bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of knowledge, attitude, and practice model-based health education on psychological well-being and self-efficacy of patients with concurrent cerebrovascular stenosis and coronary heart disease: a quasi-experimental study
Authors: Zhou Qiyu , Qian Yuli , Zhang Dan , Xu Huan , Yuan Bei , Tian Wenfeng , Li Qiong 
Published: January 2025

ObjectiveThis research aimed to evaluate the effect of knowledge, attitude, and practice model-based health education on patients with cerebrovascular stenosis and coronary heart disease who underwent simultaneous interventional therapy.MethodsSixty patients with cerebrovascular stenosis complicated with coronary heart disease and treated in The Third People’s Hospital of Hubei Province, from February 2019 to April 2021 participated in the study. Patients were randomly assigned to either a control group (n = 30) or an intervention group (n = 30). The control group received routine nursing care, while the intervention group received knowledge, attitude, and practice-based health education. Comparisons were made between the two groups regarding satisfaction rates, anxiety, depression, knowledge, attitude, practice scores.ResultsThe intervention group exhibited a higher satisfaction level than the control group. Additionally, the intervention group showed improved self-efficacy and reduced anxiety and depression scores at discharge, 1 month, and 3 months after discharge. The intervention group achieved higher knowledge, attitude, and practice scores at all three time points compared to the control group (p &lt; 0.05).ConclusionThe results suggest that the application of Knowledge, Attitude, and Practice Model in patients with cerebrovascular stenosis and coronary heart disease can effectively enhance psychological well-being, improve self-efficacy, and enhance understanding of the disease.
Direct and indirect relationships between Food Parental Practices, diet quality, and food satisfaction in adolescents
Authors: Del Valle Carola , Miranda Horacio , Orellana Ligia , Adásme-Berrios Cristian , Calvo-Porral Cristina , Schnettler Berta 
Published: January 2025

IntroductionThe relationship between four parental feeding practices from the Comprehensive Feeding Practices Questionnaire for adolescents (CFPQ-Teen) and Satisfaction With Food-related Life (SWFoL) in adolescents was evaluated using diet quality measured using the Adapted Healthy Eating Index (AHEI) as a mediating variable.MethodsParticipants were 860 adolescents aged 10–16 years of both sexes who responded to four factors on the CFPQ-Teen, food satisfaction scale, and diet quality index. Structural equation analysis was used in a structural mediation model on a polychoric correlation matrix using the weighted least squares mean-variance adjusted (WLSMV) method.ResultsDiet quality was a mediating factor in the interaction between two parental practices related to parental modeling and adolescent control over SWFoL. There was evidence of a direct relationship between monitoring and restrictive factors for weight control and SWFoL.ConclusionsThe findings indicated that the association between parental feeding practices and food satisfaction may be direct or mediated by diet quality in adolescents.
Analysis of factors influencing HPV vaccination intention among Chinese college students: structural equation modeling based on health belief theory
Authors: Song Shi-Yuan , Guo Ying , Li Yi-Hua , Wang Zheng , Gao Wei 
Published: January 2025

