bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessing Barriers to Implementation of Machine Learning and Artificial Intelligence–Based Tools in Critical Care: Web-Based Survey Study
Authors: Mlodzinski Eric , Wardi Gabriel , Viglione Clare , Nemati Shamim , Crotty Alexander Laura , Malhotra Atul 
Published: December 2022

Background
Although there is considerable interest in machine learning (ML) and artificial intelligence (AI) in critical care, the implementation of effective algorithms into practice has been limited.

Objective
We sought to understand physician perspectives of a novel intubation prediction tool. Further, we sought to understand health care provider and nonprovider perspectives on the use of ML in health care. We aim to use the data gathered to elucidate implementation barriers and determinants of this intubation prediction tool, as well as ML/AI-based algorithms in critical care and health care in general.

Methods
We developed 2 anonymous surveys in Qualtrics, 1 single-center survey distributed to 99 critical care physicians via email, and 1 social media survey distributed via Facebook and Twitter with branching logic to tailor questions for providers and nonproviders. The surveys included a mixture of categorical, Likert scale, and free-text items. Likert scale means with SD were reported from 1 to 5. We used student t tests to examine the differences between groups. In addition, Likert scale responses were converted into 3 categories, and percentage values were reported in order to demonstrate the distribution of responses. Qualitative free-text responses were reviewed by a member of the study team to determine validity, and content analysis was performed to determine common themes in responses.

Results
Out of 99 critical care physicians, 47 (48%) completed the single-center survey. Perceived knowledge of ML was low with a mean Likert score of 2.4 out of 5 (SD 0.96), with 7.5% of respondents rating their knowledge as a 4 or 5. The willingness to use the ML-based algorithm was 3.32 out of 5 (SD 0.95), with 75% of respondents answering 3 out of 5. The social media survey had 770 total responses with 605 (79%) providers and 165 (21%) nonproviders. We found no difference in providers’ perceived knowledge based on level of experience in either survey. We found that nonproviders had significantly less perceived knowledge of ML (mean 3.04 out of 5, SD 1.53 vs mean 3.43, SD 0.941; P<.001) and comfort with ML (mean 3.28 out of 5, SD 1.02 vs mean 3.53, SD 0.935; P=.004) than providers. Free-text responses revealed multiple shared concerns, including accuracy/reliability, data bias, patient safety, and privacy/security risks.

Conclusions
These data suggest that providers and nonproviders have positive perceptions of ML-based tools, and that a tool to predict the need for intubation would be of interest to critical care providers. There were many shared concerns about ML/AI in health care elucidated by the surveys. These results provide a baseline evaluation of implementation barriers and determinants of ML/AI-based tools that will be important in their optimal implementation and adoption in the critical care setting and health care in general.
Effectiveness of a Patient-Centered Assessment With a Solution-Focused Approach (DIALOG-A) in the Routine Care of Colombian Adolescents With Depression and Anxiety: Protocol for a Multicenter Cluster Randomized Controlled Trial
Authors: Gómez-Restrepo Carlos , Romero Jose Alejandro Rumbo , Rodriguez Martha , Ospina-Pinillos Laura , Stanislaus Sureshkumar Diliniya , Priebe Stefan , Bird Victoria 
Published: December 2022

Background
Colombia is a middle-income country in South America, which has historically had high rates of mental health problems, coupled with a scarcity of mental health care. There is growing concern for the mental health of the adolescent population within this region. There is a significant treatment gap for young people, especially those living in the most vulnerable areas. DIALOG+ is a low-cost patient-centered intervention that can potentially improve the delivery of care and quality of life for adolescents with mental health problems.

Objective
This exploratory randomized controlled trial aims to evaluate the effectiveness, acceptability, and feasibility of an adapted version of the DIALOG+ intervention (DIALOG-A) in the community treatment of Colombian adolescents with depression and anxiety.

Methods
In total, 18 clinicians and 108 adolescents will be recruited from primary health care services in Bogota and Duitama, Colombia. Clinicians will be randomized 2:1 to either the intervention (12 clinicians:72 adolescents) or control group (6 clinicians:36 adolescents). In the intervention arm, clinicians will use DIALOG-A with adolescents once per month over 6 months. The control arm will continue to receive routine care. Outcomes will be measured at baseline, 6 months, and 9 months following randomization. Semistructured interviews with all clinicians and a subset of adolescents in the intervention arm will be conducted at the end of the intervention period. Quantitative and qualitative analysis of the data will be conducted.

