bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long-term impact of Diabetes Prevention Program interventions on walking endurance
Authors: Munshi Medha N. , Venditti Elizabeth M. , Tjaden Ashley H. , Knowler William C. , Boyko Edward J. , Middelbeek Roeland J. W. , Luchsinger José A. , Lee Christine G. , Hazuda Helen P. , Salive Marcel E. , Edelstein Sharon L. , Storer Thomas W. 
Published: December 2024

ObjectivesType 2 diabetes (T2D) and prediabetes are associated with poor walking endurance, a marker of physical function. We aimed to examine the long-term effects of metformin or intensive lifestyle intervention in adults at high risk of T2D on their 6-min walk test (6MWT) performance.MethodsParticipants were randomized in the 3-year Diabetes Prevention Program (DPP) to one of the three groups: lifestyle intervention, metformin, or placebo, and were subsequently followed in the DPP Outcomes Study. A 6MWT was conducted 20 years after randomization. Associations between DPP interventions and 6MWT completion (achieving a distance ≥200 m) were assessed using logistic regression. Among the test completers, differences in distance walked (6MWD) were evaluated using multivariable linear regression. Additional variables of interest included concomitant measures of body mass index (BMI) and grip strength along with mean measures of HbA1c and self-reported physical activity (PA).ResultsData on 1830 participants were analyzed. The interventions were not associated with test completion or the 6MWD among test completers (362, 364, and 360 m in the lifestyle, metformin, and placebo groups, respectively, p = 0.8). Age, education, grip strength, and PA were each significantly associated with the 6MWT completion and the 6MWD after adjustment. Grip strength, PA, and education were positively associated with the 6MWD, while age, BMI, and HbA1c were negatively associated with the 6MWD.ConclusionWe confirmed that the 6MWT is related to other measures of physical ability such as PA and grip strength in persons at risk for and with T2D, suggesting potential long-term benefits of maintaining a healthy lifestyle. However, we did not observe a sustained effect of the original randomized interventions.Clinical trial registrationhttp://www.clinicaltrials.gov/ct/show/NCT00004992, identifier DPP NCT00004992; http://www.clinicaltrials.gov/ct/show/NCT00038727, identifier DPPOS NCT00038727
The prevalence of burnout and coping strategies among Palestinian health professionals: a cross sectional study
Authors: Ahmead Muna , El Sharif Nuha , Alwawi Abdallah , Hemeid Asma , Ziqan Motasem 
Published: December 2024

IntroductionDuring times of conflict, healthcare personnel face a heightened vulnerability to experiencing psychological problems such as burnout. The impact of conflict or wars on mental health professionals in Palestine and their strategies for managing these problems are currently not recognized. This study sought to assess the prevalence of burnout symptoms and coping strategies among healthcare workers in Palestine, in the context of the ongoing conflict and political violence.MethodsThe study utilized a cross-sectional research design. Self-reported questionnaires, including the shortened version (9 items) of The Maslach Burnout Questionnaire and Brief COPE scales, were used to gather data. The relationship between the research variables and burn symptoms was investigated using Chi-squared test, Student’s t-test, Mann–Whitney, and Analysis of variance and multi-regression.ResultsA total of 713 participants were recruited. The prevalence rates were as follows: burnout—(72.9%), emotional exhaustion (44.2%), depersonalization (9.8%), and low personal accomplishment (72.2%). The multivariate analysis found that those who worked more than 16 h per day and those who had 1–15 years of job experience were more likely to had emotional exhaustion. Active coping, substance use, informational support, and emotional support all reduced the likelihood of burnout while behavioral disengagement and self-blame increased the possibility of experiencing burnout. Finally, substance use decreased emotional exhaustion, increased depersonalization and enhanced personal accomplishment.ConclusionThe findings revealed a high prevalence of burnout among health professionals during wartime and political violence. As a result, health professionals are vulnerable to mental problems during political violence and they need immediate assistance in enhancing their mental wellbeing through psychological support, and comprehensive training in stress management.
Enteral Feeding in Patients With Open Abdomen and Negative Pressure Therapy: A Propensity Score Analysis
Authors: Petit Laurent , Faure Nicolas , Pereira Bruno , Dubuisson Vincent , Berard Xavier , Biais Matthieu , Carrié Cédric 
Published: December 2024

