bluuebunny/crossref_metadata_2025_split huggingface dataset:
Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study
Authors: Wang Zhangyi , Tang Xiaochun , Li Liping , Zhou Huifang , Zhu Yue , Chen Lamei , Su Tao , Liu Mengru , Pang Xiaoli , Yi Xiaoke , Liu Li , Liu Jingjing , Liu Mengsu 
Published: February 2024

Abstract
Background
Numerous previous research have established the need for spiritual care among patients with cancer globally. Nevertheless, there was limited research, primarily qualitative, on the spiritual care needs of Chinese inpatients with advanced breast cancer. Furthermore, the need for spiritual care was rarely explored using the Kano model. To better understand the spiritual care needs and attributes characteristics of inpatients with advanced breast cancer, this study examined the Kano model.

Methods
A descriptive cross-sectional design study was conducted in the oncology departments of three tertiary grade-A hospitals in China from October 2022 to May 2023. To guarantee high-quality reporting of the study, the Strengthening the Reporting of Observational Studies in Epidemiology Checklist was used. Data on the demographic characteristics questionnaire, the Nurse Spiritual Therapeutics Scale (NSTS), and the Kano model-based Nurse Spiritual Therapeutics Attributes Scale (K-NSTAs) were collected through convenience sampling. The Kano model, descriptive statistics, two independent samples t-tests, and one-way analysis of variance were used to analyze the data.

Results
The overall score for spiritual care needs was 31.16 ± 7.85. The two dimensions with the highest average scores, “create a good atmosphere” (3.16 ± 0.95), and the lowest average scores, “help religious practice” (1.72 ± 0.73). The 12 items were distributed as follows: three attractive attributes were located in Reserving Area IV; five one-dimensional attributes were distributed as follows: three one-dimensional attributes were located in Predominance Area I, and two were found in Improving Area II; two must-be attributes were located in Improving Area II; and two indifference attributes were located in Secondary Improving Area III.

Conclusion
The Chinese inpatients with advanced breast cancer had a middle level of spiritual care needs, which need to be further improved. Spiritual care needs attributes were defined, sorted, categorized, and optimized accurately and perfectly by the Kano model. And “create a good atmosphere” and “share self-perception” were primarily one-dimensional and must-be attributes. In contrast, the items in the dimensions of “share self-perception” and “help thinking” were principally attractive attributes. Nursing administrators are advised to optimize attractive attributes and transform indifference attributes by consolidating must-be and one-dimensional attributes, which will enable them to take targeted spiritual care measures based on each patient’s characteristics and unique personality traits.
Association between bacterial vaginosis with human papillomavirus in the United States (NHANES 2003–2004)
Authors: Qi Jie , Dai Congwei , Song Liyun , Zhang Junqin 
Published: February 2024

Abstract
Background
The balance of vaginal microecology is closely related to human papillomavirus (HPV) infection and cervical lesions. This study aims to investigate the relationship between bacterial vaginosis (BV) and HPV infection.

Methods
In total, 1,310 individuals from the National Health and Nutrition Examination Survey (NHANES, 2003–2004) were included in this study. Logistic regression and subgroup analyses were used to examine the association between BV and HPV infection.

Results
A significant positive association was observed between BV and HPV infection in women after adjustment for other confounders (OR = 1.47, 95% confidence interval [CI]: 1.15–1.88). In subgroup analyses, we have found this positive correlation was most prominent among Mexican Americans (OR = 1.83, 95% CI: 1.08–3.08) and non-Hispanic blacks (OR = 1.81, 95% CI: 1.08–3.04).

Conclusions
This cross-sectional study demonstrated a positive association between BV and HPV infection in women.
Comparing the effects of team-based and problem-based learning strategies in medical education: a systematic review
Authors: Zhang Weilin , Wei Jinsong , Guo Weixiong , Wang Zhongwei , Chen Siyuan 
Published: February 2024

Abstract
Background
Recently, there has been a concerted effort within medical schools to depart from conventional lecture-based learning approaches to alternative teaching methods such as team-based learning (TBL) and problem-based learning (PBL), with the aim of enhancing both student engagement and instructional efficacy. Despite this shift, a comprehensive review that directly compares the impacts of PBL and TBL methods in medical education is lacking. This study seeks to address this gap by conducting a meta-analysis that compares the effects of TBL and PBL in the context of medical education.

