bluuebunny/crossref_metadata_2025_split huggingface dataset:
A prognostic model for predicting functional impairment in youth mental health services
Authors: Iorfino Frank , Oliveira Rafael , Cripps Sally , Marchant Roman , Varidel Mathew , Capon William , Crouse Jacob J. , Prodan Ante , Scott Elizabeth M. , Scott Jan , Hickie Ian B. 
Published: December 2024

Abstract

Background
Functional impairment is a major concern among those presenting to youth mental health services and can have a profound impact on long-term outcomes. Early recognition and prevention for those at risk of functional impairment is essential to guide effective youth mental health care. Yet, identifying those at risk is challenging and impacts the appropriate allocation of indicated prevention and early intervention strategies.

Methods
We developed a prognostic model to predict a young person’s social and occupational functional impairment trajectory over 3 months. The sample included 718 young people (12–25 years) engaged in youth mental health care. A Bayesian random effects model was designed using demographic and clinical factors and model performance was evaluated on held-out test data via 5-fold cross-validation.

Results
Eight factors were identified as the optimal set for prediction: employment, education, or training status; self-harm; psychotic-like experiences; physical health comorbidity; childhood-onset syndrome; illness type; clinical stage; and circadian disturbances. The model had an acceptable area under the curve (AUC) of 0.70 (95% CI, 0.56–0.81) overall, indicating its utility for predicting functional impairment over 3 months. For those with good baseline functioning, it showed excellent performance (AUC = 0.80, 0.67–0.79) for identifying individuals at risk of deterioration.

Conclusions
We developed and validated a prognostic model for youth mental health services to predict functional impairment trajectories over a 3-month period. This model serves as a foundation for further tool development and demonstrates its potential to guide indicated prevention and early intervention for enhancing functional outcomes or preventing functional decline.
The Impact of Medicaid Expansion on Congenital Heart Surgery Outcomes: Data From the Society of Thoracic Surgeons Database
Authors: Ross Faith J. , Tjoeng Yuen Lie , Chan Titus , Tan Jonathan M. , Howard Waylon , Jimenez Nathalia 
Published: December 2024

BACKGROUND:
The Affordable Care Act expanded Medicaid eligibility and increased public insurance coverage for children across the United States. As only a subset of states adopted expansion of coverage, disparities in insurance coverage between expansion and nonexpansion states emerged. We examined the association between Medicaid expansion and cardiac surgery outcomes to understand the impact of Medicaid expansion in a medically complex pediatric population. We hypothesized that expansion of Medicaid eligibility would be associated with greater improvement in surgical outcomes.

METHODS:
The Society of Thoracic Surgeons Congenital Heart Surgery Database was used to evaluate perioperative outcomes for children 0 to 18 years undergoing cardiac surgery between January 2010 and December 2019. We used a difference-in-differences (DiD) design to estimate the impact of Medicaid expansion on surgical outcomes by comparing changes in outcomes between individuals in expansion states and those in nonexpansion states, both before and after the expansion. Outcomes included operative mortality, major complications and postoperative length of stay (PLOS).

RESULTS:
The interaction between Medicaid expansion and time period post- vs preexpansion was not significant for any of the outcome variables. The odds ratio (OR) for mortality related to the Medicaid expansion was 1.12 (confidence interval [CI], 0.95–1.32, P = .161). For major complications, the OR was 0.99 (CI, 0.90–1.09, P = .770). For PLOS, the incidence rate ratio was 1.02 (CI, 0.99–1.05, P = .141).

CONCLUSIONS:
There was an overall decline in congenital heart surgery mortality over time; however, states that expanded Medicaid eligibility did not experience a greater improvement in mortality relative to states that did not expand eligibility. Similarly, there was no significant difference in major complications or PLOS related to Medicaid expansion. Further studies are needed to examine long-term outcomes and the larger spectrum of accessibility to congenital cardiac care which may benefit from insurance coverage.
They Will Say
Authors: Crocker Zayla 
Published: December 2024

