bluuebunny/crossref_metadata_2025_split huggingface dataset:
Islamic Self-Healing on Increasing Patient Self-Efficacy
Authors: Fauzan Suhaimi , Khatan Muhammad Ibnu , Mita Mita , Alfikrie Fauzan , Herdaningsih Sulastri , Herman Herman 
Published: August 2023

Aims: Hemodialysis is one of kidney replacement therapy that is mostly performed by patients with chronic kidney failure. Changes in various physical and psychological conditions that cause CKD patients on hemodialysis will find excessive stressors. One of the alternative and complementary therapies to achieve self-healing is mind body and spirit therapy. The human aspect is an integral part of a number of therapies such as prayer, health, and yoga.
Objective: Determine the effect of Islamic self healing n the level of self-efficacy in chronic kidney failure patients undergoing hemodialysis Methods: This research was quasi-experimental pretest-posttest with control group design. The samples were collected approximately 40 by randomly sampling during 12-26 July 2022. The population in this study was all patients who underwent hemodialysis routinely at a RSUD dr. Soedarso. The self-efficacy was measured by the chronic kidney disease (CKD) self-efficacy instrument: development and psychometric evaluation. The analysis technique in this study was sample paired t test and Mann Whitney test.
Result: The results of this study indicate that most of the respondents are female (65%), have an average age of 51 years, and have the last elementary school education as much as 68%. The results of the sample paired t test in the control group were (0.40), the intervention group (0.002). Then the results of the Mann Whitney test on the efficacy value after 4 weeks of intervention showed a sig. 0.000.
Conclusion: This can be done with the interdisciplinary involvement of care and psychological teams. It is recommended that spiritual therapy be included in the treatment program by health professionals, included in teaching programs, and used on a personal level for nurses and hemodialysis patients.
Self-Efficacy and Compliance Fluid Intake Restrictions in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-Sectional Study
Authors: Mailani Fitri , Mahathir Mahathir , Yuni Annisa Rahma 
Published: August 2023

Aims: Good self-efficacy will encourage patients to behave assertively and adhere to medication, diet, and fluid restrictions in patients with chronic kidney disease undergoing hemodialysis. However, nowadays, patient non-compliance with fluid restrictions is still high, which results in increased complications experienced by patients. The study aimed to determine the relationship between self-efficacy and adherence to fluid intake restrictions in chronic kidney patients undergoing hemodialysis at RSUP Dr. M. Djamil Padang.
Methods: This study used a correlation study design and a cross-sectional method. The total sample was 81 respondents. Using purposive sampling with inclusion criteria, patients routinely undergo HD > 3 months, are over 18 years old, and can communicate well. The instruments used were the Self-Efficacy for Managing Chronic Disease (SEMCD) questionnaire and the Fluid Intake Restriction Adherence questionnaire—data analysis using the Spearman correlation test.
Result: The results revealed a significant relationship between self-efficacy and adherence to fluid intake restrictions (p = <0.001) with a value (r = 0.703) which means the correlation for both variables is firmly in positive relation.
Conclusion: Nurses in the HD room are expected to be able to provide self-efficacy training to patients to increase patient compliance, the higher the self-efficacy, the more compliant the patient with fluid intake restrictions. Keywords: Adherence, Fluid, Hemodialysis, Self-Efficacy.
PENGARUH PERCEIVED USEFULNESS DAN PERCEIVED VALUE TERHADAP ONLINE REPURCHASE INTENTION PADA KONSUMEN E-COMMERCE SHOPEE DI KOTA MALANG
Authors: Zahro Suqaina Zahro , Hadi Musthofa 
Published: August 2023

