bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medical students’ perceptions of prosocial behaviors: a grounded theory study in China
Authors: Jin Linya , Jowsey Tanisha , Yin Mei 
Published: March 2024

Abstract
Introduction
Prosocial behavior has been shown to be protective against burnout. Yet, we know little about prosocial behavior in medical students. We wanted to know what are chinese medical students' understanding of prosocial behavior and which factors influence their participation in it?

Methods
We undertook a grounded theory study, following Corbin & Strauss. We used convenience sampling and conducted semi-structured individual interviews. We analyzed data using open, axial, and selective coding techniques. Next, we grouped data into concepts. We noticed these concepts aligned with three existing social theories, so we developed our theory in concert with these: the Theory of Planned Behavior, Self-Determination Theory, and Social Support Theory.

Results
Twenty-eight medical students participated in this study. Medical students hold especial views on the roles of medical physicians, and most of these views align with students' core values, including the value of prosocial behavior. Students are intrinsically motivated to engage in prosocial behaviors that align with their core values. Personal values, personality traits, perceived self-competence, career motivation, environmental factors, and family influences are the core factors influencing medically positive prosocial behavior.

Conclusions
This study supports a focus on prosocial behavior instead of altruistic behavior in medical education. We anticipate that promoting prosocial behavior through medical curricula will reduce moral distress and burnout among medical students.
Effects of nurses-led multidisciplinary-based psychological management in spinal surgery: a retrospective, propensity-score-matching comparative study
Authors: Liu Ying , Chen Jiali , Wu Tingkui , He Junbo , Wang Beiyu , Li Peifang , Ning Ning , Chen Hong 
Published: March 2024

Abstract
Background
Patients in spine surgery often have emotional disorders which is caused by multi-factors. Therefore, a multidisciplinary and multimodal intervention program is required to improve emotional disorders during the perioperative period. However, related studies were rare. This study aimed to confirm that the multidisciplinary-based psychological management leading by nurses was effective in treating emotional disorders and show the assignments of the members of the multidisciplinary team with the orientations of nurses.

Design
A retrospective, comparative study.

Method
This study was a retrospective cohort research and compared the results between the intervention group and control group using the Huaxi Emotional Distress Index (HEI) which was used to evaluate emotional disorders. The intervention group consisted of patients who underwent surgery between January 2018 and December 2020 after psychological management was implemented. The control group consisted of patients with regular care who underwent surgery between January 2015 and December 2017. To improve comparability between the two groups, baseline data from the recruited patients were analyzed using propensity-score-matching (PSM) based on age, sex, marital status, education, and disease region.

Results
A total of 539 (11.5%) people developed emotional disorders, of which 319 (6.8%), 151 (3.2%) and 69 (1.5%) had mild, moderate mood and severe emotional disorders, respectively. 2107 pairs of patients were matched after PSM. Scores of HEI in the intervention group were heightened compared with those in the control group (P<0.001) after matching. Moreover, the incidence of emotional disorders in patients decreased after implementing psychological management (P = 0.001). The severity of emotional disorders was alleviated with statistical significance as well (P = 0.010).

Conclusions
Nurses-led Multidisciplinary-Based psychological management was able to reduce the incidence of emotional disorders and improve the severity of these in spine surgery patients.
Competency scale of quality and safety for greenhand nurses: instrument development and psychometric test
Authors: Zhai Run Nan , Liu Ying , Wen Jia Xin 
Published: March 2024

Abstract
Background
Guaranteeing nursing service safety and quality is a prioritized issue in the healthcare setting worldwide. However, there still lacks a valid scale to measure the quality and safety competencies of newly graduated nurses globally.

Methods
This scale was developed in two phases. In Phase One, a literature review and three-round e-Delphi were conducted to generate the initial item pool; while in Phase Two, five experts tested the content validity of the scale. The construct validity was evaluated using confirmatory factor analysis (CFA), and the data were collected among 1,221 newly graduated nursing students between May, 2017 and August, 2017. Finally, the internal consistency reliability and test-retest reliability were tested.

