bluuebunny/crossref_metadata_2025_split huggingface dataset:
“I think deprescribing is very needed in our society:” Healthcare Professional Students Perceptions of Deprescribing Education
Authors: Cernasev Alina , Scott Devin , Barenie Rachel , Walker Crystal , Khan Muneeza , Koltnow Paul , Callahan William , Hall Amy 
Published: November 2024

Introduction: Deprescribing is a complex and pivotal process in the healthcare system that requires the involvement of different healthcare professionals as well as patients and family members. Given the multifaceted healthcare professionals involved in deprescribing, fostering interdisciplinary healthcare teams during the didactic and experiential educational engagement is imperative. Thus, this study aimed to to characterize healthcare professional students’ opinions on the importance of an interdisciplinary approach to deprescribing during the didactic and experiential components of the curriculum.
Methods:This qualitative study was conducted with healthcare professional students enrolled in a professional degree program at one Mid-South health science located in the US. Focus groups were conducted via an online platform over three months in 2022, and recruitment continued until thematic saturation was achieved.Using Thematic Analysis, the corpus of the transcribed data was imported into the Dedoose®, a qualitative software that facilitated the analysis.
Results: A total of 36 healthcare professional students participated in four focus groups. Three themes emerged from the data: 1) setting the stage for deprescribing, 2) developing interprofessional deprescribing simulations, 3) potential positive patient outcomes. In the first theme, the healthcare professional students describe current challenges in the deprescribing process that call attention to the interprofessional nature of deprescribing. The second theme demonstrates the necessity of developing interprofessional simulations to educate healthcare professional students in the practice of deprescribing. Finally, in the third theme, the healthcare professional students illustrate the potential of interprofessional education on deprescribing to improve patient outcomes.
Conclusion:The data highlights that there was strong agreement between extant literature and health professions participants on barriers to deprescribing, including interprofessional communication issues, and on the recommendation to enact interprofessional healthcare simulation education on deprescribing. In addition, the potential benefits of increased interprofessional education will provide immeasurable benefits and create an ample understanding of the roles of health professionals. These findings suggest that deprescribing focused interprofessional healthcare simulation educational activities should be conducted and assessed.
Correlation Between Luteal Phase Serum Progesterone Levels and Pregnancy Outcome in Frozen Embryo Transfer Cycles: A Prospective Cohort Study
Authors: Sachdeva Manika , Nayar Kanad Dev , Singh Sabina , Sethi Ankita , Kant Gaurav , Arora Shweta , Singh Ananya 
Published: November 2024

Objectives
To study the correlation between luteal phase serum progesterone (P4) levels and pregnancy outcome in frozen embryo transfer (FET) cycles and to find out the cut-off level of luteal phase serum P4 which favours successful pregnancy outcome in FET cycles.

Material and Methods
This prospective cohort study included 100 women undergoing hormone replacement therapy (HRT)-FET cycle at Akanksha IVF Centre from December 2023 to June 2024, fulfilling the inclusion and exclusion criteria. Serum P4 levels were measured for all the patients in the luteal phase (days 21–23) after FET with intramuscular P4 as luteal phase support. Pregnancy outcome was assessed in terms of implantation rate, biochemical pregnancy rate, clinical pregnancy rate (CPR), first-trimester miscarriage rate and ongoing pregnancy rate.

Results
The most favourable pregnancy outcomes were observed at serum P4 levels 25.1-35 ng/mL. A statistically significant association was seen between the luteal phase serum P4 levels and implantation rate (36.08%), biochemical pregnancy rate (4%), CPR (52%) and ongoing pregnancy rate (42%). According to the receiver operating characteristic (ROC) curve analysis, the optimal cut-off value for favourable outcomes was determined to be 22.3 ng/mL. However, the analysis also indicated that the luteal phase serum P4 levels did not reliably predict clinical or ongoing pregnancy.

Conclusion
Larger studies are needed to establish a threshold level of serum P4 in the luteal phase that can differentiate between successful and unsuccessful implantation. However, it is still uncertain whether the issue of unsuccessful implantation can be resolved once it is detected on days 21–23 of the HRT-FET cycle.
Langue première et inclusion socio-professionnelle : quelle place pour l’écrit dans les pratiques auprès d’élèves avec troubles du spectre « dys » et de l’attention ?
Authors: LACHAUD Marie-Hélène 
Published: November 2024

