bluuebunny/crossref_metadata_2025_split huggingface dataset:
Antimicrobial Stewardship Programs in Neonates: A Meta-Analysis
Authors: Mascarenhas Dwayne , Ho Matthew Sai Pong , Ting Joseph , Shah Prakesh S. 
Published: May 2024

BACKGROUND AND OBJECTIVES
Neonatal sepsis is a significant contributor to mortality and morbidity; however, the uncontrolled use of antimicrobials is associated with significant adverse effects. Our objective with this article is to review the components of neonatal antimicrobial stewardship programs (ASP) and their effects on clinical outcomes, cost-effectiveness, and antimicrobial resistance.

METHODS
We selected randomized and nonrandomized trials and observational and quality improvement studies evaluating the impact of ASP with a cutoff date of May 22, 2023. The data sources for these studies included PubMed, Medline, Embase, Cochrane CENTRAL, Web of Science, and SCOPUS. Details of the ASP components and clinical outcomes were extracted into a predefined form.

RESULTS
Of the 4048 studies retrieved, 70 studies (44 cohort and 26 observational studies) of &gt;350 000 neonates met the inclusion criteria. Moderate-certainty evidence reveals a significant reduction in antimicrobial initiation in NICU (pooled risk difference [RD] 19%; 95% confidence interval [CI] 14% to 24%; 21 studies, 27 075 infants) and combined NICU and postnatal ward settings (pooled RD 8%; 95% CI 6% to 10%; 12 studies, 358 317 infants), duration of antimicrobial agents therapy (pooled RD 20%; 95% CI 10% to 30%; 9 studies, 303 604 infants), length of therapy (pooled RD 1.82 days; 95% CI 1.09 to 2.56 days; 10 studies, 157 553 infants), and use of antimicrobial agents &gt;5 days (pooled RD 9%; 95% CI 3% to 15%; 5 studies, 9412 infants). Low-certainty evidence reveals a reduction in economic burden and drug resistance, favorable sustainability metrices, without an increase in sepsis-related mortality or the reinitiation of antimicrobial agents. Studies had heterogeneity with significant variations in ASP interventions, population settings, and outcome definitions.

CONCLUSIONS
Moderate- to low-certainty evidence reveals that neonatal ASP interventions are associated with reduction in the initiation and duration of antimicrobial use, without an increase in adverse events.
Climate Change, Kidney Health, and Environmentally Sustainable Kidney Care
Authors: Sandal Shaifali , Ethier Isabelle , Onu Ugochi , Fung Winston , Bajpai Divya , Bilchut Workagegnehu Hailu , Bagasha Peace , De Chiara Letizia , Hafiz Ehab , Smyth Brendan , Kelly Dearbhla , Pippias Maria , Jha Vivekanand 
Published: May 2024

Key Points

A multinational survey of health care professionals on the kidney health impacts of climate change and the environmental burden of kidney care was conducted.Most participants reported knowledge gaps and high level of concern on these interconnected issues.Only a minority report personal or organizational initiatives in environmentally sustainable kidney care; this did not vary by country income level.

Background
Given the threat of climate change to kidney health and the significant environmental effect of kidney care, calls are increasing for health care professionals and organizations to champion climate advocacy and environmentally sustainable kidney care. Yet, little is known about their engagement, and existing literature is primarily emerging from high-income countries.

Methods
We conducted a cross-sectional survey to understand the knowledge, attitude, and practice of health care professionals on the interconnectedness of climate change and kidney health; to identify personal and organizational initiatives in sustainable kidney care and strategies to increase their engagement; and to compare responses by their country's income level as classified by the World Bank.

Results
Participants (n=972) represented 108 countries, with 64% from lower- or middle-income countries. Ninety-eight percent believed that climate change is happening, yet <50% possessed knowledge about the effect of climate change on kidney health or the environmental effect of kidney care. Only 14% were involved in climate change and kidney health initiatives (membership, knowledge/awareness, research, and advocacy), 22% in sustainable kidney care initiatives (education/advocacy, preventative nephrology, sustainable dialysis, promoting transplant/home therapies, and research), and 26% reported organizational initiatives in sustainable kidney care (sustainable general or dialysis practices, preventative/lean nephrology, and focused committees). Participants from lower-income countries generally reported higher knowledge and variable level of concern. Engagement in sustainable kidney care did not vary by income level. Guidance/toolkit (79%), continuing education (75%), and opportunities (74%) were the top choices to increase engagement. National initiatives (47%), preventative measures (35%), and research endeavors (31%) were the top avenues for organizational engagement. These varied by income level, suggesting that the vision and priorities vary by baseline resource setting.

