bluuebunny/crossref_metadata_2025 huggingface dataset:
Report of Climacturia and Orgasmic Disorders After Radical Prostatectomy in a Brazilian Tertiary Hospital – Shedding Light on a Neglected Condition
Authors: GAMBERINI PEDRO DAHER CARNEIRO , NASCIMENTO BRUNO CHIESA GOUVEIA , FILHO HOMERO RIBEIRO , NAHAS WILLIAM , JUNIOR JOSÉ DE BESSA , TEIXEIRA THIAGO AFONSO , HALLAK JORGE
Published: June 2024

PURPOSE
After radical prostatectomy (RP), it is rarely acknowledged that several sexual dysfunctions can arise. These include issues in the orgasmic domain (e.g., decreased orgasm intensity, dysorgasmia), problems with ejaculation (e.g., absence of ejaculation), the development of penile deformities, and low sexual desire. This article aim to report the occurrence of orgasmic and ejaculatory dysfunction when actively investigated, documenting those rates and caracterizing specific features of these conditions following RP.
METHODS
This study has analyzed retrospective data from men who underwent RP and were experiencing erectile dysfunction. During a structured visit, patients were systematically questioned about dysorgasmia, altered orgasmic sensation, climacturia, and arousal incontinence. Continuous variables were analyzed using the Student T or ANOVA tests, while categorical variables were analyzed using Chi-squared or Fisher's exact tests. The associations were described as Odds Ratios with precise confidence intervals. All tests were two-sided; a p-value < 0.05 was considered statistically significant.
RESULTS
Sixty patients were included, out of which 3 (5%) reported dysorgasmia, while 33.3% presented a decrease in orgasm intensity. Climacturia was reported as the most common orgasmic disorder in 40 (66.6%) patients. However, only 14 patients (35%) reported that it frequently occurs, i.e., more than half of the time. Among the patients who reported climacturia, 72.5% classified it as mild losses. Additionally, arousal incontinence (AI) was noted in the study by 19 (26.3%) patients.
CONCLUSION
Our study highlights the importance of discussing orgasmic dysfunctions after RP, which can be frequent and bothersome but are often overlooked in preoperative counseling.
Assessment of Community Awareness of Transmission and Control Practices for Gastrointestinal Parasites in Vegetables in Aden Governorate, Yemen: A Descriptive and Analytical Cross-Sectional Study
Authors: Al-Baghdadi Mohammed Ali , Gubran Ali Nasser Mohammed , Al-Haidary Naif Mohammed
Published: June 2024

Background In the Aden Governorate, Yemen, the prevalence of gastrointestinal parasite infections is alarmingly high due to insufficient community awareness and preventive measures. This study aimed to assess the level of awareness among local market vendors and consumers regarding gastrointestinal parasites and their preventive measures.
Methods We conducted a descriptive and analytical cross-sectional study using structured questionnaires. The sample included 400 local market vendors and consumers selected randomly from the eight districts of Aden Governorate. The data were collected over four months, from July 1st to October 31st, 2023. We utilized SPSS software for data analysis, employing chi-square tests to identify associations between variables.
Results A total of 73% of the respondents were aware of intestinal parasitosis. However, only 67.8% had knowledge of transmission methods, and even fewer were aware of preventive measures.
Conclusions These findings highlight a significant gap in community knowledge and the need for improved public health initiatives. Enhanced educational campaigns focusing on transmission and prevention are essential. Additionally, promoting better hygiene practices among vendors and consumers can mitigate the risks associated with consuming raw vegetables in the Aden Governorate.
Solvent co-intercalation in layered cathode active materials for sodium-ion batteries
Authors: Adelhelm Philipp , Sun Yanan , Åvall Gustav , Wu Shu-Han , Ferrero Guillermo Alvarez , Wang Hui , Mazzio Katherine , Bianchini Matteo , Baran Volodymyr , Risse Sebastian
Published: June 2024

Solvent co-intercalation, i.e. the combined intercalation of ions and solvent molecules into electrode materials, is an additional but much less explored lever for modifying the properties of electrodes in metal-ion batteries (metal= Li, Na, Mg, …). So far, the knowledge on solvent co-intercalation is relatively scarce and largely limited to graphite anodes, for which in Na-ion batteries, the co-intercalation of glyme molecules is found to be very fast and highly reversible over many cycles. The use of co-intercalation in metal-ion batteries, however, still lacks a scientific breakthrough with respect to cathode active materials (CAMs). Here, we show for a series of Na-layered sulfide CAMs (NaxMS2, M = Ti, V, Cr, and mixtures) by experimental methods and theory, under which conditions solvent co-intercalation occurs and how this process impacts the phase behavior, electrode breathing, redox potential, and cycle life compared to “Na+-only” intercalation. Overall, co-intercalation provides an alternative way for designing CAMs.
Forelimb motor learning and memory consolidation drives distinct oligodendrocyte plasticity to fine-tune task-related neural activity
Authors: Xiao Lin , Wang Shuming , Xu Nuo , Wang Wenwen , He Yongxiang , Yang Yuqian , Zhang Liuning , Zou Yanping , He Yuehua , Gao Liang , Li Huiliang
Published: June 2024

