bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sexual Activities and Changes in Condom Use in Group Sex Events Among Female Sex Workers in Melbourne, Australia
Authors: Lew Chen , Fairley Christopher K. , Tran Julien , Phillips Tiffany R. , Aung Ei T. , Maddaford Kate , Chen Marcus Y. , Bradshaw Catriona S. , Chow Eric P. F. 
Published: April 2022

BackgroundThere are few studies investigating group sex among female sex workers (FSWs). This study aimed to examine the typical number of group sex participants, sexual activities and condom use in group sex among FSWs attending a sexual health clinic in Melbourne, Australia.MethodsWe conducted a cross-sectional survey between May 1, 2019 and March 13, 2020 among FSWs in Melbourne. Participants were asked whether they had participated in group sex (sex involving more than two participants) within the past 3 months, the size of the most recent group sex event, sexual activities they engaged in and condom use. It is unknown whether this was a paid or unpaid event in our study.ResultsOf the 247 FSWs surveyed, the mean age was 28.9 years and 51.8% were born in Australia. More than a quarter (27.5%, n = 68) had had group sex in the past 3 months with the number of events ranging from 1 to 10 times. The median size of the group was 3 participants with one man and two women (including the FSW) being the most common combination. Kissing was the most common activity in group sex. Of 58 FSWs who had vaginal sex during group sex, 77.3% (51/58) reported their male partners always used condoms but 13.7% (7/51) of these did not change condoms between women.ConclusionThis study finds that group sex is common among FSWs. Although condoms are always used during group sex, one in six men did not change their condoms between partners, which may increase STI transmission between partners.
Antimicrobial Stewardship in Surgery: A Literature Bibliometric Analysis
Authors: Liu Yang-Xi , Yang Ya , Le Ke-Jia , Zhang Zai-Li , Cui Min , Zhong Han , Gu Zhi-Chun 
Published: April 2022

BackgroundAntimicrobial resistance and the dwindling antibiotic development pipeline have resulted in a looming post-antibiotic era. Research related to antimicrobial stewardship (AMS) has grown rapidly in the past decade, especially in the field of surgery. We conducted a bibliometric analysis of these publications. In addition, we aimed to identify research hotspots and infer future research trends.MethodsWe screened global publications on AMS in the surgical field over ten years (between 2011 and 2020) from the Web of Science core collection database. The keywords “antimicrobial or antibiotic”, “stewardship”, “management”, “management strategies”, “programme”, “surgery” and “surgical” were used to search for related papers. VOS viewer, R software, and other machine learning and visualization tools were used to conduct the bibliometric analysis of the publications.ResultsWe identified 674 publications on AMS in surgical fields; “antimicrobial stewardship” (with total link strength of 1,096) was the most frequent keyword, and had strong links to “antimicrobial resistance” and “guidelines”. The top 100 most cited papers had a mean citation count of 47.21 (range: 17–1155) citations, which were cited by survey research studies, clinical trials, and observational studies. The highest-ranking and most cited journal was Clinical Infectious Diseases with eight publications. Jason G. Newland from Washington University wrote seven papers and was cited 1,282 times. The University of Washington published 17 papers and was cited 1,258 times, with the largest number of publications by author and organization. The USA published 198 papers and cooperated with 21 countries, mainly partnering with Italy, the UK, and Canada. Published articles mainly focused on the current clinical situation regarding surgical AMS management, antibiotic prescription, and antibiotic resistance.ConclusionsPublications on surgical AMS management have increased in recent decades, with the USA being the most prolific. Epidemiological investigations of surgical-related infections, antibiotic prescriptions, and antibiotic resistance are fast-developing research trends. However, further improvements are still needed according to the recommendations gained from the bibliometric analysis.
Oncological and Functional Outcomes of Transoral Robotic Surgery and Endoscopic Laryngopharyngeal Surgery for Hypopharyngeal Cancer: A Systematic Review
Authors: Lai Katherine W. K. , Lai Ronald , Lorincz Balazs B. , Wang Chen-Chi , Chan Jason Y. K. , Yeung David C. M. 
Published: April 2022

