bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gebelikte Eş Desteğinin Stres, Anksiyete ve Depresyonla İlişkisinin İncelenmesi
Authors: GÜNER Özlem 
Published: June 2023

Amaç: Bu çalışma, gebelik döneminde partner/eş katılım ve desteğin gebelikte kadınların, anksiyete, depresyon ve stres düzeyleri ile ruhsal durumu üzerindeki etkisini tanımlamak amacıyla planlanmıştır.
Yöntem: Araştırma, kesitsel ve tanımlayıcı bir çalışma olup 01.07.2020 - 1.12.2020 tarihlerinde bir devlet hastanesi Kadın Hastalıkları ve Doğum polikliniklerine veya NST polikliniğine hizmet almak için başvuran, çalışmaya katılmayı kabul eden 257 gebe dahil edilerek gerçekleştirilmiştir. Araştırmada belirtilen tarihlerde polikliniğe başvuran ve araştırma kriterlerine uyan gebe kadınlar gelişigüzel örnekleme yöntemi ile araştırmaya dahil edilmişlerdir.
Bulgular: Araştırmaya katılan gebelerin yaş ortalaması 29.05±5.54 (min-=18, maks=44), gebelik haftası ortalamaları 34.2±5.68 (min=12, maks=41), gebelik ortalamaları ise 1.88±0.93 olarak hesaplanmıştır. Yapılan bu çalışmada eş eğitim düzeyi ortaokul olanların, çekirdek aile yapısına sahip olanların, büyükşehir de ikamet edenlerin ve 3. Tremesterda olanların eş destek düzeylerinin daha yüksek olduğu görülürken, geniş aile yapısı, ilçede yaşama durumu, kötü ekonomik düzeyi, sigara kullanma durumu ile ikinci tremesterda bulunma durumunda depresyon, anksiyete ve stres düzeylerinin daha yüksek olduğu saptanmıştır. Eş desteği ile DASS-21 ile üç alt boyutu olan Anksiyete, Stres ve Depresyon puan ortalamaları arasında ilişki analizi sonucunda aralarında anlamlı pozitif yönde ilişki olduğu saptanmıştır (p
BLADDER SYMPTOMS IN CHILDREN WITH FUNCTIONAL CONSTIPATION : SYSTEMATIC REVIEW
Authors: Prahasari Wismawan Made Nindya , Susma Sugara I Gede Deden 
Published: June 2023

Background: Functional constipation (FC) affects 3% of children worldwide. FC occurs in 95% of children without an organic reason. Lower urinary tract symptoms (LUTS) and urinary tract infection (UTI) often co-occur. The International Children's Continence Society (ICCS) coined the term bladder and bowel dysfunction (BBD) to stress the frequent combination of bladder and bowel issues.
Aim: The purpose of this research is to investigate bladder symptoms in children with functional constipation.
Methods: This study confirmed that it met all of the requirements by evaluating the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 criteria. This allowed the researchers to guarantee that the study was as current as possible. Publications that were published between 2015 and 2023 were incorporated into the search strategy, which encompassed a number of different electronic reference databases (including Pubmed and SagePub). We did not consider review papers, duplicate publications, or articles that were only partially written.
Result: PubMed database search results yielded 213 articles, while SagePub database search results yielded 112 articles. In 2015, the search results for SagePub returned 13 articles while PubMed returned 19 articles. We compiled a total of eight articles (6 from PubMed and 2 from SagePub) and included three studies that met the inclusion criteria.
Conclusion: We can't say for sure how often bladder problems show up in children with FC. This is because the frequency varies a lot, so there aren't many studies. However, children with FC do often have bladder complaints.
Narrative Time in Suzanne Collins’ The Hunger Games: A Genettian Perspective
Authors: Yousef Nisreen T. 
Published: June 2023

This article utilizes Gérard Genette’s (1972/1980) narrative discourse theory in order to explore the temporal narrative strategies deployed in The Hunger Games (2008), the first novel in the popular series by the American writer Suzanne Collins. Though Genette’s comprehensive theory includes such elements as time, mood, and voice, the main focus of the study will be narrative time, whose elements order, duration, and frequency and their subcategories are first defined and then applied to the analysis of this novel. Genette’s theory of narrative discourse has almost invariably been considered as a purely formal one, a highly systematic classification of terms designed to describe narrative structures, without focusing on the social and cultural factors. In contrast, the present analysis aims at exploring both the formal and the communicative components of Genette’s theory, with a view to bridging the gap between old classical and current postclassical narratology.
Racial and Socioeconomic Disparities in Risk and Reason for Revision in Total Joint Arthroplasty
Authors: Dhanjani Suraj A. , Schmerler Jessica , Wenzel Alyssa , Gomez Gabriela , Oni Julius , Hegde Vishal 
Published: June 2023

Introduction:
Data regarding racial/ethnic and socioeconomic differences in revision total hip arthroplasty (rTHA) and revision total knee arthroplasty (rTKA) have been inconsistent. This study examined racial/ethnic and socioeconomic disparities in comorbidity-adjusted risk and reason for rTHA and rTKA.

