bluuebunny/crossref_metadata_2025_split huggingface dataset:
Spatiotemporal heterogeneity of the association between socioeconomic development and health policy attention: a geographically and temporally weighted regression modeling study in China
Authors: He Rongxin , Wang Hongchuan , Liang Wannian 
Published: August 2024

ObjectivesHealth policy attention (HPA) refers to the extent of attention given by governments to health issues in public policy and is generally influenced by socioeconomic development. This study aimed to examine the spatiotemporal heterogeneity and clustering of the associations between socioeconomic factors and HPA.Study designLongitudinal study.MethodsThis study examined the spatiotemporal heterogeneity of the association between public and provincial government attention, economic development, and demographic transition and HPA by using geographically and temporally weighted regression (GTWR). Word2Vec machine learning technology was utilized to calculate HPA data in 323 cities and independent variable data was collected in each city in China over the period of 2018–2021.ResultsThe results showed that there is a substantial overall rise in HPA levels throughout China following the COVID-19 pandemic. Furthermore, the GTWR results revealed significant spatiotemporal heterogeneity in the associations between HPA and public and provincial government attention, economic development, and demographic transition, particularly in the context of COVID-19. The impact of provincial government attention on HPA decreased from the capital of the political center outward, while the impact of public financial investment decreased in less developed cities during the pandemic. It was only cities with high levels of aging are more likely to receive greater HPA.ConclusionThe finding highlighted the remarkable spatial and temporal variations in the associations between the variables and HPA across different regions in China, emphasizing the need for region-specific policies to strengthen the focus on health by municipal governments.
Assessing educational disparities in COVID-19 related excess mortality in Spain: a population register-linked mortality study
Authors: Pulido José , Donat Marta , Moreno Almudena , Politi Julieta , Cea-Soriano Lucía , Sordo Luis , Mateo-Urdiales Alberto , Ronda Elena , Belza María José , Barrio Gregorio , Regidor Enrique 
Published: August 2024

IntroductionData on the increase in mortality during the COVID-19 pandemic based on individuals' socioeconomic positions are limited. This study examines this increase in mortality in Spain during the epidemic waves of 2020 and 2021.MethodsWe calculated the overall and cause-specific mortality rates during the 2017–2019 pre-pandemic period and four epidemic periods in 2020 and 2021 (first, second, third-fourth, and fifth-sixth waves). Mortality rates were analyzed based on educational levels (low, medium, and high) and across various age groups (25–64, 65–74, and 75+). The increase in mortality during each epidemic period compared to the pre-pandemic period was estimated using mortality rate ratios (MRR) derived from Poisson regression models.ResultsAn inverse educational gradient in overall mortality was observed across all periods; however, this pattern was not consistent for COVID-19 mortality in some age groups. Among those aged 75 years and older, highly educated individuals showed higher COVID-19 mortality during the first wave. In the 25–64 age group, individuals with low education experienced the highest overall mortality increase, while those with high education had the lowest increase. The MRRs were 1.21 and 1.06 during the first wave and 1.12 and 0.97 during the last epidemic period. In the 65–74 age group, highly educated individuals showed the highest overall mortality increase during the first wave, whereas medium-educated individuals had the highest increase during the subsequent epidemic periods. Among those aged 75 and older, highly educated individuals exhibited the highest overall mortality increase while the individuals with low education showed the lowest overall mortality increment, except during the last epidemic period.ConclusionThe varying educational patterns of COVID-19 mortality across different age groups contributed to the disparities of findings in increased overall mortality by education levels during the COVID-19 pandemic.
The impact of empowerment theory-based health education on Alzheimer’s disease informal caregivers: a randomized controlled trial
Authors: Liu Xiaofeng , Wang Shurui , Wei Lirong , Liu Yun , Bian Jiping , Wang Shen , Du Xian 
Published: August 2024

