bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence and Influencing Factors of Severe Depression in Nurses During and After the COVID‐19 Pandemic: A Large‐Scale Multicenter Study
Authors: Liu Jiao , Liu Qinghe , Ji Lijie , Yang Yuan , Zhang Ran , Ding Yu , Luo Guoshuai , Sun Daliang 
Published: December 2024

Background: During the COVID‐19 epidemic, nurses are facing tremendous psychological pressure. However, there is a lack of research on severe depression and its related factors in nurses after COVID‐19. This study aimed to compare the prevalence and explore the influencing factors of severe depression among Chinese nurses during and after the COVID‐19 pandemic.Methods: This study recruited 937 frontline nurses during the outbreak and 784 frontline nurses who had participated in the initial recruitment after the pandemic. The self‐rating depression scale (SDS), self‐rating anxiety scale (SAS), and Pittsburgh Sleep Quality Index (PSQI) were used to assess subjects’ depression, anxiety, and sleep disorders, respectively. Chi‐square test, t‐test, and binary logistic regression were used to identify factors influencing severe depression. Receiver operating characteristic (ROC) curves were used to assess the predictive value of severe depression‐related variables.Results: The study found that the incidence of severe depression among nurses after the epidemic (4.9%) was significantly higher than that during the epidemic (1.7%). In addition, academic qualifications, health status, frequency of exercise per week, anxiety, and sleep disorders were associated with severe depression among nurses after the COVID‐19 epidemic. ROC analyses showed that SAS scores and PSQI scores had good predictive value for nurses’ severe depression after the pandemic.Conclusions: The prevalence of severe depression among nurses after COVID‐19 is higher than that during COVID‐19. Nurses continue to face severe psychological stress after the COVID‐19 pandemic. Therefore, it is desperately needed for nurses to provide timely psychological support and establish a mental health support system after the COVID‐19 epidemic.
Affective and Clinical Outcomes Related to Pain After Graded Motor Imagery in Patients With Chronic Shoulder Pain: A Pre–Post‐Single‐Group Study
Authors: Araya-Quintanilla Felipe , Gutiérrez-Espinoza Héctor , Méndez-Rebolledo Guillermo , Cavero-Redondo Iván , Álvarez-Bueno Celia , Stasinopoulos Dimitrios 
Published: December 2024

Objective: The aim of this study was to assess at 6‐month and 1‐year follow‐up the effect of graded motor imagery (GMI) in addition to usual care on the affective and clinical outcomes in patients with chronic shoulder pain.Methods: A pre–post‐intervention single‐group study was conducted. One hundred forty‐eight patients with chronic shoulder pain were included. All participants received a 6‐week GMI program in addition to usual care. The primary outcome assessed was pain intensity using visual analog scale (VAS), the secondary outcomes were fear of movement with the Tampa Scale of Kinesiophobia (TSK), catastrophization with the pain catastrophization scale (PCS), shoulder flexion active range of motion (AROM) with a goniometer, and central sensitization with the central sensitization inventory (CSI). All outcomes were assessed at baseline and 6‐month and 1‐year follow‐up.Results: At 6 months, GMI showed to be statistically significant for all outcomes assessed (p < 0.001). At 1‐year follow‐up, the VAS showed a decrease of 3.3 cm (p < 0.001), TSK showed a decrease of 16.1 points (p < 0.001), PCS showed a decrease of 17.4 points (p < 0.001), AROM showed an increase of 29.9° (p < 0.001), and CSI showed a decrease of 17.9 (p < 0.001).Conclusions: At medium‐ and long‐term follow‐up, the individuals who received the GMI program in addition to usual care showed a clinically and statistically significant change for all outcomes assessed. Further studies, including clinical trials, are needed to confirm our findings.
Preprocedural Screening Tool to Guide Nonpulmonary Vein Trigger Testing in First-Time Atrial Fibrillation Ablation
Authors: Oraii Alireza , Chaumont Corentin , Rodriguez-Queralto Oriol , Wasiak Michal , Thind Munveer , Peters Carli J. , Zado Erica , Hanumanthu Balaram Krishna J. , Markman Timothy M. , Hyman Matthew C. , Tschabrunn Cory M. , Guandalini Gustavo , Enriquez Andres , Shivamurthy Poojita , Kumareswaran Ramanan , Riley Michael P. , Lin David , Schaller Robert D. , Nazarian Saman , Callans David J. , Supple Gregory E. , Garcia Fermin C. , Frankel David S. , Dixit Sanjay , Marchlinski Francis E. 
Published: December 2024

BACKGROUND:
Patients undergoing first-time atrial fibrillation (AF) ablation can benefit from targeting non-pulmonary vein (PV) triggers. Preprocedural identification of high-risk individuals can guide planning of ablation strategy. This study aimed to create a preprocedural screening tool to identify patients at risk of non-PV triggers during first-time AF ablation.

