bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association Between Team-Based Continuity of Care and Risk of Cardiovascular Diseases Among Patients With Diabetes: A Retrospective Cohort Study
Authors: Chan Kam Suen , Wan Eric Yuk Fai , Chin Weng Yee , Yu Esther Yee Tak , Mak Ivy Lynn , Cheng Will Ho Gi , Ho Margaret Kay , Lam Cindy Lo Kuen 
Published: March 2022

OBJECTIVECardiovascular diseases (CVD) are a long-term sequela of diabetes. Better individual-based continuity of care has been reported to reduce the risk of chronic complications among patients with diabetes. Maintaining a one-to-one patient–physician relationship is often challenging, especially in public health care settings. This study aimed to evaluate the relationship between higher team-based continuity of care, defined as consultations provided by the same physician team, and CVD risks in patients with diabetes from public primary care clinics.RESEARCH DESIGN AND METHODSThis was a retrospective cohort study in Hong Kong of 312,068 patients with type 2 diabetes and without any history of CVD at baseline (defined as the earliest attendance at a doctor’s consultation in a public-sector clinic between 2008 and 2018). Team-based continuity of care was measured using the usual provider continuity index (UPCI), calculated by the proportion of consultations provided by the most visited physician team in the 2 years before baseline. Patients were divided into quartiles based on their UPCI, and the characteristics of the quartiles were balanced using propensity score fine stratification weights. Multivariable Cox regression was applied to assess the effect of team-based continuity of care on CVD incidence. Patient demographics, smoking status, physiological measurements, number of attendances, comorbidities, and medications were adjusted for in the propensity weightings and regression analyses.RESULTSAfter an average follow-up of 6.5 years, the total number of new CVD events was 52,428. Compared with patients in the 1st quartile, patients in the 2nd, 3rd, and 4th quartiles of the UCPI had a CVD hazard ratio (95% CI) of 0.95 (0.92–0.97), 0.92 (0.89–0.94), and 0.87 (0.84–0.89), respectively, indicating that higher continuity of care was associated with lower CVD risks. The subtypes of CVD, including coronary heart disease and stroke, also showed a similar pattern. Subgroup analyses suggested that patients &lt;65 years of age had greater benefits from higher team-based continuity of care.CONCLUSIONSTeam-based continuity of care was associated with lower CVD risk among individuals with type 2 diabetes, especially those who were younger. This suggests a potential flexible alternative implementation of continuity of care in public clinics.
Assessment of industrial injuries on the example of operating Russian Nuclear Power Plants
Authors: Ignatovskaya D. L. , Shchekina E. V. 
Published: March 2022

Introduction. The article considers the industrial injuries of personnel working in the Rosenergoatom (energy division of the Rosatom State Corporation) and employees of contracting organizations working on the NPP’s territory using the statistical method in the period from 2013 to 2020. Based on the data obtained, the recommendations are proposed to reduce the level of industrial injuries for the personnel of contracting organizations.Problem Statement. The purpose of this study is to research the industrial injuries and to develop recommendations for reducing injuries with personnel who work on the NPP’s territory.Theoretical Part. Annual reports of Rosenergoatom are used as basic information.Conclusions. The results of the analysis indicate a significant level of industrial injuries among the employees of contracting organizations. This fact requires the implementation of a set of measures aimed at improving the safety level on the NPP’s territory to prevent occupational injuries.
Dynamics of anthropogenic pollution of the Glubokaya River in the Rostov Region
Authors: Dymnikova O. V. , Borman A. E. 
Published: March 2022

Introduction. The article deals with the problems of deterioration of water quality in rivers in the Rostov region, their shallowing and drying out. The degradation of reservoirs is associated with various aspects of economic and industrial anthropogenic activities. The degree of influence depends on the intensity of the negative impact, and can be reduced if environmental measures are implemented.Problem Statement. The objective of this study is to monitor the water quality of the Glubokaya River in the Rostov region on different sections of the river and to assess the degree of anthropogenic impact.Theoretical Part. Water quality studies were carried out in three channels of the Glubokaya River on the territory of the cities of Millerovo and Kamensk-Shakhtinsk, as well as near them. The content of ammonia, phosphorus was determined by spectrophotometric analysis methods and petroleum products by IR photometric analysis method. The results of the study of water quality in the reservoir are compared with the normative values for three years with a certain periodicity.Conclusions. The results of the studies on changes in the chemical composition of water at various sites in dynamics, taking into account the degree of anthropogenic load, are analyzed.
Metode Pembelajaran Brainstorming Untuk Meningkatkan Kemampuan Koneksi Matematika Siswa MTS
Authors: Bahar Rosid 
Published: March 2022

