bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of an Unguided, Digital Single-Session Intervention for Internalizing Symptoms in Web-Based Workers: Randomized Controlled Trial
Authors: Lorenzo-Luaces Lorenzo , Howard Jacqueline 
Published: May 2023

Background
The Common Elements Toolbox (COMET) is an unguided digital single-session intervention (SSI) based on principles of cognitive behavioral therapy and positive psychology. Although unguided digital SSIs have shown promise in the treatment of youth psychopathology, the data are more mixed regarding their efficacy in adults.

Objective
This study aimed to investigate the efficacy of COMET-SSI versus a waiting list control in depression and other transdiagnostic mental health outcomes for Prolific participants with a history of psychopathology.

Methods
We conducted an investigator-blinded, preregistered randomized controlled trial comparing COMET-SSI (n=409) with an 8-week waiting list control (n=419). Participants were recruited from the web-based workspace Prolific and assessed for depression, anxiety, work and social functioning, psychological well-being, and emotion regulation at baseline and at 2, 4, and 8 weeks after the intervention. The main outcomes were short-term (2 weeks) and long-term (8 weeks) changes in depression and anxiety. The secondary outcomes were the 8-week changes in work and social functioning, well-being, and emotion regulation. Analyses were conducted according to the intent-to-treat principle with imputation, without imputation, and using a per-protocol sample. In addition, we conducted sensitivity analyses to identify inattentive responders.

Results
The sample comprised 61.9% (513/828) of women, with a mean age of 35.75 (SD 11.93) years. Most participants (732/828, 88.3%) met the criteria for screening for depression or anxiety using at least one validated screening scale. A review of the text data suggested that adherence to the COMET-SSI was near perfect, there were very few inattentive respondents, and satisfaction with the intervention was high. However, despite being powered to detect small effects, there were negligible differences between the conditions in the various outcomes at the various time points, even when focusing on subsets of individuals with more severe symptoms.

Conclusions
Our results do not support the use of the COMET-SSI in adult Prolific participants. Future work should explore alternate ways of intervening with paid web-based participants, including matching individuals to SSIs they may be most responsive to.

Trial Registration
ClinicalTrials.gov NCT05379881, https://clinicaltrials.gov/ct2/show/NCT05379881
The Wikipedia Republic of Literary Characters
Authors: Wojcik Paula , Bunzeck Bastian , Zarrieß Sina 
Published: May 2023

Literary characters do not receive the same attention from literary scholars as other components of literature (i.e. the narrative, theme, motif). In contrast to this lack of interest, various studies have shown that characters in particular play an important role for readers. We draw on this observation to explore a user-oriented notion of World Literature according to the collaborative encyclopedia Wikipedia. Based on its language-independent taxonomy Wikidata, we collect data from 321 Wikipedia editions on more than 7000 characters presented on more than 19000 independent character pages across the various language editions. We use this data to build a network that represents affiliations of characters to Wikipedia languages, which leads us to question some of the established presumptions towards key-concepts in World Literature studies such as the notion of major and minor, the center-periphery opposition or the canon.
Low atrial natriuretic peptide to brain natriuretic peptide ratio is associated with left atrial remodeling
Authors: Matsuda Yasuhiro , Masuda Masaharu , Asai Mitsutoshi , Iida Osamu , Okamoto Shin , Ishihara Takayuki , Nanto Kiyonori , Tsujimura Takuya , Hata Yosuke , Uematsu Hiroyuki , Higashino Naoko , Toyoshima Taku , Mano Toshiaki 
Published: May 2023

Aims
Atrial natriuretic peptide (ANP) deficiency is thought to be one of the causes of heart failure induced by atrial fibrillation (AF). Although ANP deficiency is thought to occur as a result of atrial remodeling, data to explain this mechanism are limited. The purpose of this study was to investigate the association between ANP and left atrial remodeling or prognosis of heart failure in patients with AF ablation.

