bluuebunny/crossref_metadata_2025_split huggingface dataset:
Recent insights in the correlation between social media use, personality traits and exercise addiction: a literature review
Authors: Minutillo Adele , Di Trana Annagiulia , Aquilina Valeria , Ciancio Gerolama Maria , Berretta Paolo , La Maida Nunzia 
Published: May 2024

Introduction and aimThe excessive involvement in physical activity without stopping in between sessions despite injuries, the continuous thinking to exercise feeling insane thoughts and experiencing withdrawal symptoms are all characteristics of the Exercise Addiction (EA), an addictive behavior. While the primary exercise addiction is directly caused by compulsive exercise, many studies highlighted the relationship between Eating Disorders (ED) and EA, defining the secondary EA. The correlation between EA, social media use (SMU) and other individual traits remains a relatively underexplored domain. Therefore, this review aimed to examine the latest evidence on the relationship between EA, SMU, and some personality traits such as perfectionism and body image.MethodsElectronic databases including PubMed, Medline, PsycARTICLES, Embase, Web of Science were searched from January 2019 to October 2023, following the PRISMA guidelines.ResultsA total of 15 articles were examined and consolidated in this review. EA was found to be related to different individual traits such perfectionism, body dissatisfaction, depression, obsessive-compulsive personality disorders. While controversial results were found regarding the relationship between EA and SMU.ConclusionThe interaction between mental health, exercise addiction and social media use is complex. Excessive engagement in these latter may result in negative mental health consequences despite their potential benefits. Understanding individual differences and developing effective interventions is crucial to promoting healthy habits and mitigating the EA risks, ultimately enhancing mental well-being. Further research should focus on the identification of risks and protective factors with the eventual aim of developing and implementing effective prevention strategies.
The positive impact of smoking on poor sleep quality is moderated by IGF1 levels in cerebrospinal fluid: a case-control study among Chinese adults
Authors: Shan Ligang , Wu Yuyu , Lao Jiaying , Ma Mingwei , Luo Xingguang , Zheng Ke , Hu Weiming , Kang Yimin , Wang Fan , Liu Yanlong , Xu Yali , Jin Xiaoya 
Published: May 2024

ObjectivePrevious research indicates associations between cigarette smoking, insulin-like growth factor-1 (IGF1), and sleep disturbances. This study aimed to examine the association between smoking and sleep quality and investigate the moderating role of IGF1.MethodsThis case-control study involved 146 Chinese adult males (53 active smokers and 93 non-smokers) from September 2014 to January 2016. Sleep quality and disturbances were evaluated using the Pittsburgh Sleep Quality Index (PSQI), which includes seven scales. Pearson correlation analysis and logistic regression analysis were utilized to examine the link between IGF1 levels in cerebrospinal fluid (CSF) and PSQI scores. The effect of IGF1 was assessed using the moderation effect and simple slope analysis, with adjustments made for potential confounders.ResultsActive smokers exhibited significantly higher global PSQI scores and lower IGF1 levels in CSF compared to non-smokers. A significant negative correlation was observed between IGF1 and PSQI scores (â = -0.28, P &lt; 0.001), with a stronger association in non-smokers (Pearson r = -0.30) compared to smokers (Pearson r = -0.01). Smoking was associated with higher global PSQI scores (â = 0.282, P &lt; 0.001), and this association was moderated by IGF1 levels in CSF (â = 0.145, P &lt; 0.05), with a stronger effect at high IGF1 levels (Bsimple = 0.402, p &lt; 0.001) compared to low IGF1 levels (Bsimple = 0.112, p = 0.268). Four subgroup analysis revealed similar results for sleep disturbances (Bsimple = 0.628, P &lt; 0.001), with a marginal moderation effect observed on subjective sleep quality (Bsimple = 0.150, P = 0.070). However, independent associations rather than moderating effects were observed between IGF1 and sleep efficiency and daytime disturbance.ConclusionWe provided evidence to demonstrate the moderation effect of IGF1 on the relationship between smoking and sleep in CSF among Chinese adult males.
Psychometric properties of the positive mental health questionnaire: short form (PMHQ-SF18) in young adults
Authors: Sequeira Carlos , Carvalho José Carlos , Roldan-Merino Juan , Moreno-Poyato Antonio R. , Teixeira Sónia , David Beatriz , Costa Patrício Soares , Puig-Llobet Montserrat , Lluch-Canut Maria Teresa 
Published: May 2024

