bluuebunny/crossref_metadata_2025_split huggingface dataset:
The TCO concept in German forensic homicide offenders with schizophrenia spectrum disorders – new findings from a file-based, retrospective cross-sectional study
Authors: Findeis Hannelore , Strauß Maria , Kröber Hans-Ludwig 
Published: June 2024

IntroductionThere is evidence that there is a small group of people with schizophrenia spectrum disorders who are more likely to commit homicide than those in the general population. However, there is limited knowledge about the psychopathology that leads to homicide in this group. The aim of this study was to examine two commonly used definitions of the Threat/Control-Override (TCO) concept, which aims to identify a certain risk of serious violence in patients with schizophrenia spectrum disorders.MethodsThis is a sub analysis of a file-based, retrospective and exploratory cross-sectional study. All forensic homicide offenders with schizophrenia spectrum disorders who were detained at the Forensic Hospital Berlin as of 31 December 2014 were examined for the occurrence of TCO according to two commonly used definitions.ResultsOf a total of 419 forensic patients with schizophrenia spectrum disorders, 78 committed homicide (18.6%). The forensic homicide offenders with schizophrenia spectrum disorders were characterised by being male, unemployed, single and having committed (attempted) manslaughter. Irrespective of the definition used, the entire TCO complex was present in less than a third of the sample. In both definitions, Threat symptoms were slightly less frequent than Control-Override symptoms. While Threat symptoms occurred less frequently in Stompe et al.’s definition, Control-Override symptoms were the most common. With regard to Kröber’s definition of Threat and Control-Override, the situation is exactly the opposite.DiscussionRegarding the entire TCO complex, Kröber’s definition seems a little more open and Stompe et al.’s more strict (38.5% vs. 35.9%). Since TCO only occurs in about one third of the subjects in both definitions, neither definition appears to be conclusive. A combination with proportions from both definitions could be a contribution to a future definition of TCO. The present study provides scarcely published primary data on psychopathology in homicide offenders with schizophrenia spectrum disorders, especially on the much discussed TCO concept in two definitions. In order to determine the most useful definition of TCO, to avoid false positives and to identify clear psychopathological risk symptoms, larger samples and comparative studies with offenders and non-offenders should be conducted in the future.
The role of a mindful movement-based program (Movimento Biologico) in health promotion: results of a pre-post intervention study
Authors: Spaccapanico Proietti Stefano , Chiavarini Manuela , Iorio Francesco , Buratta Livia , Pocetta Giancarlo , Carestia Roberta , Gobbetti Camilla , Lupi Chiara , Cosenza Antonio , Sorci Guglielmo , Mazzeschi Claudia , Biscarini Andrea , de Waure Chiara 
Published: June 2024

IntroductionMindful movement is a comprehensive approach that integrates various bodily, emotional and cognitive aspects into physical activity, promoting overall well-being. This study assessed the impact of a mindful movement program, known as Movimento Biologico (MB), on participants psychological well-being (PWB), positive mental health (PMH), sense of coherence (SOC), and interoceptive awareness.MethodsMB program was conducted for students attending the bachelor’s degree in Kinesiology and Sport Sciences of University of Perugia over 8 weeks (from October 16 to November 27, 2022). Participants were requested to fill in four questionnaires before and after the MB program: (1) 18-item PWB scale; (2) 9-item PMH scale; (3) 13-item SOC scale; (4) 32-item scale for Multidimensional Assessment of Interoceptive Awareness (MAIA). Wilcoxon signed-rank tests were used to assess changes, with significance set at p &lt; 0.05.ResultsThirty-eight students (mean age 21.2, 60.5% male) participated. Several MAIA subscales, including noticing (p = 0.003), attention management (p = 0.002), emotional awareness (p = 0.007), self-regulation (p &lt; 0.001), body listening (p = 0.001), and trusting (p = 0.001), showed significant improvements. PMH increased significantly (p = 0.015), and there was a significant enhancement in the autonomy subscale of PWB (p = 0.036). SOC and overall PWB also improved, though not significantly.ConclusionThe MB program significantly improved participants’ positive mental health and interoceptive awareness. This likely resulted from better recognition and management of positive physiological sensations, a stronger link between physical sensations and emotions, enhanced confidence in one’s body, and increased autonomy.
Knowledge, attitudes, and practices of health care professionals regarding dengue fever: need for training and provision of diagnostic equipment in Togo in 2022, a cross-sectional study
Authors: Togan Roméo Mèdéssè , Diallo Amadou Ibra , Zida-Compaoré Wendpouiré Ida Carine , Ba Mouhamadou Faly , Sadio Arnold Junior , Konu Rodion Yao , Bakoubayi Akila Wimima , Tchankoni Martin Kouame , Gnatou Gatibe Yendu-Suglpak , Gbeasor-Komlanvi Fifonsi Adjidossi , Diongue Fatoumata Binetou , Tine Jean Augustin Diégane , Faye Adama , Ekouévi Didier Koumavi 
Published: June 2024

