bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of and factors associated with dental service utilization among early elderly in Lithuania
Authors: Drachev Sergei N. , Puriene Alina , Aleksejuniene Jolanta , Stankeviciene Indre , Stangvaltaite-Mouhat Lina 
Published: January 2022

Abstract
Background
There is no recent information about dental service utilization (DSU) among elderly in Lithuania. We examined DSU and its associated factors in Lithuanian early elderly based on the Andersen’s behavioural model.

Methods
The cross-sectional study conducted in 2017–2019 included a nationally representative stratified sample of 370 Lithuanian early elderly aged 65–74 years (response rate of 54.5%). Information on predisposing factors (age, sex, nationality and education), enabling factor (residence), need-based factors (status of teeth, oral pain or discomfort, and dry mouth), general health, personal health practices and perceived stress was obtained from a structured, self-administered questionnaire. Clinically-assessed need-based factors included number of missing teeth and dental treatment need. Multivariable Poisson regression with robust variance estimates was used.

Results
A total of 239 study participants (64.6%) reported a dental visit during the last year and 338 (91.4%) needed dental treatments. A higher level of education (adjusted prevalence ratio [aPR] = 1.21, 95% confidence interval [CI]:1.04–1.40), pain or discomfort in teeth/mouth (aPR = 1.35, 95%CI: 1.13–1.62) and lower number of missing teeth (aPR = 0.99, 95%CI: 0.98–1.00) were associated with DSU.

Conclusions
Even though majority of early elderly needed dental treatments, only two-thirds visited a dentist during the last year. Predisposing and need-based factors were significant predictors of having a dental visit in the last year. A national oral health program for Lithuanian elderly with the focus on regular preventive dental check-ups is needed. More studies, both quantitative and qualitative, are warranted to investigate in depth the barriers for DSU among elderly in Lithuania.
Co-development of a transitions in care bundle for patient transitions from the intensive care unit: a mixed-methods analysis of a stakeholder consensus meeting
Authors: Rosgen Brianna K. , Plotnikoff Kara M. , Krewulak Karla D. , Shahid Anmol , Hernandez Laura , Sept Bonnie G. , Morrissey Jeanna , Robertson Kristin , Fraser Nancy , Niven Daniel J. , Straus Sharon E. , Leigh Jeanna Parsons , Stelfox Henry T. , Fiest Kirsten M. 
Published: January 2022

Abstract
Background
Intensive care unit (ICU) patients undergoing transitions in care are at increased risk of adverse events and gaps in medical care. We evaluated existing patient- and family-centered transitions in care tools and identified facilitators, barriers, and implementation considerations for the application of a transitions in care bundle in critically ill adults (i.e., a collection of evidence-based patient- and family-centred tools to improve outcomes during and after transitions from the intensive care unit [ICU] to hospital ward or community).

Methods
We conducted a concurrent mixed methods (quan + QUAL) study, including stakeholders with experience in ICU transitions in care (i.e., patient/family partners, researchers, decision-makers, providers, and other knowledge-users). First, participants scored existing transitions in care tools using the modified Appraisal of Guidelines, Research and Evaluation (AGREE-II) framework. Transitions in care tools were discussed by stakeholders and either accepted, accepted with modifications, or rejected if consensus was achieved (≥70% agreement). We summarized quantitative results using frequencies and medians. Second, we conducted a qualitative analysis of participant discussions using grounded theory principles to elicit factors influencing AGREE-II scores, and to identify barriers, facilitators, and implementation considerations for the application of a transitions in care bundle.

Results
Twenty-nine stakeholders attended. Of 18 transitions in care tools evaluated, seven (39%) tools were accepted with modifications, one (6%) tool was rejected, and consensus was not reached for ten (55%) tools. Qualitative analysis found that participants’ AGREE-II rankings were influenced by: 1) language (e.g., inclusive, balance of jargon and lay language); 2) if the tool was comprehensive (i.e., could stand alone); 3) if the tool could be individualized for each patient; 4) impact to clinical workflow; and 5) how the tool was presented (e.g., brochure, video). Participants discussed implementation considerations for a patient- and family-centered transitions in care bundle: 1) delivery (e.g., tool format and timing); 2) continuity (e.g., follow-up after ICU discharge); and 3) continuous evaluation and improvement (e.g., frequency of tool use). Participants discussed existing facilitators (e.g., collaboration and co-design) and barriers (e.g., health system capacity) that would impact application of a transitions in care bundle.