Results
The final version’s Competency Scale of Quality and Safety (CSQS) was confirmed by the CFA involving 64 items in six dimensions, including patient-center care, safety, evidence-based practice, collaboration and teamwork, continuous quality improvement, and informatics. The results of data showed that the data supported the modified model of CSQS (Standardized Root Mean Square Residual = 0.03, p = 0.053, Adjusted Goodness of Normed Fit Index = 1.00, Root Mean Square Error of Approximation = 0.007, Fit Index = 0.95, Goodness of Fit Index = 0.97, χ2/df = 1.06), and the standardized factor loadings of items were from 0.59 to 0.74 (p < 0.05). The internal consistency reliability of the total scale was 0.98, and the test-retest reliability was 0.89.

Conclusions
CSQS was a valid and reliable instrument to measure the safety and quality abilities of greenhand nurses, and could be fully utilized by nursing students, greenhand nurses, nursing educators, as well as hospital nursing managers.
Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in Peru
Authors: Albitres-Flores Leonardo , Perez-Leon Silvana , Bernabe-Ortiz Antonio , Tenorio-Mucha Janeth , Cardenas Maria Kathia , Vetter Beatrice , Safary Elvis , Gamboa Ricardo , Cordova Vicente , Gupta Reena , Moran Andrew , Beran David , Lazo-Porras María 
Published: March 2024

Abstract
Background
Point-of-care testing (POCT) devices are diagnostic tools that can provide quick and accurate results within minutes, making them suitable for diagnosing non-communicable diseases (NCDs). However, these devices are not widely implemented in healthcare systems and for this reason is relevant to understand the implementation process.

Aim
To describe the process and define a strategy to implement a multiparameter POCT device for diagnosing and managing NCDs in one region of Peru.

Methods
A descriptive and non-experimental study, using the participatory methodologies of co-creation process. It was conducted in one region of Peru (Tumbes) to design an intervention for implementing a multiparameter POCT device. Two co-creation sessions were conducted involving five groups: community members, primary healthcare workers, these groups in both rural and urban settings, and regional decision-makers. These sessions included activities to understand patient journeys in receiving care for NCDs, identify facilitators and barriers to POCT devices usage, and define an implementation strategy for POCT devices in both rural and urban settings of Tumbes. The research team analysed the data and summarized key topics for discussion after each session.

Results
A total of 78 participants were enrolled across the five groups. Among community members: 22.2% had only diabetes, 24.1% had only hypertension, and 18.5% had both diagnoses. In the patient journey, community members mentioned that it took at least three days to receive a diagnosis and treatment for an NCD. Most of the participants agreed that the POCT devices would be beneficial for their communities, but they also identified some concerns. The strategy for POCT devices implementation included healthcare workers training, POCT devices must be placed in the laboratory area and must be able to perform tests for glucose, glycated haemoglobin, cholesterol, and creatinine. Advertising about POCT devices should be displayed at the healthcare centres and the municipality using billboards and flyers.

Conclusions
The co-creation process was useful to develop strategies for the implementation of multiparameter POCT devices for NCDs, involving the participation of different groups of stakeholders guided by moderators in both, rural and urban, settings in Peru.
Turnover intention of foreign trained physicians in German rehabilitation facilities—a quantitative study
Authors: Jansen Eva , Schmidt Johanna , Marquardt Manuela 
Published: March 2024

Abstract
Background
Germany’s medical specialist shortage is an acute challenge, especially in the rehabilitation segment. One countermeasure is to recruit foreign trained physicians (FTP), but the high turnover of FTP is a burden on the departments that train them and integrate them professionally. Preliminary research showed that currently one in three physician positions in German Pension Insurance (DRV) contract facilities is filled by FTP.This paper examines factors related to turnover intention of FTP in German rehabilitative departments.

