bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative Effectiveness of Transcutaneous Afferent Patterned Stimulation Therapy for Essential Tremor: A Randomized Pragmatic Clinical Trial
Authors: Dai Dingwei , Fernandes Joaquim , Kim Han , Coetzer Henriette 
Published: October 2023

Background: Transcutaneous afferent patterned stimulation (TAPS) is a wrist-worn, non-invasive therapy delivering calibrated stimulation to the median and radial nerves. While the efficacy and safety of TAPS therapy for essential tremor (ET) have been demonstrated, current evidence supporting therapeutic benefits of TAPS versus standard of care (SOC) is lacking. This prospective study evaluated the clinical benefit of adding TAPS treatment to SOC versus SOC alone.
Methods: This randomized, controlled, pragmatic trial recruited patients from a large health plan’s Commercially Insured and Medicare Advantage population. 310 patients were randomized 1:1 to one month of treatment with TAPS (TX) or standard of care (SOC). The pre-specified endpoints were changes in tremor power measured by motion sensors (primary) and improvement in Bain & Findley Activities of Daily Living (BF-ADL) upper limb scores reported (secondary) between TX and SOC at one month.
Results: 276 patients completed the one-month endpoints (n=133 TX, n=143 SOC). The study met the primary and secondary endpoints, with significantly reduced tremor power in TX than SOC (0.017 (0.003) versus 0.08 (0.014) (m/s2)2; geometric mean (SE); p < 0.0001) and greater improvement in the BF-ADL score in TX than SOC (1.6 (0.43) vs 0.2 (0.37) points; mean (SE); p < 0.05). 82% of TX patients experienced tremor improvement from before to after therapy. No serious device-related adverse events were reported.
Discussion: This trial demonstrates that TAPS significantly improves tremor power and BF-ADLs in patients with ET compared to SOC over one month of home use.
Highlights
This study found that TAPS significantly improves tremor power and BF-ADL scores in patients with ET compared to SOC over one month of home use. This real-world study suggests that non-invasive TAPS therapy is a safe and valuable treatment option for patients with ET.
Enhancing dry mix mortar strength with natural fillers and polymers
Authors: Moskalova Khrystyna , Aniskin Aleksej , Orešković Matija , Kovač Željka 
Published: October 2023

Dry mix mortars are becoming more and more popular in the world’s building materials market. Therefore, the issue of increasing the technological and mechanical properties of stucco mixes is relevant. The aim of the paper is modification of lightweight dry stucco mixes with fine limestone and perlite as well as with hydroxyethyl methyl cellulose and dispersible polymer. In order to investigate the different mixes, an 18-point experiment was designed. Density, compressive strengths and crack resistance of dry plaster mixes were studied using requirements of standard. Mathematical models were obtained for the compositions as a result of processing the experimental data. The regularities of the fillers’ and additives’ influence on the properties of the mixes were established, depending on their amount and combination. It was observed that methyl hydroxyethyl cellulose improves the crack resistance and compression strength, and contributes to a slight decrease in density. The crack resistance of plaster mortars changes more than 1.5 times, the most crack-resistant compositions have an average amount of porous fillers.
Social Media as a Tool for Disseminating Scientific Knowledge on Child Abuse and Resilience: A Brazilian Experience
Authors: Souza Francine , Goldfarb Deborah , Priolo Filho Sidnei Rinaldo 
Published: October 2023

Objectives: Social media is a common tool for disseminating information in developing countries, including Brazil. Research regarding social media’s effect on increasing awareness of and knowledge about child abuse has yet to be widely tested in those countries. This exploratory study tested whether social media is a viable outlet for disseminating empirically supported information about child abuse in Brazil.
Methods: We utilized social media platforms, such as Facebook, ResearchGate, Twitter (which has subsequently rebranded as X but will be referred to herein as Twitter), Instagram, and YouTube, to disseminate a series of short videos, in cartoon format, on the scientific research surrounding child abuse, adverse childhood events, and resiliency to such experiences.
Results: The results indicate that social media has a promising reach in Brazil, as the dissemination started by 10 researchers had over 30,000 views.
Conclusion and Implications: Social media may be a viable format for disseminating empirically-supported information in developing countries like Brazil. Each platform, however, has its own characteristics and, as such, the target audiences, engagement, delivery, followers, impact time, and other metrics vary across platforms. Additionally, not all social media platforms provide the same outreach internationally. Future directions are discussed.
University faculty perceptions of online education: A systemic review of leadership and educational innovation
Authors: Mendoza Velazco Derling José , Flores Hinostroza Elizeth Mayrene , Rua Sanchez Luis Efren 
Published: October 2023

