bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of risk factors for pneumonia in patients with catatonia: a cross-sectional analysis
Authors: Meng Qingpeng , Zhou Danna , Zhao Xixi , Wang Jing , Yin Li , Liang Sixiang , Ji Xiao 
Published: September 2024

ObjectiveThe clinical management of catatonia has always been a focus of psychiatric nursing. Unfortunately, there is still limited research on the risk factors and nursing methods for patients with catatonia and bacterial pneumonia. Few studies have identified and analyzed the clinical risk factors for catatonia patients with bacterial pneumonia. This study aims to explore the risk factors and preventive nursing measures for pneumonia in patients with catatonia.MethodsA total of 88 patients with catatonia treated in the emergency department of a psychiatric hospital from January 2019 to October 2021 were selected. They were divided into bacterial pneumonia group (n=17) and non-pneumonia group (n=71) based on whether they had pneumonia. The demographic data and clinical characteristics of the two groups were compared. Logistic regression analysis and point-biserial correlation were used to analyze the risk factors for developing pneumonia in patients with catatonia.ResultsThe incidence of pneumonia in patients with catatonia was 19.32%. Correlation analysis showed that age (r=0.216, p=0.043), The Activities of Daily Living Scale (ADL) score (r=0.265, p=0.013), cell count of white blood (r=0.591, p&lt;0.001), neutrophil count (r=0.599, p&lt;0.001), percentage of neutrophils (r=0.311, p=0.003), C-reactive protein (r=0.558, p&lt;0.001), bedridden days (r=0.470, p&lt;0.001), and albumin level (r=-0.288, p=0.007) were significantly associated with pneumonia. Multivariate logistic regression analysis showed that smoking, bedridden days, family support, and nutritional status were risk factors for pneumonia in patients with catatonia.ConclusionReducing smoking and bedridden days, improving nutrition, and providing timely preventive nursing care by family members can reduce the occurrence of pneumonia in patients with catatonia.
Post traumatic stress disorder and co-morbid psychological disorders after Palestinians’ home demolition: a comparative study
Authors: Sarhan Adnan Lutfi , Jarrar Kamal , Atout Sameeha , Masri Walaa 
Published: September 2024

BackgroundHome demolition is one of the issues that the Palestinian community faces as a result of Israeli procedures that can impact Palestinian mental health. This study aimed to measure the prevalence of Post-Traumatic Stress Disorder (PTSD), depression, anxiety, and stress among Palestinian citizens whose homes were demolished.Materials and methodsA comparative cross-sectional design was adopted using a purposive sample of home demolished versus not home demolished Palestinian people. The Impact of Event Scale-Revised (IES-R) and the Depression and Anxiety Stress Scales (DASS) were used to assess the participants' levels of PTSD, depression, anxiety, and stress. The Statistical Package for the Social Sciences, Version 25, was applied to the statistical analysis.ResultsThis study showed that PTSD levels among people whose homes were demolished are significantly high, with a mean of 3.2, which could be indicative of a clinical concern. However, the PTSD level in the comparison group had no significance, with a mean of 1.48. Stress, depression, and anxiety levels were represented as 32.71, in their means, 32.61, and 32.08, respectively, among home-demolished people, compared to stress 18.46, depression 15.87, and anxiety 13.06 among the non home demolished group.ConclusionsThis study is one of the few that sheds light on one of the disadvantaged groups who suffer from home demolition and the severe mental problems that affect them, including PTSD, stress, depression, and anxiety). Furthermore, many related risk factors were studied in this research. As a future recommendation, further research is needed in this field, especially among disadvantaged groups. Stakeholders need to take action to improve the health system in Palestine.
Influence of social support and coping strategies on psychological stress among frontline medical personnel during the Yangbi Earthquake: a cross-sectional analysis
Authors: Li Jiafeng , Ye Jing , Yang Xiaolan , Sun Huan , Yan Hui , Yuan Yiwen , Peng Yang , Tang Xiangdong 
Published: September 2024

