bluuebunny/crossref_metadata_2025_split huggingface dataset:
You’re not alone: imagery rescripting for adolescents who self-harm
Authors: Schmied Elisa , Hack Lisa , Connemann Bernhard , Sosic-Vasic Zrinka , Kroener Julia 
Published: May 2024

IntroductionNon-suicidal self-injury (NSSI), which refers to the deliberate act of causing harm to one’s own body without the intent to commit suicide, occurs in 20% of youth. Interestingly, approximately 90% of individuals who engage in self-harm report intrusive mental imagery thereof shortly prior to the act of NSSI. Previous research has demonstrated that imagery rescripting (IR) is an effective technique to treat intrusive mental images and associated clinical symptoms, such as emotion dysregulation, in various psychiatric disorders. However, there is no research on IR for adolescents who self-harm. Therefore, the present study aims to investigate the efficacy and feasibility of a two-session short-intervention using IR to reduce NSSI and associated clinical symptoms in adolescents. The intervention was supported by an app-based digital health intervention (DHI).MethodsA single case series A-B design with three post-assessments (1 week, 1 month, and 3 months post-intervention) was implemented. Seven adolescents received two treatment sessions of IR, supported by a DHI between sessions. NSSI (SITBI), emotion regulation (ERQ), emotional distress (BDI-II, STAI-T), self-efficacy (WIRKALL_r), and treatment satisfaction (BIKEP) were evaluated.ResultsThere was an increase in adaptive emotion regulation strategies up to 3 months post-intervention. Furthermore, patients improved regarding their self-efficacy, depressiveness, anxiety, and NSSI symptomatology. The developed DHI was described as a helpful and supportive tool.ConclusionThe intervention has shown initial evidence to be feasible and beneficial for adolescents conducting NSSI. The DHI has demonstrated to be a valuable tool in the treatment of self-harming youth.
Predicting the prevalence of type 2 diabetes in Brazil: a modeling study
Authors: Moreira Patrícia Vasconcelos Leitão , de Arruda Neta Adélia da Costa Pereira , Ferreira Flávia Emília Leite Lima , de Araújo Jevuks Matheus , Rodrigues Rômulo Eufrosino de Alencar , Lima Rafaela Lira Formiga Cavalcanti de , Vianna Rodrigo Pinheiro de Toledo , Silva Neto José Moreira da , O’Flaherty Martin 
Published: May 2024

AimsWe adopted a modeling approach to predict the likely future prevalence of type 2 diabetes, taking into account demographic changes and trends in obesity and smoking in Brazil. We then used the model to estimate the likely future impact of different policy scenarios, such as policies to reduce obesity.MethodsThe IMPACT TYPE 2 DIABETES model uses a Markov approach to integrate population, obesity, and smoking trends to estimate future type 2 diabetes prevalence. We developed a model for the Brazilian population from 2006 to 2036. Data on the Brazilian population in relation to sex and age were collected from the Brazilian Institute of Geography and Statistics, and data on the prevalence of type 2 diabetes, obesity, and smoking were collected from the Surveillance of Risk and Protection Factors for Chronic Diseases by Telephone Survey (VIGITEL).ResultsThe observed prevalence of type 2 diabetes among Brazilians aged over 25 years was 10.8% (5.2–14.3%) in 2006, increasing to 13.7% (6.9–18.4%) in 2020. Between 2006 and 2020, the observed prevalence in men increased from 11.0 to 19.1% and women from 10.6 to 21.3%. The model forecasts a dramatic rise in prevalence by 2036 (27.0% overall, 17.1% in men and 35.9% in women). However, if obesity prevalence declines by 1% per year from 2020 to 2036 (Scenario 1), the prevalence of diabetes decreases from 26.3 to 23.7, which represents approximately a 10.0% drop in 16 years. If obesity declined by 5% per year in 16 years as an optimistic target (Scenario 2), the prevalence of diabetes decreased from 26.3 to 21.2, representing a 19.4% drop in diabetes prevalence.ConclusionThe model predicts an increase in the prevalence of type 2 diabetes in Brazil. Even with ambitious targets to reduce obesity prevalence, type 2 diabetes in Brazil will continue to have a large impact on Brazilian public health.
Integrated neuromuscular training intervention applied in schools induces a higher increase in salivary high molecular weight adiponectin and a more favorable body mass index, cardiorespiratory fitness and muscle strength in children as compared to the traditional physical education classes
Authors: Vasileva Fidanka , Font-Lladó Raquel , Carreras-Badosa Gemma , Cazorla-González Jorge , López-Bermejo Abel , Prats-Puig Anna 
Published: May 2024