ObjectivesHypopharyngeal carcinoma (HPC) is a head and neck carcinoma with poor prognosis. Traditional laryngopharyngectomy offered promising oncological outcomes at the cost of functional outcomes. The recent advent in transoral robotic surgery (TORS), an organ-preserving surgery, has opened up new perspectives in the treatment for HPC. Here, we evaluate minimally invasive organ preservation surgery [TORS and endoscopic laryngopharyngeal surgery (ELPS)] for HPC in terms of feasibility and oncological and functional outcomes.MethodsThis is a systematic review. Six databases [CUHK Full-Text Journals, Embase 1910 to 2021, Ovid Emcare, Ovid MEDLINE (R), CINAHL, PubMed] were searched for articles and primary studies for TORS and ELPS for HPC. Screening was completed using predefined inclusion or exclusion criteria.ResultsA total of 8 studies on TORS and 3 studies on ELPS were eventually chosen after full-text review. For studies on TORS, 61.3% of patients (84 out of 137) still survived at the last follow-up with a mean follow-up time of 23.20 months (range: 12.8–37.21 months). Severe intraoperative and postoperative complications have not been reported. No cases of TORS required a conversion to open surgery. Swallowing function was optimal postoperatively with only 6 patients eventually required a percutaneous endoscopic gastrostomy (PEG) for feeding. Disease-specific survival was taken as the parameter for the measurement of oncological outcomes. A total of 2 studies reported a disease-specific survival of 100% within their follow-up period of 1 and 1.5 years, respectively. Another 2 studies reported a 2-year DSS of 89 and 98%, respectively. A 5-year DSS of 100% in early stage and 74% in late stage were achieved in one study. Another study also reported a 5-year DSS of 91.7%. For studies of ELPS, a 5- and 3-year disease-specific survival of 100% were achieved in 2 studies. Patients who underwent ELPS had good postoperative swallowing function with no PEG placement. There were also no other fatal complications.ConclusionsBoth TORS and ELPS for HPC provide satisfactory long-term oncological and functional outcomes improving postoperative quality of life of patients.
Situating Health Within the 2030 Agenda—A Practical Application of the Sustainable Development Goals Synergies Approach
Authors: Helldén Daniel , Weitz Nina , Nilsson Måns , Alfvén Tobias 
Published: April 2022

Background: The Sustainable Development Goals (SDGs) are integrated, indivisible and interdependent and interact and affect each other directly and indirectly. However, the 2030 Agenda does not attempt to identify or characterise these interactions.Evidence: The SDG Synergies approach was developed to enable the investigation of the strength and nature of interactions between SDGs based on the perception of a multistakeholder group. Two examples are given to concretely demonstrate how this approach overcomes present challenges and can be applied to situate health within the 2030 Agenda.Policy Options and Recommendations: There are clear benefits to situate desired health policy outcomes within the 2030 Agenda, and the SDG Synergies approach can be used as lever for including health aspects in traditional non-health sectors. Although focusing on specific health policies cannot be substituted with multisectoral policies alone, utilizing tools and methods such as the SDG Synergies approach can help policy makers put health at the centre of the SDGs.Conclusion: SDG Synergies is an impactful approach for policy makers to gain a systemic understanding of how broader sustainable development shape the health and well-being of people and vice versa.
Robotic Magnetorheological Finishing Technology Based on Constant Polishing Force Control
Authors: Zhang Lin , Zhang Chunlei , Fan Wei 
Published: April 2022

The normal positioning error hinders the use of magnetorheological finishing (MRF) in robotic polishing. In this paper, the influence of robotic normal positioning error on the MRF removal rate is revealed, and a force-controlled end-effector for the robotic MRF process is presented. The developed end-effector is integrated into a six-axis industrial robot, and the robot positions the end-effector while the end-effector realizes the constant force control. A fused silicon mirror is polished, and the result shows that the proposed device effectively compensates for robotic normal positioning error and simultaneously maintains the stability of the polishing process. After deterministic polishing, the PV (peak to valley) of the figure is reduced from 126.56nm to 56.95nm, and the RMS (root mean square) is reduced from 22.15 nm to 7.59 nm.
The Veteran Friendly Practice accreditation programme: a mixed-methods evaluation
Authors: Finnegan Alan , Salem Kate , Ainsworth-Moore Lottie , Randles Rebecca , West Lauren , Simpson Robin , Grant Veronica Benedicta 
Published: April 2022

