bluuebunny/crossref_metadata_2025_split huggingface dataset:
Supplementation of Olive Oil and Flaxseed Oil on Blood Pressure and Inflammation in Healthy and At-Risk Adults: A Systematic Literature Review and Meta-Analysis
Authors: McNabb Tara B. , Young Ian , Newman Rachel G. , Skinner Roy C. , Benedito Vagner A. , Tou Janet C. 
Published: November 2024

Background:
Adding olive oil (OO) and flaxseed oil (FLO) to the diet has been reported
to improve endothelial function and reduce inflammation. However, the efficacy of supplementing
OO and FLO on blood pressure (BP) in normo-, pre-, and hypertensive stage 1 adults is uncertain.

Objective:
This study aimed to systematically review the literature on OO and FLO supplementation
on BP and select inflammatory markers in healthy adults and adults at risk of hypertension.

Methods:
Four databases, PubMed, CINHAL, Web of Science, and Medline (Ovid), were
searched from inception until October 2023 for randomized control trials (RCTs) comparing OO
and FLO supplementation in normotensive or adults at risk of hypertension. The outcomes included
were systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) and at least one inflammatory
marker, C-reactive protein (CRP), interleukin6 (IL6), or tumor necrosis factor alpha
(TNFα). The risk of bias was assessed using version 2 of the Cochrane risk of bias tool for RCTs,
publication bias visualization was performed using funnel plots, and meta-analysis was completed
to generate average estimates of effects in 2024.

Results:
Seventeen RCTs, comprising 14 studies on OO and 3 on FLO, met the inclusion criteria.
Meta-analysis using a random-effects model reported no significant effect on SBP n=17 mean difference
(MD) -0.48; 95% CI: -1.76, 0.80; p=0.65, I2=0%) and DBP (n=16, MD -0.47; 95% CI:
-1.33, 0.39; p=0.65, I2=0%) or inflammatory markers, CRP (n=8, MD 0.11; 95% CI: -1.18, 0.40;
p=0.98, I2=0%), IL6 (n=3, MD -0.15; 95% CI: -0.57, 0.27; p=0.87, I2=0%), and TNFα (n=3,
MD-0.08; 95% CI: -0.12, -0.03; p=0.98, I2=0%).

Conclusion:
Longer-duration, higher-dose, and larger-scale RCTs are needed to better understand
the efficacy of OO and FLO supplementation on BP. Further insight will better inform dietary supplement
use for preventing hypertension.
Association of Subjective Cognitive Concerns With Performance on Mobile App–Based Cognitive Assessment in Cognitively Normal Older Adults: Observational Study
Authors: Nester Caroline O , De Vito Alyssa N , Prieto Sarah , Kunicki Zachary J , Strenger Jennifer , Harrington Karra D , Roque Nelson , Sliwinski Martin J , Rabin Laura A , Thompson Louisa I 
Published: November 2024

Abstract

Background
Subjective cognitive concerns (SCCs) may be among the earliest clinical symptoms of dementia. There is growing interest in applying a mobile app–based cognitive assessment to remotely screen for cognitive status in preclinical dementia, but the relationship between SCC and relevant mobile assessment metrics is uncertain.

Objective
This study aimed to characterize the relationship between SCC and adherence, satisfaction, and performance on mobile app assessments in cognitively unimpaired older adults.

Methods
Participants (N=122; Meanage=68.85 [SD 4.93] years; Meaneducation=16.85 [SD 2.39] years; female: n=82, ; White:n=106, ) completed 8 assessment days using Mobile Monitoring of Cognitive Change (M2C2), an app-based testing platform, with brief daily sessions within morning, afternoon, and evening time windows (24 total testing sessions). M2C2 includes digital working memory, processing speed, and episodic memory tasks. Participants provided feedback about their satisfaction and motivation related to M2C2 upon study completion. SCC was assessed using the Cognitive Function Instrument. Regression analyses evaluated the association between SCC and adherence, satisfaction, and performance on M2C2, controlling for age, sex, depression, and loneliness. Linear-mixed effects models evaluated whether SCC predicted M2C2 subtest performance over the 8-day testing period, controlling for covariates.