Conclusions
We have identified knowledge and practice gaps among health care professionals on the bidirectional relationship between kidney disease and climate change in a multinational context and several avenues to increase their engagement.
Static and Dynamic Strain in the 1886 Charleston, South Carolina, Earthquake
Authors: Bilham Roger , Hough Susan E. 
Published: May 2024

ABSTRACT
During the 1886 Mw 7.3 Charleston, South Carolina, earthquake, three railroads emanating from the city were exposed to severe shaking. Expansion joints in segmented railroad tracks are designed to allow railroad infrastructure to withstand a few parts in 10,000 of thermoelastic strain. We show that, in 1886, transient contractions exceeding this limiting value buckled rails, and transient extensions pulled rails apart. Calculated values for dynamic strain in the meizoseismal region are in reasonable agreement with those anticipated from the relation between strain and moment magnitude proposed by Barbour et al. (2021) and exceed estimated tectonic strain released by the earthquake by an order of magnitude. Almost all of the documented disturbances of railroad lines, including evidence for shortening of the rails, can thus be ascribed to the effects of dynamic strain changes, not static strain. Little or no damage to railroads was reported outside the estimated 10−4 dynamic strain contour. The correspondence between 10−3 and 2×10−4 contours of dynamic strain and Mercalli intensity 9 and 8, anticipated from the dependence of each quantity on peak ground velocity, suggests it may be possible to use railroad damage to quantitatively estimate shaking intensity. At one location, near Rantowles, ≈20 km west of Charleston, a photograph of buckled track taken one day after the earthquake has been cited as evidence for shallow dextral slip and has long focused a search for a causal fault in this region. Photogrammetric analysis reveals that the buckle was caused by transient contraction of &lt;10 cm with no dextral offset. Our results further weaken the evidence for faulting in the swamps and forests south of the Ashley River in 1886, hitherto motivated by the photograph and limited macroseismic evidence for high-intensity shaking.
Evaluating the Effectiveness of Using Virtual Reality Interventions on Children and Adolescents with Autism Spectrum Disorder: A Systematic Review
Authors: Alizadeh-Dizaj Ghasem , Raoofi Samira , Khoshsirat Shiva , Damanabi Shahla 
Published: May 2024

Background: Autism spectrum disorder (ASD) is a Psychopathic disorder characterized by abnormal communication and verbal behaviors. ASD is very common in children, affecting about 1 in 160 individuals, and the symptoms of this disorder appear before the age of three, and the main cause is still unknown. The effectiveness of this technology on the abilities required for people with ASD to communicate in a social setting has been the subject of several systematic and comprehensive studies.
Methods: A systematic review by searching in PubMed, EMBASE and CINAHL for publications was conducted from 1 January 2012 to 30 May 2021 involving use of virtual reality interventions on children and adolescents with autism spectrum disorder in which autism, autism spectrum disorder, ASD, virtual reality, VR keywords were utilized. Three reviewers independently investigated search results for inclusion in analysis and resolved disagreements by consensus.
Results: Literature research of databases specifies a total of 808 records. According to the abstract and the full text of the studies, after applying the inclusion and exclusion criteria and eliminating duplicates and screening articles, 15 articles were selected for final review based on the PICO criteria (population, intervention, comparison and results). The studies focused on the five topics of emotion and social interaction, social communication, daily life skills, specific fears and anxieties, physical activity, and attention.
Conclusion: According to reports, the findings rightly claim that the use of virtual reality technologies not only improves the social and communication skills of children with ASD, but also provides them with an engaging and enjoyable experience. Moreover, Parents indicated high satisfaction with VR applications and this technology can contain many benefits in the treatment of ASD.
Analysis of Green Banking Implementation in the Banking Industry in Indonesia (2018-2022 Period)
Authors: Veronika Saputri Devita , Iqbal Fasa Muhammad , . Suharto 
Published: May 2024

