bluuebunny/crossref_metadata_2025 huggingface dataset:
High Frankia abundance and low diversity of microbial community are associated with nodulation specificity and stability of sea buckthorn root nodule
Authors: Liu Hong , Ni Bingbing , Duan Aiguo , He Caiyun , Zhang Jianguo
Published: February 2024

Introduction

Actinorhizal symbioses are gaining attention due to the importance of symbiotic nitrogen fixation in sustainable agriculture. Sea buckthorn (Hippophae L.) is an important actinorhizal plant, yet research on the microbial community and nitrogen cycling in its nodules is limited. In addition, the influence of environmental differences on the microbial community of sea buckthorn nodules and whether there is a single nitrogen-fixing actinomycete species in the nodules are still unknown.

Methods

We investigated the diversity, community composition, network associations and nitrogen cycling pathways of the microbial communities in the root nodule (RN), nodule surface soil (NS), and bulk soil (BS) of Mongolian sea buckthorn distributed under three distinct ecological conditions in northern China using 16S rRNA gene and metagenomic sequencing. Combined with the data of environmental factors, the effects of environmental differences on different sample types were analyzed.

Results

The results showed that plants exerted a clear selective filtering effect on microbiota, resulting in a significant reduction in microbial community diversity and network complexity from BS to NS to RN. Proteobacteria was the most abundant phylum in the microbiomes of BS and NS. While RN was primarily dominated by Actinobacteria, with Frankia sp. EAN1pec serving as the most dominant species. Correlation analysis indicated that the host determined the microbial community composition in RN, independent of the ecological and geographical environmental changes of the sea buckthorn plantations. Nitrogen cycle pathway analyses showed that RN microbial community primarily functions in nitrogen fixation, and Frankia sp. EAN1pec was a major contributor to nitrogen fixation genes in RN.

Discussion

This study provides valuable insights into the effects of eco-geographical environment on the microbial communities of sea buckthorn RN. These findings further prove that the nodulation specificity and stability of sea buckthorn root and Frankia sp. EAN1pec may be the result of their long-term co-evolution.
Effects of depth of straw returning on maize yield potential and greenhouse gas emissions
Authors: Wang Junqiang , Han Yehui , Zhou Chao , Xu Ting , Qu Zhongcheng , Ma Bo , Yuan Ming , Wang Lianxia , Liu Yang , Li Qingchao , Ding Xinying , Qian Chunrong , Ma Baoxin
Published: February 2024

Appropriate straw incorporation has ample agronomic and environmental benefits, but most studies are limited to straw mulching or application on the soil surface. To determine the effect of depth of straw incorporation on the crop yield, soil organic carbon (SOC), total nitrogen (TN) and greenhouse gas emission, a total of 4 treatments were set up in this study, which comprised no straw returning (CK), straw returning at 15 cm (S15), straw returning at 25 cm (S25) and straw returning at 40 cm (S40). The results showed that straw incorporation significantly increased SOC, TN and C:N ratio. Compared with CK treatments, substantial increases in the grain yield (by 4.17~5.49% for S15 and 6.64~10.06% for S25) were observed under S15 and S25 treatments. S15 and S25 could significantly improve the carbon and nitrogen status of the 0-40 cm soil layer, thereby increased maize yield. The results showed that the maize yield was closely related to the soil carbon and nitrogen index of the 0-40 cm soil layer. In order to further evaluate the environmental benefits of straw returning, this study measured the global warming potential (GWP) and greenhouse gas emission intensity (GHGI). Compared with CK treatments, the GWP of S15, S25 and S40 treatments was increased by 9.35~20.37%, 4.27~7.67% and 0.72~6.14%, respectively, among which the S15 treatment contributed the most to the GWP of farmland. GHGI is an evaluation index of low-carbon agriculture at this stage, which takes into account both crop yield and global warming potential. In this study, GHGI showed a different trend from GWP. Compared with CK treatments, the S25 treatments had no significant difference in 2020, and decreased significantly in 2021 and 2022. This is due to the combined effect of maize yield and cumulative greenhouse gas emissions, indicating that the appropriate straw returning method can not only reduce the intensity of greenhouse gas emissions but also improve soil productivity and enhance the carbon sequestration effect of farmland soil, which is an ideal soil improvement and fertilization measure.
Silicon improves root functioning and water management as well as alleviates oxidative stress in oilseed rape under drought conditions
Authors: Saja-Garbarz Diana , Libik-Konieczny Marta , Janowiak Franciszek
Published: February 2024

Introduction

The aim of our study was to examine how silicon regulates water uptake by oilseed rape roots under drought conditions and which components of the antioxidant system take part in alleviating stress-induced ROS generation in the roots.

Methods

The study analyzed mainly the changes in the roots and also some changes in the leaves of oilseed rape plants, including total silicon content, relative water content, osmotic potential, stomatal conductance, abscisic acid level, the accumulation of BnPIP1, BnPIP2-1-7 and BnTIP1 aquaporins, and the activity of antioxidant enzymes.

