bluuebunny/crossref_metadata_2025_split huggingface dataset:
Trajectory of hearing loss in children with unilateral hearing loss
Authors: Fitzpatrick Elizabeth M. , Nassrallah Flora , Gaboury Isabelle , Whittingham JoAnne , Vos Bénédicte , Coyle Doug , Durieux-Smith Andrée , Pigeon Marie , Olds Janet 
Published: April 2023

IntroductionThe aim of this study was to quantify the amount of deterioration in hearing and to document the trajectory of hearing loss in early identified children with unilateral hearing loss (UHL). We also examined whether clinical characteristics were associated with the likelihood of having progressive hearing loss.MethodsAs part of the Mild and Unilateral Hearing Loss Study, we followed a population-based cohort of 177 children diagnosed with UHL from 2003 to 2018. We applied linear mixed models to examine hearing trends over time including the average amount of change in hearing. Logistic regression models were used to examine the relationship between age and severity at diagnosis, etiology, and the likelihood of progressive loss and amount of deterioration in hearing.ResultsThe median age of the children at diagnosis was 4.1 months (IQR 2.1, 53.9) and follow-up time was 58.9 months (35.6, 92.0). Average hearing loss in the impaired ear was 58.8 dB HL (SD 28.5). Over the 16-year period, 47.5% (84/177) of children showed deterioration in hearing in one or both ears from their initial diagnostic assessment to most recent assessment including 21 (11.9%) who developed bilateral hearing loss. Average deterioration in the impaired ear ranged from 27 to 31 dB with little variation across frequencies. Deterioration resulted in a change in category of severity for 67.5% (52/77) of the children. Analysis for children who were followed for at least 8 years showed that most lost a significant amount of hearing rapidly in the first 4 years, with the decrease stabilizing and showing a plateau in the last 4 years. Age and severity at diagnosis were not significantly associated with progressive/stable loss after adjusting for time since diagnosis. Etiologic factors (ENT external/middle ear anomalies, inner ear anomalies, syndromic hearing loss, hereditary/genetic) were found to be positively associated with stable hearing loss.ConclusionAlmost half of children with UHL are at risk for deterioration in hearing in one or both ears. Most deterioration occurs within the first 4 years following diagnosis. Most children did not experience sudden “large” drops in hearing but more gradual decrease over time. These results suggest that careful monitoring of UHL especially in the early years is important to ensure optimal benefit from early hearing loss detection.
Understanding the role of emotion and expertise in psychotherapy: An application of dynamical systems mathematical modeling to an entire course of therapy
Authors: Diaz Patricia , Peluso Paul R. , Freund Robert , Baker Andrew Z. , Peña Gabriel 
Published: April 2023

IntroductionThe therapeutic relationship continues to be one of the most important factors in therapeutic outcomes. Given the place of emotion in the definition of the therapeutic relationship, as well as the demonstrated positive impact that emotional expression has on therapeutic process and outcome, it stands to reason that studying the emotional exchange between the therapist and client further would be warranted.MethodsThis study used a validated observational coding system--the Specific Affect Coding System (SPAFF) and a theoretical mathematical model to analyze behaviors which make up the therapeutic relationship. Specifically, the researchers used to codify relationship-building behaviors between an expert therapist and his client over the course of six sessions. Dynamical systems mathematical modeling was also employed to create “phase space portraits” depicting the relational dynamics between the master therapist and his client over six sessions.ResultsStatistical analysis was used to compare SPAFF codes and model parameters between the expert therapist and his client. The expert therapist showed stability in affect codes over six sessions while the client’s affect codes appeared to be more flexible over time, though model parameters remained stable across the six sessions. Finally, phase space portraits depicted the evolution of the affective dynamics between the master therapist and his client as the relationship matured.DiscussionThe clinician’s ability to stay emotionally positive and relatively stable across the six sessions (relative to the client) was noteworthy. It formed the basis for a stable base from which she could explore alternative methods to relate to others that she had allowed to dictate her actions, which is in keeping with previous research on the role of therapist facilitation of the therapeutic relationship, emotional expression within the therapeutic relationship, and influence of these on client outcomes. These results provide a valuable foundation for future research on emotional expression as a key component of the therapeutic relationship in psychotherapy.
Peer pressure and adolescent mobile social media addiction: Moderation analysis of self-esteem and self-concept clarity
Authors: Xu Xiaopan , Han Wanqu , Liu Qingqi 
Published: April 2023