Methods
In total, 373 consecutive patients who underwent initial ablation for persistent AF [age, 67 ± 10 years; female, 97 (26%)] were retrospectively enrolled. ANP and brain natriuretic peptide (BNP) were measured before the procedure and the ANP/BNP ratio was calculated. Left atrial volume index, left atrial appendage emptying velocity, and left atrial low-voltage areas (LVAs) were used as left atrial-remodeling parameters. The primary outcome of heart failure was defined as the composite of all-cause death or hospitalization due to worsening heart failure.

Results
The median ANP level was 116 (71–178) pg/ml and the median ANP/BNP ratio was 0.65 (0.46–1.00). The ANP/BNP ratio decreased with increasing left atrial volume index or LVAs and with decreasing left atrial appendage emptying velocity. During the 5-year follow-up, freedom from the primary outcome was significantly lower in patients with ANP/BNP ratio ≤0.65 than in those with ANP/BNP ratio >0.65 (84.6% versus 95.6%, P < 0.01).

Conclusion
Secretion of ANP relative to BNP decreased with progression of left atrial remodeling in patients with AF ablation. Furthermore, prognosis of heart failure was poor in patients with a low ANP/BNP ratio.
Nutrient evaluation of different avian species eggs from Minna, Niger State Nigeria
Authors: Ossamulu Ifeanyi Famous , Ogunsanya Mary Uchenna , Odu Nwamaka Maureen , Salubuyi Susan , Musa Mary , Ariyeloye Stephen Damola 
Published: May 2023

Abstract
The proximate composition and mineral contents of eggs from quail (Coturnix japonica) turkey (Meleagris gallopavo) commercial chicken (Gallus domesticus), local chicken (Gallus domesticus) guinea fowl, (Numida meleagris) and duck (Cairina moschata) obtained in Minna, Nigeria were studied. Standard laboratory procedures were used in determining the nutrients and mineral compositions of the egg samples. The local chicken eggs had significantly higher crude fat (11.73 ± 0.18%), ash (1.38 ± 0.01%), zinc (3.23 ± 0.11 mg/100 g), and manganese (0.44 ± 0.01 mg/100 g) contents, it also showed the lowest phosphorus (120.00 ± 3.50 mg/100 g, iron (19.70 ± 0.60 mg/100 g) and vitamin A concentration (1.62 ± 0.59 × 103 μg/L). Quail egg had the highest (p < 0.05) vitamin A (4.16 ± 0.16 × 103 μg/L) and protein (13.49 ± 0.33%) contents. The moisture content was significantly higher in guinea fowl eggs (80.28 ± 0.41%) than in others. The outcome of this study indicated that some eggs which are seemingly underutilised may provide an enormous supply of nutrients needed for adequate human nutrition and health. Hence, if properly exploited they may substantially improve the quality of diet.
HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP DENGAN PERILAKU TERHADAP INFEKSI MENULAR SEKSUAL PADA REMAJA DI COMORO DILI TIMOR-LESTE
Authors: Gomes Januario Nuno Dos Reis , Suariyani Ni Luh Putu 
Published: May 2023

Sexually Transmitted Infections (STIs) are global public health problems. Adolescents are a vulnerable age group of STIs. This study aims to determine the relationship between knowledge and attitudes and behaviors towards STIs in adolescents in Comoro, Dili, Timor-Leste. This study was descriptive with a cross-sectional approach conducted in Canossa highschool and Externato de São Jose highschool from April-June 2022. The independent variables were knowledge and attitude, the dependent variable was adolescent behavior. The sample of this study was adolescents in 15-18 years old in Canossa highschool and Externato de São Jose and willing to become the respondent, 85 adolescents were selected as respondent. The results showed that 71.8% of respondents have good knowledge, 67.1% of respondents have good attitudes and 75.3% of respondents have good behavior in relation to STIs. The results of the analysis of the relationship between knowledge and attitudes to risk behavior for STIs 83.6% of respondents were categorized as good knowledge and have good behavior in relation to STIs and 84.2% of respondents were having good attitudes and have good behavior in relation to STIs. The results of the chi-square statistical test on knowledge and attitude variables obtained a p-value of 0.01, therefore, there is a significant relationship between the knowledge and attitudes of respondents regarding risk behavior for STIs. Comprehensive education regarding sexual health is needed for adolescents in Comoro Dili Timor-Leste.
Keywords: Adolescents, STIs, HIV, Infectious diseases.
HUBUNGAN IKLIM KESELAMATAN KERJA TERHADAP PERILAKU TIDAK AMAN PEKERJA PROYEK RENOVASI PT X DI NUSA DUA
Authors: Sari Revita Dea , Sutarsa I Nyoman 
Published: May 2023

