bluuebunny/crossref_metadata_2025_split huggingface dataset:
What factors affect team members’ evaluation of collaboration in medical teams?
Authors: Kämmer Juliane E. , Ehrhard Simone , Kunina-Habenicht Olga , Weber-Schuh Sabine , Hautz Stefanie C. , Birrenbach Tanja , Sauter Thomas C. , Hautz Wolf E. 
Published: January 2023

IntroductionPerceived teamwork quality is associated with numerous work-related outcomes, ranging from team effectiveness to job satisfaction. This study explored what situational and stable factors affect the perceived quality of teamwork during a specific team task: when a medical team comprising a senior (supervisor) and a junior (trainee) physician diagnoses a patient.MethodsDuring a field study in an emergency department, multisource data describing the patients, the diagnosing physicians, and the context were collected, including physicians’ ratings of their teamwork. The relationships between perceived teamwork quality and situational (e.g., workload) and stable (e.g., seniority) factors were estimated in a latent regression model using the structural equation modeling (SEM) approach.ResultsAcross the N = 495 patients included, SEM analyses revealed that the patient-specific case clarity and urgency influenced the perceived teamwork quality positively, whereas the work experience of the supervisor influenced the perceived teamwork quality of both supervisor and trainee negatively, albeit to different degrees.DiscussionOur findings shed light on the complex underpinnings of perceived teamwork quality, a performance-relevant factor that may influence work and organizational effectiveness in healthcare settings.
“We missed the psychological support”: A case study about the preparation of the Brazilian bronze medal kata team for the 2019 Pan American Games
Authors: Paludo Ana Carolina , Lassalvia Cintia , Mazhak Iryna , Cacek Jan , da Silva Danilo Fernandes 
Published: January 2023

PurposeThe main aim of the study was to describe the key factors involved in the preparation process of the Brazilian bronze medal kata team for the 2019 Pan American Games, focusing on the athletes’ perceptions.MethodsThree male athletes from the Brazilian team performed a semistructured interview to identify the following topics: specific time for preparation, training organization, supplementary support, and perception and suggestion about the efficiency of the preparation process.ResultsData from interviews were gathered and coded, and the major themes were summarized as follows after performing content analysis of the data: (a) technical and tactical training took the major part of the preparation; (b) the high level of the coaches helped the team to reach the technical quality of the kata; (c) better psychological support during the preparation could improve the athletes’ performance during the training and competition; and (d) the lack of financial support compromised the commitment of the athletes during the training routine.ConclusionWe concluded, based on the athletes’ perception, that the most positive factor during preparation for a major competition was the high amount of time focused on technical-tactical training. Even with limitations to performing the physical training, the athletes recognized the importance of the physical component, to increase performance. Financial and psychological support could have helped the team to reach a better result (gold medal) attenuating the training distress.
Inclusive leadership can improve nurses’ psychological ownership and reduce their turnover intention under the normalization of COVID-19 prevention
Authors: Zeng Dongyu , Wang Baoxiang , Chen Weiju 
Published: January 2023

