bluuebunny/crossref_metadata_2025_split huggingface dataset:
Epidemiology and outcome predictors in 450 patients with hanging-induced cardiac arrest: a retrospective study
Authors: Salvetti Marie , Schnell Guillaume , Pichon Nicolas , Schenck Maleka , Cronier Pierrick , Perbet Sebastien , Lascarrou Jean-Baptiste , Guitton Christophe , Lesieur Olivier , Argaud Laurent , Colin Gwenhael , Cholley Bernard , Quenot Jean-Pierre , Merdji Hamid , Geeraerts Thomas , Piagnerelli Michael , Jacq Gwenaelle , Paul Marine , Chelly Jonathan , de Charentenay Louise , Deye Nicolas , Danguy des Déserts Marc , Thiery Guillaume , Simon Marc , Das Vincent , Jacobs Frederic , Cerf Charles , Mayaux Julien , Beuret Pascal , Ouchenir Abdelkader , Lafarge Antoine , Sauneuf Bertrand , Daubin Cedric , Cariou Alain , Silva Stein , Legriel Stephane 
Published: September 2023

BackgroundCardiac arrest is the most life-threatening complication of attempted suicide by hanging. However, data are scarce on its characteristics and outcome predictors.MethodsThis retrospective observational multicentre study in 31 hospitals included consecutive adults admitted after cardiac arrest induced by suicidal hanging. Factors associated with in-hospital mortality were identified by multivariate logistic regression with multiple imputations for missing data and adjusted to the temporal trends over the study period.ResultsOf 450 patients (350 men, median age, 43 [34–52] years), 305 (68%) had a psychiatric history, and 31 (6.9%) attempted hanging while hospitalized. The median time from unhanging to cardiopulmonary resuscitation was 0 [0–5] min, and the median time to return of spontaneous circulation (ROSC) was 20 [10–30] min. Seventy-nine (18%) patients survived to hospital discharge. Three variables were independently associated with higher in-hospital mortality: time from collapse or unhanging to ROSC&gt;20 min (odds ratio [OR], 4.71; 95% confidence intervals [95%CIs], 2.02–10.96; p = 0.0004); glycaemia &gt;1.4 g/L at admission (OR, 6.38; 95%CI, 2.60–15.66; p &lt; 0.0001); and lactate &gt;3.5 mmol/L at admission (OR, 6.08; 95%CI, 1.71–21.06; p = 0.005). A Glasgow Coma Scale (GCS) score of &gt;5 at admission was associated with lower in-hospital mortality (OR, 0.009; 95%CI, 0.02–0.37; p = 0.0009).ConclusionIn patients with hanging-induced cardiac arrest, time from collapse or unhanging to return of spontaneous circulation, glycaemia, arterial lactate, and coma depth at admission were independently associated with survival to hospital discharge. Knowledge of these risk factors may help guide treatment decisions in these patients at high risk of hospital mortality.
Adjuvant therapy with Jianpi Huayu decoction improves overall and recurrence-free survival after hepatectomy for hepatocellular carcinoma: a retrospective propensity score-matching study
Authors: Luo Rui , Fang Chongkai , Chen Chuyao , Zhang Ying , Yao Ruiwei , Wang Jinan , Shi Hanqian , Feng Kunliang , Hu Mingli , Zhong Chong 
Published: September 2023

