bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinicians’ Perspectives on the Telehealth Serious Illness Care Program for Older Adults With Myeloid Malignancies: Single-Arm Pilot Study
Authors: LoCastro Marissa , Wang Ying , Yu Tristan , Mortaz-Hedjri Soroush , Mendler Jason , Norton Sally , Bernacki Rachelle , Carroll Thomas , Klepin Heidi , Wedow Lucy , Goonan Sean , Erdos Hannah , Bagnato Brenda , Liesveld Jane , Huselton Eric , Kluger Benzi , Loh Kah Poh 
Published: June 2024

Background
Serious illness conversations may help patients avoid unwanted treatments. We previously piloted the telehealth Serious Illness Care Program (SICP) for older adults with acute myeloid leukemia and myelodysplastic syndrome.

Objective
In this study, we aimed to understand the experience of the telehealth SICP from the clinician’s perspective.

Methods
We studied 10 clinicians who delivered the telehealth SICP to 20 older adults with acute myeloid leukemia or myelodysplastic syndrome. Quantitative outcomes included confidence and acceptability. Confidence was measured using a 22-item survey (range 1-7; a higher score is better). Acceptability was measured using an 11-item survey (5-point Likert scale). Hypothesis testing was performed at α=.10 (2-tailed) due to the pilot nature and small sample size. Clinicians participated in audio-recorded qualitative interviews at the end of the study to discuss their experience.

Results
A total of 8 clinicians completed the confidence measure and 7 clinicians completed the acceptability measure. We found a statistically significant increase in overall confidence (mean increase of 0.5, SD 0.6; P=.03). The largest increase in confidence was in helping families with reconciliation and goodbye (mean 1.4, SD 1.5; P=.04). The majority of clinicians agreed that the format was simple (6/7, 86%) and easy to use (6/7, 86%). Clinicians felt that the telehealth SICP was effective in understanding their patients’ values about end-of-life care (7/7, 100%). A total of three qualitative themes emerged: (1) the telehealth SICP deepened relationships and renewed trust; (2) each telehealth SICP visit felt unique and personal in a positive way; and (3) uninterrupted, unrushed time optimized the visit experience.

Conclusions
The telehealth SICP increased confidence in having serious illness conversations while deepening patient-clinician relationships.

Trial Registration
ClinicalTrials.gov NCT04745676; https://www.clinicaltrials.gov/study/NCT04745676
¿Debemos aumentar el gasto en Defensa? Emociones en el debate público en redes sociales en España
Authors: Casas-Mas Belén , Menéndez Cóndor Pamela Fabiola , Córdoba Ana María , Echániz Jiménez Alejandro 
Published: June 2024

La dotación de fondos al Ministerio de Defensa ha sido tradicionalmente un asunto de debate político en España que enfrenta a partidos de gobierno y oposición. En este artículo se analiza el nivel de emotivismo político en el debate político digital de las redes sociales (Facebook y Twitter) entre partidos y lideres políticos, medios de comunicación y ciudadanos internautas sobre el aumento del gasto militar. Se han utilizado técnicas de Big Data para analizar los mensajes y se ha aplicado el diccionario NRC Emoticon Lexicon para medir las emociones que generan los actores tradicionales (medios de comunicación, partidos y líderes políticos) en el debate. Los resultados apuntan a que los medios de comunicación se mantienen más neutrales mientras que, los líderes políticos, promueven especialmente la emoción del miedo. La sintonía afectiva es bastante alta entre los actores tradicionales y los ciudadanos internautas,
O Plano Nacional de Educação e os desafios para a formação continuada de professores no município de Ilhéus, BA
Authors: Souza Elaine Cristina , Mororó Leila Pio 
Published: June 2024

Este artigo apresenta dados parciais da pesquisa em andamento sobre o cumprimento da Meta 16 do Plano Nacional de Educação - PNE, a qual estabelece parâmetros a serem alcançados em relação à formação continuada de professores, no município de Ilhéus, Bahia. Trata-se de uma pesquisa de cunho qualitativo que tem como instrumento para coleta de dados a análise documental e a realização de entrevistas semiestruturadas. Os resultados preliminares deste estudo apontaram para o não cumprimento de toda a referida Meta no município, porém sinaliza que os esforços feitos pelas diferentes gestões municipais na década do PNE (2014-2024) a necessidade de maior comprometimento das políticas públicas locais com o incentivo à carreira docente e sua contínua melhoria, bem como o investimento em sistemas de análises que possam dar suporte para avaliações mais próximas das necessidades formativas da rede e dos docentes.
Age of Diabetes Diagnosis and Lifetime Risk of Dementia: The Atherosclerosis Risk in Communities (ARIC) Study
Authors: Hu Jiaqi , Pike James R. , Lutsey Pamela L. , Sharrett A. Richey , Wagenknecht Lynne E. , Hughes Timothy M. , Seegmiller Jesse C. , Gottesman Rebecca F. , Mosley Thomas H. , Selvin Elizabeth , Fang Michael , Coresh Josef 
Published: June 2024

