bluuebunny/crossref_metadata_2025_split huggingface dataset:
Frost resistance and life prediction of recycled brick aggregate concrete with waste polypropylene fiber
Authors: Cui Shenao , Wang Ting , Zhang Zhaochuan , Sun Xiao , Li Jiahui , Li Bangxiang , Zhang Weishen , Su Tian , Cao Fubo 
Published: December 2023

Abstract
Due to recycled aggregate concrete technology, sustainable resource utilization can be achieved, but the weak frost resistance of this type of concrete affects its application in cold regions. Using waste polypropylene fibers as reinforcing materials can improve the mechanical properties and durability of concrete. This study explores the influence of waste polypropylene fiber on the frost resistance durability and microstructure of recycled brick aggregate (RA) concrete. The results show that with the increase in freeze–thaw cycles, the mass of the concrete first increases and then decreases, while its relative dynamic elastic modulus and compressive strength gradually decrease. After 60 freeze–thaw cycles, the maximum mass loss, maximum relative dynamic elastic modulus loss, and maximum compressive strength loss of the RA concrete are 1.73, 45.1, and 73.7%, respectively. Waste fiber (WF) can improve the frost resistance of concrete, as demonstrated by the obvious reduction in mass loss, relative dynamic elasticity modulus loss, and compressive strength loss, which are 0.11, 33.0, and 64.0%, respectively, after 60 freeze–thaw cycles. The action mechanism of WF on the frost resistance of RA concrete is revealed, and the life prediction model of RA concrete with WF under freeze–thaw conditions is established.
Real-world practice patterns and outcomes for RAI-refractory differentiated thyroid cancer
Authors: Gianoukakis Andrew G , Choe Jennifer H , Bowles Daniel W , Brose Marcia S , Wirth Lori J , Owonikoko Taofeek , Babajanyan Svetlana , Worden Francis P 
Published: December 2023

Background
The optimal timing for initiating multi-kinase inhibitors (MKIs) in patients with radioactive iodine-refractory (RAI-R) differentiated thyroid cancer (DTC) remains unclear. Thus, we evaluated the real-world practice patterns and outcomes in asymptomatic patients with progressive RAI-R DTC (≥1 lesion ≥1 cm in diameter) in the USA (US population) and outside the USA (non-US population).

Methods
In this prospective, non-interventional, open-label study, eligible patients were chosen by treating physicians to receive MKI therapy (cohort 1) or undergo active surveillance (cohort 2) at study entry. Cohort 2 patients were allowed to transition to MKI therapy later. The primary endpoint was time to symptomatic progression (TTSP) from study entry. Data were compared descriptively. When endpoints were inestimable, 36-month rates were calculated.

Results
Of the 647 patients, 478 underwent active surveillance (cohort 2) and 169 received MKI treatment (cohort 1). Patients underwent surveillance at a higher rate in the US (92.6%) vs the non-US (66.9%) populations. Half of US and non-US patients who qualified for MKI treatment had initial American Thyroid Association (ATA) low-to-intermediate-risk disease. In cohort 2, the 36-month TTSP rates from study entry were 65.6% and 66.5% in the US and non-US populations, respectively. Cohort 2 patients treated later demonstrated 36-month TTSP rates of 30.8% and 55.8% in the US and non-US populations, respectively.

Conclusions
Active surveillance is a viable option for asymptomatic patients with progressive RAI-R DTC. However, early intervention with MKI therapy may be more suitable for others. Further research is needed to identify patients who are optimal for active surveillance.

Registration
NCT02303444.
When to Transfer: Predictors of Pediatric High Flow Nasal Cannula Failure at a Community Hospital
Authors: Dunbar Kimiko S. , Fox Sarah N. , Thomas Jacob F. , Brittan Mark S. , Soskolne Gayle , Cotter Jillian M. 
Published: December 2023

OBJECTIVES
To identify risk factors of high flow nasal cannula (HFNC) failure at a US pediatric hospital without a co-located ICU.

METHODS
Retrospective cohort study of patients aged 0 to 18 years who were started on HFNC in the emergency department or inpatient unit at a community hospital over a 16-month period. Children with chronic medical conditions were excluded. Outcome was HFNC failure, defined as HFNC need greater than floor limit, noninvasive positive pressure, or mechanical ventilation. In bivariate analysis, we compared demographic and clinical factors between those with and without failure. We included variables in a multivariable model on the basis of statistical significance. We used Poisson regression with robust error variance to calculate the adjusted relative risk (aRR) of failure for each variable.

