bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan
Authors: Juang Wang-Chuan , Chiou Sonia Ming-Jiu , Yang Hui-Ling , Li Ying-Chun 
Published: July 2022

BackgroundIn 2012, the American Board of Internal Medicine Foundation launched the Choosing Wisely campaign to reduce unnecessary care. However, it is unclear how much emergency physicians in Taiwan understand about Choosing Wisely. The purpose of this study was to explore the knowledge, attitude, and behaviour of emergency physicians in Taiwan regarding Choosing Wisely and its related factors; the intention was to identify the baseline knowledge on the basis of which to promote Choosing Wisely in Taiwan.MethodsThis was a cross-sectional study including emergency physicians in Taiwan as research subjects who answered online questionnaires. A 42-item questionnaire was designed according to the Knowledge, Attitude, and Behaviour model (KAB). The questionnaire linkages were delivered to emergency physicians through social media (eg., Line, Facebook) and received assistance from different hospital directors. A total of 162 valid questionnaires were collected. Data analyses include t-test, analysis of variance, chi-square test, Pearson’s correlation, and multivariate linear regression model.ResultsThe study determined that although only 38.9% of emergency physicians had heard of Choosing Wisely, the mean correct rate of knowledge score among emergency physicians was 70.1%. Attitude and the behaviour related to Choosing Wisely were positively associated, which means that the more positive the attitude towards Choosing Wisely is, the more positive the behaviour towards Choosing Wisely is. In multiple linear regression analyses, having served as a supervisor, belonging to divisions of health insurance service, and having heard of Choosing Wisely (P< 0.05) positively affect the knowledge of Choosing Wisely, but age presented a negative association.ConclusionThis study found that physicians’ knowledge does not influence their attitudes and behaviours, which may be related to barriers of practicing Choosing Wisely activities. To effectively promote Choosing Wisely campaign, it is recommended to focus on the significant factors associated with emergency physicians’ perceptions regarding knowledge, attitude, and behavior of Choosing Wisely. Based on these factors, appropriate practice guidelines for Choosing Wisely can be formulated and promoted.
Coronally Oriented Intra - Articular Distal Femur Hoffa Fracture - How We Deal with It
Authors: Rajesh Kar  , Gaurab Chatterjee  , Atanu Chatterjee  
Published: July 2022

BACKGROUND
Hoffa fractures are intra-articular femoral condyle fractures in the coronal plane. These are very uncommon injuries. The purpose of this study was radiologic and functional outcome assessment of surgically managed Hoffa fractures with headless compression screws.
METHODS
We prospectively studied 11 patients with isolated Hoffa fractures who were treated with open reduction and internal fixation using two or more headless compression screws. Antiglide plate was used only in one case. We used the midline parapatellar approach for all cases. All patients had gone through aggressive physiotherapy after the operation. All patients were evaluated radiologically and functionally on a regular interval. The functional outcome was recorded in terms of Lysholm score, Knee society score (KSS), Range of motion (ROM) and VAS score.
RESULTS
All fractures united radiologically with an average time of 3.3 months with no evidence of subsequent fixation failure. The mean Lysholm score and KSS at final follow-up were 88.6±7.1 and 86±7.6 respectively. The mean knee range of motion was from 0˚ to 120.5˚ ± 9.3˚. At the final follow-up, the mean VAS score dropped significantly to 0.63±0.8.
CONCLUSIONS
Operative management of Hoffa fractures with at least two headless compression screws can yield satisfactory functional and radiologic outcomes. Stable fixation and timely physiotherapy are the keys to success.
Successful Fecal Microbiota Transplant Delivered by Foley Catheter Through a Loop Ileostomy in a Patient With Severe Complicated Clostridioides difficile Infection
Authors: Philip Shawn , Tageldin Omar , Mansoor Muhammed Sohail , Richter Seth 
Published: July 2022

ABSTRACT

Clostridioides difficile infection (CDI) is a potentially life-threatening cause of diarrhea that can result in multiple complications. Fulminant CDI that is nonresponsive to antibiotics may require surgical ileostomy or fecal microbiota transplant (FMT). We present a case of a patient with fulminant CDI requiring surgical loop ileostomy who underwent a successful FMT delivered by Foley catheter through the ileostomy with symptom resolution. Delivery of FMT using a foley catheter in a patient with an ileostomy may be safe and effective for patients who are at a higher risk of complications associated with the instillation of FMT through colonoscopy with anesthesia.
Exertional Heat Stroke-Induced Acute Liver Failure and Liver Transplantation
Authors: Lin Jessica S. , Zaffar Duha , Muhammad Haris , Ting Peng-Sheng , Woreta Tinsay , Kim Amy , Kohli Ruhail , Oshima Kiyoko , Cameron Andrew , Philosophe Benjamin , Ottmann Shane , Wesson Russell , Gurakar Ahmet 
Published: July 2022

