bluuebunny/crossref_metadata_2025_split huggingface dataset:
The general impact of self-stigma of mental illness on adult patients with depressive disorders: a systematic review
Authors: Alqahtani Refah , Pringle Alan 
Published: June 2024

Abstract
Background
Mental illness stigma is often common among mentally ill patients. This stigma can come from others or the patients themselves, which is called ‘self-stigma’. The present study explored the widespread impacts of self-stigma on adult patients with depression. Additionally, this review compared the severity of self-stigma levels among psychiatric disorders and to review and update thoughts about self-stigma of depression.

Methods
An etiology and risk systematic review was conducted using the Joanna Briggs Institute (JBI) approach as a guideline. The search process was performed via research databases including MEDLINE, EMBASE and CINAHL. The inclusion criteria are studies include participants diagnosed with depressive disorders, both genders, participants’ exposure to mental illness self-stigma, participants’ experience of self-stigma consequences and any geographical site or clinical settings are included, the type of the included studies must be observational studies. The included studies were limited to the English language studies that were published from 2016 and onwards. Patients with depression under the age of eighteen and patients diagnosed with multiple mental illnesses were excluded. The JBI critical appraisal checklist were adopted to assess the risk of bias.

Results
In December 2022, a comprehensive search yielded eight cross-sectional studies that were included in this systematic review, involving a total of 783 patients diagnosed with depression, and 28 studies were excluded for not fulfilling the inclusion criteria of the review. The findings were extracted and synthesized through textual narrative synthesis into three main categories negatively affected by self-stigma of depression. These are: (1) the impact on the quality of life, (2) the impact on self-esteem and (3) the impact on self-worth. Moreover, in regard to the comparison of self-stigma levels among psychiatric disorders, self-stigma for people with schizophrenia was higher than self-stigma of depression.

Conclusion
Self-stigma of depression has negatively impacted multiple aspects of the patient’s life. Thus, the review brings the following recommendations: increase community awareness, educate the healthcare providers, include the topic of mental illness stigma in academic curriculums. The main limitation of the review is the limited number of included studies.

Trial registration
The research proposal for this review has been registered to Prospero (ID number: CRD42022366555).
Impact of digital infrastructure construction on the migrants’ utilization of basic public health services in China
Authors: Jia Haowen 
Published: June 2024

Abstract
Background
Global digitalization significantly impacts public health by improving healthcare access for marginalized populations. In China, socioeconomic disparities and the Hukou system create significant barriers for the migrant population to access basic public health services (BPHS). This study aimed to assess how digital infrastructure construction (DIC) affects BPHS utilization among China’s migrant populations, filling a gap in the literature regarding the relationship between digital advancements and health service accessibility.

Methods
This research used micro-level data from the 2018 China Migrants Dynamic Survey and incorporated variables aligned with the Broadband China policy to employ a comprehensive empirical strategy. It included baseline regressions, robustness checks through propensity score matching and machine learning techniques, and heterogeneity analysis to explore the differential impacts of DIC based on gender, age, education level, and Hukou status.

Results
The findings revealed that DIC significantly enhances the likelihood of migrants establishing health records and registering with family doctors, demonstrating quantifiable improvements in health service utilization. Heterogeneity analysis further indicated that the beneficial impacts of DIC were more pronounced among female migrants, those with higher education levels, younger populations, and urban Hukou holders.

Conclusions
DIC plays a crucial role in bridging the accessibility gap to BPHS for migrant populations in China, contributing to narrowing health disparities and advancing social equity. These results emphasize the significance of digital infrastructure in public health strategies and offer valuable insights for policymakers, healthcare providers, and researchers. Future research should prioritize longitudinal studies on the sustained effects of DIC and tailor digital health initiatives to meet the unique needs of migrant populations, promoting inclusive health policy planning and implementation.
Cold exposure-induced plasma exosomes impair bone mass by inhibiting autophagy
Authors: Lei Li-Min , Li Fu-Xing-Zi , Lin Xiao , Xu Feng , Shan Su-Kang , Guo Bei , Zheng Ming-Hui , Tang Ke-Xin , Wang Yi , Xu Qiu-Shuang , Ouyang Wen-Lu , Duan Jia-Yue , Wu Yun-Yun , Cao Ye-Chi , Zhou Zhi-Ang , He Si-Yang , Wu Yan-Lin , Chen Xi , Lin Zheng-Jun , Pan Yi , Yuan Ling-Qing , Li Zhi-Hong 
Published: June 2024

