bluuebunny/crossref_metadata_2025_split huggingface dataset:
Satisfaction, engagement, and outcomes in internet-delivered cognitive behaviour therapy adapted for people of diverse ethnocultural groups: an observational trial with benchmarking
Authors: Sapkota Ram P. , Valli Emma , Dear Blake F. , Titov Nickolai , Hadjistavropoulos Heather D. 
Published: March 2024

IntroductionDepression and anxiety are the most common mental health disorders worldwide. Internet-Delivered Cognitive Behaviour Therapy (ICBT) can reduce barriers to care to broad cross sections of the population. However, People of Diverse Ethnocultural Backgrounds (PDEGs) other than White/Caucasian underutilize mental health services and are under represented in clinical trials of psychological interventions.MethodsTo address this research gap we adapted an evidence-based ICBT program for PDEGs. The current pilot study explores the engagement, satisfaction, and effectiveness in the adapted ICBT program by PDEGs (N=41) when benchmarked against a sample of PDEGs (N=134) who previously completed a non-adapted version of the ICBT program.ResultsAn intent-to-treat analyses showed that the adapted ICBT program is effective in reducing anxiety and depression symptoms among PDEGs. Large within-group pre-to post-treatment Cohen’s effect sizes of d = 1.23, 95% CI [0.68, 1.77] and d = 1.24, 95% CI [0.69, 1.79] were found for depression and anxiety, respectively. Further, 81.8% of the PDEGs who received the adapted ICBT reported overall satisfaction, 90.9% reported increased confidence in managing symptoms, and 70.7% completed majority of the psychoeducational lessons in the ICBT program.ConclusionNo statistically significant differences in the clinical outcomes, engagement, and satisfaction were found between the pilot study and benchmark sample. Future directions for ICBT research with PDEGs are described.Clinical trial registrationhttps://beta.clinicaltrials.gov/study/NCT05523492, identifier NCT05523492.
Mediation of the association between screen time and suicidality by overweight/obesity and perceived overweight: results from the youth risk behavior surveillance system of the United States
Authors: Gao Hong , Wang Yifei , Wang Xugang , Gao Ming 
Published: March 2024

AimAdolescent suicide is a major public health concern, and modifiable risk factors associated with adolescent suicide remain poorly understood. This study aimed to assess the association between screen time and overweight/obesity and self-perceived overweigh and suicidality in adolescents.MethodsAdolescents from the United States Youth Risk Behavior Surveillance System (YRBSS) between 2013 and 2019 were included in this cross-sectional study. The outcome was suicidality, including considered suicide, made a suicide plan, attempted suicide, and injurious suicide attempt. Multivariable logistic regression model was used to investigate the associations between screen time, overweight/obesity, self-perceived overweight, and suicidality, and expressed as odds ratio (OR) and 95% confidence interval (CI). Mediation analysis was used to explore the role of overweight/obesity and self-perceived overweight on the association between screen time and suicidality.ResultsA total of 30,731 adolescents were included, of which 6,350 (20.65%) had suicidality, including 5,361 (17.45%) with considered suicide, 4,432 (14.42%) with made a suicide plan, 2,300 (7.45%) with attempted suicide, and 677 (2.21%) with injurious suicide attempt. Adolescents with screen time ≥3h were related to higher odds of suicidality (OR=1.35, 95%CI: 1.23-1.46), overweight/obesity (OR=1.27, 95%CI: 1.19-1.38), and self-perceived overweight (OR=1.38, 95%CI: 1.30-1.48) after adjusting confounders. Adolescents with overweight/obesity (OR=1.30, 95%CI: 1.19-1.43) and self-perceived overweight (OR=1.54, 95%CI: 1.39-1.70) were associated with higher odds of suicidality. The association between screen time and suicidality was 4.67% mediated by overweight/obesity and 9.66% mediated by self-perceived overweight. Moreover, the mediating role of overweight/obesity was observed only in females, whereas there were no sex differences in the mediating effect of self-perceived overweight.ConclusionBoth overweight/obesity and self-perceived overweight mediated the association between screen time and suicidality.
The effect of the cultural formulation interview on therapeutic working alliance: a study protocol
Authors: Brand Alma M. , Groen Simon P. N. , Destoop Nathalie , Jongsma Hannah E. , Ghane Samrad , Sabbe Bernard G. C. , van Velsen Harry , van Houten Kurt , Becan Özlem , Al Alyan Dhiya , Braakman Mario H. 
Published: March 2024