METHODS:
All patients who underwent first-time AF ablation at the Hospital of the University of Pennsylvania between 2018 and 2022 were identified. Those who underwent non-PV trigger provocative maneuvers or had spontaneous non-PV trigger firing were included. Non-PV triggers were defined as non-PV ectopic beats triggering AF or sustained focal atrial tachycardia that occurred spontaneously, after AF cardioversion, or after standard provocative maneuvers. The provocative maneuvers included incremental isoproterenol infusion (3, 6, 12, and 20–30 µg/min) and an atrial burst pacing protocol. Risk factors associated with non-PV triggers in a stepwise multivariable logistic regression model with backward elimination were used to create a risk score.

RESULTS:
A total of 163 (8.0%) of 2038 patients had non-PV triggers during first-time AF ablation. Based on the multivariable model, we created a risk score using female sex (1 point; odds ratio [OR], 1.90 [95% CI, 1.36–2.67]), sinus node dysfunction (1 point; OR, 1.84 [95% CI, 1.04–3.24]), prior cardiac surgery (1 point; OR, 2.26 [95% CI, 1.45–3.53]), moderate to severe left atrial enlargement (2 points; OR, 3.43 [95% CI, 2.46–4.79]), and cardiac sarcoidosis/amyloidosis (4 points; OR, 7.24 [95% CI, 3.03–17.33]). Internal validation using bootstrap resampling showed an optimism-adjusted C statistic of 0.715 (95% CI, 0.678–0.751). Among all first-time AF ablations, 68.1% of procedures were low-risk for non-PV triggers (scores 0–1, 4.3% risk), 17.8% were intermediate-risk (score 2, 10.5% risk), and 14.1% were high-risk (score ≥3, 22.6% risk).

CONCLUSIONS:
A preprocedural screening tool can classify patients based on their risk of non-PV triggers during first-time AF ablation. This risk score can guide operators to identify patients who would benefit most from adjunctive non-PV trigger testing. However, further validation is needed to confirm these findings.
Optimal Medical Therapy for Heart Failure and Integrated Care in Patients With Atrial Fibrillation: A Report From the ESC‐EHRA EORP Atrial Fibrillation Long‐Term General Registry
Authors: Bonini Niccolò , Proietti Marco , Romiti Giulio Francesco , Vitolo Marco , Fawzy Ameenathul Mazaya , Ding Wern Yew , Imberti Jacopo Francesco , Fauchier Laurent , Marin Francisco , Nabauer Michael , Dan Gheorghe Andrei , Potpara Tatjana S. , Boriani Giuseppe , Lip Gregory Y. H. ,   the ESC‐EHRA EORP‐AF General Long‐Term Registry Investigators
Published: December 2024

Background
Heart failure (HF) often occurs in patients with atrial fibrillation (AF), with a major impact on prognosis. Few data are available on the effect of integrated treatment strategies to improve prognosis in patients with AF. We aimed to evaluate the association between HF (according to left ventricular ejection fraction [LVEF]), HF optimal medical therapy and adherence to the Atrial Fibrillation Better Care pathway, and major outcomes in patients with AF.

Methods and Results
From the ESC‐EHRA EORP‐AF (European Society of Cardiology–European Heart Rhythm Association EURObservational Research Programme in Atrial Fibrillation) General Long‐Term Registry, we evaluated patients with HF, categorized according to LVEF (HF with reduced ejection fraction, HF with mildly reduced ejection fraction, HF with preserved ejection fraction). Optimal medical therapy for HF was guidelines‐defined. The primary end point was the composite of all‐cause death and major adverse cardiovascular events. From the original cohort, 9373 (84.5%) patients were included in this analysis (median age, 71 [interquartile range, 62–77] years; 39.9% women). Compared with no HF, all HF categories were associated with an increased risk of the primary composite outcome, with highest figures observed for HF with reduced ejection fraction (hazard ratio [HR], 2.36 [95% CI, 2.00–2.78]). The risk was reduced in patients with AF and HF adherent to optimal medical therapy (HR, 0.83 [95% CI, 0.70–0.98]), as well as in those adherents to the Atrial Fibrillation Better Care pathway (HR, 0.65 [95% CI, 0.48–0.88]). The effect of Atrial Fibrillation Better Care pathway was consistent across the spectrum of LVEF.

