bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sleep Challenges and Interventions in Children With Visual Impairment
Authors: Ingram David G. , Cruz Jose M. , Stahl Erin D. , Carr Nicole M. , Lind Lisa J. , Keirns Carla C. 
Published: August 2021

Purpose:
To examine sleep patterns in a large and heterogeneous group of children with visual impairment.

Methods:
A cross-sectional survey of parents of children with visual impairment was offered via the National Federation of the Blind and the National Organization for Albinism and Hypopigmentation.

Results:
Complete survey results were available for 72 participants, aged 1 to 16 years. Parents of 52 (72%) children reported that their child had cycles of good sleep and bad sleep, and 50 (69%) reported that their child's sleep patterns caused significant stress for them or their family. Scores on the Childhood Sleep Habits Questionnaire (CSHQ) increased (> 41) in 64 (89%) children, indicating a likely clinically significant sleep problem. When compared to normative data from children aged 4 to 10 years, children in the current sample scored higher (more sleep problems) on all eight subscales on the CSHQ. The presence of comorbid developmental delay was most strongly associated with sleep problems. Supplemental melatonin and improving daytime and nighttime schedules or routines were reported as the most helpful for sleep. Many families reported a need for further information regarding melatonin use as a supplement.

Conclusions:
A high proportion of children with visual impairment experience clinically meaningful sleep problems, regardless of degree of light perception or visual acuity. There is a strong need for increased awareness and screening for sleep problems in this population. Potential treatment modalities, including supplemental melatonin, should be discussed with families.

[
J Pediatr Ophthalmol & Strabismus
. 2022;59(2):77–86.]
Outcomes of Venus P-valve for dysfunctional right ventricular outflow tracts from Indian Venus P-valve database
Authors: Sivakumar Kothandam , Sagar Pramod , Qureshi Shakeel , Promphan Worakan , Sasidharan Bijulal , Awasthy Neeraj , Kappanayil Mahesh , Suresh Pujar Venkatesh , Koneti Nageswara Rao 
Published: August 2021

Background :
Balloon-expandable pulmonary valves are usually not suitable for dilated native outflow tracts.

Methods :
Indian Venus P-valve registry was retrospectively analyzed for efficacy, complications, and midterm outcomes. Straight valve was used in prestented conduits in patients with right ventricular pressure above two-thirds systemic pressure and/or right ventricular dysfunction. Flared valve 1–4 mm larger than balloon waist was used in native outflow in symptomatic patients, large ventricular volumes, and ventricular dysfunction.

Objectives :
A self-expanding porcine pericardial Venus P-valve is available in straight and flared designs..

Results :
Twenty-nine patients were included. Straight valve was successful in all seven conduits, reducing gradients significantly, including one patient with left pulmonary artery (LPA) stent. Flared valve was successfully implanted in 20 out of 22 native outflow tracts. Sharp edges of the older design contributed to two failures. Complications included two migrations with one needing surgery, endocarditis in one, insignificant wire-frame fractures in three, and groin vascular complication in one patient. There were no deaths or valve-related reinterventions at a mean follow-up of 47.8 ± 24.5 months (1–85 months). Modifications of technique succeeded in three patients with narrow LPA. There was significant improvement in symptoms, right ventricular volume, and pulmonary regurgitant fraction.

Conclusion :
Straight and flared Venus P-valves are safe and effective in appropriate outflow tracts. Straight valve is an alternative to balloon-expandable valves in stenosed conduits. Flared valve is suitable for large outflows up to 34 mm, including patients with LPA stenosis. Recent design modifications may correct previous technical failures. Studies should focus on durability and late complications.
Micro-catheter assisted coiling (MAC)
Authors: Muralidharan Vetrivel , Travali Mario , Cavallaro Tiziana Liliana , Tomarchio Letizia , Corsale Gabriele , Cosentino Federica , Politi Marco Angelo , Cristaudo Concetto 
Published: August 2021

Background:
Aneurysms with neck diameter >4 mm or dome to neck ratio <2 are wide-neck aneurysms. Balloons and stents are used to assist in coiling the wide-neck aneurysms, but these are associated with increased intra-procedure and peri-procedure risk in ruptured aneurysms. Microcatheter-assisted coiling (MAC) is an alternative salvage technique in these situations which is under reported.

