bluuebunny/crossref_metadata_2025_split huggingface dataset:
Harsh parenting among veterans: parents' military-related PTSD, mentalization, and pre-military trauma
Authors: Wang Xiafei , Liu Qingyang , Merrin Gabriel J. , Keller Amanda , Yoon Dalhee , Henderson Ava 
Published: December 2023

ObjectivesVeteran parents experiencing posttraumatic stress disorder (PTSD) may resort to harsh parenting. The indirect pathway from parental military-related PTSD to harsh parenting, and the moderating role of parents' pre-military trauma histories, has been less explored. Informed by mentalization theory, as well as trauma-sensitive and posttraumatic growth perspectives, we aim to explore the associations between veteran parents' military-related PTSD, mentalization, harsh parenting, and prior trauma before military service.MethodsData were collected from an online research panel of 509 veteran parents with children under 10. We employed Structural Equation Models to test indirect and moderating effects.ResultsWe identified an indirect effect of parental pre-mentalization from military PTSD to harsh parenting [corporal punishment: b = 0.35, p &lt; 0.001, 95% CI (0.23, 0.46); psychological aggression: b = 0.14, p &lt; 0.001, 95% CI (0.09, 0.19)]. Multi-group analysis on four parent groups (parents with only pre-military physical trauma, parents with only pre-military psychological trauma, parents with both pre-military physical and psychological trauma, and parents with no pre-military physical or psychological trauma) highlighted differences in these associations, particularly between parents with only pre-military physical trauma and those without any physical and psychological trauma. The military-related PTSD effects on psychological aggression, corporal punishment, and pre-mentalization were all significantly higher for parents without pre-military physical and psychological trauma.ConclusionModifying parents' interpretation of their child's mental states can potentially counteract the effects of veterans' military PTSD on harsh parenting. Family-based programs should be created considering veteran parents' pre-military trauma histories.
Medical help-seeking intentions among patients with early Alzheimer’s disease
Authors: Villarejo-Galende Alberto , García-Arcelay Elena , Piñol-Ripoll Gerard , del Olmo-Rodríguez Antonio , Viñuela Félix , Boada Mercè , Franco-Macías Emilio , Ibañez de la Peña Almudena , Riverol Mario , Puig-Pijoan Albert , Abizanda-Soler Pedro , Arroyo Rafael , Baquero-Toledo Miquel , Feria-Vilar Inmaculada , Balasa Mircea , Berbel Ángel , Rodríguez-Rodríguez Eloy , Vieira-Campos Alba , Garcia-Ribas Guillermo , Rodrigo-Herrero Silvia , Lleó Alberto , Maurino Jorge 
Published: December 2023

BackgroundLimited information is available on the active process of seeking medical help in patients with Alzheimer’s disease (AD) at early stages. The aim of this study was to assess the phenomenon of medical help-seeking in early AD and to identify associated factors.MethodsA multicenter, non-interventional study was conducted including patients of 50–90 years of age with prodromal or mild AD (National Institute on Aging/Alzheimer’s Association criteria), a Mini-Mental State Examination (MMSE) score ≥ 22, and a Clinical Dementia Rating-Global score (CDR-GS) of 0.5–1.0. A multivariate logistic regression analysis was conducted.ResultsA total of 149 patients were included. Mean age (SD) was 72.3 (7.0) years, 50.3% were female, and 87.2% had a CDR-GS score of 0.5. Mean disease duration was 1.4 (1.8) years. Ninety-four (63.1%) patients sought medical help, mostly from neurologists. Patients with help-seeking intentions were mostly female (60.6%) with a CDR-GS score of 0.5 (91.5%) and had a greater awareness of diagnosis, poorer quality of life, more depressive symptoms, and a more severe perception of their condition than their counterparts. Lack of help-seeking intentions was associated with male sex (p = 0.003), fewer years of education (p = 0.005), a low awareness of diagnosis (p = 0.005), and a low emotional consequence of the condition (p = 0.016).ConclusionUnderstanding the phenomenon of active medical help-seeking may facilitate the design of specific strategies to improve the detection of cognitive impairment, especially in patients with a lower level of educational attainment and poor awareness of their condition.
How do the non-cognitive skills affect retirees’ reemployment? Evidence from China
Authors: Jia Haiyan , Sai Xiaoyu , Si Hongyun , Wang Jinming 
Published: December 2023

