bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comics and the Body: Drawing, Reading, and Vulnerability, Eszter Szép (2020)
Authors: Sangai Shreya 
Published: June 2022

Review of: Comics and the Body: Drawing, Reading, and Vulnerability, Eszter Szép (2020)
Columbus, OH: The Ohio State University Press,
ISBN 978-0-8142-5772-2, p/bk, $32.95
Tres espejos ante una realidad: adoctrinamiento, movilización política y acción social de las españolas durante la II República desde la mirada de las publicaciones femeninas (1931-1936)
Authors: Ruiz Franco Rosario 
Published: June 2022

El objetivo de este estudio se centra en ahondar en el adoctrinamiento, la movilización política y la acción social de las mujeres durante la II República (1931-1936) reflejada en la prensa femenina. El análisis de sus contenidos nos muestra el papel que estas publicaciones tuvieron en la propaganda y la defensa de los ideales que propugnaban las mujeres desde diferentes planteamientos ideológicos, contribuyendo con ello a su movilización. Igualmente refleja el pluralismo del feminismo histórico español, y la heterogeneidad de posiciones ideológicas de las españolas ante el régimen republicano.
Aproximación a la construcción discursiva de género desde el videojuego GTA V
Authors: Zarza Delgado Martha Patricia , González Calderón Diana Elisa , Zimbron Nieto Maria Esperanza 
Published: June 2022

El documento examina el discurso contenido en videojuegos dirigido a públicos juveniles. El estudio analizó una de las muchas historias que pueden generarse en el videojuego Grand Theft Auto V (GTA V). El modelo de análisis pone especial énfasis en las microsecuencias que construyen sentido al espectador, particularmente las relativas a la perspectiva de género, como un eje para la identificación de jerarquías y relaciones de poder. Se hace evidente la violencia de género en la cultura de alto consumo juvenil, la cual genera, transmite y reproduce un tipo de pensamiento hegemónico y discriminatorio.
Catalan Identity through the Lens of Multilingual News
Authors: Ponomarenko Lesia , Santamaria Guinot Laura 
Published: June 2022

This paper compares how lexical units created in Catalan discourse, and related to the aspirations of independence, are reproduced by Euronews in Spanish, English, German and French and how their function as linguistic tools of discursive identity construction changes after translation (transediting). Based on the discourse-historical approach, we could detect three main strategies of discursive identity construction (autonomisation, legitimation, and unification) in the 37 selected articles between 2015-2021, which are often due to the discrepancies in terminology and different background knowledge in a particular target culture, together with the need to comply with media format and journalistic register.
ROCKIN’ GLOBALS: A INTERNACIONALIZAÇÃO DAS BANDAS DE ROCK AND ROLL NA PERSPECTIVA BORN GLOBAL
Authors: Noronha Matheus Soares , Cattani Yan Nonato , Ogasavara Mario Henrique , Silva Rosemeire de Souza Vieira 
Published: June 2022

Objetivo: O objetivo do trabalho foi analisar o fenômeno de internacionalização de bandas de rock and roll sobre a perspectiva teórica das empresas Born Global (BGs).
Metodologia: Pesquisa exploratória, com abordagem qualitativa. Foram realizadas 17 entrevistas semiestruturadas em festivais de rock, estúdios, com bandas, artistas solo e produtores.
Resultados: Os resultados apresentaram evidências de 4 novas competências estratégicas além das já existentes na literatura, complementando assim o modelo conceitual de internacionalização de bandas do gênero rock and roll.
Limitações da pesquisa: Inexistência de uma literatura específica para rock and roll. A segunda limitação está ligada à amostra,considerando a ampliação do número de entrevistados para pesquisas futuras.
Implicações práticas: O artigo mostra os caminhos estratégicos via competências para que bandas de rock and roll possam acumular novos conhecimentos e traçar planos para articular seus recursos escassos e intangíveis de forma empreendedora, visualizando o seu processo de internacionalização.
Implicações sociais: A contribuição social deste estudo se estende por analisar o fenômeno de internacionalização de bandas sobre perspectiva empreendedora e desenvolvedora de conhecimentos para a geração de competências devido à necessidade de alocação de recursos limitados.
Implicações teóricas: As bandas apresentam competências estratégicas para internacionalização ligadas a habilidade de programação em softwares e plataformas de digitais, experiências em diferentes línguas e criatividade multicultural para desenvolvimento de produtos, subsidiando novos caminhos para as pesquisas sobre BGs.
Originalidade: O estudo apresenta o amalgama de referenciais entre os estudos de BGs e Internacionalização de Bandas de rock sobre a perspectiva teórica das competências estratégicas, fornecendo novos caminhos de pesquisa para a literatura de Negócios Internacionais.
Prognostic Value of Neutrophil Lymphocyte Ratio and Platelet Lymphocyte Ratio on Survival of Patients Undergoing Palliative Gastrectomy for Metastatic Gastric Carcinoma - A Single Centre Experience
Authors: Pradeep Kumar S.  , Senthil G.  , Kalayarasan R.  , Biju Pottakkat  
Published: June 2022