RESULTS
Of 195 children, 51% had HFNC failure. In adjusted analysis, failure was higher in all age groups &lt;12 months as compared with older children. For example, children aged 3 to 5 months had a higher risk of failure compared with patients 12 months or older (aRR 1.85, confidence interval [CI] 1.34–2.54). Patients with an asthma exacerbation had a higher risk of failure (aRR 1.39, CI 1.03–1.88). Patients whose respiratory rate or heart rate did not improve also had a higher risk of failure (aRR 1.73, CI 1.24–2.41; aRR 1.47, CI 1.14–1.90).

CONCLUSIONS
Patients who were younger, had asthma, and did not have improved respiratory rate or heart rate after HFNC were more likely to experience HFNC failure.
Pragmatic Expansion of a Neonatal Antibiotic Stewardship Program in a Community Health Care System
Authors: Martin Julie S. , Botta Caleb J. , Bowman Sarah , Giliberti Danielle 
Published: December 2023

BACKGROUND
Previously published neonatal antibiotic stewardship efforts have been primarily implemented in single centers. Piedmont Athens Regional began work to decrease antibiotic use in the NICU with spread to the newborn nursery (NBN) and, subsequently, 13 other NICUs and NBNs throughout a health care system over a 4-year period.

METHODS
This quality improvement initiative was conducted in the context of a multicenter learning collaborative from 2016 to 2019. The primary aim was a 10% reduction in antibiotic days per 1000 patient days (antibiotic utilization rate [AUR]) among newborns in the NICU and NBN at each hospital by December 2018. Change ideas were implemented by using plan-do-study-act cycles. The primary outcome measure was AUR with a balancing measure of antibiotic restarts.

RESULTS
Piedmont Athens Regional decreased the NICU AUR by 46% and NBN AUR by 83%. Piedmont Healthcare decreased the NICU AUR by 40% and NBN AUR by 74%. Seven of 8 NICUs and 5 of 7 NBNs achieved a &gt;10% reduction in AUR and 8 of 8 intervention hospitals showed a sustained drop in AUR in the NBN, NICU, or both during the 1.5-year postobservation period. Decreases in antibiotic initiation resulted in 335 fewer antibiotic courses in the NICU and 189 fewer infants started on antibiotics in the NBN in 2020 versus 2017.

CONCLUSIONS
This initiative achieved reductions in AUR across multiple hospitals in the network. The system-wide approach facilitated information technology (IT) and electronic health record modifications. Common drivers of NICU improvement were involvement for at least 2 years, multidisciplinary teams, and the highest baseline AUR. The common driver of nursery improvement was the implementation of a neonatal sepsis risk calculator.
Semiotic Analysis of Riffaterre on The Poetry of Qais Wa Laila by Nazik Al-Malaika
Authors: Mushfiroh Dewi Maisyah 
Published: December 2023

This research describes the poem "Qais wa Laila" using Riffaterre's semiotic theory by Nazik Sadik Al-Malaika. The primary data of this poem is Al-Diwan. This research aims to reveal the broader meaning of the poem through the meaninglessness in the poem's exposition, the results of heuristic reading and hermeneutic reading, determining the matrix, model, variant and hypnogram in the poem entitled "Qais wa Laila" by Nazik al-Malaika with the sub-chapter analysis of riffaterre's semiotic theory that has been mentioned. This research method is a qualitative descriptive literature review. Among the results of this study are: (1) there are many discontinuities in the meaning of a poetic expression in this poem, so many perspectives appear, including similes in the word fi yadil mauti (2) the results of heuristic reading of this poem are advice from the author by telling the pain, madness and futility committed by Qais, (3) the result of the heuristic reading of this poem is that the romance told by other writers about the story of Qais and Laila is considered a useless thing according to the author, depicted through the signs of the choice of diction in his work (4) the matrix of this poem is not to waste time and be stupid, written in the last stanza (5) the variant of this poem is the reinforcement of the author's advice written in stanza 23 (6) the model of this poem is the author's view of love - Qais - which is only the ultimate torment.
Analysis of Shape-Memory-Alloy Fiber Interface Strength for Optimization of Self-Healing Composites
Authors: Haider Muhammad Istiaque , Salowitz Nathan P 
Published: December 2023