The construction sector is a contributor to increase number of accidents and occupational illness. Unsafe behavior in the workplace is directly related to work accidents. One of the factors that can influence unsafe behavior is the worker's perception of the safety climate. This study aims to analyze the correlation between perceptions of safety climate and unsafe behavior of construction workers on the renovation project of PT X in Nusa Dua. Quantitative research was conducted using an analytical cross-sectional approach. Respondents in the study are 200 people who were selected by the block sampling method. This study found that the proportion of respondents behaved unsafely was 60.5%. Unsafe behavior was found to be significantly related to safety empowerment management (p=0.042), worker commitment (p=0.012), priority and risk tolerance (p=0.007), and communication and trust in implementation (p=0.040). In multivariate analysis, respondents who have good perceptions of communication and trust in implementation had a 2.63 times chance of reducing unsafe behavior compared to who had sufficient perceptions. As an effort to increase safety behavior, workers are expected to be more concerned with the risk of hazards in the workplace by complying with occupational safety health programs.
Keywords: the construction workers, unsafe behavior, perception of safety climate
Pengaruh Passive Stretching Exercise Terhadap Perubahan Fleksibilitas Hamstring Pada Kasus Osteoartritis Genu Di Rumah Sakit Dr.Soepraoen Kota Malang
Authors: Kurniawan Wahyu Oni , Pradita Angria , Kasimbara Rachma Putri , Halimah Nurul 
Published: May 2023

Objective: Flexibility is the ability of a muscle to be stretched as much as possible so that the body can move freely without any discomfort/ pain. The purpose of this study was to determine the effect of passive stretching exercise on changes in hamstring flexibility in patients with genu osteoarthritis at dr. Soepraoen Malang HospitalMethods: This study used a pre-experimental design with the design used in this study was one group pretest-posttest. This study used genu osteoarthritis patients at dr. Soepraoen Malang Hospital, as many as 20 patients, using a purposive sampling method using Wilcoxon Test data analysisResults: The results showed that there was an effect of passive stretching exercise on changes in hamstring flexibility in genu osteoarthritis patients at dr. Soepraoen Malang Hospital , the Wilcoxon Test's significance value is 0.002<α (α=0.05)Conclusion: 1. The average flexibility of the hamstring muscles in genu osteoarthritis patients before giving passive stretching exercise was 15, with a minimum value of 13 and a maximum value of 18 and a standard deviation value of 2.026. 2. The average flexibility of the hamstring muscles in patients with genu osteoarthritis after giving passive stretching exercise was 15.85 with a minimum value of 13 and a maximum value of 18 and a standard deviation value of 2.033. 3. There is an effect of passive stretching exercise on changes in hamstring flexibility in patients with genu osteoarthritis, which can be shown that the significance value of the Wilcoxon Test is 0.002 <α (α = 0.05)
Pengaruh Kombinasi Progressive Muscle Relaxation dan Slow Deep Breathing Exercise terhadap Kinesiophobia pada Pasien Rawat Jalan di Surabaya
Authors: Pusbagijo Pusbagijo , Fariz Achmad , Kasimbara Rachma Putri , Fau Yohanes Deo 
Published: May 2023

