bluuebunny/crossref_metadata_2025_split huggingface dataset:
Is medical leadership associated with better hospital management? Evidence from a structural analysis of hospitals in Germany
Authors: Zuchowski Matthias , Göller Aydan , Henzler Dennis 
Published: February 2023

Background/Aims Excellent hospital leadership is essential for the delivery of high-quality care and financial viability of healthcare services. In Germany, the role of chief executive officer of a hospital can be held by an individual with a medical or non-medical background. This study explored the potential differences between the structural and financial parameters of hospitals, depending on the background of their chairperson or chief executive. Methods Publicly available data on financial and structural parameters for 178 hospitals in Germany from the years 2015, 2016 and 2017 were collected and mean values were calculated for all variables. Nearest-neighbour matching was performed to allow comparisons to be made between hospitals with medical and non-medical leadership. Results While the results showed no significant differences between leadership types in terms of financial results, the values for structural characteristics, especially staffing levels, number of inpatient cases and case mix index values, were significantly higher for hospitals with medical leadership versus non-medical leadership. Conclusions Hospital leadership structure is a crucial factor in organisational performance. The presence of a person with a medical background at the top level of hospital management can have a beneficial impact on the delivery of healthcare.
A Tour of $p$-Permutation Modules and Related Classes of Modules
Authors: Lassueur Caroline 
Published: February 2023

AbstractThis survey provides an overview of numerous results on $p$
p
-permutation modules and the closely related classes of endo-trivial, endo-permutation and endo-$p$
p
-permutation modules. These classes of modules play an important role in the representation theory of finite groups. For example, they are important building blocks used to understand and parametrise several kinds of categorical equivalences between blocks of finite group algebras. For this reason, there has been, since the late 1990’s, much interest in classifying such modules. The aim of this manuscript is to review classical results as well as all the major recent advances in the area. The first part of this survey serves as an introduction to the topic for non-experts in modular representation theory of finite groups, outlining proof ideas of the most important results at the foundations of the theory. Simultaneously, the connections between the aforementioned classes of modules are emphasised. In this respect, results, which are dispersed in the literature, are brought together, and emphasis is put on common properties and the role played by the $p$
p
-permutation modules throughout the theory. Finally, in the last part of the manuscript, lifting results from positive characteristic to characteristic zero are collected and their proofs sketched.
Maternal serum vitamin D level in early pregnancy and risk for preeclampsia: A case-control study in Southern Sweden
Authors: Malm Gunilla , Lindh Christian H. , Hansson Stefan R. , Källén Karin , Malm Johan , Rylander Lars 
Published: February 2023

Background
Preeclampsia is considered a major cause of maternal and fetal morbidity and mortality. The aim of the present case-control study in Sweden was to assess the hypothesized association between low serum vitamin D concentrations in early pregnancy and the risk of developing preeclampsia since vitamin D may play a role in early placental development.

Methods
The study included 296 women diagnosed with preeclampsia (cases) and 580 healthy pregnant women (controls). Serum samples were obtained from a biobank of samples collected in early pregnancy including almost all pregnancies in Southern Sweden. Concentrations of 25-hydroxyvitamin D3 (vitamin D) were analyzed using liquid chromatography-tandem-mass-spectrometry (LC/MS/MS). The cases were divided into two categories: i) infants were born before gestational week 34 (early onset) and/or born small-for-gestational age (SGA)(n = 51), ii) and others defined as late onset (n = 245). Vitamin D concentrations were analyzed both as a continuous and a categorized variable.

Results
When all preeclampsia cases were included in the analyses no consistent patterns were observed. However, the median serum concentrations of vitamin D were significantly lower among the cases who were early onset and/or were born SGA (median 39.2 nmol/L, range 1.2–93.6) as compared to the controls (49.0 nmol/L, 0.1–219; p = 0.01). In addition, high concentrations were statistically significantly associated with a decreased risk of preeclampsia (>66.9 vs ≤30.1 nmol/L; crude OR 0.39, 95% CI 0.16–0.96). When potential confounders were included in the models the associations were even more pronounced.