ABSTRACT
Exertional heat stroke is a medical emergency characterized by excessive heat production and inadequate heat dissipation usually after heavy exertion in hot and humid climates and can be associated with multiorgan failure. Treatment is largely supportive, but liver transplantation (LT) may be necessary in select patients. Here, we report the case of a 44-year-old runner who was found unconscious after a 5-mile run and developed acute liver failure. He underwent successful LT 1 week later when he developed encephalopathy. This case report illustrates the importance of early LT referral in patients with exertional heat stroke-induced acute liver failure.
Development of WEB-Based Correspondence Management Application Programs Faculty of Mathematics and Natural Sciences UNIMED
Authors: Nur Kholiza  , Faiz Ahyaningsih  
Published: July 2022

Faculty of Mathematics and Natural Sciences which is one of the faculty at Unimed in organizing the activities scheduled and archive mail incoming and outgoing mail is still using manual diary. This is less efficient because it will be difficult to find so many archives of letters that have been stored for a long time. Currently, technological advances in the world are growing rapidly and are very much needed. Especially with the emergence of the Corona Virus Disease (Covid-19) Pandemic, most of the community's activities are disrupted so that activities are carried out online. Likewise with the student activities of FMIPA Unimed. Now students carry out lectures online. However, for final year students who want to apply for a thesis research letter or active students who want to apply for a scholarship need an active college letter, they must come to campus to take care of the files in order to get the required letter. Therefore, there is a need for a correspondence management application in the administration of FMIPA Unimed so that FMIPA Unimed students can take care of the required letters online, employees can speed up searching for mail data and print out their letter reports. This application is designed web-based using PHP and MySQL. This application has the ability to be accessed anywhere by admins, employees and students so that employees can manage mail with a user login, be it adding, updating, deleting, uploading, downloading and searching for letters and printing mail reports. In addition, it also makes it easier for students to take care of research letters and active lecture letters online until the letters are completed and can be downloaded. This application also provides a place to send messages to each other between employees and students.
КПКТ-візуалізація надкомплектних зубів в ділянці премолярів і молярів: ілюстративний огляд
Authors: Vares Yan , Vares Yarema 
Published: July 2022

Мета: скласти описову класифікацію надкомплектних зубів (НКЗ) в ділянці премолярів та молярів для використання в описі конусно-променевих комп’ютерних томограм (КПКТ). Метою також є поширення значної кількості зображень КПКТ за моделлю відкритого доступу.
Матеріали та методи: Для складання огляду ми провели пошук безкоштовних для перегляду повних статей на PubMed з інформацією про: 1) КПКТ НКЗ у ділянці премолярів та молярів; 2) Ускладнення, пов’язані з наявністю НКЗ в ділянці молярів та премолярів. До огляду також були додані класифікації НКЗ в ділянці премолярів і молярів, представлені у інших дослідженнях.
Результати: Нами було знайдено 29 клінічних випадків НКЗ, які ми проілюстрували 84-ма малюнками. Ми розділили наш ілюстративний огляд на: 1) Однобічні НКЗ на нижній щелепі; 2) Однобічні НКЗ на верхній щелепі; 3) Однобічні мікродонтичні НКЗ; 4) Двобічні НКЗ; 5) НКЗ з додатковими особливостями; 6) Випадки значної гіпердонтії.
Висновки: Створено класифікаційну матрицю для НКЗ в ділянці премолярів і молярів з 11 дескрипторами та 50 блоками. Дескрипторами були: 1) розташування коронки НКЗ в аксіальній проєкції, 2) вертикальне розташування вершини горбка у відношенні до найближчого прорізаного зуба в корональній проєкції, 3) форма, 4) розподіл, 5) положення (у відношенні до положення нормально прорізаного зуба) в сагітальній проєкції, 6) Стан прорізування НКЗ в сагітальній проєкції, 7) Розмір фолікула в сагітальній проєкції, 8) Зовнішня резорбція коренів сусідніх зубів, спричинена НКЗ та його розташуванням у відношенні до довгої осі ураженого зуба, 9) внутрішня резорбція НКЗ, 10) ускладнення у сусідніх зубах, спричинені наявністю НКЗ, 11) ушкодження навколишніх анатомічних структур внаслідок видалення НКЗ. Малюнками з літератури, що знаходилася у відкритому доступі, було проілюстровано 11 блоків. У нашому ілюстративному огляді нам вдалося проілюструвати 45 з 50 блоків, і надати читачам вільний доступ до більш повного опису КПКТ НКЗ в ділянці премолярів та молярів, ніж у раніше опублікованих дослідженнях.
The Cardioprotective Potential of von Willebrand Disease in Ischemic Heart Disease
Authors: Mihyawi Nawfal , Ajmal Muhammad , Fath Ayman R. , Bhattarai Bikash , Yeneneh Beeletsega 
Published: July 2022