Self-healing materials, possessing an innate ability to mend damage and restore structural strength, have tremendous potential to improve safety and reliability, especially in space applications where recovery or manual performance of repairs may be prohibitive, dangerous, or impossible. Self-healing metallic materials developed with Nickel Titanium (NiTi) Shape Memory Alloy (SMA) reinforcement showed a promising prospect for recovering from larger scale damage. However, NiTi is known to form an inert oxide (TiO2) surface layer that is extremely hard to attach to. In this research, to promote better strength between the fiber and matrix, TiO2 surface layer has been removed by etching the NiTi wires in an inert environment and a pull test has been performed to evaluate the resulting change in adhesion strength between the fiber and metallic matrix. The experimental investigation of these interface fracture scenarios will enable the efficient design of composite materials.
Ground-Motion Variability for Ruptures on Rough Faults
Authors: Vyas Jagdish Chandra , Galis Martin , Mai P. Martin 
Published: December 2023

ABSTRACT
Fault roughness influences earthquake rupture dynamics, seismic energy radiation, and, hence, resulting ground motion and its variability. Using 3D dynamic rupture simulations considering a range of rough-fault realizations, we investigate the effects of rupture complexity caused by fault roughness on ground-motion variability, that is, the variability of peak ground acceleration (PGA) and velocity (PGV) as a function of distance. In our analysis, we vary hypocenter locations (leading to unilateral and bilateral ruptures) and fault roughness amplitude to generate a set of magnitude M ≈ 7 strike-slip dynamic rupture simulations. Synthetic seismic waveforms computed on a dense set of surface sites (maximum resolved frequency 5.75 Hz) form our database for detailed statistical analyses. For unilateral ruptures, our simulations reveal that ground-shaking variability (in terms of PGA and PGV) remains nearly constant with increasing distance from the fault. In contrast, bilateral ruptures lead to slowly decreasing ground-motion variability with increasing distance in the near field (less than 20 km). The variability becomes almost constant at large fault distances. We also find that low-amplitude fault roughness leads to ruptures that are likely to generate higher PGA variability than events on faults with high-amplitude roughness. Increasing fault roughness distorts the radiation pattern, thereby reducing directivity effects and, hence, potentially lowering ground-motion variability. The average PGV variability from our rough-fault rupture models is consistent with estimates from empirical ground-motion models (GMMs). However, the average PGA variability exceeds the variability encoded in empirical GMMs by nearly 20%. Hence, our findings have implications for near-source ground-motion prediction in seismic hazard studies, because ground-motion variability depends on details of the earthquake rupture process and is larger than GMM estimates.
Pengaruh Podcast Sebagai Media Untuk Meningkatkan Self Development Mahasiswa Indonesia (Studi Pada Mahasiswa Indonesia Pendengar Podcast ‘Self Dev By Andreas Bordes’)
Authors: Fildzah Jonerd Ramadhani  , Reni Nuraeni  
Published: December 2023

Bagi para mahasiswa, tentunya penting untuk melakukan pengembangan diri sebelum memasuki jenjang selanjutnya yakni menuju dunia karir. Untuk melakukan pengembangan diri, tidak akan cukup jika seorang mahasiswa hanya mendapatkan ilmu melalui pendidikan formal saja. Oleh karenanya saat ini banyak konten yang membahas mengenai self-development, salah satunya yakni pada podcast ‘Self Dev by Andreas Bordes’. Podcast tersebut merupakan podcast dengan topik pengembangan diri yang memiliki rating tinggi dan juga pendengar yang banyak jika dibandingkan dengan podcast pengembangan diri lainnya. Hal ini tentunya membuat peneliti ingin mengetahui pengaruh yang ditimbulkan oleh podcast tersebut terhadap tingkat self-development yang ada pada mahasiswa Indonesia. Penelitian ini menggunakan metode kuantitatif dengan jenis penelitian static group comparison, dimana peneliti akan menyebarkan kuesioner kepada kedua kelompok mahasiswa Indonesia yang nantinya akan diklasifikasikan sebagai kelompok kontrol dan kelompok eksperimen. Berdasarkan pengujian hipotesis yang dilakukan terhadap kedua kelompok responden, penelitian ini menunjukkan bahwa terdapat perbedaan yang signifikan antara kedua kelompok, dimana skor yang dihasilkan oleh kelompok eksperimen lebih tinggi jika dibandingkan dengan skor dari kelompok kontrol. Sehingga dapat disimpulkan bahwa podcast ‘Self Dev by Andreas Bordes’ memiliki pengaruh dalam meningkatkan self-development mahasiswa Indonesia.
Kata Kunci: Podcast, Self-development, Efek Media Massa.
Studi “Melek Pancasila” berbasis toleransi tri kerukunan umat beragama di Desa Balun Kecamatan Turi Kabupaten Lamongan
Authors: Hanafi Hanafi 
Published: December 2023