Results
SCC was not associated with app satisfaction or protocol motivation, but it was significantly associated with lower rates of protocol adherence (ß=−.20, P=.37, 95% CI −.65 to −.02). Higher SCC endorsement significantly predicted worse overall episodic memory performance (ß=−.20, P=.02, 95% CI −.02 to −.01), but not working memory or processing speed. There was a main effect of SCC on working memory performance at day 1 (estimate=−1.05, SE=0.47, ) and a significant interaction between SCC and working memory over the 8-day period (estimate=0.05, SE=0.02, ), such that SCC was associated with initially worse, then progressively better working memory performance.

Conclusions
SCCs are associated with worse overall memory performance on mobile app assessments, patterns of cognitive inefficiency (variable working memory), and mildly diminished adherence across an 8-day assessment period. Findings suggest that mobile app assessments may be sensitive to subtle cognitive changes, with important implications for early detection and treatment for individuals at risk for dementia.
Emotional Touch Nursing Competencies Model of the Fourth Industrial Revolution: Instrument Validation Study
Authors: Jung Sun-Young , Lee Ji-Hyeon 
Published: November 2024

Background
The Fourth Industrial Revolution is transforming the health care sector through advanced technologies such as artificial intelligence, the Internet of Things, and big data, leading to new expectations for rapid and accurate treatment. While the integration of technology in nursing tasks is on the rise, there remains a critical need to balance technological efficiency with empathy and emotional connection. This study aims to develop and validate a competency model for emotional touch nursing that responds to the evolving demands of the changing health care environment.

Objective
The aims of our study are to develop an emotional touch nursing competencies model and to verify its reliability and validity.

Methods
A conceptual framework and construct factors were developed based on an extensive literature review and in-depth interviews with nurses. The potential competencies were confirmed by 20 experts, and preliminary questions were prepared. The final version of the scale was verified through exploratory factor analysis (n=255) and confirmatory factor analysis (n=256) to assess its validity and reliability.

Results
From the exploratory analysis, 8 factors and 38 items (client-centered collaborative practice, learning agility for nursing, nursing professional commitment, positive self-worth, compliance with ethics and roles, nursing practice competence, nurse-client relationship, and nursing sensitivity) were extracted. These items were verified through convergent and discriminant validity testing. The internal consistency reliability was acceptable (Cronbach α=0.95).

Conclusions
The findings from this study confirmed that this scale has sufficient validity and reliability to measure emotional touch nursing competencies. It is expected to be used to build a knowledge and educational system for emotional touch nursing.
IDENTIFYING PATTERNS OF TOBACCO USE IN MIDDLE AND HIGH SCHOOL STUDENTS IN THE DOMINICAN REPUBLIC: A LATENT CLASS ANALYSIS
Authors: César Arredondo Abreu  , Kari-Lyn Sakuma  
Published: November 2024

The Dominican Republic (DR) has minimal national tobacco control strategies for youth tobacco use. This study seeks to understand how different patterns of tobacco use might occur in groups of Dominican youth. Methods: Using Latent Class Analyses, we analyzed the DR’s 2016 Global Youth Tobacco Survey dataset (N= 1,532), a nationally representative school-based survey. We examined two indicators (ever use, past 30-day use) of cigarettes, shishas, smokeless tobacco, and e-cigarettes. Multinomial logistic regression was used to analyze predictors of class membership. Results: Five subclasses of tobacco users were identified: non-users (58.44%), shisha experimenters (18.55%), poly-tobacco experimenters (10.66%), poly-tobacco users (8.57%), and smokeless tobacco with experimentation (3.79%). Compared to non-users, Shisha experimenters had higher odds of being male, having more spending money, and having observed someone smoking tobacco in their house. Poly-tobacco experimenters and Poly-tobacco users class had higher odds of having observed someone smoking tobacco in their house. Smokeless tobacco, with experimentation of other forms of tobacco, had higher odds of having observed someone smoking tobacco in their house and outside. Discussion: Our findings indicate that most tobacco users belong to the shisha experimenters or were multiple product experimenters/user classes. This suggests that tobacco control strategies should focus on multiple products and aim prevention efforts toward younger male students.
Par Johana Teodora Bērenta „Tā Dieva kalpa Mārtiņa Lutera Mazo Katķismi..“ (1852)
Authors: Paegle Dzintra 
Published: November 2024