ObjectivesThis study aimed to investigate the psychological stress experienced by frontline medical staff during the Yangbi Earthquake and to understand how coping strategies and social support influence stress responses.MethodsFrom days 3 to 14 post-earthquake, online questionnaires were administered to frontline medical staff to assess perceived social support, coping strategies, and psychological stress responses using the Perceived Social Support Scale (PSSS), Trait Coping Strategies Questionnaire (TCSQ), and Stress Response Questionnaire (SRQ). Data analysis included correlation analysis to explore relationships between variables, multiple linear regression to identify key predictors of stress, and path analysis to determine direct and indirect effects.ResultsA total of 253 valid questionnaires were analyzed, with a participant composition of 81.82% females and 18.18% males, and the majority being nurses (62.06%). Psychological stress responses varied by gender and age, with females and older age groups showing higher physical stress responses (P &lt; 0.05). Correlation and regression analyses indicated that negative coping and lower levels of social support were associated with increased stress responses (P &lt; 0.05). Path analysis revealed that intra-family and extra-family support influenced stress responses directly and indirectly through coping strategies (P &lt; 0.05).ConclusionThis study suggests that perceived social support directly influences stress responses in frontline medical personnel during disasters, with coping strategies mediating this effect. Future research should explore these dynamics over time through longitudinal studies.
Knowledge, attitudes, and practices among patients with diabetes mellitus and hyperuricemia toward disease self-management
Authors: Wang Dan , Liu Zhixin , Liu Yu , Zhao Lingfei , Xu Lijuan , He Shanshan , Duan Binhong 
Published: September 2024

BackgroundThis study aimed to assess the knowledge, attitudes and practices (KAP) among patients with diabetes mellitus and hyperuricemia toward disease self-management.MethodsThis web-based cross-sectional study was conducted between June 2023 and January 2024 at Heilongjiang Provincial Hospital. A self-designed questionnaire was developed to collect demographic information of patients with diabetes mellitus and hyperuricemia, and assess their knowledge, attitudes and practices toward disease self-management.ResultsA total of 482 participants were enrolled in this study, among them, 364 (75.52%) were male, 235 (48.76%) were aged between 40 and 59 years, 226 (46.89%) had a body mass index (BMI) ranging from 24 to 28 kg/m2, 337 (69.92%) had received a diagnosis of diabetes for a duration of 2 years or more, while 245 (50.83%) had been diagnosed with hyperuricemia for a similar duration. Their median (range) knowledge, attitude and practice scores were 10.00 (9.00, 11.00) (possible range: 0–12), 38.00 (36.00, 40.00) (possible range: 9–45), and 30.00 (26.00, 34.75) (possible range: 10–50), respectively. The path analysis demonstrated that knowledge had direct effects on attitude (β = 0.508, p &lt; 0.001), and attitude had direct effects on practice (β = 0.448, p &lt; 0.001). Additionally, there was an indirect effect of knowledge on practice mediated through attitude, with a path coefficient of 0.228 (p &lt; 0.001).ConclusionThis study demonstrates that patients with diabetes mellitus and hyperuricemia exhibit relatively proficient responses to certain items within the KAP dimensions. However, it also exposes a certain degree of inadequacy in the KAP level toward disease management. Interventions should focus on improving patients’ understanding of their conditions while fostering positive attitudes, ultimately translating into better self-management practices.
Intranodal lymphangiography combined with foam sclerotherapy embolization of thoracic duct in the treatment of postoperative chylous leakage for thyroid carcinoma: a case report and review
Authors: Liu RuiJiang , Cao Lei , Du JingXin , Xie Ping 
Published: September 2024