Abstract
Bernard Rose’s 1992 film, Candyman, and Nia DaCosta’s 2021 remake of it use memorial rituals of naming and summoning that give life to Black memory and trauma. Through the use of Achille Mbembe’s work in Necropolitics, Christina Sharpe’s description of wake work in her book In the Wake: On Blackness and Being, and Émile Durkheim’s sacred-profane dichotomy, this article illustrates how, when both films are read together, they enact a ritual of mourning and proclamation with the utterance of Candyman that is adjacent to the #SayTheirNames hashtags of the Black Lives Matter movement. By reading these films as one ritualistic endeavor, this article looks at the uses of mirrors, naming, and summoning as sacred rites that implicate those within and outside the film to say the name of Candyman and revive not only the fictional dead but also the real memory of Black victims of brutality. Overall, the article aims to demonstrate how the 1992 and 2021 films encourage a ritual that insists on Black memory, breaks through the world of the living, and resuscitates the dead into the single configuration of Candyman.
Delineating Neurosurgery Resident Development: Insights from a 10-Year National Accreditation Council for Graduate Medical Education Milestones and Learning Trajectories
Authors: Khalid Syed I. , Mehta Ankit I. , Atwal Gursant , Hogan Sean O. , Park Yoon Soo , Charbel Fady T. 
Published: December 2024

BACKGROUND AND OBJECTIVES:
The Accreditation Council for Graduate Medical Education Milestones assessment system provides a structured framework for evaluating the developmental progression of neurosurgery residents. Understanding the variability in learning trajectories and identifying critical intervention points are essential for refining educational strategies and enhancing training outcomes. In this article, we aim to identify learning trajectories of neurosurgery residents and pinpoint pivotal junctures for potential interventions to aid residents struggling to meet expected competency levels.

METHODS:
We analyzed Accreditation Council for Graduate Medical Education Milestones data from 3541 neurosurgery residents across 124 programs from 2013-2014 to 2022-2023. We examined the reliability of Milestone assessments across programs and addressed potential biases because of program-level differences. Through cluster analysis, we identified distinct learning trajectories, focusing on competency-specific developments and crucial intervention points based on divergences in trajectory.

RESULTS:
Our analysis revealed 5 distinct learning trajectories among neurosurgery residents, highlighting diverse developmental pathways. Cluster 1 (n = 1,719, 48.5%) and Cluster 2 (n = 341, 9.6%) demonstrated initial foundational competencies but varied in progression, with Cluster 2 failing to meet the threshold for independent practice by postgraduate year 7 consistently. Cluster 3 (n = 459, 13%), starting with the lowest initial competency levels, surpassed independence thresholds, illustrating the potential for significant growth regardless of initial competency levels. Cluster 4 (n = 520, 14.7%) and Cluster 5 (n = 502, 14.2%) exhibited accelerated competency development, achieving early readiness for independent practice. We found no significant association between cluster membership and program characteristics, suggesting that the trajectories reflect individual variations rather than programmatic differences.

CONCLUSION:
Our findings highlight the need for educational strategies tailored to residents' unique development paths to support the achievement of competency thresholds. While the data suggest potential benefits of adaptive learning, further exploration is required to confirm its impact on educational outcomes.
Infant Colic -
Authors: Buczek Agnieszka , Ptasiński Aleksander , Niekurzak Rafał , Suława Adrian , Targoński Oskar , Targońska Marta , Furgalska Julia , Fedorowicz Sebastian , Basiak Aneta 
Published: December 2024

Introduction and Purpose:
Infant colic (IC) is an ailment that refers to many infants until the age of 5 months of life. It is manifested by crying that start and stop without any obvious cause, irritability, paroxsyms, curling the legs and body flexing. Until today, there is said, that occurring of IC is multifactorial. [6,7]. Our aim is to show possible causes of infant colic and ways of treatment. Our article was based on the PubMed database.
State of Knowledge: Many studies show that there is no one reason that causes infant colic and that there are some methods that may help baby relieve the colic pain.Factors that can have affect on occurring IC are allergy on cow’s milk, immature digestive system of newborns, disbiosis of intestine microbiota. [1,5]Some kind of methods may contain manual therapies, such as craniosacral therapy, gut microbiota that inhabit intestines of newborns and infants, mother’s diet and supplementation of lactase. [1,2]
Summary: This review describes that manual therapy such as craniosacral therapy, gut microbiota containing supplementation BB-12 and Lactobacillus rhamnosus ATCC, supplementation of lactase and mother’s elimination diet has positive impact on babies and help them reduce symptoms of infant colic resulting in baby’s health and parent’s tranquility. [3,9]
Analisis Kesesuaian Lokasi Stasiun Pengisian Kendaraan Listrik Umum (SPKLU) di Kota Surabaya
Authors: Hidayatul Ummah Muhammad , Diyono Diyono 
Published: December 2024