Hepatocellular carcinoma (HCC) patients experience high rates of recurrence following hepatectomy. Many herbal preparations used in traditional Chinese medicine have been shown to improve the postoperative condition of cancer patients. This retrospective study examined the efficacy and safety of Jianpi Huayu decoction (JPHYD) as adjuvant therapy for HCC following hepatectomy. HCC patients received postoperative management according to Chinese Society of Clinical Oncology recommendations, either alone (Control group) or in addition to daily JPHYD (1 week in hospital and 3 months after release). To reduce selection bias, we performed 1:1 propensity score matching between the Control and JPHYD groups. The main endpoint was recurrence-free survival (RFS), and secondary endpoints included overall survival (OS) and adverse event frequency. A total of 207 patients meeting inclusion criteria were enrolled, 127 in the Control group and 80 in the JPHYD group. Patients were then propensity score-matched, yielding each group of 80. Recurrence-free survival rate was significantly higher in the JPHYD group than in the Control group at 1 year (67.9% vs. 38.1%), 2 years (39.1% vs. 26.2%), and 3 years (31.3% vs. 26.2%) following hepatectomy (HR 0.5666 [95%CI, 0.3655 to 0.8784]; p = 0.0066). Additionally, OS was significantly higher in the JPHYD group than the Control group at 1 year (94.3% vs. 81.9%), 2 years (76.4% vs. 58.8%), and 3 years (66.3% vs. 51.4%) following hepatectomy (HR 0.5199 [95%CI, 0.2849 to 0.9490]; p = 0.027). Adverse events frequencies did not differ between the two groups. In conclusion, JPHYD can safely improve RFS and OS following hepatectomy for HCC.
A national examination of discrimination, resilience, and depressive symptoms during the COVID-19 pandemic: the All of Us Research Program
Authors: Cook Stephanie H. , Wood Erica P. , Risner Emma , Weng Chenziheng Allen , Xin Yao 
Published: September 2023

ObjectiveTo examine the impact of resilience on the association between discrimination and trajectories of depressive symptoms during the COVID-19 pandemic across racial and ethnic groups.MethodsData were drawn from 5 waves of the All of Us Research Program’s survey on the impact of COVID-19 on the lives of American adults. Linear mixed-effects models were fitted to assess the association between discrimination exposure throughout the pandemic and depressive symptoms over time. An interaction term was introduced between resilience and discrimination exposure to assess if resilience buffered the association between discrimination and depressive symptoms over time. Race-stratified linear mixed-effects models examined racial/ethnic differences in the association between resilience, discrimination, and depressive symptoms over time.ResultsFifty-one thousand nine hundred fifty-eight participants completed surveys between May and December of 2020. Results indicated that exposure to more discrimination was associated with increasing trajectories of depressive symptoms over time (b = 0.48, p &lt; 0.001). However, resilience moderated the association between discrimination and well-being over time such that higher resilience mitigated the detrimental effect of experiencing discrimination on depressive symptoms across time (b = −0.02, p &lt; 0.001).ConclusionIdentifying protective features such as resilience can promote the development of culturally tailored interventions to address mental health in the context of discrimination.
Chedoke-McMaster attitudes towards children with handicaps scale for traditional sporting games (CATCH-TSG): initial validation in 7 different languages in adult and young populations
Authors: March-Llanes Jaume , Mas-Ruiz Lluis , Moya-Higueras Jorge , Rius-Torrentó Josep , Estrada-Plana Veronica , Bañeres Judit , Lavega-Burgués Pere ,   The Opportunity Team,   Spanish Opportunity Team Portuguese Opportunity Team Tunisian Opportunity Team Italian Opportunity Team Croatian Opportunity Team Polish Opportunity Team Russian Opportunity Team
Published: September 2023

IntroductionMeasuring attitudes towards disability is meant to assess which interventions are most likely to create changes in population attitudes. Physical activities, such as Traditional Sports Games, are an excellent methodology to fight against the stigma of disabled people. Thus, the main aim of this study was to validate the Chedoke-McMaster Attitudes towards Children with Handicaps Scale (CATCH) adapted to a physical activity environment.MethodsAdditionally, we implemented this process in a combined way, 7 languages and 2 versions (adult and youth) at the same time.ResultsThe results showed that the CATCH-TSG scale provides the scientific community with a valid and reliable tool for professionals who want to assess the change in attitudes towards people with disabilities after receiving a psychoeducational intervention that includes physical activity (TSG).DiscussionResearchers will compare respective results from different countries and ages using different versions of the scale, jointly validated.
Disturbed body schema, perceptual body image, and attitudinal body image in patients with borderline personality disorder
Authors: Szily Dorottya , Kelemen Rebeka , Nagy Zita S. , Szabó Dominik , Unoka Zsolt Szabolcs 
Published: September 2023

