bluuebunny/crossref_metadata_2025_split huggingface dataset:
Family resilience and social support as mediators of caregiver burden and capacity in stroke caregivers: a cross-sectional study
Authors: Xu Qihang , Ma Jingjing , Zhang Yiqing , Gan Jiehua 
Published: December 2024

IntroductionCaring for stroke survivors poses significant challenges to survivors and caregivers; understanding these relationships can inform targeted interventions and support systems.AimThis study investigates the influencing factors of caregiver burden and the potential mediating roles of family resilience and perceived social support between caregiver burden and caregiver capacity.DesignThis is a cross-sectional study.MethodsThe participants in this study included 462 stroke survivors and their primary caregivers from Ningbo Lihuili Hospital in Zhejiang Province, China. Primary caregivers completed several assessments, including the Shortened Chinese Version of the Family Resilience Assessment Scale (FRAS), the Perceived Social Support Scale (PSSS), the Zarit Caregiver Burden Interview (ZCBI), and the Family Caregiver Task Inventory (FCTI). The ZCBI was used to evaluate caregiver burden, while the activities of daily living (ADL) were assessed for stroke survivors to measure their actual level of dependence. The mediating effect of family resilience was estimated using the bootstrap method through Jamovi version 2.3.0 with the mediation plug-in, while controlling for sociodemographic variables.ResultsThe results showed that caregiver burden was influenced by stroke survivors’ level of dependence on activities of daily living (ADL), caregiver education level, caregiver health status, and average daily care time. The family resilience mediated the relationship between caregiver burden and caregiver capacity (b = 0.141; 95% confidence interval: 0.091 to 0.176). Additionally, perceived social support mediated the relationship between caregiver burden and caregiver capacity (b = 0.080; 95% confidence interval: 0.041 to 0.110).ConclusionThese findings indicate that enhancing family resilience and perceived social support can be strategies for alleviating caregiver burden. Clinical practitioners should actively assess the family resilience and social support of stroke survivors, and implement interventions that promote resilience and strengthen social support, thereby reducing caregiver burden and improving the health outcomes of stroke survivors.
Psychotic relapse prediction via biomarker monitoring: a systematic review
Authors: Smyrnis Alexandros , Theleritis Christos , Ferentinos Panagiotis , Smyrnis Nikolaos 
Published: December 2024

BackgroundAssociating temporal variation of biomarkers with the onset of psychotic relapse could help demystify the pathogenesis of psychosis as a pathological brain state, while allowing for timely intervention, thus ameliorating clinical outcome. In this systematic review, we evaluated the predictive accuracy of a broad spectrum of biomarkers for psychotic relapse. We also underline methodological concerns, focusing on the value of prospective studies for relapse onset estimation.MethodsFollowing the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines, a list of search strings related to biomarkers and relapse was assimilated and run against the PubMed and Scopus databases, yielding a total of 808 unique records. After exclusion of studies related to the distinction of patients from controls or treatment effects, the 42 remaining studies were divided into 5 groups, based on the type of biomarker used as a predictor: the genetic biomarker subgroup (n = 4, or 9%), the blood-based biomarker subgroup (n = 15, or 36%), the neuroimaging biomarker subgroup (n = 10, or 24%), the cognitive-behavioral biomarker subgroup (n = 5, or 12%) and the wearables biomarker subgroup (n = 8, or 19%).ResultsIn the first 4 groups, several factors were found to correlate with the state of relapse, such as the genetic risk profile, Interleukin-6, Vitamin D or panels consisting of multiple markers (blood-based), ventricular volume, grey matter volume in the right hippocampus, various functional connectivity metrics (neuroimaging), working memory and executive function (cognition). In the wearables group, machine learning models were trained based on features such as heart rate, acceleration, and geolocation, which were measured continuously. While the achieved predictive accuracy differed compared to chance, its power was moderate (max reported AUC = 0.77).DiscussionThe first 4 groups revealed risk factors, but cross-sectional designs or sparse sampling in prospective studies did not allow for relapse onset estimations. Studies involving wearables provide more concrete predictions of relapse but utilized markers such as geolocation do not advance pathophysiological understanding. A combination of the two approaches is warranted to fully understand and predict relapse.
Prevalence of mental disorders and their associations with age at diagnosis and time since diagnosis of nasopharyngeal cancer
Authors: Wang Wen-Xuan , Wu Yi-Shan , Qi Li-Ping , Wu Anise M. S. , Zhu Ying-Ying , Gong Wei-Jie , Guo Shan-Shan , Hua Yi-Jun , Luo Dong-Hua , Chen Qiu-Yan , Xiang Yan-Qun , Zhang Jin-Xin , Mai Hai-Qiang , Li Ji-Bin 
Published: December 2024

