bluuebunny/crossref_metadata_2025_split huggingface dataset:
Validation of the Polish version of the Functional Oral Intake Scale against flexible endoscopic evaluation of swallowing and the International Dysphagia Diet Standardization Initiative Functional Diet Scale
Authors: Milewska Magdalena , Jamroz Barbara , Panczyk Mariusz , Chmielewska-Walczak Joanna , Czernicki Tomasz , Dabrowska-Bender Marta , Folwarski Marcin , Szostak-Wegierek Dorota 
Published: February 2025

IntroductionThe Functional Oral Intake Scale (FOIS) is a widely used instrument for assessing oral intake in dysphagic patients. Despite its frequent use, a validated version for the Polish population has been lacking.MethodsThis study aimed to validate the Polish adaptation of FOIS (FOIS-PL) by examining its concordance with Fiberoptic Endoscopic Evaluation of Swallowing (FEES) outcomes and the International Dysphagia Diet Standardization Initiative Functional Diet Scale (IDDSI-FDS) scores across patients with diverse clinical profiles. The primary outcome measures included the Penetration-Aspiration Scale (PAS) score from FEES, pharyngeal residue quantification, and IDDSI-FDS scores. A total of 302 participants with varying clinical conditions were recruited. The cohort included individuals with head and neck malignancies, cerebrovascular incidents, neuromuscular disorders, and other dysphagia aetiologies.ResultsPatients with gastroesophageal reflux disease and those post-thyroidectomy consistently exhibited oral food intake with a FOIS-PL score of ≥5. A strong inverse correlation was found between FOIS-PL scores and PAS scores (rho = −0.739; p &lt; 0.001), indicating that reduced oral intake was associated with increased penetration or aspiration risk. Significant differences in FOIS-PL scores were evident across patient subgroups stratified by PAS severity (PAS ≤ 2, PAS 3–5, PAS &gt; 5) and IDDSI levels. Lower FOIS-PL scores corresponded with more impaired swallowing safety (PAS &gt; 5). The median FOISPL score was 5 for individuals with pharyngeal residue and 6 for those without (p &lt; 0.001). Inter-rater reliability between evaluations conducted by a dietitian (FOIS I) and a speech-language pathologist (FOIS II) demonstrated high consistency (tau = 0.995; p &lt; 0.001). Convergent validity was supported by strong correlations between FOIS-PL and IDDSI-FDS scores (FOIS I vs. IDDSI-FDS I: tau = 0.819; p &lt; 0.001; FOIS II vs. IDDSI-FDS II: tau = 0.815; p &lt; 0.001).ConclusionThe Polish version of the Functional Oral Intake Scale (FOIS-PL) is a valid and reliable tool for assessing oral intake in dysphagia. The findings demonstrate high accuracy, reliability, and validity, supporting its use across diverse clinical conditions.
Research hotspots and frontiers in the tumor microenvironment of colorectal cancer: a bibliometric study from 2014 to 2024
Authors: He Xinran , Xie Tingyi , Shi Li , Kuang Xuyi , Li Lei , Shang Xingyu , Fu Bo 
Published: February 2025

