bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Noncommunicable Disease (NCDs) risk factors in Tamil Nadu: Tamil Nadu STEPS Survey (TN STEPS), 2020
Authors: Selvavinayagam T. S. , Viswanathan Vidhya , Ramalingam Archana , Kangusamy Boopathi , Joseph Bency , Subramaniam Sudharshini , Sheela J. Sandhiya , Wills Soniya , Ramasamy Sabarinathan , Venkatasamy Vettrichelvan , Rajasekar Daniel , Chinnasamy Govindhasamy , Govindasamy Elavarasu , Duraisamy Augustine , Chokkalingam D. , Durairajan Dinesh , Kriina Mosoniro , Vasu Harshavardhini , Selvam Jerard Maria , Sakthivel Uma , Kaur Prabhdeep , Palaniandi Senthilkumar 
Published: May 2024

Background
Noncommunicable diseases (NCDs) account for nearly 75% of all deaths in Tamil Nadu. The government of Tamil Nadu has initiated several strategies to control NCDs under the Tamil Nadu Health Systems Reform Program (TNHSRP). We aimed to estimate the prevalence of NCD risk factors and determine the predictors of diabetes and hypertension, which will be helpful for planning and serve as a baseline for evaluating the impact of interventions.

Methods
A state-wide representative cross-sectional study was conducted among 18-69-year-old adults in Tamil Nadu in 2020. The study used a multi-stage sampling method to select the calculated sample size of 5780. We adapted the study tools based on WHO’s STEPS surveillance methodology. We collected information about sociodemographic factors, NCD risk factors and measured blood pressure and fasting capillary blood glucose. The predictors of diabetes and hypertension were calculated using generalised linear models with 95% confidence intervals (95% CI).

Results
Due to the COVID-19 pandemic lockdown, we could cover 68% (n = 3800) of the intended sample size. Among the eligible individuals surveyed (n = 4128), we had a response rate of 92%. The mean age of the study participants was 42.8 years, and 51% were women. Current tobacco use was prevalent in 40% (95% CI: 33.7–40.0) of men and 7.9% (95% CI: 6.4–9.8) of women. Current consumption of alcohol was prevalent among 39.1% (95% CI: 36.4–42.0) of men. Nearly 28.5% (95% CI: 26.7–30.4) of the study participants were overweight, and 11.4% (95% CI: 10.1–12.7) were obese. The prevalence of hypertension was 33.9% (95% CI: 32.0–35.8), and that of diabetes was 17.6% (95% CI: 16.1–19.2). Older age, men, and obesity were independently associated with diabetes and hypertension.

Conclusion
The burden of NCD risk factors like tobacco use, and alcohol use were high among men in the state of Tamil Nadu. The prevalence of other risk factors like physical inactivity, raised blood pressure and raised blood glucose were also high in the state. The state should further emphasise measures that reduce the burden of NCD risk factors. Policy-based and health system-based interventions to control NCDs must be a high priority for the state.
Does improved nurse staffing impact patient outcomes in cancer? Association between chronic diseases and mortality among older adult patients with lung cancer in Korea
Authors: Han Kyu-Tae , Kim Seungju 
Published: May 2024

Background
Evidence regarding the impact of nurse staffing on the health outcomes of older adult patients with cancer is scarce. Therefore, this study aimed to evaluate the impact of nurse staffing on long-term and short-term mortality in elderly lung cancer patients.

Methods
This study analyzed data from 5,832 patients with lung cancer in Korea from 2008 to 2018. Nursing grade was considered to assess the effect of nursing staff on mortality in older adult patients with lung cancer. The Cox proportional hazards model was used to evaluate the effect of the initial treatment hospital’s nursing grade on one- and five-year mortality. Additionally, economic status and treatment type of patients were analyzed.

Results
Approximately 31% of older adult patients with lung cancer died within one year post-diagnosis. Patients in hospitals with superior nursing grades (lower nurse-to-bed ratios) exhibited lower mortality rates. Hospitals with nursing grades 2 and 3 exhibited approximately 1.242–1.289 times higher mortality than grade 1 hospitals. Further, the lower the nursing grade (higher nurse-to-bed ratio), the higher the five-year mortality rate.