The present study aims to evaluate the relationship between leadership and innovation in online education, focusing on the Faculty of Social and Behavioral Sciences of the Universidad Técnica de Manabí (FSBSUTM) during the first semester of 2023. The university is located in the Republic of Ecuador. The research was developed under a quantitative approach, using a Likert-type questionnaire. The population of interest was made up of teachers from the Faculty of Humanistic and Social Sciences of the Technical University of Manabí, with a total of 70 members. To select the sample, non-probabilistic participatory sampling was used. The statistical analysis focused on the study of correlations between variables, using Spearman’s correlation coefficient. The results obtained indicate that stronger training and experience in educational innovation are positively related to the ability to overcome difficulties and promote the effective implementation of strategies in virtual education. It is concluded that university leaders face challenges in implementing online educational innovation. However, the importance of implementing effective leadership strategies and fostering a pro-innovation digital culture as a means of overcoming such difficulties is highlighted. These findings have significant implications for university leadership training and development, as well as for the promotion of educational innovation in virtual environments.
Preface: 7th International Conference on Economics and Management, Education, Humanities and Social Sciences (EMEHSS 2023)
Authors: Kang Qin , Benson Caroline 
Published: October 2023

The organizing Committee of 7th EMEHSS warmly welcomes you to join the 7th International Conference on Economics and Management, Education, Humanities and Social Sciences (EMEHSS 2023), this conference was held in Hong Kong, China during July 22-23, 2023.
Based on the experience of the previous four sessions, the theme of this 6th EMEHSS focused on the fields of economics and management. The aim of the EMEHSS is to provide an interactive platform for the scholars, economists, managers, innovators, entrepreneurs, government agencies and policy-makers etc., from both China and abroad to exchange ideas.
EMEHSS 2023 received 137 manuscripts. And the acceptance rate is less than 50%. Articles submitted to the conference should report original, previously unpublished research results, experimental or theoretical and must not be under consideration for publication elsewhere. We firmly believe that ethical conduct is the most essential virtual of any academic.
Conference Organizing Committee
A percepção da trabalhadora sexual idosa acerca da violência contra a mulher: à luz do interacionismo simbólico
Authors: Do Nascimento Kelly Cristina , Barbosa Maria do Socorro Alécio , De Lima Tereza Natália Bezerra , De Brito Rosemeyre Donato , Silva Karla Naiara França , Da Silva Felicialli Pereira , De Lima Fábia Maria , Gomes Betânia da Mata Ribeiro 
Published: October 2023

A violência contra a mulher é considerada, pela Organização Mundial de Saúde (OMS), um grave problema de saúde pública. Na perspectiva dos interacionistas simbólicos. os indivíduos devem compreender e interpretar o significado das atitudes. O presente relato de experiencia trata da percepção das trabalhadoras sexuais idosas acerca da violência contra a mulher idosas através da Educação Popular em Saúde por meio da Mandala dos Saberes sob a perspectiva da teoria do Interacionismo Simbólico. Realizada em agosto de 2023, num prostíbulo no Centro de Maceió, com a participação de 5 mulheres idosas, todas do sexo feminino, na faixa etária entre 55 a 62 anos. Com duração de 4 horas. Ficou visível que cada participante trazia uma história, uma sofrida memória de algum tipo de violência contra a mulher, violência doméstica com seus pais, companheiros, no ambiente de trabalho. A violência contra a mulher deve ser sempre debatida e combatida, desconstruindo os discursos que resultam dessa prática, orientando os profissionais de saúde envolvidos, para que possam desempenhar seu papel.
Factores de riesgos y hábitos alimentarios en adolescentes de 13 a 19 años en la parroquia la unión del cantón jipijapa
Authors: Azua-Menéndez Marieta del Jesús , Fienco-Choez Erika Estefanía , Loor-Soledispa Digna Zoraida , Martínez-Lirio Cristina Alejandra 
Published: October 2023

