bluuebunny/crossref_metadata_2025_split huggingface dataset:
Socioecological drivers of burnout – a mixed methods study of military health providers
Authors: Olapeju Bolanle , Dong Ting , Soh Michael , Mushtaq Omar , Chang Hanna , Riegleman David , Hemmer Paul A. , Schwab Stephen D. , Shanahan Patrice , Johnson-Boua Kimberly , Durning Steven J. 
Published: November 2024

IntroductionHealth provider burnout is highly prevalent (28–51%) in the US and may contribute to a projected national health provider shortage by 2030. The Socioecological Model (SEM) is a proven conceptual framework used to identify influencing factors and design relevant solutions to improve health outcomes across multiple ecological levels. This study applied the SEM to identify modifiable drivers and solutions of burnout across multiple levels among US Military health providers.MethodsWe conducted a cross-sectional mixed methods study using an online survey (N = 129) and in-depth interviews (N = 25) of active duty military health providers. Our primary quantitative outcome was self-reported definite, unrelenting, or complete burnout. Our quantitative analysis included chi-square tests of association and bootstrapped multivariable logistic regressions to explore SEM-informed correlates of burnout, controlling for contextual variables. Our qualitative data explored providers individual experience with workplace stress and burnout, providing details on factors influencing burnout at the individual, interpersonal, organizational and military levels. The qualitative data was systematically coded and analyzed using grounded theory.ResultsAbout two-thirds (63%) of surveyed providers self-reported burnout. Individual-level factors significantly associated with burnout included a positive coping style (AOR = 0.21; 95% CI: 0.08–0.56), perceived control over workload (AOR = 0.17; 95% CI: 0.04–0.66), and satisfaction with the current job (AOR = 0.11; 95% CI: 0.03–0.39). At the organizational level, providers described as overworked (AOR = 10.58; 95% CI: 3.30–33.91) or in hectic or chaotic primary work areas (AOR = 7.54; 95% CI: 2.33–24.38) had higher rates of burnout. At the military level, providers who were happy with their career path and promotion plan (AOR = 0.16; 95% CI: 0.06–0.44) reported lower rates of burnout. The organizational level had the highest cumulative impact of modifiable factors on burnout (AOR: 0.15; 95% CI: 0.06, 0.36). Qualitative interviews corroborated survey findings and highlighted the individual level manifestations of burnout, the role of interpersonal support as mitigators of burnout and the complexity of governmental and military policies impacting provider wellness.DiscussionIdentified factors influencing burnout at various levels may inform potential data-driven interventions to ensure a functional and vibrant US Military health. Data-driven strategies may include opportunities to balance work demands with resources and ability to cope as well as improve positive coping skills, attitudes and experiences related to work.
Association of hemoglobin levels with cause-specific and all-cause mortality among older adults: a prospective cohort study
Authors: Ni Wenqing , Yuan Xueli , Zhang Yan , Zhang Hongmin , Zheng Yijing , Xu Jian 
Published: November 2024

BackgroundHemoglobin (Hb) optimal levels is clinically and biologically heterogeneous, data of older adults was not available.MethodsWe used data of participants enrolled in Shenzhen Healthy Ageing Research, in which the baseline Hb was measured in 223,407 older adults aged 65 or older to evaluation of Hb optimal levels. The vital status of the participants by 31 December, 2021 was determined. We estimated the hazard ratios with 95% confidence intervals for all-cause or cause-specific mortality using multivariable Cox proportional hazards models, and Cox models with restricted cubic spline (RCS) was used for all-cause mortality.ResultsOverall, 6,722 deaths occurred during a mean follow-up of 3.01 years from 2018 to 2021. The risk for all-cause and cause-specific mortality was significantly lower in males with Hb levels of ≥14.0 g/dL. The Hb range in which the lowest hazard ratios for the female all-cause or cardiovascular disease mortality were observed in our study was 12.0–14.9 g/dL and 11.0–14.9 g/dL, respectively. For the female participants observed higher Hb levels were significantly associated with lower risk of cancer-cause mortality (≥12.0 g/dL) or other-cause mortality (≥11.0 g/dL). The results from RCS curve showed similar results.ConclusionConsidering the risk of mortality, we recommended ≥14.0 g/dL and 12–14.9 g/dL as the optimal range of Hb among Chinese male and female older adults, respectively.
Assessing the impact of 24-hour activity behaviors on cardiorespiratory fitness in the older adult: a component analysis approach
Authors: Lu Donglei , Zhang Wenyu , Tan Sijie 
Published: November 2024

