bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Great Economic Crisis in Poland (1929–1935) in the Context of the Global Crisis
Authors: Klimiuk Zbigniew 
Published: October 2022

The aim of the article was to analyze the causes and consequences of the great economic crisis in Poland in the context of the world economy and the global crisis. The first symptoms of the crisis became evident in June 1929, when production began to decline, and in August that year price drop began. After these events, the economic situation in Poland was systematically deteriorating. The year 1935 can be considered the end of the crisis in Poland, despite the fact that the industrial crisis began to break through gradually already in 1933. The great economic crisis was a global phenomenon, even though it did not start in all countries at the same time. It depended on the internal economic situation of each of them. It stood out against the background of previous economic crises due to the fact that only the introduction of state interventionism in the form of the “New Deal” program in the USA brought about an improvement in the situation, and therefore, in 1933, some economic recovery began in the world. However, in some parts of the world (including Poland), due to the specific features of their economies, the crisis lasted until 1935. The crisis of 1929–1935 was rightly called “the great crisis”, not only because of economic problems, but also due to political consequences, i.e., the strengthening of totalitarian systems in Western Europe and the growing importance of the communist movement around the world (the USSR was the only country not affected by its consequences). The great economic crisis was characterized by:

longevity – in industrial countries it lasted until 1933, and in agricultural countries until 1935;
depth of impact – it covered all areas of the economy: industry, agriculture, domestic and foreign trade, transport, monetary and credit system;
wide geographic scope – it covered all countries of the world connected with the world capitalist system and capitalist economies;
the scale of the decline in economic growth rates – in the history of economic crises to date, the world economy has not experienced such a deep collapse and stagnation.
Welcoming a fresh approach to women's health
Authors: Meadows Alison 
Published: October 2022

For decades, UK healthcare has been dubbed an institution made by men for men, but the NHS is on the cusp of an integral change. While significant disparities between healthcare for women and men remain, a shift in political attitude, supported by a recognition that women and men have different health needs throughout their lives, should herald a new era of healthcare for women. The challenge is not only in changing clinician awareness and understanding and creating better, more relevant pathways for female-specific health issues, but also encouraging women to demand better health outcomes, from puberty through fertility, menopause and beyond. Better information, combined with tailored, relevant service delivery, will be key to achieving the early intervention that underlines the preventative care model. Alison Meadows, joint CEO, Priority Digital Health, celebrates the change and outlines the importance of a digital solutions platform that can integrate multiple health and wellbeing services to engage, educate and empower women of every age and facilitate better patient outcomes.
Nurses' knowledge about palliative care services in North Lebanon
Authors: Khatib Sarah El , Khoder Ansar , Moghrabi Dalal , Rabah Mohamad , Tabbah Samaa Al 
Published: October 2022

Background: The surge in number of people needing palliative care services along with the deficit in nursing knowledge in in this field are challenges to be addressed in order to ensure higher quality end of life life care. Aim: The aim of this cross-sectional, exploratory pilot study was to assess nurses' knowledge in palliative care using the palliative care knowledge test (PCKT). Method: Descriptive analysis and correlations were carried out. Findings: Nurses showed insufficient knowledge in palliative care; 52% had a poor level (≤18 points) and 48% a fair level (19–28) of knowledge. No participants scored more than 73% in the total PCKT score. Nurses scored poorest in the management of dyspnoea and psychiatric problems. Conclusion: This pilot study demonstrated that promoting continuous education in palliative care is needed to provide quality care to terminally ill patients.
Analyzing the impact of medium access control protocol design and control-plane uplink in asymmetric RF/OWC networks with RF congestion
Authors: Rahaim Michael , Govindasamy Siddhartan 
Published: October 2022

