bluuebunny/crossref_metadata_2025_split huggingface dataset:
Usability evaluation of the educational website “understanding my diabetes” for Mexican patients with type 2 diabetes
Authors: Ortíz Gabriela Ortíz , Vega García Sandra , Islas Salinas Cristina , Muñoz Torres Abril Violeta , Velázquez López Lubia 
Published: May 2024

BackgroundDiabetes education is an integral part of the treatment for the metabolic control of patients with diabetes. The use of the Internet as a tool for diabetes education, as well as its acceptance, is still under study.AimTo assess the usability of the educational website “I understand my diabetes” designed for patients with type 2 diabetes attending primary care clinics.Material and methodA cross-sectional study was done in 110 patients with type 2 diabetes from two family medicine clinics, each of whom was assigned a user account on the educational website “Entiendo mi diabetes.” The web site assigned a user name and password to each patient. They were able to access the educational website at home. After a 15-day review period, participants were asked to evaluate usability using the Computer System Usability Questionnaire. Additionally, we developed an eight-item questionnaire usability focusing on diabetes care. Sociodemographic data, blood pressure, and anthropometric measurements were recorded. Glucose levels and lipid profiles were also measured.ResultsThe patients with diabetes had a mean age of 52.7 years and a median of 5 years since they were diagnosed with diabetes. The website received a good usability rating from 89.1% of participants, with favorable assessments in all three dimensions: 87.3% for information, 85.5% for quality, and 88.2% for interface. Regarding usability specifically for diabetes care, 98.2% rated it as having good usability.ConclusionThe website for education about the disease in patients “I understand my diabetes” had an adequate usability evaluation by patients, so they also considered it very useful for diabetes care. The diabetes care instrument had adequate usability and reliability.
Development and psychometric evaluation of a questionnaire to measure university students’ knowledge on the effects of alcohol use during pregnancy
Authors: Leite Guilherme Petek Ramos , de Avó Lucimar Retto da Silva , Germano Carla Maria Ramos , Melo Débora Gusmão 
Published: May 2024

IntroductionAlcohol consumption during pregnancy can lead to fetal alcohol spectrum disorders. This study developed and validated a questionnaire to assess university students’ knowledge regarding the effects of alcohol during pregnancy.MethodsWe designed an instrument with true-false-I do not know statements. Initially, 45 true statements were formulated and subjected to content validation by 19 experts. Based on the Content Validity Index (CVI), 17 items were selected. The instrument, called the Fetal Alcohol Consequences Test (FACT), was first assessed by 31 university students for the level of understanding. Then, the questionnaire was administered to a national Brazilian sample of university students, and an Exploratory Factor Analysis (EFA) was conducted. Each correct FACT answer was worth 1 point, and the knowledge was categorized as high (total score ≥ 80%), moderate (score between 60 and 79%), and low (score ≤ 59%).ResultsWhen the questionnaire was being designed, the CVI values ranged from 0.779 to 1.0, and all statements were considered suitable by the target audience. For psychometric evaluation, 768 students from 24 Brazilian states participated. In the EFA, five statements were removed, revealing a tool with 12 items and two latent factors: “fetal alcohol spectrum disorders” and “conceptions and guidance on alcohol consumption during pregnancy.” The KMO index (0.76426) and Bartlett’s sphericity test (6362.6, df = 66, p &lt; 0.00001) both supported the final EFA model. The goodness-of-fit indices for the factor structure were adequate: χ2 = 119.609, df = 43, p &lt; 0.00001; RMSEA = 0.048; CFI = 0.977; TLI = 0.965. The mean total FACT score among participants was 7.71 ± 2.98, with a median of 8; 32.03% of the students had high (10–12 points), 24.09% moderate (8–9 points), and 43.88% low knowledge (&lt;8 points). The questionnaire proved reliable, with a floor effect of 1.17%, a ceiling effect of 9.25%, and a Cronbach’s alpha index of 0.798.ConclusionThe FACT can be utilized in university students’ health education processes, contributing to greater knowledge and information dissemination about the effects of alcohol during pregnancy, in addition to the formulation of policies on the subject directed to this group of young adults.
Effects of dietary nitrogen and/or phosphorus reduction on mineral homeostasis and regulatory mechanisms in young goats
Authors: Zillinger Luisa S. , Hustedt Karin , Schnepel Nadine , Hirche Frank , Schmicke Marion , Stangl Gabriele I. , Muscher-Banse Alexandra S. 
Published: May 2024

