bluuebunny/crossref_metadata_2025_split huggingface dataset:
Adolescents in acute mental health crisis—Pilot-evaluation of a low-threshold program for emotional stabilization
Authors: Dixius Andrea , Michael Tanja , Altpeter Adriana , Ramos Garcia René , Möhler Eva 
Published: July 2023

BackgroundReferrals for child and adolescent acute psychiatric treatment have spiked in the last two years. To provide these adolescents with a fast-acting intervention, a novel treatment approach for acute emotional dysregulation was evaluated in this study.Methods156 adolescents between the age of 13 and 18 years who were admitted to a psychiatric unit for acute emotional or behavioral dysregulation participated in a 5-week-group program (Stress-Arousal- Regulation-Treatment, START) which consisted of two sessions per week (60 min/session). Pre- and post intervention psychometric measures were derived for each participant applying the Self-Control Scale (SCS-13), the FEEL-KJ capturing adaptive and maladaptive emotion regulation strategies, the Perceived Stress Scale (PSS-10), as well as the Strengths and Difficulties Questionnaire (SDQ).ResultsThe mean score of maladaptive emotion regulation strategies of the FEEL-KJ significantly decreased post treatment (d = −0.24, p = .001), while there was an increase in adaptive emotion regulation strategies (d = 0.25, p = .001). The post- intervention-assessment revealed significantly lower scores in the PSS-10 (d = −0.34, p &lt; 0.001), as well as SDQ mental health problems (d = −0.17, p = .018) and disorders (d = −0.15, p = .015). The Self-Control Score increased significantly after the intervention (d = 0.21, p = .001).ConclusionsIn this large sample, the low-threshold intervention START significantly improved emotion regulation and self-control and reduced perceived stress as well as several scales of the strengths and difficulties questionnaire, pointing to a good feasibility and indicating efficiency to provide support to adolescents with acute mental health problems when applying this short-term treatment.
Executive function improvement in response to meta-cognitive training in chronic mTBI / PTSD
Authors: Waid-Ebbs J. Kay , Wen Pey-Shan , Grimes Tyler , Datta Somnath , Perlstein William M. , Hammond Carol Smith , Daly Janis J. 
Published: July 2023

ObjectiveWe tested Goal Management Training (GMT), which has been recommended as an executive training protocol that may improve the deficits in the complex tasks inherent in life role participation experienced by those with chronic mild traumatic brain injury and post-traumatic stress disease (mTBI/PTSD). We assessed, not only cognitive function, but also life role participation (quality of life).MethodsWe enrolled and treated 14 individuals and administered 10 GMT sessions in-person and provided the use of the Veterans Task Manager (VTM), a Smartphone App, which was designed to serve as a “practice-buddy” device to ensure translation of in-person learning to independent home and community practice of complex tasks. Pre-/post-treatment primary measure was the NIH Examiner, Unstructured Task. Secondary measures were as follows: Tower of London time to complete (cTOL), Community Reintegration of Service Members (CRIS) three subdomains [Extent of Participation; Limitations; Satisfaction of Life Role Participation (Satisfaction)]. We analyzed pre-post-treatment, t-test models to explore change, and generated descriptive statistics to inspect given individual patterns of change across measures.ResultsThere was statistically significant improvement for the NIH EXAMINER Unstructured Task (p &lt; .02; effect size = .67) and cTOL (p &lt; .01; effect size = .52. There was a statistically significant improvement for two CRIS subdomains: Extent of Participation (p &lt; .01; effect size = .75; Limitations (p &lt; .05; effect size = .59). Individuals varied in their treatment response, across measures.Conclusions and Clinical SignificanceIn Veterans with mTBI/PTSD in response to GMT and the VTM learning support buddy, there was significant improvement in executive cognition processes, sufficiently robust to produce significant improvement in community life role participation. The individual variations support need for precision neurorehabilitation. The positive results occurred in response to treatment advantages afforded by the content of the combined GMT and the employment of the VTM learning support buddy, with advantages including the following: manualized content of the GMT; incremental complex task difficulty; GMT structure and flexibility to incorporate individualized functional goals; and the VTM capability of ensuring translation of in-person instruction to home and community practice, solidifying newly learned executive cognitive processes. Study results support future study, including a potential randomized controlled trial, the manualized GMT and availability of the VTM to ensure future clinical deployment of treatment, as warranted.
CIRCumcision learning experience using simulation: A pilot learning platform for safe neonatal circumcision training offered either virtually or in person
Authors: Dos Santos Joana , Alsabban Abdulrahman , Maizels Max , Chua Michael , Vuppal Sunayna , Louca Emily , Perlmutar Martin , Knabl Jennifer , Rickard Mandy , Varghese Abby , Lorenzo Armando J. , Koyle Martin Allan 
Published: July 2023

