bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategic resilience in human performance in the context of science and education - perspective
Authors: Ziehr Sabrina , Merkt Philipp Hans 
Published: April 2024

IntroductionSpecial situations that jeopardize the internal and external security for communities are increasing in their frequency and complexity. This creates complicated challenges for individuals, governments and humanity. National and international strategies are being developed that focus on the resilience and coping of all first responders during these extreme stress states.AimThe aim of the article is to present the framework of strategic resilience, its multidimensional measurement and the possibilities for training robust resilience to increase operational effectiveness in special operational situations.Methodological approachResearch in the area of special operation situations often focuses on the human performance cluster. The Unit of Applied Research 18_RECESS (18_ Research and Education Center for Extraordinary Tactical Situations and Strategically Resilience) at the Department of Disaster Prevention and Crisis Management at Fresenius University of Applied Sciences in Idstein fits into this field. It pursues the adaptation of existing resilience models to special operation situations in line with the definition of strategic resilience. In addition, the focus is on the possibility of training strategic resilience to increase operational effectiveness. There are currently several research projects being conducted in the civilian and civilian-military sectors, as well as with ground and special operations forces.Major findingsStrategic Resilience with its 3 axes Psychological, Physiological and Cognitive Resilience covers the core domains of various existing models of resilience. This provides an adequate concept to describe different factors leading to personnel perseverance in special operation situations. There exists the possibility to train several domains of strategic resilience via problem-oriented intervention (POH).
Exploring the challenges faced by Dutch truck drivers in the era of technological advancement
Authors: de Winter Joost , Driessen Tom , Dodou Dimitra , Cannoo Aschwin 
Published: April 2024

IntroductionDespite their important role in the economy, truck drivers face several challenges, including adapting to advancing technology. The current study investigated the occupational experiences of Dutch truck drivers to detect common patterns.MethodsA questionnaire was distributed to professional drivers in order to collect data on public image, traffic safety, work pressure, transport crime, driver shortage, and sector improvements.ResultsThe findings based on 3,708 respondents revealed a general dissatisfaction with the image of the industry and reluctance to recommend the profession. A factor analysis of the questionnaire items identified two primary factors: ‘Work Pressure’, more common among national drivers, and ‘Safety &amp; Security Concerns’, more common among international drivers. A ChatGPT-assisted analysis of textbox comments indicated that vehicle technology received mixed feedback, with praise for safety and fuel-efficiency improvements, but concerns about reliability and intrusiveness.DiscussionIn conclusion, Dutch professional truck drivers indicate a need for industry improvements. While the work pressure for truck drivers in general may not be high relative to certain other occupational groups, truck drivers appear to face a deficit of support and respect.
Tuberculosis and osteoporotic fracture risk: development of individualized fracture risk estimation prediction model using a nationwide cohort study
Authors: Choi Hayoung , Shin Jungeun , Jung Jin-Hyung , Han Kyungdo , Choi Wonsuk , Lee Han Rim , Yoo Jung Eun , Yeo Yohwan , Lee Hyun , Shin Dong Wook 
Published: April 2024

PurposeTuberculosis (TB) is linked to sustained inflammation even after treatment, and fracture risk is higher in TB survivors than in the general population. However, no individualized fracture risk prediction model exists for TB survivors. We aimed to estimate fracture risk, identify fracture-related factors, and develop an individualized risk prediction model for TB survivors.MethodsTB survivors (n = 44,453) between 2010 and 2017 and 1:1 age- and sex-matched controls were enrolled. One year after TB diagnosis, the participants were followed-up until the date of fracture, death, or end of the study period (December 2018). Cox proportional hazard regression analyses were performed to compare the fracture risk between TB survivors and controls and to identify fracture-related factors among TB survivors.ResultsDuring median 3.4 (interquartile range, 1.6–5.3) follow-up years, the incident fracture rate was significantly higher in TB survivors than in the matched controls (19.3 vs. 14.6 per 1,000 person-years, p &lt; 0.001). Even after adjusting for potential confounders, TB survivors had a higher risk for all fractures (adjusted hazard ratio 1.27 [95% confidence interval 1.20–1.34]), including hip (1.65 [1.39–1.96]) and vertebral (1.35 [1.25–1.46]) fractures, than matched controls. Fracture-related factors included pulmonary TB, female sex, older age, heavy alcohol consumption, reduced exercise, and a higher Charlson Comorbidity Index (p &lt; 0.05). The individualized fracture risk model showed good discrimination (concordance statistic = 0.678).ConclusionTB survivors have a higher fracture risk than matched controls. An individualized prediction model may help prevent fractures in TB survivors, especially in high-risk groups.
The impact of meteorological parameters on the scrub typhus incidence in Baoshan City, western Yunnan, China
Authors: Luo Yun-Yan , Geater Alan Frederick , Yin Jia-Xiang 
Published: April 2024

