bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring for-profit healthcare providers’ perceptions of inclusion in the Zambia National Health Insurance Scheme: A qualitative content analysis
Authors: Sinjela Kwangaika Mwala , Simangolwa Warren Mukelabai Warren , Hehman Lindsey , Kamanga Mpuma , Mwambazi Wesley Kapaya , Sundewall Jesper 
Published: May 2022

Background
In 2019, Zambia introduced the national health insurance (NHI) as a healthcare financing strategy to increase universal access to health care services. The private health sector can complement public sector providers as service providers under the NHI. As such, the NHI Management Authority seeks to accredit for-profit private healthcare facilities in the NHI. Ascertaining factors that influence private-for-profit health providers to participate in the NHI is essential, but the evidence is lacking. In this study, we aimed to explore and characterize perceptions and experiences of for-profit private hospitals, dental clinics, eye clinics, diagnostic centres, and pharmacies regarding their inclusion in the NHI.

Methods
We conducted in-depth interviews with owners or management officers of purposively sampled private health care providers in Lusaka, Zambia (n = 22) between May and June 2020. Qualitative content analysis was used to analyse data.

Results
The findings highlight low awareness of the NHI among providers and a need to understand the NHI. Providers revealed their positions and views on the accreditation process and payment arrangements and stated that their participation would complement the NHI. They also cited conditions to participate in the NHI, highlighted opportunities and challenges of engaging in the NHI, and expressed a need for sustainable ways of governing the scheme.

Conclusion
The assessment of health providers’ inclusion in the NHI scheme is multifaceted. The results of this study surfaced factors such as raising awareness on the NHI among providers and how their concerns on aspects such as payments can be considered as inputs to enlighten consensual agreements between the NHI authority and health providers in leveraging the private health sector. Private providers’ concerns must be further understood and considered as the NHI strives to include this group as health care providers in the scheme.
Contributions of Business Process Management Promotion Techniques to Knowledge Management: Empirical Evidence
Authors: Dos Santos Ana Augusta Almeida de Souza , Pádua Silvia Inês Dallavalle de , Bernardo Junior Ronaldo , Aredes Emerson Lima 
Published: May 2022

Goal: Knowledge Management (KM) has been increasingly used by organizations to help innovation and gain competitive advantage; however, the implementation of KM may turn in bad results, because of functional isolation. In contrast, Business Process Management (BPM) is an approach that removes functional isolation, establishing end-to-end processes perspective through cycle promotion and usage of management techniques. Therefore, the aim is to understand how the techniques used to promote BPM contribute to KM.
Design/ Methodology/ Approach: In step 1, a systematic review of the literature was carried out on the scientific bases, trying to understand how the literature dealt with the relationship between BPM and KM techniques in the last 10 years. In step 2, there was a project to promote BPM in a public hospital. Stage 3 sought to understand the leaders' perceptions about the possible contributions of BPM techniques to KM.
Results: BPM acts promoting participation and sharing (social aspects); collecting information about the organization and identifies problems (cognitive aspects); allowing decision making to solve problems (strategic aspects); explaining tacit information, organizing and compiling explicit information (technological aspects) in order to enable changes in systems.
Limitations of the investigation: single case study.
Practical implications: BPM project collaborates to expand the diversity of information sources, opens the organization to external knowledge, with external consultant’s participation, also it provides communication expanding between areas, thus, improving customer service.
Originality/ Value: this work contributes to show a valuable combination of techniques and how each one contributes to an essential resource as knowledge.
Massive fetomaternal hemorrhage: a case series and review of literature
Authors: Smet Carolina , Queiró Luísa , Santos Edmundo , Reis Ana , Costa Cristina 
Published: May 2022

Abstract

Objectives
Massive fetomaternal hemorrhage (FMH) is a rare and difficult to diagnose event that can have catastrophic outcomes. Although many etiologies have been associated with FMH, the majority of cases are idiopathic and affect uncomplicated pregnancies. The prevailing symptom is decreased fetal movements but some cases are asymptomatic. Changes in the fetal Doppler ultrasound, a sinusoidal cardiotocographic pattern, neonatal anemia, unexplained hydrops or stillbirth can raise suspicion that such an event has occurred.

