bluuebunny/crossref_metadata_2025_split huggingface dataset:
Identifying major predictors for parenting stress in a caregiver of autism spectrum disorder using machine learning models
Authors: Choi Hangnyoung , Kim Jae Han , Kim Hwiyoung , Cheon Keun-Ah 
Published: August 2023

IntroductionPrevious studies have investigated predictive factors for parenting stress in caregivers of autism spectrum disorder (ASD) patients using traditional statistical approaches, but their study settings and results were inconsistent. Herein, this study aimed to identify major predictors for parenting stress in this population by developing explainable machine learning models.MethodsStudy participants were collected from the Department of Child and Adolescent Psychiatry, Severance Hospital, Yonsei University College of Medicine, Seoul, the Republic of Korea between March 2016 and October 2020. A total of 36 model features were used, which include subscales of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) for caregivers’ psychopathology, Social Responsiveness Scale-2 for core symptoms, and Child Behavior Checklist (CBCL) for behavioral problems. Machine learning classifiers [eXtreme Gradient Boosting (XGBoost), random forest (RF), logistic regression, and support vector machine (SVM) classifier] were generated to predict severe total parenting stress and its subscales (parental distress, parent-child dysfunctional interaction, and difficult child). Model performance was assessed by area under the receiver operating curve (AUC), sensitivity, specificity, accuracy, positive predictive value, and negative predictive value. We utilized the SHapley Additive exPlanations tree explainer to investigate major predictors.ResultsA total of 496 participants were included [mean age of ASD patients 6.39 (SD 2.24); 413 men (83.3%)]. The best-performing models achieved an AUC of 0.831 (RF model; 95% CI 0.740–0.910) for parental distress, 0.814 (SVM model; 95% CI 0.720–0.896) for parent-child dysfunctional interaction, 0.813 (RF model; 95% CI 0.724–0.891) for difficult child, and 0.862 (RF model; 95% CI 0.783–0.930) for total parenting stress on the test set. For the total parenting stress, ASD patients’ aggressive behavior and anxious/depressed, and caregivers’ depression, social introversion, and psychasthenia were the top 5 leading predictors.ConclusionBy using explainable machine learning models (XGBoost and RF), we investigated major predictors for each subscale of the parenting stress index in caregivers of ASD patients. Identified predictors for parenting stress in this population might help alert clinicians whether a caregiver is at a high risk of experiencing severe parenting stress and if so, providing timely interventions, which could eventually improve the treatment outcome for ASD patients.
Thiamine administration may increase survival benefit in critically ill patients with myocardial infarction
Authors: Yue Suru , Wang Jia , Zhao Yumei , Ye Enlin , Niu Dongdong , Huang Jiasheng , Li Xiaolin , Hu Yiling , Hou Xuefei , Wu Jiayuan 
Published: August 2023

BackgroundMyocardial infarction (MI) is a common cardiovascular disease (CVD) in critically ill patients, leading to 17% mortality in the intensive care unit (ICU) setting. Patients with CVD frequently suffer from thiamine insufficiency, thereby thiamine supplements may be helpful. Unfortunately, the relationship between thiamine treatment and survival outcomes in ICU patients with MI is still unknown. The purpose of the research is to demonstrate the survival advantage of thiamine application in these patients.MethodsThe Medical Information Mart of Intensive Care-IV database served as the foundation for this retrospective cohort analysis. Depending on whether patients were given thiamine therapy during the hospital stay, critically ill MI patients were split into the thiamine and non-thiamine groups. The Kaplan–Meier (KM) method and Cox proportional hazard models were used to evaluate the relationship between thiamine use and the risk of in-hospital, 30-day, and 90-day mortality. To validate the results, a 1:2 closest propensity-score matching (PSM) was also carried out.ResultsThis study included 1782 patients for analysis with 170 and 1,612 individuals in the thiamine and non-thiamine groups, respectively. The KM survival analyses revealed that the risk of in-hospital, 30-day, and 90-day mortality was significantly lower in the thiamine group than the none-thiamine group. After modifying for a variety of confounding factors, the Cox regression models demonstrated substantial positive impacts of thiamine use on in-hospital, 30-d, and 90-d mortality risk among critically ill patients with MI with hazard ratio being 0.605 [95% confidence interval (CI): 0.397–0.921, p = 0.019], 0.618 (95% CI: 0.398–0.960, p = 0.032), and 0.626 (95% CI: 0.411–0.953, p = 0.028), respectively, in the completely modified model. PSM analyses also obtained consistent results.ConclusionThiamine supplementation is related to a decreased risk of mortality risk in critically ill patients with MI who are admitted to the ICU. More multicenter, large-sample, and well-designed randomized controlled trials are needed to validate this finding.
Evaluation and management of symptomatic duodenal diverticula: a single-center retrospective analysis of 647 patients
Authors: Ren Jiaqiang , Ding Jiachun , Su Tong , Wu Shuai , Chen Fan , Li Jie , Wang Zheng , Han Liang , Wu Zheng 
Published: August 2023

