bluuebunny/crossref_metadata_2025_split huggingface dataset:
Teaching the Interview-Informed Synthesized Contingency Analysis (IISCA) Through Asynchronous Online Training for Professionals Working with Autistic Individuals
Authors: Lemos Felipe Magalhães , Jessel Joshua , Carmo João dos Santos 
Published: July 2024

Abstract

Functional analysis is the gold standard for assessing challenging behaviors in Applied Behavior Analysis (ABA), particularly important for neurodivergent populations such as individuals with autism. Despite its efficacy, functional analysis needs to be more utilized due to its complexity, time demands, and potential to evoke dangerous behaviors. The Interview-Informed Synthesized Contingency Analysis (IISCA) addresses these issues by offering a faster, less traumatic alternative requiring fewer challenging behaviors. This study aimed to teach IISCA to professionals working with autistic individuals through an asynchronous online training program using Behavioral Skills Training (BST). Thirty professionals participated in theoretical instruction, modeling, rehearsal, and feedback via Google Classroom. Results showed significant improvement, with correct responses increasing from 52% pre-intervention to 82% post-intervention. After multiple attempts, most participants successfully applied IISCA with clients, underscoring the need for iterative learning and feedback. This study demonstrates the efficacy of asynchronous online training in teaching IISCA, providing a flexible, accessible method for training professionals, especially in remote or underserved areas. Future research should explore integrating synchronous elements to enhance learning and investigate the long-term impact on client outcomes.
Phosphorus recovery potential from sewage sludge by struvite precipitation: remodelling policy framework in Rajasthan, India
Authors: Srivastava Ankit , Saxena Kanika , Brighu Urmila 
Published: July 2024

ABSTRACT

The manufacturing of fossil-based fertilizers by extraction of rock phosphate has contributed to carbon emissions and depleted the non-renewable phosphorus reserves. Sewage sludge, which is a waste product from Sewage Treatment Plants (STPs), is rich in phosphorus. The existing techniques for sludge management contribute to carbon emissions and ecological footprint. Struvite (raw fertilizer) and biochar recovery from sludge has emerged as viable methods to reduce carbon emission and ensure economic sustainability of STPs. In this work, the potential for phosphorus recovery and revenue generation is discussed for Rajasthan state in India. The fate of phosphorus and heavy metals in STPs is evaluated which indicates that about 70% of the phosphorus and trace amounts of metals end up in sewage sludge. Further, the power consumption is high in STPs due to industrial wastewater ingress. There is a need to bridge the gap between sewage treatment and generation in Rajasthan, improve STP performance before resource recovery inclusion at policy-level and scale-up. Mixing struvite with biochar can lead to safe application of struvite as raw fertilizer as heavy metals are sequestered by biochar. A business framework is developed to serve as a blueprint and potential model for linking technical and market viability.
Spinoza and Spinozism in Twenty-First Century Anglophone Philosophy
Authors: Steinberg Justin 
Published: July 2024

In this paper, I survey some prominent developments in Spinoza scholarship in English-speaking countries in the past quarter-century. Picking up where Tom Cook left off in his analysis of the reception of Spinoza in Anglo-American philosophy in the hundred years after the founding of the Vereniging Het Spinozahuis (1897–1997) (“Spinoza's Place in Twentieth Century's Anglo-American Philosophy”), I seek to identify some of the main currents in the rich profusion of twenty-first century Spinoza scholarship in the USA, UK, Canada, and Australia. Scholarship on Spinoza’s metaphysics has continued to blossom, harkening back in some respects to the idealist interpretations with which Cook opens his survey. But whereas there was a notable lack of scholarly works on Spinoza’s moral and political philosophy in the twentieth century, there is now an abundance of scholarship in these fields. I will conclude by examining the reach of Spinozism in the twenty-first century, looking at the ways in which scholars and journalists have presented Spinoza’s philosophy to a non-academic readership, and exploring the ways in which contemporary metaphysicians and philosophers of emotion and cognition have cast their work under the “brand” of Spinozism.
Using School-Based Teleconsultation Services to Make Community Health Services Accessible in Semirural Settings of Pakistan: Sequential Explanatory Mixed Methods Study
Authors: Gulzar Saleema , Rahim Shirin , Dossa Khadija , Saeed Sana , Agha Insiyah , Khoja Shariq , Karmaliani Rozina 
Published: July 2024

Background
In Pakistan’s remote areas, quality health care and experienced professionals are scarce. Telehealth can bridge this gap by offering innovative services like teleconsultations. Schools can serve as effective platforms for introducing these services, significantly improving health service access in semirural communities.