BACKGROUND
Metastatic gastric carcinoma patients usually present late and are not suitable for any form of chemotherapy. Inflammatory markers like neutrophil-lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) may be used to predict survival and for selecting patients for palliative gastrectomy. We wanted to determine the prognostic value of NLR and PLR on survival in metastatic gastric carcinoma patients undergoing palliative gastrectomy.
METHODS
We retrospectively analyzed data of 156 metastatic gastric carcinoma patients admitted from August 2011 to January 2020 in a tertiary centre in India. Among these, 43 who underwent palliative gastrectomy and 53 who underwent only best supportive care were included in the study.
RESULTS
The optimum cut-off value (NLR - 3.5, PLR - 183.5) was based on the ROC curve. The overall survival was significantly better in the palliative gastrectomy group (4.953 months vs. 2.434 months) (P=0.013). The mean overall survival was also better in the low-PLR group (6.81 vs. 4.81 months) (P= 0.043) and low -NLR group (6.80 vs. 4.91 months) although the latter was not statistically significant (P=0.053).
CONCLUSIONS
Patients undergoing palliative gastrectomy for metastatic gastric cancer have significantly better survival, especially those with low PLR and NLR ratios, although the latter was not statistically significant.
Oesophageal and Esophagogastric Junctional Carcinoma- Management and Outcomes from an Academic Community Centre of Nepal
Authors: Lokesh Shekher Jaiswal  , Narendra Pandit  
Published: June 2022

BACKGROUND
Oesophageal and junctional cancer is an aggressive malignancy with poor prognosis even with multimodality treatment. The true nature of the presentation, management and its outcome is less known in our population. This study was done to provide clinicians with useful information about the disease epidemiology, stage of presentation and clinical picture of the disease in the setting of a developing country.
METHODS
All patients managed for oesophageal and esophagogastric junction (EGJ) tumours over six years were retrospectively studied for types and location of the tumour, treatments given and their outcomes.
RESULTS
A total of 76 patients, 62 (81.6 %) with the oesophageal and 14 (18.4 %) patients with EGJ carcinoma were included. The mean age was 68.2 years with a male to female ratio of 1.7. The most common tumour location in the oesophagus was the middle third (39.5 %). Siewert type II was the most common EGJ tumour. Squamous cell carcinoma (63.2 %) was the predominant histological type followed by adenocarcinoma (36.8 %). A total of 14 (18.4 %) patients were in stage III disease, 40 (52.6 %) locally advanced unresectable disease (IVA), and the remaining 22 (28.9 %) were having metastasis (stage IVB). Eighteen (23.7 %) patients required feeding jejunostomy as a palliative procedure, and 26 (34.2 %) underwent definitive chemoradiotherapy. Only 10 (13.2 %) patients underwent surgery with curative intent. There was no operative mortality. The mean survival in patients undergoing surgery with curative intent was 26.9 months (range 4-60 months) while the mean survival in the remaining patients was only 11 months (range: 3-18 months).
CONCLUSIONS
Squamous cell carcinoma is the predominant type and the middle and upper third are the most common locations of oesophageal carcinoma. Most of the patients present with advanced stage disease with poor survival.
Randomized Study to Evaluate the Efficacy of Platelet Rich Plasma, Intralesional Triamcinolone Acetonide and Intralesional Normal Saline in Moderate to Severe Alopecia Areata
Authors: M. Jaya Kumar  , P.V. Krishnam Raju  , B. Gayatri Devi  , K.V.T. Gopal  , T. Narayana Rao  
Published: June 2022

