bluuebunny/crossref_metadata_2025_split huggingface dataset:
Undernutrition and associated factors among school-age children in Wolaita Zone, South Ethiopia: a comparative cross-sectional study
Authors: Meskele Dereje Kutafo , Abiso Temesgen Lera , Belete Tinsae Bekele , Koyira Mengistu Meskele , Dake Samson Kastro 
Published: September 2024

BackgroundNutritional deficiencies in school-age children are a public health concern, especially in resource-limited countries. A school feeding program involves the provision of food on-site or taken home to reduce hunger. It is implemented in several developing nations; however, little is known about the association of school feeding programs with the nutritional status of school-age children in the study area.ObjectivesThe study aimed to determine the magnitudes and associated factors of undernutrition among school-age children with school feeding programs (SFPs) and non-school feeding programs (N-SFPs) in Kindo Didaye woreda, South Ethiopia.MethodsA school-based comparative cross-sectional study was conducted in Kindo Didaye district from May to June 2023. A total of 612 participants were included in the study. The data were collected from each selected student's parents by using a structured interviewer-administered questionnaire. The weight and height of the children were measured, and a household dietary diversity assessment was conducted. The data were analyzed using SPSS version 25. A binary logistic regression analysis was carried out. A p-value of &lt;0.05 and 95% confidence interval (CI) were used to establish a statistically significant association.ResultsThe magnitude of undernutrition among the school-age children was 38.9%: 43.3% in the children from the SFP schools and 34.5% in the children from the N-SFP schools. Stunting was 24.1% among the children in the schools with SFPs and 16% among the children in the N-SFP schools, whereas thinness was 33.8% among the children in the SFP schools and 25.6% among the children in the N-SFP schools. The children who were in the older age group [adjusted odds ratio (AOR) = 4.4, 95%CI; 2.22–8.85], consumed less than three meals per day at home (AOR = 6.03; 95%CI 3.9–9.3), and did not eat breakfast at all before going to school (AOR = 3.5; 95%CI 1.15–10.76) were more likely to become undernourished. The children whose fathers received secondary and above education (AOR = 0.52; 95% CI (0.27–0.971) had lower odds of becoming underweight.ConclusionThe magnitude of undernutrition was high in the current study. Existing interventions that work to improve the nutritional status of school-age children should be strengthened. Children should consume any type of food as breakfast at home before going to school regardless of the presence of school feeding programs and at least three times a day.
Ultrasound-based radiomics nomogram for predicting HER2-low expression breast cancer
Authors: Zhang Xueling , Wu Shaoyou , Zu Xiao , Li Xiaojing , Zhang Qing , Ren Yongzhen , Qian Xiaoqin , Tong Shan , Li Hongbo 
Published: September 2024

PurposeAccurate preoperative identification of Human epidermal growth factor receptor 2 (HER2) low expression breast cancer (BC) is critical for clinical decision-making. Our aim was to use machine learning methods to develop and validate an ultrasound-based radiomics nomogram for predicting HER2-low expression in BC.MethodsIn this retrospective study, 222 patients (108 HER2-0 expression and 114 HER2-low expression) with BC were included. The enrolled patients were randomly divided into a training cohort and a test cohort with a ratio of 8:2. The tumor region of interest was manually delineated from ultrasound image, and radiomics features were subsequently extracted. The features underwent dimension reduction using the least absolute shrinkage and selection operator (LASSO) algorithm, and rad-score were calculated. Five machine learning algorithms were applied for training, and the algorithm demonstrating the best performance was selected to construct a radiomics (USR) model. Clinical risk factors were integrated with rad-score to construct the prediction model, and a nomogram was plotted. The performance of the nomogram was assessed using receiver operating characteristic curve and decision curve analysis.ResultsA total of 480 radiomics features were extracted, out of which 11 were screened out. The majority of the extracted features were wavelet features. Subsequently, the USR model was established, and rad-scores were computed. The nomogram, incorporating rad-score, tumor shape, border, and microcalcification, achieved the best performance in both the training cohort (AUC 0.89; 95%CI 0.836-0.936) and the test cohort (AUC 0.84; 95%CI 0.722-0.958), outperforming both the USR model and clinical model. The calibration curves showed satisfactory consistency, and DCA confirmed the clinical utility of the nomogram.ConclusionThe nomogram model based on ultrasound radiomics exhibited high prediction value for HER2-low BC.
The association between nutritional status measured by body mass index and outcomes in the pediatric intensive care unit
Authors: Pournasiri Zahra , Bakhtiary Mahsa , Nikparast Ali , Hashemi Seyedeh Masumeh , Narjes Ahmadizadeh Seyyedeh , Behzad Azita , Asghari Golaleh 
Published: September 2024