BackgroundHealth statistics on dengue are virtually non-existent, despite the fact that the virus is circulating in Togo. This study aimed to assess the knowledge, attitudes, and practices (KAP) of health professionals in the Kara health region.MethodsA cross-sectional study was conducted from March to June 2022 among healthcare professionals who had worked in the Kara region of northern Togo were selected using an exhaustive recruitment method. Data were collected by trained resident doctors with a face-to-face interview using a standardized, pretested questionnaire based on the WHO 2009 dengue guide. Three multivariate regression models were utilized to investigate factors associated with knowledge, attitudes and, and practices.ResultsA total of 464 respondents (37.1% female), median age 35 years, interquartile range (29–43 years) were included. Only (3.0%) of the participants had received training on dengue fever diagnosis, treatment and prevention in the last 3 years, and 10.3% had dengue rapid diagnostic tests available at their hospital. Half of the respondents (49.1%) had good knowledge of dengue fever, compared with 30.0% who had positive attitudes. Of a total of 256 professionals who had encountered a case of dengue fever in their practice, only 24 (9.4%) had appropriate practices for diagnosing and treating dengue fever. In multivariate analysis, the healthcare professionals who had taken part in ongoing training on dengue fever were more likely to have adequate dengue diagnosis and treatment practice aOR = 8.1; CI 95% = [1.7–36.0].ConclusionStrengthening healthcare professionals' dengue-related skills through ongoing training and the provision of dengue diagnostic tests could help improve early detection practices and management of dengue fever in Togo.
A novel multistep approach to standardize the reported risk factors for in-hospital falls: a proof-of-concept study
Authors: La Porta Fabio , Valpiani Giorgia , Lullini Giada , Negro Antonella , Pellicciari Leonardo , Bassi Erika , Caselli Serena , Pecoraro Valentina , Govoni Erika 
Published: June 2024

BackgroundUncertainty and inconsistency in terminology regarding the risk factors (RFs) for in-hospital falls are present in the literature.Objective(1) To perform a literature review to identify the fall RFs among hospitalized adults; (2) to link the found RFs to the corresponding categories of international health classifications to reduce the heterogeneity of their definitions; (3) to perform a meta-analysis on the risk categories to identify the significant RFs; (4) to refine the final list of significant categories to avoid redundancies.MethodsFour databases were investigated. We included observational studies assessing patients who had experienced in-hospital falls. Two independent reviewers performed the inclusion and extrapolation process and evaluated the methodological quality of the included studies. RFs were grouped into categories according to three health classifications (ICF, ICD-10, and ATC). Meta-analyses were performed to obtain an overall pooled odds ratio for each RF. Finally, protective RFs or redundant RFs across different classifications were excluded.ResultsThirty-six articles were included in the meta-analysis. One thousand one hundred and eleven RFs were identified; 616 were linked to ICF classification, 450 to ICD-10, and 260 to ATC. The meta-analyses and subsequent refinement of the categories yielded 53 significant RFs. Overall, the initial number of RFs was reduced by about 21 times.ConclusionWe identified 53 significant RF categories for in-hospital falls. These results provide proof of concept of the feasibility and validity of the proposed methodology. The list of significant RFs can be used as a template to build more accurate measurement instruments to predict in-hospital falls.
Fear of cancer progression and the quality of sexual life of female cancer patients in Romania
Authors: Kállay Éva , Müller-Fabian Andrea , Dégi Csaba László 
Published: June 2024