Objective: Kinesiophobia is an excessive fear of physical activity or movement so that patients tend to avoid moving their painful limbs. Not many longitudinal studies have reported that progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) have a direct impact on the level of Kinesiophobia. Therefore, we explored the effect of a combination of progressive muscle relaxation and slow deep breathing exercise on kinesiophobia in outpatients with chronic musculoskeletal pain in Surabaya.Methods: This study had 43 respondents who all completed a randomized controlled trial (RCT) for 5 weeks, 21 respondents were randomized to receive a combination of progressive muscle relaxation and slow deep breathing exercise and received standard physiotherapy interventions, while the control group consisted of 22 respondents only with standard physiotherapy interventions. The Tampa Scale of Kinesiophobia (TSK) is used to assess the level of Kinesiophobia experienced by patients.Results: 1. In the experimental group that was given a combination of progressive muscle relaxation and slow deep breathing exercise and standard physiotherapy, the initial mean score without the scale of kinesiophobia (TSK) was 51.73 points, and after the intervention it was 42.32 points.2. As for the control group which was only given standard physiotherapy intervention, the initial average score without the scale of kinesiophobia (TSK) was 51.71 points, and after the intervention it became 48.33 points.3. The Effect of a Combination of Progressive Muscle Relaxation and Slow Deep Breathing Exercise on Kinesiophobia in Outpatients in Surabaya, with a p-value = (p <0.05).Conclusion: The combined progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) combination technique is safe to apply to patients with Kinesiophobia disorder because it has relatively no side effects and is practical in its application. The findings from this study support that combination therapy of progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) offers beneficial outcomes for patients experiencing chronic pain, as well as for preventing and treating Kinesiophobia.
Pengaruh Myofascial Release Dan Ultrasound Terhadap Penurunan Nyeri Myofascial Syndrome Upper Trapezius Pada Pasien Rumah Sakit Semen Gresik
Authors: Arifin Moh Adi Bayu , Fau Yohanes Deo , Hargiani Fransisca Xaveria , Sartoyo Sartoyo 
Published: May 2023

Objective: This study was conducted to analyze whether myofascial release therapy and ultrasound intervention had an effect on reducing the intensity of upper trapezius pain with upper trapezius myofascial syndrome in patients at Semen Gresik Hospital. Methods: This article uses pre and post test experiments conducted on 20 patients with myofascial syndrome upper trapezius pain at Semen Gresik Hospital. The sampling technique used was purposive sampling, with the sampling technique according to predetermined inclusion and exclusion criteria. Results: Myofascial release exercise therapy and ultrasound intervention had a significant effect on reducing myofascial pain syndrome upper trapezius in 20 patients at Rs. Semen Gresik as the respondent. Significant results between myofascial release exercise therapy and ultrasound intervention on myofascial pain syndrome upper trapezius were shown from asymp. sig. 2-tailed in the Wilxocon signed rank test is 0.000 <0.05. Conclusion: Myofascial release therapy and ultrasound given to patients had a significant effect on reducing myofascial pain syndrome upper trapezius in 20 patients at Rs. Semen Gresik with significant results asymp. sig. 2-tailed in the Wilxocon signed rank test is 0.000 <0.05.
AUDIT TEKNOLOGI INFORMASI MENGGUNAKAN FREAMWROK COBIT 2019 DENGAN DOMAIN DSS PADA LAB KOMPUTER STMIK DHARMA WACANA METRO
Authors: Yusuf Khoirul Maulana , Syaputra Muhammad Adie 
Published: May 2023

Laboratorium computer adalah sebuah unit penunjang akademik yang sangat penting bagi proses pengelolaan manajemen. Supaya proses pengelolaan manajemen berjalan dengan lancar maka dilakukannya proses audit. Metodologi yang dipakai pada penelitian ini adalah self assessment, dengan menggunakan kerangka kerja DDS03 dan DSS06 COBIT 2019. Hasil audit yang telah dilakukan terhadap Laboratorium komputer STMIK DHARMA WACANA METRO, diperoleh nilai kemampuan (capability) manajemen operasional laboratorium STMIK DAHRMA WACANA berada pada level 1 (managed).
Development of Integrated Thematic Electronic Worksheets With RADEC Learning Model Using Nearpod
Authors: Putri Vianes Muliza , Amini Risda 
Published: May 2023