Tujuan penelitian ini adalah untuk mengetahui peningkatan kemampuan koneksi matematis siswa yang belajar melalui metode Brainstorming dan siswa yang memperoleh pembelajaran konvensional. Selain itu, dikaji juga metakognisi siswa dengan menggunakan metode Brainstorming. Populasi dalam penelitian ini adalah siswa kelas VII MTs Al-Masthuriyah Sukabumi, dengan sampelnya diambil secara acak dua kelas, satu kelas diberikan perlakuan dengan pembelajaran Brainstorming dan kelas yang satunya lagi dengan pembelajaran konvensional. Instrumen yang digunakan dalam penelitian ini adalah tes kemampuan koneksi matematis serta angket metakognisi. Analisis data menggunakan metode Mixed Method Embedeed. Berdasarkan analisis data diperoleh kesimpulan bahwa (1) Peningkatan kemampuan koneksi matematis siswa yang mendapatkan pembelajaran melalui metode Brainstorming lebih baik daripada siswa yang mendapat pembelajaran konvensional; (2) Peningkatan kemampuan koneksi matematis siswa yang mendapatkan pembelajaran Brainstorming lebih baik daripada siswa yang mendapat pembelajaran konvensional; (3) Terdapat hubungan antara kemampuan koneksi dan metakognisi siswa.
Mujeres y poder. Una mirada poliédrica a la sociedad actual
Authors: García de León María Antonia 
Published: March 2022

El poder es el gran estructurador de género en nuestras sociedades. Es el gran vertebrador de la vida social. Y es el gran tema de las ciencias sociales, el tema por antonomasia. Orientar el conocimiento y el cambio social hacia las verdaderas necesidades emocionales de los ciudadanos, la capacidad de sustentación del planeta y la paz social es una tarea fundamental y urgente que rompe la disociación entre razón y emoción, esencia del orden patriarcal. Orden que ha diseñado políticas cada vez más alejadas de la realidad humana, que ha arrojado sobre el mundo la pandemia más letal de nuestra contemporaneidad. Estamos ante un dosier de gran calado académico y de gran practicidad. Este carácter bifronte del trabajo reunido lo llena de valor. Por un lado, su lectura conduce a un arsenal de conocimientos con los que se puede dialogar y argumentar inteligentemente, lo que nos facilita una mirada poliédrica sobre nuestra sociedad, además de enriquecernos con un cúmulo de observaciones. Por otro lado, este dosier está volcado a la crítica social, a inspirar a quienes se dedican a la acciónsocial. Ambos aspectos dotan a la obra de peso y de pasión.
Conversaciones significativas sobre cambio climático: reflexiones sobre género y poder
Authors: Piñeiro Concepción , Iniesta-Arandia Irene , González Hidalgo Marien 
Published: March 2022

Este artículo explora cómo las perspectivas feministas, en relación a las dinámicas de género y poder, aportan a las formas transformadoras de abordar la actual crisis climática. En la primera parte del artículo introducimos la necesidad de una mirada feminista a la hora de analizar los impactos diferenciales del cambio climático en relación al género, la clase, la et-nia, etcétera, así como el papel de los liderazgos de las mujeres en el activismo, las negociaciones y toma de decisiones políticas, y en la ciencia. En la segunda parte, presentamos cómo la facilitación de conversaciones públicas y colectivas que incorporan estas cuestiones, a partir de la experiencia de foros abiertos en Madrid, permite reflexiones en torno al cambio climático como una experiencia cotidiana, la atención a las emociones y las experiencias vividas, la interseccionalidad y la ecodependencia e interdependencia, así como respecto a diferentes formas de liderazgo. Este tipo de conversaciones y encuentros pretenden aportar al trabajo necesario de seguir ampliando las aproximaciones feministas al cambio climático.
Empoderamiento de profesoras y uso de las tecnologías digitales para la enseñanza de las matemáticas durante el confinamiento por COVID-19
Authors: Simón Ramos María Guadalupe 
Published: March 2022