Methods
Studies from Embase, PubMed, Web of Science, China National Knowledge Infrastructure, and Chinese Wanfang Database were searched, from inception to July 11, 2023. A meta-analysis was performed using Stata 14.0, and a total of 10 studies (including 752 participants) were included. The standardized mean difference (SMD) was used to estimate pooled effects. Heterogeneity was detected using the I2 statistic and further explored using meta-regression analysis.

Results
Compared with PBL, TBL significantly increased the number of theoretical tests (SMD = 0.37, 95% CI: 0.02–0.73). Additionally, TBL greatly improved teamwork skills compared with PBL. However, there were no significant differences between the TBL and PBL groups concerning practical skill scores, learning interest, or understanding skills.

Conclusion
TBL in the theoretical aspects of medical education appears to be more effective than PBL in improving theoretical test scores and teamwork skills, providing evidence for the implementation of TBL in medical education.
Examining the use, confidence, and barriers to follow Advanced Life Support in Obstetrics (ALSO) course guides in managing obstetric emergencies in Sudan
Authors: Mahgoub Esra Abdallah Abdalwahed , Osman Sarah H. M. , Al-Hussien Hafeia A. , Al-Bushra Nehal , Khairy Amna , Elhadi Yasir Ahmed Mohammed 
Published: February 2024

Abstract
Background
The Advanced Life Support in Obstetrics (ALSO) course is a globally recognized interprofessional training program designed to assist healthcare professionals in acquiring and sustaining the necessary knowledge and skills to handle obstetric emergencies effectively. This survey aimed to assess the use, barriers, and confidence in using the ALSO course guidelines in managing obstetric emergencies in Sudan.

Methods
This descriptive cross-sectional study involved 103 physicians from the Sudan ALSO group in Sudan. A structured, close-ended questionnaire was distributed electronically to the participants. Data analysis was conducted using Statistical Package of Social Sciences Software version 26.

Results
More than half of the participants were specialists (54.4%). Although all respondents claimed to adhere to the ALSO guidelines for managing shoulder dystocia, a lower percentage followed them for neonatal resuscitation (75.0%) and maternal venous thrombosis management (68.9%). Only 62.1% of participants felt confident performing neonatal resuscitation. The main barriers to implementing the ALSO course guidelines were the respondents’ preference for other guidelines and their belief that the guidelines were not applicable in their specific settings.

Conclusion
The majority of participants displayed a high level of confidence, indicating a positive perception of the guide's effectiveness. However, there is room for improvement, particularly in areas such as neonatal resuscitation and forceps-assisted births, where confidence levels were lower. Addressing barriers, including the preference for other guidelines and the applicability of the guide in specific settings, is crucial to ensure widespread adoption. Refresher training programs, contextual adaptations, and the integration of guidelines may help overcome these barriers and enhance the overall implementation of the ALSO guide in managing obstetric emergencies in Sudan.
Test characteristics of point-of-care ultrasonography in patients with acute kidney injury
Authors: Gaudreau-Simard Mathilde , Saiyin Tana , Mcinnes Matthew D. F. , Ruller Sydney , Clark Edward G. , Wooller Krista , Kilabuk Elaine , Forster Alan J. , Woo Michael Y. 
Published: February 2024

Abstract
Background
Acute kidney injury is a common disorder that is associated with significant morbidity and mortality. Point-of-care ultrasonography (PoCUS) is an imaging modality performed at the bedside and is used to assess for obstructive causes of acute kidney injury. Little is known about the test characteristics of PoCUS in patients with acute kidney injury.

Objective
Our primary objective was to describe the test characteristics of PoCUS for the detection of hydronephrosis in patients presenting with acute kidney injury at our centre. Our secondary objective was to describe the current rate of use of PoCUS for this indication.

Results
In total, 7873 patients were identified between June 1, 2019 and April 30, 2021, with 4611 meeting inclusion criteria. Of these, 94 patients (2%) underwent PoCUS, and 65 patients underwent both PoCUS and reference standard, for a total of 124 kidneys included in our diagnostic accuracy analysis. The prevalence of hydronephrosis in our cohort was 33% (95% CI 25–41%). PoCUS had a sensitivity of 85% (95% CI 71–94%) and specificity of 78% (95% CI 68–87%) for the detection of hydronephrosis.