Results and discussion

It was shown that plants growing in well-watered conditions and supplemented with silicon accumulate smaller amounts of this element in the roots and also have higher relative water content in the leaves compared to the control plants. It was demonstrated for the first time that BnTIP1 accumulation in oilseed rape roots is reduced under drought compared to wellwatered plants, and that this effect is intensified in plants supplemented with silicon. In addition, it was shown that silicon supplementation of oilseed rape increases catalase activity in the roots, which correlates with their high metabolic activity under drought and ultimately stimulates their growth. It was shown that silicon improves water balance in oilseed rape plants subjected to drought stress, and that an important role in these processes is played by tonoplast aquaporins. In addition, it was demonstrated that silicon reduces oxidative stress in roots under drought conditions by increasing the activity of catalase.
Implementation in the “real world” of an evidence-based social and emotional learning program for teachers: effects on children social, emotional, behavioral and problem solving skills
Authors: Gaspar Maria Filomena , Seabra-Santos Maria , Relvão Joana , Pimentel Mariana , Homem Tatiana , Azevedo Andreia Fernandes , Moura-Ramos Mariana
Published: February 2024

Introduction

The delivery of social and emotional learning (SEL) programs that are developmentally school-based and evidence-based has the potential to benefit many children, and as such, greater efforts are needed to disseminate these programs more widely within the community. The Incredible Years® Teacher Classroom Management (IY-TCM) has shown promising results when applied by teachers in preschool centers and primary schools, as seen in several randomized control trials conducted worldwide, including in Portugal.

Methods

The current study presents a model of the implementation of the program within the framework of a nationwide initiative undertaken in Portugal: the Academias Gulbenkian do Conhecimento. Additionally, results of the program’s impact on children were explored using ANOVA, which compared pre- to post- treatment outcomes. To assess which factors affected the efficacy of the intervention, moderation analyses were conducted using the MEMORE macro. Ninety teachers and 535 children (2 to 10 years old) were assessed.

Results

Results revealed that children showed significant increases in social and emotional skills (e.g., social adjustment, empathy) and significant reductions in problem behavior when assessed by their teachers, and in social-cognitive problem solving strategies as evaluated by a set of problem-solving tasks. Moderation analyses showed that, in general, interaction effects were not found, meaning that the intervention was effective for almost all conditions. Nevertheless, significant moderation effects were found for factors pertaining to the child and the mother with respect to pro-social and emotional skills (children who benefited most from the intervention exhibited more behavioral difficulties at the baseline according to the teachers’ perceptions and had mothers without a university degree; children attending primary school took less benefit from the intervention than those attending pre-school).

Discussion

The findings contribute both to the reinforcement of the effectiveness of the IY-TCM program as a universal intervention in “real world” schools and to the development of some guidelines for the promotion of effective scaling up and sustainability of program effects.
Psychological perspectives on divine forgiveness: seeking divine forgiveness
Authors: Fincham Frank D. , Maranges Heather M.
Published: February 2024

Seeking divine forgiveness (forgiveness by a Supreme Being or Higher Power) is important because the perception of such forgiveness is associated with psychological well-being This paper is the first to examine a process model of divine forgiveness in which the decision to pursue such forgiveness initiates the process of seeking it. Two studies investigate the likelihood of seeking divine forgiveness. Study 1 (N = 190) introduces and provides discriminant validity for a unidimensional measure divine forgiveness seeking. Convergent validity is provided by demonstrating that seeking divine forgiveness correlates with reported experiences of divine forgiveness both concurrently and six weeks later. Study 2 (N = 390) provides a confirmatory factor analysis of seeking divine forgiveness scale items identified in Study 1 and replicates the concurrent and temporal association with reported experiences of divine forgiveness using a longer time interval (12 weeks). It also documents associations between a person’s image of God, attachment and closeness to God and the likelihood of seeking divine forgiveness. Both studies control for religiosity and Study 2 introduces an additional control for impression management. Together, they provide support for the idea that the decision to pursue divine forgiveness begins the process of seeking such forgiveness. We discuss limitations of the research and outline several paths for additional studies.
Prolonged theoretical classes impact students’ perceptions: an observational study
Authors: Kotnik Petra , Roelands Bart , Bogataj Špela
Published: February 2024