BackgroundDespite advancements in cancer treatment, understanding the long-term mental health implications for nasopharyngeal carcinoma (NPC) survivors remains an underexplored area. This study aims to examine the prevalence of mental disorders and their correlations with age at diagnosis and time since diagnosis among NPC survivors.MethodsA total of 1872 NPC patients were surveyed from September 2020 to June 2021 in this cross-sectional survey. Logistic regression models were used to analyze the associations of age at diagnosis and time since NPC diagnosis with the risk of mental disorders. Additionally, the potential nonlinear trend between these factors was examined using restricted cubic splines. Analyses were conducted both overall and stratified by gender. Gender interaction was also examined.ResultsThe prevalences of depression, anxiety, and sleep disorders were 32.4, 33.2, and 61.5%, respectively. Age at NPC diagnosis was significantly associated with an elevated risk of depression (adjusted OR (aOR): 1.75 for 30–39 years old; 2.33 for 50–59 years old; 2.59 for ≥60 years old) and sleep disorders (aOR: 2.41 for 40–49 years old; 1.95 for 50–59 years old; 2.26, for ≥60 years old), compared to patients diagnosed with NPC at age &lt; 30 years. Conversely, the risk of depression, anxiety, and sleep disorders exhibited negative associations with the time since diagnosis, compared to patients &lt;3 months. Notably, significant nonlinear associations were observed between time since diagnosis and the risk of depression, anxiety, and sleep disorders, which showed an initial increase, with the highest risk occurring at approximately 3.0 (ORmax: 2.7), 1.5 (ORmax: 2.1), and 4.0 (ORmax: 1.9) months since NPC diagnosis, followed by a gradual recovery to a lower risk level at around 12 months. No gender interactions were observed.ConclusionThe prevalence of mental disorders is notable among NPC survivors, showing a positive correlation with age at diagnosis while displaying a negative correlation with time since diagnosis, thus indicating the need for psychological support, especially within the initial several months following NPC diagnosis.
Choosing the proper path: outcomes of subxiphoid vs. lateral intercostal approaches in the resection of anterior mediastinal masses
Authors: Leng Xuechun , Chen Mengzou , Zhang Yang , Gao Jian , You Zhenbing , Hu Zhongwu 
Published: December 2024

BackgroundWhile the subxiphoid approach (SA) in thoracoscopic thymectomy offers benefits in terms of fat removal and pain reduction, it remains unclear which patients with anterior mediastinal masses benefit most from the subxiphoid vs. the lateral intercostal approach (LA).MethodsThis retrospective study analyzed patients treated for anterior mediastinal masses at our center from January 2019 to December 2023. Patients were categorized into two groups based on the surgical approach: SA (35 cases) and LA (56 cases). Demographic data, clinical characteristics, perioperative metrics, and short-term outcomes were compared.ResultsNinety-one patients were included, with diagnoses including thymic cysts (43), thymomas types A, AB, and B1 (24), B2 thymomas (18), thymic carcinoma (6).No significant differences were found between the groups in terms of gender, age, tumor size, body mass index, conversion to sternotomy, or blood loss. The LA group, however, experienced shorter surgical durations (P &lt; 0.001), less drainage (P = 0.021), shorter hospital stays (P &lt; 0.001), and lower hospitalization costs (P = 0.024). Pain scores on the visual analogue scale were similar between groups on the day of surgery and the first postoperative day.ConclusionThe findings suggest that the lateral intercostal approach is preferable for patients with thymic cysts and Masaoka stage I–II thymomas without myasthenia gravis due to its efficiency and cost-effectiveness.
Platelet rich fibrin three-layer reconstruction of the sellar floor after endoscopic endonasal transsphenoidal approach: technical note and initial experience
Authors: Shah Mukesch Johannes , Argiti Katerina , Nakagawa Julia M. , Stathi Angeliki , Schönen Emilia , Strahnen Daniel , Joseph Kevin , Straehle Jakob , Neidert Nicolas , Beck Jürgen , Vasilikos Ioannis 
Published: December 2024

