bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the Acceptability, Feasibility, and Effectiveness of a Digital Parenting Program to Improve Parental Well-being After the Christchurch Earthquakes: Cluster-Randomized Trial
Authors: Donkin Liesje , Merry Sally , Moor Stephanie , Mowat Anna , Hetrick Sarah , Hopkins Sarah , Seers Kara , Frampton Chris , D'Aeth Lucy 
Published: November 2022

Background
Up to 6 years after the 2011 Christchurch earthquakes, approximately one-third of parents in the Christchurch region reported difficulties managing the continuously high levels of distress their children were experiencing. In response, an app named Kākano was co-designed with parents to help them better support their children’s mental health.

Objective
The objective of this study was to evaluate the acceptability, feasibility, and effectiveness of Kākano, a mobile parenting app to increase parental confidence in supporting children struggling with their mental health.

Methods
A cluster-randomized delayed access controlled trial was carried out in the Christchurch region between July 2019 and January 2020. Parents were recruited through schools and block randomized to receive immediate or delayed access to Kākano. Participants were given access to the Kākano app for 4 weeks and encouraged to use it weekly. Web-based pre- and postintervention measurements were undertaken.

Results
A total of 231 participants enrolled in the Kākano trial, with 205 (88.7%) participants completing baseline measures and being randomized (101 in the intervention group and 104 in the delayed access control group). Of these, 41 (20%) provided full outcome data, of which 19 (18.2%) were for delayed access and 21 (20.8%) were for the immediate Kākano intervention. Among those retained in the trial, there was a significant difference in the mean change between groups favoring Kākano in the brief parenting assessment (F1,39=7, P=.012) but not in the Short Warwick-Edinburgh Mental Well-being Scale (F1,39=2.9, P=.099), parenting self-efficacy (F1,39=0.1, P=.805), family cohesion (F1,39=0.4, P=.538), or parenting sense of confidence (F1,40=0.6, P=.457). Waitlisted participants who completed the app after the waitlist period showed similar trends for the outcome measures with significant changes in the brief assessment of parenting and the Short Warwick-Edinburgh Mental Well-being Scale. No relationship between the level of app usage and outcome was found. Although the app was designed with parents, the low rate of completion of the trial was disappointing.

Conclusions
Kākano is an app co-designed with parents to help manage their children’s mental health. There was a high rate of attrition, as is often seen in digital health interventions. However, for those who did complete the intervention, there was some indication of improved parental well-being and self-assessed parenting. Preliminary indications from this trial show that Kākano has promising acceptability, feasibility, and effectiveness, but further investigation is warranted.

Trial Registration
Australia New Zealand Clinical Trials Registry ACTRN12619001040156; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377824&isReview=true
From Individuals to Systems and Contributions to Creations: Novel Framework for Mapping the Efforts of Individuals by Convening The Center of Health and Health Care
Authors: Lewis Dana , Salmi Liz , Staley Alicia , Harlow John 
Published: November 2022

Background
People with lived health care experiences (often referred to as “patients”) are increasingly contributing to health care and are most effective when they are involved as partners who can contribute complementary knowledge alongside other stakeholders in health care.

Objective
Convening The Center aimed to bring together “people known as patients”—the center of health care—to address priorities as they defined them.

Methods
According to the original project design, an in-person gathering was to be conducted; however, as a result of the COVID-19 pandemic, the in-person gathering was transformed into a series of digital gatherings, including an in-depth interview phase, small-group gatherings, and a collective convening of 25 participants (22 women and 3 men from the United States, India, Costa Rica, Sweden, and Pakistan). Each participant was interviewed on Zoom (Zoom Video Communications Inc), and the interview data were thematically analyzed to design a subsequent small group and then full cohort Zoom sessions. Visual note-taking was used to reinforce a shared understanding of each individual- and group-level conversation.

Results
The interviews and gatherings for Convening The Center offered unique perspectives on patient activities in research, health innovation, and problem-solving. This project further developed a novel, two-spectrum framework for assessing different experiences that patients may have or seek to gain, based on what patients actually do, and different levels of patients’ involvement, ranging from individual to community to systemic involvement.