Mental fatigue (MF) arises during prolonged demanding cognitive activity and results in acute feelings of tiredness and a decreased physical and/or cognitive performance capacity. An often-overlooked population that is significantly at risk for the development of MF are university students. The current study investigated the impact of prolonged in-person theoretical classes on the perceptions of MF, boredom, and sleepiness among 27 Slovenian university students (first-year physiotherapy). Their subjective experiences at various time points during a 4-h class interspersed with a 20 min break were assessed with a repeated measures ANOVA and consequent Bonferroni post-hoc tests (significance set at <0.05). Subjective MF and sleepiness significantly increased during the first and the second part of the class (p < 0.05), while they significantly decreased during the break (p < 0.05). Boredom levels only increased significantly during the second part of the class (p < 0.05). Additionally, students who had inadequate sleep the night before the class reported higher levels of MF at the beginning of the class. This study highlighted a significant impact of a theoretical class on subjective feelings of mental fatigue and showed that a break in the middle of the class temporarily alleviated this negative impact. These results emphasize the importance of adequate sleep, effective breaks, and strategies to manage cognitive workload in optimizing students’ cognitive well-being and academic performance. Further research is needed to better understand the underlying factors and develop targeted interventions to support students’ cognitive functioning and well-being during prolonged academic sessions.
Neuropsychological and biopsychosocial evolution, therapeutic adherence and unmet care needs during paediatric transplantation: study protocol of a mixed-methods design (observational cohort study and focus groups) – the TransplantKIDS mental health project
Authors: Garrido-Bolton Jessica , Alcamí-Pertejo Margarita , de la Vega Rocío , Hernández-Oliveros Francisco , Pérez-Martínez Antonio , Bravo-Ortiz María Fe , Fernández-Jiménez Eduardo
Published: February 2024

The present article describes the protocol of a mixed-methods study (an observational cohort design and focus groups), aimed to examine neuropsychological functioning and other biopsychosocial outcomes, therapeutic adherence and unmet care needs in paediatric population undergoing solid organ or allogeneic hematopoietic transplant during the pre- and post-transplant phases. Following a multi-method/multi-source approach, neuropsychological domains will be comprehensively measured with objective tests (SDMT, K-CPT 2/CPT 3, TAVECI/TAVEC, WISC-V/WAIS-IV Vocabulary and Digit Span subtests, Verbal Fluency tests, Stroop, ROCF, and TONI-4); ecological executive functioning, affective and behavioral domains, pain intensity/interference, sleep quality and therapeutic adherence will be assessed through questionnaires (parent/legal guardians-reported: BRIEF-2 and BASC-3; and self-reported: BASC-3, BPI, PROMIS, AIQ and SMAQ); and blood levels of prescribed drugs will be taken from each patient’s medical history. These outcomes will be measured at pre-transplant and at 4-weeks and 6-months post-transplant phases. The estimated sample size was 60 patients (any type of transplant, solid organ, or hematopoietic) from La Paz University Hospital (Madrid, Spain). Finally, three focus group sessions will be organized with patients, parents/guardians, and transplant clinicians (n = 15, with 5 participants per group), in order to qualitatively identify unmet care needs during the pre-, and post-transplant stages of the process. The study protocol was registered at ClinicalTrials.gov (NCT05441436).
Social support and mental health: the mediating role of perceived stress
Authors: Acoba Evelyn F.
Published: February 2024

Social support has been associated with improved mental health; however, the mechanisms underlying this relationship remain unclear. This study aimed to explore whether perceived stress mediate the relationship between social support and positive affect, anxiety, and depression. Drawing from Lazarus and Folkman’s stress and coping theory, the study emphasized the influential role of social support in appraising stressful events. A cross-sectional survey was conducted online among 426 Filipino adults during the peak of the COVID-19 pandemic. Participants completed measures including the Multidimensional Scale of Perceived Social Support (MSPSS), the Perceived Stress Scale-10 (PSS-10), the Positive Affect subscale of PANAS, and the Depression and Anxiety subscales of DASS-21. The hypotheses of the study were tested using mediation analysis. Consistent with the hypotheses, perceived stress significantly mediated the relationship between family and significant other support with positive affect, anxiety, and depression. Family and significant other support decreased perceived stress, increasing positive affect, and decreasing anxiety and depression. On the other hand, perceived stress did not mediate the relationship between friend support and positive affect, anxiety, and depression. Implications and future research directions are discussed.
Coloring complex shapes decreases patient anxiety in three care environments: a pilot study with color analysis
Authors: Dias Alves Manuel , Olmi Elodie , Durand Jean-Yves , Mitri Fabien , Knefati Yannick , Vion-Dury Jean
Published: February 2024

Introduction

This study was conducted to determine the effectiveness of coloring activity of circular symmetrical shape with complex patterns, so-called mandala, on anxiety associated with chronic illness in three different ambulatory medical situations (general consultation, psychiatric day hospital, and hemodialysis session).

Methods

Thirty patients were included in three groups and came from three different ambulatory medical situations: a hemodialysis group (n = 10), a psychiatric day hospital group (n = 10), and a nephrology consultation group (n = 10). We asked the patients to fill STAI-S and STAI-T questionnaires before to color complex circular shape with complex patterns, then to fill the STAI-S questionnaire again and a questionnaire on the experience of the activity.

Results

The results show that the STAI-S score was significantly lower after coloring for the hemodialysis (p = 0.02) and psychiatric groups (p = 0.005) but not for the general consultation group (p = 0.26). STAI-T scores did not differ between groups. The distribution of colors in the mandala was different in the three groups of patients. A positive subjective experience of the activity was found in all groups.