AimsTo explore the clinical characteristics of patients with symptomatic duodenal diverticula and to generalize how to make appropriate treatment choices for this group of patients.Materials and methodsFrom January 2010 to September 2020, a total of 647 patients with duodenal diverticula (DD) were included in this study. 345 of them with relevant symptoms were divided into the symptomatic group and the other 302 patients were in the asymptomatic group.ResultsAmong all patients, most DD were located in the periampullary area, &lt;1 cm in size, and single in number. The distribution of DD localized in the 2nd portion/periampullary (P = 0.002/P &lt; 0.001) and with a 1 cm size cut-off value (P = 0.003) was significantly different between the symptomatic and asymptomatic groups. Multivariate Logistics analysis further suggests that diverticular size (&lt;1 cm, 1–3 cm) and combined biliary comorbidities (bile duct stones and gallstones, primary bile duct stones, cholangitis without bile duct stones) may be factors influencing the choice of treatment modality. Of all patients undergoing surgical treatment, a total of 7 cases developed various postoperative complications, and no one died.ConclusionsPatients with DD ≥1 cm or located in the periampullary were more likely to be symptomatic. The specific size of the DD and the combination of specific biliary comorbidities may have an impact on the choice of treatment modality.
Markers of Angiogenesis in Patients with Psoriasis
Authors: Брынина А.В. , Маркевич Е.Б. , Хворик Д.Ф. 
Published: August 2023

Цель. Изучить содержание маркеров ангиогенеза в сыворотке крови у пациентов с псориазом и определить их взаимосвязь с формой и стадией дерматоза. Материалы и методы. Обследовано 90 пациентов, находившихся на лечении в ГУЗ «Гродненский областной клинический кожно-венерологический диспансер». Результаты. Проведен анализ уровня маркеров активации эндотелия в сыворотке крови: медиана содержания sVCAM нг/мл и VEFG пг/мл у обследованных пациентов с псориазом составила 139,8 нг/мл (112; 227,9) и 87,1 пг/мл (50,9; 166,7) соответственно. При сравнительной оценке содержания sVCAM-1 и VEGF в сыворотке крови в зависимости от формы и стадии псориаза достоверных различий не установлено. При расчете коэффициента корреляции Спирмена были получены следующие данные: выявлена умеренная корреляция между содержанием VEGF пг/мл и ДИКЖ (r=0,35), а также корреляция между содержанием sVCAM нг/мл и значениями индексов PASI и ДИКЖ (r=0,57 и 0,41 соответственно). Заключение. Маркеры активации эндотелия играют значимую роль в патогенезе псориаза, достоверных различий в зависимости от стадии и формы заболевания установлено не было, однако выявлены умеренно значимые корреляции между содержанием маркеров ангиогенеза и индексом PASI, а также дерматологическим индексом качества жизни.
Purpose. To study the content of angiogenesis markers in the blood serum of patients with psoriasis and determine their relationship with the form and stage of dermatosis. Materials and methods. The study involved 90 patients who were treated at the Grodno Regional Clinical Dermatovenerologic Dispensary. Results. The level of markers of endothelial activation in blood serum was analyzed: the median content of sVCAM ng/ml and VEFG pg/ml in examined patients with psoriasis was 139.8 ng/ml (112; 227.9) and 87.1 pg/ml (50.9; 166.7), respectively. When comparing the content of sVCAM-1 and VEGF in blood serum, depending on the form and stage of psoriasis, no significant differences were found. When calculating the Spearman correlation coefficient, the following data were obtained: a moderate correlation was found between the content of VEGF pg/ml and dermatological quality of life index (r=0.35), as well as a correlation between the content of sVCAM ng/ml and the values of the PASI and dermatological quality of life index indices (r=0.57 and 0.41, respectively). Conclusion. Endothelial activation markers play a significant role in the pathogenesis of psoriasis, no significant differences depending on the stage and form of the disease were found, however, moderately significant correlations were found between the content of angiogenesis markers and the PASI index, as well as the dermatological quality of life index.
Pyoderma Gangrenosum: A Clinical Case
Authors: Тимошенко В.А. , Крук Н.И. , Шиманская И.Г. 
Published: August 2023