La situación de las mujeres profesoras de matemáticas en México tiene características que están fuertemente asociadas a cómo se han constituido la matemática escolar y su enseñanza dentro de una cultura patriarcal. Analizamos la presencia de las profesoras en México y el proceso de empoderamiento de un grupo de ellas en un nivel educativo y área de conocimiento en el que representan una minoría (preuniversitario). Aprovechamos la oportunidad que representa la necesaria incorporación de los entornos virtuales a la educación durante el 2020. Integramos la epistemología feminista y la teoría socioepistemológica de la matemática educativa como las perspectivas que nos permiten analizar cómo su condición de género marca su relación con la matemática escolar y con las tecnologías digitales. Identificamos una baja autovaloración de sus capacidades, pero también que la mayoría de las profesoras fueron capaces de transformar su práctica e integrar nuevas tecnologías digitales.
Canción popular e imagen de la mujer en la transición española
Authors: Aguilar Antonio 
Published: March 2022

La transformación de la imagen de la mujer a lo largo del último medio siglo ha sido mayoritariamente abordada por la crítica literaria desde una perspectiva académica y «elitista» y con ello se ha obviado el significativo papel que la cultura popular ha jugado históricamente en el cambio de paradigmas culturales (desde el romancero tradicional al pop-art). Con este acercamiento se pretende poner el foco sobre la importancia que han tenido en la sociedad española de los setenta y primeros ochenta las distintas (y heterodoxas) imágenes de la mujer construidas por las canciones populares, que supusieron un cambio sustancial de los estereotipos femeninos en el imaginario sociocultural del momento.
Miguel Prados Such: un psiquiatra reformista en el exilio (Málaga, 1894-Montreal, 1969)
Authors: García Díaz Celia 
Published: March 2022

El proceso de legitimación de la psiquiatría como especialidad médica en España comenzó a desarrollarse en la década de los años veinte gracias al interés de una generación de jóvenes médicos que se habían formado en la tradición de la medicina de laboratorio con Ramón y Cajal. Miguel Prados Such, malagueño de nacimiento pero formado como médico en la Universidad Central de Madrid, ha sido más conocido por ser hermano del poeta Emilio Prados que por sus propios logros en el ámbito científico, a pesar de sus numerosas publicaciones y su intensa actividad asociativa. Tras su exilio a Canadá al terminar la Guerra Civil española, el rastro de este investigador se diluye en nuestro país. El objetivo de este trabajo es poner en valor la figura de este médico, mostrar sus aportaciones al mundo de la medicina mental, resaltar su interés por reformar la institución psiquiátrica de la Beneficencia en Málaga, además de haber sido reconocido en Canadá como uno de los psiquiatras más directamente implicados en la difusión y organización de las sociedades psicoanalíticas desde los años cuarenta.
Az emberi szervezetben élő baktériumok klinikai jelentősége a gyakorlatban
Authors: Fekete Mónika , Szarvas Zsófia , Fazekas-Pongor Vince , Fehér Ágnes , Varga János Tamás 
Published: March 2022

Bevezetés: A mikrobiom (az emberi szervezetben élő mikrobák összessége) több milliárd mikroorganizmusból áll, a benne élő fajok diverzitása és épsége döntő szerepet játszik a gazdaszervezet egészségének fenntartásában. A bél mikrobiom össztömege akár a két kilogrammot is elérheti, kb. egyharmada (30%-a) nagy hasonlóságot mutat a fajok között, azonban 70%-a abszolút egyedi azonosító csakis ránk jellemző, mint az ujjlenyomat. Kutatások leírják, hogy a bélflóra összetétele közvetlen kapcsolatban áll számos betegséggel pl. anyagcserezavarokkal, elhízással, szív- és érrendszeri betegségekkel, depresszióval, asztmával stb. Összefoglaló tanulmányunk célja a mikrobiom és módosulásának bemutatása, valamint a bél mikrobiom megváltozásával összefüggő betegségek áttekintése, továbbá a táplálkozáson, testmozgáson keresztüli pozitív irányú befolyásolása az egészségfejlesztés tekintetében. Módszertan: Hazai és nemzetközi orvostudományi adatbázisok áttekintése mikrobiom, betegségkockázat, diszbiózis és probiotikum keresőszavakkal. Eredmények: A mikrobiomnak fontos szerepe van az immunrendszer szabályozásában és számtalan betegség kialakulásában azonosították additív tényezőként pl. gyulladásos bélbetegségek, metabolikus eltérések (pl. elhízás, inzulinrezisztencia, cukorbetegség), autoimmun betegségek, neurológiai kórállapotok (pl. autizmus, Parkinson-kór, Alzheimer-kór), daganatos betegségek (pl. mellrák, vastagbélrák, májrák) esetében. A környezeti tényezők, a szisztémás gyulladás, a betegségek előfordulásának növekedése, és az ezzel együtt járó gyógyszerszedés megváltoztatja a mikrobiális közösség összetételét, melyet a fizikai inaktivitás és a bélrendszeren történő áthaladási idő megnövekedése még tovább fokoz. Az idősödéssel és a társuló betegségekkel az olyan kedvező baktériumok, mint a Laktobacillusok és Bifidobaktériumok száma csökken, míg a fakultatív anaerobok (Enterobacteriaceae, Streptococcusok,Staphylococcusok) száma nő, mely pozitív irányba befolyásolható egészséges életmóddal, táplálkozással és fizikai aktivitással. Következtetések: Feltételezhető, hogy a bél mikrobiom számos bélrendszeri és bélrendszeren kívüli kórkép patofiziológiájában központi szerepet tölt be. A mikrobiom-kutatás eddigi eredményei alapján elmondható, hogy a testben élő ökoszisztéma egészségünk alapja és mindent meg kell tennünk épségének megőrzése érdekében, mert egészséges életmóddal, megfelelő táplálkozással és mozgással összetétele pozitív irányba befolyásolható és kulcsszerepet tölt be az egészségfejlesztésben.
All causes of death among veterinarians in the United States during 1979 through 2015
Authors: Tomasi Suzanne E. , Fechter-Leggett Ethan D. , Edwards Nicole T. , Reddish Anna D. , Nett Randall J. 
Published: March 2022