IntroductionPromoting the reemployment of retirees is important to effectively recognize the capacity of older adults and to help governments cope with an aging global population. Existing research on the factors that impact reemployment has mainly focused on the role of traditional forms of human capital, like education and experience, while ignoring non-cognitive skills.MethodsBased on 3,693 samples, this study examines the impact of non-cognitive skills on the reemployment of Chinese retirees using the Logit model through the lens of human capital theory.ResultsThe results show that non-cognitive skills incentivize retirees to seek reemployment. The incentive effect is greater for retirees who are male, live in a rural household, and are of lower age and education level. Further, the mediation effect model reveals the mediating role of social capital between non-cognitive skills and the reemployment of retirees. Social capital is important to the promotion of retiree reemployment.DiscussionThis study ultimately sheds light on the relationship between non-cognitive skills and the reemployment of retirees. Findings will help improve governments’ understandings of non-cognitive skills so that they may develop better policies on retiree reemployment.
Costs and resource needs for primary health care in Ethiopia: evidence to inform planning and budgeting for universal health coverage
Authors: Alebachew Abebe , Abdella Engida , Abera Samuel , Dessie Ermias , Mesele Tesfaye , Mitiku Workie , Muñoz Rodrigo , Opuni Marjorie , Teplitskaya Lyubov , Walker Damian G. , Gilmartin Colin 
Published: December 2023

IntroductionThe Government of Ethiopia (GoE) has made significant progress in expanding access to primary health care (PHC) over the past 15 years. However, achieving national PHC targets for universal health coverage will require a significant increase in PHC financing. The purpose of this study was to generate cost evidence and provide recommendations to improve PHC efficiency.MethodsWe used the open access Primary Health Care Costing, Analysis, and Planning (PHC-CAP) Tool to estimate actual and normative recurrent PHC costs in nine Ethiopian regions. The findings on actual costs were based on primary data collected in 2018/19 from a sample of 20 health posts, 25 health centers, and eight primary hospitals. Three different extrapolation methods were used to estimate actual costs in the nine sampled regions. Normative costs were calculated based on standard treatment protocols (STPs), the population in need of the PHC services included in the Essential Health Services Package (EHSP) as per the targets outlined in the Health Sector Transformation Plan II (HSTP II), and the associated costs. PHC resource gaps were estimated by comparing actual cost estimates to normative costs.ResultsOn average, the total cost of PHC in the sampled facilities was US$ 11,532 (range: US$ 934–40,746) in health posts, US$ 254,340 (range: US$ 68,860–832,647) in health centers, and US$ 634,354 (range: US$ 505,208–970,720) in primary hospitals. The average actual PHC cost per capita in the nine sampled regions was US$ 4.7, US$ 15.0, or US$ 20.2 depending on the estimation method used. When compared to the normative cost of US$ 38.5 per capita, all these estimates of actual PHC expenditures were significantly lower, indicating a shortfall in the funding required to deliver an expanded package of high-quality services to a larger population in line with GoE targets.DiscussionThe study findings underscore the need for increased mobilization of PHC resources and identify opportunities to improve the efficiency of PHC services to meet the GoE’s PHC targets. The data from this study can be a critical input for ongoing PHC financing reforms undertaken by the GoE including transitioning woreda-level planning from input-based to program-based budgeting, revising community-based health insurance (CBHI) packages, reviewing exempted services, and implementing strategic purchasing approaches such as capitation and performance-based financing.
Acculturation and self-rated health among Chinese and Korean immigrants aged 49 to 75
Authors: Ryu Soomin , Morey Brittany N. , Shi Yuxi , Lee Sunmin 
Published: December 2023

