bluuebunny/crossref_metadata_2025_split huggingface dataset:
Visual word recognition of Chinese–Japanese bilinguals: limited role of phonology
Authors: Jiao Zhongyan , Du Leyi , Wang Yifan , Li Yixian 
Published: January 2024

IntroductionThe investigation of how orthography and phonology influence lexical semantic access in visual word identification is a crucial area in psycholinguistics. Previous studies, focusing on alphabetic scripts in bilingual lexical recognition, have highlighted the facilitative role of phonological similarity. Yet, the impact of cross-language phonological similarity in bilinguals using non-alphabetic scripts remains unclear.MethodsIn this study, we employed a lexical decision task to examine Chinese–Japanese bilinguals. Participants were presented with Chinese–Japanese cognate translation pairs, categorized into phonologically similar and dissimilar cognates.ResultsAnalysis of event-related potentials (ERP) revealed no significant differences between phonologically similar and dissimilar contexts in the early time windows (90–170 ms and 170–270 ms). However, in the later time window (350–500 ms), significant differences were observed, with the phonologically dissimilar condition eliciting a larger negative wave.DiscussionContrary to findings in alphabetic script-based studies, our results suggest that in logographic script processing, the activation of phonology and semantics occurs simultaneously, and the influence of phonology is limited. This indicates a distinct cognitive processing mechanism in non-alphabetic language bilinguals, providing new insights into the dynamics of bilingual lexical recognition.
Quality of life and associated factors in Swiss trans people: a cross-sectional study
Authors: Garcia Nuñez David , Frigerio Giulia , Perler Laura D. , Jäggi Tiziana , Schönbucher Verena , von Känel Roland 
Published: January 2024

BackgroundExperiences of stressful life events during transition may have a negative impact on quality of life (QoL) in trans persons. Little attention has been paid to this population in Switzerland, resulting in sparse data on their QoL and associated social factors.Methods30 participants were recruited during their medical transition treatment and surveyed on their experiences within this time period (13 months after the first medical intervention on average). After performing a diagnostic interview to evaluate their mental health, health-related QoL, psychological distress, self-esteem and the impact of life events that occurred in the last six months on participants were further assessed.ResultsApproximately 17% of participants had suffered from major depression, 43% reported having had suicidal thoughts or having attempted suicide, and 43% suffered from an anxiety disorder. Psychological distress was twice as high compared to the norm values of the cis population. With regard to QoL, trans individuals showed impairments in the mental domain. Stressful life events were particularly evident on a psychological and social level. Analysis showed a negative correlation between impact of life events and mental QoL and between psychological distress and mental QoL. At the same time, there was a positive correlation between self-esteem and mental QoL. Psychological distress and self-esteem emerged as independent significant predictors of mental QoL.ConclusionThis study shows lowered mental QoL and associations of low mental QoL with psychological distress, low self-esteem and stressful life events in trans individuals in Switzerland. The findings concur with the Gender Minority Stress Model and point out that medical transition must not be viewed in isolation but must be embedded in the framework of integrative psychosocial support.
The impact of a telephone hotline on suicide attempts and self-injurious behaviors in patients with borderline personality disorder
Authors: Buronfosse Alice , Robin Marion , Speranza Mario , Duriez Philibert , Silva Jérôme , Corcos Maurice , Perdereau Fabienne , Younes Nadia , Cailhol Lionel , Gorwood Philip , Pham-Scottez Alexandra 
Published: January 2024

