bluuebunny/crossref_metadata_2025_split huggingface dataset:
Notes on psychiatrist liability around the world regarding suicide
Authors: Saya Anna , Albanesi Giuseppe , Cichetti Diego , Di Molfetta Matteo , Guarino Yuri , Niolu Cinzia , Siracusano Alberto 
Published: January 2025

BackgroundCurrently, there is a lively debate regarding involuntary treatment and the psychiatrist's liability for suicide of patients with serious mental illness. This article aims to highlight the worldwide differences, considering that in some countries suicide is still considered a crime, while elsewhere, access to euthanasia/medically assisted suicide is allowed even for psychiatric patients.MethodsData have been collected from accredited sites, governmental websites, and databases of organizations. The legislation and socio-cultural contexts of different countries are considered.ResultsThis article highlight significant legislative differences, including suicide prevention programs, also due to several sociocultural patterns. The psychiatrist liability is not always clearly described in the legislation of different countries.ConclusionsWhat emerges from this study is the gray area of psychiatric patient suicide. Is it possible to make the psychiatrist liable for an unmanageable illness? What are the correct guidelines? When the possibility of coercion is no longer valid to avoid suicide and when does the right to self-determination begin for the psychiatric patient?
Network analysis of the association between social anxiety and problematic smartphone use in college students
Authors: Xing Wanying , Wang Xianyang , Feng Tingwei , Xie Jiaxin , Liu Chang , Wang Xiuchao , Wang Hui , Ren Lei , Liu Xufeng 
Published: January 2025

BackgroundSocial anxiety (SA) and problematic smartphone use (PSU) have become increasingly common among college students in recent decades, with research indicating a mutual increase in risk. This study aim to deepen the understanding of how SA and PSU are interconnected at the symptom-level within this demographic using network analysis.MethodsWe recruited 1,197 college students from four institutions in Shaanxi Province, China. Symptoms of SA and PSU were assessed through self-report questionnaires. A regularized Gaussian graphical model was used to estimate the relationships between these symptoms. We calculated Bridge Expected Influence (BEI) to identify key symptoms contributing to their co-occurrence. Additionally, a network comparison test was conducted to examine potential gender differences in the BEI values of the SA-PSU network.ResultsDistinct relationships were observed between SA and PSU symptoms. Notably, the connections between ‘Get embarrassed very easily’ (SA3) and ‘shyness in new situations’ (PSU1), as well as between SA3 and ‘Escape or relieve negative moods’ (PSU8), showed the strongest inter-construct connections. SA3 and PSU8 were identified as the key symptoms contributing to the co-occurrence, with the highest BEI. Network comparison tests between males and females revealed no significant differences in global expected influence, between-community edges weights, and BEI.ConclusionThe key bridging symptoms this study identified supports the existing theories about the co-occurrence of SA and PSU, and contributes to understanding the underlying mechanisms. Our findings suggest that interventions targeting negative emotions in daily interactions could be effective in reducing PSU.
Psychosocial determinants of the willingness to pay for social health insurance among workers at a commercial bank in Dessie, Ethiopia: a multi-setting study
Authors: Abate Alemayehu Mebratu , Mekonen Asnakew Molla , Assfaw Abebe Kibret , Toleha Husien Nurahmed , Bayked Ewunetie Mekashaw 
Published: January 2025