Results
Trial recruitment was completed toward the end of October 2022, and follow-up is anticipated to last through to October 2023.

Conclusions
This is the first study to test an adapted resource-orientated intervention (DIALOG-A) in the treatment of adolescents with depression and anxiety attending primary care services. If the results are positive, DIALOG-A can be implemented in the routine care of adolescents with these mental health problems and provide valuable insight to other middle-income countries.

Trial Registration
ISRCTN Registry ISRCTN13980767; https://www.isrctn.com/ISRCTN13980767?q=ISRCTN13980767

International Registered Report Identifier (IRRID)
DERR1-10.2196/43401
O TESTE DE IMPAIRMENT MENTE? O CASO DOS ATLETAS DOS CLUBES DE FUTEBOL BRASILEIROS
Authors: Krauspenhar João Henrique , Rover Suliani 
Published: December 2022

A partir de indícios de problemas na realização do teste de impairment de atletas pelos clubes de futebol brasileiros, este estudo analisa a evidenciação, mensuração e reconhecimento da recuperabilidade do ativo atletas nessas entidades. Por meio de uma amostra composta por 198 observações, do período entre 2013 e 2019, de 34 clubes de futebol integrantes das séries A e B do campeonato brasileiro no ano de 2019, mensura um nível de evidenciação do teste de impairment insatisfatório (44,46%), porém satisfatório em relação ao reconhecimento de perda (76,19%), nas observações em que esta ocorreu. Quanto ao nível do reconhecimento de impairment, identificou-se grande variação entre as observações pertinentes, destacando-se a importância da divulgação de informações pelos clubes para sua compreensão. A estimativa de recuperabilidade dos atletas, realizada no nível dos planteis, aponta que seu valor de registro é predominantemente recuperável, tendo apenas seis observações apresentado indícios de impairment não reconhecido. Análise complementar dos atletas isolados indica que 12 de 18 observações possuem ao menos um atleta com indícios de impairment não reconhecido. Os resultados atualizam e estendem a literatura a respeito do tema, explicando o contraste no reconhecimento de impairment entre a realidade brasileira e europeia ao indicar a inobservância da norma contábil pelos clubes de futebol brasileiros. Por outro lado, aponta que o baixo nível de reconhecimento de impairment se justifica ao ser considerado o valor dos planteis, provocando debate a respeito da norma contábil.
Mitochondrial Genome–Encoded Long Noncoding RNA and Mitochondrial Stability in Diabetic Retinopathy
Authors: Kumar Jay , Mohammad Ghulam , Alka Kumari , Kowluru Renu A. 
Published: December 2022

Mitochondria experience genomic and functional instability in diabetes, and mitochondrial dysfunction has a critical role in the development of diabetic retinopathy. Diabetes also alters expressions of many long noncoding RNAs (LncRNAs), the RNAs with &gt;200 nucleotides and no open reading frame. LncRNAs are mainly encoded by the nuclear genome, but mtDNA also encodes three LncRNAs. Our goal was to investigate the effect of hyperglycemia on mtDNA-encoded LncRNA cytochrome B (LncCytB) in mtDNA stability in diabetic retinopathy. Retinal endothelial cells, transfected with LncCytB-overexpressing plasmids or siRNA, incubated in 5 mmol/L d-glucose (normal glucose [NG]) or 20 mmol/L d-glucose (high glucose [HG]) for 4 days, were analyzed for LncCytB expression by strand-specific PCR and its mitochondrial localization by RNA fluorescence in situ hybridization. Damage-sensitive mtDNA regions were examined by micrococcal nuclease (MNase) digestion sequencing and LncCytB occupancy at mtDNA by chromatin isolation by RNA purification. Protective nucleoids in mtDNA were analyzed by SYBR Green-MitoTracker Red staining and confirmed in isolated mitochondria by flow cytometry. Compared with NG, HG downregulated LncCytB by &gt;50% but had no significant effect on the other mtDNA-encoded LncRNAs. mtDNA packaging was impaired, MNase sensitivity was increased, and LncCytB occupancy at mtDNA was decreased. While LncCytB overexpression ameliorated mtDNA damage and decrease in nucleoids and copy numbers, LncCytB-siRNA exacerbated damage and further reduced nucleoids. Retinal microvessels from streptozotocin-induced diabetic mice and human donors with diabetic retinopathy presented a similar decrease in LncCytB and mtDNA nucleoids. Thus, LncCytB has a major role in maintaining mitochondrial genomic stability, and its downregulation in the hyperglycemic milieu contributes to increased vulnerability of mtDNA to damage.ARTICLE HIGHLIGHTS
Trends and Self-Management Predictors of Glycemic Control During Pregnancy in Women With Preexisting Type 1 or Type 2 Diabetes: A Cohort Study
Authors: Sushko Katelyn , Menezes Holly Tschirhart , Butt Michelle , Nerenberg Kara , Strachan Patricia , Usman Muhammad Ali , Sherifali Diana 
Published: December 2022

