bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perception of Functional Food Among Croatian Consumers
Authors: Gordana Tkalec , Trina Mjeda , Diana Geček 
Published: January 2024

Abstract
Nutrition’s significance lies at the very core of human existence - from fostering good health and upholding individual well-being to indulging in the pleasures of food, its importance is undeniable. Reviewing the scientific literature, diverse definitions of functional food try to define its meaning precisely. The food is labeled “functional” when it fulfills basic nutritional needs and positively influences health, diminishing the risk of specific diseases and enhancing overall vitality. Considering that food expenses constitute a substantial portion of household budgets, a significant economic dimension exists when planning an individual’s diet. The assortment of functional foods is constantly evolving, prompting modern consumers to analyze their dietary choices more rigorously than ever before. This surge in interest has evoked the attention of researchers, manufacturers, and consumers. However, a comprehensive analysis of Croatia’s consumer behavior and functional foods must still be available. The present study builds upon the theory of planned behavior, a framework well-fitted for social research and exceptionally skilled at investigating the multiple factors pointing to consumer decisions. Drawing insights from empirical research conducted in Croatia, a robust correlation was established through linear regression between attitudes, subjective norms, concern for personal health, and the intent to purchase functional foods.
Pengaruh estetika, kesadaran merek, dan persepsi nilai terhadap niat pembelian smartphone di Jakarta
Authors: An Lie Yeoh , Cokki Cokki 
Published: January 2024

The smartphone industry in Indonesia shows a weak market until the 1st quarter of 2023. Every company is trying to increase consumer purchasing intentions by paying attention to various aspects. This research aims to determine the influence of aesthetics, brand awareness, and perceived value on smartphone consumers' purchase intentions. The sample used in this research was 179 smartphone consumers in Jakarta. The sampling technique used was purposive sampling with the criteria of smartphone users in Jakarta. The data collection technique used was distributing questionnaires. The analysis method used in this research is PLS-SEM. The results of this research indicate that brand awareness and perceived emotional value have a significant influence on purchase intention. Meanwhile, aesthetics, perceived social value, and perceived functional value do not have a significant influence on purchase intentions. Brand awareness is the main cause of increasing purchase intentions in the smartphone industry. Brand awareness of a particular smartphone will enable someone to want to buy it. A smartphone brand that can have emotional value for users can cause consumers to have purchase intentions.
Industri smartphone di Indonesia menunjukkan pasar yang lemah hingga kuartal 1 tahun 2023. Setiap perusahaan berusaha untuk meningkatkan niat pembelian konsumen dengan memperhatikan berbagai aspek. Tujuan dari penelitian ini adalah mengetahui pengaruh estetika, kesadaran merek, dan persepsi nilai terhadap niat pembelian konsumen smartphone. Sampel yang digunakan dalam penelitian ini sebanyak 179 konsumen smartphone di Jakarta. Teknik pengambilan sampel yang digunakan, yaitu purposive sampling dengan kriteria pengguna smartphone di Jakarta. Teknik pengambilan data yang digunakan, yaitu penyebaran kuesioner. Metode analisis yang dilakukan penelitian ini, yaitu PLS-SEM. Hasil penelitian ini menunjukkan bahwa kesadaran merek dan persepsi nilai emosi memiliki pengaruh yang positif terhadap niat pembelian. Sedangkan estetika, persepsi nilai sosial, dan persepsi nilai fungsi tidak memiliki pengaruh terhadap niat pembelian. Kesadaran merek menjadi penyebab utama dalam meningkatkan niat pembelian di industri smartphone. Kesadaran merek akan smartphone tertentu, akan memungkinkan seseorang untuk mau membeli. Suatu merek smartphone yang dapat memiliki nilai emosi pada pengguna dapat menyebabkan konsumen memiliki niat pembelian.
A Hybrid Algorithms Based on the Aizawa Attractor and Rabbit-Lightweight Cipher for Image Encryption
Authors: Alwan Mohammed Gheni , Khudair Enas Tariq , Naser Ekhlas Falih 
Published: January 2024

