bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the Number of Web-Based Behavioral Health Coaching Sessions Associated With Symptom Improvement in Youth: Observational Retrospective Analysis
Authors: Lawrence-Sidebottom Darian , Huffman Landry Goodgame , Beam Aislinn , Guerra Rachael , Parikh Amit , Roots Monika , Huberty Jennifer 
Published: November 2023

Background
Rates of anxiety and depression have been increasing among children and adolescents for the past decade; however, many young people do not receive adequate mental health care. Digital mental health interventions (DMHIs) that include web-based behavioral health coaching are widely accessible and can confer significant improvements in youth anxiety and depressive symptoms. However, more research is necessary to determine the number of web-based coaching sessions that confer clinically significant improvements in anxiety and depressive symptoms in youth.

Objective
This study uses data from a pediatric DMHI to explore the number of web-based coaching sessions required to confer symptom improvements among children and adolescents with moderate or moderately severe symptoms of anxiety and depression.

Methods
We used retrospective data from a pediatric DMHI that offered web-based behavioral health coaching in tandem with self-guided access to asynchronous chat with practitioners, digital mental health resources, and web-based mental health symptom assessments. Children and adolescents who engaged in 3 or more sessions of exclusive behavioral health coaching for moderate to moderately severe symptoms of anxiety (n=66) and depression (n=59) were included in the analyses. Analyses explored whether participants showed reliable change (a decrease in symptom scores that exceeds a clinically established threshold) and stable reliable change (at least 2 successive assessments of reliable change). Kaplan-Meier survival analyses were performed to determine the median number of coaching sessions when the first reliable change and stable reliable change occurred for anxiety and depressive symptoms.

Results
Reliable change in anxiety symptoms was observed after a median of 2 (95% CI 2-3) sessions, and stable reliable change in anxiety symptoms was observed after a median of 6 (95% CI 5-8) sessions. A reliable change in depressive symptoms was observed after a median of 2 (95% CI 1-3) sessions, and a stable reliable change in depressive symptoms was observed after a median of 6 (95% CI 5-7) sessions. Children improved 1-2 sessions earlier than adolescents.

Conclusions
Findings from this study will inform caregivers and youth seeking mental health care by characterizing the typical time frame in which current participants show improvements in symptoms. Moreover, by suggesting that meaningful symptom improvement can occur within a relatively short time frame, these results bolster the growing body of research that indicates web-based behavioral health coaching is an effective form of mental health care for young people.
Automated Insulin Delivery Systems in Children and Adolescents With Type 1 Diabetes: A Systematic Review and Meta-analysis of Outpatient Randomized Controlled Trials
Authors: Zeng Baoqi , Gao Le , Yang Qingqing , Jia Hao , Sun Feng 
Published: November 2023

BACKGROUND
The glycemic control of automated insulin delivery (AID) systems in outpatient children and adolescents with type 1 diabetes (T1D) has not been systematically evaluated.

PURPOSE
To evaluate the efficacy and safety of AID systems in children and adolescents in outpatient settings.

DATA SOURCES
PubMed, Embase, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov were searched until 4 May 2023. This study was registered with PROSPERO (2023, CRD42023395252).

STUDY SELECTION
Randomized controlled trials that compared AID systems with conventional insulin therapy in outpatient children and adolescents with T1D and reported continuous glucose monitoring outcomes were selected.

DATA EXTRACTION
Percent time in range (TIR) (3.9–10 mmol/L), time below range (TBR) (&lt;3.9 mmol/L), and time above range (TAR) (&gt;10 mmol/L) were extracted. Data were summarized as mean differences (MDs) with 95% CIs.

DATA SYNTHESIS
Twenty-five trials (1,345 participants) were included in the meta-analysis. AID systems were associated with an increased percentage of TIR (MD, 11.38% [95% CI 9.01–13.76], P &lt; 0.001; high certainty). The favorable effect was consistent whether AID was used over 3 months (10.46% [8.71–12.20]) or 6 months (10.87% [7.11–14.63]). AID systems had a favorable effect on the proportion of TBR (−0.59% [−1.02 to −0.15], P = 0.008; low certainty) or TAR (−12.19% [−14.65 to −9.73], P &lt; 0.001; high certainty) compared with control treatment.