Aim/IntroductionThe relationship between nutritional status upon admission to a pediatric intensive care unit (PICU) and clinical outcomes remains unclear. We examined the relationship between nutrition status, as indicated by body mass index-for-age (BMI-for-age), and clinical outcomes in the PICU.MethodIn this retrospective study at a tertiary care center, records of 1,015 critically ill children and adolescents aged one month to 18 years old with available anthropometric parameters were included. The nutritional status upon admission was determined by calculating the BMI-for-age z-score using the WHO growth charts as the reference. The participants were categorized as underweight (BMI-for-age z-score &lt; −2), normal weight (−2 ≤ BMI-for-age z-score ≤ +1), and overweight/obese (BMI-for-age z-score &gt; +1). Multi-variate odds ratios (OR) with 95% confidence intervals (CI) were used to investigate the association between malnutrition (being underweight and overweight/obese) and odds of Prolonged PICU stay (≥7 days) and PICU mortality after controlling for descriptive characteristics, Glasgow Coma Scale score status, fluctuations in serum sodium, and acute kidney injury confounders.ResultsThe proportions of patients in underweight, normal weight, and overweight/obese categories were 34.2%, 45.8%, and 20%, respectively. During the study period, 21.5% of patients had prolonged PICU stay, and 5.6% of patients in PICU died. Compared to normal-weight patients, underweight patients had higher odds of prolonged PICU stay (OR: 1.52; 95% CI: 1.05–2.22) and PICU mortality (OR: 2.12; 95% CI: 1.22–4.01). Age- and gender-stratified full-adjusted analysis showed that the increased odds of prolonged PICU stay remained significant among underweight boys and underweight individuals aged 5–19 years old. Furthermore, the increased odds of PICU mortality remained significant among underweight individuals aged 2–5 years old. However, being overweight or obese during PICU admission did not demonstrate a significant association with our outcomes in the total sample or subgroup analysis.ConclusionOur findings showed that PICU patients who were underweight had higher odds of prolonged PICU stay and PICU mortality than their normal-weight counterparts. This underscores the importance of closely monitoring underweight patients in the PICU upon admission in order to improve clinical outcomes.
Metabolomics and quantitative analysis to determine differences in the geographical origins and species of Chinese dragon’s blood
Authors: Sun Xiuting , Huang Qing , Wu Mingsong , He Liu , Zhao Xiangsheng , Yang Xinquan 
Published: September 2024

