bluuebunny/crossref_metadata_2025_split huggingface dataset:
Involvement in treatment decision-making and self-reported efficacy among patients with advanced colorectal cancer: a nationwide multi-center cross-sectional study
Authors: Gu Xiao-Fen , Xu Hui-Fang , Liu Yin , Li Li , Yu Yan-Qin , Zhang Xi , Wang Xiao-Hui , Wang Wen-Jun , Du Ling-Bin , Duan Shuang-Xia , Cao He-Lu , Zhao Yu-Qian , Liu Yun-Yong , Huang Juan-Xiu , Cao Ji , Fan Yan-Ping , Feng Chang-Yan , Lian Xue-Mei , Du Jing-Chang , Rezhake Remila , Ma Li , Qiao You-Lin 
Published: July 2023

IntroductionThis cross-sectional study evaluated the involvement of patients with advanced colorectal cancer (CRC) in treatment decision-making, assessed the treatment efficacy according to their self-reports, and investigated the influencing factors.MethodsPatients with advanced CRC were recruited from 19 hospitals from March 2020 to March 2021 by a multi-stage multi-level sampling method. A self-designed questionnaire was used to collect demographic and clinical characteristics, involvement of CRC patients in treatment decision-making, treatment methods, and self-reported efficacy. Univariate and unordered multinomial logistic regression analyses were used to evaluate the factors affecting the involvement in treatment decision-making and self-reported efficacy.ResultsWe enrolled 4533 patients with advanced CRC. The average age at diagnosis was 58.7 ± 11.8 years. For the treatment method, 32.4% of patients received surgery combined with chemotherapy, 13.1% of patients underwent surgery combined with chemotherapy and targeted therapy, and 9.7% of patients were treated with surgery alone. For treatment decision-making, 7.0% of patients were solely responsible for decision-making, 47.0% of patients shared treatment decision-making with family members, 19.0% of patients had family members solely responsible for treatment decision-making, and 27.0% of patients had their physicians solely responsible for treatment decision-making. Gender, age, education level, family income, marital status, treatment cost, hospital type, and treatment method were significantly associated with the involvement of patients in treatment decision-making. A total of 3824 patients submitted self-reported efficacy evaluations during treatment. The percentage of patients with good self-reported efficacy was 76.5% (for patients treated for the first time), 61.7% (for patients treated for the second time), and 43.2% (for patients treated after recurrence and metastasis), respectively. Occupation, education level, average annual family income, place of residence, time since cancer diagnosis, hospital type, clinical stage, targeted therapy, and involvement in treatment decision-making were the main influencing factors of self-reported efficacy of treatment.DiscussionConclusively, CRC patients are not highly dominant in treatment decision-making and more likely to make treatment decisions with their family and doctors. Timely and effective communication between doctors and patients can bolster patient involvement in treatment decision-making.
Intradural fat graft packing is not indispensable in preventing postoperative cerebrospinal fluid leakage in endoscopic endonasal pituitary adenoma surgeries
Authors: Wang Xiefeng , Wang Binbin , Cheng Gang , You Yongping , Tao Chao 
Published: July 2023

ObjectivesIs intradural fat graft packing indispensable in preventing postoperative cerebrospinal fluid leakage in endoscopic endonasal pituitary adenoma surgeries? This study aimed to review the methods and outcomes of our graded sellar floor reconstruction strategy without fat graft packing in endoscopic endonasal pituitary adenoma surgeries.MethodsFrom March 2018 to December 2022, 200 patients underwent endoscopic endonasal pituitary adenoma resection by a single author in our institute. We applied different graded skull base reconstruction strategies in different periods. Intradural fat graft packing was used to reconstruct the skull base in the early period, from March 2018 to June 2019, but fat graft was not used in the late period, from January 2020 to December 2022. The effect of these different graded skull base reconstruction strategies and whether intradural fat graft packing is necessary were evaluated by observing the incidence of postoperative cerebrospinal fluid leak.ResultsIn the early period, fat graft was used to reconstruct skull base when the intraoperative cerebrospinal fluid (CSF) leakage existed. There were two patients who suffered from postoperative cerebrospinal fluid leak in this group. In the late period, fat graft was not used to reconstruct the skull base, and no patient suffered from postoperative cerebrospinal fluid leakage in this group.ConclusionsIntradural fat graft packing is unnecessary in the endoscopic endonasal pituitary adenoma resection. The outcome of our graded sellar floor reconstruction strategy is satisfactory.
Modeling stand biomass for Moso bamboo forests in Eastern China
Authors: Zhou Xiao , Yin Zixu , Zhou Yang , Zhang Xuan , Sharma Ram P. , Guan Fengying , Fan Shaohui 
Published: July 2023

