bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stigma towards mental illness, resilience, and help‐seeking behaviours in undergraduate students in Hong Kong
Authors: Sum Min Yi , Chan Sherry Kit Wa , Tsui Harry Kan Hung , Wong Gloria Hoi Yan 
Published: July 2023

AbstractAimEarly interventions have great impact on reducing burden of mental illness. Young people are however the least likely to seek help for psychological issues. Resilience and stigma towards mental illness have been identified as contributing factors, although previous findings were mixed with potentially complex interaction with symptom severity. We investigated the relationship between stigma, resilience, depressive symptom severity, and help‐seeking behaviours in undergraduate students in Hong Kong.MethodsA cross‐sectional online survey was conducted among undergraduates from a university in Hong Kong (n = 945). The 21‐item Stigma and Acceptance Scale, Connor‐Davidson Resilience Scale, and the Patient Health Questionnaire‐9 were used. History of help‐seeking for psychological issues was self‐reported. Path analysis was conducted to test a conceptual model of their relationships.ResultsAmong those with moderate‐to‐severe depressive symptoms (39.5%), only one‐fourth had sought professional help. The path model showed that depressive symptom severity and stigma were positively associated with help‐seeking behaviours, while resilience was negatively associated with help‐seeking behaviours independently (all p < .001). Subgroup analyses showed differential contribution of stigma and resilience to a history of help‐seeking in those with minimal‐to‐mild symptoms compared with moderate‐to‐severe symptoms.ConclusionsStigma may be a barrier for help‐seeking particularly in students with moderate‐to‐severe depression. Higher levels of resilience in young people may be protective and reduce the unnecessary seeking of professional help. Therefore, enhancing resilience among students in general, and reducing stigma and promoting help‐seeking behaviours for those who have moderate‐to‐severe symptoms should be consider in parallel as strategies to enhance mental wellbeing of students.
The effects of evidence‐based nursing interventions on pressure ulcers in patients with stroke: a meta‐analysis
Authors: Gao Ming‐Ming , Wang Li‐Ping , Zhang Li‐Li , Li Yao‐Yao 
Published: July 2023

AbstractThis meta‐analysis evaluated the role of evidence‐based nursing interventions in preventing pressure ulcers in patients with stroke. Computer systems were used to retrieve randomised controlled trials (RCTs) on evidence‐based nursing interventions for patients with stroke and comorbid pressure ulcers from PubMed, EMBASE, Scopus, Cochrane Library, China National Knowledge Infrastructure, Chinese Biomedical Literature Database and Wanfang Data from database inception until April 2023. Two researchers independently screened the literature, extracted the data and evaluated the quality of the included studies according to the inclusion and exclusion criteria. RevMan 5.4 software was used for the meta‐analysis. A total of 23 articles with results on 2035 patients were included, with 1015 patients in the evidence‐based nursing group and 1020 patients in the routine nursing group. The meta‐analysis results showed that evidence‐based nursing interventions significantly reduced the incidence of pressure ulcers in patients with stroke (5.22% vs. 22.84%, odds ratio [OR]: 0.18, 95% confidence interval [CI]: 0.13–0.24, p < 0.001), delayed the onset of pressure ulcers (standardised mean difference [SMD]: 3.41, 95% CI: 1.40–5.42, p < 0.001) and improved patient quality of life (SMD: 2.95, 95% CI: 2.35–3.56, p < 0.001). Evidence‐based nursing interventions are effective at preventing pressure ulcers in patients with stroke, delaying the onset of pressure ulcers and improving their quality of life. Evidence‐based nursing should be promoted for patients with stroke. However, owing to differences in sample size between studies and the methodological inadequacies of some studies, these results should be verified by large, high‐quality RCTs.
Effect of cell pressure on the electrochemical performance of all‐solid‐state lithium batteries with zero‐excess Li metal anode
Authors: Park Young Seon , Kim Kangsanin , Lee Jong‐Won , Moon Ji‐Woong , Park Hyung‐Ho , Hwang Haejin 
Published: July 2023