Materials and Methods:
We describe our experience in a cohort of 16 patients with ruptured wide neck aneurysm treated with MAC technique. Our primary objective of intervention in acute setting was to secure the aneurysm to prevent rebleed.

Results:
Anterior communicating artery aneurysm was the most common (56.3%) followed by middle cerebral artery bifurcation aneurysm (18.8%), paraclinoid aneurysm (12.5%), posterior communicating artery aneurysm (6.3%) and basilar tip aneurysm (6.3%). Mean greatest dimension of dome and neck were 8.9 mm and 4.6 mm, respectively. Mean neck to dome ratio was 1.8. Fisher grade 3 and grade 4 subarachnoid haemorrhage (SAH) were observed in 56.3% and 43.7% patients, respectively. Immediate post-procedure digital subtraction angiography (DSA) showed Raymond Roy grade 1, grade 2 and grade 3 embolisation in 62.5%, 33.3% and 6.7% patients, respectively. No distal embolus, vessel occlusion, vessel perforation or aneurysm rupture was observed. Immediate post-procedure DSA showed good distal flow in all patients. Infarct was observed at 24 and 48 hours respectively, in two patients with Fisher Grade 3 SAH.

Conclusion:
Ruptured wide neck aneurysms can be embolised with complete preservation of branching vessel and distal flow. Total occlusion can be achieved in 2/3rd of patients.
SUFFERING AND SOVEREIGNTY OF GOD ACCORDING TO JOHN PIPER AND ITS IMPLICATION FOR THE CHURCH TODAY
Authors: Woyesa Tigist 
Published: August 2021

Purpose: The purpose of this paper is to analyze the theology of suffering from a biblical perspective by using literature review as methodology.
Methodology: One of the foundational evangelical presuppositions for theological research is that Scripture is divinely authored and is therefore without error, and authoritative for our faith and practice.
Findings: The study found that suffering is biblical and should be expected by all Christians as they are not exempted from it, unlike prosperity teaching. Suffering has the purpose of refining and maturing our faith. Further, it is to display the greatness of the glory of the grace of God.
Unique Contribution to theory and practice: Therefore, it is recommended for Christians to depend on God at all seasons by asking for wisdom and grace from him. So in this paper, the relationship between suffering and the sovereignty of God and its implication to the church will be discussed with a particular focus on John Piper's work
Financial Factors Affecting Price-to-Earnings Ratios in Canada
Authors: Antalovschi Natalia Popa , Cox Raymond A. K. 
Published: August 2021

Purpose: The purpose of this study is to ascertain which financial factors affect the price-to-earnings ratios of Canadian firms.
Methodology: A sample of 578 Canadian firms, across 11 industries, listed on the Toronto Stock Exchange during 2011 to 2018 is examined. Stock prices and financial statements accounts data is collected from S & P Capital IQ. We compute 27 financial factors to use as independent variables to regress on the price-to-earnings ratio dependent variables employing the Statistical Package for Social Sciences (SPSS) utilizing the software program’s forced, forward, and backward selection methods. Robustness tests are conducted using alternative dates (after the fiscal year end) to discover which model of financial factors best explains the forward price-to-earnings ratio as well as other statistical methods such as analysis of variance.
Results: We find a unique model for each of the 3 models based on the forward price-to-earnings ratio date. The financial factors that explain each of the dates after the end of the fiscal year (1 month, 2 months, and 3 months) are the 4 variables: net profit margin, return on investment, total asset turnover, and the natural logarithm of the total assets. For model 3 (1 month after fiscal year end), in addition to the previous 4 factors, the dividends per share is part of the regression equation. All 3 models have strong statistically significant results at an alpha level of one percent. Further, industry effects are deduced and presented.
Unique contribution to theory, policy, and practice: The results are unique to a Canadian sample of firms post- International Financial Reporting Standards (IFRS) adoption. Companies can utilize the empirical findings to manage their financial performance to maximize their price-to-earnings ratio. A product of a firm’s higher price-to-earnings ratio is a lower cost of capital which expands the corporation’s investment opportunities. Investors can apply this research to develop investment strategies hinged on price-to-earnings ratios to augment investment returns.
Can probiotic fermented milk products prevent early and late complications of antibiotic therapy in young children? (Results of an open randomized clinical trial)
Authors: Хавкин А.И. , Гурова М.М. , Новикова В.П. , Федотова О.Б. , Макаркин Д.В. , Кошкаров Ю.А. , Пенкина Н.А. 
Published: August 2021

