bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perception of the use of a telephone interpreting service during primary care consultations: A qualitative study with allophone migrants
Authors: Jaiteh Maïmouna , Cormi Clément , Hannetel Louise , Mir Jean-Paul , Leaune Edouard , Sanchez Stéphane 
Published: March 2022

Objectives
The language barrier prevents allophone migrant patients from accessing healthcare when arriving in a country, and interpreters are often needed to help them to be understood. This study aimed to understand perceptions and experiences of allophone migrant patients who used a telephone-interpreting service during primary care consultations.

Study design
A qualitative study using semi-structured interviews was undertaken between September 2019 and January 2020. Interviews were transcribed and analysed using thematic analysis framework.

Setting
Allophone migrant patients from an accommodation centre for asylum-seekers who used a telephone-interpreting service during primary care consultations with a general practitioner.

Participants
A purposive sample of allophone migrant patients (n = 10).

Results
From the semi-structured interviews, we identified three themes: (1) multi-level difficulties of being an allophone migrant in the primary care pathway (i.e., before, during, and after the consultation); (2) the key role of the interpreter in the doctor-patient relationship, participating in improving the patient’s management by establishing a climate of trust between the two; and (3) advantages and limitations of the TIS. However, even if a telephone-interpreting service is very helpful, allowing quick access to interpreters speaking the allophone patient’s native language, certain situations would require the interpreter to see the patient to better guide the doctor during the consultation.

Conclusion
Telephone-interpreting services enable improving communication and comprehension between allophone migrant patients and doctors. Nevertheless, the interpreter may sometimes need to physically see the patient to better guide the doctor. To do so, interpreting services using videoconferencing deserve wider development.
Perioperative magnetic resonance imaging in breast cancer care: Distinct adoption trajectories among physician patient-sharing networks
Authors: Xu Xiao , Soulos Pamela R. , Herrin Jeph , Wang Shi-Yi , Pollack Craig Evan , Killelea Brigid K. , Forman Howard P. , Gross Cary P. 
Published: March 2022

Background
Despite no proven benefit in clinical outcomes, perioperative magnetic resonance imaging (MRI) was rapidly adopted into breast cancer care in the 2000’s, offering a prime opportunity for assessing factors influencing overutilization of unproven technology.

Objectives
To examine variation among physician patient-sharing networks in their trajectory of adopting perioperative MRI for breast cancer surgery and compare the characteristics of patients, providers, and mastectomy use in physician networks that had different adoption trajectories.

Methods and findings
Using the Surveillance, Epidemiology, and End Results-Medicare database in 2004–2009, we identified 147 physician patient-sharing networks (caring for 26,886 patients with stage I-III breast cancer). After adjusting for patient clinical risk factors, we calculated risk-adjusted rate of perioperative MRI use for each physician network in 2004–2005, 2006–2007, and 2008–2009, respectively. Based on the risk-adjusted rate, we identified three distinct trajectories of adopting perioperative MRI among physician networks: 1) low adoption (risk-adjusted rate of perioperative MRI increased from 2.8% in 2004–2005 to 14.8% in 2008–2009), 2) medium adoption (8.8% to 45.1%), and 3) high adoption (33.0% to 71.7%). Physician networks in the higher adoption trajectory tended to have a larger proportion of cancer specialists, more patients with high income, and fewer patients who were Black. After adjusting for patients’ clinical risk factors, the proportion of patients undergoing mastectomy decreased from 41.1% in 2004–2005 to 38.5% in 2008–2009 among those in physician networks with low MRI adoption, but increased from 27.0% to 31.4% among those in physician networks with high MRI adoption (p = 0.03 for the interaction term between trajectory group and time).