Discussion

These results show the effectiveness of a coloring activity of a circular shape with complex patterns on anxiety associated with chronic illness in care environment. The different distribution of the colors of the mandala in the three groups raises the question of the influence of the context on the mood of the patients and the deeper meaning of the choice of colors and their placement in the mandala. Our study reinforces the multiple applications of art activities in different medical disciplines and encourages their development within healthcare settings.
Brazilian dance self-perceived impacts on quality of life of people with Parkinson’s
Authors: Delabary Marcela dos Santos , Loch Sbeghen Isadora , Teixeira da Silva Eliamary Cristiane , Guzzo Júnior Carlos Cristiano Espedito , Nogueira Haas Aline
Published: February 2024

Background

Parkinson’s disease (PD) causes several motor and non-motor symptoms, resulting in negative impacts on physical, mental, emotional, and social aspects of people with PD quality of life. Dance has been considered as a potential non-pharmacological intervention to improve people with PD motor and non-motor symptoms, thereby enhancing quality of life.

Purpose

To analyze the self-perceive impacts of Brazilian Dance on the quality of life (physical, mental, emotional, and social) of PwPD, both before and during the COVID-19 pandemic.

Methods

Fourteen participants from the “Dança & Parkinson” project were included in this qualitative study. Data collection instruments consisted of a profile and personal data sheet; assessment of accessibility to the online dance classes; Telephone Montreal Cognitive Assessment by phone call; and semi-structured interview conducted through ZOOM video call. The participants characterization data were calculated using mean, standard deviation, and percentages with the Excel Program version 2013. Qualitative data was analyzed using the Thematic Analysis technique in the Nvivo, version 8.0, qualitative analysis of text, sound, and video program.

Results

The participants reported facing various challenges in dealing with PD, which negatively impact their quality of life. However, their resilience, acceptance, and dedication to treatment play an important role in coping with the issues related to the disease. Brazilian dance, both in-person before the COVID-19 pandemic and online during the pandemic, led the participants to perceive improvements in physical, mental, emotional, and social aspects of quality of life.

Conclusion

The Brazilian dance appears to have a positive impact on the physical, mental, emotional, and social aspects of the participants’ quality of life, both before and during the COVID-19 pandemic.
“I am not the same as before”: a mixed-methods study on depression in people with spinal injury in Qatar
Authors: Al Shamari Badriya Khalifa , O’Hara Lily
Published: February 2024

Incidence of spinal injury is high in the Middle East and North African region (MENA) due to the high incidence of road traffic crashes. A spinal injury may trigger mental health issues. Compared to the general population, people with spinal injury are at higher risk for developing major depression, anxiety, post-traumatic stress disorders, substance abuse, and suicide.

Objectives

The objectives of the study were to determine depression prevalence; identify relationships between depression and cause and site of spinal injury, sociodemographic factors, and social support; and explore the lived experiences of depression in people with spinal injury in Qatar.

Methods

A sequential cross-sectional mixed methods study was conducted. In the quantitative component, the universal sample consisted of 106 consenting individuals presenting with spinal injury at Hamad General Hospital, Doha, Qatar between January and December 2020. The Patient Health Questionnaire-9 was used to assess levels of depression and the Medical Outcomes Study Social Support Survey was used to assess perceived social support. The cause and site of injury were obtained from patient records. In the qualitative component, semi-structured in-depth interviews were conducted with 12 purposively selected participants from the quantitative component.

Results

Spinal injury had a negative impact on participants physical, mental, social, and spiritual wellbeing. In total, 69% of participants had some level of depression: 28% mild, 25.5% minimal, and 15% moderate to severe. Depression was not associated with socio-demographic factors, or the cause or site of spinal injury. Higher levels of emotional/informational support and positive social interaction were associated with milder depression. Social support and religious faith were critical in assisting participants to cope with their new situation.

Conclusions

Depression is prevalent among people with spinal injury attending health services. Early detection, referral, and treatment of depression are recommended. Strategies to enhance emotional/informational support and positive social interaction should be developed and tested with people with spinal injury.
Enhancing public health response: a framework for topics and sentiment analysis of COVID-19 in the UK using Twitter and the embedded topic model
Authors: Aldosery Aisha , Carruthers Robert , Kay Karandeep , Cave Christian , Reynolds Paul , Kostkova Patty
Published: February 2024

Introduction

To protect citizens during the COVID-19 pandemic unprecedented public health restrictions were imposed on everyday life in the UK and around the world. In emergencies like COVID-19, it is crucial for policymakers to be able to gauge the public response and sentiment to such measures in almost real-time and establish best practices for the use of social media for emergency response.

Methods

In this study, we explored Twitter as a data source for assessing public reaction to the pandemic. We conducted an analysis of sentiment by topic using 25 million UK tweets, collected from 26th May 2020 to 8th March 2021. We combined an innovative combination of sentiment analysis via a recurrent neural network and topic clustering through an embedded topic model.

Results

The results demonstrated interpretable per-topic sentiment signals across time and geography in the UK that could be tied to specific public health and policy events during the pandemic. Unique to this investigation is the juxtaposition of derived sentiment trends against behavioral surveys conducted by the UK Office for National Statistics, providing a robust gauge of the public mood concurrent with policy announcements.

