bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of mindfulness-based interventions on anxiety, depression, and stress in patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials
Authors: Abdul Manan Hanani , Mir Imtiyaz Ali , Humayra Syeda , Tee Rong Yuen , Vasu Deepak Thazhakkattu 
Published: July 2024

BackgroundAdopting lifestyle interventions is pivotal in coronary artery disease (CAD) management and prevention to amplify cardiovascular and mental well-being. This study aims to quantify the effect of mindfulness-based interventions (MBIs) on anxiety, depression and stress in CAD patients.MethodsA systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted by searching four electronic databases (PubMed, CENTRAL, Scopus, and Science Direct) through December 2023. The risk of bias was assessed using the PEDro tool, and the study outcomes were expressed as standard mean difference at 95% CI.ResultsOut of 1838 yielded results, eight RCTs involving 623 participants with a mean age of 56.96 ± 4.89 met the prespecified eligibility criteria. The pooled results showed a statistically significant and beneficial effect of MBIs on CAD patients’ mental health status in regards to anxiety (SMD = −0.83; 95% CI [−1.19, −0.46], p &lt; 0.001), depression (SMD = − 0.86; 95% CI [−1.14, −0.58], p &lt; 0.001), and stress (SMD = −0.69; 95% CI [−1.27, −0.12], p = 0.02). The subgroup sensitivity analyses based on the region (Asia vs. Europe) indicated a statistically non-significant subgroup effect of MBIs on anxiety (I2 = 63.9%, p = 0.10) and depression (I2 = 25.8%, p = 0.25), and a significant effect on stress (I2 = 80.0%, p = 0.03). Although the methodological quality of the trials was generally satisfactory, all studies lacked allocation concealment and blinding. Additionally, gender imbalances, and inadequate follow-up may have potentially compromised the validity of the trials.ConclusionMindfulness-based interventions are beneficial for improving CAD patients’ anxiety, depression and stress symptoms. Nevertheless, it is imperative to conduct more rigorous and robust studies with an equal gender ratio and long-term follow-up.
Social support utilization’s effect on post-traumatic stress symptoms: a Danish cross-sectional study of 383 ambulance personnel
Authors: Melander Pernille , Vang Maria Louison , Lindekilde Nanna , Andersen Lars Peter Sønderbo , Elklit Ask , Pihl-Thingvad Jesper 
Published: July 2024

IntroductionSocial support is considered an important factor in prevention of mental illness. However, little is known about the association between ambulance personnel’s use of multiple types of social support and post-traumatic stress symptoms (PTSS). This study aims to assess if number of used social support types predicts PTSS for ambulance personnel. Apart from assessing the main effect of social support utilization, we were interested in investigating if social support utilization moderated the effect of frequency of critical events on PTSS.Materials and methodsA total of 383 ambulance personnel completed a survey consisting of validated questionnaires. Hierarchical multiple linear regression analyses were performed to assess the association between frequency of traumatic exposure and utilization of social support and PTSS as outcome variable.ResultsHigher number of utilized social support types was associated with higher levels of PTSS (β = 0.15, p &lt;.001). When serving as a moderator of the association between frequency of exposure to critical incidents and PTSS, social support utilization had a significant and positive interaction effect (β = 0.26, p = .049). 307 participants had used 2 or 3 types of informal support during the past year, whereas 81 had used 2 or 3 types of formal support.ConclusionTo our knowledge, this is the first study investigating the relationship between utilization of multiple, concurrent social support types and PTSS. This study suggests that to understand the effects of social support among ambulance personnel, it is necessary to assess the utilization of multiple concurrent support types, contributing factors to social support use, and different patterns of social support utilization that constitutes professional life in ambulance work.
Addressing AMR and planetary health in primary care: the potential of general practitioners as change agents
Authors: Tigges Paula , Greser Alexandra , Gágyor Ildikó , Kraft Judith , Maun Andy , Schmiemann Guido , Schwienhorst-Stich Eva-Maria , Heintze Christoph , Schuster Angela 
Published: July 2024