AbstractAll‐solid‐state cells (ASSCs) typically operate at a specific pressure to ensure good contact between the solid electrolyte and the electrode‐active materials. However, establishing the ideal cell pressure is challenging because of the various cell structures, the mechanical characteristics of solid electrolytes, and the extent to which the volume of the electrodes changes during cycling. In this study, we propose a specially designed cell assembly that adjusts to the changes in volume that occur during cycling while maintaining a constant cell pressure. The evaluations indicate that the spring in the cell assembly effectively reduces the stress incurred from the volume expansion that occurs in the electrode during charging (lithiation) and the volume contraction that occurs during discharging (delithiation) while maintaining the prescribed cell pressure. The capacity fading—as a function of the cycle number—decreases when operating ASSCs comprising a cell assembly that include a spring, compared with those that exclude a spring. Focused ion beam–scanning electron microscope reveals no cracks and delamination in the LiNi0.8Co0.1Mn0.1O3 (NCM811) composite cathode of the ASSCs, operated at 25 MPa, with a spring‐equipped assembly. The Ag nanolayer that deposits on the Cu foil is an effective collector metal, forming a dense lithium plating layer on the Ag/Cu foil anode.
Dyadic psycho‐social interventions for stroke survivors and family caregivers: A systematic review and meta‐analysis of randomized controlled trials
Authors: Zhang Xin‐Yue , Sha Kai‐Hui , Ma Xue‐Ying , Li Xue‐Mei , Zhang Ming‐Hui 
Published: July 2023

AbstractAims and ObjectivesTo describe dyadic psycho‐social intervention measures and to evaluate their influence on stroke survivors and caregiver's functional independence, quality of life, depression, anxiety, self‐efficacy and coping ability.BackgroundBecause of the importance of dyadic intervention and the seriousness of the psycho‐social problems of stroke survivors and caregivers, understanding the influence of dyadic psycho‐social interventions is vital.DesignA systematic review and meta‐analysis based on PRISMA guidelines.Data SourcesNine databases were systematically searched for randomized controlled trials submitted from 1910 to 4 July 2022.MethodsThe included papers were evaluated for quality, and quantitative data were standardly extracted and analysed by meta‐analysis, followed by synthesis. The meta‐analysis was carried out using Review Manager 5.4 software.ResultsFifteen randomized controlled trials were included (n = 2190 for patients, and n = 1933 for caregivers). Study results showed that dyadic psycho‐social interventions significantly alleviated the depressive symptoms of patients, obviously improved the ability to function independently of patients and more quickly alleviated the care burden of caregivers.ConclusionsThis study provided moderate support for the benefits of dyadic psycho‐social intervention in improving survivor and caregiver's functional independence, quality of life, depression, anxiety, self‐efficacy and care burden. Nevertheless, due to limitations of the study, it was deemed necessary that this topic is studied further.Relevance to Clinical PracticeThis review suggests that dyadic psycho‐social interventions should be considered as effective strategies for decreasing psycho‐social problems of stroke survivors and caregivers, and provides evidence for the formulation of targeted intervention programs. The personalized implementation of such interventions should be the focus of clinical practice.No Patient or Public ContributionThere was no patient or public contribution.
Molecular profiling of gingival crevicular fluid fails to distinguish between infrabony and suprabony periodontal defects
Authors: Santamaria Pasquale , Sari Aysegul , Nibali Luigi 
Published: July 2023

AbstractAimTo assess the differential molecular profiling of gingival crevicular fluid (GCF) from infrabony and suprabony periodontal defects compared with healthy sites.Materials and MethodsSeventy‐five samples from 25 patients with untreated periodontitis stage III–IV were included. Clinical and radiological parameters as well as GCF samples were collected from an infrabony defect, a suprabony defect and a periodontally healthy site per patient. A multiplex bead immunoassay was performed to assess the level of 18 biomarkers associated with inflammation, connective tissue degradation and regeneration/repair.ResultsGCF volume was higher in periodontal sites compared with healthy sites, with no significant difference between infrabony and suprabony defects. Fourteen biomarkers were elevated in infrabony and suprabony sites compared with healthy sites (p < .05). Only interleukin‐1α levels were increased in infrabony compared with suprabony sites, whereas there was no difference in probing pocket depth.ConclusionsAlthough the GCF molecular profile clearly differentiates periodontally affected sites from healthy sites, the different architecture between infrabony and suprabony defects is not reflected in GCF biomarker changes.
Evaluating the pragmatic characteristics of advance care planning outcome measures in dementia clinical trials: A scoping review
Authors: Gabbard Jennifer L. , Carpenter Joan G. , Ernecoff Natalie C. , Mournighan Kimberly , Cornea Isabella , McKone Mark , Hanson Laura C. 
Published: July 2023