BackgroundHigh-molecular-weight adiponectin (HMW-adiponectin) is a cardio-metabolic health protector. Objectives: (1) to compare body mass index (BMI), cardiorespiratory fitness (CRF) and muscle strength (MS) in healthy school-children depending on their baseline salivary-HMW-adiponectin concentration; and (2) to apply a 3-month integrated neuromuscular training (INT) and evaluate its effects on salivary-HMW-adiponectin concentration, BMI, CRF and MS in the same children. Additional goal: to identify if any potential changes during the 3-month period may be related to a potential change in salivary-HMW-adiponectin concentration.MethodsNinety children (7.4 ± 0.3 years) were recruited in primary schools and randomly allocated into control or intervention group. The intervention consisted of a 3-month INT applied during physical education (PE) classes, twice-weekly, while the control group had traditional PE classes. Body mass and height were measured, BMI was calculated and HMW-adiponectin was quantified in saliva. To assess CRF and MS, 800 m-run and hand-dynamometry were applied, respectively. All measurements were performed twice, at baseline and after 3 months.ResultsChildren with higher baseline salivary-HMW-adiponectin have more favorable BMI (p = 0.006) and slightly higher CRF (p = 0.017) in comparison to the children with lower baseline salivary-HMW-adiponectin. There were no big changes after the 3-month-period neither in the control, nor the INT group. However, it is worthy to note that the INT induced slightly higher increase in salivary-HMW-adiponectin (p = 0.007), and a slightly higher improvement in BMI (p = 0.028), CRF (p = 0.043) and MS (p = 0.003), as compared to the traditional PE classes. Finally, the INT-induced improvement in CRF was associated with the increased post-salivary-HMW-adiponectin concentration (p = 0.022).ConclusionMain findings may suggest the potential utility of an INT as a cost-effective strategy that can be applied in schools to induce cardio-protective effects in school-children.
Colorectal anastomotic leakage: a narrative review of definitions, grading systems, and consequences of leaks
Authors: Rennie Olivia , Sharma Manaswi , Helwa Nour 
Published: May 2024

BackgroundAnastomotic leaks (ALs) are a significant and feared postoperative complication, with incidence of up to 30% despite advances in surgical techniques. With implications such as additional interventions, prolonged hospital stays, and hospital readmission, ALs have important impacts at the level of individual patients and healthcare providers, as well as healthcare systems as a whole. Challenges in developing unified definitions and grading systems for leaks have proved problematic, despite acknowledgement that colorectal AL is a critical issue in intestinal surgery with serious consequences. The aim of this study was to construct a narrative review of literature surrounding definitions and grading systems for ALs, and consequences of this postoperative complication.MethodsA literature review was conducted by examining databases including PubMed, Web of Science, OVID Embase, Google Scholar, and Cochrane library databases. Searches were performed with the following keywords: anastomosis, anastomotic leak, colorectal, surgery, grading system, complications, risk factors, and consequences. Publications that were retrieved underwent further assessment to ensure other relevant publications were identified and included.ResultsA universally accepted definition and grading system for ALs continues to be lacking, leading to variability in reported incidence in the literature. Additional factors add to variability in estimates, including differences in the anastomotic site and institutional/individual differences in operative technique. Various groups have worked to publish guidelines for defining and grading AL, with the International Study Group of Rectal Cancer (ISGRC/ISREC) definition the current most recommended universal definition for colorectal AL. The burden of AL on patients, healthcare providers, and hospitals is well documented in evidence from leak consequences, such as increased morbidity and mortality, higher reoperation rates, and increased readmission rates, among others.ConclusionsColorectal AL remains a significant challenge in intestinal surgery, despite medical advancements. Understanding the progress made in defining and grading leaks, as well as the range of negative outcomes that arise from AL, is crucial in improving patient care, reduce surgical mortality, and drive further advancements in earlier detection and treatment of AL.
Endophytic Capacity of Entomopathogenic Fungi in a Pasture Grass and Their Potential to Control the Spittlebug Mahanarva spectabilis (Hemiptera: Cercopidae)
Authors: Campagnani Michelle O. , Auad Alexander Machado , Maurício Rogério Martins , Madureira Ana Paula , Cangussú Mauroni Alves , Rosa Luiz Henrique , Pereira Marcelo Francisco A. , Muniz Mayco , Souza Sebastião Rocha O. , Silva Natany Brunelli M. , Silva Ana Carolina Rios , Campos Wellington Garcia 
Published: May 2024