IntroductionIn critically ill surgical patients treated with open abdomen and negative pressure therapy (OA/NPT), the association between nutritional support and clinical outcome is still controversial. The main objective of this study was to assess the effect of enteral nutritional support during the acute phase (i.e., the first 7 days) on clinical outcome (abdominal wall closure rate or fistula formation) in critically ill surgical patients treated by OA/NPT.MethodsOver a 5-year period, every critically ill patient who underwent nutritional support while treated by OA/NPT was retrospectively included. The main study outcome was a composite criterion, defined as delayed abdominal closure ≥8 days and/or secondary abdominal complications (secondary anastomotic leak, intra-abdominal abscess and fascial dehiscence). Inverse probability of treatment weight (IPTW) was derived from a propensity score model. Multivariable logistic regression was used to test the association between clinical outcome and different modalities of nutritional support (enteral nutrition vs. nil per os during the first week after OA/NPT, early vs. late enteral nutrition, normal vs. low caloric/protein intake).ResultsOver the study period, 171 patients were included and 50% underwent delayed abdominal closure and/or secondary abdominal complications. The rate of delayed abdominal closure or secondary abdominal complications was significantly lower in patients who received enteral nutrition versus those who remained nil per os (40% vs. 61%, p = 0.007), with an IPTW-adjusted OR of poor clinical outcome of 0.49 [95%CI: 0.25–0.98]. There was no other statistical association between modalities of nutritional support and the study outcome.ConclusionIn critically ill patients with OA/NPT, the use of enteral feeding within 7 days after surgery was associated with better clinical outcome. Further studies are mandatory to better define the adequate timing for enteral feeding, the energy needs and the protein requirements during the acute phase after OA/NPT.
Estudo do perfil epidemiológico do câncer colorretal no estado do Tocantins nos anos de 2018 a 2022
Authors: Pedreira Carolina Souza , Pedreira Fernando José Regis , Macêdo João Pedro Fernandes , Zenha Luis Filipi Dantas Bueno , Lopes Mayara Pedreira , Pedreira Raimundo Célio , Marques Tathiana Nascimento , Pedreira Vívian Marina Regis 
Published: December 2024

Introdução: O câncer colorretal é uma doença com alta incidência global, sendo uma das principais causas de morte por câncer. No Brasil, espera-se um aumento de casos em 2023. Embora haja uma predisposição genética em 20% dos casos, fatores alimentares e de estilo de vida desempenham um papel significativo. A detecção precoce, especialmente por meio da colonoscopia, é vital. Objetivos: Este estudo analisou o perfil epidemiológico do câncer colorretal no Tocantins de 2018 a 2022 para melhorar as estratégias de prevenção e controle desta doença no estado. Metodologia: Este estudo é uma análise epidemiológica retrospectiva que investiga o perfil de casos de câncer colorretal no Tocantins de 2018 a 2022, utilizando dados do INCA e DATASUS, com inclusão de casos notificados no estado e exclusão de não residentes e registros inadequados. A pesquisa foi realizada entre agosto e novembro de 2024. Desfecho: Identificou a ocorrência, faixa etária, sexo e distribuição geográfica dos casos de câncer colorretal no Tocantins de 2018 a 2022, analisando também áreas com maior incidência.
Ирина Константиновна Иванова как секретарь Комиссии по изучению четвертичного периода (1945–1987)
Authors: Второв И.П. 
Published: December 2024

Рассмотрен многолетний период Комиссии по изучению четвертичного периода, когда её бессменным учёным секретарём была И.К. Иванова (19061987) специалист в области геологии палеолита, стратиграфии антропогена и геологической истории ископаемого человека. С 1945 года вела большую научно-организационную и редакторскую работу в Комиссии. За научную работу удостоена медали А. Пенка (1978).
Irina Ivanova (19061987) was a specialist in geology and stratigraphy of Quaternary, and the geological history of a fossil man. Since 1945, she was scientific secretary of the Commission for Study of the Quaternary and made a great scientific, organizational and editorial work. She received for her book (Das geologische Alter des fossilen Menschen. 1965) awarded Albrecht-Penck-Medaille, 1978.
ДИСКУССИОННЫЕ ПРОБЛЕМЫ СТРАТИГРАФИИ СРЕДНЕГО НЕОПЛЕЙСТОЦЕНА ЦЕНТРАЛЬНОГО РЕГИОНА ВОСТОЧНО-ЕВРОПЕЙСКОЙ РАВНИНЫ
Authors: Писарева В.В. , Судакова Н.Г. , Зюганова И.С. , Карпухина Н.В. , Захаров А.Л. 
Published: December 2024

