bluuebunny/crossref_metadata_2025_split huggingface dataset:
Investigation of 22Mg levels via resonant scattering of 18Ne + α
Authors: Cha S. M. , Chae K. Y. , Abe K. , Bae S. , Binh D. N. , Choi S. H. , Duy N. N. , Ge Z. , Hahn K. I. , Hayakawa S. , Hong B. , Iwasa N. , Kahl D. , Khiem L. H. , Kim A. , Kim D. , Kim E. J. , Kim G. W. , Kim M. J. , Kwak K. , Kwag M. S. , Lee E. J. , Lim S. I. , Moon B. , Moon J. Y. , Park S. Y. , Phong V. H. , Shimizu H. , Yamaguchi H. , Yang L. 
Published: May 2023

The α resonant scattering on 18Ne was measured in inverse kinematics to understand the α-clustering of proton-rich 22Mg nucleus, performed at the CNS Radio-Isotope Beam Separator (CRIB) of Center for Nuclear Study, University of Tokyo, located at the RIBF of RIKEN Nishina Center. The excitation function of 22Mg was obtained for the excitation energies of 10–16 MeV by adopting the thick-target method. Several resonances were evident in the present work, which implies the existence of energy levels with large α widths. Since energy levels were not clearly observed at the astrophysically important energy range, upper limits on the 18Ne (α, α)18Ne cross section were set. The astrophysical impact was also investigated by estimating the 18Ne (α, p)21Na cross section.
Relationship between morphometric and mechanical properties of superficial lumbosacral soft tissue layers in healthy young adults
Authors: Grześkowiak Marcin , Kocur Piotr , Łochyński Dawid 
Published: May 2023

Introduction: It is commonly considered that myotonometry is a non-invasive method capable of quantifying linear elastic and viscoelastic properties of the myofascial tissue through the application of a weak mechanical impulse to the surface of the skin. However, before the impulse can reach the myofascial tissue, it must cross more superficial tissues such as the skin and subcutaneous tissue (ST). All these superficial tissues have different distributions and organizations of structural components. Therefore, the study aimed to examine the potential relationships between the mechanical and morphometric properties of various superficial soft tissues surrounding the lumbar multifidus muscle (LM).Methods: Myotonometric measurements of dynamic stiffness, logarithmic decrement, and creep, and ultrasonographic measurements of thickness and echogenicity of cutaneous, subcutaneous, perimuscular tissue, and LM were obtained from 50 healthy individuals in the resting prone position and during contralateral arm lift.Results: The most important findings were that in both the relaxed and contracted LM state, the dynamic stiffness strongly negatively (r = −0.69; p &lt; 0.001 in relaxation, r = −0.83; p &lt; 0.001 in contraction) and creep strongly positively (r = 0.79; p &lt; 0.001 in relaxation, r = 0.85; p &lt; 0.001 in contraction) correlated with the thicknesses of the ST. Similar but weaker correlations were noticed between both these measures and the perimuscular tissue thickness. Elasticity was uncorrelated to the thicknesses of the tissues. With LM contraction (change from the relaxed to contracted state), the relative increase in dynamic stiffness was correlated with the relative decrease in dermis (r = −0.51; p &lt; 0.001) and ST (r = −0.47; p = 0.001) thickness, and with the relative increase in LM (r = 0.36; p = 0.010) thickness. Moreover, the relative decrease (thinning) in the ST thickness was correlated with the relative increase in logarithmic decrement (i.e., decrease in soft tissue elasticity, r = −0.37, p = 0.011). The mechanical properties of the soft tissues were not related to their echogenicity.Discussion: In conclusion, the thicker the subcutaneous and perimuscular layers, the lesser the stiffness and the greater the time-dependent deformation to the external force of the tissues surrounding the LM during its relaxation and isometric contraction. Moreover, the greater the thinning of the ST and the thickening of the LM during its contraction, the higher the increase in lumbosacral tissue stiffness and the decrease in elasticity. Therefore, one should consider the thickness of the ST before planning or analyzing the outcomes of myotonometric or other external biomechanical measurements to avoid drawing the wrong conclusions about the mechanical properties of the myofascial tissue.
Untreated depression and anxiety in patients with common skin diseases: a cross-sectional study in China
Authors: Tang Tao-Ran , Wang Mi , Li Hong , Yang Song-Chun , Zhang Cheng-Cheng , Lin Wen-Rui , Ke Xin-Chen , Zhang Han-Yi , Su Juan , Zhu Shi-Lin 
Published: May 2023