Objective
This study aims to explore the feasibility of introducing school-based teleconsultation services (TCS) to strengthen community health in a semirural area of Karachi, Pakistan.

Methods
This study used a mixed methods design. A total of 393 students were enrolled for the quantitative component, while 35 parents, teachers, and community stakeholders participated in the qualitative arm (focused group discussion). Proportional computation for the quantitative data was done using SPSS (version 24; IBM Corp), while qualitative data underwent thematic analysis.

Results
A total of 1046 successful teleconsultations were provided for 393 students over 28 months. The demographic data showed that the mean age of the students availing TCS was 9.24 (SD 3.25) years, with the majority being males (59.3%, 233/393). Only 1.24% (13/1046) of cases required referrals. The qualitative analysis yielded three themes: (1) transformation of the health care experience, (2) escalating demands for teleconsultation, and (3) the psychological aspect of care.

Conclusions
This study demonstrated the efficacy of integrating TCS in a semiurban school in Karachi to address health care accessibility gaps. Implementing TCS through the school platform improved the overall health status of school children while reducing school absences and financial burdens on families. The study highlighted TCS’s cost-effectiveness, time efficiency, and quality, with community support for 24/7 availability, expansion to adults, and a reimbursement model. School health nurse-led TCS offers a scalable solution to health care challenges, enhancing health outcomes for school-going children in Pakistan and globally, particularly in low- and middle-income countries, where accessibility is a major issue.
Perception and Acceptance of Telemedicine Use in Health Care Among the General Public in China: Web-Based Cross-Sectional Survey
Authors: Lin Yulan , Xu Xiaonan , Liu Yiyang , Alias Haridah , Hu Zhijian , Wong Li Ping 
Published: July 2024

Background
The COVID-19 pandemic is bringing about substantial changes in health care systems, leading to a significant shift toward telemedicine for the delivery of health care services.

Objective
This study aims to examine the relationship between perceived usefulness and ease of use of telemedicine services and their association with the behavioral intention to use telemedicine.

Methods
An anonymous cross-sectional survey was conducted in China. Partial least squares structural equation modeling was used to determine significant predictors of intention to use telemedicine consultation. Types of illnesses that favored seeking telemedicine consultation, as well as the most preferred platform for conducting telemedicine consultations, were also investigated.

Results
In total, 1006 participants completed the survey. A total of 44.3% (n=446) reported being very likely and 49.3% (n=496) reported being likely to seek telemedicine consultation. Overall, the majority of participants expressed strong agreement or agreement regarding the perceived usefulness of telemedicine. Likewise, the majority indicated strong agreement or agreement when it came to their perception of the ease of using telemedicine. In the partial least squares structural equation modeling, perceived usefulness (β=0.322; P<.001) and perceived ease of use (β=0.118; P=.01) were significantly associated with a higher likelihood of seeking telemedicine consultation. A considerable number of participants expressed willingness to use telemedicine services for various medical conditions, particularly respiratory (n=340, 33.8%), skin (n=316, 31.4%), and musculoskeletal issues (n=316, 31.4%) while showing less interest in seeking telemedicine consultations for reproductive health (n=44, 4.4%) and cancer (n=64, 6.4%). The majority preferred video chat (n=443, 44%) and text chat (n=317, 31.5%) as their most preferred platforms for telemedicine consultation, while a smaller proportion preferred telephone (n=193, 19.2%) and email (n=53, 5.3%).

