bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nature-based virtual reality intervention to manage stress in family caregivers of allogeneic hematopoietic stem cell transplant recipients: a two-phase pilot study protocol
Authors: Lee Lena J. , Son Elisa H. , Farmer Nicole , Gerrard Chantal , Tuason Ralph Thadeus , Yang Li , Kohn-Godbout Julie , Stephens Cory , Nahm Eun-Shim , Smith Leslie , Risch Steve , Wallen Gwenyth R. 
Published: March 2024

Millions of family members and/or friends in the U.S. serve as unpaid caregivers for individuals with chronic conditions, such as cancer. Caregiving for someone undergoing an intense allogeneic hematopoietic stem cell transplant (HSCT) is particularly demanding, with accompanying physical and psychological stress. Increased stress and stress-related symptoms could make it difficult for caregivers to fulfill their roles and could negatively impact the health status and quality of life of themselves and the recipients. Virtual reality (VR) is a promising technology increasingly used for treatment and wellness in various medical settings. There is growing evidence that studies have reported the positive effects of the VR intervention in managing and reducing stress among diverse populations in various clinical scenarios; however, no published studies have focused on family caregivers of patients with cancer. The study aims to assess the feasibility and acceptability of a four-week nature-based VR intervention and to examine the effectiveness of the VR intervention on stress in HSCT caregivers. This study comprises two phases. Phase I of the study will be a single-arm pre-post design focused on assessing the feasibility and acceptability of the VR intervention. Phase II of the study will be a prospective randomized controlled group design to examine the effectiveness of the VR intervention on perceived stress. Adults (≥ 18 years) who serve as primary caregivers for a person who will undergo an allogeneic HSCT will be recruited. Fifteen participants will be enrolled for Phase I and 94 participants for Phase II (Active VR arm N=47; Sham VR arm N=47). The nature-based immersive VR program contains 360° high-definition videos of nature scenes along with nature sounds through a head-mounted display (HMD) for 20 minutes every day for four weeks. Primary outcome is perceived stress measured by the Perceived Stress Scale. Secondary/exploratory outcomes are stress-related symptoms (e.g., fatigue, sleep disturbance) and physiological biomarkers (e.g., cortisol, alpha-amylase). The importance and innovativeness of this study consist of using a first-of-its-kind, immersive VR technology to target stress and investigating the health outcomes assessed by validated objective biomarkers as well as self-report measures of the nature-based intervention in the caregiver population.Clinical trial registrationClinicalTrials.gov, identifier NCT 05909202.
Prevalence and factors associated with fear of COVID-19 in military personnel during the second epidemic wave in Peru
Authors: Valladares-Garrido Danai , Dominguez-Troncos Helena , Picón-Reátegui Cinthia Karina , Valdiviezo-Morales Christopher , Vera-Ponce Víctor J. , Failoc-Rojas Virgilio E. , Pereira-Victorio César Johan , León-Figueroa Darwin A. , Valladares-Garrido Mario J. 
Published: March 2024

