bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of teacher self-efficacy, online pedagogical and content knowledge, and emotion regulation on teacher digital burnout: a mediation model
Authors: Yang Xianbi , Du Juan 
Published: January 2024

Abstract
Background
With the increasing prevalence of online teaching, understanding the dynamics that impact educators' well-being and effectiveness is paramount. This study addresses the interconnected relationships among online teaching competence, self-efficacy, emotion regulation, and digital burnout among teachers in the digital learning environment.

Objectives
The primary objectives of this research are to investigate the direct and mediated effects of online teaching competence and self-efficacy on emotion regulation and digital burnout among teachers. Additionally, the study aims to explore the mediating role of emotion regulation in the relationship between self-efficacy and digital burnout. The overarching goal is to provide comprehensive insights into the factors influencing teacher well-being in the online teaching context.

Methodology
A cross-sectional survey design was employed, involving a convenience sample of educators from a specific university. Participants responded to validated self-report measures assessing online teaching competence, self-efficacy, emotion regulation, and digital burnout. Statistical analyses, including regression and mediation analyses, were conducted to examine the relationships among the key variables.

Results
The findings reveal significant relationships and effects among the investigated variables. Online teaching competence is a substantial predictor of emotion regulation and digital burnout. Similarly, self-efficacy significantly impacts emotion regulation and digital burnout. Emotion regulation mediates the relationship between online teaching competence, self-efficacy, and digital burnout. These results highlight the intricate connections shaping teachers' experiences in the digital teaching environment.

Conclusions and implications
In conclusion, this study provides robust evidence supporting the interconnectedness of online teaching competence, self-efficacy, emotion regulation, and digital burnout among teachers. The implications underscore the importance of fostering these competencies through targeted professional development. Educational institutions and policymakers can use these insights to implement strategies that enhance teacher well-being, ultimately promoting a more effective and sustainable online teaching environment.
CT radiomics based on different machine learning models for classifying gross tumor volume and normal liver tissue in hepatocellular carcinoma
Authors: Zhang Huai-wen , Huang De-long , Wang Yi-ren , Zhong Hao-shu , Pang Hao-wen 
Published: January 2024

Abstract
Background & aims
The present study utilized extracted computed tomography radiomics features to classify the gross tumor volume and normal liver tissue in hepatocellular carcinoma by mainstream machine learning methods, aiming to establish an automatic classification model.

Methods
We recruited 104 pathologically confirmed hepatocellular carcinoma patients for this study. GTV and normal liver tissue samples were manually segmented into regions of interest and randomly divided into five-fold cross-validation groups. Dimensionality reduction using LASSO regression. Radiomics models were constructed via logistic regression, support vector machine (SVM), random forest, Xgboost, and Adaboost algorithms. The diagnostic efficacy, discrimination, and calibration of algorithms were verified using area under the receiver operating characteristic curve (AUC) analyses and calibration plot comparison.

Results
Seven screened radiomics features excelled at distinguishing the gross tumor area. The Xgboost machine learning algorithm had the best discrimination and comprehensive diagnostic performance with an AUC of 0.9975 [95% confidence interval (CI): 0.9973–0.9978] and mean MCC of 0.9369. SVM had the second best discrimination and diagnostic performance with an AUC of 0.9846 (95% CI: 0.9835– 0.9857), mean Matthews correlation coefficient (MCC)of 0.9105, and a better calibration. All other algorithms showed an excellent ability to distinguish between gross tumor area and normal liver tissue (mean AUC 0.9825, 0.9861,0.9727,0.9644 for Adaboost, random forest, logistic regression, naivem Bayes algorithm respectively).

Conclusion
CT radiomics based on machine learning algorithms can accurately classify GTV and normal liver tissue, while the Xgboost and SVM algorithms served as the best complementary algorithms.
Janus kinase inhibitors vs. abatacept about safety and efficacy for patients with rheumatoid arthritis-associated interstitial lung disease: a retrospective nested case-control study
Authors: Tsujii Atsuko , Isoda Kentaro , Yoshimura Maiko , Nakabayashi Akihiko , Kim Dong-Seop , Tamada Tatsuya , Yamamoto Kurumi , Ohshima Shiro 
Published: January 2024

Abstract
Background
Interstitial lung disease (ILD) related to rheumatoid arthritis (RA) is among the leading causes of death and an essential prognostic factor. There is only limited evidence for the safety of anti-rheumatic drugs for patients with RA-ILD. The aim of this study is to investigate the safety and efficacy of Janus kinase inhibitors (JAKis) by comparing it with abatacept (ABT) in patients with RA-ILD.