This research was motivated by that LKPD in schools is still in the form of handouts that are printed by teachers and distributed to students. The purpose of this research is to produce E-LKPD products using the RADEC-based Nearpod application. This type of research is development research with the ADDIE development model. Research instruments in the form of interviews, questionnaires, tests, and documentation. The research results obtained were Integrated thematic E-LKPD assisted by the RADEC-based Nearpod application in the elementary school stated in the very valid category. In the practicality questionnaire for the teacher's response score and the score for the student's practicality questionnaire in the very practical category. On the effectiveness used the N-Gain score percent test with the effective category. So, it can be concluded that the developed ELKPD has fulfilled the categories of valid, practical, and effective to improve student learning outcomes.
The influence of individual, environmental and organizational factors on the work stress among Indonesian nurses in Kuwait
Authors: Priyanto Eko , Sukwika Tatan , Hasibuan Bernard 
Published: May 2023

Background: The condition of Indonesian nurses in the Sabah Hospital Kuwait shows symptoms of nurse work stress, while the quality of service for health care facilities needs to be maintained and improved by strengthening individual, environmental and organizational factors towards optimizing the positive response of performing nurses.Purpose: To determine individual, environmental, organizational and work stress factors as well as to determine the influence of individual, environmental and organizational factors on the work stress of Indonesian nurses in Kuwait.Method: A descriptive cross-sectional observational design with multiple linear regression analysis and using a sampling technique with a total sampling of 65 nurses who work at Al Sabah Hospital in Kuwait.Results: This shows that individual factors are in the Moderate category and have an effect of 9.6% on nurses' work stress. Environmental factors are in the Moderate category and have an effect of 23.3% on the work stress of nurses. Organizational factors are in the Moderate category and have an effect of 12.7% on the work stress of nurses. The work stress of Indonesian nurses is in the Moderate category at 75.38%, high at 1.54%, and in the low category at 23.08%.Conclusion: There is a significant influence of 45.6% between individual, environmental and organizational factors on the work stress of Indonesian nurses in Sabah Hospital Kuwait while the rest is influenced by other factors.Suggestion: Hospitals need to design workshops or training programs on individual coping mechanisms and work stress management on a regular basis, organizational strengthening and upgrading of the work environment according to changing needs of the times at least every 6 months to 1 year, reporting nurses' work stress and conducting family meetings for nursing. minimize and relieve work stress at least once every 1-2 years.
In-hospital growth and long-term neurodevelopmental outcomes of very low birth weight infants
Authors: Consales Alessandra , Porro Matteo , Gangi Silvana , Pesenti Nicola , Gardon Laura , Squarza Chiara , Frigerio Andrea , Lezzi Irene , Vizzari Giulia , Morniroli Daniela , Macchi Marta , Fontana Camilla , Fumagalli Monica , Picciolini Odoardo , Mosca Fabio , Giannì Maria Lorella 
Published: May 2023

Background and ObjectivesVery low birth weight infants (VLBW) are at risk for adverse growth and neurodevelopmental outcomes. We aimed to evaluate the association between growth during Neonatal Intensive Care Unit (NICU) stay and long-term neurodevelopmental outcomes in a cohort of preterm VLBW newborns.MethodsWe conducted a longitudinal observational study in the Follow-up Service of our Clinic from January 2014 to April 2017. All preterm VLBW infants born at our hospital and enrolled in our follow-up program were considered eligible for the study. The neurodevelopmental assessment was performed using the Griffiths Mental Development Scales at 12 and 24 months corrected age.ResultsStudy population included 172 subjects (47.1% males) with a mean gestational age of 29 weeks and a mean birth weight of 1,117 g. A unitarian Δz-score increase in head circumference from birth to discharge was associated with a 1.6-point increase in General Quotient at 24 months corrected age. An association with subscales C and D was also found. Likewise, an increase in length Δz-score was associated with better 24-month subscale C scores although not reaching statistical significance. No relationship with the outcome at 24 months was found for weight gain.ConclusionsGrowth during NICU stay appears to be related to a more favorable neurodevelopmental outcome at 24 months corrected age, especially in the hearing and language domain (subscale C). The longitudinal evaluation of auxological parameters during hospitalization can contribute to the identification of subjects at risk for adverse neurodevelopmental outcomes in the first years of life.