IntroductionDuring the COVID-19 pandemic, the mounting workload and heightened stress may contribute to exacerbated mental health challenges, including an increased fear of COVID-19, among military personnel. Despite the potential influence of these factors, there remains a scarcity of studies addressing mental health issues, particularly the fear of COVID-19, within this specific population. We aimed to determine the prevalence and factors associated with fear of COVID-19 among military members.MethodsA cross-sectional study was conducted between November 2 and 9, 2021, during the second wave of the COVID-19 pandemic in the Lambayeque region, Peru. The outcome variable was fear of COVID-19, assessed using the Fear of COVID-19 Scale. The association with resilience (Connor-Davidson Resilience Scale, abbreviated as CD-RISC), food insecurity (Household Food Insecurity Access Scale, abbreviated as HFIAS), physical activity (International Physical Activity Questionnaire-Short Form, abbreviated as IPAQ-S), eating disorder (Eating Attitudes Test-26, abbreviated as EAT-26), and other socio- demographic variables was assessed.ResultsAmong the 525 participants, the median age was 22, 95.8% were male, and 19.2% experienced fear of COVID-19. A higher prevalence of fear of COVID-19 was associated with age (PR=1.03; 95% CI: 1.01-1.06), religion (PR=2.05; 95% CI: 1.04-4.05), eating disorder (PR=2.95; 95% CI: 1.99-4.36), and having a relative with mental disorder (PR=2.13; 95% CI: 1.09-4.17). Overweight (PR=0.58; 95% CI: 0.37-0.90) and a high level of resilience (PR=0.63; 95% CI: 0.43-0.93) were associated with a lower prevalence of fear of COVID-19.DiscussionTwo out of ten military personnel were afraid of COVID-19. Our results highlight the need for targeted interventions addressing the factors contributing to fear of COVID-19 among military personnel, emphasizing the significance of mental health support and preventive measures within this specific population.
Predictor of smoking cessation among school-going adolescents in Indonesia: a secondary analysis based on the transtheoretical model of behavioral change
Authors: Dadras Omid 
Published: March 2024

IntroductionThis study elucidates the complex journey of adolescents toward smoking cessation, investigating the association of relevant demographic factors, advertising, promotion, anti-cigarette messages, and individual knowledge and attitudes with being in different smoking cessation stages.MethodsUtilizing data from the 2019 Indonesia Global Youth Tobacco Survey, this secondary analysis included adolescents who reported ever smoking. The Transtheoretical Model (TTM) guided the categorization of the outcome variable into three smoking cessation stages based on the responses to two questions related to the intention and timing of the smoking cessation. This included contemplation, action, and maintenance stages. Multinomial logistic regression analyzed the associations between each independent variable and being in each stage of smoking cessation. The study comprised 3596 Indonesian adolescents from grades 7-12, of which 2484 responded to two questions related to intention and timing of smoking cessation and were included in regression analysis.ResultsFindings indicate that males and those aged ≥16 were predominantly in contemplation phase. Early smoking initiation, usage of other tobacco products, and exposure to various forms of smoke increased the likelihood of being in contemplation and action phases. Parental smoking, school smoking exposure, and second-hand smoke were significant contemplation phase predictors. Exposure to tobacco advertising was linked to an increased likelihood of being in contemplation and action phases, whereas anti-cigarette messages showed no significant impact. Awareness of cigarette and second-hand smoke harms reduced the odds of being in the contemplation phase, while enjoying smoking and willingness to accept cigarettes from friends increased the odds of being in contemplation and action phases rather than in maintenance phase.ConclusionAddressing age, gender, cultural influences, environmental factors, and attitudes towards smoking through tailored interventions is vital for aiding smoking cessation in Indonesian adolescents. Strengthened tobacco control in schools and public places is recommended to bolster these efforts. Longitudinal studies are required to explore the evolving patterns of smoking cessation behaviors over time, enhancing our understanding of the factors influencing sustained cessation.
Public perception on active aging after COVID-19: an unsupervised machine learning analysis of 44,343 posts
Authors: Chen Peipei , Jin Yuwei , Ma Xinfang , Lin Yan 
Published: March 2024

IntroductionTo analyze public perceptions of active aging in China on mainstream social media platforms to determine whether the “14th Five Year Plan for the Development of the Aging Career and Older Adult Care System” issued by the CPC in 2022 has fully addressed public needs.MethodsThe original tweets posted on Weibo between January 1, 2020, and June 30, 2022, containing the words “aging” or “old age” were extracted. A bidirectional encoder representation from transformers (BERT)-based model was used to generate themes related to this perception. A qualitative thematic analysis and an independent review of the theme labels were conducted by the researchers.ResultsThe findings indicate that public perceptions revolved around four themes: (1) health prevention and protection, (2) convenient living environments, (3) cognitive health and social integration, and (4) protecting the rights and interests of the older adult.DiscussionOur study found that although the Plan aligns with most of these themes, it lacks clear planning for financial security and marital life.
Evaluating the metropolitan public health preparedness for pandemics using entropy-TOPSIS-IF
Authors: Liu Jin , Liu Allen Wood , Li Xingye , Li Hui , Luo Wenwei , Chen Wei 
Published: March 2024

