bluuebunny/crossref_metadata_2025_split huggingface dataset:
Investigating Perception to Production Transfer in Children With Cochlear Implants: A High Variability Phonetic Training Study
Authors: Zhang Hao , Dai Xuequn , Ma Wen , Ding Hongwei , Zhang Yang 
Published: March 2024

Purpose:This study builds upon an established effective training method to investigate the advantages of high variability phonetic identification training for enhancing lexical tone perception and production in Mandarin-speaking pediatric cochlear implant (CI) recipients, who typically face ongoing challenges in these areas.Method:Thirty-two Mandarin-speaking children with CIs were quasirandomly assigned into the training group (TG) and the control group (CG). The 16 TG participants received five sessions of high variability phonetic training (HVPT) within a period of 3 weeks. The CG participants did not receive the training. Perception and production of Mandarin tones were administered before (pretest) and immediately after (posttest) the completion of HVPT via lexical tone recognition task and picture naming task. Both groups participated in the identical pretest and posttest with the same time frame between the two test sessions.Results:TG showed significant improvement from pretest to posttest in identifying Mandarin tones for both trained and untrained speech stimuli. Moreover, perceptual learning of HVPT significantly facilitated trainees' production of T1 and T2 as rated by a cohort of 10 Mandarin-speaking adults with normal hearing, which was corroborated by acoustic analyses revealing improved fundamental frequency (F0) median for T1 and T2 production and enlargedF0 movement for T2 production. In contrast, TG children's production of T3 and T4 showed nonsignificant changes across two test sessions. Meanwhile, CG did not exhibit significant changes in either perception or production.Conclusions:The results suggest a limited and inconsistent transfer of perceptual learning to lexical tone production in children with CIs, which challenges the notion of a robust transfer and highlights the complexity of the interaction between perceptual training and production outcomes. Further research on individual differences with a longitudinal design is needed to optimize the training protocol or tailor interventions to better meet the diverse needs of learners.
Recent Advances in Molecular Pathways and Therapeutic Implications
for Peptic Ulcer Management: A Comprehensive Review
Authors: Joshi Deepak Chandra , Joshi Nirmal , Kumar Ajeet , Maheshwari Shubhrat 
Published: March 2024

AbstractPeptic ulcers, recognized for their erosive impact on the gastrointestinal
mucosa, present a considerable challenge in gastroenterology. Epidemiological
insights underscore the global prevalence of peptic ulcers, affecting 5–10+% of
individuals, with a yearly incidence of 0.3 to 1.9 cases per thousand. Recent
decades have witnessed a decline in complications, attributed to improved
diagnostics and therapeutic advancements. The review deepens into H.
pylori-associated and NSAID-induced ulcers, emphasizing their distinct
prevalence in developing and industrialized nations, respectively. Despite
advancements, managing peptic ulcers remains challenging, notably in H.
pylori-infected individuals facing recurrence and the rise of antibiotic
resistance. The pathophysiology unravels the delicate balance between protective
and destructive factors, including the intricate molecular mechanisms involving
inflammatory mediators such as TNF-α, ILs, and prostaglandins. Genetic and
ethnic factors, rare contributors, and recent molecular insights further enhance
our understanding of peptic ulcer development. Diagnostic approaches are
pivotal, with upper gastrointestinal endoscopy standing as the gold standard.
Current treatment strategies focus on H. pylori eradication, NSAID
discontinuation, and proton pump inhibitors. Surgical options become imperative
for refractory cases, emphasizing a comprehensive approach. Advances include
tailored H. pylori regimens, the emergence of vonoprazan, and ongoing
vaccine development. Challenges persist, primarily in antibiotic resistance,
side effects of acid suppressants, and translating natural compounds into
standardized therapies. Promising avenues include the potential H. pylori
vaccine and the exploration of natural compounds, with monoterpenes showing
therapeutic promise. This review serves as a compass, guiding healthcare
professionals, researchers, and policymakers through the intricate landscape of
peptic ulcer management.
Ileostomy: Early and Late Complications
Authors: Santos Francisco Duarte Cerqueira Gomes Girão , Barbosa Laura Elisabete Ribeiro , Teixeira João Paulo Meireles de Araújo 
Published: March 2024