Perkembangan teknologi yang pesat mendorong para pengusaha berlomba-lomba dalam menciptakan atau meningkatkan sebuah usaha yang canggih, contohnya saja perusahaan situs belanja online. Banyaknya marketplace yang masyarakat ketahui, Shopee-lah yang menjadi salah satu paling banyak diminati, tak kecuali masyarakat yang tinggal di perkotaan, yang gemar melakukan pembeliaan secara online melalui e-commerce Shopee, konsumen juga mempunyai niat untuk melakukan repurchase pada situs yang sama. Tujuan penelitian ini untuk menganalisis perceived usefulneess dan percieved value dan dampaknya terhadap online repurcase intention. Penelitiian ini termasuk dalanm penelitian kuantitatif dengan metode pengumulan data penyebaran kuesioner secara online kepada 100 responden menggunakann teknik purpoosive sampling dna nonprobability sampling. Metode untuk analisa data menggunakan analisis regresi linier berganda. Hasil penelitian ini disimpulkan bahwa perceived usefulness dan perceived value secara parsial maupun simultan berpengaruh positif terhadap online repurchase intention. Meningkatkan online repurchase intention e diharapkan dapat memberikan manfaat dan nilai sebagaimana fungsinya yang memudahkan transanksi jual-beli secara online.
Prognostic role of renal replacement therapy among hospitalized patients with heart failure in the Brazilian national public health system
Authors: Coy-Canguçu Andréa , Antunes-Correa Lígia M. , Mazzali Marilda , Abrão Paula , Ronco Fernanda , Teixeira Cinthia Montenegro , Viana Karynna Pimentel , Cordeiro Guilherme , Longato Mauricio , Coelho Otávio Rizzi , Matos-Souza José Roberto , Nadruz Wilson , Sposito Andrei C. , Petersen Steffen E. , Jerosch-Herold Michael , Coelho-Filho Otávio Rizzi 
Published: August 2023

IntroductionData on patients hospitalized with acute heart failure in Brazil scarce.MethodsWe performed a cross-sectional, retrospective, records-based study using data retrieved from a large public database of heart failure admissions to any hospital from the Brazilian National Public Health System (SUS) (SUS Hospital Information System [SIHSUS] registry) to determine the in-hospital all-cause mortality rate, in-hospital renal replacement therapy rate and its association with outcome.ResultsIn total, 910,128 hospitalizations due to heart failure were identified in the SIHSUS registry between April 2017 and August 2021, of which 106,383 (11.7%) resulted in in-hospital death. Renal replacement therapy (required by 8,179 non-survivors [7.7%] and 11,496 survivors [1.4%, p &lt; 0.001]) was associated with a 56% increase in the risk of death in the univariate regression model (HR 1.56, 95% CI 1.52 -1.59), a more than threefold increase of the duration of hospitalization, and a 45% or greater increase of cost per day. All forms of renal replacement therapy remained independently associated with in-hospital mortality in multivariable analysis (intermittent hemodialysis: HR 1.64, 95% CI 1.60 -1.69; continuous hemodialysis: HR 1.52, 95% CI 1.42 -1.63; peritoneal dialysis: HR 1.47, 95% CI 1.20 -1.88).DiscussionThe in-hospital mortality rate of 11.7% observed among patients with acute heart failure admitted to Brazilian public hospitals was alarmingly high, exceeding that of patients admitted to North American and European institutions. This is the first report to quantify the rate of renal replacement therapy in patients hospitalized with acute heart failure in Brazil.
Quantification of carotid plaque composition with a multi-contrast atherosclerosis characterization (MATCH) MRI sequence
Authors: Kassem Mohamed , Nies Kelly P. H. , Boswijk Ellen , van der Pol Jochem , Aizaz Mueez , Gijbels Marion J. J. , Li Debiao , Bucerius Jan , Mess Werner H. , Wildberger Joachim E. , van Oostenbrugge Robert J. , Moonen Rik P. M. , Fan Zhaoyang , Kooi M. Eline 
Published: August 2023