IntroductionMetropolitan governance’s efficacy is regularly gauged by its capability for public health preparedness, a critical component, particularly in the post-pandemic climate, as global cities reassess their mitigation abilities. This process has broader implications, curbing mortality rates and amplifying sustainability. Current methodologies for preparedness assessment lean primarily on either Subjective Evaluation-Based Assessment (SBA), predicated on experts’ input on various capacity indicators, or they opt for Data-Based quantitative Assessments (DBA), chiefly utilizing public statistic data.MethodsThe manuscript discusses an urgent need for integrating both SBA and DBA to adequately measure Metropolitan Public Health Pandemics Preparedness (MPHPP), thus proposing a novel entropy-TOPSIS-IF model for comprehensive evaluation of MPHPP. Within this proposed model, experts’ subjective communication is transformed into quantitative data via the aggregation of fuzzy decisions, while objective data is collected from public statistics sites. Shannon’s entropy and TOPSIS methods are enacted on these data sets to ascertain the optimal performer after normalization and data isotropy.Results and discussionThe core contribution of the entropy-TOPSIS-IF model lies in its assessment flexibility, making it universally applicable across various contexts, regardless of the availability of expert decisions or quantitative data. To illustrate the efficacy of the entropy-TOPSIS-IF model, a numerical application is presented, examining three Chinese metropolises through chosen criteria according to the evaluations of three experts. A sensitivity analysis is provided to further affirm the stability and robustness of the suggested MPHPP evaluation model.
Dog and cat exposures to drugs of abuse identified by the California animal health and food safety laboratory system 2013–2023
Authors: Klainbart Sigal , Sykes Chelsea A. , Poppenga Robert H. 
Published: March 2024

IntroductionWhile known animal exposures to human “drugs of abuse” (DA) were previously considered relatively uncommon in veterinary medicine, the trends are changing. Marijuana and amphetamines are among the 20 toxicants most frequently consulted about with the Pet Poison Helpline. When such exposures occur, they are typically considered emergencies.MethodsThis retrospective study describes confirmed cases of DA exposure in pets from the California Animal Health and Food Safety Laboratory System (CAHFS), 2013–2023.ResultsFifty-seven samples tested positive for DA through liquid chromatography with tandem mass spectrometry analysis (qualitative method). In 75% (43/57) of the DA screen tests, the detected drugs included amphetamine-type stimulants and metabolites (methamphetamine, amphetamine, or both). In 47% (27/57) of cases, a combination of more than one drug group was found. Most cases were diagnosed from a urine specimen. In at least 32% (18/57) of cases, the samples were submitted due to suspicions of animal cruelty, and at least 41% (23/57) of the patients were deceased when the samples were submitted.DiscussionMore studies on the prevalence of illicit drugs in small animals, using confirmatory testing, are warranted to fully understand the significance of this emerging toxicological hazard in veterinary medicine.
Multi-Layer Palladium Diselenide as a Contact Material for Two-Dimensional Tungsten Diselenide Field-Effect Transistors
Authors: Murastov Gennadiy , Aslam Muhammad Awais , Leitner Simon , Tkachuk Vadym , Plutnarová Iva , Pavlica Egon , Rodriguez Raul D. , Sofer Zdenek , Matković Aleksandar 
Published: March 2024

