bluuebunny/crossref_metadata_2025_split huggingface dataset:
Where the cerebral infarction meets child, be vigilant about patent foramen ovale: a case report
Authors: Zhang Zai-qiang , Ding Jia-wang 
Published: May 2024

BackgroundWhile cerebral infarction in children is rare, its prognosis is poor, and this condition can seriously burden society and families. A correlation between patent foramen ovale (PFO) and ischemic stroke has not been found in pediatric patients.Case presentationWe report a 7-year-old boy who suffered from multiple cerebral infarctions. Subsequently, the patient was diagnosed with an abnormal shunt of PFO. He underwent PFO closure and was followed up for 1 year. The patient did not experience any further cerebral infarction.ConclusionsWith this case report, we want to illustrate that although the incidence rate of ischemic cerebral infarction in adolescents is very low, we should not neglect the role of PFO. Therefore, after exclusion other causes of cerebral infarction, PFO should be considered in adolescent and adult stroke patients with adult closure criteria in the same way.
Development of an artificial intelligence-based multimodal model for assisting in the diagnosis of necrotizing enterocolitis in newborns: a retrospective study
Authors: Cui Kaijie , Changrong Shao , Maomin Yu , Hui Zhang , Xiuxiang Liu 
Published: May 2024

ObjectiveThe purpose of this study is to develop a multimodal model based on artificial intelligence to assist clinical doctors in the early diagnosis of necrotizing enterocolitis in newborns.MethodsThis study is a retrospective study that collected the initial laboratory test results and abdominal x-ray image data of newborns (non-NEC, NEC) admitted to our hospital from January 2022 to January 2024.A multimodal model was developed to differentiate multimodal data, trained on the training dataset, and evaluated on the validation dataset. The interpretability was enhanced by incorporating the Gradient-weighted Class Activation Mapping (GradCAM) analysis to analyze the attention mechanism of the multimodal model, and finally compared and evaluated with clinical doctors on external datasets.ResultsThe dataset constructed in this study included 11,016 laboratory examination data from 408 children and 408 image data. When applied to the validation dataset, the area under the curve was 0.91, and the accuracy was 0.94. The GradCAM analysis shows that the model's attention is focused on the fixed dilatation of the intestinal folds, intestinal wall edema, interintestinal gas, and portal venous gas. External validation demonstrated that the multimodal model had comparable accuracy to pediatric doctors with ten years of clinical experience in identification.ConclusionThe multimodal model we developed can assist doctors in early and accurate diagnosis of NEC, providing a new approach for assisting diagnosis in underdeveloped medical areas.
Combined effects of electrical muscle stimulation and cycling exercise on cognitive performance
Authors: Ando Soichi , Ishioka Yuka , Kambayashi Sari , Kano Kosuke , Fujibayashi Mami , Costello Joseph T. , Sudo Mizuki 
Published: May 2024

The purpose of this study was to investigate whether a combination of electrical muscle stimulation (EMS) and cycling exercise is beneficial for improving cognitive performance. Eighteen participants (7 females and 11 males) performed a Go/No-Go task before and 2 min after i) cycling exercise (EX), ii) a combination of EMS and cycling (EMS + EX) and iii) a control (rest) intervention in a randomized controlled crossover design. In the EX intervention, the participants cycled an ergometer for 20 min with their heart rate maintained at ∼120 beats·min-1. In the EMS + EX intervention, the participants cycled an ergometer simultaneously with EMS for 20 min, with heart rate maintained at ∼120 beats·min-1. In the Control intervention, the participants remained at rest while seated on the ergometer. Cognitive performance was assessed by reaction time (RT) and accuracy. There was a significant interaction between intervention and time (p = 0.007). RT was reduced in the EX intervention (p = 0.054, matched rank biserial correlation coefficient = 0.520). In the EMS + EX intervention, RT was not altered (p = 0.243, Cohen’s d = 0.285) despite no differences in heart rate between the EX and EMS + EX interventions (p = 0.551). RT was increased in the Control intervention (p = 0.038, Cohen’s d = −0.529). These results indicate that combining EMS and cycling does not alter cognitive performance despite elevated heart rate, equivalent to a moderate intensity. The present findings suggest that brain activity during EMS with cycling exercise may be insufficient to improve cognitive performance when compared to exercise alone.
Role of parental educational level as psychosocial factor in a sample of inpatients with anorexia nervosa and bulimia nervosa
Authors: Bevione Francesco , Martini Matteo , Longo Paola , Toppino Federica , Musetti Alessandro , Amodeo Laura , Abbate-Daga Giovanni , Panero Matteo 
Published: May 2024

