bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of COVID-19 Visitation Policies and Hospital Capacity on Discharge Readiness in Medicine Patients
Authors: Wallace Andrea S. , Raaum Sonja E. , Johnson Erin Phinney , Presson Angela P. , Allen Chelsea M. , Elliott Mackenzie , Bristol Alycia A. , Elmore Catherine E. 
Published: September 2023

Abstract
Background
COVID-19 impacted the experience of being hospitalized with the widespread adoption of strict visitation policies to ensure healthcare worker safety. One result was decreased time of caregivers at the bedside of hospitalized patients.
Objective
To understand the impact of pandemic-related system effects on patient-reported discharge preparation.
Design
This mixed methods study included interviews with a sample of discharged patients during April 2020, and quantitative hospital data from April 2020 to February 2021.
Participants
616 patients completed a measure of discharge readiness on their day of discharge and 38 patients completed interviews about their discharge experiences.
Main Measures
Readiness for discharge (RHDS), visitation policies, ward structure changes, COVID-19-unit census, time into the COVID-19 pandemic, patient characteristics (age, sex, race/ethnicity), admission type (planned/unplanned, for COVID-19), and discharge destination (home, home health, skilled nursing).
Key Results
Adult patients aged 30–45 (vs young and older adult patients) and those being discharged to places other than home (e.g., skilled nursing facility) or to out-of-state residences report lower readiness (p < .05) on RHDS. Patient interviews revealed some gaps in discharge communication but, overall, patients expressed high discharge readiness and few concerns about how COVID-19 system changes impacted their discharge preparation.
Conclusions
While there is some evidence that visitation policies and unit census may impact patient perceptions of discharge preparation, personal characteristics contributed more significantly to discharge readiness than system changes during COVID-19. Participant interviews demonstrated agreement, as most participants were discharged home and identified strong personal feelings of readiness for discharge.
Clinical Trials Registration:
The parent study from which the secondary data described in this paper were collected is registered in ClinicalTrials.gov ID NCT04248738 (January 27, 2020), https://clinicaltrials.gov/ct2/show/NCT04248738
Investigating Ambo University Woliso Campus Students' E-Learning Willingness and English Language Lecturers' Perceptions
Authors: Arega Kedir Lemma 
Published: September 2023

Abstract
In the opinion of English language lecturers, the use of supportive technology makes students more willing to learn English outside of the classroom and improves their language proficiency. Participation in e-learning depends on students' e-learning readiness and the attitude of English language lecturers and human resources, such as students and lecturers, are the most important components of e-learning programs. This study is a cross-sectional descriptive study, and the population of the study included all students and English language lecturers at Ambo University Woliso Campus. The reliability of the Watkins and Mishra attitude questionnaires in the present study was confirmed by calculating Cronbach's alpha coefficients of 0.91 and 0.90, respectively. The lecturers’ attitude toward e-learning was 90% moderate to good and 10% negative. The mean score of lecturers' attitudes showed a significant positive correlation with the mean scores of computers and Internet connection skills (r = 0.48, p = 0.001). It can be concluded that the faculty members’ attitudes and student readiness regarding e-learning were at reasonable levels. Due to positive attitudes in universities about e-learning, it is recommended that instructors be taught continuously about technology awareness and how to acquire skills over time in e-learning so that the learning program can be optimally designed. Due to the increasing prevalence of the Covid-19 epidemic and the emphasis on distance education, it is recommended that infrastructure and other requirements be considered.
Significance and predictive value of Delphian lymph node in papillary thyroid carcinoma
Authors: yin xinlu , Wu Bin , Wang Jiadong 
Published: September 2023