Tungsten diselenide (WSe2) has emerged as a promising ambipolar semiconductor material for field-effect transistors (FETs) due to its unique electronic properties, including a sizeable band gap, high carrier mobility, and remarkable on–off ratio. However, engineering the contacts to WSe2 remains an issue, and high contact barriers prevent the utilization of the full performance in electronic applications. Furthermore, it could be possible to tune the contacts to WSe2 for effective electron or hole injection and consequently pin the threshold voltage to either conduction or valence band. This would be the way to achieve complementary metal–oxide–semiconductor devices without doping of the channel material.This study investigates the behaviour of two-dimensional WSe2 field-effect transistors with multi-layer palladium diselenide (PdSe2) as a contact material. We demonstrate that PdSe2 contacts favour hole injection while preserving the ambipolar nature of the channel material. This consequently yields high-performance p-type WSe2 devices with PdSe2 van der Waals contacts. Further, we explore the tunability of the contact interface by selective laser alteration of the WSe2 under the contacts, enabling pinning of the threshold voltage to the valence band of WSe2, yielding pure p-type operation of the devices.
Travelling first class? Emperors, dignitaries and intellectuals on the roads of the Roman Empire
Authors: Corsi Cristina 
Published: March 2024

Ancient sources are very generous in telling us of journeys undertaken by various categories of people, from emperors to the very poor. During these trips, all travelers made use of the available accommodation and refreshment for themselves and their animals, stopping over at inns or hostels, sometimes at private houses or in public institutions, or even “ camping” along the road. In this paper, we will survey part of this rich catalogue of people from all walks of life, focusing on those who traveled for ‘ state’ or ‘ diplomatic’ reasons. We will try to understand whether their means of travel differed from those of common people, in addition to the fact that many high officers, magistrates and even some intellectuals were provided with a
diploma, the pass that awarded the right to make free use of certain facilities offered at roadside stations. In this way, we will investigate whether there is any archaeological evidence to support the existence of different ranks of accommodation spread along the roads of the Empire.
Marc Aurèle et l’au-delà
Authors: Turcan Robert 
Published: March 2024

Fondamentalement, les stoïciens ne croyaient guère en une immortalité personnelle des âmes, et Marc Aurèle semble un moment le regretter. En fait, leur doctrine comportait bien des variantes, et l’empereur témoigne de ces incertitudes. Curieusement, il raisonne en fonction de l’espace pouvant contenir les âmes, car pour un stoïcien l’âme est matérielle et liée au corps. Or le monde est pour lui, comme en général chez les Anciens, spatialement fini. La multiplication des inhumations exclut, dans ces conditions, l’immortalité. Selon les stoici herciscundi,
dont parle Servius, l’âme dure autant que le corps, ce qui incitait les Égyptiens à la momification. Ces stoïciens devaient compter des philosophes attachés à cette tradition nilotique. Mais la signification du terme juridique herciscundi reste, dans leur cas, problématique. En tout état de cause, Marc Aurèle est de ces stoïciens que leur doctrine n’a jamais foncièrement rassérénés.
Hubungan antara pengetahuan gizi dengan perilaku konsumsi sayur, buah dan suplemen pada masa pandemi Covid-19
Authors: Gifari Nazhif , Widyastiti Novita Sari , Nuzrina Rachmanida , Wahyuni Yulia 
Published: March 2024

Latar Belakang: Kondisi Pandemi Covid-19 menyebabkan terjadinya perubahan pola makan pada masyarakat. Pengetahuan gizi khususnya saat pandemi sangat penting dalam menentukan perilaku seseorang dalam menentukan jenis makanan yang dipilih. Semakin baik pengetahuan gizi seseorang maka semakin baik pula dalam menentukan jenis dan jumlah makanan yang diperlukan bagi tubuh. Tujuan: mengetahui hubungan tingkat pengetahuan gizi terhadap perilaku konsumsi sayur, buah dan suplemen di masa pandemi covid-19. Metode: Penelitian ini menggunakan desain cross sectional. Penelitian dilakukan di Gereja Masehi Advent Hari Ketujuh (GMAHK) Salemba, Jakarta pada bulan April–Agustus 2021. Pemilihan responden dilakukan dengan cara simple random sampling dengan total 56 responden. Pengambilan data dilakukan menggunakan kuesioner pengetahuan gizi berisi 10 pertanyaan dan perilaku konsumsi 20 pertanyaan. Analisis data dilakukan dengan uji Chi Square. Hasil: Berdasarkan hasil analisis bivariat, diketahui ada hubungan pengetahuan gizi terhadap perilaku konsumsi sayur di masa pandemi covid-19 (p=0,014), ada hubungan pengetahuan gizi terhadap perilaku konsumsi buah di masa pandemi covid-19 (p=0,019), dan tidak ada hubungan pengetahuan gizi terhadap perilaku konsumsi suplemen di masa pandemi covid-19 (p=0,202). Kesimpulan: Ada hubungan antara pengetahuan gizi dengan perilaku konsumsi sayur dan buah pada masa pandemi covid-19, dan tidak ada hubungan pengetahuan gizi dengan perilaku konsumsi suplemen di masa pandemi covid-19.
PERBEDAAN EFEKTIVITAS EKSTRAK JAHE DENGAN EKSTRAK KUNYIT DALAM MENGURANGI INTENSITAS DISMENORE PRIMER PADA REMAJA PUTRI
Authors: Hastini Eneng Riska , Anggraini Nofa 
Published: March 2024