This research aims to analyze the implementation of green banking and the policies implemented in it. The macro approach is carried out through literature studies by collecting secondary data such as scientific articles, planning documents, government policies, and the mass media as well as data related to this research. Data analysis was carried out qualitatively by implementing green banking in several aspects, namely, in the internal bank, in customer service, and during financing. And in its implementation, it has fulfilled the principles of the green banking concept which includes 4 elements of life, namely nature, well-being, economy, and society.
Keywords: N/A
Changes of Effective Criteria in Marriage (1978 to 2021) from the Point of View of Couple Therapists: A Qualitative Study
Authors: Taghadossi Masood , Naghi Farahani Mohamad , Manteghi Morteza 
Published: May 2024

Aim: The purpose of this research was to identify the indicators of changes in marriage from 1978 to 2022. Methods: To achieve the set goals, qualitative method (Strauss and Corbin's Grounded Theory) was used. Ten psychologist experts in marrage field with an average of 30.6 years of specialized activity in the field of couple relationship were selected using the purposeful sampling method and interviewed in depth until theoretical saturation. The data were recorded, coded and then classified in the form of concepts, sub-categories and main categories. Findings: The analysis of the professional experience of experts led to the identification of 138 secondary codes, 27 concepts, 8 sub-categories and 3 main categories. Changes in extra-spousal, inter-spousal and individual factors are the main categories of this research. Changes in factors such as roles, the phenomenon of divorce, the degree of influence of society, social teachings, the media, increasing the awareness of society, demographic characteristics, social experiences, policies, economic issues, modernization, cultural integration, attitudes, religious issues, the role of the family, the nature of relationship, relationships between the sexes, infidelity, commitment to responsibilities, drug/alcohol abuse, needs, choosing a spouse, motivation, knowledge of life, openness to new experience, and individual identity have been mentioned. Conclusion: This research showed that marriage during the years (1978-2022) was affected by changes in intra-individual, inter-spousal and extra-spousal factors. From the point of view of correcting the unfavorable situation of marriage at the time of research, stable and constructive economic, social and cultural policies seem necessary. Also, taking into account the current conditions of the society and the world, dealing with trainings that are appropriate to the changes that have occurred, paying attention to the individual identity and the needs of the new generation, can also help in arranging the marriage situation
Prinsip-Prinsip Umum Syari’ah dalam Perspektif Muhammad Sa’îd Al-‘Asymâwî dan Implementasinya dalam Instinbâth Hukum
Authors: Huda MF Moh Shofiyul 
Published: May 2024

Abstrak
Artikel ini menjelaskan tentang prinsip-prinsip umum syari’ah menurut Muhammad Sa’îd Al-‘Asymâwî, seorang pemikir liberal yang sangat berpengaruh di Mesir. Pemikirannya sangat relevan dengan konteks Indonesia kini dan berfungsi sebagai penyeimbang bagi fenomena munculnya kembali wacana kalangan Islamis / revivalis terkait penerapan syari’ah Islam dalam bentuk penerapan formal produk hukum fiqh klasik yang belum tentu relevan di dalam kehidupan ketatanegaraan Indonesia kini. Hukum-hukum syari’ah mengikuti perkembangan realitas sosial dan selalu melangkah dalam perkembangan tersebut. Sebagai konsekwensinya, secara praktis-metodologis, ia lebih mengedepankan Asbâb al-Nuzûl dan Asbâb al-Wurûd daripada keumuman teks (al-‘Ibrah Bikhushûsh al-Sabâb lâ Bi‘umûm al-Lafzh) di dalam istinbâth hukum, karena merupakan prasyarat utama untuk dapat memahami dengan tepat dan benar terhadap kandungan ayat dan hadits Nabi saw. Hal ini berbeda dengan kebanyakan ulama yang lebih mengedepankan keumuman teks daripada Asbâb al-Nuzûl dan Asbâb al-Wurûd (al-‘Ibrah Bi‘umûm al-Lafzh lâ Bikhushûsh al-Sabâb). Oleh karena itu, di dalam kasus hijâb, ia menyimpulkan bahwa hijâb merupakan ketetapan hukum yang tidak pasti (qath’î), temporal, dan bahkan hanya merupakan simbol politik, bukan kewajiban agama. Menurutnya, yang wajib secara permanen adalah kesopanan dan tidak menampakkan perhiasan karena hijâb yang sesungguhnya tidak terkait dengan mode pakaian tertentu tetapi terkait dengan pengendalian diri dari syahwat dan dosa.
Abstract
This article examines the general principle of shari’a espoused by Muhammad Said al-Ashmawi, an Egyptian Muslim progressive thinker. His ideas of shari’a principles are relevant to be applied in the context of Islamic law and to counter the Islamist discourse on the application of Islamic law in Indonesia. Ashmawi proposes that Islamic law is understood as the dynamic system that can develop amidst of social change and realities. This brings about changing practical and methodological approach to sharia. Ashmawi takes into account the occasion of revelation (asbab al-nuzul) and the context of the emergence of hadith (asbab al-wurud) seriously as important requirements to understand the Qur’an and hadith. This approach differs greatly from those of the majority Muslim jurists who take the general meaning acquired from the texts for granted. In the case of hijab, for example, Ashmawi, as the consequence of this approach, argues that hijab is not obligatory since this is a symbol of politics and not of religion. To him, what is required in Islamic dress is decency and modesty. Hijab is not associated with a sort of dress but self-control over lust and deviation.
Purple Urine Bag Syndrome: a Rare Manifestation of Urinary Tract Infection
Authors: Toyyibah Ilma , Fajariya Rosida , Keswardiono Catur Budi , Lucas Teixeira Campos Queiroz  , Tarissa Diandra Putri Wibowo  
Published: May 2024

