bluuebunny/crossref_metadata_2025_split huggingface dataset:
Discharge against medical advice in pediatrics: a 10-year retrospective analysis in a tertiary care center
Authors: Albalawi Mohammed , Sadler Kim , Abudari Gassan , Alhuthil Raghad Tariq , Alyami Hamad Hussain , Alharbi Atheer Hani , Badran Rakan Hazem , Malhmar Abdulaziz Omar 
Published: December 2024

BACKGROUND:
There is still limited data on Discharge Against Medical Advice (DAMA) in the pediatric population. Most research comes from low—and middle-income countries, where the financial burden associated with medical care is often an important reason to leave a healthcare facility prematurely. Discharge against medical advice in the children's population is considered a significant issue that may lead to an increased risk of morbidity and mortality.

OBJECTIVES:
Describe the characteristics and predictors of DAMA in children over ten years in in Riyadh, Saudi Arabia.

DESIGN:
Retrospective

SETTING:
Tertiary care center.

PATIENTS AND METHODS:
This study included all patients aged <14 years who had DAMA during all admissions between 1 January 2012, and 31 December 2022.

MAIN OUTCOME MEASURES:
Data was retrieved from medical records and included 1) sociodemographic data, 2) medical history and clinical characteristics, 3) utilization of services during the admission leading to DAMA, and 4) interventions provided to prevent departure.

SAMPLE SIZE:
355 DAMA episodes.

RESULTS:

Males accounted for 45.4%, and the average age was 4.4 years. The overall DAMA prevalence of was 0.4%. At baseline, 277 children (78%) had at least a chronic illness or severe baseline condition; 59% had a potential life-limiting or life-threatening condition. Reasons for DAMA included disagreement about the treatment plan (14.9%), social reasons (12.6%), and perception that the child's condition improved (5.6%). An increased risk of DAMA recurrence was associated with pre-existing severe or chronic medical conditions (OR: 8.2,
P
=.004) and a discharge during the treatment phase (OR: 1.9,
P
=.040).

CONCLUSIONS:
Despite inconsistent documentation, preventive measures included the involvement of healthcare providers, social services, and patient relations. The study highlights the need for standardized protocols and improved documentation practices to effectively address discharge against medical advice.

LIMITATIONS:
Needs to moderate documentation quality of DAMA episodes. The study was limited to a single center, which may affect the generalizability. Children might also have presented to receive care in another facility post-DAMA.
Feasibility, safety, and outcome of fetoscopic endoluminal tracheal occlusion for severe congenital diaphragmatic hernia at a low case-load center: one center's experience
Authors: Alshanafey Saud , Kurdi Wesam I. , Tulbah Maha , Khan Rubina MA , Al Sahan Nada , Al Mugbel Maisoon , Al-Hazzani Fahad , Almutairi Gawaher , Jebreel Ala , Al-Nemer Maha 
Published: December 2024

BACKGROUND:
Antenatal fetoscopic endoluminal tracheal occlusion (FETO) has been introduced as an effective intervention to improve the outcome of severe congenital diaphragmatic hernia (CDH).

OBJECTIVE:
We report our early experience with FETO.

DESIGN:
A retrospective chart review of case series.

SETTING:
Tertiary health care center.

PATIENTS AND METHODS:
18–45 years old, with single fetuses diagnosed with left severe CDH (lung-head ratio <1 measured between 27–29 weeks of gestational age (GA) and liver up or observed/expected lung-to-head ratio <25%, normal echocardiogram and karyotype were included. FETO was performed between 28–30 weeks of gestation and removed after 4–6 weeks or at birth during an ex utero intrapartum treatment (EXIT) procedure.

MAIN OUTCOME MEASURES:
FETO represents a viable option for severe type of CDH fetuses with reasonable outcomes. FETO performance in low volume centers may be feasible with reasonable outcomes. Good outcome of postnatal care with no potential antenatal complications may affect FETO adoption in some societies.

SAMPLE SIZE:
5

RESULTS:
14 pregnant women were referred for assessment and only 7 met the inclusion criteria. Two were excluded initially (late referral and spouse refusal) and a 3rd excluded later due to failure of FETO due to faulty balloons. The median age of the mothers was 28 years and the gestational age was 29 weeks. Median observed/expected lung-to-head ratio was 23%. Among patients who had successful FETO, one had the balloon removed fetoscopically 4 weeks after insertion and one was removed 8 weeks after insertion during an elective EXIT procedure and both have survived. The other two had premature labor after 1 and 5 weeks after FETO and balloon removed during an emergency EXIT procedures, and both died within 24 hours of birth.