Methodology
In spring 2022, we surveyed FTP across all inpatient and outpatient rehabilitation departments under the German Pension Insurance, using a two-stage cross-sectional approach. We conducted an online survey of FTP and developed a specialized questionnaire that captured sociodemographic, occupation related and professional biographical data, turnover intention, satisfaction, difficulties with professional integration and departmental structural characteristics. To analyze retention within the rehabilitation field, we used a measure of turnover intention, taking into account the direction of potential turnover, residency requirements and considerations of returning to the rehabilitation field. The data was evaluated in a subgroup analysis comparing FTP with and without turnover intention using Fisher’s exact tests.

Results
The sample includes n = 145 FTP, 119 stating no turnover intention and 27 with turnover intention. More than half of FTP with turnover intention wished to move to an acute care hospital. FTP with turnover intention are comparatively younger and came to Germany and were employed in the rehabilitation departments more recently, indicating an earlier career stage. Besides, career-related and regional factors show the strongest relation to turnover intention.

Discussion and conclusion
The results reveal a group of “established FTP” whose professional integration has been successfully completed. FTP with turnover intention are comparatively younger, career-oriented physicians for whom work in a rehabilitative facility is a career springboard to gain a foothold in acute care clinics. A limitation is that FTP with turnover intention are difficult to reach and may be underrepresented in our sample.
Cost-effectiveness of severe acute malnutrition treatment delivered by community health workers in the district of Mayahi, Niger
Authors: Molanes-López Elisa M. , Ferrer José M. , Dougnon Abdias Ogobara , Gado Abdoul Aziz , Sanoussi Atté , Ousmane Nassirou , Lazoumar Ramatoulaye Hamidou , Charle-Cuéllar Pilar 
Published: March 2024

Abstract
Background
A non-randomized controlled trial, conducted from June 2018 to March 2019 in two rural communes in the health district of Mayahi in Niger, showed that including community health workers (CHWs) in the treatment of severe acute malnutrition (SAM) resulted in a better recovery rate (77.2% vs. 72.1%) compared with the standard treatment provided solely at the health centers. The present study aims to assess the cost and cost-effectiveness of the CHWs led treatment of uncomplicated SAM in children 6–59 months compared to the standard national protocol.

Methods
To account for all relevant costs, the cost analysis included activity-based costing and bottom-up approaches from a societal perspective and on a within-trial time horizon. The cost-effectiveness analysis was conducted through a decision analysis network built with OpenMarkov and evaluated under two approaches: (1) with recovery rate and cost per child admitted for treatment as measures of effectiveness and cost, respectively; and (2) assessing the total number of children recovered and the total cost incurred. In addition, a multivariate probabilistic sensitivity analysis was carried out to evaluate the effect of uncertainty around the base case input data.

Results
For the base case data, the average cost per child recovered was 116.52 USD in the standard treatment and 107.22 USD in the CHWs-led treatment. Based on the first approach, the CHWs-led treatment was more cost-effective than the standard treatment with an average cost per child admitted for treatment of 82.81 USD vs. 84.01 USD. Based on the second approach, the incremental cost-effectiveness ratio of the transition from the standard to the CHWs-led treatment amounted to 98.01 USD per additional SAM case recovered.

Conclusions
In the district of Mayahi in Niger, the CHWs-led SAM treatment was found to be cost-effective when compared to the standard protocol and provided additional advantages such as the reduction of costs for households.
Trial registration: ISRCTN with ID 31143316. https://doi.org/10.1186/ISRCTN31143316
Kinesin KIFC3 is essential for microtubule stability and cytokinesis in oocyte meiosis
Authors: Ju Jia-Qian , Zhang Hao-Lin , Wang Yue , Hu Lin-Lin , Sun Shao-Chen 
Published: March 2024