Conclusions
Findings will inform future research to develop a transitions in care bundle for transitions from the ICU, co-designed with patients, families, providers, researchers, decision-makers, and knowledge-users.
Co-establishing an infrastructure for routine data collection to address disparities in infant mortality: planning and implementation
Authors: Fareed Naleef , Swoboda Christine M. , Lawrence John , Griesenbrock Tyler , Huerta Timothy 
Published: January 2022

Abstract
Background
Efforts to address infant mortality disparities in Ohio have historically been adversely affected by the lack of consistent data collection and infrastructure across the community-based organizations performing front-line work with expectant mothers, and there is no established template for implementing such systems in the context of diverse technological capacities and varying data collection magnitude among participating organizations.

Methods
Taking into account both the needs and limitations of participating community-based organizations, we created a data collection infrastructure that was refined by feedback from sponsors and the organizations to serve as both a solution to their existing needs and a template for future efforts in other settings.

Results
By standardizing the collected data elements across participating organizations, integration on a scale large enough to detect changes in a rare outcome such as infant mortality was made possible. Datasets generated through the use of the established infrastructure were robust enough to be matched with other records, such as Medicaid and birth records, to allow more extensive analysis.

Conclusion
While a consistent data collection infrastructure across multiple organizations does require buy-in at the organizational level, especially among participants with little to no existing data collection experience, an approach that relies on an understanding of existing barriers, iterative development, and feedback from sponsors and participants can lead to better coordination and sharing of information when addressing health concerns that individual organizations may struggle to quantify alone.
Co-designing implementation strategies for the WALK-Cph intervention in Denmark aimed at increasing mobility in acutely hospitalized older patients: a qualitative analysis of selected strategies and their justifications
Authors: Kirk Jeanette Wassar , Nilsen Per , Andersen Ove , Powell Byron J. , Tjørnhøj-Thomsen Tine , Bandholm Thomas , Pedersen Mette Merete 
Published: January 2022

Abstract
Background
Selecting appropriate strategies to target barriers to implementing interventions represents a considerable challenge in implementation research and practice. The aim was to investigate what categories of implementation strategies were selected by health care practitioners and their managers in a co-design process and how they justified these strategies aimed at facilitating the implementation of the WALK-Cph intervention.

Methods
The study used a qualitative research design to explore what implementation strategies were selected and the justifications for selecting these strategies. Workshops were used because this qualitative method is particularly well suited for studying co-design processes that involve substantial attention to social interaction and the context. Data were 1) analyzed deductively based on the Proctor et al. taxonomy of implementation strategies, 2) categorized in accordance with the ERIC compilation of implementation strategies by Powell et al., and 3) analyzed to examine the justification for the selected strategies by the Proctor et al. framework for justifications of implementation strategies.

Results
Thirteen different types of implementation strategies were chosen across two hospitals. The deductive analysis showed that selection of implementation strategies was based on pragmatic and theoretical justifications. The contents of the two types of justifications were thematized into nine subthemes.

Conclusion
This study contributes with knowledge about categories and justification of implementation strategies selected in a co-design process. In this study, implementation strategies were selected through pragmatic and theoretical justifications. This points to a challenge in balancing strategies based on practice-based and research-based knowledge and thereby selection of strategies with or without proven effectiveness.
Evaluating Organizational Performance of Public Hospitals using the McKinsey 7-S Framework
Authors: Chmielewska Malgorzata , Stokwiszewski Jakub , Markowska Justyna , Hermanowski Tomasz 
Published: January 2022

Abstract
Background
This study examined non-financial aspects of the organizational performance of public hospitals from the perspective of hospital physicians; the obtained results were analyzed to identify the necessary improvements in organizational performance.