IntroductionPositive Mental Health (PMH) plays a pivotal role in the promoting of mental health. Assessing this phenomenon is essential for early recognition and intervention in mental health. To date, only one tool was validated with 39 items to assess PMH among Portuguese young adults.MethodThis study sought to examine the psychometric properties of the short version of the Positive Mental Health Questionnaire (PMHQ) among Portuguese university students. The PMHQ Short Form was administered to a sample of 3,647 university students via an online platform. Exploratory and confirmatory factor analyses were performed. The principal factor solution was employed because some items showed higher levels of kurtosis. Multivariate analysis was tested using the Mardia’s Test, Henze-Zirkler, and Royston. Findings of content, construct validity tests, and Cronbach’s alfa demonstrated the satisfactory validity and suitable reliability of the PMHQ-Short Form (PMHQ-SF).Results and discussionThe exploratory factor analysis produced six dimensions of the PMHQ-SF with three items in each factor demonstrating adequate internal reliability. The global internal consistency was 0.92, with factors ranging between 0.60 to 0.82. The results suggest that the PMHQ-SF is reliable, easier, and more practical to complete by university students due to the shortening of the number of items. The PMHQ-SF is useful for assessing positive mental health in young adults. The final version of the instrument contains from 32 to 18 items.
Polystyrene nanoplastics mediate oxidative stress, senescence, and apoptosis in a human alveolar epithelial cell line
Authors: Milillo Cristina , Aruffo Eleonora , Di Carlo Piero , Patruno Antonia , Gatta Marco , Bruno Annalisa , Dovizio Melania , Marinelli Lisa , Dimmito Marilisa Pia , Di Giacomo Viviana , Paolini Cecilia , Pesce Mirko , Ballerini Patrizia 
Published: May 2024

BackgroundNanoplastics, an emerging form of pollution, are easily consumed by organisms and pose a significant threat to biological functions due to their size, expansive surface area, and potent ability to penetrate biological systems. Recent findings indicate an increasing presence of airborne nanoplastics in atmospheric samples, such as polystyrene (PS), raising concerns about potential risks to the human respiratory system.MethodsThis study investigates the impact of 800 nm diameter-PS nanoparticles (PS-NPs) on A549, a human lung adenocarcinoma cell line, examining cell viability, redox balance, senescence, apoptosis, and internalization. We also analyzed the expression of hallmark genes of these processes.ResultsWe demonstrated that PS-NPs of 800 nm in diameter significantly affected cell viability, inducing oxidative stress, cellular senescence, and apoptosis. PS-NPs also penetrated the cytoplasm of A549 cells. These nanoparticles triggered the transcription of genes comprised in the antioxidant network [SOD1 (protein name: superoxide dismutase 1, soluble), SOD2 (protein name: superoxide dismutase 2, mitochondrial), CAT (protein name: catalase), Gpx1 (protein name: glutathione peroxidase 1), and HMOX1 (protein name: heme oxygenase 1)], senescence-associated secretory phenotype [Cdkn1a (protein name: cyclin-dependent kinase inhibitor 1A), IL1A (protein name: interleukin 1 alpha), IL1B (protein name: interleukin 1 beta), IL6 (protein name: interleukin 6), and CXCL8 (protein name: C-X-C motif chemokine ligand 8)], and others involved in the apoptosis modulation [BAX (protein name: Bcl2 associated X, apoptosis regulator), CASP3 (protein name: caspase 3), and BCL2 (protein name: Bcl2, apoptosis regulator)].ConclusionCollectively, this investigation underscores the importance of concentration (dose-dependent effect) and exposure duration as pivotal factors in assessing the toxic effects of PS-NPs on alveolar epithelial cells. Greater attention needs to be directed toward comprehending the risks of cancer development associated with air pollution and the ensuing environmental toxicological impacts on humans and other terrestrial mammals.
Deconstructing subjective unmet healthcare needs: a South Korean case study with policy implications
Authors: Chung Woojin 
Published: May 2024

