bluuebunny/crossref_metadata_2025_split huggingface dataset:
Emotional intelligence and self-esteem among Saudi Arabian and Indian nursing students: findings from two countries
Authors: Benjamin Lizy Sonia , Pasay an Eddieson , Vijayalakshmi K , Alqarni Aida Sanad , Aseeri Abeer , Alsulami Amal , Gonzales Ferdinand , Mostoles Romeo , Maestrado Richard , Areola Benito , Gonzales Analita , Shanmugam Sumathi Robert 
Published: May 2024

Abstract
Introduction
Understanding the emotional intelligence (EI) and self-esteem of Indian and Saudi nursing students is important because their future nurse–patient relationships may be influenced by factors related to their unique cultural contexts. Hence, this study sought to investigate the EI and self-esteem of nursing students in Saudi Arabia and India.

Methods
A descriptive–comparative research design was used to compare 660 nursing students from Saudi Arabia and India who were enrolled in the study from September 2022 to January 2023. Nursing students were recruited from University A in Riyadh and University B in Abha, Saudi Arabia, and from University C in India.

Results
The study found significant differences in EI scores based on year of study (p < .011), age (p < .024), residence (p < .005), and academic performance (p < .008). Students in later years, over 20 years old, from urban areas, and with good grades, had higher EI scores. Conversely, only age showed a significant difference in the self-esteem scores (p < .002). The year of study (p > .670), residence (p > .430), and academic performance (p > .526) did not significantly affect self-esteem. Finally, urban residence and good academic performance were significant predictors of EI (p < .005), while none of the demographics predicted self-esteem (p > .005).

Conclusion
Higher emotional intelligence among nursing students can be associated with several variables, such as being in the higher years of study, older age, residing in an urban area, and good academic performance, whereas self-esteem appears to be hardly affected by these indicators but probably influenced by other aspects that were not measured. This implies that educators in relation to self-esteem should know the relationship between emotional intelligence and nursing practice besides healthcare establishments; they need to enhance their teaching methods so that learners can have more resilient attitudes towards work, provide quality patient care, and promote a better learning environment for nurses who will become stronger professionally in the future.
PD-1+ T lymphocyte proportions and hospitalized exacerbation of COPD: a prospective cohort study
Authors: Xue Hong , Lan Xiuyan , Xue Ting , Tang Xuwei , Yang Haitao , Hu Zhijian , Xu Nengluan , Xie Baosong 
Published: May 2024

Abstract
Objective
To evaluate the predictive value of PD-1 expression in T lymphocytes for rehospitalization due to acute exacerbations of COPD (AECOPD) in discharged patients.

Methods
115 participants hospitalized with COPD (average age 71.8 ± 6.0 years) were recruited at Fujian Provincial Hospital. PD1+T lymphocytes proportions (PD1+T%), baseline demographics and clinical data were recorded at hospital discharge. AECOPD re-admission were collected at 1-year follow-up. Kaplan-Meier analysis compared the time to AECOPD readmissions among groups stratified by PD1+T%. Multivariable Cox proportional hazards regression and stratified analysis determined the correlation between PD1+T%, potential confounders, and AECOPD re-admission. ROC and DCA evaluated PD1+T% in enhancing the clinical predictive values of Cox models, BODE and CODEX.

Results
68 participants (59.1%) were AECOPD readmitted, those with AECOPD readmission exhibited significantly elevated baseline PD-1+CD4+T/CD4+T% and PD-1+CD8 + T/CD8 + T% compared to non-readmitted counterparts. PD1+ T lymphocyte levels statistically correlated with BODE and CODEX indices. Kaplan-Meier analysis demonstrated that those in Higher PD1+ T lymphocyte proportions had reduced time to AECOPD readmission (logRank p < 0.05). Cox analysis identified high PD1+CD4+T and PD1+CD8+T ratios as risk factors of AECOPD readmission, with hazard ratios of 1.384(95%CI [1.043–1.725]) and 1.401(95%CI [1.013–1.789]), respectively. Notably, in patients aged < 70 years and with fewer than twice AECOPD episodes in the previous year, high PD1+T lymphocyte counts significantly increased risk for AECOPD readmission(p < 0.05). The AECOPD readmission predictive model, incorporating PD1+T% exhibited superior discrimination to the Cox model, BODE index and CODEX index, AUC of ROC were 0.763(95%CI [0.633–0.893]) and 0.734(95%CI [0.570–0.899]) (DeLong’s test p < 0.05).The DCA illustrates that integrating PD1+T% into models significantly enhances the utility in aiding clinical decision-making.