Abstract
Recently, environmental temperature has been shown to regulate bone homeostasis. However, the mechanisms by which cold exposure affects bone mass remain unclear. In our present study, we observed that exposure to cold temperature (CT) decreased bone mass and quality in mice. Furthermore, a transplant of exosomes derived from the plasma of mice exposed to cold temperature (CT-EXO) can also impair the osteogenic differentiation of BMSCs and decrease bone mass by inhibiting autophagic activity. Rapamycin, a potent inducer of autophagy, can reverse cold exposure or CT-EXO-induced bone loss. Microarray sequencing revealed that cold exposure increases the miR-25-3p level in CT-EXO. Mechanistic studies showed that miR-25-3p can inhibit the osteogenic differentiation and autophagic activity of BMSCs. It is shown that inhibition of exosomes release or downregulation of miR-25-3p level can suppress CT-induced bone loss. This study identifies that CT-EXO mediates CT-induced osteoporotic effects through miR-25-3p by inhibiting autophagy via targeting SATB2, presenting a novel mechanism underlying the effect of cold temperature on bone mass.
Application of the path analysis model to evaluate the role of distress, mental health literacy and burnout in predicting self-care behaviors among patients with type 2 diabetes
Authors: Jafari Alireza , Moshki Mahdi , Naddafi Fatemehzahra , Taghinezhad Fatemeh , Charoghchian Khorasani Elham , Karimian Negar , Farhadian Zohre , Alizadeh Hassan 
Published: June 2024

Abstract
Introduction
Mental complications of diabetes are one of the main obstacles to the implementation of self -care behaviors that have been less studied. Therefore, this study was conducted to survey the effective factors in predicting burnout and self-care behaviors among patients with type 2 diabetes.

Methods
In this Path analysis, 1280 patients with type 2 diabetes were selected from Mashhad (Iran) in 2023 to 2024. Four scales, the mental health literacy (MHL) scale, diabetes burnout scale, diabetes distress scale, and self-care behavior scale were used for data gathering. AMOS software checked the direct and indirect paths between the variables.

Results
In the path analysis, variables of MHL and diabetes distress predicted 25% variance of diabetes burnout (R2 = 0.25), and diabetes distress (total effect = 0.491) had the greatest impact on predicting diabetes burnout. Variables of MHL, diabetes distress, and diabetes burnout predicted 12% variance of Self-care behaviors (R2 = 0.12) and MHL (total effect = -0.256), age of onset of diabetes (total effect = 0.199), and diabetes burnout (total effect = − 0.167) had the greatest impact on prediction of self-care behaviors.

Conclusion
MHL could reduce diabetes distress and burnout and eventually promote self-care behaviors among patients with type 2 diabetes. Therefore, screening and identifying psychological problems (such as distress and burnout) and designing interventions to increase MHL can ultimately increase the health of patients with diabetes.
Empirical antifungal therapy for health care-associated intra-abdominal infection: a retrospective, multicentre and comparative study
Authors: Mokart Djamel , Boutaba Mehdi , Servan Luca , Bertrand Benjamin , Baldesi Olivier , Lefebvre Laurent , Gonzalez Frédéric , Bisbal Magali , Pastene Bruno , Duclos Gary , Faucher Marion , Zieleskiewicz Laurent , Chow-Chine Laurent , Sannini Antoine , Boher Jean Marie , Ronflé Romain , Leone Marc 
Published: June 2024