Гангренозная пиодермия относится к нейтрофильным дерматозам – группе редких заболеваний кожи, характеризующейся неконтролируемыми процессами пролиферации и миграции нейтрофилов в кожу. В статье приводится клинический случай хронического, тяжелого, торпидного ко многим видам лечения дерматоза, который представляет интерес в связи с редкостью данного заболевания.
Pyoderma gangrenosum belongs to neutrophilic dermatoses, a group of rare skin diseases characterized by uncontrolled proliferation and migration of neutrophils into the skin. A clinical case of chronic, severe, torpid to many types of treatment dermatosis is presented, which is of interest due to the rarity of this disease.
La cartographie au pied de la lettre (numérique) : Le Plaisir de la côte / The Pleasure of the Coast de J.R. Carpenter
Authors: Médard Sylviane 
Published: August 2023

The Pleasure of the Coast ou Le Plaisir de la côte, de J.R. Carpenter, est le point de départ idéal pour interroger la littérature numérique francophone. Ayant recours au collage et à la génération de textes, l’autrice mêle des fragments de croquis du père de l’hydrographie, Beautemps-Beaupré et des citations issues du roman de Giraudoux, Suzanne et le Pacifique ou du Plaisir du texte de Roland Barthes. L’œuvre, de par son imparfait bilinguisme, interroge le langage, dynamite le rapport qu’il entretient avec l’espace en l’étrangéisant, en le fictionnalisant. Espace et temps sont brouillés par le dispositif numérique, qui mine ainsi le projet cartographique de Beautemps-Beaupré, et peut-être, le projet colonial. L’œuvre questionne la chronologie, l’histoire, à travers une forme de créolisation des temporalités, faisant ainsi émerger une véritable poétique du divers.
James Bond. L’ère Daniel Craig, au crible du placement de produit
Authors: Le Nozach Delphine 
Published: August 2023

Depuis 1962 et en 26 longs-métrages, James Bond, le célèbre agent britannique, est populairement et médiatiquement comparé à un homme-sandwich, un héros ambassadeur de marques, un prescripteur privilégié. Les mondes de la publicité et de l’agent 007 sont inextricablement liés. En 2005, l'introduction de Daniel Craig dans le rôle-titre marque une réelle rupture dans la saga, et c’est précisément la période sur laquelle nous focalisons notre analyse. Dans une perspective sémantique et communicationnelle, notre recherche interroge les partis pris visuels et le rôle du placement de produit dans les derniers films sortis en salle. Formes de présence, degré de monstration, fonctions diégétiques endossées, enjeux symboliques, en quoi le placement de produit est-il essentiel à la construction diégétique du personnage et de l’univers (re)présenté ? Comment devient-il un identifiant intrinsèque à l’édification du mythe 007 dans la mémoire collective ?
Physical Medicine and Rehabilitation Management in Pediatric Patient with Postural (Positional) Clubfoot: A Case Report
Authors: Rondonuwu Gloria , Gessal Joudy , Kalangi Patricia 
Published: August 2023