BackgroundBorderline personality disorder is often associated with self-injurious behaviors that cause personal suffering, family distress, and substantial medical costs. Mental health hotlines exist in many countries and have been shown to be effective in some contexts, but none have been specifically designed for borderline patients. The aim of the present study is to evaluate the impact of a 24/7 hotline dedicated to patients with borderline personality disorder on suicide attempts and self-injurious behaviors.MethodsWe conducted a single-blind, multicenter (9 French centers) clinical trial with stratified randomization (by age, sex and center). Patients (N = 315) with a diagnosis of borderline personality disorder (according to the SIDP-IV) were randomized into two groups with or without access to the hotline in addition to treatment as usual. The number of suicide attempts and self-injurious behaviors in each group within 12 month were analyzed in the “per protocol” population (Student’s t-tests, 5% significance threshold), adjusting for possible confounders in a multivariate analysis (using Poisson regression). The percentage of patients with suicide attempts and with self-injurious behaviors (and other percentages) were analyzed in the per protocol population (χ2-tests or exact Fischer tests, 5% significance threshold).ResultsThe mean number of suicide attempts was 3 times lower in the hotline group (0.41 vs. 1.18, p = 0.005) and the mean number of self-injurious behaviors was 9 times lower (0.90 vs. 9.5, p = 0.006). Multivariate analysis confirmed the effectiveness of the hotline in reducing suicide attempts and self-harm.ConclusionThis study supports the effectiveness of hotlines in reducing self-aggressive behavior in patients with borderline personality disorder. Such support is easy to use, cheap and flexible, and therefore easy to implement on a large scale.
Determinants of community-based health insurance membership renewal decision among rural households in Kellem Wollega zone, Oromia regional state, Ethiopia: a community-based cross-sectional study
Authors: Geta Edosa Tesfaye , Lushe Kifile Abdisa , Desisa Adisu Ewunetu , Terefa Dufera Rikitu , Cheme Melese Chego , Shama Adisu Tafari , Lema Matiyos 
Published: January 2024

BackgroundDespite the fact that community-based health insurance (CBHI) is a promising program to achieve the goal of universal health coverage (UHC), it faces challenges that are not only due to low enrollment but also due to membership renewal decision that impact its sustainability. Hence, the study aimed to identify the determinants of CBHI membership renewal decision among rural households in Kellem Wollega zone, Ethiopia.MethodsThe study was conducted in Kellem Wollega, Ethiopia, among rural households from March 30–April 30, 2022, using a community-based cross-sectional study design. An interviewer-administered structured questionnaire through face-to-face interviews was used. Using a systematic random sampling method, 551 households were selected making 540 (98%) response rates. The data was entered into EPI Data 3.1 and analyzed using SPSS 25 software. Descriptive statistics, binary, and multiple logistic regressions were performed. Using multiple logistic regressions, a significant association between the CBHI membership renewal decision and independent variables was identified, declaring the statistical significance level using a 95% confidence interval (CI) at p &lt; 0.05.ResultsThe overall rate of CBHI membership renewal decision among households was estimated to be 365 (67.6%, 95% CI = 63.7–71.5%). The factors that significantly influenced the households’ membership renewal decision were family size (AOR = 0.46, 95% CI = 0.25–0.86), low literacy status (AOR = 0.28 95% CI = 0.12–0.64), lower than middle-level of wealth index (AOR = 9.80, 95% CI = 2.75–34.92), premium affordability (AOR = 4.34, 95% CI = 2.08–9.04), unavailability of services (AOR = 0.26, 95% CI = 0.12–0.55), trusting in health facilities (AOR = 5.81, 95% CI = 2.82–11.94), favorable providers’ attitude toward members (AOR = 8.23, 95% CI = 3.96–19.64), good quality of service (AOR = 4.47, 95% CI = 2.28–8.85) and health care seeking behavior (AOR =3.25, 95% CI = 1.32–7.98).ConclusionThe overall CBHI membership dropout decision rate among rural households was high, which could affect health service provision and utilization. Therefore, the insurance scheme and contracted health facilities should consider and work on family size and wealth status when membership premiums are calculated, the education level of households when creating awareness about the scheme, building trust in the contracted health facilities by providing all promised benefit packages of health services with good quality, and improving the attitude of health care providers towards the scheme members.
Interventions to mitigate the risks of COVID-19 for people experiencing homelessness and their effectiveness: a systematic review
Authors: Ogbonna Obianuju , Bull Francesca , Spinks Bethany , Williams Denitza , Lewis Ruth , Edwards Adrian 
Published: January 2024

