bluuebunny/crossref_metadata_2025_split huggingface dataset:
Survival analysis of COVID-19 patients in Ethiopia: A hospital-based study
Authors: Kaso Abdene Weya , Agero Gebi , Hurissa Zewdu , Kaso Taha , Ewune Helen Ali , Hareru Habtamu Endashaw , Hailu Alemayehu 
Published: May 2022

Background
COVID-19 is a global public health problem causing high mortality worldwide. This study aimed to assess time to death and predictors of mortality among patients hospitalized for COVID-19 in the Arsi zone treatment center.

Method
We performed a retrospective observational cohort study using medical records of laboratory-confirmed COVID-19 cases hospitalized at Bokoji Hospital COVID-19 treatment center from 1st July 2020 to 5th March 2021. We extracted data on the patients’ sociodemographic and clinical characteristics from medical records of hospitalized patients retrospectively. We carried out Kaplan Meier and Cox regression analysis to estimate survival probability and investigate predictors of COVID-19 death 5% level of significance. The Adjusted Hazard Ratio (aHR) with 95% Confidence Interval (CI) was estimated and interpreted for predictors of time to death in the final cox model.

Result
A total of 422 COVID-19 patients treated were analyzed, of these more than one tenth (11.14%) deaths, with a mortality rate of 6.35 cases per 1000 person-days. The majority (87.2%) of deaths occurred within the first 14 days of admission, with a median time-to-death of nine (IQR: 8–12) days. We found patients that age between 31 and 45 years (aHR = 2.55; 95% CI: (1.03, 6.34), older than 46 years (aHR = 2.59 (1.27, 5.30), chronic obstructive pulmonary disease (aHR = 4.60, 95%CI: (2.37, 8.91), Chronic kidney disease (aHR = 5.58, 95%CI: (1.70, 18.37), HIV/AIDS (aHR = 3.66, 95%CI: (1.20, 11.10), admission to the Intensive care unit(aHR = 7.44, 95%CI: (1.82, 30.42), and being on intranasal oxygen care (aHR = 6.27, 95%CI: (2.75, 4.30) were independent risk factors increasing risk of death from COVID-19 disease than their counterparts.

Conclusion
The risk of dying due to COVID-19 disease was higher among patients with HIV/AIDS, chronic obstructive pulmonary disease, and chronic kidney diseases. We also found that older people, those admitted to ICU, and patients who received intranasal oxygen care had a higher risk of dying due to COVID-19 disease. Therefore, close monitoring hospitalized patients that are old aged and those with comorbidities after hospitalization is crucial within the first ten days of admission.
«Si me tengo que morir…»
Authors: Castro Lozano John Alexander 
Published: May 2022

En Colombia, los hinchas –agrupados en las barras bravas– usan sus brazos, sus piernas y su cabeza para enfrentar a los rivales. Asimismo, han recurrido al empleo de botellas de vidrio, palos de madera y piedras. También, normalizan el uso de cuchillos y de machetes e incluso, armas de fuego. Este tipo de enfrentamientos mostraron la organización de las denominadas barras bravas, grupos organizados de hinchas, quienes exhiben en el interior y en el exterior de los estadios, en los barrios, en municipios y en carreteras una multiplicidad de comportamientos; por ejemplo, los relacionados con la violencia. Sin embargo, entre los hinchas, las peleas o los enfrentamientos contra los rivales son denominados como combates. En los combates permanecen los hinchas quienes pretenden demostrar habilidades para el enfrentamiento y, además, una masculinidad agresiva.
La permanencia en los enfrentamientos o en el combate deja entre en los hinchas lesiones, fracturas y múltiples heridas, es decir, huellas en el cuerpo, exhibidas, posteriormente mediante cicatrices entre los demás hinchas de la barra brava; constituyendo una autoridad entre los sujetos del grupo social, permitiendo la definición de su jerarquía. Por ese motivo, el objetivo del artículo es entender e interpretar el combate –lo emic– o la violencia –lo etic– entre los hinchas, agrupados en las barras bravas de Colombia. De otra parte, en lo metodológico, el trabajo de campo etnográfico se desarrolló desde la presencia habitual en las diferentes prácticas de Blue Rain y de Comandos Azules Distrito Capital en el estadio Nemesio Camacho «El Campín» de Bogotá y así, en múltiples conversaciones con algunos de sus integrantes.
When are performance-approach goals more adaptive for Chinese EFL learners? It depends on their underlying reasons
Authors: Li Banban , Turner Jeannine E. , Xue Jin , Liu Jin 
Published: May 2022