BackgroundChylous leakage (CL) is a rare but significant complication following cervical lymph node dissection, particularly in patients with papillary thyroid carcinoma (PTC). This condition is characterized by the leakage of lymphatic fluid, which can result in severe consequences such as malnutrition, immunosuppression, and prolonged hospital stays. Conventional treatments for CL include conservative measures and surgical interventions, but these approaches often face limitations and challenges. This case report discusses a successful treatment of CL using thoracic duct lymphangiography combined with local injection of sclerotherapy, demonstrating a novel and effective approach for managing this complication.Case presentationA 72-year-old female patient with PTC underwent total thyroidectomy and bilateral Level VI and left Levels II, III, IV, and V cervical lymph node dissection. Postoperatively, the patient developed milky drainage indicative of CL. Despite initial conservative treatments including pressure bandaging, negative pressure drainage, and nutritional adjustments, the patient's condition did not improve. The patient declined surgical options, leading to the decision to perform thoracic duct lymphangiography combined with local injection of sclerotherapy. Under real-time ultrasound guidance, the inguinal lymph nodes were accessed, and lipiodol was injected to visualize the thoracic duct. Subsequently, foam sclerosant was injected at the leakage site under fluoroscopic guidance. The procedure resulted in a significant reduction of chyle leakage, and the patient was discharged with no recurrence during a 1-year follow-up.ConclusionsThis case illustrates that thoracic duct angiography combined with local injection of sclerotherapy can be an effective treatment for high-output CL when conservative measures fail and surgical intervention is not preferred. The approach offers a minimally invasive alternative that can reduce complications and improve patient outcomes. The successful management of CL in this case underscores the potential of advanced interventional techniques in treating lymphatic system complications and highlights the need for further research to establish standardized treatment protocols.
A comparative analysis of punching in boxing and sanda: kinematic differences based on the cross and uppercut
Authors: Xu QingLou , Mao Ruiqiu , Xi Changjin 
Published: September 2024

BackgroundThis research aims to compare the differences in kinematic parameters associated with cross and uppercut punches between Sanda athletes (SA) and Boxing athletes (BA) to analyze their impacts on peak punching speed.MethodsThe punches of BA (n = 20) and SA (n = 20) were compared utilizing a three-dimensional (3D) framework and high-speed cameras in terms of 13 key parameters. An independent samples t-test (α = 0.05) was employed to analyze the differences in punching between BA and SA. Meanwhile, a stepwise multiple linear regression equation was developed to analyze the influence of selected parameters on peak punching speed.ResultsThe results reveal that, among the 13 kinematic parameters, the six cross-related parameters and four uppercut-related parameters are significantly different (both p ≤ 0.05). The results of multivariate regression analysis unveils that the peak punching speed for the cross are influenced by the anteroposterior position of the center of gravity (in BA) and the maximum angular velocity of the shoulder (in SA). In contrast, for both BA and SA, the maximum angular velocity of the shoulder plays a critical impact on uppercut.ConclusionsThese findings indicate that trunk and upper limbs significantly influence the peak punching speed, which provides suggestions for daily training regimen of SA and BA as well as their coaches.
Talent selection in 3 × 3 basketball: role of anthropometrics, maturation, and motor performance
Authors: Schmitz Tim Luca , Fleddermann Marie-Therese , Zentgraf Karen 
Published: September 2024

