bluuebunny/crossref_metadata_2025_split huggingface dataset:
Holistic Education and Pedagogy from the Inuit Worldview
Authors: Inutiq Micah , Mearns Ceporah , Healey Akearok Gwen 
Published: September 2024

This article delves into the intricate fabric of Inuit holistic pedagogical practice, balancing the narrative and the historical dominance of Western colonial education frameworks within Inuit Nunangat. For decades, Inuit knowledge and learning methodologies have been marginalized, leading to a disconnect between education and the cultural fabric of the Inuit community. Recognizing the urgent need for revitalization and elevation of Inuit pedagogical models, this paper draws upon the invaluable insights of Elders, existing research, and narratives from two Inuit learners actively engaged in the Nunavut Network Environment for Indigenous Health Research.
The study intertwines the wisdom of Elders, scholarly literature, and the lived experiences of Inuit learners to articulate learning models and specific components that are key in practice, such as experiential learning and relationship-building. By synthesizing diverse perspectives, the article offers an emerging multi-faceted understanding of Inuit pedagogical practice, highlighting its intrinsic connection to cultural identity, community well-being, and lifelong learning. Through the narratives of Inuit learners, the paper provides tangible examples of the transformative power of Inuit pedagogy in action, emphasizing the positive impact on individual empowerment and community resilience.

By amplifying the voices of Elders and learners, this article contributes to the ongoing discourse on culturally responsive education and underscores the significance of reclaiming and reinstating Inuit holistic pedagogy as a cornerstone for education in the region.
THE IMPACT OF FUEL SUBSIDY REMOVAL ON CONSUMER GOODS IN SELECTED STATES IN NIGERIA
Authors: Okwa F. O. , Okwonu F. Z. , Owoyi Mildred C. 
Published: September 2024

Fuel subsidy removal in Nigeria has impacted consumer goods, transportation, and house rent in different facets. Political economists and data analysts opined that fuel subsidy removal frees up resources, while others say it enhances poverty. This study was conducted to investigate the impact of fuel subsidy removal on consumer goods. The rentier state theory was employed as the theoretical framework for analysis, and the study used the descriptive survey method with a cross-sectional procedure as the research design. The study employed the frequency distribution, and simple percentages to analyze the impacts of fuel subsidy removal. The Wilcoxon signed-rank test was used to test the formulated hypotheses at a significance level of 5%. The study affirmed that the removal of fuel subsidy increased the cost of consumer goods, since factors such as house rent and transportation which generally have effect on the cost of goods are affected, leading to poor standard of living of Nigerians.
Motivasi kerja dan kepuasan kerja perawat Rumah Sakit Umum Daerah Sumatera Utara
Authors: Manalu Ance Ria , Nurhidayah Rika Endah , Nasution Siti Zahara 
Published: September 2024

Background: Nurse satisfaction should be the main concern of hospital management so that nurses can work effectively in providing services. Nurses are the front line in services that are present 24 hours to accompany patients. Nurse satisfaction will have an impact on patient satisfaction as recipients of health services.
Purpose: To analyze the relationship between work motivation and nurses' job satisfaction.
Method: Quantitative analytical research with a cross sectional approach, conducted at the Sidikalang Regional General Hospital on 89 nurses, samples were taken using a purposive sampling technique. Data were collected using a questionnaire and data tabulation using a Likert scale. Data analysis used univariate and bivariate Spearman Rank tests.
Results: Most of the respondents' work motivation fell into the sufficient category, namely 75.3% and the relationship between work motivation and satisfaction obtained p-value=0.002 with r=0.329.
Conclusion: There is a significant relationship between nurses' work motivation and nurses' job satisfaction.
Suggestion: Further research needs to be carried out regarding the relationship and influence of work motivation on nurses' job satisfaction with more specific factors.

Keywords: Job Satisfaction; Nurses; Work Motivation.