BackgroundDespite widespread efforts by many countries to reduce the prevalence of unmet healthcare needs within their populations, there remains a scarcity of research systematically exploring the components of these needs.ObjectivesThis study aims to deconstruct subjective unmet healthcare needs into two distinct components: the experience of subjective healthcare needs (the “Needs” component) and the experience of unmet needs contingent on those healthcare needs (the “Unmet” component).MethodsThis analysis utilizes data from 13,359 adults aged 19 or older, collected through the 2018 Korea Health Panel survey, with the aim of minimizing the influence of the coronavirus disease 19 pandemic. The two dependent variables are the experience of subjective healthcare needs and whether these needs have been met. The independent variables include 15 socio-demographic, health, and functional characteristics. The study employs both a population proportion analysis and a multivariable bivariate probit model with sample selection.ResultsIn South Korea, 11.6% (CI [confidence interval] = 11.0–12.3%) of the population experienced subjective unmet healthcare needs. Upon deconstructing these, 96.7% (CI = 96.2–97.1%) of the population exhibited the Needs component, and 12.0% (CI = 11.4–12.7%) displayed the Unmet component. Each independent variable showed different associations between the two components. Furthermore, effective interventions targeting the characteristics associated with each component could reduce the proportion of the population experiencing subjective unmet healthcare needs from 11.6 to 4.0%.ConclusionSouth Korea faces a significant challenge due to the considerable prevalence of subjective unmet healthcare needs. To address this challenge effectively, the universal healthcare coverage system should adapt its approach based on the characteristics associated with both the Needs and Unmet components of subjective unmet healthcare needs. To achieve this goal, it is highly recommended that the government prioritize strengthening community-based primary healthcare, which currently suffers from insufficient resources.
Implementation of the electronic health record in the German healthcare system: an assessment of the current status and future development perspectives considering the potentials of health data utilisation by representatives of different stakeholder groups
Authors: Rau Elisabeth , Tischendorf Tim , Mitzscherlich Beate 
Published: May 2024

IntroductionThe digitalisation of the German healthcare system enables a wide range of opportunities to utilize healthcare data. The implementation of the EHR in January 2021 was a significant step, but compared to other European countries, the implementation of the EHR in the German healthcare system is still at an early stage. The aim of this paper is to characterise the structural factors relating to the adoption of the EHR in more detail from the perspective of representatives of stakeholders working in the German healthcare system and to identify existing barriers to implementation and the need for change.MethodsQualitative expert interviews were conducted with one representative from each of the stakeholder groups health insurance, pharmacies, healthcare research, EHR development and panel doctors.ResultsThe interviews with the various stakeholders revealed that the implementation process of the EHR is being delayed by a lack of a viable basis for decision-making, existing conflicts of interest and insufficient consideration of the needs of patients and service providers, among other things.DiscussionThe current status of EHR implementation is due to deficiency in legal regulations as well as structural problems and the timing of the introduction. For instance, the access rights of various stakeholders to the EHR data and the procedure in the event of a technical failure of the telematics infrastructure are remain unclear. In addition, insufficient information and communication measures have not led to the desired acceptance of EHR use among patients and service providers.
Validation of spectral sleep scoring with polysomnography using forehead EEG device
Authors: Onton Julie A. , Simon Katherine C. , Morehouse Allison B. , Shuster Alessandra E. , Zhang Jing , Peña Andres A. , Mednick Sara C. 
Published: May 2024

IntroductionVisual scoring of sleep electroencephalography (EEG) has long been considered the gold standard for sleep staging. However, it has several drawbacks, including high cost, time-intensiveness, vulnerability to human variability, discomfort to patients, lack of visualization to validate the hypnogram, and no acknowledgment of differences between delta and slow oscillation deep sleep. This report highlights a spectral scoring approach that addresses all these shortcomings of visual scoring. Past algorithms have used spectral information to help classify traditional visual stages. The current method used the clearly visible spectral patterns to develop new spectral stages, which are similar to but not the same as visual stages. Importantly, spectral scoring delivers both a hypnogram and a whole-night spectrogram, which can be visually inspected to ensure accurate scoring.MethodsThis study compared traditional visual scoring of 32-channel polysomnography with forehead-only spectral scoring from an EEG patch worn concurrently. The PSG was visually scored by trained technicians and the forehead patch was scored spectrally. Because non-rapid eye movement (NREM) stage divisions in spectral scoring are not based on visual NREM stages, the agreements are not expected to be as high as other automated sleep scoring algorithms. Rather, they are a guide to understanding spectral stages as they relate to the more widely understood visual stages and to emphasize reasons for the differences.ResultsThe results showed that visual REM was highly recognized as spectral REM (89%). Visual wake was only scored as spectral Wake 47% of the time, partly because of excessive visual scoring of wake during Light and REM sleep. The majority of spectral Light (predominance of spindle power) was scored as N2 (74%), while less N2 was scored as Light (65%), mostly because of incorrect visual staging of Lo Deep sleep due to high-pass filtering. N3 was scored as both Hi Deep (13 Hz power, 42%) and Lo Deep (0–1 Hz power, 39%), constituting a total of 81% of N3.DiscussionThe results show that spectral scoring better identifies clinically relevant physiology at a substantially lower cost and in a more reproducible fashion than visual scoring, supporting further work exploring its use in clinical and research settings.
Accounting of carbon sequestration and tradeoff under various climatic scenarios in alternative agricultural system: a comprehensive framework toward carbon neutrality
Authors: Ansari Meraj Alam , Ravisankar Natesan , Shamim Mohammad , Rani Meenu , Prusty Ashisa K. , Singh Raghuveer , K. J Raghavendra , Joshi Himanshu , Kumar Sunil , Panwar Azad Singh , Kumar Mahesh 
Published: May 2024