Methods
This was a cross-sectional study of multidisciplinary public hospitals on a group of 249 randomly selected physicians from 22 in-patient departments or clinics operating in the Warsaw region. The study data was collected using the structured World Health Organization questionnaires (to be filled out by respondents) assessing the hospital’s organizational performance variables qualified according to the McKinsey 7-S Framework.
Epidata software version 3.1 was used for data entry, and the analysis was carried out in the SPSS software, version 19. The results of the organization evaluation are presented in the McKinsey 7-S Framework diagram. Key elements of the performance factors were grouped into ‘stens’, and the sten values were expressed as arithmetic means. Normal distribution of the stens was validated with the Kolmogorov–Smirnov test. 95% confidence intervals were calculated. The significance of differences between the analyzed stens was compared with the paired Student t-test. The interdependence of the variables was determined using the Pearson’s correlation coefficient.

Results
The results revealed a significant difference (p <0.05) in the respondents’ assessment of social (a mean score of 2.58) and technical (a mean score of 2.80) organizational aspects of the hospital operation. Scores for all variables were low. The social elements of an organization with the lowest score included ‘staff’, and in it the aspect – ‘efforts are made to inspire employees at the lowest levels of the organization’, ‘skills’ involving the learning style followed by the management/managerial staff, and ‘management style’ (average scores of 2.38, 2.56, 2.61, respectively).

Conclusion
Consistently with the existing literature, social factors were shown to play a more significant role in the management and they therefore deserve careful attention and more recognition when identifying and improving the key aspects affecting the organizational performance of public hospitals. Technical elements (strategy, structure, system) are important, but were demonstrated to have limited effect on the organizational operations geared towards ensuring effective functioning of a public hospital.
Stevia and Uncaria extract (GlucoMedix®) reduces glucose levels and the need for medications in type 2 diabetes: an open label case series of six patients
Authors: Dooley Thomas P. , Pérez Johnny Martín Paredes , Rodriquez Carlos Rengifo 
Published: January 2022

Abstract
Background
GlucoMedix® is an all-natural phytotherapy consisting of a hydro-alcoholic extract of Stevia rebaudiana (Bertoni) Bertoni and pentacyclic chemotype Uncaria tomentosa (Willd. Ex Schult.) DC. The nutraceutical product has potential for the treatment of hyperglycemia in type 2 diabetes and Metabolic Syndrome.

Methods
Six adult Hispanic type 2 diabetic patients were included in an outpatient retrospective open label physician-sponsored case series study. GlucoMedix® extract of Stevia plus pentacyclic chemotype Uncaria was administered orally at doses of 2 ml, diluted in water, two or three times daily. The patients’ blood glucose levels were recorded historically, at baseline, and thereafter while taking GlucoMedix® orally.

Results
When treated with GlucoMedix®, with or without coincident advice to modify diet, all six patients manifested reductions in blood glucose levels. At baseline four of the six patients were administering one or more prescription treatments for hyperglycemia, e.g., Glibenclamide, Metformin, Vildagliptin, or Insulin. Two patients displayed substantial reductions in glucose of 50 and 70 mg/dl, and in conjunction with the removal of their prior drug treatments of Glibenclamide plus Metformin or of Vildagliptin. An Insulin-treated patient experienced a 50 mg/dl reduction while ceasing Metformin and was subsequently able to reduce the dose of Insulin by half. Thus, in three patients GlucoMedix® abrogated in whole or in part the requirement for pharmaceutical or biologic therapies to achieve substantial beneficial reductions in glycemic levels.

