bluuebunny/crossref_metadata_2025_split huggingface dataset:
Revitalizing your sleep: the impact of daytime physical activity and balneotherapy during a spa stay
Authors: Castelli Lucia , Ciorciari Andrea Michele , Galasso Letizia , Mulè Antonino , Fornasini Francesca , Montaruli Angela , Roveda Eliana , Esposito Fabio 
Published: July 2024

BackgroundIn modern society, achieving high-quality sleep is increasingly challenging. We conducted a study to explore the potential benefits of daytime physical activity and balneotherapy, including mud application and thermal-water bathing, on sleep quality.MethodsTo assess daytime physical activity and sleep parameters, we actigraphically monitored 127 healthy participants (34.6% male, average age 64.61 ± 0.89 years) during a one-week stay at a spa resort, where they received mud application and thermal-water bathings.ResultsParticipants were divided into three groups based on the timing of mud application. Those receiving mud application before 8:30 a.m. tended to have shorter sleep durations compared to those with later application, especially if it occurred before 7:45 a.m. However, mud application did not significantly affect sleep quality. Three-way ANCOVA revealed a significant effect of daytime physical activity on delta Sleep Efficiency, but post-hoc tests were insignificant. Furthermore, analyzing the duration of daily thermal-water bathings, individuals bathing for over 75 min per day experienced a noteworthy improvement in sleep quality, particularly in terms of delta Sleep Efficiency (2.15 ± 0.9% vs. −0.34 ± 0.31%, p = 0.007).ConclusionOur findings suggest that extended thermal-water bathing may enhance objective aspects of sleep quality. Since balneotherapy is mainly prescribed for individuals with musculoskeletal pathologies or psychological disorders, these findings may encourage doctors to recommend bathing in thermal water also to healthy subjects. Future researchers need to investigate the role of daytime physical activity in depth.
Promotion of environmental public health and environmental justice in communities affected by large and long lasting industrial contamination: methods applied and lessons learned from the case study of Porto Torres (Italy)
Authors: Pasetto Roberto , Zona Amerigo , Marsili Daniela , Buratti Franca M. , Iavarone Ivano , Soggiu Maria Eleonora , Testai Emanuela 
Published: July 2024

IntroductionCommunities affected by large scale and long lasting industrial contamination are often keen to understand whether their health has been impaired by such contamination. This requires answers that integrate environmental public health and environmental justice perspectives. At these sites, exposure scenarios from environmental contamination over time by multiple chemicals, often involving different environmental matrices, are complex and challenging to reconstruct.MethodsAn approach for describing the health of such communities in association with environmental contamination is presented, with the methods applied across the three domains of environmental contamination, population exposure and toxicology, environmental and social epidemiology, and environmental public health communication. The approach is described with examples from its application to the case study of Porto Torres, a town with a substantial industrially conditioned evolution.ResultsActivities in the field of environmental contamination, population exposure and toxicology focus on the collection and systematization of available contamination data, the identification of priority pollutants based on their toxicological profiles, the qualitative assessment of the likelihood of exposure for the population to priority pollutants and their known health effects. Environmental and social epidemiology methods are applied to describe the health profiles and socioeconomic conditions of the local population, taking into account multiple health outcomes from local information systems and considering specific diseases based on exposure and toxicological assessments. The environmental public health communication methods are directed to produce a communication plan and for its implementation through interaction with local institutional and social actors. The interpretation of health profiles benefits from a transdisciplinary analysis of the results.DiscussionThe proposed approach combines the needs of environmental public health and environmental justice allowing the integration of multidisciplinary knowledge to define recommendations for reducing and/or preventing hazardous environmental exposures and adverse health effects, stimulating the interactions between stakeholders, and making the study results more accessible to citizens.
Sarcopenia-related traits and 10 digestive system disorders: insight from genetic correlation and Mendelian randomization
Authors: Yang Tao , Liu Zheng , Xiu Mingzhu , Qing Xiaoman , Liu Sha , Xiao Wanmeng , Lü Muhan 
Published: July 2024