IntroductionThe increase in atmospheric CO2 concentration, which mainly is attributed to fossil-fuel combustion and deforestation, is often suggested as one of the prime causative factors toward accelerated global warming. This commends for sequestration of atmospheric carbon under terrestrial systems to partially offset fossil-fuel emissions. Concerning the same, agricultural sector presents an extensive opportunity, especially for countries such as India where over 55% of the population is engaged in the agriculture sector.MethodsSequestering atmospheric carbon in agriculture requires the adoption of climate-resilient alternative agriculture practices without compromising food security. The deliberated study highlights the options of alteration in current conventional farming practices and its economic evaluation for sequestrating carbon under two Climate Change (CC) scenarios, viz., RCP 4.5 and 8.5, over three temporal scales, i.e., 2020, 2030, and 2050. Considering the current land-use pattern and existing growth rate in land-use shifting, three land-use policies, namely, Business as Usual (BaU), Optimistic, and Pessimistic scenario, integrated with CC scenarios were contemplated. Six possible futuristic scenarios were generated for the assessment of carbon sequestration and its valuation following the Integrated Valuation of Ecosystem Services and Tradeoff (InVEST) model.ResultsThe results suggested that across the studied region adopting an optimistic policy over BaU and pessimistic scenario, carbon can sequestrate an additional 0.64 to 1.46 Mt. (2.35 to 5.36 million ton CO2e) having an economic value of 193.4 to 504.8 million USD.ResultsMoreover, the outcomes of the study are advocated for the policy of carbon credit in the agriculture sector, which shall contribute toward meeting various nationally determined contributions (NDCs) and sustainable development goals (SDGs) as well.
Comparison of ultrasound-guided closed reduction and percutaneous pinning fixation for unstable humeral lateral condylar fractures
Authors: Xu Jianbing , Liu Chaoyu , Jia Guoqiang , Huang Xiuming 
Published: May 2024

ObjectiveUltrasound-guided techniques have become popular in severe humeral lateral condylar fractures (HLCFs). This study compared the results of ultrasound-guided closed reduction and percutaneous pinning (UG-CRPP) for Song types 4 and 5 and dislocation type of HLCFs.MethodsThis retrospective study was conducted in patients with HLCFs treated between January 2021 and October 2022 at three hospitals. The patients were divided into three groups according to Song's classification and elbow dislocation. The surgical time, reduction failure rate, and outcomes of the three groups were compared.ResultsThe mean surgical time of the 94 patients across the three groups (Song 4 group, 42 cases; Song 5 group, 38 cases; and dislocation group, 14 cases) was the longest for Song 4 (66.14 ± 23.05 min), followed by the dislocation group (59.71 ± 21.07 min) and Song 5 (52.16 ± 14.94 min) (for all, P = 0.009). The failure rate decreased in the following order: dislocation group (5/14), Song 4 group (7/42), and Song 5 group (2/38). The failure rate of closed reduction in Song 4 was 3.2-fold higher than that in Song 5, and for the dislocation group, it was 7.6-fold higher than that in Song 5. Significant differences were observed between the Song 4, Song 5, and dislocation groups in terms of shaft-condylar angle and supination (P = 0.015, P = 0.043). No significant differences (P &gt; 0.05) were observed in the carry angle, flexion, extension, or pronation of the three groups. Two cases of delayed healing, four cases of superficial infection, one case of trochlear necrosis, and 39 cases of lateral spur in the Song 4 group were observed. In the Song 5 group, five had a superficial infection, one had re-displacement, and 26 had a lateral spur. In the dislocation group, there were two cases of superficial infection and 10 of lateral spurs.ConclusionsSong 4 HLCFs require longer surgical time and present more postoperative complications than Song 5 and dislocation-type HLCFs and can easily lead to lateral spurs. The failure rates of closed reduction in Song 4 and the dislocation type were higher than those in Song 5. Thus, UG-CRPP can be used to treat patients with unstable HLCFs.
Perbandingan Kadar Interleukin-6 Dan Jumlah Limfosit Setelah Latihan Aerobik Ringan Dan Sedang Pada Remaja
Authors: Harun Lukman 
Published: May 2024