IntroductionThe COVID-19 pandemic continues to impact people’s lives and professions worldwide. Chinese nurses face immense work pressure under the normalization of COVID-19 prevention and control, resulting in greater turnover intention. It is, therefore, crucial to study the mechanisms that influence the turnover intention of nurses in this situation.ObjectiveMany studies have examined the impact of leadership style on nurses’ turnover intention; however, few researchers have investigated this influence during the COVID-19 pandemic. Based on the leader-member exchange theory, this study empirically studied the effect of inclusive leadership on turnover intention of nurses under the normalization of COVID-19 prevention and control in China, while assessing the mediating role of psychological ownership.DesignCross-sectional study with multi-center data.ParticipantsTwo thousand, two hundred ninety-nine registered nurses from 17 hospitals in China were recruited from January to March, 2022, under the normalization of COVID-19 prevention and control in China.MethodsA demographic questionnaire and scales of inclusive leadership, psychological ownership, and turnover intention integrated into an online survey were sent to registered nurses of different hospitals. Maximum likelihood structural equation modeling (ML-SEM) was used to analyze data.ResultsIndependent variable inclusive leadership has a significant effect on the overall turnover intention of nurses, p &lt; 0.001. The direct effect path coefficient from inclusive leadership to psychological ownership is significant, p &lt; 0.001. The direct effect path coefficient from psychological ownership to turnover intention is significant, p &lt; 0.001. The indirect effect path coefficient from inclusive leadership to turnover intention is significant, p &lt; 0.001.ConclusionPsychological anxiety, burnout, turnover intention, and even suicidal thoughts were the main symptoms of Chinese nurses under the normalization of COVID-19 prevention and control in China. The absence of a mechanism to counteract these negative conditions may ultimately lead to personal psychological distress for nurses and collapse of the healthcare system. Inclusive leadership can improve nurses’ psychological ownership level and reduce their turnover intention by treating them fairly, providing them with opportunities for self-development, paying attention to communication with them, and increasing their sense of belonging, self-efficacy, and self-identity.
Quality of life in adult patients with congenital heart disease: Results of a double-center study
Authors: Khajali Zahra , Sayyadi Amin , Ansari Zahra , Aliramezany Maryam 
Published: January 2023

IntroductionPrevalence of congenital heart disease (CHD) has increased in recent years, and patients with CHD have to deal with sequelae of the multiple medical and surgical treatments that can affect different aspects of their life which could be reflected in their quality of life (QoL). In Iran, to the best of our knowledge, QoL of adult patients with CHD has not been investigated, so this study aimed to investigate the QoL of adult patients with CHD referred to two Iranian outpatient settings.MethodsIn 2022, a double center, cross-sectional study was performed on adult patients with CHD receiving out-patient care at Besat Clinic in Kerman, Iran, and Clinic of Shahid Rajaee Hospital in Tehran, Iran. Inclusion criteria were documented diagnosis of CHD based on guidelines, ejection fraction of above 45% and age of 18–55 years. We recruited a sample of 120 individuals using a simple random sampling method. At the day of referring to the adult congenital heart diseases clinic, after ensuring their written consent to participate in the study, we asked patients to fill in two questionnaires of demographic questionnaire and Persian version of the Ferrans and Powers Quality of Life Index. Data were analyzed using descriptive statistics and chi square via SPSS-22.ResultsA total of 101 patients with a mean age of 31.05 years participated in the study. Demographic and socio-economic factors had no significant relationship with the patients’ QoL. But factors related to the disease were significantly different among QoL groups (P-value &gt; 0.05).DiscussionAdults with CHD had a low QoL, which is not related to their demographic and socio-economic factors. That is, the existence of the disease alone and its accompanying complications can affect the QoL of these people. Hence, the mental health of adult patients with CHD should be monitored during their routine cardiac care.
Internalized stigma in mental health staff with lived experience of mental crises–Does the professional role protect against self-stigmatization?
Authors: Stuetzle Stefan , Brieger Anna , Lust Christian , Ponew Angel , Speerforck Sven , von Peter Sebastian 
Published: January 2023

ObjectiveThe stigma of mental illness is widespread in the general population and also among healthcare and psychiatric professionals. Yet, research on the self-stigma of the latter is still limited. The purpose of this article was to assess self-stigma and its correlates in mental health professionals with lived experiences of mental crisis and treatment.MethodsIn a cross-sectional exploratory research project, 182 mental health professionals with lived experiences of mental crisis and treatment from 18 psychiatric hospital departments in the German federal states of Berlin and Brandenburg were surveyed on their lived experiences, self-stigma, perceived stigma in the workplace, subjective vulnerability to crises, and meaningfulness of lived experiences. To investigate the relationships between the variables, manifest and latent correlation analyses were calculated.ResultsResults showed low levels of self-stigma and perceived public stigma in the workplace. Self-stigma was significantly and positively associated with workplace stigma and subjective vulnerability to crisis, but not with identification with lived experiences.ConclusionThe relationship between self-stigma, workplace stigma, and vulnerability should be investigated in terms of mutual causality in order to derive possible strategies of reducing self-stigma along with its detrimental effects. Possible reasons for the low levels of self-stigma are discussed in the light of limitations, including processes of self-selection, with highly self-stigmatizing individuals being possibly discouraged from participating. Strategies to enhance sampling quality are briefly discussed.
The impact of China's urban and rural economic revitalization on the utilization of mental health inpatient services
Authors: Yan Yu , Tu Yongqian 
Published: January 2023