LIMITATIONS
Substantial heterogeneity was observed in most analyses.

CONCLUSIONS
AID systems are more effective than conventional insulin therapy for children and adolescents with T1D in outpatient settings. The favorable effect is consistent both in the short term and long term.
Risk Factors Amenable to Primary Prevention of Type 2 Diabetes Among Disaggregated Racial and Ethnic Subgroups in the U.S.
Authors: Koyama Alain K. , Bullard Kai McKeever , Onufrak Stephen , Xu Fang , Saelee Ryan , Miyamoto Yoshihisa , Pavkov Meda E. 
Published: November 2023

OBJECTIVE
Race and ethnicity data disaggregated into detailed subgroups may reveal pronounced heterogeneity in diabetes risk factors. We therefore used disaggregated data to examine the prevalence of type 2 diabetes risk factors related to lifestyle behaviors and barriers to preventive care among adults in the U.S.

RESEARCH DESIGN AND METHODS
We conducted a pooled cross-sectional study of 3,437,640 adults aged ≥18 years in the U.S. without diagnosed diabetes from the Behavioral Risk Factor Surveillance System (2013–2021). For self-reported race and ethnicity, the following categories were included: Hispanic (Cuban, Mexican, Puerto Rican, Other Hispanic), non-Hispanic (NH) American Indian/Alaska Native, NH Asian (Chinese, Filipino, Indian, Japanese, Korean, Vietnamese, Other Asian), NH Black, NH Pacific Islander (Guamanian/Chamorro, Native Hawaiian, Samoan, Other Pacific Islander), NH White, NH Multiracial, NH Other. Risk factors included current smoking, hypertension, overweight or obesity, physical inactivity, being uninsured, not having a primary care doctor, health care cost concerns, and no physical exam in the past 12 months.

RESULTS
Prevalence of hypertension, lifestyle factors, and barriers to preventive care showed substantial heterogeneity among both aggregated, self-identified racial and ethnic groups and disaggregated subgroups. For example, the prevalence of overweight or obesity ranged from 50.8% (95% CI 49.1–52.5) among Chinese adults to 79.8% (73.5–84.9) among Samoan adults. Prevalence of being uninsured among Hispanic subgroups ranged from 11.4% (10.9–11.9) among Puerto Rican adults to 33.0% (32.5–33.5) among Mexican adults.

CONCLUSIONS
These findings underscore the importance of using disaggregated race and ethnicity data to accurately characterize disparities in type 2 diabetes risk factors and access to care.
A singularidade de Clarice: “Eu costuro para dentro”
Authors: Gotlib Nádia Battella 
Published: November 2023

Uma das maiores especialistas na obra de Clarice Lispector, a professora e pesquisadora Nádia Battela Gotlib publicou diversos artigos e livros sobre a autora. Destacamos a obra Clarice, uma vida que se conta, leitura de vida e obra da escritora, e o livro Clarice Fotobiografia, uma fotobiografia de Clarice Lispector, narrativa visual da história de vida e obra de Clarice Lispector, com 800 imagens, na sua grande maioria, inéditas.
Nos 6 blocos que compõem essa entrevista, Nádia apresenta um panorama da vida e da obra de Clarice Lispector, destacando pontos importantes sobre a recepção da obra clariciana no Brasil e no exterior. São apontadas ainda questões relevantes sobre as traduções das obras de Clarice e as adaptações para outras mídias como cinema e teatro.
Edição: Ana Paula Rodrigues da Silva, Thiago Fonseca (TV-PUC)Música: PIPA estúdio
COOPERATION BETWEEN SPECIALISTS WHILE PROVIDING PSYCHO-PEDAGOGICAL SUPPORT TO CHILDREN WITH SPECIAL EDUCATION NEEDS
Authors: HARUTYUNYAN MARIANNA , ALEKSANYAN MERY 
Published: November 2023

