bluuebunny/crossref_metadata_2025_split huggingface dataset:
IDENTIFIKASI KETERAMPILAN BERPIKIR KRITIS SISWA PADA PEMBELAJARAN IPA DI SDN GUGUS 1 KECAMATAN DUREN SAWIT
Authors: Tri Wahyuni Ida , Sari Prima Mutia , Kowiyah Kowiyah 
Published: August 2023

Abstrack: This study aims to determine the identification of students’ critical thinking skills in science learning at SDN Gugus 1 Duren Sawit District. This study used a quantitative descriptive research method using survey method. The research population was SDN Gugus 1 Duren Sawit District and the sample was SDN Duren Sawit 02, 10 and 14 Pagi. The sampling technique was cluster random sampling. The data was collected by using critical thinking skills tests, interviews and documentation. The results showed that the average of critical thinking skills in SDN Gugus 1 students Duren Sawit District was 35,14 in the moderate category. The average score of critical thinking in SDN Duren Sawit 02 Pagi was 39,74 in the moderate category, SDN Duren Sawit 10 Pagi was 34,91 in the low category, and SDN Duren Sawit 14 Pagi was 30,78 in the low category. The highest furthemore indicator of critical thinking in SDN Gugus 1 Duren Sawit District, namely SDN Duren Sawit 02 Pagi the average score was 39, 74 in the moderate category, SDN Duren Sawit 10 Pagi got an average score of 34,91 with the low category and SDN Duren Sawit 14 Pagi have an average value of 30,78 in the low category, while the results of the study on the average of each indicator show that the highest indicator in SDN Gugus 1 Duren Sawit District on the indicator provides further explanation with an average score 38 and the lowest indicator in SDN Gugus 1 Duren Sawit District on indicators og managing strategies and tactics with an average score of 31.
Opioid-Free Analgesia Provides Pain Control Following Thumb Carpometacarpal Joint Arthroplasty
Authors: Hysong Alexander A. , Odum Susan M. , Lake Nicholas H. , Hietpas Kayla T. , Michalek Caleb J. , Hamid Nady , Gaston Raymond G. , Loeffler Bryan J. ,   the CORE Study Group
Published: August 2023

Update:
This article was updated on July 22, 2024, because of a previous error. On page 1757, the Note that had read “The CORE Study Group includes Todd M. Chapman Jr., MD; Bruce E. Cohen, MD; Patrick M. Connor, MD; Brian M. Curtin, MD; W. Hodges Davis, MD; J. Kent Ellington, MD; James E. Fleischli, MD; Samuel E. Ford, MD; Todd A. Irwin, MD; Carroll P. Jones III, MD; R. Alden Milam IV, MD; Bryan M. Saltzman, MD; P. Bradley P. Segebarth; Shadley C. Schiffern, MD; and Scott B. Shawen, MD.” now reads “The CORE Study Group includes Todd M. Chapman Jr., MD; Bruce E. Cohen, MD; Patrick M. Connor, MD; Brian M. Curtin, MD; W. Hodges Davis, MD; J. Kent Ellington, MD; James E. Fleischli, MD; Samuel E. Ford, MD; Todd A. Irwin, MD; Carroll P. Jones III, MD; Daniel P. Leas, MD; R. Alden Milam IV, MD; Bryan M. Saltzman, MD; P. Bradley Segebarth, MD; Shadley C. Schiffern, MD; and Scott B. Shawen, MD.”
An erratum has been published: J Bone Joint Surg Am. 2024 Sep 4;106(17):e39.

Background:
We hypothesized that an opioid-free (OF), multimodal pain management pathway for thumb carpometacarpal (CMC) joint arthroplasty would not have inferior pain control compared with that of a standard opioid-containing (OC) pathway.

Methods:
This was a single-center, randomized controlled clinical trial of patients undergoing primary thumb CMC joint arthroplasty. Patients were randomly allocated to either a completely OF analgesic pathway or a standard OC analgesic pathway. Patients in both cohorts received a preoperative brachial plexus block utilizing 30 mL of 0.5% ropivacaine that was administered via ultrasound guidance. The OF group was given a combination of cryotherapy, anti-inflammatory medications, acetaminophen, and gabapentin. The OC group was only given cryotherapy and opioid-containing medication for analgesia. Patient-reported pain was assessed with use of a 0 to 10 numeric rating scale at 24 hours, 2 weeks, and 6 weeks postoperatively. We compared the demographics, opioid-related side effects, patient satisfaction, and Veterans RAND 12-Item Health Survey (VR-12) results between these 2 groups.