BackgroundA lack of health insurance is a major barrier to the “health for all” agenda, where out-of-pocket (OOP) spending is the primary healthcare funding mechanism, a characteristic of Ethiopia’s healthcare sector, leading it to plan to fully implement social health insurance (SHI) by 2014, but not yet, owing to significant opposition from public employees. The objective of this study was to look into the psychosocial determinants of the willingness to pay (WTP) for SHI among employees at a commercial bank in Dessie, Ethiopia.MethodsWe employed a cross-sectional study (October to December 2023) design. A self-administered questionnaire was used to collect the data. We used SPSS 27 to analyze the data. The relationship between dependent and independent variables was determined using the odds ratios at a p value less than 0.05 with a 95% CI.ResultsOf 396 samples, 264 (66.7%) responded, of which 93.9% had information about SHI, mainly from broadcast media (71.0%). More than three-fourths (75.8%) and two-thirds (64.4%), respectively, had poor knowledge and a negative perception regarding SHI. More than half (50.4%) of the participants were willing to pay, of which 88.5% (40.5% of the total participants) were interested in paying the 3.0% premium set by the government. The main reason for the WTP was to help those who could not afford medical costs, while the primary reason for not paying was the scheme’s limited benefit packages. The WTP was found to be significantly affected by being female (AOR = 0.50, 95% CI: 0.26–0.98), being affiliated with orthodox Christianity (AOR = 0.48, 95% CI: 0.23–0.99), the presence of ≥5 family members in the household (AOR = 0.17, 95% CI: 0.06–0.52), experience of illness in the last 6 months (AOR = 4.95, 95% CI: 2.23–11.00), and perception toward it (AOR = 4.07, 95% CI: 2.03–8.17).ConclusionThe WTP for the scheme was suboptimal, attributed to limited benefit packages, lack of medicines and equipment, and poor healthcare quality, and significantly influenced by being female, being affiliated with orthodox Christianity, family size, experience of illness in the last 6 months, as well as perceptions toward it.
A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, Beijing
Authors: Zhang Jiao , Zhang Shuo , Jia Bin , Bai Yunhua , Li Zhen , Liu Fang , Hu Yingxue , Guo Xiaojing , Ma Jianxin , Li Shuming , Shi Qian 
Published: January 2025

BackgroundVaccination is an effective measure to prevent herpes zoster and its related complications. The coverage of herpes zoster vaccination is extremely low in China, and there is a notable lack of research investigating the barriers to promoting the herpes zoster vaccine in China.ObjectivesThis study aims to survey the status of herpes zoster (HZ) vaccination and its associated factors among individuals aged 50 years and older, it also seeks to identify the barriers to vaccination and dissemination, thereby providing a scientific foundation for enhancing the vaccination rate of herpes zoster.MethodsFrom March to August 2023, a questionnaire survey was conducted using a multi-stage sampling method on permanent residents aged 50 years and older in Chaoyang district of Beijing. Logistic regression analysis and decision tree models were employed to explore the predictors herpes zoster vaccination behavior.ResultsThe herpes zoster vaccination coverage was 13.26% (403/3040), with 52.4% of respondents expressing willingness but not yet receiving the vaccine, while 34.31% (1,043/3040) were unwilling to be vaccinated. Among those willing but not vaccinated, 48.06% cited high cost as the reason for abstaining from vaccination. Multivariate logistic regression analysis revealed that certain factors were associated with lower vaccination coverage, including being female, having a low frequency of influenza episodes (less than twice per year), and having chronic diseases. On the other hand, higher vaccination coverage was observed among individuals whose spouses had a master’s degree or higher, those awarded that a history of chickenpox may lead to potential herpes zoster infection, those who were knowledgeable about the herpes zoster vaccine, and those received recommendations from medical staff. Additionally, the decision tree model confirmed that recommendations from medical staff had the most significant impact on vaccination.ConclusionThe survey reveals a generally low vaccination coverage of the herpes zoster vaccine among residents aged over 50 in this area. It is recommended to enhance the role of medical staff in advocating for vaccination, conduct community-based educational initiatives that focus on varicella, herpes zoster, and related knowledge, and alleviate the financial burden to improve the herpes zoster vaccination coverage.
Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes: a systematic review
Authors: Pombo-Lopes Joana , Rodrigues Inês , Costa Joana , Gomes Ana Catarina , Fonseca Jorge , Grillo-Evangelista José 
Published: January 2025