Pendahuluan: Kepuasan perawat seharusnya menjadi hal utama yang menjadi perhatian manajemen rumah sakit agar perawat bisa bekerja dengan efektif dalam pelayanan. Perawat merupakan garda terdepan dalam pelayanan yang hadir 24 jam mendampingi pasien. Kepuasan perawat akan berdampak kepada kepuasan pasien sebagai penerima layanan kesehatan.
Tujuan: Untuk menganalisis hubungan antara motivasi kerja dengan kepuasan kerja perawat.
Metode: Penelitian analitik kuantitatif dengan pendekatan cross sectional, dilakukan di Rumah Sakit Umum Daerah Sidikalang kepada 89 perawat, sampel diambil menggunakan teknik purposive sampling. Pengambilan data menggunakan kuesioner dan pengukuran skala likert. Analisa data menggunakan univariat dan bivariat uji Rank Spearman.
Hasil: Motivasi kerja responden sebagian besar masuk ke kategori cukup yaitu sebanyak 75.3% dan hubungan motivasi kerja terhadap kepuasan mendapatkan p value=0.002 dengan nilai r=0.329.
Simpulan: Motivasi kerja perawat memiliki pengaruh cukup kuat terhadap kepuasan kerja yang berdampak pada pelayanan kesehatan.
Saran: Perlu dilakukan penelitian lebih lanjut mengenai hubungan dan pengaruh motivasi kerja terhadap kepuasan kerja perawat dengan faktor yang lebih spesifik.

Kata Kunci: Kepuasan Kerja; Motivasi Kerja; Perawat.
Pangenome comparison via ED strings
Authors: Gabory Esteban , Mwaniki Moses Njagi , Pisanti Nadia , Pissis Solon P. , Radoszewski Jakub , Sweering Michelle , Zuba Wiktor 
Published: September 2024

IntroductionAn elastic-degenerate (ED) string is a sequence of sets of strings. It can also be seen as a directed acyclic graph whose edges are labeled by strings. The notion of ED strings was introduced as a simple alternative to variation and sequence graphs for representing a pangenome, that is, a collection of genomic sequences to be analyzed jointly or to be used as a reference.MethodsIn this study, we define notions of matching statistics of two ED strings as similarity measures between pangenomes and, consequently infer a corresponding distance measure. We then show that both measures can be computed efficiently, in both theory and practice, by employing the intersection graph of two ED strings.ResultsWe also implemented our methods as a software tool for pangenome comparison and evaluated their efficiency and effectiveness using both synthetic and real datasets.DiscussionAs for efficiency, we compare the runtime of the intersection graph method against the classic product automaton construction showing that the intersection graph is faster by up to one order of magnitude. For showing effectiveness, we used real SARS-CoV-2 datasets and our matching statistics similarity measure to reproduce a well-established clade classification of SARS-CoV-2, thus demonstrating that the classification obtained by our method is in accordance with the existing one.
Growth independent morphometric machine learning workflow for single-cell antimicrobial susceptibility testing of Klebsiella pneumoniae to meropenem
Authors: Tjandra Kristel C. , Ram-Mohan Nikhil , Roshardt Manuel , Zudock Elizabeth J. , Qu Zhaonan , Mach Kathleen E. , Eminaga Okyaz , Liao Joseph C. , Yang Samuel , Wong Pak Kin 
Published: September 2024

IntroductionMultidrug-resistant Enterobacteriaceae are among the most urgent global public health threats associated with various life-threatening infections. In the absence of a rapid method to identify antimicrobial susceptibility, empirical use of broad-spectrum antimicrobials such as carbapenem monotherapy has led to the spread of resistant organisms. Rapid determination of antimicrobial resistance is urgently needed to overcome this issue.MethodsBy capturing dynamic single-cell morphological features, including growth-independent, antibiotic-induced changes, of cells from 19 strains of Klebsiella pneumoniae, we evaluated data processing strategies based on time and concentration differentials to develop models for classifying its susceptibility to a commonly used carbapenem, meropenem, and predicting their minimum inhibitory concentrations (MIC).Results and discussionWe report morphometric antimicrobial susceptibility testing (MorphoAST), a growth independent, computer vision-based machine learning workflow, for rapid determination of antimicrobial susceptibility by single-cell morphological analysis within sub-doubling time of K. pneumoniae. We demonstrated the technological feasibility of predicting MIC/antimicrobial susceptibility in a fraction of the bacterial doubling time (&lt;50 min). The classifiers achieved as high as 97% accuracy in 20 min (two-fifths of the doubling time) and reached over 99% accuracy within 50 min (one doubling time) in predicting the antimicrobial response of the validation dataset. A regression model based on the concentration differential of individual cells from nineteen strains predicted the MIC with 100% categorical agreement and essential agreement for seven unseen strains, including two clinical samples from patients with urinary tract infections with different responsiveness to meropenem, within 50 min of treatment. The expansion of this innovation to other drug-bug combinations could have significant implications for the future development of rapid antimicrobial susceptibility testing.
Predicting cardiometabolic disease in medical students using FibroScan and 30-year Framingham risk scores
Authors: Sharma Charu , Hashim Muhammad Jawad , Yasin Javed , Alnaqbi Mahra Rashid Salim , Alkaabi Abdulla Saeed Ahmed , Aldhaheri Mohammed Saif Mohammed , Alkaabi Juma , Agha Adnan 
Published: September 2024