Šajā rakstā analizēts J. T. Bērenta katehisms „Ta Deewa kalpa Mahrtiņa Luttera Maſais Katkiẜmis“ (Rīga, 1852). Katķisma valoda atspoguļo 19. gs. vidus latviešu luterāņu baznīcas valodu, ko veidojuši vācu mācītāji. Tāpēc bieži manāma vācu valodas ietekme. Tekstā atrodamas dažas vecākas latviešu valodas formas, tāpat arī vecāks leksikas slānis, ko mūsdienās nelieto. Atsevišķu vārdu lietošanā vērojams Vidzemes vidus izlokšņu, arī Kurzemes tāmnieku un rietumu izlokšņu iespaids. Daudzas vārdu gramatisko formu lietošanas nekonsekvences liecina, ka latviešu valoda vēl nav pilnībā normēta. Vienlaikus J. T. Bērenta katehisms ir latviešu kultūras un valodas vēstures avots.
The Effect of Customer Satisfaction on Use Continuance in Bank Chatbot Service
Authors: Sheela Margaret D  , Elangovan N  , Sriram M  , Vedha Balaji  
Published: November 2024

Chatbots are text-based conversational agents that use Natural Language Processing to converse with customers. Chatbot has revolutionized the service industry by providing a customer-centric environment and a cost-effective business pattern to service providers. This technology is still maturing and has already influenced a lot of businesses due to its effective human-like interaction in different sectors. The banking industry too has adopted this very well. However, the acceptance level of this service is relatively slow among banking customers when compared to other sectors. This study focuses on the role of customer satisfaction factors that influence the use continuance of Chatbot services in the banking sector. A quantitative research design, using a purposive sampling method with a sample size of 422 respondents was considered. The data was analysed using SPSS and JMP. The results gave some new perspectives that will help the service providers to identify the antecedents that influence the use continuance of Chatbot service.
VARIÁVEIS PREDITIVAS PARA IMOBILIDADE INTRAHOSPITALAR DE IDOSOS
Authors: Alves Da Cás Daniela , Graziela Flores Thamara , Gularte Ana Cristina , Piccinin Stéfany , Ritondale Sodré de Castro Maria Manuela , Franco Cardoso Carolina , Agostini Lampert Melissa 
Published: November 2024

Objetivo: Avaliar os preditores da imobilidade intrahospitalar de idosos. Métodos: Trata-se de um estudo quantitativo, longitudinal e descritivo. A coleta de dados ocorreu entre 2015 e 2016 no Hospital Universitário de Santa Maria (HUSM). A amostra foi composta inicialmente por 493 idosos, destes foram incluídos 397 idosos, 22 foram excluídos por imobilidade prévia a hospitalização e 74 devido aos demais critérios de exclusão. As variáveis avaliadas na admissão foram a idade, sexo, mora com quem, patologia de admissão, Índice do risco sênior, fragilidade através da escala de Edmonton, circunferência de panturrilha maior ou menor que 31 cm, indicador de depressão geriátrica (GDS-4), impacto de comorbidades pelo índice de Charlson, delirium por meio do Confusion Assessment Method e como desfecho a imobilidade intrahospitalar. Foram identificadas as variáveis preditivas através da regressão logística (modelo Backward). Valores significantes foram considerados quando p valor foi menor que 0,05 (SPSS 21.0). Resultados: Dos 397 indivíduos avaliados observou-se que houve predomínio de idosos jovens entre 60 e 69 anos (39,7%), sexo masculino (53,7%). Observou-se que a idade (p=0,007), indicadores de fragilidade (p=0,007) e delirium (p=0,001) durante a internação aumentaram a chance de os idosos terem imobilidade intrahospitalar. Conclusão: Identificamos que a imobilidade está associada a idade, a patologias de admissão, aos valores da CP, escores de fragilidade, índice de risco sênior e presença de comorbidades e as variáveis preditivas para imobilidade foram idade, fragilidade e apresentar delirium na admissão. Desta forma sugere-se que sejam considerados na implementação de medidas preventivas quanto à imobilidade intrahospitalar de idosos.
Palavras-chave: Imobilidade, envelhecimento, hospitalização.
EXAME DE PAPANICOLAU NA ESTRATÉGIA SAÚDE DA FAMÍLIA NUMA CAPITAL DO NORDESTE DO BRASIL
Authors: Alves Barros Sara Virna , Guedes de Brito Geraldo Eduardo , Tchutcho Tavares Teodora , Porciúncula Lamb Paolo , Bezerra de Andrade Augusto José , Osório da Silva Mateus 
Published: November 2024

