bluuebunny/crossref_metadata_2025_split huggingface dataset:
Machine Learning–Based Text Analysis to Predict Severely Injured Patients in Emergency Medical Dispatch: Model Development and Validation
Authors: Chin Kuan-Chen , Cheng Yu-Chia , Sun Jen-Tang , Ou Chih-Yen , Hu Chun-Hua , Tsai Ming-Chi , Ma Matthew Huei-Ming , Chiang Wen-Chu , Chen Albert Y 
Published: April 2022

Background
Early recognition of severely injured patients in prehospital settings is of paramount importance for timely treatment and transportation of patients to further treatment facilities. The dispatching accuracy has seldom been addressed in previous studies.

Objective
In this study, we aimed to build a machine learning–based model through text mining of emergency calls for the automated identification of severely injured patients after a road accident.

Methods
Audio recordings of road accidents in Taipei City, Taiwan, in 2018 were obtained and randomly sampled. Data on call transfers or non-Mandarin speeches were excluded. To predict cases of severe trauma identified on-site by emergency medical technicians, all included cases were evaluated by both humans (6 dispatchers) and a machine learning model, that is, a prehospital-activated major trauma (PAMT) model. The PAMT model was developed using term frequency–inverse document frequency, rule-based classification, and a Bernoulli naïve Bayes classifier. Repeated random subsampling cross-validation was applied to evaluate the robustness of the model. The prediction performance of dispatchers and the PAMT model, in severe cases, was compared. Performance was indicated by sensitivity, specificity, positive predictive value, negative predictive value, and accuracy.

Results
Although the mean sensitivity and negative predictive value obtained by the PAMT model were higher than those of dispatchers, they obtained higher mean specificity, positive predictive value, and accuracy. The mean accuracy of the PAMT model, from certainty level 0 (lowest certainty) to level 6 (highest certainty), was higher except for levels 5 and 6. The overall performances of the dispatchers and the PAMT model were similar; however, the PAMT model had higher accuracy in cases where the dispatchers were less certain of their judgments.

Conclusions
A machine learning–based model, called the PAMT model, was developed to predict severe road accident trauma. The results of our study suggest that the accuracy of the PAMT model is not superior to that of the participating dispatchers; however, it may assist dispatchers when they lack confidence while making a judgment.
The Assessment of a Personalized Nutrition Tool (eNutri) in Germany: Pilot Study on Usability Metrics and Users’ Experiences
Authors: Kaiser Birgit , Stelzl Tamara , Finglas Paul , Gedrich Kurt 
Published: April 2022

Background
To address the epidemic burden of diet-related diseases, adequate dietary intake assessments are needed to determine the actual nutrition intake of a population. In this context, the eNutri web app has been developed, providing online automated personalized dietary advice, based on nutritional information recorded via an integrated and validated food frequency questionnaire (FFQ). Originally developed for a British population and their dietary habits, the eNutri tool has specifically been adapted to the German population, taking into account national eating habits and dietary recommendations.

Objective
The primary aim of this study is to evaluate the system usability and users’ experience and feedback on the eNutri app in a small-scale preliminary study. The secondary aim is to investigate the efficacy of personalized nutrition (PN) recommendations versus general dietary advice in altering eating habits.

Methods
The app was piloted for 4 weeks by 106 participants from across Germany divided into a PN group and a control group. The groups differed according to the degree of personalization of dietary recommendations obtained.

Results
An overall System Usability Scale (SUS) score of 78.4 (SD 12.2) was yielded, indicating an above average user experience. Mean completion time of the FFQ was 26.7 minutes (SD 10.6 minutes). Across subgroups (age, sex, device screen sizes) no differences in SUS or completion time were found, indicating an equal performance for all users independent of the assigned experimental group. Participants’ feedback highlighted the need for more personalized dietary advice for controls, while personalized nutritional recommendations improved the awareness of healthy eating behavior. Further improvements to the eNutri app were suggested by the app users.

