bluuebunny/crossref_metadata_2025_split huggingface dataset:
MUDEI DE ESCOLA ACHANDO QUE TUDO IRIA MUDAR
Authors: Costa Nunes Ferreira Vinicius , Vellasquez Paiva Fabrícia 
Published: January 2025

O trabalho é fruto da monografia elaborada como trabalho de conclusão do curso de Licenciatura em Pedagogia da UFRRJ e tem o objetivo de analisar a organização do currículo escolar e a formação de professores, na intenção de estranhar um currículo para pensar em um currículo queer, que permita garantir a formação de indivíduos de forma integral preparados para se reconhecerem nas suas individualidades e serem reconhecidos pela sociedade. Dessa forma, trata-se de uma pesquisa qualitativa exploratória de cunho bibliográfico que utiliza de discussões teóricas partindo de reflexões de Louro (2018), Arroyo (2013) e Tardif (2002), relacionando a reflexão dos autores relatos memoriais de narrativa autobiográficos sobre a trajetória de um sujeito queer, além de uma consulta pública sobre a formação de professores do curso de Pedagogia do campus de Seropédica da Universidade Federal Rural do Rio de Janeiro para a discussão sobre sexualidade e gênero. Como resultados, este trabalho encontrou a insuficiência da matriz curricular do curso de graduação consultado para a formação sobre a temática gênero e sexualidade na formação de professores, a necessidade de discussões aprofundadas para o reconhecimento de sujeitos queers na sala de aula, visto que há um vasto repertório teórico sobre a temática que relacionada com o contexto escolar, que é guiado por diretrizes educacionais, e a maneira que a carência sobre a temática como componente educacional influência na trajetória de sujeitos queers, invalidando-os.
Temas ambientais e fraturantes na Literatura Infantil de Rita Lee
Authors: Lima Norma Sueli Rosa 
Published: January 2025

Exame de livros da Literatura Infantil, escritos por Rita Lee, que abordaram temas não usuais, para a recepção etária pretendida, como a violência, o tráfico de animais, a devastação da natureza, entre outros. A análise compreende a série Dr Alex, com obras publicadas entre 1986-1992, reeditadas entre 2019-2020, incluindo uma estória inédita lançada em 2021 e Amiga Ursa, de 2019. As perspectivas teóricas de Ana Margarida Ramos, José Nicolau Gregorin Filho, Marisa Lajolo, Teresa Colomer e Regina Zilberman, entre outros, auxiliaram as reflexões que concluíram ter essa produção feições tanto estéticas, quanto ativistas, além de ser inquestionável a importância das abordagens ambientais e fraturantes das obras, amplamente divulgadas e repercutidas em função de terem sido escritas por uma artista famosa, que as relançou em editora de grande porte empresarial. As reedições identificaram a pertinência de abordagens pouco usuais para crianças devido à atualidade das temáticas denunciadas, percebendo o pioneirismo da escritora no que tange à atual leva de livros voltados para a ficção climática, na qual o meio ambiente não é apenas cenário.
Pequenos detetives: considerações sobre a ficção policial brasileira para crianças e jovens
Authors: Martins Carneiro Flávio 
Published: January 2025

A ficção policial e a ficção infantil e juvenil sempre foram consideradas gêneros menores pela crítica hegemônica no Brasil. Esta não é, porém, a única afinidade entre elas. Na história da ficção policial, tanto no período clássico quanto na sua fase moderna, é recorrente a identificação do leitor com a figura do detetive, o que contribuiu para a popularização do gênero. Na ficção policial infantil e juvenil, isso também ocorre, com a diferença de que, nesta, o lugar do detetive é ocupado não por um único personagem mas por um grupo de crianças. O objetivo deste artigo é entender que estratégias são utilizadas por nossos autores de ficção policial infantil e juvenil para buscar tal identificação e, ainda, tentar mostrar que o gênero, ao trabalhar não apenas com o raciocínio lógico mas, sobretudo, com a imaginação, contribui para a formação do leitor e do cidadão. Como apoio teórico e crítico, o artigo conta com obras de José Paulo Paes, Maria Helena Werneck, Todorov, Sandra Reimão, Vincent Jouve. Como corpus ficcional, abordaremos obras brasileiras contemporâneas de ficção policial infantil e juvenil que dialogam com a tradição do gênero, na sua versão para adultos.
Design of a mid/long-wave infrared dual-band panoramic optical system
Authors: Chang Honglei , Wang Chunyan , Sun Hao , Yao Xingzhi 
Published: January 2025