Conclusion
Evaluation of PD1+ lymphocyte proportions offer a novel perspective for identifying high-risk COPD patients, potentially providing insights for COPD management.

Trial registration
Chinese Clinical Trial Registry (ChiCTR, URL: www.chictr.org.cn/), Registration number: ChiCTR2200055611 Date of Registration: 2022-01-14.
Lipopolysaccharide pretreatment increases the sensitivity of the TRPV1 channel and promotes an anti-inflammatory phenotype of capsaicin-activated macrophages
Authors: Vašek Daniel , Fikarová Natálie , Marková Vendula Nagy , Honc Ondřej , Pacáková Lenka , Porubská Bianka , Somova Veronika , Novotný Jiří , Melkes Barbora , Krulová Magdaléna 
Published: May 2024

Abstract
Background
The transient receptor potential vanilloid 1 (TRPV1) is well-established in neuronal function, yet its role in immune reactions remains enigmatic. The conflicting data on its inflammatory role, suggesting both pro-inflammatory and anti-inflammatory effects upon TRPV1 stimulation in immune cells, adds complexity. To unravel TRPV1 immunomodulatory mechanisms, we investigated how the TRPV1 agonist capsaicin influences lipopolysaccharide (LPS)-induced pro-inflammatory macrophage phenotypes.

Results
Changes in the surface molecules, cytokine production, and signaling cascades linked to the phenotype of M1 or M2 macrophages of the J774 macrophage cell line and bone marrow-derived macrophages, treated with capsaicin before or after the LPS-induced inflammatory reaction were determined. The functional capacity of macrophages was also assessed by infecting the stimulated macrophages with the intracellular parasite Leishmania mexicana.

Conclusion
Our findings reveal that TRPV1 activation yields distinct macrophage responses influenced by the inflammatory context. LPS pre-treatment followed by capsaicin activation prompted increased calcium influx, accompanied by a shift toward an anti-inflammatory M2b-like polarization state.
Comparison of quality of life in patients with mitral valve replacement and mitral valve repair in Imam Ali Hospital during 2014 to 2020: a cross-sectional study
Authors: Salehi Nahid , Heydarpour Pouria , Salimi Yahya , Ziapour Arash , Majzoobi Mohammad Reza , Geravand Sahand , Janjani Parisa 
Published: May 2024

Abstract
Objective
Mitral valve failure is one of the most common valvular heart diseases worldwide. Valve replacement and repair have an impact on the quality of life of patients. Therefore, the present study was conducted to compare the quality of life in patients with mitral valve replacement and those who underwent mitral valve repair.

Methods
In this cross-sectional study, we considered all cardiac patients with ischemic mitral insufficiency who underwent mitral valve repair and patients with a history of valve replacement in Imam Ali Hospital of Kermanshah between 2014 and 2020. Two Minnesota and general quality of life questionnaires along with a checklist for demographic variables were used for data collection. Data analysis was performed using SPSS version 21 software.

Results
The mean quality of life score based on the general quality of life scale in the valve repair group was 32.33 (SD = 2.29) and in the valve replacement group 32.89(SD = 2.60), (p = 0.917). Also, mean quality of life, as measured by the Minnesota MLHFQ was 60.89(SD = 17.67) in the valve repair group and 63.42 (SD = 12.13) in the valve replacement group (p = 0.308). The results showed that the average general quality of life was different in study groups regarding education. Tukey’s post hoc test showed that the average general quality of life in illiterate people is significantly lower than in people with academic degrees (P-value = 0.001).

