bluuebunny/crossref_metadata_2025_split huggingface dataset:
Barriers and facilitators to antiretroviral adherence and retention in HIV care among people living with HIV in the Comarca Ngäbe-Buglé, Panama
Authors: Gabster Amanda , Socha Eliana , Pascale Juan Miguel , Cabezas Talavero Gonzalo , Castrellón Alezander , Quiel Yaremis , Gantes César , Mayaud Philippe 
Published: June 2022

IntroductionPanama’s HIV epidemic is far from under control. One of the populations with the fastest-growing epidemic among the Indigenous peoples of the Comarca Ngäbe-Buglé (CNB). The CNB is an administratively autonomous Indigenous region in Western Panama that is home to over 200,000 individuals of Ngäbe and Buglé ethnicities. This population is unique and, in several ways, represents the early stages of the AIDS epidemics in high-income countries. The CNB is the most impoverished region in Panama and is relatively isolated from outside influences, with limited roads, electricity, and an internet connection, including medical assistance. Around 1.5% of all rapid HIV tests are positive, compared to a national prevalence of 0.9%; in CNB, diagnosis tends to be late. In CNB, 56.3% of individuals had an initial CD4 count of <350 cells/mm3. Antiretroviral treatment (ART) dropout in this region is five times higher than the national average; there is high early mortality due to opportunistic infections. Using the Social-Ecological Theory for Health as a framework, this study aims to describe the facilitators and barriers associated with ART adherence and retention in HIV care among people living with HIV (PLHIV) in the CNB. A better understanding of factors that obstruct adherence could lead to more effective HIV care and prevention in CNB.MethodsWe conducted 21 semi-structured interviews with PLHIV who reside across all three regions of the CNB and have attended an antiretroviral (ART) clinic at least once. Deductive thematic analysis was used to uncover themes related ART adherence and retention in HIV care at the individual, social and structural levels.DiscussionThis unique, isolated population of rural Indigenous peoples has high infection rates, late diagnosis, poor ART adherence, and high AIDS-related death rates. The CNB is an important region to examen ART adherence and retention in care. We determined that psychological health, social support, and discrimination acted as individual-level facilitators and barriers to adherence and retention. Notably, structural barriers included difficult access to ART care due to travel costs, ART shortages, and uncooperative Western/Traditional medical systems. Recommended interventions used in other Low- and Middle-Income settings include increasing peer and family-level support and community knowledge and understanding of HIV infection. Additionally, our study suggests structural interventions, including decreasing the cost and distance of traveling to the ART clinic, by decentralizing services, decreasing food scarcity, and increasing collaboration between Western and Traditional providers.
Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review
Authors: Yang Cui , Pan Yun 
Published: June 2022

Background
Dysphagia is a common yet serious complication in stroke patients. We aimed to conduct a meta-analysis and systematic review to evaluate the risk factors of dysphagia in patients with ischemic stroke, to provide insights to the clinical treatment and nursing care of dysphagia.

Methods
We searched PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI) and Wanfang Database, China Biomedical Literature Database (CBM) for studies on dysphagia in patients with ischemic stroke up to January 31, 2022. The quality of the literature was evaluated using the Newcastle-Ottawa scale. Meta-analysis was performed using RevMan 5.3 software.

Results
A total of 10 studies involving 4637 ischemic stroke patients were included, 1183(25.51%) patients had dysphagia after stroke. The synthesized outcomes showed that elder age (SMD = 0.42, 95%CI:0.34–0.50), hypertension (OR = 1.96, 95%CI:1.48–2.61), diabetes (OR = 1.83, 95%CI:1.47–2.28), brainstem stroke (OR = 2.12, 95%CI:1.45–3.09) were associated with dysphagia in patients with ischemic stroke (all P<0.05). There was no significant difference in the gender between dysphagia and no dysphagia patients (OR = 1.07, 95%CI:0.91–1.27, P = 0.40). Egger regression tests indicated there were no significant publication biases in the synthesized outcomes (all P>0.05).