ObjectivesPeople experiencing homelessness also experience poorer clinical outcomes of COVID-19. Various interventions were implemented for people experiencing homelessness in 2020–2022 in different countries in response to varied national guidance to limit the impact of COVID-19. It is important to understand what was done and the effectiveness of such interventions. This systematic review aims to describe interventions to mitigate the risks of COVID-19 in people experiencing homelessness and their effectiveness.MethodsA protocol was developed and registered in PROSPERO. Nine databases were searched for studies on interventions to mitigate the impact of COVID-19 on people experiencing homelessness. Included studies were summarised with narrative synthesis.ResultsFrom 8,233 references retrieved from the database searches and handsearching, 15 were included. There was a variety of interventions, including early identification of potential COVID-19 infections, provision of isolation space, healthcare support, and urgent provision of housing regardless of COVID-19 infection.ConclusionThe strategies identified were generally found to be effective, feasible, and transferable. This review must be interpreted with caution due to the low volume of eligible studies and the low quality of the evidence available.
A qualitative meta-synthesis of studies of patients' experience of exercise interventions in advanced cancer
Authors: Young Julie , Lloyd Anna , Haraldsdottir Erna 
Published: January 2024

BackgroundPeople with advanced cancer often experience reduced functional capacity and quality of life. Research evaluating the potential benefit of exercise programmes for limiting such decline is accumulating. However, an appraisal of the evidence that considers the patient experience of exercise programmes, what mattered to them and what motivated and encouraged them to engage in exercise, has not been published. The aim of this meta-synthesis was to identify, appraise and bring together evidence from qualitative research in this area.MethodsFour databases were searched from 2nd January to 8th January 2023 for relevant studies. Qualitative studies investigating the experience of exercise as an intervention for adults with advanced cancer were included. Major findings and study characteristics were extracted. Findings were summarised, compared, and synthesised using meta-synthesis.ResultsEight studies were eligible and generated seven sub themes which informed the construction of three key themes: (1) Impact of Delivery Method; (2) Emerging Motivation; and (3) Physical Impact.ConclusionThe analysis revealed that exercise has the potential to positively influence all four dimensions of well-being: physical, psychological, social, and spiritual, for people with advanced cancer. Future research is required to consider the differential impact that the type, volume, and duration of exercise may have on the exercise experience for this patient group.
Restoration of serum estradiol and reduced incidence of miscarriage in patients with low serum estradiol during pregnancy: a retrospective cohort study using a multifactorial protocol including DHEA
Authors: Boyle Phil , Andralojc Karolina , van der Velden Susanne , Najmabadi Shahpar , de Groot Theun , Turczynski Craig , Stanford Joseph B. 
Published: January 2024

BackgroundLow serum estradiol in early pregnancy is associated with an elevated risk of miscarriage. We sought to determine whether efforts to restore low blood estradiol via estradiol or dehydroepiandrosterone (DHEA) supplementation would reduce the risk of miscarriage as part of a multifactorial symptom-based treatment protocol.MethodsThis retrospective cohort study included women with low serum estradiol levels in early pregnancy, defined as ≤50% of reference levels by gestational age. Estradiol or DHEA were administered orally, and the primary outcome measure was serum estradiol level, in reference to gestational age. The secondary outcome measures included miscarriage, birth weight, and gestational age at birth.ResultsWe found no significant effect of estradiol supplementation on serum estradiol levels referenced to gestational age, while DHEA supplementation strongly increased estradiol levels. For pregnancies with low estradiol, the miscarriage rate in the non-supplemented group was 45.5%, while miscarriage rate in the estradiol and DHEA supplemented groups were 21.2% (p = 0.067) and 17.5% (p = 0.038), respectively. Birth weight, size, gestational age, and preterm deliveries were not significantly different. No sexual abnormalities were reported in children (n = 29) of DHEA-supplemented patients after 5–7 years follow-up.ConclusionsIn conclusion, DHEA supplementation restored serum estradiol levels, and when included in the treatment protocol, there was a statistically significant reduction in miscarriage.
Effects on cardiorespiratory fitness of moderate-intensity training vs. energy-matched training with increasing intensity
Authors: Reuter Marcel , Rosenberger Friederike , Barz Andreas , Venhorst Andreas , Blanz Laura , Roecker Kai , Meyer Tim 
Published: January 2024

