bluuebunny/crossref_metadata_2025_split huggingface dataset:
Loneliness in Aotearoa
Authors: Fergusson Melissa 
Published: October 2022

Loneliness is a severe problem in New Zealand and most prevalent among the young, namely Generation Z. In March 2020, New Zealand went into lockdown due to Covid-19, and there was a spike in young people indicating loneliness as an issue. This age group experienced feeling the loneliest.
The experience of loneliness is subjective for all individuals; however, feeling lonely relates to broader and shared social, economic, political, and environmental issues. As we have recently become regular social media users and have more screen time, disconnection and lack of deep human relationships and social connections are becoming serious issues for young people.
It is widely reported that loneliness, social isolation, and living alone have increased the risk of heart disease, stroke, and dementia, leading to depression and death. Promoting social connection is imperative for people and our community’s well-being and health.
This research used documentary as a methodology to explore the thoughts and perceptions of people involved in understanding loneliness to help provide viewers with a deeper understanding, raise social awareness for people experiencing loneliness, and reduce the impact of being lonely.
The ‘Loneliness in Aotearoa’ documentary indicates that New Zealand’s young people are currently suggesting that they are more lonely than other generations, and collectively there is a need to take action to minimise loneliness.
In the UK, Tracey Crouch, appointed the first Minister of Loneliness in 2018, stated, “Nobody should feel alone or be left with no one to turn to. Loneliness is a serious issue that affects people of all ages and backgrounds, and it is right that we tackle it head-on.”
In New Zealand, we have not appointed a Minister of Loneliness yet. There is the; question do we need one?
Diyarbakır Ziya Gökalp Yazma Eserler Kütüphanesinde yer alan Aktepe Kitaplığına ait Yazma Eserler
Authors: ÖZAYDIN Murat 
Published: October 2022

El yazması eserler, maddî ve manevî açıdan paha biçilmez eserler olma özelliğine sahiptirler. Bu kıymetli eserler, geçmişimizin düşünce, kültür ve bilgi birikiminin sonraki nesillere aktarılmasında en etkili rolü üstlenmişlerdir Bu kültürel miras ve birikim, orijinal düşüncelerin oluşmasında ve yeni hedeflerin belirlenmesinde, ciddi bir misyon üstlenmişlerdir. Bu çerçeveden bakıldığında el yazması eserlerin tahkiklerinin gerçekleştirilerek okuyucuların ve meraklılarının istifadesine sunulması hususunda birçok değerli şahsiyet, gerek kaleme aldıkları eserlerle, gerek çevrelerinden toplayarak temin ettikleri eserlerle bu işe öncülük etmiş, büyük katkılar sunmuşlar, deyim yerindeyse ömürlerini bu işe vakfetmişlerdir.
Aktepe hazretleri de öğrenim hayatı boyunca, babasından ve atalarından devralmış olduğu büyük kütüphanesini; İslami bilimlerden; Hadis, Fıkıh, Tefsir, Siyer, Arapça, Tasavvuf ve Kelam ile, pozitif bilimlerden; Mantık, Astronomi, Matematik ve Tarih ile, bâtın biliminden olan Tasavvuf felsefesi üzerine oluşan eserlerle zenginleştirmiş ve sayıları binlerle ifade edilen büyük bir kütüphaneyi sonraki nesillere miras bırakmıştır.Diyarbakır Ziya Gökalp yazma eserler kütüphanesinde, Aktepe’nin şahsî kütüphanesinde yer alan yazma eserler için özel bir bölüm oluşturulmuştur.
Navigating learning through catastrophic calamities: A phenomenological study
Authors: Andales Gladys , Sarile Teresita , Elladora Suzette , Kintanar Fitzgerald , Ramos Ariel 
Published: October 2022

