bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the Relationship Between Resilience and the Adverse Impact of Stuttering in Children
Authors: Walsh Bridget M. , Grobbel Hannah , Christ Sharon L. , Tichenor Seth E. , Gerwin Katelyn L. 
Published: June 2023

Purpose:
People who stutter often experience significant adverse impact related to stuttering. However, it is unclear how adverse impact develops in children who stutter (CWS) and whether there are protective factors that may mitigate its development. This study examined the relationship between resilience, a potentially protective factor, and stuttering's adverse impact in CWS. Resilience comprises external factors, such as family support and access to resources as well as personal attributes, making it a comprehensive protective factor to explore.

Method:
One hundred forty-eight CWS aged 5–18 years completed the age-appropriate version of the Child and Youth Resilience Measure (CYRM) and the Overall Assessment of the Speaker's Experience of Stuttering. Parents completed a caregiver version of the CYRM and a behavioral checklist for their child. The adverse impact of stuttering was modeled as a function of resilience (external, personal, and total), controlling for child age and behavioral checklist score. We also estimated correlations between child-report and parent-report CYRM measures to assess rater agreement.

Results:
Children reporting greater external, personal, or total resilience were more likely to experience lower degrees of adverse impact related to their stuttering. We documented stronger correlations between younger child and parent ratings of resilience and weaker correlations between older child and parent ratings.

Conclusions:
These results yield valuable insight into the variability of adverse impact experienced by CWS and offer empirical support for strength-based speech therapy approaches. We discuss the factors that contribute to a child's resilience and provide practical suggestions for how clinicians can incorporate resilience-building strategies into intervention for children experiencing significant adverse impact from their stuttering.

Supplemental Material:

https://doi.org/10.23641/asha.23582172
Comprehensive lumped parameter and multibody approach for the dynamic simulation of agricultural tractors with tyre–soil interaction
Authors: Martelli Massimo , Chiarabelli Damiano , Gessi Silvia , Marani Pietro , Mucchi Emiliano , Polastri Marco 
Published: June 2023

AbstractModern agricultural tractors are complex systems, in which multiple physical (and technological) domains interact to reach a wide set of competing goals, including work operational performance and energy efficiency. This complexity translates to the dynamic, multi‐domain simulation models implemented to serve as digital twins, for rapid prototyping and effective pre‐tuning, prior to bench and on‐field testing. Consequently, a suitable simulation framework should have the capability to focus both on the vehicle as a whole and on individual subsystems. For each of the latter, multiple options should be available, with different levels of detail, to properly address the relevant phenomena, depending on the specific focus, for an optimal balance between accuracy and computation time. The methodology proposed here by the authors is based on the lumped parameter approach and integrates the models for the following subsystems in a modular context: internal combustion engine, hydromechanical transmission, vehicle body, and tyre–soil interaction. The model is completed by a load cycle module that generates stimulus time histories to reproduce the work load under real operating conditions. Traction capability is affected by vertical load on the wheels, which is even more relevant if the vehicle is travelling on an uncompacted soil and subject to a variable drawbar pull force as it is when ploughing. The vertical load is, in turn, heavily affected by vehicle dynamics, which can be accurately modelled via a full multibody implementation. The presented lumped parameter model is intended as a powerful simulation tool to evaluate tractor performance, both in terms of fuel consumption and traction dynamics, by considering the cascade phenomena from the wheel–ground interaction to the engine, passing through the dynamics of vehicle bodies and their mass transfer. Its capabilities and numerical results are presented for the simulation of a realistic ploughing operation.
Image segmentation technology based on transformer in medical decision‐making system
Authors: He Keke , Gou Fangfang , Wu Jia 
Published: June 2023

