bluuebunny/crossref_metadata_2025_split huggingface dataset:
The association between family adaptability and adolescent depression: the chain mediating role of social support and self-efficacy
Authors: Lin Yanyan , Jia Guangyunxian , Zhao Zirong , Li Meng , Cao Guanghai 
Published: March 2024

ObjectivePrevious research has shown a correlation between family adaptability and adolescent depression. However, there is a lack of studies that have investigated the underlying mechanism between family adaptability and adolescent depression. Based on the Ecological Systems Theory, this study aims to investigate the link between family adaptability and depression in adolescents, mediated by the sequential roles of social support and self-efficacy.MethodsThe sample consisted of 1086 students randomly selected from seven public middle schools in Shandong Province, Eastern China. All the participants filled in the structured self-report questionnaires on family adaptability, social support, self-efficacy, and depression. The data were analyzed using SPSS 25.0 and Structural Equation Modeling (SEM) in AMOS 24.0.ResultsThe findings of this study are as follows: (1) Family adaptability is negatively associated with adolescent depression; (2) Social support plays a mediating role between family adaptability and adolescent depression; (3) Self-efficacy plays a mediating role between family adaptability and adolescent depression; (4) Social support and self-efficacy play a chain mediation role between family adaptability and adolescent depression.ConclusionIt is suggested that early interventions and support should be provided to facilitate adolescents’ family adaptability, social support, and self-efficacy, thus reducing their depression and improving mental health of adolescents.
A qualitative internet-based study of parental experiences of adolescents suffering from affective disorders with non-suicidal self-injury during the COVID-19 pandemic
Authors: Wang Yongna , Chen Xueqiu , Song Chun , Wu Yan , Liu Lihua , Yang Lili , Hao Xuege 
Published: March 2024

ObjectiveNon-suicidal self-injury (NSSI) behaviors of adolescents with affective disorders can directly deteriorate parents’ internal experiences, and negative parental experiences can exacerbate or even worsen NSSI behaviors. This study investigates the impact of NSSI behaviors exhibited by adolescents with affective disorders on the internal experiences of parents. Specifically, our research focuses on the inner experiences of parents when their children engage in NSSI behaviors during social isolation of the COVID-19, offering insights for addressing parental mental health issues related to NSSI and developing positive parental behavioral models to optimize adolescent behavior during major public health events.MethodsSemi-structured interviews were conducted with 21 parents of adolescents with affective disorders displaying NSSI behaviors during the COVID-19 pandemic. The Colaizzi 7-step analysis was employed to refine and categorize emerging themes.ResultsOur study revealed that parents of adolescents facing NSSI during the COVID-19 pandemic underwent different internal experiences, which could be classified into four themes: negative experience, high caregiving burden, lack of caregiving capacity, and resilience.ConclusionThis Internet-based research is the first to explore the internal experiences of parents of adolescents with affective disorders experiencing NSSI during the COVID-19 pandemic. It sheds light on how parents, in response to their children’s NSSI behaviors, undergo resilience following negative experiences, explore more open and supportive family model. Despite these positive outcomes, parents express a need for increased knowledge about NSSI illness care and a desire for professional assistance.
The relationship between executive function and the association of motor coordination difficulties and social communication deficits in autistic children
Authors: Gu Tingfeng , Jin Chengkai , Lin Lizi , Wang Xin , Li Xiuhong , Jing Jin , Cao Muqing 
Published: March 2024

BackgroundMotor coordination difficulties could contribute to social communication deficits in autistic children. However, the exploration of the mechanism implicated in these claims has been limited by the lack of potential confounders such as executive function (EF).MethodsWe investigated the role that EF plays in the relationship between motor coordination and social communication in a school-aged autistic population via a structural model in a statistically robust manner. The results of questionnaires, including the Developmental Coordination Disorder questionnaire, the Behavior Rating Inventory of Executive Function, and the Social Responsiveness Scale, were collected to measure motor coordination, social communication deficits, and EF.ResultsA total of 182 autistic children (7.61±1.31 years, 87.9% boys) were included in the final analysis. In the model with EF as a mediator, the total effect (β=-0.599, P&lt;0.001) and the direct effect (β=-0.331, P =0.003) of motor coordination function on social communication were both significant among autistic children without intellectual disability (ID), as were indirect effects through EF (β=-0.268, P&lt;0.001).ConclusionEF partially mediates the motor coordination and social communication correlation among autistic children. We suggest that motor coordination should be included in the routine evaluation of autistic surveillance and rehabilitation procedures.
Visual Schema Displacement Therapy versus Eye Movement Desensitization and Reprocessing therapy versus waitlist in the treatment of post-traumatic stress disorder: results of a randomized clinical trial
Authors: Matthijssen Suzy J. M. A. , Brouwers Thomas C. , de Jongh Ad 
Published: March 2024