Conclusions
Patients with AF and HF have a high risk of major adverse events, and this risk is inversely associated with LVEF. Atrial Fibrillation Better Care pathway adherent management is associated with improved clinical outcomes in patients with HF, across the spectrum of LVEF.
Effects of School‐Based Lifestyle Interventions on Cardiovascular Health in Chinese Children and Adolescents: A Post Hoc Analysis of a National Multicenter Study
Authors: Guo Pengfei , Zhou Yueqin , Zou Zhiyong , Chen Yajun , Jing Jin , Ma Yinghua , Song Yi , Ling Wenhua , Ma Jun , Zhu Yanna 
Published: December 2024

Background
We evaluated the effects of a national school‐based lifestyle intervention program against childhood obesity on improving cardiovascular health (CVH), assessed using the recently introduced Life's Essential 8 metric framework.

Methods and Results

Our post hoc analysis of the national school‐based lifestyle intervention targeting diet and physical activity included 94 schools with eligible students aged 7 to 17 years (intervention group n=30 629; control group n=26 581). We assessed CVH metrics by individual scores for 4 health behaviors (diet, physical activity, nicotine exposure, and body mass index) and 3 health factors (blood lipids, glucose, and pressure). These scores were subsequently combined to calculate the CVH score, health behavior score, and health factor score. The primary outcomes were these 3 composite scores and high CVH (CVH score≥80). All analyses applied a likelihood‐based random‐effects regression modeling following the intention‐to‐treat. The school‐based lifestyle intervention was associated with a 0.89‐point increase in the CVH score (95% CI, 0.03–1.74), 14% greater odds of having high CVH (odds ratio, 1.14 [95% CI, 1.01–1.29]), and a 1.35‐point improvement in the health behavior score (95% CI, 0.32–2.38). According to our subgroup analyses, this intervention had stronger favorable effects on CVH and health behavior scores in primary (grades 1–6) and junior (grades 7–9) schools than in senior high (grades 10–12) schools (
P
<0.001).

Conclusions
This school‐based lifestyle intervention improved CVH behaviors in Chinese children and adolescents. The differences in the intervention effect according to school grade imply critical windows for forming healthy lifestyles at younger ages.

Registration

URL:
https://www.clinicaltrials.gov
; Unique identifier: NCT02343588.
Large-Scale Plasma Proteomics Profiles for Predicting Ischemic Stroke Risk in the General Population
Authors: Gan Xiaoqin , Yang Sisi , Zhang Yuanyuan , Ye Ziliang , Zhang Yanjun , Xiang Hao , Huang Yu , Wu Yiting , Zhang Yiwei , Qin Xianhui 
Published: December 2024

BACKGROUND:
We aimed to develop and validate a protein risk score for ischemic stroke (IS) risk prediction and to compare its predictive capability with IS clinical risk factors and IS polygenic risk score.

METHODS:
The prospective cohort study included 53 029 participants from UKB-PPP (UK Biobank Pharmaceutical Proteomics Project). IS protein risk score was calculated as the weighted sum of proteins selected by the least absolute shrinkage and selection operator regression. The discrimination ability of models was assessed by C statistic. IS risk factors included age, sex, smoking, waist-to-hip ratio, antihypertensive medication use, systolic and diastolic blood pressure, coronary heart disease, diabetes, total cholesterol/high-density lipoprotein cholesterol ratio, and estimated glomerular filtration rate. Polygenic risk score was computed using identified susceptibility variants.