Transisi penggunaan kendaraan bermotor berbahan bakar listrik menjadi salah satu solusi pengendalian polusi udara di kota-kota besar salah satunya Kota Surabaya. Untuk mewujudkan upaya tersebut, penyiapan infrastruktur pendukung kendaraan berbahan bakar listrik sangat diperlukan, salah satunya stasiun pengisian kendaraan lsitrik umum (SPKLU). Penelitian ini melakukan analisis tingkat kesesuaian lokasi SPKLU di Kota Surabaya menggunakan pendekatan spatial multi-criteria evaluation (SMCE) dengan menerapkan analytitchal hierarchy process (AHP) sebagai alat pendukung. Penelitian ini mempertimbangkan 4 kriteria yaitu faktor lingkungan, infrastruktur transportasi, ketersediaan energi, dan sosio-ekonomi. Setiap kriteria memiliki 3 sub-kriteria. Berdasarkan perbandingan berpasangan menggunakan AHP, faktor infrastruktur transportasi memiliki bobot tertinggi dengan nilai 0,679. Pada faktor tersebut, sub-kriteria dengan bobot tertinggi adalah jarak dari jalan utama dengan nilai 0,655. Oleh karena itu, parameter jarak dari jalan memiliki bobot akhir tertinggi yaitu 0,445. Nilai inkonsistensi pada semua perbandingan berpasangan yang dilakukan kurang dari 0,1. Analisis kesesuaian lokasi SPKLU Kota Surabaya menunjukkan bahwa area studi didominasi oleh tingkat kesesuaian sangat tinggi dengan luasan 141,620 km2 (42,10% luasan keseluruhan). 20 titik acak dalam wilayah dengan kelas kesesuaian sangat tinggi dipilih sebagai pilihan alternatif penentuan prioritas utama pembangunan SPKLU. Dari 20 titik tersebut A20 merupakan titik dengan prioritas tertinggi yaitu 5,6%,. Berdasarkan analisis sensitivitas, alternatif tersebut merupakan alternatif yang paling stabil posisi urutannya pada simulasi penghilangan salah satu bobot. Dari model kesesuaian lokasi SPKLU, didapatkan evaluasi model dengan nilai AUC (area under curve) sebesar 0,959 yang termasuk kategori sangat baik. Penelitian ini dapat membantu pemegang kepentingan dalam penyediaan infrastruktur kendaraan berbahan bakar listrik di Kota Surabaya pada lokasi yang tepat. Dengan demikian, infrastruktur tersebut dapat dimanfaatkan sebaik-baiknya oleh masyarakat luas.
Leveraging generative AI tools for effective academic writing
Authors: Balachandar Aiswarya , Gurusamy Ramasundaram 
Published: December 2024

The intricate relationship between the creative demonstration and its creator is a subject of profound exploration and psychological satisfaction. An art form whether visual, literary or performative, serve as channels for the creator to externalize their innermost thoughts and emotions. This case narrates the art of writing (the skill set) which can evoke a sense of joy, enabling writers to channel their imagination, experience, and individuality into tangible forms.
The integration of AI-enabled technologies, such as ChatGPT, has undeniably revolutionized the landscape of the art of writing. The case is the pertinent concern about the potential loss of the art of writing and the subsequent impact on the joy of art delivery. This case study delves into the repercussions of the advent of ChatGPT on the traditional craft of writing and its influence on the emotional resonance of artistic expression through writing forms.
As AI algorithms like ChatGPT become increasingly adept at generating text, there is an increase in the erosion of the human touch in writing. There is a risk of losing the emotive power that comes from an artist's genuine connection with their creation. The study uncovers the effect of AI-generated content on the dilution of creative thoughts and subsequent happiness derived from its delivery.
Reversible suppression of hypothalamo–pituitary–adrenal axis in Addison’s disease due to ethinyl oestradiol-induced increase in total cortisol
Authors: Lewandowski Krzysztof C , Głuchowska Monika , Karbownik-Lewińska Małgorzata , Lewiński Andrzej 
Published: December 2024