BackgroundThe Cultural Formulation Interview (CFI) is designed to improve understanding of patients’ mental health care needs. The lack of empirical evidence on the impact and effectiveness of CFI use in clarifying people’s perspectives, experiences, context, and identity, and in preventing cultural misunderstandings between migrant patients and clinicians, inspired this study. The objective is to examine the effect of the CFI on the strength of therapeutic working alliances, and the potential mediating or moderating role of perceived empathy.Materials and methodsA multicenter randomized controlled trial will be conducted, involving migrant patients, their confidants, and clinicians. The CFI will be administered in the intervention group, but not in the control group. Validated questionnaires will be used to assess therapeutic working alliances and perceived empathy. T-tests and linear regression analyses will be conducted to investigate between-group differences and possible mediating or moderating effects.ResultsThis study will indicate whether or not the CFI strengthens the therapeutic working alliance between patients and clinicians, as moderated and/or mediated by perceived empathy.DiscussionResearch on the effect and impact of using the CFI in mental health care for migrant patients is important to clarify whether its use strengthens the therapeutic working alliance with clinicians. This can lead to a reduction in cultural misunderstandings and improve mental health care for migrant patients. The results may also be important for the implementation of the CFI as a standard of care.Ethics and disseminationThis research protocol was tailored to the needs of patients in collaboration with experts by experience. It was approved by the Ethical Review Board of the Tilburg Law School and registered in the Clinical Trials Register under number NCT05788315. Positive results may stimulate further implementation of the CFI in clinical practice, and contribute to improving the impact of the CFI on the therapeutic working alliances.
SARS-CoV-2 presence in recreational seawater and evaluation of intestine permeability: experimental evidence of low impact on public health
Authors: Norese Clelia , Nicosia Elena , Cortese Katia , Gentili Valentina , Rizzo Roberta , Rizzo Sabrina , Grasselli Elena , De Negri Atanasio Giulia , Gagliani Maria Cristina , Tiso Micaela , Zinni Matteo , Pulliero Alessandra , Izzotti Alberto 
Published: March 2024

IntroductionCoastal seawater pollution poses a public health risk due to the potential ingestion of contaminated water during recreational activities. Wastewater-based epidemiology has revealed the abundant presence of SARS-CoV-2 in seawater emitted from wastewater outlets. The objective of this research was to investigate the impact of seawater on SARS-CoV-2 infectivity to assess the safety of recreational activities in seawater.MethodsWild SARS-CoV-2 was collected from oral swabs of COVID-19 affected patients and incubated for up to 90 min using the following solutions: (a) standard physiological solution (control), (b) reconstructed seawater (3.5% NaCl), and (c) authentic seawater (3.8%). Samples were then exposed to two different host systems: (a) Vero E6 cells expressing the ACE2 SARS-CoV-2 receptor and (b) 3D multi-tissue organoids reconstructing the human intestine. The presence of intracellular virus inside the host systems was determined using plaque assay, quantitative real-time PCR (qPCR), and transmission electron microscopy.ResultsUltrastructural examination of Vero E6 cells revealed the presence of virus particles at the cell surface and in replicative compartments inside cells treated with seawater and/or reconstituted water only for samples incubated up to 2 min. After a 90-min incubation, the presence of the virus and its infectivity in Vero E6 cells was reduced by 90%. Ultrastructural analysis performed in 3D epi-intestinal tissue did not reveal intact viral particles or infection signs, despite the presence of viral nucleic acid detected by qPCR. Indeed, viral genes (Orf1ab and N) were found in the intestinal luminal epithelium but not in the enteric capillaries. These findings suggest that the intestinal tissue is not a preferential entry site for SARS-CoV-2 in the human body. Additionally, the presence of hypertonic saline solution did not increase the susceptibility of the intestinal epithelium to virus penetration; rather, it neutralized its infectivity.ConclusionOur results indicate that engaging in recreational activities in a seawater environment does not pose a significant risk for COVID-19 infection, despite the possible presence of viral nucleic acid deriving from degraded and fragmented viruses.
How does social support affect subjective well-being among Chinese widowed older adults?
Authors: Zhang Jun , Cao Fangyuan , Yang Chao 
Published: March 2024