Stand biomass models can be used as basic decision-making tools in forest management planning. The Moso bamboo (Phyllostachys pubescens) forest, a major forest system in tropical and subtropical regions, represents a substantial carbon sink, slowing down the rise of greenhouse gas concentrations in the earth’s atmosphere. Bamboo stand biomass models are important for the assessment of the contribution of carbon to the terrestrial ecosystem. We constructed a stand biomass model for Moso bamboo using destructively sampled data from 45 sample plots that were located across the Yixing state-owned farm in Jiangsu Province, China. Among several bamboo stand variables used as predictors in the stand biomass models, mean diameter at breast height (MDBH), mean height (MH), and canopy density (CD) of bamboo contributed significantly to the model. To increase the model’s accuracy, we introduced the effects of bamboo forest block as a random effect into the model through mixed-effects modeling. The mixed-effects model described a large part of stand biomass variation (R2 = 0.6987), significantly higher than that of the ordinary least squares regression model (R2 = 0.5748). Our results show an increased bamboo stand biomass with increasing MH and CD, confirming our model’s biological logic. The proposed stand biomass model may have important management implications; for example, it can be combined with other bamboo models to estimate bamboo canopy biomass, carbon sequestration, and bamboo biomass at different growth stages.
Close-canopy lighting, an effective energy-saving strategy for overhead sole-source LED lighting in indoor farming
Authors: Sheibani Fatemeh , Bourget Mike , Morrow Robert C. , Mitchell Cary A. 
Published: July 2023

Significant advancement has been achieved improving electrical efficiency and photon efficacy of light-emitting diodes (LEDs) as the sole source of crop lighting for indoor farming. However, a significant portion of highly efficient photon emissions from improved LEDs is wasted by natural beam spread beyond cropping areas. Additional attention is needed to enhance crop-canopy photon capture efficiency (CCPCE), the fraction of photons emitted from LEDs actually incident upon foliar canopies. We postulate that by taking advantage of unique physical properties of LEDs, such as low radiant heat at photon-emitting surfaces and dimmable photon emissions, reduced vertical separation distance between light-emitting surfaces and light-receiving surfaces will enhance CCPCE by capturing more obliquely emitted photons that otherwise are lost. This “close-canopy-lighting” (CCL) strategy was tested in two ways: For an energy-efficiency strategy, LEDs were dimmed to the same photosynthetic photon flux density (PPFD) of 160 µmol m-2 s-1 at 45-, 35-, 25-, and 15-cm separation distances between lamps and cropping surfaces. For a yield-enhancement strategy, dimming was not applied, so higher PPFDs occurred at each separation distance closer than 45 cm for the same input energy. In the first strategy, the same biomass of lettuce (Lactuca sativa L. cv. Rouxai) was produced at each separation distance, while significantly lower energy was expended for lighting at each closer separation. Significantly higher biomass was produced at reduced separation distances with the same energy expenditure by LEDs using the yield-enhancement strategy. For both strategies, energy-utilization efficiency (g/kWh) doubled at the closest separation distance of 15 cm compared to the standard 45-cm separation distance. Even higher energy-utilization efficiency was achieved at a 25-cm separation distance when growth compartments were enclosed with a reflective curtain in the yield-enhancement strategy. Our findings suggest that CCL is a highly effective energy-saving strategy for overhead LED lighting, suggesting the need for innovative next-generation re-design of height-adjustable LED mounts and controlled air movement between tiers of indoor farms utilizing CCL.
Adult’s veracity judgments of Black and White children’s statements: the role of perceiver and target race and prejudice-related concerns
Authors: Zanette Sarah , Hagi Hussein Siham , Malloy Lindsay C. 
Published: July 2023

IntroductionSeldom has work investigated systematic biases in adults’ truth and lie judgments of children’s reports. Research demonstrates that adults tend to exhibit a bias toward believing a child is telling the truth, but it is unknown whether this truth bias applies equally to all children. Given the pervasiveness of racial prejudice and anti-Black racism in the United States, the current study examined whether adults are more or less likely to believe a child is telling the truth based on the race of the child (Black or White), the race of the adult perceiver (Black or White), and the perceiver’s concerns regarding appearing unprejudiced.MethodsUsing an online data-collection platform, 593 Black and White American adults reviewed fictitious vignettes in which a child denied committing a misbehavior at school (e.g., damaging a laptop). The race of the child in the vignette was manipulated using an AI-generated photo of either a Black child or a White child. After reading each story, participants provided a categorical veracity judgment by indicating whether they believed the child in the story was lying (and therefore committed the misdeed) or telling the truth (and was innocent), as well as rated how honest or deceptive the child was being on a continuous scale. Participants also completed questionnaires assessing their internal (personal) and external (normative) motivations to respond in non-prejudiced ways.Results and discussionResults indicated that systematic racial biases occur in adults’ veracity judgments of children’s statements. Both Black and White participants exhibited a truth bias in their veracity judgments of Black children, but not when evaluating the deceptiveness of White children. Consistent with the prejudice-related concerns hypothesis, the observed truth bias toward Black children was moderated by individual differences in participants’ desire to respond without prejudice and whether those motivations stem from external or internal sources. The current findings present novel evidence regarding racial bias and prejudice-related concerns as potential barriers to making veracity judgments of children’s statements and, ultimately, successful lie detection.
The effects of the natural visual-aural attributes of urban green spaces on human behavior and emotional response
Authors: Yin Yuting , Shao Yuhan , Meng Yu , Hao Yiying 
Published: July 2023