BackgroundTo our knowledge, no formal training combining didactic learning, simulation, and hands-on performance is available for practitioners performing neonatal circumcision. The absence of structured training may result in avoidable complications such as bleeding and penile injury. Herein, we present the results of a pilot neonatal circumcision training platform, offered either virtually or in person.Material and methodsCIRCLES (CIRCumcision Learning Experience using Simulation) consist of 1. online didactic learning; 2. live simulation practice (in person or virtual coaching), and 3. clinical performance. Outcome measures included pre- and post-knowledge scores, self-efficacy questionnaires, and skill assessments of simulation and clinical performance (Likert rating). Face validity for training success was determined by an 80% passing score on the knowledge test and &gt; 75% (mostly independent) performance.ResultsFor this pilot, we restricted enrolment to seven pediatric residents and one nurse practitioner. Wilcoxon Sum Rank test for non-parametric paired samples for pre-and post-knowledge tests showed a median increase of 20 points in post-knowledge tests (p=0.011). Upon completion of the simulation training, all participants (8/8) have chosen to perform circumcision with the GOMCO clamp. Both in-person (4/4) and virtual participants (4/4) performed &gt;75% of simulation and clinical circumcision independently. Post-training self-efficacy Z scores were higher than pre-training scores, except for the management of bleeding.ConclusionThe pilot CIRCLES learning shows face validity for both in-person and virtual training for neonatal circumcision. We plan to extend this platform to include more trainees and to offer them to established practitioners. The availability of formal training may ultimately reduce adverse outcomes.
Impact of colloidal stabilization of MnZn-ferrite nanoparticles by oleic acid on their magnetothermal properties
Authors: Liu N. N. , Alekhina Yu. A. , Pyatakov A. P. , Zharkov M. N. , Yakobson D. E. , Pyataev N. A. , Sukhorukov G. B. , Perov N. S. , Tishin A. M. 
Published: July 2023

Introduction: The development of magnetic agents for magnetic fluid hyperthermia application is a complex task requiring simultaneous optimization of chemical, biomedical, magnetic, and, in particular, thermal properties of magnetic nanoparticles (MNPs). In the majority of papers, the magnetothermal measurements are carried out on bare MNPs suspended in deionized water with subsequent optimization of the required physiological and medical properties, including toxicity and biocompatibility. However, in real hyperthermia practice, the stable fluids or colloids of magnetic MNPs are used, and the colloidal stabilization can significantly modify their magnetic properties, including magnetothermal ones.Methods: This paper is focused on the study of ZnxMn1-xFe2O4 MNPs stabilized by oleic acid/sodium oleate in this context.Results and Discussion: Our research demonstrates the crucial changes in the magnetic properties and magnetothermal response of ZnMn ferrite MNPs after the colloidal stabilization: while bare MNPs demonstrate significant coercivity, nonzero remanent magnetization, and superquadratic dependence of heat generation on the magnetic field amplitude, the magnetic properties of colloidal ZnMn ferrite MNPs are typical for superparamagnetic ones and their magnetothermal response is described by a conventional quadratic dependence on magnetic field amplitude. Various factors such as size distribution, magnetic anisotropy, and interparticle dipole–dipole interaction are considered as the origins of such an impact on magnetic MNPs’ properties.
KRITERIA RUANG YANG MAMPU MEMBERIKAN EDUKASI SAMPAH BAGI GENERASI MASA DEPAN
Authors: Ansori Isa , Dewiyanti Dhini 
Published: July 2023