Conclusions
Elder age, hypertension, diabetes and brainstem stroke are associated with the development of dysphagia in patients with ischemic stroke. Attention should be paid to the assessment and early intervention of those risk factors for dysphagia to improve the prognosis of stroke patients.
Imaging-based indices combining disease severity and time from disease onset to predict COVID-19 mortality: A cohort study
Authors: Besutti Giulia , Djuric Olivera , Ottone Marta , Monelli Filippo , Lazzari Patrizia , Ascari Francesco , Ligabue Guido , Guaraldi Giovanni , Pezzuto Giuseppe , Bechtold Petra , Massari Marco , Lattuada Ivana , Luppi Francesco , Galli Maria Giulia , Pattacini Pierpaolo , Giorgi Rossi Paolo 
Published: June 2022

Background
COVID-19 prognostic factors include age, sex, comorbidities, laboratory and imaging findings, and time from symptom onset to seeking care.

Purpose
The study aim was to evaluate indices combining disease severity measures and time from disease onset to predict mortality of COVID-19 patients admitted to the emergency department (ED).

Materials and methods
All consecutive COVID-19 patients who underwent both computed tomography (CT) and chest X-ray (CXR) at ED presentation between 27/02/2020 and 13/03/2020 were included. CT visual score of disease extension and CXR Radiographic Assessment of Lung Edema (RALE) score were collected. The CT- and CXR-based scores, C-reactive protein (CRP), and oxygen saturation levels (sO2) were separately combined with time from symptom onset to ED presentation to obtain severity/time indices. Multivariable regression age- and sex-adjusted models without and with severity/time indices were compared. For CXR-RALE, the models were tested in a validation cohort.

Results
Of the 308 included patients, 55 (17.9%) died. In multivariable logistic age- and sex-adjusted models for death at 30 days, severity/time indices showed good discrimination ability, higher for imaging than for laboratory measures (AUCCT = 0.92, AUCCXR = 0.90, AUCCRP = 0.88, AUCsO2 = 0.88). AUCCXR was lower in the validation cohort (0.79). The models including severity/time indices performed slightly better than models including measures of disease severity not combined with time and those including the Charlson Comorbidity Index, except for CRP-based models.

Conclusion
Time from symptom onset to ED admission is a strong prognostic factor and provides added value to the interpretation of imaging and laboratory findings at ED presentation.
Min Zawāyā al-Dhākira: ʿAlā Hāmish Thawrat 14 Tamūz (‘From the corners of memory: On the periphery of the 14 July Revolution’), Tareq Yousif Ismael (2021)
Authors: Abdullah Thabit A. J. 
Published: June 2022

Review of: Min Zawāyā al-Dhākira: ʿAlā Hāmish Thawrat 14 Tamūz (‘From the corners of memory: On the periphery of the 14 July Revolution’), Tareq Yousif Ismael (2021)
Beirut: Maktabat al-Nahḍa al-ʿArabiyya, 240 pp.,
ISBN 978-9-92291-292-9, p/bk
Configuración del ambiente luminoso seguro en salas de exposición
Authors: Aravena Riffo Javiera Ignacia , Roldán Rojas Jeannette Auristela 
Published: June 2022

La iluminación natural aporta importantes beneficios en los espacios arquitectónicos, otorgando dinamismo y enriqueciendo la experiencia de los ocupantes en los aspectos de salud y comodidad lumínica y visual, mientras promueve la sustentabilidad energética. Sin embargo, los recintos de exposición de arte sostienen una relación compleja con la iluminación diurna, cuya variabilidad provoca problemas respecto a su control, entre estos, el potencial deslumbramiento de los ocupantes y el riesgo para la conservación de las obras por sobreexposición lumínica.
En esta investigación se exploran las características lumínicas de estos espacios en las ciudades de Arica, Santiago y Punta Arenas para conformar un ambiente luminoso que permita resguardar las obras sin faltar al bienestar de los visitantes. Conforme a los hallazgos de la investigación los indicadores que muestran mejores resultados para lograr un ambiente luminoso confortable fueron UDI100-3000lux y ASE1000/250horas. Para calificar el confort visual se evaluó el indicador DGP (Daylight Glare Probability), además de los indicadores modificados UDI0-200lux y ASE1000/0horas para evaluar la seguridad lumínica de las obras. A partir del análisis de resultados, se concluyó que para la exposición pictórica, el factor clave fue el rango de iluminancia tolerado hasta 200 lux (IESNA,2011), que excluye la luz solar directa, aceptando un porcentaje DGP imperceptible.
Implementation of Indonesian Islamic Family Law to Guarantee Children’s Rights
Authors: Nasution Khoiruddin , Nasution Syamruddin 
Published: June 2022