OBJECTIVE
The impact of age of diabetes diagnosis on dementia risk across the life course is poorly characterized. We estimated the lifetime risk of dementia by age of diabetes diagnosis.

RESEARCH DESIGN AND METHODS
We included 13,087 participants from the Atherosclerosis Risk in Communities Study who were free from dementia at age 60 years. We categorized participants as having middle age–onset diabetes (diagnosis &lt;60 years), older-onset diabetes (diagnosis 60–69 years), or no diabetes. Incident dementia was ascertained via adjudication and active surveillance. We used the cumulative incidence function estimator to characterize the lifetime risk of dementia by age of diabetes diagnosis while accounting for the competing risk of mortality. We used restricted mean survival time to calculate years lived without and with dementia.

RESULTS
Among 13,087 participants, there were 2,982 individuals with dementia and 4,662 deaths without dementia during a median follow-up of 24.1 (percentile 25–percentile 75, 17.4–28.3) years. Individuals with middle age–onset diabetes had a significantly higher lifetime risk of dementia than those with older-onset diabetes (36.0% vs. 31.0%). Compared with those with no diabetes, participants with middle age–onset diabetes also had a higher cumulative incidence of dementia by age 80 years (16.1% vs. 9.4%) but a lower lifetime risk (36.0% vs. 45.6%) due to shorter survival. Individuals with middle age–onset diabetes developed dementia 4 and 1 years earlier than those without diabetes and those with older-onset diabetes, respectively.

CONCLUSIONS
Preventing or delaying diabetes may be an important approach for reducing dementia risk throughout the life course.
PENGARUH ENDORSEMENT INFLUENCER DALAM MEMBENTUK KEPERCAYAAN KONSUMEN TERHADAP BRAND YU MARNI
Authors: Nopita Dewi , Rodhiyah Mardhiyyah  , Echa Yulia Checar  , Dwi Indah Lestari  
Published: June 2024

Consumer trust is a key factor in purchasing decisions. Influencer endorsements have become an increasingly popular marketing strategy in efforts to influence consumer preferences. Influencer s possess a level of credibility that impacts the trust levels towards the Yu Marni brand. Yu Marni is a business that sells products made from corn and cassava, yet its product marketing has not been optimal, failing to reach the sales target. Therefore, utilizing Influencer s and leveraging their credibility in advertising campaigns is crucial. However, Yu Marni is challenged to build brand trust to compete with other brands. The objective of this research is to determine the extent of the influence of Influencer endorsements in shaping consumer trust in the Yu Marni brand. The research method includes interviews and surveys conducted through questionnaires. The questionnaires were created using Google Forms and shared via WhatsApp groups. 31 respondents filled out the questionnaires. The research results prove that Influencer endorsements significantly influence consumer trust in the Yu Marni product. The study has demonstrated that consumers agree that Influencer s have successfully introduced Yu Marni products, as evidenced by a 78.3% response rate. Additionally, 56.5% of respondents felt inspired to purchase Yu Marni products after seeing promotions by Influencer s. Influencer endorsements have a significant positive impact on building consumer trust in the Yu Marni brand.
PENGARUH KERAGAMAN PRODUK DAN WORD OF MOUTH TERHADAP KEPUTUSAN PEMBELIAN DI SAHABAT MOTOR PALEMBANG
Authors: Muhammad Bagus Saputra  , Muhammad Said  , Putri Yuni Adinda 
Published: June 2024

