bluuebunny/crossref_metadata_2025_split huggingface dataset:
Parenting Styles and Practices in Enhancing Self-Determination of Children With Intellectual and Developmental Disabilities
Authors: Meral Bekir F. , Wehmeyer Michael L. , Palmer Susan B. , Ruh Anil B. , Yilmaz Engin 
Published: July 2023

Abstract
Parenting styles and practices are crucial in promoting the self-determination of children. The purpose of the current study was to investigate the role of parenting styles and practices in enhancing the self-determination of children with/without intellectual and developmental disabilities (IDD). The present study was carried out with a sample of 243 parents of children with/without IDD in Türkiye (Turkey). The results indicated that an authoritative parenting style and autonomy-supportive parenting practices positively affect the degree of child self-determination, whereas permissive and overprotective parenting practices may limit child opportunities in fostering self-determination. The study results also showed that urbanization, higher income, and higher education level of parents positively impacted the degree of child self-determination. Parents of typically developing children reported higher levels of overall self-determination for their typically developing children when compared with children with intellectual disability and autism spectrum disorder. On the other hand, parents of children with mild disabilities reported a higher level of self-determination than both children with moderate and severe disabilities. The results were discussed within the cultural context of the current sample.
Effect of implantable cardiac monitors on preventing stroke: A systematic review and meta-analysis of randomized clinical trials
Authors: He Jialing , Jiang Yaxin , Xiao Yangchun , Hao Pengfei , Li Tiangui , Peng Liyuan , Feng Yuning , Cheng Xin , Deng Haidong , Wang Peng , Chong Weelic , Hai Yang , Chen Lvlin , You Chao , Jia Lu , Fang Fang , Yu Shui , Zhang Yu 
Published: July 2023

Background and aim
Implantable cardiac monitors (ICM) can facilitate the detection of asymptomatic atrial fibrillation episodes. We performed a systematic review and meta-analysis to investigate whether ICM can prevent stroke in patients with prior stroke and risk factors for stroke.

Methods
This study included randomized controlled trials comparing ICM with conventional (non-ICM) external cardiac monitoring in patients with prior stroke and risk factors for stroke. We searched Medline, Embase, and CENTRAL from inception until January 5, 2022, without language restriction. Quantitative pooling of the data was undertaken using a random-effects model. The primary outcome was ischemic stroke at the longest follow-up.

Results
Four trials comprising 7237 patients were included. ICM was significantly associated with decreased risk of ischemic stroke (RR 0.76; 95% CI, 0.59–0.97; moderate-quality evidence) in patients with prior stroke and risk factors for stroke. ICM was associated with higher detection of atrial fibrillation (RR 4.21, 95% CI 2.26–7.85) and use of oral anticoagulants (RR 2.29, 95% CI 2.07–2.55).

Conclusions
ICM results in a significantly lower risk of ischemic stroke than conventional (non-ICM) external cardiac monitoring in patients with prior stroke and risk factors for stroke. Due to the clinical heterogeneity of study population and limited related studies, more trials were needed to furtherly explore the topic in patients with prior stroke or high risk of stroke.
Bone mineral density among children living with HIV failing first-line anti-retroviral therapy in Uganda: A sub-study of the CHAPAS-4 trial
Authors: Natukunda Eva , Szubert Alex , Otike Caroline , Namyalo Imerida , Nambi Esther , Bamford Alasdair , Doerholt Katja , Gibb Diana M. , Musiime Victor , Musoke Phillipa 
Published: July 2023

Background
Children living with perinatally acquired HIV (CLWH) survive into adulthood on antiretroviral therapy (ART). HIV, ART, and malnutrition can all lead to low bone mineral density (BMD). Few studies have described bone health among CLWH in Sub-Saharan Africa. We determined the prevalence and factors associated with low BMD among CLWH switching to second-line ART in the CHAPAS-4 trial (ISRCTN22964075) in Uganda.