BackgroundRural locations have a lower preference for mental healthcare than urban areas. Medical and pharmacy expenses incurred as a result of serious mental illness are covered by public health insurance, according to the People's Republic of China's Mental Health Law. This study aimed to acknowledge the disparities in the use of mental health services provided by the government health schemes among the rural and urban populations of China and to assess the real reimbursement rates for health insurance coverage. It also sheds light on China's ongoing healthcare reforms for mental health treatments.Materials and methodsA retrospective cohort study of patients was conducted that were hospitalized with mental illnesses to assess rural–urban disparities in the utilization of mental health services and the role of health insurance. We used electronic health data from the major psychiatric institutes for 15 years (2005–2020) to assess the influence of health insurance systems on Chinese public preferences for mental health treatments. These psychiatric hospitals serve almost 10% of all mental health patients every year in Shandong and accept patients from all over the country. In addition, health insurance policy regulations in Shandong Province are consistent with national health insurance policy regulations. Models 1 and 2 assess disparities in the utilization of mental health treatments. Our study population was identified using patients' primary diagnosis, as recorded in the two hospitals' EHRs, which routinely record information on patients' sociodemographic characteristics, clinical characteristics of the disease, cost of the treatment, and type of the health insurance plan. The record of EHR data is considered efficient because they document all inpatient expenses incurred during hospitalization in a detailed, itemized, and reliable way.ResultsUrban patients had longer hospital stays (p = 0.0001), more hospitalizations (p = 0.006), and greater hospitalization expenses (p = 0.001) than rural patients. Patients who had insurance had a longer hospital stay (p = 0.0001), more hospitalizations (p = 0.0001), and greater hospitalization costs (p = 0.0001) than those who did not have insurance. Urban residents used mental health services more than rural residents. People preferred mental healthcare when the reimbursement ratio variable was larger, especially in rural areas.ConclusionRural people of China experience mental health services are an economic burden. Uniform measures are required to be taken for the development of health insurance policies for people in rural areas.
Effects of Yucca schidigera extract on serum biochemical parameters, humoral immune response, and intestinal health in young pigeons
Authors: Sun Xiaoshan , Wang Zheng , Li Xing , Du Shaohua , Lin Dongmei , Shao Yuxin 
Published: January 2023