BackgroundIncreasing human papillomavirus (HPV) vaccination rates is vital for achieving society-wide public health goals, yet current research on HPV vaccine-related knowledge, vaccination intentions, and behaviors among college students in ethnic minority regions is inadequate. This investigation sought to explore the present circumstances of college students in China’s ethnic minority regions concerning their awareness, attitudes, and practices related to the HPV vaccine. This study also aimed to provide a scientific basis for future health education and HPV vaccine promotion in China’s college student population.MethodsBased on health belief theory, 1,388 valid questionnaires were collected online to investigate college students’ knowledge, beliefs, and behaviors related to HPV vaccination and the factors influencing their willingness to be vaccinated. The data were analyzed via SPSS 26.0 for descriptive analysis and Amos 24.0 for structural equation modeling, factor analysis and path analysis.ResultsThe overall HPV vaccine awareness rate was 77.9%. In terms of health attitudes, the positive intention rate was 50.4%, with females having more positive attitudes than males (OR = 2.242, 95% CI = 1.777–2.829). In terms of health behaviors, the rate of positive behaviors was low (40.0%), and the probability of positive behaviors was significantly lower for students with nonmedical-related majors than for those with medical majors (OR = 0.579, 95% CI = 0.442–0.759). The results of the structural equation modeling analysis revealed that college students’ perceptions of the perceived benefits of the HPV vaccine positively and directly affect their willingness to be vaccinated (β = 0.290, p &lt; 0.001), and perceived severity has an indirect effect on their willingness to be vaccinated (β = 0.198, p &lt; 0.05).ConclusionAlthough college students in ethnic minority areas have a high rate of HPV-related knowledge, their willingness to be actively vaccinated and their positive behaviors need to be improved. In addition, enhancing the levels of perceived severity and perceived efficacy among college students can help increase their willingness to receive the HPV vaccine.
Promotion of physical activity-related health competence using digital workplace-based health promotion: a pilot study for office workers
Authors: Oppermann Leonard , Dierks Marie-Luise 
Published: January 2025

IntroductionEngaging in health-enhancing physical activity (HEPA) can reduce the risk of developing chronic diseases, which is particularly important for office workers with sedentary lifestyles. Therefore, time- and location-independent interventions for increasing HEPA are necessary.MethodsTo achieve long-term changes in HEPA, interventions can be based on physical activity-related health competence (PAHCO). 48 office workers (83% female, 50 ± 8 years) completed an intervention consisting of bi-weekly exercise videos for 5 weeks, supplemented by PAHCO and anatomical education. The participants’ HEPA levels were measured using the Physical Activity, Exercise, and Sport Questionnaire (Bewegungs- und Sportaktivität Fragebogen; BSA-F)and a physical activity diary, with follow-up measurements at 3 months.ResultsThere was a significant increase in PAHCO (p = 0.002), especially in control competence (p &lt; 0.001), after the intervention and at follow-up. The other sub-competences also increased, but not significantly. HEPA decreased after the intervention and at follow-up, but the decrease was not statistically significant.DiscussionPAHCO increases after the end of the intervention, especially through the sub-competence of control competence. The other two sub-competences also improved, but not significantly. Participating in the study had no impact on HEPA as an outcome of the PAHCO model. Our study provides preliminary evidence that PAHCO can be enhanced through digital, time- and location-independent interventions. Future research should utilize a randomized controlled design to be able to causally attribute the effects of PA interventions in office workers to the intervention and objective measurements for HEPA should be employed.
Exploring nonlinear and interaction effects of urban campus built environments on exercise walking using crowdsourced data
Authors: Lu Bo , Liu Qingyun , Liu Hao , Long Tianxiang 
Published: January 2025

IntroductionUniversity campuses, with their abundant natural resources and sports facilities, are essential in promoting walking activities among students, faculty, and nearby communities. However, the mechanisms through which campus environments influence walking activities remain insufficiently understood. This study examines universities in Wuhan, China, using crowdsourced data and machine learning methods to analyze the nonlinear and interactive effects of campus built environments on exercise walking.MethodsThis study utilized crowdsourced exercise walking data and incorporated diverse campus characteristics to construct a multidimensional variable system. By applying the XGBoost algorithm and SHAP (SHapley Additive exPlanations), an explainable machine learning framework was established to evaluate the importance of various factors, explore the nonlinear relationships between variables and walking activity, and analyze the interaction effects among these variables.ResultsThe findings underscore the significant impact of several key factors, including the proportion of sports land, proximity to water bodies, and Normalized Difference Vegetation Index NDVI, alongside the notable influence of six distinct campus area types. The analysis of nonlinear effects revealed distinct thresholds and patterns of influence that differ from other urban environments, with some variables exhibiting fluctuated or U-shaped effects. Additionally, strong interactions were identified among variable combinations, highlighting the synergistic impact of elements like sports facilities, green spaces, and waterfront areas when strategically integrated.ConclusionThis research contributes to the understanding of how campus built environments affect walking activities, offering targeted recommendations for campus planning and design. Recommendations include optimizing the spatial configuration of sports facilities, green spaces, and water bodies to maximize their synergistic impacts on walking activity. These insights can foster the development of inclusive, health-promoting, and sustainable campuses.
Improving remote sensing dehazing quality through local hybrid correction and optimization of atmospheric attenuation model based on wavelength
Authors: Zhao Daihong , Shi Kun , Li Zheng , Chen Meixiang 
Published: January 2025

