bluuebunny/crossref_metadata_2025_split huggingface dataset:
The power of proximity: Effects of a multidisciplinary fibroid clinic on inter-specialty perceptions and practice patterns
Authors: Keller Eric J. , Nixon Kayla , Oladini Lola , Chrisman Howard B. , Chaudhari Angela , Milad Magdy P. , Vogelzang Robert L. 
Published: January 2022

BackgroundMultidisciplinary collaboration has generally been shown to have positive effects on healthcare but can be difficult to facilitate. This study assessed the effects of a multidisciplinary fibroid clinic on practice patterns and clinician perceptions to better understand drivers of interspecialty collaboration.Materials and methodsAnnual rates of hysterectomies, myomectomies, and uterine fibroid embolizations (UFEs) performed in an urban healthcare system were collected from 2012–2019. Rates of each procedure were compared over time before and after launching a multidisciplinary fibroid clinic at the academic medical center. Referral rates were also compared. The gynecologists and interventional radiologists (IRs) involved in the clinic were interviewed 2 years prior to and after the clinic launch about their approaches to fibroids and perceptions of others who treat this condition. A phenomenological approach was used to identify and compare themes within the interviews by two researchers with excellent inter-rater agreement (κ = 0.80).Results and discussionAnnual rates of fibroid procedures increased over time (p<0.01) but the relative number of UFEs decreased (p = 0.01). UFE referrals by the clinic gynecologists significantly increased as did the number of combined fibroid procedures (p<0.01). However, the rates of one fibroid procedure relative to others were not different between the clinic and rest of the healthcare system (p = 0.55). Specialty-specific perceptions of fibroid treatments and inter-specialty dynamics did not change. Despite this, clinicians unanimously perceived the clinic and post-clinic practice patterns as positive and distinct from their previous work and relationships between gynecology and IR elsewhere. Limitations of this study included its single clinic design and potential confounder of differences in advertising pre- versus post-clinic.ConclusionCreating the right practice environment may be more important for fostering inter-specialty collaboration and work satisfaction than shared mental models or procedural volumes in certain practice settings.
Bonding the Chemistry Community
Authors: García-Martínez Javier 
Published: January 2022

Abstract
None could have imagined what history had in store for all of us when, just a couple of years ago, we were celebrating our Centenary and planning for the future of IUPAC. These past months, marked by a pandemic, have shown how fragile and interdependent we are. We have also learned the key role of science in understanding, tackling, and solving our most pressing challenges. Chemistry, in particular, is playing a central role in the fight against the coronavirus, from the production of disinfectants to the nanoparticles that carry the mRNA in the COVID-19 vaccines. However, this is not the last global challenge we will have to face and chemistry will continue to be essential in our fight against illness, hunger, and poverty.
Young chemists voice in support of the SDGs
Authors: Richter Janine , Dobbelaar Emiel 
Published: January 2022

Abstract
In 2015, the United Nations General Assembly agreed upon 17 Sustainable Development Goals (SDGs) that are to be achieved by the year 2030. These goals were adopted to ensure an economical, socially just and ecologically sustainable development on a global scale and to protect natural resources and the environment [1].
Storyworld, transmedia storytelling, and contemporary narrative theory: An interview with Marie-Laure Ryan
Authors: Chen Jiayi , Ryan Marie-Laure 
Published: January 2022

Abstract
Marie-Laure Ryan is an independent scholar based in Colorado. She is the author of Possible Worlds, Artificial Intelligence and Narrative Theory (1991), Narrative as Virtual Reality (2001), Avatars of Story (2006), Narrative as Virtual Reality 2 (2015), Narrating Space/Spatializing Narrative (2016, with Kenneth Foote and Maoz Azaryahu), and over 100 articles on narratology, media theory, and digital culture. In October 2021, Dr. Jiayi Chen interviewed Ryan by email about possible worlds narratology, narrative across media, and the recent development of narratology. During the discussion, Ryan elaborates on the productive ways transmedia narratology can complement the language-based enterprise of narrative theory, as well as its position in relation to other strands of narrative inquiry. To conclude, Ryan points out the recent trends that have been enriching and expanding the territory of narratology before mapping out some areas that merit greater attention and future investigation.
Being for every other: Levinas in the anthropocene
Authors: Hand Seán 
Published: January 2022