Social media and networks rely heavily on images. Those images should be distributed in a private manner. Image encryption is therefore one of the most crucial components of cyber security. In the present study, an effective image encryption technique is developed that combines the Rabbit Algorithm, a simple algorithm, with the Attractor of Aizawa, a chaotic map. The lightweight encryption algorithm (Rabbit Algorithm), which is a 3D dynamic system, is made more secure by the Attractor of Aizawa. The process separates color images into blocks by first dividing them into bands of red, green, and blue (RGB). The presented approach generates multiple keys, or sequences, based on the initial parameters and conditions, which are then utilized for encrypting each one of the blocks. The peak signal-to-noise ratio (PSNR), Mean Squared Error (MSE), and structural similarity index measure (SSIM) tests are among performance tests that are used to assess the effectiveness of the approach. With the help of National Institute of Standards and Technology (NIST), the produced keys have been checked for randomness. Additionally, research is being done into how long decryption and encryption take. The encryption approach is particularly secure because of the chaotic attractor's unpredictability. The correlation coefficient, Shannon entropy, and a histogram are used to analyse the encryption technique's performance. The findings demonstrate that the suggested encryption approach dependably operates since it makes use of a mechanism to strengthen security against the attack of known or selected plain-text. The outcomes also demonstrated that both decoding and encoding using the suggested encoding approach require less time. For instance, images 3's decoding time is 0.002000, whereas images 3's encoding time is 0.001200.
Generalized Schultz and Modified Schultz Polynomials for Some Special Graphs
Authors: Najm Esraa A. , Ali Ahmed M. 
Published: January 2024

With simple and undirected connected graph Φ, the Schultz and modified Schultz polynomials are defined as and , respectively, where the summation is taken over all unordered pairs of distinct vertices in V(Φ), where V(Φ) is the vertex set of Φ, degu is the degree of vertex u and d(v,u) is the ordinary distance between v and u, u≠v. In this study, the Shultz distance, modified Schultz distance, the polynomial, index, and average for both have been generalized, and this generalization has been applied to some special graphs.
Using the serious illness conversation guide to improve the quality of life of hematology-oncology patients: a pilot study
Authors: Korsos Victoria , Ahmed Saima , Heslip Sheena , Cassis Chantal , Bitzas Vasiliki , Assouline Sarit 
Published: January 2024

Introduction:
Hematology-oncology patients are more likely to receive high intensity care (HIC), including ICU admission and active cancer treatment, than solid cancer patients near end of life (EOL). This prevents patients and their families from realistically planning for the future, and diminishes quality of life (QOL). We previously conducted a retrospective study to understand factors influencing HIC outcomes at EOL in hematology patients at McGill-affiliated hospitals. While non-curative goals, early level of intervention (LOI) discussions and palliative care (PC) involvement lowered the likelihood of HIC at EOL, the median time of LOI discussion and PC involvement to death was 22 and 9 days respectively. We hypothesize that a timely discussion aligning patient perspectives and goals with their treating team could improve QOL at EOL.
Methods:
We are conducting a pilot study looking at the impact of using the Serious Illness Conversation Guide (SICG), a validated conversation tool in the general oncology population, on the QOL of hematology patients. Participants are identified by their treating doctor or nurse practitioner to be at risk of dying in the next year. The primary aim is to decrease death in acute care. Secondary aims include reporting other HIC outcomes, time from LOI discussion and PC consult to death, and the short term benefit to QOL. In addition, qualitative analysis will explore participant perspectives on benefits of the SICG and areas to improve, and explore EOL QOL topics relevant to hematology patients. We have currently enrolled 2 patients. Interim analysis is projected for September 2023.
Simulating a situation of homelessness: nursing students' perceptions of learning through virtual embodiment
Authors: Soilis Niki , Kinsella Elizabeth Anne , Filion Francoise , Harley Jason , Bhanji Farhan , Claudio Fernanda , Roy Laurence , Thambinathan Vivetha , Benmohamed Nadja 
Published: January 2024