AbstractDue to the improvement in computing power and the development of computer technology, deep learning has pene‐trated into various fields of the medical industry. Segmenting lesion areas in medical scans can help clinicians make accurate diagnoses. In particular, convolutional neural networks (CNNs) are a dominant tool in computer vision tasks. They can accurately locate and classify lesion areas. However, due to their inherent inductive bias, CNNs may lack an understanding of long‐term dependencies in medical images, leading to less accurate grasping of details in the images. To address this problem, we explored a Transformer‐based solution and studied its feasibility in medical imaging tasks (OstT). First, we performed super‐resolution reconstruction on the original MRI image of osteosarcoma and improved the texture features of the tissue structure to reduce the error caused by the unclear tissue structure in the image during model training. Then, we propose a Transformer‐based method for medical image segmentation. A gated axial attention model is used, which augments existing architectures by introducing an additional control mechanism in the self‐attention module to improve segmentation accuracy. Experiments on real datasets show that our method outper‐forms existing models such as Unet. It can effectively assist doctors in imaging examinations.
Rain attenuation prediction model for terrestrial links incorporating wet antenna effects
Authors: Zhang Xin , Zhao Zhenwei , Wu Zhensen , Lin Leke , Lu Changsheng , Sun Mingchen , Zhu Qinglin 
Published: June 2023

AbstractAccurate prediction of rain attenuation is critical for the design of terrestrial line‐of‐sight link systems above 5 GHz, particularly for millimetre‐wave frequency. Anomalous behaviour in the adjustment factor in existing rain attenuation prediction models is significantly greater than 1 at short distances and has been reported. To solve this problem and improve the accuracy, a rain attenuation prediction model for terrestrial line‐of‐sight links is proposed. The total rain attenuation described in the model accounts for the contributions of wet antenna attenuation and path rain attenuation. In addition, a rainfall rate adjustment factor is proposed. The proposed model has a root‐mean‐square error of 21.54% in prediction, which is an improvement compared to other existing models. Because the rainfall rate adjustment factor used in the model approaches 1 at short distances, the model can be applied to rain attenuation prediction for short‐distance links. The results will assist designers to design link margins more accurately.
An extendable step‐up/down DC–DC converter based on switched capacitors
Authors: Pourali Fatemeh , Babaei Ebrahim , Alizadeh Darioush , Sabahi Mehran 
Published: June 2023

AbstractIn this paper, a new step‐up/down DC–DC converter based on switched capacitors (SCs) is proposed. This converter can provide highly variable voltage gain and merits like decreased voltage stress on power switches and capacitors. Besides, due to its modular configuration obtained by utilizing switched‐capacitor cells, it can generate high voltage gain in low‐duty cycles. In addition, the proposed converter has a continuous input current. The theoretical analysis of the proposed converter has been done, and its operating modes have been investigated. In addition, the proposed structure has been compared with some existing converters to highlight the advantages and disadvantages. Finally, to confirm the claims and theoretical results, a laboratory sample of the converter for 200 W has been implemented, with an efficiency of 91.34%.
Design and analysis of wireless power supply system for high‐voltage transmission lines across 500‐kV insulator distance
Authors: Tan Linlin , Wu Zhijun , Shen Shuyu , Xu Heqi , Huang Xueliang 
Published: June 2023

AbstractThe energy harvesting of ultra‐high voltage transmission lines and wireless power transmission technology are effective means to solve the stable energy supply of outdoor tower equipment. However, there are inevitably technical problems such as long transmission distance, weak coupling, and parameter sensitivity. In this paper, an effective design approach for a power demand‐oriented long‐distance wireless power transmission system is proposed. With the goal of transmitting power, a system equivalent parameter model is established to address the sensitivity of design parameters for the point‐to‐point long‐distance wireless power transmission system, and the main influencing factors that lead to system power transmission failure are analyzed. To effectively address the impact of high‐sensitivity parameters, a fast‐tuning method with redundant capacitance matrix compensation is proposed, which improves the deviation problem in system parameter design, improves the efficiency of offset parameter matching, and analyzes the impact of wireless energy transmission systems on high‐voltage insulator strings. Finally, an experimental platform was constructed to achieve power transmission at a distance of not less than 5 m at a resonant frequency of 50 kHz. The transmission efficiency met the design expectations and verified the effectiveness of the analysis.
Le bien-vieillir en France et dans les pays de l’OCDE
Authors: Sicsic Jonathan , Ronchetti Jérôme , Rapp Thomas 
Published: June 2023