AbstractThe essay traces the apparent influence of Emmanuel Levinas on several thinkers concerned in different ways with Anthropocene ethics. It postulates that an application of Levinas’s ideas to the involvement of the human and the non-human challenges and extends the limits of his thought, while considering the occasionally partial and even fundamentally distorting nature of some of these appropriations.
The behaviour of stress variation in sandy soil
Authors: Dirgėlienė Neringa , Skuodis Šarūnas , Vasys Elijus 
Published: January 2022

Abstract
This research article represents the recompacted dense sand sample behaviour and stress distribution in the direct shear box. In Lithuania, sand is quite common on a construction site, in general about 32%. To reduce the influence of the shear box design on the experimentally determined values of the soil strength parameters, it is necessary to know the regularities of the change of the normal load acting in the shear plane. Three different normal stresses of 50, 100, and 200 kPa were applied to the dense sand in the direct shear boxes during experimental and numerical simulation. The results showed an obvious evidence of non-uniformity of stress for standard and raised specimens. The numerical analysis exhibited that when the sample is loaded only with a vertical load, approximately 75% of that load is transferred to the sample bottom, 84% to the shear plane, and 95% to the top. At the end of the shear test, the vertical force in the shear plane reaches maximum, the normal stress is higher by 13.5% than applied on the sample top. The shear strength of sandy soils were influenced by box size and sample height too. The improved shear box apparatus allows to estimate the vertical load at shear plane.
The Analysis of Latvia Households’ Consumption Expenditure in Scope of Sustainable Development
Authors: Vilciņa Anastasija , Grīnberga-Zālīte Gunta , Andersons Raivis 
Published: January 2022

Basing on critical analysis of Latvia households’ consumption expenditure structure during the period from 2003 until 2010, the authors have identified the main tendencies of changes and characterized the main macroeconomic indicators, which have seriously influenced the consumption structure during different phases of economic cycle. The authors have applied econometric methods to characterize the correlation of particular consumption expenditure groups’ proportion with households’ consumption expenditure. The analysis enabled the authors to detect, which consumption expenditure groups exactly are the most important for ensuring the welfare level, and E. Engel’s regularity was also discussed in this respect. The analysis of the data obtained in scope of the households’ member survey enabled the authors to identify the main directions of consumer behaviour changes during the economic recession period and present proposals for improvement of consumption as a significant indicator of country’s welfare and sustainable development.
Long-Lasting, Pathway-Specific Impairment of a Novel Form of Spike-Timing-Dependent Long-Term Depression by Neuropathic Pain in the Anterior Cingulate Cortex
Authors: Hogrefe Norbert , Blom Sigrid M. , Valentinova Kristina , Ntamati Niels R. , Jonker Lotte J.E. , Nevian Natalie E. , Nevian Thomas 
Published: January 2022

Malfunctioning synaptic plasticity is one of the major mechanisms contributing to the development of chronic pain. We studied spike-timing dependent depression (tLTD) in the anterior cingulate cortex (ACC) of male mice, a brain region involved in processing emotional aspects of pain. tLTD onto layer 5 pyramidal neurons depended on postsynaptic calcium-influx through GluN2B-containing NMDARs and retrograde signaling via nitric oxide to reduce presynaptic release probability. After chronic constriction injury of the sciatic nerve, a model for neuropathic pain, tLTD was rapidly impaired; and this phenotype persisted even beyond the time of recovery from mechanical sensitization. Exclusion of GluN2B-containing NMDARs from the postsynaptic site specifically at projections from the anterior thalamus to the ACC caused the tLTD phenotype, whereas signaling downstream of nitric oxide synthesis remained intact. Thus, transient neuropathic pain can leave a permanent trace manifested in the disturbance of synaptic plasticity in a specific afferent pathway to the cortex.SIGNIFICANCE STATEMENTSynaptic plasticity is one of the main mechanisms that contributes to the development of chronic pain. Most studies have focused on potentiation of excitatory synaptic transmission, but very little is known about the reduction in synaptic strength. We have focused on the ACC, a brain region associated with the processing of emotional and affective components of pain. We studied spike-timing dependent LTD, which is a biologically plausible form of synaptic plasticity, that depends on the relative timing of presynaptic and postsynaptic activity. We found a long-lasting and pathway-specific suppression of the induction mechanism for spike-timing dependent LTD from the anterior thalamus to the ACC, suggesting that this pathology might be involved in altered emotional processing in pain.
Hipertensi pada Remaja di Kabupaten Semarang
Authors: Siswanto Yuliaji , Widyawati Sigit Ambar , Wijaya Alya Asyura , Salfana Budi Dewi , Karlina Karlina 
Published: January 2022