Methods
BMD was determined using dual-energy X-ray Absorptiometry (DXA). BMD Z-scores were adjusted for age, sex, height and race. Demographic characteristics were summarized using median interquartile range (IQR) for continuous variables and proportions for categorical variables. Logistic regression was used to determine the associations between each variable and low BMD.

Results
A total of 159 children were enrolled (50% male) with median age (IQR) 10 (7–12) years, median duration of first -line ART 5.2(3.3–6.8) years; CD4 count 774 (528–1083) cells/mm3, weight—for–age Z-score -1.36 (-2.19, -0.65) and body mass index Z-score (BMIZ) -1.31 (-2.06, -0.6). Low (Z-score≤ -2) total body less head (TBLH) BMD was observed in 28 (18%) children, 21(13%) had low lumbar spine (LS) BMD, and15 (9%) had both. Low TBLH BMD was associated with increasing age (adjusted odds ratio [aOR] 1.37; 95% CI: 1.13–1.65, p = 0.001), female sex (aOR: 3.8; 95% CL: 1.31–10.81, p = 0.014), low BMI (aOR 0.36:95% CI: 0.21–0.61, p<0.001), and first-line zidovudine exposure (aOR: 3.68; 95% CI: 1.25–10.8, p = 0.018). CD4 count, viral load and first- line ART duration were not associated with TBLH BMD. Low LS BMD was associated with increasing age (aOR 1.42; 95% CI: 1.16–1.74, p = 0.001) and female sex: (aOR 3.41; 95% CI: 1.18–9.8, p = 0.023).

Conclusion
Nearly 20% CLWH failing first-line ART had low BMD which was associated with female sex, older age, first-line ZDV exposure, and low BMI. Prevention, monitoring, and implications following transition to adult care should be prioritized to identify poor bone health in HIV+adolescents entering adulthood.
The role of critical care nurses in shared decision-making for patients with severe heart failure: A qualitative study
Authors: Inagaki Noriko , Seto Natsuko , Lee Kumsun , Takahashi Yoshimitsu , Nakayama Takeo , Hayashi Yuko 
Published: July 2023

Aim
Patients with severe heart failure undergo highly invasive and advanced therapies with uncertain treatment outcomes. For these patients, shared decision-making is necessary. To date, the nursing perspective of the decision-making process for patients facing difficulties and how nurses can support patients in this process have not been fully elucidated. This study aimed to clarify the perceptions of critical care nurses regarding situations with patients with severe heart failure that require difficult decision-making, and their role in supporting these patients.

Methods
Individual semi-structured interviews were conducted with 10 certified nurse specialists in critical care nursing at nine hospitals in Japan. A qualitative inductive method was used and the derived relationships among the themes were visually structured and represented.

Results
The nurses’ perceptions on patients’ difficult situations in decision-making were identified as follows: painful decisions under uncertainties; tense relationships; wavering emotions during decision-making; difficulties in coping with worsening medical conditions; patients’ wishes that are difficult to realize or estimate; and difficulties in transitioning from advanced medical care. Critical care nurses’ roles were summarized into six themes and performed collaboratively within the nursing team. Of these, the search for meaning and value was fundamental. Two positions underpin the role of critical care nurses. The first aims to provide direct support and includes partnerships and rights advocacy. The second aims to provide a holistic perspective to enable necessary adjustments, as indicated by situation assessments and mediation. By crossing various boundaries, co-creating, and forming a good circular relationship in the search for meaning and values, the possibility of expanding treatment and recuperation options may be considered.