Conclusion
The quality of life of the patients in both the valve repair and replacement groups was at an average level. There was no significant difference between the general quality of life and the Minnesota scales, suggesting that both tools can be effectively used to measure patients’ quality of life. The study’s findings can be valuable for monitoring patients, screening for conditions, and enhancing communication between doctors and patients.
Association between eHealth literacy and health outcomes in German athletes using the GR-eHEALS questionnaire: a validation and outcome study
Authors: Geiger Sheila , Esser Anna Julia , Marsall Matthias , Muehlbauer Thomas , Skoda Eva-Maria , Teufel Martin , Bäuerle Alexander 
Published: May 2024

AbstractBackgroundAthletes face various sports-related stressors, which may increase their risk for physical and mental health symptoms. With the internet as an important source of (health) information, it is important for athletes to have eHealth literacy, i.e. the ability to access, understand and use electronic health information and services. However, it is presently uncertain whether eHealth literacy of athletes is linked to better health outcomes such as reduced injury frequency and behaviours like decreased substance abuse.MethodsA cross-sectional study was conducted withN = 373 German athletes (229 females) from different types of sport (e.g., ball sports and water sports) who were included in the statistical analyses. The survey included medical, socio-demographic, eHealth- and sports-related data as well as the eHealth Literacy Scale (GR-eHEALS) questionnaire, which measures eHealth literacy. Confirmatory factor analyses and correlational analyses were performed to determine the convergent and discriminant (compared to the 8-item Impulsive Behavior–8 Scale) validity of the GR-eHEALS and to assess the relation between eHealth literacy scores and health outcomes.ResultsThe more frequently athletes had sustained minor or moderate injuries in the past, the higher the level of eHealth literacy they reported. Furthermore, consumption frequency of painkillers (r = .18,p = .002), sedatives (r = .12,p = .040), and cannabis (r = .29,p = .000) was significantly correlated with eHealth literacy scores. The confirmatory factor analysis of the GR-eHEALS showed an acceptable model fit with a 2-factor solution (information seeking and information appraisal). The GR-eHEALS showed good discriminant (r = − .09,p = .21) and convergent validity (digital confidence;r = .28,p < .001).ConclusionThe GR-eHEALS is a valid instrument to assess eHealth literacy within the cohort of German athletes. Potential dangers of dealing with injury and psychological strain without reaching out for professional help should be considered.
Investigation of the effects of an 8-week cross-country skiing exercise program on various reaction time parameters, selective attention and academic achievement in adolescents
Authors: Çağın Musab , Çimen Polat Sezen , Sarol Halil , García Ramos Amador , Çeviker Abdulkerim 
Published: May 2024

AbstractExercise slows or helps reverse the shrinkage of key cognitive brain regions such as the hippocampus, which is important for information processing, learning, reasoning and planning. For this reason, it is thought that regular exercise of individuals, especially during adolescence, which is considered one of the most important processes of development, can increase their performance in areas where cognitive activities are at the forefront. Cross-country skiing, one of the leading branches of winter sports, has a much more complex structure, unlike the branches that are widely preferred today (football, basketball, volleyball, etc.) and is a branch where many motor skills are exhibited at the same time For this reason, the effect of cross-country skiing, which is defined as more complex and difficult in terms of biomotor than other branches, on cognitive activities is a matter of curiosity. Therefore, the aim of the research is; to examine the cognitive effects of cross-country skiing exercise. The study involved 54 (26 male, 28 female) adolescents who had no prior experience in any licensed sports. The average age of the participants was determined as 12.61 ± 1.32. The participants were divided in experimental and control groups. Reaction performances were determined using the ÇAĞIN Hand and Foot Reaction Tests, selective attention performances were evaluated using the Flanker Test and academic achievement was determined using the e-Okul system. Two-way ANOVA revealed significant group × time interactions for hand and foot simple, selective, discriminative reaction time, selective attention and academic achievement (p < 0.05) due to improved values at post-test for the experimental group but not for the control groups. No significant group × time interactions were observed for correct reaction rate for all reaction parameters (p > 0.05). The study concludes that the cross-country skiing exercise, which was applied to adolescents for eight weeks, had a positive impact on the parameters of reaction, selective attention and academic achievement. Therefore, parents are suggested to encourage their children to exercise and engage in sports practices like cross-country skiing to improve cognitive and academic performance during adolescence.
Recurrent fever leading to the diagnosis of an angiosarcoma of the adrenal gland: a case report
Authors: Lederer Ann-Kathrin , Zimmer Stefanie , Margies Rabea , Krettek Philipp , Musholt Thomas J. 
Published: May 2024