Представлены результаты мультицентрового открытого рандомизированного клинического исследования, цель которого заключалась в оценке протективных свойств кисломолочного пробиотического напитка, содержащего штаммы Lactobacillus acidophilus и Bifidobacterium animalis subsp. lactis (BB-12), обогащенного пребиотиком (инулин), цинком, кальцием и витамином D3 для профилактики развития ранних и поздних осложнений антибактериальной терапии у детей от 8 до 36 месяцев с острой респираторной инфекцией. В задачи исследования входило определение частоты развития и выраженности желудочно-кишечных расстройств в зависимости от включения в рацион питания пробиотического кисломолочного напитка для ежедневного употребления в течение трех месяцев. Показана информативность использования Брюссельской шкалы форм кала (BITSS) для детей раннего возраста при оценке характера стула у детей с острой респираторной инфекцией, получивших курс антибактериальной терапии. Установлено, что прием кисломолочного пробиотического напитка, содержащего Lactobacillus acidophilus, Bifidobacterium animalis subsp. lactis, инулин, цинк, кальций и витамин D3, в течение трех месяцев, начиная с первого дня антибактериальной терапии, способствует поддержанию стабильности консистенции кала в ходе лечения и в период восстановления после него снижает частоту развития желудочно-кишечных расстройств, риск развития ранних и поздних осложнений, связанных с приемом антибиотиков.
The paper presents the results of a multicenter, open, randomized clinical trial aimed at assessing the protective properties of a fermented milk probiotic drink containing Lactobacillus acidophilus and Bifidobacterium animalis subsp. lactis (BB-12), enriched with prebiotic (inulin), zinc, calcium and vitamin D3 to prevent the development of early and late complications of antibiotic therapy in children aged 8 to 36 months with acute respiratory infection. The objectives of the study were to determine the incidence and severity of gastrointestinal disorders depending on the inclusion in the diet of a probiotic fermented milk drink for daily use for three months. The informative value of using the Brussels Infant and Toddler Stool Scale (BITSS) for young children in assessing the nature of stool in children with acute respiratory infection who received a course of antibiotic therapy was shown. It was found that taking a fermented milk probiotic drink containing Lactobacillus acidophilus, Bifidobacterium animalis subsp. lactis, inulin, zinc, calcium and vitamin D3 for three months, starting from the first day of antibiotic therapy, helps to maintain the stability of the consistency of feces during treatment and during the recovery period after it reduces the incidence of gastrointestinal disorders, the risk of early and late complications associated with taking antibiotics.
Free water molecules and hydrogen bonding form the basis of variation in homeopathic potencies as revealed by vibrational spectroscopy
Authors: Sarkar Tandra , Konar Atheni , Sukul Nirmal Chandra , Sukul Anirban , Chakraborty Indrani , Datta Pallab , Sutradhar Ashok 
Published: August 2021

Objective: Using Fourier Transform Infrared spectroscopy (FTIR) we have demonstrated that homeopathic potencies of Natrum mur, Cantharis, Nux vomica and Sulphur show differences with respect to the number of free water molecules and strength of hydrogen bonding. The purpose of the present study is to confirm this phenomenon in three potencies of two more drugs Calcarea carb and Silicea.
Design: The potencies used for each of the two drugs were 30cH, 200cH and 1000cH. The control was 90% ethanol as also the potentized drugs. The control, as well as the potencies, were diluted with distilled water to reduce the level of ethanol to 0.03 molar fraction in each of them. FTIR spectra of all the potentized drugs, control and sterile distilled water (reference water) were taken in the wave number region of 4000-2800 cm-1. The full width at half maximum (fwhm) of OH band was measured for each spectrum. The width was divided into two in the middle. The difference spectrum (absorbance of drug solution - absorbance of reference water) for each potency and the control was obtained after normalization of the spectrum at 3410 cm-1. One difference spectrum so obtained for a potency was subtracted from another to find out if there is a difference between two different potencies.
Results: The half width half maximum (hwhm) in both the high and low-frequency sides of the OH band is far less narrow in potencies than in the control as compared to that in water. The difference spectra for different potencies show different levels of fall in intensity at the wave number region of dip at 3630 cm-1. The level of dip at 3630 cm-1 and subsequent rise in intensity in the lower frequency region represent the quantity of free water molecules and strong alcoholic OH bond around 3250 cm-1, respectively. The results of subtraction between two different potencies are not zero but have marked positive or negative values.
Conclusion
(i)	Potencies have stronger intermolecular interactions and a higher number of chemical environments than the control, as revealed by the data on hwhm.
(ii)	The three potencies of each of the two drugs show distinct variation in the number of free water molecules and strength of hydrogen bonding.
(iii)	There exists both inter-drug and inter-potency variation as revealed by the difference spectra and results of subtraction between two difference spectra.
Student mental health and clinical education: exploring the DCE experience
Authors: Eubanks Bridget R. , Cook Chad , Myers Katherine 
Published: August 2021