Conclusions
Physician patient-sharing networks varied in their trajectory of adopting perioperative MRI. These distinct trajectories were associated with the composition of patients and providers in the networks, and had important implications for patterns of mastectomy use.
Quality of care in a differentiated HIV service delivery intervention in Tanzania: A mixed-methods study
Authors: Okere Nwanneka Ebelechukwu , Meta Judith , Maokola Werner , Martelli Giulia , van Praag Eric , Naniche Denise , Gomez Gabriela B. , Pozniak Anton , Rinke de Wit Tobias , de Klerk Josien , Hermans Sabine 
Published: March 2022

Background
Differentiated service delivery (DSD) offers benefits to people living with HIV (improved access, peer support), and the health system (clinic decongestion, efficient service delivery). ART clubs, 15–30 clients who usually meet within the community, are one of the most common DSD options. However, evidence about the quality of care (QoC) delivered in ART clubs is still limited.

Materials and methods
We conducted a concurrent triangulation mixed-methods study as part of the Test & Treat project in northwest Tanzania. We surveyed QoC among stable clients and health care workers (HCW) comparing between clinics and clubs. Using a Donabedian framework we structured the analysis into three levels of assessment: structure (staff, equipment, supplies, venue), processes (time-spent, screenings, information, HCW-attitude), and outcomes (viral load, CD4 count, retention, self-worth).

Results
We surveyed 629 clients (40% in club) and conducted eight focus group discussions, while 24 HCW (25% in club) were surveyed and 22 individual interviews were conducted. Quantitative results revealed that in terms of structure, clubs fared better than clinics except for perceived adequacy of service delivery venue (94.4% vs 50.0%, p = 0.013). For processes, time spent receiving care was significantly more in clinics than clubs (119.9 vs 49.9 minutes). Regarding outcomes, retention was higher in the clubs (97.6% vs 100%), while the proportion of clients with recent viral load <50 copies/ml was higher in clinics (100% vs 94.4%). Qualitative results indicated that quality care was perceived similarly among clients in clinics and clubs but for different reasons. Clinics were generally perceived as places with expertise and clubs as efficient places with peer support and empathy. In describing QoC, HCW emphasized structure-related attributes while clients focused on processes. Outcomes-related themes such as improved client health status, self-worth, and confidentiality were similarly perceived across clients and HCW.

Conclusion
We found better structure and process of care in clubs than clinics with comparable outcomes. While QoC was perceived similarly in clinics and clubs, its meaning was understood differently between clients. DSD catered to the individual needs of clients, either technical care in the clinic or proximate and social care in the club. Our findings highlight that both clinic and DSD care are required as many elements of QoC were individually perceived.
Persistence on oral pre-exposure prophylaxis (PrEP) among female sex workers in eThekwini, South Africa, 2016–2020
Authors: Rao Amrita , Mhlophe Hlengiwe , Comins Carly , Young Katherine , Mcingana Mfezi , Lesko Catherine , Mulumba Ntambue , Baral Stefan , Hausler Harry , Schwartz Sheree 
Published: March 2022

Background
Despite the established efficacy of PrEP to prevent HIV and the advantages of a user-controlled method, PrEP uptake and persistence by women in both trials and demonstration projects has been suboptimal. We utilized real-world data from an HIV service provider to describe persistence on oral PrEP among female sex workers (FSW) in eThekwini, South Africa.

Methods
We examined time from PrEP initiation to discontinuation among all FSW initiating PrEP at TB HIV Care in eThekwini between 2016–2020. We used a discrete time-to-event data setup and stacked cumulative incidence function plots, displaying the competing risks of 1) not returning for PrEP, 2) client discontinuation, and 3) provider discontinuation. We calculated hazard ratios using complementary log-log regression and sub-hazard ratios using competing risks regression.

Results
The number of initiations increased each year from 155 (9.3%, n = 155/1659) in 2016 to 1224 (27.5%, n = 1224/4446) in 2020. Persistence 1-month after initiation was 53% (95% CI: 51%-55%). Younger women were more likely to discontinue PrEP by not returning compared with those 25 years and older. Risk of discontinuation through non-return declined for those initiating in later years. Despite the COVID-19 pandemic, a greater number of initiations and sustained persistence were observed in 2020.