Hipertensi umumnya terjadi pada usia lanjut, tetapi beberapa penelitian menunjukkan bahwa hipertensi dapat muncul sejak remaja dan prevalensinya mengalami peningkatan selama beberapa dekade terakhir. Namun banyak yang belum menyadari sehingga menjadi penyebab munculnya hipertensi pada usia dewasa dan lansia. Penelitian ini bertujuan untuk mengetahui prevalensi hipertensi pada remaja di Kabupaten Semarang. Penelitian dilakukan secara observasional dengan pendekatan cross sectional. Sampel penelitian sebanyak 147 responden yang diambil dengan two stage cluster sampling. Pengumpulan data dengan kuesioner, pengukuran berat badan, tinggi badan, dan tekanan darah. Data dianalisis secara univariat dengan menggunakan tabel distribusi frekuensi. Hasil penelitian mendapatkan responden laki â€“ laki sebanyak 73 orang (49,7%) dan perempuan sebanyak 74 orang (50,3%). Sebagian besar (77,6%) responden mempunyai tingkat pengetahuan sedang. Hasil pengukuran tekanan darah menunjukkan sebanyak 9 orang (6,1%) kategori hipertensi stage 2, sebanyak 18 orang (12,2%) termasuk kategori hipertensi stage 1, sebanyak 22 orang (15,0%) termasuk kategori pre-hipertensi dan sebanyak 98 orang (66,7%) mempunyai tekanan darah normal. Hasil penelitian menunjukkan bahwa sepertiga responden sudah mengalami hipertensi.
Psikologi Pasien JK dan Pemanfaatan Ulang Pelayanan Rawat Inap di Rumah Sakit
Authors: Rif'ah Inayatul Illa , Afridah Wiwik 
Published: January 2022

Program jaminan kesehatan nasional sebagai implementasi dari Universal Health Coverage dalam pelaksanaannya belum mencapai target kepesertaan. Penelitian ini bertujuan untuk mengetahui hubungan faktor psikologi pasien JKN dengan pemanfaatan ulang pelayanan rawat inap di Rumah Sakit Islam Jemursari Surabaya. Jenis penelitian ini adalah survei analitik dengan pendekatan cross sectional. Populasi penelitian yaitu seluruh pasien lama rawat inap di ruang Azzahra 2. Sampel penelitian diambil pada bulan Februari-Maret 2019 sebanyak 87 responden dengan teknik purposive sampling. Menggunakan alat bantu kuesioner dan analisis data dengan uji statistik fisherâ€™s exact serta uji koefisien phi untuk menguji keeratan hubungan. Hasil penelitian menunjukkan responden penelitian hampir seluruhnya (93,1%) memiliki psikologi baik dan hampir seluruhnya (93,1%) memilih untuk memanfaatkan ulang pelayanan rawat inap. Hasil penelitian menunjukkan ada hubungan antara faktor psikologi pasien JKN dengan pemanfaatan ulang pelayanan rawat inap di Rumah Sakit Islam Jemursari Surabaya dengan nilai Ï=0,000<0,05. Kekuatan hubungan antar variabel pada korelasi phi diperoleh nilai yang sangat erat yaitu 0,821. Saran untuk rumah sakit adalah meningkatkan kualitas pelayanan berupa perbaikan fasilitas fisik di ruang rawat inap Azzahra 2 serta selalu berkomitmen memberikan pelayanan prima kepada pasien yang dicerminkan dengan perilaku tenaga kesehatan yang ramah dan sopan.
Sistem Penyelenggaraan Makanan di Pondok Pesantren Tahfidz
Authors: Sholichah Farohatus , Syukur Fatah 
Published: January 2022