von Willebrand factor (vWF) aids coagulation at sites of vessel injury. Elevated vWF levels have been associated with an increased risk of ischemic heart disease (IHD); however, it is unclear whether vWF deficiency, seen in patients with von Willebrand disease (vWD), protects people against IHD. We determined and compared the prevalence and risk of IHD in patients with versus without vWD by using data from the National Inpatient Sample (2009–2014), excluding patients younger than 18 and older than 75 years. The primary outcome was the odds ratio (OR) of IHD in patients with versus without vWD. Secondary outcomes were major medical comorbidities and demographic characteristics in patients with vWD.
Of 224,475,443 weighted hospital-discharge samples, we identified 82,809 patients with a vWD diagnosis. The odds of IHD were lower in patients with vWD than in those without (OR=0.54; 95% CI, 0.52–0.56). After multivariable logistic regression analysis and adjustment for age, sex, and typical IHD risk factors (hypertension, smoking, diabetes, hyperlipidemia, chronic kidney disease, obesity, and family history of IHD), the likelihood of IHD remained lower in patients with vWD than in patients without (OR=0.65; 95% CI, 0.63–0.67). Our study shows that vWF deficiency, as seen in patients with vWD, is associated with a decreased prevalence of IHD. Further investigation may confirm these findings.
A SURVEY ON THE RURAL WOMEN COOPERATIVES ACTIVE IN E-COMMERCE PLATFORMS IN TURKEY
Authors: GÜRSOY YENİLMEZ Özgür Burçak 
Published: July 2022

Information technologies have radically changed economic system by the new century. Through this change, pandemic conditions have led to a sudden boom in e-commerce which contains almost all of the goods and services markets. In addition to the general impact of this boom, several new studies have emerged to dicuss the opportunities created by e-commerce for the development of women empowerment and entrepreneurship. These studies show that institutional support, education, good governance and opening of new markets have a real importance on the development of good e-commerce practices while there are also business-related, spatial, infrastructural and socio-cultural obstacles. This article aims to trace the changes that e-commerce practices have created and can create in rural women cooperatives in Turkey. This study presents the current conditions of rural women cooperatives active in two biggest e-commerce platforms by showing which cooperative is selling what type of goods through these sites and what kind of comments they are getting. Both frequency and content analysis is used to answer the research questions. One of the findings is the very few number of rural women cooperatives visible in these e-commerce platforms.
Although their product scale is relatively large, both the sale volume and comments and reviews they have taken are low enough to be counted one by one. There are some striking statements in customer comments and reviews, which show a buying behaviour filled with a motivation of “supporting women cooperatives.” This notion of a general positive attitude towards women cooperatives can be taken into account in the following efforts to develop these organizations and rural areas. In conclusion, this article contributes to the literature by both presenting the current situation in Turkey and deriving conclusions for the development of women cooperatives through e-commerce.
Synthesis and properties of PI composite films using carbon quantum dots as fillers
Authors: Zhang Yuyin , Guo Hongtao , Jiang Shaohua , Hu Zhaoyu , Zha Guojun , Liu Kunming , Hou Haoqing 
Published: July 2022