Conclusion
We describe the test characteristics of PoCUS for the detection of hydronephrosis in a cohort of patients with acute kidney injury. The low uptake of this test presents an opportunity for quality improvement work to increase its use for this indication.
Reverse sheathing technique for iliocaval thrombectomy in the setting of IVC filters
Authors: Cornman-Homonoff Joshua , Marino Angelo G. , Mojibian Hamid 
Published: February 2024

AbstractThe Inari ClotTriever system (Inari Medical, Irvine, California) is safe and effective for the treatment of DVT. However, because it consists of a 31 cm coring device and collection bag that must be extended for use, application may be precluded by available intravascular “running room”, such as in the presence of an IVC filter. Here we present a technique for bypassing IVC filters via retrograde deployment of the ClotTriever within a sheath, as illustrated in three cases. This technique extends the applicability of the ClotTriever to locations in which its length would otherwise preclude use.
Impact behavior of spark plasma sintered Ti–Al–Mo/TiN composites: a finite element analysis approach using Abaqus CAE
Authors: Jeje Samson Olaitan , Marazani Tawanda , Shongwe Mxolisi Brendon 
Published: February 2024

Abstract
Background
The utilization of Finite Element Analysis (FEA) has emerged as a crucial methodology in the field of structural and elasticity analysis, facilitating researchers in their understanding of material responses to diverse thermal or structural loads. This study investigates the utilization of FEA to simulate the Impact characteristics of titanium composites, with specific emphasis on the Charpy impact test. The research utilizes the Abaqus Explicit software, which is widely recognized for its explicit dynamic analysis functionalities, to simulate high-speed and short-duration events such as impacts. The primary objective of this study is to examine the impact behavior of Ti–7Al–1mo/TiN composites fabricated through the spark plasma sintering technique. The impact behavior is simulated using FEA, wherein the shear failure model is utilized to replicate fracture phenomena. This paper examines the methodology employed in the FEA approach, with a particular focus on various factors including boundary conditions, explicit dynamic analysis settings, and material properties.

Results
The outcomes and analyses involve the examination of the von Mises stress distribution, displacement magnitude, and energy behavior of the models that were tested. Reinforcement of Ti–Al–Mo ternary alloy with TiN led to a progressive increase in maximum von Mises stress, reaching a peak at 3 wt% TiN. Conversely, displacement magnitude decreased with increasing TiN content, with CP-Ti and the unreinforced alloy exhibiting the highest values. Absorbed energy also declined with higher TiN levels. While models containing 5 and 7 wt% TiN displayed limited plastic deformation before fracture, composites with ≤ 3 wt% TiN maintained acceptable ductility despite enhanced strength and stiffness.

Conclusion
The FEA methodology effectively simulates the Charpy impact characteristics of Ti–7Al–1Mo/TiN composites, thereby offering significant contributions to understanding their mechanical behaviors. These findings suggest that TiN reinforcement up to 3 wt% presents a promising strategy for improving the mechanical performance of Ti–Al–Mo alloys while minimizing the trade-off in toughness. This research emphasizes the inherent trade-off between toughness and strength/stiffness, suggesting the possibility of optimizing the composition of materials to suit particular applications. This study makes a valuable contribution to the expanding field of impact behavior research, demonstrating the potential of FEA, specifically utilizing Abaqus Explicit software, for enhancing material design and evaluation.
Personalization of treatment based on obesity phenotypes
Authors: Witkowska Maria , Błaszczak Karolina , Skotnicka Joanna , Podgórniak Kamila , Cąkała Marlena , Kozioł Magdalena , Piotrowska Julia , Lenczewska Katarzyna , Klimczak Kinga , Zajkowska Aleksandra 
Published: February 2024

