bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acute Kidney Injury In Children Admitted For Pneumonia In The Emergency Department Of A Government Hospital In The Philippines
Authors: Farillas Ena Lauren Fuentes , Dator Melissa Abreu 
Published: January 2025

Abstract

Background. Acute kidney injury (AKI) in children increases the risk of adverse outcomes, and its incidence in higher in low-middle income countries—with infectious and diarrheal diseases greatly contributing to its development. The incidence of AKI in patients with pneumonia is poorly described in literature.
Objective. This study determined the clinical profile of AKI among children with pneumonia at the emergency department.
Methods. Records of 306 patients aged 1 month to 18 years with pneumonia were retrospectively analyzed. The patients were divided into two groups based on presence of AKI using the Kidney Disease Improving Global Outcomes creatinine-based criteria. Clinicodemographic, laboratory and outcome parameters were compared between groups. Logistic regression analysis was performed to identify predictors of AKI.
Results. Prevalence of AKI was 19.28%. Moderate-severe dehydration [OR 2202.71, 95% CI 135.37, 35841.88; p < 0.0001] and need for intubation [OR 25.04, 95% CI 6.7, 93.52; p < 0.0001] were the strongest predictors for AKI. Other identified predictors include: age 10 to < 19 years, preterm birth, severe wasting, overweight/obesity, and leukocytosis.
Conclusion. There are multiple factors associated with the development of AKI among pediatric patients with pneumonia. Early identification and improved surveillance of those at risk is crucial in reducing the increased morbidity and mortality associated with its occurrence.
Integrated Stochastic Modeling and Neural Networks for Inverse Prediction of Elastic Modulus in Beams
Authors: kumar rakesh 
Published: January 2025

Abstract

In this work we have obtained elastic modulus from the eigen frequencies of a cantilever beam. The elastic modulus of the beam has random elastic modulus haing exponential covariance function. We have used Monte Carlo simulations with cholesky decomposition to obtain the elastic modulus and eigen frequency data. The data driven non intrusive polynomial chaos is used to obtain eigen elastic modulus from the eigen frequencies. The difference between the elastic modulus data obtained from MCS and NiPCE are used to train a neural network. For new prediction the elastic modulus data from PCE and the difference from neural network are added. The final results shows remarkable resemble with actual data or MCs data. Also the computational time of our proposed method is significantly lower than mcs time as the neural network once trained need smaller time to give the output.
Third-line S-1 or FOLFOX treatment in advanced pancreatic cancer who received gemcitabine+nab-paclitaxel and nanoliposomal-irinotecan+5-fluorouracil/leucovorin
Authors: Sanomachi Tomomi , Ohba Akihiro , Morizane Chigusa , Ogura Nozomu , Hara Hidenobu , Yagi Shin , Okada Mao , Maruki Yuta , Nagashio Yoshikuni , Kondo Shunsuke , Hijioka Susumu , Ueno Hideki , Okusaka Takuji 
Published: January 2025

Abstract

BACKGROUND: To examine the efficacies of S-1 and FOLFOX as third-line treatment for patients with advanced pancreatic cancer.
METHODS: We retrospectively analyzed the electronic medical record data of patients who received nanoliposomal-irinotecan+5-fluorouracil/leucovorin (nal-IRI+5FU/LV) as second-line treatment after first-line gemcitabine+nab-paclitaxel (GEM+nab-PTX) at the National Cancer Center Hospital (Tokyo, Japan) between June 2020 and May 2023.
RESULTS: In total, 100 patients were included, 41 of whom received S-1 (n=19) or FOLFOX (n=22) as third-line therapy. The median age of patients who received S-1 and FOLFOX was 74 (range: 56–85) and 76 (46–81) years. The number of females, those with performance status (PS) 0, those with PS 1, and those with adenocarcinoma histology who received S-1/FOLFOX were 8/14, 6/11, 13/11, and 18/20. Median progression-free survival (PFS), median overall survival (OS), objective response rate, and disease control rate for S-1/FOLFOX were 2.8/2.2 months, 4.4/5.1 months, 0/0%, and 36.8/27.3%, the most common grade ≥3 adverse events were anemia (4/1) and elevated alanine transaminase levels (1/3). Adverse events were consistent with the known limits, and there were no treatment-related deaths.
CONCLUSIONS: In patients with advanced pancreatic cancer treated with GEM+nab-PTX, followed by nal-IRI+5FU/LV, third-line treatment with S-1 or FOLFOX was tolerable. However, further therapeutic development is warranted because these regimens have only modest activities.
A Dual-Branch Approach with Multi-Stage Semantic Integration and Dual Optical Flow for Micro- Expression Recognition
Authors: Zhao Shuhuan , Zhao Peijing , Hao Zixin , Liu Shuaiqi 
Published: January 2025