Pests in pastures have compromised the production of biomass for feeding livestock herds. Many strategies have been applied to sustainably solve this problem. One viable and innovative technique is the delivery of entomopathogenic fungi through endophytes. Therefore, this study aimed to (i) evaluate the endophytic capacity of two entomopathogenic fungi, Fusarium multiceps UFMGCB 11443 and Metarhizium anisopliae UFMGCB 11444, in Urochloa brizantha [(Hochst. ex A. Rich.) Stapf] (Poaceae) cultivar ‘Marundu’) via foliar inoculation or seed treatment, and (ii) measure their efficiency in controlling Mahanarva spectabilis Distant, 1909 (Hemiptera: Cercopidae) in U. brizantha. In the greenhouse, the fungi colonized the tissues of U. brizantha plants when inoculated via foliar spraying or seed treatment. The fungi F. multiceps and M. anisopliae caused 88% and 97.1% epizootic effects via seed inoculation, respectively, and 100% epizootic effects via foliar inoculation. In the field, the lowest fungal dose of 0.5 kg/ha had the same effect as a fourfold greater dose, with a >86% decrease in insect pest infestation observed. In summary, the fungi F. multiceps and M. anisopliae have endophytic effects and can effectively control M. spectabilis in U. brizantha pastures.
Healthcare avoidance during the early stages of the COVID-19 pandemic and all-cause mortality: a longitudinal community-based study
Authors: Splinter Marije J , Velek Premysl , Kieboom Brenda CT , Ikram M Arfan , de Schepper Evelien IT , Ikram M Kamran , Licher Silvan 
Published: May 2024

BackgroundDuring the COVID-19 pandemic, global trends of reduced healthcare-seeking behaviour were observed. This raises concerns about the consequences of healthcare avoidance for population health.AimTo determine the association between healthcare avoidance during the early stages of the COVID-19 pandemic and all-cause mortality.Design and settingThis was a 32-month follow-up within the population-based Rotterdam Study, after sending a COVID-19 questionnaire at the onset of the pandemic in April 2020 to all communty dwelling participants (n= 6241/8732, response rate 71.5%).MethodCox proportional hazards models assessed the risk of all-cause mortality among respondents who avoided health care because of the COVID-19 pandemic. Mortality status was collected through municipality registries and medical records.ResultsOf 5656 respondents, one-fifth avoided health care because of the COVID-19 pandemic (n= 1143). Compared with non-avoiders, those who avoided health care more often reported symptoms of depression (n= 357, 31.2% versusn= 554, 12.3%) and anxiety (n= 340, 29.7% versusn= 549, 12.2%), and more often rated their health as poor to fair (n= 336, 29.4% versusn= 457, 10.1%) . Those who avoided health care had an increased adjusted risk of all-cause mortality (hazard ratio [HR] 1.30, 95% confidence interval [CI] = 1.01 to 1.67), which remained nearly identical after adjustment for history of any non-communicable disease (HR 1.20, 95% CI = 0.93 to 1.54). However, this association attenuated after additional adjustment for mental and physical self-perceived health factors (HR 0.93, 95% CI = 0.71 to 1.20).ConclusionThis study found an increased risk of all-cause mortality among individuals who avoided health care during COVID-19. These individuals were characterised by poor mental and physical self-perceived health. Therefore, interventions should be targeted to these vulnerable individuals to safeguard their access to primary and specialist care to limit health disparities, inside and beyond healthcare crises.
Signs and symptoms of serious illness in adults with acute abdominal pain presenting to ambulatory care: a systematic review
Authors: Tans Anouk , Struyf Thomas , Geboers Rune , Smeets Toon , Asselbergh Yorick , Declerck Emmanuel , Bloemen Luca , van den Bruel Ann 
Published: May 2024

Background
Acute abdominal pain is a common complaint, caused by a variety of conditions, ranging from acutely life-threatening to benign and self-limiting, with symptom overlap complicating diagnosis. Signs and symptoms may be valuable when assessing a patient to guide clinical work.

Aim
Summarising evidence on the accuracy of signs and symptoms for diagnosing serious illness in adults with acute abdominal pain in an ambulatory care setting.