Discussion

While much of the existing research focused on specific questions or new techniques, we developed a comprehensive framework for the assessment of public response by policymakers for COVID-19 and generalizable for future emergencies. The emergent methodology not only elucidates the public’s stance on COVID-19 policies but also establishes a generalizable framework for public policymakers to monitor and assess the buy-in and acceptance of their policies almost in real-time. Further, the proposed approach is generalizable as a tool for policymakers and could be applied to further subjects of political and public interest.
The MedXFit-study – CrossFit as a workplace health intervention: a one-year, prospective, controlled, longitudinal, intervention study
Authors: Brandt Tom , Heinz Elisabeth , Klaaßen Yannik , Limbara Selina , Mörsdorf Marian , Schinköthe Timo , Schmidt Annette
Published: February 2024

Introduction

Workplace health interventions aim to motivate employees toward healthy behaviors to improve fitness and health in the long-term. We investigated whether CrossFit® is an effective training concept to achieve these goals in inactive employees with sedentary occupations.

Methods

The study followed a prospective, controlled intervention design. Employees were invited to participate in intervention group (IG) or control group (CG) on their own preferences. Inclusion criteria were a predominantly sedentary occupation and execution of less than two muscle and/or mobility enhancing training sessions per week at the time of enrolling. The IG did at least two times a week a CrossFit training of 1 h. Mobility, strength, well-being, and back-issues were measured at the beginning, after 6, and 12 months. Participants in the CG were free to choose any other activities offered at the same time (e.g., circuit training, meditation, full body stability training). Adherence, respectively, behavioral change and maintenance qualities were evaluated based on the COM-B system and presence of behavior maintenance motives.

Results

89 employees were enrolled into the trial, from where 21 dropped out due to external factors (24%). From the remaining participants, 10 out of 39 (26%) in the IG and 1 out of 29 (4%) in the CG stopped for intrinsic reasons, leading to a non-adherence to the intervention of 22 percentage points. Motivation for behavioral change and maintenance in the IG was primarily driven by enhanced physical and psychological capability. Development of physical capability was evident by significant improvements (p < 0.001) in the IG compared to the CG for mobility (d = 3.3), maximal isometric strength (min. d = 1.7, max. d = 2.5), as well as reduction in pain intensity (p = 0.003, r = 0.4) and frequency (p = 0.009, r = 0.35) after 12 months. Significant improvements between the 6-month and the 12-month measurement in mobility and 6 out of 8 strength measures within the IG indicated the effectiveness of CrossFit beyond the beginner phase.

Conclusion

CrossFit is a motivating training concept that led to long-term health and fitness improvements in inactive employees doing sedentary work and should be given greater consideration in workplace health promotion.
Access to technology, internet usage, and online health information-seeking behaviors in a racially diverse, lower-income population
Authors: Adepoju Omolola E. , Singh Maya , Tipton Mary , Peperone Gerard , Trujillo Marlen , Ojinnaka Chinedum
Published: February 2024

Background

This study examined access to technology, internet usage, and online health information-seeking behaviors, in a racially diverse, lower-income population.

Methods

Data were obtained via a cross-sectional survey of low-income communities in Houston, Los Angeles, and New York between April and August 2023. Binary responses to the following online health information-seeking behaviors, internet and technology access, were examined: using the internet to (i) understand a medical diagnosis, (ii) fill a prescription, (iii) schedule a healthcare appointment, (iv) email communication with a healthcare provider, and (v) access electronic health records and medical notes.

Results

41% of survey respondents identified as non-Hispanic Black individuals, 33% as non-Hispanic White individuals, and 22% as Hispanic individuals. 69% reported a pre-tax annual household income of less than $35,000. 97% reported ownership/access to a smart device; 97% reported access to reliable internet. In the past year, only 59% reported using the internet to better understand their medical diagnosis, 36% reported filling a prescription online, 47% scheduled a medical appointment online, 47% viewed electronic health records online, and 56% emailed healthcare providers. Female sex, higher incomes, and having at least a bachelor’s degree were significantly associated with all five online health information-seeking attributes.

Conclusion

Despite high technology adoption rates, we observed suboptimal online health information-seeking behaviors. This underutilization has potential adverse implications for healthcare access and use given the documented advantage of HIT. Efforts to increase health information-seeking behaviors should explore the identification of HIT barriers, and patient education to increase familiarity and usage in this population.
Demand analysis of general practice patients for teaching clinic based on Kano model
Authors: Chen Zhiqian , Yin Ankang , Wang Yi
Published: February 2024

Background

General practice teaching clinics play a crucial role in the training of general practitioners, as they are more likely to enhance reception skills compared to traditional training methods. The quality of teaching clinics is largely determined by the level of patient acceptance. In recent years, the Kano model has become increasingly popular in the healthcare industry and has been used to enhance patient satisfaction. The objective of this study is to apply the Kano model to investigate the needs of patients in general practice teaching clinics and to rank the significance of each demand. This study will serve as a reference for enhancing the service quality of teaching clinics and advancing the field of general practice.