AbstractBackgroundAngiosarcoma of the adrenal gland is a very rare malignant vascular neoplasm. The clinical symptoms are atypical or completely absent. Angiosarcomas of the adrenal gland are therefore often discovered incidentally, and the diagnosis is made histologically after resection.Case presentationA 46-year-old white Spanish male who was a previous smoker and nondrinker and was slightly overweight (92 kg, 176 cm, body mass index 29.7 kg/m2) with no relevant medical history presented to the internal medicine emergency department of our hospital with an unclear 12 cm tumor of the right adrenal gland. Prior to the computed tomography scan, he had had persistent evening fevers for 4 months and unintentional weight loss of 5 kg. The laboratory results showed anemia and an elevated C-reactive protein, but no hormone production. We performed an open adrenalectomy of the right adrenal gland. Finally, the histologic findings revealed an angiosarcoma of the adrenal gland.ConclusionEven though angiosarcomas of the adrenal gland are rare, the differential diagnosis of an angiosarcoma should be considered if a malignant tumor of the adrenal gland is suspected. Treatment decisions should be made on an interdisciplinary basis and preferably in a specialized center. Owing to the rarity of angiosarcomas of the adrenal gland, it is necessary to continue to share clinical experience to gain a better understanding of this particular tumor entity.
Treatment-resistant hiccups during general anesthesia possibly caused by remimazolam: a case report
Authors: Sakurai Miku , Matsui Yusuke , Takazawa Tomonori , Kabasawa Yoji , Nagumo Wataru , Takada Ryo , Saito Shigeru 
Published: May 2024

Abstract
Background
Previous reports have described hiccups during general anesthesia that were possibly induced by drugs, including benzodiazepines. However, there are few reports of hiccups caused by remimazolam.
Case presentation
A 75-year-old woman underwent corneal transplantation under general anesthesia with remimazolam. She presented with hiccups once the effects of muscle relaxants used during induction wore off, which persisted even after various treatments, such as the administration of antipsychotic drugs. However, when remimazolam administration was terminated after surgery to awaken the patient, the hiccups stopped and did not recur after extubation. Evaluation of predicted blood levels of remimazolam suggests that higher levels of remimazolam might cause hiccups.

Conclusion
Remimazolam might induce hiccups during general anesthesia. Anesthesiologists should consider administering muscle relaxants or changing the anesthetic in cases of refractory hiccups under general anesthesia.
The weekend effect in geriatric traumatic brain injury in tertiary hospital: an observational study
Authors: Alibrahim Hashim , Alnoufali Mahmood , Zaman Anas , Albalushi Yasmine , Almatroushi Sameh , Al-Saadi Tariq 
Published: May 2024

Abstract
Introduction
There were no previous studies discussing the comparison of the complications among traumatic brain injury (TBI) cases during weekdays and weekends. The current study aims to retrospectively compare the TBI outcome of geriatric patients on weekdays versus weekends in the neurosurgery department in a tertiary hospital in Oman.

Methods
This is a retrospective study, from December 2015 to December 2019. Medical records of 670 patients above 65 years and admitted to the neurosurgery ward were reviewed. From that, only 45 patients over 65 years, diagnosed with TBI and managed surgically were included.

Results
The study included 28 patients admitted during weekdays and 17 patients admitted during weekends. Nevertheless, the highest number of admissions was during Friday. The male-to-female ratio was 3.6:1 during weekdays and 3.2:1 during weekends. The average length of stay (LOS) was 12.4 days among patients operated on weekdays compared to 36.5 days on weekends. For average ICU stay, it was 3.9 days during weekdays compared to 32.2 during weekends (p = 0.011). Complications were found to be more common among patients admitted on weekends (p = 0.015).