Introduction:
Obesity is a significant clinical problem worldwide. The disease exhibits remarkable heterogeneity, leading to diverse pathogenesis among individuals. Despite a growing selection of weight-reducing medications and increased awareness of the importance of a healthy lifestyle, the effectiveness of obesity therapy often remains insufficient. This raises the question of whether tailoring obesity pharmacotherapy to specific phenotypes and individual patient characteristics results in improved treatment outcomes.
Objective:
To review literature on the effectiveness of obesity treatment based on the personalization of pharmacotherapy according to its underlying causes.
Current Knowledge:
Currently, the early outcome of weight loss is closely linked to the long-term effectiveness of obesity pharmacotherapy. However, due to the diversity of obesity pathogenesis, it is not helpful in selecting therapy at the initiation of treatment. Specific characteristics are sought to indicate the appropriate drug during therapy planning.
In a U.S. study (Acosta et al., 2021) results showed that phenotype-guided obesity pharmacotherapy resulted in clinically more significant absolute weight loss than in the non-phenotyped group.
Other studies demonstrated that for very rare types of obesity dependent on specific genetic mutations, targeted treatment addressing these defects yielded the best therapeutic outcomes (recombinant human leptin therapy for patients with leptin gene mutation – Farooqi et al., 2002; setmelanotide therapy for individuals with proopiomelanocortin deficiency – Clément et al., 2020).
The impact of specific gene variants on therapeutic response should also be considered, leading to variability in treatment effects for different patients using the same drug.
Conclusion:
The concept of basing therapy on obesity phenotypes may currently serve as a guide for treatment selection, although it still requires confirmation in randomized clinical trials.
Analysis of the interaction-length dependence of frequency stability in an iodine-stabilized Nd:YAG laser
Authors: Matsunaga Shogo , Kato Rei , Yoshiki Mayuko , Akamatsu Daisuke , Hong Feng-Lei 
Published: February 2024

We report a numerical simulation and an experimental study on the
interaction-length dependence of frequency stability in an
iodine-stabilized neodymium-doped yttrium aluminum garnet (Nd:YAG)
laser. A saturation spectroscopy model was used in the simulation to
calculate the interaction-length dependence of the linewidth and
signal-to-noise ratio of the iodine saturation spectrum. We determined
that 2 m was the optimal interaction length for laser-frequency
stabilization. We confirmed the simulation results by performing
modulation transfer spectroscopy and laser-frequency stabilization
using 45-cm- and 2-m-long iodine cells and multipass configurations.
The results of this study are useful for designing compact and highly
stable iodine-stabilized lasers.
Imaging-based measurement of lunar dust velocity and particle size
Authors: Dai YiDan , Xue Bin , Zhao YiYi , Tao JinYou , Yang JianFeng 
Published: February 2024

This paper introduces an optical–mechanical system designed for the dynamic detection and analysis of lunar dust, typically characterized as particles under 20 micrometers on the lunar surface. The system’s design is both compact and lightweight, aligning with the payload constraints of lunar exploration missions. It is capable of real-time tracking and recording the motion of lunar dust at various altitudes, a crucial capability for understanding the environmental dynamics of the lunar surface. By capturing images and applying sophisticated algorithms, the system accurately measures the velocity and size of dust particles. This approach significantly advances the quantitative analysis of lunar dust, especially during agitation events, filling a critical gap in our current understanding of lunar surface phenomena. The insights gained from this study are not only pivotal for developing theoretical models of lunar surface air flow disturbances and dust movement but also instrumental in designing effective dust mitigation and hazard avoidance strategies for future lunar missions, thereby enhancing both scientific knowledge and the engineering applications in lunar exploration.
Quantitative detection and prognostic value of antibodies against M-type phospholipase A2 receptor and its cysteine-rich ricin domain and C-type lectin domains 1 and 6-7-8 in patients with idiopathic membranous nephropathy
Authors: Liu Xiaobin , Xue Jing , Li Ting , Wu Qingqing , Sheng Huiming , Yang Xue , Lin Bo , Zhou Xiumei , Qin Yuan , Huang Zijian , Zhou Leting , Wang Liang , Hu Zhigang , Huang Biao 
Published: February 2024

Background
M-type phospholipase A2 receptor (PLA2R) is the major autoantigen in adult idiopathic membranous nephropathy (IMN). Although reactive epitopes in the PLA2R domains have been identified, the clinical value of these domains recognized by anti-PLA2R antibodies remains controversial. Accordingly, this study aimed to quantitatively detect changes in the concentrations of different antibodies against epitopes of PLA2R in patients with IMN before and after treatment to evaluate the clinical value of epitope spreading.

Methods
Highly sensitive time-resolved fluorescence immunoassay was used to quantitatively analyze the concentrations of specific IgG and IgG4 antibodies against PLA2R and its epitopes (CysR, CTLD1, CTLD6-7-8) in a cohort of 25 patients with PLA2R-associated membranous nephropathy (13 and 12 in the remission and non-remission groups, respectively) before and after treatment, and the results were analyzed in conjunction with clinical biochemical indicators.