This study examined the lived experiences of technology and livelihood learners while navigating in the learning process despite the calamities like COVID-19 pandemic and typhoon Odette. Data were gathered from in-depth interview with participants, focus group discussions, and key informant interview through the interview guide. Transcripts were analyzed using Colaizzi’s method, wherein meanings are formulated through sorted codes, categories, and themes. Findings revealed three emerging themes on participants’ difficult and challenging experiences which include, uphill battles in learning, learning opportunities, and rise to the challenges. Meanwhile, two themes were found for the underlying effects of these experiences including, role acceptance and psychosocial discomfort. Furthermore, three themes were identified for learners’ responses to the challenges in learning process, including actions towards learning, coping amidst adversities, and pillars of strength. These experiences provided concepts to educators to improve teaching and becoming flexible in designing lessons and learning tasks guided with the learning continuity model mainly designed to teach in the midst of crises. Hence, the Department of Education may spearhead community assessment while in curriculum development to suffice the needs of the learning community and may guide division and school offices in the implementation of their localized and contextualized learning continuity plans.
Les « Guerres d’Indépendance » italiennes au temps de « Firenze Capitale », 1864-1870 : conquérir Venise, aller à Rome ?
Authors: Guillaume Nicolas 
Published: October 2022

La convention entre la France et l’Italie signée le 15 septembre 1864 a provoqué, dans la capitale Turinoise, de violents tumultes et une répression sanglante. Malgré les titres de La Nazione du 21 septembre 1864 annonçant que Florence « accepterait la garde du grand diadème pour le restituer le jour venu où cesserait l’attente de l’Italie sur le chemin de Rome », l’annonce du transfert de la capitale ne soulève pas d’enthousiasme particulier dans la capitale toscane. Dès 1862, Garibaldi, avec le soutien plus ou moins officiel du gouvernement Rattazzi, va prêcher « l’Évangile de la Sainte Carabine », qui doit permettre au royaume de conquérir les terres non encore rattachées à la mère patrie. La Vénétie est la première étape. L’ennemi Autrichien est cru faible, et l’alliance avec la Prusse doit faire de la guerre de 1866 une formalité. Venise sera italienne, mais quelle en seront les conséquences politiques et sociales ? Aller à Rome. Faire de la Ville Eternelle la capitale « naturelle » du Royaume d’Italie. Dès la proclamation du Royaume d’Italie, cette ambition est affichée. Mais cette ambition suppose une double confrontation, d’une part avec le pouvoir temporel du Souverain Pontife, adversaire militairement faible, mais fort de son influence religieuse et diplomatique, et d’autre part avec les nations garantes de la sécurité et de l’intégrité des États Pontificaux, et en premier lieu, l’Empire Français de Napoléon III.
Wind Turbine and Synchronous Reluctance Modeling for Wind Energy Application
Authors: Kitaba Tefera 
Published: October 2022

The Chapter discusses the turbine characteristics to design low-power rating generators. The low-power machine results in small wind turbines, hence distribution of power generators have attracted a growing interest from the demand, for remote and rural electrification. In renewable energy generation the design of the generator from the wind turbine is the most challenging part of the design. The generator specifications have been obtained from wind turbine models such as torque, speed and power. Based on these specifications the design of the generator with rating of 1 kW has been achieved. The turbine characteristics have been studied and various parameters of the designed machine are analyzed through analytical model and finite element analysis.
Phyto-Sociological Attributes, Ecosystem Services and Conservation Dynamics of Three Protected Forests in Tropical Rainforest Ecosystem of Nigeria
Authors: Daniel Agbelade Aladesanmi 
Published: October 2022

This study aimed at determining ecosystem services and conservation dynamics of three protected forests in Nigeria. Using simple sampling technique, 24 plots with 25 m2 were established in these protected forests to facilitate data collection. A total of 370 individual trees per hectare, disproportionately distributed between 53 different species in 25 families, were encountered in Omo biosphere reserve (BR) while 381 stems in 63 species in 24 families in strict nature reserve (SNR) and Okomu national park (NP) recorded 352 individual stems, 59 species, and 25 families. The three protected forests had high tree species diversity index (Shannon-Wiener diversity index of 3.19 for Omo BR, 3.90 for Akure SNR, and 3.45 for Okomu NP). The values for basal area (36.63, 72.39, and 32.47 m2), volume (427.08, 929.05, and 366.71 m3), above-ground biomass (153.20, 316.73, and 353.92 ton), below-ground biomass (30.64, 63.35, and 190.04 ton), and total carbon stock (70.78, 91.92, and 212.35 ton) for Omo BR, Akure SNR, and Okomu NP, respectively. This study serves as baseline information for management of protected forests in Nigeria and it shows the potential of in-situ conservation for the dynamism of the ecosystem services.
Microplastics in the Marine Environment: A Review of Their Sources, Formation, Fate, and Ecotoxicological Impact
Authors: Haque Fatima , Fan Chihhao 
Published: October 2022

