bluuebunny/crossref_metadata_2025_split huggingface dataset:
Individualized positive end-expiratory pressure reduces driving pressure in obese patients during laparoscopic surgery under pneumoperitoneum: a randomized clinical trial
Authors: Xavier Tiago Batista , Coelho Leonardo Vicente , Ferreira Daniel Antonio Lopes , Cota y Raposeiras José Manuel , Duran Marcelo Sampaio , Silva Leticia Almeida , Motta-Ribeiro Gabriel Casulari da , Camilo Luciana Moisés , Carvalho Alysson Roncally Silva , Silva Pedro Leme 
Published: April 2024

IntroductionDuring pneumoperitoneum (PNP), airway driving pressure (ΔPRS) increases due to the stiffness of the chest wall and cephalic shift of the diaphragm, which favors atelectasis. In addition, depending on the mechanical power (MP) formulas, they may lead to different interpretations.MethodsPatients &gt;18 years of age with body mass index &gt;35 kg/m2 were included in a single-center randomized controlled trial during their admission for bariatric surgery by abdominal laparoscopy. Intra-abdominal pressure was set at 15 mmHg at the pneumoperitoneum time point (PNP). After the recruitment maneuver, the lowest respiratory system elastance (ERS) was detected during the positive end-expiratory pressure (PEEP) step-wise decrement. Patients were randomized to the 1) CTRL group: ventilated with PEEP of 5 cmH2O and 2) PEEPIND group: ventilated with PEEP value associated with ERS that is 5% higher than its lowest level. Respiratory system mechanics and mean arterial pressure (MAP) were assessed at the PNP, 5 min after randomization (T1), and at the end of the ventilation protocol (T2); arterial blood gas was assessed at PNP and T2. ΔPRS was the primary outcome. Three MP formulas were used: MPA, which computes static PEEP × volume, elastic, and resistive components; MPB, which computes only the elastic component; and MPC, which computes static PEEP × volume, elastic, and resistive components without inspiratory holds.ResultsTwenty-eight patients were assessed for eligibility: eight were not included and 20 patients were randomized and allocated to CTRL and PEEPIND groups (n = 10/group). The PEEPIND ventilator strategy reduced ΔPRS when compared with the CTRL group (PEEPIND, 13 ± 2 cmH2O; CTRL, 22 ± 4 cmH2O; p &lt; 0.001). Oxygenation improved in the PEEPIND group when compared with the CTRL group (p = 0.029), whereas MAP was comparable between the PEEPIND and CTRL groups. At the end of surgery, MPA and MPB were correlated in both the CTRL (rho = 0.71, p = 0.019) and PEEPIND (rho = 0.84, p = 0.020) groups but showed different bias (CTRL, −1.9 J/min; PEEPIND, +10.0 J/min). At the end of the surgery, MPA and MPC were correlated in both the CTRL (rho = 0.71, p = 0.019) and PEEPIND (rho = 0.84, p = 0.020) groups but showed different bias (CTRL, −1.9 J/min; PEEPIND, +10.0 J/min).ConclusionIndividualized PEEP was associated with a reduction in ΔPRS and an improvement in oxygenation with comparable MAP. The MP, which solely computes the elastic component, better reflected the improvement in ΔPRS observed in the individualized PEEP group.Clinical Trial Registration:The protocol was registered at the Brazilian Registry of Clinical Trials (U1111-1220-7296).
The physical activity and social support scale: a translation and psychometric validation study in a Chinese college student sample
Authors: Cao Yunxia , Yuan Junfeng , Luo Lin 
Published: April 2024

