bluuebunny/crossref_metadata_2025_split huggingface dataset:
A digital health game to prevent opioid misuse and promote mental health in adolescents in school-based health settings: Protocol for the PlaySmart game randomized controlled trial
Authors: Pendergrass Boomer Tyra M. , Hoerner Lily A. , Fernandes Claudia-Santi F. , Maslar Amber , Aiudi Sherry , Kyriakides Tassos C. , Fiellin Lynn E. 
Published: September 2023

Adolescents who engage in non-opioid substance misuse and/or experience mental health symptoms are at greater risk of misusing opioids and/or developing opioid use disorder. Adolescence is a critical developmental period to both prevent the initiation of opioid misuse and target mental health. To date, there are no digital health games targeting both conditions. We describe the protocol for a randomized controlled trial designed to assess the efficacy of an original digital health game, PlaySmart. Five hundred and thirty-two adolescents aged 16–19 years old, who are at greater risk for initiating opioid misuse are recruited from 10 Connecticut school-based health sites. Participants are randomized to PlaySmart or a set of time/attention control videogames. Randomization was stratified by sex at birth and school grade. Participants play their assigned game or games for up to six weeks (300 minutes) and complete assessment questions over a 12-month period (baseline, post-gameplay, 3, 6, and 12 months). The primary outcome is perception of risk of harm of opioid misuse at 3 months. Secondary outcome measures specific to opioid misuse include intentions, self-efficacy, attitudes, knowledge, and perceived norms. Mental health outcomes include measures of depression (Patient Health Questionnaire-8), anxiety (Generalized Anxiety Disorder-7), help-seeking behaviors, stigma, measures of self-regulation, self-efficacy to seek professional help for mental health, and knowledge around coping skills. PlaySmart has the potential to significantly reduce the risk of initiation of opioid misuse, improve mental health outcomes, and given its high levels of engagement and accessibility, holds the promise for extensive reach, scale, and impact for adolescents.
Trial registration: ClinicalTrials.gov: NCT04941950. Registered on 23 June 2021.
Are digital social media campaigns the key to raise stroke awareness in low-and middle-income countries? A study of feasibility and cost-effectiveness in Nepal
Authors: Tunkl Christine , Paudel Raju , Thapa Lekhjung , Tunkl Patrick , Jalan Pankaj , Chandra Avinash , Belson Sarah , Prasad Gajurel Bikram , Haji-Begli Nima , Bajaj Sunanjay , Golenia Jessica , Wick Wolfgang , Hacke Werner , Gumbinger Christoph 
Published: September 2023

Background
Stroke is a major global health problem and was the second leading cause of death worldwide in 2020. However, the lack of public stroke awareness especially in low- and middle-income countries (LMICs) such as Nepal severely hinders the effective provision of stroke care. Efficient and cost-effective strategies to raise stroke awareness in LMICs are still lacking. This study aims to (a) explore the feasibility of a social media-based stroke awareness campaign in Nepal using a cost-benefit analysis and (b) identify best practices for social media health education campaigns.

Methods
We performed a stroke awareness campaign over a period of 6 months as part of a Stroke Project in Nepal on four social media platforms (Facebook, Instagram, Twitter, TikTok) with organic traffic and paid advertisements. Adapted material based on the World Stroke Day Campaign and specifically created videos for TikTok were used. Performance of the campaign was analyzed with established quantitative social media metrics (impressions, reach, engagement, costs).

Results
Campaign posts were displayed 7.5 million times to users in Nepal. 2.5 million individual social media users in Nepal were exposed to the campaign on average three times, which equals 8.6% of Nepal’s total population. Of those, 250,000 users actively engaged with the posts. Paid advertisement on Facebook and Instagram proved to be more effective in terms of reach and cost than organic traffic. The total campaign cost was low with a “Cost to reach 1,000 users” of 0.24 EUR and a “Cost Per Click” of 0.01 EUR.