IntroductionDespite observational studies suggest hypotheses indicating a potential link, the precise causal connection between sarcopenia and digestive system illnesses has not been clearly defined.MethodsWe first use Linkage Disequilibrium Score Regression (LDSC) testing to determine the genetic correlation of traits associated with sarcopenia and 10 specific gastrointestinal diseases. Subsequently, we performed a set of bidirectional Mendelian Randomization (MR) analyses to gauge the genetic inclination towards sarcopenia-related traits in relation to each gastrointestinal condition, individually, across the FinnGen, UK Biobank, and other extensive collaborative consortia. The analytical outcomes were synthesized using a fixed-effects meta-analytic model. For outcomes indicating substantial causal impacts, mediation MR analyses were executed. Additionally, a battery of sensitivity analyses was conducted to evaluate the study’s strength and dependability.ResultsOur findings established a strong causal link between appendicular lean mass and gastroesophageal reflux disease (OR  =  0.8607; 95% CI: 0.8345–0.8877; p &lt;  0.0001) and a noteworthy correlation with nonalcoholic fatty liver disease (OR  =  0.7981; 95% CI: 0.7281–0.8749; p &lt; 0.0001), as per the meta-analysis data. We also evaluated the intermediary role of metabolic disorders in the association between appendicular lean mass and the aforementioned diseases. The intermediary effect towards gastroesophageal reflux disease is quantified as 0.0087 (95% CI, 8e-04, 0.0183), accounting for 5.9398% (95% CI, 0.5462, 12.4940%) of the overall effect. For non-alcoholic fatty liver, the intermediary impact is 0.0150 (95% CI, 0.0050, 0.0270), representing 19.7808% (95% CI, 6.5936, 35.6055%) of the total effect.ConclusionThe findings posit that augmenting muscle mass may serve as a preventative strategy against gastroesophageal reflux disease and non-alcoholic fatty liver, highlighting the critical role of metabolic disorder management in reducing the risks of these sarcopenia-related conditions.
Wearable sensor and smartphone assisted vestibular physical therapy for multiple sclerosis: usability and outcomes
Authors: Meldrum D. , Kearney H. , Hutchinson S. , McCarthy S. , Quinn G. 
Published: July 2024

IntroductionVertigo, dizziness, gaze instability and disequilibrium are highly prevalent in people with MS (PwMS) and head movement induced dizziness is commonly reported. Vestibular physical therapy (VPT) is a specialised, non-invasive and effective therapy for these problems but usually involves travel for the person to a specialist center with both personal and carbon costs. The use of wearable sensors to track head movement and smartphone applications to deliver and track programs has potential to improve VPT in MS.MethodsThis study investigated the usability and effects of a commercially available digital VPT system (wearable head sensor, smartphone app and clinician software) to deliver VPT to PwMS. A pre/post treatment design was employed and the primary outcome was the System Usability Scale (SUS). Other patient reported outcomes were the Service User Acceptability Questionnaire (SUTAQ), the Patient Enablement Instrument (PEI) and the Dizziness Handicap Inventory (DHI). Physical outcomes measurements included Mini-BESTest (MB), Modified Dynamic Gait Index (mDGI), Gait Speed (GS), Dynamic Visual Acuity (DVA) and head kinematics and symptoms during exercise.ResultsSixteen PwMS (14 female), mean age 44(±14) years were recruited to the study and twelve completed VPT. Mean adherence to exercise, measured digitally was 60% (±18.4). SUS scores were high at 81 (±14) and SUTAQ scores also demonstrated high levels of satisfaction and acceptability of the system. Statistically significant improvements in MB (mean change 2.25; p = 0.004), mDGI (median change 1.00; p = 0.008), DVA (median change −1.00; p = 0.004) were found. Head frequencies significantly improved with concurrent decreased intensity of dizziness during head movements (mean change across 4 gaze stabilization exercises was 23 beats per minute; p &lt; 0.05). Non-significant improvements were seen in DHI (p = 0.07) and GS (p = 0.15). 64.5% of follow up visits were conducted remotely (video or phone), facilitated by the system.DiscussionThis study had two main outcomes and benefits for PwMS. Firstly, we showed that the system used was both acceptable and could be used by PwMS. Secondly, we demonstrated an improvement in a range of dizziness, balance and gait metrics with remotely delivered care. This system has the potential to positively impact on MS physiotherapy service provision with the potential to deliver effective remote care.
Isolation of a Virulent Clostridium perfringens Strain from Elaphurus davidianus and Characterization by Whole-Genome Sequence Analysis
Authors: Zhang Zhao , Wang Xiao , Li Siyuan , Fu Yuhang , Li Yan , Nawaz Shah , Chen Jing , Yang Guoxiang , Li Jiakui , Shi Daoliang 
Published: July 2024