Methods

A total of 101 patients of general practice at the Affiliated Hospital of Yangzhou University in Jiangsu province were selected using a random convenience sampling method to participate in a questionnaire survey. The questionnaire was designed by members of our team and was based on the Kano model. The study defined the service demand, assessed the impact of both satisfaction and dissatisfaction and created a matrix bubble diagram.

Results

The study findings revealed that out of the 14 items of the general practice teaching clinic service demands, 1 item was categorized as a must-be requirement, 4 items were categorized as one-dimensional requirements, 2 items were categorized as an attractive requirement, 2 items were categorized as an indifferent requirement, and 5 items were categorized as mixed attributes. The findings of the matrix analysis showed that 4 items were situated in the area of one-dimensional attributes quadrant, 3 items were situated in the area of attractive attributes quadrant, 5 items were situated in the area of indifferent attributes quadrant, and 2 items were situated in the area of must-be attributes quadrant.

Conclusion

The patients of general practice have positive attitudes toward teaching clinics. The findings can offer valuable insights for enhancing the quality of service and patient experience in general practice teaching clinics as well as for advancing the field of general practice.
The relationships between work-family conflict and life satisfaction and happiness among nurses: a moderated mediation model of gratitude and self-compassion
Authors: El Keshky Mogeda El Sayed , Sarour Enas ObaidAllah
Published: February 2024

Background

Researchers and practitioners are concerned with the impact of work-family conflict on the well-being of workers, including those in the health care sector, and previous research suggested that nurses were experiencing a range of negative outcomes.

Aim

To investigate the potentially mediating role of self-compassion and moderating role of gratitude in the relationships between work-family conflict and both life satisfaction and happiness among Saudi nurses.

Method

A cross-sectional survey was conducted with 368 nurses (men age = 35.18, SD = 6.67, 70.65% of females). Nurses were recruited via social media using convenience sampling techniques. They completed the Satisfaction with Life Scale, the Subjective Happiness Scale, the Gratitude Questionnaire–6, the Self-Compassion Scale, and the Work-Family Conflict Scale, as well as a set of demographic questions. The data were analyzed using PROCESS MACRO model 4 and 8, and the reporting followed STROBE checklist.

Results

As expected, the study found a negative relationship between work-family conflict and both life satisfaction and happiness. These relationships were mediated by self-compassion. For the relationships between work-family conflict and life satisfaction and happiness, and between family-work conflict and happiness, this mediation was moderated by gratitude.

Conclusion

This study built on positive psychology and demonstrated that the positive personality traits of self-compassion and gratitude can engender enhanced life satisfaction and happiness among Saudi nurses.
A machine learning model to predict heart failure readmission: toward optimal feature set
Authors: Jahangiri Sonia , Abdollahi Masoud , Rashedi Ehsan , Azadeh-Fard Nasibeh
Published: February 2024

Background

Hospital readmissions for heart failure patients remain high despite efforts to reduce them. Predictive modeling using big data provides opportunities to identify high-risk patients and inform care management. However, large datasets can constrain performance.

Objective

This study aimed to develop a machine learning based prediction model leveraging a nationwide hospitalization database to predict 30-day heart failure readmissions. Another objective of this study is to find the optimal feature set that leads to the highest AUC value in the prediction model.

Material and methods

Heart failure patient data was extracted from the 2020 Nationwide Readmissions Database. A heuristic feature selection process incrementally incorporated predictors into logistic regression and random forest models, which yields a maximum increase in the AUC metric. Discrimination was evaluated through accuracy, sensitivity, specificity and AUC.

Results

A total of 566,019 discharges with heart failure diagnosis were recognized. Readmission rate was 8.9% for same-cause and 20.6% for all-cause diagnoses. Random forest outperformed logistic regression, achieving AUCs of 0.607 and 0.576 for same-cause and all-cause readmissions respectively. Heuristic feature selection resulted in the identification of optimal feature sets including 20 and 22 variables from a pool of 30 and 31 features for the same-cause and all-cause datasets. Key predictors included age, payment method, chronic kidney disease, disposition status, number of ICD-10-CM diagnoses, and post-care encounters.

Conclusion

The proposed model attained discrimination comparable to prior analyses that used smaller datasets. However, reducing the sample enhanced performance, indicating big data complexity. Improved techniques like heuristic feature selection enabled effective leveraging of the nationwide data. This study provides meaningful insights into predictive modeling methodologies and influential features for forecasting heart failure readmissions.
A network application approach towards 5G and beyond critical communications use cases
Authors: Apostolakis Konstantinos C. , Valera-Muros Barbara , di Pietro Nicola , Garrido Pablo , del Teso Daniel , Kamarianakis Manos , Tomas Pedro R. , Khalili Hamzeh , Panizo Laura , Zayas Almudena Díaz , Protopsaltis Antonis , Margetis George , Mangues-Bafalluy Josep , Requena-Esteso Manuel , Gomes André S. , Cordeiro Luís , Papagiannakis George , Stephanidis Constantine
Published: February 2024