AbstractBackgroundCurrent guidelines recommend using antifungals for selected patients with health care-associated intra-abdominal infection (HC-IAI), but this recommendation is based on a weak evidence. This study aimed to assess the association between early empirical use of antifungals and outcomes in intensive care unit (ICU) adult patients requiring re-intervention after abdominal surgery.MethodsA retrospective, multicentre cohort study with overlap propensity score weighting was conducted in three ICUs located in three medical institutions in France. Patients treated with early empirical antifungals for HC-IAI after abdominal surgery were compared with controls who did not receive such antifungals. The primary endpoint was the death rate at 90 days, and the secondary endpoints were the death rate at 1 year and composite criteria evaluated at 30 days following the HC-IAI diagnosis, including the need for re-intervention, inappropriate antimicrobial therapy and death, whichever occurred first.ResultsAt 90 days, the death rate was significantly decreased in the patients treated with empirical antifungals compared with the control group (11.4% and 20.7%, respectively, p = 0.02). No differences were reported for the secondary outcomes.ConclusionThe use of early empirical antifungal therapy was associated with a decreased death rate at 90 days, with no effect on the death rate at 1 year, the death rate at 30 days, the rate of re-intervention, the need for drainage, and empirical antibiotic and antifungal therapy failure at 30 days.
Disentangling the invasion process of subtropical native forests of Uruguay by the exotic tree Ligustrum lucidum: establishment and dominance determinants
Authors: Brazeiro Alejandro , Olivera Juan , Betancourt Alejandra , Lado Ignacio , Romero David , Haretche Federico , Cravino Alexandra 
Published: June 2024

Abstract
Background
What factors, processes and mechanisms regulate invasive processes and their effects? This is one of the main questions addressed by the ecology of biological invasions. Ligustrum lucidum, a tree species native to East Asia, became an aggressive invader of subtropical and temperate forests around the world. We analyzed here the L. lucidum invasion in Uruguayan forests to determine the factors controlling two stages of the invasive process, the establishment, and the dominance. Establishment was assessed by the occurrence, measured in 1525, 1 × 1 km-cells, and dominance by remotely measuring the L. lucidum coverage at the forest canopy in 5554, 1 × 1 km-cells. The occurrence and dominance were modeled using Generalized Linear Models in function of independent environmental and geographic variables.

Results
Ligustrum lucidum has become established in 13.4% of the Uruguayan forests and has dominated the forest canopy in 1.2%. Our models explained 45% and 35% of the occurrence and dominance spatial variance respectively and detected in both cases strong diffusion patterns from the S-SW region to rest of Uruguay. Occurrence increased mainly in function of urban areas, and with the proximity to towns, probably because L. lucidum trees planted in gardens are seed sources, and near railways and highways, that could function as biological corridors. Occurrence also increased in loamy soils and near rivers, suggesting moisture conditions are favorable for establishment. Dominance increased with reduced forest area, in high productive soils and at higher altitudes. Moreover, dominance increased near urban areas, roads, and railways, as well as in highly afforested landscapes, and in loamy and low-rockiness soils.

Conclusions
The invasion of Uruguayan forests by L. lucidum is in the spread and impact stages, currently in expansion from the invasion focus on the S-SW region, where the oldest urbanizations are settled, towards the rest of the country. The geographic proximity to the invasion focus is currently the main predictor of both L. lucidum establishment and dominance. Additionally, whereas establishment is manly facilitated by human infrastructures improving propagule pressure and dispersion, dominance is enhanced in small or fragmented forest patches, in rich-nutrient soils, and at higher altitudes, suggesting ecosystem resistance is also operating.
Supporting direct acting antiviral medication adherence and treatment completion in a sample of predominantly rural veterans with hepatitis C and substance use disorders
Authors: Burton Mary Jane , Voluse Andrew C. , Patel Amee B. 
Published: June 2024

Abstract
Background
Clinic-based interventions are needed to promote successful direct acting antiviral (DAA) treatment for chronic hepatitis C virus (HCV) infection in patients with substance use disorders (SUDs) among rural Veterans.