Background and purposeCarotid atherosclerotic plaques with a large lipid-rich necrotic core (LRNC), intraplaque hemorrhage (IPH), and a thin or ruptured fibrous cap are associated with increased stroke risk. Multi-sequence MRI can be used to quantify carotid atherosclerotic plaque composition. Yet, its clinical implementation is hampered by long scan times and image misregistration. Multi-contrast atherosclerosis characterization (MATCH) overcomes these limitations. This study aims to compare the quantification of plaque composition with MATCH and multi-sequence MRI.MethodsMATCH and multi-sequence MRI were used to image 54 carotid arteries of 27 symptomatic patients with ≥2 mm carotid plaque on a 3.0 T MRI scanner. The following sequence parameters for MATCH were used: repetition time/echo time (TR/TE), 10.1/4.35 ms; field of view, 160 mm × 160 mm × 2 mm; matrix size, 256 × 256; acquired in-plane resolution, 0.63 mm2× 0.63 mm2; number of slices, 18; and flip angles, 8°, 5°, and 10°. Multi-sequence MRI (black-blood pre- and post-contrast T1-weighted, time of flight, and magnetization prepared rapid acquisition gradient echo; acquired in-plane resolution: 0.63 mm2 × 0.63 mm2) was acquired according to consensus recommendations, and image quality was scored (5-point scale). The interobserver agreement in plaque composition quantification was assessed by the intraclass correlation coefficient (ICC). The sensitivity and specificity of MATCH in identifying plaque composition were calculated using multi-sequence MRI as a reference standard.ResultsA significantly lower image quality of MATCH compared to that of multi-sequence MRI was observed (p &lt; 0.05). The scan time for MATCH was shorter (7 vs. 40 min). Interobserver agreement in quantifying plaque composition on MATCH images was good to excellent (ICC ≥ 0.77) except for the total volume of calcifications and fibrous tissue that showed moderate agreement (ICC ≥ 0.61). The sensitivity and specificity of detecting plaque components on MATCH were ≥89% and ≥91% for IPH, ≥81% and 85% for LRNC, and ≥71% and ≥32% for calcifications, respectively. Overall, good-to-excellent agreement (ICC ≥ 0.76) of quantifying plaque components on MATCH with multi-sequence MRI as the reference standard was observed except for calcifications (ICC = 0.37–0.38) and fibrous tissue (ICC = 0.59–0.70).Discussion and conclusionMATCH images can be used to quantify plaque components such as LRNC and IPH but not for calcifications. Although MATCH images showed a lower mean image quality score, short scan time and inherent co-registration are significant advantages.
Prognostic implications of left ventricular ejection fraction trajectory changes in heart failure
Authors: Ding Zijie , Si Jinping , Zhang Xuexia , Hu Yuze , Zhang Xinxin , Zhang Yanli , Liu Ying 
Published: August 2023

AimsThe latest guidelines recommended to assess the trajectory of left ventricular ejection fraction (LVEF) in patients with heart failure (HF). However, there is limited data on the trajectory of LVEF in real-world settings. In this study, we investigated the frequency and prognostic implications of changes in LVEF trajectory.MethodsPatients were divided into intensified LVEF, static LVEF, and worsening LVEF groups based on the transitions of HF types from baseline to follow-up. The intensified and worsening LVEF groups were further subdivided into mild (≤10% absolute changes of LVEF) and significant (&gt;10% absolute changes of LVEF) increase or decrease groups according to the magnitude of change. The incidences and associations of changes in LVEF with patient outcomes were analyzed.ResultsAmong the 2,429 patients in the study cohort, 38.3% of HF with reduced ejection fraction (HFrEF) and 37.6% of HF with mildly reduced ejection fraction (HFmrEF) showed an improvement in their LVEF. In contrast, a decline in LVEF was observed in 19.3% of HF patients with preserved ejection fraction (HFpEF) and 34.9% of those with HFmrEF. Cox regression analysis showed that the intensified LVEF group was associated with a lower risk of composite endpoints, while the worsening LVEF group yielded opposite findings. Subgroup analysis revealed that compared to those with mild changes in LVEF, baseline HFrEF patients with significant increase showed a lower risk of composite outcome, while baseline HFpEF patients were the opposite.ConclusionsThe trajectories of LVEF changes are strongly correlated with outcomes in patients with HF who had prior history of HF admission. The most significant prognostic implications observed in patients with significant LVEF changes. Trajectory LVEF and type of HF changes are useful tools recommended for prognostication.
An elevated likelihood of stroke, ischemic heart disease, or heart failure in individuals with gout: a longitudinal follow-up study utilizing the National Health Information database in Korea
Authors: Kang Ho Suk , Lee Na-Eun , Yoo Dae Myoung , Han Kyeong Min , Hong Ji Yeon , Choi Hyo Geun , Lim Hyun , Kim Joo-Hee , Kim Ji Hee , Cho Seong-Jin , Nam Eun Sook , Park Ha Young , Kim Nan Young , Baek Sung Uk , Lee Joo Yeon , Kwon Mi Jung 
Published: August 2023