Clostridium perfringens (C. perfringens) is an important veterinary pathogen and a noteworthy threat to human and animal health. Recently, there has been a significant rise in the number of moose fatalities caused by this rare, endemic species in China. Currently, there is an increasing trend in conducting whole-genome analysis of C. perfringens strains originating from pigs and chickens, whereas fewer studies have been undertaken on Elaphurus davidianus-originating strains at the whole-genome level. Our laboratory has identified and isolated five C. perfringens type A from affected Elaphurus davidianus. The current study identified the most potent strain of C. perfringens, which originated from Elaphurus davidianus, and sequenced its genome to reveal virulence genes and pathogenicity. Our findings show that strain CX1-4 exhibits the highest levels of phospholipase activity, hemolytic activity, and mouse toxicity compared to the other four isolated C. perfringens type A strains. The chromosome sequence length of the CX1-4 strain was found to be 3,355,389 bp by complete genome sequencing. The current study unveils the genomic characteristics of C. perfringens type A originating from Elaphurus davidianus. It provides a core foundation for further investigation regarding the prevention and treatment of such infectious diseases in Elaphurus davidianus.
The Effect of GeoGebra-Assisted Problem-Based Learning on Students’ Mathematical Literacy Skills and Learning Motivation
Authors: Purbaningrum Mayang , Mahmudi Ali 
Published: July 2024

This study aimed to examine the effect of GeoGebra-assisted problem-based learning on vocational high school students’ mathematical literacy and learning motivation. Thirty-three students of one chemical industry class in grade 11 of vocational high school were chosen as the subjects for this study period. Simple random sampling was employed for the sampling process. This study was quantitative research and used a quasi-experimental design in the form of one-group pretest-posttest design. In this study, tests, questionnaires, and documentation were used as data collection methods. Descriptive and inferential analyses using paired sample t-tests were performed on the test data. In the study's findings, mathematical literacy students got a p-value of 0.000 0.05 as a significant level, and learning motivation students got a p-value of 0.006 0.05 as a significant level, indicating a difference between the study's average before and after treatment. Because p-value 0.05, H0 is rejected. So, there is an average difference between the two test results. Based on those results, GeoGebra-assisted problem-based learning affects mathematical literacy and learning motivation of vocational high school students on financial mathematics material. Teachers can use Geogebra as one of the media that can develop students' mathematical literacy and learning motivation.
Advancing English Proficiency: A Development of the CESDEA Model in Distance Learning
Authors: La'biran Roni 
Published: July 2024

