bluuebunny/crossref_metadata_2025_split huggingface dataset:
Uptake of mental health benefits in women before and during the perinatal period in Austria: An analysis of health insurance data
Authors: Zechmeister-Koss Ingrid , Kern Julia , Edlinger Michael , Hörtnagl Christine , Lampe Astrid , Buchheim Anna , Paul Jean 
Published: February 2024

Abstract
Background
Perinatal mental illness (PMI) is one of the major health problems during pregnancy and one year after birth (perinatal period), with strong evidence of its potential detrimental (future) effects on the health of children. However, many parents do not receive treatment for their mental health problems. In Austria, there is a lack of specialised services. The amount of mental health benefits uptake during the perinatal period is unknown.
Methods
We retrospectively analysed the uptake of five key mental health insurance benefits, one year before and during the perinatal period, by women who gave birth in 2017 and 2018. We used pseudonymised health insurance data, applying descriptive analysis to present overall uptake frequencies, and dissecting them into three life course periods: the year before birth, the pregnancy period, and the year after birth.
Results
131 025 insured women gave birth in 2017 or 2018, representing around 80% of all births in Austria. Almost 20% of women claimed at least one of the five benefits during the perinatal period; this increased to one in four women when the year before pregnancy was included. Most women claimed only one benefit, usually only during one of the three life course periods. Benefits were claimed more frequently by the youngest (≤ 20 years) and the oldest (≥ 41 years) women. After adjusting for the shorter period of pregnancy, the uptake of benefits was highest during pregnancy. The most often used benefit was psychotherapy, while hospital admissions occurred least frequently.
Conclusion
Although the results likely underestimate the true uptake, because more services are available than covered in our data, and service use is usually lower than the prevalence of PMI, our uptake data corresponds to international prevalence figures, indicating a high use of benefits. Considering the gaps in specialised perinatal mental healthcare infrastructure and healthcare staff, the results call for more training and education and ensuring enough capacity to meet the needs. Additionally, an in-depth investigation of the quality of care is warranted to determine whether the differences in uptake between the three life-course periods are based on unmet needs or inappropriate care.
Developmental prediction law of water-conducting fracture zones in shallow buried single coal seams.
Authors: Zhu wen qian , Feng lei , Liu jiang , Li shuai , Zhang chenchen 
Published: February 2024

Abstract
Taking the mining of shallow buried coal seam 2− 2 in Xiaobaodang coal mine as the background, the analysis methods of empirical formula calculation method, numerical simulation method, and algorithmic prediction method are comprehensively applied to study the influence of different mining heights, different working face lengths, and different mining depths on the development of water-conducting fissure zones in shallow buried coal seams. At the same time, the development of water-conducting fissure zone in Yushen mining area of northern Shaanxi Province is highly calculated and predicted by algorithmic model. The results of the study show that the PSO-SVR prediction model is more accurate and precise than the traditional empirical formulae and numerical simulations. The results of the study can provide a certain basis for water preservation mining in working face under similar geological conditions.
The prognostic value of combined uric acid and neutrophil-to-lymphocyte ratio in acute ischemic stroke patients treated with thrombolysis
Authors: Wang Chentao , Zhou Meili Meili , Kang Tingting , You Shoujiang , Cao Yongjun , Kong Weina , Shi Jijun 
Published: February 2024