Conclusions
Low levels of PrEP persistence were observed, consistent with data among underserved women elsewhere. Encouragingly, the proportion of women persisting increased over time, even as the number of women newly initiating PrEP and staff workload increased. Further research is needed to understand which implementation strategies the program may have enacted to facilitate these improvements and what further changes may be necessary.
Educação superior na América Latina em tempos de crise
Authors: Gomes Suzana dos Santos , Melo Savana Diniz Gomes , Zurita Felipe 
Published: March 2022

A Educação Superior enfrenta novos desafios na contemporaneidade. A Universidade formada pela diversidade de concepções e perspectivas vem sofrendo inúmeras reformas e pressões que colocam em questão sua identidade histórica, suas finalidades e o sentido do trabalho docente. As soluções e diretrizes presentes nas políticas educacionais em curso nas esferas global e nacional são empreendidas como uma das respostas para superação da crise econômica e estão orientadas por uma perspectiva mercadológica e neoliberal que funda um novo paradigma para a universidade. Coerente com essa perspectiva, este artigo apresenta o dossiê Educação Superior na América Latina em Tempos de Crise e aborda algumas das temáticas relevantes desse campo de estudos no Brasil, Chile e Peru, entre eles, políticas educacionais; educação a distância; financiamento; avaliação; trabalho e carreira docente e internacionalização. Cada um deles, à seu modo, põe em questão formas tradicionais e conservadoras de organizar a Educação Superior no país estudado, dando sinais para as análises do tema em outros países da região. Os artigos que compõe o dossiê evidenciam que a Educação Superior está imersa em um cenário complexo, de rápidas mudanças, que trazem repercussões para o futuro da universidade e do trabalho docente.
New records of marine macroalgae for the Azores
Authors: Neto Ana I. , Cacabelos Eva , Prestes Afonso C. L. , Díaz-Tapia Pilar , Moreu Ignacio 
Published: March 2022

Abstract
The present study adds 19 species (15 Rhodophyta, one Chlorophyta and three Ochrophyta) to the Azorean marine macroalgal flora, increasing the current total of species recorded in this region to 521 (349 Rhodophyta, 76 Chlorophyta and 96 Ochrophyta), and showing that this isolated island group supports a relatively rich marine macroalgal flora. Some species fall within their known overall distributional range, whereas other found here represent a northern or southern extension to their known distribution in the Atlantic. Three species (Antithamnionella elegans, Gymnophycus hapsiphorus and Scytosiphon dotyi) are probable introductions to the Azores, whereas Melanothamnus pseudoforcipatus has an uncertain status. Six of the newly reported species were found as components of the intertidal algal turf samples, which justifies the need for continuing to examine turf samples as new discoveries can be anticipated.
Trip generation modeling for a selected sector in Baghdad city using the artificial neural network
Authors: Lafta Safa Ali , Ismael Mohammed Qadir 
Published: March 2022

AbstractThis study is planned with the aim of constructing models that can be used to forecast trip production in the Al-Karada region in Baghdad city incorporating the socioeconomic features, through the use of various statistical approaches to the modeling of trip generation, such as artificial neural network (ANN) and multiple linear regression (MLR). The research region was split into 11 zones to accomplish the study aim. Forms were issued based on the needed sample size of 1,170. Only 1,050 forms with responses were received, giving a response rate of 89.74% for the research region. The collected data were processed using the ANN technique in MATLAB v20. The same database was utilized to develop the model of multiple linear regression (MLR) with the stepwise regression technique in the SPSS v25 software. The results indicate that the model of trip generation is related to family size and composition, gender, students’ number in the family, workers’ number in the family, and car ownership. The ANN prediction model is more accurate than the MLR predicted model: the average accuracy (AA) was 83.72% in the ANN model but only 72.46% in the MLR model.
Technical description of the radiological safety system for X-ray absorption spectroscopy experiments on radioactive samples at the Rossendorf Beamline
Authors: Funke H. , Bernhard G. , Claussner J. , Jansen K. , Matz W. , Nitsche H. , Oehme W. , Reich T. , Röllig D. 
Published: March 2022