BackgroundThere is a lack of evidence regarding the effectiveness of empowerment healthy education for caregivers of Alzheimer’s patients.ObjectiveTo explore the effectiveness of the intervention of health education guided by empowerment theory on dementia knowledge, caregiving readiness, positive caregiving emotions, anxiety, and depression in informal Alzheimer’s disease caregivers.DesignA single-blinded, randomized controlled trial.SettingA teaching hospital in Tianjin, China.ParticipantsEighty caregivers of Alzheimer’s disease patients.MethodsParticipants were recruited from the hospital and randomly assigned to either experimental or control group. The experimental group underwent a 12-weeks, one-to-one intervention of six session lasting 45–60 min each. The control group received conventional health education. Outcome measures included dementia knowledge, caregiver readiness (primary outcomes), positive caregiving emotions, anxiety, and depression (secondary outcomes).ResultsAfter 12 weeks, the intervention group exhibited significantly higher levels of dementia knowledge, caregiver readiness, and positive caregiving emotions compared with the control group. Furthermore, levels of hospitalization-related anxiety and depression were lower in the intervention group. All study results of this study showed statistically significant differences (p &lt; 0.05).DiscussionEmpowerment theory-based health education appears to be an effective intervention for improving caregiver and readiness to care for caregivers of Alzheimer’s disease individuals. The intervention may help reduce caregivers’ anxiety and depression levels.
Prevalence of dyslipidemia among teachers in China: a systematic review and meta-analysis
Authors: Wei Xiaoxue , Ouyang Feng , Liu Yang , Du Qingfeng 
Published: August 2024

ObjectiveTo systematically analyze the current situation with dyslipidemia among teachers in China, to provide guidance for lipid management and prevention of ASCVD.DesignA systematic review and meta-analysis of the prevalence of dyslipidemia among teachers in China.MethodsWe searched via 9 databases for studies published between June 1, 1996, and July, 25, 2024. The article were evaluated by the Joanna Briggs Institute (JBI) Article Quality Assessment Tool (2016) in Australia. RevMan5.0 and R4.3.1 software were used for statistical analysis to calculate the OR and RR values and the 95% confidence intervals. This systematic review and meta-analysis were reported in line with the PRISMA guidelines.ResultsA total of 12 cross-sectional studies from 10 provinces (regions) were included, with the sample of 24,851, including 12,626 males and 12,198 females, the average age of about 40 (1,036 were aged ≤30, 5,872 were aged 30–40, 3,854 were aged 40–50, 4,607 were aged 50–60, and 3,425 were aged ≥60), including 9,114 people with dyslipidemia. The overall prevalence of dyslipidemia among teachers in China was 38% (p &lt; 0.01, 95% CI (1.27–1.95)). The prevalence of hypertriglyceridemia was 21.6% (p &lt; 0.01, 95% CI (1.05–1.50)), that of hypercholesterolemia was 13.3% (p &lt; 0.05, 95% CI (0.98–1.34)), that of hyper-LDL-Cemia was 9.4% (p &lt; 0.01, 95% CI (1.04–1.59)), and that of hypo-HDL-Cemia was 4.3% (p = 0.25, 95% CI (0.61–6.52)). The heterogeneity of dyslipidemia among teachers of the different sexes was I2 = 92% (p &lt; 0.01). The overall prevalence of dyslipidemia, as well as that of high TC, high TG, and high LDL-C levels, was greater in female teachers than in male teachers (df = 10, 95% CI:1.35–1.52, p &lt; 0.01). The heterogeneity of dyslipidemia among teachers of different ages was I2 = 74% (p &lt; 0.01), and the risk was lower for aged &lt;50 years than those aged ≥50 years (df = 7, 95% CI: 0.38–0.44, p = 0.04). The year, region, school type, and these factors showed no effect on the prevalence of dyslipidemia (p = 0.7353).ConclusionThe prevalence of dyslipidemia in the teacher population in China is high and tends to increase with age. We should pay attention to the health management of the teachers, which can be done by appropriately adjusting the educational model settings, increasing the programs on physical activities, promoting the improvement of healthy lifestyles.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier [CRD42024567785].
Sex differences in mobility recovery after hip fracture: a time series analysis
Authors: Jansen Carl-Philipp , Engdal Monika , Peter Raphael S. , Helbostad Jorunn L. , Taraldsen Kristin , Vereijken Beatrix , Pfeiffer Klaus , Becker Clemens , Klenk Jochen 
Published: August 2024