Abstract
Background
Serum uric acid (UA) and the neutrophil-to-lymphocyte ratio (NLR) have been reported to be associated with outcomes in acute ischemic stroke (AIS). However, whether UA is related to the prognosis of AIS patients undergoing intravenous thrombolysis (IVT) remains inconclusive. We sought to explore the combined effect of UA and NLR on the prognosis of AIS treated with IVT.
Methods
A total of 555 AIS patients receiving IVT treatment were enrolled. Patients were categorized into four groups according to the levels of UA and NLR: LNNU (low NLR and normal UA), LNHU (low NLR and high UA), HNNU (high NLR and normal UA), and HNHU (high NLR and high UA). Multivariable logistic regression analysis was used to evaluate the value of serum UA level and NLR in predicting prognosis. The primary outcomes were major disability (modified Rankin scale (mRS) score 3–5) and death within 3 months.
Results
After multivariate adjustment, a high NLR (≥ 3.94) increased the risk of 3-month death or major disability (OR, 2.23; 95% CI, 1.42 to 3.55, p < 0.001). However, there was no statistically significant association between a high UA level (≥ 313.00 µmol/L) and clinical outcome. HNHU was associated with a 5.09-fold increase in the risk of death (OR, 5.09; 95% CI, 1.31–19.83; P value = 0.019) and a 1.98-fold increase in the risk of major disability (OR, 1.98; 95% CI 1.07–3.68; P value = 0.030) in comparison to LNNU.
Conclusions
High serum UA levels combined with high NLR were independently associated with 3-month death and major disability in AIS patients after IVT.
Enhancing Pharmaceutical Supply Chain Resilience: A Comprehensive Review of Visibility and Demand Forecasting
Authors: Ghannem Abir , Nabli Hajer , Djemaa Raoudha Ben , Sliman Layth 
Published: February 2024

Abstract

Le problème croissant des pénuries de médicaments au sein de la chaîne d’approvisionnement pharmaceutique est devenu une préoccupation mondiale cruciale, posant des menaces importantes à la santé publique et à l’intégrité des systèmes de santé. Cet article propose un examen approfondi de l’origine des pénuries de médicaments, qui affectent une large gamme de produits pharmaceutiques et suscitent des inquiétudes accrues parmi les patients, les pharmaciens et la communauté des soins de santé. Cette étude examine en profondeur les causes sous-jacentes des pénuries de médicaments, soulignant l’importance cruciale de la visibilité de la chaîne d’approvisionnement et de la prévision de la demande dans la gestion de ce problème urgent. En explorant les lacunes actuelles dans la communication entre les parties prenantes, ainsi que les défis liés à une prévision précise de la demande, l'article propose des solutions innovantes. L'analyse se concentre particulièrement sur l'émergence de systèmes décentralisés de partage de données et l'intégration de technologies avancées telles que la blockchain, l'Internet des Objets (IoT) et apprentissage automatique. Ces avancées technologiques offrent des perspectives significatives pour renforcer la visibilité, la traçabilité et la modélisation prédictive au sein de la supply chain pharmaceutique. Soulignant le potentiel transformateur de ces solutions, cet article plaide en faveur d’une refonte des systèmes de santé, en prônant un accès équitable et continu aux traitements essentiels grâce à des approches collaboratives et technologiquement avancées.
The modification of the Hoek-Brown strength criterion considering the effect of particle breakage
Authors: Xie Yongbin , Dong Xuguang , Chen Bao , Li Xiaomei , Luo Chongliang , Wang Zhiqiang 
Published: February 2024

Abstract
The extremely fractured surrounding inside have many internal microcracks, which are easily broken under external forces. When the generalized Hoek-Brown strength criterion is used to describe the extremely broken surrounding rock, the influence of breakage effect on the strength cannot be considered. In order to investigate the influence of particle breakage on the strength criterion, five different gradations of extremely broken phyllite samples were used to conduct large shear and sieving tests to determine the particle breakage rate of samples. The relationship between the breakage rate and the surrounding rock stress was obtained. The breakage ratio was introduced into the Hoek-Brown strength criterion in the form of damage content, and the Hoek-Brown strength criterion considering the breakage effect was established. By comparing the two strength criterion envelopes considering and not considering the particle breakage effect, it is known that when the surrounding rock pressure is greater than 2 MPa, the strength envelope begins to separate. The greater the surrounding rock pressure, the more obvious the influence of the breakage effect on the rock strength. By continuously increasing the stress state, it is concluded that when the surrounding rock stress is high (> 500 kPa), the strength envelopes of the Hoek-Brown strength criterion considering and not considering the breakage effect begin to separate significantly. The calculation results of the Hoek-Brown strength criterion considering the breakage effect are closer to the test results, and the modified Hoek-Brown strength criterion is more suitable for the extremely broken surrounding rock.
Improvement in water absorption property of Polyamide 6 (PA6) composites reinforced with borosilicate (BS)
Authors: Dandekar Sneha , Zingare Pooja , Pande Kavita , Chopra Swamini , Dalvi Nandkishor , Rathod Shilpa , Jadhav Y. G. , Peshwe Dilip 
Published: February 2024