ObjectiveAccumulating evidence from other countries indicates potential associations between gout and cardiovascular diseases; however, the associations of gout with cardiovascular diseases, particularly stroke, ischemic heart disease, and heart failure, remain ambiguous in the Korean population. We hypothesized that individuals with gout are at a higher likelihood of stroke, ischemic heart disease, or heart failure. This study expands upon previous research by ensuring a comparable baseline between patient and control groups and analyzing 16 years of data derived from an extensive healthcare database.MethodsWe selected 22,480 patients with gout and 22,480 control individuals from the Korean National Health Insurance Service-Health Screening Cohort database (2002–2019), and matched them at a 1:1 ratio according to sex, age, income, and residence. A Cox proportional hazard model with weighted overlap was employed to examine the relationship between gout and the risk of stroke, ischemic heart disease, or heart failure after adjustment for several covariates.ResultsThe incidences of stroke, ischemic heart disease, or heart failure in participants with gout were slightly higher than those in controls (stroke: 9.84 vs. 8.41 per 1000 person-years; ischemic heart disease: 9.77 vs. 7.15 per 1000 person-years; heart failure: 2.47 vs. 1.46 per 1000 person-years). After adjustment, the gout group had an 11% (95% confidence interval [CI] = 1.04–1.19), 28% (95% CI = 1.19–1.37), or 64% (95% CI = 1.41–1.91) higher likelihood of experiencing stroke, ischemic heart disease, or heart failure, respectively, than the control group.ConclusionThe present findings suggest that individuals with gout in the Korean population, particularly those aged ≥ 60 years, were more likely to have stroke, ischemic heart disease, or heart failure.
The psychological syndrome associated with Long-COVID: A study protocol
Authors: Gómez Bravo Raquel , Infanti Alexandre , Billieux Joël , Ritzen Mark ,   Psy-Long-COVID Consortium, Vögele Claus , Benoy Charles 
Published: August 2023

IntroductionChronic post-viral syndromes, including Long-COVID, are characterized by a range of persistent symptoms that occur following a viral infection. Psychological symptoms are prevalent in Long-COVID patients and can have a significant impact on their quality of life. However, the specific patterns of psychological symptoms, their associations with physical symptoms, and the factors predicting their severity remain poorly understood.AimsThis study aims to explore and systematically assess psychological symptoms in Long-COVID, to identify syndrome clusters based on these symptoms, to examine their relationship with physical symptoms, and to investigate the influence of pandemic-related variables.MethodsDescriptive, cross-sectional study with data collected through an online questionnaire across several EU countries, from February 2020 to December 2022. Participants were recruited using public relations, the social media and information campaigns directed at the public and health professionals using snowball sampling.ResultsThe findings will allow to phenotype Long-COVID related psychological symptom clusters based on self-reports. facilitating improved assessment and treatment approaches.ConclusionsThe results will provide important knowledge for the public health management of the public healh management of Long COVID. The findings will contribute to a better understanding of the psychological symptoms associated with Long-COVID and the development of specific treatment guidelines for psychological burden associated with Long-COVID, thereby supporting management strategies to combat the after-effects of the COVID-19 pandemic, enhancing their overall well-being and quality of life.
Bioinformatics-based and multiscale convolutional neural network screening of herbal medicines for improving the prognosis of liver cancer: a novel approach
Authors: Chen Zeshan , Peng Peichun , Wang Miaodong , Deng Xin , Chen Rudi 
Published: August 2023

BackgroundLiver cancer is one of the major diseases threatening human life and health, and this study aims to explore new methods for treating liver cancer.MethodsA deep learning model for the efficacy of clinical herbal medicines for liver cancer was constructed based on NDCNN, combined with the natural evolutionary rules of a genetic algorithm to obtain the herbal compound for liver cancer treatment. We obtained differential genes between liver cancer tissues and normal tissues from the analysis of TCGA database, screened the active ingredients and corresponding targets of the herbal compound using the TCMSP database, mapped the intersection to obtain the potential targets of the herbal compound for liver cancer treatment in the Venny platform, constructed a PPI network, and conducted GO analysis and KEGG analysis on the targets of the herbal compound for liver cancer treatment. Finally, the key active ingredients and important targets were molecularly docked.ResultsThe accuracy of the NDCNN training set was 0.92, and the accuracy of the test set was 0.84. After combining with the genetic algorithm for 1,000 iterations, a set of Chinese herbal compound prescriptions was finally the output. A total of 86 targets of the herbal compound for liver cancer were obtained, mainly five core targets of IL-6, ESR1, JUN, IL1β, and MMP9. Among them, quercetin, kaempferol, and stigmasterol may be the key active ingredients in hepatocellular carcinoma, and the herbal compound may be participating in an inflammatory response and the immune regulation process by mediating the IL-17 signaling pathway, the TNF signaling pathway, and so on. The anticancer effects of the herbal compound may be mediated by the IL-17 signaling pathway, the TNF signaling pathway, and other signaling pathways involved in inflammatory response and immune regulation. Molecular docking showed that the three core target proteins produced stable binding to the two main active ingredients.ConclusionThe screening of effective herbal compounds for the clinical treatment of liver cancer based on NDCNN and genetic algorithms is a feasible approach and will provide ideas for the development of herbal medicines for the treatment of liver cancer and other cancers.
Case report: Endoscopic retrieval of a proximally migrated pancreatic stent using the basket-through- the-sphincterotome technique
Authors: Yi Hang , Liu Qin , He Song , Zhong Li , Guo Xiaodong , Wu Suhua , Ning Bo 
Published: August 2023