Near-ground remote sensing image dehazing is crucial for accurately monitoring land resources. An effective dehazing technique and a precise atmospheric attenuation model are fundamental to acquiring real-time ground data with high fidelity. The dark channel prior (DCP) is a widely used method for improving visibility in hazy conditions, but it often results in reduced image clarity and artifacts, that limit its practical utility. To address these limitations, we propose a novel hybrid correction method, local hybrid correction (LHC), which integrates gamma correction for high-contrast regions and logarithmic correction for low-contrast regions within a dehazed image. We calculated the cumulative distribution function (CDF) of Weber contrast for the dehazed image and analyzed the impact of different contrast thresholds on the effectiveness of improving image clarity and reducing artifacts. Our results showed that a contrast threshold corresponding to the 90% CDF significantly improved image sharpness and reduced artifacts compared to other thresholds. Furthermore, LHC outperformed both gamma and logarithmic corrections in terms of image clarity and artifact reduction, even after applying additional post-processing methods such as multi-exposure fusion and guided filtering. The quantitative analysis of the dehazed images, using gray-level co-occurrence matrix (GLCM) metrics, indicated that the LHC method offered a balanced advantage in enhancing image details, texture consistency, and structural complexity. Specifically, images processed by LHC exhibit moderate contrast and correlation, low homogeneity and high entropy, all these made the LHC method a very suitable solution for near-ground remote sensing tasks that required enhanced image detail and reduced artifacts. We also examined the atmospheric attenuation coefficient, observing that it increased with distance, deviating progressively from empirical values, this phenomenon underscored the complex effects of atmospheric scattering on dehazing accuracy, especially at extended ranges. Additionally, we refined the transmittance attenuation model using light reflection at the 550 nm wavelength from verdant landscapes, which improved the model’s alignment with real-world conditions. This approach was not only effective for this wavelength but could adapt to other wavelengths in future studies. Overall, our research advanced the precision of remote sensing dehazing techniques, promising improved decision-making for land resource management and a variety of environmental applications.
Impact of tele-exercise on quality of life, physical fitness, functional capacity and strength in different adult populations: a systematic review of clinical trials
Authors: Garrido Nuno Domingos , Reis Victor Machado , Vilaça-Alves José Manuel , Lucas Gabriela Chaves , Godinho Ismael Lima , Peixoto Rafael , Fucarino Alberto , Cantoia Manuela , Iuliano Enzo , De Giorgio Andrea , Fabbrizio Antonio , Suasa Martina , Zimatore Giovanna , Baldari Carlo , Macaluso Filippo 
Published: January 2025

IntroductionThis study aimed to review the impact of tele-exercise on different adult populations, comparing synchronous and asynchronous interventions and their effects on outcomes such as quality of life, physical fitness, functional capacity, strength, and pain.MethodsRandomised clinical trials and quasi-experimental studies published between 2014 and 2024 were included, totalling 16 studies with 1,416 participants. The interventions varied between synchronous teleexercise (via videoconference) and asynchronous (via apps and recorded videos). The review followed the PRISMA guidelines, ensuring a systematic approach to study selection, data extraction, and bias assessment.ResultsThe results indicate that tele-exercise, especially synchronous, has the potential to primarily improve physical fitness, functional capacity, and pain perception, being effective for the elderly and individuals with specific conditions such as multiple sclerosis and obesity.DiscussionHowever, the methodological heterogeneity of the studies and the lack of consistent data limit the generalisation of the findings, highlighting the need for more high-quality research.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024563241, PROSPERO (CRD42024563241).
Anodal tDCS and virtual reality gait rehabilitation in individuals with chronic stroke: a case series report
Authors: Marks Aracely , Oliveira Barbosa Shelley , Napoli Daniella , D'Andrea Susan E. 
Published: January 2025