Abstract
Backgroud: Delphian lymph node metastasis (DLN) is common in papillary thyroid cancer(PTC). However, there have been limited studies that have specifically examined the clinicopathological characteristics of DLN metastasis in PTC. We objected to investigate the incidence, risk factors and predictive value of DLN in papillary thyroid carcinoma.
Methods:
Clinical pathological features and metastatic risks were statistically analyzed by reviewing 1837 patients with papillary thyroid carcinoma, who received their first operation in our department between January 2018 and July 2021.
Results:
Of the 1837 patients included in the study, DLN was detected in 925 patients (50.7%), 409 patients (22.3%) had confirmed DLN metastasis. In univariate analysis, DLN metastasis was correlated with age(≥55y), tumor size(≥1cm）, bilateral cancer, mulifocality, tumor location(isthmus cancer), central lymph node metastasis(CLNM) and later lymph node metastasis(LLNM). However, it was not correlated with sex distribution, tumor size, thyroiditis, thyroid stimulating hormone(TSH) level and BRAF mutation. Multivariate analysis showed that CLNM(p=0.03), LLNM(p=0.025)，bilateral cancer and tumor location(p=0.017) were independent risk factors of DLN metastasis. DLN involvement was mildly predictive of CLNM(sensitivity=29.76%, specificity=87.06%, positive predictive values=74.08%, negative predictive values =49.93%, positive likelihood ratio=2.30, negative likelihood ratio=0.81), moderately predictive of LLNM(sensitivity=49.36%, specificity=85.01%, positive predictive values=46.94%, negative predictive values =86.20%, positive likelihood ratio=3.29, negative likelihood ratio=0.60).
Conclusions:
Bilateral cancer, CLNM, LLNM and isthmus cancer were independent risk factors of DLN metastasis. DLN metastasis could be used as a predictor of central and lateral lymph node metastasis. Positive DLN should be an alert signal to careful evaluate central and lateral lymph node in thyreoidectomy.
DESIGNING READING-WRITING TEACHING STRATEGY FOR THE ACADEMIC WRITING COURSE
Authors: Rochma Anis Firdatul 
Published: September 2023

The concept of integrating reading and writing in the language instruction has been portrayed through an increasing number of research studies. Nevertheless, many areas remain to be explored. Even though previous research studies often portrayed the beneficial impacts of integrating reading and writing, yet they do not suggest how such impacts affect the students in a specific course. Hence, the present research study aims to propose a design of reading-writing teaching strategy that needs to be addressed within a specific course especially the academic writing course. This research study employed the adapted model of ADDIE (Dick et al., 2015) to develop the proposed teaching strategy. The process of need analysis was carried out through analysing the introduction section of research articles written by the undergraduate students using Swales and Feak’s CARS model (2004) and examining the syllabus of reading and writing courses. Meanwhile, as the primary frameworks for the teaching strategy development, the rhetorical reading strategies and academic writing were adopted. The results of need analysis show that, mostly, undergraduate students’ research articles lack 1 step in Move 1, 2 steps in Move 2, and 3 steps in Move 3 particularly in the introduction section. The omission of steps in the CARS model by these student-authors seems to happen due to two major factors, namely the scarcity of (1) control over the writing process and (2) linguistic resources. Hence, suggesting the reading-writing teaching strategy for academic writing courses is considered essential.
KESALAHAN GRAMATIKAL BAHASA INGGRIS PADA PENJABARAN GRAFIK DALAM MATA KULIAH BAHASA INGGRIS 1
Authors: Purnamasari Yessy , Nugraha Danny Gandana 
Published: September 2023

In learning English, the learners make some common mistakes in applying the correct grammar. One of the mistakes is the error in explaining graphs in English. This competency is highly needed to be applied in many aspects, especially for vocational university students. For example, explaining a chart in English is somehow mandatory in composing a budget or presenting a project to a client. Thus, this study is aimed to identify the types of grammatical errors typically done by the learners. By applying the descriptive qualitative methodology, the 30 data used in this study are taken from the sample of students’ writing in explaining a chart in English. The steps taken are done by doing data categorization based on Dulay’s surface strategy taxonomy which mentions four types of errors: addition, omission, misformation, and misordering. The results show that omission is the type of error mostly done by learners with 34,78%, followed by addition with 31,88% occurrence, and the least error found in the data is misorder with 10,14%. It is suggested that students should be equipped with basic Grammar understanding in explaining a graph in English, so this kind of error will be minimized. This study is also expected to give insight to lecturers in composing the General English syllabus that emphasizes the student’s understanding of basic Grammar.
Effectiveness of a 5-Week Virtual Reality Telerehabilitation Program for Children With Duchenne and Becker Muscular Dystrophy: Prospective Quasi-Experimental Study
Authors: Baeza-Barragán María Rosa , Labajos Manzanares Maria Teresa , Amaya-Álvarez Mercedes Cristina , Morales Vega Fabián , Rodriguez Ruiz Judit , Martín-Valero Rocío 
Published: September 2023

Abstract

Background
Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are neuromuscular diseases. DMD is the most prevalent in children. It affects dystrophin production, reducing the patient’s mobility and quality of life. New technologies have become a part of physical therapy in DMD and BMD. During the COVID-19 pandemic, conducting telerehabilitation through virtual reality–based games could help these children maintain their physical abilities.

Objective
This study examined if the use of a virtual platform in a multimodal intervention program changes the results of the 6-minute walk test (6MWT) in children with DMD and BMD. The main objective was to test whether children with DMD and BMD obtain different results on the 6MWT after completing 10 telerehabilitation treatment sessions. The secondary objective was to measure whether other specific motor scales also produce different results after the 10 defined sessions.