Results:
At 24 hours postoperatively, pain scores in the OF group were statistically noninferior to, and lower than, those in the OC group (median, 2 versus 4; p = 0.008). Pain scores continued to differ significantly at 2 weeks postoperatively (median, 2 versus 4; p = 0.001) before becoming more similar at 6 weeks (p > 0.05). No difference was found between groups with respect to opioid-related side effects, patient satisfaction, or VR-12 results.

Conclusions:
A completely opioid-free perioperative protocol is effective for the treatment of pain following thumb CMC joint arthroplasty in properly selected patients.

Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
A novel multi-objective linear fractional optimization model in intuitionistic fuzzy environment and its application in organization planning
Authors: Sharma Kirti , Singh Vishnu Pratap , Ebrahimnejad Ali , Chakraborty Debjani 
Published: August 2023

Abstract
In real life situations, fractional objectives are considered as a better tool for measuring efficiency of a system. These days, various businesses prefers to maximize their efficiency rather than only maximizing their output. Fractional objective gives a better view at efficiency and thus are used most often in practical decision making situations. For example, ratios like profit/cost, sales/inventory are maximized in production planning problems; whereas in health care system, the ratios like nurses/patients, nurses/rooms are optimized. While solving a real-world optimization problem, the state of impreciseness and indeterminacy are inevitable because of uncontrollable factors such as fluctuating market conditions, weather conditions, political scenarios etc. and thus the decision maker needs to involve components that can be used to represent the impreciseness and uncertainty while formulating the mathematical models to solve such optimization problems. The concept of intuitionistic fuzzy numbers, as given in fuzzy set theory, can be used to handle such situations. In this work, an approach for solving multi-objective intuitionistic fuzzy linear fractional programming problem (IFLFPP) has been presented. While solving the optimization problem, the component-wise optimization method is used to handle the impreciseness and then the fuzzy goal programming approach is used to handle the multi-objective nature of the problem. A real life optimization problem in organization planning is also modelled and solved efficiently in this work by using the proposed approach.
Third Birth Intention of the Working Women with Two Existing Children in Hainan Island, China: The Impact of Fertility Costs and Utility
Authors: Qiu Lei , Zhang Dongxian , Liu Xuan , Zhong Jie 
Published: August 2023

Abstract

Background
Few studies have explored the impact of fertility costs and utility on the third birth intention of Chinese women in the context of the “three-child policy.”
Aim
The present study aimed to acknowledge the status and impact of fertility costs and utility of the third birth intention of working women with two existing children in China.
Methods
This study conducted a cross-sectional survey in Hainan Island, China, from October 1st to November 1st, 2021, using an offline survey. Structured questionnaires were used to collect data such as fertility intentions, fertility costs and utility, and demographics and family characteristics. A multinomial logistic regression analysis determined the associations between childbearing intention and fertility costs and utility.
Findings:
Data was collected from 1067 working women with two existing children in Hainan Island, China. Among them, only 8.06% of participants reported having a third-birth intention. After adjustment for potential confounding factors, higher economic cost (odds ratio(OR) = 1.89) and lower succession utility (OR = 5.08) were significantly associated with the lack of intent to have a third child.
Conclusion
Working women with two existing children in Hainan Island had a low intention to give birth to a third child. It is necessary to transfer or share the economic costs of child-rearing for people of childbearing age at the national level, such as providing third-child subsidies, to increase the birth rates. Moreover, more emphasis should be placed on family values and responsibilities and a cultural environment conducive to reproduction.
Enhanced photostrictive actuation in freestanding ferroelectric membranes
Authors: Ganguly Saptam , Pesquera David , Garcia Daniel Moreno , Saeed Umair , Mirzamohammadi Nona , Santiso José , Padilla Jessica , Roque José Manuel Caicedo , Laulhé Claire , Berenguer Felisa , Villanueva Luis Guillermo , Catalan Gustau 
Published: August 2023