BackgroundGiven the rapidly growing Asian populations in the U.S. due to immigration, and the aging demographic of Asian immigrants, it is crucial to understand how acculturation shapes health among older adult Asian immigrants. We study the relationship between acculturation and self-rated health (SRH) and moderating roles of age and Asian subgroup.MethodsOur cross-sectional study consisted of 200 Chinese and 200 Korean immigrants aged 49–75 living in Baltimore–Washington DC metropolitan area, who were recruited from primary care physicians' clinics in Maryland and Northern Virginia. The participants completed the survey either in-person or by phone in their preferred language. Multidimensional proxies were used to measure acculturation: years living in the U.S. (≥23 years, &lt;23 years), English proficiency (fluently/well, so-so, poorly/not at all), and ethnic identity (very Asian, mostly Asian, bicultural/westernized). SRH was measured using the question “How would you rate your general health?” (excellent/very good/good, fair/poor). Poisson regression models with robust error variance examined associations between acculturation and SRH, accounting for socioeconomic and health insurance factors.ResultsSpeaking English so-so and fluently/well had 0.73 (95% confidence intervals (CI): 0.55–0.97) and 0.51 (95% CI: 0.30–0.87) times the prevalence of having fair or poor SRH compared to speaking English poorly/not at all, respectively. The magnitudes and statistical significance of these associations were stronger among Chinese participants than Korean participants. Moreover, individuals who self-identified as bicultural/westernized had 0.63 times the prevalence of having fair or poor SRH (95% CI: 0.43–0.92) as those who self-identified as very Asian. The association was more pronounced among older participants (≥58) compared to younger participants (&lt;58).ConclusionFurther research should identify the possible mechanisms linking acculturation with health to find effective strategies to enhance health among aging Asian immigrant populations.
Knowledge, attitude, and practice of exclusive breastfeeding among mothers of childbearing age
Authors: Sabo Abdulwali , Abba Justina , Sunusi Usman Usman , Musa Saulawa Ibrahim , Alzoubi Majdi M. , Al-Mugheed Khalid , Alsenany Samira Ahmed , Farghaly Abdelaliem Sally Mohammed 
Published: December 2023

BackgroundThe American Academy of Pediatrics and the World Health Organization recommend exclusive breastfeeding (EBF) for up to 6 months. Despite the importance of breast milk, EBF is far less prevalent in Nigeria than is recommended for developing countries. Worse still, the odds of EBF practice are very low in rural communities. Hence, the aim of this study was to assess the knowledge, attitude, and practice of EBF as well as identify the factors associated with EBF practice among mothers of childbearing age in Chamo town, Jigawa State, Nigeria.MethodsThe study is a cross-sectional design using a questionnaire to assess the required information. The methodology involved the use of simple random sampling to select mothers of reproductive age from Chamo town, which is a rural community located in Jigawa State, Nigeria. A semi-structured questionnaire was used to assess the mother’s knowledge, attitude, and practices regarding EBF. Simple and multiple logistic regression analyses were performed to determine the factors associated with the practice of EBF.ResultsA total of 400 mothers between the ages of 18 and 41 took part in the study. More than half of the participants (57.8%) were between the ages of 26 and 33 and had a primary level of education (30.5%). Only 26.8% of the respondents practice EBF. Those with a tertiary education (AOR = 10.00,p&lt; 0.001), civil servants (AOR = 12.51,p&lt; 0.001), those aware of EBF (AOR = 3.65,p= 0.002), those with correct EBF knowledge (AOR = 4.61,p&lt; 0.001), those with a positive attitude toward EBF demand (AOR = 0.51,p= 0.050), and those who received encouragement from their community (AOR = 9.87,p&lt; 0.001) were more likely to practice EBF.ConclusionThe findings of the study revealed that the majority of the respondents’ knowledge, attitude, and practice of EBF were minimal. This shows the need to step up efforts to educate mothers about the advantages of EBF for both their own health and that of their children while they are in the hospital recovering from childbirth.
Comprehensive assessment of occupational exposure to microbial contamination in waste sorting facilities from Norway
Authors: Viegas Carla , Eriksen Elke , Gomes Bianca , Dias Marta , Cervantes Renata , Pena Pedro , Carolino Elisabete , Twarużek Magdalena , Caetano Liliana Aranha , Viegas Susana , Graff Pål , Afanou Anani Komlavi , Straumfors Anne 
Published: December 2023