IntroductionSex differences are commonly reported for hip fracture incidence rates and recovery. Current knowledge about mobility recovery after hip fracture involves clinical assessments of physical capacity or patient-reported outcomes. Information on mobility performance during daily life is missing but relevant to evaluate patients’ recovery. Hence, it remains unclear whether sex differences exist in the longitudinal progression of mobility performance in hip fracture patients. To investigate this, we pooled data from four studies in Germany and Norway.MethodsIn all studies, real-world mobility was assessed continuously over 1 to 7 days using a sensor fixed to the unaffected frontal thigh. All studies assessed mobility at different time points that were allocated to three distinct phases: Acute and post-acute phase (week 1–6), extended recovery (7–26), and long-term recovery (27–52). Sex-specific continuous trajectories of the median (50th percentile) as well as the 1st (25th percentile) and 3rd quartile (75th percentile) were estimated using quantile regression models with splines for daily walking and standing duration; number of sit-to-stand-to-walk transfers and walking bouts; mean walking bout duration; maximum number of steps per walking bout.ResultsThere were 5,900 valid observation days from n = 717 participants (mean age = 83.4 years, SD 6.1). The majority was female (75.3%), with similar sex distribution across all studies. Demographics of both sexes were comparable, but a higher percentage of women was living alone (69.0% compared to 40.9% in men) and had experienced an indoor fall leading to the fracture (74.3% compared to 67.4% in men). There were clear sex differences in mobility recovery. Women improved their mobility faster than men, but men showed larger increases later in the year after surgery. At the end of the first year, both sexes reached comparable levels in almost all mobility parameters.ConclusionWe identified varying aspects of mobility recovery between men and women, i.e., timely development of mobility recovery shows different patterns. Our findings support the consideration of sex differences in planning and implementing rehabilitation measures for hip fracture patients and highlight the need to provide adapted support at different time points. The underlying mechanisms of these sex differences need further investigation.
Neonatal Fungemia by Non-Candida Rare Opportunistic Yeasts: A Systematic Review of Literature
Authors: Mpakosi Alexandra , Cholevas Vasileios , Meletiadis Joseph , Theodoraki Martha , Sokou Rozeta 
Published: August 2024

Fungal colonization poses a significant risk for neonates, leading to invasive infections such as fungemia. While Candida species are the most commonly identified pathogens, other rare yeasts are increasingly reported, complicating diagnosis and treatment due to limited data on antifungal pharmacokinetics. These emerging yeasts, often opportunistic, underscore the critical need for early diagnosis and targeted therapy in neonates. This systematic review aims to comprehensively analyze all published cases of neonatal fungemia caused by rare opportunistic yeasts, examining geographical distribution, species involved, risk factors, treatment approaches, and outcomes. Searching two databases (PubMed and SCOPUS), 89 relevant studies with a total of 342 cases were identified in the 42-year period; 62% of the cases occurred in Asia. Pichia anomala (31%), Kodamaea ohmeri (16%) and Malassezia furfur (15%) dominated. Low birth weight, the use of central catheters, prematurity, and the use of antibiotics were the main risk factors (98%, 76%, 66%, and 65%, respectively). 22% of the cases had a fatal outcome (80% in Asia). The highest mortality rates were reported in Trichosporon beigelii and Trichosporon asahii cases, followed by Dirkmeia churashimamensis cases (80%, 71%, and 42% respectively). Low birth weight, the use of central catheters, the use of antibiotics, and prematurity were the main risk factors in fatal cases (84%, 74%, 70%, and 67%, respectively). 38% of the neonates received fluconazole for treatment but 46% of them, died. Moreover, the rare yeasts of this review showed high MICs to fluconazole and this should be taken into account when planning prophylactic or therapeutic strategies with this drug. In conclusion, neonatal fungemia by rare yeasts is a life-threatening and difficult-to-treat infection, often underestimated and misdiagnosed.
REFLEXÕES SOBRE INTERNET, ESCOLA E ADOLESCÊNCIA: RESSIGNIFICANDO CONCEITOS
Authors: Amaral Cisnara Pires , Lopes Michel Pimentel 
Published: August 2024