Previous work has shown that “complex wheel” running requires new oligodendrocyte (OL) generation. Here, we ask whether adaptive OL plasticity occurs during a dexterous forelimb reaching task. Surprisingly, a decrease in oligodendrogenesis is observed after motor learning, accompanied by an increase in the length of Ranvier node in the contra-rostral forelimb area (cRFA) motor cortex. We then observe an increase in subsequent OPC proliferation and maturation during skill memory consolidation. Genetic blockade of oligodendrogenesis in Myrf conditional-knockout (Myrf-cKO) mice prior to reaching task results in enhanced rather than impaired learning, whereas blockade during the memory phase impairs motor skill retention. In vivo recordings of task-related calcium dynamics show that Myrf-cKO mice exhibit increased movement-related calcium activity and an increased number of cFos-expressing neurons in the cRFA during learning, but reduced neuronal reactivation during skill recall. These findings suggest forelimb motor learning and consolidation may drive distinct OL dynamics/plasticity to fine-tune task-related neural activity.
Cluster Globally, Model Locally: Clusterwise modeling of nonlinear dynamics
Authors: Noack Bernd , Deng Nan , Pastur Luc , Maceda Guy Cornejo , Hou Chang
Published: June 2024

Data-driven reduced-order modeling opens new avenues of understanding, predicting, controlling, and optimizing system behavior. Simple systems may have state spaces in which sparse human-interpretable dynamical systems can be identified. This approach has been pioneered by S. Brunton et al. (2016, PNAS) with Sparse Identification of Nonlinear Dynamics (SINDy). Complex systems, however, cannot be expected to benefit from such simple analytical descriptions. Yet, smoothness may be exploited by analytical local descriptions. In this paper, we identify a clusterwise polynomial dynamics from time-resolved snapshot data. The full state space is partitioned into clusters with a reduced-order polynomial description for each cluster and a global patching strategy. The resulting clusterwise modeling is entirely data-driven and requires no prior knowledge of the system dynamics. We illustrate the approach on the well-known chaotic Lorenz and Rössler systems, on the more challenging chaotic fluid flow dynamics of higher state-space dimensions, on a noisy electrocardiogram (ECG) signal, and finally on the time evolution of the monthly sunspot number. Clusterwise modeling offers a powerful and interpretable paradigm for dynamical modeling. Nonlinear dynamics can be approximated by assembling many simple local models of different resolutions, opening new paths to understand and control intricate nonlinearities.
Artificial Intelligence in Depression – Medication Enhancement (AID-ME): A Cluster Randomized Trial of a Deep Learning Enabled Clinical Decision Support System for Personalized Depression Treatment Selection and Management
Authors: Benrimoh David , Whitmore Kate , Richard Maud , Golden Grace , Perlman Kelly , Jalali Sara , Friesen Timothy , Barkat Youcef , Mehltretter Joseph , Fratila Robert , Armstrong Caitrin , Israel Sonia , Popescu Christina , Karp Jordan , Parikh Sagar , Golchi Shirin , Moody Erica , Shen Junwei , Gifuni Anthony , Ferrari Manuela , Sapra Mamta , Kloiber Stefan , Pinard Georges , Dunlop Boadie , Looper Karl , Ranganathan Mohini , Enault Martin , Beaulieu Serge , Rej Soham , Hersson-Edery Fanny , Steiner Warren , Anacleto Alexandra , Qassim Sabrina , McGuire-Snieckus Rebecca , Margolese Howard
Published: June 2024

Major Depressive Disorder (MDD) is a leading cause of disability and there is a paucity of tools to personalize and manage treatments. A cluster-randomized, patient-and-rater-blinded, clinician-partially-blinded study was conducted to assess the effectiveness and safety of the Aifred Clinical Decision Support System (CDSS) facilitating algorithm-guided care and predicting medication remission probabilities using clinical data. Clinicians were randomized to the Active (CDSS access) or Active-Control group (questionnaires and guidelines access). Primary outcome was remission (<11 points on the Montgomery Asberg Depression Rating Scale (MADRS) at study exit). Of 74 eligible patients, 61 (42 Active, 19 Active-Control) completed at least two MADRS (analysis set). Remission was higher in the Active group (n = 12/42 (28.6%)) compared to Active-Control (0/19 (0%)) (p = 0.01, Fisher’s exact test). No adverse events were linked to the CDSS. This is the first effective and safe longitudinal use of an artificial intelligence-powered CDSS to improve MDD outcomes.
Stigma: A Barrier Created by Limited Access to Care and Health Education on Hepatitis C (HCV) Testing and Treatment within the Puerto Rican Population.
Authors: Ruiz-Casprowitz Lisa
Published: June 2024

Hepatitis C (HCV) is a chronic disease that progresses slowly and has become increasingly prevalent in PWIDs residing in Puerto Rico. Limited access to healthcare and health information has contributed to the stigma surrounding HCV and persons who inject drugs (PWIDs). The systematic review aimed to understand how social determinants of health, limited access to care, HCV education, and stigma affect the overall health of individuals with HCV, especially at-risk populations of people who inject drugs (PWIDs) in Puerto Rico. The review emphasizes the importance of local and federal government agencies taking action to fund and develop HCV health programs for the public and healthcare providers. Rationale: Awareness and knowledge of HCV are crucial to reducing stigma and negative attitudes towards PWIDs in Puerto Rico. Educating people about HCV can reduce stigma and increase testing and treatment rates among PWIDs. Objective: This study investigates existing evidence-based information on the connection of stigma on Hepatitis C (HCV) negatively impacting testing and treatment in Puerto Rico among PWIDs and the need for government funding for prevention and treatment programs to address HCV stigma in Puerto Rico.
ESKİ ANADOLU TÜRKÇESİNDE YAZI DİLİNİ OLUŞTURAN AĞIZ VE MÜELLİFLERİN KİMLİĞİ MESELESİ
Authors: Büke Himmet
Published: June 2024