Abstract
Polyimide (PI) is widely used in the field of microelectronics because of its excellent thermal, mechanical, optical, and electrical properties. With the development of electronics and information industry, PI as a dielectric material needs to possess low dielectric loss. PI/carbon quantum dots (PI/CQDs) composite films with low dielectric loss were prepared by introducing CQDs into PI matrix. At 25°C and 1 kHz voltage, the dielectric loss of pure PI film is about 0.0057. The dielectric loss of PI/CQDs composite film is about 0.0018, which is about 68% lower than that of pure PI film. The dielectric loss of PI/CQD composite film is greatly reduced while the mechanical properties and thermal properties of PI/CQDs composite film roughly remain unchanged. Due to the cross-linking structure formed between CQDs and PI molecular chain, the relative movement of PI molecular chain is hindered.
Infektion als Narration. Zur Struktur und Semantik einer Erzählfigur
Authors: Dümling Sebastian 
Published: July 2022

Zusammenfassung
Der Beitrag widmet sich populären Infektionserzählungen, die verschiedenen Gattungen beziehungsweise Medien zugehören, nämlich Comic, (Horror-)Film, Kurzgeschichte und Reportage. Unter Rückgriff auf im engeren Sinne narratologische Theoriemodelle soll dabei zum einen die These entwickelt werden, dass Erzählungen und Infektionen, verstanden als kulturelle Phänomene, starke strukturale wie semantische Gemeinsamkeiten haben, die es bedingen, dass über Infektion besonders effektvoll und geltungsstark erzählt werden kann. Zum anderen will der Beitrag zeigen, dass Infektionserzählungen Große Erzählungen sind, nicht nur weil sie Erzählungen über das Erzählen sind, und nicht nur, weil die starke Virulenz der Infektionserzählung sich aus der allgemeinen Logik des Erzählens selbst ergibt, sondern auch, weil sie sich narrativ an den Leitdifferenzen kultureller Selbstbeschreibungen ausrichten.
“Getting a laugh out of the Coronavirus while we still can”. Sick humor in digital story-telling on COVID-19
Authors: Trummer Manuel 
Published: July 2022

Abstract
This article analyzes the digital storytelling about Corona in the biggest online meme community 9GAG. With an understanding of memes as a low-threshold, participatory medium of digital narration it tries to understand how the visual and narrative communication in online communities deals creatively and critically with the pandemic. By focusing on the characteristic sick humor of the internet and its polyvocal discourse, the article tries to reveal crucial fears and lines of social conflict with regards to COVID-19. The research is based on a documentation and qualitative coding of 700 memes, which were collected in the early stages of the pandemic in 2020.
Unter Sommervögeln
Authors: Winzer Axel 
Published: July 2022

Zusammenfassung
Das Bild des Schmetterlings taucht wiederholt auf den Titelseiten der Märchenbände Wilhelm Grimms auf – immer in anderer Gestalt, aber stets an derselben exponierten Position. Der Falter verweist darauf, dass es sich bei den nachfolgenden Texten um Naturpoesie handelt. Er ist ein Symbol, das zugleich mythologische und autobiografische Hinweise gibt. Auch in einer von Wilhelm Grimm eingefügten Märchenpassage wird ein Sommervogel (Schmetterling) erwähnt, sodass hier Bild- und Textinformation korrespondieren.
miR-212-5p inhibits nasopharyngeal carcinoma progression by targeting METTL3
Authors: Zhou Hongyu , Zhang Nana 
Published: July 2022

Abstract
This study was conducted to investigate the effect of microRNA-212-5p (miR-212-5p) on the proliferation and apoptosis of nasopharyngeal carcinoma (NPC) cells. Microarray datasets (EXP00394 and EXP00660) were downloaded from the dbDEMC database, and the differentially expressed microRNAs between high-grade and low-grade NPC were analyzed. miR-212-5p and methyltransferase like 3 (METTL3) expression levels in NPC tissues and cells were determined by the quantitative real-time polymerase chain reaction and Western blot. Besides, the relationship between miR-212-5p expression and clinicopathological characteristics of patients was analyzed by the Chi-square test. Cell counting kit-8 assay, 5-ethynyl-2-deoxyuridine (EdU) assay, and flow cytometry were adopted to detect the effect of miR-212-5p on the cell proliferation and apoptosis. Kyoto Encyclopedia of Genes and Genomes and Gene Ontology analysis were performed to explore the potential biological functions and the signal pathways related to the target genes of miR-212-5p. Bioinformatics prediction and dual luciferase reporter gene assay were used to verify the relationship between miR-212-5p and METTL3 3′ untranslated region. Besides, western blot was adopted to detect the expression of METTL3. Gene set enrichment analysis was performed to analyze the downstream pathways in which METTL3 was enriched. It was found that miR-212-5p was downregulated in NPC tissues, and the low miR-212-5p expression was associated with lymph node metastasis and poor differentiation. miR-212-5p overexpression inhibited the growth and promoted apoptosis of NPC cells; miR-212-5p inhibition functioned oppositely. Mechanistically, miR-212-5p inhibited the proliferation and promoted apoptosis of NPC cells via suppressing METTL3 expression. miR-212-5p/METTL3 was associated with processes of RNA transport and cell cycle. In conclusion, miR-212-5p inhibits the progression of NPC by targeting METTL3.
Profiles of Potential Unconstitutionality of Legislation Restricting Personal Freedom for the Containment of COVID-19 on the Example of the Italian Republic
Authors: Kamińska Agnieszka Gloria 
Published: July 2022

