bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preoperative Anxiety Management Practices in Pediatric Anesthesia: Comparative Analysis of an Online Survey Presented to Experts and Social Media Users
Authors: Sablewski Armin , Eimer Christine , Nemeth Marcus , Miller Clemens 
Published: December 2024

Abstract

Background
Managing preoperative anxiety in pediatric anesthesia is challenging, as it impacts patient cooperation and postoperative outcomes. Both pharmacological and nonpharmacological interventions are used to reduce children’s anxiety levels. However, the optimal approach remains debated, with evidence-based guidelines still lacking. Health care professionals using social media as a source of medical expertise may offer insights into their management approaches.

Objective
A public survey targeting health care professionals was disseminated via social media platforms to evaluate current practices in anxiety management in children. The same questions were posed during an annual meeting of pediatric anesthesiologists with their responses serving as reference. The primary objective was to compare pediatric anesthesia expertise between the groups, while secondary objectives focused on identifying similarities and differences in preoperative anxiety management strategies hypothesizing expertise differences between the groups.

Methods
Two surveys were conducted. The first survey targeted 100 attendees of the German Scientific Working Group on Pediatric Anesthesia in June 2023 forming the “Expert Group” (EG). The second open survey was disseminated on social media using a snowball sampling approach, targeting followers of a pediatric anesthesia platform to form the “Social Media Group” (SG). The answers to the 24 questions were compared and statistically analyzed. Questions were grouped into 5 categories (pediatric anesthesia expertise, representativity, structural conditions, practices of pharmacological management, and practices in nonpharmacological management).

Results
A total of 194 responses were analyzed (82 in EG and 112 in SG). The EG cohort exhibited significantly greater professional experience in pediatric anesthesia than the SG cohort (median 19 vs 10 y, P<.001), higher specialist status (97.6% vs 64.6%, P<.001), and a greater pediatric anesthesia volume (43.9% vs 12% with more than 500 cases per year, P<.001). Regarding the representativity, 2 items out of 4 were statistically significant (level of care of institution, annual caseload of institution). Regarding the overall anxiety management practices used, there is a heterogeneous response pattern within both groups.

Conclusions
Despite heterogeneous approaches, health care professionals using social media demonstrated less expertise in pediatric anesthesia but showed minimal differences in the daily management of preoperative anxiety compared with pediatric anesthesia experts. Our study highlights the potential for meaningful use of social media but future studies should explore the impact of social media health care professionals’ knowledge in other specific topics. Additionally, regarding preoperative anxiety, further recommendations are needed that could help to standardize and improve anxiety levels in children.
Transforming Medical Education to Make Patient Safety Part of the Genome of a Modern Health Care Worker
Authors: Lachman Peter , Fitzsimons John 
Published: December 2024

Abstract
Medical education has not traditionally recognized patient safety as a core subject. To foster a culture of patient safety and enhance psychological safety, it is essential to address the barriers and facilitators that currently impact the development and delivery of medical education curricula. The aim of including patient safety and psychological safety competencies in education curricula is to insert these into the genome of the modern health care worker.
Evolution of the microbiota of wound infections in military personnel during the full-scale russian invasion: a retrospective cohort study (2022–2024)
Authors: Beley N.A. , Loskutov O.A. , Strokan A.M. , Izmaylova O.B. 
Published: December 2024

