bluuebunny/crossref_metadata_2025_split huggingface dataset:
Practical quality improvement changes for a low-resourced pediatric unit
Authors: Yager Phoebe H. , Callans Kevin Mary , Samost-Williams Aubrey , Bonilla Jose A. , Flores Luis J. G. , Hasbun Susana C. A. , Rodríguez Angel E. A. , Cárdenas Alejandra B. A. , Núñez Alexia M. L. , Jayawardena Asitha D. L. , Zablah Evelyn J. , Hartnick Christopher J. 
Published: June 2024

BackgroundThis work describes a sustainable and replicable initiative to optimize multi-disciplinary care and uptake of clinical best practices for patients in a pediatric intensive care unit in Low/Middle Income Countries and to understand the various factors that may play a role in the reduction in child mortality seen after implementation of the Quality Improvement Initiative.MethodsThis was a longitudinal assessment of a quality improvement program with the primary outcome of intubated pediatric patient mortality. The program was assessed 36 months following implementation of the quality improvement intervention using a t-test with linear regression to control for co-variates. An Impact Pathway model was developed to describe potential pathways for improvement, and context was added with an exploratory analysis of adoption of the intervention and locally initiated interventions.Results147 patients were included in the sustainability cohort. Comparing the initial post-implementation cohort to the sustainability cohort, the overall PICU unexpected extubations per 100 days mechanical ventilation decreased significantly from baseline (6.98) to the first year post intervention (3.52; p &lt; 0.008) but plateaued without further significant decrease in the final cohort (3.0; p = 0.73), whereas the mortality decreased from 22.4 (std 0.42) to 9.5% (std 0.29): p value: 0.002 (confidence intervals: 0.05;0.21). The regression model that examined age, sex, diagnosis and severity of illness (via aggregate Pediatric Risk of Mortality (PRISM) scores between epochs) yielded an adjusted R-squared (adjusting for the number of predictors) value of 0.046, indicating that approximately 4.6% of the variance in mortality was explained by the predictors included in the model. The overall significance of the regression model was supported by an F-statistic of 3.198 (p = 0.00828). age, weight, diagnosis, and severity of illness. 15 new and locally driven quality practices were observed in the PICU compared to the initial post-implementation time period. The Impact Pathway model suggested multiple unique potential pathways connecting the improved patient outcomes with the intervention components.ConclusionSustained improvements were seen in the care of intubated pediatric patients. While some of this improvement may be attributable to the intervention, it appears likely that the change is multifactorial, as evidenced by a significant number of new quality improvement projects initiated by the local clinical team. Although currently limited by available data, the use of Driver Diagram and Impact Pathway models demonstrates several proposed causal pathways and holds potential for further elucidating the complex dynamics underlying such improvements.
Homophobic beliefs and attitudes among mid-adolescent boys: exploring the ideas of hybrid masculinities
Authors: Exner-Cortens Deinera , Claussen Caroline , Jenney Angelique , Vijayan Vineetha Warriyar Kodalore 
Published: June 2024

IntroductionHomophobia is well-documented as key to social regulation of masculine behavior and practices in Western settings. Yet, empirical data from a number of Western settings has shown a decline in overt homophobic attitudes in the past decade, leading some to suggest that the nature of masculinities is also changing. However, theorizing on the changing nature of masculinities among adolescents has received limited quantitative attention. Research is needed to better understand shifts in adolescent masculinities in contemporary Western settings.MethodsIn this paper, we investigate the application of one newer approach to explore masculinities in context – hybrid masculinities – in a sample of cisgender, heterosexual, mid-adolescent boys in one province in Western Canada (N = 873, mean age (SD) = 14.39 (0.37)). Data were collected from nine cohorts of grade 9 youth over a 10-year period (2013–2022) as part of the baseline survey of an ongoing evaluation of a gender-transformative healthy relationships program.Results and discussionWe hypothesized that if the ideas of hybrid masculinities held in our sample, we would find that overt homophobic attitudes and adherence to related patriarchal norms (e.g., avoidance of femininity) would decline over this period, but that the use of homophobic name-calling would remain differentiated in terms of to whom it was directed (e.g., a friend, someone they thought was gay). We did find a significant decline in homophobic attitudes and norms related to emotional restriction and avoidance of femininity over the 10-year period, but also found that homophobic name-calling remained differentiated, with significantly higher name-calling toward a friend than toward someone the youth thought was gay. Thus, our hypotheses were supported. We discuss the implications of our findings for future theory and research on understanding adolescent masculinities in context.
Increasing sustainability in the tomato processing industry: environmental impact analysis and future development scenarios
Authors: Eslami Elham , Abdurrahman Emadaldin , Pataro Gianpiero , Ferrari Giovanna 
Published: June 2024

