bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Role of Perceived Entrepreneurial Feasibility in The Influence of Altruism on College Students' Social Entrepreneurial Intention
Authors: Prayoga Bintang Eko Dwi , Susilaningsih Susilaningsih , Indriayu Mintasih 
Published: June 2024

This study aims to analyze the role of perceived entrepreneurial feasibility as a mediator between altruism and college students’ social entrepreneurial intention (SEI). This research used a quantitative approach within a cross-sectional design. The sample for this study comprised 309 people (from a total population of 1.364 people) using proportionate stratified random sampling from several undergraduate programs in the Universitas Sebelas Maret grades of 2020th and 2021st. This research instrument used a questionnaire that was adopted and developed based on previous research instruments. Statistical analysis techniques were used to conduct descriptive, correlational, and mediation tests with path analysis using IBM SPSS Statistics 25 software. The results indicated that altruism has a significant direct effect on perceived entrepreneurial feasibility (β = 0,484; p < 0,001) and SEI (β= 0,310; p < 0,001). Furthermore, the results also revealed that perceived entrepreneurial feasibility plays a vital role with a strong direct effect on SEI (β = 0,523; p = 0,001) while also acting as a partial mediator between altruistic and SEI of college students. Therefore, university policymakers and educators need to integrate the values of altruism into the curriculum to increase perceived entrepreneurial feasibility and SEI among college students.
Evaluating the knowledge of pain management and the impact of PASHA (Pain Assessment Stimulation and Healing Application) on pain intensity among Indonesian adolescents
Authors: Kartika Imelda Rahmayunia , Rezkiki Fitrianola , Nugraha Hafiz 
Published: June 2024

Background: Effective pain management for adolescents is essential because it significantly affects their quality of life and can prevent the development of chronic pain. Although there have been advancements in this field, managing pain effectively remains challenging, highlighting the need for innovative approaches that combine technology with clinical practice.
Objective: This study aimed to assess adolescents’ pain management knowledge and evaluate the effectiveness of the PASHA (Pain Assessment Stimulation and Healing Application) in reducing pain intensity among adolescents.
Methods: A combination of a cross-sectional design (N = 461) and one group pretest-posttest approach (N = 60) were employed in a Junior High School at Bukittinggi, West Sumatera, Indonesia. Data were collected from June to August 2022 using the Nursing Outcomes Classification (NOC) to assess pain management knowledge and the Numeric Rating Scale (NRS) to measure pain intensity. The intervention involved using the PASHA application for three days, with pain intensity assessed before and after. Descriptive statistics and Paired t-test were used for data analysis.
Results: Headaches were the most prevalent pain type among adolescents (60.5%). Many adolescents lacked adequate knowledge about pain management (57.7%) and self-medication practices (49.2%). Massage/acupressure therapy was the most recognized pain management strategy (39.1%), while aromatherapy was the least known (4.8%). The PASHA application significantly reduced pain intensity (Mean difference = 0.567, p <0.001).
Conclusion: Adolescents had moderate knowledge gaps in pain management, particularly in chronic pain and non-pharmacological strategies. The PASHA application effectively reduced pain intensity, suggesting its potential to enhance pain management outcomes. Future research is necessary to validate the findings.
The effect of continuous electronic fetal monitoring on mode of delivery and neonatal outcome among low-risk laboring mothers at Debre Markos comprehensive specialized hospital, Northwest Ethiopia
Authors: Kebede Tirusew Nigussie , Abebe Kidist Ayalew , Chekol Moges Sisay , Moltot Kitaw Tebabere , Mihret Muhabaw Shumye , Fentie Bezawit Melak , Sibhat Yared Alem , Tizazu Michael Amera , Beshah Solomon Hailemeskel , Taye Birhan Tsegaw 
Published: June 2024