IntroductionThe reduction of nitrogen (N) and phosphorus (P) in ruminant feed is desirable due to costs and negative environmental impact. Ruminants are able to utilize N and P through endogenous recycling, particularly in times of scarcity. When N and/or P were reduced, changes in mineral homeostasis associated with modulation of renal calcitriol metabolism occurred. The aim of this study was to investigate the potential effects of dietary N- and/or P-reduction on the regulatory mechanisms of mineral transport in the kidney and its hormonal regulation in young goats.ResultsDuring N-reduction, calcium (Ca) and magnesium (Mg) concentrations in blood decreased, accompanied by a lower protein expression of cytochrome P450 family 27 subfamily B member 1 (CYP27B1) (p = 0.016). The P-reduced fed goats had low blood phosphate concentrations with simultaneously high Ca and Mg levels. The insulin-like growth factor 1 concentrations decreased significantly with P-reduction. Furthermore, gene expression of CYP27B1 (p &lt; 0.001) and both gene (p = 0.025) and protein (p = 0.016) expression of the fibroblast growth factor receptor 1c isoform in the kidney were also significantly reduced during a P-reduced diet. ERK1/2 activation exhibited a trend toward reduction in P-reduced animals. Interestingly, calcitriol concentrations remained unaffected by either restriction individually, but interacted significantly with N and P (p = 0.014). Additionally, fibroblast growth factor 23 mRNA expression in bone decreased significantly with P-restriction (p &lt; 0.001).DiscussionThese results shed light on the complex metabolic and regulatory responses of mineral transport of young goats to dietary N and P restriction.
Critical Care Nurses’ Perceptions of Abuse and Its Impact on Healthy Work Environments in Five European Countries: A Cross-Sectional Study
Authors: Friganović Adriano , Slijepčević Jelena , Režić Slađana , Alfonso-Arias Cristina , Borzuchowska Monika , Constantinescu-Dobra Anca , Coțiu Madalina-Alexandra , Curado-Santos Estel , Dobrowolska Beata , AGutysz-Wojnicka Aleksandra , Hadjibalassi Maria , Llaurado-Serra Mireia , Sabou Adrian , Georgiou Evanthia 
Published: May 2024

Objective:Workplace violence is a prevalent phenomenon in hospital settings which critical care nurses are particularly exposed to. The aim of this study was to research abuse against Critical Care Nurses in five European countries, and its association with and impact on Healthy Work Environments.Methods:This was a multinational cross-sectional study. The 1,183 participants were nurses working in intensive care units from five European countries: Croatia, Cyprus, Poland, Spain, and Romania. The participants were selected by the convenience sampling method from 1 January 2021 to April 2022.Results:Of 1,033 critical care nurses who answered questions about abuse, 646 reported at least one incident in the previous year. The highest number of incidents came from patients (2,050), followed by another nurse (1,453) and physicians (1,039).Conclusion:Although nurses in ICUs are aware that a healthy working environment benefits them in their daily work, most of them still face some form of abuse. Organizations must take a realistic approach to prevent abuse and to educate nurses and nurse managers by implementing standards for healthy work environments.
Inclusión laboral de personas con discapacidad intelectual en el sector privado de la ciudad de Rosario, Santa Fe, Argentina
Authors: Guisen María Andrea , Monfrini Evelina María 
Published: May 2024