In this paper, a dual-band and confocal panoramic annular lens for infrared detection is designed using ZEMAX optical design software to realize 360° panoramic monitoring. The working band covers the mid-infrared band (3–5 µm) and the long-infrared band (7–9.5 µm); the field of view angle is (28∘−80∘)×360∘; and the head unit of the lens is composed of two mirrors and a Ge protection window. The system’s aperture number is 1.3. The symmetrical aspherical surface is introduced into the system to correct the aberration, and the athermalization design is carried out to achieve good imaging quality in the working environment of −35−55∘C.
Effects of different educational interventions on cervical cancer knowledge and human papillomavirus vaccination uptake among young women in Japan: Preliminary results of a cluster randomized controlled trial
Authors: Takahashi Yuko , Sasamori Yukifumi , Higuchi Risa , Kaku Asumi , Kumagai Tomoo , Watanabe Saya , Nishizawa Miki , Takasaki Kazuki , Nishida Haruka , Ichinose Takayuki , Hirano Mana , Miyagawa Yuko , Hiraike Haruko , Kido Koichiro , Ishikawa Hirono , Nagasaka Kazunori 
Published: January 2025

The incidence and mortality rates of cervical cancer are increasing among young Japanese women. In November 2021, the Japanese Ministry of Health, Labour, and Welfare reinstated the active recommendation of the human papillomavirus (HPV) vaccine, after it had been suspended in June 2013 due to reports of adverse reactions. However, vaccine hesitancy is prevalent in the younger generation in Japan. To identify obstacles to vaccine uptake, we conducted a randomized study using different methods to provide educational content to improve health literacy regarding cervical cancer and HPV vaccination among Japanese female students. We surveyed 188 Japanese female students, divided into three groups according to the intervention: no intervention, print-based intervention, and social networking service-based intervention. Twenty questionnaires and the Communicative and Critical Health Literacy scales were used as health literacy scales. Participants’ knowledge and health literacy improved regardless of the method of education. In fact, participants acquired proper knowledge when given the opportunity to learn about the importance of the disease and its prevention. Therefore, medical professionals in Japan must provide accurate scientific knowledge regarding routine HPV vaccination and the risk of cervical cancer in young women to improve their health literacy and subsequently increase HPV vaccination rates in Japan, which may lead to cervical cancer elimination.
Trial registration number: UMIN000036636.
Supervised pulmonary tele-rehabilitation and individualized home-based pulmonary rehabilitation for patients with COPD, unable to participate in center-based programs. The protocol for a multicenter randomized controlled trial - the REPORT study
Authors: Nielsen Christina , Godtfredsen Nina , Molsted Stig , Ulrik Charlotte , Kallemose Thomas , Hansen Henrik 
Published: January 2025

Introduction
Chronic obstructive pulmonary disease (COPD) costs EURO 1.4 billion annually in healthcare costs. Pulmonary rehabilitation (PR) is a vital aspect of care for patients with COPD, but despite the compelling evidence, it is delivered to less than 30%. Frequent transport to the center-based program is regularly reported as reasons for non-attendance. The effectiveness and feasibility of pulmonary tele-rehabilitation (PTR) and home-based pulmonary rehabilitation (HPR) have never been investigated in patients with COPD who are unable to attend conventional outpatient PR.

Materials and methods
This study is a multicenter randomized controlled trial consisting of three parallel groups; PTR, HPR and a control group. 180 patients with moderate to very severe COPD, who are unable to attend in center-based PR programs will be included. The PTR group receives group-based resistance- and endurance training and patient education 60 min. twice a week for 10-weeks. HPR comprises an individual self-initiated home-based PR program with online motivational and professional counseling. The goal is to achieve at least 20 min. of muscle-endurance based exercises three days weekly for 10-weeks. The PTR and HPR group use a tablet with a conference system. The control group receives usual care (no PR). After completion of the intervention, the PTR and HPR groups are offered 65-weeks groupbased maintance program supervised once a week online via tablet. The primary outcome is change in respiratory symptoms measured with the COPD Assessment Test after 10-weeks (primary endpoint).

Discussion
The study aims to test a possible equivalence between PTR and HPR and their superiority to controls on respiratory symptoms. The study will provide valuable insights into the effectiveness of new rehabilitation models and maintenance programs for patients with COPD. If the two new delivery models can reduce respiratory symptoms, patients with moderate to very severe COPD can participate in both home- or centerbased PR.