Abstract
The Rossendorf Beamline at the European Synchrotron Radiation Facility is equipped with a unique radiochemistry experimental station. This dedicated station has been designed to perform environmentally relevant experiments on radionuclides, in particular actinides, using synchrotron based X-ray absorption fine structure spectroscopy. The technical concepts and the layout of this experimental station, where radioactive solids and liquids with activities of up to 185 MBq can be studied, are presented. The radiological safety of experimenters, equipment, and of the environment are ensured by the specially developed radiochemistry safety system. The multibarrier concept, the ventilation and air monitoring systems, the radiological protection system, and special software components for recording and visualisation of the safety status are described in detail.
Most significant ageing problems actually experienced and mitigating solutions implemented for WWER primary equipment
Authors: Banyuk G. F. , Dragunov Yu. G. , Piminov V. A. , Ryzhov S. B. , Kurakov Yu. A. 
Published: March 2022

Abstract
The present paper deals with the consideration of cases of degradation of the basic equipment (reactor pressure vessels and steam generators') of WWER-440 and WWER-1000 reactor plants, the degradation mitigation measures on the equipment of operating reactor plants as well on equipment being manufactured for newly designed reactor plants.
Plant life management: an integral part of operation and maintenance policy
Authors: Faidy C. , Hutin J.-P. 
Published: March 2022

Abstract
Electricité de France is now operating 58 PWR nuclear power plants that produce 75 % of electricity in France. Besides maintaining safety and availability on a routine basis, it is outmost important to protect the investment. That is the reason why EDF is devoting important resources to implement ageing management concern as an integral part of operation and maintenance programs (for example through appropriate data collection and analysis, specific repair and replacement projects and important anticipation efforts, taking in account the high level of standardisation of the units). A particular organisation has been set up to continuously observe and analyse all activities so as to make sure that ageing concern is correctly taken in account in strategies and that no decisions are susceptible to impair plant lifetime. This “lifetime program” is paying attention to technical issues associated with main components but is also dealing with issues related to economics and industry situation.
Arsenic in drinking water and kidney cancer: a systematic review
Authors: Jaafarzadeh Nematollah , poormohammadi Ali , Almasi Halime , Ghaedrahmat Zeinab , Rahim Fakher , Zahedi Amir 
Published: March 2022

Abstract

Object
Arsenic as a chemical is found in rock, soil, air and used in various industries and their products, such as colors, hairs, and fertilizers. Humans may be exposed to arsenic mainly through food and drinking water. Due to its adverse health effects, its presence in drinking water has become a public health concern.

Methods
In this systematic review, we investigated the relationship between arsenic concentration in drinking water and the risk of kidney cancer in humans. For this reason, various electronic databases were searched from 1992 February to November 2021. In this review, three ecological studies, two case-control studies, and four cohort studies were investigated.

Results
High levels of arsenic (100 μg/L) have been reported in many countries such as southwest Taiwan, Niigata, Argentine, and northern Chile. A significant relationship was observed between kidney cancer incidence and its mortality rate with high arsenic levels in drinking water.

Conclusions
Despite the limitations in some previous studies, reviewing and comparing the data of different regions indicates a scientific relationship between kidney cancer incidence and high concentrations of arsenic in drinking water.
Sein und Schein (bei Wittgenstein)
Authors: Raatzsch Richard 
Published: March 2022

Abstract

Reality and Appearance (in Wittgenstein). At the beginning of On Certainty, as its second entry, Wittgenstein makes a remark according to which the fact that something appears to me, or to all of us, to be so and so does not entail the fact that it is so and so. This looks like a straightforward philosophical claim made by Wittgenstein. This claim fits into a family of views on the nature of the relation between appearance and reality which in turn is related to a family of views concerning the nature of belief, knowledge and certainty. However, it is common experience with Wittgenstein’s remarks that what appears to be a straightforward philosophical claim is actually no such thing. The essay follows that experience to a point where it becomes unclear what the remark about appearance and reality could possibly be if not a philosophical claim.
Certainties and Rule-Following
Authors: Krebs Andreas 
Published: March 2022