AbstractKIFC3 is a member of Kinesin-14 family motor proteins, which play a variety of roles such as centrosome cohesion, cytokinesis, vesicles transportation and cell proliferation in mitosis. Here, we investigated the functional roles of KIFC3 in meiosis. Our findings demonstrated that KIFC3 exhibited expression and localization at centromeres during metaphase I, followed by translocation to the midbody at telophase I throughout mouse oocyte meiosis. Disruption of KIFC3 activity resulted in defective polar body extrusion. We observed aberrant meiotic spindles and misaligned chromosomes, accompanied by the loss of kinetochore-microtubule attachment, which might be due to the failed recruitment of BubR1/Bub3. Coimmunoprecipitation data revealed that KIFC3 plays a crucial role in maintaining the acetylated tubulin level mediated by Sirt2, thereby influencing microtubule stability. Additionally, our findings demonstrated an interaction between KIFC3 and PRC1 in regulating midbody formation during telophase I, which is involved in cytokinesis regulation. Collectively, these results underscore the essential contribution of KIFC3 to spindle assembly and cytokinesis during mouse oocyte meiosis.
Efficacy and toxicity of photon, proton, and carbon ion radiotherapy in the treatment of intracranial solitary fibrous tumor/hemangiopericytoma
Authors: Ton Mike , Deng Maximilian , Meixner Eva , Eichkorn Tanja , Krämer Anna , Seidensaal Katharina , Hörner-Rieber Juliane , Lischalk Jonathan , Herfarth Klaus , Debus Jürgen , König Laila 
Published: March 2024

Abstract
Background
Solitary fibrous tumors (SFT) of the central nervous system are rare and treatment options are not well established. The aim of this study was to evaluate the clinical outcomes of radiotherapy (RT) and re-radiotherapy (re-RT) for de novo intracranial SFT and recurrent intracranial SFT.

Methods
This retrospective study analyzed efficacy and toxicity of different RT modalities in patients who received radiotherapy (RT) for intracranial SFT at Heidelberg University Hospital between 2000 and 2020 following initial surgery after de novo diagnosis (“primary group”). We further analyzed the patients of this cohort who suffered from tumor recurrence and received re-RT at our institution (“re-irradiation (re-RT) group”). Median follow-up period was 54.0 months (0–282) in the primary group and 20.5 months (0–72) in the re-RT group. RT modalities included 3D-conformal RT (3D-CRT), intensity-modulated RT (IMRT), stereotactic radiosurgery (SRS), proton RT, and carbon-ion RT (C12-RT). Response rates were analyzed according to RECIST 1.1 criteria.

Results
While the primary group consisted of 34 patients (f: 16; m:18), the re-RT group included 12 patients (f: 9; m: 3). Overall response rate (ORR) for the primary group was 38.3% (N = 11), with 32.4% (N = 11) complete remissions (CR) and 5.9% (N = 2) partial remissions (PR). Stable disease (SD) was confirmed in 5.9% (N = 2), while 41.2% (N = 14) experienced progressive disease (PD). 14% (N = 5) were lost to follow up. The re-RT group had 25.0% CR and 17.0% PR with 58.0% PD. The 1-, 3-, and 5-year progression-free survival rates were 100%, 96%, and 86%, respectively, in the primary group, and 81%, 14%, and 14%, respectively, in the re-RT group. Particle irradiation (N = 11) was associated with a lower likelihood of developing a recurrence in the primary setting than photon therapy (N = 18) (OR = 0.038; p = 0.002), as well as doses ≥ 60.0 Gy (N = 15) versus < 60.0 Gy (N = 14) (OR = 0.145; p = 0.027). Risk for tumor recurrence was higher for women than for men (OR = 8.07; p = 0.014) with men having a median PFS of 136.3 months, compared to women with 66.2 months.

Conclusion
The data suggests RT as an effective treatment option for intracranial SFT, with high LPFS and PFS rates. Radiation doses ≥ 60 Gy could be associated with lower tumor recurrence. Particle therapy may be associated with a lower risk of recurrence in the primary setting, likely due to the feasibility of higher RT-dose application.
War and education: the attacks on medical schools amidst ongoing armed conflict, Sudan 2023
Authors: Mahgoub Esra Abdallah Abdalwahed , Khairy Amna , Osman Samar , Haga Musab Babiker , Osman Sarah Hashim Mohammed , Abbu Hassan Abubker Mohammed , Kamal Hala , Babiker Ayia 
Published: March 2024

Abstract
Background
War results in widespread destruction of a country’s infrastructure, healthcare facilities, and educational institutions. This study aims to assess the attacks on medical schools amidst the ongoing conflict in Sudan.