As the demand for wireless capacity continues to grow, highly directional wireless communication technologies have the potential to provide massive gains in area spectral efficiency. However, novel challenges arise when considering bidirectional connectivity and multi-cell/multi-user systems with highly directional links. Some of these challenges can be alleviated with the introduction of asymmetric connectivity where the highly directional links are used solely for downlink transmission. As an example, we consider asymmetric links with an optical wireless communication (OWC) downlink and sub-6 GHz RF uplink. More specifically, we consider visible light communication as an instance of OWC, although the presented analysis and validation are applicable to alternative OWC technologies and other simplex downlink transmission technologies. While asymmetric connectivity has been previously demonstrated in scenarios like this, the impact of control-plane asymmetry has not been explored, to our knowledge. In this paper, we first introduce the novel challenges related to local handshaking in wireless networks with control-plane asymmetry. We then develop a theoretical framework for throughput analysis in a network where the sub-6 GHz RF channel is shared between a conventional RF link and an asymmetric RF/OWC link. This analysis is validated via simulation and verified in a testbed system using Mango WARP3 software defined radios and a commercially available RF access point. Finally, we use the derived throughput equations to analyze the impact of various protocol parameters and demonstrate one potential use of the derived equations to evaluate sum throughput in the presence of an unreliable OWC link.
Clinical characteristics and outcomes of SARS-Cov-2 B.1.1.529 infections in hospitalized patients and multi-surge comparison in Louisiana
Authors: Taylor Katie , Rivere Evan , Jagneaux Tonya , LeBoeuf Gabrielle , Estela Karen , Pierce Christi , O’Neal Catherine 
Published: October 2022

Background
Peer reviewed data describing SARS-CoV-2 Omicron variant symptoms and clinical outcomes as compared to prior surges in the United States is thus far limited. We sought to determine disease severity, presenting features, and epidemiologic factors of the SARS-CoV-2 Omicron variant compared to prior surges.

Methods
Retrospective cohort analysis was performed on patients admitted during five surges in Louisiana between March 2020 and January 2022. Patient data was pulled from the medical record and a subset of patients during Surge 5 were manually abstracted. Patients who were admitted to one of six Louisiana hospitals with a positive SARS-CoV-2 test during the 5 defined surge periods were included. Surges were compared using chi-squared tests and one way ANOVA for age, sex, vaccination status, length of stay, ICU status, ventilation requirement, and disposition at discharge. The records of patients admitted during the omicron surge were analyzed for presenting symptoms and incidental SARS-CoV-2 diagnosis.

Results
With each subsequent surge, a smaller proportion of patients presenting to the emergency department were admitted. Patients admitted during surge 5 had shorter lengths of stay and fewer comorbidities than prior surges. Fewer patients in surge 5 presented with a respiratory condition and fewer required ICU admission. In surges 4 and 5, fewer vaccinated patients were admitted compared to their unvaccinated counterparts. Overall mortality was lower in surge 5 (9%) than in surge 4 (15%) p < .0005. Of the SARS-Cov-2 admissions in surge 5, 22.3% were felt to be incidental diagnoses.

Conclusions
As the COVID-19 pandemic progressed, a younger and less vaccinated population was associated with higher risk for severe disease, fewer patients required ICU admission and overall mortality decreased. Vaccinations seemed to be protective for overall risk of hospitalization but once admitted did not seem to confer additional protection against severe illness during the omicron surge. Age also contributed to patient outcomes.
Elucidating the effect of mechanical stretch stress on the mechanism of ligamentum flavum hypertrophy: Development of a novel in vitro multi-torsional stretch loading device
Authors: Kwon Woo-Keun , Ham Chang Hwa , Choi Hyuk , Baek Seung Min , Lee Jae Won , Park Youn-Kwan , Moon Hong Joo , Park Woong Bae , Kim Joo Han 
Published: October 2022

Objective
We developed a novel multi-torsional mechanical stretch stress loading device for ligamentum flavum cells and evaluated its influence on the development of ligamentum flavum hypertrophy, a common cause of lumbar spinal canal stenosis.

Materials and methods
Stretch strength of the device was optimized by applying 5% and 15% MSS loads for 24, 48, and 72 h. A cytotoxicity assay of human ligamentum flavum cells was performed and the results were compared to control (0% stress). Inflammatory markers (interleukin [IL]-6, IL-8), vascular endothelial growth factor [VEGF], and extracellular matrix (ECM)-regulating cytokines (matrix metalloproteinase [MMP]-1, MMP-3 and MMP-9, and tissue inhibitor of metalloproteinase [TIMP]-1 and TIMP-2) were quantified via enzyme-linked immunosorbent assay.