Background. Infectious complications remain one of the main causes of mortality and morbidity in blast injury among military personnel. The prevalence of infectious complications in blast injury reaches 35 %, and often the causative agents of such infections are multidrug-resistant microorganisms. The purpose was to analyze the dynamics of causative agents of wound infections in military personnel during the full-scale russian invasion. Materials and methods. We conducted a retrospective cohort study of servicemen who were injured during hostilities and were treated at the Feofaniya Clinical Hospital from March 2022 to March 2024. Wound culture was mandatory for study inclusion. Samples were taken from wounds with signs of inflammation, and microbiological testing was carried out in the laboratory of Feofaniya Clinical Hospital. Cultures were conducted in accordance with standard methods of medical microbiology. The disc diffusion method was used to determine the sensitivity of isolates to antimicrobial drugs. Results. The study included 478 servicemen (mean age of 36.60 ± 0.42 years, range 18–67, 99.6 % were males) who have had 1441 wound cultures, and 2483 isolates were identified. No pathogen was detected in 289 cases (11.63 %), fungal isolates were detected in 59 (2.38 %) cases, and the remaining isolates (2135; 85.98 %) were found to be bacterial. Gram-negative flora predominated among them — 80.2 % (95% confidence interval (CI) 78.4–81.8), while Gram-positive flora accounted for 19.8 % (95% CI 18.2–21.6), p < 0.001. The most common pathogens were Klebsiella pneumoniae (22.8 %; 95% CI 21.2–24.5), Acinetobacter baumannii (20 %; 95% CI 18.5–21.6), Pseudomonas aeruginosa (13.6 %; 95% CI 12.3–14.9) and Enterococcus spp. (6.2 %; 95% CI 5.3–7.2). Other pathogens were observed with a proportion of < 5 %. Monomicrobial cultures accounted for 50.5 % (95% CI 47.8–53.3), two isolates were found in 34.0 % (95% CI 31.4–36.6), three isolates — in 12.7 % (95% CI 10.9–14.5), four isolates — in 2.2 % (95% CI 1.4–3.0) and five isolates — in 0.6 % (95% CI 0.3–1.1) of all cultures. There was a significant level of antibiotic resistance — 99.7 % of Klebsiella pneumoniae isolates were multidrug-resistant. Conclusions. Wound infection in blast injury is characterized by a significant predominance of Gram-negative microflora with a high prevalence of antibiotic resistance. Polymicrobial flora was identified in half of the cases of wound infection.
OPTIMALISASI KOMUNIKASI: PERAN LAGU ANAK SEBAGAI MEDIA TERAPI BAGI PENYANDANG RHOTISISME
Authors: Ashiilah Tara , Sitanggang Benni , Ardini Putri , Fajriana Retno Rezky , Ramadan Azan Alfana , Tansliova Lili , Lubis Fitriani 
Published: December 2024

AbstrakPenelitian ini bertujuan mengetahui efektivitas lagu anak sebagai media terapi bagi anak-anak penyandang rhotisisme, gangguan fonologis yang mempengaruhi pengucapan bunyi “R”. Penelitian menggunakan metode eksperimen kuantitatif di Desa Binjai Bakung, Kecamatan Pantai Labu. Data dikumpulkan melalui observasi, wawancara, dan angket, dan dianalisis menggunakan uji normalitas dan paired sample t-test. Objek penelitian adalah anak-anak penyandang rhotisisme yang diberikan intervensi dengan lagu anak ciptaan dan dua lagu anak lain yang memiliki konsonan “r”. Data dari 13 anak menunjukkan perubahan signifikan dalam kemampuan berbicara. Pada pretest, nilai minimum adalah 13 dan maksimum 50, dengan rata-rata 35,37 dan standar deviasi 6,91. Setelah intervensi, nilai posttest meningkat dengan minimum 50 dan maksimum 75, rata-rata 61,15, dan standar deviasi 7,11. Observasi menunjukkan beberapa anak memiliki masalah pada alat ucap dan kegugupan saat berbicara, tetapi tidak ada yang mengidap autisme. Masalah pengucapan tidak terkait dengan bahasa sehari-hari, dan mayoritas anak tidak merasa minder berbicara di depan umum serta mampu mempertahankan percakapan. Penelitian ini menunjukkan bahwa lagu anak yang kaya akan konsonan “R” efektif sebagai stimulus untuk meningkatkan keterampilan pengucapan dan kepercayaan diri anak-anak penyandang rhotisisme. Kata kunci: Komunikasi, Lagu Anak, Rhotisisme, Treatment AbstractThis study aims to determine the effectiveness of children’s songs as a therapeutic medium for children with rhotisism, a phonological disorder that affects the pronunciation of the “R” sound. The research used a quantitative experimental method in Binjai Bakung Village, Pantai Labu District. Data were collected through observation, interview, and questionnaire, and analyzed using normality test and paired sample t-test. The object of the research was children with racism who were given an intervention with a children’s song created by them and two other children’s songs that have the consonant “r”. Data from 13 children showed significant changes in speaking ability. In the pretest, the minimum score was 13 and the maximum was 50, with a mean of 35.37 and a standard deviation of 6.91. After the intervention, posttest scores increased with a minimum of 50 and a maximum of 75, a mean of 61.15, and a standard deviation of 7.11. Observations showed that some children had speech problems and nervousness when speaking, but none had autism. Pronunciation problems were not related to colloquial language, and the majority of children did not feel inferior speaking in public and were able to sustain conversations. This study shows that children’s songs rich in “R” consonants are effective as a stimulus to improve the pronunciation skills and self-confidence of children with rhotisism. Keywords: Communication, Children’s Songs, Rhoticism, Treatment
Mi van a megtérésen túl? I. rész: A lelki formálódás teológiai alapjai
Authors: SZABÓNÉ LÁSZLÓ Lilla 
Published: December 2024