IntroductionIt is of great importance to find antibiotic alternatives that can improve poultry performance and enhance immunity. Plant-derived extracts and their concentrates are natural bioactive compounds that are widely and effectively applied as the antibiotic alternatives in animal industries. This study was conducted to investigate the effects of Yucca schidigera extract (YSE) on growth performance, serum biochemical parameters, immune function, intestinal morphology, and microbiota diversity of young pigeons.MethodsA total of 120 healthy White King pigeons (28 days old) with similar weight were randomly assigned to 4 treatments with six replicate cages. Each of the pigeons from 4 treatments was orally administrated with 0 (control), 5, 10, and 15 mg YSE per day, respectively.ResultsThe results showed that orally supplemental YSE had no significant effects (P &gt; 0.05) on the growth performance and immune organ index of pigeons. The serum total protein and IgM contents in the 10 mg YSE group were significantly higher (P &lt; 0.05) than those in the control group. Supplemental 10 and 15 mg YSE significantly lowered the level of serum total cholesterol (P &lt; 0.05) and increased (P &lt; 0.05) the villi height in the jejunum compared with the control group. Supplemental 5 and 10 mg YSE significantly decreased (P &lt; 0.05) the level of serum alanine aminotransferase and the crypt depth in the ileum compared with the control group. The beta diversity showed a distinct difference in the ileum microbial composition between the control and the 10 mg YES group. YSE supplementation enriched the bacterial genera Sulfurospirillum, Solobacterium, Desulfovibrio, Desulfobulbus, Lactococcus, Parabacteroides, Acidaminococcus, Acetobacter, and Streptococcus. Additionally, Enterococcus genus showed a significantly negative correlation with serum alanine aminotransferase (R = −0.618, P = 0.043). Actinomyces genus showed a significantly negative correlation with cholesterol (R = −0.633, P = 0.036). Turicibacter genus showed a significantly positive correlation with villi height in the jejunum (R = 0.751, P = 0.008).DiscussionIn conclusion, orally supplemental YSE could improve serum biochemistry, immunoglobulin contents, and intestinal morphology by regulating the composition of microbial community in the ileum of young pigeons.
Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
Authors: Piñeiro Gaston J. , Lazo-Rodriguez Marta , Ventura-Aguiar Pedro , Ramirez-Bajo Maria J. , Banon-Maneus Elisenda , Lozano Miquel , Cid Joan , Hierro-Garcia Natalia , Cucchiari David , Revuelta Ignacio , Montagud-Marrahi Enrique , Palou Eduard , Bayés-Genís Beatriu , Campistol Josep M. , Diekmann Fritz , Rovira Jordi 
Published: January 2023

Extracorporeal photopheresis (ECP) is an immunomodulatory therapy based on the infusion of autologous cellular products exposed to ultraviolet light (UV) in the presence of a photosensitizer. The study evaluates the ECP efficacy as induction therapy in a full-mismatch kidney transplant rat model. Dark Agouti to Lewis (DA-L) kidney transplant model has been established. ECP product was obtained from Lewis rat recipients after DA kidney graft transplantation (LewDA). Leukocytes of those LewDA rats were exposed to 8-methoxy psoralen, and illuminated with UV-A. The ECP doses assessed were 10 × 106 and 100 × 106 cells/time point. Lewis recipients received seven ECP infusions. DA-L model was characterized by the appearance of donor-specific antibodies (DSA) and kidney function deterioration from day three after kidney transplant. The dysfunction progressed rapidly until graft loss (6.1 ± 0.5 days). Tacrolimus at 0.25 mg/kg prolonged rat survival until 11.4 ± 0.7 days (p = 0.0004). In this context, the application of leukocytes from LewDA sensitized rats accelerated the rejection (8.7 ± 0.45, p = 0.0012), whereas ECP product at high dose extended kidney graft survival until 26.3 ± 7.3 days, reducing class I and II DSA in surviving rats. ECP treatment increases kidney graft survival in full-mismatch rat model of acute rejection and is a suitable immunomodulatory therapy to be explored in kidney transplantation.
Politique, économie, sociétés des Pyrénées
Authors: Kayser Bernard 
Published: January 2023

Politics, economy and societies of the Pyrenees.
The mountain frontier of the Pyrenees is no longer a real obstacle, although the main traffic flows avoid it by crossing at the two lateral extremities. No doubt new projects for crossing-places will be thought up, but their somewhat imprecise objectives will not change habitual routes and consequently will not upset the fragile balance established around the two pillars of the local economy : pastoralism and tourism. Against the background of the Pyrenean agropastoral system can be seen the individualism of the farmers fitting into the logic of branches of activity. Passive attitudes will not be enough for the preservation of pastoralism, an essential objective for the protection of the mountain area and for the development of tourism. «Leave the Pyrenees as they are » is not an acceptable approach, either to favour actions undertaken in the interest of sustainable development, or to aid programmes for increasing tourist capacity, particularly by improving residential possibilities.
L'eurorégion Aquitaine Euskadi Navarre, un espace transfrontalier émergent ?
Authors: Fourny Marie-Christine , Vélasco-Graciet Hélène 
Published: January 2023