Methods
This single centre, retrospective nested case–control study enrolled patients with RA-ILD treated with JAKi or ABT. To determine the safety of the two drugs for existing ILD, we compared their drug persistency, incidence rates of pulmonary complications, and change of chest computed tomography (CT) image. For their efficacy as RA treatment, disease activity scores and prednisolone (PSL)-sparing effect were compared. We performed propensity score matching to match the groups’ patient characteristics.

Results
We studied 71 patients with RA-ILD (ABT, n = 45; JAKi, n = 26). At baseline, the JAKi group had longer disease duration, longer duration of past bDMARD or JAKi use and higher usual interstitial pneumonia rate. After propensity score matching, no significant differences in patient characteristics were found between the two groups. No significant difference in the drug persistency rate for the first 2 years (ABT, 61.9%; JAKi, 42.8%; P = 0.256) was observed between the two matched groups. The incidence rate of pulmonary complications did not differ significantly between the two groups (P = 0.683). The CT score did not change after the treatment for the ABT group (Ground-glass opacities (GGO): P = 0.87; fibrosis: P = 0.78), while the GGO score significantly improved for the JAKi group (P = 0.03), although the number was limited (ABT: n = 7; JAKi: n = 8). The fibrosis score of the JAKi group did not change significantly.(P = 0.82). Regarding the efficacy for RA, a significant decrease in disease activity scores after the 1-year treatment was observed in both groups, and PSL dose was successfully tapered, although no significant differences were observed between the two drugs.

Conclusions
JAKi is as safe and effective as ABT for patients with RA-ILD. JAKi can be a good treatment option for such patients.
Feasibility of a web-based program for secondary prevention of suicidal behavior: The
iFight Depression-Survive
Authors: Elices M. , Canosa I. , Toll A. , Justicia A. , Colom F. , Pérez V. 
Published: January 2024

Introduction
Suicide is a leading cause of preventable death in the world. Interventions that can
quickly reach a large and geographically dispersed population are needed. Web-based programs
are potentially cost-effective, allowing continuity of care. The iFightDepression-SURVIVE
(iFD-Survive) is a web-based program designed as an add-on to iFightDepression, a tool
developed by the European Alliance Against Depression to target depressive symptoms
(https://ifightdepression.com/en/). iFD-Survive is based on dialectical behavioral therapy
skills and includes four modules: a safety plan, mindfulness, emotion regulation, and
distress tolerance. The content is presented in various formats, including audio, videos, and
registers. In addition, weekly telephone support is offered by a mental health
nurse.

Objectives
To investigate the feasibility (acceptability, usability, and satisfaction) of the
iFD-Survive.

Methods
30 participants who received the intervention as part of a large RCT completed an
online survey. To receive the intervention, participants needed to meet the following
criteria: 1) digital literacy, 2) having attempted suicide in the last month, and 3) PHQ-9
scores above 5. The online survey included an ad-hoc questionnaire to collect
socio-demographic data and data regarding participants’ opinions on the program’s content.
The following instruments were also administered:
System Usability Scale (SUS)
Credibility of analogue of therapy rationales

Results
Most respondents were women (20/30), with a mean age of 44 years, and secondary
studies (15/30). Most participants (57%) used a mobile phone to access the website and
regarded it as “easy to use” (53%). According to the SUS, many of them (57%) reported that
they would like to use it frequently and that the tool was “easy” and “safe” to use (53%).
Regarding acceptability, 47% of the sample indicated that the iFD-Survive content was
adequate to improve their symptoms, and 56% considered that their symptoms of depression have
improved as a result of the intervention. 83% of the sample considered telephone follow-up
“very useful.” The majority (70%) consulted the program once a week. The “safety plan” and
the mindfulness module were regarded as the most useful, followed by “distress tolerance.”
The audio for practicing mindfulness skills and the written material were considered very
useful, while the videos were valuable.

