its secrets.
Star Wars
Authors: Brooker Will 
Published: February 2025

The release of Star Wars in 1977 marked the start of what would become a colossal global franchise. Star Wars remains the second highest-grossing film in the United States, and George Lucas's six-part narrative has grown into something more: a culture that goes far beyond the films themselves, with tie-in toys, novels, comics, games and DVDs as well as an enthusiastic fan community which creates its own Star Wars fictions. Critical studies of Star Wars have treated it as a cultural phenomenon, or in terms of its special effects, fans and merchandising, or as a film that marked the end of New Hollywood's innovation and the birth of the blockbuster.
Will Brooker's illuminating study of the film takes issue with many of these commonly-held ideas about Star Wars. He provides a close analysis of Star Wars as a film, carefully examining its shots, editing, sound design, cinematography and performances. Placing the film in the context of George Lucas's previous work, from his student shorts to his 1970s features, and the diverse influences that shaped his approach, from John Ford to Jean-Luc Godard, Brooker argues that Star Wars is not, as Lucas himself has claimed, a departure from his earlier cinema, but a continuation of his experiments with sound and image. He reveals Lucas's contradictory desires for total order and control, embodied by the Empire, and for the raw energy and creative improvisation of the Rebels. What seemed a simple fairy-tale becomes far more complex when we realise that the director is rooting for both sides; and this tension unsettles the saga as a whole, blurring the boundaries between Empire and Republic, dark side and light side, father and son.
In his foreword to this new edition, Will Brooker discusses how subsequent films in the series, specifically Rogue One (2016) and The Last Jedi (2017), foregrounded and developed the themes of opposition that are at the heart of Star Wars. He shows how Derridean theories of opposites which become undermined and subverted, and which change places are made more clear with hindsight and provide us with a useful lens for looking back at the 1977 Star Wars.
Acesso de primeiro contato na atenção primária à saúde na perspectiva do enfermeiro: estudo transversal
Authors: Veloso Daniella Cristina Martins Dias , Paiva Patrícia Alves , Silva Maria Luíza Oliveira , Brito Maria Fernanda Santos Figueiredo , Silva Rosângela Ramos Veloso , Silva Carla Silvana de Oliveira e , Vieira Maria Aparecida , Dias Orlene Veloso 
Published: February 2025

Objetivo: analisar o atributo “acesso de primeiro contato” e fatores associados na perspectiva dos enfermeiros da Atenção Primária à Saúde de Montes Claros/MG, Brasil. Método: estudo transversal analítico, quantitativo, realizado entre novembro e dezembro de 2021, com 111 enfermeiros atuantes na Atenção Primária à Saúde do município de Montes Claros. O “acesso de primeiro contato” foi avaliado por meio do instrumento Primary Care Assessment (PCATool). O ponto de corte para o atributo avaliado foi de 6,6. Resultados: identificou-se que dos nove itens que compõem o componente acessibilidade, três obtiveram maior proporção de respostas positivas para a presença do acesso: a) atendimento ao usuário no mesmo dia em que este procura a unidade (60,4%; n=67); b) o usuário consegue aconselhamento rápido pelo telefone quando necessita e quando seu serviço de saúde está aberto (55,9%; n=62); c) consideram fácil marcar uma consulta no serviço (66,7%; n=74). O escore médio atribuído na dimensão acessibilidade foi de 5,08. Observou-se que 83,8% dos enfermeiros consideraram baixo o grau de orientação para a APS. Conclusão: o baixo escore para o atributo “acesso de primeiro contato” sugere a fragilidade da Atenção Primária à Saúde como porta de entrada do Sistema Único de Saúde.
HUMAN RESOURCE MANAGEMENT IN CIVIL SERVICE OF TAJIKISTAN: TRANSITION TO THE DEVELOPMENT STAGE
Authors: Safarzoda Davron 
Published: February 2025