Abstract
Complex oxides offer a range of functional properties and recent advances in fabrication of freestanding membranes of these oxides have enabled enhanced functionality and novel manipulation strategies. Here, we demonstrate photoactuation on freestanding thin film resonators of ferroelectric Barium Titanate (BaTiO3) and paraelectric Strontium Titanate (SrTiO3). The membranes act as nano-drums, oscillating at their natural resonance frequency when illuminated by a frequency-modulated laser. Upon illumination, large out-of-plane deflections develop in BaTiO3 membranes, two orders of magnitude larger than in SrTiO3 ones, providing evidence for a ferroelectric origin of their large photoresponse. Time-resolved X-ray micro-diffraction under illumination and temperature-dependent vibrometry provide combined evidence for a photostrictive strain in BaTiO3 originated from partial screening of polarization by photo-excited carriers. These findings emphasise the pivotal role of light-matter interaction and its manifestation in ferroelectrics such as photostriction, and demonstrate the potential of freestanding ferroelectric membranes as wireless remote optomechanical devices for applications such as photo-actuators and sensors.
Connect-ROD – Development and Qualitative Evaluation of a Community-Based Group Intervention to Support Well-Being in Patients With a Rare or Orphan Disease
Authors: Bardon Cecile , Rioux Marie-Éve , Rivard Mélina , Porras Floryana-Maria Viquez , Zaky Julie 
Published: August 2023

Abstract

Background: Patients living with various rare or orphan diseases (ROD) experience common psychosocial difficulties for which they currently lack support. We developed, pilot-tested and evaluated acceptability, feasibility, implementation, and short-term effects of an online group intervention to support adult patients with a ROD (AP-ROD), which aims to improve coping mechanisms, reinforce sense of control and support personal goals of AP-ROD.
A qualitative study comprised of in-depth pretests, post-test interviews and standardized questionnaires, was conducted with 14 participants in two groups.
Results: The Connect-ROD intervention is strongly anchored in acceptance and commitment therapy as well as community psychology approaches. A pilot test allowed us to improve on the initial structure and to produce a manualized 10-week program delivered online, made up of 2-hour sessions comprising formal activities, exchanges and homework. The evaluation showed satisfactory acceptability and accessibility, compliant delivery by facilitators, and promising short-term effects on personal objectives, sense of control, coping mechanisms, symptom management, acceptance of the emotions associated with the disease, distress, self-efficacy, social support and connectedness. The program did not show short-term effects on overall quality of life.
Conclusion: Connect-ROD should be evaluated on a larger scale, but seems promising to support various AP-ROD who live with the complex psychosocial consequences of their disease.
Do Medical Tubes Affect Outcomes of Older Patients with In-Hospital Cardiac Arrest? Results of a National Health Insurance Database Analysis
Authors: Huang Chi-Chang , Chiu Ching-Ju , Hu Fang-Wen , Yang Deng-Chi , Lo Yu-Tai , Chang Chia-Ming 
Published: August 2023

Abstract
Background
With a rapidly aging population, older patients had higher risk of functional deficits with medical tubes. This study investigated whether the placement of medical tubes affect outcomes of older patients with in-hospital cardiac arrest.
Methods
Based on data from Taiwan’s National Health Insurance Research Database from January 1, 2000, to December 31, 2012, a retrospective longitudinal cohort study was conducted to enroll patients aged ≥ 65 years who underwent a first CPR event. All enrolled cases were followed for at least one year before 2013 or until death within one year. Demographic factors, comorbidities, main admission diagnoses, CPR process, and medical tubes dependency were assessed. Logistic regression analysis was used to estimate factors of those who survived to discharge and 1-year survivors.
Results
Among 6034 eligible patients, 669 (11.09%) survived to discharge, 206 of whom survived for more than 1 year. In the survival-to-discharge model, either univariate or multivariate analysis, patients with age ≥ 85 years, with a main diagnosis of infection or malignancy at admission, a nonventricular fatal arrhythmia or longer duration of cardiac massage, and requiring a nasogastric tube were less likely to be successfully resuscitated, with prolonged cardiac massage (> 11 min) being the strongest factor (OR: 3.922, 95% CI: 2.270–6.766, p = 0.003). Less than 30% of cases were survival to discharged without long-term tube dependency. The following factors, older age, male sex, high Charlson–Deyo Comorbidity Index (CCI) scores, and long-term tube dependency after CPR, decreased 1-year survival among surviving older adults with noncritical discharge. Among them, the long-term need for three medical tubes was the significantly associated with lower rates of 1-year survival. (OR: 6.818, 95% CI: 4.068–11.427, P < 0.001)
Conclusions and Implications
Different medical tubes have inconsistent effects on the survival to discharge of older patients with in-hospital cardiac arrest. Prolonged cardiac massage was the most important risk of non-survival to discharge among older patients with in-hospital cardiac arrest, and long-term multiple-tube dependency, which implies functional deficits, was highly prevalent after CPR and the strongest factor affecting 1-year survival.
Pre-War Situation with Soil Pollution in the City of Zaporizhzhia – Metallurgical Industry Centre in Ukraine - Characterized by Magnetic, Geochemical and Microscopy Methods
Authors: Bondar Kseniia M , Tsiupa Iryna , Sachko Anastasia , Nasiedkin Ievhen 
Published: August 2023