BackgroundCerebrospinal fluid (CSF) leakage frequently complicates endoscopic endonasal transsphenoidal pituitary resections, despite the use of lumbar drains, nasoseptal flaps, or commercial dura sealants. Managing this complication often requires revision surgery and increases the risk of infection. Platelet-rich fibrin (PRF), an affordable autologous biomaterial derived from the patient's blood through short, angulated centrifugation, contains growth factors and leukocytes embedded in a fibrin matrix. PRF exhibits regenerative properties in various surgical disciplines. This study assesses a three-layer sellar reconstruction method employing solid membranous (s-PRF) and high-viscosity injectable (i-PRF) forms of PRF.Materials and methodsWe present our initial experience on a series of 22 patients with pituitary macroadenomas. For all patients, an endoscopic transnasal transsphenoidal approach was selected. Following the resection of the pathology, sellar reconstruction was accomplished using a three-layer orthobiologic technique. A membranous s-PRF was utilized as an inlay inside the opened sellar floor, followed by a layer of injectable i-PRF finally covered with another s-PRF membrane over the top to the sellar corridor.ResultsIn all cases the implementation of the proposed three-layer PRF reconstruction strategy was feasible and safe. During the 12-month follow-up period there were no adverse effects reported associated with the PRF application. 77% (17/22) of the patients demonstrated intraoperatively a cerebrospinal fluid (CSF) leak (Esposito Grade 1–3). In total, the proposed PRF reconstruction effectively prevented postoperative CSF leaks in 95% of the patients and in 94% of those with an Esposito Grade 1–3. One of the two patients with intraoperative Esposito Grade 3 developed a CSF leak on the first postoperative day, which was successfully managed with a lumbar drain for 5 days.ConclusionSellar reconstruction after endoscopic endonasal transsphenoidal resection of pituitary adenomas with PRF is feasible and safe. The three layer PRF augmentation is a novel technique to prevent CSF-leakage.
The relevance of mathematics textbook tasks to indigenous cultural context
Authors: Gebremichael Andualem Tamiru 
Published: December 2024

This paper reports about a study, which examines the mathematics textbooks used by the schools in the Sámi area of Norway. The Sámi are Indigenous people of Norway and neighboring countries (Finland, Russia and Sweden). Handcraft and reindeer herding are prevalent activities in Sámi culture. Drawing on the theory of didactical phenomenology, the study examines the relevance of textbook tasks to the cultural background of Indigenous children. Document analysis was used to extract and analyze the data from the old and new textbooks. The results indicate that the tasks in the old textbook are hardly relevant to Sámi culture. Though the old textbook had tasks, which could be adopted, the topic containing such tasks is no longer available in the new textbook. The adoption of such tasks could have helped to achieve the goal set in the new curriculum about teaching Sámi history and culture to all Norwegian children. It could also have helped to achieve another goal, which is about interdisciplinarity, because the tasks are about timeline in Norwegian history. The study has implications. In addition to using the tasks in the already available studies about the Sámi, we need more studies about designing tasks which utilize the Sámi cultural context. Additionally, adopting tasks, which use Indigenous contexts similar to the Sámi context, should also be considered instead of a mere translation of the mandated textbook into the Indigenous language. Another option is, consistent with earlier studies, designing a separate textbook for the Indigenous children based on their culture.
Keywords: mathematics curriculum, Indigenous culture, measuring, textbook.
PENINGKATAKAN MANAJEMEN DALAM MENURUNKAN TINGKAT KECEMASAN DAN STRES MAHASISWA KEPERAWATAN DALAM MENJALANI SKRIPSI
Authors: Dani Saputro Sutiyo , Yuniarti Wahyu 
Published: December 2024