RESULTS:
After exclusions, 38 060 participants from England were randomly divided into the training set and the internal validation set in a 7:3 ratio, and 4970 participants from Scotland/Wales were assigned as the external validation set. Of 43 030 participants included (mean age, 59.0 years; 54.0% female), 989 incident IS occurred during a median follow-up of 13.6 years. In the training set, IS protein risk score was constructed using 17 out of 2911 proteins. In the internal validation set, compared with the basic model (age and sex: C statistic,0.720 [95% CI, 0.691–0.749]), IS protein risk score had the highest predictive performance for IS risk (C statistic, 0.765 [95% CI, 0.736–0.793]), followed by clinical risk factors of IS (C statistic, 0.753 [95% CI, 0.725–0.781]), and IS polygenic risk score (C statistic, 0.730 [95% CI, 0.701–0.759]). The top 5 proteins with the largest absolute coefficients in the IS protein risk score, including GDF15 (growth/differentiation factor 15), PLAUR (urokinase plasminogen activator surface receptor), NT-proBNP (N-terminal pro-B-type natriuretic peptide), IGFBP4 (insulin-like growth factor-binding protein 4), and BCAN (brevican core protein), contributed most of the predictive ability of the IS protein risk score, with a cumulative C statistic of 0.761 (95% CI, 0.733–0.790). These results were verified in the external validation cohort.

CONCLUSIONS:
A simple model, including age, sex, and the IS protein risk score (or only the top 5 proteins) had a good predictive performance for IS risk.
Reflecting as a Pentecostal on Pentecostal Education
Authors: Kay William K. 
Published: December 2024

Abstract
This article offers a personal perspective on education from the point of view of a Pentecostal of more than fifty-five years’ standing. Having taught in secular and Christian settings and covered the age range from infants to postgraduates and having been a faculty member at Britain’s Assemblies of God college and, from there, moved out into teacher training in secular university settings, I shall consider curriculum, society, theology, and the breadth of pentecostal education.
“The Girl Power of Christ Compels You!”
Authors: Bauer Nicole M. , Doole J. Andrew 
Published: December 2024

Abstract
Exorcism is a man’s job. Christian churches legislate on who can carry out an exorcism, and independent charismatic healers tend overwhelmingly to be men. Yet there are exceptions. Ancient Syriac hagiography includes accounts of female saints who can cast out and repel demons, and the early 2010s saw the rise of the so-called “teenage exorcists” in the USA, Brynne Larson and Tess and Savannah Scherkenback. In this article we examine the ancient stories of holy women casting out demons and the media reports and Brynne Larson’s book on the ministry she and her friends carried out. We find that while female exorcists challenge the boundaries of gender in religious identity, they nonetheless reflect a form of idealized femininity in a man’s world.
Knorr von Rosenroth and His Perception of Kabbalah
Authors: Vileno Anna Maria 
Published: December 2024

Abstract
Christian Knorr von Rosenroth is known for the publication of the Kabbala denudata at the end of the 17th century. But far from having been limited to translation, Knorr was also a creative commentator, as it appears in his recently recovered Messias puer. After a description of Knorr’s production, the article examines the pedagogical approach developed, showing the cultural transfer at work at various levels as well as Knorr’s quest for a new paradigm for Christian Kabbalah.
Energy harvesting for damage assessment: A novel approach for detecting and evaluating structural defects in composite laminates
Authors: Jajemizadeh Saman , Rabiee Amir Hossein , Salamat-Talab Mazaher 
Published: December 2024

The presence of cutouts within mechanical equipment and systems can give rise to catastrophic stress concentrations and local buckling, leading to the initiation and propagation of damage. In addressing this issue, we leverage the concept of energy harvesting as a diagnostic approach. Beyond conventional fault diagnosis methods that rely solely on measuring changes in displacement amplitude, we propose an innovative method that harnesses the generated voltage. This novel approach investigates the impact of cutouts (holes) with varying diameters, which represent critical defects, on energy harvesting and displacement amplitude within 8-layer E-glass/epoxy composite specimens. Piezoelectric transducers are employed to execute energy harvesting, complemented by a laser displacement sensor for capturing sample displacement amplitudes. A bespoke measuring circuit is developed to quantify the stored voltage in a capacitor. Analysis of the findings reveals that the presence of damage, its severity, and its spatial distribution induce alterations akin to changes observed in displacement amplitudes. The study demonstrated that after applying the first cutout, a 75% and 65% reduction in harvested energy and a 60% and 46% decrease in displacement amplitude occurred for 14 and 10 mm cutouts respectively. By increasing the number of cutouts, these parameters depicted decreasing trends with a lower intensity. This alternative method offers an efficient, effective, and low-cost strategy for detecting and assessing damage and its severity in composite laminates. By demonstrating the correlation between damage-induced variations in harvested energy and conventional displacement measurements, our study contributes to advancing non-destructive evaluation techniques for composite structures. The effectiveness, cheapness, and convenience in implementation and detecting defects in composite laminates, are the practical implications and potential applications of the current work.
Microencapsulated single-component epoxies for self-healing of glass fiber reinforced polymers subjected to low-velocity impacts
Authors: Ahmed JP Shebaz , Meenakshisundaram Omkumar 
Published: December 2024