11. yüzyıldan itibaren Anadolu coğrafyasına gelen Oğuzlar konuştukları Türkçenin burada bir yazı dili hâline gelmesi sürecinde siyasi, kültürel ve sosyal anlamda birtakım zorlu süreçleri yaşamışlardır. Türkçe yazılan ilk eserler 13. yüzyıldan itibaren kendini göstermeye başlamış, devam eden 14. ve 15. yüzyıllarda ise en verimli dönemini yaşamıştır. Yunus Emre’nin nerede yaşadığı, Hoca Mesud ve Kul Mesud’un aynı şahsiyetler olup olmadığı, Ahi Evren’in, Âşık Paşa’nın, Dehhanî’nin, Şeyyad Hamza’nın kimliği, karışık lehçeli eserlerin müelliflerinin etnik mensubiyeti gibi meseleler yıllarca tartışılmıştır. Bu çalışmada bazı eserlerdeki çok yaygın olmayan, belirli bir bölgeye veya ağıza özgü olabileceği düşünülen sözcüklerden hareketle bu konuda bir fikir ortaya konulmaya çalışılacaktır. Müellifler eserlerini yazarken genel anlamda yaygın sözcükleri kullanırken bazı bölgesel ifadeleri de eserlerine yansıtabilmektedir. Çalışmada bu sözcüklerden ya da söz kalıplarından yola çıkarak konuyla ilgili bir tartışma alanı açılması amaçlanmaktadır.
Nakışın Sanat, Zanaat ve Endüstriyel Tasarımdaki Güncel Görünümleri
Authors: Bahar Tuba
Published: June 2024

Birbirinden bağımsız parçaları dikişle birleştirme fikriyle başlayan nakış, çeşitli uygulama teknikleri kullanılarak yüzeylere yapılan bezemelerdir. İnsani faaliyet olarak nakış, içinde oluştuğu çevrenin unsurlarıyla beslenerek kendini güncellemekte, böylece çeşitli görünümlere kavuşmaktadır. Nakışın farklı görünümlerini tespit etmek amacındaki bu çalışma, betimsel tarama metodu ile yapılandırılmıştır. İnternet platformları aracığıyla ulaşılan zanaat, sanat ve endüstriyel tasarım konseptindeki nakış çalışmaları, Arts And Crafts, 20. Yüzyıl Sanatı, Bauhaus Akımı gibi düşünsel arkaplan ve kavramlarla ilişkisel olarak ele alınmıştır. Çalışmada, nakışın sanatsal düzlemde bir fikri ifade etme aracı olarak var olduğu ve zanaatsal düzlemde geleneksel kültürel bir öğe olarak algılandığı ve bu temelde üretiminin çeşitlenerek devam ettiği tespit edilmiştir. Endüstriyel tasarım kapsamında ise nakış; zanaat ve sanattan temel farkı seri üretim olan sanayide, elektronik nakış makineleri vasıtasıyla yer bulmaktadır.
Hiçlik ve Ölümün Gölgesinde Bir Hayaleti Hatırlatmak: Kayıp Ev/ La Maison Manquante
Authors: Barlas Mert
Published: June 2024

Bu araştırma, Fransız Sanatçı Christian Boltanski’nin 1992 yılında ortaya koyduğu Kayıp Ev (La Maison Manquante/ The Missing House) eserine dair; ölüm/ hiçlik, mekân/ boşluk ilişkileri perspektifinde var oluş/ yok oluş ilişkisi bağlamında bir inceleme sunmaktadır. Enstalasyondaki maddi yokluk ve anlam arasındaki etkileşimi ölüm ve hiçlik olguları üzerinden sorgulayan araştırma, tarihsel travmanın bireysel ve kolektif bilinç üzerindeki kalıcı etkisine odaklanarak Boltanski'nin mekânsal varoluş düzleminde kayıp/ hatırlama üzerine kurulu sanatsal pratiğine ışık tutmayı amaçlamaktadır. Hikâye anlatıcılığı arayışıyla karakterize edilen sanatçının, genellikle sahipsiz nesneler, kıyafetler ve fotoğraflarla oluşturduğu eserleri; ölüm, yok oluş, unutulma, hafıza, kimlik, hatırlama ve anma üzerine ötekinin acısının farkına varma gibi temalar üzerine kuruludur. Bu anlamda araştırmada Boltanski’nin sanat dilini anlamaya yardımcı olmak amacıyla, memento mori örnekleri olarak da ele alınan, Personnes ve Les Archives du Cœurs eserleri ve araştırmaya konu olan Site Specific eseri Kayıp Ev; mekân olgusunun boşluk, ölüm ve hiçlik kavramlarıyla olan varoluşsal ilişkisi ışığında değerlendirilmiştir.
Kastamonu Yazma Eser Kütüphanesi’ndeki 37 HK. 2817 Envanter Numaralı Kur’ân-I Kerim’in Sûre Başı Tezhipleri
Authors: Dilber Mine
Published: June 2024

Müslümanlar için kutsal sayılan, İslamiyet’in temsilcisi ve aktarıcısı rolünü üstlenen Kur’ân-ı Kerim, sanatsal açıdan da değer arz etmektedir. Bünyesinde taşıdığı kitap sanatları ve bu sanatlar içerisinde yer alan tezhip sanatının her bir detayı dönemine, üslubuna, yapan sanatkârın yeteneğine göre Kur’an-ı Kerimleri önemli kılan unsurlardandır. Kur’an-ı Kerimlerin en eski örnekleri, tezhip sanatında sayfaları süsleme geleneğinin bu kutsal kitapla başladığı ve tezhip sanatının gelişimine büyük ölçüde katkı sunduğunu ortaya çıkarmaktadır. Bu eserlere örnek teşkil eden ve Kastamonu Yazma Eser Kütüphanesi’nde muhafaza edilen 37 Hk. 2817 envanter numaralı Kur’ân-ı Kerim, tezhip sanatı açısından sûre başı süslemelerinin analizi çerçevesinde değerlendirilmiş, bu sûre başı tezhipleri renk, motif ve kompozisyon özellikleri bakımından oluşturulan pafta türüne göre 7 grupta incelenmiştir. Eserdeki sûre başı tezhipleri daha önce sanatsal açıdan herhangi bir çalışmaya konu edilmediğinden dolayı tercih edilmiş, eserin dönem özelliklerinin ait olduğu dönemle kıyaslanıp, bu özellikleri taşıyıp taşımadığı, diğer dönemlerle hangi açıdan benzer özellik gösterdiği ortaya çıkarılmaya çalışılmış, yapılan bu ve benzeri çalışmalar doğrultusunda belge niteliği taşıması ve aktarıcı rol üstlenmesi açısından önemli görülmüştür.
Seres Seris del mar y del desierto… de la conversación a la conservación en Hant comcaac, Sonora, México
Authors: Ramos García Catherine
Published: June 2024