Results
Using our multi-torsional mechanical stretch stress loading device, 5% stress for 24 hour was optimal for ligamentum flavum cells. Under this condition, the IL-6 and IL-8 levels, VEGF level, and MMP-1, MMP-3, and TIMP-2 were significantly increased, compared to the control.

Conclusion
Using the novel multi-torsional mechanical stretch stress loading device we confirmed that, mechanical stress enhances the production of inflammatory cytokines and angiogenic factors, and altered the expression of ECM-regulating enzymes, possibly triggering ligamentum flavum hypertrophy.
Systematic review of cochlear implantation in patients with inner ear malformations
Authors: Shah Sunny , Walters Rameen , Langlie Jake , Davies Camron , Finberg Ariel , Tuset Maria-Pia , Ebode Dario , Mittal Rahul , Eshraghi Adrien A. 
Published: October 2022

ObjectivesTo evaluate the outcomes of cochlear implantation in patients with severe to profound sensorineural hearing loss due to inner ear malformations (IEMs) when compared to patients without IEMs. We discussed audiological outcomes such as open-set testing, closed-set testing, CAP score, and SIR score as well as postoperative outcomes such as cerebrospinal fluid gusher and incomplete insertion rate associated with cochlear implantation in individuals with IEMs.Data sourcesPubMed, Science Direct, Web of Science, Scopus, and EMBASE databases.Review methodsAfter screening a total of 222 studies, twelve eligible original articles were included in the review to analyze the speech and hearing outcomes of implanted patients with IEMs. Five reviewers independently screened, selected, and extracted data. The “Tool to Assess Risk of Bias in Cohort Studies” published by the CLARITY group was used to perform quality assessment on eligible studies. Systematic review registration number: CRD42021237489.ResultsIEMs are more likely to be associated with abnormal position of the facial nerve, raising the risk of intraoperative complications. These patients may benefit from cochlear implantation, but audiological outcomes may also be less favorable than in individuals without IEMs. Furthermore, due to the risk of cerebrospinal fluid gusher, incomplete insertion of electrodes, and postoperative facial nerve stimulation, surgeons can employ precautionary measures such as preoperative imaging and proper counseling. Postoperative imaging is suggested to be beneficial in ensuring proper electrode placement.ConclusionsCochlear implants (CIs) have the potential to provide auditory rehabilitation to individuals with IEMs. Precise classification of the malformation, preoperative imaging and anatomical mapping, appropriate electrode selection, intra-operative techniques, and postoperative imaging are recommended in this population.
Association of analgosedation with psychiatric symptoms and health-related quality of life in ARDS survivors: Post hoc analyses of the DACAPO study
Authors: Blecha Sebastian , Zeman Florian , Rohr Magdalena , Dodoo-Schittko Frank , Brandstetter Susanne , Karagiannidis Christian , Apfelbacher Christian , Bein Thomas ,   for the DACAPO study group
Published: October 2022

Background
The acute respiratory distress syndrome (ARDS) is a life-threatening condition with the risk of developing hypoxia and thus requires for invasive mechanical ventilation a long-term analgosedation. Yet, prolonged analgosedation may be a reason for declining health-related quality of life (HRQoL) and the development of psychiatric disorders.

Methods
We used data from the prospective observational nation‑wide ARDS study across Germany (DACAPO) to investigate the influence of sedation and analgesia on HRQoL and the risk of psychiatric symptoms in ARDS survivors 3, 6 and 12 months after their discharge from the intensive care unit (ICU). HRQoL was measured with the Physical and Mental Component Scale of the Short‑Form 12 Questionnaire (PCS‑12, MCS‑12). The prevalence of psychiatric symptoms (depression and post‑traumatic stress disorder [PTSD]) was assessed using the Patient Health Questionnaire‑9 and the Post‑Traumatic Stress Syndrome‑14. The associations of analgosedation with HRQoL and psychiatric symptoms were investigated by means of multivariable linear regression models.