IntroductionEvidence on parental educational level (PEL) as a risk factor for Eating Disorders (EDs) is mixed, and no study has assessed its role in relation to the compliance and outcomes of treatments in EDs. Further, no study differentiated from the educational level of mothers and fathers, nor considered the possible mediation of perfectionism in fostering EDs.MethodsA clinical sample of 242 first-ever admitted inpatients with EDs provided information on PEL and completed the following questionnaires: the Eating Disorder Examination Questionnaire (EDE-Q) and the Frost Multidimensional Perfectionism Scale (F-MPS). Clinicians also provided information on the Hamilton Rating Scale for Anxiety (HAM-A) and the Hamilton Rating Scale for Depression (HAM-D) for each participant.ResultsIndividuals with high PEL (whether mothers, fathers, or both parents) showed significantly higher scores on depressive symptoms and lower on parental criticism, were younger, had an earlier age of onset, had fewer years of illness, more were students and employed, and fewer had offspring. Individuals with fathers or both parents with high educational levels suffered more from Anorexia Nervosa rather than Bulimia Nervosa, had a longer length of stay during the current hospitalization, had less dietary restraint, and had higher personal standards. Individuals with mothers with high educational levels showed a lower rate of previous substance or alcohol addiction. Personal standards partially mediated the relationship between higher PEL and lower dietary restraint.DiscussionPEL emerged to be a twofold psychosocial risk factor, being associated with higher depressive symptoms and a longer length of stay, but also with a shorter duration of illness and better scholar and working involvement. Higher PEL was related to higher personal standards but not to global perfectionism. Patterns of eating psychopathology emerged based on the high PEL of mothers or fathers.
Traditional Chinese medicine health literacy among rural older adults: a cross-sectional study
Authors: Zhang Huizhong , Zhang Yan , Yan Yuwen , Li Xizheng , Tian Yutong 
Published: May 2024

BackgroundThe purpose of this study was to understand the current status of traditional Chinese medicine (TCM) health literacy among rural older adults people and its influencing factors.MethodsThis study used a random number table method to select one prefecture from Henan Province, China and used a convenience sampling method to select 200 rural older adults who met the inclusion criteria in a township in northern Henan from March to April 2023. A cross-sectional survey was conducted using a general information questionnaire and a traditional Chinese medicine health literacy questionnaire, and the influencing factors of rural older adults were analyzed using univariate analysis of variance (ANOVA) and multiple linear regression.ResultsThe total TCM health literacy score of 200 rural older adults people was 84.14 ± 6.709. One-way ANOVA revealed that six factors, including education level, marital status, type of occupation, presence of family members engaged in medical-related work, main economic sources, and monthly income, influenced the TCM health literacy score of rural older adults people (p &lt; 0.05). Multiple linear regression analysis revealed that education level, occupation type, and the presence of family members engaged in medical-related work were the factors influencing the TCM health literacy of rural older adults.ConclusionThe TCM health literacy level of rural older adults people is at the lower to middle level, and health educators should strengthen the publicity and education of TCM healthcare knowledge for rural older adults people to improve their TCM health literacy level and thus enhance their quality of life.
Controle adaptativo usado em dois elos de um robô de cinco graus de liberdade
Authors: Riul José Antonio , Montenegro Paulo Henrique de Miranda 
Published: May 2024

Este trabalho tem como objetivo o projeto de controladores adaptativos para controle de posição de dois elos de um robô eletromecânico de cinco graus de liberdade (5 GDL). O controle é realizado através de simulação, usando modelos dos elos obtidos com dados reais do sistema, através de estimação de parâmetros usando o algoritmo dos mínimos quadrados recursivo (MQR). A identificação dos elos é realizada em malha aberta, utilizando dados reais coletados do robo. são projetados e implementados controladores adaptativos via imposição de pólos para o controle de posição dos dois elos. Os controladores são projetados em malha fechada com base nos modelos obtidos para os elos. a estratégia de controle a ser usada, baseia-se em um modelo explícito do sistema. Os controladores são implementados através de um programa computacional. são mostrados como resultados as curvas de saida dos modelos dos dois elos, em malha aberta e as curvas de saída dos elos sob ação dos controladores adaptativos, em malha fechada.
O ENFERMEIRO NO PROCESSO PARIR / NASCER: ESTRATÉGIA DE CUIDADO E HUMANIZAÇÃO DO PARTO
Authors: Souza Abmael Martins , Farias Adriana Silva , Ramos Gleiciane Cabral , Sales Maria Neide de Oliveira , Alfaro Selaine Silva , Pereira Pabloena da Silva 
Published: May 2024

