bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of an Individualized mHealth-Based Intervention on Health Behavior Change and Cardiovascular Risk Among People With Metabolic Syndrome Based on the Behavior Change Wheel: Quasi-Experimental Study
Authors: Chen Dandan , Zhang Hui , Wu Jingjie , Xue Erxu , Guo Pingping , Tang Leiwen , Shao Jing , Cui Nianqi , Wang Xiyi , Chen Liying , Ye Zhihong 
Published: November 2023

Background
Metabolic syndrome (MetS) is a common public health challenge. Health-promoting behaviors such as diet and physical activity are central to preventing and controlling MetS. However, the adoption of diet and physical activity behaviors has always been challenging. An individualized mobile health (mHealth)–based intervention using the Behavior Change Wheel is promising in promoting health behavior change and reducing atherosclerotic cardiovascular disease (ASCVD) risk. However, the effects of this intervention are not well understood among people with MetS in mainland China.

Objective
We aimed to evaluate the effects of the individualized mHealth-based intervention using the Behavior Change Wheel on behavior change and ASCVD risk in people with MetS.

Methods
We conducted a quasi-experimental, nonrandomized study. Individuals with MetS were recruited from the health promotion center of a tertiary hospital in Zhejiang province, China. The study involved 138 adults with MetS, comprising a control group of 69 participants and an intervention group of 69 participants. All participants received health education regarding diet and physical activity. The intervention group additionally received a 12-week individualized intervention through a WeChat mini program and a telephone follow-up in the sixth week of the intervention. Primary outcomes included diet, physical activity behaviors, and ASCVD risk. Secondary outcomes included diet self-efficacy, physical activity self-efficacy, knowledge of MetS, quality of life, and the quality and efficiency of health management services. The Mann-Whitney U test and Wilcoxon signed rank test were primarily used for data analysis. Data analysis was conducted based on the intention-to-treat principle using SPSS (version 25.0; IBM Corp).

Results
Baseline characteristics did not differ between the 2 groups. Compared with the control group, participants in the intervention group showed statistically significant improvements in diet behavior, physical activity behavior, diet self-efficacy, physical activity self-efficacy, knowledge of MetS, physical health, and mental health after a 12-week intervention (P=.04, P=.001, P=.04, P=.04, P=.001, P=.04, P=.04, and P<.05). The intervention group demonstrated a statistically significant improvement in outcomes from pre- to postintervention evaluations (P<.001, P=.03, P<.001, P=.04, P<.001, P<.001, and P<.001). The intervention also led to enhanced health management services and quality.

Conclusions
The individualized mHealth-based intervention using the Behavior Change Wheel was effective in promoting diet and physical activity behaviors in patients with MetS. Nurses and other health care professionals may incorporate the intervention into their health promotion programs.
Reasons for Acceptance or Rejection of Online Record Access Among Patients Affected by a Severe Mental Illness: Mixed Methods Study
Authors: Schwarz Julian , Meier-Diedrich Eva , Neumann Katharina , Heinze Martin , Eisenmann Yvonne , Thoma Samuel 
Published: November 2023

Background
Over the past few years, online record access (ORA) has been established through secure patient portals in various countries, allowing patients to access their health data, including clinical notes (“open notes”). Previous research indicates that ORA in mental health, particularly among patients with severe mental illness (SMI), has been rarely offered. Little is known about the expectations and motivations of patients with SMI when reading what their clinicians share via ORA.

Objective
The aim of this study is to explore the reasons why patients with SMI consider or reject ORA and whether sociodemographic characteristics may influence patient decisions.

Methods
ORA was offered to randomly selected patients at 3 university outpatient clinics in Brandenburg, Germany, which exclusively treat patients with SMI. Within the framework of a mixed methods evaluation, qualitative interviews were conducted with patients who chose to participate in ORA and those who declined, aiming to explore the underlying reasons for their decisions. The interviews were transcribed and analyzed using thematic analysis. Sociodemographic characteristics of patients were examined using descriptive statistics to identify predictors of acceptance or rejection of ORA.