IntroductionThe agri-food sector has been identified as one of the most significant contributors to environmental degradation and emissions. Thus, in order to respond to the societal demand for cleaner and greener products, in recent years, the food industry has been striving to identify and apply more sustainable practices to minimize the negative impact on the environment. Within the agri-food sector, one of the industries requiring efforts to mitigate its environmental footprint is the tomato processing industry, which represents an important industry within the Italian industrial food processing sector. Efficient utilization of resources and adoption of innovative methods in the production lines of the tomato processing industry can be envisaged as strategic measures to increase sustainability. This study aims to discuss the results of the case study in which an Italian tomato processing company has been analyzed by applying the LCA methodology.MethodForeground data were obtained from the tomato processing facility located in southern Italy, and Ecoinvent database was the source of background data. The assessment was carried out by SimaPro software using ReCiPe 2016 (V1.03). The feasible conservation strategies in the production line have been evaluated through water-energy nexus simulation by SuperPro Designer® before the implementation, and different scenarios have been evaluated by SimaPro to decrease the environmental load.Results and conclusionThis study demonstrates that the production of 1 kg of peeled tomatoes and tomato puree leads to greenhouse gas emissions of 0.083 kg CO2 eq and 0.135 kg CO2 eq, respectively. A deeper analysis to evaluate the contribution of the different tomato processing stages indicated that the thermal units are the main ones responsible for adverse effects on the environment, and any improvement in their performance can be seen as an unmissable opportunity. The conservation strategies identified resulted in considerable water (23.4%), electricity (14.7%), and methane (28.7%) savings and, consequently, in 16 and 19% reduction of global warming potential in peeled tomato and tomato puree production lines, respectively. These findings provide new insights for tomato processing companies wishing to adopt more sustainable processing practices, reducing their environmental impact to a considerable extent and improving their economic performance.
Improving Accessibility to Outpatient Department Through Reduction of Third Next Available Appointment in Tertiary Hospital in Taif, Saudi Arabia
Authors: Bautista Reynan S. , Abid Muhammad H. , Elmasry Lamiaa , Almalki Abdulaziz S. , De Vera Marynette , De Asis Jean B. , Al Nofeye Jamal 
Published: June 2024

Background The Outpatient Department (OPD) of Al Hada Armed Forces Hospital - Taif Region (AHAFH) plays a critical role in providing specialized medical services to a diverse population in Taif region, Saudi Arabia. The hospital faces the challenge of ensuring timely access to a comprehensive array of 40 specialized services and subspecialties, supported by 120 rooms in the OPD. This article outlines a significant understanding of the patient flow process and queuing mechanism in the context of the OPD and the dynamics of supply and demand. Local Problem Our project was initiated during the last few weeks of fourth quarter 2020, which revealed a concerning trend of increasing the third next available appointment (TNAA), surpassing the optimal target of <14 days. Methods The study used pre-test and post-test monitoring of the TNAA. Patients’ categories of referral were identified as urgent and routine. We also established a referral and discharge criteria for each clinic specialty and reminder messages on patient appointments 24 hours and 48 hours prior to their actual appointment. Interventions The Plan-Do-Study-Act (PDSA) model for improvement was utilized to implement action plans and interventions to address the increase of TNAA (in days) in the OPD. Weekly huddles were conducted to monitor project progress, action plans, data, and challenges. Results During the intervention phase, notable changes were observed in the control chart, including shifts in TNAA mean decreasing from 9.4 days to 5.6 days after the implementation of four PDSA cycles. Moreover, the average TNAA in each quarter showed consistent reduction in TNAA, with an average of six days in Q1 2022. Conclusions The study sheds light on the complexity of managing the patient flow and access in an outpatient setting. By implementing effective strategies and continuous and vigilant monitoring of the outcomes, outpatient departments can strive to ensure that patients receive specialized care in a timely manner.
Evaluation of an Innovative Technology Curriculum
Authors: Üker Hanifi , Kirkiç Kamil Arif 
Published: June 2024