Dans cette synthèse, nous relatons les résultats d’une étude utilisant une nouvelle mesure individuelle du bien-vieillir. À partir d’un échantillon de plus de 39 000 individus, nous avons comparé les résultats de la France avec ceux observés dans 11 autres pays européens et aux États-Unis. Le bien-vieillir a été estimé en comparant l’âge calendaire des populations et leur âge physiologique, qui correspond à une mesure de l’âge ajustée des effets liés à la présence de comorbidités et à la santé fonctionnelle. Sur notre échelle de bien-vieillir, la France se situe dans le milieu bas du classement des pays. Elle est devancée par les pays nordiques (Danemark, Suède, Pays-Bas), la Suisse et la Grèce. Le capital économique a un fort impact sur l’âge physiologique estimé et sur les trajectoires de bien-vieillir. Les inégalités socio-économiques sont particulièrement marquées en France, comme en Italie et aux États-Unis.
Reversible Multifokalität durch Polypseudophakie
Authors: Baur Isabella Diana , Labuz Grzegorz , Yildirim Timur Mert , Auffarth Gerd U. , Khoramnia Ramin 
Published: June 2023

ZusammenfassungDie kombinierte Implantation einer monofokalen oder monofokal-torischen Intraokularlinse (IOL) in den Kapselsack und einer multifokalen IOL in den Sulcus ciliaris (sog. Duett-Verfahren)
erlaubt es, eine Multifokalität zu erzeugen, die einfacher reversibel ist als die Implantation einer kapselsackfixierten multifokalen IOL. Die optische Qualität und Ergebnisse mit dem
Duett-Verfahren sind äquivalent zu denen einer kapselsackfixierten multifokalen Optik. Patienten, bei denen eine Unverträglichkeit der Nebenwirkungen multifokaler Optiken auftritt, oder die
im Laufe ihres Lebens eine okuläre Erkrankung mit Funktionsverlust, wie z. B. eine altersbedingte Makuladegeneration (AMD) oder ein Glaukom entwickeln, können von der einfacheren
Reversibilität des Verfahrens profitieren.
Descemet Membrane Endothelial Keratoplasty in Eyes with an Artificial Iris
Authors: Keye Philip , Reinhard Thomas , Maier Philip Christian 
Published: June 2023

AbstractThe purpose of this study is to report the outcome of Descemet membrane endothelial keratoplasty (DMEK) in three eyes with a complex anterior segment and an artificial iris. A retrospective chart review of three cases was performed and clinically meaningful patient characteristics, clinical events, and therapeutic interventions were outlined. A literature search was performed and the clinical course of the three cases was discussed in the context of the published literature. DMEK in the presence of an artificial iris did not match the clinical results of DMEK in uncomplicated eyes. All three eyes experienced major complications, such as failure to achieve graft adherence, early graft failure, or an immune reaction. The indication for DMEK in complex anterior segments with an artificial iris should be made with the awareness of multiple possible complications and the potentially poor prognosis of the procedure.
Immune-Related Genes can Serve as Potential Biomarkers for Predicting
Severe Acute Pancreatitis
Authors: Zhao Weijuan 
Published: June 2023