This paper aims to discuss and observe the legal practice of child protection, particularly, custody and the legal attitude in Muslim society and of the parents, specifically in Indonesia. Deploying a socio-legal approach, it is clear that theoretically, through a number of laws and regulations, the state has provided legal protection to children in terms of custody, as well as from violence. In practice, the legal rights to custody are hardly obtained by children in either legal decisions or executorial steps. The paper argues that the failure of this legal protection is due to the problem of case settlement in the Islamic (religious) court, which tends to be more administrative than judiciary, and that theoretically to provide justice, the work of judges must not only be certain, but also judicial. This paper also analyses the reasons why judges in Religious Courts tend to be more oriented toward administrative issues than judiciary ones. One reason is that the atmosphere of the Religious Courts (PA) now supports administrative decisions more than judicial ones.[Artikel ini membahas dan mengamati praktik hukum perlindungan anak khususnya penjagaan dan perilaku hukum pada orang tua dan masyarakat muslim di Indonesia. Terlepas dari pendekatan sosiologi hukum, secara teoritis negara memberikan perlindungan hukum pada anak dalam kerangka penjagaan dari kekerasan melalui sejumlah hukum dan peraturan. Dalam praktiknya, hak penjagaan sulit didapatkan oleh anak baik dalam bentuk putusan atau eksekusinya. Artikel ini menjelaskan bahwa kegagalan tersebut terkait dengan penyelesaian kasus di pengadilan agama, yang cenderung administratif daripada substantif, meski secara teoritis tetap mendorong keadilan, dan kerja hakim bukan hanya memberikan kepastian hukum tetapi juga kemanfaatan. Artikel ini juga membahas alasan putusan hakim pengadilan agama cenderung berorientasi administratif daripada substantif. Salah satu alasannya adalah atmosfir pengadilan agama yang lebih mendukung putusan administratif..]
Recontextualizing the Cinematic Code: The “Female Gaze” of Sai Paranjpye inSparsh,Chashme Buddoor, andKatha
Authors: Tholia Shipra , Singh Amar 
Published: June 2022

AbstractA central concern of the article is to examine how the female gaze is evident in the films of Indian film director Sai Paranjpye. More specifically, this research article analyses the ways, how female gaze asserts itself by playing with established cinematic codes while keeping the political and social condition of the time in the foreground. In this article, the focus is on examining the reflexive disposition of Sai by recontextualizing the conversant tropes popularized in Hindi films. This article also explores the ways in which a film itself participates in defining the “gaze” or, in other words, in questioning the cultural training of viewing. For the article, three films,Sparsh,Chashme Buddoor, andKatha, are taken as case studies. Using these three films as examples, the article explores how narrative techniques can be used to challenge established cinematic codes while making the female gaze distinguishable. The examples discussed are chosen in such a way that, on the one hand, they occupy cases of a broad continuum of cinematic narration specific to Bollywood, and on the other, they introduce a semiotic approach.
Transoral thyroid surgery vestibular approach
Authors: Karakas Elias , Klein Günther , Schopf Stefan 
Published: June 2022

Abstract

Objectives
Transoral thyroid surgery vestibular approach (TOETVA) is a novel and feasible surgical technique that allows for cervical surgery without visible incisions. TOETVA represents a new frontier in endocrine surgery since aesthetic results play a more and more decisive role in elective surgery. However, acceptance is different around the world with widespread prevalence in Asian countries and some high-volume centres in the US. While inclusion criteria for TOETVA are limited regarding size and volume a combination with other extracervical techniques like the retroauricular endoscopic cephalic access thyroid surgery (EndoCATS) approach or transaxillary access is an option.

