bluuebunny/crossref_metadata_2025_split huggingface dataset:
An interdisciplinary multimodal integrative healthcare program for depressive and anxiety disorders
Authors: Wijnen Jaap , Gordon Nicole Louise , van 't Hullenaar Geert , Pont Marc Lucas , Geijselaers Marciano Wilhelmina Henricus , Van Oosterwijck Jessica , de Jong Jeroen 
Published: June 2023

ObjectiveAlthough multimodal interventions are recommended in patients with severe depressive and/or anxiety disorders, available evidence is scarce. Therefore, the current study evaluates the effectiveness of an outpatient secondary care interdisciplinary multimodal integrative healthcare program, delivered within a transdiagnostic framework, for patients with (comorbid) depressive and/or anxiety disorders.MethodsParticipants were 3,900 patients diagnosed with a depressive and/or anxiety disorder. The primary outcome was Health-Related Quality of Life (HRQoL) measured with the Research and Development-36 (RAND-36). Secondary outcomes included: (1) current psychological and physical symptoms measured with the Brief Symptom Inventory (BSI) and (2) symptoms of depression, anxiety, and stress measured with the Depression Anxiety Stress Scale (DASS). The healthcare program consisted of two active treatment phases: main 20-week program and a subsequent continuation-phase intervention (i.e., 12-month relapse prevention program). Mixed linear models were used to examine the effects of the healthcare program on primary/secondary outcomes over four time points: before start 20-week program (T0), halfway 20-week program (T1), end of 20-week program (T2) and end of 12-month relapse prevention program (T3).ResultsResults showed significant improvements from T0 to T2 for the primary variable (i.e., RAND-36) and secondary variables (i.e., BSI/DASS). During the 12-month relapse prevention program, further significant improvements were mainly observed for secondary variables (i.e., BSI/DASS) and to a lesser extent for the primary variable (i.e., RAND-36). At the end of the relapse prevention program (i.e., T3), 63% of patients achieved remission of depressive symptoms (i.e., DASS depression score ≤ 9) and 67% of patients achieved remission of anxiety symptoms (i.e., DASS anxiety score ≤ 7).ConclusionAn interdisciplinary multimodal integrative healthcare program, delivered within a transdiagnostic framework, seems effective for patients suffering from depressive and/or anxiety disorders with regard to HRQoL and symptoms of psychopathology. As reimbursement and funding for interdisciplinary multimodal interventions in this patient group has been under pressure in recent years, this study could add important evidence by reporting on routinely collected outcome data from a large patient group. Future studies should further investigate the long-term stability of treatment outcomes after interdisciplinary multimodal interventions for patients suffering from depressive and/or anxiety disorders.
Identification and comparison of pandemic-to-symptom networks of South Korea and the United States
Authors: Park Mijeong , Seo Deachul , Kim Ji Geun , Lee Gayeon , McReynolds Larkin S. , Amsel Lawrence , Yang Hyunjung , Kim Young-Hoon , Han Sanghoon , Park Soo Hyun , Hur Juyoen 
Published: June 2023

