bluuebunny/crossref_metadata_2025_split huggingface dataset:
Failure of nonoperative care in adult symptomatic lumbar scoliosis: incidence, timing, and risk factors for conversion from nonoperative to operative treatment
Authors: Clohisy John C. F. , Smith Justin S. , Kelly Michael P. , Yanik Elizabeth L. , Baldus Christine R. , Bess Shay , Shaffrey Christopher I. , Kim Han Jo , LaBore Adam , Pham Vy , Bridwell Keith H. 
Published: June 2023

OBJECTIVE
The Adult Symptomatic Lumbar Scoliosis (ASLS) study is a prospective multicenter trial with randomized and observational cohorts comparing operative and nonoperative treatment for ASLS. The objective of the present study was to perform a post hoc analysis of the ASLS trial to examine factors related to failure of nonoperative treatment in ASLS.

METHODS
Patients from the ASLS trial who initially received at least 6 months of nonoperative treatment were followed for up to 8 years after trial enrollment. Baseline patient-reported outcome measures (Scoliosis Research Society-22 [SRS-22] questionnaire and Oswestry Disability Index), radiographic data, and other clinical characteristics were compared between patients who did and did not convert to operative treatment during follow-up. The incidence of operative treatment was calculated and independent predictors of operative treatment were identified using multivariate regression.

RESULTS
Of 135 nonoperative patients, 42 (31%) crossed over to operative treatment after 6 months and 93 (69%) received only nonoperative treatment. In the observational cohort, 23 (22%) of 106 nonoperative patients crossed over to surgery. In the randomized cohort, 19 (66%) of 29 patients randomized to nonoperative treatment crossed over to surgery. The most impactful factors associated with crossover from nonoperative to operative treatment were enrollment in the randomized cohort and baseline SRS-22 subscore < 3.0 at the 2-year follow-up, closer to 3.4 at 8 years. In addition, baseline lumbar lordosis (LL) < 50° was associated with crossover to operative treatment. Each 1-point decrease in baseline SRS-22 subscore was associated with a 233% higher risk of conversion to surgery (hazard ratio [HR] 2.33, 95% confidence interval [CI] 1.14–4.76, p = 0.0212). Each 10° decrease in LL was associated with a 24% increased risk of conversion to operative treatment (HR 1.24, 95% CI 1.03–1.49, p = 0.0232). Enrollment in the randomized cohort was associated with a 337% higher probability of proceeding with operative treatment (HR 3.37, 95% CI 1.54–7.35, p = 0.0024).

CONCLUSIONS
Enrollment in the randomized cohort, a lower baseline SRS-22 subscore, and lower LL were associated with conversion from nonoperative treatment to surgery in patients (observational and randomized) who were initially managed nonoperatively in the ASLS trial.
Peningkatan Kemampuan Berpikir Kritis melaui Penerapan Model Problem Based Learning pada Kurikulum Merdeka Sekolah Dasar
Authors: Eka Yuliana Fenti , Restian Arina 
Published: June 2023

This study uses a type of classroom action research. This research is based on observation, action planning, and reflection then this research is cyclical and so on. In a class action. This research begins with the ability of students to improve learning. Which start from case that is found in the learning experienced by educators and students. The subjects of this study were class III UPT SDN Penataran 04 Blitar studets consisting of 9 students. The object of this research is active participation in student learing. This study uses a qualitative approach. The research was made with the aim of increasing critical thinkig skills by using the problem base learning model with 9 student at UPT SDN Penataran 04 Blitar. Increased significantly, previously getting below 80% with a good category. Then followed by cycle II which has a higher percentage than cycle I, namely with a percentage of 90% higher and has a very good category.
Keywords: Critical Thinking, Problem Base Learning Model, Independent Curriculum
Transformasi Strategi Penjualan Batik Cirebon Dengan Pendekatan Analisis Pengelompokan K-Means
Authors: . Mulyawan , Bahtiar Agus , Ali Irfan 
Published: June 2023