Conclusions
Patients with severe heart failure have difficulty participating in shared decision-making. Critical care nurses should collaborate within the nursing team to improve interprofessional shared decision-making by providing decisional support to patients that focuses on values and meaning.
Efek Penggunaan Teknologi Informasi dalam Pembelajaran Anak Usia Dini
Authors: Irsyadillah Nasla Sajida , Putri Retno Imeldha , Amori Moniqa rindri Brillian , Wati Sonia , Afriyanti Safira Aliya , Haidlor Muhammad , Afandi Ahmad 
Published: July 2023

Perkembangan ilmu pengetahuan dan teknologi telah mendorong kemajuan pada semua bidang, termasuk kemajuan dalam bidang teknologi informasi. Teknologi informasi pada sistem pembelajaran di sekolah bagi anak usia dini dimasa pandemi Covid-19 saat ini sangat dibutuhkan, karena proses pembelajaran yang dilakukan secara daring atau belajar dari rumah yang mengharuskan anak bergantung pada teknologi dengan menggunakan teknologi seperti misalkan smartphone. Dengan menggunakan metode penelitian berupa pendekatan kajian pustaka dengan serangkaian tindakan pengumpulan data. Penelitian ini juga menggunakan metode pendekatan kualitatif, bersifat deskriptif analisis terhadap tulisan atau kata-kata yang nampak. Hasil penelitian menunjukkan bahwa teknologi informasi ini memberikan kemudahan dan kemanfaatan dalam kehidupan sehari-hari khusunya dalam proses pembelajaran pada anak usia dini. Selain memiliki manfaat positif terdapat juga dampak negatifnya. Oleh karena itu, pada saat menggunakan sebuah teknologi harus dalam pengawasan orangtua, agar anak mampu menggunakan teknologi secara tepat dan sesuai perkembangan anak
Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study
Authors: Suyasa I Gede Putu Darma , Sutini Ni Kadek , Kamaryati Ni Putu , Nuryanto I Kadek 
Published: July 2023

Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali.
Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors.
Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083).
Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs.
Keywords: aged, depression, epidemiology, Indonesia
Health Impact and Ecosocial Safety in Romanian Metallic Materials Industry
Authors: Nicolae Avram , Sohaciu Mirela , Gherghescu Ioana , Dumitrescu Ruxandra , Berbecaru Andrei , Coman George 
Published: July 2023

Abstract
In the context of the industrial evolution towards Industry 5.0 concept, there is an increase in the industrial processes automation and digitization which can bring several benefits but also challenges for human health protection. Thus, it is important that governments and industrial companies take a series of measures to detect health problems that may be related to harmful substances exposure during industrial processes.
The paper deals with a subject of industrial ecosociology represented by the interactions of three systems: natural-ecological (particulate matters pollution of the atmosphere), technological (polluting particulate matters in processing of metallic materials), social (health status under negative impact of polluting particulate matters).
The negative influence of particulate matters on human health is investigated with regard to the particle characteristics, namely size, dp [m], concentration, cp [g/m3], granulometric fractions, fg [%], elemental chemical composition and granulometric structure. The following aspects are approached: the importance of industrial ecosociology concerns for sustainable development of human existence; the need of engineers to know the industrial ecosociology targets; the ranking of metallurgy sectors (sintering plant, blast furnace, LD converter, electrical arc furnace – EAF, rolling mills) according to the impact of pollutants particulates that may affect human health induced diseases is assessed.
JEL Classifications F64, I15, J81, O14, Q57
A novel lab-on-chip cartridge and AI tools for automated urinalysis
Authors: Sahu Avinash , Kandaswamy Srinivasan , Jhala Dhanu Vardhan Singh , Thyagarajan Eshwarmurthy , Bhatnagar Vaibhav , Naganna Sharitha Mandya , Dastidar Tathagato Rai 
Published: July 2023