What is beyond conversion? Part I. The theological foundations of spiritual formation
Both the soullessness of our times, the spiritual overheating, and the unfolding pragmatism in the field of spiritual life call for practical theology to reflect on the field of spiritual formation. In our Church, in our congregations, evangelization, the call to conversion, is still at the heart of the matter. Little is said about what is or what should be after conversion? In this paper, we will reflect theologically on the subject of spiritual formation. We will examine the ordo salutis discussed in classical dogmatics, and within it the interpretations of justification, conversion, and regeneration. Finally, we will explore the theme of sanctification, what is the responsibility of man in the process of spiritual formation according to the Reformed theological approach.
Exogenous Silicon and Pseudomonas fluorescens Alleviate Meloidogyne javanica Stress in Tomato Plants
Authors: Noorabadi Maryam Tavakol , Alizadeh Mehrdad , Sahebani Navazollah , Xu Biao 
Published: December 2024

Abstract
In this study, the biological control effects of the Pseudomonas fluorescens strain CHA0 were compared to those of silicon (Si), used as a chemical control agent, against Meloidogyne javanica, the causative agent of root-knot disease in tomato plants. Indicators such as the number of M. javanica galls, eggs, egg masses, and the enzymatic activities of peroxidase (POX) and phenylalanine ammonia-lyase (PAL) were analysed. Results showed a significant reduction in the numbers of galls, eggs, and egg masses produced by M. javanica on tomato plants treated with P. fluorescens CHA0 (applied as a soil additive) as well as with Si (applied as a root and foliar treatment). The enzymatic activities peaked on the fifth day post-inoculation with M. javanica and then gradually declined. The greatest increase in enzymatic activities was observed in the combined treatment with M. javanica, P. fluorescens CHA0, and Si (the N+B+SiO2 treatment). The use of P. fluorescens CHA0 and Si enhanced the defence-related enzyme activity in tomato plants against M. javanica. However, high concentrations of Si were shown to inhibit the growth of P. fluorescens CHA0.
Co-application of biochar and organic fertiliser for improved productivity of sesame (Sesamum indicum L.) in the humid tropics
Authors: Oyelade Abiodun David , Olowe Victor Idowu Olugbemiga , Fabunmi Thomas Oladeji , Adejuyigbe Christopher Olu 
Published: December 2024

Abstract
Sesame (Sesamum indicum L.) grain yield has recently declined partly because of the limited use of organic nutrient sources on degraded tropical soils. The study assessed the agronomic performance of three sesame varieties (V) as affected by organic nutrient sources (T) application. The two factors were arranged in a split-plot with V (White Benue, Cameroun White, and E-8) as the main plot and T (T1: Control, T2: biochar at 2.5 t / ha, T3: biochar at 5.0 t / ha, T4: organic fertiliser at 5.0 t / ha, T5: organic fertiliser + biochar at 2.5 t / ha and T6: organic fertiliser + biochar 5.0 t / ha) as the subplot in a Randomised Complete Block Design and replicated three times. Data were collected on agronomic traits of sesame. The varieties were significantly (p < 0.05) different in number of days to flowering, capsule formation, and physiological maturity in 2020. Varietal and organic nutrient source effects were significant (p < 0.05) for height at flowering and harvest in both years. Factor T (T4 – T6) significantly (p < 0.05) increased capsule and seed weight per plant, and grain yield in both years relative to T1. The V × T interaction was significant for height to the first capsule and seed weight per plant in 2020. Sesame grain yields recorded under T3 – T6 were significantly higher (p < 0.05) than the control (T1) in 2020 (1.2 – 1.5 t / ha) and 2021 (1.3 – 1.6 t / ha). Prospective organic sesame producers can apply organic fertiliser at 5 t / ha (T4) alone in the humid tropics.
Influence of Fill Pattern on Printing Time in 3D Printing and Material Consumption
Authors: Rădulescu Bruno , Rădulescu Mara-Cristina , Hriţuc Adelina , Păduraru Emilian , Slătineanu LaurenȚiu 
Published: December 2024