Batik adalah seni tradisional Indonesia yang mengombinasikan seni dan teknologi untuk menciptakan kain yang indah dan unik. Batik Indonesia memiliki desain dan proses yang tak tertandingi, dan ragam coraknya mengandung makna dan filosofi dari berbagai adat dan budaya di Indonesia. Batik Cirebon memiliki banyak motif batik seperti Mega Mendung, Singa Barong, dan Paksinaga Liman. Untuk mengoptimalkan penjualan, diperlukan teknik data mining untuk mengubah data menjadi informasi baru. Metode K-Means adalah cara yang tepat untuk mengelompokkan data penjualan produk batik karena dapat mengolah data tanpa mengetahui kelas label. Tujuan dari penelitian ini adalah untuk menerapkan algoritma K-Means dalam pengelompokan data penjualan dan menemukan hasil KOptimum dengan menggunakan aplikasi Orange. Hasil dari penelitian menunjukkan bahwa terdapat enam kelompok yang sesuai dengan data penjualan batik dan hasil kluster yang optimal terdapat pada k=6.
Metode Self Healing pada Remaja dengan Gangguan Mental Emosional (GME) di SMP N 18 Surakarta
Authors: Adriana Nadya Puspita , Wicaksono Dipo , Yonaevy Umy 
Published: June 2023

Mental Ilness adalah kondisi kesehatan yang memengaruhi pikiran, perasaan, perilaku, suasana hati, atau kombinasi keduanya. Salah satunya adalah Gangguan Mental Emosional (GME). GME adalah suatu kondisi yang mengacu pada seseorang yang mengalami perubahan emosional yang dapat berkembang menjadi kondisi medis jika terus berlanjut. Di antara berbagai kasus di daerah ini, remaja yang sering mengalami masalah GME akibat kehilangan orang tua dan masalah komunikasi antar orang tua cenderung mengalami depresi. Banyak intervensi yang dapat dilakukan untuk mengatasi GME, salah satunya pendekatan emosional. Pendekatan emosional yang digunakan dalam pengabdian bertujuan untuk penyembuhan diri, dengan memproses pengalaman kurang menyenangkan dan fokus pada emosi. Dilaksanakan di SMP N 18 Surakarta pada siswa kelas 8 SMP. Dari hasil self healing untuk meminimalisir GME siswa lebih merasakan nyaman dan lega serta lebih menghargai diri sendiri. Penyebab GME pada remaja ini adalah Inner Child mereka yang terluka karena faktor komunikasi atau pola asuh orang tua.
Program Pendampingan Desa dalam Mewujudkan Generasi Muda Cinta Al-Qur’an
Authors: Winata Surya Hady , Andriani Ade 
Published: June 2023

Warga Dusun Ngembeh Desa Ngumpul Kecamatan Jogoroto Jombang, mendapatkan kegiatan pembinaan, sehingga terbangun komunikasi dan jaringan kerja antara kampus dan desa; antara Unipdu dan masyarakat sekitar. Warga Dusun Ngembeh Desa Ngumpul mendapatkan manfaat antara lain: Anak-anak bisa calistung (membaca, menulis, berhitung), berwudlu dengan benar, berpuisi dengan percaya diri, story telling tentang keluarga dan cita-citanya, belajar kerjasama, menghargai alam sebagai sumber belajar, bisa do’a ibadah sehari-hari, menari, menyanyi, dan belajar yang menyenangkan. Remaja, orang tua, guru mengaji, dan perangkat dusun lebih mudah mengajak dan mengarahkan anak-anak untuk senang belajar; belajar menyenangkan tanpa paksaan.
Pelatihan Investasi Syariah Melalui Sekolah Pasar Modal Bagi Generasi Milenial
Authors: Widiniarsih Dewi Mariam , Kusnindar Arum Arupi , Utami Nasyiatun Inayati 
Published: June 2023