Au travail comme en formation, les usages de l’écrit sont incontournables et les troubles d’apprentissage du spectre « dys » et de l’attention présentent des difficultés en lecture comme en écriture. La recherche présentée dans cet article est réalisée en France, dans une classe prépa-apprentissage destinée à des élèves atteints de troubles du spectre « dys » et de l’attention. Le but est de mieux comprendre les propositions didactiques sous l’angle de la langue première et de l’inclusion sociale et professionnelle. L’hypothèse est qu’un trio « sens, confiance et créativité », fil d’Ariane des pratiques pédagogiques, favoriserait l’engagement des élèves avec troubles des apprentissages « dys » dans leurs apprentissages tout en prenant davantage en compte leurs acquis littéraciques. L’analyse des discours des intervenantes met en relief l’écart entre la perception qu’elles ont du rapport à l’écrit des élèves et les pratiques personnelles de ces derniers. Ces pratiques permettent de décrire des stratégies et procédures efficaces en lecture comme en écriture.
PROGRAMAS DE TRANSFERÊNCIA DE RENDA COMO MECANISMOS DE COMBATE À POBREZA: UMA BREVE CONTEXTUALIZAÇÃO DO PROGRAMA BOLSA FAMÍLIA NO ESTADO DO ESPÍRITO SANTO
Authors: Veiga Alex Golffetto da , Veiga Halisson Golffetto da 
Published: November 2024

Objetivos: O artigo analisa a dependência do Programa Bolsa Família (PBF) pelas microrregiões do estado do Espírito Santo, entre 2006 e 2013, destacando a pobreza como um fenômeno multidimensional e a vulnerabilidade social como uma questão de Direitos Humanos.

Referencial Teórico: O artigo pauta o debate nas seguintes temáticas: (i) a pobreza enquanto um fenômeno complexo e multidimensional; (ii) o modelo de política social adotado na América Latina, suas causas e seus desdobramentos; e (iii) a orientação das políticas de mitigação da pobreza no Brasil, principalmente, a partir da criação do PBF, e a eficácia destas em relação ao ataque as causas estruturais da pobreza, à diminuição das desigualdades sociais e ao alcance do desenvolvimento social.

Método: A pesquisa foi processada por meio de técnicas de estatística descritiva para análise dos dados do PBF, entre 2006 e 2013, nas microrregiões do estado do Espírito Santo.

Resultados e Discussão: Os resultados mostram que os municípios do estado do Espírito Santo possuem forte dependência do PBF, em especial, aqueles localizados nas microrregiões Nordeste e Noroeste.

Implicações da Pesquisa: A análise da dependência do PBF nas microrregiões do estado do Espírito Santo proporciona um olhar regional único, enfatizando a necessidade de um enfoque que una crescimento econômico e investimentos sociais.

Valor: O estudo contribui para a literatura ao oferecer uma análise regionalizada do PBF no estado do Espírito Santo, evidenciando a complexidade existente entre os programas de transferência de renda condicional e as desigualdades sociais.
DEEP LEARNING IN ANIMAL CLASSIFICATION SYSTEM
Authors: V Thenarasi , B N Santhosh Kumar , Urs M Prakasha Raje , Y H Sharath Kumar , R Rashmi 
Published: November 2024

In this work, we propose a method for the classification of animal in images. Initially, a region merging segmentation method is used to perform segmentation in order to eliminate the background from the given image. From segmented animal images, the shape, texture and color features are extracted. Deep learning with Convolution Network and Support vector is considered for classification. To corroborate the efficacy of the proposed method, an experiment was conducted on our own data set of 30 classes of animals, which consisted of 600 sample images. The experiment was conducted by picking images randomly from the database to study the effect of classification accuracy, and the results show that the Deep Learning classifier achieves good performance.
Overview of Coping Strategies for Caregivers of Elderly Individuals with Dementia at Senior Care Darmawan Park Sentul
Authors: Ismed Kern , Putri Maharani Ardi , Kistyanti Ni Made Rai 
Published: November 2024

Dementia is a clinical condition that is mostly experienced by the elderly and can be identified by progressive cognitive decline that disrupts one’s ability to be independent. Elderly people with dementia require special services from others as caregivers who can provide good care in everyday life. However, caregivers often experience personal difficulties in caring for elderly people with dementia. Hence, they need strategies to deal with potential problems. This paper is a qualitative research with a case study approach. The aim of this study is to describe the coping strategies of caregivers of elderly dementia at Darmawan Park Sentul Senior Care. The respondents of this study were two caregivers who worked for elderly people with dementia in Senior Care. Results shows that both subjects developed two coping strategies: problem-focused and emotion-focused coping. The dominant coping strategy used by both respondents in this study was emotion-focused coping. The aspects of emotion-focused coping that are still used by both respondents are seeking social emotional support and self-control. The form of effort most often used by both respondents in dealing with their problems was telling the closest people around them, such as their family, friends, co-workers, and superiors, to get advice, attention, and suggestions.
The Role of Self-efficacy and Locus of Control on Work Readiness Among Gen Z
Authors: Nindyati Ayu Dwi , Elzahra Rizqi Awalia F , Rahmadhani Rivaldi Izza 
Published: November 2024