BACKGROUND
Alopecia areata (AA) is a common, chronic, autoimmune, inflammatory disease that causes non scarring hair loss. Treatment of moderate to severe AA is challenging without a definitive cure. This study was undertaken to compare the efficacy of platelet rich plasma (PRP) - a novel procedural therapy, intralesional triamcinolone acetonide (ILS) and intralesional normal saline (NS) in moderate to severe AA.
METHODS
A total of 75 patients clinically diagnosed with Alopecia Areata were enrolled and the severity of the disease was assessed by SALT score. Twenty-five patients each in Group A, B and C were treated with PRP, ILS and NS respectively at monthly intervals for four sessions. Improvement in hair regrowth (based on reduction in SALT SCORE) and adverse effects were noted in all cases in each group at each session and one month after the final sitting. Statistical analysis was done using the student's t-test for quantitative values and the chi-square test for qualitative values.
RESULTS
Males outnumbered females with a percentage of 74.7, whereas females were 25.3 %. Male: female ratio of 2.9:1. Patchy type of AA was the most common clinical type observed (54.66 %), followed by sub totalis (14.66 %). Forty-eight cases (64 %) had a severity grade of S2 (26-50) followed by twenty-three cases (30 %) grade of S3 (51-75). After 20 weeks of treatment, the mean percentage of SALT score improvement with the highest efficacy was seen in the ILS group (63.15 %) followed by the PRP group (37.51 %). Improvement of hair regrowth with the excellent response (66 %) was achieved in ILS followed by 33 % in the PRP group, comparatively rapid reduction in SALT SCORE within four weeks was observed in the ILS group whereas gradual reduction in SALT SCORE was achieved in 8-12 weeks in PRP group. Relapse was seen in 21.7 % of patients in the ILS group and 1 (4.1 %) patient in the PRP group in the follow-up period of four months. No major adverse effects were seen in any of the groups.
CONCLUSIONS
Efficacy of ILS was more significant than PRP and Placebo but with a higher recurrence rate. Both treatments were extremely safe, with no significant adverse effects.
Assessment of Undergraduate Medical Students Knowledge and Awareness of Fibromyalgia
Authors: Airenakho Emorinken  , Oluwaseun Remi Agbadaola  , Mercy Ofunami Dic-Ijiewere  , Orebowale Olugbemide  , Asuwemhe Johnson Ugheoke  , Patrick Adunbiola  , Onyekachukwu Rhoda Ekwem  
Published: June 2022

BACKGROUND
Despite the increasing prevalence of fibromyalgia, there has been little or no attention to its diagnosis and treatment in the undergraduate medical curriculum. This study intended to assess the knowledge and awareness of fibromyalgia among undergraduate medical students in Nigeria.
METHODS
This was a cross-sectional, descriptive survey conducted from September to December 2021. A total of 175 clinical students participated in the survey. The questionnaire comprised sociodemographic data and questions related to fibromyalgia. A scoring system was developed to stratify knowledge of fibromyalgia into very low, low, average, high, and very high. The level of significance was set at P < 0.05.
RESULTS
Responses were obtained from 175 clinical students with a mean age of 25.14 ± 3.21 years. Most of the participants (38.3 %) had low fibromyalgia knowledge levels. The main sources of information on fibromyalgia were clinical postings (47.1 %) and the internet (37.1 %). Widespread pain (84.6 %), fatigue (74.9 %), sleep disturbance (73.7 %), and joint pain (69.1 %) were the most selected symptoms. About a third (32.6 %) did not know any diagnostic criteria for fibromyalgia. Physical exercise (80.0 %), NSAIDs (77.1%), and prednisolone (66.9 %) were the most selected treatment options. Age (p = 0.045), gender (p = 0.019), class level (p = 0.002), and current clinical posting (p = 0.032) were significantly associated with fibromyalgia knowledge levels.
CONCLUSIONS
This study revealed inadequate fibromyalgia knowledge among Nigerian medical students. This highlights the need to improve the undergraduate medical curriculum to bridge the knowledge gap.
Psychological Considerations in Maxillofacial Prosthesis – A Review
Authors: Surekha R. Godbole  , Dipak M. Shinde  
Published: June 2022

BACKGROUND
The theoretical and analytical work of these authors help identify the variables that the dentist must consider. There is, however, no comprehensive structure that would bring together the various aspects of psychological awareness that are most relevant to patients undergoing maxillofacial prosthetics.
Important psychological factors are involved when disease, injury, or treatment causes significant maxillofacial changes. The assessment of the patient’s behaviour is important for the success of the treatment. It helps in understanding whether the said treatment can be carried out effectively or understood and appreciated by the patient once it is completed. [1] The result for a successful treatment outcome depends upon the prosthodontist making a correct diagnosis and looking out for problems beyond the field of dentistry alone. This is even more important while dealing with patients having orofacial defects as the maxillofacial region is of utmost importance during one’s early development. The oral cavity of the infants is one of the most prominent regions due to most of the developmental changes that occur in early life because of which Freud and other scientists named the first year of life as the “oral stage“.[2]
Fulminant Orbital Myiasis - A Rare Case Report from Central India
Authors: Kavita Anand Dhabarde  , Rohit Parasharam Kende  
Published: June 2022