BackgroundThe Coronavirus (COVID-19) pandemic resulted in a dramatic increase in the prevalence of anxiety and depression globally. Although the impact on the mental health of young adults was especially strong, its underlying mechanisms remain elusive.Materials and methodsUsing a network approach, the present study investigated the putative pathways between pandemic-related factors and anxiety and depressive symptoms among young adults in South Korea and the U.S. Network analyses were conducted on cross-country data collected during the COVID-19 lockdown period (n = 1,036). Our model included depression symptoms (PHQ-9), generalized anxiety symptoms (GAD-7), and COVID-19-related factors (e.g., COVID-19-related traumatic stress, pandemic concerns, access to medical/mental health services).ResultsThe overall structure of pandemic-to-symptom networks of South Korea and the U.S. were found to be similar. In both countries, COVID-related stress and negative future anticipation (an anxiety symptom) were identified as bridging nodes between pandemic-related factors and psychological distress. In addition, worry-related symptoms (e.g., excessive worry, uncontrollable worry) were identified as key contributors in maintaining the overall pandemic-to-symptom network in both countries.ConclusionThe similar network structures and patterns observed in both countries imply that there may exist a stable relationship between the pandemic and internalizing symptoms above and beyond the sociocultural differences. The current findings provide new insights into the common potential pathway between the pandemic and internalizing symptoms in South Korea and in the U.S. and inform policymakers and mental health professionals of potential intervention targets to alleviate internalizing symptoms.
Stigmatizing attitudes toward mental illness among caregivers of patients with mental disorders in China
Authors: Hao Yuzhu , Wu Qiuxia , Wang Xuyi , Ma Yuejiao , Wang Yunfei , Peng Pu , Wang Xin , Yang Qian , Liu Yueheng , Li Manyun , He Li , Wang Qianjin , Zhou Yanan , Liu Tieqiao , Chen Shubao 
Published: June 2023

ObjectiveThis study aimed to investigate stigmatizing attitudes toward depression, schizophrenia, and general anxiety disorder (GAD) among caregivers of patients with mental disorders in China.MethodsA cross-sectional study was conducted among 607 caregivers in China, using vignettes that described three mental illnesses. Data on the caregivers’ attitudes and other people’s attitudes toward individuals with mental disorders and their willingness to come in contact with people with mental disorders were collected.ResultsIn the three vignettes, caregivers agreed that positive outcomes outnumbered negative outcomes. The top two statements endorsing the stigma were “the person could snap out of the problem” and “people with this problem are dangerous.” In the section for perceived stigma, caregivers in the GAD vignette agreed that most people believed this problem is not a real medical illness, compared to schizophrenia. The rates of the statement endorsing unpredictability were significantly different in the schizophrenia (57.2%) and depression (45.5%) vignette, in comparison to the GAD (45.6%) vignette. For personal stigma, the caregivers tended to avoid people described in the depression vignette more often than in the GAD vignette. The caregivers were most unwilling to let the person described in the vignettes marry into their family, especially in the schizophrenia vignette.ConclusionDespite the stigma and desire for social distance associated with schizophrenia, depression, and GAD, caregivers often expect positive outcomes. Actions should be taken to improve caregivers’ knowledge about mental health and reduce the stigma.
Indigenous mental healthcare and human rights abuses in Nigeria: The role of cultural syntonicity and stigmatization
Authors: Ogunwale Adegboyega , Fadipe Babatunde , Bifarin Oladayo 
Published: June 2023

BackgroundIndigenous mental healthcare using traditional non-western methods termed “unorthodox approaches” has been observed in Nigeria historically. This has been largely due to a cultural preference for spiritual or mystical rather than biomedical formulations of mental disorder. Yet, there have been recent concerns about human rights abuses within such treatment settings as well as their tendency to perpetuate stigmatization.AimThe aim of this review was to examine the cultural framework for indigenous mental healthcare in Nigeria, the role of stigmatization in its utilization and interrogate the issues of human rights abuses within a public mental health context.MethodsThis is a non-systematic narrative review of published literature on mental disorders, mental health service utilization, cultural issues, stigma, and indigenous mental healthcare. Media and advocacy reports related to human rights abuses in indigenous mental health treatment settings were also examined. International conventions on human rights and torture, national criminal legislation, constitutional provisions on fundamental rights and medical ethics guidelines relevant to patient care within the country were examined in order to highlight provisions regarding human rights abuses within the context of care.ResultsIndigenous mental healthcare in Nigeria is culturally syntonic, has a complex interaction with stigmatization and is associated with incidents of human rights abuses especially torture of different variants. Three systemic responses to indigenous mental healthcare in Nigeria include: orthodox dichotomization, interactive dimensionalization, and collaborative shared care. Conclusions: Indigenous mental healthcare is endemic in Nigeria. Orthodox dichotomization is unlikely to produce a meaningful care response. Interactive dimensionalization provides a realistic psychosocial explanation for the utilization of indigenous mental healthcare. Collaborative shared care involving measured collaboration between orthodox mental health practitioners and indigenous mental health systems offers an effective as well as cost-effective intervention strategy. It reduces harmful effects of indigenous mental healthcare including human rights abuses and offers patients a culturally appropriate response to their problems
Examining the diet quality of Canadian adults and the alignment of Canadian front-of-pack labelling regulations with other front-of-pack labelling systems and dietary guidelines
Authors: Lee Jennifer J. , Ahmed Mavra , Julia Chantal , Ng Alena Praneet , Paper Laura , Lou Wendy Y. , L’Abbé Mary R. 
Published: June 2023