Methods:
Patients who underwent rTHA or rTKA between 2006 and 2014 in the National Inpatient Sample were identified. Multivariable logistic regression models adjusted for payer status, hospital geographic setting, and patient characteristics (age, sex, and Elixhauser Comorbidity Index) were used to examine the effect of race/ethnicity and socioeconomic status on trends in annual risk of rTHA/rTKA and causes of rTHA/rTKA.

Results:
Black patients were less likely to undergo rTHA and more likely to undergo rTKA while Hispanic patients were more likely to undergo rTHA and less likely to undergo rTKA (P < 0.001 for all) compared with White patients. Patients residing in areas of lower income quartiles were more likely to undergo rTHA and rTKA compared with those in the highest quartile (P < 0.001), and these disparities persisted and widened over time. Black, Hispanic, and Asian patients were less likely to undergo rTHA/rTKA because of dislocation compared with White patients (P < 0.001 for all). Patients from areas of lower income quartiles were more likely to undergo rTHA because of septic complications and less likely to require both rTHA and rTKA because of mechanical complications (P < 0.001 for all).

Discussion:
Racial/ethnic and socioeconomic disparities exist in risk and cause of rTHA and rTKA. Increasing awareness and a focus on minimizing variability in hospital quality may help mitigate these disparities.
The Value of Signaling an Orthopaedic Surgery Program: A Survey to Orthopaedic Surgery Programs
Authors: Sorenson Jacob C. , Ryan Patrick M. , Ward Russell A. , Fornfeist Douglas S. 
Published: June 2023

Introduction:
A new system was implemented by the Association of American Medical Colleges called the preference signaling program for the 2022 to 2023 orthopaedic surgery residency match. Applicants were able to signal 30 orthopaedic surgery programs to indicate high interest in a specific program. The purpose of this study was to address how important signaling was to an orthopaedic surgery program this 2022 to 2023 application cycle.

Methods:
A five-question survey was sent to orthopaedic surgery residency programs participating in the Electronic Residency Application Service this application cycle. Contact information was gathered through the Accreditation Council for Graduate Medical Education residency website and program websites.

Results:
Responses were obtained from 69 of the 151 programs (46%) contacted. The average number of applicants per program was 727 (range, 372 to 1031, SD 155). Thirty-four of 61 respondents (56%) stated that 100% of their interviewees signaled their program. Fifty-five of 61 respondents (90%) indicated that their interviewee pool consisted of 75% or more applicants who signaled. Applicants who signaled had a 24.4% (range, 12.77 to 47.41, SD 8.04) chance of receiving an interview. Applicants who did not signal had just a 0.92% (range, 0 to 13.10, SD 2.08) chance of receiving an interview. Fifty-four of the 63 applicants (86%) answered that signaling played an important role in considering an applicant for an interview.

Conclusion:
Over half of the responding programs only interviewed applicants who signaled their program, and over 90% of programs' interview lists consisted of at least 75% of signaling applicants. Eighty-six percent of programs indicated that signaling played an important role in considering an applicant for an interview. Applicants who signaled were 26.5 times more likely to receive an interview than those who did not (P < 0.0001). With this information, applicants can narrow down their list of programs to apply to, knowing that their signal to a program will give them a better chance at receiving an interview.
In memoriam Andreas Ladner en Larry Rose
Authors: Denters Bas , Goldsmith Mike , Mouritzen Poul Erik 
Published: June 2023