Introducción: Los hábitos alimentarios, que influyen en las preferencias de alimentos, el consumo de energía y la ingesta de nutrientes, se desarrollan gradualmente durante la infancia y, en particular, durante la adolescencia. Los problemas nutricionales preexistentes, incluidas las deficiencias de micronutrientes, la inseguridad alimentaria y las dietas de mala calidad, persisten al mismo tiempo que los adolescentes enfrentan el rápido surgimiento de una epidemia de obesidad y demás factores de riesgos.
Objetivos: determinar los factores de riesgos y hábitos alimenticios en los adolescentes de la Unidad Educativa “La unión” del cantón Jipijapa.
Métodos: se empleó método descriptivo, observacional y de corte transversal para analizar el estado nutricional, consumo y hábitos alimentarios en una muestra de 73 adolescentes en un intervalo de rango de edad de 13 a 19 años en la Unidad Educativa “La Unión”. Se aplicó una encuesta para la caracterización del estilo de vida que conllevan incluyendo hábitos alimentarios en todos los adolescentes del plantel educativo. Se utilizó la estadística descriptiva mediante frecuencias absolutas y relativas porcentuales.
Resultados: De acuerdo a los resultados de la encuesta realizada a los 73 adolescentes el 51% tiene contextura delgada, 34% peso ideal, 15% un poco de sobrepeso. Más del 70% necesita cambios en su alimentación ya que 35%consume pan 15% carnes de res o pollo y 3% legumbres.
Conclusiones: Es importantes llevar una vida saludable para evitar enfermedades metabólicas y para tener una forma de vida saludable en adolescentes.
Sistema de actividades para el desarrollo de la motricidad fina en niños de cuatro años.
Authors: Quimís-Morán Martha Lourdes , Samada-Grasst Yanet 
Published: October 2023

La motricidad fina implica en los niños el control y coordinación de los movimientos musculares pequeños, dándoles armonía y precisión de los movimientos finos, haciendo énfasis que esta se logra desarrollar incluso antes de que el bebé nazca, es por tanto una capacidad que está relacionada con movimientos finos y gestos específicos del cuerpo. En este estudio se planteó el objetivo de diseñar un sistema de actividades para el desarrollo de la motricidad fina en niños de cuatro años de la Unidad Educativa Daniel López del cantón Jipijapa. Para ellos se realizó una investigación bajo un enfoque mixto cuali-cuantitativo de tipo descriptiva, además se trabajó con los métodos teóricos como el inductivo – deductivo, el de análisis y síntesis, y los empíricos dentro de los cuales se utilizó la entrevista y la ficha de observación. Dentro de los principales resultados se identificó que los docentes conocen la importancia de la aplicación del sistema de actividades para fortalecer la motricidad fina en los niños, pero en realidad no se logran aplicar acciones que contribuyan en la misma, por ende, el estado actual del desarrollo motriz fino en los niños es deficiente. Se infiere que con la aplicación de un sistema de actividades se considera la mejora de la motricidad fina en los niños, por lo tanto, los docentes deben coordinar las acciones para su respectiva aplicación.
Gonadotropin Versus Gonadotropin/Letrozole Protocol in Previously Failed Antagonist Cycles in Patients with Low Prognosis
Authors: KOSE Can , DEMİR Ahmet , KARAKOLCU Kübra , ŞAHİN GÜLEÇ Ebru 
Published: October 2023

Objective: Letrozole is an aromatase inhibitor which has been used for ovulation induction. Our aim is to evaluate the effectiveness of adding letrozole to gonadotropins in the early follicular phase of gonadotropin-releasing hormone antagonist (GnRH-a) protocol in patients with poor ovarian response who had failed in the preceding GnRH-a cycle.
Materials and Method: Ninety-eight patients with poor ovarian response who had previously failed GnRH-a cycle were included. Patients (n; 58) who were treated with letrozole plus gonadotropins (LzGA) were compared with patients (n; 40) who received gonadotropins (GT). The number of total oocytes retrieved, the number of MII oocytes and fertilized oocytes, fertilization and implantation ratios, the rate of cycle cancellation as well as clinical pregnancy and live birth rates
Results: The LzGA group had a significantly shorter duration of GnRH-a stimulation and higher progesterone level at trigger day (p=0.005, p=0.049 respectively). Although letrozole administration demonstrated lower estradiol levels at trigger day and the total dose of gonadotropins used were lower in LzGA group, this was statistically non-significant (p=0.13, p=0.13 respectively).
Conclusion: Adding letrozole to gonadotropins in GnRH-a protocol in patients with poor prognosis did not improve pregnancy outcomes. But it seems to decrease IVF costs by reducing the GnRH-antagonist and gonadotropin dosage.
Early Recurrence of Lumbar Disc Herniation: A Retrospective Analysis of the Role of Discectomy Volume and Other Influencing Factors
Authors: KARAOĞLU GÜNDOĞDU Derya , GEZER Burak , KÖKTEKİR Ender , KARABAĞLI Hakan 
Published: October 2023