Conclusions
Online tools can promote continuity of care, helping to prevent further suicide
attempts in vulnerable populations. These preliminary findings suggest that the iFD-Survive
is feasible among participants with depressive symptoms who have recently attempted suicide.
However, these results are based on a small sample of highly educated women; therefore,
future research is needed to determine if these can be transferred to other
sub-populations.

Disclosure of Interest
None Declared
Features of the course of affective diseases in hyperthymic persons
Authors: Barkhatova A. , Churkina A. , Bolgov M. 
Published: January 2024

Introduction
Hyperthymia was studied by many eminent psychiatrists considering it mainly within the
framework of the subsyndromic course of affective disorders (Akiskal H.S., Angst J., Benazzi
F.). Statistical data on the prevalence of hyperthymic personalities are scarce, which is
associated with rare requests for help and diagnosis of this condition within the framework
of character traits. Given the above, the study of the psychopathological and dynamic
features of hyperthymia seems to be very relevant, since previously hyperthymic
characterological features were not always taken into account in the diagnosis of the
disease, the selection of drugs and the prediction of remission.

Objectives
Determination of the clinical features of the course of an affective disease in
patients with hyperthymic features.

Methods
The sample consisted of, 48 patients (39 women, 9 men) who were on inpatient or
outpatient treatment at the clinic since 2019 to 2022. Patients were examined by
clinical-psychopathological, clinical-anamnestic methods due to the presence of a phase
affective state.

Results
The subjects were diagnosed with two diseases - bipolar affective disorder and
cyclothymia. There were 2 variants of affective phases - affective-mixed and “double” mania.
In bipolar disorder, there were anxiety-hypochondriacal depressions (10 patients, 38.5%),
polymorphic depressions (4 patients, 15.4%), asthenic hypomania (5 patients, 19.2%),
hypochondriacal manias (3 patients, 11. 5%), alternating states (4 patients, 15.4%), “double”
manias (8 patients, 23.5%). In cyclothymia, anxiety-hypochondriac depression (8 patients,
57.1%), somatoform decompensation (2 patients, 14.3%) and asthenic hypomania (4 patients,
28.6%) were observed.

Conclusions
Thus, bipolar disorder was the most common among hyperthymic individuals.
Anxiety-hypochondriacal depression prevailed in both nosologies. Manic and hypomanic states
were most often observed in patients with bipolar disorder (“double” manias - exclusively in
bipolar disorder).

Disclosure of Interest
None Declared
Assessment of executive functions through a virtual reality task in euthymic patients
with bipolar disorder and influence in psychosocial functioning
Authors: Andreu Martínez J. , Beltrán Cristancho D. , Navalón P. , Sierra San Miguel P. , García Blanco A. , Chicchi Glioli A. , Cervera Torres S. , Alcañiz Raya M. , Cañada Pérez Y. 
Published: January 2024

Introduction
Previous research has shown that neurocognitive deficits, especially deficits in
executive functions, may persist during euthymia in in patients with bipolar disorder (BD)
and that those are associated with an impairment of psychosocial functioning. The assessment
of executive functions (EFs) is normally carried out using laboratory tests. Novel
methodologies such as virtual reality (VR) allow the creation of immersive environments, to
evaluate executive performance with greater potential for ecological validity than
evaluations with standard tasks.

Objectives
The objectives of this project are to evaluate executive performance in euthymic
patients with BD with a novel virtual reality task compared to standard computerized tasks,
and to find predictors of functioning associated with cognitive performance.

Methods
This is a cross sectional study in which 46 euthymic patients with BD treated at La Fe
University and Polytechnic Hospital were assessed with a battery of standard computerized
tasks (ST) (TMT/Stroop,/Go-No-Go/TOL/DOT) and with the Cooking Task virtual reality task. The
Cooking Task presents 4 tasks of increasing difficulty in which you must cook food in a
specific time. It records total time to complete the task, whether food is cooled or burned,
the simultaneous use of two fires, the proper use of seasonings and the time to set the
table.
Functioning was assessed with the Functioning Assessment Short Test (FAST) that
evaluates the overall functioning of patients with a mental illness in 6 subscales.
Correlation analyses between cognitive performance variables and clinical variables
were done. Multiple linear regression was performed with the FAST score as a dependent
variable and cognitive performance variables and relevant clinical variables to executive
functioning (months of euthymia, age, and number of total episodes) were included as
independent variables.

