bluuebunny/crossref_metadata_2025_split huggingface dataset:
Representations of Immigration in Third World countries: a comparative study between ‘Dave’ in The Arrangers of Marriage by Chimamanda Ngozi Adichie and ‘Nazneen’ in Monica Ali’s Brick Lane
Authors: Mohrem Boubaker , El-Khawaldeh Samira 
Published: January 2022

Abstract
Generally speaking, third-world literary scholars have been seen as representative tools for their societies. The current article aims to look at postmodern African and Asian societies. Thus, these two literary works “The Arrangers of Marriage” by the African novelist Chimamanda Ngozi Adichie and “Brick Lane” by Monica Ali belong to third world Contemporary Literature. Dave who is a Nigerian figure when he went to the United States, he leaves his traditions, besides, Nazneen, who stands against her tradition too to formulate a new identity. This article examines the effects of Immigration on third-world characters. Also, the focus on major concepts such as identity. Both authors are involved in what we call living in Diaspora. This article is a comparative study between the two works of two marginalized writers of a Nigerian and Bangladeshi identity, especially as the continent gradually becomes part of the postmodern and globalized world.
Structural material with designed thermal twist for a simple actuation
Authors: Yang Nan , Deng Yong , Huang Jinlun , Niu Xiaodong 
Published: January 2022

Abstract
Materials with desired thermal deformation are very important for various engineering applications. Here, a material with the combination of chiral structure and TiNi shape memory alloy (SMA) sheets that performs a twist during heating is proposed. The thermo-mechanical properties of these materials are experimentally investigated. Inspired by this, a car-like material performing translational and rotational motion is designed, which illustrates the potential applications for the next-generation soft robotic devices. Based on this method, one can design remotely manipulated artificial muscles, nanorobots, revolute pairs, and thermal sensors or actuators in a noncontact fashion.
Effective factors on performance of zeolite based metal catalysts in light hydrocarbon aromatization
Authors: Sharifi Khashayar , Halladj Rouein , Royaee Seyed Javid , Towfighi Farshid , Firoozi Sepideh , Yousefi Hamidreza 
Published: January 2022

Abstract
Aromatic hydrocarbons are essential compounds, that the presence of which in fuels can improve the octane number. The conversion of the light alkanes to high value aromatics is vital from theoretical and industrial standpoints. Zeolites such as ZSM-5 play an essential role in the aromatization of light alkanes. This paper highlights the mechanism of aromatization of light alkanes such as methane, ethane, propane, butane, and its isomers. Furthermore, effective factors on the aromatization of light alkanes including metal type, crystallinity, acidity, space velocity, pretreatment of zeolites, co-feeding of light hydrocarbon, and operating factors such as temperature have been investigated to determine how a system of zeolite with metals can be useful to reach aromatization with high conversion.
Neurophysiological and Brain Structural Markers of Cognitive Frailty Differ from Alzheimer's Disease
Authors: Kocagoncu Ece , Nesbitt David , Emery Tina , Hughes Laura E. , Henson Richard N. , Rowe James B. ,   Cambridge Center for Ageing and Neuroscience
Published: January 2022