BackgroundElectronic fetal heart rate monitoring (EFM) has been widely used in obstetric practice for over 40 years to improve perinatal outcomes. Its popularity is growing in Ethiopia and other sub-Saharan African countries to reduce high perinatal morbidity and mortality rates. However, its impact on delivery mode and perinatal outcomes in low-risk pregnancies remains controversial. This study aimed to assess the effect of continuous EFM on delivery mode and neonatal outcomes among low-risk laboring mothers at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia.MethodsA prospective follow-up study was conducted from November 20, 2023, to January 10, 2024. All low-risk laboring mothers meeting the inclusion criteria were included. Data were collected via pretested structured questionnaires and observation, then analyzed using Epi-data 4.6 and SPSS. The incidences of cesarean delivery and continuous EFM were compared using the chi-squared test and Fisher's exact test.ResultsThe study found higher rates of instrumental-assisted vaginal delivery (7% vs. 2.4%) and cesarean sections (16% vs. 2%) due to unsettling fetal heart rate patterns in the continuous EFM group compared to the intermittent auscultation group. However, there were no differences in immediate neonatal outcomes between the groups.ConclusionWhen compared to intermittent auscultation with a Pinard fetoscope, the routine use of continuous EFM among low-risk laboring mothers was associated with an increased risk of cesarean sections and instrumental vaginal deliveries, without significantly improving immediate newborn outcomes. However, it is important to note that our study faced significant logistical constraints due to the limited availability of EFM devices, which influenced our ability to use EFM comprehensively. Given these limitations, we recommend avoiding the routine use of continuous EFM for low-risk laboring mothers to help reduce the rising number of operative deliveries, particularly cesarean sections. Our findings should be interpreted with caution, and further research with adequate resources is needed to draw definitive conclusions.
Genomic characterization revealing the high rate of tet(X4)-positive Escherichia coli in animals associated with successful genetic elements
Authors: Shao Li , Wu Changbu , Li Chengjuan , He Ruowen , Chen Guanping , Sun Dandan , Yang Yanxian , Feng Yu , Zhang Guili , Yan Bin , Dai Min , Tian Guo-Bao , Zhong Lan-Lan 
Published: June 2024

IntroductionThe rapid spread of plasmid-mediated tet(X4) conferring high tigecycline resistance poses a significant threat to public health. Escherichia coli as the most common pathogen which carries tet(X4) has been widely disseminated in China. Thus, comprehensive investigations are required to understand the mechanism of transmission of tet(X4)-positive E. coli.MethodsIn this study, a total of 775 nonduplicate samples were collected in Guangdong, China from 2019 to 2020. We screened for tet(X4)-positive E. coli by PCR amplification and species identification. Furthermore, we analyzed the phylogenetics and genetic context of tet(X4)-positive E. coli through whole-genome sequencing and long-reads sequencing.ResultsOverall, 146 (18.84%) tet(X4)-positive E. coli were isolated, comprising 2 isolates from humans and 144 isolates from pigs. The majority of tet(X4)-positive E. coli exhibited resistance to multiple antibiotics but all of them were susceptible to amikacin and colistin. Phylogenetic analysis showed that ST877, ST871, and ST195 emerged as the predominant sequence types in tet(X4)-positive E. coli. Further analysis revealed various genetic environments associated with the horizontal transfer of tet(X4). Notably, a 100-kbp large fragment insertion was discovered downstream of tet(X4), containing a replicon and a 40-kbp gene cluster for the bacterial type IV secretion system.DiscussionThe high colonization rate of tet(X4)-positive E. coli in animals suggests that colonization as a key factor in its dissemination to humans. Diverse genetic context may contribute to the transfer of tet(X4). Our findings underline the urgent need for controlling the spread of plasmid-mediated tigecycline resistance.
Firearm screening in pediatric patients
Authors: Kandeepan Aarani , Lee Jessica , Bagdure Dayanand , Garber Nan , Day Jenni , Holloway Adrian , Lichenstein Richard , Slattery Joseph , Wolfe Alexa , Wadsworth Jenna , Moss Julianne , Davie Nicole , Foster Cortney 
Published: June 2024