Abstract
Though polymer composites are durable promising materials, their hydrophilicity is a genuine matter of concern in applications. However, the siloxane group in borosilicate structure is hydrophobic in nature, to better understand the impact of aggregation of different concentrations of borosilicate on the morphological, thermal and mechanical properties of PA6 thermoplastic composites for upcoming industrial applications, the current study focuses on the preparation and characterization of PA6/borosilicate composites. The interface between filler and matrix has a key effect on the composite properties, hence, the interface was analysed using theoretical calculation, which revealed an acceptable level of interfacial contact in the composites. The nucleating proficiency of borosilicate has been indicated by thermal analysis, which has suggested an increase in the commencement nucleation temperature and percent crystallinity. SEM analysis of the fracture surface revealed that an increase in filler content altered the micromechanical deformation process and, in comparison, improved the composite's hydrophobicity property.
Efficacy of Immersive Entertainment Glasses in Magnetic Resonance Imaging. A randomized clinical trial protocol
Authors: Diaz-Membrives Montserrat , Garrido-Ribas Ignasi , Caro-Benito Conxi , Monistrol Olga 
Published: February 2024

Abstract
Aims
Approximately 1% of the population that needs an MRI refuses or terminates it prematurely due to claustrophobia. Some researchers claim that 1.6% of patients finished the test prematurely due to claustrophobia, and, in addition, between 2.3 to 3.8% underwent conscious sedation. These procedures not only increase the risk of complications, but also the cost. The study aim is to evaluate the effectiveness of Immersive Entertainment Glasses (IEG) in the success of the performance of Magnetic Resonance Imaging (MRI) and in the reduction of anxiety levels in patients who identify themselves as having claustrophobia.
Methods
A randomized clinical trial will be held at the Imaging Department in a tertiary University Hospital starting in 2021. Participants: patients who identify themselves as claustrophobic and should have a Magnetic Resonance Imaging. The sample will be made up of 206 individuals, divided between an intervention group and a control group expecting a 20% difference between the success of the test of the control and intervention group subjects. People who meet the inclusion criteria will be distributed into the control or intervention groups. The intervention group will use the Immersive Entertainment Glasses to perform the test and the control group will have the support of a nurse through educational techniques.
Discussion
Patients who report claustrophobia or fear of undergoing a Magnetic Resonance Imaging due to feeling confined or being unable to be inside the machine are referred to an open magnet scanner. This test entails inferior technical quality since open magnets have a low magnetic field, which limits the quality of the studies. Implementing techniques to help reduce claustrophobia can avoid some sedation or anesthesia and, in addition, in some cases without pharmacological assistance and with higher quality images, which will, in turn, improve their diagnosis.
Trial registration:
The protocol was registered with the number NCT0530413 on ClinicalTrials.gov
Livelihood diversification strategies and food security in the Weaving-based livelihood system of Gamo Zone, Southern Ethiopia
Authors: Dereje Desta , Tilahun Temesgen , Yirgu Teshome 
Published: February 2024

Abstract
This study investigates livelihood diversity, income, and association with food security status of weaving-based households in the Chencha district of Southern Ethiopia. Quantitative and qualitative data were collected from 303 randomly selected households using household surveys, key informant interviews, focus group discussions, and observation. Data was analyzed by using descriptive statistics and the Herfindahl-Hirschman Index. The result revealed that subsistence farming (52.1%) and weaving (38.6%) activities were reported as the primary and secondary main income sources of households. A majority of households (90.7%) diversified their livelihood. Based on income share, non-farm, on-farm, and off-farm income sources contributed, 72.96%, 25.3%, and 1.74% of total household income, respectively. Formal employment, weaving, barber/hairdresser, cattle production and sale, cereal production, and vegetable production (Potato) were highly paying livelihood activities in order. Households who combined on-farm, off-farm, and non-farm have gained far larger mean income followed by on-farm and non-farm strategies. Ordered Probit model results showed that landholding size, livestock holding size, and access to farmer training center (FTC) services have positively affected the extent of livelihood diversification. Positive association was found between livelihood diversification and the food security status of households. Thus, the majority of weaving-based livelihood groups diversify their livelihood activities to on-farm, off-farm, and non-farm activities. Hence, supporting the activity, increasing other livelihood options, and modernizing the system with appropriate training, education, and market linkage seems inevitable.
Prospective ECUAging Observational study: cohort design and preliminary results
Authors: Vinueza Israel , Rodriguez Tamara , Masson Isabel , Marroig Alejandra , Massa Fernando , Grijalva Mario J. , Terrera Graciela Muniz 
Published: February 2024