With increasing life span and prevalence of dementia, it is important to understand the mechanisms of cognitive aging. Here, we focus on a subgroup of the population we term “cognitively frail,” defined by reduced cognitive function in the absence of subjective memory complaints, or a clinical diagnosis of dementia. Cognitive frailty is distinct from cognitive impairment caused by physical frailty. It has been proposed to be a precursor to Alzheimer's disease, but may alternatively represent one end of a nonpathologic spectrum of cognitive aging. We test these hypotheses in humans of both sexes, by comparing the structural and neurophysiological properties of a community-based cohort of cognitive frail adults, to people presenting clinically with diagnoses of Alzheimer's disease or mild cognitive impairment, and community-based cognitively typical older adults. Cognitive performance of the cognitively frail was similar to those with mild cognitive impairment. We used a novel cross-modal paired-associates task that presented images followed by sounds, to induce physiological responses of novelty and associative mismatch, recorded by EEG/MEG. Both controls and cognitively frail showed stronger mismatch responses and larger temporal gray matter volume, compared with people with mild cognitive impairment and Alzheimer's disease. Our results suggest that community-based cognitively frail represents a spectrum of normal aging rather than incipient Alzheimer's disease, despite similar cognitive function. Lower lifelong cognitive reserve, hearing impairment, and cardiovascular comorbidities might contribute to the etiology of the cognitive frailty. Critically, community-based cohorts of older adults with low cognitive performance should not be interpreted as representing undiagnosed Alzheimer's disease.SIGNIFICANCE STATEMENTThe current study investigates the neural signatures of cognitive frailty in relation to healthy aging and Alzheimer's disease. We focus on the cognitive aspect of frailty and show that, despite performing similarly to the patients with mild cognitive impairment, a cohort of community-based adults with poor cognitive performance do not show structural atrophy or neurophysiological signatures of Alzheimer's disease. Our results call for caution before assuming that cognitive frailty represents latent Alzheimer's disease. Instead, the cognitive underperformance of cognitively frail adults could result in cumulative effects of multiple psychosocial risk factors over the lifespan, and medical comorbidities.
Long-term outcomes of patients with acromegaly: a report from the Swedish Pituitary Register
Authors: Arnardóttir Steinunn , Järås Jacob , Burman Pia , Berinder Katarina , Dahlqvist Per , Erfurth Eva Marie , Höybye Charlotte , Larsson Karin , Ragnarsson Oskar , Ekman Bertil , Edén Engström Britt 
Published: January 2022

Objective
To describe the treatment and long-term outcomes of patients with acromegaly from all healthcare regions in Sweden.

Design and methods
Analysis of prospectively reported data from the Swedish Pituitary Register of 698 patients (51% females) with acromegaly diagnosed from 1991 to 2011. The latest clinical follow-up date was December 2012, while mortality data were collected for 28.5 years until June 2019.

Results
The annual incidence was 3.7/million; 71% of patients had a macroadenoma, 18% had visual field defects, and 25% had at least one pituitary hormone deficiency. Eighty-two percent had pituitary surgery, 10% radiotherapy, and 39% medical treatment. At the 5- and 10-year follow-ups, insulin-like growth factor 1 levels were within the reference range in 69 and 78% of patients, respectively. In linear regression, the proportion of patients with biochemical control including adjuvant therapy at 10 years follow-up increased over time by 1.23% per year. The standardized mortality ratio (SMR) (95% CI) for all patients was 1.29 (1.11–1.49). For patients with biochemical control at the latest follow-up, SMR was not increased, neither among patients diagnosed between 1991 and 2000, SMR: 1.06 (0.85–1.33) nor between 2001 and2011, SMR: 0.87 (0.61–1.24). In contrast, non-controlled patients at the latest follow-up from both decades had elevated SMR, 1.90 (1.33–2.72) and 1.98 (1.24–3.14), respectively.

Conclusions
The proportion of patients with biochemical control increased over time. Patients with biochemically controlled acromegaly have normal life expectancy, while non-controlled patients still have increased mortality. The high rate of macroadenomas and unchanged age at diagnosis illustrates the need for improvements in the management of patients with acromegaly.
Italian Association of Clinical Endocrinologists (AME) and International Chapter of Clinical Endocrinology (ICCE). Position statement for clinical practice: prolactin-secreting tumors
Authors: Cozzi Renato , Ambrosio Maria Rosaria , Attanasio Roberto , Battista Claudia , Bozzao Alessandro , Caputo Marco , Ciccarelli Enrica , De Marinis Laura , De Menis Ernesto , Faustini Fustini Marco , Grimaldi Franco , Lania Andrea , Lasio Giovanni , Logoluso Francesco , Losa Marco , Maffei Pietro , Milani Davide , Poggi Maurizio , Zini Michele , Katznelson Laurence , Luger Anton , Poiana Catalina 
Published: January 2022