BackgroundColorectal cancer (CRC) is the second leading cause of cancer deaths globally, which poses a heavy burden on our healthcare and economy. In recent years, increasing researches suggest that the tumor microenvironment (TME) influences cancer onset, progression, metastasis, and treatment. This has become a popular direction for researching and attacking cancer. However, to date, there is no bibliometric analysis of colorectal cancer and tumor microenvironment from 2014 to 2024. This study aims to provide a comprehensive picture of the current research status, hotspots, and future trends in this field from a bibliometric perspective.MethodsIn this study, the publications about colorectal cancer and tumor microenvironment from 2014 to 2024 were searched based on the Web of Science Core Collection database. Then we analyzed and visualized the data using CiteSpace, VOSviewer, bibliometrix package, and Microsoft Excel 2019.ResultsA total of 748 publications were included in our study, and the number of publications entered a period of rapid growth after 2019. China and the United States are the major research and collaboration centers in this field. Elkord, Eyad is the most prolific author, and Frontiers in Immunology is the journal that published the most papers on the TME of CRC. In addition, keyword and cluster analysis showed that immune checkpoint inhibitors, cancer-associated fibroblasts, macrophage polarization, intestinal microbiota, colorectal cancer liver metastasis, drug resistance, scRNA-seq, etc. may be the research hotspots and trends in this field.ConclusionsColorectal cancer and tumor microenvironment research is in the developmental stage, and strengthening international cooperation can help to drive this field forward. The main components and signaling in TME, CRC immunotherapy, colorectal cancer liver metastasis, and new research techniques are the hot research directions in this domain. Our findings will provide scholars with an up-to-date perspective on the current state of research, hotspots, and future trends in this field.
Physiological and image-based phenotyping assessment of waterlogging responses of three kiwifruit rootstocks and grafting combinations
Authors: Calabritto Maria , Mininni Alba N. , Di Biase Roberto , Petrozza Angelo , Summerer Stephan , Cellini Francesco , Dichio Bartolomeo 
Published: February 2025

IntroductionKiwifruit species have a relatively high rate of root oxygen consumption, making them very vulnerable to low root zone oxygen concentrations resulting from soil waterlogging. Recently, kiwifruit rootstocks have been increasingly used to improve biotic and abiotic stress tolerance and crop performance under adverse conditions. The aim of the present study was to evaluate morpho-physiological changes in kiwifruit rootstocks and grafting combinations under short-term waterlogging stress.MethodsA pot trial was conducted at the ALSIA PhenoLab, part of the Phen-Italy infrastructures, using non-destructive RGB and NIR image-based analysis and physiological measurements to identify waterlogging stress indicators and more tolerant genotypes. Three pot-grown kiwifruit rootstocks (‘Bounty 71,’ Actinidia macrosperma—B; ‘D1,’ Actinidia chinensis var. deliciosa—D; and ‘Hayward,’ A. chinensis var. deliciosa—H) and grafting combinations, with a yellow-fleshed kiwifruit cultivar (‘Zesy 002,’ A. chinensis var. chinensis) grafted on each rootstock (Z/B, Z/D, Z/H), were subjected to a control irrigation treatment (WW), restoring their daily water consumption, and to a 9-day waterlogging stress (WL), based on substrate saturation. Leaf gas exchange, photosynthetic activity, leaf temperature, RGB, and NIR data were collected during waterlogging stress.ResultsStomatal conductance and transpiration reached very low values (less than 0.05 mol m−2 s−1 and 1 mmol m−2 s−1, respectively) in both waterlogged D and H rootstocks and their grafting combinations. In turn, leaf temperature was significantly increased and photosynthesis was reduced (1–6 μmol m−2 s−1) from the first days of waterlogging stress compared to B rootstock and combination.DiscussionThe B rootstock showed prolonged leaf gas exchange and photosynthetic activity, indicating that it can cope with short-term and temporary waterlogging and improve the tolerance of grafted kiwi vines, which showed a decrease in stomatal conductance 5 days after the onset of stress. Morphometric and colorimetric parameters from the image-based analysis confirmed the greater susceptibility of D and H rootstocks and their grafting combinations to waterlogging stress compared to B. The results presented confirm the role of physiological measurements and enhance that of RGB and NIR images in detecting the occurrence of water stress and identifying more tolerant genotypes in kiwifruit.
Parenting styles and externalizing problem behaviors of preschoolers: mediation through self-control abilities and emotional management skills
Authors: WenLi Zhang , Tiemei Xu , Shuangqi Li , Qun Yu , Jingbo Zhu , Sijie Sun 
Published: February 2025