Objetivo: Analisar as percepções de enfermeiros da Estratégia Saúde da Família (ESF) de uma capital do nordeste acerca da realização do Exame de Papanicolau. Metodologia: Estudo qualitativo com 115 enfermeiros. Utilizou-se o software ALCESTE para a determinação das classes analíticas que foram submetidas à análise de conteúdo. Resultados: As principais potencialidades para a realização do exame foram atividades de educação em saúde, o acompanhamento longitudinal e integral das mulheres e a facilidade de acessibilidade geográfica à Unidade Básica de Saúde. Verificou-se a oferta da coleta do exame em dias definidos com agendamento por demanda espontânea. Os enfermeiros diversificavam turnos de coleta e captavam usuárias em datas comemorativas e campanhas. Quanto às fragilidades, identificou-se a falta de conhecimento, o medo, interferência do parceiro e a vergonha, além de discursos associados à gestão do processo de trabalho. Conclusão: A realização do exame na ESF ampliava o seu acesso. Porém, são necessários investimentos para potencializar a captação das usuárias, desenvolvimento de ações educativas eficazes, o estabelecimento de melhor fluxo de material e insumos, além de uma rede de apoio ao diagnóstico de lesões precursoras mais organizadas no município.
Using simulation to find the best reliability of the Generalized Exponential Distribution
Authors: Amer Abdul Ameer Huda 
Published: November 2024

The generalized exponential distribution is one of the most widely used distributions in the field of geometric reliability. Also, it can be used as an alternative to the Gamma or Weibull distribution in many cases. The goal of this paper is to find the best reliability function for the shape parameter of the Generalized Exponential Distribution using different methods (classical and Bayes) by using two non–information prior (Jeffery and Modify Jeffery) with different loss functions (squared error and Precautionary). The Reliability is based on the Monte Carlo study to using the simulation of the Reliability study on the performance of these estimations by using the mean square error.
Unveiling the antiglioblastoma potential of harmicens, harmine and ferrocene hybrids
Authors: Poje Goran , Šakić Davor , Marinović Marina , You Jiangyang , Tarpley Michael , Williams Kevin P. , Golub Nikolina , Dernovšek Jaka , Tomašič Tihomir , Bešić Erim , Rajić Zrinka 
Published: November 2024

Abstract
The poor prognosis of glioblastoma multiforme, inadequate treatment options, and growing drug resistance urge the need to find new effective agents. Due to the significant anti-cancer potential of harmicens, hybrid compounds which comprise harmine/β-carboline and ferrocene moiety, we investigated their antiglioblastoma potential in vitro and mechanism of action (inhibition of DYRK1A, Hsp90, anti-oxidative activity). The results have shown that triazole-type harmicens, namely 5, with a ferrocene moiety in C-3 position of the β-carboline ring (IC
50 = 3.7 ± 0.1 µmol L–1, SI = 12.6) and ., the C-6 substituted harmicene (IC
50 = 7.4 ± 0.5 µmol L–1, SI = 5.8) exert remarkable activity and selectivity against human malignant glioblastoma cell line (U251) in vitro. On the other hand, amide-type harmicens 10, 12, and 14 exhibited strong, but non-selective activity, in the low micro-molar range. Mechanistic studies revealed that among active compounds, amide-type harmicens 12 and 14 inhibit DYRK1A and Hsp90 CTD, whereas compound 14 showed pronounced antioxidative activity. Therefore, the antiproliferative activity of harmicens might be a combination of complex molecular interactions.
On the Dirichlet Problem for a Class of Nonlinear Degenerate Elliptic Equations in Weighted Sobolev Spaces
Authors: Cavalheiro Albo Carlos 
Published: November 2024

Abstract
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Perceived Quality of Healthcare Services, a Particular Case - Cardiology
Authors: Neamtu Dragos , Purcarea Victor Lorin 
Published: November 2024