AbstractProlactinomas are the most frequent pituitary adenomas. Prolactinoma may occur in different clinical settings and always require an individually tailored approach. This is the reason why a panel of Italian neuroendocrine experts was charged with the task to provide indications for the diagnostic and therapeutic approaches that can be easily applied in different contexts. The document provides 15 recommendations for diagnosis and 54 recommendations for treatment, issued according to the GRADE system. The level of agreement among panel members was formally evaluated by RAND-UCLA methodology. In the last century, prolactinomas represented the paradigm of pituitary tumors for which the development of highly effective drugs obtained the best results, allowing to avoid neurosurgery in most cases. The impressive improvement of neurosurgical endoscopic techniques allows a far better definition of the tumoral tissue during surgery and the remission of endocrine symptoms in many patients with pituitary tumors. Consequently, this refinement of neurosurgery is changing the therapeutic strategy in prolactinomas, allowing the definitive cure of some patients with permanent discontinuation of medical therapy.
Unusual increase in carcinoembryonic antigen despite response to selpercatinib in two patients with medullary thyroid cancer
Authors: Bardet Stéphane , Ciappuccini Renaud , Lamartina Livia , Leboulleux Sophie 
Published: January 2022

Introduction
Serum calcitonin (CT) and carcinoembryonic antigen (CEA) are valuable tumour markers in patients with medullary thyroid carcinoma (MTC). Both markers most often evolve in parallel after treatment. Selpercatinib (LOXO-292) is a highly selective RET kinase inhibitor indicated in advanced RET-mutant MTC patients.

Cases presentation
In this study, we report two observations of RET-mutant progressive metastatic and symptomatic MTC patients who were treated with selpercatinib. Patient 1, a 61-year-old man, presented dyspnoea and diarrhoea at selpercatinib initiation with large neck lymph nodes and lung metastases. Patient 2, a 76-year-old man, had acute discomfort with flush and diarrhoea, with small but diffuse bone and liver disease. Both patients had an objective tumour response with rapid clinical improvement and RECIST 1.1 response (−90%) in patient 1. A rapid dramatic decrease in CT level was observed in both patients (−99% in both patients), while CEA levels gradually and sustainably increased after selpercatinib initiation (+207% at cycle 15 in patient 1 and + 835% at cycle 14 in patient 2). In both patients, 18FDG PET/CT did not show any abnormal uptake that could explain the CEA increase. Colonoscopy and oesogastric fibroscopy showed colonic polyposis with mild oesophagitis and gastritis in patient 1 and were normal in patient 2.

Conclusion
These observations show an unusual and lasting increase in serum CEA in two MTC patients who exhibited an objective tumour response to selpercatinib. The mechanism behind this unexpected rise in CEA level remains unknown. The frequency of this evolving profile will be determined in further phase III studies.
Complex aortaaneurysmák kezelési lehetőségei – saját tapasztalatok
Authors: Dzsinich Csaba , Szentpétery László , Nagy Gabriella , Pataki Tibor , Darabos Gábor , Barta László 
Published: January 2022

Összefoglaló. Complex aortaaneurysmáról beszélünk, ha az több,
egymástól anatómiailag nem elválasztható aortaszegmentumra terjed, és/vagy az
aneurysma egy vagy több életfontosságú mellékág szájadékát is magában foglalja.
Kettős vagy többszörös aortaaneurysmák egymástól sebészileg jól szeparálható
elváltozásokat jelentenek. Míg a complex elváltozások egy ülésben vagy időben,
egymást néhány nappal követő beavatkozással kezelendők, addig a
kettős/többszörös aneurysmák szeparált megoldásokkal uralhatók. E kiterjedt
elváltozások kezelése jelentős javallati és technikai kihívásokkal társul. A
kezelési lehetőségek széles spektrumával rendelkezünk. Korábban a nagy sebészi
traumával, jelentős morbiditással és mortalitással járó nyitott műtétek nagy
rizikóval terhelt betegeken siker reményében nem voltak elvégezhetők.
Napjainkban a sebészi és endograft technikákkal végzett hybrid műtétek, illetve
a tisztán endovascularis megoldások a kiterjedt elváltozások kezelésének
javallatát jelentősen kiszélesítették. Dolgozatunkban ismertetjük a lehetséges,
és az általunk már alkalmazott technikákat, valamint azokat a lehetőségeket,
amelyeket a rohamos technikai fejlődés kínál.
Summary. Complex aortic aneurysms extend to more aortic segments,
and/or include one or more orifices of highly important side branches. Meanwhile
complex aneurysms need reconstructive solutions in one sitting or hybrid
procedures timely close to each other, multiple aneurysms can be treated
technically and timely separated. Previously, open surgery was the only
opportunity to intervene, which was associated with significant surgical trauma
and was not suitable for high risk patients when devastating complications were
likely. Recently combination of lower risk surgery with endovascular treatment
options – the so called hybrid techniques – resulted in that indications for
treatment remarkably widened. In addition, permanent technical progress made
available pure endovascuar solutions, so a wide range of surgical procedures
provide number of options for treatment. In this paper we report on the
treatment options of complex aortic aneurysms, and present our own relevant
experience.
Sebészeti varrógépek: definíciók és fogalomtár
Authors: Molnár F. Tamás , Zsoldos Péter , Oláh Attila 
Published: January 2022