The planning of cooperative work in the process of providing psycho-pedagogical support to children with special educational needs, as well as the detection, study, assessment, prevention and modern professional interventions are among the important issues, which justify the importance of collaboration between psycho-pedagogical support team members while providing support in different settings to learners with different needs. The planning of cooperative work with children with special educational needs is a very responsible and important process, in this case, the cooperation of specialists considered to be a point of interest, as well as the direct connection of the specialist with the relatives and parents of the child.
As such, there is a few literatures on collaborative work between specialists providing psycho-pedagogical support to children with special educational needs, and there is no any representing the situation in Armenia or presented in Armenian language literature as such, despite the fact that in various developmental centers, public schools and regional psycho-pedagogical support centers, they are already trying to collaborate and make the work process more structured.
Within the frame of this study observation and literature review as research methodology are used to understand the main gaps and challenges of cooperative work between specialists while providing psycho-pedagogical support to children with special education needs.
Comparison of lidocaine and lidocaine-xylazine for distal paravertebral anesthesia in dairy cattle
Authors: Klein Sarah E. , Dodam John R. , Ge Bin , Strawn Monica , Varner Kelley M. 
Published: November 2023

Abstract

OBJECTIVE
To determine the time of onset and duration of action of distal paravertebral blocks (DPB) in dairy cattle using lidocaine and lidocaine plus xylazine (LX).

ANIMALS
10 healthy adult Holstein cows.

METHODS
Unilateral DPB were performed in 6 cows at L1, L2, and L4. They received 2 treatments (lidocaine and LX) in a blinded random crossover design. Due to treatment failure, 4 additional cows were enrolled. The lidocaine treatment received 1,800 mg (90 mL) of lidocaine, and treatment LX received 1,784 mg (89.2 mL) of lidocaine and 16 mg (0.8 mL) of xylazine. Anesthesia was assessed by response (rapid movements of the tail, directed movements of the feet, or turning of the head towards the site of the needle pricks) to 6 approximately 1-cm deep needle pricks to the paralumbar fossa with a 22-gauge hypodermic needle. The time of onset, duration of action, maximum sedation score, and average heart rate (HR) were compared between treatments.

RESULTS
Duration of anesthesia was significantly prolonged after DPB in cows treated with LX (251.6 ± 96.94 minutes) compared to lidocaine (105.8 ± 35.9 minutes; P = .01). Treatment with LX was associated with significantly lower average heart rate (56 ± 3 beats/min) compared to cows treated with lidocaine (59 ± 3 beats/min; P = .045). The LX treatment was associated with mild sedation but was not significant (P = .063).

CLINICAL RELEVANCE
The addition of xylazine to a lidocaine DPB provides a longer duration of anesthesia, is inexpensive and practical, and can be implemented with ease.
Equine poor performance: the logical, progressive, diagnostic approach to determining the role of the temporomandibular joint
Authors: Carmalt James L. 
Published: November 2023

Abstract
Poor performance is an ambiguous term used frequently by people in the horse industry. It means different things to different people, depending on the breed, discipline, or problem being discussed. There are myriad reasons that a horse may fail to achieve the expectations put upon it or, having achieved those goals, begin to falter. Equine temporomandibular joint (TMJ) disease is beginning to be reported as 1 such cause of poor performance. Despite this, in certain disciplines, it has become the trendy diagnosis, and a logical approach to the diagnostic workup is often lacking. Many of the clinical signs attributed to TMJ abnormalities can be readily explained by other more common problems. This ambiguity is compounded by a lack of extensive scientific evidence linking TMJ-related disease to behavioral or performance changes. Despite this fact, the equine TMJ has been reported to be a cause of poor performance, and while rare, it should be included in a differential diagnosis list, albeit one of exclusion. The purpose of this article is to describe a logical, stepwise approach to excluding common causes of poor performance before investigating the potential role of the TMJ in cases of poor performance.
Classification of different types of flours available in the Romanian market based on the nutrition content
Authors: Bodor K. , Szilágyi J. , Szakács O. , Salamon B. , Bodor Zs. 
Published: November 2023