Pendidikan tinggi tidak terlepas dari peran keaktifan mahasiswa. Menyandang gelar mahasiswa merupakan suatu kebanggaan sekaligus tantangan bagi individu. Bagi sebagian mahasiswa, tugas akhir atau skripsi adalah suatu hal yang bermanfaat untuk melatih dan menguji kulaitas diri, tambahan ilmu pengetahuan, berfikir kritis, tanggung jawab, dan sebagai sarana untuk menerapkan pengetahuan yang diperoleh selama menempuh studi yang dianggap biasa saja. Kecemasan yang ditimbulkan bagi mahasiswa akan memunculkan masalah-masalah yang berhubungan dengan motivasi, prestasi, dan berdampak psikologis. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan manajemen dalam menurunkan tingkat kecemasan dan stress mahasiswa keperawatan dalam menjalani skripsi. Metode yang digunakan adalah Participatory Action Reseacrh dimana pengabdian kepada masyarakat berutujuan untuk memberikan pembelajaran dalam mengatasu masalah. Jumlah partisipan sebanyak 81 orang yang dipilih secara khusus dengan memiliki kriteria program studi keperawatan sarjana dan menempuh pembuatan skripsi. Penilaian menggunakan kuesioner manajemen kecemasan Hasil pengabdian kepada masyarakat menunjukkan adanya peningkatan dari kecemasan 43, 77 menjadi 16,18 dan dari stres 25,01 menjadi 12,05. Kesimpulan pengabdian kepada masyarakat menunjukkan bahwa peningkatan manajemen dapat menurunkan tingkat kecemasan dan stres pada mahasiswa yang menjalani skripsi.

Higher education cannot be separated from the active role of students. Holding a student title is both an honor and a challenge for individuals. For some students, a final assignment or thesis is something that is useful for training and testing one's own quality, additional knowledge, critical thinking, responsibility, and as a means to apply the knowledge gained during studies that are considered normal. The anxiety caused by students will give rise to problems related to motivation, achievement and psychological impacts. This community service aims to improve management in reducing the level of anxiety and stress of nursing students when undertaking their thesis. The method used is Participatory Action Research where community service aims to provide learning in overcoming problems. The number of participants was 81 people who were specifically selected based on the criteria of an undergraduate nursing study program and completed a thesis. Assessment using an anxiety management questionnaire. The results of community service showed an increase from anxiety from 43.77 to 16.18 and from stress from 25.01 to 12.05. The conclusion of community service shows that improving management can reduce anxiety and stress levels in students undertaking their thesis.
EDUKASI CUCI TANGAN DALAM MENINGKATKAN PENGETAHUAN UNTUK MENCEGAH DIARE PADA ANAK SEKOLAH DASAR
Authors: Meilyana Bernadetha , Suroso Heri , Ekwantoro Ekwantoro 
Published: December 2024

Diare merupakan buang air besar dengan konsistensi cair sebanyak 3 kali atau lebih dalam satu hari ( 24 jam) dan akan berdampak pada kehilangan cairan dan elektrolit. Salah satu upaya untuk mencegah terjadinya diare dengan cara mengubah perilaku hidup bersih dan sehat (PHBS) dengan cuci tangan dengan sabun dan air mengalir. Tujuan Pengabdian masyarakat ini adalah edukasi cuci tangan dalam meningkatkan pengetahuan untuk mencegah diare pada anak sekolah dasar. Metode yang digunakan pada pengabdian masyarakat ini adalah menggunakan edukasi cuci tangan pada anak sekolah dasar di Gereja GKJW Tunglur dengan memberikan Pretest-Posttest setelah di berikan edukasi. Jumlah partisipan sebanyak 24 responden yang dipilih khusus dengan menggunakan kriteria usia sekolah dasar. Penilaian menggunakan, kuesioner, lembar observasi dan SOP cuci tangan dengan benar. Hasil analisis post test didapatkan nilai signifikansi pada tingkat pengetahuan sebesar 0,022. Dari tingkat pengetahuan memiliki nilai lebih kecil dari taraf signifikansi <0,05. Kesimpulan pengabdian kepada masyarakat menunjukkan bahwa terdapat peningkatan pengetahuan pada anak sekolah dasar setelah di berikan edukasi cuci tangan untuk mencegah diare.

Diarrhea is a bowel movement with a liquid consistency of 3 or more times in one day (24 hours) and will have an impact on fluid and electrolyte loss. One of the efforts to prevent diarrhea is by changing clean and healthy living behaviors (PHBS) by washing hands with soap and running water. The purpose of this community service is handwashing education in increasing knowledge to prevent diarrhea in elementary school children. The method used in this community service is to use handwashing education for elementary school children in Gereja GKJW Tunglur by providing Pretest-Posttest after being educated. The number of participants was 54 respondents who were specially selected using the elementary school age criteria. Assessment of using, questionnaires, observation sheets and SOPs for washing hands correctly. The results of the post test analysis obtained a significance value at the knowledge level of 0.022. The level of knowledge has a value smaller than the significance level of <0.05. The conclusion of community service shows that there is an increase in knowledge in elementary school children after being given handwashing education to prevent diarrhea.
Государственная идеология как насущная потребность современной России
Authors: ПОГОРЕЛЫЙ А.П. 
Published: December 2024