Trial registration
The trial is registrered and approved by the Ethics Committee of The Capital Region of Denmark (H-22015777; 29.08.2022) and the Danish Data Protection Agency (P-2022-245-13101, 25.05.2022). The trial is registrered at ClinicalTrials.gov, identifier: NCT05664945 (23.12.2022).
An interpretable machine learning model for predicting in-hospital mortality in ICU patients with ventilator-associated pneumonia
Authors: Wei Junying , Cao Heshan , Peng Mingling , Zhang Yinzhou , Li Sibei , Ma Wuhua , Li Yuhui 
Published: January 2025

Background
Ventilator-associated pneumonia (VAP) is a common nosocomial infection in ICU, significantly associated with poor outcomes. However, there is currently a lack of reliable and interpretable tools for assessing the risk of in-hospital mortality in VAP patients. This study aims to develop an interpretable machine learning (ML) prediction model to enhance the assessment of in-hospital mortality risk in VAP patients.

Methods
This study extracted VAP patient data from versions 2.2 and 3.1 of the MIMIC-IV database, using version 2.2 for model training and validation, and version 3.1 for external testing. Feature selection was conducted using the Boruta algorithm, and 14 ML models were constructed. The optimal model was identified based on the area under the receiver operating characteristic curve (AUROC), accuracy, sensitivity, and specificity across both validation and test cohorts. SHapley Additive exPlanations (SHAP) analysis was applied for global and local interpretability.

Results
A total of 1,894 VAP patients were included, with 12 features ultimately selected for model construction: 24-hour urine output, blood urea nitrogen, age, diastolic blood pressure, platelet count, anion gap, body temperature, bicarbonate level, sodium level, body mass index, and whether combined with congestive heart failure and cerebrovascular disease. The random forest (RF) model showed the best performance, achieving an AUC of 0.780 in internal validation and 0.724 in external testing, outperforming other ML models and common clinical scoring systems.

Conclusion
The RF model demonstrated robust and reliable performance in predicting in-hospital mortality risk for VAP patients. The developed online tool can assist clinicians in efficiently assessing VAP in-hospital mortality risk, supporting clinical decision-making.
Colorectal Cancer Screening Based on Predicted Risk: A Randomized Controlled Trial
Authors: Plys Ekaterina , Bulliard Jean-Luc , Chaouch Aziz , Durand Marie-Anne , van Duuren Luuk A. , Braendle Karen , Auer Reto , Froehlich Florian , Lansdorp-Vogelaar Iris , Corley Douglas A. , Selby Kevin 
Published: January 2025

INTRODUCTION:
Colorectal cancer (CRC) screening relies primarily on colonoscopy and fecal immunochemical testing (FIT). Aligning utilization of these options with individual CRC risk may optimize benefit with lower risks, individual burden, and societal costs. We studied the effect of communicating personalized CRC risk and corresponding screening recommendations on risk-appropriate screening uptake in an organized screening setting.

METHODS:
Randomized controlled trial among residents aged 50–69 years not yet invited for screening in Vaud, Switzerland. The intervention was a mailed brochure communicating individual 15-year CRC risk and screening recommendation. The control group received a usual brochure comparing FIT and colonoscopy. The primary outcome was self-reported risk-appropriate screening (FIT if <3% risk, FIT or colonoscopy if ≥3% and <6%, and colonoscopy if ≥6%) at 6 months. A secondary outcome was overall screening uptake.

RESULTS:
Of 5,396 invitations, 1,059 people responded (19%) of whom 258 were randomized to intervention and 257 to control materials (average 15-year risk 1.4% [SD = 0.5], age 52.2 years [SD = 2.2], 51% women). Risk-appropriate screening completion was 37% in the intervention group and 23% in the control group (absolute difference 14%, 95% confidence interval 6%–22%). Overall screening uptake was 50% in the intervention group and 49% in the control group (absolute difference 1%, 95% confidence interval −7% to 10%).