Conclusions
The descriptors of patients in academic literature typically focus on what health care providers think patients “are” rather than on what patients “do.” The primary result of this project is a framework for mapping what patients “do” and “where” they do their work along two spectra: from creating their own projects to contributing to work initiated by others and from working at levels ranging from individual to community to systems. A better understanding of these spectra may enable researchers to more effectively engage and leverage patient expertise in health care research and innovation.
Percutaneous Bioelectric Current Stimulation in the Treatment of Chronic Achilles Tendinopathy: Protocol for a Double-Blind, Placebo-Controlled Randomized Multicenter Trial
Authors: Schröder Philipp , Molsberger Albrecht , Drabik Attyla , Karst Matthias , Merk Harry 
Published: November 2022

Background
The consensus for the optimal treatment strategy for chronic Achilles tendinopathy (AT) is still debated and treatment options are limited. This results in a significant medical need for more effective treatment options.

Objective
The aim of this study is to investigate the therapeutic effects of percutaneous bioelectric current stimulation (PBCS) on AT.

Methods
A multicenter, randomized, double-blind, placebo-controlled clinical trial will be conducted. A total of 72 participants with chronic (ie, >3 months) midpoint AT will be randomized and receive four PBCS sessions—either verum or placebo—over 3 weeks. Both groups will complete daily Achilles tendon loading exercises in addition to the intervention. Evaluation sessions will be completed at baseline and during the intervention (weeks 0-3). Self-reported outcome measures will be completed at follow-up at weeks 4, 12, 26, and 52. The primary outcomes are the Victorian Institute of Sports Assessment–Achilles questionnaire scores and statistical evaluation of intraindividual differences between baseline and 12-week evaluations after initial treatment of verum therapy compared to control. Secondary outcomes will assess Pain Disability Index scores; average pain, using the 11-point Numeric Rating Scale; return to sports; and use of emergency medication.

Results
The study began in May 2021. As of October 2022, we randomized 66 out of 72 participants. We anticipate completing recruitment by the end of 2022 and completing primary data analysis by March 2023.

Conclusions
The study will evaluate the effects of PBCS on pain, physical function, and clinical outcomes.

Trial Registration
German Clinical Trials Register DRKS00017293; https://tinyurl.com/mvz7s98k

International Registered Report Identifier (IRRID)
DERR1-10.2196/40894
Cybele of Kandıra: An Iconographic and Stylistic Evaluation
Authors: GEDÜK Serkan , KARAHAN Günay , KONAK Ayşin 
Published: November 2022

Ana Tanrıça her toplumda farklı isimlerle anılmıştır. Hitit uygarlığında Hepat, Geç Hitit döneminde Kubaba, Phryg uygarlığında Matar-Kybele, Hellen uygarlığında ise Kybele olarak karşımıza çıkmaktadır. Etimolojik olarak incelendiğinde ise Kybele ismi ile ilk olarak MÖ 7. yüzyılda Phryg yazıtlarında karşılaşılmaktadır.
Kybele Kült pratiğinde kutsal alanlar genellikle ana yollardan uzak, su kenarlarında ya da dağların yamaçlarında karşılaşılmaktadır. Bu durum Anadolu kökenine işaret etmektedir. Makalenin konusunu oluşturan Kandıra Kybelesi’nin bulunduğu mağaranın ağzı, vadi tabanından ortalama 20 m, deniz seviyesinden 100 m yüksekliktedir. Yaklaşık 300 m yüksekliğe sahip olan Balıkbayırı Tepe’nin kuzeye bakan yamacına açılmaktadır. Bölgede yer alan diğer kutsal alanlar gibi konum olarak Yağbolu mağarası da Kybele kült alanlarının tanımına uymaktadır. Mağaranın çevresi çam ağaçları ile sarılmıştır. Su kaynakları Kybele kutsal alanları için oldukça önemlidir. Mağara, Sarısu Çayı havzası içinde, havzanın batı akaçlama ağı içinde Koca Dere’nin batı yamacında yer almaktadır. Mağaradan çıkan su, Koca Dere ile birleşmektedir.
Kandıra’nın yerel sarı kumtaşından yapılmış Kybele kabartmalı sunak yerel bir ustanın elinden çıkmıştır. Bölgeye özgü yerel heykeltıraşlığın üslubunda üretilmiş olan sunağın Naumann’ın terimlendirdiği ‘Bithynik Tip’ ile örtüştüğü görülmektedir. Stilistik özellikleri ve mağaradan çıkan diğer eserler göz önünde bulundurulduğunda sunağın Roma Dönemi’ne ait olduğu gözlemlenmektedir.
Storage capacity and releasing risk assessment of phosphorus in soils from restored wetland in the Yellow River Delta, China
Authors: Li Xueping , Yang Qian , Rong Kun , Zhang Zaiwang , Li Ruimin , Liu Zhaohui 
Published: November 2022