Abstract
It has been debated for years whether performance-approach goals represents a maladaptive form of students’ motivation. Recently, researchers proposed that students’ reasons underlying their performance-approach goals may further our understanding of the nature of these goals (goal complexes). With a sequential explanatory mixed-method approach, we examined the function of performance-approach goal complexes on students’ L2 self-efficacy and anxiety, by surveying 283 Chinese college EFL-learners and conducting semi-structured interviews with six purposefully-selected students. Quantitative analyses showed that our data partly supported the proposed mediation model. Students’ controlled reasons to have performance-approach goals showed a significant direct effect on both their L2 anxiety (positively) and L2 self-efficacy (negatively). Conversely, students’ autonomous reasons showed a positive effect on their L2 self-efficacy, and a negative effect on their L2 anxiety, indirectly through their performance-approach goals. Qualitative interviews provided further insights into the mechanism of the model. Pedagogical implications and directions for future studies are discussed.
Protocol for READY2Exit: a patient-oriented, mixed methods study examining transition readiness in adolescents with co-occurring physical and mental health conditions
Authors: Allemang Brooke , Samuel Susan , Sitter Kathleen C. , Patten Scott B. , Patton Megan , Pintson Karina , Greer Katelyn , Schofield Keighley , Farias Marcela , Punjwani Zoya , Mackie Andrew S. , Dimitropoulos Gina 
Published: May 2022

AbstractBackgroundUp to 57% of adolescents and young adults (AYA) with chronic physical health conditions experience mental health conditions, the presence of which contributes to increased morbidity and poor quality of life. AYA with co-occurring physical and mental health conditions, therefore, may experience additional challenges as they transition from pediatric to adult services. While transition readiness – the acquisition of self-management and advocacy skills – contributes to successful transitions to adult care, this concept has not been adequately explored for AYA with co-occurring physical and mental health conditions. Research is needed to identify whether the presence of a mental health comorbidity is associated with transition readiness, and what the experiences of AYA with co-occurring conditions are as they exit pediatric services. This paper outlines the protocol for theReadiness andExperiences ofADolescents andYoung Adults with Co-occurring Physical and Mental Health ConditionsExiting Pediatric Services (READY2Exit) study; the first study to address this gap using a patient-oriented, mixed methods design.MethodsA sequential explanatory mixed methods design will be used to understand the transition readiness of 16–21 year olds with physical and mental health conditions using quantitative and qualitative data. First, Transition Readiness Assessment Questionnaire (TRAQ) scores will be compared among AYA with chronic health conditions, with and without mental health comorbidity. Interviews will then be conducted with approximately 15 AYA with co-occurring health and mental health conditions and analyzed using qualitative description. The READY2Exit study will be conducted in collaboration with five Young Adult Research Partners (YARP) aged 18–30 with lived experience in the health/mental health systems across Canada. The YARP will partner in key tasks such as interview guide co-design, data interpretation, and knowledge translation tool development.DiscussionAYA with co-occurring physical and mental health conditions may have unique needs as they prepare for health care transitions. The results of this study will inform the refinement of transition readiness practices to improve care for this group. The active involvement of the YARP across study phases will bring the critical perspectives of young adults to READY2Exit, ensuring the methods, research approaches and outputs align with their needs.
Predation of Indian giant flying squirrel and Travancore flying squirrel in the Western Ghats, India
Authors: Balakrishnan Peroth , Anoop Das Karumampoyil Sakthidas , Patel Bharati , Sivaraman Sreejith 
Published: May 2022