Results
Out of 103 included patients, 58% (n=60) wished to read their clinical notes. The reasons varied, ranging from a desire to engage more actively in their treatment to critically monitoring it and using the accessible data for third-party purposes. Conversely, 42% (n=43) chose not to use ORA, voicing concerns about possibly harming the trustful relationship with their clinicians as well as potential personal distress or uncertainty arising from reading the notes. Practical barriers such as a lack of digital literacy or suspected difficult-to-understand medical language were also named as contributing factors. Correlation analysis revealed that the majority of patients with depressive disorder desired to read the clinical notes (P<.001), while individuals with psychotic disorders showed a higher tendency to decline ORA (P<.05). No significant group differences were observed for other patient groups or characteristics.

Conclusions
The adoption of ORA is influenced by a wide range of motivational factors, while patients also present a similar variety of reasons for declining its use. The results emphasize the urgent need for knowledge and patient education regarding factors that may hinder the decision to use ORA, including its practical usage, its application possibilities, and concerns related to data privacy. Further research is needed to explore approaches for adequately preparing individuals with SMI to transition from their inherent interest to active engagement with ORA.

Trial Registration
German Clinical Trial Register DRKS00030188; https://drks.de/search/en/trial/DRKS00030188
Meaningful Social Inclusion and Mental Well-Being Among Autistic Adolescents and Emerging Adults: Protocol for a Community-Based Mixed Methods Study
Authors: McMaughan Darcy Jones , Lewis Casey , McGehee Amy , Noreen Dani , Parker Elliot , Criss Michael M 
Published: November 2023

Background
In the United States, autistic people face high rates of co-occurring mental illnesses and premature death due to self-harm, which are indicators of threats to mental well-being. Social inclusion may enhance mental well-being and resilience among autistic people. According to Simplican and colleague’s (2015) model of social inclusion for people with intellectual and developmental disabilities, social inclusion is an interaction between community participation and interpersonal relationships. There is limited research on social inclusion that includes the integration of interpersonal relationships and community participation among autistic people or the impact of social inclusion on the well-being of autistic people. Additionally, little evidence exists regarding how autistic people prefer to be included in the community or form interpersonal relationships.

Objective
The long-term objective of this project is to improve social inclusion factors to support the mental well-being of autistic people. This protocol describes a community-based, mixed methods pilot study to develop a definition of meaningful social inclusion for autistic people and to understand the relationship between meaningful social inclusion and mental well-being among autistic adolescents and emerging adults.

Methods
The project uses a community-based, sequential mixed methods design with a formative phase (Phase 1) that informs a survey phase (Phase 2) and concludes with a process evaluation of the community engagement process (Phase 3). During Phase 1, we will recruit 10 community partners (autistic adults and stakeholders) and conduct sharing sessions to cocreate a definition of meaningful social inclusion and a survey of meaningful social inclusion and well-being. During Phase 2, we will recruit 200 participants (100 autistic adolescents and emerging adults and 100 caregivers) to complete the survey. We will examine whether meaningful social inclusion predicts well-being given sociodemographic factors using ordered logistic regression, with well-being categorized as low, medium, and high. During Phase 3, the community partners from Phase 1 will complete a survey on their experiences with the project.

Results
Ethics approval was obtained for this project in March 2023. We have recruited community partners and started the Phase 1 focus groups as of September 2023. Phase 2 and Phase 3 have not yet started. We expect to complete this study by March 2025.

Conclusions
Using a community-based, mixed methods approach, we intended to develop a definition of meaningful social inclusion for autistic people and understand the role meaningful social inclusion plays in the well-being of autistic people.

International Registered Report Identifier (IRRID)
PRR1-10.2196/52658
Coffee sustainability attributes in developing countries: the Honduran domestic coffee market
Authors: Mamani Escobar Brenda , Sandoval Luis , Palma Marco A. , Carpio Carlos , Garcia Manuel D. 
Published: November 2023