SummaryAn oral contraceptive pill (OCP)-induced increase in total cortisol lead to reversible suppression of the hypothalamic–pituitary–adrenal (HPA) axis and insulin resistance (IR) in a patient with Addison’s disease. We suggest that this might influence the choice of an OCP in such patients. A 20-year-old female was diagnosed with Addison’s disease (cortisol: 44 nmol/L, adrenocorticotropic hormone (ACTH): >500 pg/mL) and started on hydrocortisone (HC). Few months later, an OCP (30 μg ethinyl oestradiol (EE) and 3 mg drospirenone) was added. Total cortisol was above the upper assay detection limit (UADL), while ACTH was inappropriately ‘normal’: cortisol 8:00 (pre-dose) 83 nmol/L, post-dose 10:00 >1757 nmol/L, ACTH 8:00 (pre-dose) 24.1 pg/mL and post-dose 10:00 3.8 pg/mL. Even 5 mg of oral HC induced an increase in cortisol above UADL. The glucagon stimulation test (GST) showed brisk growth hormone secretion. The corticotropin-releasing hormone (CRH) test showed partial hypothalamic suppression of CRH release: minimal ACTH 42.4 pg/mL and maximal ACTH 87.3 pg/mL, i.e. relatively low levels for all cortisol concentrations <69 nmol/L. Withdrawal of the OCP resulted in the return of high ACTH concentrations typical for patients with Addison’s disease on HC replacement. There was also a marked improvement in insulin resistance (a fall in homeostasis model assessment - insulin resistance (HOMA-IR) from 3.64 to 1.69 and a marked decline in mean insulin concentrations during GST). EE administration resulted in a massive increase in total cortisol with suppression of the HPA axis and IR suggestive of relative hypercortisolaemia. This raises the question of whether EE should be avoided as a contraceptive agent in women with adrenal failure.Learning pointsAn OCP containing 30 μg EE induced relative and reversible hypercortisolaemia in a patient with Addison’s disease with evidence of suppression of ACTH secretion on dynamic pituitary function tests.We suggest that, in some patients with adrenal failure, EE administration may lead to unrecognised relative hypercortisolaemia and IR.There is literature evidence that, in patients with Addison’s disease, EE may decrease cortisol clearance.These alterations are reversible upon EE withdrawal and may have implications for the choice of a contraceptive agent in women with Addison’s disease.
ENTRE CENAS, POEMAS E CANÇÕES
Authors: Silva Janaina Barbara Rangel , Marcelino Valéria de Souza 
Published: December 2024

A implementação do Novo Ensino Médio, proposto pela lei 13.415/2017, tem sido questionada por diferentes segmentos da comunidade escolar. No entanto, acredita-se que durante o processo de luta, por sua revogação, estudantes não podem ficar sujeitos a gambiarras pedagógicas, principalmente nesta etapa de sua formação. Por esta razão, o objetivo deste trabalho é discutir a construção de um arranjo curricular, voltado para um Itinerário Formativo, em Linguagens e suas Tecnologias, aliando os fundamentos do Teatro do Oprimido, sob a perspectiva da pesquisa (auto)biográfica, e das narrativas (autobiográficas). Dessa forma, a partir de processos de biografização, por meio do teatro, da poesia e da música, pode-se compreender o quanto uma formação ética e estética, baseada na fala/escuta em espaços escolares, promovem novas formas de ser e estar no mundo, contribuindo para o desenvolvimento integral dos estudantes.
AVANÇO DOS AGENTES PRIVADOS E A PRODUÇÃO DE OUTRA (DES)ORGANIZAÇÃO DA EDUCAÇÃO
Authors: Mendes Valdelaine 
Published: December 2024

A obra reúne nove artigos sobre a região nordeste e quatro sobre a região sudeste, produções decorrentes de uma pesquisa nacional, desenvolvida por pesquisadores da Unicamp, que pretendeu analisar a incidência de atores privados em todas as redes estaduais de educação e do Distrito Federal, nas três dimensões da política educativa – oferta, gestão e currículo – de modo a identificar possíveis desdobramentos para a efetivação da educação como direito humano. Neste volume foram analisadas a educação nos estados do Nordeste e Sudeste. O recorte temporal estabelecido na pesquisa foi de 2005-2018.
Dynamics of cell membrane lesions and adaptive conductance under the electrical stress
Authors: Silkunas Mantas , Pakhomova Olga N , Silkuniene Giedre , Pakhomov Andrei G. 
Published: December 2024