Conclusions
In total, the eNutri app has proven to be a suitable instrument to capture the dietary habits of a German population sample. Regarding functionality, system usability, and handling, direct user feedback was quite positive. Nutritional advice given was rated ambivalent, pointing to several weaknesses in the eNutri app, minimizing the system’s full potential. A higher level of personalization within nutritional advice subjectively improved the app’s usability. The insights gained will be used as a basis to further develop and improve this digital diet assessment tool.
Gestalt Therapy in Argentina: Revolution, Evolution, and Contributions
Authors: SLEMENSON MARTA 
Published: April 2022

Abstract
I have tried to develop a wide range of perspectives—historical, sociological, political and clinical—for therapy in Argentina. I have also advanced some new ideas about differences between northern and southern (Latin) Gestalt, with some indications on what should follow from them. From the clinical viewpoint, two questions concern me especially: how do we treat a wounded society, and how do we focus Gestalt therapy toward this society's needs? I am particularly thankful to Penny Backman and Joel Latner for their careful and intelligent editing.
Minds and Brains for Gestalt Therapists
Authors: BURLEY TODD 
Published: April 2022

Abstract
Gestalt therapy has the luxury of having been developed by individuals who were eager to assimilate and integrate the exciting information and theories circulating in psychological circles in their time. A perhaps unintended consequence has been that Gestalt therapy has evolved in parallel with many of the major contributions in the cognitive and neuropsychological revolution in experimental psychology. As a result, Gestalt theory provides an excellent framework for psychology in general and experimental psychology has been quietly providing validation for many of the basic concepts of Gestalt therapy. This article details some of the important areas of this validation and the evolution of current Gestalt theory.
What Changes the Individual in Gestalt Groups? A Proposed Theoretical Model
Authors: HANDLON JOSEPH H. , FREDERICSON ISABEL 
Published: April 2022

Abstract
Our purpose is to account for the positive changes in individuals who participate in a Gestalt-oriented group. A theoretical model is suggested that attempts to integrate the therapeutic interactions that take place in a Gestalt group with certain internal changes that occur within these individuals. This proposed conceptual model is based on seven general assumptions about the dynamics of individuals interacting in a group. It is field/systems based and suggests six therapeutic vehicles present in a Gestalt-oriented group that make possible specified changes of the internal structures in individuals. Clinical examples are provided to illustrate the model's applications.
Organizational Consulting: What a Gestalt Approach Can Learn from Off-Off-Broadway Theater
Authors: SANER RAYMOND 
Published: April 2022

Abstract
This paper proposes to enlarge the scope of traditional inquiry of Gestalt therapy and Gestalt-oriented organization development through a comparison of contemporary theater and organizational consulting practice. The goal of this paper is to move closer to both worlds and to compare directly the most recent developments in both fields, namely Off-Off-Broadway (OOB) theater with contemporary management consulting or Off-Off-Wall Street (OOW) consulting. Both OOB and OOW show manifestations of postmodernism that have important implications for Gestaltoriented organization development consulting. These manifestations are discussed in the latter part of the paper.
Autism in Gestalt Theory Towards a Gestalt Theory of Personality
Authors: AMESCUA GUADALUPE 
Published: April 2022

Abstract
For us, who work with children and adolescents, it is very important to have a developmental Gestalt theory, as well as a Gestalt approach to psychopathology. Based on the theory of contact and the self, I consider autism as a contact and boundary problem in which the child is caught right at the boundary. Thus, we can think of a Gestalt approach to autism. As a result of my experience with autistic children, I present an explanation of the development of the child utilizing a Gestalt perspective.
Do Big 4 Auditors Enhance Audit Quality in China? A “Behind the Scenes Look”
Authors: Chen Songsheng , Krishnan Gopal V. , Li Wenying , Zhang Yinqi 
Published: April 2022