Methods
This was a descriptive, open, and quasi-experimental study with a prospective A-B (control-intervention) design. A sample of 12 participants who fulfilled the inclusion criteria followed the program for 5 weeks with 10 telerehabilitation sessions. During the sessions, the participants used virtual reality glasses to train for the treatment goals. All participants were assessed in person before and after the intervention. Analysis was performed using R software according to the different functional assessments performed for each test.

Results
The participants showed a 19.55-meter increase in the 6MWT. Motor function also remained stable according to other scales used to assess it. The North Start Ambulatory Assessment scores were stable in both treatment conditions (P=.20). Furthermore, the timed up and go test results were 0.1 seconds faster in the telerehabilitation condition, and the Motor Function Measure in all of the 3 dimensions showed no significant differences (P=.08). Finally, the Effort Perception Infant scale showed that during the training, fatigue increased in the middle and decreased by the end of the sessions, but the perception throughout the sessions was lower even as the exercise intensity increased.

Conclusions
There were no differences between conventional and telerehabilitation treatments, so the telerehabilitation tool could be used without harming children with DMD and BMD, facilitating their access to therapies and stimulating learning to maintain their functional capacity. Therefore, telerehabilitation in general may be helpful in maintaining motor function in children with DMD and BMD. The learning effect helped reduce the feeling of fatigue in the children during the program.
An Automated Electronic System in a Motorized Wheelchair for Telemonitoring: Mixed Methods Study Based on Internet of Things
Authors: Câmara Gradim Luma Carolina , Santana André Luiz Maciel , Archanjo José Marcelo , Zuffo Marcelo Knörich , Lopes Roseli de Deus 
Published: September 2023

Background
Wheelchair positioning systems can prevent postural deficits and pressure injuries. However, a more effective professional follow-up is needed to assess and monitor positioning according to the specificities and clinical conditions of each user.

Objective
This study aims to present the concept of an electronic system embedded in a motorized wheelchair, based on the Internet of Things (IoT), for automated positioning as part of a study on wheelchairs and telemonitoring.

Methods
We conducted a mixed methods study with a user-centered design approach, interviews with 16 wheelchair users and 66 professionals for the development of system functions, and a formative assessment of 5 participants with descriptive analysis to design system concepts.

Results
We presented a new wheelchair system with hardware and software components developed based on coparticipation with singular components in an IoT architecture. In an IoT solution, the incorporation of sensors from the inertial measurement unit was crucial. These sensors were vital for offering alternative methods to monitor and control the tilt and recline functions of a wheelchair. This monitoring and control could be achieved autonomously through a smartphone app. In addition, this capability addressed the requirements of real users.

Conclusions
The technologies presented in this system can benefit telemonitoring and favor real feedback, allowing quality provision of health services to wheelchair users. User-centered development favored development with specific functions to meet the real demands of users. We emphasize the importance of future studies on the correlation between diagnoses and the use of the system in a real environment to help professionals in treatment.
Pivotal Role of Serum IL-37 In Patients with Chronic HBV and HCV
Authors: Al-Jaryan Ellaf Abdulljabbar , Alsaadi Luma Ghaeb , Alubadi Alia Essam , Magtooph Majida Ghazi 
Published: September 2023

Interleukin-37 (IL-37) is an anti-inflammatory cytokine that has an intrinsic role in many diseases through its extracellular and intracellular mechanisms. It was found to be in high concentrations in chronic diseases. In this study, the concentration of IL-37 was measured in 62 patients with chronic hepatitis C and 65 patients with chronic hepatitis B with 38 individuals as Healthy group using ELISA to confirm that IL-37 can be used a biomarker for hepatitis chronic diseases. Receiver operating characteristic (ROC) curves were used to support this hypothesis. IL-37 levels were significantly higher in viral hepatitis patients (Hepatitis C virus and Hepatitis B virus) than in controls (92.28 ± 47.5, 83.1±43.44, 42.8±12.14 ng/L), respectively with p= 0.00001. The ROC curve showed that all hepatitis patients (HCV and HBV) could be distinguished from the control group according to their levels of IL-37 with an AUC value for HBV was 0.886, while for HCV was 0.955. In addition, the cut-off value for IL37 in patients suffer from HBV was 58.55 ng/L with a sensitivity of 80% and a specificity of 100 %, while the cut-off value for IL37 in HCV patients was 57.27 ng /L with a sensitivity of 90% and a specificity of 97%. This study concluded there was an increase in the IL-37 concentration in patients with chronic HBV and HCV.
Determination of azo dyes using Smartphone Digital Image
Authors: Mahdi Neda Ibrahem 
Published: September 2023