Sampah menjadi permasalahan utama bagi kota-kota di seluruh penjuru dunia karena kesulitan dalam hal pembuangan akhirnya. Ketiadaan lahan menjadi sebuah polemik berkepanjangan karena melibatkan berbagai macam isu seperti: lingkungan, sosial, psikologis, ekonomi, politik dan sebagainya. Permasalahan sampah harus diminimalisir sejak dini melalui edukasi mengenai sampah dan pengelolaannya. Edukasi dapat dilakukan melalui wadah bangunan yang mampu memberikan pengetahuan kepada masyarakat. Paper ini membahas pencarian kriteria ruang yang mampu memberikan edukasi mengenai sampah. Pencarian dilakukan melalui metode konten analisis berdasarkan studi literatur mengenai bangunan pengolahan sampah di luar. Hasil dari penelitian adalah mengenai gagasan ruang yang menstimuli terjadinya keingin-tahuan seseorang untuk bertindak. Penelitian diharapkan dapat memberikan sebuah gagasan ide rancangan arsitektur mengenai bagunan pengelolaan sampah.
PENERAPAN HEALING ENVIRONMENT PADA RUANG LANDSCAPE PUSAT REHABILITASI SOSIAL ANAK KORBAN KEKERASAN
Authors: Ramadhanty Dea Maitsya , Natalia Tri Widianti 
Published: July 2023

Anak adalah amanah serta aset bangsa yang akan memelihara, memperjuangkan, menjaga dan mempertahankan kekayaan bangsa. Kondisi jasmani serta rohani anak perlu dijaga agar mereka dapat tumbuh dan berkembang serta mendapatkan hak-haknya. Namun, kekerasan pada anak menjadi fenomena yang terus terjadi dan tidak berakhir. Kasus serta korbannya selalu meningkat setiap tahunnya. Kurangnya lingkungan yang mendukung penyembuhan di pusat rehabilitasi membuat rehabilitasi terhadap anak kurang optimal. Oleh karena itu diperlukan lingkungan bagi korban kekerasan pada anak untuk membantu proses penyembuhan fisik dan psikologi melalui pendekatan tema healing environment. Lingkungan menjadi salah satu hal yang amat berperan penting di dalam proses rehabilitasi dan terciptanya kesehatan jiwa manusia. Perancangan sebuah lingkungan cukup mempengaruhi kecepatan pemulihan pengguna. Lingkungan alam memiliki efek positif bagi kesehatan terutama kesehatan mental. Ekspresi desain dan kesehatan dalam lansekap dapat ditemukan dalam adanya taman penyembuhan atau healing garden, yaitu taman yang dengan cara berbeda dapat mempengaruhi pengunjung secara positif. Metoda penelitian ini menggunakan metoda kualitatif yang berfokus pada studi literatur serta jurnal penelitian teori sejenis. Hasil dari penelitian ini adalah menerapkan healing environment pada ruang landscape pusat rehabilitasi melalui aspek ruang luar sebagai lingkungan penyembuhan.
The Impact of Pediatric CKD on Educational and Employment Outcomes
Authors: Harshman Lyndsay A. , Ward Ryan C. , Matheson Matthew B. , Dawson Anne , Kogon Amy J. , Lande Marc B. , Molitor Stephen J. , Johnson Rebecca J. , Wilson Camille , Warady Bradley A. , Furth Susan L. , Hooper Stephen R. 
Published: July 2023

Key Points

This study evaluates educational and employment outcomes in patients with pediatric kidney disease and assesses predictors of educational attainment and employment in young adulthood.Despite high rates of high school graduation, nearly 20% of patients with CKD are unemployed or receiving disability at long-term follow-up.