El pueblo comcaac ubicado en Sonora, en la Costa del Golfo de California, ha convivido con seres del desierto y el mar durante siglos, hasta hace unas décadas vivieron su territorio como nómadas. Esas relaciones se han modificado a través de las transformaciones en la vida de la nación comcaac, ahora más sedentaria y articulada al gobierno mexicano, a redes de pesca y cacería deportiva y a economías informales. Cambian también a medida que diversos actores han entrado a interactuar en el territorio y con la gente comcaac. Hoy en día, científicos y científicas, principalmente de Estados Unidos y México, (aunque no falta una colombiana extraviada), visitan el territorio comcaac para investigar su gente y sus ecosistemas, esta interacción va transformando las formas en las que los seres humanos y no humanos van en-red-ando sus acciones y sus sentires. De la conVerSación, principal forma de interacción entre los seres que habitan el territorio, se pasa a la conSerVación, nueva forma de relacionarse. Ninguna de las dos está exenta de relaciones de poder, pero son ontologías en pugna, que reconfiguran las maneras en las que se es en el mundo.
O papel da cinemateca pernambucana na salvaguarda do patrimônio audiovisual
Authors: Santos Ronaldo da Silva , Albuquerque Daniela Eugênia Moura de
Published: June 2024

The objective of this research is to delineate the contributions of Cinemateca Pernambucana of the Fundação Joaquim Nabuco in the preservation and access to audiovisual collections, in order to understand how the institution develops methods and techniques to safeguard and disseminate the audiovisual heritage of Pernambuco, developed through the cinema cycles in the state’s audiovisual history. Regarding the methodological procedures, this is a qualitative research with exploratory purposes and bibliographic means. The data collection technique involved semi-structured interviews with the staff of Cinemateca Pernambucana, and the data analysis was carried out through pragmatic language analysis. As a result, it is evident that the Cinemateca, in the scope of preservation, develops strategies such as server archiving, generating backup copies, and LTO tape backups to ensure the long-term existence of Pernambuco films. Regarding access, the institution focuses on the development and education of the audience through educational practices, in addition to cinematic dissemination through its official site. It is concluded that the Cinemateca Pernambucana is an essential cultural, memorial, and educational facility, both in supporting the audiovisual production chain and in the digital preservation of representative audiovisual documents of Pernambuco cinema, contributing to their dissemination and fostering the development of cinematic culture in the state.
Aspectos éticos, linguísticos e culturais na organização e representação da informação e do conhecimento
Authors: Coutinho Ingrid Ferreira , Santos Raimunda Fernanda dos
Published: June 2024

Tem como objetivo geral analisar de que modo os aspectos éticos, linguísticos e culturais são contemplados nas produções da área de Organização e Representação da Informação e do Conhecimento em âmbito nacional. Utiliza como metodologia as pesquisas bibliográfica, exploratória, descritiva, partindo de uma abordagem qualiquantitativa. Para tanto, foram analisadas as produções científicas que abarcam a temática, mediante consultas realizadas na Base de Dados Referencial de Artigos de Periódico em Ciência da Informação (BRAPCI) e nos anais da ISKO BRASIL (International  Society for Knowledge Organization). Como resultados, observou-se que o eixo cultural vem sendo ligeiramente mais estudado nos últimos cinco anos, se comparado aos eixos relacionados à ética e linguagem. No que diz respeito à ética, assumem a posição de destaque os estudos sobre os valores éticos na atuação do profissional da informação, bem como questões de gênero e sexualidade. Em relação ao aspecto linguístico, destacam-se os estudos sobre semântica e linguística aplicada à Organização do Conhecimento. Já no tocante ao aspecto cultural, observou-se a incidência de estudos que contemplam questões relacionadas à representação da cultura negra e diversidade cultural em Sistemas de Organização do Conhecimento (SOC).
The Effectiveness of The National Institutes of Health Stroke Scale (NIHSS) in Determining Nursing Diagnoses in Stroke Patients: A Scoping Review.
Authors: Fitriana Erlis Eka , Haryanto Haryanto
Published: June 2024

The symptoms of a stroke can vary depending on which part of the brain is affected, potentially leading to severe consequences or difficulties. This scoping review aims to assess the effectiveness of the NIHSS in establishing nursing diagnoses in stroke patients. The review involved searches on Google Scholar, ResearchGate, and PubMed from 2012 to January 2023. The identification and selection of literature followed Moher's guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) 2009, resulting in ten articles for discussion. The study utilized the National Institutes of Health Stroke Scale (NIHSS) criteria to evaluate the severity of strokes by assessing neurological impairments. The analysis followed Arksey and O'Malley's model.  The study findings highlighted a significant relationship between NIHSS scores and nursing diagnoses, showing a positive trend where higher NIHSS scores were associated with increased nursing diagnoses. In conclusion, integrating the NIHSS with complementary assessment instruments is crucial in refining nursing diagnoses among stroke patients and enhancing the standard of care and patient prognosis.
Factors influencing innovative work behavior among local government employees in Labuan Batu
Authors:   Faculty of Economics, Universitas Prima Indonesia, Medan, Indonesia, Faris Salman , Syaifuddin Syaifuddin ,   Faculty of Economics, Universitas Prima Indonesia, Medan, Indonesia, Rusiadi Rusiadi ,   Faculty of Social Sciences, Universitas Pembangunan Panca Budi, Medan, Indonesia
Published: June 2024