IntroductionVisual Schema Displacement Therapy (VSDT) is a novel approach showing promise in mitigating distressing memories, akin to Eye Movement Desensitization and Reprocessing (EMDR).ObjectivesThis study aimed to determine the safety, feasibility, and effectiveness of VSDT in individuals with post-traumatic stress disorder (PTSD), comparing it to EMDR therapy and a waitlist control condition (WLCC). It was hypothesized that the application of VSDT would be safe and PTSD symptoms significantly be reduced from both baseline to post-treatment and from baseline to follow-up in the VSDT and EMDR therapy conditions. Furthermore, we expected both treatments to be significantly more effective than the waitlist control. Moreover, we hypothesized that VSDT and EMDR therapy would be associated with significant improvements in symptoms of depression and general psychopathology.MethodForty-six adults with PTSD were randomly assigned to VSDT, EMDR therapy, or WLCC, receiving six 90-minute sessions. Assessments included the Clinician Administered PTSD Scale for the Diagnostic Statistical Manual (DSM)-5 (CAPS-5), PTSD Checklist for DSM-5 (PCL-5), Beck Depression Inventory-II (BDI-II) and Brief Symptom Inventory (BSI) before, during, and 3 months post-treatment.ResultsBayesian analysis found no differences between VSDT and EMDR in PTSD symptom reduction but both outperformed WLCC. EMDR was superior to the WLCC in reducing symptoms of depression and general psychopathology. At 3-month follow-up, 58.3% of the participants in the VSDT condition no longer met the PTSD diagnostic criteria (41.2% EMDR therapy and 15.4% WLCC) with no difference between the two therapy conditions. Self-reported PTSD symptom reduction was significant in VSDT (d = 1.38) and EMDR (d = 1.40) but modest in WLCC (d = 0.39). Dropout rate was 19.3%, with no adverse events.ConclusionThis study supports VSDT’s efficacy in treating PTSD, offering a valuable therapeutic option comparable to EMDR, with significant reductions in PTSD symptoms and no difference with EMDR or the control condition for depressive symptoms and general psychopathology, and no reported adverse events.
Surveillance for adverse events following immunization with DTaP-containing combination vaccines in Linping, China, 2019–2022
Authors: Chen Qinghua , Zhang Chuandi , Ye Chunmei , Zhu Junwei , Shen Jie , Zhu Chang , Yang Pai , Liu Tiane , Xu Yuyang 
Published: March 2024

BackgroundThe DTaP-Hib and DTaP-IPV/Hib combination vaccine can be used as a substitute for the diphtheria, tetanus, and acellular pertussis combined vaccine (DTaP). We aimed to evaluate the safety of multi-component vaccines containing DTaP by analyzing the reporting rates and characteristics of adverse events following immunization (AEFIs) in Linping District during the years 2019 to 2022.MethodsWe obtained data of AEFI and vaccination from the National AEFI Surveillance System of China and Zhejiang Municipal Immunization Information Management System, respectively, during 2019–2022 for a descriptive, epidemiological analysis.ResultsThe total number of AEFI reported following vaccinations with DTaP-containing combination vaccines was 802 in Linping District from 2019 to 2022. The overall reporting rates of AEFIs following DTaP, DTaP-Hib, and DTaP-IPV/Hib vaccinations were 445.72 (537 cases), 536.29 (45 cases), and 306.13 (220 cases) per 100,000 doses in Linping District from 2019 to 2022, respectively. Only one case of a serious AEFI following DTaP vaccination, with a reporting rate of 0.83 per 100,000 doses. The composition ratio of vaccine product-related reactions for DTaP, DTaP-Hib, and DTaP-IPV/Hib were 99.81, 97.78, and 100.00%, respectively. The composition ratio of coincidental events for DTaP and DTaP-Hib were 0.19 and 2.22%, respectively. The reporting rates of total AEFIs for DTaP-IPV/Hib were lower than for DTaP. The reporting rate of local induration for DTaP-Hib was lower than for DTaP, and the reporting rates of local redness &amp; swelling and local induration for DTaP-IPV/Hib were both lower than for DTaP. DTaP-IPV/Hib had a higher proportion of AEFIs in first quarter compared to DTaP. The reporting rate after the second dose of DTaP-Hib was higher than that of DTaP, and the reporting rates of AEFIs after the first dose and third dose of DTaP-IPV/Hib were lower than DTaP.ConclusionThe reported AEFIs to multi-component vaccines containing DTaP components during 2019–2022 in Linping District were mainly mild vaccine reactions. DTaP-containing combination vaccines demonstrated a good safety profile.
Evaluation of SINERGIAPS, an intervention to improve patient safety in primary healthcare centers in Spain based on patients’ perceptions and experiences: a protocol for a hybrid type I randomized clinical trial
Authors: Fiol-deRoque Maria A. , Mansilla Georgina Vidal , Maderuelo-Fernández José A. , Tamayo-Morales Olaya , Martín-Luján Francisco , Astier-Peña Pilar , Chacón-Docampo Macarena , Orrego Carola , Gens-Barberà Montserrat , Andreu-Rodrigo Pilar , Ricci-Cabello Ignacio ,   the SinergiAPS team
Published: March 2024