ObjectiveThis study aims to evaluate the reliability and validity of the Chinese version of the Physical Activity Social Support Scale (PASSS-C) and its measurement invariance across different gender groups in a Chinese college student sample.MethodsA total of 1,689 Chinese college students participated in the study. We assessed the internal consistency of PASSS-C using Cronbach’s alpha and McDonald’s omega. A Confirmatory Factor Analysis (CFA) was conducted to test its five-factor model. Multi-group CFA was used to examine measurement equivalence between male and female groups. Convergent and criterion-related validity were assessed using Pearson correlation coefficients.ResultsThe overall internal consistency of PASSS-C was good with a Cronbach’s alpha of 0.952, and the subscales showed acceptable consistency. The CFA results supported the five-factor structure of PASSS-C in the college student sample, with values of CFI = 0.932, TLI = 0.917, RMSEA = 0.048, 90% CI [0.043 0.053], SRMR = 0.047. Scalar invariance was also supported across different gender groups, with ΔCFI = −0.003, ΔTLI = 0, ΔRMSEA = 0. PASSS-C demonstrated good convergent and criterion-related validity.ConclusionPASSS-C exhibits satisfactory psychometric properties and is a valid and reliable tool for assessing the perceived level of social support for physical activity among college students.
Establishing circularity: development and validation of the circular work value scale (CWVS)
Authors: Schneider Jannick , Striebing Clemens , Hochfeld Katharina , Lorenz Timo 
Published: April 2024

ObjectivesAddressing the lack of German-language instruments, this study aims to develop a questionnaire that enables the measurement of work values. According to the theory of basic human values (Schwartz, 1992), a culturally fitting questionnaire is validated by covering constructs in the four broader dimensions of Social, Prestige, Intrinsic, and Extrinsic work values. Convergent, discriminant and incremental congruent validity are assessed.MethodData were collected in a cross-sectional online-based panel survey. Individuals working more than 20 h per week were included (N = 1,049). Using a genetic algorithm, an economical and valid questionnaire was designed to assess work values.ResultsThe 11 work values are measurable with three items each. They provide a good fit to the data with support for strict measurement invariance. The empirical associations to estimate construct validity overall reflect expected relations to social and individualistic work motives, neuroticism, environmental awareness, and basic values. Furthermore, congruent incremental validity is supported with relations to value congruence of the person–organization fit, and multidimensional scaling supports the assumed theoretical circularity of the work values.ImplicationsThis study developed a questionnaire that enables a theory-based valid measurement of work values. The questionnaire allows practitioners to economically collect information about the value structure of employees or applicants. Future research should consider the development of work values over time and investigate whether more distinctive constructs provide a better fit in the nomological network.
Dissociation and recovery in psychosis – an overview of the literature
Authors: Calciu Claudia , Macpherson Rob , Chen Sui Yung , Zlate Madalina , King Rosemary C. , Rees Kerry J. , Soponaru Camelia , Webb Jackie 
Published: April 2024

BackgroundThe relationship between dissociation and recovery from psychosis is a new topic, which could attract the interest of the researchers in the field of dissociation due to its relevance to their daily clinical practice. This review brings together a diversity of international research and theoretical views on the phenomenology of dissociation, psychosis and recovery and provides a synthesis by narrative and tabulation of the existing knowledge related to these concepts.AimsThe objective was to make a synthesis by narrative and tabulation about what is known on the topic.MethodsThe systematic search was conducted according to the PRISMA-statement in the databases Medline, PsycInfo, PubMed and Google Scholar. 2110 articles were selected according to the inclusion and exclusion criteria detailed in the methods, and 19 records were included in the review.OutcomesNone of the included publications put together, in the same conceptualisation or hypothesis, dissociation and the recovery from an episode of psychosis, therefore this matter remains unstudied at this time.ConclusionThe process of reviewing the existing scientific literature in the field of dissociation and recovery from psychosis has been very useful for charting the direction that future research will take.
A novel questionnaire for evaluating digital tool use (DTUQ-D) among individuals with type 2 diabetes: exploring the digital landscape
Authors: Peleg Ora , Hadar Efrat , Boniel-Nissim Meyran 
Published: April 2024