This research aims to devise an innovative curriculum, to determine the opinions of parents, teachers, students, and educators of the curriculum, and to present results using the CIPP approach. The study employed a qualitative research method, a program execution case study. It used maximum variation sampling, a purposeful sampling method. The study, involving eighteen participants, was conducted in a high school that runs a technology education program. Data was obtained using the semi-structured and focus group interview methods. Participant confirmation was obtained to increase reliability, which was then subjected to external audit, allowing another researcher to examine the process and results. Awareness of the “Proficiency in Technology” (PIT) curriculum and curriculum implementation emerged as the main facts. The research findings show that a lack of communication and trainer qualifications caused disruptions in the program.
A Comparison of Rhetorical Move Structure of Research Article Abstracts of Thai Scopus Journals and Top-Ranked Scopus Journals in Applied Linguistics and English Language Teaching
Authors: Sriwanat Srithammayot , Phoocharoensil Supakorn 
Published: June 2024

The purpose of this current study is to explore the move structure presented in abstracts of the research articles from Thai Scopus Journals (TSJ) and Top-Ranked Scopus Journals (TRSJ) in Applied Linguistics and English Language Teaching. Ninety abstracts were analyzed and separated equally between those two journals. The five-move framework established by Hyland (2000) was used to analyze the move pattern, showing different dominant patterns: I-P-M-Pr-C in Thai Scopus Journals and P-M-Pr-C in Top-Ranked Scopus Journals respectively. In Thai Scopus Journal, the results indicated that the introduction is optional, the conclusion, purpose, and method are considered conventional, and the product is obligatory. Similarly, in Top-Ranked Scopus Journals, the product is obligatory, while the purpose, method, and conclusion are conventional. These findings could offer practical insights into abstract structures and hold importance for educational purposes, offering guidance for the effective writing of abstracts in research articles.
تقويم الأداء الوظيفي لقيادات المدارس الخاصة في القدس بالاستناد إلى نظام التقويم(360) درجة
Authors: الطراونه اخليف , سموم ليندا 
Published: June 2024

هدفت هذه الدراسة إلى تعرف إلى واقع تقويم الأداء الوظيفي لقيادات المدارس الخاصة في القدس استنادا إلى نظام التقويم (360) درجة من وجهة نظر قياديي المدارس ونوابهم والمعلمين وأولياء الأمور، ومعرفة الفروق في استجابات أفراد العينة تبعا لمتغير(المسمى الوظيفي) للعام الدراسي 2021/ 2022، وانتهجت الدراسة المنهج المسحي الوصفي، وتم اعتماد الاستبانة كأداة للدراسة، تألفت من (55) فقرة موزعة على (4) مجالات، وزعت على عينة الدراسة البالغ عددها(587) والمؤلفة من جميع مديري المدارس الخاصة في القدس وعددهم (84)، ونوابهم البالغ عددهم (54)، وجميع أعضاء اتحاد لجان أولياء الأمور وعددهم (123)، وعينة عشوائية من معلمي المدارس الخاصة في القدس تألفت من (322) معلما من أصل (2048) معلماً، وأشارت نتائج الدراسة إلى أن واقع تقويم الأداء الوظيفي من وجهة نظر القياديين أنفسهم كان بدرجة مرتفعة، أما من وجهة نظر نواب المديرين والمعلمين وأولياء الأمور فكان بدرجة متوسطة، كما بينت النتائج وجود فروق ذات دلالة إحصائية في استجابات أفراد العينة تعزى لمتغير المسمى الوظيفي لصالح المديرين، ثم نوابهم، ثم أولياء الأمور والمعلمين.
The Role of Hydrogen in Decarbonizing U.S. Industry
Authors: Zhu Yongxian , Keoleian Gregory A , Cooper Daniel R 
Published: June 2024