ABSTRACT
We contribute to the debate on whether the “Big N effect” on audit quality is due to client self-selection by controlling for pre-audit earnings quality. Using data from the Chinese Institute of Certified Public Accountants, we find that pre-audit earnings quality is higher for Big 4 clients. Controlling for pre-audit earnings quality, restatement frequency is lower for Big 4 clients than for non-Big 4 clients, but there is no significant difference in discretionary accruals between Big 4 and non-Big 4 clients. Our findings indicate that Big 4 and non-Big 4 auditors in China pursue different strategies to enhance audit quality. The Big 4 enhance audit quality by recruiting and retaining clients with higher earnings quality and acting more conservatively toward clients with a higher risk for earnings restatement. In contrast, non-Big 4 auditors enhance audit quality by requiring more downward audit adjustments.
Operating Leases and Credit Assessments: The Role of Main Banks in Japan
Authors: Koga Yuya , Saudagaran Shahrokh M. 
Published: April 2022

ABSTRACT
This study examines how Japanese banks evaluate off-balance sheet operating leases in their credit assessments. Using a sample of 6,985 firm-year observations in Japan over the period 2001 to 2017, we find that banks in Japan evaluate off-balance sheet operating leases in certain circumstances. First, we find that banks evaluate such leases when firms have a strong relationship with a main bank. Second, banks assess firms' credit risk by evaluating operating leases if there is a strong main bank relationship especially when estimation reliability is low. We uncover robust results by controlling for the systematic characteristics of a strong main bank relationship. Our study thus suggests that the main bank relationship plays the important role of conveying the off-balance sheet operating leases in loan contracts in Japan.
”Pysähtymisessä vaanii kuolema” – Eino Ruutsalon kokeellinen 1960-luku
Authors: Home Marko 
Published: April 2022

Lectio praecursoria: Marko Homeen väitöskirja ”Pysähtymisessä vaanii kuolema” – Eino Ruutsalon kokeellinen 1960-luku tarkastettiin Helsingin yliopistossa 11.9.2021. Vastaväittäjänä toimi dosentti Roni Grén (Turun yliopisto) ja kustoksena professori Ville Lukkarinen (Helsingin yliopisto).
INFLUENCE OF TEACHING EXPERIENCE ON TEACHERS’ LEVEL OF USE OF CRITICAL THINKING
Authors: Laabidi Youssouf L Y 
Published: April 2022

Critical thinking is very important in the area of education, because it is an essential tool for solving problems and making good decisions. Through applying critical thinking in learning, students can become creative in discovering the best method of learning and organizing their work. Therefore, critical thinking is not an educational choice and all learners should be taught to think critically. The primary objective of this paper is to study whether teaching experience played a role in teachers’ level of use of critical thinking. The quantitative method was used. The respondents of the study were Moroccan English high school teachers. A questionnaire was used to collect data from teachers. Both the online version and the paper-based version of the questionnaire were used to gather data from the participants. A total of 423 questionnaire were collected from the respondents. The Statistical Package for Social Sciences (SPSS) version 19 was used to analyze the data. The findings reveal that teaching experience significantly impacts teachers’ level of use of critical thinking. This suggests that there is a connection between teachers’ effectiveness and years of experience.
Application of neural networks in system of recognition of commercial aquatic organisms during increased fluctuation
Authors: Alekseev Pavel P. , Kvyatkovskaya Irina 
Published: April 2022

The article focuses on using artificial neural networks for the recognition of commercial hydrobionts in conditions of increased fluctuation. Research has not been conducted in the field of recognition of aquaculture objects for reasons of solving the applied problems and achieving the required indicators. There is described the development of software for recognition of aquaculture objects based on the YOLOv5 model, as well as the proper methodology for the semi-automatic formation of effective visual training samples. There has been analyzed the model operation scheme and substantiated the importance of the training sample and its influence on the quality of pattern recognition by a neural network. Effective identification of aquatic organisms requires the methods for dividing it into zones according to various distinctive features and separating the required objects not only from the background, but also taking into account fluctuations above the water surface. There has been developed a method for eliminating fluctuations in order to increase the efficiency of recognition of aquatic organisms by a neural network. There is described the process of testing software for the detection of commercial hydrobionts trained on a sample by the proposed method.
It has been inferred that the recognition rate directly depends not only on the quality of the training sample and the volume of images, but also on the technical characteristics of the electronic computer
Associations between career choice and educational debt for fourth-year students of US veterinary schools and colleges, 2001–2021
Authors: Bain Bridgette , Lefebvre Sandra L. 
Published: April 2022

Abstract

OBJECTIVE
To determine whether career choice and starting salary of new DVM graduates in the US were associated with their educational debt accrued during veterinary school.