Methods
A descriptive cross-sectional study was conducted across 58 medical schools located in the states of Khartoum, Darfur, and Kordofan. Data on attacks between April 15, 2023, and July 15th 2023, were collected using online data collection form.

Results
All medical schools in conflict areas were included in the study. More than half (58.6%) of these medical schools were attacked. Private schools, constituting the majority of the study sample, were the most frequently attacked (70.6%). Of these, 52.9% were located in Khartoum city. More than one form of attack was reported in 64.7% of the affected schools. Looting occurred in 73.5% of the attacked faculties, while 67.6% of them were converted into military bases. Despite these challenges, 60.3% of the schools in the conflict zone managed to restore the educational process through online learning and collaboration with other institutions.

Conclusion
During a three-month period of warfare, most medical schools within conflict zones were attacked. This emphasizes the vulnerability of medical education institutions during war and highlights the urgent need of the Ministry of Higher Education interventions to provide leadership, support, and oversight for the educational process in medical schools across the country.
Application of double Sumudu-generalized Laplace decomposition method and two-dimensional time-fractional coupled Burger’s equation
Authors: Eltayeb Hassan 
Published: March 2024

AbstractThe current paper concentrates on discovering the exact solutions of the time-fractional regular and singular coupled Burger’s equations by involving a new technique known as the double Sumudu-generalized Laplace and Adomian decomposition method. Furthermore, some theorems of the double Sumudu-generalized Laplace properties are proved. Further, the offered method is a powerful tool for solving an enormous number of problems. The precision of the technique is evaluated with the aid of some examples, this method offers a solution precisely and successfully in a series form with smoothly calculated coefficients. The relation between both the approximate and exact solution is represented by a graph to display the high speed of this method’s convergence.
Hybrid nanogels and their roles in eliminating soot stains from historical paper manuscripts
Authors: Abdel-Hamied Mostafa , Hassan Haidi Mahmoud , Mohamed Yassmine Adel , Ismail Mai Emad Moustafa , Farid Yara , Mohamed Hager , Ismail Sameh H. , Salem Mohamed Z. M. , Hassan Rushdya Rabee Ali 
Published: March 2024

Abstract
Soot stain from diverse sources is the most common stain that stains historical paper documents found in libraries, museums, and storage facilities. It is believed to be one of the types of deterioration that arises from the contact between stains and paper sheets. Therefore, in the present work, the effectiveness of the synthesized hybrid nanogel consisting of carbopol and nanoparticles (NPs) of ZnO, TiO2, or Fe3O4, in low and high-viscosity forms, for eliminating soot stains from historical paper manuscripts was conducted. The prepared hybrid nanogels were characterized utilizing the TEM, AFM, XRD, DLS, and Zeta Potential techniques. Following preparation, the soot-stained paper samples were heated to 105 °C for 6 days, a process known as accelerated thermal aging. Surface morphology, mechanical properties and the color change of the paper samples were investigated. The prepared hybrid nanogel had a spherical shape with well-defined edges and uniform size, with an average particle diameter ranging from 30 to 35 nm. There was no significant NPs agglomeration seen, suggesting uniform dispersion in the carbopol matrix. Additionally, the prepared gels' crystal structure and phase purity were revealed by the XRD analysis results. Paper fibers were visible in some parts of the treated sample with TiO2/carbopol hybrid nanogel at high-viscosity before aging. Cleaning soot-stained paper samples using high-viscosity Fe3O4/carbopol hybrid nanogel is more successful than using low-viscosity nanogel. the sample treated with high-viscosity ZnONPs/carbopol hybrid nanogel produced the highest total color differences (ΔE) (26.17). The paper sample treated with high-viscosity ZnO/carbopol hybrid nanogel exhibited the maximum tensile strength (61.8 N/mm2) and elongation at break (1.174%). The evaluation of the paper samples both before and after the cleaning process revealed that, the treatment with high-viscosity ZnO/carbopol hybrid nanogel gave the best results in removing soot stains from stained paper samples.