Low latency and high bandwidth heralded with 5G networks will allow transmission of large amounts of Mission-Critical data over a short time period. 5G hence unlocks several capabilities for novel Public Protection and Disaster Relief (PPDR) applications, developed to support first responders in making faster and more accurate decisions during times of crisis. As various research initiatives are giving shape to the Network Application ecosystem as an interaction layer between vertical applications and the network control plane, in this article we explore how this concept can unlock finer network service management capabilities that can be leveraged by PPDR solution developers. In particular, we elaborate on the role of Network Applications as means for developers to assure prioritization of specific emergency flows of data, such as high-definition video transmission from PPDR field users to remote operators. To demonstrate this potential in future PPDR-over-5G services, we delve into the transfer of network-intensive PPDR solutions to the Network Application model. We then explore novelties in Network Application experimentation platforms, aiming to streamline development and deployment of such integrated systems across existing 5G infrastructures, by providing the reliability and multi-cluster environments they require.
Current learning strategies in fire evacuation for seniors and people with disabilities in private seniors’ residences and long-term care homes: a scoping review
Authors: Thériault William , Blanchet Guillaume , Vincent Claude , Feillou Isabelle , Ruel Jean , Morales Ernesto
Published: February 2024

Current strategies for teaching evacuation methods in private seniors’ residences (PSR) and long-term care (LTCH) homes may pose risks to people with disabilities (PWD) and seniors' physical and psychological health. This study aimed to address the following questions: (1) Which are the current fire evacuation learning strategies used with PWD or seniors? (2) What are the barriers and facilitators for PWD and seniors' during fire evacuation and learning strategies in PSR and LTCH? (3) What is the existing equipment that could be used with PWD seniors?. A scoping review of grey and scientific literature was done in six databases and Google scholar. Additional information was found on Québec government websites. This review identified 13 scientific papers and 22 documents. Twenty barriers (personal = 9, environmental = 11), and 14 facilitators (personal = 4, environmental = 10) were extracted. The current fire evacuation learning strategies currently used can be grouped into three categories: drills; training; promotion of a fire safety plan. Six types of evacuation equipment were found; however, their use has been scarcely documented. Safety for seniors during fire evacuation is still an important issue to be improved. Increasing awareness and creating new practices and tools that consider the strengths and difficulties of seniors seems to be a promising avenue for improving evacuation.
Implications of tolerance to iron toxicity on root system architecture changes in rice (Oryza sativa L.)
Authors: Sonu  , Nandakumar Shekharappa , Singh Vikram Jeet , Pandey Rakesh , Gopala Krishnan Subbaiyan , Bhowmick Prolay Kumar , Ellur Ranjith Kumar , Bollinedi Haritha , Harshitha Bheemapura Shivakumar , Yadav Sunaina , Beniwal Ravina , Nagarajan Mariappan , Singh Ashok Kumar , Vinod Kunnummal Kurungara
Published: February 2024

Introduction

Toxicity due to excess soil iron (Fe) is a significant concern for rice cultivation in lowland areas with acidic soils. Toxic levels of Fe adversely affect plant growth by disrupting the absorption of essential macronutrients, and by causing cellular damage. To understand the responses to excess Fe, particularly on seedling root system, this study evaluated rice genotypes under varying Fe levels.

Methods

Sixteen diverse rice genotypes were hydroponically screened under induced Fe levels, ranging from normal to excess. Morphological and root system characteristics were observed. The onset of leaf bronzing was monitored to identify the toxic response to the excess Fe. Additionally, agronomic and root characteristics were measured to classify genotypes into tolerant and sensitive categories by computing a response stability index.

Results

Our results revealed that 460 ppm of Fe in the nutrient solution served as a critical threshold for screening genotypes during the seedling stage. Fe toxicity significantly affected root system traits, emphasizing the consequential impact on aerial biomass and nutrient deprivation. To classify genotypes into tolerant and sensitive categories, leaf bronzing score was used as a major indicator of Fe stress. However, the response stability index provided a robust basis for classification for the growth performance. Apart from the established tolerant varieties, we could identify a previously unrecognized tolerant variety, ILS 12–5 in this study. Some of the popular mega varieties, including BPT 5204 and Pusa 44, were found to be highly sensitive.

Discussion

Our findings suggest that root system damage, particularly in root length, surface area, and root volume, is the key factor contributing to the sensitivity responses under Fe toxicity. Tolerant genotypes were found to retain more healthy roots than the sensitive ones. Fe exclusion, by reducing Fe2+ uptake, may be a major mechanism for tolerance among these genotypes. Further field evaluations are necessary to confirm the behavior of identified tolerant and sensitive lines under natural conditions. Insights from the study provide potential scope for enhancement of tolerance through breeding programs as well as throw light on the role root system in conferring tolerance.
Crop–livestock-integrated farming system: a strategy to achieve synergy between agricultural production, nutritional security, and environmental sustainability
Authors: Shanmugam P. M. , Sangeetha S. P. , Prabu P. C. , Varshini S. V. , Renukadevi A. , Ravisankar N. , Parasuraman P. , Parthipan T. , Satheeshkumar N. , Natarajan S. K. , Gopi Marappan
Published: February 2024

Introduction

Climate change, nutritional security, land shrinkage, and an increasing human population are the most concerning factors in agriculture, which are further complicated by deteriorating soil health. Among several ways to address these issues, the most prominent and cost-effective means is to adopt an integrated farming system (IFS). Integrating farming systems with livestock enables a way to increase economic yield per unit area per unit of time for farmers in small and marginal categories. This system effectively utilizes the waste materials by recycling them via linking appropriate components, thereby minimizing the pollution caused to the environment. Further integrating livestock components with crops and the production of eggs, meat, and milk leads to nutritional security and stable farmer's income generation. So, there is a dire need to develop an eco-friendly, ecologically safe, and economically profitable IFS model.