Abstract
3D printing has become a core technology in multiple industries, enabling the rapid creation of complex, customized, and cost-effective objects. A crucial aspect of the 3D printing process is the infill pattern, which not only influences the strength and weight of the final product but also has a significant impact on the printing time. This article explores the relationship between printing time and the different types of infill patterns used, providing a detailed analysis of the trade-offs involved between production speed and the physical characteristics of the printed objects.
Functional Requirements and Design Parameters in the Manufacturing of Damascus Steel
Authors: Surugiu Ioan , Coteaţă Margareta , Jureschi Ștefan , Slătineanu Laurenţiu 
Published: December 2024

Abstract
According to the information identified in some bibliographic sources, Damascus steels are obtained by hot forging some strips of steel with different carbon contents. The forging is carried out until the strips are solidified after welds of short length have partially solidified them. To obtain samples of Damascus steel, the functional requirements for the manufacturing process of such samples have been formulated. Defining the sequence of manufacturing operations of Damascus steel test samples and equipment to materialize each functional requirement was carried out using axiomatic design principles. Appropriate ways of materialization have been identified for each of the operations included in the technology of manufacturing test samples. The practical implementation of the technological operations confirmed the possibilities of manufacturing test samples from Damascus steels with the proposed technology.
Remaining Useful Life Prediction with Uncertainty Quantification Using Evidential Deep Learning
Authors: Ayed Safa Ben , Broujeny Roozbeh Sadeghian , Hamza Rachid Tahar 
Published: December 2024

Abstract
Predictive Maintenance presents an important and challenging task in Industry 4.0. It aims to prevent premature failures and reduce costs by avoiding unnecessary maintenance tasks. This involves estimating the Remaining Useful Life (RUL), which provides critical information for decision makers and planners of future maintenance activities. However, RUL prediction is not simple due to the imperfections in monitoring data, making effective Predictive Maintenance challenging. To address this issue, this article proposes an Evidential Deep Learning (EDL) based method to predict the RUL and to quantify both data uncertainties and prediction model uncertainties. An experimental analysis conducted on the C-MAPSS dataset of aero-engine degradation affirms that EDL based method outperforms alternative machine learning approaches. Moreover, the accompanying uncertainty quantification analysis demonstrates sound methodology and reliable results.
Portfolio Optimization with Translation of Representation for Transport Problems
Authors: Zajecka Malgorzata , Mastalerczyk Mateusz , Chong Siang Yew , Yao Xin , Kwiecien Joanna , Chmiel Wojciech , Dajda Jacek , Kisiel-Dorohinicki Marek , Byrski Aleksander 
Published: December 2024

Abstract
The paper presents a hybridization of two ideas closely related to metaheuristic computing, namely Portfolio Optimization (researched by Xin Yao et al.) and Translation of Representation for different metaheuristics (researched by Byrski et al.). Thus, difficult problems (discrete optimization) are approached by a sequential run through a number of steps of different metaheuristics, providing the translation of representation (since the algorithms are completely different). Therefore, close cooperation of e.g. ACO, PSO, and GA is possible. The results refer to unaltered algorithms and show the superiority of the constructed hybrid.
A Novel Method for Human Fall Detection Using Federated Learning and Interval-Valued Fuzzy Inference Systems
Authors: Pękala Barbara , Szkoła Jarosław , Grochowalski Piotr , Gil Dorota , Kosior Dawid , Dyczkowski Krzysztof 
Published: December 2024