BackgroundBecause much of diabetes management during pregnancy occurs at home, self-management factors such as self-efficacy, self-care activities, and care satisfaction may affect glycemia. Our objective was to explore trends in glycemic control during pregnancy in women with type 1 or type 2 diabetes; assess self-efficacy, self-care, and care satisfaction; and examine these factors as predictors of glycemic control.MethodsWe conducted a cohort study from April 2014 to November 2019 at a tertiary center in Ontario, Canada. Self-efficacy, self-care, care satisfaction, and A1C were measured three times during pregnancy (T1, T2, and T3). Linear mixed-effects modeling explored trends in A1C and examined self-efficacy, self-care, and care satisfaction as predictors of A1C.ResultsWe recruited 111 women (55 with type 1 diabetes and 56 with type 2 diabetes). Mean A1C significantly decreased by 1.09% (95% CI −1.38 to −0.79) from T1 to T2 and by 1.14% (95% CI −1.43 to −0.86) from T1 to T3. Self-efficacy significantly predicted glycemic control for women with type 2 diabetes and was associated with a mean change in A1C of −0.22% (95% CI −0.42 to −0.02) per unit increase in scale. The exercise subscore of self-care significantly predicted glycemic control for women with type 1 diabetes and was associated with a mean change in A1C of −0.11% (95% CI −0.22 to −0.01) per unit increase in scale.ConclusionSelf-efficacy significantly predicted A1C during pregnancy in a cohort of women with preexisting diabetes in Ontario, Canada. Future research will continue to explore the self-management needs and challenges in women with preexisting diabetes in pregnancy.
Att lyssna in barns frågor - en didaktisk utmaning
Authors: Halvars Bodil , Elfström Ingela , Unga Johanna , Svedäng Mia 
Published: December 2022

I föreliggande artikel belyses utifrån en studie av förskollärares gruppreflektioner inom ett nätverk hur ett förskoledidaktiskt perspektiv på undervisning växer fram inom ett avgränsat kunskapsområde. Särskilt fokuseras hur förskollärarna lyssnar in och fångar upp barns frågor och engagemang inom naturvetenskap och hållbar utveckling. Studiens empiri innehåller tolv inspelade och transkriberade fokusgruppssamtal genomförda vid tre träffar i nätverket. I samtalen framkommer hur förskollärarna utgår från barnens inspel (frågor, framväxande teorier, ageranden) som underlag för planering och genomförande av en undervisning kring naturvetenskapliga fenomen och processer samt hållbarhetsfrågor, där estetik, lek och utforskande ses som viktiga delar i relation till ämnesinnehållsliga frågor. Med utgångspunkt från begreppet lärande som ett relationellt potentialitetsfält, som formulerats i relation till Deleuzes filosofi (se Dahlberg & Elfström, 2014), framträder i analysen av samtalen även att barns och förskollärares frågor sammanfaller, går isär och att det sker parallella processer. Det framkommer också vilken betydelse förskollärarnas ämneskunskaper har för ett fortsatt utforskande när utgångspunkten är barnens frågor
ENGLISH ABSTRACT
Listening to children’s questions - a didactic challengeThis article is based on a study of preschool teachers’ didactic group discussions within a network. It follows how a preschool didactic perspective on teaching emerges within a specific subject matter concerning natural science and sustainable development, with extra focus on how preschool teachers listen to and follow up children’s questions and engagement in the subject. The study is empirically based on twelve conversations in focus groups, from three meetings in the network, which were recorded and then transcribed. The conversations show how the preschool teachers take children’s input (questions, emerging theories, hypotheses, actions) as guidance for planning and carrying out the teaching of phenomena in natural science and processes where esthetics, play and exploration are seen as important parts in relation to subject related issues. With the concept learning as a relational field of potentiality (Dahlberg & Elfström, 2014) as a starting point, the study also sheds light on how and when the questions of children and preschool teachers overlap, diverge, when there are parallel processes, when and how preschool teachers latch on to children’s questions, and how participants knowledge of the subject matter affects the process.
KEPEMIMPINAN KEPALA SEKOLAH DALAM MENGELOLA SDN KEDUNGGALAR 4 DAN SDN BANGUNREJO KIDUL 4 KECAMATAN KEDUNGGALAR
Authors: Ruminten Ruminten , Pangestu Widya Trio , Supriyanto Djoko Hari 
Published: December 2022