BackgroundThe Royal College of General Practitioners (RCGP) Veteran Friendly Practice Accreditation Programme launched in 2019, aiming to allow practices to better identify, treat, and refer veterans, where appropriate, to dedicated NHS services.AimTo evaluate the effectiveness of the accreditation programme, focusing on benefits for the veteran, the practice, and the delivery of the programme itself.Design & settingThe study evaluated the views of veteran-friendly accredited GP practices across England.MethodA mixed-methods study was undertaken, which collected data via an online survey from 232 accredited primary healthcare (PHC) staff and 15 semi-structured interviews with PHC veteran leads. Interviews were analysed using modified grounded theory.ResultsThe study found 99% (n = 228) of responders would recommend the programme, 78% (n = 180) reported improved awareness, and 84% (n = 193) a better understanding of veterans' needs. Seventy-two per cent (n = 166) identified benefits for veterans who were engaging more with PHC but participants felt more time was needed, largely owing to the COVID-19 pandemic, to fully assess the impact of the programme on help-seeking behaviour. Challenges included identifying veterans already registered, promoting the accreditation process, and ensuring all PHC staff were kept up to date with veteran issues.ConclusionThe programme has increased signposting to veteran-specific services and resulted in greater understanding of the NHS priority referral criteria for veterans. Recording of veteran status has improved and there was evidence of a better medical record coding system in PHC practices. These findings add to the limited empirical evidence exploring veteran engagement in PHC, and demonstrate how accreditation results in better treatment and identification of veterans.
Gestión administrativa para la calidad del servicio en la escuela Ingeniería Zootecnista, Universidad Nacional, Chachapoyas
Authors: Trigoso Yalta Milton Jailer 
Published: April 2022

La calidad de servicio es una exigencia de la sociedad actual; que es, además, un factor de cambio, de flexibilidad y de personalización que supone un compromiso e involucra muchos agentes. También resulta ser un medio de supervivencia que proyecta una cultura de la calidad, sin embargo, en la Universidad Nacional de Chachapoyas, desde esa perspectiva, se pretende promocionar a partir de la infraestructura, el número de laboratorios, convenios, entre otros aspectos parciales que no tienen sentido en sí mismos, sino que son medios para promover lo esencial, es decir la calidad de servicio al usuario, de lo expuesto. Razón por la cual, este estudio tuvo como propósito identificar la situación actual en la calidad del servicio en la Escuela Profesional de Ingeniería Zootecnista, en la Universidad Nacional, Chachapoyas (UNTRM). El tipo de investigación fue básica con un enfoque de carácter cuantitativo y un diseño transversal no experimental; asimismo se usó una muestra de 81 entre estudiantes y colaboradores con un muestreo probabilístico. Para la cual se aplica la técnica de la encuesta y el instrumento del cuestionario que fueron los mecanismos de medición aplicados en el presente trabajo. Se obtuvo como resultado que el análisis del control y la calidad del servicio nos muestran, el valor alcanzado de 0.681 y un valor de sigma de 0.000, las cuales requieren no solo de control, sino de profesionalismo y supervisión constante. Por lo tanto, se concluye existe la premura de implementar un modelo de gestión, que ayude a mejorar la calidad de servicio al usuario.
Identificar los emprendimientos multidisciplinarios en las universidades públicas: “Caso Facultad de Ciencias Administrativas”
Authors: Mendoza Yépez Yolanda Alexandra , Torres María Francisca 
Published: April 2022

Las universidades ecuatorianas para lograr incorporarse en el mercado laboral, han prestado mucha atención e importancia a los emprendimientos, como una herramienta y estrategia para motivar y fomentar la creación de las empresas, negocios, y así fomentar la cultura empresarial social y fortalecer el proceso educativo en los estudiantes universitarios. El objetivo de este estudio es identificar los emprendimientos multidisciplinarios universitaria con el procedimiento y compromiso de los educandos al momento de liderar el emprendimiento. La metodología empleada fue bajo un enfoque mixto. Como resultados los datos informativos de los y las emprendedores mostraron que mayoritariamente las mujeres son las emprendedoras con un total de 37 % de los encuestados. Se concluye que el rol de las universidades es transcendental en la vinculación del sistema de educación con la investigación, buscando, motivando y descubriendo nuevos emprendedores a través de las capacitaciones según el perfil productivo del hábitat para lograr los recursos humanos calificados y por ende que los acepten.
Strasbourg, ses quartiers et leurs représentations
Authors: Montlibert Christian de , Matas Juan , Dujardin Dominique 
Published: April 2022

Strassburgs Stadtviertel im lichte ihrer Betrachtungsweisen.
Die Betrachtungsweisen dieser Stadt sind, wie wir wissen, vielfältig. Sie entwickeln sich aufgrund von Verarmungs — , Verdichtungsprozessen, übertreibungen usw., die aile in einer zusammenfassenden Beurteilung der jeweiligen Stadtviertel sich bündeln. Ausgehend von einer Untersuchung qua Interviews, werden hier mehr oder minder stereotype Betrachtungsweisen über Strassburgs Stadtviertel vorgestellt. Diese Betrachtungsweisen entspringen dem Alltag und seinen Problemen, hangen aber auch mit der sozialen Schichtung der Stadt zusammen.
Les Anabaptistes Mennonites d’Alsace aux XVIIIe et XIXe siècles : mythe et réalité
Authors: Denis Marie-Noële 
Published: April 2022