Abstract: Clubfoot, talipes equinovarus, is a common term used to describe several kinds of ankle or foot deformities present at birth. This condition is one of the most treatable birth defects, often leading to normal or near-normal athletic activities later in life. We reported a patient with positional clubfoot treated with serial casting, passive manipulation, and stimulation. Male, 6 days old, lived in Sonder, with a chief complaint of right foot that bent inward since birth. Patient was consulted by pediatrician to physiatrist since the birth day. The bent inward foot was not accompanied by swelling and redness, and patient was seen calm when the foot being moved. Patient was treated by physiatrist with passive manipulation, four times weekly with serial casting, and everyday stimulation for feet. During treatment session, patient’s deformity was getting improved. After treatment, the deformity was corrected and patient’s foot was in normal position without any complication. The aim of medical rehabilitation of clubfoot was to reduce the deformity with the success criteria that foot could be functional, free of pain, good mobility, and did not require correction shoes, therefore, the patient could carry out normal activities after growing up. In conclusion, to produce the maximum correction results, good cooperation is required with the patient’s parents. Even though correction is optimal and done as soon as possible, if bone growth has not stopped, the clubfoot problem can reappear. The first element of management is correction of the cavus deformity by positioning the forefoot in proper alignment with the hindfoot.
Keywords: postural clubfoot; physical medicine and rehabilitation; children; passive manipulation; serial casting; everyday stimulation for feet
Penggunaan Media Boneka Tali dalam Pengajaran Bahasa Inggris di Yayasan Tahfidz
Authors: Widiastuty Hesty , Qamariah Zaitun , Wati Zahwa Karunia , Rahman Rahman , Aqli Muhammad , Amelia Risky 
Published: August 2023

<p>Bahasa inggris merupakan bahasa yang universal yang digunakan hampir di seluruh belahan dunia. Oleh karena banyak media pembelajaran yang digunakan dengan tujuan meningkatkan kemampuan bahasa inggris. Pengabdiaan masyarakat ini bertujuan untuk mengenalkan dan mengajarkan bahasa inggris menggunakan media boneka tali. Metode yang digunakan untuk pengabdian masyarakat ini adalah demonstrasi. subyeknya adalah siswa atau santri tahfidz yayasan Darul Amin Palangka Raya yang berjumlah 15 siswa. Boneka tali terbuat dari bahan dasar kardus yang digunting dan dirangkai mengikuti pola yang telah ditentukan, kemudian diberi tali pada bagian bagian tertentu yang telah ditetapkan dalam pola sehingga boneka tersebut dapat di gerakan atau dimainkan sebagai nedia belajar bahasa inggris dengan materi describing people and animals. Hasil dari temuan yang kami dapatkan adalah sebagai berikut: meningkatkan minat belajar anak-anak dalam pembelajaran bahasa Inggris, meningkatkan penguasaan kosa kata dalam bahasa inggris khususnya kosa kata tentang descibing people and animal, lebih mudah memahami materi pembelajaran bahasa Inggris melalui penggunaan media boneka tali, meningkatkan kreativitas dan daya imajinasi anak-anak dalam belajar bahasa Inggris. Sehingga dapat ditarik kesimpulan bahwa pengajaran bahasa inggris menggunakan media boneka tali berpengaruh pada minat dan kemampuan berbahasa inggris siswa.</p>
Pendampingan Kegiatan Keagamaan dan Pengembangan Ekonomi UMKM di Desa Simpang Tiga Mataraman Kabupaten Banjar
Authors: Sauqi Muhammad , Rusdiana Rusdiana , Munawarah Munawarah , Rajiannor Muhammad , Ridhani Ahmad Lutfhi , Wulandari Eka , Sahrani Sahrani , Nursyifa Nursyifa 
Published: August 2023