Latar belakang: Dismenore merupakan gangguan yang ditandai dengan nyeri perut bagian bawah yang terjadi selama menstruasi. Masalah dismenore pada remaja putri jika tidak segera diatasi dapat berdampak buruk pada produktivitas remaja termasuk kegiatan belajar. Data Dinas Kesehatan Kabupaten Serang tahun 2021 melaporkan kasus dismenore pada remaja sebesar 62,4% dari 5.000 orang remaja yang di survey dan 35% diantaranya mengeluh aktivitasnya terbatas akibat dismenore. Tujuan: Penelitian ini bertujuan untuk perbedaan efektivitas ekstrak jahe dengan ekstrak kunyit dalam mengurangi intensitas dismenore primer pada remaja putri di SMK Nurul Falah Bojong Pandan Kecamatan Tunjung Teja Kabupaten Serang tahun 2022. Metode : Jenis penelitian ini adalah menggunakan quasi eksperiment dengan desain two group pre-posttest. Sampel penelitian ini adalah remaja putri kelas XI yang mengalami dismenore sebanyak 20 orang. Teknik pengambilan sampel menggunakan total sampling. Instrumen penelitian menggunakan kuesioner. Analisis bivariat menggunakan uji paired t-test dan independent t-test. Hasil: Rata-rata intensitas dismenore kelompok intervensi sebelum diberikan minuman ekstrak jahe adalah 6,80 dan sesudah diberikan minuman ekstrak jahe menurun menjadi 2,90, sementara kelompok intervensi sebelum diberikan minuman ekstrak kunyit adalah 6,80 dan sesudah diberikan minuman ekstrak kunyit menurun menjadi 4,10. Hasil uji statistik menunjukkan terdapat perbedaan efektivitas ekstrak jahe dengan ekstrak kunyit dalam mengurangi intensitas dismenore primer pada remaja putri (p = 0,000). Kesimpulan: Pemberian ekstrak jahe lebih efektif mengurangi intensitas dismenore dibandingkan dengan pemberian ekstrak kunyit.
PENGARUH TEPUNG KACANG MERAH (PHASEOLUS VULGARIS L) DAN TEPUNG SUKUN (ARTOCARPUS COMMUNIS) TERHADAP KARAKTERISTIK ORGANOLEPTIK, KADAR PROKSIMAT, SERAT PANGAN, DAN KADAR PATI RESISTEN PADA SNACK BAR SEBAGAI PANGAN FUNGSIONAL PADA DIABETISI
Authors: Astuti Rini Wuri , Sitasari Almira , Widyawati Herni Endah , Rooiqoh Qothrunnadaa Fajr 
Published: March 2024