Results
A worse psychosocial functioning was significantly associated with a worse performance
in standard tasks (TMTA, TMTB, STROOP, and TOL) and cooking task (total time spent on task 2,
burning time and total time spent on task 3, and total time spent on task 4). In the
regression analysis, the correct simultaneous use of the two fires was the best predictor of
a better psychosocial functioning in BD patient. This implies the preserved ability of
planning and performing dual tasks.

Conclusions
Our findings suggest that euthymic patients with BD present deficits in executive
functions related with a worse psychosocial functioning. Among the tasks, the cooking task
may have a greater sensitivity than standards task to predict real functioning. This in an
opportunity to design virtual applications for diagnostic and therapeutic purposes.

Disclosure of Interest
None Declared
Evaluating the implementation of the perinatal maternal route in a group of students of
the psychology program of two Universites in Colombia during the period 2022
Authors: Ruiz Gonzalez E. P. , Muñoz Argel M. N. , Vicuña Romero J. J. , Noguera Morales T. , Acevedo Rodríguez M. Y. 
Published: January 2024

Introduction
Reducing maternal and newborn mortality is apriority on the health agenda. Priority,
integral, integrated and barrier-free care a attention to the population frames the spirit of
the route. The Comprehensive Care Route in Perinatal Maternal Health (CRPMH) proposes “to
promote health and the improvement of maternal and perinatal health outcomes, through
comprehensive health care, including coordinated action FROM the state, THE society and the
family on the social and environmental determinants of health inequities”
(Minsalud).

Objectives
To evaluate the implementation of the CRPMH in a group of maternal students from 0-12
months.

Methods
Qualitative, through semi-structured interview techniques and focused groups (FG)
referenced from the CRPMH (table 1) in 11 undergraduate students in psychology over 18 years
from 2 Colombian universities.

Results
Qualitative analysis evaluates convergences/divergences by percentages of
questionnaire responses and axial text analysis (FG). In preconception attention 100% of
mothers do not report signs of health risk, however, caesarean section was performed in 83.3%
of cases, this safer method is perceived for the mother and fetus, and is justified taking
into account that the pain of childbirth is very strong (FG).
In gestational health they indicate prenatal control, medical appointments, formation
in the condition of the fetus, guidelines on care, respectful upbringing and breastfeeding in
100%. In contrast, the focus group reports low empathy of doctors toward levels their fears,
reduced time to address concerns, negative information about labor and satisfaction with
medical procedures, considering caesarean section a humanized strategy.
Access to CRPMH is known by 50% of mothers, they do not know the preconceptional
consultation. In the GF they conclude that the information on preparation for maternity and
paternity is ineffective.
Psychological support is absent during childbirth and postpartum. There is a greater
knowledge about breastfeeding 83.3%

Discussion
The successful implementation of the route could reduce the risks of physical and
psychological impact on perinatal maternal health by facilitating decisions about motherhood
and its practice in the university educational environment. There was recognition of the
clinical factors of the CRPMH and ignorance of the responsibility of the educational
environment in its implementation.
Image:

Conclusions
The CCRPMH regulation is insufficient to guarantee its implementation. Risk factors
include the quality of service provided by health-care providers and the lack of knowledge of
regulations in university management.

Disclosure of Interest
None Declared
Alternative initiations with 6-monthly paliperidone palmitate. A descriptive
study
Authors: Sobrino O. C. , Sergio B. 
Published: January 2024

Introduction
6-monthly paliperidone palmitate features an initiation regimen through 1-monthly
paliperidone palmitate or 3-monthly paliperidone palmitate. Some patients don´t have
sufficient adherence to treatment and it is necessary at the clinical level to start directly
with 6-monthly paliperidone palmitte. There is une little clinical experience with these
alternative initiations and throuht this work those that have been carried out for 12 months
at the Rey Juan Carlos Hospital are exposed.

Objectives
The main objective of the study is to describe the alternative initations performed
with 6-monthly paliperidone palmitate in routine clinical practice, having opted for a
regimen different from the standard for clinical reasons.