CONCLUSION:
FETO represents a viable option for severe type of CDH fetuses with reasonable outcome. FETO performance in a low volume centers may be feasible with reasonable outcomes. Good outcome of postnatal care with no potential antenatal complications may affect FETO adoption in some societies.

LIMITATIONS:
Retrospective nature of the study may imply inaccuracy, but we believe data from electronic medical records is highly accurate.
Social media Influencers’ credibility on Green Purchase Behavior: Evidence from Bangladesh
Authors: Shahabuddin A.M. 
Published: December 2024

The rising global awareness of environmental issues and health consciousness after COVID 19 have driven consumers to seek more sustainable lifestyles, significantly propelled green purchasing intent into the limelight. In regions where environmental education might be lacking, influencers can fill this gap. Social media Influencers often provide educational content on the importance of sustainability and how consumers can make greener choices, which can lead to more informed purchasing decisions. The purpose of the study is to ascertain the credibility of social media influencers' mastery on purchase intentions of individuals and how these intentions are carried over into actual green purchase behaviors. A quantitative, conveynience sampling uses an online survey that conducted from November 2023 to January 2024 on a south Asian country, Bangladesh. Data were coded in SPSS 26 and regressions, the sobel test were performed to find out mediating relationship. The results shows eco labeling had mediated the relationship on social media and green purchase intentions, while social media influencers’ trust worthiness has impact on purchase. These findings have important implications for marketers and policymakers aiming to promote sustainable consumption.
ANALISIS SUMBER BELANJA PADA MUHAMMADIYAH AUSTRALIA COLLEGE
Authors: ROSYIDI MUHAMAD YASIN ARIF , SUPRIYANTO SUPRIYANTO , SUHARDI MUHAMAD 
Published: December 2024

This research aims to describe and analyze what is the application of shopping sources at Muhammadiyah Autralia College in 2021-2022. The research method used in this research is library. That is, research whose data comes from literature reviews and other references that are relevant to this research. The results of this study found that, spending management at Muhammadiyah Australia College includes several components, namely: accouting and audit; advertising; amortization on operating lease right of use asset; bank fee; classroom; cleaning; consulting; depreciation; employee amenity; health and safety; insurance; interes expenses; IT expenses; legal expenses; light, power, heating; meeting; motor vehicle expenses; office expenses; open day; printing and stationery; repairs and maintenance; school event; subscriptions; superannuation; teaching materials; telephone and internet; training and development; wages and salary; and water. Analysis of the types of expenditure at Muhammadiyah Australia College on average experienced a significant increase in 2022. The report on the type of expenditure at Muhammadiyah Australia College from 2021 to 2022 experienced a fairly rapid increase, which amounted to AU$ 1,279,401.
ABSTRAKPenelitian ini bertujuan untuk mendeskripsikan dan menganalisis apa saja penerapan sumber belanja pada Muhammadiyah Autralia College tahun 2021-2022. Metode penelitian yang digunakan dalam penelitian ini ialah Pustaka. Yaitu penelitian yang data-datanya berasal dari kajian literature dan rujukan-rujukan lainnya yang relevan dengan penelitian ini. Hasil penelitian ini menemukan bahwa, manajemen belanja pada Muhammadiyah Australia College mencakup beberapa komponen, yaitu: accouting and audit (akutansi dan audit); advertising (periklanan); amortisation on operating lease right of use asset; bank fee (biaya bank); classroom (kelas); cleaning (pembersihan); consulting (konsultasi); depresiation (depresiasi); employee aminities (fasilitas karyawan); health and safety; insurance (pertanggungan); interes expenses (beban bunga); IT expenses (biaya IT); legal expenses (biaya hukum); light, power, heating (cahaya, tenaga, pemanasan); meeting (pertemuan); motor vehicle expenses (biaya kendaraan bermotor); office expenses (pengeluaran kantor); open day (hari terbuka); printing and stationery (percetakan dan alat tulis); repairs and maintenance (perbaikan dan pemeliharaan); school event (acara sekolah); subscriptions (langganan); superannuation (pensiun); teaching materials (bahan ajar); telephone and internet (telepon dan internet); training and development (pelatihan dan pengembangan); wages and salary (upah dan gaji); water (air).
Understanding the stress field at the lateral termination of a thrust fold using generic geomechanical models and clustering methods
Authors: Adwan Anthony , Maillot Bertrand , Souloumiac Pauline , Barnes Christophe , Nussbaum Christophe , Rahn Meinert , Van Stiphout Thomas 
Published: December 2024