Results
The concentration of specific IgG (IgG4) antibodies against PLA2R and its epitopes (CysR, CTLD1 and CTLD6-7-8) in non-remission group was higher than that in remission group. The multipliers of elevation of IgG (IgG4) antibody were 5.6(6.2) fold, 3.0(24.3) fold, 1.6(9.0) fold, and 4.2(2.6) fold in the non-remission/remission group, respectively. However, the difference in antibody concentrations between the two groups at the end of follow-up was 5.6 (85.2), 1.7 (13.1), 1.0 (5.1), and 1.5 (22.3) times higher, respectively. When detecting concentrations of specific IgG antibodies against PLA2R and its different epitopes, the remission rate was 66.67% for only one epitope at M0 and 36.36% for three epitopes at M0. When detecting concentrations of specific IgG4 antibodies against PLA2R and its different epitopes, the remission rate was 100.00% for only one epitope at M0 and 50.00% for three epitopes at M0. A trivariate logistic regression model for the combined detection of eGFR, anti-CTLD678 IgG4, and urinary protein had an AUC of 100.00%.

Conclusion
Low concentrations of anti-CysR-IgG4, anti-CTLD1-IgG4, and anti-CTLD6-7-8-IgG4 at initial diagnosis predict rapid remission after treatment. The use of specific IgG4 against PLA2R and its different epitopes combined with eGFR and urinary protein provides a better assessment of the prognostic outcome of IMN.
Producción de espacio y (des)regulación de los bordes
Authors: Manassero Leticia 
Published: February 2024

Este trabajo aborda la construcción espacial e histórica de los primeros barrios privados radicados en el municipio de Santo Tomé, lindantes a la autopista Santa Fe-Rosario, en el Área Metropolitana de Santa Fe (AMSF). Se indaga particularmente en los mecanismos de producción de espacio relacionados con la regulación/desregulación de los bordes periurbanos, a partir de la noción de facilitación institucional. En tal sentido, se hace foco en la relación entre normativa y urbanización en el período 1975-2003, cuya finalización supone un umbral relevante para comprender la consolidación del enclave, que presenta una gran expansión y crecimiento en la actualidad. Para llevar a cabo la investigación se recurrió a metodologías cualitativas, sustentadas en el análisis de fuentes documentales escritas, gráficas y hemerográficas y entrevistas a informantes claves. Se concluye que, en una primera instancia, algunos sectores privados llevaron a cabo proyectos de urbanización en la periferia urbana en un contexto de vacío normativo. En un segundo momento, se produjo una relectura institucional y aceptación del modelo de ciudad que proponían estos emprendimientos, y se llevaron a cabo acciones regulatorias que comenzaron a dar legitimidad al proceso. Asimismo, durante el período se observan mecanismos de privatización (materiales y simbólicos) que operan de forma conjunta y contribuyen en mayor o menor medida al cerramiento del borde.
Adolescents’ consumption intentions toward leisure tourism in high-risk leisure environments in riverine areas
Authors: Lin Hsiao-Hsien , Lin Tzu-Yun , Lo Chih-Cheng , Lin Chao-Yen , Zhang Su-Fang , Wu Po-Hsuan , Li Qi-Yuan , Tsai I-En , Yan Xue-Qi , Huang Jing-Hui , Chen Gan-Hong 
Published: February 2024

Abstract
This study investigated the effects of food culture on the economic and ecological development of rural rivers and adolescents’ intentions toward tourism in high-risk leisure environments. The study applied a mixed-methods design. A questionnaire was designed and distributed to recruited participants, and 900 responses were collected and analyzed, with SPSS 26.0 used to perform basic statistical validation and Pearson’s correlation analysis. Structured interviews were conducted to collect the opinions of experts, tourists, and residents of the investigated areas. A multivariate analysis was used to analyze the results, which revealed that superior economic, societal, and ecological development is associated with greater leisure, tourism, and consumption intentions. However, varying levels of environmental literacy among tourists can present challenges. Problems such as tourism waste; overdevelopment; loss of historic architectural features; and pollution of water, forests, and air may deter young tourists from revisiting an area and diminish their willingness to engage in and share leisure experiences.