Abstract
After haematology, urinalysis is the most common biological test performed in clinical settings. Hence, simplified workflow and automated analysis of urine elements are of absolute necessities. In the present work, a novel lab-on-chip cartridge (Gravity Sedimentation Cartridge), an in-house built AI100 device (image-based autoanalyzer) and Artificial Intelligence tools for the auto analysis of urine elements are developed. The GSC consists of a capillary chamber that uptakes a raw urine sample by capillary force and performs particles and cells enrichment within 5 min through a gravity sedimentation process for the microscopic examination. Centrifugation, which is necessary for enrichment in the conventional method, was circumvented in this approach. The AI100 device automatically captures microscopic images from the cartridge at 40x magnification and uploads them into the cloud. Further, these images were auto-analyzed using an AI-based object detection model, which delivers the reports. These reports were available for expert review on a web-based platform that enables evidence-based tele reporting. A comparative analysis was carried out for various analytical parameters of the data generated through GSC (manual microscopy, tele reporting, and AI model) with the gold standard method. The presented approach makes it a viable product for automated urinalysis in point-of-care and large-scale settings.
BERT-BC: A Unified Alignment and Interaction Model over Hierarchical BERT for Response Selection
Authors: Yang Zhenfei , Yu Beiming , Cui Yuan , Wang Daling , Yu Ge , Feng Shi 
Published: July 2023

Abstract
Recently, we have witnessed a significant performance boosting for dialogue response selection task achieved by Cross-Encoder based models. However, such models directly feed the concatenation of context and response into the pre-trained model for interactive inference, ignoring the comprehensively independent representation modeling of context and response. Moreover, randomly sampling negative responses from other dialogue contexts is simplistic, and the learned models have poor generalization capability in realistic scenarios. In this paper, we propose a response selection model called BERT-BC that combines the representation-based Bi-Encoder and interaction-based Cross-Encoder. Three contrastive learning methods are designed for the Bi-Encoder to align context and response to obtain the better semantic representation.Meanwhile, according to the alignment difficulty of context and response semantics, the harder samples are dynamically selected from the same batch with minimal cost and sent to Cross-Encoder to enhance the model's interactive reasoning ability.Experimental results show that BERT-BC can achieve state-of-the-art performance on three benchmark datasets for multi-turn response selection.
General flaws of currently discussed election systems and a
solution based on
a new view on abstention from voting
Authors: Kemm Friedemann 
Published: July 2023

Abstract
Most voting systems suffer from a common
weakness: they approach voting as a problem of choice or
ranking. However, voting is merely the final step in an election
procedure, following one or more selection stages. Furthermore, an
election is not an isolated event but is repeated every few
years. In this paper, we propose a new perspective on elections that
takes into account the entire process, starting from the initial set
of individuals with passive electoral rights, and the aspect of
reelection. By adopting a fresh perspective on abstentions and
introducing an adapted form of Majority Judgment, which can also be
understood as an expanded form of Approval Voting, we are able to
design a comprehensive election process that can be easily
legislated. This process establishes appropriate incentives for
politicians seeking reelection, as well as for parties nominating
candidates.
Thoracic aortic dissection associated with bronchial artery embolization：a case report
Authors: Yuan Jie , Zhao Tian 
Published: July 2023

Abstract
Thoracic aortic dissection after bronchial artery embolisation is a rare iatrogenic complication. Here, we report a case of thoracic aortic dissection that occurred after bronchial artery embolisation to improve our understanding of this unusual complication. After the bronchial artery embolisation was successfully performed, the patient was re-admitted the following day due to rapidly increased blood pressure owing to emotional excitement and chest pain the previous afternoon. Computed tomography revealed that the patient had an aortic dissection. The haematoma gradually disappeared after conservative treatment. There was no recurrent haemoptysis, and the aortic dissection had disappeared at the 1-year follow-up. We report a rare case of symptomatic aortic dissection after bronchial artery embolisation. We believe our findings will be useful in the management of similar cases.
Comparison the property of new instruments to the IOL-master 500 on patients with cataract
Authors: Qi Muyu , Fan Hua , Xie Xiaolin , Zhou Xiaojuan , Abulimiti Adilamu , Dai Yumeng , Zhang Zhengyu , Li Chuanyu , Pu Yan , Chen Xu 
Published: July 2023