Abstract

Micro-expression can reveal a person's true feelings and possesses significant importance in fields such as police interrogation and psychological counseling. However, due to the subtlety and complexity of micro-expression, comprehensively understanding its features remains a considerable challenge. To address this challenge, this paper proposes a dual-branch network structure that integrates traditional optical flow with deep learning-based optical flow. The micro-expression features are extracted and processed in separate branches, thereby harnessing the complementary advantages of the two optical flow methods. The first branch employs the proposed Multi-Scale Patch Attention Convolution Network (MPACNet), which is designed to process Farneback optical flow by capturing local details. The second branch utilizes the Swin Transformer network with FlowNet2 optical flow, demonstrating outstanding performance in extracting global dynamic information. In addition, this framework effectively combines local information from traditional convolutional networks with both local and global information from the Swin Transformer, achieving multi-level feature fusion. Following the standards of Comprehensive Database Evaluation (CDE) and Single Database Evaluation (SDE), extensive experiments have been conducted on four datasets—SMIC-HS, CASME II, SAMM, and CAS(ME)3. The results demonstrate that the proposed method outperforms other state-of-the-art approaches across various evaluation metrics.
Attitudes and perceptions of health care professionals concerning chiropractors and chiropractic practice: A Systematic Review
Authors: Newell Dave , Nouroozi Amin , Sanders Marc , Field Jonathan , Young Kenneth , Holmes Michelle 
Published: January 2025

Abstract

Background Chiropractic care often exists outside of national healthcare systems, with exceptions in some national settings. This situation has led to suboptimal interprofessional communication and referral, with implications for the provision of appropriate and efficient care. To find solutions, the attitudes and perceptions of other professions must be better understood. We conducted a systematic review to assess other healthcare professionals’ perceptions and attitudes towards chiropractors and chiropractic care.Methods The review was registered with PROSPERO (CRD42023403381). Reporting was guided by the PRISMA statement. A search was carried out on PubMed, CINAHL, AMED, Index of Chiropractic Literature (ICL) and MEDLINE in Jan 2021 and updated on Jan 2022, February 2023 and June 2024. We included qualitative and quantitative study designs, focusing on healthcare professionals' attitudes toward and perceptions of chiropractic. Methodological quality was assessed using the Centre for Evidence Based Medicine tools for qualitative and cross-sectional survey studiesResults The search retrieved 245 articles, of which 43 were included for review. Studies had been conducted across multiple national jurisdictions A total of 10,108 participants were included across the studies, including primary and secondary healthcare professionals as well as healthcare students. Issues identified with influencing opinions of chiropractic practice included participants’ knowledge of chiropractic methods, scope of practice, interprofessional communication, research base, and education. While some participants reported a perception of positive clinical outcomes associated with chiropractic care, communication between healthcare professionals and chiropractors was often lacking. Attitudes towards chiropractic varied, with factors like knowledge, patient interest, and referrals influencing perceptions.Conclusions To improve interprofessional attitudes and perceptions, the chiropractic profession might prioritise increased communication and information access concerning contemporary chiropractic care with other health care professions including educational interventions. Mitigation of a persistent lack of reliable information may improve how the profession is perceived in general, reduce misinformation and increase the likelihood that patients will receive the joined-up care they need.
Emotional Stress in Cardiac and Vascular Diseases
Authors: A. Manolis Theodora , Manolis Antonis A. , Manolis Antonis S. 
Published: January 2025

Introduction/Objective:
Emotional, mental, or psychological distress, defined as
increased symptoms of depression, anxiety, and/or stress, is common in patients with chronic
diseases, such as cardiovascular (CV) disease (CVD).