Abstract
Background: The global phenomenon of increasing older adult populations is evident across diverse societies, including historically youthful middle- and low-income countries. Conducting population-specific research in low- and middle-income countries becomes imperative to gather pertinent evidence for crafting interventions tailored to the unique needs of each group. In this context, the present study centers on aging and frailty within rural communities situated in the Province of Loja, Ecuador, with the primary objective to analyze the aging process and assess the level of frailty, contributing valuable insights to scientific knowledge in this domain and establishing a robust foundation for future targeted health interventions.
Methods: The study, conducted in rural communities of Calvas and Gonzanamá counties in the Province of Loja, Ecuador, in individuals aged 55 and older, utilized mobile stations set up for health evaluations over a two-week period in June-July 2023. A total of 269 participants underwent extensive measurements, including anthropometrics, blood samples, and assessments of physical and cognitive function. The study covered sociodemographic, lifestyle, and health-related measures, along with mental health evaluations, quality of life, functional status, and global cognition, utilizing validated scales.
Results: A total of 269 individuals, mostly women (56.1%), aged 70.1 on average, participated in the study. Predominantly mestizo (93.7%), participants maintained healthy lifestyles, with minimal smoking (4.1%) and alcohol consumption (7.4%). While physical performance results indicated overall well-being, anxiety and depression levels were concerning, affecting approximately 75% of participants. No significant gender differences were observed in physical performance, independence, cognition, anxiety, depression, or well-being.
Conclusion: The ECUAging study will provide detailed clinical data and will substantially contribute to new information on the predictors of aging, senescence, and senility, particularly in frail and pre-frail outpatients from rural areas of Ecuador.
Intra-operative Hypertension as a Predictor of Surgical Outcomes in Microvascular Decompression Surgery for Trigeminal Neuralgia
Authors: Gupta Bhavika , Sabahi Mohammadmahdi , Santos Romel Corecha , Sriniv Yatin , Santiago Raphael Augusto Correa Bastianon , Dabecco Rocco , Adada Badih , Borghei-Razavi Hamid 
Published: February 2024

Abstract
Objective: The trigeminocardiac reflex (TCR) has traditionally been characterized by a sudden decrease in heart rate, asystole, or hypotension during the manipulation of the trigeminal nerve (MTN) or its branches. While this classical TCR is well-documented, there is limited literature on alternative forms of TCR, such as the development of intraoperative hypertension (HTN) or tachycardia, and the underlying pathogenesis. Furthermore, a gap exists in understanding the correlation between intraoperative blood pressure readings and postoperative outcomes, particularly regarding pain relief in patients with trigeminal neuralgia (TN). Our study aims to examine intraoperative blood pressure trends during microvascular decompression (MVD) for TN and assess their impact on postoperative outcomes.
Methods: We selected 90 patients who underwent MVD for TN treatment. Blood pressure and heart rate were recorded both preoperatively and during the procedure, specifically during the MTN period, using an arterial line. The Barrow Neurological Institute (BNI) Pain Scale was calculated for all patients both pre- and post-operatively to evaluate pain relief after surgery.
Results: The mean age of the patients was 61.0±12.35 years, with 64.4% being females. Classical TCR (hypotension) was observed in only 2.2% of patients, whereas 80% of patients developed hypertension (≥140/90) during MTN. The mean preoperative systolic blood pressure was 128 ± 22.25, and the mean intraoperative systolic blood pressure during MTN was 153.1± 20.2. An analysis of covariance, utilizing either preoperative BNI or duration of symptoms as covariate variables, revealed a statistically significant association between intraoperative HTN and postoperative BNI. A linear regression model demonstrated that intraoperative HTN following MTN significantly predicted a lower postoperative BNI score (p=0.006).
Conclusions: Intraoperative HTN during MTN, an observed yet underexplored phenomenon, demonstrated a correlation with improved postoperative outcomes. Furthermore, it is recommended to conduct additional investigations into potential neurovascular conflicts in patients not manifesting intraoperative HTN following MTN. A comprehensive understanding of TCR, encompassing its various forms, is vital for optimizing surgical management. This study underscores the imperative for further research to unravel the mechanisms linking intraoperative HTN to surgical outcomes in TN patients.
Alternative sulphur metabolism in the fungal pathogen Candida parapsilosis
Authors: Lombardi Lisa , Salzberg Letal , Cinnéide Eoin Ó , O’Brien Caoimhe , Morio Florent , Turner Siobhan , Byrne Kevin , Butler Geraldine 
Published: February 2024