Abstract
Predation is an important process involved in the natural selection and evolution of animals, but is challenging to observe naturally. In this note we report predation events of two arboreal mammal species, the Indian giant flying squirrel, Petaurista philippensis and the Travancore flying squirrel, Petinomys fuscocapillus from the Western Ghats, India. Three raptor species and one carnivore species were observed predating on these species which are also the first reports of their predation on these flying squirrels.
Whenestaris not there: A cross-linguistic analysis of individual/stage-level copular sentences in Romance
Authors: Silvagni Federico 
Published: May 2022

AbstractThis article studies how Romance languages encode the individual-level (IL)/stage-level (SL) aspectual distinction in the domain of non-verbal predication. To this end, attributive copular clauses are considered, and those languages that mark the IL/SL paradigm by means of two different copulas (serandestar‘to be’, such as Spanish, Catalan, and Portuguese) are compared with mono-copular languages (such as French, Italian, and Romanian). On the basis of recent developments in the study of the IL/SL contrast and Spanish copulas, I propose that SL-ness is encoded in non-verbal SL-predicates as an uninterpretable instance of a [Stage] feature and that SL-copular sentences are derived by virtue of an agreement operation between the predicate and an Asp head that carries an interpretable instance of [Stage], which is realised asestarin languages such as Spanish, Portuguese, and Catalan. The conclusion is that the inventory of aspectual elements is the same across Romance languages, which differ one from another with respect to the presence of an SL-copula (namely,estar).
The Faculty of Ideas. Kant’s Concept of Reason in the Narrower Sense
Authors: Lewin Michael 
Published: May 2022

AbstractIn theTranscendental Dialectic, Kant searched for a universal concept of reason different from the understanding and offered the short formula “the faculty of principles” (KrVA299/B356). I will argue that this is only one and not the most pertinent and general mark of the concept of reason. There are more compelling short expressions in Kant’sReflexionen, the thirdCritiqueand/or in the reception of Kant’s works: “the faculty of ideas” (Refl5553 18:228 andKU5:269) orreason in the narrower sense. The latter narrows down the logical sphere of the concept of rational faculties, and the former contains reason’s most basic mark:ideas. The first part of this article will focus on preliminary remarks on Kant’s philosophical methodology and conceptual analysis. The second part will analyze the division of the logical sphere of the concept of reason by nine necessary and coherent marks. These marks are centered around the concept of ideas, which allows for an ideas-first understanding of reason and preference for the formulasthe faculty of ideasandreason in the narrower sense. The article will end with an “imperfect definition” of reason based on those nine marks.
Process optimization for extraction of avian eggshell membrane derived collagen for tissue engineering applications
Authors: Aggarwal Aakriti , Sah Mahesh Kumar 
Published: May 2022

Abstract
The avian eggshell membranes’ composition depicts close resemblance with the extracellular matrix of the cells, and therefore being widely employed as potential biomaterials for tissue engineering applications. However, the optimization of process conditions for collagen extraction, the main constituent of eggshell membranes is still challenging. In the present study, extraction of collagen was performed by an enzymatic method optimized through the one-factor-at-a-time (OFAT) technique for three parameters viz. pepsin concentration, treatment time and pH. The process optimization resulted in the maximum yield of 56% collagen with 350 U/mg pepsin concentration at pH 3 treated for 9 days, not reported yet. The collagen extraction was confirmed by OD at 232 nm; and its viscoelasticity behaviour at pH 5. The physico–chemical characterization of extracted collagen with FESEM, ATR-FTIR, surface roughness analysis and contact angle measurement revealed the morphological and topological alteration during the collagen extraction. The process optimization and characterization of eggshell membrane derived collagen can aid in the significant biomaterials development for tissue regeneration.
On Coordination and Clitic Climbing in Spanish Auxiliary Verb Constructions
Authors: Krivochen Diego Gabriel , Fernández Luis García 
Published: May 2022