IntroductionMetabolic dysfunction-associated steatotic liver disease (MASLD) has become a major cause of end-stage hepatic disease worldwide requiring liver transplantation, whereas cardiovascular disease (CVD) remains the leading cause of morbidity and mortality globally. Development of MASLD and CVD among young adults is understudied. This study aimed to assess CVD risk in healthy young medical university students using lipid-based and body mass index (BMI)-based 30-year Framingham risk scores (FS30) and to evaluate disease burden for asymptomatic patients with MASLD by performing FibroScan.MethodsWe included medical university students aged 18–30 years without any known medical conditions. All participants underwent physical and anthropometric measurements, and completed a questionnaire. Blood samples were collected for the analysis of glycosylated haemoglobin levels, renal and liver function, biomarker analysis to calculate liver fibrosis risk, and subclinical atherosclerosis biomarkers. Liver stiffness measurements (LSM) and controlled attenuation parameter (CAP) values were measured using FibroScan 430 mini to calculate liver fibrosis and steatosis, respectively. FS30 based on body mass index (FS30-BMI) and lipid levels (FS30-Lipid) were also calculated.ResultsOverall, 138 medical students participated in this study after providing informed consent. Using FS30-Lipid and FS30-BMI, CVD risk was identified in two (1.5%; n = 138) and 23 (17.6%; n = 132) individuals, respectively. MASLD fibrosis was identified based on FibroScan LSMs &gt;7.0 kPa in 12 medical students (9.4%, n = 128; 95% CI, 4.7–14.8%). Consumption of coffee and sugary soft drinks were predictive of liver fibrosis. In total, 36 students (28.6%; n = 128) were found to have hepatic steatosis based on FibroScan CAP values &gt;236 dB, and the predictive factors included increased body fat percentage, male sex, and lack of physical activity. Levels of inflammatory biomarkers, such as C-reactive protein and lipids were not elevated in participants with MASLD.DiscussionCVD risk was identified in &gt;17% of young medical students. The frequency of liver fibrosis and steatosis was also high among the participants, indicating that liver damage starts at a relatively early age. Early intervention is needed among young adults via health promotion and lifestyle changes.
User-centered design of a personal-use exoskeleton: a clinical investigation on the feasibility and usability of the ABLE Exoskeleton device for individuals with spinal cord injury to perform skills for home and community environments
Authors: Nadorf Franziska , Wright Mark Andrew , López-Matas Helena , Porras Erika , Carnicero-Carmona Alfons , Hensel Cornelia , Franz Steffen , Weidner Norbert , Vidal Joan , Opisso Eloy , Rupp Rüdiger 
Published: September 2024