Abstract
Introduction Ileostomy formation is performed for multiple purposes related to intestinal pathology, such as obstructive malignant or benign tumors, inflammatory bowel diseases, intestinal ischemia, and, for the most part, as a protective stoma in high-risk anastomosis. The creation of this surgical opening, despite being considered a simple procedure, is undoubtedly followed by complications in certain cases.
Materials and Methods We conducted an electronic literature search in the MEDLINE database using the PubMed search engine. A total of 43 articles were included in the present review.
Results/Discussion Over the course of the present work, we were able to explore different types of complications that can arise in patients with an ileostomy. High-output stomas were found to be associated with dehydration and electrolyte imbalance. Skin-related morbidity was shown to be present in a great percentage of patients. More severe complications, such as peristomal pyoderma gangrenosum and necrosis, are less frequent and require urgent management. Several risk factors were identified in cases of retraction, obstruction, prolapse, and parastomal herniation.
Conclusion Even though ileostomies may present numerous benefits in certain patients, they are also associated with many complications, which should be avoided and quickly managed, because they can severely affect the quality of life of the patients. Surveillance and follow-up by a multidisciplinary team is strongly advisable, bearing in mind that a good performance on the part of the responsible surgeon is also a key factor.
Pelvic Diameter is not Associated with Positive Circumferential Resection Margin in Rectal Cancer: Retrospective Analysis of 78 Cases
Authors: Vergara-Fernández Omar , Ruiz-Muñoz Erick Alejandro , la Peña Danilo Tueme-de , Bravo-Ávila Héctor E. , Hoyos-Torres Alejandro , Salgado-Nesme Noel 
Published: March 2024

Abstract
Objective To identify if there is an association between pelvic entry and pelvic outlet diameters with increased positive circumferential resection margin (CRM) in rectal cancer.
Introduction Positive CRM in rectal cancer is a major predictor for local and distant recurrence. Pelvic diameters may be related to the difficulty of dissection, as well as intrinsic tumor characteristics such as tumor size, location, distance from the anal margin, and T stage, which may compromise the integrity of the mesorectum and circumferential margin involvement.
Methods A retrospective review of the patient's medical records who underwent surgical resection of rectal adenocarcinoma from January 2012 to June 2022 was performed. The patient's preoperative staging, operative characteristics, and histopathologic outcomes were gathered from the medical records. Preoperative MRI scanning was done in all patients. MRI pelvimetry was done by two observers. CRM involvement was recorded as stated in the pathology report. Pelvimetry variables were dichotomized according to their mean values for correlation analysis. The odds ratio (OR) was calculated from a binary logistics regression model to assess the relation between the positive CRM and the independent variables.
Results A total of 78 patients were included in this study. A positive CRM was reported in 10 patients (12.8%). BMI >27.4 + 6.6 (p = 0.02), positive extramural vascular invasion (p = 0.027), positive CRM by MRI scanning (p = 0.004), and anal sphincter involvement (p = 0.03) were associated with positive CRM. Pelvimetry values were not associated with a positive CRM.
Conclusion No association was found between the pelvic diameters measured by MRI pelvimetry with a positive CRM.
Profile of Surgeons Who Treat Inflammatory Bowel Diseases in Brazil
Authors: Zabot Gilmara Pandolfo , Cassol Ornella Sari , Vilela Eduardo Garcia , Junior Antônio José Tibúrcio Alves , da Silva Daniel de Castilho , Saad-Hossne Rogério 
Published: March 2024