Abstract

Candida parapsilosis is an opportunistic fungal pathogen commonly isolated from the environment and associated with nosocomial infection outbreaks worldwide. We describe here the construction of a large collection of gene disruptions, which we use to dissect the network regulating the assimilation of sulphur in C. parapsilosis. We identify a wide array of transporters/enzymes involved in the assimilation of organosulfur compounds. We find that, unlike in other yeasts, the two paralogous transcription factors Met4 and Met28 play divergent roles in sulphur acquisition. Surprisingly, Met28 – and not Met4 – controls the assimilation of inorganic sulphur (sulphate) and the synthesis of cysteine/methionine, whereas Met4 and the transcription factor Met32 induce the expression of genes required for assimilation of inorganic sulphate. Divergent regulation of sulphur metabolism is likely to be important for scavenging essential sulphur in the diverse environments that C. parapsilosis can colonize.
Mindful Self-Care among Oncology Nurses in China: a Latent Profile Analysis
Authors: Shi Yan , Wang Peng , Liu Lamei , Li Mengmeng 
Published: February 2024

Abstract
Background
Oncology nurses are considered the group with the highest risk for moral distress, compassion fatigue and burnout. Mindful self-care may help oncology nurses improve their well-being and solve psychological problems and burdens. It is important to understand oncology nurses’ mindful self-care.
Objectives
To investigate the situation, possible types and influencing factors of mindful self-care among oncology nurses.
Design
Cross-sectional descriptive study.
Participants
A total of 839 oncology nurses were enrolled in this survey.
Methods
From January to May 2023, a cross-sectional study was carried out among oncology nurses using convenient sampling. The subjects were given the brief Mindful Self-Care Scale (B-MSCS) and the General Demographic Information Questionnaire. Latent profile analysis was used to separate oncology nurses’ mindful self-care into a variety of subgroups. The SPSS 25.0 statistical program was used to analyze the data. One-way ANOVA and the chi-square test were performed to compare the score of each B-MSCS dimension in each class and the difference in sociodemographic characteristics among the subgroups. Multivariate logistic regression was used to examine the influence of the sociodemographic variables on each profile.
Results
The total score of the B-MSCS was 76.40 ± 13.19. The support structure dimension had the highest score, with an average mean value of 3.60, and physical care had the lowest score at 2.57. The findings of the latent profile analysis showed that respondents were divided into three profiles, low (n = 124), moderate (n = 430), and high mindful self-care (n = 285), which accounted for 14.8%, 51.2%, and 34.0%, respectively, of the total respondents. Across scale scores and dimensions, three groups demonstrated statistically significant differences (p < 0.05). Univariate analysis revealed significant differences between the three profiles in terms of professional title, position, concern about self-care, interest in mindfulness, and experience with meditation (p < 0.05). Profile membership was predicted by 3 factors, namely, self-care status, interest in mindfulness, and experience with meditation.
Conclusion
The mindful self-care ability of oncology nurses, especially mindful relaxation and physical activities, should be improved. Three latent mindful self-care profiles were found, and nursing managers should pay more attention to oncology nurses in low-mindful self-care groups. Further interventions combined with mindfulness, self-care or meditation can be performed to improve the mindful self-care ability of oncology nurses.