Abstract. This study employs numerical simulations based on the limit analysis (LA) method to calculate the stress distribution in a model that includes a basal detachment, featuring the lateral termination of a generic fault under compression. We conduct 2500 2D and 500 3D simulations with varying basement and fault friction angles to analyze and classify the results into clusters representing similar failure patterns to understand the stress fields. Automatic fault detection methods are employed to identify the number and positions of fault lines in 2D and fault surfaces in 3D. Clustering approaches are utilized to group the models based on the detected failure patterns. For the 2D models, the analysis reveals three primary clusters and five transitional ones, qualitatively consistent with the critical Coulomb wedge theory and the influence of inherited structural and geometric aspects over rupture localization. In the 3D models, four different clusters portray the lateral prolongation of the inherited fault. High stress magnitudes are detected between the compressive boundary and the activated or created faults and at the root of the inherited active fault. Tension zones appear near the outcropping surface relief, while stress decreases with depth at the footwall of the created back thrusts. A statistical cluster-based stress field analysis indicates that for a given cluster, the stress field mainly conserves the same orientations, while the magnitude varies with changes in friction angles and compressive field intensity, except in failure zones where variations are sparse. Small parametric variations could lead to significantly different stress fields, while larger deviations might result in similar configurations. The comparison between 2D and 3D models shows the importance of lateral stresses and their influence on rupture patterns, distinguishing between 3D analysis and 2D cross-sections. Lastly, despite using small-scale models, stress field variations over a span of a couple of kilometers are quite large.
Tres décadas de innovación en políticas de empleo para personas con problemas de salud mental (1991-2021): rehabilitación laboral, empleo con apoyo y recuperación de la ciudadanía
Authors: Valmorisco Pizarro Segundo , De Fuentes García-Romero de Tejada Carlos 
Published: December 2024

Este artículo analiza el grado de cumplimiento de los principios del Modelo IPS (Individual Placement and Support) de empleo con apoyo establecidos por Bond, Drake y Becker (IPS Employment Center, USA) en los Centros de Rehabilitación Laboral (CRL) de la Comunidad de Madrid. Para los autores, el éxito en la contratación de personas con problemas graves de salud mental, pasa por identificar qué factores crean facilitadores vocacionales para la consecución y mantenimiento del empleo. El análisis basado en la explotación de datos de las memorias de actividad y en entrevistas en profundidad y focus group, realizados a pacientes, familiares y personal de dichos centros, indican que en el Modelo de rehabilitación laboral se cumplen cinco de estos principios y que debería darse una readaptación de este modelo hacia la recuperación de la persona (enfoque integral más allá del empleo), mejorando el cumplimiento de alguno de los principios del modelo IPS.
Ks. Wincenty Kraiński - powstaniec, kapłan i lektor (1786–1882)
Authors: Kogut Mieczysław 
Published: December 2024

Artykuł stanowi kompendium zawierające historyczne wzmianki dotyczące życia i działalności ks. Wincentego Kraińskiego, ze szczególnym uwzględnieniem momentu jego metanoi, zmiany myślenia i sposobu działania. Opracowanie dostarcza obszernych informacji o tym mniej znanym aspekcie życia kapłana – z zakresu duchowości. W pierwszej części artykułu przedstawiono długi, lecz kontrowersyjny okres zaangażowania ks. Kraińskiego w ruchy rewolucyjne oraz omówiono jego członkostwo w lożach masońskich. W kolejnej części artykułu ukazano metamorfozę duchową księdza Kraińskiego. Zmiana jego samoświadomości i poglądów dokonała się pod wpływem osobistej modlitwy, częstych spowiedzi i świadomości obecności Boga w Komunii Świętej. Wkrótce odkrył też powołanie do kapłaństwa, następnie przyjął święcenia i rozpoczął 37-letnią posługę kapłańską. Druga część artykułu koncentruje się na długim okresie pracy ks. Kraińskiego we Wrocławiu, gdzie pełnił posługę duszpasterską. W trzeciej części artykułu omówiono pracę kapłana na Uniwersytecie Wrocławskim. Był tam lektorem języka polskiego, rosyjskiego, francuskiego, włoskiego i angielskiego. Artykuł ten rzuca nowe światło na postać Wincentego Kraińskiego, ukazując jego przemianę – od rewolucjonisty do oddanego kapłana i nauczyciela – oraz wpływ na historię Wrocławia i polskiego Kościoła.
Nowy człowiek: dzięki łasce czy technologii? Tomasz z Akwinu wobec obietnic transhumanizmu
Authors: Roszak Piotr 
Published: December 2024