Global plastic production is on the rise, and improper plastic management leads to the disposal of plastic in the environment, wherein it enters the environment, after degradation, as microplastics (size < 5 mm) and nanoplastics (size < 1 μm). The most common sink for the microplastics is the marine environment, including the sediment, deep sea, shorelines, and oceans. The objective of this study is to collate the environmental impact assessment of the microplastics in the marine habitat, focusing on the following main elements: (a) source and type of microplastics, specifically leading to the marine sink; (b) degradation pathways; (c) ecotoxicological impact on marine biota, since the smaller-sized microplastics can be digested by the marine biota and cause threats to them; (d) fate of microplastic in the marine environment, including the modes of transport and deposition. This chapter aims to provide a deeper insight into the fate of microplastics once it enters the marine environment, and the information could be a useful reference for the development of microplastic risk management strategies.
Patient Safety in the Critical Care Setting: Common Risks and Review of Evidence-Based Mitigation Strategies
Authors: M. Arteaga Grace , Bacu Lilia , Moreno Franco Pablo 
Published: October 2022

The Intensive Care Unit (ICU) has evolved in the last 50 years. This evolution’s main drivers include equipment and software improvements, the patient safety movement, and a better pathophysiological understanding of critical illness. There is mounting pressure from accreditation agencies, governmental regulation, financial challenges, operational dynamics, staffing changes, and increased acuity affecting-ICU care delivery and impacting patient safety. There are higher than ever expectations to improve clinical outcomes after an intensive care stay, to enhance patient safety, to increase family involvement in decision making, and merge the multidisciplinary medical experience into an effective teamwork. Leadership focus is directed towards increasing diversity and inclusion in the workforce while enhancing psychological safety. This review addresses the common risks for patient safety in the intensive care setting and describes the changes in mindset and application of evidence-based mitigation strategies.
First records of the spider wasps Ctenocerus Dahlbom and Paraclavelia Haupt from Asia, with discussions on the systematics of Ctenocerinae (Hymenoptera: Pompilidae)
Authors: Shimizu Akira , Broad Gavin , Yoshimura Jin , Pitts James P. 
Published: October 2022

We describe two new species of Ctenocerinae (Pompilidae) from Asia, i.e., Ctenocerus srilankae Shimizu sp. nov. from Sri Lanka and Paraclavelia arabiae Shimizu sp. nov. from Oman. These represent the first records of Ctenocerus Dahlbom, 1845 and Paraclavelia Haupt, 1930 in Asia. Two new combinations and a new synonymy are proposed: Ctenocerus fasciatus (Smith, 1851) (= Micropteryx fasciata Smith, 1851); Paraclavelia decipiens (Arnold, 1932) (= Clavelia decipiens Arnold, 1932); and Ctenocerus Dahlbom, 1845 (= Euclavelia Arnold, 1932). We discuss the difficulty of systematics of Ctenocerinae at generic level. The head and pronotal structures of Ctenocerus and Paraclavelia are presumably specialized for preying on trapdoor spiders. These structures are considered to have evolved independently of other unrelated parasitoid Pompilidae that have been confirmed or proposed to prey on trapdoor spiders. We also discuss the biogeographical distribution of these genera.
Evaluation of a Multilevel Laboratory Stewardship Intervention Targeted to Cardiac and Thoracic Surgical Services at an Academic Medical Center
Authors: Mathias Patrick C. , Khor Sara , Harris Kathryn , Wood Suzanne J. , Farjah Farhood 
Published: October 2022

Context.—
Unnecessary laboratory tests are ordered because of factors such as preselected orders on order sets, clinician habits, and trainee concerns. Excessive use of laboratory testing increases patient discomfort via unnecessary phlebotomy, contributes to iatrogenic anemia, increases risk of bloodstream infections, and increases the cost of care.

Objective.—
To address these concerns, we implemented a multilevel laboratory stewardship intervention to decrease unnecessary laboratory testing, measured by laboratory tests per day attributed to service, across 2 surgical divisions with high laboratory use.