BackgroundAdverse events in the primary care setting result in a direct cost equivalent to at least 2.5% of total healthcare spending. Across OECD countries, they lead to more than seven million avoidable hospital admissions annually. In this manuscript, we describe the protocol of a trial aimed at evaluating the effectiveness of SinergiAPS (a patient-centered audit and feedback intervention) in reducing avoidable hospital admission and explore the factors that may affect its implementation.MethodsWe will conduct a 24-month, parallel, open-label, multicenter, pragmatic, hybrid type 1 randomized clinical trial. 118 primary healthcare centers with wide geographical distribution in Spain will be randomly assigned (ratio 1:1) to two groups. The intervention group will receive two audits (baseline and intermediate at 12 months) based on information collected through the administration of the PREOS-PC questionnaire (a measure of patient-reported patient safety) to a convenience sample of 100 patients per center. The intervention group will receive reports on the results of both audits, along with educational resources aimed at facilitating the design and implementation of safety improvement plans. The control group will receive care as usual. The primary outcome will be the rate of avoidable hospitalizations (administrative data). Secondary outcomes: patient-reported patient safety experiences and outcomes (PREOS-PC questionnaire); patient safety culture as perceived by professionals (MOSPSC questionnaire); adverse events reported by healthcare professionals (ad hoc questionnaire); the number of safety improvement actions which the re has implemented (ad hoc questionnaire). Outcome data will be collected at baseline and 24 months follow-up. For the evaluation of the implementation of the SinergiAPS intervention, we will draw on the Consolidated Framework for Implementation Research (CFIR). We will collect and analyze qualitative and quantitative data (30 individual interviews, implementation logbooks; questionnaires for professionals from intervention centers, and level of use of the SinergiAPS web tool).DiscussionThis study will expand the scarce body of evidence existing regarding the effects and implementation of interventions aimed at promoting patient and family engagement in primary healthcare, specifically for enhancing patient safety. The study has the potential to produce an impact on clinical practice, healthcare systems, and population health.Clinical Trial Registration: https://clinicaltrials.gov/study/NCT05958108?term=sinergiAPS&amp;rank=1 (NCT05958108).
Differential enrichment of bacteria and phages in the vaginal microbiomes in PCOS and obesity: shotgun sequencing analysis
Authors: Zheng Senlin , Chen Huimin , Yang Hongyi , Zheng Xulan , Fu Tengwei , Qiu Xiaoyan , Wang Meiqin 
Published: March 2024

IntroductionPrevious research has linked vaginal bacteria to polycystic ovary syndrome (PCOS) and obesity in women, yet the specific disparities in vaginal microbiota between these conditions remain unclear.MethodsIn this study, we aimed to elucidate the contribution of dysregulated vaginal microbiota to PCOS and obesity by analyzing the vaginal microbiota in reproductive-aged women with and without PCOS, as well as obese and non-obese women, using shotgun sequencing.ResultsSwab specimens were collected from four groups of subjects: PCOS and obese, PCOS and non-obese, non-PCOS and obese, and non-PCOS and non-obese. A total of 333 bacteria and 24 viruses/phages were identified to the species level. Clustering analysis revealed that non-PCOS and non-obese individuals exhibit a similar “healthy” vaginal microbiome, while both obesity and PCOS were associated with microbial dysbiosis. Significant differences in abundance were observed for 26 bacterial species and 6 phages/viruses between groups. Notably, pathobionts such as Streptococcus pyogenes, Leptospira santarosai, Citrobacter amalonaticus, Listeria ivanovii, and Clostridium perfringens were significantly less abundant or absent in the non-PCOS and non-obese group. Furthermore, the abundance of Lactobacillus, Pseudomonas bacteria, and their corresponding phages exhibited positive correlations. Lactobacillus bacteria, lactobacillus phage, and pseudomonas phage/virus were identified as indicators of a healthy vaginal microbiome. Importantly, the differentially enriched bacteria in the PCOS and obesity groups were distinct.DiscussionThis study confirms that PCOS and obesity are associated with differing enrichment of bacteria and viruses/phages, with both conditions linked to microbial dysbiosis. Moreover, our findings suggest that vaginal phage diversity is associated with a healthy vaginal microbiota, while dysbiosis is associated with a decrease in phages alongside increased bacterial diversity.
The f↔f˜ Correspondence and Its Applications in Quantum Information Geometry
Authors: Gibilisco Paolo 
Published: March 2024