Abstract
Objective To describe the profile of surgeons who treat patients with inflammatory bowel disease as well as the characteristics of inflammatory bowel disease care, unmet demands, and difficulties.
Methods The research participants answered a Google Forms questionnaire.
Results Of the 99 surgeons who participated in the survey, 84.5% were coloproctologists, 40% were from the southeastern region of Brazil, and 77.7% were male and had been working for more than 19 years. Regarding the healthcare sector, 63.6% of surgeons worked in both public and private clinics, and most clinically cared for up to 50 patients with inflammatory bowel disease and operated on up to 5 cases per year.
Conclusion This is the first national study that aimed to identify the profile of surgeons working with inflammatory bowel disease in Brazil. The vast majority are experienced male coloproctologists, located in the southern and southeastern regions, who perform clinical and surgical treatment of these pathologies, with major surgeries being performed in large centers by a small number of surgeons.
Vegetating Lesions that Appear in the Scar after Neoadjuvant Therapy for Rectal Tumors: Tumor Regrowth or Benign Neoplasm?
Authors: Cabral Rodrigo Rezende Silva , Cunha Fernanda Biasi da , Nicollelli Guilherme Mattiolli , Sartor Maria Cristina , Brener Antonio Sergio , Winter Wagner Carignano , Degraf Ygor , Zago Lucas Schultz , Gomide Larissa Machado e Silva 
Published: March 2024

Abstract
Introduction After the diagnosis of neoplasm of the middle and distal rectum, patients are often submitted to oncological treatment by neoadjuvant therapy. At the end of this treatment, those patients who show complete clinical response can choose, together with their physician, to adopt the watch-and-wait strategy; although it implies lower morbidity for the patient, this strategy is dependent on strict adherence to treatment follow-up for the early identification of any future local injury.
Materials and Methods Survey of data from medical records and description, and discussion of case reports with a literature review in books and databases.
Results We report the case of a 73-year-old patient diagnosed with moderately differentiated adenocarcinoma of the middle rectum, Stage II (cT3bN0M0), who presented complete clinical response after undergoing treatment with neoadjuvant therapy.Together with the assistant team, the watch-and-wait strategy was chosen. During the follow-up, an endoscopic examination showed a vegetating at the proximal limit of the tumor scar. We chose to perform submucosal endoscopic dissection. The report of the anatomopathological examination evidenced a serrated adenoma with narrow margins free of neoplasia.
Conclusion Patient adherence to cancer treatment using the watch-and-wait strategy is essential for the early identification of new local lesions. After resection of the lesion identified in the tumor scar site as a neoplasm-free lesion, it is consistent to think that this lesion would be the origin of the neoplasm, given the adenomatous origin.
A new approach to understanding involvement: linking involvement to the memorability of experience
Authors: Akhoondnejad Arman , Rosin Christopher , Brennan Charles 
Published: March 2024

AbstractBased on the involvement literature, the current research redefines the involvement theory and proposes a new form of involvement, namely situated involvement. The research, then, develops a scale to measure this involvement employing a mixed methods procedure. Afterward, the relationships between enduring, response, and situated involvements as well as the memorability of experience are investigated using structural equation modeling (SEM). The results from a survey of 317 tourists in Queenstown, New Zealand show that the memorability of experience is only impacted by situated involvement, the type of involvement which occurs during an experience. Enduring and response involvements are found to influence situated involvement, and enduring involvement predicts response involvement.
Spiritual affection and support: Unique aging model of older adult Chinese who lost their only child
Authors: Tang Yuanxiong , Xu Qianru , Tian Robert Guang 
Published: March 2024

AbstractThis research aims to explore the mechanism of the online “spiritual solidarity” group for older adults who have lost their only child (shidu parents) in contemporary China. By examining a unique aging model of older adult Chinese who lost their only child, this study conducted an online survey in the “spiritual solidarity” group of the shidu parents through an ethnographic approach by interviews, questionnaires, participatory observation, and other methods. The findings can improve the “spiritually drawn together to old” process for the shidu parents to improve their quality of life and relieve their psychological stress. As a new pension model, the spiritual group takes a virtual information platform as the carrier to break through the limitations of regional activities, meet the various needs of the shidu parent, and provide them with an outlet for emotional energy. Understanding the mechanism of spiritual solidarity is of help to the shidu parents in obtaining spiritual comfort. It is also valuable for safeguarding their rights and interests to improve their quality of life on the spiritual and material levels.
From sci-fi to the classroom
Authors: Poole Frederick J. , Polio Charlene 
Published: March 2024