This study explores the evolution and implementation of the CESDEA model (Contraction, Stimulation, Explanation, Demonstration and Assessment.) an approach designed to enhance distance learning in English speaking. The model is meticulously crafted to address the challenges posed by remote education and aims to provide an effective platform for English language acquisition. The research delves into the theoretical foundations, design principles, and pedagogical strategies underlying CESDEA. Drawing on advancements in technology and educational psychology, the model integrates interactive tools, multimedia resources, and adaptive learning techniques to create an immersive. The study also investigates the impact of the CESDEA model on student performance, motivation, and overall learning experience. Through a comprehensive analysis of data collected from participants, the research seeks to contribute valuable insights into the efficacy of the CESDEA model in fostering English proficiency in a distance learning context. The findings of this study have implications for the broader field of education and the ongoing discourse on innovative approaches to language learning in digital learning. The noteworthy shift from a pre-test score of 54 to 84.76 signifies a substantial enhancement in speaking skills through the application of the CESDEA model. This impressive quantitative result suggests that the model effectively contributes to the development of English-speaking proficiency. The substantial increase in scores implies a positive impact on learners' linguistic abilities, highlighting the efficacy of the CESDEA model in distance learning. Consequently, these findings underscore the potential of incorporating the CESDEA model into language education programs, emphasizing its role in fostering meaningful improvements in English speaking proficiency.
The Heritage of Toraja Cultural Values in the Academic Context of a Higher Education in Toraja
Authors: Pasoloran Oktavianus , Girik Allo Markus Deli , Karuru Perdy , Kabanga' Theresyam , Kaluring Daud 
Published: July 2024

The purpose of this study is to investigate how the implementation of the inheritance of Tongkonan Values in the academic context of UKI Toraja. This research uses a qualitative approach using a case study method that focuses on a university, namely the Indonesian Christian University of Toraja. The informants in this study were elements of the Toraja Church Synod Workers Board, Makale Christian College Foundation Board, University Management and UKI Toraja academic community, and Toraja community leaders. This research data was obtained through observation instruments and interviews. The data analysis technique used is thematic analysis through coding of interview transcripts or observation note. This study confirms that as a vibrant centre for social and intellectual activities, UKI Toraja is a vital hub for fostering community bonds, and as a community development centre, it plays a crucial role in driving positive change and contributing to the overall advancement of the Torajan community, exemplifying a holistic approach to societal well-being that preserves traditions while embracing progressive change.
Enhancing the Welfare of Non-Permanent Teachers in the Sumenep Islands: The Imperative for Regional Regulations
Authors: Mukhlishi Mukhlishi , Hidayatillah Yetti , Supandi Supandi , Asiah Khoirul , Astutik Choli , Basri Hasan , Sama' Sama' 
Published: July 2024

Non-permanent teachers, in carrying out their duties and responsibilities as educators and instructors, have the right to earn income above the minimum living standards and social welfare guarantees. Teachers highly anticipate the issuance of regional regulations in the field of education in an effort to improve the welfare of teachers in Sumenep. This research aims to determine the urgency of regional regulations for improving the welfare of non-permanent teachers in the Sumenep Islands. This research uses a qualitative approach, which is a descriptive analysis with a case study type. Informants were determined using the purposive sampling method, and the informants in this study were 7 school principals, 25 honorary teachers, and seven salary treasurers. Data collection used three methods, namely, interviews, observation, and documentation. The collected data was analyzed using an interactive analysis model. According to the study's findings, the pay for non-permanent teachers as a whole is still below the minimum living standards set in the Sumenep region. Teachers do not always hope to be able to take part in the civil service selection so that teachers' minimum living needs can be met and social welfare can be guaranteed.
Metacognitive Regulation Strategies Among Indonesian Undergraduate Students During Conic Sections Conceptualization
Authors: Cholily Yus Mochamad , Jamil Anis Farida , Dintarini Mayang 
Published: July 2024