Objective:
The aim of this study is to conduct a detailed examination of cases of "Early Recurrence" encountered following lumbar disc herniation, and to compare the data obtained with findings in the existing literature.
Materials and Methods:
This retrospective study was conducted by analyzing the data of 856 patients who were operated for recurrent lumbar hernia in our hospital between 2012 and 2022. By expanding the definition of "early relapse" in the literature, inclusion and exclusion criteria were determined, and as a result, 43 patients who met the criteria were included in the study
Results:
The severity of symptoms was assessed based on patients' Visual Analog Scale (VAS) scores at baseline and during subsequent periods. Patients requiring reoperation within the first 12 months were divided into two main groups: those undergoing reoperation within the first 6 months and those undergoing reoperation between 6-12 months. However, no statistically significant difference was found between the two groups in terms of age, gender, comorbidities, and other determinants. Notably, patients undergoing surgery within the first 3 months were observed to be of advanced age.
Conclusion:
When comparing the data obtained from analyzing patients with "early recurrent lumbar disc herniation" with findings shared in the literature, we found that similar variables were not significant in our series. An interesting observation is that both full endoscopic and microscopic methods have similar early recurrence rates. This is particularly noteworthy because full endoscopic discectomy usually involves sequestrectomy, and the volume of the disk removed is typically minimal. Hence, our study suggests that the volume of the disk removed during surgery may not be as influential in the development of early recurrence as previously thought. These findings provide an important foundation for future research.
Comparison of the Postoperative Analgesia Effects of Patient-Controlled Analgesia and Epidural Catheter After Posterior Instrumentation Surgery
Authors: KARAKAYA Muhammet Ahmet , ALICI Hacı Ahmet 
Published: October 2023

Objective: To prospectively assess the effects of intravenous patient-controlled analgesia (IV PCA) and epidural patient-controlled analgesia (epidural PCA) on postoperative pain management following posterior instrumentation surgery.
Materials and Methods: The study involved the ASA 1-2 group, 60 patients who underwent elective thoracic or lumbar posterior instrumentation surgery at our tertiary centre for spinal stenosis. Two groups of patients were created: Group 1 (n = 30), IV PCA group, and Group 2 (n=30), epidural PCA group. IV PCA was applied by fentanyl. Epidural PCA was maintained by lading to epidural space by the neurosurgeon. Bupivacaine was administered to Group 2 patients in the recovery room. Following surgery, patients in both groups were assessed for pain using the visual analogue scale (VAS) and for motor block using the Bromage scale. Additionally, hemodynamic parameters, side effects, and patient satisfaction were noted. Following 48 hours, patients' overall rescue analgesia, opioid, and local anaesthetic requirements were recorded.
Results: Postoperative VAS scores of Group 2 at the 1st, 2nd, 4th, 8th and 16th hours were lower than Group 1 and these differences was statistically significant. Postoperative patient satisfaction scores at 1st, 2nd, 4th, 8th, 12th, 16th, 20th, 24th, 30th, 36th, 42nd and 48th hours were significantly different between the groups and the patient satisfaction scores of Group 2 were higher than the Group 1. Side effects were similar in both groups. Group 1 required statistically significantly higher number of rescue analgesia.
Conclusion: This study shows that epidural PCA is more comfortable than IV PCA with low VAS and high patient satisfaction scores. As a conclusion, epidural PCA is a safe, highly efficient method for patients with posterior instrumentation surgery.
PENGARUH BIAYA BAHAN BAKU, DAN BIAYA TENAGA KERJA LANGSUNG TERHADAP LABA BERSIH PADA PT GUDANG GARAM TBK PERIODE 2010-2021
Authors: Wahyuni Sri , Neneng Yanti Andriani , Kesumah Priatna 
Published: October 2023