IntroductionIn the United States, firearm-related injuries are the leading cause of death among children and adolescents 1–19 years of age. Although many pediatricians believe addressing firearm safety is important and have guidance from organizations like the American Academy of Pediatrics, few routinely screen and counsel on firearm safety. The goal of this project was to screen all patients presenting to the pediatric emergency department, pediatric floor, and pediatric intensive care unit for the presence of firearms in the home, firearm storage practices, and whether they had previously received any firearm counseling by medical professionals.MethodsA 13-item survey was administered to each participant. Items included demographic information, willingness to answer questions about firearms, practice of asking questions about firearms, previous counseling from medical professionals about the presence of firearms in the home and the presence of firearm in their personal home as well as storage practices.ResultsA total of 200 parents responded to the survey. Of those that responded to the survey, 171 (85.5%) did not have a firearm in the home and 28 (14%) did have a firearm in the home. 75% (n = 21) had never had a medical provider discuss firearm safety with them. 100% had never been asked by another parent about the presence of a firearm in their home when a child came over for a playdate. 39% (n = 11) of parents with a firearm in the home had asked other parents whether they have a firearm in the home where their child goes to play.DiscussionFindings from our study highlight a significant lack of screening of our pediatric patients both in the inpatient and outpatient settings, with the majority reporting that they had never been asked by a medical provider about firearm safety. In addition, three quarters of parents with a firearm in the home reported that they did not mind answering questions about firearms yet none had been asked by other parents about firearms. Thus, although firearm possession and safety is considered to be a sensitive topic, many parents are willing to discuss it with their health care providers and other parents.
Weed detection and recognition in complex wheat fields based on an improved YOLOv7
Authors: Wang Kaixin , Hu Xihong , Zheng Huiwen , Lan Maoyang , Liu Changjiang , Liu Yihui , Zhong Lei , Li Hai , Tan Suiyan 
Published: June 2024

IntroductionThe precise detection of weeds in the field is the premise of implementing weed management. However, the similar color, morphology, and occlusion between wheat and weeds pose a challenge to the detection of weeds. In this study, a CSCW-YOLOv7 based on an improved YOLOv7 architecture was proposed to identify five types of weeds in complex wheat fields.MethodsFirst, a dataset was constructed for five weeds that are commonly found, namely, Descurainia sophia, thistle, golden saxifrage, shepherd’s purse herb, and Artemisia argyi. Second, a wheat weed detection model called CSCW-YOLOv7 was proposed to achieve the accurate identification and classification of wheat weeds. In the CSCW-YOLOv7, the CARAFE operator was introduced as an up-sampling algorithm to improve the recognition of small targets. Then, the Squeeze-and-Excitation (SE) network was added to the Extended Latent Attention Networks (ELAN) module in the backbone network and the concatenation layer in the feature fusion module to enhance important weed features and suppress irrelevant features. In addition, the contextual transformer (CoT) module, a transformer-based architectural design, was used to capture global information and enhance self-attention by mining contextual information between neighboring keys. Finally, the Wise Intersection over Union (WIoU) loss function introducing a dynamic nonmonotonic focusing mechanism was employed to better predict the bounding boxes of the occluded weed.Results and discussionThe ablation experiment results showed that the CSCW-YOLOv7 achieved the best performance among the other models. The accuracy, recall, and mean average precision (mAP) values of the CSCW-YOLOv7 were 97.7%, 98%, and 94.4%, respectively. Compared with the baseline YOLOv7, the improved CSCW-YOLOv7 obtained precision, recall, and mAP increases of 1.8%, 1%, and 2.1%, respectively. Meanwhile, the parameters were compressed by 10.7% with a 3.8-MB reduction, resulting in a 10% decrease in floating-point operations per second (FLOPs). The Gradient-weighted Class Activation Mapping (Grad-CAM) visualization method suggested that the CSCW-YOLOv7 can learn a more representative set of features that can help better locate the weeds of different scales in complex field environments. In addition, the performance of the CSCW-YOLOv7 was compared to the widely used deep learning models, and results indicated that the CSCW-YOLOv7 exhibits a better ability to distinguish the overlapped weeds and small-scale weeds. The overall results suggest that the CSCW-YOLOv7 is a promising tool for the detection of weeds and has great potential for field applications.
Evolution of ambiguity tolerance research a scientometric and bibliometric analysis
Authors: Rubiales-Núñez José , Rubio Andres , Araya-Castillo Luis , Moraga-Flores Hugo 
Published: June 2024