BackgroundSocial support (SS) is an important factor influencing subjective well-being (SWB) in older adults. This is especially true for the special group of widowed older adults (WOA). Widowhood means that older adults have lost their most important SS, and therefore, the search for a guardian from outside the spouse becomes a central issue in ensuring the SWB of WOA.MethodsThe data for this paper were obtained from CGSS 2021, a large national social survey in China. We operationalized SWB as an individual’s overall perception of his or her experience of happiness using ‘affective well-being’ (i.e., emphasizing an individual’s positive affective experiences), and scores were calculated using a Likert scale. This study used linear regression modeling to examine the impact of SS on the SWB of WOA (aged 60 and above).ResultsIt was found that, first, this study presents the role of different circles of SS on the SWB of WOA, fully highlighting the importance of social context. Specifically, daughters, neighbors, and relatives constitute the guardians of the SWB for WOA in rural, whereas daughters and friends constitute the guardians of the SWB for WOA in rural. Second, the protective resources provided by the guardians not only serve as a buffer for WOA in distress but also reduce the likelihood of negative events occurring, thereby increasing WOA’s SWB.DiscussionThis paper partially corroborates the findings of established studies on the topic of SS and SWB among older adults and the above findings not only help us to further explain the relationship between SS and SWB theoretically but also help us to rationalize the construction of SS for WOA practically.
Institutional suicide as anomie: decedents speak out for work-related suicides through a Durkheimian exploration of suicide notes in a context without institutional responsibilization for suicide prevention
Authors: Ozbilgin Mustafa F. , Erbil Cihat , Demirbağ Orkun , Gündoğdu Nur , Şimşek Demirbağ Kübra 
Published: March 2024

IntroductionDrawing on Durkheim’s historical theorization of suicide, we extend his concept of anomic suicide, which is suicide due to a lack of social regulation, to introduce the concept of institutional suicide. We define institutional suicide as suicide due to the absence or decline of institutional policies, practices, and discourses for prevention. In this study, we explore the mechanisms for institutional suicides based on suicide notes Turkey, in a context without institutional responsibilization for prevention. Turkey provides a significant context for studying institutional suicides as policies, practices, and discourses for suicide prevention have been declining for some decades.MethodsDrawing on publically available suicide notes and narratives in Turkish media outlets, we analyze 17 suicide notes and responses from their institutions of work and friends, family, and colleagues.Findings and DiscussionWe identify two mechanisms that lead to institutional suicides: (1) dehumanization due to lack of recognition and (2) misrecognition through a devaluation of potential. We extend the theory of anomie to institutional settings and offer social policy suggestions to improve institutional responses based on co-design based on suicide notes to prevent institutional suicides and call for institutional responsibilization for preventing work-related suicides.
Public food procurement as a tool of sustainable food and nutrition policy—fat products
Authors: Brukało Katarzyna Magdalena , Nowak Justyna , Pietrzykowska Aleksandra , Fras Neza , Ožbolt Petra , Kowalski Oskar , Blenkuš Mojca Gabrijelčič 
Published: March 2024

IntroductionEnsuring a sustainable and responsible diet, particularly in the procurement of fatty products, holds paramount importance for early childhood development. Dietary fats significantly influence children’s growth and well-being, both in the short and long term. Schools and kindergartens play a pivotal role in shaping children’s dietary habits. This study aims to quantitatively and qualitatively analyze public procurement orders conducted by educational institutions.Materials and methodsOut of 1,126 public procurement orders, 197 met inclusion criteria, leading to the identification of 1,248 products categorized as sources of fats in children’s diets. The study conducted both quantitative and qualitative analyses on the identified products.ResultsCriteria commonly employed by purchasers were derived from product descriptions. While product composition, especially fat content and the absence of certain additives, received due attention, organoleptic characteristics criteria were frequently overlooked. Sustainable procurement criteria were given the least consideration. The study highlights a notable reliance on vegetable oils, predominantly rapeseed oil. However, it reveals a worrisome prevalence of animal-derived fats, including butter, mayonnaise, pork belly, and lard. Although plant-based fats constitute around 52.77% of total orders, the substantial presence of animal fats poses challenges to maintaining a balanced and healthy diet for children.ConclusionThe study underscores the necessity of establishing specific criteria for evaluating the quality of delivered products, especially fatty items, in educational settings. Standardized guidelines are crucial to promote healthier food choices, encourage sustainable diets, and ultimately enhance the overall health and well-being of children.
Mycoviruses Increase the Attractiveness of Fusarium graminearum for Fungivores and Suppress Production of the Mycotoxin Deoxynivalenol
Authors: Schiwek Simon , Slonka Matthäus , Alhussein Mohammad , Knierim Dennis , Margaria Paolo , Rose Hanna , Richert-Pöggeler Katja R. , Rostás Michael , Karlovsky Petr 
Published: March 2024