SAMPLE
Up to 48,527 fourth-year students at US veterinary schools who responded to the AVMA Senior Survey in 2001 through 2021 and accepted a full-time position or advanced education opportunity.

PROCEDURES
To determine whether career choice was associated with educational debt, multiple linear regression was performed, controlling for graduation year, gender, age, marital status, having children, tuition level, and school location. The correlation between educational debt and starting salary was also determined.

RESULTS
On average, mean educational debt increased by $6,110 each successive year. A mean of 60.5% of respondents accepted positions in private practice (public practice, 3.3%; advanced education, 36.2%). Respondents choosing public practice had a mean of $24,913 less debt than those choosing advanced education, controlling for other factors. Respondents choosing public practice also had less debt than those choosing private practice, but debt did not differ significantly between private practice and advanced education. The correlation between educational debt and starting salary was significant but low (r = 0.177).

CLINICAL RELEVANCE
Findings suggested that the amount of debt incurred during veterinary school was associated with new veterinarians’ career paths. Notably, graduates with higher debt levels appeared to seek higher paying jobs or clinical training that might lead to higher paying jobs, leaving public practice—a field in which critical needs have been identified—underrepresented despite the availability of loan forgiveness programs and other incentives.
Targeted Screening of the C9orf72 Gene in Bulgarian Amyotrophic Lateral Sclerosis Patients
Authors: Ormandzhiev S. , Todorov T. , Angelov T. , Chamova T. , Mitev V. , Todorova A. , Tournev I. 
Published: April 2022

Abstract
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease, characterized by progressive degeneration of the upper and lower motor neurons, leading to muscle weakness, hypotrophy, swallowing and respiratory failure. The cause of ALS is not yet fully elucidated, but there are 35 associated genes and 2 gene loci with an unidentified gene. The most common are C9orf72, SOD1, TARDBP and FUS found in approximately 10% of patients. Variants in the C9orf72 gene are the main cause of fALS – 25-40% of cases (and a small percentage of sALS). The goal of the present study was to evaluate the significance of the C9orf72 hexanucleotide repeat expansion in Bulgarian patients with ALS, through the means of in house and triplet repeat-primed PCR assay (TP-PCR). From 171 patients diagnosed with ALS and included in the current study, we have identified the repeat expansion with more than 145 GGGGCC repeats in 7 (4,1%). Short expansions or borderline values (24 to 30 repeats) were not detected. Due to absence of sufficient data, we have established an ALS-focused research for the association of the C9orf72 gene in clinically well-characterized Bulgarian ALS patients. Published data show variable percentage ratios for genetically verified cases (4-40%), which is mainly due to small sample counts and sALS-fALS ratios. Our patients’ group also contains sALS and fALS cases, which explains the low percentage of genetic verification. The obtained results enrich the worldwide database and shed light onto genetically characterized Bulgarian ALS patients. Affected patients and their families can receive adequate medical-genetic consultation and prenatal diagnostic testing.
Imaging in a Patient with Recent Cesarean Section and Acute Right Lower Quadrant Pain Due to Torsion OF Ovarian Teratoma – Diagnostic Challenges
Authors: Arabadzhieva E. , Krupev M. , Yonkov A. , Bulanov D. , Bonev S. 
Published: April 2022

Abstract

Introduction: Ovarian teratomas are common pathology, manifested by various clinical and imaging findings, as well as different complications. The differential diagnosis can be challenging in cases with acute right lower quadrant (ARLQ) pain.

Aim: to present typical imaging findings in this pathology and possible pitfalls in their interpretation, focusing on a case with torsion of ovarian teratoma.