This research-based study aims to analyze how the values of Pancasila are implemented, especially the portrait of the value of unity and integrity which is manifested in the "tri harmony" of religious communities that has existed for a long time in Turi village. As we know, Turi Village, Balun District, Lamongan Regency is a model village which has the title "Pancasila Village". It is hoped that this research will have benefits, especially inspiration for the Indonesian people to emulate the importance of inter-religious harmony in social relations. This research uses a qualitative approach with a descriptive type. The selection of informants was carried out using purposive sampling technique. Data collection was carried out using interview, observation and documentation techniques. Data analysis techniques using Miles and Huberman's interactive model include data collection, data reduction, data presentation, and drawing conclusions. The results of the research show that the enthusiastic attitude of tolerance of the three religious communities in Turi village has shown that the concept of tri-religious harmony has truly become a real entity there. This of course cannot be separated from the support of all elements of village society and especially the village government, community leaders and the role of youth. The implementation of Pancasila values, especially the third principle, is very strong so that Turi village has the title of being one of the Pancasila villages in East Java.
Studi berbasis penelitian ini memiliki tujuan yaitu untuk menganalisis bagaimana implementasi nilai-nilai Pancasila, khususnya potret tentang nilai persatuan dan kesatuan yang terwujud dalam “tri kerukunan” umat beragama yang telah terjalin lama di desa Turi. Sebagaimana yang kita kenal bahwa Desa Turi Kecamatan Balun Kabupaten Lamongan merupakan desa percontohan yang memiliki sebutan “Desa Pancasila”. Penelitian ini diharapkan memiliki daya manfaat khususnya inspirasi bagi masyarakat Indonesia untuk meneladani akan pentingnya kerukunan antar beragama dalam hubungan sosial kemasyarakatan. Penelitian ini menggunakan pendekatan kualitatif dengan jenis deskriptif. Pemilihan informan dilakukan dengan menggunakan teknik purposive sampling. Pengumpulan data dilakukan dengan teknik wawancara, observasi dan dokumentasi. Teknik analisis data menggunakan model interaktif Miles dan Huberman meliputi pengumpulan data, reduksi data, penyajian data, penarikan kesimpulan. Hasil penelitian menunjukkan bahwa sikap antusias dalam bertoleransi dari tiga umat beragama yang berada di desa Turi telah menunjukkan bahwa konsep tri kerukunan antar umat beragama benar-benar menjadi entitas yang nyata di sana. Hal ini tentu tidak terlepas dari dukungan segenap elemen masyarakat desa dan terutama pemerintah desa, tokoh masyarakat serta peran pemuda. Implementasi nilai-Nilai Pancasila khususnya sila ketiga sangat terlihat kuat sehingga desa Turi memiliki predikat sebagai salah satu Desa Pancasila di Jawa Timur.
A Escola de Mestre Organeiro Miguel Hensberg. Inscrições nos Tubos de Órgãos Enquanto Meios de Atribuição.
Authors: Sazontieva Anastasia 
Published: December 2023

Resumo: Os tubos dos órgãos apresentam inscrições técnicas feitas pelos organeiros durante o processo de construção e intervenção nos instrumentos. Estas marcas possuem características especiais que servem fundamentalmente para a identificação do tubo e são preciosas enquanto indicadores da autoria da peça, no contexto do amplo e minucioso trabalho de conservação e restauro destes objetos. Os tubos produzidos pelo mestre organeiro Miguel Hensberg, artista que trabalhou na cidade do Porto (Portugal) no último quartel do século XVII, possuem determinadas particularidades, entre as quais se incluem as marcas de notação musical. Os tubos com inscrições semelhantes encontrados em instrumentos não associados ao organeiro contribuem para a atribuição de obra a este autor e para o lançamento da hipótese da existência de uma “Escola de Hensberg”.
Thyroid disfunction and chronic obstructive pulmonary disease: case report
Authors: Kalenchic T. I. , Kabak S. L. , Zaharenko E. V. 
Published: December 2023