AbstractWe aimed to investigate immune-related candidate genes for predicting the
severity of acute pancreatitis (AP). RNA sequencing profile GSE194331 was
downloaded, and differentially expressed genes (DEGs) were investigated.
Meanwhile, the infiltration of immune cells in AP were assessed using CIBERSORT.
Genes related with the infiltration of immune cells were investigated using
weighted gene co-expression network analysis (WGCNA). Furthermore, immune
subtypes, micro-environment, and DEGs between immune subtypes were explored.
Immune-related genes, protein-protein interaction (PPI) network, and functional
enrichment analysis were further performed. Overall, 2533 DEGs between AP and
healthy controls were obtained. After trend cluster analysis, 411 upregulated
and 604 downregulated genes were identified. Genes involved in two modules were
significantly positively related to neutrophils and negatively associated with T
cells CD4 memory resting, with correlation coefficient more than 0.7. Then, 39
common immune-related genes were obtained, and 56 GO BP were enriched these
genes, including inflammatory response, immune response, and innate immune
response; 10 KEGG pathways were enriched, including cytokine-cytokine receptor
interaction, Th1 and Th2 cell differentiation, and IL-17 signaling pathway.
Genes, including S100A12, MMP9, IL18, S100A8, HCK, S100A9, RETN, OSM, FGR, CAMP,
were selected as genes with top 10 degree in PPI, and the expression levels of
these genes increased gradually in subjects of healthy, mild, moderately severe,
and severe AP. Our findings indicate a central role of immune-related genes in
predicting the severity of AP, and the hub genes involved in PPI represent
logical candidates for further study.
A novel tool for case selection in endoscopic mucosal resection training
Authors: O’Sullivan Timothy , Sidhu Mayenaaz , Gupta Sunil , Byth Karen , Elhindi James , Tate David , Cronin Oliver , Whitfield Anthony , Wang Hunter , Lee Eric , Williams Stephen , Burgess Nicholas G. , Bourke Michael J. 
Published: June 2023

Background As endoscopic mucosal resection (EMR) of large (≥ 20 mm) adenomatous nonpedunculated colonic polyps (LNPCPs) becomes widely practiced outside expert centers, appropriate training is necessary to avoid failed resection and inappropriate surgical referral. No EMR-specific tool guides case selection for endoscopists learning EMR. This study aimed to develop an EMR case selection score (EMR-CSS) to identify potentially challenging lesions for “EMR-naïve” endoscopists developing competency.
Methods Consecutive EMRs were recruited from a single center over 130 months. Lesion characteristics, intraprocedural data, and adverse events were recorded. Challenging lesions with intraprocedural bleeding (IPB), intraprocedural perforation (IPP), or unsuccessful resection were identified and predictive variables identified. Significant variables were used to form a numerical score and receiver operating characteristic curves were used to generate cutoff values.
Results Of 1993 LNPCPs, 286 (14.4 %) were in challenging locations (anorectal junction, ileocecal valve, or appendiceal orifice), 368 (18.5 %) procedures were complicated by IPB and 77 (3.9 %) by IPP; 110 (5.5 %) procedures were unsuccessful. The composite end point of IPB, IPP, or unsuccessful EMR was present in 526 cases (26.4 %). Lesion size, challenging location, and sessile morphology were predictive of the composite outcome. A six-point score was generated with a cutoff value of 2 demonstrating 81 % sensitivity across the training and validation cohorts.
Conclusions The EMR-CSS is a novel case selection tool for conventional EMR training, which identifies a subset of adenomatous LNPCPs that can be successfully and safely attempted in early EMR training.
Homoeopathic Treatment of Childhood Herpes Zoster—A Case Series
Authors: Parveen Suraia , Ahmed Zeeshan , Das Subhrasankha 
Published: June 2023

Abstract
Background Herpes zoster (HZ) is a relatively rare infectious disease in the paediatric population as compared to adults, occurring due to the reactivation of latent varicella-zoster virus that persists in the posterior root ganglion. HZ can develop any time after the primary infection and is characterised by grouped vesicular rashes limited to single dermatome. Diagnosis is based on a distinct clinical appearance of HZ. Its clinical course is variable, and it requires prompt medical treatment to prevent the complications. In conventional method, antiviral and other treatment modalities are available; however, these are fraught with potentially severe side effects and is expensive that demands an alternative method of treatment.
Methods A case series of three children with HZ treated with individualised homeopathy is presented here. The cases are reported according to HOM-CASE guidelines and followed up with photographic documentation. The Modiﬁed Naranjo Criteria for Homeopathy (MONARCH) inventory was used as a tool for assessing the causal relationship between homeopathic intervention and clinical outcome.
Results All cases of HZ were successfully cured with individualised homoeopathy within 10 days without any complication. Individual curative response of the homoeopathic medicine in each case was assessed through MONARCH which demonstrated a positive causal attribution of homeopathy.
Conclusion Successful results of this case series suggest a positive response of individualised homeopathic medicines in the treatment of childhood HZ. The remissions of the HZ lesion presented in this case series may be attributed to homeopathic medicines in each case. Hence, this case series could serve as a basis for further research into the role of individualised homeopathic medicine in the treatment of childhood herpes zoster.
Jazdów: an island of real-and-imagined sustainability
Authors: Filip Artur Jerzy 
Published: June 2023