Abstract
Exceeding physiological limits of the cell membrane potential compromises structural integrity, enabling the passage of normally impermeant solutes and disrupting cell function. Electropermeabilization has been studied extensively at the cellular scale, but not at the individual membrane lesion level. We employed fast total internal reflection fluorescence (TIRF) imaging of Ca2+ entry transients to discern individual lesions in a hyperpolarized cell membrane and characterize their focality, thresholds, electrical conductance, and the lifecycle. A diffuse and momentary membrane permeabilization without a distinct pore formation was observed already at a -100 mV threshold. Polarizing down to -200 mV created focal pores with a low 50- to 300-pS conductance, which disappeared instantly once the hyperpolarization was removed. Charging to -240 mV created high-conductance (> 1 nS) pores which persisted for seconds even at zero membrane potential. With incremental hyperpolarization steps, persistent pores often emerged at locations different from those where the short-lived, low-conductance pores or diffuse permeabilization were previously observed. Attempts to polarize membrane beyond the threshold for the formation of persistent pores increased their conductance adaptively, preventing further potential build-up and "clamping" it at a certain limit (-270 ± 6 mV in HEK cells, -284 ± 5 mV in CHO cells, and -243 ± 9 mV in neurons). The data suggest a previously unknown role of electroporative lesions as a protective mechanism against a potentially fatal membrane overcharging and cell disintegration.
Duszpasterska troska Kościoła opolskiego o mniejszości narodowe i etniczne. Geneza – rozwój – znaczenie
Authors: Worbs Marcin 
Published: December 2024

Wymagająca wiele wrażliwości i roztropności duszpasterska troska Kościoła opolskiego o mniejszości narodowe i etniczne jest szczególnym wyrazem jego szacunku dla wolności i godności każdego człowieka. Zabiegając o zgodną koegzystencję ludzi różnych kultur na zasadzie pojednanej różnorodności, Kościół ten w duchu Ewangelii pragnie służyć wszystkim mieszkańcom Śląska i usiłuje współtworzyć odpowiedni klimat w społeczeństwie do akceptacji mniejszości narodowych i etnicznych. Liczne doświadczenia Kościoła opolskiego odnośnie do mniejszości z pewnością warte są refleksji i zaprezentowania, tym bardziej że problematyka mniejszościowa często wywołuje wiele emocji i na ogół znajduje mało zrozumienia u osób postronnych. W pierwszej części artykułu zostały omówione historyczne i społeczne okoliczności zorganizowania w diecezji opolskiej duszpasterskiej posługi na rzecz mniejszości narodowych i etnicznych, zwłaszcza dla mniejszości niemieckiej. Następnie ukazano proces ustanawiania zasad obowiązujących w tej dziedzinie i ich realizowanie w życiu. Natomiast w ostatnim punkcie podsumowano działalność duszpasterstwa mniejszości z uwzględnieniem jego roli w życiu Kościoła i całego regionu.
INVESTIGATING EFL PRE-SERVICE TEACHERS’ BELIEFS AND COMPETENCE REGARDING PRONUNCIATION TEACHING
Authors: Çapar Meral 
Published: December 2024

this study attempted to explore senior pre-service english teachers’ beliefs in english pronunciation instruction and their beliefs in their competence regarding english pronunciation instruction. the participants were 17 senior pre-service english teachers studying at a state university. a modified version of the questionnaire that szyszka (2016) developed was used to obtain data. while descriptive statistics were employed to analyze quantitative data, content analysis was used to analyze qualitative data. the findings revealed that most participants had positive attitudes toward pronunciation teaching and perceived themselves as adequate to teach english pronunciation. however, contrary to their beliefs, they claimed they did not have the necessary methodological knowledge to instruct english pronunciation due to their insufficient training.
Management of Violence Suffered by Girls and Women with Disabilities in Ivory Coast
Authors: Isidore Kouakou Konan 
Published: December 2024

This article presents the results of a study aimed at understanding the management of violence suffered by girls and women with disabilities in an urban context. It is based on a documentary study and semi-structured interviews. There were 47 participants in the study. They were chosen using the non-probability and purposive sampling method. The results obtained through a qualitative analysis of the data reveal that once entered, the competent structures (police station, social center, school, UNAFEHCI) in the matter implement a range of care (medical, psychological, psycho-educational and social, nutritional, educational and economic, hygienic, legal and judicial) of the survivors in an attempt to rehabilitate them on the one hand and to punish the possible culprits on the other. However, it appears that many cases of violence suffered have not been followed up due to family interference, a simple absence of complaint or a failure to denounce the culprit by the victim or their parents. that faced with the violence suffered, girls and women with disabilities or their parents choose to contact either the social center, the police station, the gendarmerie or directly the Association of Paralytic Women of Côte d'Ivoire (AFPCI) with a view to obtain redress, except to remain silent.