Conclusions
Telemedicine has the potential to play a larger role in China’s health care system. The preferences for certain platforms over others may influence service design and implementation.
Triage Accuracy and the Safety of User-Initiated Symptom Assessment With an Electronic Symptom Checker in a Real-Life Setting: Instrument Validation Study
Authors: Liu Ville , Kaila Minna , Koskela Tuomas 
Published: July 2024

Background
Previous studies have evaluated the accuracy of the diagnostics of electronic symptom checkers (ESCs) and triage using clinical case vignettes. National Omaolo digital services (Omaolo) in Finland consist of an ESC for various symptoms. Omaolo is a medical device with a Conformité Européenne marking (risk class: IIa), based on Duodecim Clinical Decision Support, EBMEDS.

Objective
This study investigates how well triage performed by the ESC nurse triage within the chief symptom list available in Omaolo (anal region symptoms, cough, diarrhea, discharge from the eye or watery or reddish eye, headache, heartburn, knee symptom or injury, lower back pain or injury, oral health, painful or blocked ear, respiratory tract infection, sexually transmitted disease, shoulder pain or stiffness or injury, sore throat or throat symptom, and urinary tract infection). In addition, the accuracy, specificity, sensitivity, and safety of the Omaolo ESC were assessed.

Methods
This is a clinical validation study in a real-life setting performed at multiple primary health care (PHC) centers across Finland. The included units were of the walk-in model of primary care, where no previous phone call or contact was required. Upon arriving at the PHC center, users (patients) answered the ESC questions and received a triage recommendation; a nurse then assessed their triage. Findings on 877 patients were analyzed by matching the ESC recommendations with triage by the triage nurse.

Results
Safe assessments by the ESC accounted for 97.6% (856/877; 95% CI 95.6%-98.0%) of all assessments made. The mean of the exact match for all symptom assessments was 53.7% (471/877; 95% CI 49.2%-55.9%). The mean value of the exact match or overly conservative but suitable for all (ESC’s assessment was 1 triage level higher than the nurse’s triage) symptom assessments was 66.6% (584/877; 95% CI 63.4%-69.7%). When the nurse concluded that urgent treatment was needed, the ESC’s exactly matched accuracy was 70.9% (244/344; 95% CI 65.8%-75.7%). Sensitivity for the Omaolo ESC was 62.6% and specificity of 69.2%. A total of 21 critical assessments were identified for further analysis: there was no indication of compromised patient safety.

Conclusions
The primary objectives of this study were to evaluate the safety and to explore the accuracy, specificity, and sensitivity of the Omaolo ESC. The results indicate that the ESC is safe in a real-life setting when appraised with assessments conducted by triage nurses. Furthermore, the Omaolo ESC exhibits the potential to guide patients to appropriate triage destinations effectively, helping them to receive timely and suitable care.

International Registered Report Identifier (IRRID)
RR2-10.2196/41423
Impact of Remote Blood Pressure Monitoring Device Connectivity on Engagement Among Pregnant Individuals Enrolled in the Delfina Care Platform: Observational Study
Authors: Charifson Mia , Wen Timothy , Zell Bonnie , Vaidya Priyanka , Rios Cynthia I , Fagbohun C Funsho , Fulcher Isabel 
Published: July 2024

Abstract
User engagement with remote blood pressure monitoring during pregnancy is critical to optimize the associated benefits of blood pressure control and early detection of hypertensive disorders of pregnancy. In our study population of pregnant individuals, we found that connected blood pressure cuffs, which automatically sync measures to a monitoring platform or health record, increase engagement (2.13 [95% CI 1.36‐3.35] times more measures per day) with remote blood pressure monitoring compared to unconnected cuffs that require manual entry of measures.
Systematic Biopsy-Based Transcriptomics and Diagnosis of Antibody-Mediated Kidney Transplant Rejection in Clinical Practice
Authors: Dandonneau Jeanne , François Arnaud , Bertrand Dominique , Candon Sophie , de Nattes Tristan 
Published: July 2024

Key Points

Impact of biopsy-based transcriptomics in clinical practice is still unclear.Biopsy-based transcriptomics is indicated in a significant proportion of kidney transplant biopsies for the diagnosis of antibody-mediated rejection.Biopsy-based transcriptomics is useful for antibody-mediated rejection diagnosis in clinical practice.