IntroductionThe detection rate of externalizing problem behaviors among Chinese children has been increasing year by year. Before the age of six, the problem behaviors that appear in children are predominantly externalizing problem behaviors. Family is the starting point for children's socialization. Although some studies have explored the impact of parenting styles on children's externalizing problem behaviors, only a few have explored the underlying mechanisms driving this relationship.MethodsThis study attempts to fill this gap by investigating how self-control abilities and emotional management skills mediate the relationship between parenting styles and preschoolers' externalizing problem behaviors. Here, teachers and parents of 799 preschoolers from China were surveyed.ResultsThe findings of this investigation are 3-fold: (1) a significant association exists between the parenting styles adopted by parents and externalizing problem behaviors observed among preschoolers; (2) self-control abilities and emotional management skills independently mediate the associations between parenting styles and children's externalizing problem behaviors, highlighting their roles as mediators; and (3) sequential mediation of self-control abilities and emotional management skills elucidates a pathway through which parenting styles impact preschoolers' externalizing problem behaviors.DiscussionThis study clarified the relationship between parenting styles, externalizing problem behaviors of preschoolers, self-control abilities, and emotional management skills to provide a theoretical basis for solving the externalizing problem behaviors of preschoolers.
Sense of belonging and its positive association with physical activity levels and negative association with sedentary behaviors in residential aged care facilities in COVID-19 pandemic: a longitudinal study
Authors: Marchant Gonzalo , Guillet-Descas Emma , Heutte Natacha 
Published: February 2025

IntroductionThe COVID-19 pandemic reduced physical activity levels and increased sedentary behavior among older adults in residential care facilities. Another effect of this crisis was that facilitating a sense of social belonging through in-person social activities, such as group exercises or communal meals, became difficult. This study examines the relationship between physical activity, sedentary behavior, and sense of social belonging in older adults.MethodsThis longitudinal study, which lasted 10 months, involved 57 older adults in residential care facilities. Participants completed the Échelle de mesure du Sentiment d’Appartenance Sociale (ESAS) questionnaire three times and wore an accelerometer on their waists for 1 week each time to measure sedentary time and physical activity levels. The ESAS questionnaire, a validated tool for evaluating social belonging in older adults, measures social belonging through a series of questions that assess an individual’s feelings of acceptance and intimacy within their social group.ResultsParticipants were predominantly sedentary (7.30 h/day) and engaged in low-intensity physical activities (2.9 h/day). They did not meet the recommended 150 min/week of moderate-to-vigorous physical activity. The sense of social belonging was high, with mean scores of 6.75 (ESAS), 7.08 (Acceptance), and 6.43 (Intimacy). Light physical activity was negatively associated with sedentary time. The sense of social belonging was positively associated with light physical activity and negatively correlated to sedentary time.ConclusionThis study underscores the importance of light physical activity and a sense of social belonging in reducing sedentary behavior among older adults in residential care facilities. By promoting social interactions and light physical activity, we can enhance the well-being of this population, especially during pandemic conditions. The study’s findings should inspire future interventions to focus on these aspects, thereby improving health outcomes in residential care facilities for older adults.
Connections between job satisfaction and depression, anxiety, and stress among nurses
Authors: Buivydienė Agnė , Rapolienė Lolita , Truš Marija , Jakavonytė-Akstinienė Agnė 
Published: February 2025