Se describe una investigación que busca inferir las condiciones para la inclusión laboral de personas con discapacidad intelectual en el sector privado de la ciudad de Rosario, Santa Fe, Argentina. Se empleó una metodología de tipo cualitativa para desarrollar un estudio de alcance exploratorio y corte sincrónico. Desde un enfoque etnográfico, se accedió a los puntos de vista y singularidades de los actores sociales intervinientes, para procesar esta información a partir de una perspectiva interpretativista. La información se recolectó mediante la implementación de entrevistas semiestructuradas dirigidas a 7 informantes clave: una persona con discapacidad intelectual y 6 referentes locales de los diferentes sectores de la economía (sector público, tercer sector y sector privado). La técnica de muestreo utilizada fue de tipo no probabilístico y mediante el efecto “bola de nieve”. Los hallazgos abarcan la identificación de los actores sociales locales que trabajan para la inclusión laboral de personas con discapacidad intelectual en Rosario, y su articulación; la descripción de experiencias empíricas de inclusión; y los cambios que las mismas han generado en las empresas que participaron en los procesos. Éstos son relevantes a los fines contribuir a la construcción del estado de situación de la inclusión laboral de PcD, y orientar los cambios que deberían realizarse para disminuir la grieta entre el derecho al trabajo y su efectivo cumplimiento. Si bien en Rosario el sector privado ha encontrado un camino factible hacia la inclusión laboral de personas con discapacidad intelectual, su recorrido aun es incipiente y prevalece el carácter complejo y hostil de las condiciones.
Spatial and Temporal Changes in the Fish Fauna of a Low-Inflow Estuary following a Mass Mortality Event and Natural and Artificial Bar Breaches
Authors: Tweedley James R. , Beatty Stephen J. , Cottingham Alan , Morgan David L. , Lynch Kath , Lymbery Alan J. 
Published: May 2024

Estuaries that become closed from the ocean through the formation of a sand bar are particularly susceptible to degradation and often experience poor water quality and fish kills. Sampling was conducted seasonally for two years in the deeper waters of the Vasse–Wonnerup (southwestern Australia) after a large fish mortality event to identify the fish species present and determine if richness, abundance, diversity and faunal composition differed among regions and over time. Species richness, abundance and diversity were far greater in the downstream regions than in the upstream regions, reflecting patterns in salinity. Catch rates of two marine estuarine-opportunist mugilids (Mugil cephalus and Aldrichetta forsteri) and an estuarine-resident sparid (Acanthopagrus butcheri), which were the species most affected by the mortality event, were relatively stable. It is suggested that before sampling commenced, mugilids had entered the estuary following an artificial sand bar breach, while the loss of 0+ (new recruits) A. butcheri in the mortality event and subsequent recruitment failure prevented stocks from increasing. Temporal shifts in fish composition were driven by less abundant species, which utilized the estuary more opportunistically. Increases in the occurrences and abundances of these species coincided with an open bar and salinities close to those of seawater. The data also show how the estuary responds to differing hydrodynamic phases and artificial breaches.
Faktor-Faktor Yang Berhubungan Dengan Stres Kerja Perawat Di Instalasi Gawat Darurat RSUD Ulin Banjarmasin
Authors: Linda Linda 
Published: May 2024

Instalasi Gawat Darurat merupakan unit penting dalam operasional suatu rumah sakit, yaitu Sebagai pintu masuk pasien dalam pelayanan rumah sakit, IGD harus melayani semua kasus yang masuk ke rumah sakit dan sesegera mungkin memberikan pertolongan pertama pada pasien. Perawat dituntut untuk mampu bekerjasama dengan tim kesehatan, serta pasien dan keluarga pasien yang berkaitan dengan kondisi kegawatan kasus di ruang IGD. Tuntutan-tuntutan dalam lingkungan kegawatdaruratan membuat perawat IGD beresiko terhadap terjadinya stres. Penelitian menggunakan analitik korelasi dengan desain cross sectional. Jumlah sampel pada penelitian ini ada 34 responden. Pada analisis regresi logistik ganda di dapat 3 variabel yang berhubungan dengan stres kerja yaitu beban kerja, komunikasi interpersonal dan lingkungan kerja. Hasil penelitian lebih lanjut didapatkan faktor yang paling dominan berhubungan dengan stres kerja adalah komunikasi interpersonal (p=0.011) dan OR=69,322. Dalam rangka menurunkan tingkat stres maka perawat IGD hendaknya meningkatkan evaluasi diri, meningkatkan mekanisme koping yang positif dan meningkatkan kualitas teknik komunikasi dalam hubungan interpersonal yang baik, sehingga akan memperlancar pelaksanaan tugas sehari-hari yang pada akhirnya terjalin kerjasama yang baik untuk menyelesaikan tugas.
Analysis of Factors Affecting Firm Performance Moderated by Competitive Strategies
Authors: Immanuel Caroline , Prima Dewi Sofia 
Published: May 2024