O parto é um evento singular assim, o respeito e valorização das vivências de cada mulher-mãe são fundamentais à humanização do processo parir/nascer. Tem por objetivo geral entender a atuação do enfermeiro no processo das estratégias de cuidado e humanização do parto. Estudo trata-se do tipo revisão de literatura integrativa descritiva qualitativa. Foram utilizados artigos científicos das bases de dados: Scientific Electronic Library Online (SCIELO), Literatura Latino – Americana em Ciências da Saúde (LILACS), Biblioteca Virtual em Saúde (BVS). Os tipos de estudos selecionados apresentam uma média de 80 % do tipo de estudo de literatura integrativa, 15% do tipo estudo descritivo-qualitativo com abordagem quantitativo, 2,5 % do tipo de estudo de análise categorial qualitativa e 2,5 % dp tipo de estudo revisão narrativa da literatura científica, sendo a abordagem metodológica de literatura integrativa presente em mais de 80% dos artigos. Esta pesquisa proporcionará diversas práticas consideradas úteis ao parto humanizado, orientando sobre o parto e práticas utilizadas na humanização. deste modo, pode-se ressaltar que a enfermagem vem abordando, em seus estudos, as informações necessárias acerca da humanização no parto, de modo que, em suma, as publicações constituíram uma amostra pequena, tendo em vista que se trata de adoção de estratégias, que visa melhorias no tipo de assistência.
Analisis Spasial Kesesuaian Fungsi Kawasan Daerah Aliran Sungai Tungka Dengan Rencana Tata Ruang Wilayah Kabupaten Tapanuli Tengah
Authors: Sibuea Ronal Richard Haposan , Ummu Harmain  , Sidabukke Simon H 
Published: May 2024

Penelitian ini bertujuan untuk mengidentifikasi kondisi resapan kawasan DAS Tungka terhadap RTRW Kabupaten Tapanuli Tengah dimana penggunaan lahan dan dinamika yang sangat pesat di Kecamatan Pandan dan Tukka mengindikasikan ketidaksesuaian penggunaan lahan terhadap Rencana Tata Ruang Wilayah (RTRW) Kabupaten Tapanuli Tengah. Penelitian ini menggunakan pendekatan deskriptif kuantitatif yang menggunakan pengumpulan data seperti wawancara, survey lapangan dan dan studi pustaka terkait kondisi umum lokasi penelitian. Hasil analisis identifikasi sebaran daerah resapan pada kawasan DAS Tungka Kabupaten Tapanuli Tengah deskripsi baik pada tahun 2014 sebesar 5.151,60 Ha sedangkan pada tahun 2021 sebesar 4.849,06 Ha, normal alami pada tahun 2014 sebesar 910,54 Ha sedangkan pada tahun 2021 sebesar 736,93 Ha, mulai kritis pada tahun 2014 sebesar 482,50 Ha sedangkan pada tahun 2021 sebesar 483,39 Ha, agak kritis pada tahun 2014 sebesar sebesar 390,36 Ha sedangkan pada tahun 2021 sebesar 573,60 Ha, kritis pada tahun 2014 sebesar249,90 sedangkan pada tahun 2021 sebesar 541,92 Ha dan sangat kritis pada tahun 2014 sebesar 0,00 Ha sedangkan pada tahun 2021 sebesar 0,00 Ha. Hasil analisis identifikasi tingkat kesesuaian fungsi kawasan eksisting terhadap RTRW Kabupaten Tapanuli Tengah pada hutan lindung sebesar 971,54 Ha atau 91 %, perkebunan sebesar 79,90 Ha atau 21 %, permukiman sebesar 633,25 Ha atau 74 %, pertanian sebesar 131,45 Ha atau 22 %, hutan produksi sebesar 3.500,94 Ha atau 98 %, sempadan sungai sebesar 412,40 Ha atau 60 %, air sungai sebesar 21,76 Ha atau 59 %, tingkat kesesuaian terhadap semua pola ruang adalah 80 %
Individual differences in emotion-induced
blindness: Are they reliable and what do they measure?
Authors: Edwards Mark , Denniston David , Bariesheff Camryn , Wyche Nicholas J. , Goodhew Stephanie C. 
Published: May 2024