Abstract
Objectives To assess the consistency and difference on six new instruments to IOL-master 500 through evaluating the corneal power measurements.
Materials and methods 88 eyes of 88 subjects were included from Oct. 2018 to Apr. 2019 in this study. The keratometric data, magnitude of astigmatism and astigmatism axis were measured by IOLmaster 500 (Zeiss), Lenstar LS-900 (Haag-Streit), Pentacam HR (Oculus), iTrace (Tracey Technology), Verion(Alcon), Atlas 995 corneal topography (Zeiss), KR-800 auto-refractometer (Topcon), respectively. Blant-Altman analysis plots were used to evaluate the conformity of corneal curvature between these instruments, and the differences of corneal curvature were compared by one-way analysis of variance (ANOVA). Double-angle plots were used to describe the difference on astigmatism assessment.
Results The mean age of all subjects was 35.86±10.27 years, and the male/female ratio was 34/54. There was no significant difference of corneal curvature in all the instruments, LoA range of each instrument compared with IOL-master 500 using Bland-Altman plots were - 0.14D～0.33D、- 0.05D～0.62D、- 1.5D～2.0D、- 0.93D～0.44D、- 0.39D～1.10D、- 0.39D～0.59D , respectively. The widest length is produced by the iTrace (-1.5D-2.0D), and the narrowest length is the Lenstar LS 900 (-0.14D-0.33D), when compared to IOL-master. Moreover, the astigmatism errors of the instruments compared with IOL-master 500 using Double-Angle plots were 0.09D×78°±0.33D, 0.08D×69°±0.40D, 0.12D×80°±0.36D, 0.09D×13°±0.41D, 0.37D×77°±0.68D, 0.14D×86°±0.39D, respectively. The maximum and minimum against-the-rule (ATR) compared to the IOL-master are Atlas 995 corneal topography and Pentacam, respectively.
Conclusions These instruments showed good agreements in evaluating corneal curvature, and Pentacam is a promising choice to detect the astigmatism size and direction based on the minimum error compared with IOL-master.
Combination of Contrast-enhanced FlAIR and Contrast-enhanced T1WI Provides a Quick and Efficient Method in Detecting Cranial Metastases of Lung Cancers
Authors: Sun Linlin , Luan Shihai , Ye Xiaodan , Chen Jing , Shi Jueqian , Dong Haiyang , Tao Guangyu , Liu Xuemei , Liu Mengxiao , Yao Zhenwei , Zhu Li , Yu Hong 
Published: July 2023

Abstract
Purpose
To evaluate the clinical value of contrast-enhanced fast fluid-attenuated inversion recovery (CE FLAIR) imaging in combination with contrast-enhanced T1 weighted imaging (CE T1WI) in detecting cranial metastases of lung cancers.
Methods
In 201 patients with known lung cancers and suspected cranial metastases, T1WI and FLAIR were performed before and after administration of gadopentetate dimeglumine. Two radiologists reviewed pre- and post-contrast images to determine the presence of abnormal contrast enhancement or signal intensity, and decided whether it was metastatic or not on CE T1WI (Group 1) or CE FLAIR (Group 2). The number, locations and features of abnormal enhancement/signal intensity in two groups were recorded. And areas under ROC were calculated in three groups: Group 1, Group 2 and Group 3(combination of CE FLAIR and CE T1WI).
Results
A total of 672 cranial metastases in 149 patients were revealed, and 42 abnormal findings were considered as nonmetastatic. Superficial and small metastases(≤ 10mm) in parenchyma and ependyma, leptomeningeal and non- expansive metastatic skull lesions were typically better seen on CE FLAIR. The areas under ROC in three groups were 0.720,0.887 and 0.973, respectively. Combination of CE T1WI and CE FLAIR was significantly better in diagnostic efficiency of cranial metastases than Group 1 (p＜0.0001) or Group 2 (p = 0.0006).
Conclusion
Combination of CE T1WI and CE FLAIR promotes diagnostic performance and results in better observation and characterization of cranial metastases in patients with lung cancers. It provides a rapid and effective way in detecting cranial metastases of lung cancers.