DISCUSSION:
In a population not known to be at elevated CRC risk, brochures providing personalized CRC risk and screening recommendations improved risk-appropriate screening without impacting overall screening uptake. This approach could be helpful for aligning screening methods, risks, and benefits with cancer risk and resource allocation.
Identifying and Treating Metabolic Dysfunction-Associated Steatotic Liver Disease Among At-Risk Veterans
Authors: Niezen Sebastian , Morgan Timothy R. , Scott Dawn , Yakovchenko Vera , Patton Heather , Spoutz Patrick , Yao Yiwen , Baffy Gyorgy , Fuchs Michael , Bajaj Jasmohan S. , Ekanem Nsikak R. , Dominitz Jason A. , Rogal Shari S. 
Published: January 2025

INTRODUCTION:
Metabolic dysfunction-associated steatotic liver disease (MASLD), an increasing public health concern, remains challenging to diagnose and risk-stratify. We assessed the (i) prevalence of MASLD risk factors among veterans in Veterans Health Administration (VA) care, (ii) factors associated with MASLD diagnosis, and (iii) associations between MASLD diagnosis and receipt of care.

METHODS:
Veterans with MASLD risk factors, including obesity, prediabetes, diabetes, or dyslipidemia, were identified using International Classification of
Diseases-
10 codes and followed in 2019–2022. Multivariable logistic regression and propensity score-adjusted models identified demographic and clinical characteristics associated with a diagnosis of MASLD or cirrhosis and receipt of elastography, specialty care for liver disease, VA weight management (MOVE!) participation, and glucagon-like peptide-1 (GLP-1) analog prescriptions.

RESULTS:
Among approximately 9 million veterans, 4,159,699 (45%) had risk factors for MASLD and were included in further analysis. MASLD or cirrhosis was diagnosed in 6% of the at-risk cohort. At-risk Veterans diagnosed with MASLD were younger with more metabolic risk factors, increased rates of alcohol use disorder, and higher FIB-4 scores and alanine transaminase values. Over 1-year follow-up, 6% engaged in MOVE!, 9% had specialty care for liver disease, 3% were prescribed GLP-1 analogs, and 2% underwent staging elastography. MASLD diagnosis was significantly associated with receipt of MOVE!, specialty care consultation, and GLP-1 analog prescription.

DISCUSSION:
Few at-risk Veterans carried an MASLD diagnosis or had undergone staging elastography. Because MASLD diagnosis was associated with linkage to hepatology care and weight loss therapy services, implementation of population screening and management services for MASLD is critically needed.
Educação Escolar Quilombola e Indígena no Brasil: contextos, redes e perspectivas
Authors: Silva Andréia Rosalina , Nascimento Ana Lídia Cardoso do , Katrib Cairo Mohamad Ibrahim 
Published: January 2025

A educação escolar quilombola e indígena no decorrer da história da educação no Brasil sempre esteve vinculada a uma realidade de precariedade, empobrecimento, negação do respeito ao direito de suas especificidades e particularidades. No século XX, a partir dos princípios trazidos na Constituição Federal de 1988, relacionados a educação escolar, vislumbra-se possibilidades para a instalação de maior investimento, respeito as especificidades, construção de propostas pedagógicas que dialoguem com a realidade dos povos indígenas e quilombolas. A partir daí se cria um elenco de políticas educacionais específicas nessa direção - diretrizes curriculares são aprovadas, surgem financiamentos para investimento nas escolas indígenas e quilombolas, formação de professores e professoras, há a consideração da educação intercultural, e em algumas cidades melhorias nas infraestruturas das escolas, dentre outras conquistas.
Initial Development and Validation of Questionnaire
Authors: Binti Ismail Alya Nadhirah , Widia Mirta , Binti Sukadarin Ezrin Hani 
Published: January 2025

The lack of comprehensive tool to assess both risk factors of physical and psychosocial risk factors as well as fatigue level effectively is significant in similar field research. Therefore, the aim of this study is to do the initial development and content validation of a questionnaire that identifies and measures the risk factors influencing the fatigue levels. The questionnaire was developed by implementing adapt method followed by item generation in the initial development. This questionnaire was then validated in terms of content validation by expert panel reviews. The content validity result are as follows: 64-items out of 146-items scale had I-CVI below 1, 24-items with I-CVI of 0.8, and 3-items with 0.7, and the remaining items had I-CVI of below than 0.7. The average value of CVR was 1, and the S-CVI/Ave of the questionnaire was 0.93. Items with content validity of 0.7 and above was maintained, therefore, the questionnaire ended with 87-items. Findings indicates that the questionnaire is valid for assessing the physical and psychosocial risk factors associating with the fatigue levels. This questionnaire can be made a tool in assessing workplace while promote efficiency through this comprehensive tool, contributing to a better understanding of occupational risks and potential interventions.
Denial as an ethical problem: the example of ICU triage in the context of the COVID-19 pandemic
Authors: Farmer Yanick , Bouthillier Marie-Eve 
Published: January 2025

Abstract

Objectives
The overall goal of this article is to show that denial is one of the greatest obstacles to good practical judgment and is therefore a major problem in clinical ethics by examining its cognitive structure and the challenges it poses for clinical ethics consultation and intervention. In addition to clinical examples, excerpts of verbatim from citizen forums on triage protocols will be used to illustrate the manifestations of denial in citizens when faced with difficult choices.