AbstractThe emotion-induced-blindness (EIB) paradigm has been extensively used
to investigate attentional biases to emotionally salient stimuli. However, the low
reliability of EIB scores (the difference in performance between the neutral and
emotionally salient condition) limits the effectiveness of the paradigm for
investigating individual differences. Here, across two studies, we investigated
whether we could improve the reliability of EIB scores. In Experiment 1, we introduced a mid-intensity emotionally salient
stimuli condition, with the goal of obtaining a wider range of EIB magnitudes to
promote reliability. In Experiment 2, we
sought to reduce the attentional oddball effect, so we created a modified EIB
paradigm by removing the filler images. Neither of these approaches improved the
reliability of the EIB scores. Reliability for the high- and mid-intensity EIB
difference scores were low, while reliability of the scores for absolute performance
(neutral, high-, and mid-intensity) were high and the scores were also highly
correlated, even though overall performance in the emotionally salient conditions
were significantly worse than in the neutral conditions. Given these results, we can
conclude that while emotionally salient stimuli impair performance in the EIB task
compared with the neutral condition, the strong correlation between the emotionally
salient and neutral conditions means that while EIB can be used to investigate
individual differences in attentional control, it is not selective to individual
differences in attentional biases to emotionally salient stimuli.
The Effect Of Product Quality And Promotion On Purchase Decision
Authors: Ristanti Vivi , Haryati Tety , Igo Arif 
Published: May 2024

This study aims to determine: 1. The effect of product quality on purchasing decisions for Oppo smartphones for STIM Budi Bakti students; 2. The influence of promotions on purchasing decisions for Oppo smartphones for STIM Budi Bakti students; 3. The influence of product quality and promotion together on purchasing decisions for Oppo smartphones for STIM Budi Bakti students. This type of research is quantitative research. The sample in this study were STIM Budi Bakti students. The sample in this study was part of STIM Budi Bakti students, totaling 90 respondents. Data collection techniques in this study using a questionnaire. Data analysis techniques using Simple Linear Regression and Multiple Linear Regression. The results of research on Product Quality on Purchasing Decisions are known to have an influence of 60,7%. whereas for the results of Promotional research on Purchasing Decisions it is known to have an influence of 57,9%. The results of research on product quality and promotion on purchasing decisions are known to have an influence of 62,6%. From this study, it shows that there is an influence of product quality and promotion on consumer satisfaction of Oppo smartphones for STIM Budi Bakti students.

Keywords: Product quality, Promotion, Purchasing decisions
Estrategias Lúdicas de Matronatación para el Desarrollo de la Autonomía de la Flotabilidad en Niños de 2 a 3 Años
Authors: Centeno Pinta Analia Guadalupe , Montero Ordóñez Luis Felipe 
Published: May 2024

Introducción: La matronatación son actividades donde el niño recibe estimulación acuática por parte de sus padres donde el juego es la principal técnica para lograr que el niño desarrolle su psicomotricidad y logre flotar de manera autónoma favoreciendo sus movimientos y se sienta libre en un contexto diferente al que habita normalmente. El objetivo del presente artículo científico es diseñar estrategias lúdicas de matronatación para el desarrollo de la autonomía de la flotabilidad en niños de 2 a 3 años. Metodología: el trabajo investigativo tiene un enfoque cualitativo y es de tipo descriptivo, se utiliza la investigación bibliográfica-documental y de campo. Se aplican métodos teóricos como el analítico-sintético y el inductivo-deductivo; además, se aplican métodos empíricos como la entrevista y la observación. La población está conformada por 10 niños que acuden con sus padres a la piscina del Club Deportivo Orenses de esta ciudad, como la población es pequeña no se selecciona muestra. Resultados: la matronatación ayuda a los niños en su desarrollo integral ya que se fortalecen los ámbitos cognitivos, motrices, sociales y afectivos. Fortalece los músculos y desarrolla lazos afectivos con sus padres. Los niños sujetos de estudio tienen dificultades para lograr la flotabilidad. Conclusión: la aplicación de estrategias lúdicas mediante la matronatación ayuda a lograr la flotabilidad de los niños lo que permite que los padres de familia interactúen con sus hijos desarrollando lazos afectivos.
Origin and Properties of the Near-subsonic Solar Wind Observed by Parker Solar Probe
Authors: Cheng Wenshuai , Liu Ying D. , Ran Hao , Jiao Yiming , Stevens Michael L. , Kasper Justin C. 
Published: May 2024