Conclusion
Significant differences between weekdays and weekends were found. So, more trauma imaging facilities and neurosurgeons need to be available during the weekends.
The Design of Grading
Authors: Thominet Luke 
Published: May 2024

AbstractThis article examines writing instructors’ processes for creating grading systems through the lens of liberatory design, an offshoot of the popular design thinking framework that focuses on creating equity-focused responses to complex problems. It uses a thematic analysis method to analyze seventeen interviews with writing instructors. The results indicate that instructors already use various design-based practices to create grading systems. However, the analysis also demonstrates opportunities to build stronger connections between these practices, to center student voices, and to approach the design problem more creatively. The article closes by illustrating potential liberatory design practices for creating grading systems.
Minding the Gap
Authors: Chirico Miriam 
Published: May 2024

Abstract
Inquiry-based learning, that is, developing student capacity to frame and answer significant questions, is at the forefront of twenty-first century education. Expecting students to ask and solve genuine research questions creates a challenging teaching proposition that editorial cartooning can help solve. While the educational use of editorial cartooning is not a novel concept, asking our students to locate cartoons based on a topic of their choosing and to analyze the satirical debate across these cartoons serves as an accessible inquiry-driven research project for first-year college classes that introduces them to academic databases. This essay details the three-step process used in the college classroom: first, to “mind the gap,” that is, to apply specific rhetorical tools, like parody and juxtaposition, as a means of identifying and analyzing satire; second, to “mine the gap,” that is, to contextualize the cartoons by researching articles about contemporary culture and politics; and third, to “make the gap known” — to share their information with others through an oral presentation and a written essay. This editorial cartoon project, by educating students in research-encountering behavior, provides a genuine model of inquiry and analysis.
Ink, Blood, Bones
Authors: Hogue Bev 
Published: May 2024

Abstract
Natasha Trethewey's poem “Native Guard” begins and ends with the phrase “Truth be told,” but the poem demonstrates just how difficult it can be to tell the truth — or even a truth — about history. “Native Guard” excavates historical events that many readers will find unfamiliar: the experience of Black Union troops guarding Confederate prisoners on Ship Island in the Mississippi Gulf Coast during the Civil War. This complex history is expressed in a crosshatched poetic form: contemporaneous journal entries arranged in a series of interlinked sonnets that juxtapose the history written in ink on paper with the pain written in blood on people's bodies and the bones buried beneath every historical account. While teaching the poem requires careful attention to historical context, poetic form, and repetition of words, the experience provides an answer to the question students keep asking: Why do we have to keep reading about slavery? This essay describes some pedagogical choices that may help students grasp their responsibility for seeking truths that can't easily be told because they lie buried beneath unexamined historical narratives.
Magnitude and determinants of road traffic accidents in North Gondar Zone; Amhara Region, Ethiopia
Authors: Molla Abay Semegnew 
Published: May 2024

Background: Home-based rehabilitation exercise following Total Hip Arthroplasty (THA) shows similar outcomes compared to supervised outpatient rehabilitation exercise. Little is known about patients’ experiences with home-based rehabilitation, and this study aimed to investigate patient-perceived facilitators and barriers to home-based rehabilitation exercise and general physical activity after THA. Methods: Semi-structured interviews of qualitative design were conducted with 22 patients who had undergone THA and who had performed home-based rehabilitation exercise. The study took place in a regional hospital in Denmark between January 2018 and May 2019. Data was analyzed using an interpretive thematic analysis approach, with theoretical underpinning from the concept ‘conduct of everyday life’. The study is embedded within the Pragmatic Home-Based Exercise Therapy after Total Hip Arthroplasty-Silkeborg trial (PHETHAS-1), which aims to quantitatively investigate recovery outcomes after a home-based rehabilitation exercise program. Results: The main theme, ‘wishing to return to the well-known everyday life’, and the subtheme ‘general physical activity versus rehabilitation exercise’ were identified. Generally, participants found the home-based rehabilitation exercise boring but were motivated by the goal of returning to their habitual conduct of everyday life and performing their usual general physical activities. Participants enrolled in the PHETHAS-1 study used the enrollment as part of their motivation for doing the exercises. Both pain and the absence of pain were identified as barriers for doing home-based rehabilitation exercise. Pain could cause insecurity about possible medical complications, while the absence of pain could lead to the rehabilitation exercise being perceived as pointless. Conclusions: The overall goal for the THA patients was to return to their habitual everyday life. This goal served as a facilitator for undertaking home-based rehabilitation exercise. Being able to perform usual activities paradoxically became a barrier for some participants, as they were more motivated to engage in general physical activity than the rehabilitation exercise.