IntroductionAs cancer survival rates increase, it has become crucial to pay attention to the long-term quality of life of survivors, including sexual functioning. The quality of sexual life and fear of cancer progression are often unmet needs, significantly impacting cancer patients’ overall quality of life. In this study, we investigate these factors in Romanian female cancer patients and highlight their relationship with mental health and demographic variables.MethodsThis study included 242 Romanian female cancer patients who completed questionnaires assessing sexual functioning (EORTC QLQ-SHQ22), fear of cancer progression (FoP-Q), depression (PHQ-9), and anxiety (GAD-7). We examined these relationships using descriptive, exploratory, and regression analyses.ResultsAround 50% of patients reported impairments in sexual satisfaction and pain during sex. Lower sexual satisfaction increased sexual dysfunction, and heightened fear of cancer progression (FCP) were associated with depression, anxiety, younger age, lower education, rural residence, and unmarried status.DiscussionThis study reveals a complex interplay between sexual health, fear of cancer progression, and psychological well-being among female cancer survivors in Romania. Addressing sexual concerns, providing psychoeducation, promoting coping with the fear of progression, and utilizing interdisciplinary interventions are essential to improving these patients’ overall quality of life. These findings underscore the need for integrated care approaches that consider both physical and psychological dimensions of cancer survivorship.
Is the new mission-oriented R&D policy feasible?: evidence from the national R&D programs in Korea using CVM
Authors: Yoon Jiwoong , Lee Hokyu , Won Yeonghun 
Published: June 2024

IntroductionThe new mission-oriented national R&amp;D programs, aligned with a transformative paradigm to address societal challenges, face challenges in economic feasibility analysis due to the ongoing development of innovative solutions and the time required for marketization.MethodsIn this study, we employed a Contingent Valuation Method (CVM) to survey 300 Korean households, exploring their willingness to pay for R&amp;D programs hypothetically funded by their taxes. We estimated the mean willingness to pay (WTP) and multiplied it by the total number of households in Korea to project the annual total benefit for each program.ResultsUsing metrics like the value-added ratio, marketization success rate, and R&amp;D contribution rate, we assessed the economic value of program benefits. Our analysis indicates a total benefit of KRW 285 billion (KRW 242.5 billion net present value) for a total investment of KRW 990 billion (KRW 505.4 billion net present value), with a benefit-to-cost ratio of 2.08, arming significant economic feasibility.DiscussionGiven the importance of respecting researchers' autonomy, decision-makers may find the CVM a suitable method for validating evidence for new mission-oriented R&amp;D programs across diverse fields.
Co-design of health educational materials with people experiencing homelessness and support workers: a scoping review
Authors: Rodriguez Andrea , Shambhunath Shambhunath , Wijesiri Thushani Indumani Devi , Biazus-Dalcin Camila , Mc Goldrick Niall 
Published: June 2024