BackgroundCardiorespiratory fitness (CRF) serves as a critical measure of the cardiovascular system’s efficiency in delivering oxygenated blood to tissues and organs. Understanding the relationship between various activity behaviors and CRF is essential for devising effective health interventions for the older adult population.ObjectiveThis study aimed to investigate the association between 24-h activity behaviors and CRF in older adult individuals, utilizing compositional data analysis.MethodsWe utilized baseline data from the “Fifth National Physical Fitness Monitoring Cohort Study in Tianjin, China,” which included 540 older adult participants. Physical activity and sedentary behavior were objectively measured using a three-dimensional accelerometer, and CRF was assessed via a gas metabolism analyzer. Compositional data analysis was employed to examine the relationships between 24-h activity behaviors—specifically, moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), sedentary behavior (SB), and sleep (SLP)—and CRF.ResultsThe analysis demonstrated that MVPA was significantly positively associated with CRF (βMVPA = 5.36, p &lt; 0.01), whereas SB was significantly negatively associated (βSB = −3.97, p &lt; 0.01). No significant associations were observed for LPA and SLP with CRF. The isochronous substitution model revealed that reallocating 15 min of MVPA to SB, LPA, or SLP significantly decreased CRF by 0.31, 0.27, and 0.23 mL/kg/min, respectively. Conversely, substituting 15 min of SB, LPA, or SLP with MVPA resulted in increases in CRF by 0.29, 0.22, and 0.17 mL/kg/min, respectively. Additionally, replacing SB with LPA or SLP led to improvements in CRF, though these changes were not significant, underscoring the potential benefits of reducing sedentary time and enhancing physical activity levels.ConclusionThese findings underscore the critical role of increasing MVPA and reducing SB in improving CRF among the older adult. This study provides a robust scientific foundation for health promotion and intervention strategies targeting older adults. Comprehensive modifications to daily activity patterns are imperative for optimizing cardiovascular health in this population.
Influence of Baduanjin on cardiopulmonary function in long-term practitioners and beginners
Authors: Shi Mengni , Wu Zhiwei , Zhou Xin , Fang Min , Zhu Qingguang 
Published: November 2024

ObjectiveBaduanjin, a traditional Chinese exercise for health enhancement and chronic disease prevention, has been practiced for millennia. However, studies on the exercise intensity of Baduanjin are limited. Most existing studies focus on its general health benefits rather than quantifying its specific intensity levels. This study aims to measure and compare the exercise intensity indices of long-term Baduanjin practitioners and beginners, providing insights into its mechanisms for disease prevention and treatment and supporting the scientific formulation of clinical exercise prescriptions.MethodsTwenty healthy adults aged 35–45 years old and the mean BMI was 24.45 were recruited and divided into a beginner group (A group, no prior practice, 10 participants) and a skilled group (B group, practice duration ≥3 years, 10 participants). The Italian Cosmed/K5 wireless portable cardiopulmonary testing system was used to measure indicators during the practice.ResultsWithin-group analysis revealed statistically significant differences in oxygen consumption (VO2), oxygen consumption per kilogram of body weight (VO2/kg), metabolic equivalent (METs), heart rate (HR), oxygen pulse (VO2/HR), respiratory rate (RR), and minute ventilation (VE) between exercise and resting states in both the B and A groups (P &lt; 0.001). In between-group comparisons, resting HR was significantly lower in the B group compared to the A group (P &lt; 0.01). During Baduanjin practice, significant between-group differences were found in METs, HR (P &lt; 0.01), and RR (P &lt; 0.05), with the A group exhibiting higher values for METs, HR, and RR than the B group.ConclusionBaduanjin positively impacts cardiovascular function and exercise performance, with long-term practitioners showing significantly better cardiovascular recovery and overall function.
Efektifitas Pelaksanaan Aplikasi Sistem Informasi Administrasi Online Masyarakat Palembang (Sidemang) di Kelurahan Oganbaru Kecamatan Kertapati Kota Palembang
Authors: Anggraini Fitri , Sunarto Sunarto , Wulandari Novita 
Published: November 2024