Negara Indonesia merupakan negara dengan penduduk muslim terbesar, namun investasi saham syariah tidak berkembang sebesar perkembangan saham konvensional. Hal ini muncul karena literasi investasi masyarakat terhadap investasi syariah masih rendah. Oleh karena itu, kegiatan pengabdian ini dilakukan dengan tujuan meningkatkan literasi investasi syariah khusus nya pada generasi milenial. Pelaksanaan kegiatan dilakukan dengan membuat kelas khusus pasar modal syariah dengan materi dasar – dasar investasi saham syariah dan tips serta trik melakukan investasi di pasar modal dengan dana yang terbatas. Kegiatan pengabdian dilakukan dengan mitra sasaran mahasiswa dan pengurus Ikatan Mahasiswa Muhammadiyah (IMM) Universitas Muhammadiyah Pringsewu (UMPRI). Kegiatan dilakukan selama bulan February sampai dengan Mei 2023. Hasil kegiatan pengabdian berupa peningkatan literasi mitra mengenai investasi terutama investasi saham syariah serta mampu membuat akun melalui PT. Phintraco sekuritas sebagai mitra pengabdian.
Rehabilitation nurses’ knowledge, experiences, and perceptions of the provision of psychological care to stroke patients: Systematic Review
Authors: Merrigan Gillian , Bennett Louise 
Published: June 2023

Introduction: Depression and/or anxiety is associated with sub-optimal recovery and a reduction in quality of life for patients following a stroke. However, the literature suggests that the psychological needs for patients post stroke are insufficient with poor provision of psychological services.
Aim: To examine HCPs knowledge, experiences, and perceptions of the provision of psychological care to patients post stroke.
Methods: A systematic review referenced to PRISMA guidelines was used. The studies were retrieved from six databases (CINAHL, the Cochrane Library, PubMed, Science Direct, Wiley Online library and Ovid SP). Twelve studies were included in the final analysis.
Results: Findings demonstrate that HCPs have a basic understanding of the psychological/emotional problems associated with stroke. Psychological care was identified as been given a low priority within stroke rehabilitation services and described as inconsistent, uncoordinated, and ad hoc. Barriers to providing psychological care included: poor access to specialist expertise; lack of resources and poor managerial support. Furthermore, the need for specialist supports via case discussion and reflective practice was identified.
Conclusions: This review suggests that improvements in terms of psychological care and services offered to patients post stroke is needed as is the value of support from managers to provide sufficient resources. This review has the potential to assist policymakers to understand the barriers and potential facilitators to psychological care provision to patients post stroke.
Ketosis and migraine: a systematic review of the literature and meta-analysis
Authors: Neri Lenycia de Cassya Lopes , Ferraris Cinzia , Catalano Guido , Guglielmetti Monica , Pasca Ludovica , Pezzotti Elena , Carpani Adriana , Tagliabue Anna 
Published: June 2023

IntroductionHeadaches are a prevalent disorder worldwide, and there is compelling evidence that certain dietary interventions could provide relief from attacks. One promising approach is ketogenic therapy, which replaces the brain's glucose fuel source with ketone bodies, potentially reducing the frequency or severity of headaches.AimThis study aims to conduct a systematic review of the scientific literature on the impact of ketosis on migraine, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method.ResultsAfter a careful selection process and bias evaluation, 10 articles were included in the review, primarily from Italy. The bias assessment indicated that 50% of the selected articles had a low risk of bias in all domains, with the randomization process being the most problematic domain. Unfortunately, the evaluation of ketosis was inconsistent between articles, with some assessing ketonuria, some assessing ketonemia, and some not assessing ketosis levels at all. Therefore, no association could be made between the level of ketosis and the prevention or reduction of migraine attacks. The ketogenic therapies tested in migraine treatments included the very low-calorie ketogenic diet (VLCKD, n = 4), modified Atkins diet (MAD, n = 3), classic ketogenic diet (cKDT, n = 2), and the administration of an exogenous source of beta-hydroxybutyrate (BHB). The meta-analysis, despite reporting high heterogeneity, found that all interventions had an overall significant effect (Z = 9.07, p &lt; 0.00001; subgroup differences, Chi2 = 9.19, dif = 3, p = 0.03; I2, 67.4%), regardless of the type of endogenous or exogenous induction of ketosis.ConclusionThe initial findings of this study suggest that metabolic ketogenic therapy may provide some benefit in treating migraines and encourage further studies, especially randomized clinical trials with appropriate and standardized methodologies. The review strongly recommends the use of the adequate measurement of ketone levels during ketogenic therapy to monitor adherence to the treatment and improve knowledge of the relationship between ketone bodies and efficacy.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42022330626.
The double-edged sword effect of telecommuting on employees’ work engagement: evidence from China during COVID-19
Authors: Ma Lu , Zheng Yunjian , Wei Ye 
Published: June 2023