Abstract

Metallurgical industries incorporated into the living environment of the city cause significant enrichment of the topsoil with harmful substances including small size particulate matter, which contains heavy metals and magnetic iron oxides. The present study is focused on characterization of magnetic and geochemical pollution accumulated by urban soils in the city of Zaporizhzhia. Industrial dusts from the most powerful emmitants of airborne pollution are also analyzed. Two types of magnetic industrial emissions were discriminated to contribute in urban soil magnetization: spread of coarse-grained magnetite-bearing particles is limited to industrial zone, while smaller magnetic spherules were traced to settle far from the pollution sources bringing significant amounts of heavy metals to the soil. Magnetic susceptibility, saturation remanence and anhysteretic ratio of soil samples show strong relationship with heavy metals contents and Pollution Load Index. Thus magnetic parameters can serve as reliable proxies for complex urban and industrial pollution of soils. The obtained results provide important insight into magnetism and geochemistry of urban soils in Zaporizhzhia, characterizing the pollution rate as it was before missile attacks, aerial bombardments and artillery shelling of the city by russian invaders started since 24 February 2022.
WITHDRAWN: The effectiveness of Cognitive-Behavioral Therapy with and without Sertraline in patients with Obsessive-Compulsive Disorder: a pilot randomized trial
Authors: Effatpanah Marzie , Farhadian Maryam , Ghaleiha Ali , Renner Fritz , Moradveisi Latif 
Published: August 2023

Abstract

Background
Obsessive-compulsive disorder (OCD) is one of the most common psychiatric diagnoses in the world. Common evidence-based treatments for OCD are pharmacotherapy and psychotherapy.
Aims
To examine cognitive behavior therapy (CBT) with and without pharmacotherapy for treating of OCD.
Methods
Participants were 40 adults between 18 and 70 years, recruited through self-referrals, professional and clinic referrals, and hospital advertisements. Participants diagnosed with OCD through telephone screening were referred to Sina Hospital in Hamadan City, Iran, for further assessment.
Results
Of 40 participants (Most patients were women 80%, with university education 57.5%, and between 31 and 65 years old 65%), 20 parcipitants received CBT and 20 underwent CBT plus sertraline. After completing the intervention in both conditions, the mean OCD symptom severity score on the Y-BOCS decreased (P < 0.001), indicating that OCD symptoms improved in both conditions. The results showed that the reduction of OCD in each group was significant compared to the beginning of the study, but the two groups did not differ significantly (P = 0.058). The variables of gender, comorbidity, personality, education, and initial severity of the disease did not interact with treatment in the two treatment groups.
Conclusions
Based on the findings of the present study, the addition of drug therapy to CBT in patients with OCD was not associated with increased therapeutic response, indicating the high effectiveness of CBT in the treatment of OCD.
Identification of two major QTLs for pod shell thickness in peanut (Arachis hypogaea L.) using BSA-seq analysis
Authors: Liu Hongfei , Zheng Zheng , Sun Ziqi , Qi Feiyan , Wang Juan , Wang Mengmeng , Dong Wenzhao , Cui Kailu , Zhao Mingbo , Wang Xiao , Zhang Meng , Wu Xiaohui , Wu Yue , Luo Dandan , Huang Bingyan , Zhang Zhongxin , Cao Gangqiang , Zhang Xinyou 
Published: August 2023