IntroductionThe present study investigated the role of training intensity in the dose–response relationship between endurance training and cardiorespiratory fitness (CRF). The hypothesis was that beginners would benefit from an increase in training intensity after an initial training phase, even if the energy expenditure was not altered. For this purpose, 26 weeks of continuous moderate training (control group, CON) was compared to training with gradually increasing intensity (intervention group, INC) but constant energy expenditure.MethodsThirty-one healthy, untrained subjects (13 men, 18 women; 46 ± 8 years; body mass index 25.4 ± 3.3 kg m−2; maximum oxygen uptake, VO2max 34 ± 4 ml min−1 kg−1) trained for 10 weeks with moderate intensity [3 days/week for 50 min/session at 55% heart rate reserve (HRreserve)] before allocation to one of two groups. A minimization technique was used to ensure homogeneous groups. While group CON continued with moderate intensity for 16 weeks, the INC group trained at 70% HRreserve for 8 weeks and thereafter participated in a 4 × 4 training program (high-intensity interval training, HIIT) for 8 weeks. Constant energy expenditure was ensured by indirect calorimetry and corresponding adjustment of the training volume. Treadmill tests were performed at baseline and after 10, 18, and 26 weeks.ResultsThe INC group showed improved VO2max (3.4 ± 2.7 ml kg−1 min−1) to a significantly greater degree than the CON group (0.4 ± 2.9 ml kg−1 min−1) (P = 0.020). In addition, the INC group exhibited improved Vmax (1.7 ± 0.7 km h−1) to a significantly greater degree than the CON group (1.0 ± 0.5 km h−1) (P = 0.001). The reduction of resting HR was significantly larger in the INC group (7 ± 4 bpm) than in the CON group (2 ± 6 bpm) (P = 0.001). The mean heart rate in the submaximal exercise test was reduced significantly in the CON group (5 ± 6 bpm; P = 0.007) and in the INC group (8 ± 7 bpm; P = 0.001), without a significant interaction between group and time point.ConclusionIncreasing intensity leads to greater adaptations in CRF than continuing with moderate intensity, even without increased energy expenditure. After 26 weeks of training in the moderate- and higher-intensity domain, energy-matched HIIT elicited further adaptations in cardiorespiratory fitness. Thus, training intensity plays a crucial role in the dose–response relationship between endurance training and fitness in untrained but healthy individuals.
Clinical Trial Registrationhttps://www.drks.de/DRKS00031445, identifier DRKS00031445.
Evaluation of date palm fruits quality under different irrigation water salinity levels compared to the fruit available in the market
Authors: Hammami Zied , Mahmoudi Henda , Al Janaahi Amna , Singh Rakesh Kumar 
Published: January 2024