IntroductionEffective healthcare currently incorporates a patient-centric system and accessible technology for patient self-management. This study aimed to develop and validate a novel questionnaire titled the Digital Tool Use Questionnaire for Diabetes (DTUQ-D) - a screening tool identifying the type, number, and frequency of digital tools used by Type 2 Diabetes Mellitus (T2DM) patients with within HMOs, online, and via applications.MethodsThe questionnaire was administered to two ethnic groups and both genders. A mixed-methods approach was used. In the qualitative phase, the questionnaire was developed through phone surveys of 29 T2DM patients, two endocrinologists and two technology experts. In the quantitative phase, involving 367 participants, convergent validity, construct validity, and reliability were examined.ResultsFindings indicated that the DTUQ-D is valid and reliable, successfully identifying digital tools utilized by T2DM patients, notwithstanding variations in factor structures between ethnic groups. This questionnaire provides a foundation for future research, offering a standardized approach to evaluating digital tool usage.DiscussionThe study enhances understanding of the role of digital tools in healthcare, especially for T2DM self-management. It also can be easily adapted to assess digital tool use for other illnesses by adjusting instructions and the wording of certain items
Artificial neural network-assisted prediction of radiobiological indices in head and neck cancer
Authors: Ahmed Saad Bin Saeed , Naeem Shahzaib , Khan Agha Muhammad Hammad , Qureshi Bilal Mazhar , Hussain Amjad , Aydogan Bulent , Muhammad Wazir 
Published: April 2024

Background and purposeWe proposed an artificial neural network model to predict radiobiological parameters for the head and neck squamous cell carcinoma patients treated with radiation therapy. The model uses the tumor specification, demographics, and radiation dose distribution to predict the tumor control probability and the normal tissue complications probability. These indices are crucial for the assessment and clinical management of cancer patients during treatment planning.MethodsTwo publicly available datasets of 31 and 215 head and neck squamous cell carcinoma patients treated with conformal radiation therapy were selected. The demographics, tumor specifications, and radiation therapy treatment parameters were extracted from the datasets used as inputs for the training of perceptron. Radiobiological indices are calculated by open-source software using dosevolume histograms from radiation therapy treatment plans. Those indices were used as output in the training of a single-layer neural network. The distribution of data used for training, validation, and testing purposes was 70, 15, and 15%, respectively.ResultsThe best performance of the neural network was noted at epoch number 32 with the mean squared error of 0.0465. The accuracy of the prediction of radiobiological indices by the artificial neural network in training, validation, and test phases were determined to be 0.89, 0.87, and 0.82, respectively. We also found that the percentage volume of parotid inside the planning target volume is the significant parameter for the prediction of normal tissue complications probability.ConclusionWe believe that the model has significant potential to predict radiobiological indices and help clinicians in treatment plan evaluation and treatment management of head and neck squamous cell carcinoma patients.
A global survey of national oral health policies and its coverage for young children
Authors: Gaffar Balgis , Schroth Robert J. , Foláyan Moréniké Oluwátóyìn , Ramos-Gomez Francisco , Virtanen Jorma I. 
Published: April 2024

BackgroundThere is no accessible information on countries with oral health policies. The purpose of this study was to identify World Dental Federation (FDI) member countries with oral health policies and their scope and extent of coverage of oral health care for young children.MethodsThis international survey recruited chief dental officers, oral health advisors to national ministries of health, and other key informants of the 158 FDI member countries between December 2020 and December 2021. The survey tool was administered online to the study participants. Key questions explored the following outcome measures: countries with oral health policies; the thrusts of the oral health policies; policy thrusts targeting young children; and dental care plans as a component of a universal health care plan. Descriptive statistics were conducted to determine the number of countries with any of the study outcome measures and coverage per country.ResultsSixty (38%) of the 158 FDI member-countries responded to the survey. Forty-eight (55.2%) of the 60 countries had a national oral health policy document or position statement on oral health; 54 (62.1%) countries had plans on universal health care, and 42 (48.3%) included dental care within their universal health care plan. The most common policy thrusts addressing the oral health needs of children were the promotion of oral hygiene (71.7%), provision of fluoride products for children (53.3%), collaboration with primary care providers (35%), and prenatal oral health education (50%). There were differences in the scope of oral health care coverage and the coverage for young children between continents as well as between countries. Europe had many countries with children-friendly oral health policy coverage.ConclusionsAbout half of the surveyed countries had a national oral health policy. There were variations in the scope of oral health care coverage, particularly for young children, both between continents and among individual countries. These findings underscore the importance of understanding the landscape of oral health policies globally. Such insights can help inform targeted interventions to enhance oral health policies, thereby contributing to improved oral health outcomes on a global level.
A comparative analysis of movement and physical activity in early childhood teacher education policy in five Nordic countries
Authors: Christiansen Lars Breum , Ekberg Jan-Eric , Soini Anne , Larsen Robert , Kristjánsdóttir Gudrún , Froberg Karsten , Sollerhed Ann-Christin , Sääkslahti Arja , Fjørtoft Ingunn , Vilhjálmsson Rúnar , Olesen Line Grønholt 
Published: April 2024