Individuals experiencing homelessness encounter unique challenges in accessing and receiving care in our health systems[1,2,3,4] Preparing emerging health professionals to respond to their complex health needs will require innovative educational approaches that promote person-centered care, and stimulate critical reflection and action towards the personal, interpersonal and structural factors that shape health care delivery.[5,6,7]
This presentation reports on preliminary findings of phase 1 of a critical qualitative case study of nursing student’s perceptions of learning about the experience of homelessness, through a virtual reality educational experience. The study design was informed by critical transformative learning theories and theories of embodiment. Twenty nursing students were engaged in a virtual reality experience of 12 minutes, followed by a 1:1 debrief interview. The debrief interview used an adapted version of the Promoting Excellence and Reflective Learning in Simulation (PEARLS) framework to elicit students’ reflections on the experience. The interviews were audio recorded and transcribed verbatim.
Data analysis involved a process of reading all of the transcripts for a sense of the whole, mindmapping each of the transcripts, identifying themes that permeated the data set, and coding data in Quirkos software. Six preliminary themes include: a) seeing the person through story, b) destabilizing assumptions and questioning stereotypes, c) embodied emotional awareness, d) challenges to care, e) recognizing vulnerability of people experiencing homelessness, and f) quality of the immersive experience in learning.
The findings contribute to our knowledge about virtual reality simulation as an innovative approach to fostering learning about homelessness in health professions education.
“He told me my pain was in my head”: Testimonial injustice in patient-physician relationships
Authors: Vigouroux Marie , Morck Angela , Hovey Richard B. 
Published: January 2024

Women living with chronic pain are more likely than men to experience pain dismissal, receive nonspecific diagnostics, receive fewer follow-ups, have their condition undertreated, and be told that it results from a psychological condition. This is particularly concerning for adolescent girls living with scoliosis, who, given the progressive nature of their condition, require timely diagnosis to allow for less invasive treatment options to be explored. This population is also significantly more likely to have their condition progress to a curve angle where treatment such as bracing or spinal fusion surgery is required, both of which are associated with chronic pain. However, timely diagnosis depends on clinicians taking patients’ testimony regarding their health concerns seriously and investigating their claims.
This presentation will dive into the gender gap in care for adolescent girls living with chronic pain caused by scoliosis, focusing on their experiences of pain dismissal and its negative short and long-term effects. Leveraging the concept of intersectionality, the authors argue that adolescent girls may suffer a testimonial injustice when their pain is dismissed by clinicians.
This presentation will also explore gender-specific peer support groups as a possible mitigating factor to testimonial injustice and other negative outcomes from chronic pain and pain dismissal. The researchers interviewed members from scoliosis peer support group Curvy Girls using open-ended questions, gathering narrative data about their experiences that was subsequently analyzed using an applied philosophical hermeneutics approach, along with intersectionality and testimonial injustice as part of their framework.
Ethical challenges for children undergoing surgery: Evaluation of graduate nursing students' learning
Authors: Gautrin Ariane , Tsimicalis Argerie , Wang Yi Wen , Passos dos Santos Raissa , Carnevale Franco A. , Cervantes Amanda , Logue Katherine 
Published: January 2024