Case presentation
This article presents a case series of severe FMH diagnosed in our center between 2011 and 2020 as well as a review of the current available literature.

Conclusions
We highlight the importance of the clinician’s awareness on detecting this rare but potentially life-threatening event.
Numerical simulation of collision removal of inclusion in swirling flow tundish
Authors: Lu Jinlin , Li Shihan , Luo Zhiguo , Zou Zongshu , Shao Lei 
Published: May 2022

Abstract
The SFT (swirling flow tundish) is a kind of tundish with SC (swirl chamber) placed in the flow injection zone. The gravity potential energy of the molten steel is converted into rotation kinetic energy as entering into the tundish from the bottom of the SC along the tangential direction. The inclusions tend to collide and aggregate as following the rotating molten steel in the SC. In this work, the collision-coalescence behavior of inclusion was investigated by the mathematical simulation with PBM (population balance model) model, and the removal rate of the inclusion was investigated by the DPM model. The results show that, under the same operating conditions, the average diameter of inclusion at the outlet of the tundish increases from 4.25 μm to 4.35 μm with the introduction of the SC, which means that the SC promotes the collision and aggregation of inclusion. The inclusion removal rate of SFT is 33.09% without considering the collision-coalescence, and it increases into 43.20% as considering the collision-coalescence. The results of considering the collision-coalescence of inclusion is more consistent with the actual movement of inclusion in the tundish.
Stock price prediction using multi-scale nonlinear ensemble of deep learning and evolutionary weighted support vector regression
Authors: Wang Jujie , Zhuang Zhenzhen , Gao Dongming , Li Yang , Feng Liu 
Published: May 2022

Abstract
Stock price prediction has become a focal topic for relevant investors and scholars in these years. However, owning to the non-stationarity and complexity of stock price data, it is challenging to predict stock price accurately. This research develops a novel multi-scale nonlinear ensemble learning framework for stock price prediction, which consists of variational mode decomposition (VMD), evolutionary weighted support vector regression (EWSVR) and long short-term memory network (LSTM). The VMD is utilized to extract the basic features from an original stock price signal and eliminate the disturbance of illusive components. The EWSVR is utilized to predict each sub-signal with corresponding features, whose penalty weights are determined according to the time order and whose parameters are optimized by tree-structured Parzen estimator (TPE). The LSTM-based nonlinear ensemble learning paradigm is employed to integrate the predicted value of each sub-signal into the final prediction result of stock price. Four real prediction cases are utilized to test the proposed model. The proposed model’s prediction results of multiple evaluation metrics are significantly improved compared to other benchmark models both in stock market closing price forecasting.
Rapid Visual Detection of Pathogenic Streptococcus suis Type 2 through a Recombinase Polymerase Amplification Assay Coupled with Lateral Flow Test
Authors: Qi Yong , Li Wei , Li Xiaoling , Shen Wanpeng , Lv Ruichen , Lu Nianhong , Li Jiameng , Zhuang Susu , Xu Yingjia , Gui Qiyuan , Shen Hongbing , Li Yuexi 
Published: May 2022

Objective:

Streptococcus suis serotype 2 (SS2) is an important zoonotic pathogen causing serious disease and even death in pigs and humans. Public health events and economic losses caused by SS2 have prompted widespread concern. Because of the unavailability of vaccines, the development of rapid detection methods for timely diagnosis of SS2 infection or contaminated products, and monitoring of its prevalence in susceptible animals and populations, is required to aid in the prevention and control of SS2 infections.

Methods:
Several sets of primers and one probe for a recombinase polymerase amplification (RPA) assay targeting the cpsJ2 gene were designed and synthesized. Lateral flow (LF) tests in combination with RPA were used to provide visual results. Primers with high amplification efficiency were screened, and the reaction system was optimized. Indicators of detection effectiveness were evaluated.

Results:
The established method had a detection limit of 100 copies/reaction for recognizing SS2 rather than other organisms. The sensitivity was 100%, as evaluated in infected animal samples. The detection could be completed within 20 min and required only constant temperature equipment.