ObjectiveThe aim of this study was to comprehensively analyze the differences in Chinese dragon’s blood (CDB), specifically Dracaena cochinchinensis and Dracaena cambodiana, from different geographical origins.MethodsMetabolomic analysis of CDB was performed by liquid chromatography-tandem mass spectrometry (LC–MS/MS). A reliable ultrahigh-performance liquid chromatography method with a photodiode array detector (UHPLC-PDA) was developed and applied for the quantitative analysis of 12 phenolic compounds in 51 batches of samples.ResultsA total of 1394 metabolites were detected, of which 467 were identified as differentially accumulated metabolites. Multivariate analysis revealed that both origin and species had an effect on the composition of CDB, with greater variation between species. 19 phenolic compounds were selected as quality markers to distinguish D. cochinchinensis (Hdsp) from D. cambodiana (Hdca), and oppositin and spinoflavanone a were identified as quality markers to discriminate D. cochinchinensis samples from Hainan (Hdsp) and Guangxi Provinces (Gdc). Quantitative analysis indicated that four phenolic compounds, including loureirin D, 4H-1-benzopyran-4-one,2,3-dihydro-3,5,7-trihydroxy-3-[(4-methoxyphenyl)methyl]-,(R)-, loureirin B, and pterostilbene, showed significant differences between Gdc and Hdsp. Additionally, five phenolic compounds, namely resveratrol, loureirin D, pinostilbene, 4H-1-benzopyran-4-one,2,3-dihydro-3,5,7-trihydroxy-3-[(4-methoxyphenyl)methyl]-, (R)-, and loureirin B, exhibited significant differences between Hdsp and Hdca.ConclusionThere are significant differences in the quality of CDB from different geographical origins and species, which lays the foundation for the in-depth development and utilization of different sources of CDB.
The influence of positivity and self-efficacy beliefs on family functioning among young adults in Italy and Colombia
Authors: Baiocco Roberto , Pistella Jessica , Gomez Plata Maryluz , Morelli Mara , Isolani Stefano , Zapata Zabala Maryoris Elena , Cabas Hoyos Kattia Paola , Uribe Tirado Liliana Maria , Ruiz Garcia Marcela Sucel , Barbosa Carmelina Paba , Zuffiano Antonio , Gerbino Maria , Laghi Fiorenzo , Pastorelli Concetta 
Published: September 2024

BackgroundResearch suggests that positivity and self-efficacy beliefs may impact adaptive behavior and developmental outcomes, such as social adjustment and subjective wellbeing. The present study explored the effect of positive dimensions (positivity and self-efficacy beliefs) and individual characteristics (gender, type of country, age, and sexual orientation) on family cohesion and flexibility in a group of Colombian and Italian young adults.MethodAn online survey was administered to 949 Colombian and 2,073 Italian people aged between 18 and 40 years (Mage = 24.3; SDage = 4.5; 67% women). A mediational model was performed to test the influence of positivity on family functioning via the mediational role of self-efficacy beliefs, analyzing the moderated effects of gender, type of country, sexual orientation, and age.ResultsFilial self-efficacy mediated the effect of positivity on family functioning, showing stronger paths in men and Colombian participants than in women and Italian counterparts. Regulatory self-efficacy mediated the associations between positivity and family functioning for both genders and types of countries.ConclusionThe results suggest that positivity and self-efficacy beliefs may allow families to engage in more adaptive family functioning across countries and genders. Further research should focus on implications from a cross-national perspective to examine other culture-specific factors that may impact family adjustment.
Development and validation of the Japanese version of the Auckland individualism and collectivism scale: relationship between individualism/collectivism and mental health
Authors: Noda Shota , Okawa Sho , Kasch Chantal , Vogelbacher Christoph , Lindsay Cameron E. , Nishiuchi Motohiro , Kobayashi Maaya , Hofmann Stefan G. 
Published: September 2024

BackgroundThis study developed the Japanese version of the Auckland Individualism and Collectivism Scale (J-AICS), examined its reliability and validity, and explored the associations between its factors (compete, unique, responsibility, advice, and harmony) along with variables related to mental health in the Japanese population.MethodsWe recruited 476 Japanese participants from the general population. Participants completed the J-AICS along with questionnaires pertaining to culture and mental health.ResultsConfirmatory factor analysis indicated the correlated five-factor model showed a good fit to the data. The Cronbach’s α and McDonald’s ω coefficients were high for the individualism, collectivism, compete, unique, and advice factors, but low for the responsibility and harmony factors. Convergent validity was supported by significant relationships between culture-related variables. A one-way analysis of variance revealed the low individualism/collectivism cluster had higher loneliness and lower satisfaction with life than the high individualism and collectivism clusters. The multiple regression analyses showed that the responsibility factor was significantly and negatively associated with mental health concerning anxiety and depressive symptoms, loneliness, and satisfaction with life. In addition, the harmony factor was significantly and positively associated with the mental health.ConclusionThese findings demonstrate sufficient validity of the J-AICS; however, reliability was insufficient for responsibility and harmony. Further, responsibility was positively associated with mental health and harmony was negatively associated with mental health.
Prevalence and disparities in receiving medical advice to quit tobacco use in the US adult population
Authors: Chandra Monalisa , Talluri Rajesh , Fokom Domgue Joel , Shete Sanjay 
Published: September 2024