W artykule została przedstawiona teologiczna ocena propozycji transhumanizmu dotyczącego tzw. ulepszenia człowieka (human enhancemnt), które nie sprowadza się jedynie do wdrażania nowych technologii, ale pociąga za sobą szereg kwestii antropologicznych i teologicznych. W artykule, sięgając do teologii Tomasza z Akwinu, wskazano na zasadnicze różnice między ideą nowego stworzenia w chrześcijaństwie a technologicznym tworzeniem nowego człowieka w transhumanizmie. Została przedstawiona refleksja Akwinaty dotycząca sensu życia ziemskiego jako ważnego etapu do osiągnięcia nowego stworzenia, przeprowadzona na kanwie jego interpretacji Ewangelii św. Mateusza. W przekonaniu św. Tomasza z Akwinu nowe stworzenie, choć radykalnie różne, to jednak rodzi się ze starego stworzenia, które staje się drogą do osiągnięcia celu przeznaczonego przez Boga dla człowieka. Następnie przeanalizowano konsekwencje transhmanistycznej antropologii opierającej się na gnostyckiej redukcji istoty człowieka do sfery duchowej, a także nawiązania do eschatologii sekularnej, jaka pojawia się w poglądach transhumanistów.
Pelatihan dan Pendampingan Pembuatan Flashcard Voice Menggunakan Aplikasi Canva dan Vocaroo pada Guru Yayasan IBA
Authors: Silvia Resi , Purnama Fery , Novita Rian 
Published: December 2024

KBG Yayasan IBA terdiri dari 15 anggota yang berasal dari MI (8 orang), TK (4 orang), dan KB (3 orang). Fokus masalah utama meliputi Komunitas Belajar Guru Yayasan IBA yang belum optimal, kompetensi guru yang rendah, dan fasilitas yang kurang memadai. Pengabdian ini dimulai dengan Tahapan Persiapan dan Sosialisasi meliputi kegiatan observasi, survey, pendataan KGB Yayasan IBA, sosialisasi program kepada seluruh guru dan persiapan alat dan bahan. Untuk Tahapan Pelaksanaan Pelatihan dilakukan offline dengan materi mengenai Pembuatan Flashcard Voice menggunakan Canva dan Vocaroo. Selanjutnya Tahapan Pendampingan dan Tahapan Evaluasi. Pendampingan dilakukan selama 3 kali untuk memantau progress pengerjaan flashcard dan melihat kendala yang mereka hadapi. Penerapan Produk Teknologi dan Inovasi ke Masyarakat Produk yang dihasilkan dari kegiatan ini adalah Media Pembelajaran Flashcard Voice yang menggabungkan kartu flash tradisional dengan suara, dirancang menggunakan aplikasi Canva dan Vocaroo. Guru dan siswa dapat memindai Barcode pada flashcard untuk mendengarkan penjelasan suara, membantu siswa memahami materi lebih baik. Impact kegiatan ini memberikan pengetahuan baru kepada guru tentang pembelajaran interaktif. Kegiatan ini berdampak pada peningkatan kemampuan guru dalam menghasilkan media pembelajaran yang menarik, serta kesadaran seluruh elemen di Yayasan Pendidikan IBA. Dari hasil survey kepuasan di dapati bahwa 87% peserta merasa sangat puas dengan kegiatan, 13% peserta merasa puas, dan 0% merasa tidak puas. Begitu juga dengan tingkat pengetahuan yang meningkat secara signifikan pada materi Flashcard (88), Canva (85), dan Vocaroo (87). Testimoni peserta menunjukkan bahwa kegiatan ini sangat bermanfaat dan harapan untuk kegiatan berkelanjutan tentang media pembelajaran berbasis IT.
Thematic Community Service Collaboration (TCSC) Pemasangan Peralatan Otomasi Kelistrikan di Gedung SMA Muhammadiyah 2, Kelurahan Tanjung Sari, Kecamatan Medan Selayang, Kota Medan
Authors: Suprianto  , Fadlan Siregar Muhammad , Trisna Frianto Herri , Sumantri Ahmad , Harianto Budi , Intan Zarina binti Raja Zaki Hashim Raja , Anwar Syahputra Syofyan , Permata Bunda Yola , Romi Nasution Muhammad 
Published: December 2024