IntroductionThe date palm (Phoenix dactylifera L.) is a major component of the agro-food systems of the arid regions. Since it is an indigenous tree, it is an integral part of the local cultural heritage and social and economic life. Date palm cultivation in the region is challenging due to various factors such as water scarcity and soil and water salinity.MethodsThis research study was conducted to evaluate the quality of commonly sold date palm varieties in the UAE market and grown using saline water at the ICBA research station in Dubai. The study involved measuring physical parameters like fruit weight, size, dimensions, color, volume, Brix, protein, sucrose, glucose, fructose, sugars, phenols, sodium, and potassium, as well as analyzing how consumers perceive the fruit’s quality attributes produced under varying salinity levels. The study evaluated Tamar dates’ texture, flavor, aroma, taste, color, and appearance using a five-point scale from very poor to excellent.Results and discussionThe study found that fruit quality is affected by salinity, and there is a significant interaction between variety and salinity treatments. Salinity affects date palm traits, but low to moderate levels do not affect fruit quality. Khalas, Sukkari, and Ajwa-Tul-Madinah are the least affected varieties. High salinity negatively impacts some varieties, leading to decreased fruit quality. However, it is also worth noting that salinity stress can increase the sugar concentration in fruit for specific varieties, as demonstrated in this study on fruit sugar content under such conditions. Among the tested dates, Sukkari from the market, Ajwa-Tul-Madinah irrigated with 5 and 10 dS m−1 have the highest sugar content and many other desirable characteristics. Hierarchical k-means clustering reveals that each genotype performs better under a specific level of salinity, allowing for targeted selection of genotypes for salinity mitigation. Sugar content is crucial in assessing date fruits irrigated with saline water. It should be included in the evaluation criteria to promote the use of saline water for date palm irrigation and save freshwater resources. The study provides valuable insights into different date palm varieties’ behavior under varying salinity levels, enabling farmers to optimize production and establish new evaluation criteria.
Case Report: Recurrent blepharal kaposiform hemangioendothelioma in an adult patient
Authors: Liu Wei , Zhao Dan , Zhou Shirui , Chen Hong 
Published: January 2024

BackgroundKaposiform hemangioendothelioma (KHE) is a rare and invasive vascular tumor that mainly occurs in children and is rarely seen in adults. We report a case of KHE found on the eyelid of an adult patient.Case reportWe present an adult patient in whom KHE recurred 6 months after tumor resection. He underwent second surgical resection and intraoperative chemotherapy. There was no evidence of recurrence at the 3-year follow-up.ConclusionKHE in adults is easy to be misdiagnosed. KHE can be treated by surgical resection. Complete resection of the tumor and intraoperative chemotherapy may help prevent a recurrence.
Operating room nurse's awareness and implementation status of the prevention of patient's intraoperative acquired pressure injuries: design and validation of a questionnaire
Authors: Zou Zhenya , Lv Shijiao , Gao Qian , Zhou Xiaoyang , Mao Jinbao 
Published: January 2024

AimTo compile the awareness and implementation status of patients with intraoperative acquired pressure injuries prevention by operating room nurses and to test its reliability and validity.DesignThis is an equipment development research based on recommendations for developing a reliable and valid questionnaire.MethodsThe research was carried out in two phases from February to November 2022. Through a panel discussion, expert consultation, and literature review, the questionnaire for operating room nurses on the current status of awareness and implementation of the prevention of intraoperative acquired pressure injuries was preliminarily formulated. The formal questionnaire was developed through validity analysis, reliability analysis and item analysis, and reliability and validity tests were conducted. Moreover, according to the questionnaire survey results, confirmatory factor analysis was carried out to construct the structural equation model.ResultsThe initial questionnaire consisted of five dimensions with 48 items, which was finalized to five dimensions with 38 items after reliability and validity testing and analysis. The five dimensions included implementation of intraoperative acquired pressure injuries prevention, intraoperative acquired pressure injuries preventing cognitive conditions, preoperative intraoperative acquired pressure injuries preventing cognitive conditions, basic knowledge of pressure injuries, and implementation of intraoperative acquired pressure injuries prevention in special patients. Cronbach's α of the overall questionnaire was 0.969 while that of each dimension was 0.846–0.959. The KMO value of structural validity was 0.945 (P &lt; 0.001), and the contribution rate of cumulative variance was 70.694%. The fitting of confirmatory factor analysis was found to be generally ideal: χ2/df = 2.382, RMR = 0.027, TLI = 0.894, RMSEA = 0.072, IFI = 0.905, CFI = 0.904.ConclusionsThe study and design of the questionnaire for operating room nurses on the current status of awareness and implementation of the prevention of intraoperative acquired pressure injuries are scientific and rational, providing a scientific basis for the standardized reform of hospitals and the optimization of the intraoperative acquired pressure injuries management system of the operating room.