This study aims to determine: 1) the principal's strategy in managing SDN Kedunggalar 4 and SDN Bangunrejo Kidul 4, Kedunggalar District, 2) the obstacles faced by the principal in managing SDN Kedunggalar 4 and SDN Bangunrejo Kidul 4 Kedunggalar District, 3) solutions to the obstacles faced the principal in managing SDN Kedunggalar 4 and SDN Bangunrejo Kidul 4, Kedunggalar District. This research method uses a qualitative approach with direct interview data collection techniques with related sources, namely school principals, teachers, and guardians of students at the two institutions. The results of the research on the principal's strategy in managing SDN Kedunggalar 4 and SDN Bangunrejo Kidul 4, First: 1) Planning preparation is carried out at the beginning of the new school year, 2) Management of learning programs is carried out by providing guidance to teachers, 3) Acceptance of students in collaboration with institutions PAUD and TK, 4) Procurement of facilities and infrastructure, 5) Division of school personal tasks according to ability, 6) Financial management is adjusted to technical guidelines (BOS), 7) Provide flexibility for the community to use school facilities, 8) Administrative management is carried out by school staff, 9) Information management by creating groups via whatsapp, 10) Maintaining good relations with school personnel, 11) School evaluation is carried out once a month, 12) Making a schedule for supervision. Second: the obstacles faced by the principal, namely 1) aspects of student acceptance, 2) aspects of time, 3) aspects of facilities and infrastructure, 4) financial aspects. Third: solutions to the obstacles faced by the principal, namely 1) aspects of student acceptance: Providing school supplies, 2) aspects of time: dividing attendance time and compiling a supervision schedule in two institutions, 3) aspects of facilities and infrastructure: procurement of facilities and infrastructure as well as trying to applying for aid funds, 4) financial aspects: making financial budget policies
Keywords: Principal, Leadership, Management
Cellulose derivative as protection coating: Effect of nanoparticle additives on load capacity
Authors: Shi Shih-Chen , Tsai Xiao-Ning 
Published: December 2022

The cellulose derivative hydroxypropyl methylcellulose (HPMC) has recently been extensively studied and used in mechanical applications. However, the softness and susceptibility to deformation of HPMC limited its further applications. In this study, metal nanoparticles (nano-aluminum and nano-copper) and nano-metal oxide particles (nano-alumina and nano-copper oxide) were used as additives to HPMC to form a composite film with improved mechanical properties, particularly load capacity. The addition of high levels of additives provided a higher load capacity. Among the nano-additives used in the study, Cu (2 wt.%) provided the composite with the highest load capacity, improving the load capacity of pure HPMC by 250%. The surface treatment of strengthening additives is an important step. Adding specific high-strength and high-modulus metal and metal oxide additives to the soft HPMC matrix can effectively improve the load-bearing capacity of the composite material. This study proposes a simple evaluation method for the load-bearing capability of the coating as well.
S4D AS A CHARACTER IN THE DEVELOPMENT OF THE INDONESIAN PHYSICAL EDUCATION AND SPORTS PROFESSION IN THE 4.0 INDUSTRIAL REVOLUTION ERA
Authors: Sembiring Ana Lestarina 
Published: December 2022

The purpose of this article is to discuss the development of the physical and sports professions in Indonesia in advancing the character of the industrial revolution 4.0 program towards the 2030 sustainable development program, achievements in the era of sustainable development goals (SDGs). In the development of the 4.0 revolution program, not only skills and technology are needed but the skills of a product in critical thinking, creative, innovative, learning technology, trying new and rich things, and being able to collaborate to realize new sciences. Through this S4D, it is hoped that it can maximize sports goals in accordance with RI Law NO. 3 of 2005, so that it can support the http://sdgs.bappenas.go.id/target-4 program in sustainable development efforts and achieving the era of sustainable Development Goals 2030. Keywords: S4D, UU RI NO 3 THAUN 2005
Experiencing some Improvement is Associated with Premature Therapy Dropout
Authors: Romero Miriam , Casadevante Cristina , Luque Alba 
Published: December 2022