Abstract

OBJECTIVE
To assess proportionate mortality from all causes for male and female US veterinarians during 1979 through 2015.

SAMPLE
Death records for 11,620 veterinarians.

PROCEDURES
For this proportionate mortality ratio (PMR) study, information for veterinarians who died during 1979 through 2015 was obtained from AVMA obituary and life insurance databases and submitted to a centralized database of US death records to obtain underlying causes of death. Decedent data that met records-matching criteria were imported into a software program for calculation of PMRs for all causes stratified by sex and indirectly standardized for age, race, and 5-year calendar period with 95% CIs.

RESULTS
11,620 decedents consisted of 11,049 (95%) males and 571 (5%) females with a median age at death of 77 years. Proportionate mortality for all veterinarian decedents was higher than expected for melanoma (PMRs, 2.1 and 2.2 for males and females, respectively), suicide (PMRs, 2.1 and 3.5 for males and females, respectively), and transportation injuries (PMRs, 1.7 and 1.6 for males and females, respectively). Proportionate mortality for all decedents was lower than expected for respiratory cancers (PMRs, 0.6 and 0.5 for males and females, respectively), diabetes mellitus (PMRs, 0.7 and 0.4 for males and females, respectively), heart disease (PMRs, 0.9 and 0.6 for males and females, respectively), and respiratory disorders (PMRs, 0.7 and 0.6 for males and females, respectively).

CLINICAL RELEVANCE
Results indicated proportionate mortality from malignant melanoma, transportation injuries, and suicide for male and female veterinarians was higher than the general population. These data may help stakeholders improve veterinarian workplace safety and health guidelines.
Large animal veterinarians’ knowledge, attitudes, and practices regarding livestock abortion-associated zoonoses in the United States indicate potential occupational health risk
Authors: Cherry Cara C. , Sureda María E. Negrón , Gibbins John D. , Hale Christa R. , Stapleton G. Sean , Jones Emma S. , Nichols Megin C. 
Published: March 2022

Abstract

OBJECTIVE
To understand large animal veterinarians’ knowledge of select zoonotic diseases that cause livestock abortions and identify barriers to using personal protective equipment (PPE).

SAMPLE
A convenience sample of 469 veterinarians currently working with livestock.

PROCEDURES
We sent an electronic survey invitation to large animal veterinarians through various veterinary organizations. Respondents answered questions addressing knowledge and prior experience with select abortion-associated zoonotic diseases, resources available for infection control, attitudes and barriers to PPE use, and demographics.

RESULTS
Median participant age was 49 years (range, 22 to 82 years), and 54% (235/438) were male. Half of veterinarians (185/348) were contacted 5 or fewer times per year to consult on livestock abortions. No veterinarians surveyed answered all questions on zoonotic disease transmission correctly. Personal protective equipment access varied, from 99% (289/290) having access to gloves to 20% (59/290) having access to respirators. Concerns for spreading disease to other animals (136/289 [47%]) and to other humans (108/287 [38%]) ranked as the most common reported motivators for PPE use. Reported barriers to PPE use among survey participants were the inconvenience of taking PPE into the field (101/286 [35%]) and the inconvenience of wearing PPE (97/286 [34%]). Access to PPE was not correlated with PPE use.