Introduction3 × 3 basketball is becoming more and more professionalized, which is leading to a growing interest in talent development and talent selection. Different studies have demonstrated relevant factors in the talent selection process of 5v5 basketball but not in 3 × 3 basketball. Therefore, this study investigated the main predictors in the talent selection process in 3 × 3 basketball athletes.MethodsA total of 192 athletes (Mage = 16.11 ± 0.45 years; n = 85 were female) 3 × 3 basketball athletes were assessed for various anthropometric and motor performance variables as well as maturity status. All assessments were carried out during selection camps for the German “under 17” youth national team. Binomial logistic regression was conducted to determine which variables predicted selection (either ‘selected', n = 30 female and n = 34 male, or ‘non-selected’, n = 55 female and n = 73 male).ResultsThe regression model was statistically significant in female athletes (χ² (3) = 26.86, p &lt; .001). It explains 37.9% (Nagelkerke's R2) of the variance in selection status and suggests that the general motor-performance component (p &lt; .001) and the anthropometric- and maturation-related component (p = .004) seem to be relevant for being selected. In male athletes, the binomial logistic regression model was also statistically significant (χ² (3) = 11.38, p = .010) with explaining 14.2% (Nagelkerke's R2) of the variance in selection status but only the anthropometric- and maturation-related component (p = .004) predict selection.DiscussionAnthropometric conditions (such as body height, body weight, and wingspan) and the maturity status are particularly important in talent selection in 3 × 3 basketball for both sexes. Regarding motor-performance variables, we found a predictive value for talent selection only in females (without sprinting), but not in males which means that more ‘athletic' female athletes seem to be favoured in talent selection. The results suggest that the talent selection process might be biased by maturation status even in middle adolescence. Therefore, coaches who decide on athletes’ selection should be aware of the temporal advantages induced by earlier maturation when evaluating talented athletes and should consider strategies such as bio-banding to evaluate the real and potential value of talented athletes.
Regenerative stem cell therapy for stroke in Europe (RESSTORE): a multicenter randomized controlled efficacy clinical trial
Authors: Legris Loïc , Moisan Anaick , Jaillard Assia , Bonnet Louise , Moulin Thierry , Sibon Igor , Touzé Emmanuel , Favre-Wiki Isabelle , Cordonnier Charlotte , Dellaschiava Lucie , Mazighi Mikael , Rosso Charlotte , Alamowitch Sonia , Calvet David , Barbieux-Guillot Marianne , Roux Stephan , Mojallal Alain-Ali , Boucher Fabien , Thuriot Antoine , Soulard Julie , Naegele Bernadette , Perennou Dominic , Roustit Matthieu , Putkaradze Zaza , Hommel Marc , Lehmann Audrey , Colombat Julien , Chorfa Fatima , Maucort-Boulch Delphine , Lamalle Laurent , Grand Sylvie , Krainik Alexandre , Detante Olivier 
Published: September 2024

IntroductionEncouraging the activation of brain repair mechanisms and fostering spontaneous functional recovery in stroke patients hold great promise for alleviating the global burden of this condition and allowing an extended therapeutic time window. Cell-based regenerative therapy (with mesenchymal stem/stromal cells, such as adipose-derived stem cells [ADSCs]) is particularly attractive considering its excellent safety profile, low immunogenicity after allogeneic application, and well-established functional benefits on stroke recovery in animal models. This study aims to assess the efficacy and safety effects of intravenous (IV) infusion of freshly cultured allogeneic ADSCs on recovery after ischemic stroke.Population and methodsRESSTORE is a multicentric, randomized 1:1 controlled double-blind clinical trial. Eighty patients will be enrolled in nine French stroke centers. The main inclusion criteria are ≥18 years of age, acute hemispheric ischemic stroke, and a National Institutes of Health Stroke Scale (NIHSS) score of ≥7, including a motor subscore of ≥3. According to the previous dose-escalation safety trial data, the maximum tolerated dose of 3 million ADSCs/kg was selected. IV infusion was performed within 10 days following stroke onset, with a follow-up over 2 years.OutcomesThe primary endpoint is the motor NIHSS subscore, computed as the sum of the upper limb, lower limb, and hand scores, measured 6 months after stroke onset to assess motor recovery. The secondary outcomes are the occurrence of death/serious adverse events, clinical scores (the detailed NIHSS scores, Montreal Cognitive Assessment scores, modified Rankin Scale scores, Aphasia Handicap Scores, Depression Intensity Scale Circles scores, Fatigue Scale scores, etc.), immune monitoring (for the first 30 patients), and multimodal biomarkers derived from diffusion and functional magnetic resonance imaging.DiscussionThis study may provide some evidence for the effects of freshly cultured allogenic ADSCs IV infusion in subacute stroke that may help design a larger international randomized controlled trial.
Iconic expression in the designs of bullying posters
Authors: Saad Hashim Lina , Moayed Abdel Hussein Nasser Maha 
Published: September 2024