Bien que leur isolement géographique se soit accentué au cours du XIXe siècle, d'autres indices manifestent de l'intégration des Anabaptistes à la société globale : absence de particularités dans l’usage des prénoms, diversification des activités professionnelles et utilisation croissante d’une main d’œuvre salariée.
Néanmoins certains comportements démographiques spécifiques subsistent : mariage tardif doublé de célibat masculin, fécondité importante et prolongée, forte mortalité infantile et juvénile.
Mais le sous-enregistrement manifeste des données concernant cette population peut remettre en question l'ensemble de ces résultats.
Culture ouvrière et culture technique. Le futur «Centre de l’Energie» de Mulhouse
Authors: Herberich-Marx Geneviève , Raphaël Freddy 
Published: April 2022

Arbeiterklassekultur und technische Kultur
Erste Wegweiser zur Planung eines Museums in dem die Beziehung zwischen Mensch und Maschine veranschaulicht wird, und wo dem Besucher die sozial-strukurelle Veranderungen durch Fortschritt zum Bewusstsein, gebracht werden sollen. Die Berufung des Museums soll auch den Zuschauer dazu veranlassen, nicht passiv zu bleiben sondern schöpferisch vorzugehen. Dafür sorgt das Auslassen von Schaufenstem und Glaskästen in denen leblose Dinge sowie komplizierte Modelle, gezeigt werden. Es ist letzterhand weniger den Ankunftspunkt einer Geschichtlichen Darlegung die damit betont werden soll, als die Dynamik einer dauerhaften Evolution, also die dauernde Spannung zwischen Ordnung und Fortschritt die jedem gesellschaftlichen Bereich zu Grande liegt.
L’imaginaire dans la conception du temps en pays viticole alsacien : étude du calendrier des travaux
Authors: Bianquis-Gasser Isabelle 
Published: April 2022

L'étude détaillée de la viticulture en Alsace aboutit à la fonction sacrée du vin. Les cycles agricoles, humains et liturgiques se superposent à des dates déterminées, chacun trouvant sa justification dans un repère calendaire signifiant.
Ainsi le long processus de culture et de fabrication met en évidence la relation entre l'imaginaire et le quotidien dont le but s'affirme dans la participation à la cohérence du monde viticole.
Car le vin de par sa fonction dans le cycle humain établit un lien avec l’au-delà. Pierre angulaire de cette société, il ponctue la vie et les croyances de chacun.
Mises en invalidité et marché de l’emploi : les disparités régionales
Authors: Marty Jean-Philippe 
Published: April 2022

La période récente a été marquée par une progression sensible du nombre des pensions d’invalidité attribuées chaque année, notamment des pensions de catégorie II. Cette évolution globale recouvre une très large dispersion des évolutions régionales.
Le rapprochement entre l’évolution de la situation de l’emploi dans les régions et les taux d'accroissement du. nombre des pensions d'invalidité accordées semble montrer une certaine correspondance entre l'intensité de la dégradation de la situation de l'emploi et le rythme d'augmentation des attributions de pensions d’invalidité, correspondance qui est toutefois absente pour les régions Nord-Pas-de-Calais, Lorraine et Centre.
Enquête sur l’habitat traditionnel du Grand Vaux (Haut-Jura méridional)
Authors: Buathier Jean 
Published: April 2022

Enquiry on traditional housing of the Grandvaux valley.
The Grandvaux traditional house remains one of the last testimonies of a dying way of life. This building essentially makes up a functionalised working-tool, fruit of the progressive human adaptation to the hardy physical background. Nevertheless, neither economic activities nor geo-climatic environment alone render an account of it. This housing shall be considered as a «total social fact», fruit of three basic human data's interaction : climatic integration, economic needs and socialization. As a result of it, a typical form of the edifice, characteristic building’s teenies and an ingenious use of volumes are born. To understand them today, it is necessary to take into account the social history of the area.
La mort du coiffé. Pratiques et éthique de chasse dans les Vosges du Nord
Authors: Hell Bertrand 
Published: April 2022

Sous-jacent aux pratiques de la chasse au cerf, chasse silencieuse et individuelle, se dessinent les contours d'une éthique fondée sur une relation directe de l'homme à l'animal.
Enjeu de ce face à face, les bois se trouvent investis d'une haute valeur symbolique justifiant un véritable culte du trophée et conditionnant toute l'organisation régionale de la pratique cynégétique.
Représentation de la pérennité et du changement chez les Mennonites de l’Est de la France
Authors: Raphaël Freddy , Matas Juan 
Published: April 2022