The purpose of this research was to obtain evidence on the effect of financial leverage and components of intellectual capital (human capital efficiency, structural capital efficiency, capital employed efficiency) on firm performance with competitive strategies as moderation in manufacturing companies listed in Indonesian Stock Exchange during three years. The sample was selected using the cluster sampling method amounted to 27 companies. Data processing methods were performed using EViews. The results showed that financial leverage, human capital efficiency, and structural capital efficiency have an influence on firm performance, while capital employed efficiency and financial leverage moderated by competitive strategies have no influence on firm performance.
Keywords: Financial Leverage; Intellectual Capital; Competitive Strategies; Firm Performance
Pendampingan UMKM di Kota Bandung pada Aspek Pemasaran, Operasional, dan Keuangan
Authors: Debby Teresia , Iskandarsyah Triyana , Tjandraningsih Indrasari , Rismawati  , Assaf Rizka Aula , Wicaksono Ignatius Bryan Abimanyu 
Published: May 2024

Mahasiswa program studi sarjana Manajemen Fakultas Ekonomi Universitas Katolik Parahyangan Bandung melalui mata kuliah wajib Pelayanan Kepada Masyarakat melakukan pendampingan terhadap UMKM di kota Bandung yang bertujuan untuk membantu menyelesaikan permasalahan yang dihadapi oleh para pemilik. Metode yang digunakan pada kegiatan pengabdian ini adalah service learning. Di mana service learning merupakan sebuah metode pembelajaran yang memberikan penekanan pada penerapan pengetahuan perkuliahan ditengah-tengah masyarakat atau komunitas sekaligus berinteraksi dengan masyarakat atau komunitas serta menjadi solusi terhadap persoalan-persoalan yang dihadapi oleh masyarakat atau komunitas, sehingga mampu menerapkan secara nyata peran mahasiswa dan kampus dalam melakukan pengabdian kepada masyarakat. Setelah dilakukan baseline assessment, permasalahan utama yang dihadapi usaha mikro dan kecil meliputi masalah pemasaran, operasional dan pencatatan keuangan. Dalam masa pendampingan selama dua belas minggu, sebanyak tiga puluh enam unit usaha mikro dan kecil mendapatkan pengetahuan dan dapat menerapkan hasil pendampingan yang diberikan terkait pemanfaatan media sosial dan e-commerce untuk promosi, peningkatan kesadaran K3 dan pemahaman terhadap aspek-aspek keuangan yang meliputi penghitungan harga pokok penjualan, pencatatan keuangan, serta membuat neraca laba rugi.
X-Ray and Radio Monitoring of the Neutron Star Low-mass X-Ray Binary 1A 1744-361: Quasiperiodic Oscillations, Transient Ejections, and a Disk Atmosphere
Authors: Ng Mason , Hughes Andrew K. , Homan Jeroen , Miller Jon M. , Pike Sean N. , Altamirano Diego , Bult Peter , Chakrabarty Deepto , Buisson D. J. K. , Coughenour Benjamin M. , Fender Rob , Guillot Sebastien , Güver Tolga , Jaisawal Gaurava K. , Jaodand Amruta D. , Malacaria Christian , Miller-Jones James C. A. , Sanna Andrea , Sivakoff Gregory R. , Strohmayer Tod E. , Tomsick John A. , van den Eijnden Jakob 
Published: May 2024