The application of wastewater is a method used for the restoration of
degraded wetlands in the Yellow River Delta (YRD). However, the
sediments may become a secondary pollution source, when P is saturated
in the restoration process. By means of the diffusive gradient in
thin-film (DGT) technology and modified sequential fraction method, the
present study investigated the phosphorus (P) storage capacity and
release potential of the wetland after 9 years of restoration. The
results showed that the concentration of total P (P )
ranged from 578.3 to 678.8 mg kg in soils. The
highest fraction of P was Dil.HCl-Pi (mean,74.1-78.7%)，whereas the
lowest was NaHCO -Pi (mean, 0.4-1.3%). Each form of P
in the soil basically decreased with depth and accumulated more in the
0-40 cm profile. The concentrations of soluble reactive P (SRP) in the
overlying water were higher than those in the interstitial water. The
critical P concentration of the wetland sink-source conversion was 0.52
mg L . These results showed that each form of P
showed a vertical decrease with depth in the soil column.
Significant differences were observed
among the average concentrations of P as well as the P
values at each site. The concentrations of P
and P in site A were significant
higher than those in other sites. SRP showed no obvious difference in
overlying water and interstitial water with seasonal changes. The
P-retention capacity of the wetland was quantitatively evaluated using
PSI and DPS parameters. The wetland still had sink capacity after 9
years of wastewater restoration. This research enriches theories of
domestic wastewater remediation in wetlands and provides an important
theoretical basis for using domestic wastewater to repair degraded
wetlands in the YRD.
Cardiovascular outcomes in patients with both diabetes and phenotypic familial hypercholesterolemia: a nationwide register-based cohort study
Authors: Brinck Associate Professor Jonas , Hagström Associate Professor Emil , Nåtman MSc Jonatan , Franzén Dr Stefan , Eeg-Olofsson Dr Katarina , Nathanson Associate Professor David , Eliasson Professor Björn 
Published: November 2022

<p> </p>
<p><strong>Objective</strong></p>
<p>Patients with diabetes or familial hypercholesterolemia (FH) have an increased incidence of cardiovascular diseases compared to the population, but whether this risk is exacerbated in patients with combined traits is unknown. </p>
<p><strong>Research Design and Methods</strong></p>
<p>In this Swedish nationwide, register-based cohort study, patients with diabetes were included between 2002 and 2020. Adjusted Cox-proportional hazards models were used to assess the risk of cardiovascular events in patients with or without phenotypic FH (≥6 points for phenotypic FH according to Dutch Lipid Clinic Network criteria) compared to general population controls without diabetes as reference.</p>
<p><strong>Results</strong></p>
<p>A total of 45,585 patients with type 1 diabetes (227,923 controls) and 655,250 patients with type 2 diabetes (655,250 controls) were followed for a median of 14.1 and 7.9 years, respectively. Of those, 153 and 7197, respectively, had phenotypic FH. Compared to controls, patients with diabetes and phenotypic FH had higher risk of cardiovascular mortality (type 1: hazard ratio 21.3, 95% confidence interval 14.6–31.0; type 2: 2.40, 2.19–2.63) and of a cardiovascular event (type 1: 15.1, 11.1–20.5; type 2: 2.73, 2.58–2.89). Further, patients with diabetes and phenotypic FH had higher LDL cholesterol levels during observation (p<0.05) and increased risk of all major cardiovascular outcomes (p<0.0001) than patients with diabetes but without FH. The proportion receiving lipid-lowering treatment, was higher in patients with phenotypic FH (p<0.0001).</p>
<p><strong>Conclusions</strong></p>
<p>Patients with both diabetes and phenotypic FH are more at risk of adverse cardiovascular outcomes and have higher LDL cholesterol levels despite receiving intensified lipid-lowering therapy.</p>
Identifikasi Faktor Penyebab Kesulitan Belajar Siswa yang Pembelajarannya dalam Jaringan (Daring) Kelas XI
Authors: Klara Feni , Ristiono Ristiono 
Published: November 2022