Összefoglaló. A szerzők a sebészeti varrógépekkel kapcsolatos
technikai fogalmak rendszerezett definícióját végzik el. Nem titkolt céljuk a
sebészeti eszközök közbeszerzése során észlelhető félreértések elkerülése, a
kettős vagy még többes értelmezések tisztázása, a fogalmak egyértelműsítése.
Summary. Definition and systemic review of the different surgical
staplers are offered in a comprehensive manner. Improved efficacy in tender
decisions, better understanding and usage of clear categories are the main
targets of the present overview.
Development of object state evaluation method in intelligent decision support systems
Authors: Zhuravskyi Yurii , Sova Oleg , Korobchenko Serhii , Baginsky Vitaliy , Tsimura Yurii , Kolodiichuk Leonid , Khomenko Pavlo , Garashchuk Nataliia , Orobinska Olena , Shyshatskyi Andrii 
Published: January 2022

Accurate and objective object analysis requires multi-parameter estimation with significant computational costs. A methodological approach to improve the accuracy of assessing the state of the monitored object is proposed. This methodological approach is based on a combination of fuzzy cognitive models, advanced genetic algorithm and evolving artificial neural networks. The methodological approach has the following sequence of actions: building a fuzzy cognitive model; correcting the fuzzy cognitive model and training knowledge bases. The distinctive features of the methodological approach are that the type of data uncertainty and noise is taken into account while constructing the state of the monitored object using fuzzy cognitive models. The novelties while correcting fuzzy cognitive models using a genetic algorithm are taking into account the type of data uncertainty, taking into account the adaptability of individuals to iteration, duration of the existence of individuals and topology of the fuzzy cognitive model. The advanced genetic algorithm increases the efficiency of correcting factors and the relationships between them in the fuzzy cognitive model. This is achieved by finding solutions in different directions by several individuals in the population. The training procedure consists in learning the synaptic weights of the artificial neural network, the type and parameters of the membership function and the architecture of individual elements and the architecture of the artificial neural network as a whole. The use of the method allows increasing the efficiency of data processing at the level of 16–24 % using additional advanced procedures. The proposed methodological approach should be used to solve the problems of assessing complex and dynamic processes characterized by a high degree of complexity.
Sustentabilidade e Governança: Evidenciação Ambiental em Empresas Prestadoras de Serviço ## Sustainability and Governance: Environmental Disclosure in Service Providers
Authors: Salvador Sabrina Keli , Eckert Alex , Mecca Marlei Salete , Vargas Jéssica Santos 
Published: January 2022

A necessidade de se utilizar os recursos ambientais de maneira adequada e sustentável deve estar cada vez mais presente no cotidiano das pessoas, do poder público e das empresas. Diante disso, este estudo tem por objetivo analisar as práticas e iniciativas ambientais adotadas em empresas prestadoras de serviços contábeis e de turismo da região da Serra Gaúcha, no estado do Rio Grande do Sul. Para atingir tal objetivo, foi realizada uma survey por meio de um questionário elaborado a partir do instrumento “Indicadores Ethos para Negócios Sustentáveis e Responsáveis” (Ethos, 2016). Os resultados indicam que as empresas pesquisadas apresentam uma preocupação com as questões relacionadas ao meio ambiente, mas essa ainda não é uma unanimidade. As empresas têm preocupação com o consumo consciente de materiais, tais como papeis e descartáveis, com o consumo de energia e água e a destinação de seus resíduos, mas deixam a desejar quando se trata de ações ambientais e comunicação com a comunidade acerca deste tema. ABSTRACTThe need to use environmental resources in an adequate and sustainable manner must be increasingly present in the daily lives of people, public authorities and companies. Therefore, this study aims to analyze the environmental practices and initiatives adopted by Brazilian accounting and tourism companies. To achieve this objective, a survey was carried out through a questionnaire elaborated from the "Indicators Ethos for Sustainable and Responsible Business" (Ethos, 2016). The results indicate that the companies surveyed have a concern about environmental issues, but this is not unanimous. The companies are concerned with the conscious consumption of materials, such as paper and disposable, with the consumption of energy and water and the destination of their residues, but they do not deserve when it comes to environmental actions and communication with the community about this theme.
Comunidade Ribeirinha Santo Ezequiel Moreno: inovações sociais em torno do açaí relacionadas à organização ## Santo Ezequiel Moreno Community: social innovations around açai berry related to the organization
Authors: Moraes Lucivando Barbosa de , Assis William Santos de , Sá Tatiana Deane de Abreu 
Published: January 2022