BackgroundThe retrieval of a proximally migrated pancreatic duct (PD) stent via endoscopic retrograde cholangiopancreatography (ERCP) is technically challenging, often requiring surgical intervention. We report a case with proximal migration of a pancreatic stent that was successfully removed by a basket-through-the-sphincterotome technique.Case presentationA 46-year-old man with prior history of chronic pancreatitis was admitted to our hospital with 1 month history of epigastric discomfort. 9 months prior he had undergone ERCP with Endoscopic sphincterotomy (EST) and a 5 Fr × 9 cm plastic pancreatic stent placement to relieve pancreatic duct stricture and abdominal pain. Magnetic retrograde cholangiopancreatography (MRCP) done this time revealed PD dilation and a stent-shaped signal inside the PD. The subsequent endoscopic ultrasonography (EUS) verified total pancreatic stent proximal migration with no visible distal end of the stent in the papilla. ERCP was performed again with an attempt to retrieve the stent. General techniques of PD cannulation with a 0.035-in guidewire over the migrated stent and balloon extraction failed. We used a mini-basket (Endoflex Germany) to replace the guidewire, which was inserted into the PD and advanced over the proximal end of the stent through the channel of the sphincterotome. The distal end of the stent was easily caught by manipulating the tip of the sphincterotome, and the stent was then pulled out. A naso-pancreatic drainage tube was placed in the main PD, and the patient was discharged 2 days after tube withdrawal.ConclusionThis was a successful case of proximally migrated pancreatic stent retrieval using the unique idea of basket-through-the-sphincterotome technique, which has rarely been reported. The basket-through-the-sphincterotome technique provides the endoscopist another way to catch the distal end without difficulty. It can improve the success rate of proximally migrated pancreatic stent retrieval, especially the pig-tail pancreatic stent, of which the sticking of the proximal end into pancreatic duct branches often makes the distal end the only choice to retrieve.
Bridging the gap: safety and outcomes of intensivist-led ECMO retrievals
Authors: Mihu Mircea R. , Maybauer Marc O. , Cain Kaitlyn , Swant Laura V. , Harper Michael D. , Schoaps Robert S. , Brewer Joseph M. , Sharif Ammar , Benson Clayne , El Banayosy Ahmed M. , El Banayosy Aly 
Published: August 2023

PurposeMost extracorporeal membrane oxygenation (ECMO) cannulations are performed by cardiothoracic surgeons (CTS). Due to an increase in utilization of ECMO and limited availability of CTS, there is a mismatch between ECMO demand and CTS accessibility for remote cannulations. We report our intensivist-led program’s experience in remote ECMO cannulations, retrievals, complications, and outcomes.Materials and methodsA prospective, single-center, observational study was performed on patients that required ECMO cannulation at the referring facilities and were transported to our institution between program initiation, on October 1, 2014 to September 30, 2022. Results were presented as mean ± SD, median (min – max) or number (%).ResultsSince program commencement, 305 patients were accepted for ECMO retrieval. Three hundred and three patients were placed on ECMO at the 47 referring hospitals among 5 states. In our study, 185 (61%) patients required veno-arterial ECMO and 115 (38%) were placed on veno-venous ECMO. Three patients (1%) were cannulated for veno-arteriovenous ECMO. Twenty patients were cannulated under cardio-pulmonary resuscitation. Most of the patients were transported by ambulance (79%), 14% by helicopter, and 7% by airplane. Six out of the 303 patients did not leave the referring facility. All patients that left the referring hospitals arrived safely to our institution. No major complications occurred in route.ConclusionOur study’s findings indicate that non-CTS physicians can successfully cannulate and retrieve patients with a low complication profile.