IntroductionNature-based solutions (NBS) have been used to address a wide range of urban environmental challenges, an important aspect of which is to improve human health and well-being. However, most relevant studies focus either on what positive influences nature may have or on identifying what natural factors can have these benefits. Few have investigated the sensory composition of nature and the effects of nature in different sensory aspects on human health. Setting out from the multi-sensory perspective, this study aims to explore human behavior and emotional response from visual and aural contact with urban nature.MethodsTaking Jiangjia Art Garden in Chengdu as an example, natural attributes such as its visual (landscape) and aural (sound source) characteristics as well as people’s activities (behavioral responses) were measured by on-site mapping analysis. This was done while a questionnaire-based survey was conducted to investigate people’s emotional responses regarding their overall satisfaction, pleasantness, calm, and agreeableness.ResultsThe results indicated that nature-dominated visual landscapes such as grassland, waterscapes, and woodlands, as well as natural sounds such as bird sounds, chirp sounds, and wind sounds were found to be positively correlated to the vitality of activities and people’s emotional status. Regarding behavioral responses, it was shown that grasslands and woodlands are more likely to be attractive places for recreation, and the vitality measured became extremely high when these two were paired with lakes. As for the emotional responses, people’s perceived overall satisfaction, calm, and agreeableness were equally reflected in their behavioral patterns, suggesting a strong relationship with natural factors.DiscussionThe research findings were visually presented in behavior and emotional maps to provide direct cues of informing the future design of high-quality urban green spaces and promoting the application of aural-visual experience in the design of urban nature areas.
Staff training in physical interventions: a literature review
Authors: McDonnell Andrew A. , O’Shea Marion C. , Bews-Pugh Stephanie J. , McAulliffe Hannah , Deveau Roy 
Published: July 2023

BackgroundRestrictive practices are used frequently by frontline staff in a variety of care contexts, including psychiatric hospitals, children’s services, and support services for older adults and individuals with intellectual and developmental disabilities. Physical restraint has been associated with emotional harm, physical injury to staff and consumers, and has even resulted in death of individuals in care environments. Various interventions have been implemented within care settings with the intention of reducing instances of restraint. One of the most common interventions is staff training that includes some physical intervention skills to support staff to manage crisis situations. Despite physical intervention training being used widely in care services, there is little evidence to support the effectiveness and application of physical interventions. This review will examine the literature regarding outcomes of staff training in physical interventions across care sectors.MethodA systematic search was conducted following PRISMA guidelines using Cochrane Database, Medline EBSCO, Medline OVID, PsychINFO, and the Web of Science. Main search keywords were staff training, physical intervention, physical restraint. The MMAT was utilised to provide an analytical framework for the included studies.Results and discussionSeventeen articles have been included in this literature review. The included studies take place in a range of care settings and comprise a wide range of outcomes and designs. The training programmes examined vary widely in their duration, course content, teaching methods, and extent to which physical skills are taught. Studies were of relatively poor quality. Many descriptions of training programmes did not clearly operationalise the knowledge and skills taught to staff. As such, it is difficult to compare course content across the studies. Few papers described physical interventions in sufficient detail. This review demonstrates that, although staff training is a ‘first response’ to managing health and safety in care settings, there is very little evidence to suggest that staff training in physical intervention skills leads to meaningful outcomes.
The mental health impact of the ongoing Russian-Ukrainian war 6 months after the Russian invasion of Ukraine
Authors: Kurapov Anton , Kalaitzaki Argyroula , Keller Vladyslava , Danyliuk Ivan , Kowatsch Tobias 
Published: July 2023