Design & setting
We performed a systematic review, searching for prospective diagnostic accuracy studies that included adults presenting with acute abdominal pain to an ambulatory care setting.

Method
Six databases and guideline registers were searched, using a comprehensive search strategy. We assessed the risk of bias, and calculated descriptive statistics and measures of diagnostic accuracy. Results were pooled when at least four studies were available.

Results
Out of 18 923 unique studies, 16 studies with moderate to high-risk bias were included. Fourteen clinical features met our criteria, including systolic blood pressure <100 mmHg (positive likelihood ratio [LR+]7.01), shock index >0.85, uterine cervical motion tenderness (LR+5.62 and negative likelihood ratio [LR-]8.60), and a self-assessment questionnaire score >70 (LR+12.20) or <25 (LR-0.19). Clinical diagnosis made by the clinician had the best rule-in ability (LR+24.6).

Conclusions
We identified 14 signs and symptoms that can influence the likelihood of a serious illness, including pain characteristics, systemic signs, gynaecological signs, and clinician’s overall assessment. The risk of bias was moderate to high, leading to uncertainty and preventing us from making firm conclusions. This highlights the need for better research in this setting.
From statistics to stories: understanding the complex landscape of missed medical appointments. A mixed-methods pilot study
Authors: Charton Lea , Gatier Francis , Delacour Chloe , Lépine Camille 
Published: May 2024

Background
Research suggests that in both France and the UK, between 5% and 10% of appointments with GPs are unattended. A comprehensive Irish study linked missed appointments with an increased short-term risk of mortality, prompting further investigation into the reasons behind absenteeism.

Aim
To delve into the underlying causes of missed appointments, within the context of an urban health centre.

Design & setting
Using a mixed-method approach, this study combines qualitative telephone interviews with quantitative analysis of medical records. The study focuses on patients who failed to attend appointments at an urban health centre in France over a 15-day period.

Method
The interview guide collected data on circumstances leading to missed appointments and explored patients' social determinants of health. Additionally, quantitative data, including patients’ socioeconomic backgrounds, were extracted from medical records.

Results
Among 53 missed appointments (4.9% of all scheduled), 22 patients were interviewed. State health coverage (SHC) beneficiaries (68.2% of the sample) cited socioeconomic instability, including precarious work hours, social isolation, and multiple commitments, as reasons for non-attendance. For non-SHC beneficiaries, forgetting the appointment or failing to cancel it after self-resolution of the health issue was one of the main causes. Remarkably, 36.4% disclosed that they had experienced domestic violence. During the qualitative interview, patients were offered the opportunity to reschedule appointments, and a retrospective analysis by physicians found that over a quarter of the missed appointments were classified as 'capital appointments', meaning their absence could have significantly harmed the patient's health.

Conclusion
The findings indicate that missed appointments can highlight social inequality, emphasising the need to align health care with patients' temporal realities. The identification of patients who have experienced violence and the use of missed appointments as triggers for follow-up calls seem to be promising strategies to enhance care and mitigate health inequalities.
KONTRIBUSI PENDAPATAN ISTRI NELAYAN PANCING ULUR TERHADAP PENDAPATAN KELUARGA (STUDI KASUS DI WILAYAH PESISIR DESA TATELI WERU KECAMATAN MANDOLANG KABUPATEN MINAHASA)
Authors: Saruwaba Jeane Frani , Manoppo Victoria E.N. , Kotambunan Olvie V. , Durand Swenekhe S. , Aling Djuwita R.R. , Tambani Grace O. 
Published: May 2024

Abstract
The purpose of this study was to analyze the extent to which the contribution of coastal women's businesses to hand line fishermen's household income in Tateli Weru Village, Mandolang District, Minahasa Regency, North Sulawesi Province.
The method used in this research is survey. The data collected consists of primary data and secondary data. Data collection was carried out through observation, interviews, questionnaires and documentation, both photo documentation and retrieval of written documents from relevant agencies. The data obtained were analysed by quantitative descriptive analysis and qualitative descriptive analysis, then analysed the contribution of the hand line fisherman's wife's business to the fishermen's family income.
Based on the results of the study, it can be concluded that the contribution of the fishing rod fishermen's income to family income is in the form of work as a seller of yellow rice, petibo, seller of pop ice / cendol / shaved ice, cake seller, fresh fish seller, stall business, fried food seller. The average contribution of hand line fishermen's wives from various jobs is 52.85%