Design.—
The multilevel intervention included 5 components: stakeholder engagement, provider education, computerized provider order entry modification, performance feedback, and culture change supported by leadership. The primary outcome of the study was laboratory tests ordered per patient-day. Secondary outcomes included the number of blood draws per patient-day, total lab-associated costs, length of stay, discharge to a nursing facility, 30-day readmissions, and deaths. A difference-in-differences analytic approach assessed the outcome measures in the intervention period, with other surgical services as controls.

Results.—
The primary outcome of laboratory tests per patient-day showed a significant decrease across both thoracic and cardiac surgery services, with between 1.5 and 2 fewer tests ordered per patient-day for both services and an estimated 20 000 fewer tests performed during the intervention period. Blood draws per patient-day were also significantly decreased on the thoracic surgery service but not for cardiac surgery.

Conclusions.—
A multilevel laboratory stewardship intervention targeted to 2 surgical services resulted in a significant decrease in laboratory test use without negatively impacting length of stay, readmissions, or mortality.
Five-year LDL-cholesterol trend and its predictors among type 2 diabetes patients in an upper-middle-income country: a retrospective open cohort study
Authors: Wan Kim Sui , Hairi Noran Naqiah , Mustapha Feisul , Ismail Mastura , Mohd Yusoff Muhammad Fadhli , Moy Foong Ming 
Published: October 2022

Background
Patients with diabetes have increased risks of cardiovascular diseases (CVD), and their LDL-cholesterol (LDL-C) has to be treated to target to prevent complications. We aim to determine the LDL-C trend and its predictors among patients with type 2 diabetes (T2D) in Malaysia.

Methods
This was a retrospective open cohort study from 2013 to 2017 among T2D patients in public primary health care clinics in Negeri Sembilan state, Malaysia. Linear mixed-effects modelling was conducted to determine the LDL-C trend and its predictors. The LDL-C target for patients without CVD was <2.6 mmol/L, whereas <1.8 mmol/L was targeted for those with CVD.

Results
Among 18,312 patients, there were more females (55.9%), adults ≥60 years (49.4%), Malays (64.7%), non-smokers (93.6%), and 45.3% had diabetes for <5 years. The overall LDL-C trend reduced by 6.8% from 2.96 to 2.76 mmol/L. In 2017, 16.8% (95% CI: 13.2–21.0) of patients without CVD and 45.8% (95% CI: 44.8–46.8) of patients with CVD achieved their respective LDL-C targets. The predictors for a higher LDL-C trend were younger adults, Malay and Indian ethnicities, females, dyslipidemia, and diabetes treatment with lifestyle modification and insulin. Longer diabetes duration, obesity, hypertension, retinopathy, statin therapy, achievement of HbA1c target and achievement of BP target were independent predictors for a lower LDL-C trend.

Conclusions
The LDL-C trend has improved, but there are still gaps between actual results and clinical targets. Interventions should be planned and targeted at the high-risk populations to control their LDL-C.
Factors Associated With Dermatologic Follow-up vs Emergency Department Return in Patients With Hidradenitis Suppurativa After an Initial Emergency Department Visit
Authors: Wang Cynthia X. , Buss Joanna L. , Keller Matthew , Anadkat Milan J. 
Published: October 2022