Background
Multiple barriers can impede the holistic care of children and their meaningful involvement in their healthcare in the context of surgery. These include lack of clinician knowledge of the ethical concerns impacting children and scarce educational resources. Our team created an open-access training module (https://childsxethics.net) to enhance clinicians’ understanding of ethical challenges for children undergoing surgery.  Objective
To evaluate the level of Bloom’s Taxonomy cognitive, affective, and psychomotor learning reached by graduate nursing students after completing the module.  Methods
A qualitative descriptive study was conducted. Data sources comprised of participants’ course assignments. Data were analysed inductively and deductively using Bloom’s Taxonomy and the Childhood Ethics Framework. Results
Nineteen participants wrote online reflections and peer responses. Two subgroups completed group assignments. The module and associated class assignments successfully promoted high levels of cognitive and affective learning of ethical challenges impacting children undergoing surgery. The type of assignment influenced participants’ level of learning and achievement of learning objectives. Cognitive and affective learning processes were enhanced when integrating reflections and fostering dialogue/interaction among peer learners. Implications
Study findings will be used to improve the module. Future iterations will include collaborations with international clinicians to enhance the global relevance of the module contents, which will be evaluated with other clinicians/trainees. Providing educational resources for clinicians on ethical challenges in children’s surgery will help facilitate the recognition of children as active moral agents and improve their surgical experiences by promoting holistic patient care.
Reframing perceptions: A phenomenological inquiry into students’ written reflections on learning about mindfulness
Authors: Kinsella Elizabeth Anne , Chrestensen Allison , Smith Kirsten Sarah 
Published: January 2024

Introduction
Mindfulness practices offer approaches to reflection that have been argued to contribute to positive outcomes for students in the health professions. Despite calls for more phenomenological investigations in the field, few studies examine the lived experience of learning about mindfulness in professional schools. Objective
The objective of this study was to inquire into first-hand written accounts of students’ experiences of learning about mindfulness. Methods
This study reports on occupational therapy health professions students’ phenomenological reflections written during and following a 5 week, 15 hour, mindfulness elective course offered at a Canadian University. The study adopts a hermeneutic phenomenological methodology and is informed by theoretical frameworks of embodiment and practice theories. An indepth thematic analysis of twenty-one students' written reflections on the experience of integrating mindfulness practices into their lives was undertaken. Results
Predominant themes identified in students’ written reflections include: reframing perceptions, ‘being’ while ‘doing’, witnessing the struggle, and compassion for self and others. Conclusions
This research contributes richly textured accounts that advance understandings about the affordances of mindfulness education in the lives of future health care practitioners. The results also hold implications for educational design in higher education professional school contexts, considerations of mindfulness practices in future professional practitioners’ everyday and workplace occupations, and identification of promising avenues for future research. This study is funded by the Social Science and Humanities Research Council of Canada (SSHRC).
Survey on the current status of undergraduate education on self-care in university medical schools and medical colleges in Japan
Authors: Takamiya Yusuke 
Published: January 2024

A survey on the current status of undergraduate education on self-care was conducted in university medical schools and medical colleges in Japan. This survey was planned and conducted by the Professionalism Subcommittee of the Japan Society for Medical Education. Prior approval was given by the Ethics Committee of Showa University.
Self-care education was defined as education to enhance the well-being (physical and mental health) of medical students. Of the 82 universities invited to participate, 65 universities responded to the survey, giving a response rate of 79.3%. Of these 65 universities, 32 universities (49.2%) indicated that they were implementing self-care education programs. Stress management, mindfulness, self-awareness, resilience, and improvement of self-affirmation were the most common topics, and many of the faculty in charge of the topics were psychiatrists, psychologists, and medical education faculty members. Although about half of the universities implemented self-care education programs, the educational content has not yet been standardized, suggesting the need for standardization of self-care education in the future.
The survey was conducted in all medical year levels, and the results showed that self-care education is given to first- and second-year medical students. It was suggested that it is necessary to provide more education to upper-year medical students who undergo clinical practice and experience increased stress. The need for self-care education for medical students has become even more important since 2020 and onwards, partly because of the impact of the COVID-19 pandemic.
Medical students as whole persons – tending to the elephants in clinical practice training
Authors: Boudreau J. Donald , Schei Edvin , Valestrand Eivind , Gillespie Hannah , Whelan Beth , Kinsella Elizabeth Anne , Grimstad Hilde , Kvernenes Monika , Stenfors Terese 
Published: January 2024