ObjectiveThe study aimed to analyze the current status and reasons for the neglect of the psychological need of patients with common skin diseases.MethodsThis cross-sectional study was conducted in China using an online self-assessment questionnaire distributed via social media. Demographic, clinical and psychological data were collected, and the main outcomes, i.e., depression (evaluated using the 9-item Patient Health Questionnaire, PHQ-9) and anxiety (evaluated using Generalized Anxiety Disorder-7, GAD-7). Multivariate regression analysis was used for the prediction of variates of mental health service seeking behaviors.ResultsA total of 1,010 patients participated in the survey, and 273 (27.0%) patients met the “with need” criteria, i.e., having the need for mental health intervention but not being treated. In the multivariate regression model, income (OR = 0.80, 95%CI: 0.65–0.99), duration of disease (OR = 0.68, 95%CI: 0.49–0.95) and suicide ideation (OR = 2.10, 95%CI: 1.14–3.87) were significant factors. For patients who did not receive mental health care, the lack of knowledge about the availability of mental health services, lack of knowledge of where to seek help, concerns about the side effects of treatment, failure to seek treatment for severe skin diseases, and absence of current psychological distress were associated with their need for psychological intervention.ConclusionThis study examined the current status of the need for psychological intervention and the reasons why the need was unmet in patients with skin diseases. Due to the confusion and a lack of knowledge about their mental health issues, mental health services are often underutilized.
Meta-analysis of the efficacy of digital therapies in children with attention-deficit hyperactivity disorder
Authors: He Fan , Qi Yanjie , Zhou Yuanyue , Cao Aihua , Yue Xin , Fang Shuanfeng , Zheng Yi 
Published: May 2023

BackgroundAttention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that commonly occurs in childhood. The aim of this meta-analysis was to summarize the available evidence for the efficacy of digital therapeutics in children and adolescents with ADHD.MethodsWe searched the MEDLINE, EMBASE, Cochrane Library (Cochrane Database of Systematic Reviews), and Web of Science (science and social science citation index) databases for relevant studies and used Stata 15.0 software to carry out the meta-analysis.ResultsA total of 31 studies involving 2169 participants (1665 boys and 504 girls) aged 4–17 years old were included in the final analysis. The meta-analysis results showed that digital interventions improved the symptoms of inattention with an effect value of −0.20 (95% confidence interval [CI] −0.36, −0.04) and decreased the continuous performance task (CPT) reaction time (effect, −0.40, 95% CI −0.73, −0.07) in ADHD patients. The score for impulsive hyperactivity was slightly decreased (effect, −0.07, 95% CI −0.23, 0.09). Moreover, executive function was improved (effect, 0.71, 95% CI 0.37, 1.04). The capability of working memory appeared to be increased (effect, 0.48, 95% CI 0.21, 0.76) between the two groups. Visual appraisal of the sensitivity analysis suggested the absence of heterogeneity, and no obvious publication bias was detected.DiscussionBased on the existing literature evidence, we conclude that digital therapy can be a promising therapeutic strategy for ADHD patients.
The impact of the pandemic on the perception of stress and danger, and the adjustment of psychiatric and general medical staff of German military hospitals
Authors: Willmund Gerd-Dieter , Müller Johannes , Schneegans Niels , Höllmer Helge , Wesemann Ulrich , Zimmermann Peter Lutz , Helms Christian 
Published: May 2023

IntroductionThe COVID-19 pandemic changed not only the working conditions but also the private conditions we live in. Health care professionals especially were confronted with multiple stressors, e.g., the risk of infection, lack of staff, and high workloads.MethodsTo estimate some of the pandemic-related impacts this anonymous personnel survey was conducted in two German military hospitals (Hamburg and Berlin). This study presents a comparative analysis of the hospital staff in general vs. the psychiatric personnel (N = 685) at two measurement time points (MTPs) in April 2021 (n = 399) and December 2021 (n = 286). The survey contains the German version of the Covid Stress Scale (CSS) to assess the perceived level of pandemic-related stress, the Patient Health Questionnaire (German Version: PHQ-D) to screen for three major mental disorders, and the adjustment disorder—New Module (ADNM) to estimate the problems of adaptation to change.ResultsThe results showed a process of adaptation over the two MTPs with significant stress reduction at MTP2 in the general staff. The psychiatric staff did not report significantly higher pandemic-related symptoms. Quite the contrary, not only did the CSS show significantly lower xenophobia, traumatic stress, and compulsive checking, but the PHQ also showed lower stress symptoms and somatic symptoms at both MTPs. Also, the ADNM scores delivered evidence for a more effective adaptation process in psychiatric personnel (e.g., depressive mood, avoidance, anxiety).DiscussionThe presented results must be interpreted while taking the unique situations of German military clinics into account. The supply of protective material was sufficient and there was no dramatic shortage of psychiatric staff during the pandemic. The inpatients were quite often (40%) elective treatments for trauma-related disorders, which could be discontinued in the case of a COVID-19 infection. The results of this study showed good adaptative skills among the psychiatric staff in military hospitals, which could be interpreted as a sign of good resilience. This might have led to lower stress-related symptoms during the COVID-19 pandemic.
Switching from offline to online health consultation in the post-pandemic era: the role of perceived pandemic risk
Authors: Pan Xue , Zhou Xuecheng , Yu Lei , Hou Lei 
Published: May 2023