A pesquisa aborda inovações sociais relacionadas ao agroextrativismo do açaí na comunidade ribeirinha Santo Ezequiel Moreno (SEM), município de Portel, arquipélago do Marajó, estado do Pará. O objetivo desta pesquisa foi identificar e analisar as principais inovações sociais relacionadas ao agroextrativismo do açaí e que apresentam influência direta da organização deste território. O método utilizado foi o de estudo de caso e a pesquisa realizada entre setembro de 2018 e julho de 2020, os dados foram coletados com a participação dos ribeirinhos seguindo etapas da pesquisa, sendo aplicadas análises qualitativas e quantitativas descritas em forma de sistematização. Foram identificadas duas inovações sociais na comunidade SEM conforme Bignetti (2011) e debates que consideram organização como objeto e processo social, que estão interligadas através de ajuda mútua dos comunitários facilitadas pela autogestão de todas elas, além disso, apresentam o Fundo Solidário Açaí (FSA) como inovação social base em função do processo de construção que despertou maior organização e cooperação entre os comunitários. O Manejaí é uma inovação social que revela resultados da organização comunitária presente na comunidade Santo Ezequiel Moreno que transpassam o território e aplicam com êxito a ideia de territorialidade. ABSTRACTThe research addresses social innovations related to açaí agroextractivism in the Santo Ezequiel Moreno (SEM) riverside community, Portel municipality, Marajó archipelago, state of Pará. The objective of this study was to identify and analyze the main social innovations, resulting from the agroextractivism of açaí and which have a direct influence on the organization of this territory. The method used was the case study and the data were collected with the participation of riverside dwellers following stages of the research, applying qualitative and quantitative analyzes described in the form of systematization. Two social innovations were identified in the SEM community according to the outline proposed in the research, which are interconnected through the mutual help of the community facilitated by the self-management of all of them, in addition, they present the Fundo Solidário Açaí (FSA) as a social innovation based on the process construction that aroused greater organization and cooperation among community members. Manejaí is a social innovation that reveals results of the community organization present in the Santo Ezequiel Moreno community that cross the territory and successfully apply the idea of territoriality.
Practicing patients’ rights in Iran: a review of evidence
Authors: Sharifi Tahere , Shamsi-Gooshki Ehsan , Mosadeghrad Ali Mohammad , Jaafaripooyan Ebrahim 
Published: January 2022

Protection of patients' rights is critical in improving healthcare quality, and hence this study aimed at reviewing patient rights’ practices in healthcare organizations of Iran.
Using systematic search, this review was conducted based on Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Several keywords, including "patient rights", "patient bills of rights" and "patients rights’ charter" were searched bilingually in the databases of SID, Magiran, PubMed, Scopus, and Web of Science from 2010 to 2021, and then, following a three-tier screening using the Critical Appraisal Skills Program (CASP) checklists, 76 articles were extracted.
The degree of compliance with the Patients' Rights Charter (PRC) in healthcare organizations was 60.88% on average. As to the observance of the PRC dimensions, respectively, the highest and lowest scores were related to the "right to privacy and confidentiality" (70.16%) and "right to access an efficient complaining system" (53.01 %).
Respect for patients' rights in organizations was assessed at a moderate level, and some aspects of patients' rights should be attended to immediately. Therefore, discrepancies in the dimensions of patients' rights and their implementation by organizations should be on the agenda of healthcare managers and policymakers.