<p>Kuliah kerja nyata (KKN) adalah bentuk kegiatan pengabdian kepada masyarakat oleh mahasiswa dengan pendekatan lintas keilmuan dan sektoral pada waktu dan daerah tertentu. Direktorat Jenderal Pendidikan Tinggi di Indonesia telah mewajibkan setiap perguruan tinggi untuk melaksanakan KKN sebagai kegiatan intrakurikuler yang memadukan tridarma perguruan tinggi. Program Pengabdian Institut Agama Islam Darussalam Martapura angkatan 2019 tahun 2023 bertempat diberbagai wilayah kabupaten Banjar termasuk Desa Simpang Tiga Mataraman. Kegiatan KKN ini dimulai dari tanggal 1 Mei sampai dengan 30 Juni 2023. Dalam melaksanakan kegiatan pengabdian selama 2 bulan, terbentuklah lima program yaitu memakmurkan masjid, mengajar membaca al-quran, kegiatan maulid dan burdah, pembinaan generasi muda, pengembangan ekonomi UMKM. Hasil dari program KKN ini diharapkan dapat membantu masyarakat desa Simpang Tiga Mataraman dengan program pendampingan bidang keagamaan dan pengembangan ekonomi UMKM.</p>
FORMAÇÃO PROFISSIONAL EM SERVIÇO SOCIAL E EXTREMISMO RELIGIOSO: TENDÊNCIAS PARA O RETORNO DE UMA ÉTICA CONSERVADORA
Authors: Carvalho da Silva Lucilia , Soares Lucia 
Published: August 2023

Considerada a aparição acintosa de representantes evangélicos e católicos extremistas na disputa pela agenda pública nacional desde o início do novo século, o artigo reflete sobre os influxos da religiosidade cristã no Serviço Social brasileiro a despeito dos acúmulos moderno e marxista da renovação profissional, advindos do caldo cultural da intenção de ruptura. Em investigação histórico-crítica com delineamentos bibliográfico e documental, é problematizado que, apesar de todo o empenho para ultrapassagem do Serviço Social tradicional e a consagração da direção estratégica vigente, a religião permanece sendo um tema a ser encarado pela categoria de assistentes sociais dado ao novo lugar que assume nas relações entre a sociedade e o Estado. Posta a centralidade da formação profissional para o fomento do perfil de assistente social pretendido pelo projeto ético-político, conclui-se que são maciços os desafios nesta direção já que, sob o capitalismo contemporâneo, reatualiza-se o conservadorismo em bases ultraneoliberais e neofascistas que contam com o proselitismo do discurso religioso moralizador e bélico em ataques à educação, à ciência e à cultura.

Palavras-chave: Serviço Social; religiosidade; formação profissional; conservadorismo.
ABANDONO PATERNO E O PROTAGONISMO FEMININO NO CUIDADO DE NASCIDOS COM DEFICIÊNCIA
Authors: Da Silva Santos Letícia 
Published: August 2023

Resumo
O presente artigo tem por objetivo o levantamento de dados e a análise profissional do Serviço Social diante da problemática que envolve o abandono paterno e o protagonismo feminino no cuidado de nascido com deficiência. Para isso realizou-se pesquisa de dados secundários dos atendimentos referente aos anos de 2021 e 2022 do Setor de Serviço Social do Centro de Reabilitação - CER IV de Vilhena/RO. A decisão por pesquisar sobre o tema surgiu devido a experiência nos atendimentos onde percebeu-se a ausência da figura paterna na dinâmica familiar de pessoas com deficiência. Conclui-se que a pesquisa fomenta a necessidade do olhar crítico profissional diante do fenômeno da desigualdade de gênero, que tende a responsabilizar a mulher pelo cuidado direto aos filhos, e que um diagnóstico de deficiência pode ser um intensificador no abandono paterno.
Pengaruh Bermain Game Online terhadap Disiplin Belajar Siswa Kelas X Mata Pelajaran Ekonomi SMA PGRI 2 Kota Bekasi
Authors: Eka Putri Nur Dika , Rahman P Chientya Annisa 
Published: August 2023