Conclusion
Both short- and long-term mortality rates for older adult patients with lung cancer increased at inferior nursing grades. Treatment in hospitals having inferior nursing grades, upon initial hospitalization, may yield better outcomes. This study provides valuable insight into the quality of adequate staffing to improve the quality of care for elderly cancer patients.
Obstetric and haematological management and outcomes of women with placenta accreta spectrum by planned or urgent delivery: Secondary data analysis of a public referral hospital in Lebanon
Authors: McCall Stephen J. , Mansour Sara , Khazaal Janoub , Kayem Gilles , DeJong Jocelyn , Chahine Rabih 
Published: May 2024

Background
Lebanon has a high caesarean section use and consequently, placenta accreta spectrum (PAS) is becoming more common.

Objectives
To compare maternal characteristics, management, and outcomes of women with PAS by planned or urgent delivery at a major public referral hospital in Lebanon.

Design
Secondary data analysis of prospectively collected data.

Setting
Rafik Hariri University Hospital (public referral hospital), Beirut, Lebanon.

Participants
159 pregnant and postpartum women with confirmed PAS between 2007–2020.

Main outcome measures
Maternal characteristics, management, and maternal and neonatal outcomes.

Results
Out of the 159 women with PAS included, 107 (67.3%) underwent planned caesarean delivery and 52 (32.7%) had urgent delivery. Women who underwent urgent delivery for PAS management were more likely to experience antenatal vaginal bleeding compared to those in the planned group (55.8% vs 28.0%, p<0.001). Median gestational age at delivery was significantly lower for the urgent group compared to the planned (34 vs. 36 weeks, p<0.001). There were no significant differences in terms of blood transfusion rates and major maternal morbidity between the two groups; however, median estimated blood loss was significantly higher for women with urgent delivery (1500ml vs. 1200ml, p = 0.011). Furthermore, the urgent delivery group had a significantly lower birth weight (2177.5g vs. 2560g, p<0.001) with higher rates of neonatal intensive care unit (NICU) admission (53.7% vs 23.8%, p<0.001) and perinatal mortality (18.5% vs 3.8%, p = 0.005).

Conclusion
Urgent delivery among women with PAS is associated with worse maternal and neonatal outcomes compared to the planned approach. Therefore, early referral of women with known or suspected PAS to specialized centres is highly desirable to maximise optimal outcomes for both women and infants.
Cost-effectiveness and cost-utility analyses of three different gargles in the treatment of chronic periodontitis
Authors: Chen Xin , Niu Wenzhi , Hu Guangyu , Chen Changfeng 
Published: May 2024

Objective
This study aimed to investigate the economics of three different gargles in the treatment of chronic periodontitis.

Methods
A total of 108 patients with periodontitis received one of the following three gargles: xipayi, compound chlorhexidine, or Kangfuxin gargle. The basic information of the patients, the costs of the gargles, the periodontal indexes before and after treatment, and the scores of the 3-level version of the EuroQol Five Dimensions Questionnaire were collected. The cost-effectiveness and cost-utility of the various gargles were determined.

Results
The cost-effectiveness ratios (CER) of the three groups after treatment were 1828.75, 1573.34, and 1876.92 RMB, respectively. The utility values before treatment were 0.92, 0.90, and 0.91, respectively, and the utility values after treatment were 0.98, 0.98, and 0.97, respectively. The cost-utility ratios (CURs) were 213.43, 195.61, and 301.53 RMB, respectively.