BackgroundScrub typhus has become widespread across various regions in China in recent decades, causing a considerable burden on residents. While meteorological variables significantly impact the spread of scrub typhus, there is insufficient quantitative evidence illustrating this association in known high-endemic areas.MethodsA distributed lag non-linear model was applied to explore the relationship between meteorological parameters and scrub typhus incidence from 2010 to 2019 in Baoshan City, western Yunnan Province, China.ResultsHigh monthly mean (20°C) and maximum (30°C) temperatures were associated with a peak risk of scrub typhus in the current month. Higher minimum temperatures and higher relative humidity were followed by increasing cumulative risks over the ensuing 3 months. Higher precipitation was followed by increasing cumulative risk over the ensuing 2-month period, peaking at around 30 cm.ConclusionThe non-linear lag associations between meteorological parameters and scrub typhus incidence suggest that higher monthly minimum temperature and relative humidity could be associated with an increased risk of scrub typhus in the subsequent several months, while warm temperature is more likely to impact the occurrence of scrub typhus in the current month.
Individual and family factors correlated with children’s fruit consumption
Authors: Wu Xiangyi , Yu Yingjie , He Hairong , Yu Xiaohui , Guo Dandan , Zhu Wenli 
Published: April 2024

BackgroundFruits are essential for health, yet their consumption in children is inadequate, with unclear influencing factors.MethodsA cross-sectional study was conducted among students in grades 3–12 in Beijing, China, from September 2020 to June 2021. Fruit consumption in children was surveyed using a self-administered food frequency questionnaire. Additionally, children’s food and nutrition literacy and family food environments were assessed using the “Food and Nutrition Literacy Questionnaire for Chinese School-age Children” and the “Family Food Environment Questionnaire for Chinese School-age Children,” respectively.ResultsOut of 10,000 participating children, 62.5% consumed fruit daily, with a lower frequency among boys (59.3%) compared to girls (65.8%), and among senior students (48.6%) compared to junior (63.6%) and primary students (71.2%). Fruit consumption was positively associated with other healthy foods (vegetables, whole grains, etc.) and negatively with unhealthy foods (sugared soft drinks). Children with higher food and nutrition literacy consumed fruits daily more frequently (82.4% vs. 59.9%, ORs = 2.438, 95%CI: 2.072–2.868). A significant positive correlation was found between children’s fruit consumption and a healthy family food environment (66.4% vs. 50.2%, OR = 1.507, 95%CI: 1.363–1.667).ConclusionThe results indicate that individual food and nutrition literacy and family food environment are key positive predictors of children’s fruit consumption. Future interventions should focus on educating children and encouraging parents to foster supportive family environments.
Exploring functional metabolites and proteomics biomarkers in late-preterm and natural-born pigs
Authors: Chong Jie , Wang Juan , Zhong Hang , Zhang Jinwei , Ding Yuchun , Ge Liangpeng , Ma Jideng , Sun Jing 
Published: April 2024