Abstract
Consumers are becoming increasingly concerned about the sustainability of their purchases. The coffee industry has been a leader in developing initiatives that promote the adoption of sustainable practices along the value chain. Labels on coffee packages that denote sustainable attributes are intended to inform the consumer and encourage sustainable consumption. The main objective of this study was to analyze consumers’ knowledge of, and preference for sustainable labels (Fairtrade, Organic USDA, Rain Forest Alliance, and 4C) on coffee in Honduras, a developing low-income and high-quality coffee exporting country. The study also evaluated the consumer’s visual attention to sustainable coffee labels. Data were collected using a questionnaire (including a choice experiment) from a sample of 450 consumers, as well as eye-tracking technology (a subsample of 65 consumers). Although Honduran coffee consumers have low levels of familiarity and knowledge about sustainable labels, they are willing to pay premiums for coffee with these labels (10% to 27% relative to average prices). Consumers pay more attention to the Organic USDA label, which is also the label with the highest willingness to pay value. Overall, the study’s results indicate that there is a domestic market for coffee produced sustainably in Honduras.
Conducting Research in International Accounting and Finance: Opportunities, Challenges, and Recommendations
Authors: Chen Ruiyuan , El Ghoul Sadok , Guedhami Omrane 
Published: November 2023

ABSTRACT
We aim to raise awareness of the benefits of conducting international research rather than just single-country studies (which tend to be dominated by U.S. data). We outline the key challenges in terms of data collection and empirical design and propose various data sources for country-level variables, including formal and informal institutions. We also describe several hands-on approaches that are suitable in a crosscountry setting.
Data Availability: Data are available from sources indicated in the paper.
JEL Classifications: C1; C8.
Influence of Application Modes on Increasing Bond Strength Longevity of Self-etching and Universal Adhesive Systems to Enamel
Authors: Falcione DL , Pena CE , Turssi CP , França FMG , Amaral FLB do , Tagami J , Basting RT 
Published: November 2023

SUMMARY
The present study aimed to evaluate the influence of application mode on the short-term microshear bond strength longevity of self-etching and universal adhesive systems to enamel, the failure mode, and the resulting enamel surface micromorphology. Ninety enamel surfaces were obtained from sound third molars, planed, and randomly assigned to nine groups, according to the application mode and the adhesive system (n=10). There were three primer application modes: according to the manufacturer's recommended application time (control), using double the application time recommended for the primer and selective enamel etching. The adhesive systems used were: Clearfil SE Bond (Kuraray), FL-Bond II (SHOFU), and Futurabond U (Voco). At least two resin-bonded composite cylinders (Grandioso Light Flow, Voco) were placed on each enamel surface, and then evaluated for microshear bond strength at 24 hours and 180 days of storage in solution body fluid (SBF) at pH 7.4. Failure modes were evaluated with a stereoscopic microscope at 20× magnification. A micromorphological analysis of the enamel surface was performed under a scanning electron microscope at 5000× magnification before and after the treatments. Mixed models for repeated measures over time showed significant interaction among application modes, adhesive systems, and time periods (p=0.0331). The bond strength of FL-Bond II adhesive to enamel observed after performing selective enamel etching was significantly higher than that observed after applying the control treatment (p=0.0010) at both 24 hours and 180 days. However, no significant difference was observed between the application of this same adhesive at double the time recommended by the manufacturer and the other two application modes (p&gt;0.05). There was also no significant difference in the microshear bond strength for the enamel treatments applied using Clearfil SE Bond and Futurabond U (p&gt;0.05). A significant reduction in bond strength to enamel was observed at the 180-day storage time for all the adhesive systems when selective enamel etching was performed (p&lt;0.0001). No significant association was observed between the adhesive system failure mode and the enamel treatments (p=0.1402 and p=0.7590 for 24 hours and 180 days, respectively). The most prevalent failure was the adhesive type.
The Effect of a Deproteinizing Pretreatment on the Bonding Performance and Acid Resistance of a Two-step Self-etch Adhesive on Eroded Dentin
Authors: Yang Y , Inoue G , Hosaka K , Tichy A , Ikeda M , Tagami J , Shimada Y 
Published: November 2023

SUMMARY

Objectives
This study evaluated how deproteinization using sodium hypochlorite (6% NaOCl) or hypochlorous acid (50 ppm HOCl) with or without the subsequent use of an arylsulfinate salt-containing agent (Clearfil DC Activator; DCA; Kuraray Noritake Dental) affects the micro-tensile bond strength (μTBS) and formation of an acid-base resistant zone (ABRZ) of a two-step self-etch adhesive on eroded dentin.