As a generation who start entering the work force. Gen Z faces unique challenges and opportunities as they transition from education to employment. One issues that come up from this transition was readiness to work. The study explored how self-efficacy and locus of control influence work readiness in Generation Z. The research method use was quantitative research with multiple regression statistic to analyse the data. Respondents of the research were 70 students higher education in the last year ((M= 17; F= 53) and mean of age = 20.9 (20 years 10 months). The data were collect with questionnaire of general self-efficacy, locus of control and work readiness. The result show that self-efficacy significantly influence to work readiness, and locus of control did not influence to work readiness among generation Z. Based on this finding it can see that to improve the students’ readiness to work, the intervention of self-efficacy was more useful than locus of control. This model suggests that training programs or interventions aimed at enhancing self-efficacy may be more effective in increasing work readiness than those that concentrate solely on the internal locus of control, especially among generation Z with all the uniqueness.
Cost benefit analysis of recreational public park (A Case of Tikapur Banglaw Park)
Authors: Subedi Khem Raj 
Published: November 2024

This paper is based on the Cost Benefit Analysis study of Tikapur Banglaw Park (TBP) of Tikapur Municipality in Kailali district. The main objective of this study is to estimate the recreational benefits of TBP, calculation of consumers' surplus per visitor per trip of individual visitors and calculation of benefit cost ratio of the Park. The Individual Travel Cost Method (ITCM) has been employed to capture the non-market benefits of the Park. This study is based on the survey of 101 visitors of the Park during mid March to mid April 2016. The Poisson regression model has been used to estimate consumer surplus of the visitors. The study shows that visit rate of visitors of Park is inversely correlated with travel cost and age of the visitors and positively correlated with household income of the visitors. The mean consumer's surplus per visitor per trip is estimated to be about NPR 2475. The aggregated consumer surplus for the annual park visitors calculated to be NPR 351 million. The estimated opportunity cost of the Park in terms of agricultural production is about NPR 9.99 million per annum. The total benefit is NPR 355 million and total cost is NPR 130 million. The benefit cost ratio is 27.43. The study clearly finds that the Tikapur Banglaw Park generates significantly higher level of public welfare. Therefore, Tikapur Municipality should formulate timely project intervention to upgrade quality of TBP.
सीमान्तकृत समुदायको समावेशीकरणको सन्दर्भमा सामुदायिक रेडियो टीकापुर १०१ मेगाहर्ज
Authors: शाही मीनबहादुर 
Published: November 2024

सीमान्तकतृ समुदायहरुको समावेशीकरणको सन्दर्भमा सामुदायिक रेिडयो टीकापुर एक लघु अनुसन्धान हो । सामुदायिक रेडियो टीकापरु एफएम १०१ मेगाहर्ज, २०६३ फागनु बाट प्रसारण प्रारम्भ गरी यस रेडियोले समुन्नत समाजका लागि समावेशी आवाज भन्ने नारा तय गरको छ । यस अध्ययनमा सीमान्तकृत समुदायका रुपमा महिला, बालबालिका, अपाङ्ग, दलित, भूमिहीन तथा अल्पसङख््यक वादी, राजी तथा मुस्लिम समुदायको रेडियोमा पहँचु तथा कार्यक्रम प्रसारणमा उक्त समुदायलाई सम्बाधे नको गरको अवस्थाको अध्ययन गरिएको छ । यो अध्ययन वर्णात्मक विधिमा आधारित छ । यसमा अध्ययनको उद्देश्य प्राप्त गर्नका लागि लक्षित समूह छलफल, मख्य सूचना दाताहरुसगँ को अन्तर्वार्ता, अवलोकन तथा सामदुायिक रेlडयो टीकापुरबाट प्रसारित साप्ताहिक कार्यक्रम,समाचारका विषयवस्तु , रेडियोको नीति, रणनीति, वार्षिक प्रतिवदेन तथा अन्य सन्दर्भ पुस्तकहरुको अध्ययन गरिएको छ । अध्ययनले रेडियोको संरचना, समाचार, प्रसारित कार्यक्रम मा लक्षित समुदायको समावेशीताको अवस्था र नीति तथा रणनीति अनुसार सीमान्तकृत समुदाायलाई व्यवहारमा समेट्न खाजेको छ कि छैन भनी अवस्था पत्ता लगाउने प्रयास यस अध्ययनले गरेको छ ।
Reading comprehension of graduate students in IELTS
Authors: Paudel Jnanu Raj 
Published: November 2024