يعد الملصق أحد وسائل الإعلام المهمة في العملية الاتصالية فهو يسهم بشكل فعّال عليه في نشر الوعي اللازم وبناء ثقافة مجتمعية تنظر للظواهر الصحية في المجتمع على انها من المواضيع التي يجب التعايش معها بصورة طبيعية، وبدورنا المشاركة في معالجة هذه الظاهرة والحد منها بتصميم ملصقات للفئات العمرية الطلبة على التعاطي مع تلك الظاهرة بشكل انساني يغير عن التنمر، لذلك اثارت الباحثة التساؤل التالي للتعبير عن مشكلة بحثها المتمثل بـ: ما التعبير الايقوني في تصاميم ملصقات ظاهرة التنمر؟
اذ يهدف البحث الحالي الى الكشف عن التعبير الايقوني في تصاميم ملصقات ظاهرة التنمر.
اعتمدت الباحثة المنهج الوصفي في تحليل النماذح لكونه أسـلوبآ من أساليب التحليل المركز على معلومات كافية عن ظاهرة أو موضوع معين ضمن فترة زمنية محددة ثم تفسيرها بطريقة موضوعية للوصول إلى اعمامات مقبولة بما ينسجم مع المعطيات الفعلية للظاهرة، اذ تضمن مجتمع البحث الحالي ملصقات تعليمية العالمية الصادرة عن منظمة اليونسيف العالمية المشاركة في اليوم العالمي ضد العنف والتنمر في (الاول من نوفمبر2022) التي جمعتها الباحثة في (10) ملصقات يتماشى مع موضوع البحث. وقد خرج البحق بمجموعة من النتائج اهمها:

ان تمثيل الرموز في الملصق تحقيق الرسالة التصميمة التي ظهرت في انموذج العينة رقم (1).
وظف المصمم الرموز عن طريق استخدام الاشكال التالية ( المنزل , الميزان , الشهادة , قبعة , الاشخاص , العين , المعلم , الايدي ) في انموذج العينة رقم (3).
EVALUASI PENGGUNAAN SERUM DAN PLASMA YANG DISIMPAN PADA TABUNG CLOTING ACTIVATOR DAN NAF SELAMA 6 DAN 24 JAM PARAMETER GLUKOSA DARAH
Authors: Prihandono Dwi Setiyo , Kesuma Suryanata , Widyadari Effie Raissa 
Published: September 2024

Pemeriksaan laboratorium klinik akan memiliki mutu yang baik apabila ketepatan (akurasi) dan ketelitiannya (presisi) juga baik. Salah satu parameter pemeriksaan yang dilakukan di laboratorium adalah pemeriksaan kadar glukosa darah. Kebaruan dari penelitian ini karena meneliti tentang evaluasi penggunaan serum dan plasma yang disimpan pada tabung cloting activator dan NaF selama 6 dan 24 jam parameter glukosa darah. Tujuan penelitian ini untuk menganalisis rata-rata persentase penurunan, akurasi, presisi, dan total error pada pemeriksaan glukosa menggunakan tabung cloting activator dan tabung NaF selama segera, 6, dan 24 jam. Sampel dalam penelitian ini adalah darah mahasiswa jurusan teknologi laboratorium medis Poltekkes Kemenkes Kaltim sebanyak 40 spesimen. Data hasil diolah menggunakan aplikasi Microsoft excel. Hasil penelitian ini didapatkan rata-rata persentase penurunan tabung cloting activator 6 dan 24 jam sebesar 17,2% dan 24%. Rata-rata persentase penurunan tabung NaF 6 dan 24 jam sebesar 14,3% dan 20,9%. Akurasi pemeriksaan glukosa menggunakan tabung cloting activator 6 jam terhadap tabung cloting activator segera, tabung cloting activator 24 jam terhadap tabung cloting activator segera, tabung NaF 6 jam terhadap tabung NaF segera, tabung NaF 24 jam terhadap tabung NaF segera sebesar -17,2%, -24.1%, -14.4%, dan -21.0%. Presisi pemeriksaan sebesar 8,3%, 10,6%, 7,2%, dan 7,3%. Total error pemeriksaan sebesar 33,5%, 44,7%, 28,7%, dan 35,4%. Kesimpulan bahwa terdapat perbedaan klinis pada pemeriksaan glukosa menggunakan tabung cloting activator dan tabung NaF selama 6, dan 24 jam.
ANALISIS INOVASI PELAYANAN KESEHATAN LANSIA SUMRINGAH (SEMUA LANSIA MANDIRI, BUGAR, dan BAHAGIA) DI KOTA TANGERANG
Authors: Arofah Sari Nur , Andriani Helen , Rusmawati Sisca 
Published: September 2024