The purpose of this study is to investigate the effect of product innovation and word of mouth on the sales of Sahabat Motors Palembang. This study used primary and secondary data obtained from interviews. Combining 25 SPSS models and data from 100 respondents, product category significantly influenced 3,085 purchase decisions. Further analysis shows that the t values in the t table are 3085, 1983 and higher, which indicates a higher t score. T table or 6.725 1. 983 is greater than it. Because it affects your purchasing decision. 6.725 Since y = 14.713 + 0.188X1 + 0.726X2 is small. Productivity Effects 58 Forces and Static Connections greatly influences the purchase choice. The result of this was in line with those studies which have been conducted before related to the techniques of word of mouth in promotion and other techniques which are usually used in the marketing and promotions to accelerate the purchasing decisions of the potential buyers.
Feature Selection Using Hybrid Metaheuristic Algorithm for Email Spam Detection
Authors: Al-Rawashdeh Ghada Hammad , Khashan Osama A , Al-Rawashde Jawad , Al-Gasawneh Jassim Ahmad , Alsokkar Abdullah , Alshinwa Mohammad 
Published: June 2024

Abstract
In the present study, Krill Herd (KH) is proposed as a Feature Selection tool to detect spam email problems. This works by assessing the accuracy and performance of classifiers and minimizing the number of features. Krill Herd is a relatively new technique based on the herding behavior of small crustaceans called krill. This technique has been combined with a local search algorithm called Tabu Search (TS) and has been successfully employed to identify spam emails. This method has also generated much better results than other hybrid algorithm optimization systems such as the hybrid Water Cycle Algorithm with Simulated Annealing (WCASA). To assess the effectiveness of KH algorithms, SVM classifiers, and seven benchmark email datasets were used. The findings indicate that KHTS is much more accurate in detecting spam mail (97.8%) than WCASA.
Diplomatic Representatives, Missions, and Consulates
Authors: Abusamra Lama Allan 
Published: June 2024

Abstract
This paper discusses the intricacies of diplomatic privileges and immunities as outlined in the Vienna Convention. It highlights the distinction between privileges granted to representatives of states versus those of international organizations. The classification of diplomatic staff into four categories is explained, emphasizing the inviolability and immunity of diplomatic agents. Changes in definitions and practices since 1958 are explored, along with the importance of proper notification and certification of diplomatic status. The roles of heads of missions, particularly the doyen of the diplomatic corps, are outlined, as well as the significance of acceptance or rejection of diplomatic representatives by receiving states. The article concludes with insights into the termination of diplomatic missions and the authority of states to impose conditions on diplomatic privileges and immunities.
The Use of Mesenchymal Stem Cells in Veterinary Stomatology: A Review
Authors: Tauberová Veronika , Horňák Slavomír , Lapšanská Mária , Kacková Gabriela 
Published: June 2024

Abstract
Stem cells represent a very important part of regenerative medicine. They have unprecedented potential for the treatment of various diseases and injuries in both humans and other animals. Furthermore, stem cells are characterized by their ability to both self-renew and differentiate into specialized cell types and these exact abilities can be used in the development, maintenance, and repair of damaged tissues and organs. Stem cells can be classified based on their source and developmental stage, with further categorization according to their differentiation potential. Mesenchymal stem cells (MSCs), particularly those derived from bone marrow and adipose tissue, have attracted significant attention in veterinary medicine due to their versatility and accessibility. This review highlights char-acterisation, sources and therapeutic applications of mesenchymal stem cell therapy in some diseases in the field of veterinary stomatology.
Off-Season Swarming in the Japanese Honey Bee (Apis Cerana Japonica)
Authors: Morii Kiyohito , Sakamoto Yoshiko 
Published: June 2024

Abstract
Several studies have reported fragmentary evidence that climate change is altering the phenology and behavior of honey bees. We compiled records of off-season swarming of the Japanese honey bee (Apis cerana japonica) between autumn and winter to improve our understanding of the impact of climate change on the subspecies’ swarming phenology. Based on a survey of 311 beekeepers, eleven off-season swarming records were collected, with ten of them are from 2020 onward. The beekeepers who reported off-season swarming records had eight to twenty years of beekeeping experience, and they declared that they were witnessing off-season swarming for the first time, suggesting a recent increase. One possible factor contributing to the increase in off-season swarming is the temperature rise, as average autumn and winter temperatures in Japan have been increasing.
The Prognostic Role of Neutrophil-to-Lymphocyte Ratio, Monocyte-to-Lymphocyte Ratio, and Platelet-to-Lymphocyte Ratio in the Risk of Major Adverse Cardiovascular Events and Mortality in Patients with COVID-19: a State-of-the-Art Review
Authors: Arbănași Eliza Mihaela , Russu Eliza 
Published: June 2024