Metacognitive regulation ability can assist students in abstracting the concept of a conic section. However, research exploring students’ metacognitive regulation in abstracting a mathematical concept is still rare. Thus, this study aims to analyze students' metacognitive regulation consisting of monitoring and controlling in abstracting the conic sections concept. Three students were selected as research subjects from 26 undergraduate of mathematics education Indonesian students who were engaged in abstraction assignments. Three students were selected based on their abstraction of the conic section concept, where only one student succeeded and two students represented two types of abstraction errors present in the class. An indicator of student success in abstracting the concept of a conic section is that students can correctly identify the relationship between eccentricity and the conic curve.. After completing the task, students are given the MAI questionnaire to identify their metacognitive regulations. There were 52 items in the MAI, of which 17 items represented metacognitive knowledge and 35 items represented metacognitive regulation. Hence, this study utilized the 35 items. The paper indicates that there is a positive relationship between metacognitive regulation and abstraction processes of the three students. This relationship is particularly evident in the metacognitive monitoring component. We hypothesize that students with good metacognitive monitoring are associated with the success of the abstraction process. The findings of this study contribute to further research by suggesting that designing learning environments that support metacognitive regulation will assist students in successfully abstracting mathematical concepts.
Generalized trust in modern Chinese society
Authors: Fedorov P. M. 
Published: July 2024

The article is focused on the study of the factors of generalized trust in modern Chinese society. The use of cross-cultural research data to reveal the content of the concept of generalized trust and its structure in different national cultures is justified. For a more complete understanding of the results of sociological studies of interpersonal trust in China, their interpretation is proposed using the concept of “relationship-based trust”, reflecting the specificity of the Chinese phenomenon of trusting relationships as a personalized, affective, instrumental social bond. The purpose of the study is to develop a conceptual model of generalized trust in contemporary Chinese culture and to assess the possibility of using the data of cross-cultural sociological studies of generalized trust to reveal the content of the concept of “trust” in different national cultures, to study the social attitudes of trust. The novelty of the research results consists in the reasoned justification of the interpretation of the concept of interpersonal trust in the modern culture of China by means of the concept of “relationship-based trust”, as well as in the justification of the relevance of the application of the data of cross-cultural sociological research of generalized trust to reveal the content of the concept of generalized trust and its structure in different national cultures.
Alguns elementos da economia política da guerra na história da ordem capitalista mundial
Authors: Lima Filho Paulo Alves de 
Published: July 2024

The trajectory of the war complex in the history of the modern West, especially in the Portuguese colonial adventure and its transformation in Brazil as a search for the objective of generating a national power. The war complex in the evolution of capitalisms was born from conservative bourgeois revolutions in Europe and America. Evolution of the war complex to the imperialist phase, as a military-industrial complex. The Brazilian project to forge a military-industrial complex in the second half of the 20th century. Projections of Brazilian capitalism in search of military power.
Using the Failure Mode and Effect Analysis Tool to Improve the Automatic Stop Order Process
Authors: Al Mardawi Ghada Hussain , Rajendram Rajkumar , Balharith Arwa , Alomaim Abdulaziz 
Published: July 2024

ABSTRACT

Introduction
Automatic stop orders (ASOs) in computerized prescription order entry (CPOE) systems predefine the length of treatment. This can improve resource use for select therapies (e.g., empirical antibiotics). However, root cause analysis of dose omission errors identified inappropriate ASO-directed termination of medications without prescriber notification. This quality improvement initiative aimed to identify potential failures of the medication ASO processes to develop a new workflow and anticipate issues that may arise after implementation.

Methods
A failure mode and effect analysis (FMEA) was conducted following Institute of Healthcare Improvement guidance. A multidisciplinary ASO-FMEA team reviewed the existing workflow. Failure modes, risk priority numbers (RPNs), and interventions were identified and assessed. The RPNs calculated for the proposed new workflow (assuming all recommendations were implemented) were compared with those of the existing workflow.

Results
Eight failure modes, 17 effects, and 31 causes were identified in the five workflow steps (mean RPN 365.4; median 280). Specific, measurable, achievable, realistic, and time-bound interventions were proposed. Assuming successful implementation of all recommendations, the RPNs of the proposed workflow (mean 117.6; median 112) were significantly lower (p &lt; 0.05).

Conclusion
When modifying existing CPOE systems, FMEA may identify possible failures that can be addressed before the implementation of a new process. This may prevent errors, improving medication safety. Regardless, continuous audit and monitoring are required to ensure the effectiveness of implemented changes.