Conclusions
In this proof-of-principle study oral GlucoMedix® was an effective treatment for hyperglycemia in type 2 diabetic individuals. This all-natural phytotherapy can be used beneficially in conjunction with existing pharmaceutical or biological therapy regimens, and in some cases can replace in whole or in part the requirement for pharmaceutical or biologic therapies. These in-life results suggest that this natural product approach can serve as an alternative to prescription monotherapies or multimodal therapies for the regulation of hyperglycemia.
A projection-domain iterative algorithm for metal artifact reduction by minimizing the total-variation norm and the negative-pixel energy
Authors: Zeng Gengsheng L. 
Published: January 2022

AbstractMetal objects in X-ray computed tomography can cause severe artifacts. The state-of-the-art metal artifact reduction methods are in the sinogram inpainting category and are iterative methods. This paper proposes a projection-domain algorithm to reduce the metal artifacts. In this algorithm, the unknowns are the metal-affected projections, while the objective function is set up in the image domain. The data fidelity term is not utilized in the objective function. The objective function of the proposed algorithm consists of two terms: the total variation of the metal-removed image and the energy of the negative-valued pixels in the image. After the metal-affected projections are modified, the final image is reconstructed via the filtered backprojection algorithm. The feasibility of the proposed algorithm has been verified by real experimental data.
Metro Transport Corporations:
Authors: Chieppo Charles , Giglio Joseph 
Published: January 2022

Urban mobility revolution is transforming and traditional transportation agencies may be ill-equipped to oversee the changes. Even before the COVID-19 pandemic, U.S. transit ridership was down as more people in metropolitan areas chose the convenience of options like Uber and Lyft. The apparent durability of working from home has exacerbated both fiscal and equity challenges for transit.
Meanwhile, vehicle travel is already ahead of pre-pandemic levels in 15 states. The combination of reduced transit ridership and more cars threatens to worsen the challenges posed by climate change.
Consumers have demonstrated their preference for the convenience new technologies provide. But the skills and capabilities of traditional urban transit agencies do not foster innovation. We propose that urban mobility be overseen by “Metro Transport Corporations,” public-private partnerships that combine the accountability of government with the entrepreneurial and technology-savvy influence of the private sector to address equity and sustainability challenges while driving superior customer service.
REVİZE ULUSLARARASI ENTEGRE RAPORLAMA ÇERÇEVESİ KAPSAMINDA BANKACILIK SEKTÖRÜNDE COVİD-19 PANDEMİSİNE İLİŞKİN VERİLERİN ANALİZİ
Authors: ÖKTEM Recep , ÖKTEM Begüm 
Published: January 2022

Entegre raporlama kavramı paydaşların finansal raporların yanı sıra finansal olmayan raporlara da ihtiyaç duymasıyla 1990’lı yıllarda ortaya çıkmıştır. Aralık/ 2013 yılında entegre raporun tanımı, amacı ve kapsamı, sermaye ögeleri, değer yaratılması, kılavuz ilkeler ve içerik ögelerine ilişkin bir çerçeve sunan Uluslararası Entegre Raporlama Çerçevesi yayınlanmış ve Ocak/ 2021 yılında revize edilmiştir.
Mart /2020 yılında ise tüm dünyayı etkisini altına alan Covid-19 pandemisi ile başta sağlık sektörü olmak üzere turizm, eğitim, gıda sektörü gibi sektörler de olumsuz etkilenmiştir. Ekonomik dengenin bozulması ile bankalar kredi destek paketleri sunarak pandemi sürecinde aktif rol oynamıştır.
Bu nedenlerle çalışmada öncelikle revize IIRC (Ocak/ 2021) değerlendirilmiş, önceki sürüm (Aralık /2013) ile farklılıklar özetlenmiştir. Ardından ülkemizde bankaların yayınladıkları entegre raporların Covid-19 verilerine içerik analizi yapılmıştır. Bankaların entegre raporlarında kılavuz ilkeler ve içerik ögeleri kapsamında Covid-19 pandemisi değerlendirilerek çalışma sonlandırılmıştır.
Liberal Feminism: Emphasizing Individualism and Equal Rights in Meena Kandasamy’s When I Hit You
Authors: Sangeetha J. , Mohan S. , Kannan R. 
Published: January 2022