IntroductionIt is of upmost importance to contribute to fill the knowledge gap concerning the characterization of the occupational exposure to microbial agents in the waste sorting setting (automated and manual sorting).MethodsThis study intends to apply a comprehensive field sampling and laboratory protocol (culture based-methods and molecular tools), assess fungal azole resistance, as well as to elucidate on potential exposure related health effects (cytotoxicity analyses). Skin-biota samples (eSwabs) were performed on workers and controls to identify other exposure routes.ResultsIn personal filter samples the guidelines in one automated industry surpassed the guidelines for fungi. Seasonal influence on viable microbial contamination including fungi with reduced susceptibility to the tested azoles was observed, besides the observed reduced susceptibility of pathogens of critical priority (Mucorales and Fusarium sp.). Aspergillus sections with potential toxigenic effect and with clinical relevance were also detected in all the sampling methods.DiscussionThe results regarding skin-biota in both controls´ and workers´ hands claim attention for the possible exposure due to hand to face/mouth contact. This study allowed concluding that working in automated and manual waste sorting plants imply high exposure to microbial agents.
Anonymizing at-home fitness: enhancing privacy and motivation with virtual reality and try-on
Authors: Yoon Kang-Il , Jeong Tae-Soo , Kim Seung-Chan , Lim Soo-Chul 
Published: December 2023

IntroductionThis study aimed to address privacy concerns associated with video conferencing tools used in home-based exercise training. To that end, a method that could anonymize participants' appearances and exercise environments during at-home fitness sessions was proposed.MethodsThis method combines virtual reality for 3-D human-model rendering using key-points tracking with a virtual try-on system enhanced by UV mapping and instance segmentation. To validate the proposed method, we conducted a user study by recruiting participants to assess effectiveness of virtual reality and virtual try-on in terms of privacy protection, self-confidence, and coaching satisfaction.ResultsExperimental results demonstrated the effectiveness and improved user experience of using virtual reality or virtual try-on in remote fitness, particularly in enhancing privacy protection and self-confidence with statistical significance. However, no significant differences were noted in coaching satisfaction.DiscussionThese findings confirmed the efficacy of our proposed approach. We believe that the proposed approach can significantly contribute to the future of remote fitness training, offering a more secure and engaging environment for users, thereby potentially increasing adherence to fitness regimens and overall physical wellbeing.
Ameliorated chest drain wound closure in patients undergoing uniportal thoracoscopic pulmonary resection
Authors: Chou Ping-Ruey , Kao Chieh-Ni , Lo Yu-Ting , Chuang Che-Yu , Liu Yu-Wei 
Published: December 2023

BackgroundAlthough uniportal video-assisted thoracoscopic surgery (VATS) has been performed for a wide array of thoracic diseases, unsightliness and poor wound healing often occur, particularly when a chest drain is placed postoperatively. Different chest drain wound closure (CWC) methods have been introduced with the benefits of cosmesis and patient satisfaction. We aimed to describe our improved CWC technique in this setting and assess its efficacy.MethodsA total of consecutive 334 patients undergoing uniportal VATS pulmonary resection with single chest drain placement were investigated from 2016 to 2021. The techniques for CWC were classified into the conventional method (35 patients, group A), continuous suture with removal-free stitches (122 patients, group B), and continuous suture with removal-free barbed suture plus topical skin adhesives (177 patients, group C). Perioperative data and complications related to CWC were analyzed.ResultsGroup C had a significantly shorter operative time, postoperative hospital stay, and chest tube days than groups A and B (all p &lt; 0.01). In terms of chest tube-related complications, there were no statistically significant differences in post-removal pneumothorax, subcutaneous emphysema, incisional effusion leakage, wound dehiscence, or infection. Overall, significant differences in scar scale scores were observed between the groups, where the ameliorated group C was superior to the conventional group A (p &lt; 0.01).ConclusionThe improved CWC technique using continuous sutures with removal-free barbed sutures and topical skin adhesives is simple, safe, and effective. This may be a favorable CWC strategy when performing uniportal VATS, with enhanced patient satisfaction.
B7-H3 Inhibitors in Oncology Clinical Trials: A Review
Authors: Feustel Kavanya , Martin Jared , Falchook Gerald S. 
Published: December 2023