Conclusions
For each increase in effective rate and quality-adjusted life years, the treatment cost of periodontitis patients was lower than the gross domestic product per capita of Jiangsu Province, indicating that the treatment cost is completely worth it. The CER and CUR results were the same, and the compound chlorhexidine group was the lowest, demonstrating that when the same therapeutic effect was achieved, it cost the least.
Effects of the delivery of physiotherapy on the treatment course of elderly fallers presenting to the emergency department: Protocol for a randomized clinical trial
Authors: Blandin Marie , Gallet Marie , Volteau Christelle , Le Conte Philippe , Rulleau Thomas , Le Sant Guillaume 
Published: May 2024

The use of physiotherapy (PT) in the hospital emergency department (ED) has shown positive results including improvements in patient waiting time, treatment initiation, discharge type, patient outcomes, safety and acceptability of the intervention by medical staffs. These findings originate from studies that primarily focus on musculoskeletal and orthopaedic conditions. Despite a significant number of people visiting the ED, there is a shortage of literature evaluating PT in the ED for elderly populations. The objective of this study is the evaluate the effect of delivering PT in the ED (versus no delivery) in patients aged 75 and over with ‘falls’ complaints. The main objective is the evaluate the effect on the discharge disposition (discharge home, hospitalization). Secondarily, we will evaluate the effect delivering PT on patient-length of stay, the number of falls at 7 days after admission to the ED, changes between the initial and final medical decision regarding patient orientation, and medical staff satisfaction. This study will follow a prospective longitudinal design involving participants aged 75 years and over. We plan to recruit a total n = 336 patients admitted to the ED with a ‘fall’ chief complaint. After consent, participants will be randomized into either the ‘PT-group’ (receiving a prescription and execution of PT within the ED), or to the ‘no-PT group’ (no delivery of PT within the ED). The PT intervention will involve a standardized assessment of motor capacities using validated clinical examinations, and the delivery of rehabilitative exercises based on individual needs. Outcomes will be recorded from the patient’s medical record, and a phone call at 7 days. A questionnaire will be sent to medical staff. The results of this study will help to determine whether PT might be beneficial for the management of this increasing proportion of individuals who come to the ED.Trial registration:(Trial registration number: ClinicalTrials.govNCT05753319).https://classic.clinicaltrials.gov/ct2/show/NCT05753319.
Educação Física Escolar, pensamento freireano e pedagogia crítico-libertadora
Authors: Maldonado Daniel Teixeira 
Published: May 2024

O objetivo deste artigo é compreender como o pensamento freireano constituiu uma pedagogia crítico-libertadora nas aulas de Educação Física Escolar a partir dos trabalhos científicos disponíveis na sala Paulo Freire, organizada pelo Colégio Brasileiro de Ciências do Esporte no ano de 2021, e de publicações realizadas entre 2022 e 2023. Após a análise do material empírico, foram encontradas 111 pesquisas entre textos curriculares, artigos científicos, dissertações de mestrado, teses de doutorado, livros e capítulos de livros. Esses trabalhos foram divididos em quatro categorias temáticas, sendo elas: legado do pensamento freireano para a Educação Física Escolar; bases epistemológicas da educação libertadora na Educação Física Escolar; currículo crítico-libertador da Educação Física; e experiências político-pedagógicas da Educação Física inspiradas no pensamento freireano. Conclui-se que é irrefutável a importância e o legado da teoria freireana para a organização de uma prática político-pedagógica crítica na Educação Física Escolar e na feitura de pesquisas participativas e dialógicas na área atualmente.
De l’apprentissage comme processus et format d’une professionnalisation prescrite
Authors: De la Broise Patrice , Léonard Erika 
Published: May 2024

Cette proposition vise ici à questionner les enjeux, modalités et ressources d’une professionnalisation par alternance. Ce faisant, elle interrogera : (1) l’apprentissage dans le rapport métonymique entre le processus et le format pédagogique ; (2) la partition ou le transfert de responsabilité entre l’instance académique de formation et la sphère professionnelle ; (3) la compétence négociée entre projet pédagogique et projet professionnel ; (4) la place de la recherche académique dans l’apprentissage du supérieur.
Entre scrupule éthique et crapule méthodologique
Authors: Allein Marine 
Published: May 2024

Cet article explore la dynamique qui a traversé les partis-pris méthodologiques et le souci éthique d’un travail mené, par certains aspects, en « contrebande » des organisations en raison de la sensibilité d’un questionnement portant sur le dissensus en entreprises et les dilemmes managériaux. Nous développons une approche réflexive sur les trois dimensions inhérentes à des « manières de faire » scrupuleuses et crapuleuses consistant d’abord à faire place à une recherche d’interstices entre commande et contrebande (1.), puis à faire attention aux dilemmes vécus (2.) et enfin à faire fruit des contraintes et difficultés rencontrées (3.). Cela nous amène à interroger la vertu heuristique de l’inconfort pour appréhender un phénomène composite et une expérience se racontant à bas-bruits.
Sélection, présentation et légitimation des savoirs « théoriques » sur la communication dans la formation professionnelle courte
Authors: Seurrat Aude 
Published: May 2024