Background
Pediatric patients with CKD are at risk for neurocognitive deficits and academic underachievement. This population may be at risk for lower educational attainment and higher rates of unemployment; however, published data have focused on patients with advanced CKD and exist in isolation from assessment of neurocognition and kidney function.

Methods
Data from the CKD in Children (CKiD) cohort study were used to characterize educational attainment and employment status in young adults with CKD. We used ratings of executive function as a predictor of future educational attainment and employment status. Linear regression models predicted the highest grade level completed. Logistic regression models predicted unemployment.

Results
A total of 296 CKiD participants aged 18 years or older had available educational data. In total, 220 of 296 had employment data. By age 22 years, 97% had completed high school and 48% completed 2+ years of college. Among those reporting employment status, 58% were part-time or full-time employed, 22% were nonworking students, and 20% were unemployed and/or receiving disability. In adjusted models, lower kidney function (P = 0.02), worse executive function (P = 0.02), and poor performance on achievement testing (P = 0.004) predicted lower grade level completed relative to expectation for age.

Conclusions
CKiD study patients appear to have a better high school graduation rates (97%) than the adjusted national high school graduation rate (86%). Conversely, roughly 20% of participants were unemployed or receiving disability at study follow-up. Tailored interventions may benefit patients with CKD with lower kidney function and/or executive function deficits to optimize educational/employment outcomes in adulthood.
Deep Learning on Electrocardiograms for Prediction of In-hospital Intradialytic Hypotension in Patients with ESKD
Authors: Vaid Akhil , Takkavatakarn Kullaya , Divers Jasmin , Charytan David M. , Chan Lili , Nadkarni Girish N. 
Published: July 2023

Key Points

Intradialytic hypotension is common in patients who are on hemodialysis.We applied deep learning techniques to ECGs to predict patients at risk of IDH. The performance of the model was good with an AUC of 0.763 and AUPRC of 0.35.
The Spectrum of Biochemical Changes in Thyroid Function Tests, Performed at Sahiwal Medical College, Sahiwal
Authors: Rafiq Maryam , Arooj Amna , Siddiqa Ayesha , Khan Nudrat , Khan Sara , Saeed Rabia 
Published: July 2023

Background: Thyroid disorders are among one the leading causes of endocrine problems worldwide. Hypothyroidism is very common and usually is more prevalent in females. Thyroid function tests (TFTs) play a vital role in the diagnosis and monitoring of thyroid diseases.
Methodology: This cross-sectional study was conducted at Sahiwal Medical College, Sahiwal after approval from the Institutional review board. The results of 2281 specimens tested for TFTs in the Pathology laboratory between August 2018 to December 2020 were included. Samples were analyzed by immunochemiluminescent assay method on an Access 2 analyzer by Beckman Coulter. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 25. A chi-square test was applied. P-value <0.05 was considered significant.
Results: A total of 2281 patient data was included in the study. The mean age of participants was 38.86±15.30 years and the majority were females. 64.1% of results were within the normal limit (euthyroid) while the remaining 35.9% had abnormal thyroid profiles. Hyperthyroidism was the most common abnormality (9.5%) followed by subclinical hypothyroidism (8.9%). Chi-square test revealed a statistically significant difference in age groups, with p-value of 0.004.
Conclusion: Thyroid diseases are quite common. Hyperthyroidism is slightly more prevalent than hypothyroidism in our community.
Key words: Hypothyroidism, Hyperthyroidism, Thyroid disorders, Subclinical thyroid disease.
Relationship between Inflammatory Markers and Disease Outcome in COVID-19
Authors: Shah Sarah , DAR Dr savida ilyas dar , SHAH DR FARIDULLAH SHAH , Aslam Dr farhan aslam , Khan Dr hareema saeed khan , Saleem Dr anber saleem 
Published: July 2023