IntroductionDue to its effectiveness and various benefits, the use of online health consultation (OHC) has dramatically increased in recent years, especially since the outbreak of the COVID-19 pandemic. However, underlying mechanism whereby the pandemic impacted OHC usage is still unclear.MethodsVia an online survey (N=318), the present paper measures the users’ perceptions towards both offline and online services, their intention to switch to OHC, and the perceived pandemic risks. The relationships among these factors are conceptualized by the push-pull-mooring framework, and tested via structural equation modelling.ResultsDissatisfaction with offline service (process inefficiency and consultation anxiety), the attractiveness of OHC (perceived benefits and perceived ease of use), and users’ behavioral inertia (switching cost and habit) jointly influence the intention to switching to OHC. The significant role of the perceived pandemic risk of going to medical facilities is particularly addressed. On the one hand, the perceived pandemic risk is found with an indirect impact on the switching intention by enlarging the dissatisfaction with offline service and the attractiveness of OHC. On the other hand, a high perceived pandemic risk induces more actual switching behavior and also amplifies the transition from switching intention to behavior.DiscussionThe study provides novel insights into the understanding of OHC usage in the post-pandemic era, and also informs medical facilities, OHC platforms, and policymakers on managing and balancing the online and offline healthcare provision.
Clinical outcomes of Najuta thoracic stent graft system for arch aneurysms
Authors: Iida Yasunori , Hachiya Takashi , Oka Hidetoshi , Inaba Yu , Miki Takahisa , Shimizu Hideyuki 
Published: May 2023

ObjectivesWe aimed to elucidate the perioperative and short-term clinical outcomes of the Najuta thoracic stent graft system with fenestrations for supra-aortic vessels.MethodsWe retrospectively investigated the perioperative and short-term clinical outcomes of 20 patients treated for arch or distal arch aneurysms using the Najuta thoracic stent graft system during the period from May 2019 to February 2023.ResultsThe technical success rate of the Najuta thoracic stent graft system was 95%. Of the 20 patients, 17 patients (85.0%) underwent concomitant extra-anatomical supra-aortic bypass. Postoperative CT revealed type Ia (n = 2) and type II (n = 3) endoleaks which disappeared on follow-up. The postoperative complications were stroke (n = 2, 10.0%), paraplegia (n = 1, 5.0%), and paraparesis (n = 1, 5.0%). In a very old patient, a blood transfusion was performed from the common iliac artery using the retroperitoneal approach. There were no aorta-related complications such as retrograde type A dissection or distal stent graft–induced new entry.ConclusionsWe treated arch or distal arch thoracic aneurysms by inserting a tube-type stent graft as a scaffold on the peripheral site and placing the Najuta thoracic stent graft on the proximal site. By extending the landing zone to Zone 0 and using a low radial force, which is a feature of the Najuta thoracic stent graft system, postoperative bird-beak and aorta-related complications were avoided. The treatment of arch and distal arch aortic aneurysms using the Najuta thoracic stent graft system showed acceptable perioperative and short-term clinical outcomes. Thoracic endovascular aortic repair using the Najuta thoracic stent graft system may be a potential treatment option for arch and distal arch aortic aneurysms, warranting further studies.
O enfermeiro no processo de educação em saúde quanto à importância da vacinação para a população
Authors: Garcia Ingrid Nascimento , Santos Mayane Magalhães , França Júlio Ricardo , Figueira Maura Cristiane e Silva , Ribeiro Karina Angélica Alvarenga 
Published: May 2023