AbstractBackgroundAdvance care planning (ACP) is a process that involves discussing a person's goals, values, and preferences; it is particularly important for persons living with dementia (PLWD) given that dementia is incurable and progressive. To ensure results that will impact real‐world practices, ACP outcome measures must be psychometrically strong, meaningful to key partners, and pragmatic to collect. Therefore, we conducted a scoping review of outcome measures utilized in ACP randomized controlled clinical trials (RCTs) enrolling PLWD or their care partners and evaluated their pragmatic characteristics.MethodsWe searched MEDLINE/PubMed, EMBASE, CINAHL, PsycINFO, and Web of Science for peer‐reviewed ACP RCTs enrolling PLWD or their care partners from 2011 to 2021. We abstracted characteristics of primary and secondary outcome measures, including pragmatic characteristics using an adapted Psychometric and Pragmatic Evidence Rating Scale and ACP outcome domains using the standardized ACP Outcome Framework (i.e., process, action, healthcare, or quality of care).ResultsWe included 21 ACP RCTs. Trials included 103 outcome measures (39 primary and 64 secondary), of which 11% measured process, 14% measured action, 49% measured healthcare, and 26% measured quality of care. Twenty‐four (23%) outcome measures were highly pragmatic, the majority of which (67%) reflected healthcare outcome measures. Sixty‐one (59%) outcomes were assessed as highly relevant to PLWD or their care partners. Only 20% (n = 21) of outcome measures were embedded into clinical practice. Most (62%) RCTs were conducted in nursing homes, and 33% were focused PLWD with advanced stage disease.ConclusionsIn RCTs testing ACP interventions to support PLWD, only 23% of outcome measures were highly pragmatic, and most of these measured healthcare utilizations. Outcome assessments were rarely integrated into the EHR during routine clinical care. New outcome measures that address the lived experience of PLWD and their care partners plus have high pragmatic characteristics are needed for embedded pragmatic clinical trials.
Initial retention force of three attachment systems for implant retained‐mandibular overdentures: An in vitro study
Authors: Wakam Raphael , Mawussi Kwamivi B. , Benoit Aurélie , Gorin Caroline 
Published: July 2023

AbstractPurposeTo evaluate and compare the initial retention force of three resilient unsplinted attachment systems for implant‐retained mandibular overdentures: two cylindrical attachment systems (Locator R‐Tx® and Novaloc®), and one ball attachment system (Ball System).Materials and MethodsFor each attachment system, initial retention is measured as the average of the maximal dislodging forces during 10 insertion‐removal cycles. For the Ball System, three activation degrees of the matrix are included versus four and six color‐coded retention devices for the Locator R‐Tx® and the Novaloc®, respectively, to represent the complete regular retention devices panel. For each retention device or activation degree, eight samples are tested.ResultsThe initial retention range is similar between the Ball System (7.7 ± 3.4 N – 19.9 ± 4.6 N) and the Novaloc® (2.0 ± 0.5 N – 18.9 ± 1.4 N) and broader for the Locator R‐Tx® (3.3 ± 5.0 N – 60.2 ± 6.0 N). In each attachment system, the initial retention of each retention device is significantly different from the others, except for the two most retentive Novaloc® ones. Retention devices were also classified according to their initial retention (low, medium, and maximum). In each retention group, the Novaloc® and the Ball System provided similar retention values lower than the Locator R‐Tx®.ConclusionMost of the retention devices tested provided an initial retention force of over 5 N for all three attachment systems. The Locator R‐Tx® had the most comprehensive range, and the Novaloc® seemed to provide the most reproducible values, unlike the Ball System due to the activation required by the operator.
ADHD, chronotype, and circadian preference in a multi‐site sample of college students
Authors: Becker Stephen P. , Luebbe Aaron M. , Kofler Michael J. , Burns G. Leonard , Jarrett Matthew A. 
Published: July 2023