Methods
We implemented a clinic-based intervention which used motivational interviewing (MI) techniques to promote medication adherence and treatment completion with 12 weeks of DAA treatment among rural Veterans with chronic HCV and SUDs. Patients received an MI session with a licensed psychologist at baseline and at each two-week follow-up visit during DAA treatment. Patients received $25 per study visit completed. Patients were to attend a laboratory visit 12 weeks after treatment completion to assess for sustained virologic response (SVR).

Results
Of the 20 participants who enrolled, 75% (n = 15) completed the planned 12-week course of treatment. Average adherence by pill count was 92% (SD = 3%). Overall SVR was 95% (19/20).

Conclusions
We demonstrated that a clinic-based intervention which incorporated frequent follow up visits and MI techniques was feasible and acceptable to a sample of predominantly rural Veterans with chronic HCV and SUDs.

Clinical trial registration
Registered at ClinicalTrials.gov (NCT 02823457) on July 1, 2016. https://clinicaltrials.gov.
A qualitative approach in comparing six cities toward a resilient response plan: COVID-19 and inequalities
Authors: Meziani Rim , Rizzi Paola , Alkhatib Ayah , Wacily Maya , Hejji Heba , Hamam Zeina 
Published: June 2024

AbstractCOVID-19 has dramatically affected financial markets, economies, and societies worldwide and exposed pre-existing inequalities in cities. This work aims to understand the inequalities in some cities worldwide, their reasons and circumstances, and impacts to drive lessons for future prevention, intervention, and post-catastrophe/ hazard plans such as COVID-19 that would raise resilience and decrease damages. Six major cities were included in the analysis and contrasted based on specific assessment criteria. The study included the impact of the pandemic on the economy and the government's responses global crisis. Additionally, newfound measures and technologies developed to control the hazard, including the community's response and cooperation to solving the issue were explored. The outcomes of this work shed a light on problems to be addressed in the future towards enhances the resilience of cities pre- and post- global crisis. Through the comparisons made in this paper, conclusions regarding the cities' successful combat against COVID-19 were drawn. According to the comparative analysis, it became apparent that poverty, culture, and governance are primary factors that control the success of states under emergency. Moreover, it is understood that technology is a significant factor in combating pandemics and health emergencies as large as COVID-19, especially for tracking and monitoring.
Analysis of the stakes of the Xianyang Ancient Ferry Site, Shaanxi, China
Authors: Teri Gele , Fu Peng , Han Kezhu , Huang Dan , Li Yanli , Luo Yujia , Xing Huiping , Li Yuhu 
Published: June 2024

Abstract
Historical records indicate that Xianyang Ancient Ferry Site, dating back over three millennia to the late Shang Dynasty, has been an important transportation hub in ancient times. The use of combined wooden stakes and stones is a special method for flood control among ancient flood prevention techniques. This research aims to evaluate the current preservation condition of these ancient wooden stakes. The dating of the wooden stakes at the site ranges between 940 ± 30 BP and 320 ± 30 BP. The fiber cross-section and microstructure images of the wooden samples indicate that the wood is attributed to Platycladus orientalis. SEM images indicate decay and deterioration of the wooden samples, with the presence of mold spores within the cavities. XRD, FTIR, and TG/DSC spectra of historical wooden samples collected from the site and fresh Platycladus orientalis wood samples demonstrate a significant decrease of cellulose crystallinity in the historical samples, leading to severe deterioration of the wood at the site. Five dominant mold species were identified, i.e., Aspergillus niger, Aspergillus flavus, Penicillium citrinum, Trichoderma, and Phanerochaete chrysosporium, which accelerate the degradation of cellulose and other polysaccharides. This research provides scientific evidence for the selection of reinforcement materials and guides curators and conservators to formulate conservation strategies in the future.
Spatiotemporal evolution of landscape stability in World Heritage Karst Sites: a case study of Shibing Karst and Libo-Huanjiang Karst
Authors: Bai Xue , Xiong Kangning , Chen Yue , Liu Ziqi 
Published: June 2024

