bluuebunny/crossref_metadata_2025_split huggingface dataset:
Global hotspots and trends in research on preschool children’s motor development from 2012 to 2022: a bibliometric analysis
Authors: Wang Jun-Wei , Qu Sha , Zhu Zhi-Cheng , Zhao Xing , Song Wen-Jing , Li Xue , Chen Wan-Di , Luo Dong-Mei 
Published: June 2023

BackgroundMotor development plays an important role in human development throughout the lifespans, from conception to death, and has received increasing scholarly attention in recent years. However, valuable comprehensive reviews and literature analysis on this topic are still lacking. Here, this bibliometric study aimed to identify global motor development research hotspots and trends on preschool children’s motor development from 2012 to 2022.MethodsCiteSpace 6.1.R4 was used to visualize and analyze general bibliometric characteristics, research hotspots, and trends through a review of 2,583 articles on the motor development of preschool children, which were published from 2012 to 2022 and included in the Web of Science Core Collection.ResultsResearch on motor development in preschool children has been carried out into a phase of rapid development. The top five frequently occurring keywords were physical activity (n = 489), performance (n = 319), intervention (n = 222), health (n = 196), and executive function (n = 165); The top five keywords in terms of centrality are academic achievement (0.22), low birth weight (0.16), association (0.14), brain (0.13), and cerebral palsy (0.13). Thirteen keyword clusters were produced from the log-likelihood ratio (Q = 0.74, S = 0.88), and five research topics has been received focused attention in recent years. The keywords with the strongest citation bursts in the last 5 years are developing country (S = 5.92), school-aged children (S = 5.86), middle-income country (S = 3.46), efficacy (S = 5.41), readiness (S = 3.21), motor proficiency (S = 3.6), and screen time (S = 3.3), indicating newly emerging research trends.ConclusionThe results indicated that interventions involving fundamental movement skills, cognitive function, 24-h movement behaviors, neurodevelopmental disorders, and health-related fitness were hot topics in the field of motor development over the last decade. Emerging research trends generally center on school readiness, socioeconomic status, motor proficiency, and screen time.
Multidimensional background examination of young underweight Japanese women: focusing on their dieting experiences
Authors: Murofushi Yuka , Yamaguchi Shinji , Kadoya Haruka , Otsuka Hikaru , Ogura Kasane , Kaga Hideyoshi , Yoshizawa Yasuyo , Tamura Yoshifumi 
Published: June 2023

IntroductionThis study examines the background of underweight young women in Japan from multiple perspectives, focusing on whether they have ever dieted.MethodsA screening survey was administered to 5,905 underweight (BMI &lt; 18.5 kg/m2) women aged 18–29 years, who could report their birth weight recorded in their mother-child handbook. Valid responses were obtained from 400 underweight and 189 normal-weight women. The survey collected data regarding height, weight (BMI), body image and perception of weight, dieting experience, exercise habits from elementary school age onwards, and current eating habits. Additionally, five standardized questionnaires were used (EAT-26, eHEALTH, SATAQ-3 JS, TIPI-J, and RSES). The primary analysis was a comparative analysis (t-test/χ2)—with the presence or absence of underweight and diet experience as independent variables, and each questionnaire as a dependent variable.ResultsThe screening survey revealed that approximately 24% of the total population was underweight, with a low mean BMI. Of the respondents, more than half reported their body image as skinny and a small percentage as obese. Compared with the non-diet-experienced group (NDG), the diet-experienced group (DG) had a significantly higher proportion of past to current exercise habits. There was a significantly higher percentage of disagreement responses from the DG for weight and food gain than for the NDG. The NDG weighed significantly less than the DG in terms of birth weight, and lost weight easier than the DG. Additionally, the NDG was significantly more likely to agree with increasing weight and food intake. The NDG’s exercise habits were below 40% from elementary school age to the present, predominantly owing to a dislike for exercise and a lack of opportunity to implement it. In the standardized questionnaire, the DG was significantly higher for EAT-26, eHEALTH, SATAQ-3 JS, and Conscientiousness (TIPI-J), whereas the NDG was only significantly higher for Openness (TIPI-J).DiscussionThe results suggest the need for different health education programs for underweight women who desire to lose weight and experience dieting and for those who do not. This study’s results are reflected in the development of sports opportunities optimized for each individual, and in the development of measures to ensure adequate nutritional intake.
Development and validation of the health literacy environment scale for Chinese hospitals from patients’ perspective
Authors: Tong Yingge , Wu Yixue , Han Zhiqing , Xue Zihao , Wei Yeling , Lai Shanyuan , Chen Ziyi , Wang Miaoling , Chen Siyi 
Published: June 2023