AbstractIn this work we analyse some aspects of the interaction between coordination and clitic climbing in Spanish sentences with auxiliary verbs. We aim at shedding light on three kinds of structures, or ‘scenarios’: (1) those in which we find coordinated auxiliaries taking a single lexical verb as complement (Puede y debe hacerlo); (2) those in which a single auxiliary takes coordinated lexical verbs as complement (estás molestándonos y mirándonos), and (3) those in which coordinated auxiliaries take coordinated lexical verbs as complement (puede y debe terminarlo y entregarlo). Our proposal will involve a combination of Gapping and Across-the-Board rule application for Scenarios (1) and (2) and Right Node Raising for Scenario (3). We will argue that well-known syntactic constraints on long distance dependencies, such as those proposed in Ross, John Robert. 1967.Constraints on variables in syntax. Cambridge: MIT disertation, can account for the facts without the need forad hocmachinery.
Inline qualification of focus variation metrology for a series production of micro gears
Authors: Gauder Daniel , Gölz Johannes , Bott Alexander , Jung Niels , Lanza Gisela 
Published: May 2022

AbstractThe rapidly advancing trend towards miniaturization in the series production of gears confronts quality assurance with new challenges. In this context, metrological technologies as well as expertise from the field of macro gears can only be transferred to a limited extent. Inline integration of metrology into micro gear production has not yet been implemented in a practicable way. This publication extends the current limits of micro gear quality assurance to date by qualifying the optical method of focus variation technology for complete inline measurements of micro gears in series production time. In detail, this work includes the development of a measurement program by means of Design of Experiments, the establishment of a practicable cleaning process, the evaluation of resulting measurement uncertainties, and a process capability analysis. Consequently, the focus variation technology is qualified for fast, three-dimensional measurements of micro gears with respectively low measurement uncertainties.
State-by-State Variability in Adolescent Privacy Laws
Authors: Sharko Marianne , Jameson Rachael , Ancker Jessica S. , Krams Lisa , Webber Emily C. , Rosenbloom S. Trent 
Published: May 2022

OBJECTIVES
Health care providers managing the complex health needs of adolescents must comply with state laws governing adolescent consent and right to privacy. However, these laws vary. Our objectives were to summarize consent and privacy laws state-by-state and assess the implications of variation for compliance with the 21st Century Cures Act and with evidence-based guidance on adolescent care.

METHODS
We summarized state laws and regulations on minor consent for the following: health services, substance abuse treatment, prenatal care, mental health care, contraceptive management, immunizations, sexually transmitted infection management, human immunodeficiency viruses testing and treatment, dental care, and sexual assault evaluation. We compared state laws and regulations with American Academy of Pediatrics’ evidence-based guidelines to assess consistencies in guidance.

RESULTS
We observed notable state-by-state variability in laws governing consent for adolescent patients. No states had identical policies for all services studied. For example, although all states had provisions for consent to management of sexually transmitted infections, there were variable specifications in the age and type of minor, whether this includes human immunodeficiency viruses, and whether confidentiality is protected. Providing confidential care to the adolescent patient has been set as a priority by medical societies; however, guidelines are limited by the need to comply with state laws and regulations.

CONCLUSIONS
State laws on consent and privacy for adolescents are highly variable, and many do not reflect pediatric professional standards of care. This inconsistency is a barrier to operationalizing a consistent and equitable experience providing evidence-based medical care and ensuring adolescent privacy protection.
Yoga and Cutaneous Functional Unit Recruitment for a Patient with Cervical and Upper Extremity Burn Scar Contracture: Case Report
Authors: Dean Brooke , Puthumana Joseph , Vocke Scott , Neely Laurie , Modica Ashley , Caffrey Julie 
Published: May 2022