There is growing interest in hydrogen for decarbonizing hard-to-abate
industries. However, determining which industries to target, the scale
of the opportunity, and how to meet the hydrogen demand presents
uncertainties. This article structures the work on these topics,
focusing on U.S. industry through midcentury. The most significant
decarbonization opportunity identified in the literature is in the
refining and chemicals industries, where emissions-intensive grey
hydrogen is already utilized. New opportunities arise in displacing
carbon-based reductants (steelmaking) and/or using hydrogen for
high-temperature heat in cement, aluminum, and glass manufacturing.
Hydrogen technologies have high readiness levels and face modest
technical barriers in burner and furnace design. The primary challenge
lies in reducing the cost of clean hydrogen production and delivery to
compete with natural gas, crucial for any hydrogen industry
decarbonization strategy, and currently representing <1% of
U.S. hydrogen production.
The literature presents diverse U.S. industry clean hydrogen demand
predictions (5-22 Mt/year by 2050) due to conflicting projections of
industrial output, some incompatible with decarbonization goals; e.g.,
growth in gasoline production. After reconciling literature on hydrogen
technology readiness, alternative decarbonization strategies, and U.S.
climate targets, we estimate 2050 industrial clean hydrogen demand at
3.8-14.9 Mt/year, saving 28-133 MtCO2eq (1-7% of current U.S. industry
emissions). Green hydrogen production will require up to 886 TWh of
low-carbon electricity, equivalent to 90% of current renewable
generation.
Avaliação de tratamentos endodônticos realizados por alunos de graduação
Authors: Travassos Rosana Maria Coelho , Almeida Gustavo Moreira de , Leopoldino Cecília Alves , Cordeiro Renata Wiertz , Pasquini Luca , Fernandes Pedro Henrique de Freitas 
Published: June 2024

O controle clínico-radiográfico, pós-tratamento endodôntico, permite avaliar e comprovar os resultados da terapia endodôntica, classificando-a como sucesso ou fracasso. O sucesso endodôntico pode ser definido como o resultado final da terapia endodôntica, quando o dente clinicamente apresenta-se assintomático, está funcional e sem patologia radiográficat. Este estudo teve como objetivo avaliar a qualidade do tratamento endodôntico realizados por alunos de graduação da Faculdade de Odontologia da Universidade de Pernambuco, Brasil. Os prontuários odontológicos da amostra incluíram todos os pacientes atendidos em 2000 e 2022. Os testes Qui-quadrado e Exato de Fisher foram utilizados para calcular o nível de significância estabelecido em 5%. O tamanho da amostra foi de 219 pacientes e foi possível verificar o sucesso na maioria dos tratamentos, observando-se um percentual de 85,4% (188 pacientes) e o insucesso em apenas 31 pacientes (14,2). Com relação ao limite apical da obturação do sistema de canais radiculares, que o sucesso do tratamento foi bem maior quando a obturação estava no forame apical e no CDC, 92.0 e 91,4%, respectivamente e o pior resultado em casos de sub-obturação, 70,0%, com diferença estatisticamente significativa. Conclui-se que existiu um percentual elevado de sucesso do tratamento endodôntico realizados por alunos de graduação da Faculdade de Odontologia de Pernambuco indicando que os acadêmicos estão recebendo um ensino de qualidade.
Faktor-Faktor Yang Mempengaruhi Financial Sustainability Ratio (FSR)
Authors: Putra Prasetya Bangun , Iga Ratnasari Arum 
Published: June 2024

Perumda BPR Bank Jogja is a corporation of Yogyakarta city that supports and encourages the growth of regional economic development as well as regional capital sources that improve the standard of living and welfare of the community. So that financial sustainability is important related to the sustainability of Perumda BPR Bank Jogja in its financial aspect. This study uses independent variables, namely Non Performing Loan (NPL), Return on Asset (ROA) with dependent variables Financial Sustainability. The purpose of this study is to see the effect of Non-Performing Loan (NPL), Return on Asset (ROA) on Financial Sustainability. This research uses the research object of Perumda BPR Bank Jogja which has a mission to realize public welfare in the financial sector. Data is obtained from financial statements. The results showed that the t test on the Non-Performing Loan (NPL) variable was 0.575 and Return On Asset (ROA) was 0.017. The results of the t-test show a significance value of 0.268. The results can be concluded that Non-Performing Loan (NPL) has no effect while Return On Asset (ROA) has an effect. Based on test F, Non-Performing Loan (NPL) and Return On Asset (ROA) have a significant impact on the Financial Sustainability Ratio (FSR).
Le groupe FEMMIR : du constat aux actions pour l’égalité femmes-hommes en réanimation
Authors: Le Marec Julien , Beaudet Joëlle , Beurton Alexandra , Boissier Florence , Cibron Justine , Faure Mélanie , Grateau Adeline , Jorge Mariana , Ortuno Sofia , Salmon Gandonnière Charlotte , Santi Francesca , Sevens Chantal , Terzi Nicolas , Béranger Agathe 
Published: June 2024