Abstract
This paper argues that Wittgenstein does not assimilate certainties to either linguistic norms or empirical propositions but assigns them to a liminal space between rule and experience. This liminal space is also brought into play in remarks written at the same time as those compiled in On Certainty, but attributed to different bodies of text (Remarks on Colour, Last Writings on the Philosophy of Psychology). The paper maintains that certainties express the agreement and constancy in judgements without which – as Wittgenstein contends in his Philosophical Investigations – rule-following would not be possible. It is shown that this intrinsic relation between rule-following and certainties can explain the liminal status of the latter.
Of Beetles and Roubles: Wittgenstein and Dostoevsky on Intention
Authors: Lobo Tea 
Published: March 2022

Abstract
Wittgenstein and Dostoevsky both ridicule a hypostasizing and fetishizing picture of interiority: viewing sensations and intentions like discrete material objects. The symbols for this misleading view in their respective works are a beetle and a sachet containing thousand five hundred roubles. The beetle in the box passage in the Philosophical Investigations discredits a Cartesian picture of pain as akin to a thing-like entity. The sachet in Dostoevsky’s The Brothers Karamazov represents Dmitry’s intention to be honourable. Dostoevsky achieves a perspicuous view of entangled webs of intentions, as opposed to labelling them like object-like entities.
I show that Wittgenstein’ account of first-personal thought, including intentions, is not based on the Cartesian dualism of the inner and the outer, the mind and the body. To underscore my argumentation, I refer to The Brothers Karamazov, one of Wittgenstein’s favourite novels. I especially focus on Dmitry’s sachet, which inspired Wittgenstein’s beetle in the box example. I show parallels both in content and in form of Wittgenstein’s and Dostoevsky’s approach to intention as a species of first-personal thought.
Experimental Study of the Crack Propagation and Acoustic Emission Characteristics of Red Sandstone under Cyclic Loading
Authors: Shen Baotang , Sun X. Z. , Yin D. W. , Li Y. Y. 
Published: March 2022

Abstract
Crack propagation in sandstone was tested under uniaxial cyclic loading with three different loading rates and flaw configurations. The crack propagation, acoustic emission (AE) characteristics, and strength variation were analyzed. It was found that crack initiation and rock bridge failure cause a sharp increase in AE activity, as observed from the slope of the cumulative AE count. The energy released during the initiation of shear cracks, secondary cracks, and rock bridge failure was much greater than that released during the initiation of wing cracks. The loading rate had an interesting effect on the failure process, and the energy release under a higher loading rate was less than that under a lower loading rate before the damage stage. With the same flaw configuration, a specimen of the same group under a higher loading rate underwent more severe damage. In specimens of Groups 1 and 2, with overlapping preexisting flaws, the effects of the loading rate were limited, and the rock bridge failure pattern was basically dominated by the flaw configuration. However, in Group 3, with nonoverlapping preexisting flaws, the effect of the loading rate was more obvious, and many more cracks initiated under a higher loading rate. In this case, each crack propagated as an independent system during the initial loading stage, and the crack propagation path was random. For the same loading rate, the crack propagation can be divided into three mechanisms depending on the flaw configuration: (1) wing crack and mixed mode crack, (2) wing crack and antiwing crack, and (3) wing crack and shear crack.
A Journey toward Self-knowledge in Patrick Modiano’s Novel Voyage de Noces
Authors: Bikulčius Vytautas 
Published: March 2022

In this paper, based of a geocritical approach, a journey as some path leading toward self-knowledge in the novel of Patrick Modiano, French writer and Nobel Prize winner, Voyage de noces (1990), has been analyzed. A journey is understood as a path that leads toward self-knowledge because the characters of the novel undergo changes depending on the place they find themselves in. This journey gains several forms: it can simply be a journey from one point to another, also can have the aspect of escapism and finally be understood as deportation. In all these cases the nature of the journey changes depending on how the characters perceive themselves. The narrator admits that his aim is to write the autobiography of Ingrida, the character of the novel. Thus he sets out on a journey through her inner world, that naturally will last longer than the one from one point to another. The places are generally depicted as central and peripheral, the capital of the country and its outskirts or the capital and the regions of the country. The narrator tries to understand changes in Ingrida’s life and her faith, at the same time changes in the author’s self-knowledge happen: he becomes a writer.