IntroductionEvidence suggests that advice from health care professionals (HCP) increases the likelihood of quit attempts and successful quitting of tobacco use. However, previous studies primarily focussed on cigarette smoking and did not include all forms of tobacco products. This study aimed to investigate the prevalence and disparities in receiving HCP’s advice to quit tobacco use (combustible or noncombustible) in the US adult population.MethodsUsing the 2022 National Health Information Survey (NHIS) data, we examined 4,424 adults who reported (i) any tobacco product use within the past 12 months and (ii) having seen an HCP within the past 12 months. The outcome variable included the receipt of advice to quit tobacco use from an HCP, and predictors included sociodemographic variables. Weighted prevalence estimates were calculated, and multivariable regression analyses were conducted.ResultsOver 38% of tobacco users who visited an HCP were advised to quit. The odds of receiving such advice were lower among Hispanics (AOR: 0.625; 95% confidence interval (CI) [0.464–0.843];p = 0.002), males (AOR: 0.767; 95% CI [0.659–0.893], p = 0.001), those above the poverty level (AOR: 0.795; 95% CI [0.641–0.987];p = 0.037), foreign-born (AOR: 0.664; 95% CI [0.496–0.888]; p = 0.006), those with a bachelor’s degree or higher educational level (AOR: 0.477; 95% CI [0.349–0.653]; p &lt; 0.001) and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344–0.473]; p &lt; 0.001).ConclusionThe prevalence of receiving HCP’s advice to quit tobacco use remains suboptimal and disparate among sociodemographic groups. Our findings call for strategic implementation of the USPHS’s recommendation on treating tobacco use and taking further actions to equip HCPs with the training and resources needed to provide appropriate advice to quit tobacco.
Smoking cessation assistance among pneumologists and thoracic surgeons in Switzerland: a national survey
Authors: Minervini Fabrizio , Kestenholz Peter , Rassouli Frank , Pohle Susanne , Mayer Nora 
Published: September 2024

ObjectiveSmoking, with a prevalence of about 25%–30% in Switzerland, is proven to cause major systemic, avoidable diseases including lung cancer, increasing societies morbidity and mortality. Diverse strong quitting smoking recommendations have been made available providing advice facilitating smoking cessation globally. In other European countries like Germany, clinical practice guidelines for smoking cessation services have been implemented. However, in Switzerland, there is still no national consensus on a comprehensive smoking cessation program for lung cancer patients nor on the adequate provider. Our primary aim was to assess the current status of smoking cessation practice among specialists, mainly involved in lung cancer care, in Switzerland in order to uncover potential shortcomings.Material and methodsA self-designed 14-items questionnaire, which was reviewed and approved by our working group consisting of pneumologists and thoracic surgeons, on demographics of the participants, the status of smoking cessation in Switzerland and specialists' opinion on smoking cessation was sent to thoracic surgeons and pneumologists between January 2024 and March 2024 via the commercially available platform www.surveymonkey.com. Data was collected and analysed with descriptive statistics.ResultsSurvey response rate was 22.25%. Smoking cessation was felt to positively affect long term survival and perioperative outcome in lung cancer surgery. While 33 (37.08%) physicians were offering smoking cessation themselves usually and always (35.96%), only 12 (13.48%) were always referring their patients for smoking cessation. Patient willingness was clearly identified as main factor for failure of cessation programs by 63 respondents (70.79%). Pneumologists were deemed to be the most adequate specialist to offer smoking cessation (49.44%) in a combination of specialist counselling combined with pharmaceutic support (80.90%).ConclusionThe development of Swiss national guidelines for smoking cessation and the implementation of cessation counselling in standardized lung cancer care pathways is warranted in Switzerland to improve long-term survival and perioperative outcome of lung cancer patients.
Workplace happiness in architectural companies in the city of Valencia: a gender comparison
Authors: Rodríguez-Leudo Ana Lucía , Navarro-Astor Elena 
Published: September 2024