Purpose: There is a potential link between the clinical education phase of a physical therapist’s education and increased incidence of student mental health challenges. The Director of Clinical Education (DCE) has a complex role in supporting students and clinical sites during clinical education experiences (CEEs.) The purposes of this study were to explore DCE’s experiences and perceptions with supporting students with mental health challenges during CEEs.
Methods: Two-hundred-twenty DCEs from accredited Doctor of Physical Therapy programs were invited to participate in an electronic survey. Survey questions included demographics, institutional and curricular characteristics, and current perceptions/experiences with student mental health challenges. DCEs (n = 106; 48.2%) responded and were included in the analyses. Analyses included descriptive statistics, simple frequencies, and binary logistic regression. Incident coding processes analyzed responses of open-ended questions.
Results: Seventy-four percent of respondents indicated awareness of a student(s) experiencing a mental health concern during a full-time clinical experience in the past 3 years. Regression analyses showed that length of terminal clinical experience, out-of-state placement, cohort size, and availability of online/video counseling were related to prevalence of DCE’s experience. Forty-six percent of DCEs indicated feeling prepared to deal with these issues, while 35% were ‘unsure’. DCEs indicated experience, training, and workload support as contributors to successfully supporting students.
Conclusion: Results contribute to the emerging understanding of the prevalence of student mental health challenges in physical therapist education from the DCE’s perspective. Our findings suggest that institutional and curricular characteristics are potential contributors to the prevalence of this issue. We recommend training and institutional support for the DCE in these situations.
Hiburan film yang mengeksploitasi kesedihan sebagai sarana eskapisme dalam realita kehidupan manusia
Authors: Paramita Suryana 
Published: August 2021

Hubungan manusia dan hiburan selalu melibatkan banyak aspek. Dalam hal ini, karya seni menjadi salah satu elemen yang mampu memberi kesenangan pada manusia dan sekaligus menjadi wadah pelarian emosi. Sebuah penelitian menawarkan pandangan bahwa melalui musik, manusia larut dalam kesedihan yang sengaja mereka cari untuk membahagiakan. Begitu pula dengan karya film, lewat aspek kognitif dan dan psikososial, menawarkan melodrama yang pada akhirnya memberikan motivasi bagi emosi penontonnya, dan mekanisme kognitif yang memungkinkan untuk menikmati pengalaman emosi negatif dalam konteks estetika penceritaan dalam film.
Gastrointestinal Parasite Infections in Cats in Van Province
Authors: KARAKUŞ Ayşe , DENİZHAN Vural 
Published: August 2021

Objective: This study was conducted to determine the presence and spread of gastrointestinal parasites in cats in the Van province.
Material and Method: The study consists of a total of 140 cat feces samples collected between March 2017 and March 2018. Stool samples were examined microscopically at 10X, 40X and 100X magnifications after applying native, flotation, sedimentation examination and carbolfuchsin staining method.
Results: Gastrointestinal parasites were found in the feces of 67 (47.86%) of a total of 140 cats examined in this study. As a result of the research Isospora spp. oocyst 43.28% (n:29), Toxocara cati egg 37.31% (n:25), Toxoplasma gondii-like oocyst 16.41% (n:11), hookworm egg 11.94% (n:8), Joyeuxiella spp. egg 11.94% (n:8), Cryptosporidium spp oocyst 10.44% (n:7), Toxascaris leonine egg 7.46% (n:5), and Dipylidium caninum egg 5.97% (n:4) at a rate of gastrointestinal parasites in cats have been identified. Infected cats were detected 67.16% (n:45) with one species, 20.40% (n:14) with two species and 11.94% (n:8) with three species..
Conclusion: As a result, since gastrointestinal helminths are so common in cats in the Van province and some of them are zoonotic, it also carries risks for human health. Therefore, we believe that periodic examinations of cats and necessary treatments are required, as well as protective measures and raising awareness of people on these issues.
O anti-intelectualismo nazi-capitalista emergente e o papel do conhecimento científico, filosófico, artístico e místico como resistência crítica e criadora na difusão social do conhecimento
Authors: Galeffi Dante Augusto 
Published: August 2021