This article outlines the human resource management policies of the Government of the Republic of Tajikistan for transitioning to the development stage of the civil service. Then, it presents the tasks that the Academy of Public Administration is taking to lay the conditions for the transition of the civil service to the development stage. It considers the development of a Strategy, training and the appointment of HR Specialists in each ministry vital tasks for moving forward.
Keywords: Human resource management; Tajikistan; Academy of Public Administration under the President of the Republic of Tajikistan.
Borututu (Cochlospermum angolense welw) Extracts with Antioxidant Activity: Pressurized Liquid Extraction Used
Authors: Chipaca-Domingos Honória S. , Gomes Gonçalves Paulina , Ferreres Federico , Gil-Izquierdo Angel , Villanueva-Bermejo David , Pessela Benevides C. 
Published: February 2025

Borututu (Cochlospermum angolense welw) is a plant native to Africa. The infusion obtained from borututu roots by decoction with water has been traditionally consumed by many African communities for the treatment of malaria due to its hepatoprotective properties. The search for ecological alternatives to obtain functional borututu extracts based on the application of techniques linked to new technologies, such as pressurized liquid extraction (PLE), was studied in comparison to the most commonly applied conventional solid-liquid extraction processes. Using PLE was used to evaluate different green/ecological solvents (water, ethanol, and ethyl acetate), providing lower consumption, different extraction temperatures (50–200°C), short extraction times (10 minutes), obtaining extraction yields with high concentrations of total phenolics compounds (TPC) for root (57–21%) and flower (47–16%) extracts. Generating greater antioxidant capacity at a temperature of 150°C with water in both root extracts (1413, 3645 μmol/g) and flower extracts (2029–4457 μmol/g) obtained by the DPPH (2,2-diphenyl-1-picrylhydrazyl) and ABTS (2,2′-azino-bis (3-ethylbenzthiazoline-6-sulfonic acid)) method, surpassing extracts obtained by the traditional infusion method (1179–1698 μmol/g) root and (1225–3097 μmol/g) flowers. The borututu plant has demonstrated potential for obtaining bioactive extracts for the production of functional ingredients on an industrial scale.
Fortalecimiento de la seguridad cibernética en universidad mediante inteligencia artificial para la detección de amenazas.
Authors: Campos Rosado Vicente Alfredo , Bastidas González Katiuska Adelaida , Bastidas González David Luis , Alvarado Rosado Stefanie Marjorie 
Published: February 2025

En el dinámico panorama actual, las instituciones de educación superior enfrentan amenazas cibernéticas cada vez más sofisticadas, que plantean un desafío importante para proteger sus activos digitales y garantizar la integridad de sus sistemas de información. Este artículo de revisión de la literatura analiza el papel crucial que desempeñan los sistemas de inteligencia artificial (IA) en la creación de resiliencia cibernética, con especial atención en su aplicación para la detección de intrusiones en entornos académicos. A través de un análisis de la literatura existente, se examinan en detalle los avances recientes en el campo, así como los diferentes enfoques metodológicos utilizados para implementar sistemas de IA en instituciones de educación superior. Se exploran los desafíos inherentes asociados con la adopción y el despliegue de estos sistemas, teniendo en cuenta la complejidad de los entornos académicos y la diversidad de las amenazas cibernéticas.

Además de identificar áreas clave para futuras investigaciones, este artículo proporciona valiosas recomendaciones prácticas para facilitar la implementación efectiva de sistemas de IA para la detección de intrusiones en el contexto de la educación superior. Se abordan aspectos fundamentales como la adecuada selección de tecnologías y herramientas, la formación y capacitación del personal, así como la integración de políticas y procedimientos de ciberseguridad. Este trabajo proporciona una visión holística de cómo los sistemas de IA pueden contribuir significativamente a desarrollar la resiliencia cibernética en las instituciones de educación superior, preparándolas mejor para enfrentar las amenazas cibernéticas complejas y en evolución del mundo digital actual.