Introdução: Educação em saúde é um conjunto de estratégias com um propósito de levar informação à população, de maneira que façam elas adquirirem para suas vidas comportamentos que visam solucionar e prevenir agravos à saúde. Objetivo: analisar as produções científicas brasileiras sobre o papel do enfermeiro no processo de conscientização sobre a vacinação para a população. Método: Trata-se de uma pesquisa de caráter descritivo, de cunho qualitativo, realizada através de uma pesquisa de revisão integrativa. Foi realizada uma busca nas bases de dados SciELO, BDENF e LILACS, no período de publicação de 2017 a 2021. Resultados e discussão: foram selecionados 12 artigos nesta pesquisa. A partir dos resultados, considerando os objetivos do estudo, foram divididas três categorias para realizar a análise e discussão dos artigos. A APS é a porta de entrada para que população se conscientize quanto a importância da imunização, o enfermeiro na APS realiza ações que visam controlar e erradicar doenças que são passíveis de prevenção, ele é um destaque nessas ações. O enfermeiro deve traçar ações através de um planejamento de cuidados, buscando mostrar a população medidas essenciais de prevenção, de forma clara, sistematizada e precisa Considerações finais: Foi possível evidenciar o papel que o enfermeiro tem na conscientização da população sobre a vacinação. Ele conscientiza os usuários, especialmente, por meio das ações de educação em saúde, pois é através da informação que a transformação do conhecimento ocorre e em conjunto a conscientização da população sobre maneiras de pensar e agir quando o assunto é vacinação.
The warning signs of autism spectrum disorder: a systematic review
Authors: Toledo Gustavo Lima , Sousa Felipe Eduardo Andrade , Alves Bárbara Waléria Gonçalves , Hanna Leila Maués Oliveira , De Moraes Thayse Moraes 
Published: May 2023

Autism Spectrum Disorder (ASD) combines a group of delays in neurocognitive development, which become more expressed before the age of three years old. Determining ASD characteristics in children for reliable diagnosis requires acknowledgement of the warning signs, which may manifest as restricted/repetitive patterns of behavior, interests in peculiar activities, and deficits in communication and social interaction. The aim of this study is to analyze and identify the most common warning signs in children with ASD in early childhood. A systematic review was conducted following PRISMA Statement directions with an online search in the following databases: SCOPUS, MEDLINE, Lilacs, Web of Science, ScienceDirect and SCIELO. The study motivation question used to guide the selected descriptors followed PICo strategy. The eligibility criteria considered full text articles published between 2017 and 2022, in Portuguese or English language. After applying the inclusion and exclusion criteria, 43 articles were included in the review and submitted to a full reading analysis and data extraction. Finally, the analysis of the results possibilities the understanding of the main warning signs of ASD in children aged 0 to 6 years and with this it may help in the detection and possible early diagnosis by health professionals.
Educar para a sensibilidade estética: uma experiência pedagógica em Educação Física
Authors: Monteiro Jhessica Tracy Araújo de Oliveira , Lacerda Teresa Oliveira , Batista Paula Maria Fazendeiro 
Published: May 2023

A abordagem somática da educação reconhece o corpo como fonte de conhecimento, designadamente pelas linguagens estéticas que engloba (Boal, 2009). Já o reconhecimento do valor da corporeidade pelo sistema educativo encontra expressão na disciplina de Educação Física (EF) que acompanha o aluno ao longo de toda a escolaridade obrigatória. Este estudo teve como objetivo analisar o valor atribuído pelos alunos a uma experiência pedagógica no âmbito da estética do desporto através da EF. Participaram no estudo 27 alunos de uma turma do ensino secundário, uma estudante-estagiária, um professor orientador e uma expertise na área da estética do desporto. Recorreu-se à metodologia qualitativa pela aplicação de entrevistas semiestruturadas individuais e cinco grupos focais, observação participante, complementados com o diário de bodo da professora (investigadora). A análise da informação recolhida permitiu compreender a existência de uma alteração das perspetivas dos alunos sobre questões da estética do desporto. Estes passaram a identificar movimentos fluidos, coordenados e ritmados, o que lhes permitiu melhorar a execução técnica, assim como a capacidade de observação e análise de movimentos, aportando grandes benefícios nos processos de interajuda nas correções técnicas e compreensão dos comportamentos táticos da equipa. O trabalho em equipa também saiu reforçado. Os alunos revelaram ainda que, presentemente, quando assistem a uma competição desportiva prestam mais atenção ao detalhe e à dinâmica das tarefas em equipa.
A dor do recém nascido e a preparação da equipe de terapia intensiva neonatal
Authors: Caires Laryssa Thompson Vieira , Cavalcante Bruna Letícia Alencar , Dos Anjos Evilyn Rachel Teixeira Barreto , De Oliveira Gabriela Aquino , Massai Isabela Ghannage , Figueirêdo Isabela Resende , Cansanção Joselita Camila Bianor Farias , Da Silva José Ronivaldo Vitalino , Vieira Larissa Soares , Kloss Luis Antônio Teixeira da Silva , De Souza Vanessa Vieira , De Oliveira Viviane Ponzi 
Published: May 2023