This study aimed to investigate the potential of self-healing single-component epoxy microcapsules for improving the impact resistance and durability of glass fiber-reinforced polymer (GFRP) composites. Microcapsules containing a single-component epoxy resin were synthesized using sodium lauryl sulfate and polyvinyl alcohol as stabilizing agents. The microcapsules were characterized, revealing an average size of 3.056 μm. GFRP composites embedded with 10 wt% of the synthesized microcapsules were prepared. The composites were subjected to low-velocity impacts at velocities of 3 m/s, 3.5 m/s, and 4 m/s. Residual flexural properties were evaluated using three-point bending tests. The impact resistance and self-healing efficiency of the GFRP composites showed significant improvement. The flexural after-impact strength exhibited considerable recovery post-impact. A healing efficiency of 61.1% was observed for specimens impacted at a velocity of 3 m/s. Incorporating microcapsules loaded with healing agents transforms GFRP composites into smart materials. The microcapsules act as microscopic primers, rupturing upon damage and releasing the healing agent to mitigate crack propagation and bolster structural integrity autonomously by extending the service life of the composite. The research provides valuable insights into optimizing the performance and durability of GFRP composites. Potential applications span across aerospace, automotive, and structural engineering domains.
The effects of process parameters on the mechanical properties and degradation behavior of Fe/HA biodegradable materials
Authors: Feng Yuzhen , Huang Nan , Guo Jing , Chen Shuwen , Teng Yingxue , Chen Shanshan 
Published: December 2024

HA/Fe composites were prepared by powder metallurgy. The effects of ball milling time, pressing pressure, and sintering temperature on the porosity and hardness of the composites were investigated, and their mechanical properties and biocompatibility were evaluated. The results show that as the ball milling time increases (30∼60min), the average particle size initially decreases and then increases (82.91∼53.49∼77.98 μm). Additionally, an appropriate increase in pressing pressure and sintering temperature can decrease the composite’s porosity and increase its hardness. When the pressing pressure is 27 KN and the sintering temperature is 1000°C, the composite material has excellent mechanical properties (hardness 268.5 Hv, compressive strength 106.736 MPa) and good in vitro biocompatibility. The hemolysis rate of the sample was 1.719518 %. When the concentration of the extract was 50 %, the cell proliferation rate could reach 136.26 %. Furthermore, the degradation properties of the composites were studied. At 12 months the corrosion rate of HA/Fe composites reached 0.3173 mm/a. It was also observed varying degradation mechanisms was different in different soaking cycles, and the dominant degradation mechanism was gradually changed from HA in the early stage to Fe in the later stage, which played a positive guiding role in the development of iron matrix composites with different degradation rates.
Comparative analysis of wheel‒rail frictional temperature rise using moving heat source and thermo-mechanical coupling methods at various wheel‒rail creepages
Authors: Zhang Jinyu , Tao Gongquan , Wen Zefeng 
Published: December 2024

A finite element (FE) model of wheel‒rail frictional heating with moving heat source is proposed in this paper for estimating the wheel‒rail contact temperature distributions under repeated long-term operation. To calculate the temperature rise in wheel‒rail friction, this study compares the computational accuracy and efficiency of the temperature field generated by the moving heat source method and the thermo-mechanical coupling method. A three-dimensional transient wheel‒rail rolling contact thermo-mechanical coupling finite element model is established using ANSYS/LSDYNA software. The moving heat source method is conducted through ANSYS transient thermal analysis with a time step of 2.57 × 10−5 s, meeting the thermal analysis requirements. Taking into account the influence of complex operating conditions and the third medium between the wheel and rail, this study compares and analyzes the two methods under different wheel–rail creepage conditions. The following conclusions were drawn: as creepages increase, the wheel tread surface temperature increases approximately linearly, with the temperature calculated by the moving heat source method being larger. The temperature difference between the two methods gradually increases, and the maximum temperature value difference is 4.9%, which is less than 5%. The moving heat source approach can save approximately 20 times the computational time. Considering both calculation time and efficiency, the moving heat source method can be employed as an alternative to the three-dimensional transient wheel‒rail rolling contact thermo-mechanical coupling finite element method. This study provides theoretical support and a finite element model reference for the calculation of wheel‒rail friction temperature rise.