Penelitian ini dilatarbelakangi oleh adanya asumsi bahwa laba bersih dalam suatu perusahaan dipengaruhi oleh biaya bahan baku dan biaya tenaga kerja langsung. Besarnya laba bersih yang diperoleh perusahaan dapat dilihat dari besarnya biaya yang dikeluarkan. Maka dari itu peneliti menghubungkan biaya bahan baku dan biaya tenaga kerja langsung dengan laba bersih. Objek pada penelitian ini dilakukan pada PT.Gudang Garam Tbk dengan jenis data sekunder yang diambil dari laporan keuangan triwulan perusahaan tersebut selama 12 tahun yaitu dari tahun 2010-2021. Metode dalam penelitian ini dengan menggunakan jenis penelitian kuantitatif dengan pendekatan deskriptif asosiatif, dengan teknik pengumpulan data yaitu menggunakan teknik dokumentasi dan studi kepustakaan. Populasi pada penelitian ini adalah laporan keuangan tahun PT.Gudang Garam Tbk periode 2020-2021. Sedangkan teknik penarikan sampel pada peneliti ini menggunakan Nonprobability sampling, dengan teknik Purposive Sampling. Adapun analisis data yang digunakan yaitu uji asumsi klasik terdiri dari uji normalitas, uji multikolinieritas, uji heteroskedastisitas dan autokorelasi. Dilanjutkan dengan analisis korelasi, koefisien determinasi, analisis regresi linear berganda dan uji parsial t dan simultan f. Berdasarkan pengujian pada penelitian ini diperoleh hasil bahwa variabel biaya bahan baku berpengaruh secara signifikan terhadap laba bersih dengan hasil uji hipotesis diperoleh nilai signifikansi sebesar 0,000 < 0,05 dan nilai t hitung > t tabel yaitu 5,326 > 2,014. Sedangkan variabel biaya tenaga kerja langsung tidak memiliki pengaruh terhadap laba bersih hal ini dapat dilihat dari perolehan uji hipotesis dengan nilai signifikansi sebesar 0,141 > 0,05 dan nilai t hitung < t tabel yaitu 1,497 < 2,014. Variabel biaya bahan baku dan biaya tenaga kerja langsung secara simultan berpengaruh terhadap laba bersih dengan perolehan nilai sig sebesar 0,000 < 0,05 dan nilai F hitung > F tabel yaitu 103,504 > 4,050 .
METAVERSE VE NFT'NİN MİMARLIĞA ETKİLERİ: GELECEĞİN YAPILARI NASIL ŞEKİLLENECEK?
Authors: DÜZENLİ Kerem , PERDAHÇI Ziya Nazım 
Published: October 2023

Bu makalede, son yıllarda tasarımın üretim şeklinin değişmesi üzerine odaklanılmıştır. Özellikle internetin ve kişisel bilgisayarların yaygınlaşmasıyla birlikte tasarım süreçleri büyük bir dönüşüm geçirmiştir. Blok zincir teknolojisi ve beraberinde getirdiği kripto paralar bu değişimin bir sonucu olarak ele alınmıştır. Ayrıca kripto paraların gelişimiyle NFT pazarının oluşması ve bu pazarın Metaverse kavramıyla Web 3.0 ile entegre hale gelmesi örneklerle incelenmiştir. Bu gelişmelerin gelecekteki mimarlık anlayışı üzerindeki potansiyel etkileri araştırılmıştır. Araştırma, bazı mimarlık ofislerinin Metaverse için tasarladıkları yapılarla desteklenmiştir. Bununla birlikte, tüm bu gelişmelerin spekülasyon ve reklam amaçlı üretilmiş birer etki unsuru olma olasılığı üzerinde durulmuştur.
Makalede kullanılan yöntemler, kaynak taraması ve örnek analizler üzerinden aktarılmıştır. NFT çalışmaları ve Metaverse kavramları detaylı bir şekilde incelenmiş, blok zincir teknolojisinin sunduğu olanaklar değerlendirilmiştir. Elde edilen bulgular doğrultusunda, bu teknolojilerin henüz yeni olduğu, yarar ve zarar ilişkilerinin tam olarak anlaşılamadığı ve gelecekteki kullanım potansiyellerinin yüksek olduğu, ancak aynı zamanda bir spekülasyon unsuru olarak da tehlikeli olabilecekleri üzerinde durulmuş ve gelecek çalışmalarda bunların yeniden değerlendirilip desteklenmesi gerektiği sonucuna varılmıştır.
Intertemporal Social Efficiency on Indonesian Islamic Banks
Authors: Aam Slamet Rusydiana  , Mohammad Iqbal Irfany  
Published: October 2023

Measurement of the efficiency level of Islamic banks in Indonesia is widely carried out, but almost no study has been conducted with the DEA window analysis approach, especially in the 'social efficiency' perspective. We try to measure the social efficiency of the Islamic banks in Indonesia employing both Data Envelopment Analysis (DEA) and the DEA window analysis. For certain cases the results of the DEA window analysis are relatively more stable and can illustrate the actual results of the efficiency value. The results show that the social efficiency of Islamic banks in Indonesia from 2011-2018 are relatively fluctuated but tend to increase. From the perspective of the stability of efficiency value, we found only 4 (four) out of 11 (eleven) Islamic banks that have relatively stable efficiency levels.