Keywords: contribution; fisherman's wife income; Tateli Weru

Abstrak
Tujuan penelitian ini ialah menganalisis sejauh mana kontribusi usaha perempuan pesisir terhadap pendapatan rumah tangga nelayan pancing ulur di Desa Tateli Weru Kecamatan Mandolang Kabupaten Minahasa Provinsi Sulawesi Utara.
Metode yang digunakan dalam penelitian ini yaitu survei. Data yang dikumpulkan terdiri dari data primer dan data sekunder. Pengumpulan data dilakukan melalui observasi, wawancara, kuisioner dan dokumentasi baik itu dokumentasi foto maupun pengambilan dokumen tertulis pada instansi terkait. Data yang diperoleh dianalisis dengan analisis deskriptif kuantitatif dan deskriptif kualitatif, selanjutnya dilakukan analisis kontribusi usaha istri nelayan pancing ulur pada pendapatan keluarga nelayan.
Berdasarkan hasil penelitian dapat disimpulkan bahwa kontribusi pendapatan istri nelayan pancing ulur terhadap pendapatan keluarga dalam bentuk pekerjaan sebagai penjual nasi kuning, petibo, penjual pop ice/cendol/es cukur, penjual kue, penjual ikan segar, usaha warung, penjual gorengan. Rata-rata kontribusi isteri nelayan pancing ulur dari berbagai pekerjaan yaitu sebesar 52,85%

Kata kunci: kontribusi; pendapatan istri nelayan; Tateli Weru
GENDER PADA RANTAI NILAI USAHA PERIKANAN TANGKAP HAND LINE DI DESA ONGKAW KECAMATAN SINONSAYANG KABUPATEN MINAHASA SELATAN
Authors: Wagey Elisabeth Sharon Arshely , Andaki Jardie A. , Dien Christian R. , Pangemanan Jeannette F. , Sondakh Srie J. , Rantung Steelma V. 
Published: May 2024

Abstract
The purpose of this study was to analyze the extent to which the contribution of coastal women's businesses to hand line fishermen's household income in Tateli Weru Village, Mandolang District, Minahasa Regency, North Sulawesi Province.
The method used in this research is survey. The data collected consists of primary data and secondary data. Data collection was carried out through observation, interviews, questionnaires and documentation, both photo documentation and retrieval of written documents from relevant agencies. The data obtained were analysed by quantitative descriptive analysis and qualitative descriptive analysis, then analysed the contribution of the hand line fisherman's wife's business to the fishermen's family income.
Based on the results of the study, it can be concluded that the contribution of the fishing rod fishermen's income to family income is in the form of work as a seller of yellow rice, petibo, seller of pop ice / cendol / shaved ice, cake seller, fresh fish seller, stall business, fried food seller. The average contribution of hand line fishermen's wives from various jobs is 52.85%

Keywords: contribution; fisherman's wife income; Tateli Weru

Abstrak
Tujuan penelitian ini ialah menganalisis sejauh mana kontribusi usaha perempuan pesisir terhadap pendapatan rumah tangga nelayan pancing ulur di Desa Tateli Weru Kecamatan Mandolang Kabupaten Minahasa Provinsi Sulawesi Utara.
Metode yang digunakan dalam penelitian ini yaitu survei. Data yang dikumpulkan terdiri dari data primer dan data sekunder. Pengumpulan data dilakukan melalui observasi, wawancara, kuisioner dan dokumentasi baik itu dokumentasi foto maupun pengambilan dokumen tertulis pada instansi terkait. Data yang diperoleh dianalisis dengan analisis deskriptif kuantitatif dan deskriptif kualitatif, selanjutnya dilakukan analisis kontribusi usaha istri nelayan pancing ulur pada pendapatan keluarga nelayan.
Berdasarkan hasil penelitian dapat disimpulkan bahwa kontribusi pendapatan istri nelayan pancing ulur terhadap pendapatan keluarga dalam bentuk pekerjaan sebagai penjual nasi kuning, petibo, penjual pop ice/cendol/es cukur, penjual kue, penjual ikan segar, usaha warung, penjual gorengan. Rata-rata kontribusi isteri nelayan pancing ulur dari berbagai pekerjaan yaitu sebesar 52,85%

Kata kunci: kontribusi; pendapatan istri nelayan; Tateli Weru