This article or writing aims to effectively implement the Palembang Community Online Administration Information System Application (Sidemang) in Oganbaru Village, Kertapati District, Palembang City. The problem focuses on analyzing the level of effectiveness of implementing the Sidemang application in Oganbaru Village, Kertapati District, Palembang City as well as analyzing the supporting and inhibiting factors in using the Sidemang application. Data was collected through interviews, observations and documents related to research and analyzed qualitatively. This study concludes that the implementation of the Sidemang application in Oganbaru Village, Kertapati District, Palembang City has proven effective in producing more efficient and faster services. People are satisfied with the ease of submitting applications from home without having to come to the office. Village officials were able to adapt well to this technology. However, the continuity of this application depends on strong support from the authorities and the community. Supporting factors include telecommunications infrastructure, availability of funds, and human resources. Challenges such as unstable internet networks and paradigm changes remain obstacles that need to be overcome.
Kualitas Pelayanan Administrasi Terpadu Kecamatan (PATEN) di Kantor Camat Cambai Kota Prabumulih
Authors: Trianza Deni , Sunarto Sunarto , Wulandari Novita 
Published: November 2024

This article or writing aims to describe and analyze the Quality of District Integrated Administrative Services (PATEN) at the Cambai City Prabumulih Office, as well as identifying supporting and inhibiting factors for the Quality of District Integrated Administrative Services (PATEN) at the Cambai City Prabumulih Office. Data was collected through observation, interviews and documentation and analyzed qualitatively. This study shows that public perceptions of the quality of population administration services in Sukaraja Village, Cambai District, Prabumulih City vary. Most respondents rated the service as “good” (47.70%), “very good” (33.8%), or “fairly good” (18%), while 0.50% rated it as “not good”. Factors that influence service quality include tangible dimensions (facilities and infrastructure), reliability (accuracy and trust), empathy (understanding), and responsiveness (speed and thoroughness). These findings provide insight into the public's assessment of services and the influencing factors.
Evaluasi Kinerja Pegawai Pada Badan Kepegawaian Dan Pengembangan Sumberdaya Manusia Kota Palembang
Authors: Bilqisti Bilqisti , Maulana Maulana , Sunarto Sunarto 
Published: November 2024

Artikel atau tulisan ini bertujuan untuk menganalisis evaluasi kinerja pegawai di BKPSDM Kota Palembang serta faktor-faktor yang mendukung dan menghambat kinerja tersebut. Data-data dikumpulkan melalui Observasi, Wawancara, studi dokumentasi dan dianalisis secara kualitatif. Kajian ini menyimpulkan bahwa Evaluasi kinerja pegawai di BKPSDM Kota Palembang dengan model CIPP menunjukkan kemajuan meski ada tantangan. Faktor pendukung meliputi perencanaan yang baik, dukungan hukum, serta sumber daya manusia dan sarana yang memadai. Namun, kendala proses dan dampak pandemi menjadi tantangan signifikan. Laporan kinerja mencerminkan kemajuan, meski tidak semua sasaran tercapai. Untuk perbaikan di masa depan, perlu pemberdayaan pegawai, pembinaan, dan pengembangan sistem informasi kepegawaian. BKPSDM perlu terus memperkuat dukungan dalam konteks, input, dan produk sambil mengatasi kendala proses untuk meningkatkan hasil, kualitas pelayanan, dan pencapaian visi dan misinya.
Centennials Perspective: Exploring Gender Differences on Consumer Online Behavior
Authors: Wardhanie Ayouvi Poerna 
Published: November 2024

To conduct the survey, 124 respondents who are between the ages of 18 and 25 and who are Dinamika University students in Surabaya and have made online purchases in the past three months were given questionnaires. A questionnaire and field observations served as the data-gathering tool for this non-test. Descriptive statistics were used to assess the acquired data using graphs and percentage computations. The findings of this study indicate that utilizing smartphones and E-money as an option of payment while purchasing on the Marketplace is more convenient for both sexes. Women are more likely to be exposed to commercials, enjoy seeing bargains, and frequently go shopping for necessities. So as to conduct the survey, questionnaires were distributed to 124 respondents from students at Universitas Dinamika in the Indonesian city of Surabaya in East Java Province. The respondents are between the ages of 18 and 25, and who have made purchases online during the last three months. Field observations and a questionnaire were used to collect data for this non-test. Graphs and percentage calculations were employed to evaluate the collected data using descriptive statistics. According to the study's findings, both sexes find it easier to pay using smartphones and e-money while making purchases on the marketplace. Men always do their research before making an online purchase, but women are more likely to see ads, enjoy buying necessities, and enjoy finding offers. They look for product returns due to incorrect shapes and colors, read reviews, and apply brand category filters.
Образ России в рекламной продукции компании «Зингер и Ко» для Российской империи
Authors: М.В. Лескинен 
Published: November 2024