Abstract
This study introduces an innovative interval-valued fuzzy inference system (IFIS) integrated with federated learning (FL) to enhance posture detection, with a particular emphasis on fall detection for the elderly. Our methodology significantly advances the accuracy of fall detection systems by addressing key challenges in existing technologies, such as false alarms and data privacy concerns. Through the implementation of FL, our model evolves collaboratively over time while maintaining the confidentiality of individual data, thereby safeguarding user privacy. The application of interval-valued fuzzy sets to manage uncertainty effectively captures the subtle variations in human behavior, leading to a reduction in false positives and an overall increase in system reliability. Furthermore, the rule-based system is thoroughly explained, highlighting its correlation with system performance and the management of data uncertainty, which is crucial in many medical contexts. This research offers a scalable, more accurate, and privacy-preserving solution that holds significant potential for widespread adoption in healthcare and assisted living settings. The impact of our system is substantial, promising to reduce the incidence of fall-related injuries among the elderly, thereby enhancing the standard of care and quality of life. Additionally, our findings pave the way for future advancements in the application of federated learning and fuzzy inference in various fields where privacy and precision in uncertain environments are of paramount importance.
Factors Influencing Sponsorship vs Partnership Agreements for the International Olympic Committee
Authors: Ojuawo Olajide , Šimkus Audrius 
Published: December 2024

Abstract
The aim of this paper is to propose research-based insights on factors behind an international sports governing body, the International Olympic Committee (IOC), forming a sponsorship agreement or partnership agreement with a prospective company. The problem to be solved is addressed as: what factors influence the IOC when concluding a sponsorship agreement versus a partnership agreement?
The theoretical part of this paper defines the concepts of governing bodies, commercial agreements and the objectives of the relevant stakeholders in the process of conducting commercial agreements. It also reviews the theories and elements of the specific types of commercial agreements: sponsorship agreements and partnership agreements. The field analysis part of the paper reviews the relevant research that has previously been conducted in this area for the IOC. The conclusion of the paper highlights the key elements of a sponsorship and partnership agreement from the perspective of an international sports governing body, and lists which are the driving factors for each agreement.
Effects of invasive alien plants and habitat structure on bird assemblages in a unique lowland forest in eastern Nepal
Authors: Bhattarai Binod , Adhikari Dipendra , Adhikari Jagan Nath , Bhattarai Bishnu Prasad 
Published: December 2024

Abstract
Invasive alien species play a major role in biodiversity decline. We studied the impacts of invasive alien plant species (IAPS) on bird assemblages and their habitats in Jalthal Forest, a biogeographically unique lowland remnant forest in eastern Nepal. We surveyed birds by point counts and quantified environmental variables at 89 sites. Observations of 1,373 individuals of 86 species showed that species richness was the highest in wooded grasslands and floodplains and lowest in sal forests invaded by IAPS, whereas abundance was highest in IAPS-invaded forests. Abundance and richness decreased with increasing cover of IAPS, shrub cover and distance to water. The abundance and richness of every feeding guild except omnivores were negatively correlated with IAPS cover. Our results increase our understanding of the impacts of IAPS on birds and clearly indicate the need of controlling IAPS in Jalthal Forest, and thus, are valuable for forest management and biodiversity conservation.
Diurnal raptors of Eastern Himalayan foothills: Taxonomic and functional diversity attributes
Authors: Mahananda Pranjal , Saikia Malabika Kakati , Sarma Kuladip , Saikia Prasanta Kumar , Saikia Bhrigu Prasad , Chetry Vivek 
Published: December 2024

Abstract
Raptors are crucial indicators of ecosystem health, and thus, requires research attention. Despite an upsurge in Indian ornithology, raptors remain poorly studied, particularly in Northeast India. Here, we measured the taxonomic and functional diversity of raptors in Manas National Park, Assam. The study was conducted between 2018–2022. We surveyed 39 standard transects and recorded 776 individuals of raptors belonging to 30 species in different habitats: forest, open and mosaic. The taxonomic alpha diversity was highest in mosaic habitat and lowest in the forest habitat. Crested Serpent Eagle (Spilornis cheela) was the most abundant raptor in open and forest habitats, while Collared Falconet (Microhierax caerulescens) was dominating in mosaic habitats. Of the recorded raptor species, 66.67% were classified as residents, and 33.37% were winter migrants. We also measured the functional alpha diversity of raptors using the data collected from AVONET database. We used ten functional traits and evaluated the functional alpha diversity indices. The functional richness was the highest in open habitats and functional divergence was the highest in mosaic habitats, also functional evenness was the highest in open habitats and lowest in mosaic habitats. We suggest intensified research on raptors in the region, to identify and address critical research question which facilitates the conservation of these apex predators.