IntroductionCanada promulgated mandatory front-of-pack labelling (FOPL) regulations in 2022, requiring pre-packaged foods meeting and/or exceeding recommended thresholds for nutrients-of-concern (i.e., saturated fat, sodium, sugars) to display a “high-in” nutrition symbol. However, there is limited evidence on how Canadian FOPL (CAN-FOPL) regulations compare to other FOPL systems and dietary guidelines. Therefore, the objectives of the study were to examine the diet quality of Canadians using the CAN-FOPL dietary index system and its alignment with other FOPL systems and dietary guidelines.MethodsNationally representative dietary data from the 2015 Canadian Community Health Survey-Nutrition survey (n = 13,495) was assigned dietary index scores that underpin CAN-FOPL, Diabetes Canada Clinical Practice (DCCP) Guidelines, Nutri-score, Dietary Approaches to Stop Hypertension (DASH) and Canada’s Food Guide (Healthy Eating Food Index-2019 [HEFI-2019]). Diet quality was examined by assessing linear trends of nutrient intakes across quintile groups of CAN-FOPL dietary index scores. The alignment of CAN-FOPL dietary index system compared with other dietary index systems, with HEFI as the reference standard, was examined using Pearson’s correlations and к statistics.ResultsThe mean [95% CI] dietary index scores (range: 0–100) for CAN-FOPL, DCCP, Nutri-score, DASH, and HEFI-2019 were 73.0 [72.8, 73.2], 64.2 [64.0, 64.3], 54.9 [54.7, 55.1], 51.7 [51.4, 51.9], and 54.3 [54.1, 54.6], respectively. Moving from the “least healthy” to the “most healthy” quintile in the CAN-FOPL dietary index system, intakes of protein, fiber, vitamin A, vitamin C, and potassium increased, while intakes of energy, saturated fat, total and free sugars, and sodium decreased. CAN-FOPL showed moderate association with DCCP (r = 0.545, p &lt; 0.001), Nutri-score (r = 0.444, p &lt; 0.001),  and HEFI-2019 (r = 0.401, p &lt; 0.001), but poor association with DASH (r = 0.242, p &lt; 0.001). Slight to fair agreement was seen between quintile combinations of CAN-FOPL and all dietary index scores (к = 0.05–0.38).DiscussionOur findings show that CAN-FOPL rates the dietary quality of Canadian adults to be healthier than other systems. The disagreement between CAN-FOPL with other systems suggest a need to provide additional guidance to help Canadians select and consume ‘healthier’ options among foods that would not display a front-of-pack nutrition symbol.
Associations of sport participation with subjective well-being: a study consisting of a sample of Chinese school-attending students
Authors: Liu Tianzhuo , Li Dong , Yang Hongying , Chi Xinli , Yan Jin 
Published: June 2023