BackgroundSocial media addiction has increasingly been a critical social problem. We explored the association between peer pressure on mobile phone use and adolescent mobile social media addiction and tested whether self-esteem and self-concept clarity could buffer the effect of peer pressure.Methods830 adolescents (Mage = 14.480, SDage = 1.789) participated in our anonymous cross-sectional questionnaire study.ResultsThe results showed that peer pressure significantly predicted adolescent mobile social media addiction. Self-esteem moderated the effect of peer pressure on mobile social media addiction in that peer pressure had a weaker effect for adolescents with higher self-esteem. Self-concept clarity moderated the effect of peer pressure on mobile social media addiction in that peer pressure had a weaker effect for adolescents with higher self-esteem. The two moderators also interact in that the moderation of self-esteem was stronger for adolescents with higher self-concept clarity and the moderation of self-concept clarity for adolescents with higher self-esteem.ConclusionThe results highlight the critical role of self-esteem and self-concept clarity in buffering the impact of peer pressure on mobile social media addiction. The findings promote a better understanding of how to buffer the undesirable effect of peer pressure and reduce the risk of mobile social media addiction among adolescents.
Exploring restaurant and customer needs, barriers, interests, and food choices induced by the COVID-19 pandemic in Tarragona Province (Catalonia, Spain): A cross-sectional study
Authors: Besora-Moreno Maria , Queral Judit , Torres Silvia , Llauradó Elisabet , Tarro Lucia , Solà Rosa 
Published: April 2023

BackgroundCOVID-19 has harmed restaurants, but customer preferences remain unknown. This study aims to determine the needs, barriers, interests, and food choice changes in restaurants and customers before and during the COVID-19 pandemic in Tarragona Province (Spain).MethodsAn observational cross-sectional study conducted in spring 2021 collected Mediterranean offerings, food safety, and hygiene information about the pandemic through online surveys and focus group interviews with restaurateurs and customers about the changes in their needs and new barriers.ResultsFifty-one restaurateurs (44 survey, 7 focus group) and 138 customers (132 survey, 6 focus group) were included. In relation to the economic, emotional, and uncertainty restaurateurs’ barriers detected, they implemented measures to tackle it: buy less and more often, reduce restaurant staff and reduce the restaurants offer, among others. Some customers reported changes in their restaurant orders, specifically increasing their takeaway orders. The Mediterranean diet offer (AMed criteria) remained without noticeable changes in any of the criteria. After lockdown, compared to before lockdown, restaurateurs increased their takeaway offerings by 34.1% (p &lt; 0.001) and their use of digital menus by 27.3% (p &lt; 0.001) because of customer demand. The use of local products in the menus remained high. The cleaning and disinfection tasks increased by 21.1% (p = 0.022), and the use of hydroalcoholic solutions increased by 13.7% (p = 0.031).ConclusionIn restaurants, the first COVID-19 lockdown increased takeaway orders, sanitation, and digital communication. This study provides valuable information for adapting gastronomic offerings during challenging situations.
Childhood adversity, emergent psychopathology, and adolescent-to-parent violence: Process mining trajectories from police and health service administrative data
Authors: Peck Allison , Hutchinson Marie , Provost Steve 
Published: April 2023