Methods:
Literature was reviewed regarding data from studies and meta-analyses examining the
impact of emotional stress on the occurrence and outcome of several CVDs (coronary disease,
heart failure, hypertension, arrhythmias, stroke). These influences' pathophysiology and clinical
spectrum are detailed, tabulated, and pictorially illustrated.

Results:
This type of stress is a newly recognized risk and prognosticator for CVD including coronary
artery disease, heart failure, hypertension, cardiac arrhythmias, and stroke, independently of
conventional risk factors. It can impact CV outcomes, and also affect health care utilization, with
more patient visits to health care facilities. The biological systems activated by mental stress comprise
the sympathetic nervous system (SNS), the renin-angiotensin system (RAS), and the hypothalamic-
pituitary-adrenal (HPA) axis, while several other biological processes are disrupted, such as
endothelial function, inflammatory responses, oxidative stress, mitochondrial function and the
function of the amygdala which is the central nervous system processing center of emotions and
emotional reactions.

Conclusion:
Emotional stress that aggravates symptoms of depression, anxiety, and/or perceived
mental stress is common in patients with chronic diseases, such as CVD. It is a newly recognized
risk and prognosticator for several CVDs. It can influence CV outcomes, and also affect health
care utilization. The biological systems activated by mental stress comprise the SNS, the RAS,
and the HPA axis, while several other biological processes are disrupted.
Gender Inequalities in Employment of Parents Caring for Children With Autism Spectrum Disorder in China: Cross-Sectional Study
Authors: Zhao Yanan , Fan Huiyun , Luo Yanan , Zhang Rong , Zheng Xiaoying 
Published: January 2025

Abstract

Background
The increasing need for child care is placing a burden on parents, including those with children with autism.

Objective
The aim of this study was to examine the employment status of Chinese mothers and fathers with children with autism spectrum disorder (ASD), as well as to investigate the factors that affected their employment decisions.

Methods
An online national survey was completed by the parents of 5018 children and adolescents with ASD aged 2-17 years (4837 couples, 181 single mothers, and 148 single fathers). The dependent variable was employment status—whether they kept working or quit to take care of their child. The independent variables were those characterizing the needs of the child and the sociodemographic characteristics of the family.

Results
The employment rate of mothers with children and adolescents with ASD was 37.3% (1874/5018), while 96.7% (4823/4988) of fathers were employed. In addition, 54.3% (2723/5018) of mothers resigned from employment outside the home to care for their children, while only 2.8% (139/4988) of fathers resigned due to caring obligations. Mothers’ employment was positively associated with their single marital status, lower educational level, and having assistance from grandparents. Having the grandparents’ assistance was positively associated with fathers’ employment.

Conclusions
Gender inequalities in employment exist in China. Mothers caring for children with ASD had lower workforce participation than fathers. More female-friendly policies and a stronger gender equality ideology would be of benefit to Chinese society.
Access to Administrative Justice as an Administrative Law Value: Designing an Inclusive and Accessible Administrative Justice System
Authors: Jacobs Laverne 
Published: January 2025

The constantly developing norm of access to justice is moving to occupy a central place in the administrative justice system, prompting a need to rethink the values that should serve to animate the system. This article offers a framework for the administrative justice system in Canada, one that firmly and explicitly entrenches the value of access to administrative justice within it. It reflects on the requirements to achieve access for a significant population of its users – namely, equality-deserving communities. The author looks at the historical reasons why access to justice has been a concern for equality-deserving communities, and introduces the concept of social equity from the discipline of public administration as a tool to assist in addressing some of the structural and systemic access-to-administrative-justice challenges experienced. The author rearticulates the foundational values of administrative law in Canada to incorporate access to administrative justice as a distinct value, one that engages with access-to-justice barriers relating to structural and systemic inequality. In doing so, she details five core principles that underpin the new value of access to administrative justice and cites examples of recent tribunal reform projects in Canada that illustrate promising innovations in that direction. Finally, the author describes briefly the ways in which institutional design and tribunal culture can contribute to enhancing the value of access to administrative justice within the broad, on-the-ground context of different administrative actors. Overall, this article presents an analysis of the dynamic interaction between marginalized populations and the administrative state in order to move forward judicial and other contemporary discussions about access to administrative justice and how it should be defined.
Improved recommender system using Neural Network Collaborative Filtering (NNCF) for E-commerce cosmetic product
Authors: Subhan Subhan , Syarif Deny Lukman , Widhihastuti Endah , Rakainsa Senda Kartika , Sam'an Muhammad , Ifriza Yahya Nur 
Published: January 2025