IntroductionAntimicrobial resistance is closely linked with the health and stability of environmental systems and therefore a challenge for the health of the planet. General Practitioners, owing to their trusted positions and close patient relationships, can play a crucial role in addressing antimicrobial resistance within the framework of Planetary Health. The goal of our study was to examine General Practitioners’ knowledge, attitude, and practice regarding the linkage of antimicrobial resistance with Planetary Health to understand their potential as agents of change in this domain.Materials and methodsWe conducted 19 guided interviews with General Practitioners from four different German federal states (August–September 2022). Participants were selected from the intervention group of the RedAres randomized controlled trial, a study designed to optimize therapy and prescribing practices for uncomplicated urinary tract infections in general practice. Data were analyzed using Mayring’s structured qualitative content analysis and the typology approach by Kelle and Kluge.ResultsGeneral Practitioners generally demonstrated the ability to identify the interlinkages between antimicrobial resistance and Planetary Health. However, they exhibited varying levels of knowledge, problem awareness, and accountability for the associated challenges and partially outsourced the responsibility for Planetary Health. Some General Practitioners were capable of integrating Planetary Health arguments into patient counseling. They recognized rational prescribing practice, self-reflection on antimicrobial resistance and Planetary Health, interprofessional exchange, and raising awareness among patients as potential avenues for engagement in promoting Planetary Health.DiscussionAs antimicrobial resistance is increasingly recognized as a Planetary Health challenge, empowering General Practitioners as change agents requires tailored measures based on their level of previous knowledge and their attitude toward Planetary Health. General Practitioners express a need for concrete advice on how to integrate antimicrobial resistance as a Planetary Health topic into their daily activities. Developing and evaluating adaptable training materials is essential. Additionally, the integration of Planetary Health outcomes into clinical guidelines could accelerate the adoption of this dimension in antibiotic prescribing practices within primary care settings.
Work-related injuries of rehabilitation therapists and measures for prevention
Authors: Liu Wei , Tian Weibo , Wu Tianyu , Luo Bin , Yi Jiang , Li Wenmao , Jiang Junjie , Wei Yanlong , Zhang Tianqi , Zhang Fengyue , Duan Xiaoqin , Zheng Bin 
Published: July 2024

BackgroundRehabilitation therapists often perform physically demanding treatments that may result in work-related injuries, yet related studies are scarce. This study aimed to investigate the work-related injuries of rehabilitation therapists and provide feasible preventive measures.MethodsA cross-sectional study was carried out in 34 regions across China using an online questionnaire. The survey gathered responses primarily from 1,198 rehabilitative therapists working in 120 health institutes. Following data collection, descriptive analysis, chi-square tests, logistic regression, and receiver operating characteristic (ROC) curves were employed to analyze the data.ResultsIn this study, the incidence of work-related injuries was reported to be 87% (n = 1,041). The top three musculoskeletal issues reported were low back pain (12%), neck pain (10%), and shoulder pain (9%). Logistic regression and ROC curve analysis identified that working as a physiotherapist and years of work experience (OR [95% CI]: 1.03 [0.99–1.07]) were significant contributors to the incidence of work-related injuries. Specifically, neuro-physiotherapists (OR [95% CI]: 3.04 [1.56–5.92]), musculoskeletal physiotherapists (OR [95% CI]: 2.46 [1.16–5.18]), and intensive care physiotherapists (OR [95% CI]: 4.70 [1.24–17.88]) were at higher risk. Furthermore, five factors were proven to be associated with injury prevention as reported by therapists: patient engagement (OR [95% CI]: 0.38 [0.23–0.62]), improving techniques (OR [95% CI]: 0.59 [0.39–0.90]), maintaining exercise habits (OR [95% CI]: 0.59 [0.40–0.86]), utilizing instruments (OR [95% CI]: 0.80 [0.53–1.19]), and strengthening education (OR [95% CI]: 0.43 [0.21–0.90]).ConclusionThe present study investigated the factors contributing to work-related injuries among rehabilitation therapists, with a focus on identifying both risk and preventive measures. These findings offer new perspectives on decreasing injury risk.
Prevalence and risk factors of atopic dermatitis in Chinese children aged 1–7 years: a systematic review and meta analysis
Authors: Ma Xueting , Xie Zhiyin , Zhou Yu , Shi Hui 
Published: July 2024