Latihan fisik secara teratur dapat meningkatkan sistem kekebalan tubuh, olahraga dapat menyebabkan perubahan fisiologis yang cukup besar dalam sistem kekebalan tubuh, Latihan fisik secara teratur dapat meningkatkan kadar Interleukin-6 dan Jumlah Limfosit sebagai pertahanan sitokin dan adaptive dalam kekebalan tubuh. Penelitian ini bertujuan untuk mengetahui perbedaan kadar interleukin-6 dan jumlah limfosit terhadap latihan aerobik ringan dan sedang, Pengambilan sampel menggunakan teknik uji hipoteesis kelompok independen two tail dengan 9 Orang menurut kriteria inklusi.Penelitian ini menggunakan metode Quasi experiment design dengan rancangan penelitian posttest with Control Group. Hasil uji perbandingan kadar interleuin-6 Uji Kruskal-Wallis digunakan karena distribusi datatidak Normal. Menunjukan bahwa p=0,031. Hal ini berarti bahwa rerata kadar IL-6 pada ketiga kelompok berbeda secara bermakna (p < 0,05). Hasil uji jumlah Limfosit Menunjukan bahwa hasil analisis dengan uji Analysis of Variance (Anova) menunjukan bahwa nilai p=0,001. Hal ini bererti bahwa rerata jumlah limfosit pada ketiga kelompok berbeda secara bermakna (p<0,05).
Faktor – Faktor Yang Mempengaruhi Keputusan Ibu Dalam Memilih Tempat Persalinan Di BPM
Authors: Rusdiyanti Ivong 
Published: May 2024

Capaian keberhasilan upaya kesehatan pada ibu, salah satunya terlihat dari indikator Angka Kematian Ibu (AKI). Upaya untuk menekan resiko AKI antara lain menganjurkan kepada masyarakat agar persalinan yang aman ditolong oleh tenaga kesehatan terlatih dan dilakukan di fasilitas kesehatan, bidan adalah tenaga kesehatan yang salah satunya memberikan pelayanan kesehatan kepada ibu dan anak secara langsung. Bidan memiliki kedudukan memberikan kemudahan dalam pelayanan masa persalinan, promosi dan konsultasi kesehatan untuk ibu dan anak, serta melakukan deteksi dini terhadap kasus rujukan khususny di pedesaan. Salah satu sarana pelayanan kesehatan untuk ibu dan anak adalah BPM (Bidan Praktek Mandiri). Menganalisis faktor – faktor yang mempengaruhi keputusan ibu hamil dalam memilih tempat persalinan Di Bidan Praktek Mandiri Bidan Jaleha. Penelitian dilakukan dengan survey analitik dan pendekatan cross sectional, yang dilakukan pada bulan Oktober – Desember 2017. Jumlah sampel adalah 30 responden, teknik yang digunakan adalah total sampling. Data yang dikumpulkan ini menggunakan data primer dengan kuesioner dan data sekunder. Uji chi-square digunakan ntuk analisis data. Hasil analisa data menunjukkan bahwa faktor pekerjaan dan jumlah anak mempunyai korelasi dengan pemilihan tempat persalinan di BPM, sedangkan pendidikan, pendapatan, dan jarak tidak mempunyai korelasi dengan pemilihan tempat persalinan di BPM. Pendidikan, pekerjaan, pendapatan, jumlah anak, dan jarak secara simultan hanya mempengaruhi sebesar 37,1 % terhadap pemilihan tempat persalinan di BPM dan jumlah anak menjadi faktor dominan yang mempengaruhi.