IntroductionThis review aimed to evaluate the perceived barriers, knowledge, and training, of different health care professionals in relation to the oral health of dependent people in nursing homes and access, as well, how this data was evaluated.MethodsThree electronic databases—PubMed/MEDLINE, Web of Science, and LILACS—were searched independently by two researchers for relevant studies published up to December 2023. Articles were selected according to the established inclusion and exclusion criteria, and a total of 35 studies were included.ResultsFindings from the Nursing Dental Coping Belief Scale studies revealed disparities between training and daily oral health care, with experienced nurses experiencing challenges. Barriers described were categorized and included resident-related issues, organizational challenges, and caregiver-related difficulties. Most caregivers reported inadequate training, often informal or experiential, although they are involved in the hygiene of the older adult, with tooth brushing and denture cleaning being the most common practices. Low oral health literacy coexisted with recognition of the importance of oral health care.ConclusionThe findings advocate for targeted interventions, standardized training, and improved support systems to improve oral health care for the older adult in diverse health care settings.
Models of community hospitals and state of research in high-income countries: a scoping review
Authors: Tan Min Hui , Seah Sharna Si Ying , Seah Xin Yi , Teo Simone , Leow Jeremy , Low Lian Leng 
Published: January 2025

IntroductionExisting literature have not reviewed the growing spectrum of care models in Community Hospitals (CH) along with the scope of research. We fill this gap by reviewing CHs models in high-income countries.MethodsWe conducted a scoping review according to Arksey &amp; O’Malley’s framework. We searched for articles published between January 2016 to April 2024 in EMBASE, PubMed, and Scopus. Additional studies were identified through snowballing.Results470 studies were included in the review. CHs models in 22 countries were categorized based on healthcare services provided and target patient populations. CHs in 18 countries were found to provide COVID-19 services. CHs in eight countries primarily provide post-acute and rehabilitative services. 40 articles were extracted to synthesize research themes in CHs providing post-acute care. Majority focused on assessing the healthcare needs of patient populations. Other domains include program efficacy, research and educational needs of staff, clinical guidelines reviews, and the community’s role in supporting CHs.ConclusionCHs evolve to meet changing healthcare needs and understanding the state of CHs research would inform potential research directions. Future studies could explore the relationship between post-acute settings and the community, and strategies to enhance staff capability and address barriers to conducting research in post-acute settings.
Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study
Authors: Alemu Wondale Getinet , Mwanri Lillian , Due Clemence , Azale Telake , Ziersch Anna 
Published: January 2025

BackgroundPatient satisfaction with services is both a direct and indirect indicator of healthcare quality. It influences healthcare outcomes, patient retention, and the likelihood of medical malpractice claims. However, there is limited evidence on patient satisfaction with mental health services in Africa. Therefore, we aimed to assess mental health service satisfaction and its determinants in adult patients with mental illness in an outpatient clinic in Northwest Ethiopia.MethodsA hospital-based cross-sectional study was conducted from October to March 2023. Participants were selected using systematic random sampling with a sample interval of three, resulting in a total sample size of 638 invited to participate. Service satisfaction was measured using the interviewer-administered Client Satisfaction Questionnaire-8 (CSQ-8). Data entry, coding, and analysis were performed using SPSS-28. To examine the association of sociodemographic, clinical, social support, and substance use factors, bivariate and multivariate logistic regression analyses were applied. Statistical significance was declared at a p-value of &lt;0.05 and 95% CI.ResultsThe rate of low mental health service satisfaction among people with mental illness in this study was 24.7%. According to our multivariate logistic regression analysis, people with urban residence 1.77 (1.15, 2.72), poor self-reported health 3.62(1.97, 6.67), having episodic illness ≥2/yr. 0.48 (0.32, 0.74), having relapse 1.75 (1.12, 2.73), and poor drug adherence 2.28 (1.20, 4.35) were more likely to have low mental health service satisfaction than their counterparts.Conclusions and recommendationOne-quarter of patients with mental illness in the outpatient clinic reported low satisfaction with mental health services. Factors associated with lower satisfaction included urban residency, episodic illness, relapse, poor self-reported health, and poor drug adherence. To enhance patient satisfaction, the clinic should prioritize targeted support for patients facing these challenges.
The impact of internet use on physical activity among Chinese older adults: the mediating role of social support
Authors: Shen Yifei , Lu Chuntian , Wang Bin 
Published: January 2025