IntroductionWhile the research on improving individual health literacy by promoting individual skills and abilities is increasing, less attention has been paid to the complexities of the healthcare environment that may influence patients’ ability to access, understand, and apply health information and health services to make health decisions. This study aimed to develop and validate a Health Literacy Environment Scale (HLES) that is suitable for Chinese culture.MethodsThis study was conducted in two phases. First, using the Person-Centered Care (PCC) framework as a theoretical framework, initial items were developed by using the existing health literacy environment (HLE) related measurement tools, literature review, qualitative interviews, and the researcher’s clinical experience. Second, scale development was based on two rounds of Delphi expert consultation and a pre-test conducted with 20 hospitalized patients. Using 697 hospitalized patients from three sample hospitals, the initial scale was developed after item screening and its reliability and validity were evaluated.ResultsThe HLES comprised 30 items classified into three dimensions as follows: interpersonal (11 items), clinical (9 items), and structural (10 items) dimensions. The Cronbach’s α coefficient of the HLES was 0.960 and the intra-class correlation coefficient was 0.844. The confirmatory factor analysis verified the three-factor model after allowing for the correlation of five pairs of error terms. The goodness-of-fit indices signified a good fit for the model (χ2/df = 2.766, RMSEA = 0.069, RMR = 0.053, CFI = 0.902, IFI = 0.903, TLI = 0.893, GFI = 0.826, PNFI = 0.781, PCFI = 0.823, PGFI = 0.705). The item-content validity index ranged from 0.91 to 1.00, and the scale-content validity index was 0.90.ConclusionThe HLES had good reliability and validity and provides a patient perspective tool for evaluating HLE and a new perspective for improving health literacy in China. That is, healthcare organizations make it easier for patients to access, understand, and use health information and service. Further studies about the validity and reliability of HLE should include other districts and different tiers or types of healthcare organizations.
Low uptake of hepatitis B vaccination among healthcare workers in primary health facilities in Mwanza region, North-Western Tanzania
Authors: Ndunguru Bernada , Wilfred Diana , Kapesa Anthony , Kilonzo Semvua D. , Mirambo Mariam , Hyera Fred , Massaga Fabian 
Published: June 2023

BackgroundDespite the availability of hepatitis B vaccines (HBV) in Tanzania, their uptake among healthcare workers (HCWs) in high-level facilities, such as tertiary hospitals where the vaccines are available, is low. However, their uptake among HCWs in primary health facilities remains understudied. The lack of this information limits the scaling up of HBV vaccination programs.MethodologyA cross-sectional analytical study was conducted between June and July 2022 among HCWs in the Misungwi and Ilemela districts, which were purposefully selected. The sample size was calculated using the Taro Yamane formula, and data were collected using a self-administered questionnaire and analyzed using IBM SPSS® version 25.ResultsA total of 402 HCWs were recruited, their mean age was 34.9 ± 7.77 years, and only 18% (76/402) reported being fully vaccinated. HCWs in Ilemela showed higher uptake (χ2 = 23.64, df = 1, p = 0.00) of the vaccine than HCWs in Misungwi. Being male (aOR = 2.38, 95% CI 1.28–4.45, p = 0.006), working in an urban setting (aOR = 5.75, 95% CI 2.91–11.35, p = 0.00), and having an employment duration of more than 2 years (aOR = 3.58, 95%CI 1.19–10.74, p = 0.023) were significantly associated with higher odds of vaccination. Moreover, high perceived susceptibility to HBV infection (aOR = 2.20, 95% CI1.02–4.75, p = 0.044) and history of needle prick injuries (aOR = 6.87, 95%CI 3.55–13.26, p = 0.00) were significantly associated with higher odds of HBV vaccination.ConclusionLow uptake of HBV vaccine among HCWs in primary health facilities was observed with a noteworthy difference between rural and urban settings. Therefore, advocacy campaigns and resource mobilization toward the promotion of HBV vaccination in primary health facilities are pivotal.
Association of family function and suicide risk in teenagers with a history of self-harm behaviors: mediating role of subjective wellbeing and depression
Authors: Chen Mo , Zhou Yang , Luo Dan , Yan Shu , Liu Min , Wang Meng , Li Xin , Yang Bing Xiang , Li Yi , Liu Lian Zhong 
Published: June 2023