Abstract
Background
Pod shell thickness (PST) is an important agronomic trait of peanut because it affects the ability of shells to resist pest infestations and pathogen attacks, while also influencing the peanut shelling process. However, very few studies have explored the genetic basis of PST.
Results
An F2 segregating population derived from a cross between the thick-shelled cultivar Yueyou 18 (YY18) and the thin-shelled cultivar Weihua 8 (WH8) was used to identify the quantitative trait loci (QTLs) for PST. On the basis of a bulked segregant analysis sequencing (BSA-seq), four QTLs were preliminarily mapped to chromosomes 3, 8, 13, and 18. Using the genome resequencing data of YY18 and WH8, 22 kompetitive allele-specific PCR (KASP) markers were designed for the genotyping of the F2 population. Two major QTLs (qPSTA08 and qPSTA18) were identified and finely mapped, with qPSTA08 detected on chromosome 8 (0.69-Mb physical genomic region) and qPSTA18 detected on chromosome 18 (0.15-Mb physical genomic region). Moreover, qPSTA08 and qPSTA18 explained 31.1–32.3% and 16.7–16.8% of the phenotypic variation, respectively. Fifteen genes were detected in the two candidate regions, including three genes with nonsynonymous mutations in the exon region. Two molecular markers (Tif2_A08_31713024 and Tif2_A18_7198124) that were developed for the two major QTL regions effectively distinguished between thick-shelled and thin-shelled materials.
Conclusions
The QTLs identified and molecular markers developed in this study may contribute to molecular marker-assisted breeding and lay the foundation for breeding cultivars with a shell thickness suitable for mechanized peanut shelling.
An integrated model incorporating deep learning, radiomics and clinical and US features to diagnose central lymph node metastasis in patients with papillary thyroid cancer
Authors: Gao Yang , Wang Weizhen , Yang Yuan , Xu Ziting , Lin Yue , Lang Ting , Lei Shangtong , Xiao Yisheng , Yang Wei , Huang Weijun , Li Yingjia 
Published: August 2023

Abstract
Objective
To evaluate the value of an integrated model incorporating deep learning (DL), radiomics and clinical and US imaging features for diagnosing central lymph node metastasis (CLNM) in patients with papillary thyroid cancer (PTC).
Methods
This retrospective study reviewed 613 patients with clinicopathologically confirmed PTC from two institutions. The DL model and radiomics model were developed using primary lesion images and then integrated with clinical and US features selected by multivariate analysis to generate an integrated model. The performance was compared with junior and senior radiologists on the independent test set. SHapley Additive exPlanations (SHAP) plot and Gradient-weighted Class Activation Mapping (Grad-CAM) were used for the visualized explanation of the model.
Results
The integrated model yielded the best performance with an AUC of 0.841. surpassing that of the radiomics model (0.706, p < 0.001) and the DL model (0.819, p = 0.26). Compared to junior and senior radiologists, the integrated model reduced the missed CLNM rate from 57.89% and 44.74–27.63%, and decreased the rate of unnecessary central lymph node dissection (CLND) from 29.87% and 27.27–18.18%, respectively. SHAP analysis revealed that the DL features played a primary role in the diagnosis of CLNM, while clinical and US features (such as extrathyroidal extension, tumor size, age, gender, and multifocality) provided additional support. Grad-CAM indicated that the model exhibited a stronger focus on thyroid capsule in patients with CLNM.
Conclusion
Integrated model can effectively decrease the incidence of missed CLNM and unnecessary CLND. The application of the integrated model can help improve the acceptance of AI-assisted US diagnosis among radiologists.
Robot versus video-assisted thymectomy for large thymomas: A propensity- matched analysis
Authors: Zhu Longfei , Zhang Lingmin , Zuo Chunjian , Sun Tianyu , Jiang Bin 
Published: August 2023

Abstract

Background Both video-assisted thymectomy (VAT) and robot-assisted thymectomy (RAT) have been suggested as technically sound approaches for early-stage thymomas. However, the choice of VAT or RAT for large and advanced thymomas remains controversial. In this study, the perioperative outcomes of VAT and RAT were compared in patients with large thymomas (size ≥5.0 cm). Methods A total of 113 patients with large thymomas who underwent minimally invasive surgery were included. Sixty-three patients underwent RAT, and 50 patients underwent VAT. Patient characteristics and perioperative variables were compared. Results Compared with the VAT group, the RAT group experienced a shorter operation time (median: 110 minvs.130 min;P < 0.001) and less blood loss (30.00 mlvs.100.00 ml,P < 0.001). No patients in the RAT group needed conversion to open surgery, but in the VAT series, five patients required conversion to open procedures (0%vs.14.29%,P = 0.054). The rate of concomitant resection in the RAT group was similar to that in the VAT group (11.43%vs.5.71%;P = 0.673). There was no significant difference between the two groups in the duration of chest tube (P = 0.587), postoperative complications (P = 1.000), and the duration of postoperative hospital stay (P = 0.141). Conclusion For large thymomas, RAT can be performed safely and effectively in a radical fashion. Due to the advanced optics and precise instrument control, concomitant resections can be easily achieved in larger thymomas using the robotic approach.