PurposePast studies have illustrated that the impact of sports participation on school-attending students’ well-being plays a significant role in the life course of adolescence, which is a golden period for developing sound psychological qualities. However, the relationship between sports participation and subjective well-being is not clear, particularly in Chinese primary and middle schools. Therefore, the current study was aimed to explore the relationship between sports participation and subjective well-being in elementary and middle schools in China.MethodAll involved children and adolescents were asked to conduct a self-report of their sociodemographic factors (e.g., sex, grade, and age), independence, and outcomes. The survey involved a two-stage sampling design (district school). Besides, in order to examine the relationship between participation in sports and subjective well-being, a self-report questionnaire was used. Logistic regression with 95% confidence interval and odds ratios (ORs), was conducted to investigate the relationship between sports participation and subjective well-being.ResultsA total of 67,281 participants in total provided complete data for the final analysis of the current study. The percentage of boys and girls was 51.9% and 48.1%, namely. The current study found that compared with children who never participate in sports, those children who participated sports in 1–3 times a month, 1–2 times a week, and 3 times a week and above were more likely to enjoy better well-being. Compared with children who never participate in sports, those children who in every grade participated sports in 1–3 times a month, 1–2 times a week, and 3 times a week and above were more likely to achieve better well-being.ConclusionOur current study offered the positive effect of sports participation on children and adolescents’ subjective well-being. For schools and governments, further studies are needed to focus on sports participation and positive feedback on adolescents’ mental health, and the three parties’ endeavors should be intervened.
Benzoxazine/amine-based polymer networks featuring stress-relaxation and reprocessability
Authors: Pursche Lea , Wolf Adrian , Urbaniak Tobias , Koschek Katharina 
Published: June 2023

Amines as additives in benzoxazines are known to beneficially affect the polymerization temperature and furthermore to allow for partially reversible reaction steps yielding however a non-dynamic polybenzoxazine network. This contribution proves that the polymerization behavior of a two-component polymer of the polyetheramine Jeffamine® ED-600 and a bisphenol-A-based benzoxazine features stress-relaxation and reprocessability usually known from vitrimers. With the aim to gain a deeper understanding of the material properties of this system and the corresponding polymer structure, the reaction mechanism of a monofunctional benzoxazine and monoamine model system was studied revealing at first primary, and then secondary amine induced opening of oxazine rings, leading at first to linear polymer chains and then to covalently crosslinked networks. Both consist of repeated phenolic benzoxazine/amine motifs with permanently incorporated polyetheramine chains that do not impact the mechanical properties, compared to pure polybenzoxazine. Thermal, spectroscopic, and extraction analyses show that the addition of Jeffamine® reduces the polymerization temperature and introduces material properties such as reprocessability at the same time. Stress-relaxation measurements support the assumption that the reprocessability point to vitrimer-like molecular processes. The material shows rapid stress-relaxation of up to 11 s, a corresponding bond-exchange activation energy of 146 kJ/mol, and a topology freezing temperature of 97°C.
Learners' perspectives on the prevention and management of pregnancy school dropout: a Namibian case
Authors: Shiningayamwe Dorthea Nanghali Etuwete 
Published: June 2023

BackgroundNamibia has had a problem with the high rate of learner pregnancy and school dropout for many years, despite implementing education sector policy on preventing and managing learner pregnancy. This study aimed to explore the perspectives of school-going learners in Namibia regarding the factors contributing to learner pregnancy and school dropout and propose interventions to address them.MethodsThis qualitative research employed interpretative phenomenological data analysis, with seventeen individual and ten focus group interviews involving 63 school-going learners: adolescents, pregnant learners, and learner parents.Results and findingsEmerging factors driving learner pregnancy and school dropout in rural Namibian schools include older men and cattle herders preying on young girls, long school holidays, the proximity of alcohol sites near school premises, and age restrictions after maternity leave. The learners proposed interventions include prohibiting learners' access to alcohol establishments, strengthening collaborations between stakeholders, sensitizing girls and cattle herders, and ongoing advocacy efforts. Findings indicate community hostility, lack of infrastructure and resources, and learner unawareness. It is essential to mitigate community hostility and raise awareness. Incorporating the perspectives of learners in policy interventions remains crucial for effectively addressing the high rates of learner pregnancy and school dropout in rural Namibian schools.
PELATIHAN PEMBUATAN JAHE INSTAN SEBAGAI UPAYA MENINGKATKAN PENDAPATAN KELOMPOK WANITA TANI (KWT) DI KELURAHAN KARANGSARI KOTA BLITAR
Authors: Aditya Luhur 
Published: June 2023