Government employees are vital for delivering services to people, particularly within the Labuhan Batu Local Government. There's a strong need for workers who display innovative behavior to foster public trust. Stakeholders must be deeply committed to improving the quality of employees' work. This study aims to understand how innovative work behavior is affected by factors like professional identity, leadership humility, work ethic, strategies for managing human resources, and job satisfaction. Research on how job satisfaction influences innovative work behavior, considering professional identity, leadership humility, work ethic, and human resource strategies, is scarce. The main purpose of this research is to see how job satisfaction can boost innovative work behavior among employees in the Labuhan Batu Local Government. It uses a Structural Equation Modeling (SEM) approach with Partial Least Squares (PLS) to analyze the data. Data was collected through surveys from 372 permanent staff members in Labuhan Batu. Findings show that job satisfaction is crucial, both directly and indirectly, in linking leadership humility, work ethic, and human resources strategies with innovative work behavior. However, professional identity doesn't significantly affect job satisfaction or innovative work behavior. The study's limitation is its narrow focus on government employees. Future studies should broaden the participant pool and include private sector workers to better understand the impact of professional identity on job satisfaction and innovation at work.
Identifying educational needs and knowledge gaps in healthcare professionals for effective management of acute myocardial infarction
Authors:   Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia, Yousef Fady , Mohamed Zainah ,   Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia, Singh Gurbinder Kaur Jit ,   Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia, Hassan Nor Haty ,   Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
Published: June 2024

This study aims to examine the educational needs and knowledge gaps of healthcare professionals in treating Acute Myocardial Infarction (AMI), a leading cause of death worldwide due to its impact on the heart muscles and blood vessels. Although healthcare workers generally understand how to manage AMI, there are crucial areas where their knowledge could be improved. The research involved 65 healthcare professionals from Jordan University Hospital, collecting data through surveys with structured questions and analyzing it with descriptive statistics. The findings indicate that while nurses are proficient in recognizing symptoms and managing care for AMI patients, including medication administration and patient education, they require more resources and training. Specifically, they need better training in oxygen therapy, emergency procedures, and advising patients on lifestyle changes. The study highlights the need for targeted, patient-focused education to address these gaps and improve AMI management in hospitals.
Uzdolniony uczeń w świetle ustaw Komisji Edukacji Narodowej
Authors: Stańczak Małgorzata
Published: June 2024

Impulsem do podjęcia badań prezentowanych w niniejszym artykule stała się 250. rocznica powstania Komisji Edukacji Narodowej powołanej 14 października 1773 roku, jako pierwszego w Polsce państwowego urzędu do spraw oświaty. Z działalnością Komisji wiązano ogromne nadzieje na wychowanie i nauczanie nowego pokolenia Polaków, których działalność na rzecz ojczyzny podniosłaby kraj z upadku po pierwszym rozbiorze dokonanym przez Rosję, Prusy i Austrię w 1772 roku. Celem badań było poznanie warunków rozwoju zdolnych dzieci i młodzieży stworzonych przez Komisję Edukacji Narodowej w szkolnictwie Rzeczypospolitej Obojga Narodów. Niniejszy artykuł prezentuje wyniki badawcze stanowiące odpowiedź na następujące pytanie badawcze: Czy i jakie rozwiązania edukacyjne sprzyjające rozwojowi zdolności uczniów zawarto w zapisach Ustaw Komisji Edukacji Narodowej? W badaniach wykorzystano metodę badania dokumentów. Analizie jakościowej poddano treść Ustaw Komisji z 1783 roku publikowanych przez Stanisława Sobieskiego w 1872 roku we Lwowie. Oryginalna treść dokumentu znajduje się w zasobach cyfrowych Wielkopolskiej Biblioteki Cyfrowej. W wyniku badań stwierdzono, że warunki kształcenia uczniów zdolnych nie zostały wyodrębnione w Ustawach Komisji jako odrębny rozdział. Ustawodawcy wprowadzili jednak rozwiązania organizacyjne, finansowe, personalne i metodyczne, które mogły sprzyjać rozwojowi uczniowskich zdolności. W artykule opisano regulacje dotyczące systemu nagród szkolnych, instytucji tutorów oraz standardów kształcenia nauczycieli i wynikające z nich korzyści dla uczniów zdolnych.
Interwencja edukacyjno-terapeutyczna w kontekście profilu cech dzieci z zespołem Downa
Authors: Biernat Renata
Published: June 2024

Artykuł podejmuje zagadnienia dotyczące istoty najczęstszego zaburzenia chromosomalnego. Wskazuje przyczyny, cechy, zachowania i problemy składające się na trisomię chromosomu 21. O procesie uczenia się i funkcjonowania osób z zespołem Downa (ZD) nie decyduje jedynie dodatkowy chromosom. Potrzeba określenia czynników i warunków, które należy uwzględnić w procesie aktywizowania jednostek obarczonych dodatkowym chromosomem wydaje się zatem zasadna. Teoretyczne dociekania dotyczące podobieństw i różnic dzieci dotkniętych zespołem Downa mają istotne następstwa w obszarach edukacji i rehabilitacji. Współpraca rodziców ze szkołą sprzyja dynamizowaniu rozwoju dziecka w obu kontekstach środowiskowych. Wybór formy kształcenia specjalnego (w nurcie inkluzyjnym, integracyjnym czy segregacyjnym) powinien być wyrazem przemyślanej decyzji rodziców, uwzględniającej szereg czynników, np.: profilu cech dziecka z ZD, efektów dotychczasowego wspomagania jego rozwoju, zaangażowania i oczekiwań rodziców oraz dostępności i warunków oferowanych przez konkretną szkołę. Ponieważ coraz częściej uczniowie z zespołem Downa trafiają do placówek ogólnodostępnych, wydaje się, iż potrzeba propagowania wiedzy na temat ich rozwoju oraz sposobów podejmowania działań edukacyjnych i terapeutycznych jest ciągle aktualna.
Predictive Modeling of Hypertension-Related Postpartum Readmission: Retrospective Cohort Analysis
Authors: Tao Jinxin , Larson Ramsey G , Mintz Yonatan , Alagoz Oguzhan , Hoppe Kara K
Published: June 2024