Adanya wabah pandemi covid-29 memberikan dampak bagi pendidikan. banyak dari siswa mengeluhkan, saat berlangsungnya pembelajaran daring terjadi beberapa kekurangan serta berbagai kesulitan siswa. Tujuan penelitian ini adalah menganalisis faktor penyebab kesulitan yang dialami siswa dalam mata pelajaran biologi kelas IX. Penelitian ini merupakan penelitian deskriptif . Sampel yang digunakan pada penelitian ini adalah kelas IX. Teknik pengambilan data pada penelitian ini adalah dengan menyebar angket menggunakan aplikasi google formulir, angket berisikan 30 butir pernyataan. Hasil penelitian menunjukan kesulitan pembelajaran daring yang dialami oleh siswa adalah kendala teknis berupa jaringan yang tidak stabil, siswa yang tidak fokus ketika guru menjelaskan, kesultan ini dapat berkurang apabila stake holder berperan penting dalam memfasilitasi siswa dalam pembelajaran daring kemudian menjadi fasilitator untuk siswa terutama orang tua yang paling dekat dengan siswa. Implikasi penelitian ini diharapkan dapat memberikan informasi awal mengenai faktor penyebab kesulitan belajar siswa, sehingga untuk pembelajaran selanjutnya dapat ditemukan solusi atas permasalahan yang dihadapi oleh siswa dan guru serta pemerintah dapat mengantisipasi hal apapun yang dapat menghambat proses pembelajaran daring.
Eksplorasi Respon Siswa terhadap Buku Cerita dalam Gerakan Literasi Sekolah
Authors: Yunianika Ika Tri , Suratinah Suratinah 
Published: November 2022

Pelaksanaan Gerakan Literasi Sekolah (GLS) memiliki berbagai kendala seperti terbatasnya pengetahuan guru terhadap variasi kegiatan tindak lanjut setelah kegiatan 15 menit membaca. Penelitian ini bertujuan untuk mengkaji tentang pelaksanaan GLS. Lebih khusus, penelitian ini bermaksud mengeksplorasii kegiatan GLS pada tahap pengembangan, menganalisis jenis respon siswa terhadap buku bacaan dan penilaian guru terhadap respon tersebut. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif. Instrumen dalam penelitian ini menggunakan observasi dan interview. Hasil penelitian menyatakan bahwa kegiatan GLS telah dilaksanakan di sekolah ini jauh sebelum dicanangkannya GLS oleh pemerintah. Selanjutnya, kegiatan literasi diwujudkan dalam sesi membaca yang secara resmi dijadwalkan dalam jadwal pelajaran. Respon terhadap buku yang dibaca dilakukan siswa dalam berbagai bentuk. Siswa diwajibkan membuat suatu proyek tertulis sebagai respon terhadap buku yang dibacanya. Selain itu, respon juga dapat berbentuk lisan seperti berbagi isi buku. Respon yang dibuat siswa dinilai oleh guru sebagai bagian dari mata pelajaran bahasa (Bahasa Indonesia atau Bahasa Inggris). Untuk meningkatkan kesuksesan pelaksanaan kegiatan GLS, diperlukan pengadaan buku bacaan untuk tingkat remaja karena buku merupakan faktor utama pendukung kegiatan GLS. Oleh karena itu, bukan saja jumlah buku yang harus banyak, namun juga genre yang beragam sangat diperlukan agar siswa mendapat berbagai pengalaman membaca. Selain itu, variasi kegiatan literasi perlu ditambahkan seperti penggunaan multimodal reading responses dan disesuaikan dengan perkembangan teknologi saat ini. Selanjutnya, melihat dari kondisi sekolah yang sangat mendukung, kiranya kegiatan GLS dapat diterapkan di semua mata pelajaran sehingga GLS di sekolah ini dapat mencapai tahap Pembelajaran.
Three-Tier Corrective Reasoning
Authors: BAZAC Ana 
Published: November 2022

Written in honour of the late Academician Georg Brutian, the paper draws attention on one of the most special means of the transformative logic, the corrective argumentation, called here reasoning, that better emphasises the specific of arguments as such: that to inform semantically about the intention to arrive to certain conclusions. The corrective reasoning is that which reviews not only the validity of inferences, but also of the different types of premises lying at the basis of the theories people erect about every moment and aspect of life and reality. The corrective reasoning is the form of the capacity to critique the former judgements and has three tiers: the first – concluding that the former/existing theory was proven to be wrong; the second – gathering the arguments of alternative theories, and the third – focusing on the best/or even only in present the more economical alternative theory.
Every tier has more strata of reasoning whose result is the correction: the conclusion that 1) the old results (and focus on examples/situations), so the old theories require/directly send to their refutation, and 2) the conclusion suggests just some arguments of alternative theories. The corrective argumentation is not reduced to propositions, neither to syllogisms, but is constituted of the many relationships between statements.
From all the domains the corrective argumentation does manifest within and about, the scientific one was chose just because here the corrective approach is compulsory and its pattern – the most obvious. An epistemological analysis was deployed and it was demonstrated that the goal of the corrective reasoning is truth (in a certain concrete temporal interval) and the way to it involves the better understanding of the semantic level of language and its dependence on the real world.
Because the corrective reasoning is a question of daring and imagining new theories, the mechanism of this process was sketched by showing that consciousness has not only a passive face (that of representations) but always an active one too (the intention toward the external world), and by focusing on the logical forms as structures of thinking and their relationships with the external world “through the medium of” their internal consistence and coherence. In its turn, argumentation has in view both the formal model and substantial model of situations.
The specific of the corrective reasoning in science shows the difficulty of this endeavour and some deviations from this specific. The conclusion is that, indeed, the corrective reasoning is revolutionary.
From Ancient Greek Logos to European Rationality
Authors: APOSTOLOPOULOU Georgia 
Published: November 2022