IntroductionPigs are often used to study the intestinal development of newborns, particularly as preterm pig models that mimic the intestinal growth of human preterm infants. Neonatology’s study of delivery mode’s impact on neonatal development is crucial.MethodsWe established 14 newborn pigs delivered via cesarean sections (C-section, at 113 days of gestational age, CS group) and 8 naturally born pigs were used as controls (at 114 days of gestational age, NF group). The impact of two alternative delivery procedures (C-section and natural birth) on the levels of short-chain fatty acids (SCFAs) and organic acids in the hepatic and intestines of newborn pigs were compared using metabolomics. The underlying molecular pathways are examined at the “protein-metabolite” level by integrating proteomic data.ResultsThe findings demonstrated that the mode of delivery changed the metabolism of SCFAs in newborn pigs, perhaps by affecting the physiology levels of cyclic intermediates such as lactate and malate in the pyruvate metabolic pathway. Additionally, by participating in the fatty acid metabolism pathway, two distinct proteins (FASN and HSD17B4) may impact the physiological concentration of these tiny metabolites.DiscussionIn conclusion, this study provided reliable animal model data for understanding the physiological SCFA metabolic information and its affecting mechanism of large-gestational age preterm infants.
Description of swine producer biosecurity planning for foreign animal disease preparedness using the Secure Pork Supply framework
Authors: Campler Magnus R. , Hall Marissa , Mills Kelsey , Galvis Jason A. , Machado Gustavo , Arruda Andreia G. 
Published: April 2024

IntroductionPreventing potential foreign animal diseases is a high priority, with re-emerging threats such as African Swine Fever emerging close to North American borders. The Secure Pork Supply (SPS) plan provides a voluntary framework for swine producer biosecurity planning and disease outbreak preparedness. However, biosecurity knowledge varies greatly among swine veterinarians, managers, and caretakers within the industry, which impacts the understanding, quality, implementation and biosecurity plan agreements with the SPS guidelines unless review procedures and quality control mechanisms are in place. Therefore, this study aimed to describe and identify the level of biosecurity planning agreements between producer-and/or swine veterinarian-made biosecurity plans for commercial swine sites and the SPS plan guidelines during a review process.Material and methodsBiosecurity maps (N = 368) and written plans (N = 247) were obtained from six Midwest swine companies/veterinary clinics. Maps were evaluated on accuracy and placement of mandatory map features based on SPS guidelines, and discrepancies between the development of producer-made biosecurity maps and written biosecurity plans. Multivariable mixed logistic regression analyses were conducted to identify differences in SPS planning accuracy based on herd size, production stage, and characteristics related to geographical site location (e.g., land cover type and expected feral swine population density in the region).ResultsIn this study, 55.8% (205/368) of all provided biosecurity maps had to be revised due to misplaced or missing map features. In addition, 80.9% (200/247) of the written plans had one or more conflicts with the corresponding biosecurity maps. The main biosecurity planning issues involved feed delivery activities, where the mapping of vehicle movements (89.9%, 222/247) were in direct conflict with the written SPS plans. Sites located in areas with a moderate expected feral swine population density had 3-fold increased odds of needing map revisions compared to sites with low expected feral swine population density. Sites located in predominately farmland had 7.3% lower odds of having biosecurity map and SPS plan conflicts for every 1.0% increase in farmland landcover in a 10-km radius around the swine site.DiscussionHuman oversight or lack of knowledge regarding biosecurity planning and implementation is common, which may culminate in important preparedness shortcomings in disease prevention and control strategies for U.S. swine farms. Future efforts should focus on additional biosecurity training for swine producers and veterinarians alongside with quality control benchmarking of producer made plans.
Rotational Strip Bean and Celery Intercropping Alters the Microbial Community to Improve Crop Yield and Soil Nutrients
Authors: Li Shuang , Yuan Tao , Ibrahim Musawar , Wu Fengzhi 
Published: April 2024