Abstract
This study emphasizes the importance of evaluating and managing quality in the field of healthcare services, especially within cardiology services, where service quality is vital. We focused on an important aspect: measuring patients' perception of service quality.
Materials and Methods: For this study, a randomly selected number of 143 patients who visited the cardiology clinic were chosen. The research methodology involved conducting a quantitative study, with data collected using a questionnaire distributed to patients with cardiovascular diseases who visited our unit. The questionnaire comprised 32 questions.
For data analysis, statistical analysis was performed using IBM SPSS Statistics 25 and Microsoft Office Excel/Word 2021. Additionally, 20 articles from international journals were systematically reviewed to identify factors influencing patient satisfaction and healthcare service quality.The results indicated that patients were satisfied with how staff cared for their needs, being treated respectfully and fairly, without discrimination based on various criteria, and patient rights were respected. Qualitative variables were expressed in absolute terms or as percentages.
Conclusions: According to the study results, the majority of patients reported positive experiences during clinic visits, perceiving service quality to be high.
The Role of the European Union’s Neighbourhood Policy in Developing Cross-Border Cooperation in the Polish-Ukrainian Borderland
Authors: Studzieniecki Tomasz , Szyda Monika , Szelągowska-Rudzka Katarzyna 
Published: November 2024

Abstract
Cross-border cooperation, financially supported by the EU Neighbourhood Policy instruments, is an important factor for the socio-economic development of cross-border areas at the EU’s external borders. This paper is devoted to cross-border cooperation on the Polish-Ukrainian border, which was financed by the Cross-Border Cooperation Program Poland-Belarus-Ukraine 2014–2020, which was one of the programs of the European Neighbourhood Policy. This issue becomes particularly significant in the context of cooperation with Ukraine, which is challenging due to the ongoing conflict in its territory. There is a need to examine existing solutions and propose future directions for cross-border cooperation. The aim of the article was to present evolution and identify the attributes of the European Neighbourhood Policy, which is a key instrument of the development of cross-border cooperation at the EU’s external borders. The second aim was a multidimensional analysis of Polish-Ukrainian cooperation during a period 2014–2020, taking into account the structure of projects, partners and areas of cooperation. The structure of partners was examined and discussed based on their status, sector, and level of activity. The research augmented the current knowledge in the field of cross-border collaboration supported by the European Neighbourhood Policy. The management of cross-border cooperation on the Polish-Ukrainian border can benefit from the study’s practical conclusions.
Coping with Perplexities: How to Make Human Rights Education Sustainable
Authors: Franzenburg Geert 
Published: November 2024

Abstract
On 23 December 1994, the UN General Assembly adopted a plan of action for the United Nations decade for human rights education (HRE). 30 years later, this challenge is still increasing. As Hannah Arendt pointed out, human rights are valuable only as political rights, not for abstract individuals but for natural communities. While HRE in schools and classrooms is in focus, the context of adult education transfers philosophical and political thoughts into an educational context, particularly concerning biographical traumatic situations such as refuge and expulsion. Therefore, this paper presents and explains adult education approaches which facilitate coping strategies with ethical perplexities by evaluating the 30 Articles of the UNO Declaration of Human Rights of 1948.
Priority-based resource allocation in layering LoRaWAN
Authors: Balyan Vipin 
Published: November 2024

Abstract
Network applications for the Internet of Things (IoT) frequently use Long-Range (LoRa) technology. It allows tiny wireless devices to transmit data at low volumes. The idea behind LoRa networks, or Low-Power Wide Area Networks (LPWAN), is to use airborne data transmission from sensors with a transmission range of no more than 10 km. These sensors run on batteries and should not be connected to the electrical grid. Because of the benefits of Long-Range Wide Area Network (LoRaWAN) private networks, users have implemented various services in a single LoRaWAN system to realize a range of intelligent applications. LoRaWAN faces difficulties with multiservice coexistence as the number of applications grows because of insufficient channel resources, disorganized network configuration, and scalability problems. Creating a sensible plan for allocating resources is the best course of action. Nevertheless, current methods are inapplicable to LoRaWAN systems that support several services with varying criticalities. To coordinate multiservice networks, we therefore suggest a priority-based spreading factor (SF) allocation delay monitoring layered (DML) resource allocation scheme. The three primary categories of LoRaWAN application services—monitoring, control, and safety—are outlined in this paper. The suggested prioirty based resource allocation (PB-RA) scheme distributes SFs to end devices according to the highest priority parameter, taking into account the varying criticalities of these services. This increases throughput, lowers energy consumption, and increases packet delivery rate (PDR). The main advantage associated with using it is that priority is given to applications that require safety without introducing latency in other applications.