Background

Hypertension is the most common reason for postpartum hospital readmission. Better prediction of postpartum readmission will improve the health care of patients. These models will allow better use of resources and decrease health care costs.

Objective

This study aimed to evaluate clinical predictors of postpartum readmission for hypertension using a novel machine learning (ML) model that can effectively predict readmissions and balance treatment costs. We examined whether blood pressure and other measures during labor, not just postpartum measures, would be important predictors of readmission.

Methods

We conducted a retrospective cohort study from the PeriData website data set from a single midwestern academic center of all women who delivered from 2009 to 2018. This study consists of 2 data sets; 1 spanning the years 2009-2015 and the other spanning the years 2016-2018. A total of 47 clinical and demographic variables were collected including blood pressure measurements during labor and post partum, laboratory values, and medication administration. Hospital readmissions were verified by patient chart review. In total, 32,645 were considered in the study. For our analysis, we trained several cost-sensitive ML models to predict the primary outcome of hypertension-related postpartum readmission within 42 days post partum. Models were evaluated using cross-validation and on independent data sets (models trained on data from 2009 to 2015 were validated on the data from 2016 to 2018). To assess clinical viability, a cost analysis of the models was performed to see how their recommendations could affect treatment costs.

Results

Of the 32,645 patients included in the study, 170 were readmitted due to a hypertension-related diagnosis. A cost-sensitive random forest method was found to be the most effective with a balanced accuracy of 76.61% for predicting readmission. Using a feature importance and area under the curve analysis, the most important variables for predicting readmission were blood pressures in labor and 24-48 hours post partum increasing the area under the curve of the model from 0.69 (SD 0.06) to 0.81 (SD 0.06), (P=.05). Cost analysis showed that the resulting model could have reduced associated readmission costs by US $6000 against comparable models with similar F1-score and balanced accuracy. The most effective model was then implemented as a risk calculator that is publicly available. The code for this calculator and the model is also publicly available at a GitHub repository.

Conclusions

Blood pressure measurements during labor through 48 hours post partum can be combined with other variables to predict women at risk for postpartum readmission. Using ML techniques in conjunction with these data have the potential to improve health outcomes and reduce associated costs. The use of the calculator can greatly assist clinicians in providing care to patients and improve medical decision-making.
Implementing a Biomedical Data Warehouse From Blueprint to Bedside in a Regional French University Hospital Setting: Unveiling Processes, Overcoming Challenges, and Extracting Clinical Insight
Authors: Karakachoff Matilde , Goronflot Thomas , Coudol Sandrine , Toublant Delphine , Bazoge Adrien , Constant Dit Beaufils Pacôme , Varey Emilie , Leux Christophe , Mauduit Nicolas , Wargny Matthieu , Gourraud Pierre-Antoine
Published: June 2024

Background

Biomedical data warehouses (BDWs) have become an essential tool to facilitate the reuse of health data for both research and decisional applications. Beyond technical issues, the implementation of BDWs requires strong institutional data governance and operational knowledge of the European and national legal framework for the management of research data access and use.

Objective

In this paper, we describe the compound process of implementation and the contents of a regional university hospital BDW.

Methods

We present the actions and challenges regarding organizational changes, technical architecture, and shared governance that took place to develop the Nantes BDW. We describe the process to access clinical contents, give details about patient data protection, and use examples to illustrate merging clinical insights.

Implementation (Results)

More than 68 million textual documents and 543 million pieces of coded information concerning approximately 1.5 million patients admitted to CHUN between 2002 and 2022 can be queried and transformed to be made available to investigators. Since its creation in 2018, 269 projects have benefited from the Nantes BDW. Access to data is organized according to data use and regulatory requirements.

Conclusions

Data use is entirely determined by the scientific question posed. It is the vector of legitimacy of data access for secondary use. Enabling access to a BDW is a game changer for research and all operational situations in need of data. Finally, data governance must prevail over technical issues in institution data strategy vis-à-vis care professionals and patients alike.
Impact of an Electronic Health Record–Based Interruptive Alert Among Patients With Headaches Seen in Primary Care: Cluster Randomized Controlled Trial
Authors: Pradhan Apoorva , Wright Eric A , Hayduk Vanessa A , Berhane Juliana , Sponenberg Mallory , Webster Leeann , Anderson Hannah , Park Siyeon , Graham Jove , Friedenberg Scott
Published: June 2024

Background

Headaches, including migraines, are one of the most common causes of disability and account for nearly 20%‐30% of referrals from primary care to neurology. In primary care, electronic health record–based alerts offer a mechanism to influence health care provider behaviors, manage neurology referrals, and optimize headache care.

Objective

This project aimed to evaluate the impact of an electronic alert implemented in primary care on patients’ overall headache management.