BackgroundThe positive impact of Internet use on enhancing physical activity among older adults is an important response to the aging problem in the new era. However, while previous studies have explored the important impact of Internet use on physical activity among older adults, the specific mechanisms of this impact have not been much analyzed. In an attempt to answer this question, we further focus on the mediating role of social support in the relationship between Internet use and physical activity among older adults.MethodsThis study utilizes data from the 2021 China General Social Survey (CGSS) to categorize social support into three dimensions: support from relatives, friends, and neighbors. A nested multiple OLS regression model is employed to analyze the impact of internet use on physical exercise among the old adults. Additionally, the SPSS macro PROCESS is used to test the mediation effect, examining the mediating role of social support in this relationship.ResultOur research findings indicate the following: (1) Internet use significantly and positively predicts physical exercise among the old adults; (2) Social support exerts a positive influence on physical exercise in this population; and (3) Social support partially mediates the relationship between internet use and physical exercise among the old adults.ConclusionThe study concludes that increasing Internet penetration among the old adults is of great practical significance in expanding their social support network and promoting physical activity. The results of the study provide new perspectives on the layout of work on ageing and policies for healthy ageing in the new era, as well as lessons for other developing countries on the issue of ageing.
Impact of gratitude on posttraumatic growth in patients with coronary stent implantation: the mediating role of resilience and perceived social support
Authors: Lei Shanyan , Zhang Yujie , Yang Fang 
Published: January 2025

IntroductionThis study focused on investigating the extent of posttraumatic growth (PTG) and explored how resilience and perceived social support (PSS) mediate the relationship between gratitude and PTG among patients with a history of coronary stent implantation.MethodsA total of 242 patients with coronary stent implantation completed the Posttraumatic Growth Inventory, the Gratitude Questionnaire-Six Item Form, the Resilience Scale, and the Perceived Social Support Scale. We used structural equation modeling to evaluate the mediating effects of resilience and PSS on gratitude and PTG.ResultsThe mean score for posttraumatic growth was 55.54 (standard deviation = 15.01). Gratitude had a direct positive effect on PTG in patients with coronary stents (β = 0.126) and an indirect positive effect through the mediating effects of resilience and PSS (β = 0.105 and 0.081, respectively). Furthermore, resilience and PSS acted through serial multiple mediation effects in the relationship between gratitude and PTG.DiscussionGratitude positively affected PTG directly and indirectly through the single-and chain-mediating effects of resilience and PSS in patients with coronary stent implantation. These findings offer compelling evidence of the key interrelating mechanisms among protective factors that contribute to PTG. Therefore, accounting for the predictive influence of gratitude, resilience, and PSS in PTG when developing relevant intervention strategies may help improve patients’ quality of life.
Global, regional, and national burden of type 2 diabetes mellitus caused by high BMI from 1990 to 2021, and forecasts to 2045: analysis from the global burden of disease study 2021
Authors: Huang Xin , Wu Yanyan , Ni Yulu , Xu Haiyan , He Yinhui 
Published: January 2025