SummaryAttention‐deficit/hyperactivity disorder and an evening chronotype are both common among college students, and there is growing interest in understanding the possible link between attention‐deficit/hyperactivity disorder and circadian function. However, mixed findings have been reported, and many of the existing studies have used small samples that were unable to examine chronotype across attention‐deficit/hyperactivity disorder presentations. Participants were 4751 students (73% female; 80% White), aged 18–29 years (M = 19.28, SD = 1.50), from five universities who completed measures assessing attention‐deficit/hyperactivity disorder, depressive and anxiety symptoms, as well as the Morningness–Eveningness Questionnaire to assess chronotype (categorical) and circadian preference (dimensional). Participants with either attention‐deficit/hyperactivity disorder predominantly inattentive presentation or attention‐deficit/hyperactivity disorder combined presentation had higher rates of being an evening type (47.2% and 41.5%, respectively) than participants without elevated attention‐deficit/hyperactivity disorder (28.5%), and participants with attention‐deficit/hyperactivity disorder predominantly inattentive presentation also had higher rates of being an evening type than participants with attention‐deficit/hyperactivity disorder predominantly hyperactive–impulsive presentation (30.7%). Dimensional analyses indicated that attention‐deficit/hyperactivity disorder inattentive symptoms were more strongly associated than hyperactive–impulsive symptoms with eveningness preference. Finally, greater eveningness preference strengthened the association between attention‐deficit/hyperactivity disorder inattention and depressive symptoms but not anxiety symptoms. This is the largest study to document that college students with elevated attention‐deficit/hyperactivity disorder symptoms are more likely to be evening types than other college students, and inattentive symptoms in particular are associated with later circadian preference.
A qualitative study of public health nurses' perspectives and experiences on nutritional guidance for parents of infants and toddlers
Authors: Helle Christine , Hillesund Elisabet R. , Øverby Nina Cecilie 
Published: July 2023

AbstractIn Norway, public health nurses (PHNs) are responsible for giving parents nutritional knowledge, but limited research describes how they perceive this task. This study explores PHNs' perceptions and experiences on nutritional guidance for parents of infants and toddlers. Semistructured interviews with six PHNs were conducted and transcribed verbatim. Data were subjected to thematic analysis. Five main themes were identified: (1) Dietary guidance for parents is central to the work; (2) PHNs perceive they have parents' trust, and parents are in general open to nutrition counselling; (3) food and meals must be seen in light of the family context; (4) The dialogue must be adapted to the individual family; and (5) PHNs have expertise on nutrition; however, updating knowledge is difficult. Nutritional guidance was perceived by PHNs as a core activity. They felt that they had parents' trust, and that parents were particularly open to nutritional guidance during the first 2 years. Counselling was generally well received, but conversations on overweight were perceived as difficult. PHNs strove to tailor their guidance to individual needs. However, providing guidance on a wide range of issues in different families and cultures could be challenging. They acknowledged a need for updating knowledge but the offer of courses was sparse. Our findings suggest a discrepancy between how nutrition is prioritized in the education of PHNs and what they encounter in clinical practice. In the future, this should be given more attention given the PHNs' unique position to promote healthy eating and long‐term health.
Minimizing error in estimates of the effect of interventions by accounting for baseline measurements: A simulation study analyzing effects on child growth
Authors: Deichsel Emily L. , Tickell Kirkby D. , Rogawski McQuade Elizabeth T. 
Published: July 2023