BackgroundFor years, we have known that many medical students lose empathy and experience burn out during the last part of their undergraduate education, despite starting with high motivation and above average mental health. The most powerful learning environment is the clinic, where students in the final stages of their program interact with real patients and practice doctor’s skills in authentic environments. We wondered how students at this stage are cared for as learners and novice professionals. We tried to identify explicit and hidden professional norms and competence goals that students are measured by, and sanctioned for not conforming with, in daily practice. We asked: Is there a mismatch between what medical students need to manage in their professional lives and the affordances inherent to the workplace environment where learning takes place? Can we intervene to mitigate any gaps?
MethodInspired by the Consolidated Framework for Implementation Research (CFIR), we engaged leaders, physicians, residents, and medical students at a small Norwegian hospital in a three-year project aiming to improve students’ motivation, participation, and clinical learning, by strengthening pedagogical and affective support during an 8-week practice period.
ResultsMedical students and residents identified needs for preparation and orientation, continuity, and secure relationships where learners are acknowledged as unique individuals. A simple model of learning needs was developed, where educational goals can be arranged on three levels: 1) social survival, 2) medical knowledge and skills, and 3) clinical wisdom.
Challenges and opportunities of relationship centred care in health care settings. My journey and the evolution of my approach
Authors: Hurley Maeve 
Published: January 2024

Understanding the complexities of relating in a health care context invites practitioners to anticipate and identify challenges and opportunities as they arise in their practice. This experiential paper will attempt to explore and illustrate some of the complexities of adopting a relationship centred approach in healthcare settings, from the perspective of one practitioner.
This paper will consider how the organisational culture can impact on the practitioners ability to interact with patients. In this context the influence of the organisational culture with its emphasis on task, diagnosis and treatment of disease, functioned to undermine this practitioners capacity to relate and take up a relationship centred approach.
This paper, with reference to clinical material, will highlight the tension that exists between task and relationship in healthcare settings. Special reference will be made to how in some situations the wish to relate interrupted the task focused work, causing co nfusion and great challenge for the practitioner . The invitation to adopt relationship centred practice , while still attending to the task in hand restored the practitioners belief in the medical consultation’s potential to create a receptive , responsive and relationship centred space .
Finally, this paper will conclude by considering how to navigate this complex context and to achieve a balance which includes relationship centred care , using these opportunities as they arise to ensure optimum health care outcomes for both practitioner and patients.
Exploring effective learning sessions to enhance self-awareness and promote interest in self-care among medical professionals
Authors: Kihara Ayumi , Fujii Kou , Shimonouchi Yasuo , Kambayashi Takatoyo 
Published: January 2024

Background
Self-awareness among medical professionals is becoming more important. However, it is difficult to practice self-awareness unless consciously. We held in-hospital learning sessions to enhance self-awareness and to support self-care of medical professionals. The session introduced mindfulness, meditation, and self-care from the perspectives of "psychological safety" and "end-of-life care."
Objective
To investigate the effects of sessions based on participants' reactions.
Methods
A self-administered questionnaire was distributed to 128 medical professionals who participated in the sessions, and the free description was analyzed according to the qualitative coding procedure.
Results
As a result of analyzing the contents of 97 entries described in the free description of the questionnaire. Six categories were generated in the end: Stressful experience, Active practice of meditation, The need for self-care, Knowledge of mindfulness, Healing through narrative, Self-awareness through the learning session.
Discussion
Stressful experience about "psychological safety" and "end-of-life care" were narrated. We found that they are receptive to mindfulness, meditation, and self-care, and want to actively incorporate it. The experience of self-awareness was enhanced through the learning sessions. Introducing meditation, mindfulness, and self-care as methods of coping with specific stresses in clinical settings was effective in enhancing self-awareness among medical professionals.