Abstract
Coronavirus disease (COVID-19) is a viral infection caused by SARS-CoV-2 that has become a global health emergency with a negative impact on patient care. The evolution of patients with COVID-19 is unpredictable, with an unfavorable evolution in the case of patients with comorbidities. This state-of-the-art review focuses on the role of hematological inflammatory biomarkers: the neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and platelet-to-lymphocyte ratio (PLR) in predicting major adverse cardiovascular events (MACE) and mortality in patients with COVID-19. In this review, we included 21 studies that investigated the role of biomarkers in the risk of mortality and MACE, reporting on a total of 7,588 patients. Regarding the clinical data, 57.49% of the patients presented hypertension (15 out of the 21 studies reported hypertensive patients), followed by ischemic heart disease in 33.56% of patients (13 studies) and diabetes in 30.37% of patients (17 studies). In additional, among the usual risk factors, 23.55% of patients presented obesity (7 studies) and 23.02% were active smokers (10 studies). We recorded an average cut-off value of 7.728 for NLR (range 2.6973–15.2), 0.594 for MLR (range 0.26–0.81), and 215.07 for PLR (range 177.51–266.9) for the risk of MACE and mortality. We also recorded an average area under the curve (AUC) of 0.783 for NLR, 0.744 for MLR, and 0.713 for PLR. Our findings suggest that these biomarkers exhibit prognostic value in predicting adverse outcomes, and that evaluating these biomarkers at admission could provide novel information in stratifying risk groups for improving patient management.
Heart Failure as the First Clinical Manifestation of Basedow’s Disease
Authors: Proboteanu Paul , Caloian Bogdan , Pop Dana 
Published: June 2024

Abstract

Introduction
Thyroid hormones influence multiple systems, but most often the impact on the cardiovascular system is what brings the patient to the emergency department. Basedow’s disease, an autoimmune condition, is one of the most common causes of hyperthyroidism. The purpose of this presentation is to raise attention to an extracardiac cause that can lead to cardiac failure.

Case presentation
A 55-year-old woman presented to our cardiology service with rapid palpitations, shortness of breath on small efforts, and extreme fatigue. The electrocardiogram revealed sinus tachycardia with a heart rate of 144 beats per min. Paraclinical investigations and a multidisciplinary team consultation led to a diagnosis of thyrotoxicosis due to Basedow’s disease. Following the initiation of cardiological and endocrinological treatments, the patient’s condition improved.

Conclusion
Although hyperthyroidism is an extracardiac cause, it brought the patient to the cardiology emergency service for heart failure symptoms. The key to achieving a correct diagnosis and determining an optimal treatment lies in the multidisciplinary approach of pathology.
Participation beyond expectation: Contemporary art installation provokes unexpected responses in an English country house
Authors: Khoo Layla 
Published: June 2024

Abstract
In 2019 artist Layla Khoo created and installed a participatory artwork at Nunnington Hall, a property owned by the National Trust, UK. The artwork, named Change in Attitudes, was a response to the taxidermy collection of hunting trophies displayed on site, all shot and collected by the last owner of the house, Colonel Ronald Fife. The work sought to encourage visitors to consider their thoughts on this difficult part of the collection, both in its historical context and in light of current societal norms, by inviting them to participate with the artwork through choice-making. This case study first analyzes the impact of this work on visitor engagement at the site, both in the participation methods intended by the artist and in the unexpected participation methods employed by the visitors as the installation evolved. The questions raised by this case study are then considered, as well as the research currently under way which seeks to answer them.
Geostatistical Spatial Decision-Making for Identifying Road Hazardous Road Segments in Rural Areas
Authors: Driss Miloud , Hamadouche Mohamed Amine , Safi Brahim , Mhadhbi Mohsen , Lallam Mostefa 
Published: June 2024

Abstract
Road safety has now become a major concern in many countries. In Algeria, as elsewhere, many factors are involved in the phenomena of road accidents. In this field of research, our study aims to spatial identification along a road network the hazardous road segments which present a dangerousness index. We proceeded the use of geostatistical approach, in particular global G(d) statistic and local Gi*(d) statistic of Getis-Ord. However, in an operational framework, this approach is highly dependent on hypothesis on the process of the measurement of the spatial proximity based on the distances between the BSUs. Thus, the interpretation of empirical results based on the optimal choice of the weighting structure and the critical distance. Methodologically, this work allowed to test an approach for assess the safety levels experimented in the case of road network specifically higher accidents risk in the Wilaya of Mascara (north west of Algeria). The first results confirm the validity of the method and allow a recoverable mapping by managers in the choice of measures of preventive management.
The Impact of the Change Type of Wagon on the Efficiency of the Single Wagon Consignments
Authors: Morihladko Peter , Dolinayová Anna 
Published: June 2024