Rotational strip intercropping involves the strategic combination of stubble intercropping and the rotational placement of intercropped strips, which can improve crop yield. Here, we evaluated the effects of rotational strip bean (Phaseolus vulgaris L.) and celery (Apium graveolens L.) intercropping with bed ratios of 1:1 and 2:2 on crop yield, soil microbial community and nutrition. The 1:1 ratio of rotational strip bean and celery intercropping had a higher yield than the 2:2 ratio. The 1:1 rotational strip intercropping markedly improved the nitrate nitrogen and available phosphorus contents of the beans, and the nitrate nitrogen and available potassium contents of the celery. The 2:2 rotational strip intercropping reduced the bacterial α diversity of the beans, and the 1:1 and 2:2 rotational strip intercropping enhanced the fungal α diversity of both the beans and the celery. Both planting patterns also altered the microbial communities found on the bean and celery plants. Microorganisms enriched in the rhizosphere of the bean and celery plants significantly increased the soil nutrient content and yield in the 1:1 rotational strip intercropping, and included the genera Achromobacter, Luteibacter, Stenotrophomonas, Fusarium, Flavobacterium and Preussia in the bean rhizosphere, and Alternaria, Arthrographis and Pluteus, Sphingopyxis and Clostridium_sensu_stricto_1 in the celery rhizosphere.
Comparative assessment of a phased debridement strategy amidst treatment for masticatory muscle spasticity in children with cerebral palsy
Authors: Makedonova Yu. A. , Pavlova-Adamovich A. G. , Yarygina E. N. , Aleksandrov A. V. , Chizhikova T. V. , Devyatchenko L. A. , Veisgeim L. D. 
Published: April 2024

Relevance. Dental care for children diagnosed with cerebral palsy (CP) presents substantial challenges to dental practitioners. These children not only necessitate individualized care strategies but also face challenges in mouth opening due to masticatory muscle spasticity, which limits operational access during treatments. This study introduces a phased approach to debridement that is integrated with interventions aimed at alleviating hypertonia in the masticatory muscles through adaptive myogymnastics and the use of a pneumatic mouth expander.Materials and methods. A clinical and functional assessment of the orofacial region was conducted on 34 compliant CP patients aged 6-12 years, with the mean age being 9.6 ± 0.3 years. These assessments considered the extent of motor activity and movement limitations in daily activities. Follow-up evaluations were performed six months post-intervention.Results. The phased debridement plan demonstrated significant effectiveness, integrating diagnostic and therapeutic strategies with tailored visitation schedules based on the clinical conditions of the patients.Conclusion. Uniform diagnostic and therapeutic protocols are recommended to enhance dental health and restrain the prevalence of dental diseases among children with spastic cerebral palsy.
Hérnia de Spiegel: relato de caso e revisão não sistemática de literatura
Authors: Torres Marcela Gallinari da Costa , Goulart Igor Nunes 
Published: April 2024

Introdução: A Hérnia de Spiegel (HS) é uma falha na parede abdominal através da da aponeurose spigeliana, entre a linha semilunar e a borda lateral do músculo reto do abdome, logo abaixo da linha arqueada de Douglas. Objetivo: Relato de Caso de um paciente masculino com Hérnia de Spiegel e Revisão não Sistemática de Literatura sobre a patologia. Metodologia: Revisão de Prontuário Médico e busca de artigos relacionados ao tema em banco de dados. Discussão: A HS pode se manifestar clinicamente de muitas maneiras diferentes, sendo que os sintomas frequentemente incluem dor abdominal intermitente ou constante na região do abaulamento em parede abdominal. A cirurgia pode ser realizada tanto por técnica aberta quanto por laparoscopia. Nos procedimentos cirúrgicos realizados por vídeo, a tela pode ser colocada tanto em posição intraperitoneal, quanto extraperitoneal, após a criação de um retalho peritoneal por abordagem transabdominal. Conclusão: Assim que diagnosticada, a recomendação é que a cirurgia seja feita, com preferência pela técnica laparoscópica que apresenta menos complicações pós operatórias e menor tempo internação.
Posição prona em pacientes com Síndrome do Desconforto Respiratório Agudo
Authors: Miranda Pedro Henrique de Sousa , Ataíde Adriane Gabrielle de Oliveira , Andrade Drielle Ildete Souza de , Marques Chiara Cristina Pinheiro , Pinheiro Larissa Cristini Barbosa , Correa Lorena de Nazaré Rocha , Lopes Sávio Maia , Furtado Marcos Vinícius da Conceição , Rosa Ana Carolina Ramos Santa 
Published: April 2024