Due to the classifying theorems by Petz and Kubo–Ando, we know that there are bijective correspondences between Quantum Fisher Information(s), operator means, and the class of symmetric, normalized operator monotone functions on the positive half line; this last class is usually denoted as Fop. This class of operator monotone function has a significant structure, which is worthy of study; indeed, any step in understanding Fop, besides being interesting per se, immediately translates into a property of the classes of operator means and therefore of Quantum Fisher Information(s). In recent years, the f↔f correspondence has been introduced, which associates a non-regular element of Fop to any regular element of the same set. In terms of operator means, this amounts to associating a mean with multiplicative character to a mean that has an additive character. In this paper, we survey a number of different settings where this technique has proven useful in Quantum Information Geometry. In Sections 1–4, all the needed background is provided. In Sections 5–14, we describe the main applications of the f↔f˜ correspondence.
PENYULUHAN GIZI MENGGUNAKAN MEDIA E- BOOKLET DENGAN METODE PENDAMPINGAN TERHADAP ASUPAN ENERGI DAN PROTEIN PADA REMAJA PUTRI KURANG ENERGI KRONIS (KEK)
Authors: Haya Azarine Aqilah , Isdiany Nitta , Saleky Yohannes Willihelm , Suparman Suparman 
Published: March 2024

Asupan zat gizi yang kurang dan diperoleh semasa remaja putri akan berdampak pada kesehatan dalam fase kehidupan selanjutnya, yaitu dewasa (ibu hamil) dan lanjut usia. Kurangnya asupan zat gizi akan menimbulkan berbagai macam permasalahan gizi salah satunya kurang energi kronis (KEK). Tujuan Penelitian ini untuk mengetahui pengaruh penyuluhan gizi menggunakan media e-Booklet dengan metode pendampingan terhadap asupan energi dan protein pada remaja putri kurang energi kronis (KEK) di SMAN 2 Cimahi yang dilaksanakan pada bulan September – Oktober 2021. Desain penelitian ini adalah pre eksperimental one group pre-post test design. Jumlah sampel penelitian adalah 25 orang. Data asupan energi dan protein diambil dengan cara wawancara menggunakan form recall 24 jam. Hasil penelitian menunjukkan bahwa prevalensi KEK adalah 31,25% serta rata – rata asupan energi sampel sebelum intervensi 1167,32 Kkal dan setelah intervensi 1745,76 Kkal. Rata – rata asupan protein sampel sebelum intervensi 39,76 gram dan setelah intervensi 58,76 gram. Hasil uji t-dependen menunjukkan terdapat pengaruh penyuluhan gizi menggunakan media e-booklet dengan metode pendampingan terhadap asupan energi (p=0,000) dan protein (p=0,000) pada sampel Dapat disimpulkan bahwa terdapat pengaruh penyuluhan gizi menggunakan media e-booklet dengan metode pendampingan terhadap asupan energi dan protein remaja putri kurang energi kronis (KEK). Penelitian selanjutnya dapat dilakukan perbandingan dengan menggunakan kelompok kontrol.
GAMBARAN PERILAKU PERSONAL HYGIENE GIGI DAN MULUT PADA SISWA SD KELAS 1 DI SDN 154 CITEPUS
Authors: Rahmawati Fitri , Ramdaniati Sri , Cahyaningsih Henny , Ariyanti Metia 
Published: March 2024