Abstract
Flour is one of the most widely used products typically derived from wheat, corn, and rye and is classified based on its nutrition content. The present study aimed to identify and classify the different types of flour (wheat, rye, maize) commercially available in Romania. The market research covered eight types of flour available on the Romanian market: 1. Wheat Flour 000 (N-19), 2. Wheat Flour 550 (N-11), 3. Wheat Flour 650 (N-13), 4. Whole-Wheat Flour (N-15), 5. Durum Wheat Flour (N-8), 6. Spelt Wheat Flour (N-8), 7. Rye Flour (N-15), and 8. Maize Flour (N-23). The classification was carried out by analysing the most important parameters: energy, protein, fat, saturated fatty acid, carbohydrate, sugar, and dietary fibre content, using different statistical methods: descriptive statistics, box plot, hierarchical cluster, and surface radar analysis. The results revealed that white wheat flour represented more than 50% of the analysed samples, and significant differences were found between the tested types of flour. In addition, white wheat flour is characterized with lower dietary fibre, fat and protein content, but it has higher energy content and carbohydrate content. In contrast, whole meal, durum, spelt, and rye flours are characterized by lower carbohydrate and higher fibre and fat content. The hierarchical cluster analysis showed that, on the basis of nutritional similarities and differences, the flours studied in Romania can be grouped into three distinct clusters.
Laboratory-scale extraction of Hildegardia barteri (Mast.) Kosterm. seed oil with different solvents, purified with membrane filtration
Authors: Adeniyi A. E. , Aremo J. O. , Oluwadare A. O. , Upendra S. 
Published: November 2023

Abstract
The shortcomings encountered from the use of conventional methods of refining draw considerable attention when it comes to the processing of edible oils. The present invention to this effect is the usage of membrane technology, which stands out as a suitable alternative, as it offers significant advantages such as minimal chemical additions, low energy consumption, and the retention of nutrients and other desired components. This paper seeks to ascertain the quality of edible oil extracted by different solvents, refined via membrane filtration. Amounts of 25 mL of crude oil sample were extracted with three different solvents (n-hexane, ethanol, and n-hexane-ethanol blend) from seeds of Hildegardia barteri (Mast.) Kosterm. and were refined using a micro-filter of pore size of 0.45 µm and an ultrafiltration membrane with 50 kDa cut off before bleaching and deodorizing to obtain table oil. Proximate composition and elemental analyses were carried out on the table oil samples produced and compared with food-grade standards. Results obtained showed 0.133–0.53% moisture content, 0.04% ash, 98.90–99.67% ether extract, 0.23% carbohydrate, and elemental compositions of 51.60–55.00% C, 6.12–6.30% H, 6.21–6.28% O, 0.01–0.02% N, and 13.0–15.0% P for edible oil samples. The findings of this study indicate that edible oil produced from the seeds of H. barteri via membrane technology yields good-quality oil for commercial production, except for the need to enhance further reduction of phosphorus content.
An Analysis of Dialogic Positioning in Online Commentaries
Authors: Nagy Tünde 
Published: November 2023

AbstractThe commentary as a journalistic genre that presents and comments on current events is characterized by intersubjective positioning, whereby the author constructs meaning, seeking alignment or, on the contrary, expressing disalignment with a putative audience. In line with the appraisal theory as developed by Martin and White (2005), which follows the Bakhtian dialogic perspective, according to which utterances and propositions are intersubjectively charged, the paper aims to describe the linguistic means ofengagement, one of the central elements of this theory. Engagement is concerned with how the author expresses authorial voice and how s/he negotiates meaning with the readers, opening up (dialogic expansion) or, on the contrary, closing the dialogic space (dialogic contraction). In this sense, the linguistic means of engagement, such as modality, hedging and boosting devices, evidentiality, are understood to transcend the functions attributed to them within a truth-conditional framework, namely epistemic status and reliability of knowledge, and are seen as means by which the author entertains or rejects alternative voices and opinions. Taking this into consideration, the paper intends to analyse a few selected commentaries on the war situation in Ukraine found on the online platform of The Rand Corporation, a global policy think tank that performs research and conducts evaluations of various topics. It analyses the linguistic means of dialogic positioning, focusing on how the authors negotiate the dialogic space with the audience; while presumably all forms of intersubjective positioning can be found in the texts, it is expected that certain forms of engagement will outnumber others. As all commentaries can be found on the website of the above mentioned corporation, the question also arises as to what extent commentaries show similarity with respect to engagement, thereby expressing, albeit indirectly, a certain standpoint with respect to the Ukrainian warfare.
Combined Orthodontic and Prosthetic Treatment of a Patient with Angle Class II Division 1 Malocclusion: A Case Report
Authors: Okičić Nemanja , Milosavljević Marko , Jovanovic Milica , Božović Đorđe , Erić Jelena 
Published: November 2023