IntroductionAtopic dermatitis (AD) is a common, chronic, recurrent inflammatory skin disease. To date, no meta-analysis have been conducted on the prevalence and risk factors of AD in children aged 1–7 years in Mainland China.MethodsWe conducted a meta-analysis of the prevalence and risk factors of AD among children aged 1–7 years in China. Chinese and English publications were searched in Chinese and English databases on AD epidemiology published between 1999 and 2023. Two researchers independently screened the literature, extracted the data, and evaluated their quality. A meta-analysis was performed using a random-effects model (I2 &gt; 50%) with 95% confidence intervals (CIs) for the forest plots. Data were processed using the RevMan 5.3.ResultsNineteen studies (data from 127,660 samples) met the inclusion criteria. The pooled prevalence of AD in Chinese children aged 1–7 years was 8%. Over the last decade, the prevalence of AD has increased. The prevalence of AD among children in southern China was higher than that in northern China and was the highest at the provincial level in Zhejiang, Shanxi, and Anhui. The prevalence of AD was dependent on the family history of allergy, passive smoking, households with pets, plush toys, and residential area.DiscussionThe prevalence of AD in children (age 1–7 years) in China has increased. Further studies are needed to monitor the prevalence of AD in Chinese children. Therefore, early prevention and screening should be performed for children with a family history of AD, and their living environment should be improved to reduce allergen stimulation, thus reducing the development of AD.
Effectiveness of high intensity and sprint interval training on metabolic biomarkers, body composition, and physical fitness in adolescents: randomized controlled trial
Authors: González-Gálvez Noelia , López-Gil José Francisco , Espeso-Garcia Alejandro , Abenza-Cano Lucia , Mateo-Orcajada Adrián , Vaquero-Cristóbal Raquel 
Published: July 2024

ObjectiveThe aim of this study was to evaluate the effect of HIIT and SIT programmes on body composition, blood pressure, lipid profile, glucose, cardiorespiratory fitness, and strength of adolescents and to compare the effect between those different protocols.MethodsSixty adolescents were recruited from a high school and were randomly placed into three groups. SIT and HIIT undertook a training for 8 weeks, twice a week, for 12 min per session, during their Physical Education lessons. SIT group performed 6 sets of 60 s of work (90-95%HRmax) / 60 s of rest (50-55%HRmax), and HIIT group performed 3 sets of 2 min of work (80-85%HRmax) / 2 min of rest (50-55%HRmax).ResultsAfter adjustment by sex, both experimental groups exhibited a significant reduction in fat mass (p &lt; 0.01), and trunk fat mass (p &lt; 0.01), as well as a significant increase in lean mass (p = 0.01; &lt;0.01), hand-grip strength (p &lt; 0.01) and standing long jump (p = 0.05–0.04, respectively). In addition, HIIT showed a significant (p &lt; 0.05) improvement in blood pressure, diastolic blood pressure, heart rate and VO2max, and a tendency toward a significant reduction in low density lipoprotein.ConclusionThe implementation of a HIIT protocol within high school Physical Education sessions, maintained for 8 weeks, at a rate of 3 sets of 2 min of work (80–85% RHR)/2 min of rest (50–55% RHR) generated adaptations such as improved fitness condition, changes in body composition, and improvements in blood parameters and blood pressure. However, the group of adolescents who performed SIT, shorter but more intense sets, did not experience as many benefits.
Effects of fermented jujube powder on growth performance, rumen fermentation, and antioxidant properties of simmental bulls
Authors: Liu Yongqing , Wang Gaifang , Wang Rui , Zhang Xia , Feng Caiping , He Ying , Chu Panpan 
Published: July 2024