O trabalho é fruto de intervenções pedagógicas em escolas públicas e teve como objetivo definir o número de horas que adolescentes ficam atrelados à internet, discutindo as deficiências que podem estar relacionadas ao número excessivo dessa atividade, quais os comprometimentos metabólicos, fisiológicos e educacionais que podem ser detectados decorrentes do uso excessivo dessa ferramenta. Para isso, foram selecionadas três escolas, sendo uma de região central, e duas periféricas no município de Santiago/RS. Com o propósito de desenvolver a atividade foi aplicado um questionário semiestruturado, totalizando uma amostra de 147 discentes, discutindo através de uma conversa informal com os mesmos os aspectos negativos e positivos relacionados ao uso da internet. A pesquisa observou que a maioria dos adolescentes mantém hábitos saudáveis de socialização, saídas com amigos e relações de amizade, além das amizades virtuais. A quantidade de horas disponibilizadas para o acesso à internet não ultrapassam duas horas, dessa forma a qualidade do sono, higiene pessoal e alimentação são conservadas. Notou-se que a condição socioeconômica é um fator determinante para a exposição, pois grande quantidade dos entrevistados auxiliam seus pais em tarefas domésticas, fato comum hoje em dia onde pai e mãe trabalham para o sustento da família. Verifica-se que as intervenções pedagógicas nas escolas são fundamentais, pois auxiliam o discente no desenvolvimento da criticidade e do conhecimento de aspectos negativos ligados a internet, compete aos indivíduos aproveitarem os benefícios dessa tecnologia sem serem subjugados a ela.
ENTRELAÇAMENTOS ENTRE A CULTURA DA INFÂNCIA E A CULTURA POPULAR SOB OS HOLOFOTES DOS MIÚDOS CIRCOS
Authors: Pelizzoni Gisela Marques 
Published: August 2024

Este artigo tem por objetivo apresentar um exercício comparativo tecido na época da escrita de minha tese de doutorado, intitulada “Os miúdos circos – Encontros possíveis entre a cultura da infância e a cultura da escola”, em que buscava estabelecer uma relação de semelhança entre a cultura da infância e a cultura do riso , no que se refere ao poder que ambas possuem de profanar a cultura dominante e hegemônica, a partir da potência de natalidade (tal como nos apresenta Hannah Arendt) inerente a cada uma delas. Sustento minhas análises em uma concepção de infância ancorada em uma determinada condição de experiência do ser humano ainda novo na sua relação com o mundo pautada no pensamento de Walter Benjamin e Manoel de Barros, e nas reflexões de Mikhail Bakhtin sobre a relação entre as culturas populares e os saberes estabelecidos pela ordem dominante.
Trabalho docente e infraestrutura no Ensino Médio
Authors: Braga Rafael Nunes , Costa Gilvan Luiz Machado , Borges Maria Eduarda Mattos 
Published: August 2024