Methods
TOETVA is carried out through a three-port technique placed at the oral vestibule. Originally one 10-mm port for a 30° endoscope and two additional 5-mm ports for dissecting and coagulating instruments are used. Alternatively, one 5-mm and one or two 3 mm ports can be used. CO2 insufflation pressure is set at 6 mmHg. An additional device to optimize gas outflow for optimum view might be helpful. An anterior cervical subplatysmal space is created by hydrodissection from the oral vestibule to the sternal notch, laterally to the sternocleidomastoid muscle. Conventional endoscopic instruments are used. Combination of TOETVA with a modified retroauricular access includes insertion of a 10–12 mm trocar placed subcutaneously via a skin incision on the scalp, behind the ear by blunt dissection.

Results
Since Anuwong published the first case series of 60 patients who underwent scarless thyroidectomy via the lower vestibule of the mouth with excellent results in 2016 almost 1,000 cases are reported in literature to date with comparable results especially regarding traditional complications. In contrast to other extracervical approaches, areolar or axillary for example, the transoral access route is short and the dissection planes are rather like transcervical surgery. Surgical indications and contraindications have been modified since its first description and are partly institution specific to date. To amend indications combination with other extracervical techniques is an option. In addition, patients must carefully be selected for and surgeons` candidacy is of utmost importance in transoral surgery.

Conclusions
Transoral surgery will likely continue to gain attraction as surgeons become more experienced with the technique. With increased operative use and surgeon experience the gap in conventional outcomes between transoral surgery and the transcervical approach will narrow, with both operative time and the incidence of specific complications diminishing. Experience in thyroid and endoscopic surgery is required to achieve excellent results with low complication rates. However, the new transoral technique is related to novel complications that must be evaluated.
Generational differences in the low tones of Black Lahu
Authors: Yang Cathryn , Stanford James N. , Luo Chunxia , Zhang Naluo 
Published: June 2022

Abstract
We investigate apparent-time variation of the low falling (T21) and low level (T11) tones of the Black Lahu language of Yunnan, China. Linear mixed-effects modeling of spontaneous speech shows that both tones have a higher F0 trajectory among younger speakers and in certain phonetic environments. Since F0 is known to lower with increasing age, for comparison we also analyze variation in the high rising tone (T45) and find no evidence of generational difference. This suggests that the effect of age on low tones is not due to physiological change across the life span. We leave open the question of whether this result reflects a change in progress or a stable sociotonetic difference between older and younger speakers. This study contributes towards two underrepresented areas of sound change research: (1) sociotonetic approaches to tone variation in naturalistic speech styles, and (2) engagement with Indigenous scholars who are cultural insiders in small rural minority language communities.
Can L2 learners acquire native-like typicality representation in categorization?
Authors: Hao Yuxin , Bai Bing , Han Xue 
Published: June 2022

Abstract
The typicality effect delineates a graded membership structure during categorization, whereby a typical item is easier to be judged as a member of a category than is an atypical item. The current study brought experimental evidence of the typicality representation of advanced Thai learners of Chinese, in order to compare the organization of the mental lexicon in the learners’ second language and first language. Three types of instances (i.e., typical in both Chinese and Thai (C1), typical in Chinese but not in Thai (C2), and typical in Thai but not in Chinese (C3)) in five categories (i.e., BIRD, VEGETABLE, FRUIT, FURNITURE, APPLIANCE) were presented in instance-category order. The response time of typicality judgement showed a similarity between natives and L2 learners, but that the response time of second language learners to C1 was not significantly longer than that to C2. These results suggested that high proficiency could modify the construction of a qualitatively native-like typicality representation, and that language-specific typicality was still beyond conceptualization in second language.
The interpretation of urbanonyms in discourse: Reconciling theoretical accounts with experimental results
Authors: Ursini Francesco-Alessio , Samo Giuseppe 
Published: June 2022

Abstract
The goal of this paper is to offer an account of the discourse properties of urbanonynms in Italian (e.g. Via Roma, Piazza di Spagna). The paper introduces urbanonyms as a sub-type of toponyms (place names) whose linguistic properties have received little attention so far. The paper proposes an experimental study that shows how urbanonyms can enter in anaphoric relations mediated via urbanonyms’ lexico-grammatical properties. Via these experimental results, it is shown that urbanonyms can act as antecedents of indexical pronouns (e.g. qui ‘here’), and complex noun phrases (e.g. questa via ‘this street’). It is also shown that urbanonyms can involve co-referring patterns in sentences including verba nominandi (chiamarsi ‘to be called’). These results are discussed against the theoretical proposals investigating toponyms and other proper names. It is suggested that the two main “rival” theories on names, the description theory and the causal reference theory, can only address the novel data if combined into a new theoretical synthesis.
L2 rhythm production and musical rhythm perception in advanced learners of English
Authors: Jekiel Mateusz 
Published: June 2022