Abstract
We report on X-ray (NICER/NuSTAR/MAXI/Swift) and radio (MeerKAT) timing and spectroscopic analysis from a 3 month monitoring campaign in 2022 of a high-intensity outburst of the dipping neutron star low-mass X-ray binary 1A 1744−361. The 0.5–6.8 keV NICER X-ray hardness–intensity and color–color diagrams of the observations throughout the outburst suggest that 1A 1744−361 spent most of its outburst in an atoll-state, but we show that the source exhibited Z-state-like properties at the peak of the outburst, similar to a small sample of other atoll-state sources. A timing analysis with NICER data revealed several instances of an ≈8 Hz quasiperiodic oscillation (QPO; fractional rms amplitudes of ∼5%) around the peak of the outburst, the first from this source, which we connect to the normal branch QPOs seen in the Z-state. Our observations of 1A 1744−361 are fully consistent with the idea of the mass accretion rate being the main distinguishing parameter between atoll- and Z-states. Radio monitoring data by MeerKAT suggests that the source was at its radio-brightest during the outburst peak, and that the source transitioned from the “island” spectral state to the “banana” state within ∼3 days of the outburst onset, launching transient jet ejecta. The observations present the strongest evidence for radio flaring, including jet ejecta, during the island-to-banana spectral state transition at low accretion rates (atoll-state). The source also exhibited Fe xxv, Fe xxvi Kα, and Kβ X-ray absorption lines, whose origins likely lie in an accretion disk atmosphere.
Active Galactic Nuclei Selection and Demographics: A New Age with JWST/MIRI
Authors: Lyu 吕 Jianwei 建 伟 , Alberts Stacey , Rieke George H. , Shivaei Irene , Pérez-González Pablo G. , Sun Fengwu , Hainline Kevin N. , Baum Stefi , Bonaventura Nina , Bunker Andrew J. , Egami Eiichi , Eisenstein Daniel J. , Florian Michael , Ji Zhiyuan , Johnson Benjamin D. , Morrison Jane , Rieke Marcia , Robertson Brant , Rujopakarn Wiphu , Tacchella Sandro , Scholtz Jan , Willmer Christopher N. A. 
Published: May 2024

Abstract
Understanding the coevolution of supermassive black holes and their host systems requires a comprehensive census of active galactic nuclei (AGNs) behavior across a wide range of redshift, luminosity, obscuration level, and galaxy properties. We report significant progress with JWST toward this goal from the Systematic Mid-infrared Instrument Legacy Extragalactic Survey (SMILES). Based on comprehensive spectral energy distribution (SED) analysis of 3273 MIRI-detected sources, we identify 217 AGN candidates over a survey area of ∼34 arcmin2, including a primary sample of 111 AGNs in normal massive galaxies (M
* > 109.5
M
☉) at z ∼ 0–4, an extended sample of 86 AGN candidates in low-mass galaxies (M
* < 109.5
M
☉), and a high-z sample of 20 AGN candidates at z ∼ 4–8.4. Notably, about 80% of our MIRI-selected AGN candidates are new discoveries despite the extensive pre-JWST AGN searches. Even among the massive galaxies where the previous AGN search is believed to be thorough, 34% of the MIRI AGN identifications are new, highlighting the impact of obscuration on previous selections. By combining our results with the efforts at other wavelengths, we build the most complete AGN sample to date and examine the relative performance of different selection techniques. We find the obscured AGN fraction increases from L
AGN,bol ∼ 1010
L
⊙ to 1011
L
⊙ and then drops toward higher luminosity. Additionally, the obscured AGN fraction gradually increases from z ∼ 0 to z ∼ 4 with most high-z AGNs obscured. We discuss how AGN obscuration, intrinsic SED variations, galaxy contamination, survey depth, and selection techniques complicate the construction of a complete AGN sample.
Feedback and Galaxy Dynamics: A Study of Turbulence and Star Formation in 34 Galaxies Using the PHANGS Survey
Authors: Elmegreen Bruce G. 
Published: May 2024