BackgroundStroke is a principal cause of long-term disability worldwide, significantly impairing motor function, including gait and mobility. Conventional physical therapy, primarily focusing on repetitive, task-specific exercises, often falls short in addressing the complex rehabilitative needs of stroke survivors. Emerging technologies such as virtual reality (VR) and transcranial direct current stimulation (tDCS) have shown potential to enhance neuroplasticity and functional recovery, suggesting that their combined use could offer a novel pathway for stroke rehabilitation.ObjectiveThis study evaluated the efficacy of an integrated VR and tDCS treadmill training protocol in improving gait and mobility outcomes among individuals with chronic stroke.MethodsFive chronic stroke patients were recruited for this study. Participants were randomly assigned to receive either anodal tDCS or sham stimulation in conjunction with VR treadmill training. The anodal stimulation was targeted at the ipsilesional motor cortex, specifically over the primary motor cortex (M1) area corresponding to the C3/C4 locations in the 10–20 EEG system. The intervention consisted of 10 30-min sessions over 2 weeks. Clinical assessments, including the Dynamic Gait Index (DGI), Berg Balance Scale (BBS), 10-meter Walk Test (10MWT), and the Timed Up and Go Test (TUG) were conducted pre-intervention, immediately post-intervention, and at a 2-week follow-up.ResultsAll participants demonstrated improvements in the clinical measures post-intervention, irrespective of whether they received anodal tDCS or sham stimulation. Notably, clinically significant improvements, defined by an improvement greater or equal to the established minimal clinically important differences (MCIDs), were observed in DGI scores for four participants, suggesting enhanced gait functionality.ConclusionThe combined VR and tDCS interventions promise to improve gait and mobility in chronic stroke survivors. While the observed improvements were not distinctly attributed to tDCS, the role of VR training was notably beneficial. These preliminary findings underscore the potential of integrating emerging technologies in stroke rehabilitation and highlight the need for future research with larger cohorts to explore the distinct contributions of each modality and validate this integrative approach.
Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center
Authors: Kim Gyungah , Ahn Jee Hwan , Shim Tae Sun , Kang Pil-Je , Lee Geun Dong , Choi Sehoon , Kim Won , Jung Sung-Ho , Kim Dong Kwan , Park Seung-Il , Hong Sang-Bum 
Published: January 2025

When donor scarcity limits timely lung transplantation (LTx), extracorporeal membrane oxygenation (ECMO) as a bridge to transplantation (BTT) can prolong survival and delay deconditioning until the donor lungs become available. We reviewed 10-year BTT experiences of a single high-volume center, where 99 (59%) were on ECMO BTT among 169 eligible adult LTx cases. Both 28-day and 2-year survivals did not differ between BTT and non-BTT. The BTT data was then divided into two periods, delineated by the most recent 3 years. The clinical outcomes of the earlier period (“Period 1”) and the later period (“Period 2”) were compared, and mortality within 28 days of LTx was significantly lower in Period 2 (n = 1, 1.7%) than in Period 1 (n = 6, 14.6%, p &lt; 0.01). Improved survival was observed in the subgroup with BTT duration of 14 days or more. Taken together, more experiences in BTT and improved competence may contribute to better survival after LTx, especially in patients receiving ECMO for 14 days or more.
Tinjauan KHI dan Hukum Islam Terhadap Putusan Hakim Tentang Batas Usia Hak Asuh Anak Pasca Perceraian
Authors: Afendi Muhammad , Choeri Imron 
Published: January 2025