A 42 year old male farmer presented to eye OPD with a history of painful, foul smelling discharging wound over the lower lid along the inferior orbital margin since two weeks and crawling sensation over the wound with diminution of vision right eye since three days. He gave history of trauma to right eye after falling on sharp edge of stone one month back when he was in a drunken state due to which he had a lacerated wound of about 5cm x 2 cm x 2cm along inferior orbital margin.
The wound was cleaned and dressed only once at a local hospital, however, he neglected the wound and didn’t open the dressing for about next 15 days until he noticed a crawling sensation and maggots teeming from the wound. He denied a history of diabetes mellitus, hypertension or any other chronic systemic disease or any prolonged use of medications, progressive loss of weight or appetite. However, he was a chronic alcoholic. He belonged to low socioeconomic strata with poor personal hygiene and was residing in a rural area.
On presentation, the patient was in agony due to pain. On examination of the right eye, the eyelids were severely oedematous and indurated with severe mechanical ptosis. The lower lid along the inferior orbital rim had a deep open, macerated wound of size about 5cm x 2cm x 2cm, filled with necrotic tissue (slough), discharge and around 5-6 maggots were seen teeming from the wound [Fig. 1]. The skin around the wound was red and friable. On separating the lids gently and mechanically, the conjunctiva was severely congested and chemosed. Unaided visual acuity was 3/60; best-corrected visual acuity could not be assessed as the patient was in agony due to pain. The cornea, anterior chamber and iris were normal. The pupil was normal-sized reacting to light. The eyeball had deviated inwards and ocular movements were painful and restricted in all directions. Lens had immature senile cataract. Intraocular pressure and nasolacrimal passage could not be assessed because of gross lid oedema. Fundus examination of the right eye was within normal limits. On examination of the left eye, unaided visual acuity was 6/18 and best-corrected visual acuity was 6/9. Anterior segment was within normal limits with pupil normally reacting to light and fundus examination was normal.
Five to six superficially lying maggots were removed with the help of turpentine oil and forceps after adequate local anaesthesia. Many more deep-seated maggots were seen but were difficult to remove.
Pancreatic Elastography Predicts Endoscopic Secretin-Pancreatic Function Test Result in Patients With Early Changes of Chronic Pancreatitis: A Prospective, Cross-Sectional, Observational Study
Authors: Iglesias-Garcia Julio , Lariño-Noia Jose , Nieto BSN Laura , Alvarez-Castro Ana , Lojo Santiago , Leal Saul , de la Iglesia-Garcia Daniel , Domínguez-Muñoz J. Enrique 
Published: June 2022

INTRODUCTION:
The endoscopic pancreatic function test (ePFT) has been proposed for the evaluation of patients with suspected early chronic pancreatitis (CP) in the appropriate clinical context, but the cost and duration of the test limit its clinical applicability. Pancreatic secretion decreases as pancreatic fibrosis develops in CP. Pancreatic fibrosis can be quantified by endoscopic ultrasound-elastography (EUS-E). We aim at evaluating whether EUS-E correlates with and could replace ePFT for the evaluation of patients with suspected CP.

METHODS:
A prospective, cross-sectional, and observational study of patients with clinical suspicion of CP and inconclusive EUS findings was conducted. EUS-E and ePFT were performed. Diagnosis of CP was supported if the ePFT result (bicarbonate peak) was abnormally low (<80 mEq/L). Correlation between EUS-E (strain ratio [SR]) and ePFT results was analyzed by linear regression. Diagnostic accuracy of EUS-E for CP was calculated using ePFT as a reference method.

RESULTS:
Sixty-one patients were included and analyzed. The mean peak bicarbonate concentration at the ePFT was 63.8 ± 23.6 mEq/L, and it was abnormally low in 50 patients (82.0%). The mean SR was 3.85 ± 1.24. Correlation between SR and bicarbonate secretion was highly significant (r = 0.715, P < 0.0001). Diagnostic accuracy of EUS-E for CP was 93.4%.