Penelitian ini bertujuan untuk mengetahui pengaruh displin belajar terhadap prestasi belajar siswa kelas X Pada mata pelajaran Ekonomi di SMA PGRI 2 Kota Bekasi. Metode penelitian yang digunakan metode kuantitatif asosiatif. Teknik Pengambilan Sampel Menngunakan sampel jenuh dengan jumlah sampel 80 siswa di SMA Pgri 2 Kota Bekasi. Data yang digunakan adalah Analisis regresi linier sederhana. Berdasarkan hasil penelitian perhitungan uji hipotesis di peroleh thitung sebesar 10,067 dan nilai ttabel sebesar 1.991. Hal ini berarti thitung > ttabel yakni 10,067 > 1.991 maka H0 ditolak dan Ha diterima, artinya Game Online berpengaruh signifikan terhadap Disiplin Belajar Siswa kelas X pada mata pelajarn ekonomi. Kemudian berdasarkan hasil uji koefisiensi determinasi dapat diketahui bahwa koefisien determinasi yang di peroleh sebesar sebesar 0,565. Hal ini dapat disimpulkan bahwa kontribusi game online (X) terhadap disiplin belajar (Y) adalah 56,5% sedangkan sisanya 43,5% di pengaruhi variabel lain yang tidak dijelaksan dalam penelitian ini.
PENYELESAIAN HUKUM ISLAM DENGAN CORAK PENDEKATAN BAYANI, TA’LILI DAN ISTISLAHI
Authors: Sukmana Bayu Teja , Sultan Lomba , Kurniati Kurniati 
Published: August 2023

Dalam Metode Ijtihad terbagi menjadi Tiga Bagian Yaitu : (1) Ijtihad Al-Bayani, yang digunakan untuk menjelaskan hukum-hukum syara’ yang terkandung dalam nash namun sifatnya masih zhonni (sesuatu yang bersifat dugaan, relatif, sangkaan dan tidak pasti), baik dari segi penetapannya maupun penunjukannya dan (2) Ijtihad Ta’lili, yaitu ijtihad untuk menggali dan menetapkan hukum terdapat permasalahan yang tidak terdapat dalam Al Quran dan sunnah dengan menggunakan metode qiyas, Sedangkan (3) Ijtihad Istislahi, adalah pengorbanan kemampuan untuk sampai kepada hukum syara’ (Islam) dengan menggunakan pendekatan kaidah-kaidah umum, mengenai masalah yang mungkin digunakan pendekatan kaidah-kaidah umum tersebut, dan tidak ada nash yang khusus atau dukungan ijma’ terhadap suatu masalah, serta Tidak diterapkannya metode qiyas atau metode istihsan terhadap masalah itu. Pada dasarnya Ijtihad ini merujuk kepada kaidah jalb al-mashlahah wa daf’al-mafsadah (menarik kemaslahatan dan menolak kemafsadatan), sesuai dengan aturan yang telah ditetapkan untuk kaidah-kaidah syara. Bayani, ta’lili dan istislahi juga merupakan model epistimologi yang selalu dan sudah sejak lama digunakan ulama ushul fiqh dalam menyingkapi, menemukan dan merumuskan hukum yang bertumpu pada kemaslahatan, dan sangat relevan dalam menyelesaikan, menjawab persoalan-persoalan kontemporer yang semakin komplit dan rumit. Dalam hal, teori bayani dan ta’lili tidak dapat diterapkan pada kasus-kasus yang hukumnya tidak tidak terdapat pada nash, maka teori istislahi dapat menjadi alternatif. Melalui teori maslahah al-mursalah dan dzari’ah persoalan-persoalan kontemporer akan dapat diselesaikan dengan baik dan dinamis.