Â Â Â Â Hadhanah merupakan salah satu hak bagi seorang anak. Hadhanah merupakan kekuasaan hak asuh kepada diri anak meskipun kedua orang tuanya bercerai. Dalam aturan Undang-undang dan hukum islam terdapat beberapa hal yang menyatakan tentang hadhanah yang salah satunya dalam Kompilasi Hukum Islam atau di singkat KHI. Dalam pasal 105 KHI menyatakan bahwa apabila anak belum mumayyiz atau sebelum usia 12 tahun maka yang berhak mengasuh adalah ibu. Peraturan ini juga di jadikan patokan para hakim dalam memutuskan persoalan hadhanah. Namun terdapat perbedaan dengan Hukum Islam. Hal ini yang akan di kaji oleh peneliti adalah terkait batas usia hak asuh anak pasca perceraian. Dengan menggunakan metode pendekatan yuridis normatif dan bersifar analisis deskriptif yang akan menelaah lebih lanjut KHI pasal 105. Hasil penelitian menyatakan bahwa usia 12 tahun merupakan usia yang ideal bagi anak untuk memilih yang baik dan buruk terhadap dirinya. Karena anak akandi suruh memilih siapa yang lebih berhak mengasuh kedepannya.Â Â Selain itu juga para hakim melakukan pertimbangan mana yang lebih baik bagi kepentingan anak. Seperti pendidikan moral, kasih sayang serta lingkuagan yang positif. Â
Nasab Bayi Tabung dalam Perspektif Agama Islam; Tinjauan Hukum
Authors: Hasanuddin Ahmad , Ansori Miswan 
Published: January 2025

Â In the era of globalization as it is today, technological advancements have indeed greatly aided many fields, especially in healthcare. One of them is the technology in the field of in vitro fertilization (IVF) programs, which is increasingly sophisticated and intended for couples who are infertile. IVF is one method to address fertility issues when other methods have failed. However, as it develops, issues have arisen where initially this program was widely accepted by all parties due to its noble purpose, but recentlyÂ it has become controversial. The purpose of this research is to determine the legal status of babies born through artificial insemination (IVF), and to understand the relationship of the baby with its biological parents and with the surrogate mother.Â Â Â
FAKTOR PREDISPOSING PERSALINAN SECTIO CAESAREA DI RSUD SIMO BOYOLAL
Authors: Yanti Yanti , Dewi Fitri Kusuma 
Published: January 2025

Background: Caesarean Section (CS) delivery should be understood as an alternative delivery when normal delivery is no longer possible. Although risky, the incidence of CS continues to increase in many countries including Indonesia. An initial survey at Simo Boyolali Hospital showed that CS deliveries have increased over time. Data from Medical Records in the last 2 years showed that in 2022, 718 mothers gave birth with 356 normal deliveries and 362 CS (50.4%). In 2023, there were 734 deliveries, of which 282 normal deliveries and 452 CS deliveries (61.5%). Purpose of the study: to determine the relationship between predisposing factors (age, gravida, frequency of ANC) and caesarean section deliveries at Simo Boyolali Hospital. Research method: Type of quantitative research, analytical survey, with a retrospective design. The research sample was 260 from a total population of 734 mothers giving birth at Simo Boyolali Hospital from January to December 2023, taken using Proportional simple random sampling. Data analysis using the chi square statistical test. Results of the study: Maternal age in this study was mostly in the non-risk age category, namely 197 respondents (75.8%) with gravida multipara, namely 176 respondents (67.7%) and with a majority of ANC frequency ? 6 times, namely 245 respondents (94.2%). The results of the statistical test for the maternal age factor and the gravida factor obtained a p value of 0.000 and for the ANC frequency factor, the p value was 0.001. Conclusions and Suggestions: There is a very significant relationship between the maternal age factor, gravida and ANC frequency with CS delivery at Simo Boyolali Hospital. For health workers to be more careful in screening pregnancy risk factors from age and gravida and to carry out education on the importance of regular ANC to support normal pregnancy and delivery.

Keywords: Maternal Age, Gravida, ANC Frequency, Caesarean Delivery