International Language Testing System (IELTS) is a prominent examination for the most of the youths in the world to pursue their study in the country where English is spoken as a native language. It has become the part of their career. As IELTS format consists testing of four language skills; listening, speaking, reading and writing, the researcher carried out to find the reading proficiency of the students studying in Bachelors level in relation to the scoring system. The researcher also aimed at exploring the difficulties faced by the students while attempting reading text. The sample size of the study consisted of 30 students studying in Humanities, Education and anagement of Tikapur Multiple Campus. The informants were selected using purposive non random sampling in a proportionate way. A questionnaire consisting of five set of reading text based on IELTS examination was used as a data collection tool. The data were analyzed and interpreted descriptively and statistically. The result of the data obtained revealed that the reading proficiency of the students in IELTS text is extremely limited. The average band is three which indicates that the informants are categorized under extremely limited user. They convey and understand only general meaning in very familiar situations. Frequent breakdowns in communication occur.
Unveiling the potential of fine arts education in enhancing resilience among Chinese gifted students
Authors: Dong Zhe , Zhang Ying 
Published: November 2024

IntroductionThe current study aimed to explore the complex dynamics influencing the resilience of gifted Chinese students, emphasizing the interconnected roles of fine arts education (FAE), creativity, and self-efficacy (SE). By examining the transformative potential of FAE, this research highlighted creativity and SE as key mediating factors for resilience among Chinese gifted students.MethodsThis study involves administering a structured set of questions to a sample of gifted young adults, thus achieving a high response rate of 93.21%. The Maus scale (1938) has been used to measure FAE, the Connor-Davidson Resilience scale assesses resilience, while creativity and SE are measured using the Kaufman scale and Schwarzer and Jerusalem scale, respectively. Statistical analyses includes a correlation matrix, ANOVA, confirmatory latent factor model tests, and mediation effect analysis for resilience and creativity. Data analysis has been conducted by using the SPSS Statistics 29.0, bootstrap, and AMOS 25.0 software.ResultsCurrent findings determines a significant role of FAE in enhancing emotional resilience, creativity, and SE among gifted students. This study also finds the importance of FAE in building essential coping mechanisms to address intellectual and emotional challenges specific to this group.DiscussionThis study proposes to integrate FAE into educational curricula to better support the intellectual and emotional needs of gifted young adults, thereby facilitating the development of coping skills crucial for their emotional wellbeing. Additionally, this study indicates the importance of art therapy and global initiatives in boosting the resilience, while preparing gifted students to face future challenges with enhanced psychological resilience.
Impacto do uso de telas no desenvolvimento inicial
Authors: Ceron-Litvoc Daniela 
Published: November 2024

A sincronia corporal entre mãe e bebê é essencial para a formação de vínculos seguros e para o desenvolvimento emocional e psicológico da criança. A presença de dispositivos eletrônicos pode promover alterações nessa sincronia, resultando em um sistema de interação empobrecido, o que pode afetar negativamente a capacidade da criança de regular suas emoções e estabelecer conexões sociais. A partir do escopo teórico da Fenomenologia Estrutural, um modelo teórico é apresentado sobre como o uso de telas, por pais e crianças, pode afetar o desenvolvimento nos dois anos iniciais, com impacto persistente para toda a vida. Conceitualizando a importância e o papel da a proto-intersubjetividade e da intercorporeidade, o artigo propõe um mapa que correlaciona as alterações epidemiológicas apresentadas com as alterações na estrutura psíquica do bebê. Esse artigo analisa, conceitualmente, as vias pelas quais o uso de tela nos primeiros 24 meses de vida promove alterações estruturais no psiquismo da criança. A realidade atual de nossa sociedade é o uso cada vez maior de elementos de tecnologia no cotidiano. Sendo assim, ampliar a nossa compreensão desse fenômeno pode nos ajudar a propor novas configurações, mais saudáveis, para o uso de telas.
Keratorefractive Lenticule Extraction Using the Ziemer FEMTO LDV Z8 Platform (CLEAR): One-Year Results
Authors: Bteich Yara , Assaf Jad F. , Gendy Jeremiah E. , Awwad Shady T. 
Published: November 2024

Purpose
To present the outcomes and detail the surgical procedure employed in the initial 102 eyes treated with keratorefractive lenticule extraction (KLEx) using the FEMTO LDV Z8 platform (Ziemer Ophthalmic Systems).