RNA viruses of the genera Ambivirus, Mitovirus, Sclerotimonavirus, and Partitivirus were found in a single isolate of Fusarium graminearum. The genomes of the mitovirus, sclerotimonavirus, and partitivirus were assigned to previously described viruses, whereas the ambivirus genome putatively represents a new species, named Fusarium graminearum ambivirus 1 (FgAV1). To investigate the effect of mycoviruses on the fungal phenotype, the spontaneous loss of mycoviruses during meiosis and the transmission of mycoviruses into a new strain via anastomosis were used to obtain isogenic F. graminearum strains both with and without mycoviruses. Notable effects observed in mycovirus-harboring strains were (i) the suppression of the synthesis of trichothecene mycotoxins and their precursor trichodiene, (ii) the suppression of the synthesis of the defense compound aurofusarin, (iii) the stimulation of the emission of 2-methyl-1-butanol and 3-methyl-1-butanol, and (iv) the increased attractiveness of fungal mycelia for fungivorous collembolans. The increased attractiveness of mycovirus-infected filamentous fungi to animal predators opens new perspectives on the ecological implications of the infection of fungi with viruses.
Investigação de diagnóstico diferencial associada a Síndrome Mielodisplásica: um relato de caso
Authors: Silva Felipe Ribeiro do Val Tommasi 
Published: March 2024

Objetivo: Relatar a investigação de diagnóstico de uma paciente com pancitopenia, buscando elucidar a possível relação com a síndrome mielodisplásica. Materiais e métodos: Paciente do sexo feminino, 37 anos. Desde os 14 anos de idade apresenta quadro clínico de migrânea sem áurea e uso de analgésicos e anti-inflamatórios não esteroides. A presença de fadiga precipitada por esforços físicos rotineiros, astenia global e dores em membros inferiores, com piora progressiva, foi atendida no pronto atendimento. Exames diagnosticou anemia grave. Admitida no Hospital Evangélico de Vila Velha, no Espírito Santo, evidenciou pancitopenia, com necessidade de hemotransfusão de urgência. A presença de episódios de migrânea durante internação, optou-se pela realização de Ressonância Nuclear Magnética de crânio. A análise anatomopatológica de biópsia da pele confirmou hipótese de pioderma gangrenoso. O exame anatomopatológico e imunohistoquímica de biópsia de medula com medula óssea foram identificados achados compatíveis com síndrome mielodisplásica, poucos blastos e displasia em linhagem única. Paciente encaminhada para hematologia para início do tratamento. Discussão: A análise inicial da anamnese e história clínica pregressa da paciente, confirma quadro de migrânea sem áurea, com relato de uso frequente de analgésicos simples e anti-inflamatórios. Esses medicamentos são amplamente prescritos e adquiridos com frequência sem receitas, e conhecidos pelos efeitos hematológicos, que incluem agranulocitose, neutropenia, anemia hemolítica ou aplástica, que podem causar cefaleia, confusão, parestesia ou hepatotoxicidade. Devido queixas de fadiga, astenia global e dores em membros inferiores, os exames identificaram pancitopenia, com anemia grave. As influências geográficas e socioculturais determinam as significativas causas da pancitopenia, principalmente para a anemia megaloblástica. Ao apresentar hemoglobina de 2.9, a paciente foi transferida para a hemotransfusão de urgência. As biópsias de medula óssea e da lesão dermatológica, rastreio oncológico completo, ressonância magnética de abdome total, identificaram discreta esplenomegalia e outras alterações inespecíficas. A análise anatomapatológica de biópsia cutânea confirmou a hipótese de pioderma gangrenoso e, após avaliação hematológica, os achados anatomopatológicos e imunistoquímicos foram sugestivos de síndrome mielodisplásica com poucos blastos e displasia em linhagem única. Conclusão: No caso analisado, por ser uma paciente jovem adulta, ao excluir as demais causas de citopenias, seria relevante buscar a causa da síndrome mielodisplásica, se consanguinidade parental, migrânea clássica, que pode estar associado com o cariótipo altamente complexo, o que caracteriza um caso raro da doença.
Bimbingan Literasi Media Dalam Perspektif Jurnalistik Bagi Calon Insan Pers pada Harian Serambi Indonesia
Authors: Muzakkir Muzakkir , Maulina Putri , Murhaban Murhaban , Juliana Rena , Samwil Samwil , Farizal Teuku 
Published: March 2024