CLINICAL RELEVANCE
Surveyed veterinarians had limited knowledge of transmission of select abortion-associated zoonotic diseases. Incomplete understanding might lead to inappropriate PPE selection, preventable disease exposure, or missed opportunities for client education. Inconvenience was a primary reason PPE was not used.
An Inquiry into the Accountability of the State-Owned Financial Institution versus Privately Owned Financial Institution
Authors: Zanellato Gianluca , Oprisor Tudor , Tiron-Tudor Adriana 
Published: March 2022

AbstractThe purpose of this research is to analyze whether State-Owned Financial institutions are giving more attention, in their integrated report, to stakeholders, that among the most important find the civil society, than Privately-Owned Financial institutions. An in-depth content analysis of the analyzed financial institutions’ Integrated Reports has been carried out, through the employment of MAXQDA, whit the extent to answer research questions proposed. Evidences outlined a higher stakeholder engagement by State-Owned Enterprises. Further research are required for a better understanding of Stakeholder engagement of SOEs.
VAT Efficiency in Developing Countries of the European Union
Authors: Popa Maria-Alexandra , Botoş Alexandra 
Published: March 2022

Abstract
Value added tax (VAT) is an important source of income for European Union countries. The developing countries of the European Union are encouraged to step up their efforts to comply with European legislation for the purpose of sustainable economic development. Knowing that these states are susceptible to corruption, this paper investigates the relationship between the efficiency of VAT collection, the VAT gap and the level of the corruption index in the developing countries of the European Union.
Effect of the polymorphism of genes related to lactogenesis in pigs on colostrum and milk composition and on rearing performance of piglets
Authors: Szyndler-Nędza Magdalena , Mucha Aurelia , Ropka-Molik Katarzyna , Piórkowska Katarzyna 
Published: March 2022

Abstract
The aim of the study was a search for new polymorphisms in the genes related to lactogenesis, including lactose synthesis in colostrum and milk, and determine their relationship with the content of colostrum and milk components and body weight of the piglets. Colostrum and milk were sampled during the second lactation on d 1, 7, 14 and 21 from 112 sows of Polish Large White (PLW) and Polish Landrace (PL). The piglets’ rearing performance was determined based on the number and body weight at 1, 7, 14 and 21 d of age. In the study six polymorphisms located in different genes were analysed. Among the six polymorphisms under analysis, those identified in the B4GALT1 genes had the most significant effect on colostrum and milk composition and the piglets’ body weight changes. Sows of the B4GALT1GG
genotype, when compared to those of B4GALT1AA
, produced colostrum and milk with a significantly lower lactose content and reared piglets with a substantially higher body weight (by 0.30 kg) at 21 d of age.
Comparison of raw cow milk microbiota in two milking systems: A field study
Authors: Tu Po-An , Yang Ming-Kuei , Yu Yu-Hsiang 
Published: March 2022

Abstract
This study investigated the effect of different milking systems on the milk composition and microbial community of raw milk in a commercial dairy farm. Raw milk samples from conventional milking system (CMS) and automatic milking system (AMS) were collected and the microbiota on each was assessed by 16S rRNA gene sequencing. Results showed that the acetone (P = 0.031) and β-hydroxybutyrate (P≤0.001) levels in the raw milk of the AMS group were increased compared with the CMS group. Principal component analysis, unweighted and weighted principal coordinates analysis, and heat map of microbial community composition in the raw milk showed a clear separation between two groups. AMS increased the abundance of the genera Acinetobacter (FDR = 0.004) and Staphylococcus (FDR = 0.004) in the raw milk compared with the CMS group. In contrast, the abundance of the genera Pseudomonas (FDR = 0.028), Lactococcus (FDR = 0.015), Sphingobacterium (FDR = 0.004), Brevundimonas (FDR = 0.005), and Chryseobacterium (FDR = 0.042) in the raw milk was reduced in the AMS group compared with the CMS group. The abundance of the genera Acinetobacter and Staphylococcus in the raw milk was positively correlated with the β-hydroxybutyrate, acetone, free fatty acid, citric acid, and urea nitrogen levels. Furthermore, the abundance of the genus Acinetobacter in the raw milk was negatively correlated with the somatic cell counts. The study demonstrates that the introduction of AMS in the dairy farm can regulate microbiota composition in the raw milk and this modification may exert an effect on reducing the somatic cell counts in the raw milk.