BackgroundBorderline personality disorder (BPD) is a severe mental disorder that affects attitudes toward the body. However, whether this condition also affects body schema and perceptual body image remains unclear. Previous questionnaire-based studies found dissatisfaction with one's body in patients with BPD. In addition to attitudinal body image, our study investigates whether body schema and perceptual body image are disturbed in patients with BPD.MethodOur study included 31 patients diagnosed with BPD (25 women) and 30 healthy individuals (19 women) (Mage = 29 for both groups). The SCID-5-PD interview was used to determine personality disorder. Attitudinal body image was measured using the Body Attitude Test (BAT) factors. Body schema and perceptual body image were measured by two conditions of a body representation task, the body portraying method (BPM).ResultsBPD patients achieved higher scores in all three BAT factors and were more susceptible to misinformation in both conditions of BPM. Based on the results, BPD patients appear to have more negative attitudes toward their bodies and worse perceptual body image and body schema.ConclusionThe novel finding of our study is that, besides the previously found attitudinal dissatisfaction with the body, individuals with BPD also show disturbances at the levels of body schema and perceptual body image. Our findings concerning disturbances in body schema and perceptual body need further research into their etiological factors and provide new therapeutic targets for the treatment of BPD.
The status of e-learning, personality traits, and coping styles among medical students during the COVID-19 pandemic: a cross-sectional study
Authors: Wei Junfan , Yun Zhengcheng , Zhang Yang , Mei Xiaoxiao , Ba Li , Peng Huan , Li Na , Li Meng , Liu Zhu , Liu Hanjiao 
Published: September 2023

ObjectiveThe objective of this study was to explore the learning preferences and habits of medical students during the pandemic home e-learning, and to investigate the incidence of adverse emotions, optimistic character level and coping style. To explore the influencing factors of adverse emotions.MethodsA cross-sectional survey was conducted in China from March to June 2022. Medical students were recruited from three universities in China, and a questionnaire survey was conducted. The questionnaires consisted of a “e-learning preferences and habits questionnaire”, life orientation test questionnaire (LOT-R), and simple coping style questionnaire (SCSQ). Finally, a total of 492 medical students who met the inclusion and exclusion criteria became the research subjects and completed the survey.ResultsA total of 57.7% believed they experienced no adverse emotions during home e-learning. ① During the COVID-19 pandemic, the score of optimistic personality of medical students was (7.25 ± 1.933), and the score of pessimistic personality was (5.82 ± 2.240). The score of positive coping was (21.75 ± 5.379), and the score of negative coping was (11.75 ± 3.611). ② The occurrence of medical students' adverse emotions during e-learning was influenced by “Whether there is a private, quiet space to study”, “Degree of knowledge mastery”, “Physical discomfort or not”, “Keep a regular schedule or not”, “Optimistic personality tendency”.ConclusionThis study demonstrates the during home e-learning, most medical students have their own learning equipment and can meet their learning needs. Their favorite mobile device to use is a mobile phone, and their favorite method of teaching is to provide course playback. More than half of medical students believe that they have some inconvenience in conducting research during home e-learning. With regard to teacher's real-time screen, the largest number of medical students support teachers turning on live screens so that they feel like they are interacting with the teacher. The preference for blended teaching is highest among medical students. In general, medical students were highly adaptive of the newest e-learning approach. Based on the statistic analysis, the factors that “Whether there is a private, quiet space to study”, “Degree of knowledge mastery”, “Physical discomfort or not”, “Keep a regular schedule or not”, and “Optimistic personality tendency” may be the influencing factors for the occurrence of adverse emotions.
Psychometric testing of the breastfeeding self-efficacy scale to measure exclusive breastfeeding in African American women: a cross-sectional study
Authors: Aderibigbe Tumilara , Walsh Stephen , Henderson Wendy A. , Lucas Ruth F. 
Published: September 2023