IntroductionPeople experiencing homelessness are often marginalised and encounter structural barriers when seeking healthcare. Community-based oral health interventions highlighted the need of well-trained practitioners for the successful engagement of service users and behaviour change. However, a lack of adequate information and specific training has been previously reported. The adoption of inclusive approaches, such as co-design, to develop tailored and meaningful health promotion training and educational materials capable of addressing the specific needs of this group is required. Co-design entails active involvement of different groups in research processes that acknowledge participants' needs and expectations. This scoping review aims to identify the available literature on the participation of people experiencing homelessness and/or their support workers in co-designing health and oral health promotion training/educational materials, approaches adopted, and barriers and enablers to develop these materials.MethodsThe Joanna Briggs Institute (JBI) Scoping Review Methodology informed the development of the scoping review. The protocol was registered on the Open Science Framework. Six electronic databases (Medline (OVID), PsychInfo (OVID), Scopus, Web of Science, Applied Social Sciences Index and Abstracts (ASSIA) (ProQuest) and CINHAL) were systematically searched using MeSH terms. An extensive grey literature search, consultation with experts and hand searching of reference lists took place. Records were screened independently and in duplicate using the Rayyan Qatar Computing Research Institute (QCRI) online tool, followed by qualitative content analysis involving descriptive data coding.ResultsEight studies/materials were included. Key approaches adopted to co-design, enablers and barriers were captured. The enablers were inclusivity, a safe environment for positive participation, empowerment and flexibility, the barriers were difficulty in recruiting and sustaining participation, power differentials, and limited resources.ConclusionThe evidence in this area is limited. This scoping review provided foundations for further research to examine the impact of different components of the co-design process including the environment in which the co-design process is conducted. Further studies with experimental design and reported using appropriate study design frameworks detailing active components of the co-design process would strengthen the evidence base in this area.
Quantitative risk assessment model of the presence of porcine epidemic diarrhea and African swine fever viruses in spray-dried porcine plasma
Authors: Sampedro Fernando , Urriola Pedro E. , van de Ligt Jennifer L. G. , Schroeder Declan C. , Shurson Gerald C. 
Published: June 2024

IntroductionThere are no microbiological regulatory limits for viruses in animal feed and feed ingredients.MethodsA performance objective (PO) was proposed in this study to manufacture a spray-dried porcine plasma (SDPP) batch absent of any infectious viral particles. The PO levels of −7.0, −7.2, and −7.3 log TCID50/g in SDPP were estimated for three batch sizes (10, 15, and 20 tons).Results and discussionA baseline survey on the presence of porcine epidemic diarrhea virus (PEDV) in raw porcine plasma revealed a concentration of −1.0 ± 0.6 log TCID50/mL as calculated using a TCID50-qPCR derived standard curve. The mean African swine fever virus (ASFV) concentration in raw plasma was estimated to be 0.6 log HAD50/mL (0.1–1.4, 95% CI) during a pre-clinical scenario (collected from asymptomatic and undetected viremic pigs). Different processing scenarios (baseline: spray-drying + extended storage) and baseline + ultraviolet (UV) radiation were evaluated to meet the PO levels proposed in this study. The baseline and baseline + UV processing scenarios were &gt;95 and 100% effective in achieving the PO for PEDV by using different batch sizes. For the ASFV in SDPP during a pre-clinical scenario, the PO compliance was 100% for all processing scenarios evaluated. Further research is needed to determine the underlying mechanisms of virus inactivation in feed storage to further advance the implementation of feed safety risk management efforts globally.
On Least Squares Support Vector Regression for Predicting Mechanical Properties of Steel Rebars
Authors: Bessa Renan , Barreto Guilherme Alencar , Coelho David Nascimento , de Moura Elineudo Pinho , Murta Raphaella Hermont Fonseca 
Published: June 2024