Abstract
Burn scar contracture greatly limits function for burn survivors, particularly when the scarring crosses multiple joints. Previous research has identified fields of skin recruited during single joint motion, called cutaneous functional units (CFU), indicating that impairments may be seen distal to the injured tissue. This case report connects the principles of CFU and yoga-inspired therapy modalities in improving clinical outcomes for a burn survivor. The patient is a 38-year-old male who sustained deep partial-thickness electrical burns to his neck, chest, and bilateral upper extremities, presenting with significantly decreased range of motion. The patient attended physical therapy 4 days a week, where he performed a specific yoga asana program during each session. Outcomes including standard range of motion measures, the Vancouver Scar Scale (VSS), and the Neck Disability Index (NDI), which were recorded every 10 sessions. CFUs of cervical extension and shoulder flexion were analyzed via photographs comparing cutaneous position during specified yoga poses and resting anatomical position in standing. Over 30 visits, cervical and shoulder range of motion increased, although the VSS and NDI did not show significant improvement. Yoga poses showed overall cutaneous recruitment distal to the targeted joints, and burned skin was recruited similarly to nonburned skin in positions of stretch. Incorporating multijoint approaches for stretching, like yoga, appears to contribute to improved clinical range-of-motion outcomes when paired with traditional burn-rehabilitation interventions. Yoga poses involving multiple joints align with the principle of CFUs, warranting continued investigation.
Forming of School Manual as a Scientific Problem in General and Special Psychopedagogy
Authors: Chepurna Liudmyla , Frolov Dmytro , Stepanchenko Nataliya , Zaplatynska Anna , Genkal Svitlana , Tovstohan Volodymyr 
Published: May 2022

School manuals have special place among the socio-cultural acquisition of the past, which are the kind of reflection of certain era, the level of knowledge, worldview and prevailing stereotypes in the field of education. The manual is a carrier of the content of education, definitions, storage of knowledge and methods of learning that is necessary in this society. The complexity of the manual, the richness of its types, structure, diversity of its content and functions define it as a valuable historical document, the research of which provides opportunities to study the features and patterns of development and formation of the manual in different historical periods and using modern manuals. The research of the history of school manual development begins with the establishment by scientists the fact of the manual origin, which historians associate with clay tablets on which the Sumerians placed manuals five thousand years ago. The formation of the pedagogical theory of the manual is associated with the idea that the manual was first defined as a special book created on the basis of pedagogical principles as one that implements a certain content of education.
Simultaneous Transcatheter Pulmonary Balloon Valvuloplasty and Atrial Septal Defect Closure in Adult Patient
Authors: Wardhani Deasy Eka , Mulia Eka Prasetya Budi , Rachmi Dita Aulia 
Published: May 2022

Background: Percutaneous pulmonary balloon valvuloplasty (PBV) has become the first choice of management in patients with valvular pulmonary stenosis, while transcatheter closure in secundum atrial septal defect (ASD) is an alternative therapy besides surgical closure. The combination of PBV and transcatheter ASD closure is an action that is possible to do, but rarely done.Case Illustration: We present a case of 26-year-old woman with severe pulmonary stenosis and secundum ASD. Echocardiographic examination revealed the presence of severe pulmonary stenosis (mean gradient 99.19 mmHg) and defects in the intra atrial septum (with a size of 1.3 cm). Cardiac catheterization revealed right ventricular pressure of 160 mmHg. This patient then successfully corrected with both procedures ASD closure and PBV simultaneously. Discussion: These procedures have high feasibility, good safety, and shows good effectiveness. There were no complications during the procedures, and a satisfying immediate outcome was obtained.Conclusion: Pulmonary stenosis and atrial septal defects are rare forms of congenital heart disease. Transcatheter pulmonary balloon valvuloplasty and atrial septal defect closure performed simultaneously are promising alternatives, apart from surgical correction.
Doubly Committed Subarterial Ventricular Septal Defect Coexisted with Ruptured Aneurysm of The Right Sinus Valsava
Authors: Maghfirah Irma , Romdoni Rochmad 
Published: May 2022

Sinus of Valsalva aneurysms (SVAs) are uncommon cardiac abnormalities and most of them are in congenital origin. Some patients may have SVAs that concomitant with ventricular septal defect (VSD). Here, we reported case of a 37-year-old male presented with worsening exertional dyspnoea. Thrills and loud continuous murmur along the left sternal border were discovered during physical examination. Echocardiogram displayed ruptured sinus of valsalva aneurysm to the right ventricle along with supracristal ventricular septal defect (VSD). The patient underwent surgical correction with patch repair and aortic valve replacement. Most cases of SVAs were originated from right coronary sinus. They usually ruptured into right ventricle. Ventricular septal defects often coexisted with this condition. Echocardiography provided a complete evaluation of such cases and prohibited missed diagnosis of other coexistent congenital heart defects.