Latar belakang: Penatalaksanaan penderita Diabetes Melitus (DM) salah satunya yaitu terapi gizi. Pangan fungsional yang dapat dijadikan pelaksanaan terapi gizi bagi penderita DM adalah kacang merah dan buah sukun. Kedua bahan tersebut dikombinasikan untuk dikembangkan menjadi makanan selingan yaitu snack bar yang, tinggi protein, rendah lemak dan tinggi serat. Tujuan: Dihasilkan formula/resep produk pangan fungsional diabetisi snack bar yang diterima secara fisik, organoleptik, proksimat, kadar serat pangan, dan kadar pati resisten. Metode: Penelitian ini menggunakan metode eksperimental semu dan dilaksanakan di Laboratorium Ilmu Bahan Makanan dan Uji Cita Rasa Jurusan Gizi Poltekkes. Peneliti memberikan perlakuan dengan membuat 4 variasi pencampuran tepung kacang merah dan tepung sukun yang terdiri dari; A (kontrol ), B (75% : 25%), C (50% : 50%), dan D (25% : 75%) pada snack bar. Setelah itu, dampak yang akan diamati dan diukur serta hasilnya dianalisis, meliputi sifat fisik, organoleptik, uji proksimat, kadar serat pangan dan kadar pati resisten pada snack bar. Hasil: Berdasarkan hasil uji statistik menggunakan uji ANOVA didapatkan hasil bahwa, adanya perbedaan yang signifikan (p<0,05) antara kadar air:0,000, abu: 0,016, protein: 0,000, karbohidrat: 0,000, serat pangan: 0,001, energi: 0,000 dan pati resisten: 0,002 pada snack bar pencampuran t epung kacang merah dan tepung sukun. Kesimpulan: Formula produk yang direkomendasikan adalah B snack bar (tepung kacang merah 75% : tepung sukun 25%).
PENGARUH INPUT SOMATOSENSORI DENGAN AKTIVASI PADA EKSTREMITAS BAWAH TERHADAP KONTROL POSTURAL PADA PASIEN STROKE
Authors: Rais Zaenal , Daba Mariel 
Published: March 2024

Latar belakang: Pasien dengan stroke akan mengalami gangguan sensorik, depresi, postural kontrol, gangguan keseimbangan, gangguan pola berjalan, dan gangguan kemampuan fungsional serta aktivitas sehari-hari. Tujuan: Untuk mengetahui pengaruh pemberian input somatosensory dengan aktivasi pada ektremitas bawah terhadap peningkatan kontrol postural pada pasien stroke. Pilihan modalitas sensorik dicakup ketika mempertimbangkan intervensi sensorik (misalnya somatosensory, vestibular, pendengaran dan multisensory). Sehingga input sensori dengan aktivasi pada ektremitas bawah pada pasien stroke sangat diperlukan untuk meningkatkan kontrol postural. Metode: Jenis penelitian ini merupakan penelitian eksperimental dengan rancangan two group pre test dan post test. Kelompok yang diteliti adalah pasien hemiparese post stroke iskemik yang diberi input somatosensory dengan aktivasi ektremitas bawah. Jumlah sampel berdasarkan rumus di atas adalah 14 pasien stroke jenis stroke iskemik. Uji normalitas data menggunakan uji Saphiro-Wilk karena jumlah sample kurang dari 50. Selanjutnya dilakukan uji T-test tidak berpasangan untuk mengetahui ada tidaknya pengaruh yang bermakna. Hasil: Fugle Meyer Assesment Lower Extremity pada kelompok perlakuan menunjukan bahwa terdapat perubahan yang signifikan dengan p Value = < 0,0001, sedangkan pada kelompok kontrol menunjukan bahwa tidak terdapat perubahan yang signifikan dengan p Value = 0,848. Untuk Postural Assesment Scale For Stroke Patient (PASS) pada kelompok perlakuan bahwa terdapat perubahan yang signifikan dengan p Value = 0,0014, sedangkan pada kelompok kontrol menunjukan bahwa tidak terdapat pengaruh yang signifikan dengan p Value = 0,1700. Kesimpulan: Ada pengaruh pemberian input somatosensory pada ekstremitas bawah terhadap kontrol postural pasien stroke.