IntroductionThe present study conducts a retrospective bibliometric analysis to examine the quantifiable and qualitative evolution of the concept of tolerance to ambiguity (TA) over time. Additionally, a scientometric analysis using quantitative methods on scientific measurements and trends aims to profile and identify the concept, as well as its development in research themes. The relevance of this study is underscored by the growing interest and development of research on TA, particularly in fields like entrepreneurship where psychological factors are significant.MethodsThe research includes highly relevant literature, such as Budner and Frenkel-Brunswick, which define TA as a predisposition to perceive ambiguous situations as desirable and as a personality variable centered on the emotional and perceptual domain, respectively. Data was obtained from the eight indices comprising the main Web of Science collection, covering research from 1975 to December 2022. A total of 378 articles were identified.ResultsThe analysis reveals that scientific production peaked in 2022 with 45 articles. In terms of citations, 7,773 were found, with the highest concentration in 2022, totaling 1,203 citations. This indicates a significant increase in research interest and output related to TA.DiscussionThe study highlights the growing exploration of the concept of TA, emphasizing its importance across multiple disciplines in dealing with uncertainty. The research demonstrates that TA significantly influences decision-making and adaptability, highlighting its value in business and educational settings. By analyzing leading publications, authors, and research centers, the study shows the diversity of approaches to understanding TA, indicating a promising direction for future research.
Metacognition as a transdiagnostic factor across eating disorders: a latent profile analysis study
Authors: Aloi Matteo , Carcione Antonino , Lo Coco Gianluca , Rania Marianna , Carbone Elvira Anna , de Filippis Renato , Segura-Garcia Cristina , Liuzza Marco Tullio 
Published: June 2024

BackgroundMetacognition is a crucial aspect of understanding and attributing mental states, playing a key role in the psychopathology of eating disorders (EDs). This study aims to explore the diverse clinical profiles of metacognition among patients with EDs using latent profile analysis (LPA).MethodA total of 395 patients with a DSM-5 diagnosis of ED (116 AN-R, 30 AN/BP, 100 BN, 149 BED) participated in this study. They completed self-report measures assessing metacognition, eating psychopathology, depression, emotional dysregulation, personality traits, and childhood adversities. LPA and Welch ANOVAs were conducted to identify profiles based on metacognition scores and examine psychological differences between them. Logistic regression models were employed to explore associations between personal characteristics and different profiles.ResultsA 3-class solution had a good fit to the data, revealing profiles of high functioning (HF), intermediate functioning (IF), and low functioning (LF) based on levels of metacognitive impairments. Participants in the IF group were older and had a higher BMI than those in the HF and LF groups. Individuals with BN were largely categorized into HF and LF profiles, whereas participants with BED were mainly included in the IF profile. Participants in the LF group reported an impaired psychological profile, with high levels of depression, emotional dysregulation, childhood adversity, and personality dysfunction. Multinomial logistic regression analyses showed significant associations between metacognitive profiles and emotional and neglect abuse, emotion dysregulation, and detachment.ConclusionThis exploratory study unveils distinct metacognitive profiles in EDs, providing a foundation for future research and targeted interventions. In this light, metacognitive interpersonal therapy could be a valid and effective treatment for EDs, as suggested by the initial promising results for these patients.
Applications of large language models in psychiatry: a systematic review
Authors: Omar Mahmud , Soffer Shelly , Charney Alexander W. , Landi Isotta , Nadkarni Girish N. , Klang Eyal 
Published: June 2024

BackgroundWith their unmatched ability to interpret and engage with human language and context, large language models (LLMs) hint at the potential to bridge AI and human cognitive processes. This review explores the current application of LLMs, such as ChatGPT, in the field of psychiatry.MethodsWe followed PRISMA guidelines and searched through PubMed, Embase, Web of Science, and Scopus, up until March 2024.ResultsFrom 771 retrieved articles, we included 16 that directly examine LLMs’ use in psychiatry. LLMs, particularly ChatGPT and GPT-4, showed diverse applications in clinical reasoning, social media, and education within psychiatry. They can assist in diagnosing mental health issues, managing depression, evaluating suicide risk, and supporting education in the field. However, our review also points out their limitations, such as difficulties with complex cases and potential underestimation of suicide risks.ConclusionEarly research in psychiatry reveals LLMs’ versatile applications, from diagnostic support to educational roles. Given the rapid pace of advancement, future investigations are poised to explore the extent to which these models might redefine traditional roles in mental health care.
Estimating cardiorespiratory fitness in older adults using the international physical activity questionnaire
Authors: Sewell Kelsey R. , Peiffer Jeremiah J. , Markovic Shaun J. , Brown Belinda M. 
Published: June 2024