Discussion
Social media-based campaigns using paid advertisement provide a feasible and, compared to classical mass medias, a very cost-effective approach to inform large parts of the population about stroke awareness in LMICs. Future research needs to further analyze the impact of social media campaigns on stroke knowledge.
Postcovid mentális egészséget és tanulási hatékonyságot fejlesztő edukációs program ismertetése és hatékonysága az SZTE-ETSZK hallgatóinak körében
Authors: Gulyás Judit , Biró Edit Magdolna , Tóth Renáta 
Published: September 2023

A pandémia sokrétűen hatott életünkre. Ezen hatások közé tartozik a stresszel, hangulati élettel és kiégéssel kapcsolatos nehézségek egyre gyakoribb előfordulása is, amely a felsőoktatásban tanulókat is érinti. Célunk volt a hallgatók tapasztalataiból kiindulva képet kapni a pandémia tanulmányokra és mentális egészégre kifejtett hosszú távú hatásairól.Longitudinális vizsgálatunkba a Szegedi Tudományegyetem Egészségtudományi és Szociális Képzési Karának hallgatóit toboroztuk (N=55). Az első vizsgálati alkalommal (T1) az alapvető demográfiai adatokon kívül saját fejlesztésű kérdéseket (online/offline tapasztalatok), standardizált kérdőíveket (Észlelt Stressz Kérdőív, Maslach Hallgatói Kiégés Skála, Megküzdési Módok Kérdőív, Beck Depresszió Rövidített Kérdőív) és saját fejlesztésű skálákat (Időmenedzsment Skála, Tanulástechnika Skála, Stresszkezelés Skála) alkalmaztunk. A résztvevőket két csoportba soroltuk. A kísérleti csoport tagjai négy héten keresztül heti két alkalommal e-mailben edukációs anyagokat kaptak, amiben a kontrollcsoport tagjai nem részesültek. A második adatfelvételkor (T2) mindkét csoporton visszamérést végeztünk egy rövidített kérdőívcsomaggal.A kontrollcsoportban (N=31) szignifikáns javulást kizárólag az észlelt stressz mértéke mutatott a T1 és T2 időpontok összehasonlításakor (p=0,049), míg a kísérleti csoportban (N=24) több változó esetében is szignifikáns különbségek mutatkoztak. A 4 hetes program után az észlelt stressz szintje csökkent (p=0,001), a kiégés hatékonyságcsökkenés dimenziójában javulás mutatkozott (p=0,009), nőtt a céltudatos cselekvéssel való megküzdés mértéke (p=0,009), az érzelmi egyensúly keresésével történő megküzdés mértéke (p=0,032), a tanulástechnikai módszerek alkalmazási gyakorisága (p=0,001) és a stresszkezelési technikák alkalmazási gyakorisága is (p=0,022).A megalkotott program hatékonyságát bizonyítják eredményeink, melyek a legtöbb tényező mentén pozitív irányú változást igazoltak. Érdemes lehet az online tér adta lehetőségekkel élni hasonló programokkal, akár preventív célzattal is.
The Effect of Early Mobilization on Functional Status of Stroke Patients: A Literature Review
Authors: Mustikaningrum Retno Endarwati , Handayani Fitria , Hastuti Yuni Dwi , Latumanuwij Romy , Fieten Marloes 
Published: September 2023

Stroke impact to the altering functional status. Early mobilization is one of stroke care components that can minimize impact due to altering functional status such as weakness and paralysis in stroke patients. The review of early mobilization was proved increasing the functional status among critical illness patients. Limited review regarding the effect of early mobilization on changes in the level of functional status of stroke patients The aim the study was to determine the effect of early mobilization at the level of functional status of stroke patients. This research used the literature review with the MeSH search tool. The keywords and syntax included "stroke", "early mobilization", and "functional status". Articles found with keywords early mobilization; functional status; stroke retrieve 12,114 articles, namely 2069 articles from Proquest, 4774 articles from Pubmed, 35 articles from Scopus, and 5236 articles from ScienceDirect which were filtered based on the specified criteria and obtained 10 articles for review published in the period 2011-2021, with patient research samples strokes. The effect of early mobilization mostly showedan increasing degree of functional status level among stroke patients. It is recommended to provide early mobilization among stroke patient. Future research should conduct a meta-analysis in analysing effect of early mobilisation among stroke patients.
Manajemen Anestesi Perioperatif Pasien Kardiomiopati Hipertrofi Obstruksi
Authors: Pradnyani Ni Putu Novita , Koto Chairil Gani 
Published: September 2023