In memoriam Andreas Ladner and Larry Rose
Within the space of only five days, the European community of local and regional government researchers was forced to say farewell to two of its most prominent members: Professor Andreas Ladner († 07-02-2023) and Professor Larry Rose († 12-02-2023). Both Andreas and Larry, who worked closely together and became good friends during the ‘Size and Local Democracy’ project, had successful academic careers based on excellent research and impressive publication lists. We had the privilege of working with Andreas and Larry for many years. The passing of Andreas and Larry not only marks the final farewell to two eminent researchers with whom it has always been a pleasure to work. Much more than that we have lost two good friends. We are left with sadness and in mourning.
Persepsi Guru MTsN 1 Lima Puluh Kota Tentang Asesmen Kompetensi Minimum
Authors: Asmarni Teti , Zakir Supratman 
Published: June 2023

Pemerintah dalam hal ini Kementerian Pendidikan dan Kebudayaan sebagai penyelenggara pendidikan di Indonesia selalu berusaha melakukan perubahan kearah yang lebih baik. Penulisan artikel ini bertujuan untuk menganalisis persepsi guru MTsN 1 Lima Puluh Kota tentang Asesmen Kompetensi Minimum (AKM). Penelitian ini menggunakan metode survei dengan jenis penelitian kualitatif deskriptif. Data diperoleh melalui wawancara dan dokumentasi. Data yang diperoleh dianalisis dengan mereduksi data dengan mendeskripsikan hasil wawancara. Hasil penelitian menunjukkan bahwa hampir semua guru mempunyai persepsi positif tentang AKM. Beberapa kendala yang ditemui selama pelaksanaan AKM dan survey karakter berasal dari factor siswa yang lamban dalam mengoperasikan komputer dan kurang memahami maksud soal dengan berbagai tipe soal. Kendala di pihak guru adalah kompetensi guru dalam mendampingi siswa mempersiapkan diri menghadapi AKM. Upaya madrasah dan guru melengkapi sarana prasarana, melatih siswa mengoperasikan computer, melatih siswa dengan soal-soal, pembiasaan kegiatan literasi madrasah. Hasil penelitian menunjukkan bahwa asesmen kompetensi minimal perlu disosialisasikan kepada siswa dan pelatihan bagi guru.
Kata kunci: Persepsi, Guru, Asesmen Kompetensi Minimum (AKM)
Studi Eksperimen Terhadap Model Pembelajaran Anak
Authors: Elvandari Maulana  
Published: June 2023

Pendidikan telah bergeser pada faktor peserta didik yang harus didorong semakin aktif dalam proses pembelajaran sehingga mereka terlibat secara aktif dan terwujud pembelajaran yang meaningful. Bukan hanya itu pembelajaran juga harus merangsang pemikiran kritis peserta didik, karena dengan hal tersebut akan terbentuk sebuah pola baru dalam aspek keilmuan yang pada saatnya nanti akan lahir sebuah teori-teori baru. Oleh karena itu, perencanaan dan perkembangan pembelajaran harus sesuai dengan perkembangan IPTEK. Pembelajaran harus selalu bergerak dengan keberlanjutan sebuah sistem sehingga pendidikan menghasilkan peserta didik yang dapat menjawab tantangan perkembangan zaman, bahwa yang akan melakukan perubahan ke arah yang lebih baik.
Ada beberapa bentuk desain eksperimen yang dapat digunakan dalam penelitian baik untuk skripsi, tesis, maupun disertasi yaitu: Pre-Experimental Design, True Experimental Design, Factorial Design, dan Quasi Experimental Design. Ciri utama true experimental design ialah sampel yang dipakai untuk kelompok eksperimen maupun kontrol diambil secara acak dari populasi tertentu. Ada dua bentuk true experimental design yakni Posttest Only Control Design dan Pretest Group Design. Faktorial design adalah bentuk modifikasi atas true experimental design. Quasi Experimental Design juga merupakan pengembangan dari true experimental design, namun desain ini cenderung sulit dilaksanakan.
Peserta didik dapat diarahkan untuk melakukan eksperimen terkait dengan materi pembelajaran. Namun dengan metode pembelajaran yang mendorong setiap peserta didik untuk aktif melakukan percobaan mereka akan semakin aktif, tidak lagi anak yang melamun atau mengantuk ketika pembelajaran berlangsung. Hal ini menjadikan setiap peserta didik semakin antusias dalam proses pembelajaran yang sedang berlangsung.Peserta didik melakukan eksperimen dengan mengamati sifat-sifat benda tersebut setelah dilakukan berbagai perlakuan misalnya apakah benda tersebut konduktor atau isolator, peserta didik mendekatkan api pada benda tersebut. Melalui pembelajaran dengan menggunakan metode eksperimen peserta didik menjadi paham terhadap suatu materi karena peserta didik menemukan sendiri.
Menumbuhkan Jiwa Kepemimpinan Sejak Dini
Authors: Syaifur Rohman  
Published: June 2023