Methods
This was a retrospective analysis of 102 eyes of 53 patients treated with KLEx at the American University of Beirut Medical Center. Visual, refractive, topographic, and aberrometric parameters were evaluated 1 week and 1, 3, 6, and 12 months postoperatively.

Results
Mean preoperative spherical equivalent refraction (SEQ) was −4.11 ± 1.82 diopters (D) (range: −10.00 to −1.625 D) and mean preoperative cylinder was −0.75 ± 0.65 D (range: −3.00 to 0.00 D). Postoperatively, the mean SEQ was 0.06 ± 0.54 D (range: −2.88 to +1.00 D) at 1 week and −0.04 ± 0.26 D at 12 months and was within ±0.50 D in 95.6% and ±1.00 D in 100% of eyes. A total of 96.7% of eyes had an uncorrected distance visual acuity (UDVA) of 20/20 at 12 months postoperatively. Fifty percent gained one or more lines of corrected distance visual acuity (CDVA), 5 eyes (5.4%) lost one line, and none lost two or more lines. No suction losses were encountered and all extracted lenticules were intact without tears.

Conclusions
The application of KLEx using the FEMTO LDV Z8 platform yields safe and effective outcomes, aligning comparably with established modes of lenticule extraction and femtosecond laser–assisted laser in situ keratomileusis procedures previously employed and accepted within the field of refractive surgery.

[
J Refract Surg
. 2024;40(11):e898–e905.]
Questions de cinéma et pratique de l’analyse de film
Authors: Esquenazi Jean-Pierre 
Published: November 2024

Chaque film à sa manière nous apprend le cinéma : les questions que le réalisateur et son équipe se sont posées affleurent dans le récit, elles émergent de l’enchaînement des images et des sons. Pour qui veut bien s’y montrer attentif, un film peut devenir, non pas un manuel, mais un guide. Cet ouvrage suit à la trace cinq questions posées par cinq films ou ensembles de films, des questions que ces œuvres se posent d’abord à elles-mêmes. La mise en scène en est profondément marquée : la pratique de l’analyse de film devient dans cette perspective – au-delà du plaisir que l’on peut prendre à redécouvrir, explorer, ausculter parfois un film qu’on a aimé – un instrument de réflexion sur le cinéma, sur des problèmes propres à l’art cinématographique.
Fatima de Philippe Faucon
Authors: Vancheri Luc 
Published: November 2024

Deux semaines après avoir obtenu le César du meilleur film pour Fatima, Philippe Faucon et Soria Zeroual étaient les invités de l’émission de télévision, On n’est pas couché. Alors que tous se demandaient si le choix de l’Académie des arts et techniques du cinéma n’avait pas été dicté par de mauvaises raisons, Léa Salamé commença par suggérer que la force réaliste du film pouvait être un obstacle à sa candidature artistique avant de conclure que Fatima était un film sans art. Luc Vancheri ne s’est pas donné pour tâche de réparer un tort, la critique a fait bon accueil au film, il a en revanche cherché à retrouver les problèmes esthétiques et philosophiques qui rééclairent les situations narratives et les choix de mise en scène d’un film qui ne saurait se réduire à sa question sociale.
Le regard panoptique et l’art surveillance : esthétique et politique du contournement
Authors: GHASSEMI Mehdi , LAGOS Camila PÉREZ 
Published: November 2024

Cet article examine le « regard » comme un élément essentiel des pratiques de surveillance, ainsi que les manières dont il est conceptualisé et représenté par la littérature scientifique et l’« art surveillance ». Pour ce faire, nous retraçons d’abord le lien entre le regard et le pouvoir depuis la théorisation foucaldienne sur la surveillance, d’après laquelle le pouvoir est intimement corrélé à une capacité de dominer le champ du visible. Ensuite, nous étudions un terrain artistique de 40 expériences d’« art surveillance » produites après les années 2000. L’analyse montre que les artistes, qui prétendent tout voir, trouvent davantage des points de fissure au cœur d’un regard panoptique. Ils cherchent à dénoncer un regard surveillant tout en rendant visible leur matérialité technique, notamment, par l’utilisation de caméras, des logiciels de reconnaissance faciale, et par la collecte de données de géolocalisation. Ces expérimentations remettent au cœur des discussions le rapport de pouvoir induit automatiquement lors d’un contexte de surveillance constante.