PurposeDrawing on the Job Demands-Resources (JD-R) model, this study aims to explore how telecommuting affects employee’ work engagement, and consider how perceived supervisor support moderates this effect.Design/methodology/approachA time-lagged study was conducted on 286 employees from four enterprises in southern China.FindingsThe results showed that telecommuting both decreased work engagement by triggering work–family conflict and enhanced work engagement by increasing job autonomy. In addition, perceived supervisor support enhanced the positive direct effect of telecommuting on job autonomy and the indirect effect on employee’ work engagement, while perceived supervisor support weakened the negative direct effect of telecommuting on work–family conflict and the indirect effect on employee’ work engagement.Originality/valueThis study enrich the literature on telecommuting and employee engagement, and emphasize the importance of perceived supervisor support in this context. Additionally, this study provides some practical implications for companies to adapt and manage telecommuting.
A mixed methods study to understand perinatal mental healthcare referral decisions among midwives and health visitors in the UK
Authors: Johnson Joanne , Hope Lucy , Jones Lisa , Bradley Eleanor 
Published: June 2023

BackgroundIn the UK approximately half of women requiring perinatal mental health (PNMH) care do not receive treatment despite having routine contact with midwives (MWs) and health visitors (HVs). Limited research has been undertaken regarding MWs’/HVs’ decision-making around referring women for secondary PNMH care. In particular, the impact that the level of local secondary PNMH services may have on MWs’/HVs’ referral decisions is unexplored.AimTo understand MWs’/HVs’ decision-making in relation to referring women with identified PNMH problems, to identify barriers and facilitators to effective and timely referrals including any impact of the local secondary PNMH service provision.MethodsParticipants were recruited from four National Health Service (NHS) Trusts in England, located across two geographical areas, that provided different types of PNMH services. One area had PNMH services that met National Institute for Health and Care Excellence (NICE) guidelines; the other area had no secondary PNMH services. A sequential mixed methods design was used: In-depth semi-structured interviews with practising MWs/HVs (n = 24) to explore their approach to PNMH referral decision-making, analysed using thematic analysis; Questionnaire offered to all practising MWs/HVs in the two geographical areas to measure factors that may impact on PNMH referral decision-making allowing for statistical comparisons to be made between the professional groups/geographical areas.FindingsThree themes were identified from the interviews that impacted on MWs’/HVs’ PNMH referral decision-making: identifying need; education, skills and experience; and referral pathways.Questionnaire response rate 13.1% (n = 99). The most reported facilitators to referral decision-making were a trusted relationship between MWs/HVs and women and routine enquiry about women’s mental health; the most reported barriers were stigma associated with mental ill-health and women’s perceived fear of child removal.ConclusionFundamental to MWs’/HVs’ decision-making was their perceived relationship between themselves and women. Although PNMH service provision is important for women to ensure they receive appropriate PNMH care, service provision appeared less important to MWs’/HVs’ referral decision-making than how maternity/health visiting services were delivered. Further important factors to MWs/HVs were to the ability to provide continuity of carer with women allowing MWs/HVs to identify women who would benefit from referral for secondary PNMH care.
Impaired behavioral inhibitory control of self-injury cues between adolescents with depression with self-injury behavior and those without during a two-choice oddball task: an event-related potential study
Authors: Ma Lingli , Zhou Dong-Dong , Zhao Lin , Hu Jinhui , Peng Xinyu , Jiang Zhenghao , He Xiaoqing , Wang Wo , Hong Su , Kuang Li 
Published: June 2023