Aquitaine/Euskai/ Navarre a euro-region, a rising cross-border space ?.
The European Community, having decided to build a large and henceforward continuous space, acted at two levels. At the juridical, compulsory and institutional one, the borders between the member countries were deleted. On the other hand, these countries were financially encouraged to cooperate by means of a crossborder cooperation program (INTERREG). In this context, this paper deals with the building of the « eurorégion Aquitaine Euskadi Navarre » and the collaboration resulting from this european policy : what are the limits, the polarization, the extent and the hardcore of this new crossborder space ? In other words, we propose geography of a crossborder process.
Cookies e sua estreita relação com a política de proteção de dados
Authors: Lima Caio Ryann Conceição , Silva Isabella Fernnanda Sousa da , Silva Ryan Dias da , Carr Caroline Nunes 
Published: January 2023

Este artigo tem por objetivo analisar a política de cookies nos termos da Lei Geral de Proteção de Dados em comparativo ao Regulamento Europeu de Proteção de Dados, com base no direito à privacidade e na autodeterminação informativa, levantando as características das políticas de cookies no ambiente virtual atualmente, com o propósito de analisar as finalidades e seus eventuais riscos aos direitos de privacidade do cidadão. A pesquisa foi feita através do método hipotético- dedutivo, analisando suas operações em conformidade com o direito civil e o instituto do consentimento, presente na Lei Geral de Proteção de Dados, e se este é apto a garantir maior poder ao usuário acerca do controle de seus dados pessoais em rede.
K-Means Clustering Algorithm to Classify the Level of Legal Information Service Objectives in West Java Province
Authors: Ruhiman Beny , Ramdan Ade , Juliane Christina 
Published: January 2023

Legal Documentation and Information Network (JDIH) is one of the government agencies in the field of law, which is regulated by Presidential Regulation Number 33 of 2012. JDIH consists of central and regional levels, at the provincial level the Bureau of Law and Human Rights is the center of JDIH in its territory. JDIH at the provincial level has the duties and functions to provide guidance and evaluation at the members. To measure the level of community satisfaction with JDIH members in West Java, a survey was conducted using the 360 review â€‹â€‹method on the website https://jdih.jabarprov.go.id/review.php/. The results contained 18,045 raw data. After preprocessing, 46 datasets and 11 attributes were generated. Cluster modeling uses the K-Means algorithm, the results are evaluated by the Davies Boulding Index (DBI) method. Evaluation results show a low level of similarity so that the distance between clusters is getting higher. On this study is classified into 4 clusters, the lowest satisfaction indicator is known to be in cluster 3 which consists of 10 regions. In this research can be used to determining policies for the government of West Java Province.
Perbandingan Kinerja Kubernetes Cluster dengan Virtualisasi KVM, Vagrant dan LXD
Authors: Ridha Muhammad Arif Fadhly , Suhatman Rahmat 
Published: January 2023

Perkembangan teknologi yang dapat mengemas sebuah aplikasi dan kebutuhannya dalam sebuah virtualisasi yang disebut container, oleh sebab itu dibutuhkan sebuah software yang dapat melakukan management terhadap container, salah satunya adalah docker. Namun kebutuhan selalu meningkat sistem tidak mampu untuk menampung banyak aplikasi, oleh karna itu dibutuhkan sebuah software yang mampu melakukan management clustering container dalam skala besar. Salah satu software tersebut adalah kubernetes. Kubernetes dapat berjalan didalam virtualisasi, virtualisasi yang dapat menjalankan kubernetes didalamnya antara lain vagrant , LXD dan KVM. Pada penelitian ini dilakukan perbandingan antara 3 jenis virtualisasi tersebut, perbandingan yang dilakukan yaitu melihat tingkat keberhasilan dari high-avaliability, scalability dan performance testing. Hasil dari penelitian yang telah dilakukan pada saat diterapkannya kubernetes cluster pada virtualisasi vagrant, LXD dan KVM, didapatkan hasil virtualisasi KVM lebih unggul dari virtualisasi vagrant dan LXD dapat dilihat dari perbedaan latency dan performance test yang cukup besar antara kedua virtualisasi tersebut