Liberal feminism is the emerging mainstream feminism that spotlights gender inequality and women’s liberation within the context of liberal democracy. The aim of the study focuses on the perspectives of liberal feminism using prominent ideas of liberal thinkers in Meena Kandasamy’s award-winning novel When I Hit You: Or, A Portrait of the Writer as a Young Wife (2017). The methodology of the study includes concepts of liberal feminism in the text, and it is substantiated and explored using the ideologies of notable liberal thinkers such as Mary Wollstonecraft’s A Vindication of the Rights of Women, Betty Friedan’s The Feminine Mystique and John Stuart Mill’s On Liberty and The Subjection of Women. The protagonist’s transition from a submissive to a self-liberated persona strengthens the novel’s credibility as a liberal feminist text. The paper also attempts to show that the concepts of liberal feminism very well appear in the selected text.
Saudi EFL Learners’ FLA: Levels, Causes, Gender, and Impact on Academic Performance
Authors: Alsalooli Rahaf A. , Al-Tale Mazeegha A. 
Published: January 2022

As a common psycholinguistic barrier that hinders EFL learning, Foreign Language Anxiety (FLA) has become an important study area in EFL learning and teaching. This study investigated the level and causes of FLA among 69 first-year EFL learners at Bisha University in Saudi Arabia. The influence of gender on the level of FLA was also examined. Moreover, the study examined the impact of FLA on the participants' language achievement. The researchers utilized a modified version of the Foreign Language Classroom Anxiety Scale (FLCAS). The Statistical Package for the Social Sciences (SPSS) and Microsoft Excel were used to analyse the data. The results showed that most learners typically had a moderate level of FLA caused by communication apprehension and fears related to negative feedback and language tests. The results also revealed that gender does not affect the level of FLA. In addition, the results indicated that high levels of FLA among learners had a significant impact on their performance. Based on these findings, this study provided recommendations for teachers to mitigate the causes of FLA.
Metaphor Analysis in Political Discourse Based on Discourse Dynamics Framework for Metaphor: A Case Study
Authors: Huang Chunfang 
Published: January 2022

Contrary to the pre-existing mapping and top-down instantiation from thought to language, Discourse Dynamics Framework for Metaphor(DDFM)argues that metaphor works mainly inductively upwards from the linguistic metaphor data, offering a tool for understanding people, revealing something of speaker’s ideas, affective aspects and values. This study is designed to apply DDFM to a political speech about fighting COVID-19 made by Xi Jinping, the president of the People’s Republic of China. Assisted by computer software, such as tables of Microsoft Office, to sort metaphors of each segment of this speech, this article investigates metaphors in the speech by progressive process of metaphor analysis of DDFM. It is found that: (1)The most frequently occurring metaphors are related to bodily action and body experience, which implies actions Chinese government will take.(2)The dynamically emergent systematic metaphors evolve as the discourse proceeds, conveying the political ideas and attitudes of Chinese government in fighting COVID-19.(3) Most of metaphors are conventionalized, which indicates the framing role of conventional metaphors in discourse. Thus, DDFM offers a new approach regarding metaphors in political discourse.
Cyber-animism: the art of being alive in hybrid society
Authors: Arshinov V. I. , Grimov O. A. , Chekletsov V. V. 
Published: January 2022

The boundaries of social acceptance and models of convergence of human and non-human (for example, subjects of artificial intelligence) actors of digital reality are defined.The constructive creative possibilities of convergent processes in distributed neural networks are analyzed from the point of view of possible scenarios for building “friendly” human-dimensional symbioses of natural and artificial intelligence. A comprehensive analysis of new management challenges related to the development of cyber-physical and cybersocial systems is carried out.A model of social organizations and organizational behavior in the conditions of cyberphysical reality is developed.The possibilities of reconciling human moral principles and “machine ethics” in the processes of modeling and managing digital reality are studied. The significance of various concepts of digital, machine and cyber-anymism for the socio-cultural understanding of the development of modern cyber-physical technologies, the anthropological dimension of a smart city is revealed. The article introduces the concept of hybrid society and shows the development of its models as self-organizing collective systems that consist of co-evolving biohybrid and socio-technical spheres. The importance of modern anthropogenic research for sustainable development is analyzed. The process of marking ontological boundaries between heterogeneous modalities in the digital world is investigated. Examples of acute social contexts that are able to set the vector of practical philosophy in the modern digital era are considered.