Purple urine bag syndrome (PUBS) is rare manifestation of urinary tract infection (UTI). Epidemiological study showed the prevalence of purple urine bag syndrome about 8.3%-16.7% worldwide. There are some factors which lead to the disease including female, long-term urinary catheter, bedridden or immobile for long time, constipation, and urinary tract infection. The mechanism of this condition involves the tryptophan in intestine that is degraded into indole. In the liver, indole is conjugated into indoxyl sulphate. This conjugate product then is excreted into urine by the kidney. In the infected urinary tract, some gram-negative bacteria produce enzymes called sulphatase and phosphatase. It converts the conjugated product, indoxyl sulphate into pigments, red indirubin and blue indigo. The two pigments-combination produces purple pigment which appears in urine. We present a-61-year-old female who has history of cerebrovascular accident who came to our emergency room with purple urine over the previous seven days.
Соціальна робота у глобальному та національному вимірах
Authors: Богачев Роман 
Published: May 2024

У збірнику містяться матеріали досліджень науковців, науково-педагогічних і педагогічних працівників, фахівців-практиків, громадських активістів, здобувачів вищої освіти усіх рівнів, що розкривають науково-практичне обґрунтування розвитку соціальної роботи як галузі наукових знань та соціальної практики, результати досвіду і напрацювання ефективних методів і технологій соціальної роботи з різними категоріями населення у часи зовнішніх і внутрішніх викликів та загроз для України. Означено перспективи розвитку соціальної роботи як професії у глобальному та національному вимірах.
Збірник призначено для науковців, викладачів, фахівців-практиків і здобувачів галузі знань 23 «Соціальна робота» та суміжних галузей знань, предметом вивчення яких є людина у її взаємозв’язку зі світом, соціальним середовищем, таких як соціальна педагогіка, психологія, соціологія, право, філософія тощо.
Тематичні напрями роботи конференції:1. Теоретико-методологічні засади та стратегії розвитку соціальної роботи в умовах сучасних викликів і загроз.2. Актуальні питання реформування соціальної політики України в контексті євроінтеграційних процесів.3. Інноваційні підходи та практики надання соціальних послуг у територіальній громаді.4. Сучасні практики волонтерської діяльності в Україні та світі.5. Соціально-психологічні засади подолання травми війни: відновлення, соціальна адаптація та підтримка військових, учасників бойових дій, ветеранів і цивільного населення.6. Соціальне проєктування як технологія розв’язання проблем вразливих категорій населення, які постраждали від війни.7. Інновації в галузі спеціальної та інклюзивної освіти.
Редакційна колегія
Голова: Богачев Р. М., канд. філос. наук, доц., зав. каф. філософії КПІ ім. Ігоря Сікорського.
Секретар: Боковець О. І., д-р філософії із психології.
Члени редколегії: Кальченко Л. В., д-р пед. наук, проф.,Руденко Т. П., канд. філос. наук, доц.,Школяр Л. В., канд. пед. наук, доц.
Pengembangan Website Mindful Self-Compassion bagi Remaja yang Mengalami Tekanan Putus Cinta
Authors: Nabila Umniyah  , Susi Fitri  , Dede Rahmat Hidayat  
Published: May 2024