Methods
Coronal dentin surfaces of sound human molars were exposed to 48 cycles of demineralization (1% citric acid; 5 minutes) and remineralization (buffer solution with pH=6.4; 3.5 hours). They were then assigned to experimental groups according to the pretreatment used: none (negative control), NaOCl, NaOCl+DCA, HOCl, and HOCl+DCA. Sound dentin surfaces with no pretreatment were used as a positive control. The dentin surfaces were bonded with Clearfil SE Bond 2 (Kuraray Noritake Dental), and μTBS was measured either after 24 hours or 20,000 thermal cycles (TC). The μTBS data were statistically analyzed using a mixed-model analysis of variance (ANOVA) and t-tests with Bonferroni correction. Failure mode was determined with scanning electron microscopy (SEM), which was also used for the observation of ABRZ.

Results
Among experimental groups, there was no significant difference between the negative control, HOCl, and HOCl+DCA after 24 hours, but the HOCl-pretreated groups exhibited significantly higher μTBS than the negative control after TC (p&lt;0.01). Pretreatment with NaOCl and NaOCl+DCA resulted in significantly higher μTBS (p&lt;0.001), but the highest μTBS was measured on sound dentin (p&lt;0.001). TC decreased μTBS significantly in all groups (p&lt;0.001) except for sound dentin and NaOCl+DCA (p&gt;0.05). Adhesive failures prevailed in eroded groups, whereas cohesive failures were predominant on sound dentin. ABRZ was recognized in all groups but marked morphological differences were observed.

Conclusions
The combined use of 6% NaOCl and the arylsulfinate salt-containing agent partially reversed the compromised bonding performance on eroded dentin, while the effect of 50 ppm HOCl was negligible.
Prosedur Pencegahan Terjadinya entilator Associated neumonia (VAP) di Ruang Intensive Care Unit (ICU) : A Literature Review
Authors: Yuniandita Nadya , Hudiyawati Dian 
Published: November 2023

Ventilator merupakan alat bantu pernafasan bertekanan positif atau negatif yang membuat aliran udara terkontrol pada jalan nafas pasien sehingga mampu mempertahankan dan memperbaiki ventilasi dan pemberian oksigen. Salah satu penyakit kronis yang dapat menyebabkan penggunaan ventilator mekanik yaitu pneumonia. Pasien kritis dengan intubasi dan menggunakan ventilator dalam jangka waktu lama di ICU beresiko terjadi Associated Pneumonia (VAP). Ventilator- associated Pneumonia (VAP) merupakan salah satu HAIs atau infeksi nosokomial yang sering ditemukan di Rumah Sakit dan merupakan suatu infeksi pneumonia yang terjadi setelah 48 jam pemakaian ventilator mekanis baik pipa endotracheal maupun maupun tracheostomy. The Institute fot Healthcare Improvement (IHI) menerbitkan suatu guide line untuk pencegahan VAP yaitu VAP bundle dinyatakan dapat menurunkan angka kejadian VAP.
Metode : Metode yang digunakan penulis dalam paper ini adalah literatur journal. Literature journal ini disusun dari penelitian-penelitian yang dipublikasikan secara online. Kriteria pencarian study meliputi jurnal publikasi yang dipublikasikan dari tahun 2010-2020.
Hasil : Berdasarkan artikel yang ditemukan terdapat 8 artikel yang menjadi dasar penulisan sesuai dengan judul pembahasan.Jurnal yang dipilih merupakan jurnal dengan tema VAP bundle care yang diterapkan pada pasien yang terpasang ventilator mekanik di Ruang ICU..
Kesimpulan : Berdasarkan jurnal yang ada, dapat disimpulkan bahwa VAP bundle care merupakan prosedur yang tepat sebagai pencegahan terjadinya VAP di Ruang ICU pada pasien yang terpasang ventilator mekanik.
ANALISIS GEMPA CIANJUR 2022 DENGAN PENDEKATAN SPASIAL TEMPORAL a-VALUE DAN b-VALUE
Authors: Zakhra Vera Meysya , Styawan Yudha , Fattah Erlangga Ibrahim , Farduwin Alhada 
Published: November 2023