AbstractWith the release of ChatGPT, the use of AI in language teaching has become an issue that we cannot ignore. In this commentary, we argue that AI tools, including ChatGPT, are now among the digital resources available to students and teachers. We therefore need to be aware of the challenges and affordances of their uses in teaching and learning and that helping students understand these issues is part of the language teacher’s role in promoting digital literacy. We first discuss the history of AI in teaching writing and then highlight three issues related to its use: authorship, authenticity and accuracy, and digital literacies. Next, we provide examples of three tasks illustrating how AI can be used to promote language learning, genre awareness, and digital literacy. We conclude by suggesting some areas for further exploration.
Recent Trends and A Future Direction of Malaysia’s Climate Change Law Program
Authors: Anuar Haslinda Mohd , Wahab Harlida Abdul , Mohsin Mohamad Farhan Mohamad , Mohamad Ani Munirah , Ahmad Wan Norhayati Wan 
Published: March 2024

Abstract
Climate change is a critical global issue that is predominantly caused by human activities. To equip students in higher education institutions (HEIs) with the necessary knowledge and skills to play an active role in mitigating the effects of climate change, HEIs need to incorporate climate change-related programs into their teaching curricula. These programs should emphasize law and policy, enabling students to become environmentally aware and motivated to act. The Climate Change Institute (Institut Perubahan Iklim or IPI) at Universiti Kebangsaan Malaysia is among several (HEIs) in Malaysia offering a master’s program in Climate Change (Coursework), with a specialization in Environmental Science and Earth Science. This paper aims to analyse the structure of existing climate change programs at both public and private HEIs in Malaysia. Desk research is conducted to gather various information from the available structures involving seven public universities and two private universities in Malaysia which offer 24 environmental-related programs both in undergraduate and postgraduate studies. The findings were analysed by a constant comparative approach that is guided by the key themes of the study. The finding shows that all universities that offer law programs do not have climate change postgraduate law programs offered at their faculties. Other faculties, should they have such a similar program, are more related to sciences, engineering, technology and management. This paper concludes by providing insights into the key features of recent trends in the offering of climate change postgraduate law programs in Malaysia. Accordingly, the findings of the study would serve as a significant guide for the development of any new climate change policy and law programs in the future in line with United Nation’s Sustainable Development Goal SDG13 on climate action which focus on Target 13.3 in improving education, awareness-raising and human and institutional capacity on climate change mitigation, adaptation, impact reduction and early warning. The new climate change postgraduate law program will also contribute to the sustainability of climate action, particularly in capacity building of the people on teaching delivery methods of climate change policy and law, protecting the planet, promoting prosperity, maintaining peace and establishing connections and partnerships in the teaching methods, such as global learning.
Risk Ratio of Noise-Induced Hearing Loss in Mineral Ore Processing Industry Workers
Authors: Putro Edi Karyono , Karnaningroem Nieke , Syafei Arie Dipareza 
Published: March 2024

Abstract
The mining industry employs machines and equipment that generate noise. Noise is an unwanted sound that can cause discomfort to listeners, leading to health issues. One of the health problems caused by noise is Noise-Induced Hearing Loss (NIHL), a hearing impairment resulting from continuous exposure to hazardous noise levels. The Permissible Noise Exposure (PNE) value in the mining industry is set at 85 dB(A). This study aims to assess the risk of noise exposure in relation to the occurrence of NIHL among mineral ore processing workers in the mining industry in Indonesia. The study employs the epidemiological frequency measurement method Relative Risk Ratio (RR). The study categorizes workers into two groups: native mining industry workers and contractor workers in the mining industry. The RR results for each group are 2.68 and 2.76 (RR>1), respectively. These results indicate that the noise-exposed group is at a 2.68-2.76 times higher risk of experiencing NIHL compared to the non-exposed group. Noise exposure in the mining industry poses a high risk of NIHL to workers, necessitating control measures. Control measures involve reducing noise exposure using Personal Protective Equipment (PPE) such as earplugs for workers in noisy areas. The use of earplugs can reduce noise by around 24-32 dB(A). Additionally, some industrial companies conduct awareness programs to encourage workers to use earplugs or other PPE, known as the hearing conservation program.
Façade Assessment of Thermal Fluctuation Attributable to the Productive Facade: Shading Coefficient and Spectral Properties Analysis
Authors: Noraduola Dwi Rinnarsuri , Mangkoedihardjo Sarwoko , Santoso R. Irwan Bagyo , Purwanti Ipung Fitri , Jaya Laode Muhammad Golok , Cahyadi Rusli 
Published: March 2024