Methods: We describe a case of a 41-yearold female patient with a recent Cesarean section and a history of kidney stones and previous appendectomy, who presented with acute right lower quadrant pain. Her pregnancy was uneventful. The plain abdominal X-ray, ultrasound and computer tomography images revealed air-fluid levels, a fecaloma in the ascending colon and a pelvic mass of unclear origin, misinterpreted as a foreign body or postoperative complication.

Results: The patient underwent a surgical procedure that revealed an ovarian teratoma torsion. A right adnexectomy was performed. The diagnosis was confirmed by histological examination.

Conclusion: An excellent knowledge of the imaging findings in the diseases presented with ARLQ pain is of vital importance, however patient’s co-morbidities and recent surgical procedures may hinder the correct interpretation.
Surgical Treatment of Patients with Adenocarcinoma of the Distal Esophageal Portion and Gastroesophageal Junction Performed After Neoadjuvant Chemotherapy and Combined Chemoradiation
Authors: Yankov G. , Alexieva M. , Kovacheva-Slavova M. , Vladimirov B. , Mekov E. 
Published: April 2022

Abstract
Esophageal carcinoma is an extremely aggressive cancer with an early distant spread, high rate of local recurrence, and low overall survival. Herewith we present 3 patients with advanced moderately and low differentiated adenocarcinomas, who underwent neoadjuvant chemotherapy (nCT) (two patients) and combined nCT with neoadjuvant radiation therapy (nRT) (one patient), followed by radical surgery. Subtotal esophageal resection, proximal gastric resection, and intrathoracic right gastroesophagoplasty a modo Ivor-Lewis were performed in the first two patients, while total gastrectomy, distal third esophageal resection, splenectomy and left intrathoracic esophagojejunoplasty a modo Roux were performed in the third one. A literature review of the role of neoadjuvant chemoradiotherapy (nCRT) as part of a trimodality therapy for advanced esophageal carcinoma is presented.
The medicinal plants in Bulgaria: list of species, usable parts, fields of application, toxicity and contraindications
Authors: Zahariev Dimcho 
Published: April 2022

Abstract
The aim of this survey is to present an up-to-date list of medicinal plants on the territory of the Republic of Bulgaria and to systematize the information on: usable parts, the number of medicinal plants used in various fields of medicine, in cosmetics, the degree of toxicity and availability of information on contraindications for all wild medicinal plants that are found in the Republic of Bulgaria. As a result, we identified a total of 845 species of wild medicinal plants. Most of them are described in a special annex to the Medicinal Plants Act of the Republic of Bulgaria. In the literature on the use of medicinal plants in Bulgaria we found information about another 115 species of wild medicinal plants. In the present survey we did review of the usable parts of medicinal plants. We made a comparative analysis of the use of medicinal plants in the official, popular and veterinary medicine. The method of application of medicinal plants in medicine is discussed: externally and internally. Attention is paid to the use of medicinal plants in aromatherapy, dentistry and cosmetics. Considered are the poisonous plants among the medicinal plants and their degree of toxicity. A review of the available data on contraindications for the use of medicinal plants has been made.
Late spring frost effect on the reproductive traits of late nectarine cultivar-rootstock combinations (Prunus persica var. nucipersica)
Authors: Vasilev Dimitar 
Published: April 2022

Abstract
The study was conducted during the period 2017 – 2018 at the Agricultural Experimental Station – Khan Krum, Shumen region. The experimental orchard was established in the spring of 2011. The following nectarine cultivars were studied: Fantasia, Golden Grand, Morsiani 51, Cassiopeia and Fairlane grafted on a seedling rootstock (Elberta) and clonal GF 677, as well as the frost – resistant dessert-type cultivar Redhaven. In the period 2017 – 2018, negative temperatures were reported, at the end of March and at the beginning of April (-3.6°C and -5.0 °C respectively)which coincided with the full blooming phenological phase; as a result of which the blossoms froze (76 – 100%). A relatively low percentage of frozen blossoms was observed in cultivars grafted on rootstock GF 677. In 2017, the blossom damage was relatively low and yields were obtained, unlike in 2018. Negative spring temperatures had a negative impact on productivity if blossom damage percentage exceeded 80%.