Because of history, culture, and politics, European identity has its archetypical elements in ancient Greek culture. Ancient Greek philosophy brought Logos to fore and defined it as the crucial problem and the postulate of the human. We translate the Greek term Logos in English as reason or rationality. These terms, however, do not cover the semantic field of Logos since this includes, among other things, order of being, ground, language, argument etc. The juxtaposition of Logos (reason) to myth makes up the matrix of rationalism. Ancient Greek culture, however, was a culture of Logos (reason) as well as of myth and had enough room for forms, gods, and heroes, for science, poetry, and religious festivities. While ancient Greek culture seems to follow the logic of forms, modern European culture follows the logic of things.
Plato criticizes myth and, at the same time, he sets out a philosophy of myth. He follows the principle of ‘giving reason’ (logon didonai) about things, as his master Socrates did. He establishes dialogue and defines dialectics as the science of principles and ideas and their relations to the things of this world. Aristotle did not accept Plato’s interpretation of Logos. He considered dialectics only as a theory of argumentation and defined his ‘first philosophy’ or ‘theology’ as the science of highest Being. His program of rationalism is based on ontology and accepts the primordial relation of Logos, life, and order of things.
European modernity begins in philosophy with Descartes’ turn to the subject. Descartes defines the main elements of European rationality and their problems. He brings to fore the human subject as the ‘I’ that is free to doubt about everything it can know except itself. Knowledge has to consolidate the power and the mastery of humans over things and nature. Besides, the distinction between soul and body in terms of thinking thing and extended thing does not allow a unique conception of the human. Especially Kant and Hegel attempted to eliminate the impasses of Descartes’ and of Cartesians. While Kant defined freedom as the transcendental idea of reason, Hegel highlighted the reconciliation of spirit and nature.
Nowadays there is a confusion regarding rationality. The power of humans over nature and over other humans as nature is increasing. We have lost the measure of our limits. Perhaps we need the ancient Greek grammar of Logos in order to define the measure and the limits of modern European rationality.
Rodzaj Thymus L. – walory aromatyczne i lecznicze. Przegląd wybranych gatunków
Authors: Nurzyńska-Wierdak Renata , Chrapek Aleksandra 
Published: November 2022

Rodzaj Thymus L. jest jednym z największych i najważniejszych gospodarczo rodzajów w rodzinie Lamiaceae. Rośliny należące do tego rodzaju są tradycyjnym i wysoko cenionym źródłem surowca leczniczego i przyprawowego. Surowcem zielarskim tych roślin jest aromatyczne ziele (herba), a najistotniejszym składnikiem bioaktywnym olejek eteryczny (oleum aetherium). Wśród składników aktywnych surowca wymieniane są ponadto: związki fenolowe, flawonoidy, garbniki, witaminy i związki mineralne. Ekstrakty z ziela tymianku i olejki tymiankowe wykazują szeroką aktywność biologiczną. Działają antyoksydacyjnie, przeciwzapalnie, przeciwkaszlowo, przeciwwirusowo, przeciwbakteryjnie, usprawniają pracę układu trawiennego. Działanie wykrztuśne związane jest z obecnością karwakrolu, tymolu i geraniolu, a właściwości bakteriobójcze i wirusobójcze potęguje obecność związków fenolowych oraz flawonoidów. W pracy dokonano przeglądu właściwości aromatycznych, leczniczych i przyprawowych wybranych czterech gatunków z rodzaju Thymus: T. vulgaris L., T. pulegioides L., T. serpyllum L. i T. citriodorus S., przedstawiono najnowsze badania uzasadniających ich tradycyjne zastosowania oraz potencjalne wartości terapeutyczne.