IntroductionThe aim of this study is to investigate the integration of movement and physical activity (MoPA) within Early Childhood Teacher Education (ECTE) policies across Denmark, Finland, Iceland, Norway, and Sweden. This knowledge can inform the development of ECTE policies and practices that promote MoPA in Early Childhood Education and Care (ECEC) in Nordic countries and other countries worldwide.MethodsIn this study, a Nordic cross-national network of researchers collaborated in investigating policy documents at the national and university levels, which govern the education of ECEC teachers. This study was inspired by the Non-affirmative Theory of Education, which provides a framework for understanding the various influences on curricular development in higher education. Based on this, a four-step comparative analytical process of national and university documents across the Nordic countries was conducted. It included keyword search for MoPA related courses and a qualitative description of MoPA in ECTE. Thus, a combination of investigations of policy documents at the national and university level and expert knowledge set a solid foundation for international comparison.ResultsThe comparative analysis of MoPA in ECTE reveals diverse approaches influenced by national and university policies. A central theme is the variability in MoPA integration across these nations. Finland and Norway prioritize MoPA with independent mandatory courses. In Iceland, compulsory MoPA courses exist at one of two universities, and in Sweden at three out of 19. All university colleges in Denmark offer an elective course. Furthermore, learning objectives related to MoPA are, to varying degrees, part of the internships in the countries, with Sweden being an exception. In the participating countries, the teachers decide the content of the MoPA courses with little guidance, support, and agreement on essential MoPA content within and across the ECTE's. Norway has established guidelines, and in Finland, there is a network of ECTE Physical Education (PE) educators, which, to some degree, increases the consistency and quality of MoPA in education.DiscussionThe Nordic countries present diverse MoPA integration approaches rooted in national policies and educational traditions. The findings emphasize the necessity of independent and mandatory MoPA courses, integration of MoPA into internships and promoting networks across the educational and academic sectors to equip future early childhood educators with competencies for fostering physical activity, motor development and children's well-being.
Hard shell, soft core? Multi-disciplinary and multi-national insights into mental toughness among surgeons
Authors: Knoedler Leonard , Dean Jillian , Knoedler Samuel , Kauke-Navarro Martin , Hollmann Katharina , Alfertshofer Michael , Helm Sabrina , Prantl Lukas , Schliermann Rainer 
Published: April 2024

BackgroundWith the prevalence of burnout among surgeons posing a significant threat to healthcare outcomes, the mental toughness of medical professionals has come to the fore. Mental toughness is pivotal for surgical performance and patient safety, yet research into its dynamics within a global and multi-specialty context remains scarce. This study aims to elucidate the factors contributing to mental toughness among surgeons and to understand how it correlates with surgical outcomes and personal well-being.MethodsUtilizing a cross-sectional design, this study surveyed 104 surgeons from English and German-speaking countries using the Mental Toughness Questionnaire (MTQ-18) along with additional queries about their surgical practice and general life satisfaction. Descriptive and inferential statistical analyses were applied to investigate the variations in mental toughness across different surgical domains and its correlation with professional and personal factors.ResultsThe study found a statistically significant higher level of mental toughness in micro-surgeons compared to macro-surgeons and a positive correlation between mental toughness and surgeons' intent to continue their careers. A strong association was also observed between general life satisfaction and mental toughness. No significant correlations were found between the application of psychological skills and mental toughness.ConclusionMental toughness varies significantly among surgeons from different specialties and is influenced by professional dedication and personal life satisfaction. These findings suggest the need for targeted interventions to foster mental toughness in the surgical community, potentially enhancing surgical performance and reducing burnout. Future research should continue to explore these correlations, with an emphasis on longitudinal data and the development of resilience-building programs.
Cinnamon Bark Oil as an Effective Fungicide in Protecting the Surface of Wood-Based Softboards against the Development of Mold Fungi
Authors: Betlej Izabela , Andres Bogusław , Krajewski Krzysztof , Borysiuk Piotr , Szakiel Jerzy , Kowalski Mateusz , Salerno-Kochan Renata , Balawejder Maciej , Cebulak Tomasz , Auriga Radosław , Rybak Katarzyna 
Published: April 2024