BackgroundA history of self-harm behaviors is closely associated with subsequent suicide death. Although many factors associated with suicide have been identified, it remains unclear how these factors interact to influence suicide risk, especially among teenagers with a history of self-harm behaviors.MethodsData were collected from 913 teenagers with a history of self-harm behaviors through a cross-sectional study. The Family Adaptation, Partnership, Growth, Affection, and Resolve index was used to assess teenagers' family function. The Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7 were used to evaluate depression and anxiety in teenagers and their parents, respectively. The Delighted Terrible Faces Scale was used to assess teenagers' perception of subjective wellbeing. The Suicidal Behaviors Questionnaire-Revised was used to evaluate teenagers' suicide risk. Student's t-test, one-way ANOVA, multivariate linear regression, Pearson's correlation, and a structural equation model (SEM) were applied to data analysis.ResultsOverall, 78.6% of teenagers with a history of self-harm behaviors were at risk for possible suicide. Female gender, severity of teenagers' depression, family function, and subjective wellbeing were significantly associated with suicide risk. The results of SEM suggested that there was a significant chain mediation effect of subjective wellbeing and depression between family function and suicide risk.ConclusionFamily function was closely associated with suicide risk in teenagers with a history of self-harm behaviors, and depression and subjective wellbeing were sequential mediators in the association between family function and suicide risk.
Wastewater surveillance beyond COVID-19: a ranking system for communicable disease testing in the tri-county Detroit area, Michigan, USA
Authors: Gentry Zachary , Zhao Liang , Faust Russell A. , David Randy E. , Norton John , Xagoraraki Irene 
Published: June 2023

IntroductionThroughout the coronavirus disease 2019 (COVID-19) pandemic, wastewater surveillance has been utilized to monitor the disease in the United States through routine national, statewide, and regional monitoring projects. A significant canon of evidence was produced showing that wastewater surveillance is a credible and effective tool for disease monitoring. Hence, the application of wastewater surveillance can extend beyond monitoring SARS-CoV-2 to encompass a diverse range of emerging diseases. This article proposed a ranking system for prioritizing reportable communicable diseases (CDs) in the Tri-County Detroit Area (TCDA), Michigan, for future wastewater surveillance applications at the Great Lakes Water Authority's Water Reclamation Plant (GLWA's WRP).MethodsThe comprehensive CD wastewater surveillance ranking system (CDWSRank) was developed based on 6 binary and 6 quantitative parameters. The final ranking scores of CDs were computed by summing the multiplication products of weighting factors for each parameter, and then were sorted based on decreasing priority. Disease incidence data from 2014 to 2021 were collected for the TCDA. Disease incidence trends in the TCDA were endowed with higher weights, prioritizing the TCDA over the state of Michigan.ResultsDisparities in incidences of CDs were identified between the TCDA and state of Michigan, indicating epidemiological differences. Among 96 ranked CDs, some top ranked CDs did not present relatively high incidences but were prioritized, suggesting that such CDs require significant attention by wastewater surveillance practitioners, despite their relatively low incidences in the geographic area of interest. Appropriate wastewater sample concentration methods are summarized for the application of wastewater surveillance as per viral, bacterial, parasitic, and fungal pathogens.DiscussionThe CDWSRank system is one of the first of its kind to provide an empirical approach to prioritize CDs for wastewater surveillance, specifically in geographies served by centralized wastewater collection in the area of interest. The CDWSRank system provides a methodological tool and critical information that can help public health officials and policymakers allocate resources. It can be used to prioritize disease surveillance efforts and ensure that public health interventions are targeted at the most potentially urgent threats. The CDWSRank system can be easily adopted to geographical locations beyond the TCDA.
Robotic approach together with an enhanced recovery programme improve the perioperative outcomes for complex hepatectomy
Authors: Xie Fei , Wang Dongdong , Ge Jin , Liao Wenjun , Li Enliang , Wu Linquan , Lei Jun 
Published: June 2023