В статье рассмотрены визуальные формы рекламы компании «Зингер и Ко» в Российской империи (1900-е – 1914 гг.) в контексте истории формирования образов и представлений о русскости (национальный и исторический костюм, феминная персонификация России). Впервые осуществлено выявление различий образов с логотипами «Зингер», не принадлежащих художнику В.А.Табурину, хотя часто приписываемых ему. На основании сравнения различных видов рекламной продукции (плакаты, постеры, открытки) с главной рекламной афишей, выполненной Табуриным, реконструированы основные особенности репрезентации национального в этих изображениях. Приводится аргументация гипотезы о том, что в женских образах рекламы Зингера был представлен аллегорический образ России, выполненный на основе сложившихся в культуре визуальных стереотипов.
The article examines the advertising of the American “Singer&Co.” in the Russian Empire (1900s – 1914) and its visual strategy in the context of the formation concepts and images of Russianness (national and historical dress, feminine personification of Russia). The differences of Russian images on Singer’ logos that did not belong to Taburin, were identified for the first time. Based on a comparison of various types of advertising products (posters, postcards, labels, forms, calendars etc.) with the main poster for Russian consumers made by artist Vladimir A. Taburin, the main features of the national representation feminine images are reconstructed. The argument is given for the hypothesis that an allegorical image of Russia was presented in the Singer’s female images, and it was based on visual stereotypes of Russianness.
Анализ статистических данных стратегически важных укрупненных направлений обрабатывающих производств
Authors: А.П. Яркин , Т.А. Комкина 
Published: November 2024

В работе проведен анализ статистических данных наиболее стратегически важных укрупненных направлений обрабатывающих производств, рассмотрены риски, характеризующиеся нацеленностью на развитие сырьевого сектора и сектора услуг при резком сокращении обрабатывающих производств. Ключевые слова: риски, импорт, экспорт, обрабатывающее производство, товарные рынки.
The paper analyzes the statistical data of the most strategically important enlarged areas of manufacturing, the risks are considered, characterized by a focus on the development of the raw materials sector and the services sector with a sharp reduction in manufacturing.
Анализ тенденций развития медицинских экзоскелетов
Authors: Т.А. Комкина 
Published: November 2024

В работе проведено исследование тенденций развития медицинских экзоскелетов на основе анализа изменения их технико-экономических характеристик. Также проведен анализ данных для оценки мирового рынка роботизированных бионических костюмов. Интерес к данному виду высокотехнологичной медицинской робототехники возрос в последние годы в связи с увеличением числа людей с ограниченными физическими возможностями, особенно пожилого возраста.
The study of trends in the development of medical exoskeletons based on the analysis of changes in their technical and economic characteristics. We also analyzed the data to assess the global market for robotic bionic suits. Interest in this type of high-tech medical robotics has increased in recent years due to the increase in the number of people with disabilities, especially the elderly.
Занятость молодежи по видам экономической деятельности
Authors: А.М. Нанавян , А.А. Тимофеев 
Published: November 2024

В работе проанализированы проблемы занятости молодежи, в том числе и по видам экономической деятельности. Отмечается сокращение численности рабочей силы и занятых в возрасте от 15 до 29 лет. Анализ состава занятой молодежи по видам экономической деятельности показал, что большинство работают в сфере услуг. Представлена модель взаимосвязи численности занятых в возрасте от 15 до 29 лет и количества предприятий торговли.
The work analyzed the problems of youth employment, including by type of economic activity. There is a decrease in the number of workers and employees aged 15 to 29 years. An analysis of the composition of employed youth by type of economic activity showed that the majority work in the service sector. A model of the relationship between the number of employees aged 15 to 29 and the number of trade enterprises is presented.
Анализ показателей анамнеза, течения предыдущих беременностей и родов у женщин группы высокого риска по несостоятельности рубца матки
Authors: И.В. Быховцова , Т.П. Ващилина 
Published: November 2024