AimTo discover developmental risk trajectories for emerging mental health problems among a sample of adolescent family violence offenders to inform service delivery focused on early preventative interventions with children and their families.DesignA retrospective case-series design employing data linkage.SettingAn Australian regional location.ParticipantsAdolescents (born between 1994 and 2006) issued a legal action by the NSW Police Force for an adolescent-to-parent family violence offense (n = 775).ProcedureDiscrete routinely collected episode data in police and health service electronic records for children, and police data for parents, were linked and transformed into longitudinal person-based records from birth to 19 years to identify trajectories for mental health problems.ResultsSixty-three percent (n = 489) of adolescents had contact with a mental health service before age 19. The majority of these adolescents received a diagnosis for a stress or anxiety disorder (n = 200). Trajectory analysis found childhood exposure to parental intimate partner violence and parental drug and/or alcohol use were dominant events in the pathway to receiving a mental health diagnosis. Being a victim of a sexual offense was found to increase the odds of adolescents having a diagnosis for each of the main mental health categories (with the exception of drug or alcohol disorders).ConclusionsPathways to mental health problems were characterized by inter-related adverse childhood events and poly-victimization for many adolescents. Early identification of at-risk children must be a continued focus of child health services in order to reduce and identify early emerging mental health problems.
Postural control exercise without using the upper limbs improves activities of daily living in patients with stroke
Authors: Kamijo Akio , Furihata Chisato , Kimura Yuki , Furuhata Isamu , Ohtani Takeshi , Miyajima Takeshi 
Published: April 2023

IntroductionStroke is one of the most common neurological disorders worldwide. Stroke survivors have restricted activities of daily living (ADL) and lower functional independence measures (FIM) after disease onset. Recovery of postural control abilities in patients with stroke is one of the most important therapeutic goals. In this study, we examined the differences in the FIM motor items between groups that performed postural control exercises with the upper limb and those that performed postural control exercises without the upper limb.MethodsThe medical records of patients with stroke admitted and discharged from the Recovery Rehabilitation Unit at Azumino Red Cross Hospital between 2016 and 2018 were reviewed. We retrospectively investigated the relationships between postural control exercises with or without upper limbs, FIM motor items at admission and discharge, and percentage of gait acquisition at discharge.Results and DiscussionAmong the thirteen FIM motor items, nine (bathing, dressing the upper body, dressing the lower body, toileting, transfers [bed, chair, and wheelchair], transfers [toilet], transfers [tub or shower], locomotion, and climbing of stairs) were significantly different between the two groups (those who performed postural control exercises with the upper limb and those who performed postural control exercises without the upper limb). Patients with stroke who performed postural control exercises without the upper limbs showed a higher percentage of gait acquisition. Touch contact during quiet standing reduces body sway and the associated fluctuations. However, continual practice of postural control with a small degree of body sway for a long period after a stroke would result in decreased pressure on the sole. This may hinder postural control relearning. Touch contact also reduces anticipatory postural adjustment, which may limit the improvement in balance ability during physical exercise. Postural control exercises without the upper limbs improve postural control ability and may be beneficial from a long-term perspective.
Transcatheter arterial embolization of cystic artery bleeding
Authors: Kim Hyo-Cheol , Jeong Yun Soo , Han Kichang , Kim Gyoung Min 
Published: April 2023