Case presentation
The initial waves of the pandemic and the alarming resurgence of cases with the emergence of highly transmissible variants have created increased pressure on many healthcare systems around the world. These critical situations have activated the potential for health authorities in different countries to use triage protocols to manage access to critical care. In several cases, public opinion was alerted, creating a climate of concern and even suspicion among the general population. These debates have highlighted both the importance and the difficulty of basing triage choices and the allocation of scarce resources on an ethical or moral reasoning that commands strong support. The obstacles to this consensus are numerous. There is, of course, the diversity of beliefs and values, but also a mechanism that has been very little documented in clinical ethics: denial.

Conclusions
Denial poses major problems for providers and professionals in healthcare settings. In the face of maladaptive behaviors such as denial, psychotherapy uses techniques that act on both the cognitive and affective levels. Many of these techniques require long-term work that can only be accomplished in the context of professionally supervised therapy, but some tips can be identified for mediation and the work of the clinical ethicist.
Diameter of Kähler currents
Authors: Guedj Vincent , Guenancia Henri , Zeriahi Ahmed 
Published: January 2025

Abstract
We establish upper bounds on the diameter of compact Kähler manifolds endowed with Kähler metrics whose volume form satisfies an Orlicz integrability condition.
Our results extend previous estimates due to Fu–Guo–Song, Y. Li, and Guo–Phong–Song–Sturm.
In particular, they do not involve any constraint on the vanishing of the volume form.
Moreover, we show that singular Kähler–Einstein currents have finite diameter, provided that their local potentials are Hölder continuous.
On 3-nondegenerate CR manifolds in dimension 7 (I): The transitive case
Authors: Kruglikov Boris , Santi Andrea 
Published: January 2025

Abstract
We investigate 3-nondegenerate CR structures in the lowest possible dimension 7, and one of our goals is to prove Beloshapka’s conjecture on the symmetry dimension bound for hypersurfaces in

C
4

\mathbb{C}^{4}

.
We claim that 8 is the maximal symmetry dimension of 3-nondegenerate CR structures in dimension 7, which is achieved on the homogeneous model.
This part (I) is devoted to the homogeneous case: we prove that the model is locally the only homogeneous 3-nondegenerate CR structure in dimension 7.
On context specificity and management reasoning: moving beyond diagnosis
Authors: Boyle James G. , Walters Matthew R. , Burton Fiona M. , Paton Catherine , Hughes Martin , Jamieson Susan , Durning Steven J. 
Published: January 2025

Abstract

Objectives
Diagnostic error is a global emergency. Context specificity is likely a source of the alarming rate of error and refers to the vexing phenomenon whereby a physician can see two patients with the same presenting complaint, identical history and examination findings, but due to the presence of contextual factors, decides on two different diagnoses. Studies have not empirically addressed the potential role of context specificity in management reasoning and errors with a diagnosis may not consistently translate to actual patient care.

Methods
We investigated the effect of context specificity on management reasoning in individuals working within a simulated internal medicine environment. Participants completed two ten minute back to back common encounters. The clinical content of each encounter was identical. One encounter featured the presence of carefully controlled contextual factors (CF+ vs. CF−) designed to distract from the correct diagnosis and management. Immediately after each encounter participants completed a post encounter form.

Results
Twenty senior medical students participated. The leading diagnosis score was higher (mean 0.88; SEM 0.07) for the CF− encounter compared with the CF+ encounter (0.58; 0.1; 95 % CI 0.04–0.56; p=0.02). Management reasoning scores were higher (mean 5.48; SEM 0.66) for the CF− encounter compared with the CF+ encounter (3.5; 0.56; 95 % CI 0.69–3.26; p=0.01). We demonstrated context specificity in both diagnostic and management reasoning.

Conclusions
This study is the first to empirically demonstrate that management reasoning, which directly impacts the patient, is also influenced by context specificity, providing additional evidence of context specificity’s role in unwanted variance in health care.