Este estudo tem por objetivo mapear e analisar artigos científicos das duas últimas décadas nas plataformas: Scientific Electronic Library Online (Scielo), Scielo Educ@ e Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Periódicos Capes) que abordam os temas: trabalho docente e infraestrutura no contexto do ensino médio. Trata-se de uma revisão integrativa, com base em artigos científicos, norteada pela seguinte questão: o que apontam as produções disponíveis nas duas últimas décadas que abordam o trabalho docente e a infraestrutura das escolas no contexto do ensino médio? Os principais referenciais teóricos pautam-se em Saviani e Kuenzer. Foi analisado um total de sete artigos com base em três categorias: condições de acesso e permanência dos estudantes; intensificação da docência e de condições de oferta do ensino e precarização do trabalho docente e a infraestrutura escolar. Após análise, concluiu-se que a ampliação do acesso ao ensino médio não contou com adequadas condições de oferta no que se refere à infraestrutura, precarizando, assim, o trabalho docente.
Implementasi Mesin Pemarut Kelapa dalam Upaya Pemberdayaan Masyarakat
Authors: Waluyo Joko , Pratiwi Yuli , Lestari Nidi 
Published: August 2024

Anggota kelompok dasa wisma RT 06 Dusun Niten, Nogotirto, Kapanewon Gamping, Sleman dalam memarut kelapa masih secara manual sehingga hasil parutan kelapa sebesar 5 kg/jam. Untuk meningkatan parutan kelapa dengan kapasitas yang lebih besar kelompok dasa wisma memerlukan mesin pemarut kelapa. Tim pengabdian masyarakat Institut Sains & Teknologi AKPRIND Yogyakarta memberikan pelatihan dan menyerahkan bantuan mesin kepada kelompok dasa wisma RT 06 Dusun Niten, Nogotirto, Kapanewon Gamping dan memberikan pelatihan cara mengoperasikan dan merawat mesin pemarut kelapa serta cara menyimpan parutan kelapa dengan benar. Tujuan dari kegiatan pengabdian masyarakat ini adalah untuk memberikan pengetahuan kepada kelompok dasa wisma RT 06 Dusun Niten, Nogotirto, Kapanewon Gamping cara mengoperasikan, merawat mesin pemarut kelapa, dan menyimpan parutan kelapa dengan benar sehingga umur mesin lebih lama serta parutan kelapa tersebut tahan lama, serta penyerahan mesin pemarut kelapa kapasitas 40 kg/jam. Melalui kegiatan pengabdian masyarakat ini diharapkan Anggota Dasa Wisma dan warga masyarakat di RT 06, RW 12, Niten, Desa Nogotirto, Kecamatan Gamping, Kabupaten Sleman dapat mengoperasikan, merawat mesin pemarut kelapa dan mampu meningkatkan kapasitas produksi parutan kelapa sebesar 800 % bila dibandingkan dengan menggunakan tenaga manual serta dapat menyimpan parutan kelapa dengan benar, sehingga diharapkan dapat meningkatkan perekonomian masyarakat. Warga masyarakat menilai positif dan setuju terkait kegiatan pengabdian masyarakat ini.

Kata kunci: dasawisma, mesin pemarut kelapa, parutan kelapa peningkatan produksi.
PERBANDINGAN METODE K-NEAREST NEIGHBOR DAN RANDOM FOREST PADA KLASIFIKASI INDEKS PEMBANGUNAN MANUSIA DI KABUPATEN/KOTA SELURUH INDONESIA
Authors: Nurafidah  , Suryowati Kris , Jatipaningrum Maria Titah 
Published: August 2024