This study presents an enhanced recommender system tailored for e-commerce platforms specializing in cosmetic products. Traditional recommender systems often need help providing accurate and personalized recommendations due to the complexity and subjectivity inherent in cosmetic preferences. In e-commerce, personalized product recommendations are crucial to improving user engagement and driving sales. This paper presents an innovative approach to enhance recommendation systems by leveraging neural network collaborative filtering techniques for the cosmetic product domain. The proposed method integrates neural networks into collaborative filtering, namely neural network collaborative filtering with improved preprocessing step. To validate the effectiveness of our proposed system, extensive experiments were conducted using real-world e-commerce cosmetic datasets "eCommerce Event History in Cosmetics Shop". Additionally, we evaluate the system's performance using historical e-commerce event data in cosmetics stores, demonstrating the system's effectiveness with mean reciprocal ratings (MRR) and normalized discount cumulative gain (NDCG). Evaluation Metrics of MRR and NDCG in this study got 0.56 and 0.60, respectively, with a split of the data: 70% train data, 15% validation data, and 15% test data. This study obtained better evaluation metrics than the previous study, which had an MRR of 0.31 and NDGC of 0.32. Furthermore, this model exhibits robustness against data sparsity and cold-start problems commonly encountered in e-commerce platforms. This research advances knowledge of recommendation systems and paves the way for more personalized and efficient online shopping experiences.
ANFIS method to enhance FMEA water operation model of Indonesia drinking water distribution system
Authors: Septiyana Diah , Abd. Rahman Mohamed , Mohamed Ariff Tasnim Firdaus , Rosarina Desy , Adesta Erry Yulian T. , Hakim Galang Persada Nurani , Sukindar Nor Aiman 
Published: January 2025

Many problems are found in water treatment and distribution in water operations. Those problems range from low to critical risk. All critical risks must be addressed immediately. The Failure Mode and Effects Analysis (FMEA) prioritizes problems based on Occurrence, Severity, and Detection values to identify critical risks. However, this method is also having problems. With the same risk priority number (RPN) calculation, FMEA would be a ranking problem with the same RPN value; hence, we have a priority problem that is not critical but based on the highest value. To solve this problem, we propose additional methods, such as the ANFIS, to give weight based on risk level classification. From the results of data processing carried out by the ANFIS method, it is proven that it can perform re-ranking, for example, in the L2, R5, S8, and U3 code, which has an FMEA RPN value of 12. However, in FMEA-ANFIS, the RPN value becomes L2 2.05, R5 1.52, S8 1.32, and U3 2.52. Furthermore, with these results, it can be concluded that the ANFIS method can enhance the FMEA model in water operations.
Treatment effects of modified miniscrew-assisted rapid palatal expander and rapid palatal expander for molar distalization
Authors: Park Jae Hyun , Choi Tae-Hyun , Jang Moon-Jung , Kim So-Yeon , Lee Nam-Ki 
Published: January 2025

ABSTRACT

Objectives
To evaluate the treatment effects of the modified miniscrew-assisted rapid palatal expander (MARPE) and rapid palatal expander (RPE) with distalizers in patients with Class II malocclusion and maxillary crowding.

Materials and Methods
The sample comprised 28 skeletal Class I adolescents with dental Class II malocclusion and maxillary crowding of &gt;4 mm who received nonextraction treatment. Fourteen patients were treated with a modified MARPE with distalizer (MMD), while another 14 patients were treated with a modified RPE with distalizer (MRD). Lateral cephalograms and study casts were taken at pretreatment (T1) and after expansion, distalization, and at the initiation of alignment (T2). Twenty-nine variables were compared using a Bonferroni-adjusted independent t-test and a Mann-Whitney U-test.

Results
From T1 to T2, the maxillary first molars in the MMD group exhibited distalization of 3.0 mm and 2.4 mm at the crown and root (P &lt; .001) compared with 2.1 mm and 1.4 mm in the MRD group. However, no significant difference was found in distalization between the two groups. The first molars in the MRD group showed a significantly greater distal tipping of 2.8° than in the MMD group (P &lt; .001).