Kegiatan Pengabdian Masyarakat TCSC yang dilaksanankan di Sekolah SMA Muhammadiyah 2 Medan dilakukan dengan tujuan untuk penghematan pemakaian energi listrik dan kemudahan dalam mengendalikan peralatan listrik dari jarak dekat dan jarak jauh menggunakan aplikasi di handphone android. Sedangkan target khusus yang ingin dicapai adalah mengimplementasikan peralatan otomasi kelistrikan dengan melakukan pemasangan peralatan otomasi dan menginstalasi ulang kelistrikan gedung sesuai dengan yang direncanakan. Metode yang digunakan untuk mencapai tujuan tersebut adalah metode eksperimen dengan membuat prototype sederhana yang representatif, setelah itu melaksanakan metode pengujian untuk mengetahui tingkat kelayakan peralatan otomasi yang diimplementasikan di gedung sekolah. Kegiatan yang dilaksanakan adalah mengimplementasikan peralatan otomasi dengan cara memasang peralatan otomasi pada gedung sekolah yang disesuaikan dengan kondisi gedung dan instalasi yang sudah terpasang. Pengujian dan cara penggunaan peralatan otomasi dari jarak jauh dan jarak dekat menggunakan handphone android dilaksanakan dan dipresentasikan di depan kepala sekolah, pemilik yayasan, guru-guru dan teknisi. Hasil kegiatan adalah terpasangnya peralatan otomasi kelistrikan dan cctv IoT di sekolah dan secara umum pemasangan peralatan otomasi secara efektif mengatasi pemborosan penggunaan energy listrik dengan memonitoring dan mengendalikan keaktifan beban listrik menggunakan Internet of Things.
Persuasive Legal Writing Using Large Language Models
Authors: Curran Damian , Levy Inbar , Mistica Meladel , Hovy Eduard 
Published: December 2024

Persuasive writing is an essential skill for a lawyer. Budding lawyers hone their persuasive writing skills during their studies, in part through essay-style examinations. However, Large Language Models (LLMs) have recently proved adept at a broad range of language tasks. They could undermine the utility of many existing forms of law school assessment by allowing students to generate essays artificially. This paper explores the extent to which those concerns are warranted. This study first explores the constituent elements of persuasive legal writing and reviews the available literature on an LLM’s competence in each area. It then evaluates whether OpenAI’s powerful LLM, GPT-4, can produce essay-style answers to a post-graduate law school exam on legal theory. The GPT-4 output is compared to essays written by actual honors students by having them blind-graded by human graders using the subject’s examination rubric. The study finds that GPT-4 cannot match the honors students. Whilst it can produce essays which are of a passable grade, there are significant challenges producing higher quality content. The paper closes with observations about the experience, prompt engineering, LLM-bias and the technology’s implications for the legal profession.
Ex-(Ec)centric Blooming of Names: Echoing Multilingual Layers of Names from Joyce’s Works to (South) Slavic Cultures
Authors: Đurić Mina 
Published: December 2024

This paper aims to research the aspects of the transpositions of names from works by James Joyce in their (South) Slavic translations, as well as in texts written after the reading of Joyce’s prose in (South) Slavic countries. How do (South) Slavic translations maintain the ways of echoing the multilingual layers of the name in the title of Joyce’s Ulysses? Do these models of the transfer of polyphonic intertextuality of names in (South) Slavic cultures have a creative influence on further works that are conscious of the Homeric/Joyce paradigm in dialogues? How do the perspectives of the blooming of names from Joyce’s works in the (South) Slavic transformations open up new possibilities for interpreting the ex-(ec)centric echoes of the creative dialogues between the traditions of translations and their reflection on future studies? These are some of the points articulated in this paper to prove how even on the micro level of the names, the multilingual layers of globalization in the creative reception of one work depend on eccentric, authentic answers in the (ex-)centric cultural positions, especially when they emphasize that echoing Joyce’s works holds significant importance for their viewpoints.
Responding to Animal Suffering in Transit by Steam in 19th-Century Britain
Authors: Li Chien-Hui 
Published: December 2024

Abstract
In the 1830s and 1840s, animal transportation by rail and steamer gradually replaced traditional long-distance droving in Britain. Responding to the posthumanist calls for critical attention to the experience of nonhuman actors in history, this article first explores how each aspect of this new mode of transportation affected the bodily experience of the animals, including their embarkation, stowage, ventilation and other uses of equipment fitted on the vessel, the provision of care, and disembarkation. It then discusses how those people who were affected by witnessing the animals’ experience responded to it in light of two contributory factors: first, the outbreak of cattle plague in 1865 and, second, the growing calls for greater humanity to animals. In conclusion, the article summarizes the legislative advances that were made in pursuit of this humanitarian aim by reviewing the first and last pieces of relevant legislation that were passed prior to the First World War—the 1870 Transit of Animals Order and the 1912 Animals (Transit and General) Order. The article further illustrates how the simple logic of paying attention and responding to the experience of other lifeworlds helped establish the first milestones in animal transit legislation in the age of steam transport.