Background
To diagnose kidney transplant antibody-mediated rejection (AMR), biopsy-based transcriptomics can substitute for some histological criteria according to the Banff classification. However, clinical accessibility of these assays is still limited. Here, we aimed to evaluate the impact of integrating a routine-compatible molecular assay for the diagnosis of AMR in clinical practice.

Methods
All biopsies performed in our center between 2013 and 2017 were retrospectively included. These biopsies were classified into three groups: AMR biopsies which displayed the full Banff criteria of AMR independently of biopsy-based transcriptomics; undetermined for AMR biopsies which did not meet AMR histological criteria, but would have been considered as AMR if biopsy-based transcriptomics had been positive; and control biopsies which showed no features of rejection.

Results
Within the inclusion period, 342 biopsies had a complete Banff scoring. Thirty-six of the biopsies already met AMR criteria, and 43 of 306 (14%) were considered as undetermined for AMR. Among these biopsies, 24 of 43 (56%) had a molecular signature of AMR, reclassifying them into the AMR category. Five-year death-censored survival of these biopsies was unfavorable and statistically equivalent to that of the AMR category (P = 0.22), with 15 of 24 (63%) graft loss.

Conclusions
A significant proportion of biopsies could benefit from a biopsy-based transcriptomics for AMR diagnosis according to the Banff classification. Using a routine-compatible molecular tool, more than the half of these biopsies were reclassified as AMR and associated with poor allograft survival.
Diurnal and Daily Symptom Variation in Patients with End Stage Kidney Disease
Authors: Kallem Cramer J. , Alghwiri Alaa A. , Yabes Jonathan , Erickson Sarah , Han Zhuoheng , Roumelioti Maria-Eleni , Steel Jennifer L. , Jhamb Manisha , Unruh Mark 
Published: July 2024

Key Points

Patients treated with maintenance hemodialysis report a higher symptom burden on the days they receive hemodialysis treatment, compared with non-hemodialysis days.The severity of physical, cognitive, and mood symptoms can vary diurnally, and the pattern of this variation may differ between hemodialysis and non-hemodialysis days.Ecological momentary assessment can provide insights into the complex, dynamic symptom experiences of patients on hemodialysis.

Background
Patients with ESKD on hemodialysis experience a high symptom burden, which is compounded by unpredictable fluctuations in symptom severity. Few studies have used ecological momentary assessment to determine how symptoms vary over time. This study aimed to characterize the diurnal and day-to-day variability in symptoms among patients receiving hemodialysis.

Methods
Patients enrolled in the Technology-Assisted Collaborative Care trial rated the intensity of physical, cognitive, and mood symptoms using an automated telephone-administered version of the Daytime Insomnia Symptom Scale at four time points (morning, early afternoon, late afternoon, evening) for seven consecutive days at baseline. Confirmatory factor analysis was used to verify the original four-factor solution for the Daytime Insomnia Symptom Scale: sleepiness/fatigue (SF), alert cognition (AC), positive mood (PM), and negative mood (NM). Symptom domain scores were calculated for each time point, and mixed modeling with random patient effects was used to examine differences in daily symptoms at daily time points between hemodialysis and non-hemodialysis days after controlling for age, sex, race, and comorbidity burden.

Results
One hundred sixty patients were enrolled (mean±SD age 58±14 years, 45% women, 52% White). Diurnal symptom variation existed; trends were nonlinear and differed by hemodialysis versus non-hemodialysis days. Day-to-day symptom variation also existed; patients endorsed better physical, cognitive, and mood states (i.e., higher AC and PM) as well as lower symptom burden (i.e., lower SF and NM) on non-hemodialysis days compared with hemodialysis days at all time points. The greatest day-to-day mean differences (MDs) were observed in the early afternoon for all symptom domains: AC (MD=0.17 P < 0.001), PM (MD=0.28, P < 0.001), SF (MD=−0.66, P < 0.001), and NM (MD=−0.26, P < 0.001).