BackgroundIn United States, African American women are the least likely group to breastfeed exclusively compared with Hispanic and non-Hispanic White women. It is crucial to examine the perceived confidence of African American women towards practicing exclusive breastfeeding. Previous studies have examined breastfeeding self-efficacy and other factors influencing exclusive breastfeeding. However, there is no research on exclusive breastfeeding self-efficacy of this population. The purpose of this study was to examine the validity and reliability of the breastfeeding self-efficacy scale to measure exclusive breastfeeding, and the relationship between exclusive breastfeeding self-efficacy and general self-efficacy and demographic variables in African American women.MethodsDescriptive cross-sectional design was used. A convenience sample of 53 pregnant African American women completed an online survey. Construct and criterion-related validity were assessed and reliability of the breastfeeding self-efficacy scale to measure exclusive breastfeeding (BSES-EBF) was examined using Cronbach’s reliability. The general self-efficacy scale measured general self-efficacy. Descriptive statistics, bivariate correlation and non-parametric analyses were performed using statistical package for social sciences (v.28).ResultsThe breastfeeding self-efficacy to measure exclusive breastfeeding scale had a Cronbach’s alpha score of 0.907. One principal component was extracted from the BSES-EBF scale, with an Eigenvalue of 5.271 and which explained 58.57% of the variance in the instrument. The mean prenatal exclusive breastfeeding self-efficacy of participants was 35.15 (±7.41) from a range of 9 to 45. Exclusive breastfeeding was significantly associated with general self-efficacy (r = 0.503,p ≤ 0.001) and exclusive breastfeeding intention (p = 0.034).ConclusionBreastfeeding self-efficacy scale to measure exclusive breastfeeding is a valid and reliable tool to measure exclusive breastfeeding self-efficacy in African American women. African American women had high exclusive breastfeeding self-efficacy (internal motivation). Hence, there is a need to address breastfeeding barriers and provide access to culturally sensitive support (external motivation) to increase exclusive breastfeeding in African American women.
Study on the regional risk classification method for the prevention and control of emerging infectious diseases based on directed graph theory
Authors: Liu Yong , Wang Xiao , Zhang Chongqi 
Published: September 2023

BackgroundEmerging infectious diseases are a class of diseases that are spreading rapidly and are highly contagious. It seriously affects social stability and poses a significant threat to human health, requiring urgent measures to deal with them. Its outbreak will very easily lead to the large-scale spread of the virus, causing social problems such as work stoppages and traffic control, thereby causing social panic and psychological unrest, affecting human activities and social stability, and even endangering lives. It is essential to prevent and control the spread of infectious diseases effectively.PurposeWe aim to propose an effective method to classify the risk level of a new epidemic region by using graph theory and risk classification methods to provide a theoretical reference for the comprehensive evaluation and determination of epidemic prevention and control, as well as risk level classification.MethodsUsing the graph theory method, we first define the network structure of social groups and construct the risk transmission network of the new epidemic region. Then, combined with the risk classification method, the classification of high, medium, and low risk levels of the new epidemic region is discussed from two cases with common and looped graph nodes, respectively. Finally, the reasonableness of the classification method is verified by simulation data.ResultsThe directed weighted scale-free network can better describe the transmission law of an epidemic. Moreover, the proposed method of classifying the risk level of a region by using the correlation function between two regions and the risk value of the regional nodes can effectively evaluate the risk level of different regions in the new epidemic region. The experiments show that the number of medium and high risk nodes shows no increasing trend. The number of high-risk regions is relatively small compared to medium-risk regions, and the number of low-risk regions is the largest.ConclusionsIt is necessary to distinguish scientifically between the risk level of the epidemic area and the neighboring regions so that the constructed social network model of the epidemic region's spread risk can better describe the spread of the epidemic risk in the social network relations.
Reflective structured dialogue as a tool for addressing wicked public health problems
Authors: Weaver Cassidy , Brown Janaya , Brady Lexi , Carlquist Parker , Dotson Seth , Faldmo M. Dru , Hall P. Cougar , Glenn Jeffrey 
Published: September 2023