Asupan gizi dapat mempengaruhi kemampuan menghafal Al Qurâ€™an (tahfidz). Pemberian makanan yang tepat dapat diupayakan melalui penyelenggaraan makan. Penelitian ini bertujuan menganalisis input, proses, dan output penyelenggaraan makanan di Pondok Tahfidz Yanbuâ€™ul Qurâ€™an Menawan. Penelitian ini merupakan penelitian kualitatif. Subjek penelitian meliputi pengurus pondok pesantren, tenaga pengelola dan tenaga pelaksana penyelenggaraan makanan, serta santri. Data input dan proses penyelenggaraan makanan diambil dengan wawancara mendalam dan observasi. Data output (tingkat kesukaan) diambil menggunakan kuesioner uji organoleptik. Pengolahan dan analisis data dilakukan dengan content analysis. Hasil penelitian menunjukkan bahwa penyelenggaraan makanan dilakukan secara swakelola sebanyak 3 kali, yaitu makan pagi, makan siang, dan makan malam. Terkait input, anggaran satu kali makan sekitar Rp. 7.000,00/anak. Terkait proses, pondok telah memiliki siklus menu 7 hari. Tidak terdapat menu khusus untuk memperkuat hafalan. Perencanaan kebutuhan, pembelian, dan penerimaan bahan makanan kering dilakukan setiap minggu, sedangkan bahan segar dilakukan setiap hari. Penyimpanan dilakukan pada bahan makanan kering. Persiapan dan pengolahan dilakukan dengan baik. Pendistribusian makanan menggunakan sistem loket (sentralisasi). Terkait output, mutu makanan dapat diterima.
Iklim Kerja, Postur Kerja, dan Masa Kerja Terhadap Kelelahan Kerja pada Pekerja Bengkel Las
Authors: Hijah Nurul Fidinia , Setyaningsih Yuliani , Jayanti Siswi 
Published: January 2022

Abstrak.
Pendahuluan: Kelelahan kerja merupakan suatu keadaan yang dirasakan oleh tenaga kerja dan dapat menimbulkan penurunan vitalitas dan produktivitas kerja. Kelelahan kerja bisa terjadi karena beberapa faktor diantaranya iklim kerja, postur kerja dan masa kerja. Salah satu pekerjaan yang terpapar iklim kerja adalah pekerjaan di bengkel las. Penelitian ini bertujuan untuk menganalisis hubungan iklim kerja, postur kerja dan masa kerja terhadap kelelahan kerja pada pekerja bengkel las. Metode: Variabel bebas berupa iklim kerja, postur kerja serta masa kerja dan dilakukan dengan menggunakan metode penelitian kuantitatif pendekatan cross sectional. Teknik pengambilan sampel yang digunakan adalah simple random sampling. Sampel pada penelitian yaitu berjumlah 75 pekerja dan dianalisis menggunakan Uji Chi-Square tingkat kepercayaan 95%. Hasil: Hasil menunjukkan variabel iklim kerja berhubungan terhadap kelelahan kerja dengan nilai p = 0,041, variabel postur kerja berhubungan terhadap kelelahan kerja dengan nilai p = 0,027, dan variabel masa kerja berhubungan terhadap kelelahan kerja dengan nilai p = 0,000. Penutup: Kesimpulan bahwa iklim kerja, postur kerja dan masa kerja berhubungan dengan kelelahan kerja pada pekerja bengkel las.
Abstract.
Introduction: Fatigue is a condition that is felt by the workforce and can lead to a decrease in vitality and work productivity. Fatigue can occur due to several factors including work climate, work posture and working period. One of the jobs exposed to the work climate is work in welding workshop. This study aims to analyze the relationship of work climate, work posture and working period to fatigue in welding workers. Methods:Independent variables are work climate, work posture and work period using quantitative research methods with cross sectional. The sampling used is simple random sampling. The sample is amounted to 75 workers and analyzed using Chi-Square Test with 95% confidence. Results: Work climate variable is related to work fatigue with p Value = 0.041, the work posture variable is related to work fatigue with p Value = 0.027, and the variable period of work is related to work fatigue with p Value = 0.000. Closing: Work climate, work posture and working period are related to work fatigue in welding workers.
¿Cuán importante es la seguridad cibernética para lograr la seguridad hídrica?
Authors: Donoso María Concepción 
Published: January 2022

Alcanzar la seguridad hídrica es indispensable para lograr un desarrollo sostenible. La seguridad hídrica implica tener acceso a cantidades adecuadas de agua de calidad aceptable, pero también exige salvaguardar el recurso hídrico y disponer de un sector de agua eficiente y sostenible. Hoy día la seguridad de este sector se ve afectada por ataques cibernéticos. Las amenazas cibernéticas han aumentado exponencialmente en los últimos cinco años. Se estima que cada 39 segundos ocurre un nuevo ataque en algún sitio de la red global. Sin embargo, la ciberseguridad en el sector del agua en América Latina y el Caribe se encuentra en una fase incipiente. Esta vulnerabilidad del sector pone en peligro la seguridad hídrica de cada país. El presente artículo expone una visión amplia del concepto de seguridad hídrica e ilustra la amenaza real de ataques cibernéticos, identificando los diversos elementos que pueden ser objeto de los ciberdelincuentes. Las consideraciones finales apuntan a sugerir acciones de sensibilización del sector del agua ante los peligros de agresiones cibernéticas y adelantar gestiones tendientes a consolidar la ciberseguridad para propiciar o fortalecer una seguridad hídrica sostenible.
La erupción del volcán Cumbre Vieja en la Isla de La Palma (2021). El enfoque educativo de un volcán urbano
Authors: Santa-Cecilia Fernando Javier , García de la Vega Alfonso , Martín-Moreno Raúl 
Published: January 2022