Latar Belakang: Kardiomiopati hipertrofi (HCM) adalah kondisi dominan autosomal. Penyebab penting kematian mendadak orang dewasa muda. Meskipun sering tanpa gejala, gejala yang muncul pada kardiomiopati hipertrofi adalah gagal jantung seperti sesak napas, nyeri dada pada aktivitas, sinkop atau pra-sinkop, aritmia, dan kematian mendadak. Tanda-tanda yang bisa ditemukan seperti hipotensi, denyut nadi rendah, heave ventrikel kiri, murmur sistolik ejeksi, dan murmur regurgitasi mitral. Pasien dengan kondisi ini menjadi tantangan untuk ahli anestesi dalam operasi elektif dan gawat darurat.Kasus: Pasien wanita 29 tahun, dengan diagnosa kardiomiopati hipertrofi obstruksi dan vegetasi yang akan dilakukan tindakan miektomi saluran keluar ventrikel kanan (RVOT), saluran keluar ventrikel kiri (LVOT), dan evakuasi vegetasi. Selama operasi hemodinamik dipertahankan untuk menjaga denyut jantung antara 60-90 denyut per menit, tekanan darah rata-rata 60-70 mmHg. End tidal carbon dioxide (EtCO2) dipertahankan antara 35-40 mmHg dan central venous pressure (CVP) dijaga tetap tinggi pada periode sebelum dan sesudah bypass. Periode weaning hingga pasca bypass, hemodinamik dipertahankan dengan milrinon (0,375 mcg/kgBB/menit) dan dilakukan pemasangan temporary pacemaker (TPM) karena didapatkan irama atrioventricular (AV) block. Pasien dilakukan miektomi septum, release LVOT, reseksi double chamber right ventricular (DCRV), dan evakuasi vegetasi. Pascaoperasi pasien dirawat di intensive care unit (ICU). Selama perawatan di ICU permasalahan yang dihadapi yaitu aritmia maligna.Pembahasan: Teknik anestesi dan manajemen perioperatif pasien ini harus bertujuan untuk menjaga stabilitas hemodinamik, mempertahankan preload dan afterload yang memadai. Menghindari vasodilator dan menghindari agen yang meningkatkan kontraktilitas sangat penting dalam pengelolaan pasien ini. Tujuan intraoperatif termasuk mempertahankan irama sinus, meminimalkan rangsangan stres dan meminimalkan atau mencegah obstruksi saluran keluar ventrikel kiri.Kesimpulan: Kardiomiopati hipertrofi menimbulkan banyak tantangan unik mengenai pelaksanaan anestesi. Preload yang memadai, kontrol stimulasi simpatik, denyut jantung dan peningkatan afterload diperlukan untuk mengurangi obstruksi saluran keluar ventrikel kiri.
Integration of Cyber Threat Intelligence into Security Onion and Malcolm for the use case of industrial networks
Authors: Ackermann Tim , Karch Markus , Kippe Jörg 
Published: September 2023

Abstract
With the increasing frequency of cyberattacks on Industrial Control Systems (ICS), the subject of cybersecurity is becoming increasingly important. Cyber Threat Intelligence (CTI) provides information about cyber adversaries, including their intentions and attack techniques. This paper analyzes the availability of open-source CTI for ICS, with a particular focus on technical indicators that can aid in detecting cyberattacks. Furthermore, this paper examines the automated integration of CTI data into SIEM systems and introduces CTIExchange as a tool that facilitates this integration by connecting Threat Intelligence Platforms with detection tools.
Forecast of pain degree of lumbar disc herniation based on back propagation neural network
Authors: Ren Xinying , Liu Huanwen , Hui Shiji , Wang Xi , Zhang Honglai 
Published: September 2023