The development of an economical and simple colorimetric system based on a smartphone camera and image processing was included in this study. This method was applied to determine three azo dyes namely: Methyl Blue (M.B), Methyl Red (M.R) and Methyl Orange (M.O) using the smartphone's camera as a detector. The results of the radar diagrams were giving a good agreement with the results of the calibration curves which were built using data of RGB for each dye. For establishing the accuracy and precision of this method, a classical method (spectrophotometric) was used for validation. This advancement in smartphone-based detection and identification systems will revolutionize environmental monitoring, ensuring rapid and effective diagnosis of contaminants for individuals and communities. Streamlining the Digital image colorimetry DIC process on smartphones is essential to public health and safety while promoting more conscious and sustainable practices worldwide.
Mimar Olmak Ya da Kadın Olmak Tezahürleriyle, Cumhuriyetin İlk Kadın Mimarlarından Leyla Asım Turgut
Authors: İGÜS Esma 
Published: September 2023

Bu makale, Osmanlı Devleti’nin Hariciye Nazırı Mustafa Asım Turgut’un kızı, Devlet Güzel Sanatlar Akademisi mezunu Türkiye’nin ilk kadın mimarlarından ve Akademi Mimarlık Şubesinin ilk kadın akademisyeni Yüksek Mimar Leyla Asım Turgut’a dairdir. Çalışmanın temel amacı, kadın/mimarlık tarihine dair yapılan çalışmalara, Leyla Asım Turgut biyografisi ile katkı sağlamaktır. Leyla Asım Turgut figürü üzerinden 1940 ve 1950’ler Türkiye’sinde kadın mimarların erkek mimarlarla aralarındaki cinsiyete dayalı mesleki iktidar ilişkilerini sorgulamak bu makalenin üzerinde durduğu bir başka noktadır. Metnin yazılmasını kolaylaştırıcı unsur, Leyla Asım Turgut’un tıpkı Avrupa’daki aristokrat aileler gibi aile geçmişi ve kendi kişisel geçmişine dair kayıtları koruyarak özel arşivini oluşturmasıdır. Bu arşivin bir kısmını vasiyetinde, Mimar Sinan Güzel Sanatlar Üniversitesi İstanbul Resim Heykel Müzesi ve İstanbul Kitaplığı Çelik Gülersoy Vakfı’na bağışlamıştır. Metnin oluşumunda literatür taramasının beraberinde bu iki kuruma devredilen Leyla Turgut Terekesindeki, fotoğraflardan ve arşiv malzemesinden yararlanılmıştır. Fotoğrafların arkasına el yazısı ile yazılmış özel notlar biyografinin kurgulanmasında kolaylaştırıcı, hatta biyografinin doğruluğunu sağlayan unsur olmuştur.
Anahtar Kelimeler: Erken Cumhuriyet Dönemi, Kadın, Mimar, Leyla Asım Turgut
This article is about Master Architect Leyla Asım Turgut, the daughter of Mustafa Asım Turgut, the Foreign Minister of the Ottoman Empire, a graduate of the State Academy of Fine Arts, one of the first female architects in Turkey and the first female academician of the Architecture Department of the Academy. The main purpose of this study is to contribute to the study of women's/architecture history through the biography of Leyla Asım Turgut. Questioning the gendered professional power relations between female and male architects in 1940s and 1950s Turkey through the figure of Leyla Asım Turgut is another point that this article emphasises. What facilitated the writing of the text was the fact that Leyla Asım Turgut, like aristocratic families in Europe, created her own private archive, preserving records of her family history and her own personal history. In her will, she donated part of this archive to the Mimar Sinan Fine Arts University Istanbul Painting and Sculpture Museum and the Istanbul Library Çelik Gülersoy Foundation. The photographs and archival material from the Leyla Turgut Terekesi, which have been transferred to these two institutions, have been used in the preparation of the text. Special handwritten notes on the back of the photographs facilitated the construction of the biography and even ensured its accuracy.
Keywords: Woman, Architect, Türkiye, Early Republican Period, Leyla Asim Turgut.
Gerçek ve Kurgu Arasında İskender Bey: Margherita Sarrocchi’nin Scandarbeide’si Üzerinden Bir Değerlendirme
Authors: HÜSEYNİKLİOĞLU Ayşe Gül , YAVUZCAN Gaye 
Published: September 2023