Conclusion:
The established rapid, visual, sensitive and specific RPA-LF assay showed superior detection performance and is expected to be widely applied to fight SS2 infection in resource-limited areas.
Isotope‐labeled amyloid‐β does not transmit to the brain in a prion‐like manner after peripheral administration
Authors: Brackhan Mirjam , Calza Giulio , Lundgren Kristiina , Bascuñana Pablo , Brüning Thomas , Soliymani Rabah , Kumar Rakesh , Abelein Axel , Baumann Marc , Lalowski Maciej , Pahnke Jens 
Published: May 2022

AbstractFindings of early cerebral amyloid‐β deposition in mice after peripheral injection of amyloid‐β‐containing brain extracts, and in humans following cadaveric human growth hormone treatment raised concerns that amyloid‐β aggregates and possibly Alzheimer’s disease may be transmissible between individuals. Yet, proof that Aβ actually reaches the brain from the peripheral injection site is lacking. Here, we use a proteomic approach combining stable isotope labeling of mammals and targeted mass spectrometry. Specifically, we generate 13C‐isotope‐labeled brain extracts from mice expressing human amyloid‐β and track 13C‐lysine‐labeled amyloid‐β after intraperitoneal administration into young amyloid precursor protein‐transgenic mice. We detect injected amyloid‐β in the liver and lymphoid tissues for up to 100 days. In contrast, injected 13C‐lysine‐labeled amyloid‐β is not detectable in the brain whereas the mice incorporate 13C‐lysine from the donor brain extracts into endogenous amyloid‐β. Using a highly sensitive and specific proteomic approach, we demonstrate that amyloid‐β does not reach the brain from the periphery. Our study argues against potential transmissibility of Alzheimer’s disease while opening new avenues to uncover mechanisms of pathophysiological protein deposition.
Classification and mapping of marine-island landscape in Nam Yet Island, Truong Sa Islands, Vietnam
Authors: Nguyen Dang Hoi , Ngo Trung Dung , Kuznetsov A.N. , Vu Le Phuong 
Published: May 2022

Classification and mapping of marine-island landscapes according to an integrated approach not only clarifies the structure and division of natural units of the sea areas but also creates a basis for the orientation of natural resource management resources, environmental protection, and conservation of marine-island biodiversity. The principles of marine-island landscape mapping are to define terminology and establish a classification system based on taxonomy and criteria. This article represents the establishment of marine-island landscape mapping of Nam Yet Island and adjacent water (scaled at 1:10000) through comprehensive work, including marine-island landscape classification, applied GIS - remote sensing, and field investigation in the two years of 2020-2021. Accordingly, the landscape classification system of the Nam Yet Island area includes 1 system, 1 subsystem, 4 classes, 6 subclasses, 10 types, 29 kinds, and 34 forms of landscape (of which 4 island forms and 30 marine forms). The units of the marine-island landscape fully express the natural components, anthropogenic factors, and biotic and abiotic factors in their relationship and interaction with each other. Depending on each corresponding level, the detailed level of components and landscape elements is shown, in which components and biological factors are studied and analyzed most fully. The research results have clarified the characteristics and the law of differentiation of the marine-island landscape in Nam Yet Island, contributing to supplementing knowledge about Truong Sa Islands of Vietnam, which is a scientific basis for resource management and biodiversity conservation, protecting the marine environment, and at the same time supplementing the theoretical basis for the study of the tropical monsoon tropical island and marine landscape, which has not yet been studied in Vietnam.
Las guerras globales por el oro azul en el siglo XXI.
Authors: Arana Guti´errez Andrés David 
Published: May 2022

Bajo diversas miradas y reflexiones críticas sobre el poder corporativo financiero y la privatización del agua; este artículo de investigación analiza de manera sucinta los conflictos Geopolíticos del agua en el marco de la política exterior capitalista norteamericana y china; posteriormente de igual forma requiere e implica al parecer, examinar las incidencias Geofinancieras que son de suma importancia a la hora de graficar el capital corporativo transnacional en el contexto de la Globalización económica actual. Se encontró que ambos presupuestos nutren las denominadas “guerras globales por el oro azul” en el siglo XXI; donde finalmente se concluye que los organismos multilaterales y el capital Corporativo transnacional financiero asumen el agua como una mercancía estratégica o un bien económico y no como el derecho de supervivencia Biosférica
La crisis sanitaria, de salud y alimentaria en el establecimiento penitenciario y carcelario de alta seguridad de Cómbita – Boyacá.
Authors: Jiménez Zamudio Sandra Cecilia 
Published: May 2022