Проведен анализ данных анамнеза, течения беременности и родов у 90 женщин, родоразрешенных в РНПЦ «Мать и дитя» в 2011–2022 гг. По результатам проведенного исследования выявлены показатели анамнеза, течения предыдущих беременностей и родов, способствующие формированию несостоятельности послеоперационного рубца матки во время беременности у женщин группы риска: соматические заболевания женщины (инсулинзависимый сахарный диабет, заболевания сердечно-сосудистой системы), осложненный акушерско- гинекологический анамнез (эрозия шейки матки, медицинские аборты), наличие осложнений беременности в 37 недель и более (многоводие инфекционного генеза, кольпит, инфекция мочевыводящих путей) и родов (патологическое окрашивание околоплодных вод при наличии установленной инфекции, безводный период более 6 часов), срок беременности при родоразрешении менее 39 недель (р<0,05).
An analysis was carried out of the anamnesis data, the course of pregnancy and childbirth in 90 women who gave birth at the Republican Scientific and Practical Center "Mother and Child" in 2011–2022. Based on the results of the study, indicators of the anamnesis, the course of previous pregnancies and childbirth were identified that contribute to the formation of incompetent postoperative uterine scar during pregnancy in women at risk: somatic diseases of the woman (insulin-dependent diabetes mellitus, diseases of the cardiovascular system), complicated obstetric and gynecological history (cervical erosion uterus, medical abortions), the presence of complications of pregnancy at 37 weeks or more (hydramnios of infectious origin, colpitis, urinary tract infection) and childbirth (pathological staining of amniotic fluid in the presence of an established infection, anhydrous period of more than 6 hours), gestational age at delivery of less than 39 weeks (p<0.05).
Пролапс тазовых органов – пандемия настоящего и будущего. Пути решения проблемы
Authors: А.В. Казакова , Л.Т. Волова , О.Н. Головина , Е.С. Каторкина , А.Р. Шамшатдинова 
Published: November 2024

В статье рассматриваются достоинства и недостатки уже применяемых методик оперативного вмешательства при пролапсе тазовых органов (ПТО). На основании проведенного анализа литературных данных сделан вывод, что используемые методы коррекции ПТО эффективны, однако их применение сопряжено с наличием различных послеоперационных осложнений и рисками рецидивов. В связи с этим существует острая необходимость в поиске и модификации методик хирургического лечения ПТО с эффективной коррекцией миофасциального компонента его патогенеза.
The article discusses the advantages and disadvantages of already applied methods of surgical regulation of pelvic organ prolapse (POP). Based on the analysis of literature data, it was concluded that the methods used for correction of POP are effective, but their use is associated with the presence of various postoperative procedures and the risks of relapse. In this regard, there is an urgent need to find and modify methods of surgical treatment of POP with effective correction of the myofascial component of its pathogenesis.
Современный подход к профилактике и лечению респираторного дистресс-синдрома у новорожденных
Authors: Ю.А. Устинович , И.В. Ломская 
Published: November 2024

Оказание высококвалифицированной медицинской помощи недоношенным новорожденным является очень сложным и дорогостоящим процессом, результатом слаженной, скоординированной и последовательной работы большой команды специалистов. В марте 2023 г. была опубликована 6-я редакция «Европейских рекомендаций по ведению респираторного дистресс-синдрома» (European Guidelines for the Management of RDS). Авторы собрали и критически проанализировали все доступные новые данные литературы, опубликованные до конца 2022 г. В данном обзоре представлены ключевые моменты этих рекомендаций с адаптацией к системе перинатальной помощи Республики Беларусь и некоторыми комментариями, а также перспективами.
Providing highly qualified medical care to premature newborns is a very complex and expensive process, the result of the well-coordinated and consistent work of a large team of specialists. This is the only way to achieve success. In March 2023, the 6th edition of the European Guidelines for the Management of RDS was published. The authors collected and critically analyzed all available new literature data published up to the end of 2022. This review presents the key points of these recommendations with adaptation to the perinatal care system of the Republic of Belarus and some comments, as well as prospects.