ObjectiveRobotic surgery has more advantages than traditional surgical approaches to complex liver resection; however, the robotic approach is invariably associated with increased cost. Enhanced recovery after surgery (ERAS) protocols are beneficial in conventional surgeries.MethodsThe present study investigated the effects of robotic surgery combined with an ERAS protocol on perioperative outcomes and hospitalization costs of patients undergoing complex hepatectomy. Clinical data from consecutive robotic and open liver resections (RLR and OLR, respectively) performed in our unit in the pre-ERAS (January 2019–June 2020) and ERAS (July 2020–December 2021) periods were collected. Multivariate logistic regression analysis was performed to determine the impact of ERAS and surgical approaches—alone or in combination—on LOS and costs.ResultsA total of 171 consecutive complex liver resections were analyzed. ERAS patients had a shorter median LOS and decreased total hospitalization cost, without a significant difference in the complication rate compared with the pre-ERAS cohort. RLR patients had a shorter median LOS and decreased major complications, but with increased total hospitalization cost, compared with OLR patients. Comparing the four combinations of perioperative management and surgical approaches, ERAS + RLR had the shortest LOS and the fewest major complications, whereas pre-ERAS + RLR had the highest hospitalization costs. Multivariate analysis found that the robotic approach was protective against prolonged LOS, whereas the ERAS pathway was protective against high costs.ConclusionsThe ERAS + RLR approach optimized postoperative complex liver resection outcomes and hospitalization costs compared with other combinations. The robotic approach combined with ERAS synergistically optimized outcome and overall cost compared with other strategies, and may be the best combination for optimizing perioperative outcomes for complex RLR.
Serum Levels of Adropin Improve the Predictability of MELD and Child-Pugh Score in Cirrhosis: Results of Proof-of-Concept Clinical Trial
Authors: Kolben Yotam , Kenig Ariel , Kessler Asa , Ishay Yuval , Weksler-Zangen Sarah , Eisa Mualem , Ilan Yaron 
Published: June 2023

Adropin is a peptide that was suggested to have a role in cirrhosis. The present study aimed to determine the ability to use serum adropin levels to improve their prediction accuracy as an adjunct to the current scores. In a single-center, proof-of-concept study, serum adropin levels were determined in thirty-three cirrhotic patients. The data were analyzed in correlation with Child-Pugh and MELD-Na scores, laboratory parameters, and mortality. Adropin levels were higher among cirrhotic patients that died within 180 days (1,325.7 ng/dL vs. 870.3 ng/dL, p = 0.024) and inversely correlated to the time until death (r2 = 0.74). The correlation of adropin serum levels with mortality was better than MELD or Child-Pough scores (r2 = 0.32 and 0.38, respectively). Higher adropin levels correlated with creatinine (r2 = 0.79. p &lt; 0.01). Patients with diabetes mellitus and cardiovascular diseases had elevated adropin levels. Integrating adropin levels with the Child-Pugh and MELD scores improved their correlation with the time of death (correlation coefficient: 0.91 vs. 0.38 and 0.67 vs. 0.32). The data of this feasibility study suggest that combining serum adropin with the Child-Pugh score and MELD-Na score improves the prediction of mortality in cirrhosis and can serve as a measure for assessing kidney dysfunction in these patients
Active Low-Frequency Noise Control Implementing Genetic Algorithm on Mode Coupling of a Compound Source
Authors: Giouvanakis Marios , Sevastiadis Christos , Papanikolaou George 
Published: June 2023

A system for low-frequency noise control in small, enclosed sound fields is proposed, using compound sound sources optimized by a genetic algorithm (GA). It is the integration of the developed low-Bl driver compound sources with a GA computer program in the Python language, aiming to control the modal field. The lack of appropriate free space in small rooms is critical for positioning the secondary sound sources; therefore, the proposed system has been designed to adapt to any available position. Two quadrupole topologies of the secondary compound source are applied and examined in a room. The convergence of the algorithm to the optimal solutions is attained through parametric configuration. The spatial radiation of the compound source at a single fixed position is adapted to couple with the modal noise field and attenuate it. The experimental results indicate that the proposed system can successfully control resonances of different low frequencies down to 50 Hz at multiple positions. The tonal noise attenuation reaches up to 32 dB at 100 Hz, confirming the applicability of the small subwoofer loudspeaker configurations for low-frequency control. This new method offers a practical and effective alternative to the typical abatement techniques that use distributed monopole sources in limited spaces.
Taxonomie et évolution dans le genre Passiflora : synthèse des connaissances actuelles
Authors: Rome Maxime , Coppens d’Eekenbrugge Geo 
Published: June 2023