PurposeThe purpose of this study is to assess the safety and clinical outcomes of transcatheter arterial embolization (TAE) via the cystic artery for treating patients with bleeding from the cystic artery.Materials and MethodsThis retrospective study included 20 patients who underwent TAE via the cystic artery between January 2010 and May 2022. Radiological images and clinical data were reviewed to evaluate causes of bleeding, procedure-related complications, and clinical outcomes. Technical success was defined as the disappearance of contrast media extravasation or pseudoaneurysm, as demonstrated on completion angiography. Clinical success was defined as discharge from the hospital without any bleeding-related issues.ResultsHemorrhagic cholecystitis (n = 10) was the most common cause of bleeding, followed by iatrogenic (n = 4), duodenal ulcer (n = 3), tumor (n = 2), and trauma (n = 1). Technical success was achieved in all cases, and clinical success was achieved in 70% (n = 14) of patients. Three patients developed ischemic cholecystitis as a complication. Six patients with clinical failure died within 45 days after embolization.ConclusionTAE through the cystic artery has a high technical success rate in treating cystic artery bleeding, but clinical failure remains a common occurrence due to concurrent medical conditions and the development of ischemic cholecystitis.
Global research on cysticercosis and neurocysticercosis: A bibliometric analysis
Authors: Gonzalez-Alcaide Gregorio , Sosa Nestor , Shevy Laura , Belinchon-Romero Isabel , Ramos-Rincon Jose-Manuel 
Published: April 2023

BackgroundCysticercosis is a parasitic infection caused by the larval stageTaenia solium. As a neglected tropical disease that is also difficult to diagnose, cysticercosis constitutes an important public health and research challenge. To characterize the development of research on cysticercosis and neurocysticercosis, considering the level of scientific evidence provided and the contribution of different countries to research, according to their endemic nature and their income level.MethodsIndexed publications on cysticercosis and neurocysticercosis were retrieved from the MEDLINE database, and the evolution of scientific production and the topic areas addressed in the body of research were analyzed.ResultsA total of 7,860 papers published between 1928 and 2021 were analyzed. The volume of annual publications increased over time, standing at over 200 documents/year since 2010. Case studies constitute the main study design (27.4% of the documents with available information,n= 2,155), with fewer studies that provide the highest levels of scientific evidence, such as clinical studies (1.9%,n= 149) or systematic reviews (0.8%,n= 63). The most productive journals belong to the Parasitology and Tropical Medicine categories. Although the USA is the most productive country (n= 2,292), countries whereTenia soliumis endemic, such as India (n= 1,749), Brazil (n= 941) and Peru (n= 898) also stand out, as does Mexico (n= 1,414). However, other endemic countries in Latin America and sub-Saharan Africa show little participation in the research. The level of international collaboration by country is very uneven, with some countries presenting very low values, such as India (9.9% of documents in international collaboration) or Brazil (18.7%); while there is evidence of intense international collaboration in countries like Peru (91.3%), Tanzania (88.2%) or Kenya (93.1%). Research output has coalesced in three thematic clusters: basic research in animals; parasitism, animal health, and zoonoses; and the diagnosis and therapeutic approach in diseases associated with cysticercosis and neurocysticercosis.ConclusionsThe generation of knowledge on cysticercosis presents different features from other areas of research, such as the outstanding contribution of only some endemic countries; and the relevance of comprehensive approaches to research (animal and human health). Studies that provide higher levels of scientific evidence should be promoted, as should research in endemic areas.
Modular, Articulated Models of DNA and Peptide Nucleic Acids for Nanotechnology Education
Authors: Goodwin-Schoen Caleigh M. , Taylor Rebecca E. 
Published: April 2023

ABSTRACT
Dynamic and flexible nucleic acid models can provide current and future scientists with physical intuition for the structure of DNA and the ways that DNA and its synthetic mimics can be used to build self-assembling structures and advanced nanomachines. As more research labs and classrooms dive into the field of structural nucleic acid nanotechnology, students and researchers need access to interactive, dynamic, handheld models. Here, we present a 3D-printable kit for the construction of DNA and peptide nucleic acid (PNA). We have engineered a previous modular DNA kit to reduce costs while improving ease of assembly, flexibility, and robustness. We have also expanded the scope of available snap-together models by creating the first 3D-printable models of γPNA, an emerging material for nuclease- and protease-resistance nanotechnology. Building on previous research, representative nucleic acid duplexes were split into logical monomer segments, and atomic coordinates were used to create solid models for 3D printing. We used a human factors approach to customize 3 types of articulated snap-together connectors that allow for physically relevant motion characteristic of each interface in the model. Modules are easy to connect and separate manually but stay together when the model is manipulated. To greatly reduce cost, we bundled these segments for printing, and we created a miniaturized version that uses less than half the printing material to build. Our novel 3D-printed articulated snap-together models capture the flexibility and robustness of DNA and γPNA nanostructures. Resulting handheld helical models replicate the geometries in published structures and can now flex to form crossovers and allow biologically relevant zipping and unzipping to allow complex demonstrations of nanomachines undergoing strand displacement reactions. Finally, the same tools used to create these models can be readily applied to other types of backbones and nucleobases for endless research and education possibilities.
Analysis of longitudinal leaky surface acoustic waves on piezoelectric thin plates bonded to diamond substrate
Authors: Hara Naoto , Suzuki Masashi , Kakio Shoji , Yamamoto Yasushi 
Published: April 2023