Abstract
Landscape stability is a paramount concern within the field of landscape ecology. Indices of landscape patterns not only facilitate an effective analysis of land use transformations but also delve into the mechanisms of landscape disturbances across various spatial and temporal dimensions. Utilizing land use data spanning from 2014 to 2022 for the Shibing and Libo-Huanjiang South China Karst (SCK) World Heritage Sites (WHSs), this study delves into the landscape dynamics of these areas over the past 8 years. This investigation employs landscape pattern indices and a moving window technique to construct a landscape stability evaluation model, incorporating indices such as the Contagion Index, Patch Density, and Total Edge Contrast. Moreover, the study employs Moran's I, a spatial autocorrelation index, to scrutinize the shifts in geographical heterogeneity of landscape stability within the said period. The findings reveal: (1) Between 2014 and 2022, the landscape patterns of the Shibing and Libo-Huanjiang WHSs have undergone significant transformations, with Woodland emerging as the predominant landscape type and its area exhibiting an upward trend in recent years. (2) The level of fragmentation within the research area has decreased, landscape diversity has diminished, and the aggregation index has risen, according to the landscape pattern indices from 2014 to 2022, indicating that conservation measures have significantly influenced the evolution of landscape patterns. (3) Throughout most of the study period, landscape stability predominantly remained at a relatively stable level, albeit with noticeable fluctuations in years heavily impacted by human activities. (4) The areas of high-high agglomeration and the hotspots of the heritage sites were primarily concentrated within the core zones of these sites, suggesting focused areas of conservation and landscape integrity.
Thoracic high resolution computed tomography evaluation of imaging abnormalities of 108 lung cancer patients with different pulmonary function
Authors: Zhu Li , Liu Jiali , Zeng Liang , Moonindranath Sohun , An Peng , Chen Hu , Xiang Quanyong , Wang Zhongqiu 
Published: June 2024

Abstract
Purpose
Preserved ratio impaired spirometry (PRISm) and chronic obstructive pulmonary disease (COPD) belong to lung function injury. PRISm is a precursor to COPD. We compared and evaluated the different basic information, imaging findings and survival curves of 108 lung cancer patients with different pulmonary function based on high resolution computed tomography (HRCT).

Methods
This retrospective study was performed on 108 lung cancer patients who did pulmonary function test (PFT) and thoracic HRCT. The basic information was evaluated: gender, age, body mass index (BMI), smoke, smoking index (SI). The following pulmonary function findings were evaluated: forced expiratory volume in 1s (FEV1), forced vital capacity (FVC), FEV1/FVC ratio. The following computed tomography (CT) findings were evaluated: appearance (bronchiectasis, pneumonectasis, atelectasis, ground-glass opacities [GGO], interstitial inflammation, thickened bronchial wall), diameter (aortic diameter, pulmonary artery diameter, MPAD/AD ratio, inferior vena cava diameter [IVCD]), tumor (volume, classification, distribution, staging [I, II, III, IV]). Mortality rates were calculated and survival curves were estimated using the Kaplan-Meier method.

Results
Compared with normal pulmonary function group, PRISm group and COPD group were predominantly male, older, smoked more, poorer lung function and had shorter survival time after diagnosis. There were more abnormal images in PRISm group and COPD group than in normal lung function group (N-C group). In PRISm group and COPD group, lung cancer was found late, and the tumor volume was larger, mainly central squamous carcinoma. But the opposite was true for the N-C group. The PRISm group and COPD group had significant poor survival probability compared with the normal lung function group.

Conclusions
Considerable differences regarding basic information, pulmonary function, imaging findings and survival curves are found between normal lung function group and lung function injury group. Lung function injury (PRISm and COPD) should be taken into account in future lung cancer screening studies.