Background: Coronavirus disease-2019 (COVID-19) has been labelled as a global pandemic and a cause of documented high mortality rates among severe or critical patients. This has been linked with hyperinflammation of the innate and adaptive immune systems and the resulting cytokine storm. Our study aims to evaluate the relationship between inflammatory markers and disease outcomes in COVID-19.
Methodology: This cross-sectional study was conducted at Federal Government Polyclinic (FGPC) Hospital, Islamabad for a period of 3 months. All the patients who had either RT-PCR for COVID-19 or HRCT findings suggestive of COVID were included in the study. The inflammatory markers like C-reactive protein (CRP), D-Dimers, and Lactate dehydrogenase (LDH) were done and a combined score DLC was calculated. The need for Oxygen (litres/min), Bilevel positive airway pressure (BIPAP), or Mechanical Invasive Ventilation was documented.
Results: The study was conducted on 213 patients which included 119(56%) male patients and 94(44%) female patients. COVID-19 PCR was positive in 193(90.6%) while 20 patients (9.4%) had a negative PCR but HRCT suggestive of COVID. HRCT was done in a total of 46 patients out of the 213 patients and 45 had features suggestive of COVID-19. The AUROC was 0.686(0.61-0.75) for D dimers, 0.688(0.61-0.75) for LDH, and 0.649(0.517-0.72) for CRP respectively, and Spearman rho values of (0.326, 0.328 and 0.266) respectively with a p-value (0.000).
Conclusion: D-dimer, LDH and CRP individually as well as a combined score of the inflammatory markers (DLC) and Oxygen requirement had a significant correlation with the mortality of the COVID-19 patients.
Key words: COVID-19, CRP, LDH, D dimers, DLC score.
“Demora um pouquinho mais, mas a gente chega lá”: estratégias biopolíticas na constituição do sujeito idoso em propagandas de escolas de idiomas de língua inglesa
Authors: Vitória de Oliveira Leite Emanuele , Vieira da Silva Francisco 
Published: July 2023

O objetivo deste estudo reside em analisar as estratégias biopolíticas que produzem discursos sobre o sujeito idoso em propagandas de escolas de idiomas de língua inglesa. Para tanto, ancora-se nas investigações na área da Análise do Discurso (AD) francesa, tendo Foucault (1995; 1996; 2005; 2008a; 2008b; 2008c) como autor basilar, além de Monteiro (2014), Navarro e Bazza (2012), Siqueira (2018) e Salles e Gimenez (2010), Gimenez (2015) e Leite Oliveira e Coura (2020), dentre outros. O corpus de análise engloba enunciados extraídos de três propagandas das franquias CNA Itaguaí (2018), Inglês Athus (2018) e BSL-Inglês para brasileiros (2018). Quanto à questão metodológica, este trabalho situa-se numa perspectiva descritivo-interpretativa de abordagem qualitativa. As análises permitem observar o funcionamento de estratégias biopolíticas que se voltam ao governo do sujeito idoso na aprendizagem do inglês, construído como um idioma de prestígio no momento histórico atual. Além disso, observa-se que as identidades desses sujeitos são (re) construídas conforme deslocamentos e interesses do biopoder, entendido como estratégia de regulação, gerenciamento e controle do corpo populacional. Assim, o idoso é discursivizado como um sujeito ativo, autônomo, saudável, atualizado e disposto a aprender inglês.
Palavras-chave: Sujeito idoso. Biopolítica. Ensino. Língua Inglesa. Propaganda.
RELATIONSHIP BETWEEN AGE, LONG PARTUS AND FETAL DETERMINATION IN PREGNANT WOMEN WITH SECTION CAESAREA IN H. ABDUL MANAP HOSPITAL, JAMBI CITY
Authors: Khamisya Mawaddah Tul 
Published: July 2023