BackgroundThis study aimed to objectively evaluate the severity of impulsivity [behavior inhibitory control (BIC) impairment] among adolescents with depression. In particular, those involved in non-suicidal self-injury (NSSI) behaviors, compared with those engaged in suicidal behaviors and adolescents without any self-injury behavior, using event-related potentials (ERPs) and event-related spectral perturbation (ERSP) within the two-choice oddball paradigm.MethodsParticipants with a current diagnosis of major depressive disorder (MDD) engaged in repetitive NSSI for five or more days in the past year (n = 53) or having a history of at least one prior complete suicidal behavior (n = 31) were recruited in the self-injury group. Those without self-injury behavior were recruited in the MDD group (n = 40). They completed self-report scales and a computer-based two-choice oddball paradigm during which a continuous electroencephalogram was recorded. The difference waves in P3d were derived from the deviant minus standard wave, and the target index was the difference between the two conditions. We focused on latency and amplitude, and time-frequency analyses were conducted in addition to the conventional index.ResultsParticipants with self-injury, compared to those with depression but without self-injury, exhibited specific deficits in BIC impairment, showing a significantly larger amplitude. Specifically, the NSSI group showed the highest value in amplitude and theta power, and suicidal behavior showed a high value in amplitude but the lowest value in theta power. These results may potentially predict the onset of suicide following repetitive NSSI.ConclusionThese findings contribute to substantial progress in exploring neuro-electrophysiological evidence of self-injury behaviors. Furthermore, the difference between the NSSI and suicide groups might be the direction of prediction of suicidality.
Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient version
Authors: Xiao Chunfeng , Wu Aoxue , Wang Yufei , Li Tao , Duan Yanping , Jiang Yinan , Shi Lili , Hong Xia , Geng Wenqi , Li Jiarui , Du Jianhua , Hu Jiaojiao , Cao Jinya , Wei Jing 
Published: June 2023

ObjectivesA general expectation measurement of inpatients across wards is needed in the patient safety management systems of general hospitals. This study developed and psychometrically validated a new scale fulfilling the requirements above: the Hospitalized Patients’ Expectations for Treatment Scale-Patient version (HOPE-P). MethodsA total of 35 experts and ten inpatients were interviewed during the formulation of the HOPE-P scale, which was initially designed with three dimensions: doctor–patient communication expectations, treatment outcome expectations, and disease management expectancy. We recruited 210 inpatients from a general hospital in China and explored the reliability, validity, and psychometric characteristics of the questionnaire. Item analysis, construct validity, internal consistency and 7-day test–retest reliability analysis were applied.ResultsExploratory and confirmatory analyses supported a 2-dimension (doctor–patient communication expectation and treatment outcome expectation) structure with satisfactory model fit parameters (root mean square residual (RMR) = 0.035, a root-mean-square-error of approximation (RMSEA) = 0.072, comparative fit index (CFI) = 0.984, Tucker-Lewis index (TLI) = 0.970). Item analysis revealed an appropriate item design (r = 0.573–0.820). The scale exhibited good internal consistency, with Cronbach’s α of 0.893, 0.761, and 0.919 for the overall scale, the doctor–patient communication expectation subscale, and the treatment outcome expectation subscale, respectively. The 7-day test–retest reliability was 0.782 (p &lt; .001).ConclusionOur results indicated that the HOPE-P is a reliable and valid assessment tool to measure the expectations of general hospital inpatients, with a strong capacity to recognize patients’ expectations regarding doctor–patient communication and treatment outcomes.
HIV-related stress predicts depression over five years among people living with HIV
Authors: Liu Zongyan , Chen Xi , Li Jie , Xie Zhi , Huang Yunxiang , Luo Dan 
Published: June 2023

IntroductionExtant literature has demonstrated significant associations between HIV-related stress, social support, and depression among PLWH. However, little research has been conducted on the changes in such associations over time. Our study aims to explore the longitudinal relationship between HIV-related stress, social support, and depression among PLWH over five years.Methods320 PLWH were recruited from Changsha Center for Disease Control and Prevention (CDC), Hunan Province, China. They were assessed for depressive symptoms, HIV-related stress, and social support within 1 month of HIV diagnosis, 1 year after diagnosis, and five years after diagnosis, respectively. Relationships between these variables were examined using a fixed effect model.ResultThe prevalence of depressive symptoms within the first month, first year, and fifth years of HIV diagnosis was 35, 12.2, and 14.7%, respectively. Emotional stress (β: 0.730, 95% CI: 0.648, 0.811), social stress (β: 0.066, 95% CI: 0.010, 0.123), instrumental stress (β: 0.133, 95% CI:0.046, 0.221) positively predicted depression, while social support utilization (β: −0.176, 95% CI: −0.303, −0.049) negatively predicted depression.ConclusionOur study suggests that HIV-related stress and social support predict depressive symptoms over time among PLWH and that reducing HIV-related stress and improving social support in the early stages of diagnosis is extremely important in preventing depressive symptoms among PLWH.