Penelitian ini bertujuan untuk mengembangkan website Mindful Self-Compassion bagi remaja remaja yang mengalami tekanan putus cinta dengan nama “Free Me”. Penelitian ini menggunakan teknik purposive sampling dengan sampel remaja di wilayah DKI Jakarta dan berusia 15 – 21 tahun. Alat ukur yang digunakan dalam penelitian ini adalah Breakup Distress Scale dan instrumen kebutuhan media website. Penelitian ini telah menghasilkan website Free Me yang memiliki enam menu, yaitu: 1) Beranda, 2) Asesmen, 3) Wawasan, 4) Pelatihan Mindful Self-Compassion, 5) Tentang Pengembang, dan 6) Kontak Kami. Hasil uji ahli media website memperoleh kategori “Sangat Layak”, hasil uji ahli materi memperoleh kategori “Layak”, dan hasil uji pengguna memperoleh kategori “Sangat Layak”. Hasil ini menunjukkan bahwa Free Me dapat digunakan sebagai website bantuan diri bagi remaja yang mengalami tekanan putus cinta. Berdasarkan hal tersebut, remaja yang mengalami putus cinta diharapkan untuk mengakses Free Me untuk mengetahui seberapa besar tekanan putus cinta yang dialami, dan selanjutnya remaja mampu menjadi teman bagi dirinya sendiri ketika mengalami tekanan akibat putus cinta yang tinggi.
Orthopaedic Surgery Attrition Before Board Certification: A National-Cohort Study of US MD Graduates in Orthopaedic Surgery Residency Programs
Authors: Gerull Katherine M. , Pérez Maria , Cipriano Cara A. , Jeffe Donna B. 
Published: May 2024

Introduction:
Little is known about attrition before American Board of Orthopaedic Surgery (ABOS) board certification for orthopaedic residents training in Accreditation Council for Graduate Medical Education (ACGME)-accredited orthopaedics programs. This national-cohort study examined orthopaedic surgery attrition, associated risk factors, and specialties pursued by residents who left orthopaedics.

Methods:
From August 2022 through July 2023, we analyzed deidentified, individual-level data from the Association of American Medical Colleges for 129,860 US MD-granting medical-school matriculants in academic years 1993 to 1994 through 2000 to 2001. Graduates with records of training ≥1 year in orthopaedic surgery during GME and of board certification as of May 2020 were included. Retention was defined as being ABOS-certified; attrition was defined as being certified by another specialty board and not ABOS. We identified variables independently associated with attrition from orthopaedics using multivariable logistic regression analysis and reported adjusted odds ratios (OR) and 95% confidence intervals (CI).

Results:
Of 4,319 US medical-school graduates from 1997 to 2009 with ≥1 year of orthopaedic surgery GME, 4,085 (94.6%) obtained ABOS board certification (retention) and 234 did not (attrition). Women (OR 2.8, 95% CI 2.0-3.9), first-generation college graduates (OR 1.6, 95% CI 1.1-2.2), Asians (OR 1.9, 95% CI 1.4-2.7), and residents who placed greater importance on innovation/research in choosing medicine as a career (OR 1.4, 95% CI 1.1-1.7) and completed ≥1 year of research during GME (OR 2.4, 95% CI 1.7-3.5) were more likely to leave orthopaedics. Overall, 121 trainees who left orthopaedics selected surgical specialties for board certification, most commonly plastic surgery (n = 66) and general surgery (n = 45).

Conclusions:
The increased risk of attrition among women, Asians, first-generation college graduates, and trainees endorsing higher importance of innovation/research in choosing medicine and participating in research during GME raises concerns about the potential loss of underrepresented groups among orthopaedic surgeons and surgeon-scientists. Efforts to mitigate attrition among residents in high-risk groups are warranted.