Di era milenial sekarang ini, perkembangan informasi media sosial (medsos) tidak selalu menjadi rahmat bagi manusia. Artinya, banyak informasi yang berdampak negatif bahkan menjadi petaka disebarkan. Karenanya, diperlukan kecerdasan literasi media untuk memahami, menganalisis, mengintepretasi, dan mendekonstruksiperspektif jurnalistik bagi calon insan pers dalam penggunaan media sosial seperti internet, bagi kebutuhan kehidupan insan, terutama dalam menghadapi media baru (new media). Tujuannya, menjadi karya kreatif dan inovatif bagi calon insan pers dan wahana transformasi pengetahuan serta kreasi seni bagi publik atau bagi masyarakat yang berminat membaca. Manfaatnya, menjadikan pribadi calon insan persn yang ‘melek media’, dan mampu mengeluarkan pendapat secara kritis atas informasi atau pesan yang dapat diserap dari media. Senantiasa bersikap terhadap isu, permasalahan yang muncul secara bijak, tidak mudah terbawa arus dan tergiring opininya menuju hal yang bersifat negatif. Targetnya, calon insan pers mampu melahirkanpemahaman dan konsep menulis dengan baik dan memiliki intuisi (nurani) yang tajam terhadap aspek kehidupan dan peristiwa.Menggunakan metode ceramah dan diskusi, caranya menampilkan materi dalam bentuk power point. Hasilnya, calon insan pers dapat melahirkan karya berkualitas yang memiliki fungsi pemberi informasi tentang suatu situasi dan keadaan terhadap peristiwa agar pengguna media lebih memahami tentang isu yang dikonstruksi oleh calon insan pers untuk selanjutnya diakses ke publik.
EVALUASI KEBIJAKAN PENANGGULANGAN STUNTING DI KABUPATEN LOMBOK TIMUR
Authors: KABUL LALU MUH. 
Published: March 2024

The scope of the study is process evaluation and outcome evaluation. The aim of the study is to analysis an evaluation process and outcome evalution. The study method used is mixed methods, namely quantitative and qualitative. The result of study showed that implementation process of stunting intervention at locus village include 8 integrated actions where each action has been fully achieved target 100 percent. Stunting intervention at locus village significantly influence to the outcome namely decreasing of stunting prevalency. In addition, there is very strong negative correlation between amount of locus village and stunting prevalency
Reliance and Its Significance in the Holy Qur'ān: An Objective Study
Authors: Al-Hiti Muntathar Wadeia Rasheed 
Published: March 2024

Objectives: This research aims to supplement the methods of analyzing the Qur’anic text with a new vision that opens the way for the researcher to deal with the Qur’anic word in the various contexts in which it appears in the Qur’anic text to know the common meaning of the word and its subtle connotations through each context, which gives a more accurate picture and a deeper understanding of the Qur’anic.
Methods: This study includes the descriptive approach to the method of reading and contemplating in one of the branches of Qur’anic studies, which traces a single word with a single or multiple linguistic meanings in all contexts in which its use is mentioned in the surahs of the Holy Qur’an, collecting and studying it and completing its collection.
Results: It has been shown that the Qur’anic use of the word is a precise and intentional use that takes into account the linguistic meaning of the word and the specific contextual meaning in which it appears. It also takes into account the meanings of the word itself in other contexts.
Conclusions: This study included an explanation of a word from the Qur’an, which is (reclining), which indicates comfort and enjoyment, and the reward for the believers in the afterlife that God Almighty has prepared for them, as God Almighty has given many examples from the stories of the prophets, with the best example being the Prophet of God, Moses (peace be upon him), and others.