IntroductionAs a cornerstone of overall wellbeing, mental health significantly influences job satisfaction, vital for employee retention and organizational success. Recognizing this, managers prioritize initiatives to enhance job satisfaction and promote a healthy, productive work environment.AimsThe study aims to explore the connections between depression, anxiety, stress, and job satisfaction among nurses, providing insights to improve their wellbeing and retention in the profession.MethodsThis quantitative survey study was conducted from June to September 2024, involving 643 nurses from healthcare facilities in Klaipėda County. Data were collected using two validated instruments: the Depression, Anxiety Stress Scales (DASS-42) and the Paul Spector Job Satisfaction Survey (JSS). Statistical analysis was performed using IBM SPSS Statistics Version 29.0.1.0.ResultsThe study found that while the average levels of depression, anxiety, and stress among nurses were within normal limits, a significant portion of participants exhibited compromised mental health. Nearly one-third of the nurses experienced stress and/or depression, and almost half reported anxiety. Over one-sixth of the participants experienced high or very high levels of anxiety, while severe depression or stress was less common. Factors such as years of experience, workload, and work schedule were identified as significant influences on nurses’ psychoemotional state. Moderate to strong positive correlations were observed between depression, anxiety, and stress levels. Additionally, the nurses’ mental health was statistically significantly and negatively associated with most components of job satisfaction.ConclusionDespite average levels of depression, anxiety, and stress being within normal limits, many nurses face significant mental health challenges, particularly anxiety. Factors like workload and work schedules strongly influence their wellbeing. The negative link between mental health and job satisfaction highlights the need for better support to improve nurses’ wellbeing and job satisfaction.
People with symptoms of depression and those at significant risk of suicide show differences in their personality profile and sense of meaning in life
Authors: Deska Kacper , Mirocha Grzegorz , Bąk Bartłomiej , Mirgos-Wierzchowska Anna , Kosmalski Marcin , Różycka-Kosmalska Monika , Pietras Tadeusz 
Published: February 2025

IntroductionMedical students are exposed to various stressors. Among the many factors that determine the possibility of a mental crisis, there is also a personality profile and a sense of meaning in life.Materials and methodsSets of anonymous surveys were distributed among medical students of different years studying at the Medical University of Lodz. The set of surveys included a sociodemographic survey, Beck’s Depression Inventory version II (BDI-II), the NEO Five Factory Inventory (NEO-FFI), Reker’s Life Attitude Profile - Revised questionnaire (LAP-R), Osman’s Suicidal Behavior Questionnaire (SBQ-R).ResultsThe study cohort comprised of 276 students (mean age 21.7 years). According to the BDI-II, 79 participants (28.4%) were identified as having depressive symptoms. Additionally, 80 participants (28.9%) were assessed to be at significant risk of suicide according to the SBQ-R scale. Based on the results of these questionnaires, we identified four groups: 1. Participants with depressive symptoms (D). 2. Participants with suicide risk (SR), 3. Participants with both depressive symptoms with suicide risk (D and SR), 4. A control group. Students from D and D and SR groups, exhibited higher neuroticism scores compared to those with suicide risk alone (SR) and the control group. In terms of extroversion, the control and SR groups scored higher compared to the D with SR group. Participants with SR and those with D and SR had higher openness scores compared to the D and control groups. D and SR group obtained statistical lower score then control group in the terms of conscientiousness. In life control score, participants in D and D with SR group has significant lower score then SR and control group. The conditions: personal meaning index and life attitude balance in the control group achieved significantly higher values compared to all other groups.ConclusionPeople with depressive symptoms, suicide risk and both of these variables simultaneously differed in terms of personality profile and components influencing the meaning of life.
Sleep deficiencies and suicidal ideation across the psychosis continuum
Authors: Wastler Heather M. , Blouin Alexandra M. , Kilicoglu Melissa F. V. , Bozzay Melanie 
Published: February 2025

ObjectiveSleep deficiency, a broad term that encompasses sleep disorder symptoms and other aspects of disturbed sleep, is an established risk factor for suicide. Although several studies have examined the relationship between sleep, suicidal ideation, and suicide attempts among individuals with psychotic disorders, few studies have focused on the early stages of illness. The current study addressed this gap in the literature by examining the relationship between sleep deficiencies, recent suicidal ideation, and lifetime suicidal behavior across the psychosis continuum.MethodA retrospective chart review was used to obtain relevant data for individuals at clinical high-risk for psychosis (CHR-P), individuals with first-episode psychosis (FEP), and individuals with longstanding illness.ResultsResults indicate that sleep deficiencies are prevalent across all stages of illness, though individuals at CHR-P have significantly higher rates of sleep deficiency than individuals with FEP and longstanding psychosis. Additionally, there was a strong relationship between sleep deficiencies and suicidal ideation across the entire sample.ConclusionsFurther research is needed to clarify the specific nature of these sleep deficiencies and to elucidate the mechanisms by which sleep deficiencies might increase risk for suicide in this population.
Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case report
Authors: Saccaro Luigi F. , Privé Barbara , D’Imperio Ambra , Bridel Claire , Sentissi Othman , Wullschleger Alexandre 
Published: February 2025