AbstractTo further explore the pathogenic mechanism of lumbar disc herniation (LDH) pain, this study screens important imaging features that are significantly correlated with the pain score of LDH. The features with significant correlation imaging were included into a back propagation (BP) neural network model for training, including Pfirrmann classification, Michigan State University (MSU) regional localization (MSU protrusion size classification and MSU protrusion location classification), sagittal diameter index, sagittal diameter/transverse diameter index, transverse diameter index, and AN angle (angle between nerve root and protrusion). The BP neural network training model results showed that the specificity was 95 ± 2%, sensitivity was 91 ± 2%, and accuracy was 91 ± 2% of the model. The results show that the degree of intraspinal occupation of the intervertebral disc herniation and the degree of intervertebral disc degeneration are related to LDH pain. The innovation of this study is that the BP neural network model constructed in this study shows good performance in the accuracy experiment and receiver operating characteristic experiment, which completes the prediction task of lumbar Magnetic Resonance Imaging features for the pain degree of LDH for the first time, and provides a basis for subsequent clinical diagnosis.
Mechanical properties of rCB-pigment masterbatch in rLDPE: The effect of processing aids and water absorption test
Authors: Hadi Muhamad Al-Haqqem Abdul , Rahim Nor Azura Abdul , Leng Teh Pei , Wei Chew Kang , Hong Voon Chun , Chun Wong Wee 
Published: September 2023

Abstract
Homogenization of pigment is the key to coloring a plastic product evenly. In this article, the tensile properties of recovered carbon black merge with low molecular weight lubricants and other compounding ingredients in the form of pigment masterbatch (PM) added in a recycled low-density polyethylene (rLDPE) resin were evaluated. The prepared masterbatch with the varying amount and types of processing aids (A and B) was first compounded using the heated two-roll mill. Subsequently, the manually mixed masterbatch in rLDPE was put through an injection molding machine for the shaping process to produce an rLDPE pigment masterbatch composite (PMC). The tensile test was performed on the samples to evaluate the mechanical properties of the PMC. Meanwhile, the melt flow index test was executed to justify the composite flow characteristics. Fourier-transform infrared spectroscopy analysis and scanning electron microscopy were also carried out to analyze the PM and PMC chemical properties and their constructed surface morphology. Besides, X-ray diffraction analysis was performed to determine the changes in degree of crystallinity before and after the water absorption test. The addition of PM in rLDPE has slightly increased the rLDPE matrix tensile properties. While, the usage of more processing aid B in the PMC has turned out to secure better tensile properties compared to the addition of higher amount of processing aid A in the PMC. Interestingly, the tensile properties of all composites after the water absorption test were enhanced, suggesting that a stronger bond was formed during the immersion period.
Effect of phytogenic iron nanoparticles on the bio-fortification of wheat varieties
Authors: Hassan Ubaid ul , Khan Maarij , Younas Zohaib , Raja Naveed Iqbal , Mashwani Zia ur Rehman , Sohail  
Published: September 2023

Abstract
Bio-fortification is a potential technique to tackle micronutrient deficiencies that remain. Wheat grain bio-fortification has the ability to decrease malnutrition because it represents one of the most essential staple crops. Bio-fortification is cost-effective and evidence-based sustainable technique to address malnutrition in wheat varieties possessing additional micronutrient contents. Nano-biofortification is a novel approach, enriching crops with essential nutrients in order to supplement human diets with balanced diets. The current study was designed to explore the potential role of phytogenic iron nanoparticles (Fe-NPs) to enhance nutritional contents in wheat plants to fulfill the nutrient deficiency important for human and animal health. In the current study, Fe-NPs were fabricated by using the extract of Mentha arvensis L. that were irregular in shape with an approximate size range of 40–100 nm. Further, Fourier transform infrared (FT-IR) analyses were deployed to confirm the presence of t of various functional groups involved in the green and eco-friendly fabrication of Fe-NPs. The effects of phytogenic Fe-NPs were examined on various physiological and biochemical parameters such as total proline, total chlorophyll, carbohydrates, protein, crude fibers, and lipids contents. Moreover, wheat physiological and biochemical profiling was carried out, and it was noticed that Fe-NPs significantly altered the physico-biochemical profiling of wheat plants. Multiple methods of administration of Fe-NPs were used to fortify the wheat crop. However, the Fe-NPs assisted seed priming along with foliar applications at various concentrations (10, 20, and 30 mg·L−1) were found more suitable to enhance the contents of proline, Chlorophyll a, b, total chlorophyll, carbohydrate, proteins, fibers, and lipids (20.22%, 18.23%, 17.25%, 16.32%, 12.34%, 24.31%, 19.52%, and 11.97%, respectively) in wheat plants. Further, wheat flour was exposed to digestive enzymes, with the iron content gradually increased in a dose-dependent manner. The nutritional analysis of wheat zinc (Zn), molybdenum (Mo), magnesium (Mg), iron (Fe), yttrium (Y), and copper (Cu) and the fatty acid profile have demonstrated divergent patterns of behavior. Similarly, iron content was also increased significantly in response to the exposure to Fe-NPs.
Sweden’s multilingual language policy through the lens of Turkish-heritage family language practices and beliefs
Authors: Bohnacker Ute 
Published: September 2023