Conclusions
Patients with ESKD demonstrate diurnal variation in symptoms and greater symptom burden on hemodialysis days compared with non-hemodialysis days, with the most extreme differences in symptom severity occurring in the early afternoon.

Clinical Trial registration number:

ClinicalTrials.gov
NCT03440853.
The Direction and Path of University Serving the High-Quality Development of the Country
Authors: Xi Mingzhuang 
Published: July 2024

Achieving high-quality development is the primary task of building a modern country comprehensively. On the new journey of building a modern country comprehensively, university should shoulder the important mission of serving the high-quality development of the country more consciously, provide comprehensive theoretical support, talent support, scientific and technological support, and cultural support, and contribute the wisdom and strength of universities by improving the quality of talent training, promoting scientific and technological development, and serving social and economic development. This is the path that contemporary university must follow in order to run higher education that satisfies the people.
THE INFLUENCE OF PROJECT BASED LEARNING MODEL USING KWL CHART ON STUDENT PROCESS SCIENCE SKILLS IN PHYSICS LEARNING AT SMA NEGERI 2 LUBUK PAKAM
Authors: SHIDIQ HANA SALSABILA , Kadri Muhammad 
Published: July 2024

This study aims to determine the effect of the Project Based Learning model on high school students’ science process skills. The type of research used is a quasi experimental research design with a two group pretest posttest design. The population used was students of class XI MIA SMA Negeri 2 Lubuk Pakam, totaling 2 classes. The research sample consisted of two classes, the class taken was XI MIA I as the experimental class and XI MIA III as the control class. The instrument used is a science process skills test in the form of an essay consisting of 10 questions that hav been declared valid by the validator. Based on the results of the study, the average pretest score for the experimental class was 20,68 and the pretest for the control class 18,85. The results of testing the hypothesis showed that a significant value of 0,411 > 0,05 otherwise is accepted or both classes have the same initial abilities. After applying the Project Based Learning model, the average posttest score of the experimental class was 77,68 and that of the control class was 64,71. The results of testing the hypothesis showed that a significant value of 0,00 < = 0,05, it is stated that is accepted, meaning that there is a significant influence of the Project Based Learning model on student’s science process skills.
DAMPAK PENGGUNAAN GADGET PADA PERKEMBANGAN SOSIAL ANAK USIA DINI DI TK HARAPAN MULIA
Authors: Maghfiroh Yuone , Cahyono Heri , Islahudin Ahmad Noor 
Published: July 2024

Zaman yang serba canggih seperti ini tidak dapat dipungkiri lagi bahwa sekarang teknologi telah berkembang kian pesatnya. Pada saat ini seiring berkembangnya teknologi, banyak sekali yang berpengaruh pada anak salah satunya adalah penggunaan gadget. Gadget memiliki dampak positif dan negatif. Untuk itu peran orangtua sangat penting dalam perkembangan teknologi saat ini. Penelitian ini menggunakan penelitian kualitatif dengan pendekatan fenomenologi. Penggunaan metode ini dengan alasan bahwa fokus dalam penelitian ini yaitu dampak penggunaan gedget pada perkembangan sosial anak usia dini. Sementara pendekatan fenomenologi bertujuan untuk menggambarkan makna dari mengalaman hidup yang dialami oleh anak usia dini, tentang konsep atau fenomena tertentu, dengan mengeksplorasi struktur kesadaran manusia. Jadi disini peneliti ingin mengetahui dampak dari penggunaan gadget pada perkembangan sosial anak usia dini melalui studi fenomenologi. Hasil penelitian ini dapat disimpulkan bahwa proses perkembangan sosial anak usia dini di TK Harapan Mulia dapat dikatakan sudah cukup baik dan normal tetapi banyak siswa mengalami kecanduan gadget diperlukan kontrol dari orang tua meskipun tidak adanya penerapan aturan yang ketat dan tegas. Dampak penggunaan gadget pada perkembangan sosial anak usia dini tidak begitu parah masih tergolong kategori rendah sebab mereka notabene masih anak usia dini belum memiliki gadget sendiri sehingga masih dapat di kontrol oleh orang tuanya.
Kata kunci: Anak Usia Dini; gadget; Sosial Emosional.