AbstractThe aim of this research is to investigate the relation between musical aptitude and the acquisition of L2 rhythm by Polish advanced learners of English. A longitudinal study was conducted among 50 Polish students of English reading the “Please Call Stella” passage before and after an intensive two-semester accent training course supplemented by an extensive practical course in English phonetics and phonology. Participants also completed two musical hearing tests (Mandell 2009) and a survey on musical experience. Automated alignment was performed in DARLA (Reddy and Stanford 2015) and reviewed in Praat (Boersma and Weenink 2019). We compared the rhythm metrics calculated in Correlatore (Mairano and Romano 2010) before and after training and juxtaposed them against the pronunciation teachers’ results. We reported a significant difference between the scores for vocalic intervals across all rhythm metrics, indicating that participants’ produced higher vocalic variation after training, more similar to their teachers. However, we observed no significant relationship between the participants’ rhythm metric scores and their musical hearing test scores or musical experience, suggesting that musical aptitude might not play a crucial role in the L2 rhythm production in a formal academic learning environment.
Neolithic rondels in Central Europe and their builders: an analysis of multi-rondel sites
Authors: Vondrovský Václav , Kovačiková Lenka , Smejtek Lubor 
Published: June 2022

ABSTRACTMonumental enclosures are a widespread phenomenon of the European Neolithic. One category of enclosure is the mid-fifth-millennium BC rondel sites of Central Europe. In parts of this region, rondel sites are grouped, drawing attention to notable differences in individual rondel forms. Here, we use Bayesian modelling of radiocarbon dates from the ditches of two rondels at Praha-Krč, Bohemia, to demonstrate their contemporaneity. In turn, this informs interpretations of the role played by multi-rondel sites in symbolic competition between regional communities, who invested in rondels as part of translocal negotiation. The concept of translocality may prove fruitful for the investigation of the monumental architecture of other periods and regions.
Machine Learning-Based Earthquake Catalog and Tomography Characterize the Middle-Northern Section of the Xiaojiang Fault Zone
Authors: Feng Tian , Zhang Miao , Xu Lisheng , Wu Jianping , Fang Lihua 
Published: June 2022

Abstract
The left-lateral strike-slip Xiaojiang fault is an important tectonic boundary between Sichuan–Yunnan diamond block and the Yangtze block, which accommodated several M &gt; 7.0 damaging earthquakes in the past ∼500 yr, as well as intense tectonic deformation. However, the seismogenesis of its middle-northern section are not well understood due to the lack of dense stations. In this study, we analyze one year of continuous seismic records from November 2019 to November 2020, which are recorded at a recently deployed dense seismic array. We build a high-precision earthquake catalog for the region using our recently developed machine learning-based earthquake location workflow (LOC-FLOW), which consists of machine learning phase picking, phase association, velocity model updating, and station correction, absolute location, and double-difference relative location. We then adopt a double-difference tomography method (tomoDD) to refine locations of 16,000 events and build a high-resolution 3D velocity model using both machine learning differential times and cross-correlation differential times. The seismicity distribution not only delineates detailed geometry of the main fault system but also characterizes several branch faults, including two echelon subfaults crossing the north–south-striking main fault. The velocity model shows strong lateral heterogeneities and exhibits a clear relationship to the seismicity distribution: the boundary of high- and low-velocity regions or high-velocity regions above low-velocity bodies accommodate the majority of earthquakes. The variation of the constructed 3D velocity model can be well explained by geological and tectonic settings of the region. In addition, we identify two seismic gaps, which accumulate stress and imply the potential of hosting future moderate-to-large earthquakes. Our study demonstrates, with the aid of LOC-FLOW and tomoDD, machine learning-based phase picks lead to promising performance in constraining high-precision earthquake catalogs and constructing high-resolution velocity models. Machine learning-based tools are becoming the next generation of routine earthquake analysis.