AbstractInterventions to reduce childhood stunting burden require clinical trials with a primary outcome of linear growth. When growth is measured longitudinally, there are several options for including baseline measurements in the analysis. This study compares the performance of several methods. Randomized controlled trials evaluating a hypothetical intervention to improve length‐for‐age z‐score (LAZ) from birth through 24 months of age were simulated. The intervention effect was evaluated using linear regression and five methods for handling baseline measurements: comparing final measurements only (FINAL), comparing final measurement adjusted for baseline (ADJUST), comparing the change in the measurement over time (DELTA), adjusting for baseline when comparing the changes over time (DELTA+ADJUST) and adjusting for baseline in two‐step residuals approach (RESIDUALS). We calculated bias, precision and power of each method for scenarios with and without a baseline imbalance in LAZ. Using a 0.15 effect size at 18 months, FINAL and DELTA required 1200 and 1500 enroled participants, respectively, to reach 80% power, whereas ADJUST, DELTA+ADJUST and RESIDUALS only required 900 participants. The adjusted models also produced unbiased estimates when there was a baseline imbalance, whereas the FINAL and DELTA methods produced biased estimates, as large as 0.07 lower and higher, respectively, than the true effect. Adjusted methods required smaller sample size and produced more precise results than both DELTA and FINAL methods in all test scenarios. If randomization fails, and there is an imbalance in LAZ at baseline, DELTA and FINAL methods can produce biased estimates, but adjusted models remain unbiased. These results warn against using the FINAL or DELTA methods.
A Letter that Killeth: Gregory of Nyssa on How (Not) to Read Scripture, Platonically
Authors: KATSOS ISIDOROS C. 
Published: July 2023

AbstractIn this essay, I explore the emergence of multicolumn Bibles in late antiquity, with a particular emphasis on Origen's Hexapla and its use by Gregory of Nyssa. I contextualise Gregory's use of multicolumn Bibles within the Origenian tradition and show that, in this intellectual context, multicolumn Bibles functioned as hermeneutical rather than text‐critical devices. I argue that the best explanation for Gregory's use of multicolumn Bibles comes from the hermeneutical theory of the Phaedrus as it was developed in later Neoplatonism. I demonstrate how the adaptation of the Phaedrus‐hermeneutics to Scripture can animate the biblical text, revealing hidden elements of discursiveness in it. I conclude by arguing that the Christian adaptation of the Phaedrus, as exemplified by Gregory, is distinguished by originality from Neoplatonic hermeneutics. My argument shows that in Origen and his school the use of multicolumn Bibles should not be theorised in terms of ‘exegetical maximalism’ but in terms of ‘dialectical hermeneutics’. The difference between the two approaches lies in the shift between modern and late ancient approaches to text and Scripture: while modernity is characterised by the pursuit of the authentic text, Origen's literary world is characterised by textual plurality, orality, and vocality. As a result, while the modern reader expects to find the meaning of Scripture in the text, the Origenian reader expected to find the meaning of Scripture in the discourse that lies latent in between the text.
What constitutes philosophical activity in nursing? Toward a definition of nursing philosophy based on an interpretive synthesis of the recent literature
Authors: Sharifi‐Heris Zahra , Bender Miriam 
Published: July 2023

AbstractNursing claims a significant history of engaging philosophical inquiry. To better understand the rationale for this engagement, and what nursing understands itself to achieve through philosophical inquiry, we conducted an interpretive synthesis of the recent nursing literature to identify what nurses are doing when they say they are doing philosophy. The overarching finding was that while vanishingly few articles articulated any definition of philosophy, the synthesis showed how nursing considers philosophical engagement a generative mode for asking and answering questions in/for nursing. Whatever aspects of nursing were focused on in these articles, and they were myriad, philosophy was invoked as an appropriate modality to work through that aspect rigorously, critically, and with an expectation that something “knowledgeable” would result from the effort. Based on the synthesis, we conclude that nursing philosophy could be considered a specific modality of nursing practice by which nursing is both done and delineated, a discursive practice in which we continually assess and explore and adapt and advance our understanding of the discipline in service to advancing our unique efficacy. This definition of “nursing philosophy” provides an opening for further inquiry helping to illuminate its functionalities and potentialities for outputs that can facilitate rigorous practice, education, and scholarship.