Program Lansia Sumringah terwujud atas adanya permasalahan kesehatan lanjut usia pada tahun 2018, antara lain capaian pelayanan kesehatan lansia belum mencapai 100% (86,46%), masih tingginya kasus Penyakit Tidak Menular (PTM) pada lansia yaitu Hipertensi 14,3%, Diabetes Mellitus 30,2%, lansia dengan ketergantungan sedang dan berat (Kemandirian B C) 7%. Kebaruan penelitian ini karena meneliti kaitan inovasi pelayanan kesehatan dengan kesehatan lanjut usia. Tujuan untuk menganalisis pelaksanaan inovasi lansia sumringah di Kota Tangerang. Jenis penelitian yang digunakan adalah penelitian kualitatif deskriptif untuk memberikan informasi detail terkait variabel input, proses dan produk dalam analisis pelaksanaan inovasi lansia sumringah di Kota Tangerang tahun 2023. Hasil didapatkan Program Lansia Sumringah dilaksanakan sejak tahun 2018 dan telah dilaksanakan di 37 (tiga puluh tujuh) Puskesmas Santun Lansia di Kota Tangerang melalui kegiatan pemberdayaan lansia, pelayanan kesehatan pada lansia yang sakit, lansia yang membutuhkan perawatan jangka panjang maupun pelayanan kepada lansia terlantar. Kesimpulan inovasi Lansia Sumringah menjawab kebutuhan pelayanan kesehatan lansia dengan memberikan pelayanan kepada lansia secara komprehensif.
FORMULASI TEPUNG IKAN GABUS DENGAN PENAMBAHAN EKSTRAK ROSELLA TERHADAP KARAKTERISTIK KIMIA DAN AKTIVITAS ANTIOKSIDAN BISKUIT PENDAMPING AIR SUSU IBU
Authors: Kusnadi Kusnadi , Purgiyanti Purgiyanti , Andari Istiqomah Dwi 
Published: September 2024

Ikan gabus sebagai sumber protein hewani yang lengkap dan memiliki komposisi asam amino yang cukup besar, sehingga berpotensi untuk dijadikan bahan dasar pembuatan biskuit pendamping ASI sesuai SNI 01-7111.2-2005. Bunga rosella kaya akan antioksidan dan dapat menambah variasi rasa serta nilai gizi biskuit. Kebaruan dalam penelitian karena meneliti tentang formulasi tepung ikan gabus dengan penambahan ekstrak rosella terhadap karakteristik kimia dan aktivitas antioksidan biskuit pendamping air susu ibu. Penelitian ini bertujuan untuk menemukan formulasi yang tepat dengan membandingkan substitusi tepung ikan gabus dan penambahan ekstrak rosella dalam pembuatan biskuit pendamping ASI, serta mengevaluasi karakteristik kimia dan aktivitas antioksidannya. Penelitian dilakukan dengan rancangan acak lengkap, menggunakan empat proporsi yang berbeda untuk membuat biskuit yang masing-masing mengandung variasi tepung ikan gabus dan ekstrak rosella; F0/kontrol negatif (0:0)%; F1(16:4)%; F2(14:6)%; dan F3(12:8)%. Metode DPPH (2,2-Difenil-1-pikrilhidrazil) digunakan untuk menentukan aktivitas antioksidan. Kadar air dari F1 sampai F4 antara 2.73% sampai 3.95%, kadar protein antara 8.83 hingga 20.12%, lemak antara 10.54 hingga 12.33 %, kadar abu antara 1.10 hingga 4.26%, kadar karbohidrat berkisar antara 58.28 hingga 73.66%. Pemberian ekstrak rosella dapat meningkatkan aktivitas antioksidan dari F0 sampai F3 dengan %Inhibisi 78.94% pada F3 dan terendah F1 sebesar 20.12%. Hasil menunjukan dengan penambahan tepung ikan gabus dapat meningkatkan karakteristik kimia dan ekstrak rosellla. Kesimpulan bahwa penambahan ekstrak rosellla meningkatkan nilai antioksidan pada biskuit pendambing ASI serta memenuhi persyaratan pembuatan biskuit sesuai SNI 01-7111.2-2005.