Abstract
The correlation between interstellar turbulent speed and local star formation rate surface density, ΣSFR, is studied using CO observations in the PHANGS survey. The local velocity dispersion of molecular gas, σ, increases with ΣSFR, but the virial parameter, α
vir, is about constant, suggesting the molecular gas remains self-gravitating. The correlation arises because σ depends on the molecular surface density, Σmol, and object cloud mass, M
mol, with the usual molecular cloud correlations, while ΣSFR increases with both of these quantities because of a nearly constant star formation efficiency for CO. Pressure fluctuations with ΔΣSFR are also examined. Azimuthal variations of molecular pressure, ΔP
mol, have a weaker correlation with ΔΣSFR than expected from the power-law correlation between the total quantities, suggesting slightly enhanced star formation rate (SFR) efficiency per molecule in spiral arms. Dynamical equilibrium pressure and SFR correlate well for the whole sample, as

P

DE

∝

Σ

SFR

1.3

, which is steeper than in other studies. The azimuthal fluctuations, ΔP
DE(ΔΣSFR), follow the total correlation P
DE(ΣSFR) closely, hinting that some of this correlation may be a precursor to star formation, rather than a reaction. Galactic dynamical processes correlate linearly such that

Σ

SFR

∝

(

Σ

gas

R
)

1.0
±
0.3

for total gas surface density Σgas and galactic dynamical rates, R, equal to κ, A, or Ω, representing epicyclic frequency, shear rate A, and orbit rate Ω. These results suggest important roles for both feedback and galactic dynamics.
The Heavy Metal Survey: The Evolution of Stellar Metallicities, Abundance Ratios, and Ages of Massive Quiescent Galaxies since z ∼ 2
Authors: Beverage Aliza G. , Kriek Mariska , Suess Katherine A. , Conroy Charlie , Price Sedona H. , Barro Guillermo , Bezanson Rachel , Franx Marijn , Lorenz Brian , Ma Yilun , Mowla Lamiya A. , Pasha Imad , van Dokkum Pieter , Weisz Daniel R. 
Published: May 2024

Abstract
We present the elemental abundances and ages of 19 massive quiescent galaxies at z ∼ 1.4 and z ∼ 2.1 from the Keck Heavy Metal Survey. The ultradeep LRIS and MOSFIRE spectra were modeled using a full-spectrum stellar population fitting code with variable abundance patterns. The galaxies have iron abundances between [Fe/H] = −0.5 and −0.1 dex, with typical values of −0.2 [−0.3] at z ∼ 1.4 [z ∼ 2.1]. We also find a tentative

log

σ

v

–[Fe/H] relation at z ∼ 1.4. The magnesium-to-iron ratios span [Mg/Fe] = 0.1–0.6 dex, with typical values of 0.3 [0.5] dex at z ∼ 1.4 [z ∼ 2.1]. The ages imply formation redshifts of z
form = 2–8. Compared to quiescent galaxies at lower redshifts, we find that [Fe/H] was ∼0.2 dex lower at z = 1.4–2.1. We find no evolution in [Mg/Fe] out to z ∼ 1.4, though the z ∼ 2.1 galaxies are 0.2 dex enhanced compared to z = 0–0.7. A comparison of these results to a chemical evolution model indicates that galaxies at higher redshift form at progressively earlier epochs and over shorter star formation timescales, with the z ∼ 2.1 galaxies forming the bulk of their stars over 150 Myr at z
form ∼ 4. This evolution cannot be solely attributed to an increased number of quiescent galaxies at later times; several Heavy Metal galaxies have extreme chemical properties not found in massive galaxies at z ∼ 0.0–0.7. Thus, the chemical properties of individual galaxies must evolve over time. Minor mergers also cannot fully account for this evolution as they cannot increase [Fe/H], particularly in galaxy centers. Consequently, the buildup of massive quiescent galaxies since z ∼ 2.1 may require further mechanisms, such as major mergers and/or central star formation.