Texto apresentado no formato de palestra por ocasião do encerramento do Fórum Sociedade Crítica (FSC), evento do Programa de Pós-Graduação em Ciências Humanas e Sociais (PPGCHS).
Model Pembelajaran Pada Masa Covid-19 di Indonesia
Authors: Hairiah  
Published: August 2021

Tujuan penelitian ini untuk mendeskripsikan model pembelajaran pada masa Covid-19 di Indonesia, karena masa Covid-19 ini pembelajaran menggunakan online dan pembelajaran jarak jauh yang menuntut penerapan model pembelajaran yang tepat dan dapat dilaksanakan dengan baik. Metode dengan kualitatif kajian literatur atau penelitian kepustakaan dengan analsis isi. Hasil penelitian menemukan adanya pembelajaran online atau daring pada masa pandemi COVID-19 sangat berpengaruh terhadap minat belajar peserta didik, peserta didik merasa bosan karena tidak bertemu dengan teman dan gurunya secara langsung. Pandemi COVID-19 yang telah mempengaruhi banyak hal termasuk kehidupan pendidikan, orang tua peserta didik, peserta didik dan proses pembelajaran, sehingga perlunya seorang guru yang memiliki tanggung jawab untuk benar-benar mendidik para peserta didik dimana para guru harus menemukan cara yang sesuai untuk mempromosikan proses pembelajaran dengan model pembelajaran yang ditemukan dalam penelitian ini adalah model pembelajaran Cooperative Learning, Model pembelajaran Problem Based Learning (PBL), model pembelajaran Project Based Learning (PjBL), Model pembelajaran flipped classroom (FC), Model pembelajaran Lietarasi Digital (LD).
Pengembangan Media Pembelajaran Al-Qur'an Hadits Terintegrasi Seni Melalui Narasi Berbasis Gambar Bercerita Surat Al-Fil Untuk Membangun Kemampuan Berpikir Siswa
Authors: Sri Bulan  , W Eka Wahyudi  
Published: August 2021

Tujuan penelitian untuk mengetahui bentuk pengembangan media pembelajaran Al-Qur'an Hadits dalam bentuk narasi gambar bercerita terkait materi surat Al-Fil dapat membangun kemampuan berpikir siswa kelas 2 MI. Pendekatan penelitian literatur review dari penelitian-penelitian sebelumnya. Metode yang digunakan yaitu penelitian dan pengembangan (R&D) model Dick dan Carey untuk mengahasilkan langkah-langkah dalam pengembangan produk. Pengembangan media Al-Qur'an Hadits dengan mengintegrasikan seni di dalamnya dengan bentuk gambar bercerita belum berwarna disertai narasi diawal dan setelah gambar serta ruang berbentuk awan untuk siswa menuliskan deskripsi penalarannya dari peristiwa pada gambar yang akan diwarnai dapat menstimulus dan melatih kemampuan siswa dalam berpikir. Dari berpikir tingkat rendah sampai kepada tahap berpikir tingkat tinggi yaitu berupa kemampuan berpikir kritis, kemampuan berpikir kreatif, dan kemampuan memecahkan masalah. Langkah selanjutnya, berdasarkan hasil validasi tim ahli, pengembangan media pembelajaran Al-Qur'an Hadits materi surat Al-Fil kelas 2 MI berbentuk narasi berbasis gambar bercerita perlu ditindaklanjuti dengan mengimplementasikannya dalam proses pembelajaran mata pelajaran Al-Qur'an Hadits agar diperoleh kebermanfaatan.