ABSTRAK
Latar belakang: Sectio Caesarea (SC) terus meningkat di seluruh dunia, khususnya di negara-negara berpenghasilan menengah dan tinggi, serta telah menjadi masalah kesehatan masyarakat yang utama dan kontroversial (Torloni, et al, 2014). Menurut data World Health Organization (WHO) rata-rata tindakan Sectio Caesarea berkisar 5% sampai 15% per 1000 kelahiran dunia.
Metode: penelitian ini bersifat kuantitatif, dengan pendekatan retrospektif. Populasi dalam penelitian ini adalah seluruh ibu bersalin di RSUD H. Abdul Manap Kota Jambi sebanyak 70 orang. Teknik pengambilan sampel menggunakan Simple Random Sampling. Analisa data menggunakan analisis univariat dan bivariat dengan uji statistik menggunakan chi square.
Meliputi populasi, sampel, cara penelitian yang ditulis dengan ringkas dan jelas
Hasil: Hasil penelitian yang telah dilakukan didapatkan dari hasil analisis data menggunakan uji stastistik Chi Square menunjukkan bahwa faktor yang berhubungan dengan persalinan sectio caesarea adalah partus lama p-value = 0,042 (â‰¤ 0.05), gawat janin p-value = 0,002 (â‰¤ 0.05), sedangkan yang tidak berhubungan adalah usia p-value = 0,903% ( > 0.05).
Kesimpulan: Dapat disimpulkan bahwa ada hubungan Partus Lama dan Gawat Janin dengan Sectio Caesarea serta tidak ada hubungan usia ibu dengan Sectio Caesarea di RSUD H. Abdul Manap Kota Jambi.
HUBUNGAN DUKUNGAN SUAMI DENGAN TINGKAT KECEMASAN WANITA MENOPAUSE
Authors: Alifariki La Ode 
Published: July 2023

Latar Belakang. Menopause adalah masa dimana periode haid pada wanita dan kemampuannya untuk melahirkan anak akan berhenti secara permanen. Wanita yang sudah mengalami menopause rawan mengalami stres dan depresi dengan kondisi yang mereka alami. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial suami dengan kejadian stres pada istri menjelang masa menopause di wilayah kerja Puskesmas Lepo-Lepo Kota Kendai.
Metode. Penelitian cross sectional ini dilakukan di Wilayah Kerja Puskesmas Lepo-Lepo dengan sampel 65 wanita yang berusia >45 tahun dengan Pengambilan sampel menggunakan teknik purpossive sampling. Data dikumpulkan menggunakan data primer berupa kuesioner yang sesuai dengan kriteria inklusi. Analisis data menggunakan uji Chi-square.
Hasil. Hasil uji statistik ditemukan pada variabel tingkat cemas menunjukan bahwa dari 65 responden yang menderita cemas lebih banyak yaitu 44 responden (67,7%) dan yang tidak menderita cemas sebanyak 21 responden (32,3%) dari hasil yang didapatkan tersebut terdapat hubungan yang signifikan antara dukungan suami terhadap kejadian stres pada wanita menopause (p=0,008).
Kesimpulan. Ada hubungan dukungan suami dengan tingkat kecemasan wanita menopause di wilayah kerja puskesmasl Lepo lepo Kota Kendari.
Algebraic Elliptic Curves : Motivation
Authors: Bansal Abhishek 
Published: July 2023

<p>This paper presents the study on known algebraic cubic curves and elliptic curves. This paper derives the popular cubic curve or elliptic curve equation from Weierstrass equation from basic scratch, and discusses various cubic curves, elliptic curves and hyperelliptic curves. Various forms of elliptic curves and cubic algebriac curves viz., Ochoa curve, Mordell curve, projection, birational transformation, Conchoid of de Sluze, Maltese cross curve, Semicubical Parabola, Tschirnhausen Cubic, Right Strophoid, Strophoid, are studied. </p>