Abstract
Using the finite element method, we analyzed the resonance properties of a longitudinal leaky surface acoustic wave (LLSAW) on the structure of a piezoelectric LiTaO3 (LT) or LiNbO3 (LN) thin plate bonded to a diamond support substrate. When the plate thickness was 0.3 wavelength or larger, the particle displacements of the LLSAW were substantially concentrated near the surface, and the resonance properties were significantly improved compared to those of the single LT or LN. However, spurious responses due to other SAW modes also emerged. Regarding the LN thin plate, we obtained a phase velocity and fractional bandwidth of approximately 7300 m s−1 and 9.4%, respectively. Furthermore, a structure was proposed to suppress spurious responses in which the piezoelectric thin plate is divided into two layers with different Euler angles. The spurious responses were significantly suppressed after dividing the thin plate, while the main response of the LLSAW was maintained.
Pengaruh Pelayanan Pengelola Terhadap Kepuasan Nasabah Bank Sampah
Authors: Wirawan Aldy , Yandri Pitri 
Published: April 2023

Waste banks are increasingly important to assist government programs in reducing household waste. The government has recognized the existence of waste banks as community-based waste management organizational entities through various laws and regulations. As an organization, waste banks must also adhere to sound management principles, including how to serve service users/customers (in this case, people who save their waste). However, research on waste banks focuses a lot on their role in the environment and how their members participate. Here, research related to management services functions is rarely carried out by researchers. Therefore, this study examines the effect of management services on the satisfaction of waste bank customers. We use the service and customer satisfaction theory and break it down into measurable indicators. This study looked at the Hibiscus Waste Bank in South Tangerang City. To answer the formulation of the problem, we surveyed more than 30 customers purposively through a questionnaire instrument. Then we examined it with the Structural Equation Modelling. We found strong evidence that physical evidence, responsiveness, empathy, assurance, and service reliability significantly affected waste bank customer satisfaction. Further elaboration of the findings we present more fully in this article.
PENGARUH GAYA KEPEMIMPINAN DAN MOTIVASI TERHADAP PRODUKTIVITAS KERJA PEGAWAI
Authors: Febrian Rizki , Ekowati Sri 
Published: April 2023

This study aims to determine the effect of leadership style and motivation on work productivity (a case study on employees of PT. Kimia Farma Bengkulu branch). This type of research is a quantitative descriptive research. The object of this research is the employees of PT. Kimia Farma Bengkulu. The sampling method is a saturated sampling technique. The number of respondents in this study were 40 respondents. The method of data collection is using the distribution of questionnaires. The data analysis technique used multiple linear regression analysis and hypothesis testing, namely t test and F test.
The results of this study can be concluded that the variables of leadership style and motivation have a positive and significant effect on work productivity at PT. Pharmaceutical Chemistry. Partially, the two variables of leadership style and motivation have a positive and significant influence on work productivity. The better the leadership style and the better the motivation given in accordance with the employee's work, the work productivity will increase.
Keywords: Leadership Style, Motivation, Work Productivity