Methods

We conducted a stratified cluster-randomized study across 38 primary care clinic sites between December 2021 to December 2022 at a large integrated health care delivery system in the United States. Clinics were stratified into 6 blocks based on region and patient-to–health care provider ratios and then 1:1 randomized within each block into either the control or intervention. Health care providers practicing at intervention clinics received an interruptive alert in the electronic health record. The primary end point was a change in headache burden, measured using the Headache Impact Test 6 scale, from baseline to 6 months. Secondary outcomes included changes in headache frequency and intensity, access to care, and resource use. We analyzed the difference-in-differences between the arms at follow-up at the individual patient level.

Results

We enrolled 203 adult patients with a confirmed headache diagnosis. At baseline, the average Headache Impact Test 6 scores in each arm were not significantly different (intervention: mean 63, SD 6.9; control: mean 61.8, SD 6.6; P=.21). We observed a significant reduction in the headache burden only in the intervention arm at follow-up (3.5 points; P=.009). The reduction in the headache burden was not statistically different between groups (difference-in-differences estimate –1.89, 95% CI –5 to 1.31; P=.25). Similarly, secondary outcomes were not significantly different between groups. Only 11.32% (303/2677) of alerts were acted upon.

Conclusions

The use of an interruptive electronic alert did not significantly improve headache outcomes. Low use of alerts by health care providers prompts future alterations of the alert and exploration of alternative approaches.
Bridging Data Models in Health Care With a Novel Intermediate Query Format for Feasibility Queries: Mixed Methods Study
Authors: Rosenau Lorenz , Gruendner Julian , Kiel Alexander , Köhler Thomas , Schaffer Bastian , Majeed Raphael W
Published: June 2024

Background

To advance research with clinical data, it is essential to make access to the available data as fast and easy as possible for researchers, which is especially challenging for data from different source systems within and across institutions. Over the years, many research repositories and data standards have been created. One of these is the Fast Healthcare Interoperability Resources (FHIR) standard, used by the German Medical Informatics Initiative (MII) to harmonize and standardize data across university hospitals in Germany. One of the first steps to make these data available is to allow researchers to create feasibility queries to determine the data availability for a specific research question. Given the heterogeneity of different query languages to access different data across and even within standards such as FHIR (eg, CQL and FHIR Search), creating an intermediate query syntax for feasibility queries reduces the complexity of query translation and improves interoperability across different research repositories and query languages.

Objective

This study describes the creation and implementation of an intermediate query syntax for feasibility queries and how it integrates into the federated German health research portal (Forschungsdatenportal Gesundheit) and the MII.

Methods

We analyzed the requirements for feasibility queries and the feasibility tools that are currently available in research repositories. Based on this analysis, we developed an intermediate query syntax that can be easily translated into different research repository–specific query languages.

Results

The resulting Clinical Cohort Definition Language (CCDL) for feasibility queries combines inclusion criteria in a conjunctive normal form and exclusion criteria in a disjunctive normal form, allowing for additional filters like time or numerical restrictions. The inclusion and exclusion results are combined via an expression to specify feasibility queries. We defined a JSON schema for the CCDL, generated an ontology, and demonstrated the use and translatability of the CCDL across multiple studies and real-world use cases.

Conclusions

We developed and evaluated a structured query syntax for feasibility queries and demonstrated its use in a real-world example as part of a research platform across 39 German university hospitals.
Effectiveness of 675-nm Wavelength Laser Therapy in the Treatment of Androgenetic Alopecia Among Indian Patients: Clinical Experimental Study
Authors: Chandrashekar BS , Lobo Oliver Clement , Fusco Irene , Madeddu Francesca , Zingoni Tiziano
Published: June 2024

Background

Androgenetic alopecia (AGA) is the most prevalent cause of hair loss around the world.

Objective

The purpose of this study was to evaluate the efficacy of laser stimulation with a 675-nm wavelength for the treatment of AGA in male and female Indian patients.

Methods

A total of 20 Indian healthy patients aged 23-57 years who presented a grade of alopecia stage I to stage V underwent one single pass with a 675-nm laser to the scalp area twice a week for a total of 8 sessions, followed by once a week for 4 sessions and once in 2 weeks for 2 sessions. There are 14 laser treatments in total. Macro- and dermatoscopic images have been acquired at T0 (baseline) and T1 (4 months). The vertex, frontal, and parietal areas of the scalp were evaluated. Many parameters were analyzed including hair count and hair density of terminal; mean thickness; vellus follicles; total follicular units; units with 1 hair, 2 hairs, 3 hairs, 4 hairs, and >4 hairs; unit density; and average hair/unit.

Results

The macroimages and dermatoscopic evaluations showed good improvement over the entire treated area, with a clear increase in the number of hairs and hair thickness. General parameters such as hair count and hair density showed a percentage increase of around 17%. The hair mean thickness parameters showed a significant (P<.001) percentage increase of 13.91%. Similar results were obtained for terminal and vellus hair: terminal hair count and hair density significantly (P=.04 and P=.01, respectively) increased by 17.45%, vellus hair count increased by 16.67% (P=.06), and the density of vellus hair increased by 16.61% (P=.06).