Abstract
The transportation of shipments by rail is usually more expensive than other modes of transport. The costs are dependent on different factors, like the length of the train route, energy consumption based on traction, or the number of crew members in the train. The total price for using the railway infrastructure is also calculated, as is the total weight of the railway vehicle—the weight of the shipment and the weight of the wagon. The different types of wagons have different properties. For the operators, it is an ideal situation to have good values of the technical coefficient of tare. In the case of good values, the operator has effectively used their vehicle park. Railway transport should be affordable for customers. By operating non-efficient wagons, transport is more expensive and has low efficiency. By reducing the dead weight of the wagon, it is possible to reduce the cost rate. In synergy with this, more efficient and eco-friendly transportation can be achieved by reducing energy consumption. By reducing energy consumption, it is possible to get closer to the goal of the European Union, which is to reduce greenhouse gases from transport.
Przedsiębiorczość rodzinna w polskiej literaturze naukowej w latach 2018‒2023
Authors: Buczak Agata , Wychowanek Jacek 
Published: June 2024

W opracowaniu podjęto się rozważań nad tematyką przedsiębiorczości rodzinnej, uznawanej za szczególną, wyjątkową, łączącą podstawową jednostkę społeczną, którą jest rodzina, z działalnością biznesową. Celem badawczym uczyniono przegląd publikacji i badań w naukach ekonomicznych, publikowanych przez polskich badaczy w latach 2018‒2023 (stan na dzień 30.06.2023 r.), poświęconych zagadnieniu przedsiębiorczości rodzinnej. Wyniki prowadzonych analiz opracowano w ujęciu tabelarycznym – od najnowszych do najstarszych publikacji, pogrupowane według zakresu realizowanej tematyki ze wskazaniem: autora/ autorów opracowania wraz z jego tytułem i rokiem opublikowania, zakresu tematycznego, który był w nim poruszony, przeprowadzonych badań, ich wyników i końcowych wniosków, zwieńczonych komentarzem od autorów. Wykonane badania pozwoliły wskazać tematykę rozważań prowadzonych przez badaczy, m.in. w zakresie: finansowania działalności firm rodzinnych w Polsce, relacji na linii właściciel – sukcesor, wpływu pandemii COVID-19 na szeroko ujmowany zakres prowadzonej działalności firm rodzinnych. Udało się również zdefiniować lukę poznawczą w postaci braku opracowań naukowych, m.in. w zakresie zagadnienia miejsca i roli kobiet w działalności podmiotów o charakterze familiarnym, procesów internacjonalizacji tych przedsiębiorstw, barier i czynników mobilizujących w procesie sukcesji.
Law and Prejudice – Does Family Law Work for the Whole Family?
Authors: Groszewski Sarah 
Published: June 2024

The Children Act 1989 stipulates that the welfare of the child shall be the court’s paramount consideration when making decisions about who a child should 'live with' and ‘spend time with’ (collectively known as child arrangements) in England and Wales. In the context of post-separation parenting, the court is also facing increased pressure from Fathers’ Rights groups to prioritize the child’s contact with the father. But where does this leave mothers in the decision-making process, and how does this affect the lives of mothers beyond separation?
This paper focuses on separated mothers in England and Wales and examines whether, and to what extent, the life goals of separated mothers are impacted by orders made under Section 8 of the Children Act 1989. The author will review literature from England and Wales, Australia and the US - jurisdictions with similar approaches to post-separation parenting. Examining whether mothers can freely make decisions about their own lives when they are subjected to the obligations of a Section 8 Order, the paper argues that judicial outcomes may inadvertently have negative effects on the agency of mothers, that courts do not understand or take into consideration when making orders for their children.
This contribution is significant because it highlights the assumptions about the ethic of care made by the courts, the human poverty for mothers that can be a result of court orders relating to children, and evidences the need for mother’s needs to be considered by the courts to a greater extent when they make orders under section 8 of the Children Act 1989.