Au cours de travaux antérieurs nous nous sommes penchés sur différents aspects d'une problématique que nous pourrions résumer de la façon suivante : comment peut-on rendre compte de l’impact des changements induits par une insertion nouvelle, plus active et diversifiée, de la communauté mennonite de l’Est de la France, dans le domaine économique et social, et quel rôle jouent ces modifications sur la conservation, le renforcement, l'adaptation ou la dilution de l’identité de ce groupe minoritaire, vieux de plus de cinq siècles ?
Nous avons choisi, au cours des recherches dont les conclusions sont présentées ici, une approche à la fois différente et complémentaire de nos travaux antérieurs.
Dans un premier temps, nous avons donné la parole en priorité aux personnes plus âgées, témoins et acteurs des transformations vécues au cours de ce siècle, pour mieux mesurer l'ampleur de ces transformations et leur mode d’intégration dans un système de représentation, à travers le discours. Puis, nous avons élargi palette de nos interlocuteurs, tout en délimitant davantage le champ de nos investigations, qui ne portaient plus que sur un nombre limité de thèmes : la famille, l’école, l'art, les problèmes posés par la modernité, la pratique religieuse, les contacts internationaux. Par ailleurs, nous avons mis l’accent sur l'analyse du rôle, du monde de fonctionnement et de l'évolution des rapports — familiaux et informels — des Mennonites français avec d’autres communautés mennonites, notamment en Europe Occidentale et aux Etats-Unis.
La pratique de l’outil chez les bûcherons des Vosges du Nord et les Mutations d’une profession traditionnelle
Authors: Bloch-Raymond Anny 
Published: April 2022

Der tägliche Umgang der Holzhauer der Nordvogesen mit ihrem Werkzeug und die in einem traditionellem Beruf eigetretenen Verwandlungen

In einem so traditionnel gestalteten Handwerk konnten sich die Veränderungen bezüglich der Einteilung und der inneren gliederung der Arbeit nur allmählich durchsetzen.
Die Einführung einer mechanischen Arbeitsweise hat die Umstaltung in wesentlicher Weise begünstigt. Jedes Mitglied der Arbeits-gemeinshaft ist jetzt in der Lage die Gesamtheit der verschiedenen Anforderungen zu erfüllen. Aus der Moglichkeit die Rollen zu vertauschen entstand eine grossere Produktivität der Arbeitskräfte, die dadurch auch selbtständiger geworden sind.
Man bestrebte sich eine lokale Arbeitskraft wieder aufzubauen und bemühte sich den Beruf einer erneuten gesetzgebung zu unterlegen. In diesem Sinne wurden Ausbildungszentren eröffnet und die bis jetzt voneinander abweichenden Konventionen zwischen Arbeitzgebern und Arbeitsnehmern mussten übereinstimmen. Man brachte es auch dazu den in diesem Beruf so zahlriechen Arbeitsunfällen vorzubeugen.
Quelques remarques de géographie mythologique
Authors: Groshens Marie-Claude 
Published: April 2022

Einige Bemerkungen zur mythologischen geographie

Der Begriff «mythologische Geographie» kann oft zweideutig interpretiert werden : er scheint den Schauplatz der mythologischen Erzählungen zu bezeichnen, wobei er in Wirklichkeit häufig die Orte nennt, wo die Erzählungen übernommen und gesammelt worden sind. Die Distanz, welche zwischen diesen beiden Annahmen liegt, ist bezeichnend. Es ist die Distanz zwischen der bewohnten Welt und der Vorstellung, die deren Bewohner (Erzähler) von ihren Grenzen haben.
Die Autorin hat als ersten Versuch einige Karten zusammengestellt, um die Problematik der beiden Auffassungen hervorzuheben, und dies je nach den Unterschieden, die zwischen den grossen mythischen Themen und Gestalten bestehen (Riesen, Zwerge, u.s.w.).
«Grosses bêtes» et «Belles chasses» : Aspects de la pratique cynégétique des équipes communales en vallée vosgienne
Authors: Hell Bertrand 
Published: April 2022

«Grosses bêtes et belles chasses» : some aspects of the hunting groups among the natives of the valley of the Vosges.
Because the hunters of the valley of the Vosges have regard for the game and through their speeches about «noble hunting» it is possible to draw the specificity of their conception of hunting and also to understand the ANTAGONISM between their ethics and those of their alsatian neighbours.