IntroductionThe ABLE Exoskeleton has been tested to be safe and feasible for persons with spinal cord injury (SCI) to complete basic skills in clinical settings but has not been tested for use in home and community environments. A user-centered design process was employed to test the feasibility of the current ABLE Exoskeleton (designed for clinical use) for persons with SCI to perform the basic and advanced skills required for home and community environments, to gain crucial feedback for the development of a novel personal-use exoskeleton.MethodsIn this prospective pretest-posttest quasi-experimental study across two SCI centers (Germany, Spain), in-and outpatients with SCI were included into a 22-session training and assessment protocol, utilizing the ABLE Exoskeleton. Feasibility and usability measures [level of assistance (LoA) for basic and advanced skills, donning/doffing-time and LoA] were recorded together with safety outcomes, and participant and therapist satisfaction with the device.Results10 participants (44.4 ± 24 years), with SCI from C5 to T11, (American Spinal Injury Association Impairment Scale A–D) completed the study. In 209 sessions, six device-related adverse events (pain and skin lesions) were reported. Average total time for don and doff was 10:23 ± 3:30 min. Eight participants were able to complete don and doff with minimal assistance or less. Independence to carry out all skills in the device increased significantly for all participants (p &lt; 0.05). Participants with chronic SCI required a significantly (p &lt; 0.05) lower LoA for six of the nine advanced skills than those in the sub-acute phase.DiscussionThis study shows that the ABLE Exoskeleton is safe, feasible and usable for people with SCI in respect to independent donning, doffing and performance of basic and advanced exoskeleton skills. The supervised exoskeleton use in the clinical environment was a highly valuable approach for identifying the challenging tasks and the necessary technological developments that need to be carried out for a personal-use exoskeleton, including a more independent sit-to-stand transition, faster speed of transitions between states and a richer display on the remote control for the user.Clinical trial registrationhttps://clinicaltrials.gov/study/NCT05643313.
Comparison of the PlusoptiX A16 and vision screener V100
Authors: Jorge Jorge , Fernandes Paulo 
Published: September 2024

Clinical relevanceThis study compares a novel photoscreening device with a previously validated one in a school-age population. It highlights a tendency of the new device to underestimate myopic spherical equivalent and overestimate hyperopic cases.PurposeTo compare the PlusoptiX A16 and Vision Screener V100 photoscreeners in a study population of school-age children.MethodsOne hundred and thirty-three children, with a mean age of 6.4 ± 0.5 years, were evaluated using both the PlusoptiX A16 and Vision Screener V100 photoscreeners. The measurements were taken in random order in a room with diminished ambient lighting.ResultsThe mean refractive error values for the M component were 0.27 ± 0.67D (PlusoptiX A16) and 0.21 ± 0.58D (Vision Screener V100). For the J0 component, means were 0.16 ± 0.38D (PlusoptiX A16) and 0.06 ± 0.33D (Vision Screener V100) and for theJ45 component the means were 0.03 ± 0.17D (PlusoptiX A16) and 0.06 ± 0.22D (Vision Screener V100). When compared both instruments, statistically significant differences were observed for the M (p=0.017) and J0 (p=0.004) components. The agreement rates between PlusoptiX A16 and Vision Screener V100 across different refractive components were 80.5% for sphere, 82.0% for cylinder, and 40.6% for axis when considering a range of ±0.75 D for sphere and cylinder and ±25.0 degrees for cylinder axis. Simultaneously considering all three conditions, the overall agreement was 73.7%.ConclusionThe Vision Screener V100, while generally aligning well with PlusoptiX A16, tends to underestimate myopic spherical equivalent, overestimate hyperopic cases, and underestimate J0 astigmatism.
Global research on sufentanil use in anesthesiology from 2003 to 2023: a bibliometric analysis
Authors: Huang Duoqin , Luo Zixin , Song Xinyue , Zou Kang 
Published: September 2024

ObjectiveThe application of sufentanil of anesthesiology has become a popular research area. However, literature-based bibliometric analyses on sufentanil are limited. Therefore, this study aimed to review the application of sufentanil in anesthesiology, and evaluate the research status and trends in this field.MethodsWe searched the SCI-Expanded, SSCI, and CPCI-S databases from the Web of Science core collection as data sources for articles published from 1 January2003, to 31 December2023, and bibliometric and VOSviewer software were used to visualize and analyze the literature in terms of authors, journals, countries, institutions, and their collaborative networks, as well as keyword networks.ResultsOur analysis included 1,473 relevant publications on the application of sufentanil in anesthesiology. The overall number of publications is on the rise; the top three countries of study were China, the US and France; the top three universities that published relevant articles were Anhui Medical University, Capital Medical University and Zhejiang University; the largest number of publications focused on Anesthesia and analgesia; At present, the studies in this field mainly focus on the application scope, mode, and advantages; adverse reactions; and combined effects of sufentanil in combination with other drugs. The adverse factors for the use of sufentanil in anesthesiology and ways to improve its safety and efficacy are hot topics of research. Future research should explore the applicability of population and dose utilization, novel drug combinations, non-opioid adjuncts, and technological innovations.ConclusionAn increasing number of publications indicates that researchers are showing interest in the field of sufentanil use in anesthesiology, and ongoing research is at a relatively mature level. While the international community has established a strong foundation for cooperation, the cooperation among researchers, institutions, and countries needs to be enhanced. Simultaneously, efforts must be made to explore and strengthen personnel cooperation, expand the coverage of funding support, and improve the quality of the literature.
The oxygen uptake efficiency slope does not accurately predict V˙O2peak of children – the Arkansas Active Kids study
Authors: Edwards Timothy , Børsheim Elisabet , Weber Judith L. , Diaz Eva C. 
Published: September 2024