Abstract
Skeletal class II division 1 malocclusion is primarily characterized by maxillary protrusion, mandibular retrusion or a combination of both. Treatment modalities for these patients are different depending on the age and the severity of the case. In adult patients with skeletal class II division 1, where the discrepancy is very severe, orthodontic and orthognathic surgery combined are often necessary to ensure an appropriate treatment, while prosthodontic treatment may be a challenge due to the skeletal discrepancies of the maxilla and the mandible. This clinical report presents a 45-year-old patient with a diagnosis of Angle Class II division 1 malocclusion. After clinical and radiographic observation and consultation with an orthodontist and maxillofacial surgeon, a combination of surgical and orthodontic therapy was proposed. Considering that the patient refused the surgical procedure due to fear, orthodontic therapy was carried out first, which improved the aesthetic and functional characteristics, but did not give results in increasing the vertical dimension of the occlusion. Therefore, further therapy was prosthetic, and was carried out by making all-ceramic maxillary and mandibular fixed dental prostheses; the patient was successfully rehabilitated and the anteroposterior discrepancy between the dental arches was corrected. Combined orthodontic and prosthetic treatment can be a good option in the complex treatment of patients with skeletal class II division 1 malocclusion providing functional rehabilitation of the stomatognathic system and improving facial appearance and the quality of life of the patient.
Study on overlap rate and machinability of selected laser melting of maraging steel
Authors: Yang Zeyu , Li Weimin , Liu Shufen , Gao Qi 
Published: November 2023

Abstract
In order to investigate the material properties of maraging steel laser additive manufacturing, the cladding layers with different overlap rates on the surface of 18Ni300 were prepared by laser cladding technology, and the morphology, microstructure, and hardness of the cladding layer with different overlap rates were analyzed by various means. The results show that the macroscopic morphology of the cladding layer mainly presents three states under different overlap rates, and the change of overlap rate has no effect on the microstructure in the same area of the cladding layer, but does have an effect on the size of the cladding layer. In the end, the optimum overlap rate is 50%, the surface is smooth, the inner is free from defects, the bonding effect is good, and the metallographic structure is even with high hardness. Milling experiments were carried out on the material after laser additive manufacturing, and the surface morphology was observed, confirming a smooth and well-flattened surface with a roughness of 0.342 μm had been obtained. The suitable overlap rate can make the coating surface smoother, reduce the subsequent processing loss, and improve the production efficiency and powder utilization rate while ensuring the coating quality.
Internalization of Wasathiyyah Values in Efforts to Enhance the Religiosity and Tolerance of Students Based on Mentoring: An Exploratory Study of the UPI Tutorial Program
Authors: Udin Supriadi  , Mohammad Rindu Fajar Islamy  , Achmad Faqihuddin  
Published: November 2023

This research aims to explore the efforts of internalizing the values of wasathiyyah in the endeavor to enhance religiosity and tolerance attitudes based on mentoring. Since the Indonesian government introduced the concept of religious moderation as a preventive measure to counteract radicalism in society, the majority of State Universities have sought to implement this policy through various programs on their campuses. In Indonesia, the official stance is against radical ideologies, given the potential divisive consequences and the emergence of terrorist actions. In 2016, the Setara Institute surveyed 171 schools in Jakarta and Bandung and observed that seeds of terrorist ideologies had emerged within classrooms. At the Universitas Pendidikan Indonesia, supported by the Rector, the Tutorial program was established with the aim of enhancing the individual piety of students. Using a qualitative approach, data collection combined ethnographic methods and interviews with 17 students. Data analysis followed the Miles and Huberman framework, including drawing, displaying data, reduction, and conclusion. The research findings indicate significant results, wherein the mentoring-based tutorial program with the internalization of wasathiyyah values enhances the religiosity and tolerance of students through the selection of qualified mentors, a wasathiyyah curriculum, inclusive communities, and ongoing evaluation. Collaboration with relevant parties is deemed necessary.
Keywords: Wasathiyyah Values, Mentoring, Tolerance