Gempa dengan kekuatan 5,6 Mw terjadi di Cianjur, Jawa Barat pada 21 November 2022 memiliki dampak signifikan dengan korban sebanyak 334 jiwa, 54 ribu bangunan rumah rusak sehingga 114.683 jiwa harus mengungsi. Hiposenter gempa berada pada kedalaman 10 km dengan sumber gempa berasal dari sesar aktif yang baru teridentifikasi yaitu Sesar Cugenang. Dari dampak yang terjadi, perlu ada penilaian seismisitas dan potensi bahaya seismik di wilayah itu dengan menentukan parameter a-value dan b-value. Parameter seismotektonik tersebut menggunakan relasi Gutenberg-Richter dengan variasi spasial dan temporal, sehingga tinjauan ini memiliki kemampuan untuk memberikan informasi yang signifikan mengenai mitigasi gempa bumi. Pada penelitian ini data yang digunakan berasal dari International Seismological Center (ISC) pada periode 1964-2020 dan Badan Metereologi Klimatologi dan Geofisika (BMKG) menggunakan periode tahun 2021-2023. Dari analisis diperoleh variasi spasial a-value berkisar antara 2,6 hingga 3,2, dan variasi spasial b-value berkisar antara 0,32 hingga 0,4. Analisis variasi temporal selama 4 tahun sebelum gempa utama menunjukkan tren b-value yang terus menurun. Namun sesaat sebelum gempa utama b-value mengalami kenaikan yang cukup signifikan. Hal ini menunjukkan batuan mulai rapuh dan rentan terhadap gempa bumi. Oleh karena itu, ketika terjadi utama menyebabkan kerusakan dan dampak yang cukup signifikan dikarenakan kondisi batuan yang rapuh. Namun, perlu diingat bahwa hubungan antara b-value dengan kerapuhan dan ketahanan batuan tidak bersifat absolut. Terdapat faktor-faktor lain seperti sifat fisik dan geologi batuan, kondisi tektonik, dan lingkungan sekitar yang juga berpengaruh terhadap kerapuhan dan ketahanan batuan terhadap gempa bumi. Oleh karena itu, analisis lebih lanjut dan pemodelan yang komprehensif diperlukan untuk memahami secara lebih mendalam hubungan antara b-value dengan kerapuhan dan ketahanan batuan.
Aspek kekuasaan tokoh dalam novel Menolak Ayah karya Ashadi Siregar
Authors: Armet Armet 
Published: November 2023

Penelitian membahas aspek kekuasaan dalam novel Menolak Ayah karya Ashadi Siregar. Adapun tujuan penelitian ini untuk; mendeskripsikan aspek dan mendeskripsikan penyebab terjadinya kekuasaan yang terjadi dalam Menolak Ayah karya Ashadi Siregar. Penelitian ini menggunakan metode deskriptif. Aspek kekusaan yang terdapat dalam novel Menolak Ayah karya Ashadi Siregar dapat dilihat dari sumber kekuasaan. Pertama, sumber kekuasaan kekayaan. Adanya kekuasaan yang dimiliki oleh orang yang memiliki harta benda, pendidikan, dan derajat. Kedua, sumber status. Kekuasaan dilakukan oleh orang yang memiliki status tertentu dan dapat mempengaruhi pihak lain untuk memaksa melakukan kehendak sesuai yang diinginkan. Ketiga, sumber wewenang legal. Kekuasaan yang dimiliki oleh seseorang berdasarkan peraturan-peraturan formal (hukum). Keempat, sumber kepercayan. Sumber kepercayaan (tradisional) adalah kekuasaan yang dilakukan oleh seseorang yang didasarkan pada tradisi, kesucian, atau dasar adat istiadat masyarakat. Kelima, sumber kharisma (wibawa) yaitu, kekuasaan seseorang dapat didasarkan atas pemilikan beberapa sifat pribadi, seperti kecerdasan, atau kharisma dengan sikap pribadi yang melekat pada seseorang tersebut untuk memerintah.