La formation professionnelle met particulièrement en avant des savoirs issus de l’expérience, elle mobilise également des savoirs qui sont présentés comme des savoirs « théoriques ». C’est sur ces types de savoirs et sur leurs modes de sélection, de présentation et de légitimation que porte cette contribution. Basé sur une enquête menée sur les stages de formation professionnelle à la communication, l’article examine la place de « la théorie » dans ces formations ainsi que les contenus et les prétentions des « modèles théoriques » enseignés. Il interroge enfin les raisons de la faible place des sciences de l’information et de la communication au sein de ces formations.
The impact of ChatGPT on learners in English academic writing: opportunities and challenges in education
Authors: Yuan Ye , Li Huan , Sawaengdist Anan 
Published: May 2024

Abstract
This study attempts to explore the impact of ChatGPT on EFL learners’ English writing and how this benefits from it. The three research objectives are to explore the reasons why EFL learners choose to use ChatGPT for their academic English writing, to examine how it affects EFL learners’ academic English writing and define the challenges and opportunities for EFL learners using ChatGPT as an academic English writing tool. This study employed semi-structured and open-ended interviews to collect qualitative data. By thematic analysis, we found that EFL learners use ChatGPT for their academic English writing as it is convenient and caters to their needs. It also assists them since it scaffolds literacy in terms of writing fluency, content, and knowledge. Challenges for learners include: 1) possible academic plagiarism and a lack of critical thinking due to their over-reliance on the information provided by ChatGPT; 2) bias in English academic writing from the English-dominant context and pressure to pay; 3) considering and scrutinizing the authenticity of information generated in academic contexts. With its ease of use and undeniable efficiency, ChatGPT has emerged as a revolutionary tool in the realm of language learning and academic writing. However, English learners should be cautious and reflect on using this AI tool, especially for academic writing purposes.
Teaching note-taking in EMI: an experimental study in Economics and Business Administration
Authors: Breeze Ruth , Roothooft Hanne , Meyer Marcel 
Published: May 2024

Abstract
Learning to take effective notes is particularly difficult for non-English-native university students enrolled on English Medium Instruction (EMI) courses. However, time and cost constraints mean that many universities provide no support in English for academic purposes or academic skills. One solution to this problem would be to work closely with subject lecturers to develop training that can be delivered within the framework of the EMI content courses themselves. We developed a pilot programme for training students to take effective notes in English and applied it within the context of a first-year content course in Economics and Business Administration at a Spanish university. The students improved on several measures from the pre-test to the post-test, and provided positive feedback. They particularly appreciated learning how to build outlines, simplify information, and use abbreviations and symbols. Questionnaire responses indicated that they had found the training useful and appreciated the possibilities for direct application of the new skills acquired in their other EMI courses. Further research on how to train students in academic language competences within the ecologically valid setting of the EMI classroom itself could include support with subject-focused academic writing and speaking skills.
Learning Chinese and making meaning – ways to develop intercultural citizenship in the foreign language classroom
Authors: Morgan Fei 
Published: May 2024

Abstract
Using Chinese language teaching in an engineering department as an example, this paper explores how language teaching can meet the challenges of globalisation and the advancement of technology by fulfilling its educational function as described in Byram’s model of intercultural communicative competence. By adapting theories and practices from counselling psychology, the proposed curriculum focuses on emotions to help learners uncover emotional barriers that arise when confronted with differences. It will support learners in raising awareness and developing their capacity to negotiate differences, leading to more effective cooperation with others. The paper discusses the use of experiential exercises in the classroom. They include those developed in Chinese language pedagogy, namely the performed culture approach and those developed in humanistic psychotherapy, such as body psychotherapy. The aim is to help learners notice their own feelings, attitudes, and behaviour as well as the otherness of the other in the classroom. This approach is powerful because it is in the here and now. It utilises movements and different senses as well as cognition. It helps uncover barriers to intercultural communication hidden under the surface by making the unconscious conscious. Reflection is a key part of this process. Learners are expected to reflect on their own thinking and feelings and to make sense of the dynamics in the classroom. Learners are expected to develop reflexivity, subjectivity and intersubjective awareness while acquiring linguistic competency and social cultural rules of use.
Which components of word knowledge do EFL learners learn?
Authors: Akşit Zeynep , Şükran Saygı  
Published: May 2024