DISCUSSION:
The degree of pancreatic fibrosis as evaluated by EUS-E correlates significantly with the secretin-stimulated pancreatic secretion of bicarbonate in patients with clinical suspicion of CP and inconclusive EUS findings of the disease. EUS-E could replace ePFT for the evaluation of these patients in clinical practice.
The Cardiorenal Connection: Is Cardiac Output the Sole Determinant of Renal Dysfunction in Cirrhosis?
Authors: Wong Florence 
Published: June 2022

Abstract
Hemodynamic abnormalities are the hallmarks of advanced cirrhosis. An increased cardiac output maintains hemodynamic stability until the very late stage of cirrhosis, when the cardiac output starts to fall, which has been attributed to the development of renal dysfunction in these patients. The study by Daniesen showed that cardiac output was increased rather than decreased in patients with hepatorenal syndrome-acute kidney injury, potentially conflicting with previous understanding. It is possible that the authors were only assessing 1 aspect of cardiac dysfunction in a group of patients who were not at the very end stage of cirrhosis. Their unexpected findings will certainly stimulate further research into the role of cardiac dysfunction in the pathogenesis of acute kidney injury in cirrhosis.
Poor Adherence to Medical and Dietary Treatments in Adult Patients With Eosinophilic Esophagitis
Authors: Haasnoot Maria L. , Safi Salma , Bredenoord Albert J. 
Published: June 2022

INTRODUCTION:
To investigate the adherence to prescribed medical and dietary maintenance treatments in a cohort of adult patients with eosinophilic esophagitis (EoE) and to identify associated factors.

METHODS:
In this cross-sectional study, adult patients with EoE who were prescribed medical or dietary maintenance therapy were included. Patients were asked to complete questionnaires concerning treatment adherence (Medication Adherence Rating Scale), beliefs about treatment (Beliefs about Medicine Questionnaire), beliefs about disease (Illness Perception Questionnaire), and current symptoms (Straumann Dysphagia Index).

RESULTS:
A total of 177 patients with EoE (71% males) were included, with a median age of 43 years. The overall prevalence of poor adherence to prescribed treatments (Medication Adherence Rating Scale < 21 or Diet Adherence Rating Scale < 21) in this cohort was high, being 41.8%. Medically treated patients seemed less adherent to prescribed treatment compared with patients prescribed a diet (35.1% vs 41.8%, P = 0.320). Multivariate logistic regression analyses identified the following independent factors associated with poor treatment adherence: age <40 years (odds ratio [OR] 2.571, 95% CI 1.195–5.532, P = 0.016), longer disease duration in years (OR 1.130, 95% CI 1.014–1.258, P = 0.027), severe symptoms (Straumann Dysphagia Index) (OR 1.167, 95% CI 1.012–1.345, P = 0.034), and low necessity beliefs (OR 4.423, 95% CI 2.169–9.016, P < 0.001).

DISCUSSION:
Adherence to maintenance treatment is poor in many adult patients with EoE. Clinicians should pay more attention to treatment adherence, particularly in younger patients, and discuss the necessity of treatment.
Development of Achalasia in a Patient With Chronic Intestinal Pseudo-Obstruction
Authors: Kwon Joshua , Koop Andree , Francis Dawn 
Published: June 2022

ABSTRACT
Development of concurrent achalasia and chronic intestinal pseudo-obstruction (CIPO) is rare, although esophageal dysmotility is common in patients with CIPO and may suggest worse clinical outcomes. We present a case of a 63-year-old man with a 15-year history of CIPO who developed postprandial regurgitation, vomiting, and dysphagia and was diagnosed with achalasia through radiographic and endoscopic findings. This is only the third case in the reported literature that involves both conditions. Rather than representing 2 separate disorders, CIPO and achalasia may instead represent neurogenic variants of 1 underlying condition affecting the myenteric plexus.
From Prosperity to Deadlock: What’s Wrong with Financial Supervision on Robo-Advisors in China
Authors: Di Xingsi 
Published: June 2022

Abstract
Robo-advisors in China improved rapidly at beginning due to low market access standards and limited financial regulations. Since 2016, regulators worked out with various measures to promote the industry. However, statistics proved robo-advisory industry in China turned out to be less prosperous after that. Though it may result from complex reasons, one of which turns out to be a side effect of financial supervision. The research figures out risks for robo-advisors to breach compliance requirements and the dilemmas they are facing. Chinese regulators apply a financial inclusive strategy and penetrative supervision, but it impedes innovation to some extents. Judicialization of supervision is another problem. To solve this deadlock, making products more abundant may be the first step, and further legal steps should be adopted, such as advocating technology-driven regulatory innovation, making clear fiduciary duties, facilitating accurate supervision and risks prediction, and establishing a comprehensive regulatory structure.