Common concomitant endocrine diseases in chronic obstructive pulmonary disease (COPD) patients include both structural and functional lesions of the thyroid gland.The purpose of the study was to determine specific indicators for the differential diagnosis of thyroid storm and exacerbation of COPD. A clinical observation of a 60-year-old patient who received inpatient treatment in the therapeutic department of a city clinical hospital is presented. The diagnosis upon admission was COPD, mixed form, severe, exacerbation, and respiratory failure of the first degree.Results. In the hospital, the patient experienced an episode of difficulty breathing lasting 45 minutes. Increased shortness of breath alternated with normal breathing and was accompanied by tremor of the hands. The patient was agitated, refused to breathe oxygen through the mask, and was in orthopnea. The patient’s condition during the attack was assessed at 40 points according to the Burch – Wartofsky scale, which corresponds to a high probability of thyroid storm (TS). Pronounced ventilation disturbances of a mixed type were recorded based on the spirography results (forced expiratory volume in 1 second – 19%). Echocardiography revealed no signs of cor pulmonale or pulmonary hypertension. A low concentration of thyroid-stimulating hormone was recorded, the level of free thyroxine (T4) remained within the reference range. Serum levels of thyroid peroxidase antibodies did not increase, and no changes in the thyroid gland were detected during ultrasound examination.Conclusion. When thyroid abnormality manifests in a patient with COPD, certain difficulties may arise with the differential diagnosis of exacerbation of COPD and TS due to the similarity of their clinical manifestations.
Türk-Yunan Mübadele Müzelerinin Nüfus Mübadelesinden Kalan Kültür Mirasını Anlatmadaki Rolü Üzerine Bir Araştırma
Authors: YAŞDAĞ Meltem 
Published: December 2023

1923 Türk-Yunan Zorunlu Nüfus Mübadelesi; her iki ülkenin demografik yapısını büyük ölçüde değiştiren,
siyasi ve sosyal hayatta büyük değişimlerin yaşandığı bir süreçtir. Türkiye’de son otuz yılda tarih, siyaset
bilimi, uluslararası ilişkiler, sosyoloji veya mimarlık alanında araştırılan, yakın tarihin önemli siyasi
gelişmelerinden nüfus mübadelesinin Anadolu’nun çok kültürlü hayatına etkisi ise ikinci kuşak mübadillerin
önderliğinde açılan sivil toplum kuruluşlarının çabası ile gerçekleşmiştir. Bu kuruluşların yaptığı en önemli
katkı ise mübadele müzeleri/anı evleridir. Yunanistan tarafında da nüfus mübadelesine yönelik araştırma ve
kurumların tarihi çok daha erken yıllarda başlamakla birlikte mübadeleden kalan kültür mirasını anlatmak
ve korumak adına yine göç temalı müzeler ön plana çıkmaktadır. Bu kapsamda araştırma; iki ülkenin ortak
tarihini ve yaşadıklarını müzeleri ile nasıl anlattıklarını konu almaktadır. Atina Küçük Asya Kültürü Müzesi
ile İzmir Göç ve Mübadele Anı Evi, çalışmanın iki örneklemini oluşturmaktadır. İki müzenin kuruluşu,
eserleri ve yaptıkları etkinlikler incelenmiştir.
Tema Vakfı Afişlerinin Çok Modlu Kaynaklar Açısından İncelenmesi
Authors: ŞAHİN Cengiz 
Published: December 2023

Bu çalışma, çok modlu kaynakların çevre koruma afişlerinin tasarımında ve iletişiminde oynadığı rolü
vurgulamaktadır. TEMA Vakfı tarafından doğanın korunmasına yönelik farkındalık oluşturmak amacıyla
tasarlatılan dört afiş incelenmiştir. Afişlerin görsel bileşenleri, sembollerin kullanımı, yazılı metinlerin
konumu ve renk paleti gibi unsurlar değerlendirilmiştir. Ardından yazılı metinlerin görsel unsurlarla
etkileşimi ve sembolizmin semiyotik analizi yapılmıştır. Analiz sonuçları, her afişin toprak kaybının
çevresel ve insan yaşamına olan etkilerini vurgulayarak izleyicilere çevresel sorumluluklarını hatırlattığını
göstermektedir. Görsel unsurlar, özellikle semboller ve renk kullanımı, izleyicilerin mesajları hızlı bir şekilde
anlamasına yardımcı olurken tipografi iletişime net bir katkıda bulunmuştur. Afişler, izleyicilere çevre
koruma faaliyetlerine katılım çağrısında bulunurken özgün bir tarz ve samimiyet dili benimsemiş ve çevre
bilincinin artırılmasına, çevre sorunlarına duyarlılığın geliştirilmesine katkıda bulunmuştur. Sonuç olarak,
TEMA Vakfı’nın afişleri, görsel ve sözel olarak çevre bilincini teşvik etmek için etkili bir iletişim aracıdır.
Afişler, izleyicilere toprak koruma sorumluluğunu hatırlatmanın yanı sıra doğanın canlılığına ve biyolojik
çeşitliliğin korunmasına dikkat çekmektedir.