ObjectiveThis study aimed to investigate the impact of the ongoing war in Ukraine on the mental health of Ukrainians, focusing on war-induced trauma, disturbances in self-organization, post-traumatic stress disorder, complex post-traumatic stress disorder, anxiety, stress, and depression.MethodsData was collected from 703 participants 6 months after the full-scale invasion using a structured questionnaire that included sections on socio-demographic information, trauma-related issues, and mental health.ResultsThe study found that levels of depression and anxiety were relatively low, while stress and resilience were relatively high among Ukrainians affected by the war. However, those who were directly exposed to military actions, physical violence, or severe human suffering had higher levels of anxiety, depression, stress, and trauma-related symptoms. The war experience varied by gender, age, and living conditions. Participants who stayed in Ukraine had significantly lower anxiety, depression, stress, and trauma-related symptoms compared to those who moved abroad. Anxiety, depression, stress, low resilience, and subjective satisfaction with living conditions were predictors of trauma-related symptoms, including PTSD and CPTSD.ConclusionThese findings suggest that the mental health of Ukrainians affected by the war was impacted differently depending on their level of exposure to violence and their living conditions. Additionally, the study identified several predictors of trauma-related symptoms, including PTSD and CPTSD, such as anxiety, depression, stress, low resilience, and subjective satisfaction with living conditions. Future research should further explore the relationships between trauma type, sociodemographic factors, resilience, stress, anxiety, depression, and PTSD and CPTSD to better understand the mediation mechanisms underlying these relationships and to develop effective interventions to support the well-being of Ukrainians during this difficult time.
The effect of paired associative stimulation with a high-intensity cortical component and a high-frequency peripheral component on heart rate and heart rate variability in healthy subjects
Authors: Haakana P. , Holopainen K. , Nätkynmäki A. , Kirveskari E. , Tarvainen M. P. , Shulga A. 
Published: July 2023

ObjectiveA novel protocol for paired associative stimulation (PAS), called high PAS, consists of high-intensity transcranial magnetic stimulation (TMS) and high-frequency peripheral nerve stimulation (PNS). High PAS was developed for spinal cord injury rehabilitation and targets plastic changes in stimulated pathways in the corticospinal tract, which improves motor function. As therapy interventions can last many weeks, it is important to fully understand the effects of high PAS, including its effect on the cardiovascular system. Heart rate variability (HRV) has been used to measure changes in both sympathetic and parasympathetic systems.MethodsWe used short-term HRV measurements to evaluate the effects of one 20-min session of high PAS on 17 healthy individuals. HRV was recorded for 5 min before (PRE), during (STIM), immediately after (POST), 30 min after (POST30), and 60 min after (POST60) the stimulation. Five participants repeated the HRV setup with sham stimulation.ResultsA significant decrease in low-frequency (LF) power (n.u.) (p = 0.002), low-frequency to high-frequency (HF) ratio (p = 0.017), in Poincaré plot [the standard deviation of RR intervals perpendicular to (SD1) and along (SD2) the line of identity SD2/SD1 ratio p &lt; 0.001], and an increase in HF power (n.u.) (p = 0.002) were observed between PRE and STIM conditions; these changes were fully reversible immediately after stimulation. PRE to POST by 3% (p = 0.015) and continued to decline until POST60 by 5% (p = 0.011). LF power (ms2) (p = 0.017) and SD2 (p = 0.015) decreased from PRE to STIM and increased from PRE to POST (p = 0.025 and p = 0.017, respectively). The results from sham PAS exhibited a trend similar to active high-PAS stimulation.ConclusionsHigh PAS does not have sustained effects during 60-min follow-up on cardiovascular functions, as measured by HRV. None of the short-term results indicates activation of the sympathetic nervous system in healthy individuals. Observed changes in HRV indicate higher parasympathetic activity during stimulation, which is reversible, and is plausibly explained by the fact that the participants spend 20 min without moving, talking, or using phones while being stimulated.
Complexity leadership in action: a team science case study
Authors: Jiang Gemma , Boghrat Diane , Grabmeier Jenny , Cross Jennifer E. 
Published: July 2023

IntroductionThis team science case study explores one cross-disciplinary science institute's change process for redesigning a weekly research coordination meeting. The narrative arc follows four stages of the adaptive process in complex adaptive systems: disequilibrium, amplification, emergence, and new order.MethodsThis case study takes an interpretative, participatory approach, where the objective is to understand the phenomena within the social context and deepen understanding of how the process unfolds over time and in context. Multiple data sources were collected and analyzed.ResultsA new adaptive order for the weekly research coordination meeting was established. The mechanism for the success of the change initiative was best explained by complexity leadership theory.DiscussionImplications for team science practice include generating momentum for change, re-examining power dynamics, defining critical teaming professional roles, building multiple pathways towards team capacity development, and holding adaptive spaces. Promising areas for further exploration are also presented.