Abstract
The Sars-CoV–2 pandemic is changing the main issues of Italian constitutional law. The phases of the Italian normative management of the crisis focused on important and extraordinary measures and brought to light some structural problems of the Italian constitutional legal system. More generally the ongoing health crisis is revealing the lack of an articulated emergency framework in the Italian Constitution and questioning whether existing legislative tools are suitable to face contemporary threats. This article aims to analyse the main issues raised by the Italian government’s reaction to the coronavirus: the notion of emergency in Italian constitutional law, the legal forms chosen to fight the virus, the choice of the Italian Government to regulate the emergency by decrees of the President of the Council of Ministers, the role of decree law (‘decreto-legge’), from the emergency and the compression and restriction of fundamental rights to the balance of the fundamental freedoms with the protection of right to health.
Exercise of the Right to Defence in Criminal Proceedings during the COVID-19 Pandemic with Particular Reference to the Relation Between the Accused and the Defence Counsel
Authors: Olszewski Radosław , Małolepszy Amadeusz 
Published: July 2022

Abstract
The aim of this article is to present the legal solutions adopted in criminal proceedings during the COVID-19 pandemic and their impact on the implementation of the right to defence, focusing, in particular, on the relation between the accused and the defence counsel. During the pandemic, online trials and hearings became widespread and communication with the courts via email developed. Issues of confidentiality between the accused and his/her defence counsel, as well as access of the defence counsel to files, were analysed, particularly in cases related to pretrial detention. The new solutions have been evaluated, possibilities of their use after the end of the pandemic have been indicated and postulates as to the desired directions of changes have been formulated. The issues addressed are relevant today and extremely important in the sphere of public law, as criminal liability is proved during criminal proceedings. In general, it should be assessed positively that the COVID-19 pandemic has become an opportunity to introduce new legal solutions for the modernisation of criminal proceedings. However, some of these regulations do not fully meet the objectives set for them, hindering, through the adoption of specific solutions and practices, the proper implementation of certain key procedural principles, primarily the right to defence.
It Pays to be Accurate: Improving Critical Care Documentation in a Pediatric Emergency Department
Authors: Frazier S. Barron , Walsh Michele , Beveridge Glory , Thornton Clark , Otillio Jaime Kaye , Fain Emily , Patterson Barron 
Published: July 2022

BACKGROUND
Clinician documentation is highly variable, and awareness of documentation requirements remains low despite post-training experience. At our hospital, critical care (CC) documentation was inconsistent. Our aim was to increase appropriate CC attestations from 51% to 90% for status asthmaticus, anaphylaxis, and diabetic ketoacidosis in the pediatric emergency department by December 2021.

METHODS
A physician team developed a key driver diagram. Retrospective baseline data using International Classification of Diseases, Ninth and Tenth Revision codes were obtained from January 2018 to September 2020, after which data were followed prospectively in consecutive groups of 20 encounters. Statistical process control charts were used to analyze data. Nelson rules were used to detect special cause variation. Primary outcome was the inclusion of appropriate CC attestations. Interventions included education, CC attestation templates, and provider feedback. We also tracked charges for the 3 diagnoses studied. Process measures included template use. Balancing measure was refusal of payment by insurers.

RESULTS
P-charts were used to analyze primary outcome and process measures. X-bar charts were used to analyze charges. Baseline data represented 706 encounters with 51% including CC documentation. Following clinician education and release of the CC template, special cause variation was detected, and centerline shifted to 88.1% (Fig 2). Average charges per encounter increased from $4527 to $5385. There was no reported refusal of payment.

CONCLUSIONS
We successfully achieved improvements in CC documentation in the 3 diagnoses of interest through education and process changes in documentation, leading over $1 million in new charges over the past 15 months.