BackgroundCoercive measures in psychiatric practice are controversial due to their potential for severe negative effects. Ethical debates focus on respecting autonomy, minimizing damaging effects, and acting in the patient’s best interest.CaseWe present a unique case of a young patient suffering from a first episode of catatonic psychosis, in which striking this balance was especially difficult given the patient’s complete mutism and opposition, given the absence of immediate danger to herself or others, the lack of anamnestic information, and her avoidance of social support, which would have meant that she would not have encountered psychiatric care, were it not for an exceptional government plan in place at the time of hospitalization. The patient showed a very favorable, persistent response to nonvoluntary treatment with haloperidol and lorazepam, which could be discussed and debriefed once she recovered, after almost 5 months of hospitalization and follow-up.DiscussionArguments for and against nonvoluntary treatment are reviewed based on discussion with the local ethics committee, providing a useful reference for future similar cases. Finally, this case highlights an atypical onset of psychosis in a previously high-functioning individual and explores the mental health impact of international tensions, particularly the Russian-Ukrainian war, on individuals.
Balancing the Load: How Optimal Forces Shape the Longevity and Stability of Orthodontic Mini-Implants
Authors: Panaite Tinela , Savin Carmen , Olteanu Nicolae Daniel , Romanec Cristian Liviu , Vieriu Raluca-Maria , Balcos Carina , Chehab Alice , Zetu Irina Nicoleta 
Published: February 2025

Objective: This study aims to investigate the mechanical behavior of titanium (Ti6Al4V) mini-implants (MIs) under varying orthodontic forces using finite element analysis (FEA) and to evaluate their performance and durability under realistic clinical conditions. Optimal orthodontic forces significantly influence the structural integrity and functional longevity of MIs while minimizing adverse effects on surrounding bone tissues. Materials and Methods: A commercially available MI (diameter: 2.0 mm, length: 12 mm) was modeled using FEA. The mandible geometry was obtained using computed tomography (CT) scanning, reconstructed in 3D using SpaceClaim software 2023.1, and discretized into 10-node tetrahedral elements in ANSYS Workbench. Material properties were assigned based on the existing literature, and the implant–bone interaction was simulated using a nonlinear frictional contact model. Orthodontic forces of 2 N and 10 N, inclined at 30°, were applied to simulate clinical loading conditions. Total displacement, von Mises stresses, equivalent strains, fatigue life, and safety factors were analyzed to assess the implant’s mechanical performance. Results: At 2 N, the MI demonstrated minimal displacement (0.0328 mm) and sustained approximately 445,000 cycles under safe fatigue loading conditions, with a safety factor of 4.8369. At 10 N, the implant’s lifespan was drastically reduced to 1546 cycles, with significantly elevated stress (6.468 × 105 MPa) and strain concentrations, indicating heightened risks of mechanical failure and bone damage. The findings revealed the critical threshold beyond which orthodontic forces compromise implant stability and peri-implant bone health. Conclusions: This study confirms that maintaining orthodontic forces within an optimal range, approximately 2 N, is essential to prolong MI lifespan and preserve bone integrity. Excessive forces, such as 10 N, lead to a rapid decline in durability and increased risks of failure, emphasizing the need for calibrated force application in clinical practice. These insights provide valuable guidance for enhancing MI performance and optimizing orthodontic treatment outcomes.