Este artículo describe la situación que padece el Establecimiento Penitenciario de Cómbita - Boyacá, como un reflejo de la crisis carcelaria nacional; inicia haciendo un recuento histórico de los antecedentes de las cárceles en Colombia, para luego plantear la crisis existente en cuanto al proceso de resocialización se refiere y lo que verdaderamente sucede tomando como referencia el punto de vista de diferentes estudiosos latinoamericanos y nacionales del tema que han explicado desde su óptica la razón de la crisis, denunciado que aunque sus derechos han sido reconocidos por la Corte Constitucional, las entidades encargadas del funcionamientos de las prisiones se quedan cortas para atender la demanda de servicios requerida, es por eso que este artículo destaca el abandono estatal, la mirada despreocupada del juez de ejecución de penas que se sustrae de la obligación establecida en la Ley de verificar las condiciones carcelarias de quienes están cumpliendo las penas, condenando a los internos a una cadena perpetua en un sentido real, con la súplica por parte de la Defensoría del Pueblo para que el legislativo y el judicial no sigan incrementando las penas privativas de la libertad, flexibilice los requisitos para el otorgamiento de los subrogados penales y los beneficios administrativos, se cita un estudio de la facultad de Medicina de la Universidad de los Andes y Harvard que arrojó como resultado el padecimiento de sentimientos de resentimiento, depresión y odio hacia la sociedad que somete a los reclusos a estos vejámenes.
La influencia neoliberal en las políticas educativas en Colombia
Authors: Giraldo Paredes Holbein , De la Cruz Giraldo Gustavo Nixon 
Published: May 2022

El presente artículo pretende mostrar que el diseño de las políticas educativas en Colombia en las últimas décadas ha sido producto de una tensión permanente entre el Estado Colombiano y la federación Colombiana de educadores FECODE, concebidas en el marco de una confrontación política producto de dos visiones de la educación, una visión estatal que propugna por una neoliberalización, mercantilización y privatización de la educación y una defensa del estado garantista de bienestar social por parte de FECODE, visión que lucha por que se garantice el derecho constitucional a una educación gratuita y de alta calidad.
Cytologic diagnosis of neuroendocrine neoplasms including carcinoid tumours- A retrospective study
Authors: Mony Rary P , Lakshmi K  , Sukumaran Renu , Nayak Nileena 
Published: May 2022

The classification of neuroendocrine neoplasms has evolved substantially over time but remains a topic of controversy and debate. Cytology has become one of the mainstays of diagnosis for these tumors, and the treatment may be entirely based on the FNA report.: This is a retrospective study which aims to describe the cytological features found in different groups of Neuroendocrine neoplasms. We have also tried to enumerate the not so typical features which we have seen in our cases. Cases of Neuroendocrine neoplasms diagnosed by cytology in the year 2018 were included in this study. The slides of these cases were retrieved, cytological features reviewed, and clinicopathological features evaluated. Histopathological correlation was done wherever possible. In this retrospective study, there were 43 cases which included FNA (n=38), Fluid cytology(n=3), Bronchial washings and Brushings(n=2). FNA sites included lung, cervical lymph nodes, scalp, liver, pancreas, and mesentery with the cytological diagnoses of Small cell carcinoma (n=22) Neuroendocrine tumor (n=7), Large cell Neuroendocrine carcinoma (n=3) and Poorly differentiated carcinoma with neuroendocrine features (n=11). Features that are of help include scanty cytoplasm, fine or coarse granular chromatin, nuclear moulding and streaking, cells adhering to vessels, inconspicuous nucleoli, nuclear debris in small cell carcinomas; larger cell size, a moderate amount of cytoplasm, coarse granular chromatin in large cell neuroendocrine carcinomas; uniformity of cell size, round to plasmacytoid cells with stippled chromatin and rosette formation in carcinoid tumors. The identification of neuroendocrine morphology in cytology specimens is crucial as this would be the initial step towards using the appropriate markers for confirmation, which in turn has got therapeutic and prognostic significance.
Epithelial myoepithelial carcinoma in an ectopic salivary gland: A diagnostic dilemma
Authors: Ahmed Saqib , Ansari Hena A , Rajput Kirti 
Published: May 2022