В статье рассматриваются актуальные дискуссионные вопросы по стратиграфии и палеогеографии среднего неоплейстоцена Центральных районов Восточно-Европейской равнины. Обосновывается выделение в стратиграфической схеме среднего неоплейстоцена четырёх горизонтов: московского, горкинского, днепровского и лихвинского. Рассматриваются явления ритмичности в развитии природной среды. Наряду с глобальными потеплениями межледникового ранга и похолоданиями, приводившими к развитию самостоятельных материковых оледенений, намечаются климатические колебания более низкого таксономического ранга разной продолжительности и интенсивности, не получившие отражения в современной стратиграфической шкале. На основании палеоботанических данных приводится их ландшафтная характеристика. Ключевые слова: средний неоплейстоцен, стратиграфия, комплексный анализ, палеоботанические исследования, похолодания и потепления, палеогеографические реконструкции, корреляция.
The present article discusses the actual disputable problems of stratigraphy and paleogeography of the Middle Neopleistocene of the central regions of the East European Plain. Geological and paleobotanical data on key and stratotypical sections are summarized. An assessment of the degree of validity of the existing stratigraphic scheme is given. The identification of four horizons (Likhvinian, Dnieper, Gorkian and Moscovian) corresponding to large climatic rhythms is confirmed. Climatic fluctuations of a lower taxonomic rank, which were characterized by different durations and intensities, were traced. The present paper provides their landscape characteristics.
Two-dimensionally controllable untethered swimmer using a T-shaped antenna structure with an electrical discharge in air and water
Authors: Sugioka Hideyuki , Matsuo Kazuma , Uemura Aruki 
Published: December 2024

Abstract
Untethered microswimmers that can move freely on the water surface are important for next-generation microfabrication. Here, we propose an untethered swimmer and its navigation method using electrical discharge in air and water. Specifically, we demonstrate that a swimmer with a T-shaped antenna structure can move in the left or right directions according to the high-voltage pulse application between the underwater and aerial electrodes. Furthermore, we demonstrate that a swimmer with a modified T-shaped antenna structure can be controlled on the two-dimensional water surface freely using a four-external aerial electrode system. In addition, by the observation with a high-speed camera (960 fps), we found that the expansion of bubbles generated by the underwater electric discharge near the side antenna terminal of the swimmer propelled the swimmer with the instantaneous maximum initial velocity of ∼300 mm s−1. Our findings should contribute to the next-generation microfabrication on the water surface.
ANALISIS REGRESI SPASIAL PENDEKATAN AREA INDEKS PEMBANGUNAN PEMUDA TAHUN 2022 DI INDONESIA
Authors: Muttaqin Imam Akbar , Aswi Aswi , S Muhammad Fahmuddin 
Published: December 2024

ABSTRAK Indeks Pembangunan Pemuda menjelaskan tentang bagaimana kemajuan kualitas pemuda pada suatu daerah dengan menggunakan 15 indikator penyusun. Capaian angka IPP di Indonesia dalam 5 tahun terakhir menunjukkan fluktuasi yang mencerminkan kualitas pemuda yang belum konsisten mengalami peningkatan. Penelitian ini bertujuan untuk mengetahui model terbaik regresi spasial dengan pendekatan area pada Indeks Pembangunan Pemuda tahun 2022 di Indonesia dan mengetahui indikator yang berpengaruh secara signifikan pada Indeks Pembangunan Pemuda tahun 2022 di Indonesia. Metode analisis yang digunakan pada penelitian ini adalah analisis regresi spasial. Data yang digunakan adalah data sekunder. Hasil penelitian menunjukkan bahwa model regresi terbaik adalah Spatial Error Model (SEM) dengan indikator yang signifikan memiliki pengaruh adalah rata-rata lama sekolah pemuda memberi pengaruh penurunan angka IPP sebesar 0.339, angka partisipasi kasar sekolah menengah memberi pengaruh peningkatan angka IPP sebesar 0.274, angka partisipasi kasar perguruan tinggi memberi pengaruh peningkatan angka IPP sebesar 0.870, dan angka kesakitan pemuda memberi pengaruh penurunan angka IPP sebesar 0.223.Kata Kunci: Regresi Spasial; Spatial Error Model; Indeks Pembangunan Pemuda ABSTRACT The Youth Development Index explains how the quality of youth in a region is progressing using 15 constituent indicators. The achievement of IPP figures in Indonesia in the last 5 years shows fluctuations which reflect the quality of youth which has not consistently improved. This study aims to determine the best spatial regression model with an area approach on the 2022 Youth Development Index in Indonesia and to determine the indicators that have a significant influence on the 2022 Youth Development Index in Indonesia. The analytical method used in this research is spatial regression analysis. The data used is secondary data. The results of the research show that the best regression model is the Spatial Error Model (SEM) with indicators that have a significant influence are the average length of youth schooling had the effect of decreasing the IPP figure by 0.339, the gross secondary school enrollment rate had the effect of increasing the IPP figure by 0.274, the gross college enrollment rate had the effect of increasing the IPP figure by 0.870, and the youth morbidity rate had the effect of decreasing the IPP figure by 0.223.Keywords: Spatial Regression; Spatial Error Model; Youth Development Index
Analisa Data Penjualan Pada Apotek Ritonga Farma Menggunakan Data Mining Apriori
Authors: Lestari Putri Anggraini , Nasution Marnis , Harahap Syaiful Zuhri 
Published: December 2024