Indeks Pembangunan Manusia yang ada di Kabupaten/Kota Indonesia beragam, hal ini sebabkan oleh pembangunan yang ada di Indonesia masih tidak merata. IPM di Indonesia digunakan sebagai salah satu alokator penentuan Dana Alokasi Umum dan untuk mengukur kinerja dari pemerintah. Tujuan dari penelitian ini yaitu membandingkan metode K-Nearest Neighbor dan Random Forest pada klasifikasi IPM. Pada metode K-Nearest Neighbor dalam melakukan klasifikasi menggunakan dan pada metode Random Forest dalam melakukan klasifikasi menggunakan dan . Variabel-variabel yang digunakan pada penelitian ini diantaranya variabel dependent terdapat IPM dengan kategori IPM rendah, sedang, tinggi dan sangat tinggi, sedangkan pada variabel independen terdapat HLS, RLS, UHH dan PPKD. Klasifikasi dengan menggunakan metode K-Nearest Neighbor menghasilkan 124 data benar klasifikasi dan 5 data kesalahan klasifikasi sedangkan metode Random Forest menghasilkan 119 data benar lasifikasi dan 10 data kesalahan klasifikasi. Hasil klasifikasi juga menunjukkkan bahwa metode K-Nearest Neighbor adalah metode yang terbaik untuk digunakan dalam melakukan klasifikasi IPM di Kabupaten/Kota seluruh Indonesia, karena menghasilkan nilai akurasi dan rata-rata AUC sebesar 96.12% dan 0.9618 lebih besar dibandingkan metode Random Forest yaitu sebesar 92.25% dan 0.9538 serta metode K-Nearest Neighbor menghasilkan nilai error rate yang lebih kecil yaitu sebesar 3.88% dibandingkan metode Random Forest sebesar 7.75%. Hasil dari penelitian ini diharapkan dapat menjadi informasi untuk terus meningkat Indeks Pembangunan Manusia di Kabupaten/Kota seluruh Indonesia pada tahun 2022.
METODE SPATIAL LAG X MENGGUNAKAN TIGA JENIS PEMBOBOT JARAK PADA ANALISIS DATA KETAHANAN PANGAN DI SULAWESI TENGAH
Authors: Wandira Ayu , Setyawan Yudi , Bekti Rokhana Dwi 
Published: August 2024

Ketahanan pangan merupakan salah satu isu krusial dalam konteks global, Melihat pertumbuhan populasi yang terus meningkat dan dampak perubahan iklim yang semakin terasa. kondisi terpenuhinya pangan bagi negara sampai dengan perseorangan yang tercermin dari tersedianya pangan yang cukup. Penelitian ini bertujuan untuk menganalisis ketahanan pangan serta mengidentifikasi pola spasial antarwilayah dalam konteks Sulawesi Tengah tahun 2022. Penelitian ini fokus pada analisis ketahanan pangan di wilayah Sulawesi Tengah tahun 2022 dengan menerapkan metode Spatial Lag X yang ditingkatkan menggunakan tiga jenis pembobot jarak yaitu Inverse Distance Weighting (IDW), Exponensial distance decay (EXP), dan Double Power distance weights (DPD), yang digunakan untuk mengukur sejauh mana pengaruh spasial memengaruhi data ketahanan pangan. Data yang digunakan, data sekunder bersumber dari website Badan Pusat Statistik Provinsi Sulawesi Tengah tahun 2022. Metode Spatial Lag X merupakan pendekatan statistik spasial yang mempertimbangkan pengaruh variabel-variabel dari wilayah tetangga dalam menganalisis variabel terikat. Berdasarkan hasil penelitian yang dilakukan didapatkan hasil model persamaan Spatial Lag X dengan pembobot IDW dengan taraf signifikansi 10 % tidak ada variabel yang berpengaruh terhadap Indeks Ketahanan Pangan. Untuk model persamaan Spatial Lag X dengan pembobot EXP dengan taraf signifikansi 10 % tidak ada variabel yang berpengaruh terhadap Indeks Ketahanan Pangan.Untuk model persamaan Spatial Lag X dengan pembobot DPD dengan taraf signifikansi 10 % didapatkan hasil bahwa Variabel yang berpengaruh terhadap Indeks Ketahanan Pangan dengan taraf signifikansi 10 % adalah PDRB per Kapita atas harga berlaku (X4), dengan begitu model Spatial Lag X dengan pembobot DPD adalah model yang terbaik dalam analisis ketahanan pangan di sulawesi tahun 2022 dengan nilai nilai AIC = 23.91885, R2 = 0.9977.