Methods
A retrospective selection of patiens will be made throuht non-probabilistic
consecutive sampling, including all patients who have benn administered 6-monthly
paliperidone palmitate with a stard different form the standard during the last 6 months. To
do his, the electronic medical record will be used, first selecting the patients who have
started 6-monthly paliperidone palmitate through the anonymized digital records and, later,
including in the study only those who have followed and alternative initiation pattern. The
variables studied will be the following: age, sex, diagnosis, dose of paliperidone palmitate,
initiation regimen, consumption of toxic substances, absenteeism from 6-monthly paliperidone
palmitate, visits to the emergency room and admissions.

Results
The study included a total of 5 patients ( n:5). 80% of the patients were male and
20%were female. The mean age was 39.7 years. 80% of the patients had an associated substance
use disorder. The following alternate sarting schedules were with biannual paliperidone
palmitate: monthly paliperidone palmitate 150 mg together with semi-annual paliperidone
palmitate both on day 1 ( n: 2) or monthly paliperidone palmitate 150 mg on day 1, monthly
paliperidone palmitate 100 mg on day 5 and semi-annual paliperidone palmitate on day 12 ( n:
3 ).
A total of 0 visits to the emergency department and 0 admissions were observed after
the 6-monthly paliperidone palmitate regimen.

Conclusions
Alternative initations with 6-monthly paliperidone palmitate may be a useful and safe
clinical alternative in patients with very low adherence who, due to clinical needs, require
startin 6-monthly paliperidone palmitate earlier in order to guarantee adherence .

Disclosure of Interest
None Declared
Physical and psychoeducation combined group intervention: a quasi-experimental study
with Portuguese cancer survivors
Authors: Torres A. , Ribeiro A. , Matos C. , Costa J. , Oliveira A. F. , Santos I. M. , Costa S. R. 
Published: January 2024

Introduction
Cancer is a major public health problem worldwide and the risk of death from cancer
has decreased continuously since 1991, therefore, This translates into an increasing number
of cancer survivors (CS) worldwide.
During the survivorship seasons, CS face several short-term, long-term, persistent,
and late-emerging health and psychosocial problems, including cancer-related pain, fatigue,
menopausal symptoms, anxiety, depression, distress associated with the risk of cancer
recurrence, chronic uncertainty, social disruption, alterations of sleep, sexual and
cognitive dysfunctions.
Since 2002 that some researchers and clinicians argued that it is important to
de-velop and implement rehabilitation programs for cancer patients that integrate both
psychosocial and physical rehabilitation.

Objectives
With the scarcity of studies on the effectiveness of combined interventions in this
population, despite the strong recommendation to perform and study it, and aiming to
contribute to a greater knowledge on the theme, the present work aims to build, implement,
and evaluate a combined intervention program, which integrates psychoeducational intervention
with physical exercise to cancer survivors and relatives, through the following indicators:
psychopathological symptoms (anxiety and depression), self-concept, coping strategies,
personal growth and QoL.

Methods
A non-probabilistic convenience sample of 70 cancer survivors was assigned to: control
(without intervention: n=32), combined intervention (n=21) and psychoedu-cation intervention
(n=17) groups. Both intervention groups were 9 consecutive weeks duration. The combined
intervention group benefited from 2 weekly exercise sessions additionally. It was
administered before and after intervention the following questionnaires: demographic;
Hospital Anxiety and Depression Scale (HADS); Clinical Self-concept Inventory (ICAC); Cancer
Coping Questionnaire (CCQ); sub-scale of Personal Growth of the Psychological Well-being
Scale (EBEP) and the World Health Organization Quality of Life Questionnaire (WHOQOL-Bref
).

Results
It was observed a statistically significant reduction of anxiety and depression
symptoms from the beginning to the end of the intervention, as well as a significative
improvement of overall and all do-mains of self-concept and personal growth. It was not
observed a significative difference on quality of life.

Conclusions
The findings of this study contribute to support of the beneficial effect of combined
intervention on psychological functioning of cancer survivors. Positive effects of the
psychological program were observed but not into the same extent as in the combined
intervention.

Disclosure of Interest
None Declared