A pharmacy is a place or business that is specifically dedicated to providing medicines and other health products to the public. This place is also known as a drugstore or drug store in some countries. Pharmacies provide medicines both prescribed by doctors and over-the-counter (over-the-counter), to help patients cope with health problems they are experiencing.Some pharmacies also offer additional services such as blood pressure checks, vaccinations, simple health checks, and health counseling to the public. In applying a priori methods to pharmacy, a deep understanding of data structure and proper product classification is needed to overcome this problem. By knowing the pattern of frequent purchases, pharmacies can place items that are often purchased together close together on shelves or strategic locations. This can increase the convenience of buyers and speed up the purchase process. A priori methods are techniques in data mining that are used to find hidden patterns or associations in large datasets. A priori methods look for relationships between items in a dataset that often appear together. The main principle of the a priori method is that if an item-set appears frequently together, then it is likely that the item-set will also appear frequently together in other transactions.
ANALISIS KEMAMPUAN LITERASI DAN NUMERASI DASAR ANAK USIA DINI DI PAUD BOASIKO
Authors: Biba Lidwina , Ngura Elisabeth Tantiana , Laksana Dek Ngurah Laba 
Published: December 2024

Penelitian menjelaskan tentang pengembangan meningkatkan kemampuan motorik, kognitif, emosional dan meningkatkan kemampuan membaca pada anak usia dini dengan menggunakan metode penelitian, diantaranya penelitian yang dilakukan (mengembangkan model pembelajaran permainan untuk meningkatkan kemampuan motorik kasar dan kognitif anak. Permainan menggunakan kelas kontrol pada kelompok B TK Kelompok Guru Boasiko. Hasil penelitian menunjukan bahwa model pembelajaran dengan menggunakan permainanmemberikan pengaruh yang merangsang kemampuan motorik kasar anak dan pembelajaran lebih menyenangkan dan partisipatif anak. Berdasarkan hasil pengamatan atau observasi di TKK yang berada di kelompok guru Boasiko, Kecamatan Aesesa Selatan, Kabupaten Nagekeo di peroleh hasil bahwa proses belajar mengajar untuk meningkatkan kemampuan Literasi dan Numerasi pada dasar Anak Usia Dini sudah diterapkan di sekolah masing-masing. Guru harus menyiapkan modul ajar dan media dari bahan alam untuk belajar sambil bermain, seperti: Kartu Huruf, Kartu angka, biji batu, Congklang, Belajar menggunakan bahasa tubuh.
Tracing Back a Second-generation Star Stripped from Terzan 5 by the Galactic Bar
Authors: Souza Stefano O. , Valentini Marica , Chiappini Cristina , Pérez-Villegas Angeles , Montalbán Josefina , Bossini Diego , Barbuy Beatriz , Elsworth Yvonne , Garcia Rafael A. 
Published: December 2024

Abstract
The Galactic bulge hosts the Milky Way’s oldest stars, possibly coming from disrupted globular clusters (GCs) or the bulge’s primordial building blocks, making these stars witnesses to the Galaxy’s early chemical enrichment. The Galactic bar currently dominates the bulge’s region, altering the orbits of objects formed before its formation and complicating the trace of the field stars’ original clusters. Here, we present the discovery of a fossil record of this evolution, SOS1—a star trapped in the bar, exhibiting significant enhancements in nitrogen, sodium, and aluminum, typical of second-generation GC stars. SOS1 also shows an s-process Ce enhancement, suggesting an old age and early enrichment by fast-rotating massive stars in the Galaxy’s earliest phases. With the purpose of finding the SOS1's parent GC, we derive its precise chemodynamical properties by combining high-precision proper motions from Gaia with Apache Point Observatory Galactic Evolution Experiment–detailed chemical abundances. Our analysis suggests that SOS1 was possibly stripped from the GC Terzan 5 by the Galactic bar’s gravitational influence approximately 350 Myr ago. We also found chemical similarities suggesting that SOS1 belonged to the most metal-poor, ancient, and peripheral stellar population of Terzan 5. These results not only support the hypothesis that Terzan 5 is a remnant of a primordial building block of the Galactic bulge but also suggest this cluster continues losing stars to the bar. Our method highlights how powerful the use of chemodynamical properties in the Gaia era is for tracing the Galaxy’s evolutionary history.
PDS 70b Shows Stellar-like Carbon-to-oxygen Ratio
Authors: Hsu Chih-Chun , Wang 王 Jason J. 劲飞 , Blake Geoffrey A. , Xuan Jerry W. , Zhang Yapeng , Ruffio Jean-Baptiste , Horstman Katelyn , Cronin Julianne , Sappey Ben , Xin Yinzi , Finnerty Luke , Echeverri Daniel , Mawet Dimitri , Jovanovic Nemanja , Do Ó Clarissa R. , Baker Ashley , Bartos Randall , Calvin Benjamin , Cetre Sylvain , Delorme Jacques-Robert , Doppmann Gregory W. , Fitzgerald Michael P. , Liberman Joshua , López Ronald A. , Morris Evan , Pezzato-Rovner Jacklyn , Schofield Tobias , Skemer Andrew , Wallace J. Kent , Wang 王 Ji 吉 
Published: December 2024