The results of the 2018 RISKESDAS stated that 57.6% of Indonesians have dental and mouth problems, the number of children reaches 93% and the age group 5-9 years or school-age children 54%. Poor personal hygiene behavior of teeth and mouth results in increased problems with teeth and mouth. This study aims to determine the description of personal hygiene behavior of teeth and mouth in elementary school students grade 1 at elementary school 154 Citepus. The design of this study is descriptive. The sampling technique is simple random sampling with a sample of 119 children. The instrument used was the observation sheet of brushing steps that had been tested for validity to dental health experts. The results of this study showed 38.7% of children were not good in personal hygiene teeth and mouth, of which 65% boys. The conclusion of this study is that almost half of respondents have poor behavior in performing oral and dental personal hygiene, more than half of elementary school age respondents were not good in dental and oral hygiene, male sex. The researcher recommends the location of the study to provide a sink in the school area as a means of maintaining personal hygiene of teeth and mouth or for other actions such as hand washing and socializing the importance of personal hygiene of teeth and mouth.
Keywords: Personal Hygiene, Teeth, Mouth, Teeth Brushing, children
PENGETAHUAN PASIEN TENTANG PENCEGAHAN KOMPLIKASI HIPERTENSI DI POLIKLINIK PENYAKIT DALAM
Authors: Wardani Ayu Kusumah , Sukarni Sukarni , Sasmita Anah , Waluya Nandang Ahmad 
Published: March 2024

Penelitian ini dilatarbelakangi adanya perubahan penyakit di Indonesia, dari penyakit menular ke penyakit tidak menular, salah satunya adalah penyakit hipertensi. Penyakit hipertensi dapat mengakibatkan komplikasi jika tidak dilakukan pencegahan, salah satunya adalah stroke. Maka dari itu, sangat penting untuk mengetahui tingkat pengetahuan pasien hipertensi terhadap pencegahan komplikasi, karena salah satu faktor tindakan pencegahan komplikasi dipengaruhi oleh pengetahuan. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan pasien hipertensi tentang pencegahan komplikasi di poliklinik penyakit dalam RS Al Islam. Desain penelitian yang digunakan adalah deskriptif. Populasi pasien hipertensi primer di RS Al Islam. Jumlah sampel yang diambil sebanyak 48 orang dengan teknik consecutive sampling menggunakan kuesioner. Data dianalisis menggunakan analisis univariat dengan distribusi frekuensi. Hasil penelitian menunjukkan bahwa dari 48 responden, sebanyak 42 (87,5%) orang memiliki pengetahuan baik, 6 orang (12,5%) memiliki pengetahuan cukup dan tidak seorang pun (0%) memiliki pengetahuan kurang tentang pencegahan komplikasi hipertensi. Perlu adanya peningkatan promosi kesehatan tentang pencegahan komplikasi hipertensi agar tingkat pengetahuan pasien hipertensi primer yang menjalani pengobatan di Poliklinik Penyakit Dalam RS Al Islam meningkat.
Kata kunci: Pengetahuan, Hipertensi, Komplikasi.
BENDUNGAN ASI, SEBUAH LAPORAN KASUS ASUHAN NIFAS
Authors: Purwanti Ratih , Dewi Pramanik Novita 
Published: March 2024

Bendungan ASI adalah suatu kejadian dimana aliran vena dan limfatik tersumbat, aliran susu menjadi terhambat dan tekanan pada saluran air susu ibu dan alveoli meningkat. Jika Bendungan ASI tidak mendapatkan penanganan yang baik maka akan menyebabkan mastitis bahkan abses payudara. Tujuan asuhan ini adalah melaksanakan asuhan kebidanan nifas dengan tepat sehingga tidak terjadi komplikasi pada pasien dengan Bendungan ASI.
Metode yang digunakan yaitu studi kasus dengan pendekatan berdasarkan manajemen kebidanan dalam bentuk pendokumentasian subjektif, objektif, analisa, dan penatalaksanaan (SOAP) dengan hasil yang didapat setelah dilakukan pemantauan yaitu pasien mengeluh merasa demam, nyeri dan bengkak pada payudara kiri serta puting yang tenggelam, sehingga analisa yang ditegakkan Ny.A usia 24 tahun postpartum 2 hari dengan Bendungan ASI. Asuhan yang diberikan yaitu perawatan payudara, teknik menyusui, cara mengatasi puting payudara yang tenggelam.
Kesimpulan asuhan adalah asuhan yang diberikan sesuai dengan kebutuhan ibu sesuai standar operasional prosedur (SOP) di tempat pelayanan kesehatan pertama. Tidak ditemukannya kesenjangan antara teori dan praktik, bendungan ASI teratasi dan bayi dapat menyusu dengan baik. Saran ditujukan pada klien dan keluarga supaya mengaplikasikan teknik menyusui secara terus menerus sehingga terhindar dari masalah laktasi, terutama bendungan ASI.