IntroductionAttempts to address wicked public health problems can benefit from collaborative approaches to problem-solving, such as dialogue through structured conversations, that engage a wide range of stakeholders in deliberate inquiry to build trust and mutual understanding. This study seeks to assess the effects of participation in Reflective Structured Dialogue (RSD) on university students’ polarization-related attitudes.MethodsThe BYU Campus Conversations project held 27 structured conversations with 139 participants on three divisive public health topics: COVID-19, mental health, and racism. The conversation structure encouraged students to share their personal experiences and learn from others in an environment that promoted vulnerability and confidentiality.ResultsPre- and post-conversation surveys measured participant outcomes and found that participation in conversations was strongly associated with improved attitudes related to openness, tribal identity, and moral disdain. Over 95% of participants reported that they enjoyed taking part in the conversations and that it helped them better understand the experiences of others.DiscussionThe results of this project indicate similar conversations could be an effective tool in helping build understanding around divisive public health issues in university and community settings.
INFORMATION SYSTEM FOR WORK EXIT PERMIT AT CIAMIS STATE COURT
Authors: Winda Melisa , Septiana Yosep , Apriyani Yanti , Kusmira Mira 
Published: September 2023

ABSTRACT- The District Court is a judicial institution within the General Court environment domiciled in the regency or city capital. Submitting information for permits to enter and leave work manually is considered less effective in terms of controlling employee activities, especially going work obligations during working hours for personal or other interests. with the submission method only giving reports verbally to Sub Personnel and Ortala, without any written submissions/reports that must be known by the head of the Agency to apply the SOP that applies to the Agency Observations are made by visiting and observing directly to the research site to see the ongoing process The interview was conducted with one of the employees of the Ciamis district court. Interviews were conducted by asking several questions to determine the system running there. This literature study is used as reference material in doing this final project. Literature studies are used by searching for material through books, the Internet, and journals related to this research. We are designing an information system for entering and leaving work permits (sikasja) to streamline activities in the work environment. So that research results can be utilized by agencies as a primary reference for solving existing problems. As a step of adaptation and use of technology in the current era of digitalization. Knowing the job role of each position in Class 1B agencies,

Keywords: Court, System, Waterfall, Personnel, Letters
Minority Entrepreneurship in Switzerland: The Challenges and Needs of Brazilian Women Entrepreneurs
Authors: Meyer Dario , Schmutz Thérèse , Meyer Rolf 
Published: September 2023

The number of Brazilian citizens in Switzerland has risen significantly over the past decades by factor 24 compared to the total foreign population, which grew by factor 2.5. As with many migrant groups, integration into the labour market is difficult. This can lead to a higher number of people choosing to start their own business. Brazilians in their home country are more entrepreneurial than Swiss people and among Brazilian women, 17.3% are entrepreneurially active. This can partly be explained with less options on the labour market – a challenge that Brazilian women also experience in Switzerland. Therefore, entrepreneurship also became a viable career option abroad. Little is known about neither the businesses, the challenges, and the needs of female Brazilian entrepreneurs, nor of female entrepreneurs of other minority groups. This paper looked at these points to find out how they can be supported best to enhance their businesses. The findings will be of use for entrepreneurs themselves, as well as for supporting organisations to adapt their offerings. To get the required insights, we took a quantitative approach and surveyed 54 Brazilian women in Switzerland with an online questionnaire. The participants were members of a Brazilian women business club. The results were analysed using SPSS. The entrepreneurs came to Switzerland mainly for love and family reasons. The businesses are small, mainly targeting the Brazilian community and only a small minority can sustain themselves from their self-employment alone. While the financial success is rather low, the personal satisfaction of having a business is very high. The biggest challenges are finding customers, where also the biggest need for support is. The results show that the support structures are not accessible enough for founders from minority groups and that offerings need to be adjusted to have a broader reach.