Abstract
The ~5 Myr PDS 70 is the only known system with protoplanets residing in the cavity of the circumstellar disk from which they formed, ideal for studying exoplanet formation and evolution within its natal environment. Here, we report the first spin constraint and C/O measurement of PDS 70b from Keck/KPIC high-resolution spectroscopy. We detected CO (3.8σ) and H2O (3.5σ) molecules in the PDS 70b atmosphere via cross correlation, with a combined CO and H2O template detection significance of 4.2σ. Our forward-model fits, using BT-Settl model grids, provide an upper limit for the spin rate of PDS 70b (<29 km s−1). The atmospheric retrievals constrain the PDS 70b C/O ratio to

0.28

−
0.12

+
0.20

(<0.63 under 95% confidence level) and a metallicity [C/H] of

−
0.2

−
0.5

+
0.8

dex, consistent with that of its host star. The following scenarios can explain our measured C/O of PDS 70b in contrast with that of the gas-rich outer disk (for which C/O ≳ 1). First, the bulk composition of PDS 70b might be dominated by dust+ice aggregates rather than disk gas. Another possible explanation is that the disk became carbon enriched after PDS 70b was formed, as predicted in models of disk chemical evolution and as observed in both very low-mass stars and older disk systems with JWST/MIRI. Because PDS 70b continues to accrete and its chemical evolution is not yet complete, more sophisticated modeling of the planet and the disk, and higher-quality observations of PDS 70b (and possibly PDS 70c), are necessary to validate these scenarios.
La transmission familiale du breton : les stratégies de communication des parents
Authors: Chantreau Katell 
Published: December 2024

Dans les années 1950, la population bretonnante, dans son immense majorité, a cessé d’élever ses enfants en breton, ouvrant ainsi la voie au changement linguistique. Pourtant, depuis les années 1960-70, des milliers de personnes se sont mobilisées pour que les Bretons se réapproprient la langue bretonne. Aujourd’hui, des jeunes parents, ayant appris le breton au sein de leur famille, ou, le plus souvent, à l’école ou grâce à l’enseignement pour adultes, choisissent de parler breton à leurs enfants. C’est un phénomène minoritaire mais qui existe bel et bien et suscite l’intérêt des personnes soucieuses du devenir de la langue bretonne. Le propos de cet article est de décrire les stratégies de communication des parents pratiquant le breton avec leurs enfants de façon exclusive, régulière ou ponctuelle, et d’analyser les discours des parents sur ces stratégies. Deux questions clé guident cet état des lieux : Quel usage du breton les parents font-ils pour s’adresser à leurs enfants ? Les parents demandent-ils à leurs enfants de leur parler breton ?
Parcours d’une œuvre culturelle lobi du Burkina Faso : le bitebo d’Henri Labouret
Authors: Ouiya Saga 
Published: December 2024

Le « bitebo » est un tabouret en bois provenant du Burkina Faso. Il est collecté, entre 1912 et 1920, pendant la colonisation française, par l’administrateur colonial Henri Labouret. C’est dans un contexte lobi d’instabilité caractérisé par des révoltes, des résistances et des campagnes dites de pacification que Labouret acquiert le bitebo et en fait don, par la suite, au musée d’ethnographie du Trocadéro. L’objet est un véritable reflet de l’identité culturelle du peuple lobi. Le tabouret est utilisable à la fois par les hommes et par les femmes. Il remplit trois fonctions majeures : il est une arme de proximité, un objet rituel et un outil. Sa collecte et son entrée au musée coïncident avec la découverte et la diffusion de l’art lobi en Occident.