Therapeutic dropout is an a priori detrimental phenomenon that frequently occurs in psychotherapy. This work aims to study the factors that may influence therapy dropout. An analysis was carried out on a sample of 298 users of the Applied Psychology Center of the Autonomous University of Madrid. Of these users, 88(29.5%) dropped out of therapy before its completion. The results show that the presence of severe symptoms at the beginning of therapy according to the therapist’s criteria, and the diagnosis of anxiety problems, are associated with a higher dropout rate. In addition, it is observed that people who drop out have experienced significant improvement prior to leaving the treatment and show a high level of adaptation to the environment at the time of dropout. According to the therapist’s evaluation, however, those who complete the therapeutic process show a greater improvement. The implications of the study are discussed.
Márgenes Editores. Un mapa para explorar los territorios de la arquitectura y la cultura contemporánea
Authors: López Martínez Daniel 
Published: December 2022

Este ensayo visual quiere, por un lado, trazar un mapa inédito para transitar por más de una década del proyecto Márgenes, que ha evolucionado desde una publicación periódica sobre arquitectura y cultura hasta convertirse en una editorial independiente centrada en la poesía y las artes plásticas. Por otro lado, reflexionar sobre el cambio, la reinvención y la mutación, tanto de contenidos como de forma, de un concepto editorial autogestionado, libre y sujeto tan solo al devenir de sus creadores.
Márgenes Arquitectura, germen original del proyecto editorial, es una publicación periódica con dos etapas diferenciadas. La primera consta de nueve números de enfoque monográfico: 01 Reciclaje urbano, 02 Granada, aquí, ahora, 03 Costas, 04 Norteuropa, 05 Camposanto, 06 Nueva York, aquí, ahora, 07 Arqueología Industrial, 08 La Escuela de Granada y 09 El Margen Asiático. La estructura de estos primeros números se desarrolla en tres partes: el cuerpo de la revista, que responde a un título monográfico que da sentido y orienta al resto de la publicación, donde se presentan pormenorizadamente diversos proyectos arquitectónicos construidos; la parte central, Arquitectura Dibujada, que recoge ejemplos de proyectos de fin de carrera de escuelas nacionales e internacionales; y la última parte, Contenidos Marginales, en la que se tratan materias transversales que cruzan la disciplina arquitectónica.
La segunda etapa de Márgenes Arquitectura amplía tanto el formato de la revista como la profundidad de los artículos. Sus números, por el momento, incluyen los siguientes títulos: 10 Antonio Jiménez Torrecillas y 11 Arquitectura y moda. En esta etapa la revista prescinde de los proyectos de fin de carrera y apuesta por convertir Contenidos Marginales en la primera colección de libros de Márgenes Editores. La evolución y el cambio también se manifiesta en lo formal, buscando una investigación en el diseño, paralela a la de los contenidos.
Poesía, artes plásticas y relato, son las principales apuestas de la editorial, que cuenta entre sus publicaciones a poetas como Luis García Montero, Lara López y José Miguel Gómez Acosta, artistas como Francisco Carreño y Jordi Esteva, y a jóvenes figuras emergentes como Paula Puigmartí.
Application of intelligent teaching resource organisation model and construction of performance evaluation model
Authors: Huang Qiyi , Zhao Yan 
Published: December 2022

Abstract
In the construction of intelligent teaching resources, a large number of resources are collected to meet the teaching needs, and its organisational structure, resource content and teaching quality are not fully recognised. At present, there are few studies on the performance evaluation of intelligent teaching, and the research angles are also different. Based on this, this paper constructs the application performance evaluation model of intelligent teaching resource organisation mode. Based on the simple analysis of intelligent teaching research and the development of big data mining algorithm, this paper uses data mining algorithm to realise resource mining, uses ant colony algorithm and association rules to mine information, carries out student evaluation on this basis, and uses ID3 algorithm to construct decision tree to analyse the main factors affecting teaching. Then the performance evaluation model is built, and the concept of fuzzy mathematics is introduced to realise the comprehensive evaluation based on analytic hierarchy process. Finally, simulation tests and experiments are used to analyse the effectiveness of the algorithm and the application of the model. The results show that the data mining algorithm based on association rules can mine more information and shorten the running time. The performance evaluation model based on fuzzy comprehensive evaluation can be applied to the evaluation of intelligent teaching, find the shortcomings in teaching, and confirm the effectiveness of the model.