RINGKASAN
Di Indonesia sering dijumpai minuman berlabel minumansehat yang biasa dikonsumsi oleh masyarakat, salah satunya yaitu minuman jahe.. Hanya saja proses pembuatan minuman serbuk jahe inilah yang memakan waktu dan tenaga yang cukup banyak sehingga tidak bisa disalahkan apalagi posisi terlaris digantikan oleh minuman yang siap minum dengan varian rasa kekinian. Maka dari itu, untuk mengatasi persoalan tersebut dilakukan sebuah inovasi baru dengan melahirkan minuman herbal instan dengan menggunakan bahan utama jahe lokal dengan metode pelatihan kepada masyarakat.
Rumusan masalah yang diambil adalah bagaimana memanfaatkan jahe supaya bernilai jual tinnggi. Metode pelaksanaan pelaksanaan pengabdian ini adalah metode ceramah atau presentasi dan metode praktek yang dilaksanakan pada tanggal 5 September 2021 di Kelurahan karangsari , Kec Sukorejo Kota Blitar.
Peserta kegiatan pelatihan pembuatan jahe instan adalah Kelompok Wanita Tani di Kelurahan Karangsari Kota Blitar yang berjumlah 15 orang.. Adapun bahan yang harus disiapkan dalam pembuatan jahe instan adalah jahe 0,5 kg yang sudah dibersihkan,gula 1 kg dan rempah rempah. Sedangkan proses pembuataanya adalah ambil sari jahe dengan mencapur air sebanyak 0,5 liter,sari jahe yang sudah diambil kemudian dipanaskan dan masukkan gula beserta rempah rempah setelah itu tunggu sampai gula mengkristal sambil diaduk.Proses selanjutanya adalah pengemasan dan pemasaran. Dengan adanya pelatihan ini Kelompok Wanita Tani mampu membuat dan memasarkana produk jahe instan di masyarakat luas
Pengaruh Waktu Perendaman Air Laut Terhadap Kuat Tekan Beton Menggunakan Semen Kupang dengan Bahan Tambah Fly Ash
Authors: Siba Maria Magdalena , Sina Dantje A. , Rizal H.A Hidayat 
Published: June 2023

Bangunan yang terdapat di daerah sekitaran laut seperti pelabuhan, pemecah ombak dan jembatan perlu dilakukan perawatan beton (curing) terhadap air laut. Air laut sendiri memiliki kandungan garam sebanyak 3,5% yang dapat menggrogoti kekuatan dan keawetan beton. Hal ini di sebabkan kandungan Clorida (Cl) yang begitu tinggi pada air laut merupakan garam yang bersifat agresif terhadap bahan lain termasuk beton. Maka diberikan bahan penambahan fly ash pada beton bangunan air laut yang berfungsi sebagai penutup rongga­-rongga pada beton dan dapat meningkatkan kekuatan beton. Penelitian ini bertujuan untuk menganalisis kekuatan tekan beton dan pengaruh umur perendaman terhadap merek Semen Kupang dengan penambahan variasi fly ash sebanyak 4 sampel dengan komposisi berbeda yaitu 0%, 20%, 40% dan 60% serta menggunakan variasi perendaman dalam air laut selama 28 hari, 60 hari, dan 90 hari. Perancangan campuran beton ini menggunakan SK SNI 03-2834-2000 dengan mutu rencana 25 MPa. Hasil pengujian kuat tekan beton yang berumur 28 hari, dengan komposisi fly ash 0%, 20%, 40% dan 60% yakni : 21,57 MPa, 21,99 MPa, 20,19 MPa dan 19,53 MPa. Kuat tekan beton yang berumur 60 hari dengan komposisi fly ash 0%, 20%, 40% dan 60% yakni : 25,67 MPa, 25,86 MPa, 20,76 MPa dan 20,19 MPa. kuat tekan beton yang berumur 90 hari dengan komposisi fly ash 0%, 20%, 40% dan 60% yakni : 21,33 MPa, 20,51 MPa, 20,38 MPa dan 19,63 MPa. Berdasarkan hasil pengujian, nilai kuat tekan tertinggi dan terendah adalah pada persentase fly ash 20% pada umur 60 hari dan persentase fly ash 60% pada umur 28 hari.
Pengembangan RAB dan Analisa Harga Satuan Pekerjaan Jaringan Irigasi Berbasis Android
Authors: Besituba Maria Fransiska , Simatupang Partogi H. , Rizal H.A Hidayat 
Published: June 2023