Negara membutuhkan generasi terbaik yang mempunyai kemampuan memimpin bangsa ini guna mencapai kejayaan di masa depan. Pemuda-pemuda saat ini adalah pemimpin bangsa di masa depan, mereka akan menerima tongkat estapet kepemimpinan bangsa sehingga mereka harus dibekali dengan kecakapan-kecakapan dasar kepemimpinan .Inilah cita-cita pemuda yang akan menjadi pemimpin bangsa masa depan. Kepemimpinan dalam bahasa inggris disebut Leadership dan dalam bahasa arab disebut Zi’amah atau Imamah . dalam terminologi yang dikemukakan oleh Marifield dan Hamzah Kepemimpinan adalah menyangkut dalam menstimulasi, memobilisasi, mengarahkan, mengkoordinasi motif-motif dan kesetiaan orang-orang yang terlibat dalam usaha bersama. Kepemimpinan merupakan bagian dari fungsi-fungsi manajemen yang menduduki posisi strategis dalam sistem dan hirarki kerja dan tanggung jawab pada sebuah organisasi. Seorang pemimpin harus sanggup bekerja dalam jangka panjang dan dalam waktu yang tidak tertentu. Hal tersebut tercermin dalam keteguhan pendiriannya, kemauan yang keras dalam bekerja dan penerapan sifat-sifat pribadi yang baik dalam pekerjaannya
Inti pelajaran kepemimpinan untuk siswa SD adalah kegiatan menghormati dan saling mempercayai, serta membuat koneksi emosional dan komitmen untuk menyelesaikan tugas-tugas. Dalam kehidupan di kelas, penting bagi siswa SD untuk merasakan atmosfer kepemimpinan, dimana guru harus memberikan kesempatan yang menjanjikan bagi siswa untuk memperbesar konsepsi kepemimpinan mereka dengan menghubungkan emosi dirinya sendiri dengan gairah untuk melayani teman sebaya, disiplin dalam mendengarkan pendapat guru ataupun teman sebayanya, dan berani dalam bertanya. Mendengarkan dengan rasa ingin tahu adalah tindakan kreatif yang paling kuat yang dapat dilakukan, karena mendengarkan adalah pintu dimana anak membiarkan dunia luar untuk masuk. Kegiatan mendengarkan dapat meningkatkan komunikasi interpersonal, memperkuat keterampilan anak, menciptakan makna bersama, mengembangkan kemitraan bersama, dan berpartisipasi dalam kegiatan kepemimpinan bersama di dalam kelas ataupun di sekolah. Pemecahan masalah, imajinasi, dan perilaku prososial adalah aspek kepemimpinan yang dapat dipelajari pada anak sekolah dasar. Tapi hal seperti itu bukan prioritas kebutuhan anak, anak harus diberikan kegiatan pembelajaran yang dapat mengembangkan sikap kepemimpinan mereka di sekolah, karena anak memiliki kecerdasan untuk memberikan kepemimpinan, dan mereka juga harus mengembangkan keterampilan sosial yang efektif dalam rangka untuk mengambil posisi kepemimpinan dimasa yang akan datang.
Update on the management of intracranial hypertension in urgent and emergency situations
Authors: Jesús Llorente Fernández 
Published: June 2023

Justificación: La Hipertensión intracraneal (HIC) se relaciona con la mitad de muertes asociadas a lesiones cerebrales traumáticas, aumentando dicha mortalidad cuanto mayores son los niveles de Presión intracraneal. La medición de la PIC en situaciones de urgencias intrahospitalarias es importante, pero debemos conocer la forma de disminuirla si sospechamos de la misma en el ámbito extrahospitalario, puesto que la medición no es tan viable. Hay gran diversidad de tratamientos, pero es interesante saber cuáles son los más efectivos para elegir adecuadamente en situaciones de urgencia y de esa forma disminuir el riesgo de Hipertensión intracraneal y de mortalidad
Justification: Intracranial Hypertension (ICH) is related to half of the deaths associated with traumatic brain injuries, such mortality increasing the higher the levels of intracranial pressure. The measurement of ICP in intrahospital emergency situations is important, but we must know how to reduce it if we suspect it in the extrahospital setting, since the measurement is not as viable. There is a great diversity of treatments, but it is interesting to know which are the most effective to choose appropriately in emergency situations and thus reduce the risk of intracranial hypertension and mortality.
APAP versus titulation: Advancing towards telemedicine
Authors: Susana Pérez Casado , Rosa Eva Fernández Benito 
Published: June 2023