Results
The data of 134 ARDS survivors (median age [IQR]: 55 [44–64], 67% men) did not show any significant association between analgosedation and physical or mental HRQoL up to 1 year after ICU discharge. Multivariable linear regression analysis (B [95%‑CI]) yielded a significant association between symptoms of psychiatric disorders and increased cumulative doses of ketamine up to 6 months after ICU discharge (after 3 months: depression: 0.15 [0.05, 0.25]; after 6 months: depression: 0.13 [0.03, 0.24] and PTSD: 0.42 [0.04, 0.80)]).

Conclusions
Up to 1 year after ICU discharge, analgosedation did not influence HRQoL of ARDS survivors. Prolonged administration of ketamine during ICU treatment, however, was positively associated with the risk of psychiatric symptoms. The administration of ketamine to ICU patients with ARDS should be with caution.

Trial registration
Clinicaltrials.gov: NCT02637011 (Registered 15 December 2015, retrospectively registered).
Bedside medication review with cognitive and depression screening by a clinical pharmacist as part of a comprehensive geriatric assessment in hospitalized older patients with polypharmacy: A pilot study
Authors: Mertens Veerle , Jacobs Leen , Knops Nicole , Alemzadeh Seyedeh Malihe , Vandeven Kay , Swartenbroekx Jo , Moorkens Greta , Vandewoude Maurits 
Published: October 2022

Background
Polypharmacy is highly prevalent in older patients with multimorbidity and is associated with increased risk of adverse drug events. This pilot study investigated the added value of a bedside medication review with cognitive and depression screening by a clinical pharmacist to identify potentially inappropriate medications (PIMs) and medication use issues in older patients with polypharmacy.

Methods and results
In the period from September 2018 to March 2019, a clinical pharmacist took part in the comprehensive geriatric assessment of 37 older patients hospitalized at Antwerp University Hospital and conducted a medication review consisting of a record review, a bedside interview questionnaire covering medication use, evaluation of cognitive function (abbreviated MMSE), depression (GDS-4), and systematic check for possible PIMs (STOPP/START criteria).
Patients were 83±4 years old and on a median of 12 home medications (range 5–20). The clinical pharmacist formulated an average of 7.7 recommendations to optimize medication use per patient, of which 89.9% were considered clinically relevant by the geriatrician. Only 2 out of 286 PIMs were discovered during routine electronic validation of medication prescriptions. Supervision of medication intake was absent in 75% of cognitively impaired patients, but advice to do so was implemented in 86.4% of cases. The multidisciplinary geriatric advice was communicated to the treating physician, who fully implemented 33.8% of the recommendations.

Conclusions
Bedside medication review with cognitive and depression screening by a clinical pharmacist is useful to discover polypharmacy related problems and medication intake issues in a population of geriatric patients. Systematic screening for cognitive impairment and depression are needed to detect patients in need of support for correct medication use and therapy compliance.
Willingness to work in rural areas and associated factors among graduating health students at the University of Gondar, northwest Ethiopia, 2021
Authors: Getachew Blen , Bizuneh Biruk , Ewunetu Birhanu , Kassahun Dawit , Fentahun Dessalegn , Ademe Destaw , Cherkos Endeshaw Admasu , Kebede Azmeraw Ambachew 
Published: October 2022

BackgroundMany of the rural areas in developing countries are still in need access to quality healthcare services. To ensure the fair distribution of a high-quality health workforce and the availability of health services, there is a need to assess the background barriers that explain why healthcare providers are not interested to work in rural areas, thereby setting strategies to achieve universal health coverage. Therefore, this study is aimed to assess the willingness to work in rural areas and associated factors among health students at the University of Gondar.MethodsAn institution-based cross-sectional study was conducted at the University of Gondar from August 15 to 25, 2021. A total of 422 study participants were selected using a stratified random sampling technique. A pretested self-administered questionnaire was employed to collect the data. Data were entered into EPI DATA 4.6 and exported to SPSS 25 for further analysis. Multivariable logistic regression analysis was performed to identify factors associated with students’ willingness to work in rural areas. The level of significance was decided based on the 95% confidence interval at a p-value of ≤ 0.05.ResultsIn this study, it was found that health students’ willingness to work in rural areas was 78.4% (95% CI: 74.3, 82.4). Being male (AOR = 2.15; 95% CI: 1.17, 3.94), having intention to continue with their profession (AOR = 2.5; 95% CI: 1.28, 4.86), having a favorable attitude towards working in rural areas (AOR = 7.32; 95% CI: 5.71, 18.65), and having a mother with no formal education (AOR = 2.23; 95% CI: 1.02, 4.85) and completed primary education (AOR = 2.69; 95% CI: 1.1, 6.61) were significantly associated with willingness to work in rural areas.ConclusionThe willingness of students to work in rural areas was optimal. This calls for concerned bodies to create a conducive environment for male and female students to engage in rural areas without hesitation. It is also important to ensure that students are willing to work in the rural areas voluntarily, instead of working in rural areas due to a lack of employment.
Communication Research on Expressive Arts and Narrative as Forms of Healing: More Than Words, Kamran Afary and Alice Marianne Fritz (eds) (2020)
Authors: Tam Rowena 
Published: October 2022