Conclusions
Although both groups showed maxillary molar distalization, the MMD group had no distal molar tipping, while there was significant molar tipping in the MRD group. It can be useful to plan nonextraction treatment with maxillary expansion and molar distalization in patients with Class II malocclusion and a narrow maxillary arch.
Direct anterior and direct lateral approach in patients with femoral neck fractures receiving a total hip arthroplasty: a randomized controlled trial
Authors: Hoseth John Magne , Aae Tommy Frøseth , Lian Øystein Bjerkestrand , Myklebust Tor Åge , Husby Otto Schnell 
Published: January 2025

Background and purpose: The optimal approach to the hip joint in patients with displaced femoral neck fractures (dFNF) receiving a total hip arthroplasty (THA) remains controversial. We compared the direct lateral approach (DLA) with the direct anterior approach (DAA) primarily on Timed Up and Go (TUG), and secondarily on the Forgotten Joint Score (FJS), the Oxford Hip Score (OHS), EQ5D-5L, and the EQ5D-VAS.Methods: Between 2018 and 2023, we conducted a randomized controlled trial including elderly patients with dFNFs treated with THA. The primary outcome was the difference in TUG at 6 weeks postoperatively. Key secondary outcomes were TUG at 2, 12, and at 52 weeks postoperatively, and FJS, OHS, EQ5D-5L, and EQ5D-VAS at 2, 6, 12, and at 52 weeks postoperatively.Results: 130 patients with a mean age of 78.6 (standard deviation 1.2) were allocated to DAA (n = 64) or DLA (n = 66). There was no statistically significant difference in TUG times at 6 weeks postoperatively between the DAA and the DLA, 16.0 s (95% confidence interval [CI] 13.2–18.7) vs 17.8 s (CI 15.1–20.4), estimated mean difference –1.8 s (CI –5.7 to 2.0). However, patients who underwent DAA had a significantly higher FJS at 2, 6, and 12 weeks.Conclusion: Among elderly patients with dFNF we found no difference between DAA or DLA regarding crude mobility as demonstrated with the TUG test, but patients treated with DAA showed better outcomes in the FJS in the early post-fracture period though not at 52 weeks.
Fra kurs til partnerskap? Dekomp som mulig samarbeidsarena – et lærerutdanningsperspektiv
Authors: Rubilar Kristine Haugen 
Published: January 2025

Flere har framhevet at partnerskapet mellom lærerutdanningen og grunnskolen må styrkes. Desentralisert ordning for kompetanseutvikling (dekomp) har et potensial til å bli et viktig rom for samarbeid og en arena for læring og utvikling av nye forbindelser mellom disse to institusjonene. Det mangler imidlertid kunnskap om hvordan ulike aktører i lærerutdanningen opplever dette samarbeidet. Med utgangspunkt i intervjuer med ti informanter fra én lærerutdanning belyser artikkelen hvordan dekomp har brakt institusjonene nærmere hverandre ved å gå bort fra at lærerutdannere holder kurs for lærere, til å vektlegge refleksive møter mellom teori og praksis. Analysen viser at vi er et stykke unna å etablere deltakende fellesskap der man samskaper som partnere. Lærerutdannerne peker på at det er avstand til skolene, og usikkerhet rundt egen kompetanse og rolle. Å skape gjensidig tillit og å bygge relasjoner krever tid og tålmodig arbeid, men er grunnleggende for at nye måter å jobbe sammen på får vokse fram.
ENGLISH ABSTRACT
From giving courses to developing partnership? Dekomp as a potential arena for collaboration – a teacher training perspective
The need to strengthen partnerships between higher education and schools is emphasised in several contexts. The decentralised programme of competence development (dekomp) has the potential to become an important collaboration space and an arena for learning and creating new connections between the two institutions. How different agents in teacher training experience this collaboration has been explored to a lesser degree. Based on interviews with ten informants from one teacher training programme, this article illustrates how dekomp has brought the institutions closer together by shifting the focus from teacher training specialists holding courses for teachers, to the reflexive interaction between theory and practice. At the same time, the analysis shows that we are a long way from the establishment of participatory communities where we are able to co-create as partners. Teacher training specialists point to a gap between teacher training and schools, and experience uncertainty about their own competence and role. Creating mutual trust and building relationships not only requires time and patience but is fundamental for the development of new ways of working together.