Abstract
Vocabulary research provides valuable information on the construct of word knowledge (WK), and suggests ways to develop language learners’ lexicon, arguably, the backbone of communication. The present study explores EFL students’ vocabulary learning behavior; more specifically, the aspects of WK components they intentionally focus on when learning new words. Data was collected from 536 undergraduate students in an EFL context. Our findings revealed that EFL students’ vocabulary size was roughly 5,000 word families, considerably less than the number advocated for academic studies. Regarding the various aspects of WK, the top three components that the participants with larger vocabulary sizes primarily focus on were a word’s meaning in L2, spelling, and pronunciation, whereas for those students with a smaller vocabulary size, the top three choices were meaning in L1, spelling and meaning in L2. This intentional focus on separate aspects of WK, especially the meaning-form link in L2, might instigate further progress for the former group, and the lack thereof may inhibit learning opportunities for the latter. Exploration of the processes of vocabulary learning will guide teaching practice, and materials design. It may also call for adjustments in curricula as our understanding of vocabulary acquisition processes evolves.
An investigation into the relationship between attitudinal and non-attitudinal variables and the utilization of digital technology: the EFL Vietnamese context
Authors: Nguyen Lan Anh Thuy , Habók Anita 
Published: May 2024

AbstractThis study investigates the relationship between attitudinal and non-attitudinal variables that impact digital technology use by EFL students in Vietnam. An adapted questionnaire was administered to 1,005 students from different tertiary courses. The results showed that students have a positive attitude to the use of technology and sometimes apply digital tools in their language learning. Although there is a low correlation between learners’ technology attitude and their usage of applications, other variables like age, English proficiency levels, digital competence, and the major being pursued can predict the usage of technology among students.
On Berezin norm and Berezin number inequalities for sum of operators
Authors: Altwaijry Najla , Feki Kais , Minculete Nicusor 
Published: May 2024

Abstract
The aim of this study is to obtain several inequalities involving the Berezin number and the Berezin norm for various combinations of operators acting on a reproducing kernel Hilbert space. First, we present some bounds regarding the Berezin number associated with

W

*

Q
+

W

*

Q
′

{W}^{* }Q+{W}^{* }Q^{\prime}

, where

W

W

,

Q

Q

, and

Q
′

Q^{\prime}

are three bounded linear operators. Next, several Berezin norm and Berezin number inequalities for the sum of

n

n

operators are established.
Enhancing DevOps Engineering Education Through System-Based Learning Approach
Authors: Zarour Mohammad , Akour Mohammed , Alenezi Mamdouh 
Published: May 2024

Abstract
System-based learning (SBL) in engineering domains integrates systems thinking and engineering principles to develop a system. In software engineering, to develop software using the DevOps process, using SBL environment, students gain a comprehensive understanding of the DevOps software development process and apply theoretical concepts to real-world problems by implementing a complete system pipeline, encompassing the design, development, testing, and deployment of software systems. This article introduces an SBL approach to teaching DevOps engineering, addressing the limitations of traditional methods in equipping students with the necessary skills and knowledge. To evaluate the effectiveness of the SBL approach, a case study was conducted to teach a DevOps course within an undergraduate software engineering program. Students completed a project involving the implementation of a system pipeline from requirement gathering to deployment. Results from the case study demonstrate that the SBL approach has improved students’ understanding of DevOps engineering and the software development big picture. The approach enhanced students’ systems thinking and problem-solving capabilities and prepared students for the challenges of a rapidly evolving technological landscape.