ImportanceEmergency department (ED) visitation is common for the treatment of hidradenitis suppurativa (HS), whereas dermatology outpatient care is low. The reasons underlying this differential follow-up have not been elucidated.ObjectiveTo assess the interventions and patient factors associated with ED return following an initial ED visit for HS.Design, Setting, and ParticipantsThis retrospective cohort study used data from the IBM® MarketScan® Commercial and Multi-State Medicaid databases (trademark symbols retained per database owner requirement). An HS cohort was formed from patients who had 2 or more claims for HS during the study period of 2010 to 2019 and with at least 1 ED visit for their HS or a defined proxy. Data were analyzed from November 2021 to May 2022.ExposuresFactors analyzed included those associated with the ED visit and patient characteristics.Main Outcomes and MeasuresPrimary outcomes were return to the ED or dermatology outpatient follow-up for HS or related proxy within 30 or 180 days of index ED visit.ResultsThis retrospective cohort study included 20 269 patients with HS (median [IQR] age, 32 [25-41] years; 16 804 [82.9%] female patients), of which 7455 (36.8%) had commercial insurance and 12 814 (63.2%) had Medicaid. A total of 9737 (48.0%) patients had incision and drainage performed at the index ED visit, 14 725 (72.6%) received an oral antibiotic prescription, and 9913 (48.9%) received an opioid medication prescription. A total of 3484 (17.2%) patients had at least 1 return ED visit for HS or proxy within 30 days, in contrast with 483 (2.4%) who had a dermatology visit (P &amp;lt; .001). Likewise, 6893 (34.0%) patients had a return ED visit for HS or proxy within 180 days, as opposed to 1374 (6.8%) with a dermatology visit (P &amp;lt; .001). Patients with Medicaid and patients who had an opioid prescribed were more likely to return to the ED for treatment of their disease (odds ratio [OR], 1.48; 95% CI, 1.38-1.58; and OR, 1.48; 95% CI, 1.39-1.58, respectively, within 180 days) and, conversely, less likely to have dermatology follow-up (OR, 0.16; 95% CI, 0.14-0.18; and OR, 0.81; 95% CI, 0.71-0.91, respectively, within 180 days).Conclusions and RelevanceThis cohort study suggests that many patients with HS frequent the ED for their disease but are not subsequently seen in the dermatology clinic for ongoing care. The findings in this study raise the opportunity for cross-specialty interventions that could be implemented to better connect patients with HS to longitudinal care.
Effects of Kisspeptin Administration in Women With Hypoactive Sexual Desire Disorder
Authors: Thurston Layla , Hunjan Tia , Ertl Natalie , Wall Matthew B. , Mills Edouard G. , Suladze Sofiya , Patel Bjial , Alexander Emma C. , Muzi Beatrice , Bassett Paul A. , Rabiner Eugenii A. , Bech Paul , Goldmeier David , Abbara Ali , Comninos Alexander N. , Dhillo Waljit S. 
Published: October 2022

ImportanceDespite being the most common female sexual health complaint worldwide, current treatment options for hypoactive sexual desire disorder (HSDD) are limited in their safety and effectiveness. The hormone kisspeptin is a key endogenous activator of the reproductive hormonal axis with additional emerging roles in sexual and emotional behavior; however, its effects in women with HSDD are unknown.ObjectiveTo test the hypothesis that kisspeptin enhances sexual and attraction brain processing in women with HSDD.Design, Setting, and ParticipantsThis randomized clinical trial was double-masked and placebo controlled with a 2-way crossover. The trial was conducted in a university research setting in the UK from October 2020 to April 2021. Eligible participants were premenopausal women with HSDD. Functional neuroimaging, psychometric, and hormonal analyses were employed to investigate the effects of kisspeptin administration on brain processing, in response to erotic stimuli (erotic videos) and facial attraction (face images of varying attractiveness). Data were analyzed from May to December 2021.InterventionsA 75-minute intravenous infusion of kisspeptin-54 (1 nmol/kg/h) vs equivalent-rate placebo infusion.Main Outcomes and MeasuresBlood oxygen level–dependent responses across the whole brain and regions of interest during kisspeptin vs placebo administration in response to erotic and facial attraction stimuli.ResultsOf the 40 participants who were randomized, 32 women completed both kisspeptin and placebo visits, with a mean (SE) age of 29.2 (1.2) years. Kisspeptin administration resulted in modulations in sexual and facial attraction brain processing (deactivation of the left inferior frontal gyrus:Zmax, 3.76;P = .01; activation of the right postcentral and supramarginal gyrus:Zmax, 3.73;P &amp;lt; .001; deactivation of the right temporoparietal junction:Zmax 4.08;P = .02). Furthermore, positive correlations were observed between kisspeptin-enhanced hippocampal activity in response to erotic videos, and baseline distress relating to sexual function (r = 0.469;P = .007). Kisspeptin’s enhancement of posterior cingulate cortex activity in response to attractive male faces also correlated with reduced sexual aversion, providing additional functional significance (r = 0.476,P = .005). Kisspeptin was well-tolerated with no reported adverse effects.Conclusions and RelevanceThese findings lay the foundations for clinical applications for kisspeptin in women with HSDD.Trial RegistrationISRCTN trial registry identifier:ISRCTN17271094