El texto cita en primer lugar ejemplos de vulcanismo a nivel internacional que ilustran la importancia de este fenómeno geomorfológico y geológico. Desciende en escala para describir la evolución volcánica del archipiélago canario y contextualiza la erupción de Cumbre Vieja de 2021, como un episodio más en la configuración de las islas atlánticas. Introduce el concepto de volcán urbano dentro del ámbito educativo tomando como referencia esta erupción en la que se ven afectadas distintas localidades y una población de más de 2000 personas hasta la fecha. Ofrece un relato de los hechos a partir del trabajo de campo realizado en la segunda semana de erupción del volcán y aporta detalles del paisaje palmero y del proceso de transformación del territorio que está viviendo. Incluye una revisión científica de términos geográficos que tienen que ver con el vulcanismo. Al finalizar, se decantan unas conclusiones y una relación de recursos educativos que esperamos sean de interés en el campo de la Geografía y en la Didáctica de las Ciencias Sociales.
Appendicitis in a Newborn: Case Report and Review of the Literature
Authors: Ivanova Eleonora , Garunkštienė Rasa , Liubšys Arūnas 
Published: January 2022

Background: Acute appendicitis in a newborn is rare and may be fatal. The reported incidence is 0,04 % to 0,2 %. Diagnosis remains challenging as the symptoms are undefined.Case presentation: Here we present a full-term newborn boy of 9 days presenting with malaise, reluctance to feed and subfebrile fever. Over the course of 6 days his condition became worse. The newborn was febrile, passed no stool and his stomach became distended. Perforation due to necrotizing enterocolitis was highly suspected. The diagnosis of acute appendicitis was finalized perioperatively after the perforation and worsening condition made the emergency surgery inevitable. After 16 days of admission the patient was discharged in good condition.Conclusion: Appendicitis in neonates is a dangerous yet manageable condition. While rare it should be included in differential diagnosis when presented with atypical necrotizing enterocolitis or unexplained peritonitis. Quick and accurate diagnosis may increase survival rates.
Short Intravenous Antibiotic Courses for Urinary Infections in Young Infants: A Systematic Review
Authors: Hikmat Samar , Lawrence Jolie , Gwee Amanda 
Published: January 2022

CONTEXT
Urinary tract infections (UTIs) are common in young infants, yet there is no guidance on the optimal duration of intravenous (IV) treatment.

OBJECTIVE
To determine if shorter IV antibiotic courses (≤7 days) are appropriate for managing UTIs in infants aged ≤90 days.

METHODS
PubMed, the Cochrane Library, Medline, and Embase (February 2021) were used as data sources. Included studies reported original data for infants aged ≤90 days with UTIs, studied short IV antibiotic durations (≤7 days), and described at least 1 treatment outcome. The Preferred Reporting Items for Systematic Reviews and Meta-analyses guideline was followed. Studies were screened by 2 investigators, and bias was assessed by using the Newcastle-Ottawa Scale and the Revised Cochrane Risk-of-Bias Tool.

RESULTS
Eighteen studies with 16 615 young infants were included. The largest 2 studies on bacteremic UTI found no difference in the rates of 30-day recurrence between those treated with ≤7 vs &gt;7 days of IV antibiotics. For nonbacteremic UTI, there was no significant difference in the adjusted 30-day recurrence between those receiving ≤3 vs &gt;3 days of IV antibiotics in the largest 2 studies identified. Three studies of infants aged ≥30 days used oral antibiotics alone and reported good outcomes, although only 85 infants were ≤90 days old.

CONCLUSIONS
Shorter IV antibiotic courses of ≤7 days and ≤3 days with early switch to oral antibiotics should be considered in infants aged ≤90 days with bacteremic and nonbacteremic UTI, respectively, after excluding meningitis. Further studies of treatment with oral antibiotics alone are needed in this age group.