Проблема формирования идеологии России должна опираться на форму государственной идеологии . Навязывание идеологического многообразия , имеющего место в американской политической традиции, в российских условиях привело к целому ряду тяжёлых последствий. Отождествление государственной и обязательной идеологий также не соответствует реальности. Будущая идеология нашей страны должна быть облечена в форму государственной.
Forming of ideology in Russia must rely on the form of the States ideology. Obtrusion of ideological variety issued from the US political tradition resulted in quite a number of grave consequences. Taking the States ideology and obligatory ideology as equal is also not corresponding to the facts. Future Russian ideology must have a form of the States ideology.
Суицидальный терроризм как культурный феномен
Authors: МЕЛЬНИКОВА А.А. 
Published: December 2024

Распространенной практикой террористических организаций является использование акта индивидуального террора, совершаемого террористом-смертником. Исследование социокультурной базы данного явления позволяет выявить корни, которые служат мотивирующей основой человека, совершающего суицидальный террористический акт. Это и социокультурные основания, имеющие психологическую подоплёку, и социальные проблемы. Кроме раскрытия данных мотивов в статье также изучаются существующие в настоящий момент способы вербовки террористов-смертников через Интернет.
A common practice of terrorist organizations is to use an act of individual terror committed by a suicide bomber. The study of the socio-cultural base of this phenomenon allows us to identify the roots that are the motivating basis of a person committing a suicidal terrorist act. These are both socio-cultural grounds with a psychological background, and social problems. In addition to the disclosure of these motives, the article also examines the currently existing methods of recruiting suicide bombers via the Internet.
Социально-технологические основания рекламного брендинга образовательной деятельности высших учебных заведений
Authors: МИЛЬЯНЕНКО А.И. 
Published: December 2024

Автор статьи рассмотрел брендинг образовательной деятельности вузов как социальную технологию рекламы и на основании результатов социологического исследования раскрыл возможности его осуществления на конкретных примерах
The author of the article considered the branding of educational activities of universities as a social advertising technology and, based on the results of a sociological study, revealed the possibilities of its implementation using specific examples.
Управление проектами в вузах как фактор развития системы высшего образования
Authors: ПИВОВАРОВА М.Б. 
Published: December 2024

В статье рассматриваются особенности управления научными проектами в высшей школе. Проанализированы основные научные проекты в российских вузах и выявлены главные направления их развития.
The article deals with the features of management of scientific projects in higher education. The main scientific projects in Russian universities are analyzed and the main directions of their development are revealed.
Девиантное поведение личности: социальные и психологические особенности
Authors: КОРОБАНОВА Ж.В. , ПОЛЕВАЯ М.В. 
Published: December 2024

В статье представлена характеристика нескольких теоретических подходов к пониманию девиантного поведения личности с точки зрения психологического подхода.
The article presents the characteristic of several theoretical approaches to understanding the deviant behavior of an individual from the point of view of a psychological approach.
20 лет Договору о Союзном государстве Белоруссиии России: итоги и перспективы
Authors: БЕЛЬСКИЙ В.Ю. , ЛЕПЕХИН В.А. 
Published: December 2024

В статье дан общий обзор главных направлений развития отношений между Россией и Белоруссией в контексте цивилизационной и национальной безопасности. Рассмотрены основные подходы к решению актуальных проблем интеграции наших стран. Предложены меры по укреплению защиты интересов Союзного государства.
The article gives a general overview of the main directions of development of relations between Russia and Belarus in the context of civilizational and national security. The basic approaches to solving urgent problems of integration of our countries are considered. Measures are proposed to strengthen the protection of the interests of the Union State.
Философия управленияпрогрессивными изменениямив обществе
Authors: СИДОРОВ Л.Г. 
Published: December 2024

В статье рассматриваются закономерности эволюции ценностей и идеалов управления прогрессивными изменениями в обществе. Управление прогрессивными изменениями определяется как создание новых возможностей для удовлетворения потребностей в саморазвитии человека. Автор приходит к выводу, что вXXIвеке управление прогрессивными изменениями в обществе осуществляется на основе философского проекта общества знаний.
The article discusses the patterns of evolution of values and ideals of managing progressive changes in society. Progressive change management is defined as creating new opportunities to meet the needs of a persons self-development. The author comes to the conclusion that in the XXI century the progressive changes in society are managed on the basis of the philosophical project of the knowledge society.