Review of: Communication Research on Expressive Arts and Narrative as Forms of Healing: More Than Words, Kamran Afary and Alice Marianne Fritz (eds) (2020)
London: Lexington Books, 306 pp.,
ISBN 978-1-79360-268-8, h/bk, $126.00
An Introduction to Psychotherapeutic Playback Theater: Hall of Mirrors on Stage, Ronen Kowalsky, Nir Raz and Shoshi Keisari with Susana Pendzik (2022)
Authors: Alperin Roni 
Published: October 2022

Review of: An Introduction to Psychotherapeutic Playback Theater: Hall of Mirrors on Stage, Ronen Kowalsky, Nir Raz and Shoshi Keisari with Susana Pendzik (2022)
London and New York: Routledge, 191 pp.,
ISBN 978-0-36776-630-6, h/bk, $160.00
ISBN 978-0-36776-629-0, p/bk, $39.95
ISBN 978-1-00316-782-2, e/bk, $35.95
Komunikasi Kebijakan Publik dalam Implementasi Program e-Parking di Kota Medan
Authors: Rangkuti Zoraya Alfathin , Rangkuti M. Ridwan 
Published: October 2022

Penerapan tentang program E-Parking sejatinya dibentuk untuk menangani ketidakstabilan keamanan juru parkir di Kota Medan. Namun pada pelaksanaannya ditemukan adanya permasalahan terkait komunikasi yang terjalin antar stakeholders. Penelitian ini berujuan untuk menganalisis bagaimana komunikasi yang terjalin antar stakeholders dalam implementasi kebijakan program E-Parking di Kota Medan, adapun fenomena yang akan diteliti yaitu komunikasi yang dilakukan stakeholders dan implementasi program E-Parking di Kota Medan. Metode penelitian yang digunakan adalah dengan pendekatan deskriptif kualitatif dengan teknik penentuan informan purposive sampling. Hasil dari penelitian menunjukan komunikasi yang dilakukan Pemerintah Kota Medan berupa Sosialisasi Perencanaan E-Parking yang diikuti oleh perwakilan seluruh juru parkir di Kota Medan, workshop dan FGD, sedangkan para calon juru parking elektronik melakukan komunikasi dengan cara komunikasi secara langsung dan dalam bentuk diskusi tentang pelaksanaan penggunakan teknologi di Kota Medan. Kemudian komunikasi yang dilakukan oleh Pemerintah Kota Medan adalah dengan menawarkan program E-Parking dengan cara door to door kepada juru parkir jalanandan rapat koordinasi yang di hadiri oleh beberapa warga dan tokoh masyarakat. Namun pada pelaksanaannya terdapat beberapa kendala diantaranya: ketidakjelasan komunikasi yang dilakukan oleh salah satu stakeholders dalam mengkomunikasikan pelaksanaan program E-Parking yang menimbulkan mis-interpretasi, kemudian terdapat ketidaksinambungan antara pihak pemerintah dengan juru parkir lama. Adapun saran yang dapat diberikan oleh peneliti adalah: perlu adanya peningkatan kesadaran antar stakeholders dalam melakukan kerjasama diperlukan komunikasi yang intensif antar stakeholders agar meminimalisir perbedaan pemahaman dalam komunikasi yang dilakukan oleh para juru parkir dengan Pemerintah Kota Medan.