ABSTRACT
B7-H3 is a transmembrane receptor highly prevalent on malignant cells and plays an important role in adaptive immunity that is not fully elucidated. Targeted B7-H3 inhibitors, including antibody-drug conjugates, radioimmunotherapy, and monoclonal antibodies, are a new class of antineoplastic agents showing promising preliminary clinical efficacy, observed with several of these agents against multiple tumor types. Particularly promising treatments are enoblituzumab for prostate cancer, 131I-omburtamab for central nervous system malignancies, and HS-20093 for small-cell lung cancer but further studies are warranted. There are clinical trials on the horizon that have not yet enrolled patients examining chimeric antigen receptor T-cell therapies, bi- and tri-specific killer engagers, and dual-affinity retargeting proteins. These data will be telling of the efficacy of B7-H3 inhibitors in both hematologic and solid malignancies. This study aimed to compile available results of B7-H3 inhibitors in oncology clinical trials.
Description of Community Knowledge, Attitudes, and Behavior towards Glaucoma in Taman Sari District, West Jakarta
Authors: Wastitiamurti Ritsia Anindita , Lesmana Michael Indra , Immanuel Javier 
Published: December 2023

Glaucoma is the second leading cause of preventable blindness globally. Today, more than 60 million people worldwide have glaucoma, with nearly half of these people developing the disease without knowing it. In 2010, there were 60.5 million individuals suffering from glaucoma. In 2020 it is estimated that the incidence of glaucoma globally will reach 76 million and 111.8 million in 2040. This can be prevented by early detection, but can only be done through screening. Therefore, there is a need for public awareness and knowledge of glaucoma to encourage their behavior to seek health facilities for eye examinations. The research was carried out in all villages in Taman Sari District. The data was obtained using a questionnaire given to the respondents according to the inclusion criteria. Researchers get a sample of 105 people. The results showed that the level of public knowledge of glaucoma in Taman Sari District, West Jakarta was classified as good. However, people's attitudes and behavior towards glaucoma examinations are still low because of their mindset. The results of the study can be used as a reference to add other variables that may affect knowledge, attitudes and behavior towards glaucoma.
PENGGUNAAN METODE PEMBELAJARAN INOVATIF MELALUI DEMONTRASI TERHADAP HASIL BELAJAR SISWA PADA MATA PELAJARAN FIQH
Authors: Husen Achmad 
Published: December 2023

Nowadays there are many problems faced by students' decreased interest in learning, even though interest has a big influence on learning, Therefore, to increase interest in learning, it is very necessary to apply learning methods that attract students' interest, so that it is easier to learn and quickly understood in learning. This study aims was to increase students' understanding of the practice of worship in fiqh subjects.The application of innovative learning methods through the demontration strategy is very suitable to be applied in the learning process. The demontration strategy is a learning model that uses examples. This research was conducted at MI Mathla’ul Anwar Kota Dukuh, Pandeglang Regency. This research was conducted for 2 months, from September to October 2023. The time of this research was carried out in the odd semester of the 2023/2024 school year. This study uses experimental research methods. The type of experiment used is Quasy Experimental, that is, there is a control group However, it cannot provide overall control over external variables that influence the implementation of the experiment. The approach used in this research is a quantitative approach. In the Homogeneity Test, the results obtained were Fcount < Ftable or 1.07 < 2.215, then the data obtained was homogeneous, in the t test the results were obtained tcount=16.07 and table=2.044 so that the Coefficient of Determination obtained a value of 88.36, the contribution of variable X was obtained to the Y variable of 88.36% while the remainder is equal to 11.64% followed by other variables. The conclusion in this research is that the demonstration learning strategy can increase students' understanding in learning, especially in the material of religious practice in fiqh subjects.