Porous wood-based boards, like any lignocellulosic material, are susceptible to biocorrosion caused by mold fungi. Their durability can be extended by using biocides. Due to the fact that porous boards are considered an ecological material, it would be beneficial to also use natural agents to protect them. For this purpose, the surface of softboards was protected with a 30% solution of cinnamon bark oil in ethanol. Three application levels were used: 75 g/m2, 120 g/m2, and 200 g/m2 of solution. It has been shown that the cinnamon bark oil solution used at an application rate of 200 g/m2 is an effective fungicide, protecting softboards (SBs) against the development of mold fungi: T. viride and C. globosum. The dominant volatile component of cinnamon oil identified in the boards turned out to be cinnamaldehyde. Three months after treatment, this substance constituted 74% of the volatile components. The proposed treatment method allows for short-term preventive protection of boards against mold fungi.
EFEITO DA LUMINOSIDADE SOBRE A EMERGÊNCIA E O DESENVOLVIMENTO DE PLANTAS DE BARU (Dipteryx alata Vog Fabaceae)
Authors: Previero Conceição Aparecida , Campelo Pedro Henrique 
Published: April 2024

Características ecológicas e fitossociológicas exercem uma grande influência na emergência e germinação de espécies nativas. Plantas como o baru se desenvolvem em ambientes de cerrado e em cerradão. Trata-se de uma espécie de porte arbóreo, com aptidão para construção civil, naval, medicinal e alimentício. Contudo, por mais que grande parte da população local faça o uso do baru, poucos são os estudos sobre o desenvolvimento dessa espécie. O presente trabalho tem como objetivo avaliar a emergência e desenvolvimento de plantas de baru no município de Palmas-TO. Este foi desenvolvido na área preservada de Cerrado - Terraquarium, no Centro Universitário Luterano de Palmas (CEULP/ULBRA). Os tratamentos usados foram: sombreamento natural, sombrite 50% e sol pleno. Contagens diárias de plantas germinadas avaliaram qual o melhor nível de sombreamento para este evento e medições semanais de comprimento do caulículo e Circunferência a Altura do Solo. Como indicador foi utilizado o Índice de Velocidade de Germinação de Maguire. Segundo os resultados obtidos o tratamento que apresentou maior número de germinação foi o de sol pleno com 93%. Já no que concerne ao desenvolvimento, os ambientes sombreados apresentaram melhores resultados em relação ao sol pleno.
A AGROECOLOGIA E POVOS QUILOMBOLAS NO TOCANTINS
Authors: Andrade Wildes Souza , Saraiva Vitória Hellen Cardoso , Previero Conceição Aparecida 
Published: April 2024

O objetivo do artigo é compreender a agricultura a partir da ideia de agroecologia entre os diferentes povos quilombolas no estado do Tocantins. Para isso, reunimos e organizamos amplo acervo de material bibliográfico com informações essenciais e que aproximam da relação entre agroecologia e as algumas comunidades quilombolas tocantinenses. Assim, visualizamos a interação entre os saberes ancestrais das populações negras tradicionais em função das propostas agroecológicas e preservação ambiental. Além de ampliar os conhecimentos sobre pensamento e práticas agroecológicas em relação aos povos tradicionais, ao final do estudo, destacamos a necessidade de produzir mais iniciativas, projetos e publicações com a temática agroecológica com os quilombos tocantinenses. Possibilitando novas tecnologias e manejos para a segurança alimentar e subsistência dessas comunidades.