ObjectiveTo produce estimates of the global burden of type 2 diabetes mellitus (T2DM) caused by high body mass index (high BMI) and its impact for 2021 and projections for 2045.MethodsWe downloaded data from the Global Burden of Disease Study 2021(GBD 2021) to estimate the disease burden of T2DM caused by high BMI. Secondary analyses were performed by year, age, gender, region, and socio-demographic index (SDI).ResultsGlobally, the all-ages number of T2DM-related deaths has increased significantly from 238.1 thousand to 723.7 thousand, representing a 203.9% increase since 1990. And the all-ages number of T2DM-raleted DALYs has raised from 10.4 million to 39.3 million, increased by 276.7% from 1990. The burden was expected to continue to increase to 1296.7 thousand by 2045 for all-ages number of deaths, and 85.5 million by 2045 for all-ages number of DALYs. The curves of T2DM-related burden showed an intersection for different genders around the age of 60, beyond which women exhibit a higher burden, compared to men. The disease burden of T2DM caused by high BMI shows a significant upward trend across all SDI groups, with a heavier burden on women, especially in the postmenopausal female population. In 2021, among the 204 countries and territories, the top 3 largest number of T2DM-related burden caused by high BMI occurred in China, India, and United States. The top three countries with highest T2DM-related rate caused by high BMI were Fiji, Marshall Islands, and Kiribati.ConclusionOur study reveals that the disease burden of T2DM caused by high BMI is significantly increasing and is expected to continue rising in the future. Women bear a heavier burden, particularly postmenopausal women, and there are significant differences in the disease burden across different geographical regions, and socioeconomic statuses. Targeted considerations and specific strategies are essential to address these disparities, thereby improving public health and reducing the burden.
Global, regional, and national burden of tracheal, bronchus, and lung cancer attributable to ambient particulate matter pollution among adults aged 70 and above in 1990–2021 and projected to 2044
Authors: He Ke-Jie , Wang Haitao , Xu Jianguang , Gong Guoyu 
Published: January 2025

BackgroundTracheal, bronchus, and lung (TBL) cancer attributable to ambient particulate matter pollution (APMP) is a growing global health concern, particularly in individuals aged 70 and above. This study aims to evaluate past trends, identify key drivers, and project future disease burden.MethodsData from the Global Burden of Disease Study 2021 was analyzed for TBL cancer-related disability-adjusted life years (DALYs) and mortality from 1990 to 2021, stratified by SDI regions. Statistical methods, including Joinpoint regression, age-period-cohort modeling, and decomposition analysis, were used to identify temporal trends and drivers of DALYs. Future projections were made using the Nordpred model.ResultsFrom 1990 to 2021, global DALYs of TBL cancer due to APMP increased steadily (AAPC 0.75%). Population growth was the main driver, accounting for 79.37% of the increase, with epidemiological factors playing a varying role across regions. The highest DALY growth was observed in middle SDI regions (AAPC 2.99%), while high SDI regions saw a decline (AAPC −1.76%). Projections up to 2044 suggest a substantial increase in DALYs across all SDI regions, with the fastest growth expected among individuals aged 70–74, but DALY rates are projected to decline steadily.ConclusionPopulation growth is the primary factor driving the increase in DALYs associated with TBL cancer, with significant regional disparities. Projections suggest a continued rise in disease burden, particularly in lower SDI regions, underlining the urgency for targeted public health interventions and strategies to mitigate exposure and improve healthcare outcomes for at-risk populations.
Moving beyond pain: the relationship between physical activity and physical self-concept among young women with endometriosis
Authors: Coquinos Samantha , Oboeuf Alexandre , Vitiello Damien 
Published: January 2025

BackgroundEndometriosis is a painful non-curable disease that affects women's quality of life, reducing their self-esteem and consequently their mental well-being. However, enhancing the physical self-concept could induce the development of the self-esteem. A suitable method to increase the physical self-concept would be physical activity (PA). The aim of this study was to evaluate the relationship between PA and physical self-concept in women with endometriosis under 30 years old and to evaluate whether the type of PA was associated with different physical self-concept scores.Materials and methodsA total of 198 women under 30 diagnosed with endometriosis responded to a survey. Physical self-concept was assessed using the short version of the physical self-description questionnaire. Women were also asked to answer to questions about their PA habits. The type of PA practiced was then assigned to 1 of the 3 following groups: relaxing activities (n = 14), activities without necessary interactions with other participants (n = 58), and activities including necessary interactions with other participants (n = 46).ResultsWomen under 30 years old participating in a regular PA (more than once a week) (n = 137) had a significantly higher physical self-concept than women not participating in a regular PA (n = 61) (p &lt; 0.05). Results differed in physical self-concept sub-scales. The type of PA did not seem to make a difference in physical self-concept scores (p &gt; 0.05).ConclusionYoung women with endometriosis should be advised to participate to a regular PA to increase their physical self-concept and therefore cope better with their anxiety and stress. All types of activities appear to be just as relevant for developing physical self-concept in young women with endometriosis.