Methods

An experiment was conducted to develop a crop–livestock-based integrated farming system model for the benefit of irrigated upland farmers in the semi-arid tropics for increasing productivity, farm income, employment generation, and food and nutritional security through efficient utilization of resources in the farming system.

Results and discussion

The IFS model has components, viz., crop (0.85 ha) + horticulture (0.10 ha) + 2 cattles along with 2 calves in dairy (50 m2) + 12 female goats and 1 male goat (50 m2) + 150 numbers of poultry birds (50 m2) + vermicompost (50 m2) + kitchen garden (0.02 ha) + boundary planting + supporting activities (0.01 ha) in a one-hectare area. The model recorded a higher total MEY (162.31 t), gross return (689,773), net return (317,765), and employment generation (475 mandays). Further negative emissions of −15,118 CO2-e (kg) greenhouse gases were recorded under this model. The study conclusively reveals that integration of crop, horticulture, dairy, goat, poultry, vermicompost production, kitchen garden, and boundary planting models increases the net returns, B:C ratio, employment generation, nutritional security, and livelihoods of small and marginal farmers.
Global, Regional, and National Change Patterns in the Incidence of Low Back Pain From 1990 to 2019 and Its Predicted Level in the Next Decade
Authors: Gu Yong , Wang Zhengming , Shi Haiwei , He Yanlin , Yang Yunshang , Li Yajun , Chen Shuangshuang , Wang Zhirong , Mei Yubo , Xiao Long
Published: February 2024

Objectives: To analyze and describe the spatiotemporal trends of Low back pain (LBP) burdens from 1990 to 2019 and anticipate the following decade’s incidence.

Methods: Using data from the Global Burden of Disease (GBD) 2019 Study, we described net drifts, local drifts, age effects, and period cohort effects in incidence and forecasted incidence rates and cases by sex from 2020 to 2029 using the Nordpred R package.

Results: LBP remained the leading cause of the musculoskeletal disease burden globally and across all socio-demographic index (SDI) regions. China is the top country. For recent periods, high-SDI countries faced unfavorable or worsening risks. The relative risk of incidence showed improving trends over time and in successively younger birth cohorts amongst low-middle-, middle- and high-middle-SDI countries. Additionally, the age-standardized incidence rates (ASIR) of LBP in both sexes globally showed a decreasing trend, but the incident cases would increase from 223 to 253 million overall in the next decade.

Conclusion: As the population ages, incident cases will rise but ASIR will fall. To minimise LBP, public awareness and disease prevention and control are needed.
Comprehensive landscape and future perspectives of non-coding RNAs in esophageal squamous cell carcinoma, a bibliometric analysis from 2008 to 2023
Authors: Wu Jiaxin , Wang Yuanying , Cheng Yi , Cheng Li , Zhang Lushun
Published: February 2024

Objectives: Summarize the progress and hot topic evolution of non-coding RNAs (ncRNAs) research in esophageal squamous cell carcinoma (ESCC) in recent years and predict future research directions.

Methods: Relevant articles from the Web of Science until 31 October 2023 were obtained. Bibliometric analysis of included articles was performed using software (VOSviewer, CiteSpace, and Bibliometrix). The volume and citation of publications, as well as the country, institution, author, journal, keywords of the articles were used as variables to analyze the research trends and hot spot evolution.

Results: 1,118 literature from 2008 to 2023 were retrieved from database, with 25 countries/regions, 793 institutions, 5,426 authors, 261 journals involved. Global cooperation was centered on China, Japan, and the United States. Zhengzhou University, an institution from China, had the highest publication. The most prolific author was Guo Wei, and the most prolific journal was Oncology Letters. Analysis of keywords revealed that the research in this field revolved around the role of ncRNAs in the occurrence, development, diagnosis, treatment, and prognosis of ESCC, mainly including micro RNAs, long non-coding RNAs, and then circular RNAs.

Conclusion: Overall, research on ncRNAs in ESCC remains strong. Previous research has mainly focused on the basic research, with a focus on the mechanism of ncRNAs in the occurrence, development, diagnosis, treatment, and prognosis of ESCC. Combining current research with emerging disciplines to further explore its mechanisms of action or shifting the focus of research from preclinical research to clinical research based on diagnosis, treatment, and prognosis, will be the main breakthrough in this field in the future.