IntroductionFermented jujube powder (FJP) promotes a balance between the intestinal microflora and immune factors in animals. In this study, we aimed to investigate the effects of FJP on the production performance, nutrient digestion, rumen fermentation, and antioxidant properties of bulls.MethodsForty Simmental bulls were randomly divided into four groups based on body weight and fed a basal diet with [5, 7.5, or 10% dry matter (DM)] or without FJP. The experimental period was 20 d for adaptation and 60 d for the feeding trial.ResultsDietary FJP supplementation did not affect DM intake (P &gt; 0.05) but increased the average daily gain quadratically (P = 0.049) and decreased the feed conversion ratio linearly (P = 0.042). FJP quadratically enhanced DM and crude protein digestibility (P = 0.026 and P = 0.041, respectively) and linearly enhanced acid detergent fiber digestibility (P = 0.048). It also increased the total volatile fatty acid concentration quadratically (P = 0.037), acetate molar percentage, and acetate-to-propionate ratio linearly (P = 0.002 and 0.001), and reduced the ammonia nitrogen concentration linearly (P = 0.003). Additionally, xylanase and protease activities and Ruminococcus flavefaciens abundance increased linearly (P = 0.006, 0.018, and 0.009, respectively), and total bacteria, Ruminococcus albus, and Ruminobacter amylophilus abundance increased quadratically (P = 0.047, 0.011, and 0.021, respectively). FJP linearly increased serum total protein concentration and antioxidant capacity (P = 0.003 and 0.018, respectively) and decreased malonaldehyde content (P = 0.006).DiscussionFJP supplementation (7.5%) enhanced production performance, nutrient digestion, rumen fermentation, and serum antioxidant capacity in bulls. The improved nutrient digestion may be due to an increase in ruminal microorganisms and total volatile fatty acids from the FJP. High blood antioxidant levels indicate that FJP may preserve proteins, thereby boosting the production performance of bulls.
Seed Priming with Rhizospheric Bacillus subtilis: A Smart Strategy for Reducing Fumonisin Contamination in Pre-Harvest Maize
Authors: Jannat Muhtarima , Auyon Shah Tasdika , Tushar Abu Sina Md. , Tonny Sadia Haque , Hasan Md. Hasibul , Shahi Mangal , Singha Uday Rana , Sultana Ayesha , Akter Sabera , Islam Md. Rashidul 
Published: July 2024

Maize, one of the most important cereal crops in Bangladesh, is severely contaminated by fumonisin, a carcinogenic secondary metabolite produced by Fusarium including Fusarium proliferatum. Biocontrol with Bacillus strains is an effective approach to controlling this F. proliferatum as Bacillus has proven antagonistic properties against this fungus. Therefore, the present study aimed to determine how native Bacillus strains can reduce fumonisin in maize cultivated in Bangladesh, where BDISO76MR (Bacillus subtilis) strains showed the highest efficacy both in vitro in detached cob and in planta under field conditions. The BDISO76MR strain could reduce the fumonisin concentration in detached cob at 98.52% over untreated control, by inhibiting the conidia germination and spore formation of F. proliferatum at 61.56% and 77.01%, respectively in vitro. On the other hand, seed treatment with formulated BDISO76MR showed higher efficacy with a reduction of 97.27% fumonisin contamination compared to the in planta cob inoculation (95.45%) over untreated control. This implies that Bacillus-based formulation might be a potential approach in mitigating fumonisin contamination in maize to ensure safe food and feed.
A Framework for Auditing Multilevel Models using Explainability Methods
Authors: Bhaumik Debarati , Dey Diptish , Kayal Subhradeep 
Published: July 2024