AbstractTechnocracy, as a consensus-oriented mode of post-political urban governance, is a major obstacle to the search for progressive forms of urban life, including innovations in design for sustainable development. However, what is impossible through design activities fixated on material form of things in space becomes possible through what Edward Soja called Thirdspace. This paper presents the case of Jazdów—a small urban enclave in Warsaw, Poland—which has become a site of these types of unimaginable transformations and an experiment in progressive sustainable development. What began as a battle to save a few dozen tiny, wooden houses have turned into a long-term campaign for experimental urban ecologies, radical democracies, and alternative economies. Building mainly upon in-depth interviews with radical practitioners involved in transforming Jazdów, this study analyzes these particular sustainability achievements (across all the E’s of sustainable development: environment, equity, and economy) that had been considered impossible, and yet happened through Jazdów. Finally, through a discussion on the uniqueness of today’s Jazdów across the ontological trialectics of Thirdspace, this paper argues for the need to not only accept, but also affirm and nurture its characteristics of disorder (aspect of spatiality), uncertainty (aspect of historicality), and contention (aspect of sociality).
Built environment as interface: a relation-based framework for the intersections between built, biotic, social, and health processes during COVID-19 and beyond
Authors: Howland Hannah , Keyser Vadim 
Published: June 2023

AbstractBy broadening disciplinary perspectives to architecture and design, philosophy of science, and systems biology, this paper aims to explore the interconnections between built, social, biotic, and health processes with key attention to the moderating roles of the built environment. The focus is part diagnostic and part prescriptive. Initially, we specify failures in COVID-19 representational infrastructure and practice in accounting for built environment and social process impacts on public health factors. By presenting three intertwined problems with scientific representation in COVID-19 modeling and data-gathering, we examine to what extent current scientific practices fail to robustly account for the complex intersections between built, biotic, social, and health processes. We suggest that resolving the presented problems requires the development of new conceptual precedents for the analysis of causal relations in changing contexts. The second focal point is prescriptive. By discussing conceptual developments that spotlight relations—e.g., ‘context’, ‘nudge’, ‘affordance’, and ‘interface’—we organize the numerous moderating roles of built environment contexts, and we suggest practical applications to ongoing public health practices—such as, cautioning against nudge policies. Ultimately, we argue that the built environment can be represented not only as a single variable (or handful of discrete variables) but also as an interface that reorganizes multiple causal landscapes—concurrently, deregulating factors and leaving others unaffected. Because of the difficulty of representing emergent properties, relevant to differential built environment burden and inequitable health outcomes, we provide ways to visualize the built environment as interface in multidimensional form. We conclude that adequately representing the various moderating roles of the built environment goes a step beyond how to represent complexity, and it requires asking a deeper normative question: who ought to be involved in representing complexity.
The theory of social games: outline of a general theory for the social sciences
Authors: Stolz Jörg 
Published: June 2023

AbstractSociological general theories (or “grand theories”) have been criticized for being too abstract to be of any practical use for empirical sociological work. This paper presents the outline of a general theory that claims to be better linked to empirical social research than previous theoretical attempts. The theory analyzes social life as a multitude of interacting social games. A social game is an entity created by players with resources who engage in action that is shaped by goals, rules, and representations, that involves objects, and that leads to game outcomes. The general theory is as encompassing as previous theoretical attempts, while allowing us to integrate both instrumental and normative action at different levels of the social. Its main advantage is that it is linked to middle-range theory and empirical research by a descriptive-interpretive heuristic, an explanatory heuristic, and formal and agent-based modeling. The article provides many examples to illustrate the claims.