IntroductionHow to make work life increasingly meaningful and ensuring that business actions aim at improving quality of life is a trending topic. Yet, it has not often been studied within architectural firms, that play a crucial role in achieving sustainable development goals, especially those related to equity, equality, and the creation of pleasant work environments. This study aims to identify whether there are gender differences in the perception and levels of workplace happiness of individuals working within architectural companies in Valencia (Spain).MethodsA mixed methodology based on qualitative and quantitative data has been applied with a sample of 201 workers from 60 practices.ResultsParticipants perceive themselves as flourishing and quite happy at work. Yet, there are gender differences in the factors that motivate workplace happiness. While women prioritize the work environment, their colleagues and teams, men point out to career development. Thus, recognition, appreciation, feeling valued and goals and achievements are among the main drivers of men’s workplace happiness. In addition, women tend to experience negative emotions such as anxiety, anger, or sadness more frequently than men. Given these results, architectural companies face a considerable challenge.DiscussionThe research examines the relationship between workplace happiness and social sustainability in architectural firms, highlighting the importance of human capital for competitiveness. To promote sustainability and well-being at work, it is crucial to understand how organizational decisions impact employee well-being and to know the differences in perceptions of workplace happiness between men and women. This analysis may be of interest to the architectural firms object of this research.
Korelasi antara perhatian orang tua dan disiplin belajar terhadap motivasi belajar matematika mahasiswa
Authors: Fitriani Fitriani , Elisa Elisa , Rossiah Rossiah , Lubis Rahmat Sholih 
Published: September 2024

This study investigates the correlation between parental attention and study discipline with students' motivation to learn mathematics. The research employs a descriptive quantitative approach, utilizing path analysis, which includes correlation analysis followed by regression analysis. The results reveal a correlation coefficient of 0.844 between parental attention, study discipline, and student's motivation to learn mathematics, categorizing it as "very strong." Furthermore, the multiple linear regression analysis yielded the following regression equation: . The study concludes a significant correlation between parental attention, study discipline, and students' motivation to learn mathematics. Additionally, the findings suggest that the greater the parental attention and study discipline, the higher the students' motivation to learn mathematics, and vice versa.
A Guideline Enabling Knowledge Managers to Communicate Better with Business Managers
Authors: Bornemann Manfred , Kraus Pavel 
Published: September 2024

Aligning Knowledge Management (KM) with overarching business strategies is considered as important for organizational success and sustainability. But this crucial element is often missing in the implementation and operation of KM. This paper explores the concept of "business alignment" within the context of KM, elaborating its critical role in enhancing collaboration, minimizing errors, and supporting optimal outcomes across the enterprise. We suggest a comprehensive definition of KM alignment, where KM activities are strategically integrated with business objectives, ensuring visible and measurable benefits to employees and executives. The research addresses key questions such as what constitutes an organization and how KM can facilitate its survival and growth. An organization is not merely a standalone entity but a collective endeavor that thrives on managing internal and external relationships. We argue that the effective alignment of KM with business strategies ensures that these relationships are optimized, thereby enhancing organizational resilience and adaptability. This holistic perspective visualizes the interconnected nature of businesses and highlights the essential role of KM. Our approach involves a systematic examination of business relationships and their alignment with KM practices. We analyze one case study from the construction industry, illustrating how strategic KM initiatives contribute to their sustained success. Additionally, we propose a set of Key Performance Indicators (KPIs) derived from real-world scenarios, linking them to specific business needs and challenges. These KPIs serve as a roadmap for C-level managers, guiding them in integrating KM into their strategic frameworks. The findings underscore the value of KM in mitigating risks associated with poor relationship management. We provide a process and actionable insights for business leaders on leveraging KM to foster innovation, streamline processes, and enhance overall performance. The paper concludes with practical recommendations for implementing KM solutions tailored to different organizational maturity levels and industry contexts.