BackgroundCardiorespiratory fitness (CRF) is a vital indicator of health. However, accurately measuring peak oxygen consumption (V˙O2peak) to determine CRF in children can be challenging. The oxygen uptake efficiency slope (OUES) has been proposed as an alternative metric for predicting V˙O2peak in children, but its accuracy and agreement with measured V˙O2peak remain unclear.MethodsA post hoc analysis was conducted in 94 children (ages 7–10 years) who completed an incremental cycle ergometer test to measure V˙O2peak. Body composition (Dual-energy X-ray absorptiometry) was measured, and fat mass index (FMI, kg/m2) and fat-free mass index (FFMI, kg/m2) were calculated. OUES was determined using all respiratory data (OUES100%) collected during the cycle ergometer test and using data only up to 60% of heart rate reserve (OUES60%HRR). Regression equations to predict V˙O2peak (Pred-V˙O2peak) were derived from simple and multiple linear regression analysis. Bland-Altman analysis assessed the level of agreement between Pred-V˙O2peak and measured V˙O2peak.ResultsOUES60%HRR (β = 0.46, p &lt; 0.0001), age (β = 56.0, p = 0.0004), White race (β = 173.3, p &lt; 0.0003), FFMI (β = 0.98.6, p &lt; 0.000), and FMI (β = −0.40.8, p &lt; 0.000) were retained in the final model. The difference between measured V˙O2peak and Pred-V˙O2peak was not different from zero (p = 0.999). There was a positive association between the difference of measured V˙O2peak and Pred-V˙O2peak and the average of the two methods (β = 0.79, p = 0.0028).ConclusionThere was no mean bias between measured V˙O2peak and Pred-V˙O2peak. However, magnitude bias was present even after considering other significant predictors of V˙O2peak (FMI, FFMI, race, and age) in the regression equation. Caution is advised when using OUES to predict V˙O2peak in children.
Dysfunctional eating attitudes and behaviors among French elite athletes: the impact of psychological characteristics and the sporting calendar
Authors: Daubresse Amandine , Meignie Alice , Antero Juliana , Hanon Christine , Mériaux-Scoffier Stéphanie 
Published: September 2024

BackgroundResearch on sport psychology suggests that athletes are at risk of developing dysfunctional eating attitudes and behaviors (DEAB), however the origins of these behaviors remain largely unexplored. The present study aims to identify factors (i.e., personality traits, anxiety levels, eating attitudes and behaviors, the internalization of sport thinness norms, and resilience) associated with the development of DEAB among female endurance athletes, in training and competition.MethodA longitudinal follow-up study was conducted among 14 elite female athletes who were tested daily, weekly, and quarterly over 12 months in 2022, for a total of 545 measures. Participants completed questionnaires assessing personality traits, anxiety levels, eating attitudes and behaviors, the internalization of sport thinness norms, and resilience. Descriptive statistics were calculated for all study data, and odds ratios were conducted to compare the variance of psychological factors and sporting factors depending on the level of DEAB and the sport period. Significance was set at p &lt; 0.05.ResultsOverall, 28% of our sample of athletes were identified with DEAB. Among those with DEAB, scores for agreeableness, anxiety, and competitive anxiety were significantly higher, while scores for resilience were significantly lower than those without DEAB. During the competitive season, scores for self-regulatory eating attitudes and the internalization of thinness norms were significantly higher than during the training period.ConclusionOur results suggest a greater probability of DEAB among athletes who exhibit the trait of agreeableness, experience anxiety during competition, and lack resilience. The competitive season was also identified as a period conducive for developing DEAB compared with the training period. Based on these results our study suggests preventive measures that can be implemented with athletes displaying these traits, with a particular emphasis during the competitive phase.