AbstractThis study explores the language maintenance efforts of Turkish heritage-speaker families in Sweden and their relation to state-level language policy from three angles. First, Swedish mainstream language ideology is described as it manifests in legislation, language policy and mother-tongue tuition. Then, the language practices of the families of 105 Turkish/Swedish children (age four to seven) are characterised via a questionnaire survey. This is complemented by findings from a follow-up study two years later, where ten of the families participated in interviews and home observations. Parents preferred to speak Turkish and wanted their child to learn and speak Turkish alongside Swedish. Another common denominator was the children’s early, extensive preschool attendance. Parent-child interaction was predominantly Turkish, although second-generation parents raised in Sweden reported higher uses of the majority language Swedish. Exposure to Swedish increased over time due to schooling, sibling interaction and media use, but third-generation children still spoke Turkish to a considerable degree. In their heritage-language maintenance efforts, many parents enlisted the support of grandparents, mother-tongue tuition, and literacy activities. Parents generally considered Turkish and Swedish equally important and showed low levels of anxiety regarding their children’s bilingualism, unlike what has been reported in studies of the same ethnolinguistic group in other national settings. The interviews revealed that parents who consulted Swedish health professionals and teachers were advised to speak and support the heritage language (Turkish) and maximise exposure to it in the home. Whilst unusual from an international perspective, this is in line with the official multilingual language ideology in Sweden.
From (in)securitisation to conviviality: the reconciliatory potential of participatory ethnography
Authors: Heltai János Imre 
Published: September 2023

Abstract
Racialised bilinguals experience marginalisation all over the world. In South-East Europe, millions of bilingual Roma share this experience alongside emerging aspirations of conviviality, which remain rare. This paper considers marginalisation as a consequence of (in)securitisation. The concept of (in)securitisation addresses discursive techniques of power which advocate the protection of some at the price of excluding others. These discursive techniques are exerted on different levels of social interaction, creating and maintaining uncertainty. The paper discusses individual aspirations to conviviality, or peaceful cohabitation, in (in)securitised local realities in a town in Hungary, where 20 % of the population are bilingual Roma. Furthermore, it explores whether the leveraging of translingual practices can be an effective tool for conviviality. The argument is based on long-term field research, and the data used comes from a series of participatory workshops, attended by academic non-local and local participants. Using the method of Moment Analysis to understand workshop discussions, the article focuses on the ways in which participants negotiate the dependencies of (in)securitisation while trying to forge convivial capabilities. Experience shows that acts of (in)securitisation and racialised social roles define relations even within the research group, and only certain types of capabilities considered convivial are suitable to override them.
(De-)Monstering COVID-19: a diachronic study of COVID-19 virus multimodal metaphors in Philippine editorial cartoons, 2019–2022
Authors: Manalastas Nicko Enrique Lanuzo 
Published: September 2023

Abstract
In recent years, the COVID-19 pandemic has been studied extensively through the lens of conceptual metaphor theory. However, only one study has focused on the metaphorization of the COVID-19 pandemic in a strictly Philippine milieu. None so far has published on pandemic- related multimodal metaphors in Philippine media, let alone shed light on these through a diachronic perspective. Using conceptual metaphor theory and visual metaphor identification procedure, this study analysed 203 pandemic-related editorial cartoons published by a Philippine national publication from December 2019 to February 2022. It investigated the diachronic conceptualizations of the conceptual domain COVID-19 VIRUS in the Philippines as captured by the neutralizing or ‘de-monstering’ of the virus from the COVID-19 IS A MONSTER to the COVID-19 IS A LIVING ENTITY multimodal metaphor. It argued that the trends of metaphorization correlate with the shifting sociocultural and political attitudes towards the COVID-19 pandemic as a global and local healthcare crisis. Essentially, this study not only explored the dynamics between media and cognition, but it also analysed how the multimodal metaphorizations of COVID-19 reflect Filipino socio-political realities and cultural underpinnings during turbulent times.