IntroductionNon-exercise estimates of cardiorespiratory fitness hold great utility for epidemiological research and clinical practice. Older adults may yield the greatest benefit from fitness estimates due to limited capacity to undergo strenuous maximal exercise testing, however, few of the previously developed non-exercise equations are suitable for use in older adults. Thus, the current study developed a non-exercise equation for estimating cardiorespiratory fitness in older adults derived from the widely used International Physical Activity Questionnaire (IPAQ).MethodsThis study was a secondary analysis of baseline data from a randomized controlled trial. Participants were community-dwelling, cognitively unimpaired older adults aged 60–80 years (n = 92). They completed the IPAQ and underwent maximal exercise testing on a cycle ergometer. Stepwise linear regression was used to determine the equation in a randomly selected, sex-balanced, derivation subset of participants (n = 60), and subsequently validated using a second subset of participants (n = 32).ResultsThe final equation included age, sex, body mass index and leisure time activity from the IPAQ and explained 61% and 55% of the variance in the derivation and validation groups, respectively (standard error of estimates = 3.9, 4.0). Seventy-seven and 81% of the sample fell within ±1SD (5.96 and 6.28 ml·kg−1·min−1) of measured VO2peak for the derivation and validation subgroups. The current equation showed better performance compared to equations from Wier et al. (2006), Jackson et al. (1990), and Schembre &amp; Riebe (2011), although it is acknowledged previous equations were developed for different populations.ConclusionsUsing non-exercise, easily accessible measures can yield acceptable estimates of cardiorespiratory fitness in older adults, which should be further validated in other samples and examined in relation to public health outcomes.
Assessment of knowledge, attitude, and practice related to brucellosis among livestock farmers and meat handlers in Saudi Arabia
Authors: Alghafeer Mohammed H. , Aldhukair Ebrahim F. , Alzahrani Abdullah H. , Alsaedi Abdullah S. , Almutairi Omar N. , Aloliky Abdulsalam A. , Almutairi Masaad Saeed , Thabit Abrar K. 
Published: June 2024

BackgroundBrucellosis is a bacterial zoonotic infection that is endemic in Saudi Arabia and associated with clinical and economic impacts. Several studies from countries endemic for brucellosis evaluated the knowledge and attitude of livestock farmers regarding brucellosis. However, no such study was conducted in Saudi Arabia. This study aimed to evaluate the knowledge, attitude, and practice of livestock farmers and meat handlers in Saudi Arabia.MethodsThis was a cross-sectional questionnaire-based study, where participants were interviewed in-person in Arabic in livestock markets between September–December 2023. Convenient sampling was utilized. The questionnaire included basic demographics and questions to assess the knowledge, attitude, and practice toward personal protection and protection of the animals from brucellosis. The questionnaire was adapted from a previously validated survey and included 59 questions. Providing at least one correct answer to a certain question indicated a good knowledge about this item or a safe practice. The participants were divided into: farmers (shepherds working for the animal owners), commercial animal owners (those who rent a stockyard in the livestock market and employ farmers to sell their animals), and private animal owners (owners of private farms from which they sell their animals).Results545 participants were interviewed (n = 291 farmers, n = 118 commercial animal owners, n = 113 private animal owners, and n = 23 animal slaughterhouse workers). &gt;90% have heard of brucellosis. Lack of education and short experience (&lt;5 years) of working with livestock were negatively associated with good knowledge of brucellosis symptoms and transmission (OR, 0.30; 95%CI, 0.10–0.94; p = 0.038 and OR, 0.23; 95%CI, 0.08–0.62; p = 0.004, respectively). Taking sick animals to the veterinarian was reported by 61.2%, whereas 36.4% follow safe practices when disposing of aborted fetuses. While 34% consume raw milk, only 10% consume rare/medium-rare meat. 51.2% acknowledged the need for more information on brucellosis.ConclusionThis study revealed the need to augment the knowledge of people working with animals, particularly those with no school education and those with short work experience, via providing educational visits or materials or through veterinarians. This should help them identify human and animal brucellosis symptoms and increase the knowledge on how to protect oneself and animals from this disease.