Aiming at ensuring the quality of the product and reducing the cost of steel manufacturing, an increasing number of studies have been developing nonlinear regression models for the prediction of the mechanical properties of steel rebars using machine learning techniques. Bearing this in mind, we revisit this problem by developing a design methodology that amalgamates two powerful concepts in parsimonious model building: (i) sparsity, in the sense that few support vectors are required for building the predictive model, and (ii) locality, in the sense that simpler models can be fitted to smaller data partitions. In this regard, two regression models based on the Least Squares Support Vector Regression (LSSVR) model are developed. The first one is an improved sparse version of the one introduced in a previous work. The second one is a novel local LSSVR-based regression model. The task of interest is the prediction of four output variables (the mechanical properties YS, UTS, UTS/YS, and PE) based on information about its chemical composition (12 variables) and the parameters of the heat treatment rolling (6 variables). The proposed LSSVR-based regression models are evaluated using real-world data collected from steel rebar manufacturing and compared with the global LSSVR model. The local sparse LSSVR approach was able to consistently outperform the standard single regression model approach in the task of interest, achieving improvements in the average R2 from previous studies: 5.04% for UTS, 5.19% for YS, 1.96% for UTS/YS, and 3.41% for PE. Furthermore, the sparsification of the dataset and the local modeling approach significantly reduce the number of SV operations on average, utilizing 34.0% of the total SVs available for UTS estimation, 44.0% for YS, 31.3% for UTS/YS, and 32.8% for PE.
Primary mental health care for adults with mild intellectual disabilities: a focus group study of care professionals’ perspectives
Authors: Pouls Katrien PM , Mastebroek Mathilde , Ligthart Suzanne A , Assendelft Willem JJ , Koks-Leensen Monique CJ , Leusink Geraline L 
Published: June 2024

Background
GPs and mental health nurse practitioners (MHNPs) often feel ill equipped to provide mental health (MH) care to people with mild intellectual disabilities (MID). This is worrying, as insufficient primary MH care may lead to more severe or chronic problems. To improve primary MH care for this patient group, account must be taken of the experiences and needs of GPs and MHNPs providing the care.

Aim
To explore GPs’ and MHNPs’ experiences, needs, and recommendations for improvement regarding primary MH care for adults with MID.

Design & setting
A qualitative study was undertaken using focus groups with GPs and MHNPs in the Netherlands.

Method
The focus groups were guided by topics based on an interview study with adults with MID receiving primary MH care. Transcripts were analysed by thematic analysis.

Results
Four focus groups, with 19 GPs and nine MHNPs, revealed four themes describing the needs and perceived complexity involved in providing MH care to patients with both MID and MH problems: (1) GPs’ and MHNPs’ struggles with adapting to challenging patient characteristics; (2) importance and difficulties of establishing a good doctor–patient relationship; (3) facilitating and hampering roles of the patient’s network; and (4) GPs’ and MHNPs’ challenges to provide care in the healthcare chain.

Conclusion
GPs and MHNPs often experience providing care and support to this patient group as burdensome. It is important to consider the MID throughout the MH trajectory, to invest in a strong doctor–patient relationship, and to establish a stable, sustainable network and coordinated collaborative care around the patient.
Pengadaan Alat Dan Sosialisasi Alat Keselamatan Pelayaran Bagi Nelayan Tradisional Desa Muntai
Authors: Aprizawati Aprizawati , Satria Bobi , Putra Arif 
Published: June 2024

Desa Muntai yang merupakan salah satu desa yang ada di Kecamatan Bantan, Kabupaten Bengkalis dimana sebagian masyarakatnya berprofesi sebagai nelayan traditional selain bekerja di Malaysia, yang mana masih banyak menggunakan kapal kapal kayu tanpa peralatan keselamatan didalamnya. Sebagai timbal balik dari kurangnya kesadaran dan kurang memadainya fasilitas serta keterampilan pekerja sehingga banyak awak kapal yang seperti meremehkan tentang risiko bekerja, seperti tidak menggunakan alat-alat keselamatan yang memadaiLife JacketÂ atau baju pelampung yaitu alat keselamatan yang sangat dibutuhkan di atas kapal khususnya saat situasi bahaya. Adapun setiap awak kapal dan penumpang harus dilengkapi denganÂ life jacketÂ masing-masing agar saat terjadi bahaya bisa dengan cepat mengevakuasi diri sendiri untuk meninggalkan kapal. Fungsi dari baju pelampung ini yaitu untuk membantu korban atau pemakai (sadar atau tidak sadar) bisa tetap mengapung di atas air dengan posisi hidung dan mulut berada di permukaan. Alat ini memang sudah dirancang khusus sebagai alat keselamatan di kapal. Dalam hal ini Tim ingin mengedukasi kepada para nelayan pentingnya memiliki alat keselamatan selama mereka berlayar mencari ikan di laut.