Taxonomy and evolution in Passiflora : a synthesis of current knowledge.
Passiflora L. is the most important genus of the family Passifloraceae, native to tropical America, South-East Asia and Oceania. Mainly distributed in the neotropics, from coastal regions to elevations about 4,300 m, its 576 species have adapted to highly diverse environments and forged many strong interactions with animals (herbivory, mutualisms of pollination and protection), giving rise to a formidable species diversity through a particularly complex evolution and phylogeography. Since the first botanical explorations of the New World, taxonomical studies have faced considerable difficulties in interpreting this morphological diversity in terms of evolution, many traits showing lability and/ or a wide dispersion throughout the genus. The last classification reduced the number of subgenera from 22 to 4 (Decaloba, Passiflora, Astrophea, and Deidamioides). The first three, corresponding to dominant ploidy levels (2n= 12, 18, and 24 chromosomes, respectively), have been validated by molecular phylogenetic studies. The fourth, Deidamioides, has been divided in two clades, at least. Moreover, dioecious species formed a fifth subgenus, Tetrapathea. At lower levels, there remain many problems in the classification of species and the comprehension of their evolution with independent acquisitions of the same trait, cases of reticulate evolution, paternal or biparental inheritance of the chloroplast genome, as well as intraspecific or even intra-individual variability for certain gene sequences.
STRATEGI PENGEMBANGAN USAHA PETERNAKAN AYAM RAS PETELUR DI KECAMATAN CAMPALAGIAN KABUPATEN POLEWALI MANDAR
Authors: Ahmad Rismayani 
Published: June 2023

Ayam ras petelur yang diternakan masih rendah dibandingkan dengan ras ayam pedaging dan ayam kampung. Rendahnya usaha peternakan ayam ras petelur dipengaruhi oleh banyaknya faktor permasalahan diantaranya iklim, lingkungan peternakan dan pakan. Ayam petelur sensitif terhadap cuaca panas dan keributan. Kendala utama rata-rata adalah modal yang minim, perawatan ayam ras petelur masih terbatas, bau yang dicemarkan ayam ras petelur terkadang mengganggu lingkungan sekitar, ayam ras petelur yang terjangkit penyakit dan bisa saja mati akan menjadi kerugian bagi peternak. Analisis dalam penelitian ini yaitu deskriptif kuantitatif yang bertujuan untuk mengukur dan menentukan faktor internal dan faktor eksternal dalam peternakan ayam ras petelur. Klasifikasi faktor–faktor yang ditemukan pada peternakan ayam ras petelur, maka akan dilakukan analisis Strenght, Weakness, Opportunity, Threat (SWOT) yang difokuskan untuk mengidentifikasi baik faktor internal maupun faktor eksternalnya guna menghasilkan strategi pengembangan kualitas dan produksi dari usaha peternakan tersebut dengan metode Internal Factor Analisis Strategic (IFAS) dan Eksternal Factor Analisis Strategic (EFAS) serta pada tahap akhir SWOT. Hasil rumusan strategi pengembangan usaha peternakan ayam ras petelur di Kecamatan Campalagian berdasarkan SWOT yaitu SO (Strenght-Opportunity) dengan strategi yang dihasilkan meningkatkan produksi ayam ras petelur agar menghasilkan telur yang berkualitas, pengembangan pasar keluar daerah dan menjalin kerja sama dengan perusahaan besar peternakan ayam ras petelur agar lebih berkembang serta membuat surat penawaran atau brosur tentang produk-produk ayam ras petelur untuk di promosikan ke masyarakat baik melalui media sosial atau langsung ke konsumen atau masyarakat setempat.
Upaya kepala keluarga penyandang disabilitas dalam menafkahi keluarga
Authors: Ardita Febri Wulan 
Published: June 2023

Keluarga merupakan sebuah unit terkecil dalam kelompok masyarakat, didalam keluarga terdapat anggota keluarga yang terdiri dari suami, istri, dan anak. Pada kali ini peneliti membahas mengenai upaya kepala keluarga penyandang disabilitas dalam menafkahi keluarga. disabilitas sendiri ialah keadaan seseorang dengan kondisi memiliki kekurangan atau keterbatasan dalam melakukan aktivitas dan tidak dapat melakukan perannya seperti orang normal. Para penyandang disabilitas ini, juga memiliki kesamaan dengan orang normal pada umunya yang membutuhkan makan, pakaian, dan tempat tinggal yang nyaman. Tujuan dari prnrlitian ini adalah untuk mengetahui apa saja yang dikerjakan oleh kepala keluarga yang menyandang disabilitas dalam memenuhi kebutuhan hidupnya. Penelitian ini menggunakan metode kualitatif, dengan pendekatan secara langsung melalui pengamatan terhadap fenomena yang diangkat.