Penelitian ini dilakukan untuk menghasilkan sebuah aplikasi android untuk perhitungan RAB dan Analisa Harga Satuan Pekerjaan Jaringan Irigasi Berbasis Android. Perhitungan RAB dan Analisa Harga Satuan Pekerjaan Jaringan Irigasi berbasis android menggunakan Android Studio dengan Java sebagai bahasa pemograman. Dalam penelitian ini menggunakan metode waterfall. Hasil dari penelitian ini yaitu aplikasi perhitungan RAB dan AHSP Jaringan Irigasi yang digunakan di platform android dan output berupa file PDF (AHSP, RAB dan Rekapitulasi). Aplikasi ini memuat beberapa menu yaitu Splash Screen, Cover, Login, Register, Informasi Proyek, Analisa Harga Satuan Pekerjaan, Rencana Anggaran Biaya, Rekapitulasi dan Ouput. Aplikasi ini menggunakan Minimum SDK (API:5.0 (Lolipop)) sehingga hanya dapat digunakan oleh user yang memiliki Versi Android 5.0 keatas. Dan aplikasi digunakan secara online (membutuhkan internet).
Angkatan Kerja dan Faktor yang Mempengaruhi Pengangguran
Authors: Adriyanto Adriyanto , Prasetyo Didi , Khodijah Rosmiyati 
Published: June 2023

Penulisan ini merupakan kajian jumlah angkatan kerja dan pengangguran yang bertujuan untuk mengetahui hubungan ketenagakerjaan serta faktor-faktor yang mempengaruhi tingkat pengangguran. Metode yang digunakan adalah deskriptif kualitatif. Hasil menunjukan bahwa secara potensial Indonesia mempunyai kemampuan sumber daya manusia yang cukup untuk dikembangkan dan di lain pihak dihadapkan dengan berbagai kendala khususnya di bidang ketenagakerjaan. Perkembangan jumlah angkatan kerja yang pesat namun tidak diikuti tersedianya lapangan pekerjaan yang cukup. Kendala lainnya yakni penawaran tenaga kerja yang tidak sesuai dengan kebutuhan atau kualifikasi tertentu yang dituntut oleh pasar tenaga kerja meskipun permintaan sangat tinggi sehingga menimbulkan angka pengangguran yang semakin tinggi. Upah Minimum juga sangat berpengaruh terhadap tingkat pengangguran, besar kecilnya upah yang ditetapkan oleh pemerintah sangat berpengaruh terhadap tingkat pengangguran yang ada. Setiap kenaikan tingkat upah akan diikuti oleh turunnya tenaga kerja yang diminta, yang berarti akan menyebabkan meningkatnya pengangguran. Diharapkan Pemerintah berkomitmen untuk memperbanyak pembukaan lapangan kerja baru yang dapat menyerap tenaga kerja yang banyak untuk mengurangi angka pengangguran yang berimplikasi pada pengurangan angka kemiskinan.