A dor é definida como a experiência subjetiva e pessoal, associada a um dano potencial ou real de tecidos. Quando relacionamos essa subjetividade a um recém-nascido, leva-se em consideração a inabilidade do relato verbal da dor, por tanto é necessária que haja uma preparação dos profissionais de saúde da unidade de terapia intensiva Quando relacionamos essa subjetividade a um recém-nascido, leva-se em consideração a inabilidade do relato verbal da dor, por tanto é necessária que haja uma preparação dos profissionais de saúde da unidade de terapia intensiva. Os recém-nascidos ou lactentes pré-verbais, não verbalizam a dor que sentem, desta forma o repertório próprio desta faixa estaria é a linguagem alternativa da dor. Diversos estudos buscam de forma constante maior conhecimento sobre a dor, por conta de sua subjetividade e mensuração, principal enfoque é em crianças, devido às faixas etárias e suas características próprias que por falta de uma não verbalização. A atuação multiprofissional vai muito além de conhecimentos científicos e habilidades técnicas, é de extrema importância que aconteçam intervenções também em conjunto com as famílias dos pacientes hospitalizados, o auxílio no enfretamento da doença e a permissão de um melhor entendimento por parte dos familiares na compreensão do processo que se encontram naquele frágil momento.
Câncer de boca no Brasil: Epidemiologia e características clínicas do Carcinoma Escamocelular, 2009-2019
Authors: Silva Amanda Sodré , Silva Michelle Sodré , Silva Adriana Sodré 
Published: May 2023

O câncer de boca representa 3% dos casos de câncer conforme estimado pela Organização Mundial de Saúde (OMS). Aproximadamente 90% das malignidades que afetam a boca e orofaringe correspondem ao tipo carcinoma escamocelular. O grande desafio enfrentado pelo Brasil e pelo mundo é realizar o controle dos fatores de risco envolvidos e ampliar as taxas de diagnóstico precoce da doença. Dessa maneira, o objetivo do estudo foi descrever as características clínicas e epidemiológicas de indivíduos brasileiros com câncer de boca de células escamosas pertencentes a base de dados do Registro Hospitalar de Câncer durante o período de 2009 a 2019. O presente estudo mostrou que a maior prevalência ocorreu em indivíduos do sexo masculino (77,26%), pardo (33,28%) seguida de brancos (30,36%) ocupando em maior número a faixa etária 55 a 69 anos (44,91%) e com baixa escolaridade. A localização anatômica mais encontrada da tumoração foi a língua (28,3%), seguida da base da língua (17,6%) e o estadiamento mais frequente foi o IV (39,65%). Interpretando as referências literárias, os dados encontrados foram concordantes com a incidência de gênero e faixa etária, sendo o carcinoma de células escamosas mais comum no sexo masculino e situado na faixa de idade entre 50 a 70 anos. A partir do conhecimento epidemiológico da doença sugere-se alterações nas políticas públicas para que medidas preventivas e diagnóstico precoce sejam institucionalizadas, visando um melhor prognóstico e sobrevida desses pacientes.
Jurnal ilmu kebidanan
Authors: Novera Yenita Riski , Fadilla Fadilla 
Published: May 2023

Angka kematian (CFR) saat KLB Diare di Indonesia diharapkan <1%. Namun Diare dari tahun 2010 sampai dengan tahun 2017 didapatkan bahwa CFR saat KLB masih cukup tinggi (>1%). Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada balita di Puskesmas Bukit Timah Kota Dumai. Penelitian ini merupakan penelitian analitik dengan desain crossectional. Penelitian sampel. Uji statistik yang digunakan dalam penelitian ini adalah uji Chi Square dengan derajat kepercayaan 95%. Hasil analisis menunjukkan ada hubungan pengetahuan (p value = 0,004), faktor makanan (p value = 0,014) dengan kejadian diare pada balita di Puskesmas Bukit Timah Kota Dumai dan tidak ada hubungan faktor lingkungan (p value = 0,620), sosial ekonomi (p value = 0,058) dengan kejadian diare pada balita di Puskesmas Bukit Timah Kota Dumai. Diharapkan agar petugas Puskesmas Bukit Timah melakukan penyuluhan untuk meningkatkan pengetahuan ibu tentang diare pada balita.