The ectopic Salivary Gland is the presence of salivary tissue in unusual locations which do not normally host it. Moreover, neoplasms arising from these ectopic tissues are very rare, however, tumourigenic changes in these inclusions have been observed in a few cases.We present a clinically unsuspected case of an ectopic salivary gland tissue present on the mid-neck, which was diagnosed as Small lymphocytic leukaemia outside Jawaharlal Nehru Medical College, Aligarh. On further evaluation, a definitive diagnosis of epithelial myoepithelial carcinoma arising in ectopic salivary gland tissue within the cervical lymph node was made. Therefore, these tumours need to be included in the differential diagnosis of neck masses, for a prompt diagnosis and adequate treatment.
Effects of Different Protein Levels on Fattening Performance and Meat Parameters in Merino Lambs
Authors: Raducuta Ion , Marin Monica , Custura Ioan , Maftei Marius 
Published: May 2022

Background: A correct supply of protein in the feed diets is required for the efficient conversion of feed and better fattening performances in lambs. This study aimed to investigate the effects of the increase in the protein level of the diets by approx. 20% on fattening performance and meat parameters in Merino lambs. Methods: The study was performed during the year 2020. Forty-two lambs (aged 2.5-3 months) were divided randomly into three groups (14 lambs/group). The groups were fed with diets of compound feed and corn silage differentiated by the level of protein. All diets were isoenergetic. The experiment has lasted for 68 days. Result: The results of this study showed that the protein supplementation of diets by approx. 20% determined an increase in the average daily gain (P less than 0.05) in the first phase of fattening and an improvement in dry matter and protein consumption when the protein supplementation was done only in the first phase of fattening in Merino lambs. Also, the findings of this study indicated that this increase in protein level affected carcass quality and led to higher proportion of muscles and significantly lower fat in the carcass.
Analysis of systemic risk factors of occipital stroke-related vision loss
Authors: Mahayana Indra Tri , Tedjonegoro Nyssa Alexandra , Gani Tatang Talka 
Published: May 2022

Occipital stroke is associated with visual field defects and other visual perceptual deficits that might lead to detrimental effects on health-related quality of life. This study aimed to evaluate the possible association between systemic risk factors and the features of occipital stroke. It was a retrospective observational study involving patients diagnosed with occipital stroke in Dr. Yap Eye Hospital, Yogyakarta, Indonesia, between 2013 and 2014. A total of 72 patients with occipital stroke proven with CT/MRI who underwent detailed evaluation of ocular and systemic risk factors were included in this study. The patients were divided into two groups with or without risk factors. The risk factors were hypertension, diabetes mellitus, and cardiac diseases. The effect of risk factors on sex, age groups (≤40, >40 and ≤60, >60 y.o.), stroke lesions (left occipital, right occipital, bilateral), and visual field defects (homonymous hemianopia, homonymous quadrantanopia, and others) were analyzed. Out of 72 patients, there were 56 males (77.8 %), and 16 females (22.2 %), with a mean age of 58.46 ± 11.83 y.o. The study found there was a significant difference in age with risk factors compared with those without risk factors (p = 0.025), as well as visual acuity with age groups (p = 0.005) and stroke lesions (p = 0.024). Analysis of risk factors showed that hypertension was significantly correlated with stroke lesions, whereas cardiac disease was significantly associated with age groups (p<0.05). Predictive analysis was performed using a linear regression model, and it showed that risk factors could predict the occurrence of stroke lesions. In conclusion, patients’ systemic risk factors are significantly associated with the older onset of occipital stroke and lower visual acuity, although not significantly associated with stroke location and visual field defect characteristics.