Apresentar por meio de uma revisão integrativa a eficácia da utilização da posição prona em indivíduos com com síndrome do desconforto respiratório agudo (SDRA) . Trata-se de uma revisão integrativa de caráter qualitativo e descritivo. A pesquisa foi realizada nas bases de dados PubMed (Biblioteca virtual dos estados unidos), Phisiotherapy Evidence Data base (PEDro) e LILACS ( literatura Latino-Americana e do Caribe em ciências da saúde, por meio dos descritores “prone position” e “respiratory distress syndrome”, utilizando a combinação prone position AND distress syndrome. Após a exclusão dos demais estudos por meio dos critérios de exclusão estabelecidos foram selecionados 7 estudos relacionados a utilização da posição prona em pacientes com SDRA. Os artigos em questão foram organizados em forma de quadro dando ênfase ao objetivo, métodos e os principais resultados evidenciados. A posição prona se mostrou um método eficaz na melhora da função pulmonar, diminuição da mortalidade e menor chance de intubação.
As doenças parasitárias e a pobreza no Brasil: uma análise multidimensional e interdisciplinar
Authors: Stafi Filho Silvio , Comby Isabeli , Biondi Matheus Casanova , Andrade Lara Yane Matuzinho de , Barbosa Rodrigo Ramos , Oliveira Vinícius Diogenes de , Almeida Lorena Scarlet Santos de 
Published: April 2024

Este artigo investiga as doenças tropicais negligenciadas de etiologia parasitária no Brasil, e sua relação com o sistema endócrino e a vulnerabilidade social da população. Foram utilizados dados bibliográficos e estatísticos sobre as principais doenças listadas pelo boletim epidemiológico da secretaria de vigilância em saúde de 2021, incluindo seus agentes causais, seus vetores ou meios de contaminação, sua possível alteração endócrina, distribuição geográfica no país, sua correlação com os indicadores de pobreza e desenvolvimento humano. Os resultados mostraram que as doenças parasitárias são um grave problema de saúde pública no Brasil, afetando principalmente a população carente, que vive em condições precárias de saneamento, educação e acesso a serviços de saúde, promovendo a morbimortalidade, e gerando um ciclo vicioso de exclusão e sofrimento. Além disso, essas doenças são negligenciadas pelo governo, indústrias farmacêuticas e comunidade internacional, recebendo pouca atenção e investimento. Apesar dos danos endócrinos serem considerados incomuns, recomenda-se que a federação invista tanto em pesquisa especializada quanto em políticas públicas integradas, que visem não apenas o tratamento da doença, mas que também invista na prevenção da enfermidade.
Fechamento da comunicação bucosinusal utilizando o deslizamento de retalho vestibular: relato de caso
Authors: Freitas George Borja de , Soares Mayara Karlla Batista , Medeiros Ysabela Barreto de , Dantas Estefanny Paulo da Silva , Leandro Denise de Andrade , Botelho Nathália Maria de Sousa , Rocha Julierme Ferreira , Arruda Lúcio Fábio de Assis 
Published: April 2024

A comunicação bucosinusal (CBS) é o contato da cavidade oral com o seio maxilar, decorrente consequente de um processo de exodontia dos dentes superiores posteriores.. O presente trabalho objetiva relatar um caso clínico de tratamento cirúrgico de comunicação bucosinusal, utilizando o fechamento da comunicação pela técnica de deslizamento de retalho vestibular. Paciente de 28 anos, sexo feminino, que compareceu a clínica escola de odontologia do Centro Universitário de Patos (UNIFIP), com histórico de realização de cirurgia de exérese do elemento 18 a 21 dias, com queixa principal de dor na região sinusal ipsilateral e relato de extravasamento de líquido pela fossa nasal homolateral. Ao exame clínico intraoral evidenciou-se abertura em trajeto fistuloso na região retromolar ao elemento 17, com manobra de Valsalva positiva ao teste. Ao exame radiográfico evidenciou-se imagem e hipodensa na região crestal ao elemento 18 e trajeto fistuloso de comunicação do meio oral com o meio sinusal, imagem hiperdensa sugestiva de processo inflamatório/infeccioso em toda extensão do antro-maxilar. No pós- operatório a paciente teve evolução clínica e radiográfica satisfatória do caso. Pode-se afirmar que o uso de retalho vestibular para fechamento de comunicação bucosinusal é uma técnica simples e possui resultado satisfatório.