Multilevel models (MLMs) are increasingly deployed in industry across different functions. Applications usually result in binary classification within groups or hierarchies based on a set of input features. For transparent and ethical applications of such models, sound audit frameworks need to be developed. In this paper, an audit framework for technical assessment of regression MLMs is proposed. The focus is on three aspects: model, discrimination, and transparency & explainability. These aspects are subsequently divided into sub-aspects. Contributors, such as inter MLM-group fairness, feature contribution order, and aggregated feature contribution, are identified for each of these sub-aspects. To measure the performance of the contributors, the framework proposes a shortlist of KPIs, among others, intergroup individual fairness (DiffInd_MLM) across MLM-groups, probability unexplained (PUX) and percentage of incorrect feature signs (POIFS). A traffic light risk assessment method is furthermore coupled to these KPIs. For assessing transparency & explainability, different explainability methods (SHAP and LIME) are used, which are compared with a model intrinsic method using quantitative methods and machine learning modelling.
Using an open-source dataset, a model is trained and tested and the KPIs are computed. It is demonstrated that popular explainability methods, such as SHAP and LIME, underperform in accuracy when interpreting these models. They fail to predict the order of feature importance, the magnitudes, and occasionally even the nature of the feature contribution (negative versus positive contribution on the outcome). For other contributors, such as group fairness and their associated KPIs, similar analysis and calculations have been performed with the aim of adding profundity to the proposed audit framework. The framework is expected to assist regulatory bodies in performing conformity assessments of AI systems using multilevel binomial classification models at businesses. It will also benefit providers, users, and assessment bodies, as defined in the European Commission’s proposed Regulation on Artificial Intelligence, when deploying AI-systems such as MLMs, to be future-proof and aligned with the regulation.
Challenges and Opportunities- The Case for New Technologies’ Implementation in Romania
Authors: Dumitrescu Decebal , Suciu Martha Cristin , Aceleanu Mirela 
Published: July 2024

Purpose: This article intends to identify, understand and explore the challenges and critical success factors (“CSF”) arising from implementation of new technologies in Romanian companies. We conduct a cross-industry partially explanatory, partially exploratory research focusing on 3 business cases whereby innovative technologies such as automation software, industrial robots and continuous steel melting through the use of electrical cauldron have been implemented.
Research Methodology/Design: We have used a case study approach. We’ve reviewed and mapped the existent academic literature on the subject matter, we have conducted interviews with business stakeholders, we have traced the identified challenges and CSF’ and measured their occurrence in relation to the case studies.
Findings:The results suggests that there are several pervasive challenges such as conflicts among the stakeholders, no management and/or employee buy-in, value misalignment and resistance to change that if appropriately mitigated can lead to successful outcomes. We’ve also identified a number recurring critical success factors that can ensure the effective implementation of the new technologies such as management buy in and understanding of value proposition.
Research limitations/implications:The current study further extends the existing research on challenges and CSF related to the implementation of technologies from the standpoint of innovation theory.
Practical Implications:The present article further expands on the exploration research performed so far on challenges and critical success factors related to the implementation of new technologies taking the scholarly research and validating the findings in the real business world.
Originality/value: The current research study provides practical evidence using cross-industry occurrence-based validation testing to indicate the challenges and critical success factors related to the implementation of new technologies in Romanian companies. It adds to the exploratory research on technology transformation as it pertains to jurisdictions that, more often than not, are outside the research radar.
Pengaruh Sales Growth, Likuiditas, dan Aset Tangibility terhadap Struktur Modal
Authors: Ananda Chindy , Madyoningrum Asri Winanti , Sari Syara Purnama , Shafitranata Shafitranata 
Published: July 2024

Purpose: This study aims to determine the effects of sales growth, liquidity, and asset tangibility on capital structure.
Methodology/approach: The research sample included as many as 14 companies in various industrial sectors of the automotive sub-sector for the period 2018-2022. Quantitative research using the associative approach method was used. The data used are secondary data, which are annual financial statements of automotive companies for the period to 2018-2022. The study population comprises various industrial sectors of the automotive subsectors listed on the Indonesia Stock Exchange. The data analysis method used was multiple linear regression using SPSS version 23.
Results: The sales growth variable has no significant effect on capital structure, the liquidity variable has a significant effect on capital structure, and the asset tangibility variable has no significant effect on capital structure.
Limitations: The sample in the study only focuses on miscellaneous sector companies in various sectors of the automotive industry for the period 2018-2022 listed on the Indonesia Stock Exchange.
Contribution: Good sales growth makes investors hesitant to provide capital to the company, and a high liquidity value reflects the ability of the company to meet its short-term obligations. Companies with good liquidity values are considered to have good investor performance. Investors plan and analyze ratios in automotive financial reports to obtain a better understanding and information regarding financial performance. This is performed to achieve a predetermined investment objective.