XIV. yüzyıl sonlarında Osmanlı padişahını metbû tanıyan Arnavut beylerinden Gjan (İvan) Kastriyota’nın oğlu İskender Bey, babası tarafından rehin verildiği Osmanlı sarayında bir Müslüman olarak yetişmiş, ancak 1444 yılında irtidad ve Osmanlı devletine isyan etmiştir. Çeyrek asırdan uzun müddet Osmanlı devletiyle devam eden mücadelesi yaşadığı dönemde Osmanlı karşıtlığında birleştiği Avrupa güçlerinden destek görmekle kalmamış, çağını aşan etkiler bırakmıştır. Onun hayatı henüz XV. yüzyıl sonunda Demetrio Franco ve XVI. yüzyıl başlarında Marin Barleti tarafından kaleme alınmış, bu eserler Avrupa’da da tanınmış ve yayılmıştır. Avrupa’da Osmanlı tehdidi Türk imajının şekillenmesini belirlerken, İskender Bey de tarihsel kişiliğinin ötesinde, Balkanlar’da Türk karşıtı mücadelenin önde gelen figürlerinden biri olma özelliğiyle Avrupa edebiyatında İtalyancadan Fransızcaya çeşitli dillerde yazılan eserlere konu olmuştur. Bu eserler arasında Margherita Sarrochi’nin XVII. yüzyılın ilk çeyreğinde yazdığı Scadarbeide’si yer alır ve bir kadın tarafından kaleme alınmasından edebî özelliklerine çeşitli yönleriyle dikkati çeker.
Bu çalışmada Margherita Sarrochi’nin söz konusu eseri, Avrupa’da Türk imgesinin şekillendirme ve dışa vurmadaki yeri bağlamında değerlendirilecektir. İskender Bey ve onun adeta bir destan kahramanı haline gelme süreci özetlenecek, hakkındaki yazının Avrupa’daki yansımaları ve bunlar arasında Margherita Sarrochi’nin eseri ele alınacaktır. Nihayet Margherita Sarrochi’nin Scanderbeide’sinde Türklere karşı mücadelenin bir Avrupalı gözüyle edebî olarak işlenmesindeki hususiyetler tespit edilecektir.
XII ve XIII. Yüzyıllarda Türkiye Selçuklu Hükümdarlarının Uyguladıkları Ekonomik Politikalar ve Bunların Ahiliğin Gelişimine Etkileri
Authors: ÇELİK Rıfat İlhan 
Published: September 2023

Öz
Makale Türkiye Selçuklu hükümdarlarından I. Gıyâseddîn Keyhüsrev (1205-1211) olmak üzere, I. İzzeddîn Keykâvus (1211-1220) ve Alâeddin Keykubad (1220-1237) dönemi ekonomi politikalarını ve bu politikaların Ahiliğin gelişimine olan etkileri ele alınmaktadır. Bu bağlamda Antalya, Alanya ve Sinop gibi limanların Türkiye Selçukluları tarafından ele geçirilişi ve bunun Selçuklu ekonomisine etkileri hakkında bahsedilmiştir. XI. yüzyılın sonlarından itibaren siyasi ve askerî açıdan konumunu güçlendiren Türkiye Selçuklu devleti ekonomik ve sosyal açıdan da gelişim gösterir. İskân ve şehirleşme faaliyetlerinin sonucu, ekonomik faaliyetler artar, ticaretin gelişmesine bağlı olarak ziraat ve üretim artar Bu müesseseler içerisinde Ahilik teşkilatı başta gelir. Ahilik teşkilatı içerisinde dahil olanlar ve olmayanlar bu ticari faaliyetleri ve üretimin gelişimine katkıda bulunur. II. Kılıç Arslan zamanında Anadolu’da ticaretin gelişimini sağlamak üzere tesis edilen kervansarayların geliştirilmesi ve yayılması sonucunda sağlanan ticaretin güvenliği, üretim artışı, sanayinin gelişimi, iç ve dış ticarete kaynak sağlamıştır. Selçuklu şehirlerinde üretim faaliyetlerinin düzenlenip geliştirilmesinde Ahilerin rolü büyüktür. Kendi aralarında hiyerarşik yapılanmaya sahip olan Ahiler, Ahi Şehylerinin yönetiminde standart kalitede üretim yapmaya çalışıyorlardı. Konya, Aksaray, Kayseri, Sivas, Erzurum gibi önemli Anadolu şehirlerinde dünyanın her tarafından gelen tüccarlar bulunduğu gibi Selçuklu tüccarları da dünyanın hemen hemen her tarafına ticaret amacı ile gidiyorlardı.