Abstract
We identify and examine the solar wind intervals near the sonic critical point (i.e., M

S
∼ 1) observed by the Parker Solar Probe. The near-subsonic wind intervals show similar properties: a low density, an extremely low velocity, a low proton temperature, and essentially no magnetic field deflections compared with the surrounding solar wind. The extremely low velocity is the primary contributor to the near crossing of the sonic critical point rather than the sound speed, which is roughly constant in these intervals. Source tracing with a potential-field source-surface model suggests that the near subsonic intervals all connect to the boundaries inside coronal holes. Heliospheric current sheet (HCS) and partial HCS crossings around the near subsonic intervals indicate that the near subsonic wind is a transition layer between the slow and fast winds. The above scenario is consistent with the nature of the near-subsonic wind as a low-Mach-number boundary layer, which facilitates the crossing of the sonic critical point at 15–20 R

S
. Moreover, we find a dependence of the amplitude of switchbacks on the radial sonic Mach number. Magnetic field deflections essentially disappear near the sonic critical point, which suggests that switchbacks originate from above the sonic critical point.
The Redshift Evolution of the Binary Black Hole Mass Distribution from Dense Star Clusters
Authors: Ye Claire S. , Fishbach Maya 
Published: May 2024

Abstract
Gravitational-wave detectors are unveiling a population of binary black hole (BBH) mergers out to redshifts z ≈ 1, and are starting to constrain how the BBH population evolves with redshift. We present predictions for the redshift evolution of the BBH mass and spin distributions for systems originating from dense star clusters. Utilizing a grid of 144 state-of-the-art dynamical models for globular clusters, we demonstrate that BBH merger rates peak at higher redshifts for larger black hole primary masses M
1. Specifically, for M
1 ≳ 40 M
⊙, the BBH merger rate reaches its peak at redshift z ≈ 2.1, while for M
1 ≲ 20 M
⊙, the peak occurs at z ≈ 1.1, assuming that the cluster formation rate peaks at z = 2.2. The average BBH primary mass also increases from ∼10 M
⊙ at z = 0 to ∼30 M
⊙ at z = 10. We show that ∼20% BBHs contain massive remnants from next-generation mergers, with this fraction increasing (decreasing) for larger (smaller) primary masses. This difference is not large enough to significantly alter the effective spins of the BBH population originating from globular clusters, and we find that their effective spin distribution does not evolve across cosmic time. These findings can be used to distinguish BBHs from dense star clusters by future gravitational-wave observations.
To Evaluate and Compare the Microtensile Bond Strength of Dentine with the Use of Two-Step and One-Step Adhesives
Authors: Patel Niharika , Kanaparthy Aruna , Kanaparthy Rosaiah 
Published: May 2024

Introduction:
In the evolving world of adhesive dentistry, there has always been controversy regarding the adhesive system to be used for superior clinical performance, and clinicians often find themselves in a dilemma with so many products on the market. It, therefore, becomes necessary to know the various properties of different adhesive systems and their comparative analysis.

Materials and Methods:
Thirty, intact, non-carious and unrestored human mandibular premolars, which were extracted for orthodontic purposes were taken for the study. Teeth were divided into two groups A and B having 15 teeth in each group. The inclusion criteria were that the teeth should be non-carious, unrestored and should have been extracted for orthodontic purposes. Excluded teeth were those with caries, restorations, attrition, cracks and developmental defects. The teeth were embedded in resin, occlusal enamel was removed and the teeth were restored with composite resin using two different approaches for bonding. Teeth of Group A were bonded using single bond and teeth of Group B were bonded using Clearfil S3 Bond and were then sectioned to produce beams with an approximate cross-sectional area of 4 mm × 4 mm. These sections were mounted to a custom acrylic jig and subjected to microtensile bond strength testing using a universal testing machine with a cross head speed of 1 mm/min and stressed to de-bonding of the composite resin from the tooth.

Results:
Data were subjected to statistical analysis and evaluated using the analysis of variance test and Tukey's test which showed that single bond or two-step adhesive showed higher microtensile bond strength to dentine.

Conclusion:
The two-step single bond performed better than the one-step Clearfil S3, but the result was statistically non-significant.