El tratamiento adecuado para el SAHS (Síndrome de Apnea-hipopnea del Sueño) es la CPAP (Presión Positiva Continua de las vías respiratorias), que ha evolucionado hasta la aparición de la AutoCPAP (Presión Positiva Continua de las vías respiratorias automática), con mayor confort y prestaciones en los años 90. El aumento progresivo de la utilización de CPAP para el tratamiento del SAHS y los avances tecnológicos experimentados por las APAPs (AutoCPAP), permiten realizar un control remoto y reduce costes respecto a la titulación. Podemos exponer que, en general, la APAP nos aporta la información necesaria para realizar un buen manejo de los pacientes con SAHS, ajustando los parámetros, sin necesidad de titular a los pacientes en los centros sanitarios.
The appropriate treatment for SAHS (Sleep Apnea-Hypopnea Syndrome) is CPAP (Continuous Positive Airway Pressure), which has evolved to the onset of AutoCPAP (Continuous Positive Airway Pressure automatic), with greater comfort and performance in the 90s. The progressive increase in the use of CPAP for the treatment of SAHS and technological advances experienced by APAPs (AutoCPAP), allow a remote control and reduces costs with respect to titling. We can state that, in general, the APAP provides us with the necessary information toperform a good management of patients with SAHS, adjusting the parameters, without need to register patients in health centers.
Confusion and convergence, but no &#34;myth of randomness.&#34; Chapter 2 of From Extraterrestrials to Animal Minds
Authors: Matheson Stephen 
Published: June 2023

The concept of randomness is caught up in evolution, in two broad ways. The first and most famous aspect is the oft-misunderstood randomness of mutation. The second aspect is the role of chance in the trajectory of evolution. It is this question—is evolution predictable, or is it a random &#34;drunkard&#39;s walk&#34;—that Conway Morris tackles in the second chapter of From Extraterrestrials to Animal Minds: Six Myths of Evolution.
Predictors of cognitive impairment in patients undergoing ileostomy for colorectal cancer: a retrospective analysis
Authors: Xu Jing , Yang Yuelan , Hu Die 
Published: June 2023

Background
Early detection of cognitive impairment in patients undergoing ileostomy for colorectal cancer may help improve patient outcomes and quality of life. Identifying risk factors and clinically accessible factors is crucial for prevention and treatment.

Objective
This retrospective study aimed to identify risk factors for post-operative cognitive impairment in patients undergoing ileostomy for colorectal cancer and to explore potential factors for its prevention and treatment.

Methods
A total of 108 cases were selected and included in the study. Patient data including general characteristics, disease stage, complications, and chemotherapy status were collected, and sleep quality and cognitive function were assessed using questionnaires and follow-up. Patients were randomly divided into training and validation groups. A random forest model was used to rank clinical features based on their contribution to predicting the prognosis of cancer-related cognitive impairment (CRCI). Nomograms were constructed using the support vector machine–recursive feature elimination (SVM-RFE) method, and the minimal root-mean-square error (RMSE) values were compared to select the best model. Regression analysis was performed to determine independent predictors.

Results
Significant differences were observed in age, body mass index (BMI), alcohol consumption, frequency of physical activity, comorbidity, and cancer-related anemia (CRA) between the CRCI and non-CRCI groups. Random forest analysis revealed that age, BMI, exercise intensity, PSQI scores, and history of hypertension were the most significant predictors of outcome. Univariate logistic regression analysis of 18 variables revealed that age, alcohol consumption, exercise intensity, BMI, and comorbidity were significantly associated with the outcome of CRCI (p < 0.05). Univariate and multivariate models with P-values less than 0.1 and 0.2, respectively, showed better predictive performance for CRCI. The results of univariate analysis were plotted on a nomogram to evaluate the risk of developing CRCI after colorectal cancer surgery. The nomogram was found to have good predictive performance. Finally, regression analysis revealed that age, exercise intensity, BMI, comorbidity, and CRA were independent predictors of CRCI.

Conclusions
This retrospective cohort study revealed that age, exercise intensity, BMI, comorbidity, CRA, and mobility are independent predictors of cognitive impairment in patients undergoing ileostomy for colorectal cancer. Identifying these factors and potential factors may have clinical implications in predicting and managing post-operative cognitive impairment in this patient population.