Abstract
Productive facades can be a promising green infrastructure for dealing with urban heat islands and food insecurity. Although producing productive facades has proved satisfactory, the cooling effect of small green spaces is still being debated. The incident solar radiation on the leaves is reflected, absorbed, or transmitted, potentially regulating the surrounding air temperature. Therefore, this study aims to discuss how the spectral properties of productive facades are related to the surrounding air temperature. A field experimental building model was carried out to investigate the fluctuation of temperature-affected radiation. Pumpkin (Cucubita pepo) and Sweet Potatoes (Ipomoea batatas L) were applied for the productive façade, which was placed in east and west orientations. The research method analyses air temperature’s daily behaviour and spectral properties of the productive facades. The results revealed that the cooling effect of productive facades fluctuates. Among the spectral properties, absorptance and reflectance have a strong correlation with air temperature, with r=0.56 (east side) and r = 0.68 (west side) for Pumpkin, while r=0.68 (east side) and r=0.72 (west side) for Sweet Potatoes. Existing microclimatic factors, namely humidity and solar radiation, contribute to the degree of this correlation. The findings of this study will provide implications for the design of environmentally sound technology aiming to obtain a better cooling effect and contribute to the food provision for urban communities.
Waste management of household-scale snack industry based on Reduce, Reuse, Recycle (3R) In Watubonang Ponorogo
Authors: Marsono B J , Maharsiwi A Z 
Published: March 2024

Abstract
The household food industry that produces fish-based snacks in Ponorogo needs good waste management. Therefore, the waste is directly disposed of into the irrigation channel and vacant land. The waste produced by the industry contains highly organic compounds, which results in several problems, such as foul odor and eutrophication due to excess nitrogen and phosphorus. The management of water and solid wastes is a must to prevent environmental pollution, reduce waste circulation, and create better production; one of the methods that can be used is Reduce, Reuse, and Recycle (3R). Primary data were collected by sampling, laboratory analysis, and field research. In contrast, the secondary data were collected through literature studies. Based on the analysis results, reduction is done on liquid waste, compostable, and non-recyclable solid waste. Reuse is done on liquid waste and recyclable solid waste. Recycle is done on compostable and recyclable solid waste. Based on waste management, the treatment units begin with a grease, then an equalization basin, an Anaerobic Baffled Reactor (ABR), and constructed wetland. Solid waste storage for all types uses closed High Density Polyethylene (HDPE) tubs. Composting is carried out on compostable solid waste aerobically in a HDPE plastic tub.
Design Management of Environmental Access Security in Priority Spatial Spaces for Green Open Space (OGS) Tropical City Surabaya - Indonesia with CPTED Approach to Reduce the Impact of Visitor Vandalism
Authors: Adrianto Y R , Zulaikha E , Syairudin B 
Published: March 2024

Abstract
This research examines environmental and social problems with a security design solution approach for green open spaces in tropical city parks related to negative visitor behavior, especially in the form of vandalism which can cause damage to facilities and vegetation in areas with dense and varied visitor activities. This research was conducted in priority spatial environments popular and paid parks in the tropical city of Surabaya, Indonesia. The classification of visitor access security detection uses the Crime Prevention through Environment Design (CPTED) vandalism management strategy theory to determine the access security model applied to spatial behavior. The results show that spatial areas with high levels of visitor density and management’s low level of application of CPTED attributes have an effect on increasing the impact of visitor vandalism on park facilities.