Conclusions

The study findings demonstrate that the 675-nm laser system improved AGA in Indian patients, facilitating the anagen phase and improving hair density and other positive hair parameters.
On the Faithful Creation in Ezra Pound’s English Translation of Chinese Poetry in Cathay
Authors: Guo Wenyan
Published: June 2024

Ezra Pound’s English translation of Chinese poetry has played a great role in promoting the spread of Chinese ancient poetry to the outside world. However, Pound’s translation has not been fully recognized in China due to his free and creative translation, and even criticized in the translation circle. Based on the interpretation of Pound’s own translation thoughts and analysis of some examples of Pound’s translation of Chinese poetry, this paper demonstrates that Pound’s translation is completely faithful to the original in terms of images, form and effect. And his creative translation indeed makes the translation more in line with the emotional expression of the original poem, revealing the unique poetic and aesthetic significance of Chinese poetry. Through this paper, the author believes that the greatest fidelity to poem translation lies in the intensify of the emotion and the preservation of the meeting point of poetics, so that to reproduce its aesthetic significance and achieve unity with the soul of the original poem.
Competencias investigativas: estudio de caso en la carrera de enseñanza del inglés
Authors: Ferreiro-Santamaria Graciela
Published: June 2024

Se realizó un análisis de las competencias investigativas en el ámbito de la enseñanza del inglés en una universidad privada. Se implementó un estudio en tres etapas, siguiendo los siguientes objetivos específicos: 1) describir los indicadores de competencias investigativas en los planes de estudio mediante un análisis de contenido, 2) comprender la percepción de los estudiantes sobre la importancia de la investigación y sus habilidades investigativas, y 3) determinar la autopercepción y el compromiso de los docentes en el desarrollo de competencias investigativas. En la primera etapa se realizó un análisis de contenido de enfoque cualitativo. En las segunda y tercera fase, se utilizó un estudio no experimental de tipo transversal y descriptivo de carácter cuantitativo. El muestreo siguió una técnica no probabilística. Los resultados revelaron esfuerzos aislados para fomentar el desarrollo de competencias en los programas, siendo la presencia de indicadores más fuerte en el nivel de Licenciatura. Tanto los estudiantes como los docentes reconocen la importancia de la investigación y consideran que sus competencias investigativas son bastante elevadas. Sin embargo, los hallazgos evidencian que los profesores no se involucran en procesos investigativos y en ambas poblaciones se identificaron diversas deficiencias en aspectos metodológicos, como la determinación del problema, el análisis de resultados y la difusión de hallazgos.
Komodifikasi Kerajinan Anyaman Ata Sebagai Cenderamata
Authors: Ariningsih Ni Putu
Published: June 2024

Kerajinan Anyaman ata merupakan oleh-oleh khas Desa Seraya Kabupaten Karangasem sebagai salah satu komponen budaya yang dapat dikunjungi wisatawan di Seraya. Kerajinan Anyaman ata yang diproduksi di Desa Seraya dijadikan oleh-oleh khas destinasi wisata di Kabupaten Karangasem. Anyaman ata awalnya digunakan untuk kebutuhan sehari-hari masyarakat pedesaan dan keperluan upacara keagamaan. Perkembangan pariwisata menyebabkan kerajinan anyaman ata di Desa Seraya bervariasi dan mengubah pola konsumsi tergantung permintaan konsumen. Komodifikasi mengubah aspek kehidupan bermasyarakat. Perubahan tersebut pada akhirnya memunculkan kreativitas untuk menciptakan kerajinan Anyaman ata yang sesuai dengan selera pasar dan permintaan konsumen dengan tujuan memperoleh keuntungan sebesar-besarnya. Ko-modifikasi mempengaruhi seni kriya dalam industri ata di Desa Seraya. Berdasarkan perkembangan tersebut permasalahan pokok yang dibahas adalah bagaimana proses komodifikasi oleh-oleh anyaman ata di Desa Seraya Kabupaten Karangasem. Teori-teori yang digunakan untuk membahas permasalahan tersebut adalah teori ko-modifikasi, teori perubahan sosial budaya konsumen. Dalam pemilihan informan digunakan metode “purposive sampling dan snowball”. Teknik analisis yang digunakan adalah deskriptif kualitatif dengan sifat induktif.
 
Anyaman ata craft is a typical souvenir of Seraya Village in Karangasem Regency as one of the cultural components that tourists can visit in Seraya. The woven ata craft produced in Seraya Village is made into a typical souvenir destination in Karangasem Regency. Initially used for the daily needs of rural communities and religious ceremonies, the ata weaving has evolved due to tourism development, varying based on consumer demand. The commodification has transformed societal aspects, leading to creativity in creating woven ata crafts that cater to market preferences and consumer demands to maximize profits. Commodification influences the craft industry in Seraya Village. The main issue discussed is the commodification process of ata woven souvenirs in Seraya Village, Karangasem Regency, using theories such as commodification theory and consumer socio-cultural change theory. The informant selection method includes purposive sampling and snowball technique, with a qualitative descriptive analysis approach of an inductive nature.
GLOSSÁRIO SOBRE AVALIAÇÃO DA APRENDIZAGEM: CONTRIBUIÇÕES DE UM PRODUTO EDUCACIONAL PARA A FORMAÇÃO DOCENTE
Authors: Lisbôa Cássia do Carmo Andrade , Moreira Maria Cristina do Amaral
Published: June 2024

Este artigo tem por objetivo apresentar um Produto Educacional- PE resultante de uma tese de Doutorado Profissional, vinculada à linha de pesquisa: Formação de professores de ensino de ciências. A partir da pergunta norteadora da pesquisa que buscou investigar como tem ocorrido a avaliação da aprendizagem nos cursos de licenciatura em química e física em relevante instituição federal de ensino, constatou-se a existência de práticas conservadoras, de fragilidades na formação dos professores e inconsistências nos documentos institucionais. Diante deste cenário, foi desenvolvido o Glossário pedagógico-científico de significados relacionados à avaliação da aprendizagem, em formato de e-book, contendo verbetes relacionados à prática pedagógica no que diz respeito à avaliação, visando contribuir para a formação sobre a temática, ao impulsionar entre docentes que lecionam nas licenciaturas de ciências naturais a discussão, reflexão e aprendizagem sobre o tema, além de pretender se constituir material de ensino a ser utilizado com os licenciandos. O Glossário conta com um artefato para complementá-lo: o podcast Avaliando a avaliação, que é composto por episódios que abordam alguns verbetes selecionados a partir da pesquisa.