Le groupe FEMMIR s’est formé en 2019 pour se pencher sur les problématiques de genre en réanimation : égalité femmes-hommes, discrimination et violences ressenties par les femmes médecin.
La première étape de son travail a été d’établir un état des lieux : le nombre de femmes et d’hommes est relativement semblable parmi les praticien-nes de médecine intensive et réanimation, mais la proportion de femmes diminue aux postes-clés (chef-fes de service, professeur-es, intervenant-es en congrès, expert-es intervenant dans les médias) ; de nombreuses femmes ont déjà vécu par ailleurs des discriminations ou des comportements sexistes voire du harcèlement ou des agressions sexuelles.
La deuxième étape a été d’entreprendre des actions pour promouvoir l’égalité des genres et la sensibilisation aux discriminations : engagement pour la parité au sein des commissions, des congrès et des journaux, création d’une liste d’expertes, publication d’articles de recherche à propos du genre chez les patient-es ou les praticien-nes, mis en place d’un enseignement auprès des internes et de formations aux professionnel-les de santé, communication sur les réseaux sociaux et création de réseaux inter-spécialités et internationaux.
Le groupe va poursuivre et consolider son action sur ces sujets dans les années à venir.
Métodos de Enseñanza para Fortalecer la Dimensión Comunicativa del Grado Transición en la Institución San Pedro Claver
Authors: Pereira Florez Alejandra , Garcés Cuadrado Carolin , Garavito Campillo Erica 
Published: June 2024

La presente investigación tiene como título “métodos de enseñanza para fortalecer la dimensión comunicativa del grado transición en la institución educativa San Pedro Claver” donde el objetivo es diseñar estrategias de enseñanza para fortalecer la dimensión comunicativa de los niños del grado transición de la institución educativa San Pedro Claver. A partir de la información de las distintas referencias bibliográficas se podrá extender el conocimiento acerca de esta investigación, es decir detectar, observar y analizar los diferentes aspectos positivos y negativos presentado en esta. La dimensión comunicativa en la primera infancia es un punto importante que deben desarrollar ya que por medio de esta van aprendiendo a expresar sus ideas, conocimientos, acontecimientos y situaciones, de este modo esta investigación tiene como objetivo aplicar diferentes estrategias para fortalecer y reforzar la dimensión comunicativa en los niños, de este modo también permitirá que ellos mejoren la manera de expresar, decir y comunicar las cosas, opiniones o situaciones permitiendo el buen desarrollo de su lenguaje y expresión. Esta investigación es cualitativa y de tipo investigación - acción y participación (IAP).
Devouring the Centaurus A Satellites: Modeling Dwarf Galaxies with Galacticus
Authors: Weerasooriya Sachi , Bovill Mia Sauda , Taylor Matthew A. , Benson Andrew J. , Leahy Cameron 
Published: June 2024

Abstract
For the first time, systematic studies of dwarf galaxies are being conducted throughout the Local Volume, including the dwarf satellites of the nearby giant elliptical galaxy Centaurus A (NGC 5128). Given Centaurus A's mass (roughly 10 times larger than that of the Milky Way), AGN activity, and recent major mergers, investigating the dwarf galaxies of Centaurus A and their star formation physics is imperative. However, simulating the faintest dwarfs around a galaxy of Centaurus A's mass with sufficient resolution in a hydrodynamic simulation is computationally expensive and currently infeasible. In this study, we seek to reproduce the properties of Centaurus A dwarfs using the semianalytic model Galacticus to model dwarfs within a 700 kpc region around Centaurus A, corresponding approximately to its splashback radius. We investigate the effects of host halo mass and environment and predict observable properties of Centaurus A dwarfs using astrophysical prescriptions and parameters previously tuned to match properties of the Milky Way’s satellite galaxies. This approach allows us to approximately replicate cumulative luminosity functions, and luminosity–metallicity and luminosity–half-light-radii relations observed in the Centaurus A satellites. We provide predictions for the velocity dispersions, and star formation histories of Centaurus A dwarfs. The agreement between our predicted star formation histories for Centaurus A dwarfs and those of the Milky Way dwarfs implies the presence of universal processes governing star formation in dwarf galaxies. Overall, our findings shed light on the star formation physics of dwarf galaxies in the Centaurus A system, revealing insights into their properties and dependence on the host environment.