Conclusions
Our results support the hypothesis that vitamin D deficiency is a risk factor for preeclampsia, but only in preeclampsia cases who were early-onset and/or were born SGA. Preeclampsia is not a homogenous condition and more studies are needed before vitamin D supplementation during pregnancy can be recommended.
Effect of intraoperative systemic magnesium sulphate on postoperative Richmond Agitation-Sedation Scale score after endovascular repair of aortic aneurysm under general anesthesia: A double-blind, randomized, controlled trial
Authors: Kanamori Haruna , Fujita Yoshihito , Joko Rina , Ishihara Ryota , Fujiwara Yoshihiro 
Published: February 2023

Intraoperative magnesium has the effect of reducing postoperative opiate requirement, pain, and agitation. However, its effect on postoperative sedation and delirium is unclear. This study investigated the effect of magnesium on the postoperative Richmond Agitation-Sedation Scale (RASS) score and delirium following endovascular repair of aortic aneurysm (EVAR). Sixty-three consecutive patients diagnosed with abdominal (45) and thoracic (18) aortic aneurysm who underwent EVAR under general anesthesia were eligible. Patients were allocated randomly to the magnesium group (infusion of 30 mg•kg−1 magnesium in the first hour followed by 10 mg•kg−1 h−1 until the end of surgical procedure, targeting total 60 mg•kg−1) or the control group (0.9% saline at the same volume and rate). The primary outcome was whether magnesium had an effect on RASS score of patients at postoperative ICU admission. Secondary outcomes were effects on RASS score, numerical rating scale (NRS) score, Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) until 24 h after postoperative ICU transfer, and length of ICU stay. At postoperative ICU admission, magnesium had no significant effect on the RASS score (0[−0.5 to 0] vs 0[0 to 0]; P = 0.114), but at 1 h the NRS score was statistically different, 2[0 to 4] vs 4[0 to 5] (P = 0.0406). However, other data (RASS score, NRS score, CAM-ICU and length of ICU stay) did not show a significant difference. Our results did not show that intraoperative magnesium of target total 60 mg•kg−1 affected postoperative RASS score for undergoing EVAR.
Trial registration: The current study was registered according to WHO and ICMJE standards on 4 July 2018, under registration number the Japan Registry of Clinical Trials, iRCTs041190013.
Effects of personality traits on bus drivers’ prosocial and aggressive behaviours: The moderated mediating role of risk perception and gender
Authors: Wang Sihui , Zhang Youran , Sun Long 
Published: February 2023

Purpose
The present study aimed to examine the effects of personality traits on bus drivers’ self-reported prosocial and aggressive driving behaviours as well as the mediating role of risk perception and the moderating role of gender in this relationship.

Methods
Three hundred and ten bus drivers who were 24–57 years old agreed to participate in this study. The measures utilized included personality scales, a risk perception scale and a prosocial and aggressive driving behaviour scale.

Results
A moderated mediation model was established. The effects of normlessness/anger on prosocial driving behaviour are mediated by risk perception. Risk perception has a stronger promoting effect on the prosocial driving behaviour of male drivers (b = 0.358, p < 0.01) than it does on that of female drivers (b = 0.072, p > 0.05). The effects of normlessness/anger on the aggressive driving behaviour of both male and female drivers are also mediated by risk perception. Moreover, gender plays a moderating role in the influences of personality and risk perception on aggressive driving behaviour. Drivers with higher risk perception and less anger exhibit less aggressive driving behaviour, and this effect is clearer among male drivers than it is among female drivers.

Conclusion
The present study revealed the relationship between personality traits and the prosocial and aggressive driving behaviours of bus drivers through a moderated mediation model. These findings highlight the importance of taking risk perception and gender into consideration when examining the effects of personality on bus drivers’ driving behaviours.
Spatial-temporal analysis of pulmonary tuberculosis in Hubei Province, China, 2011–2021
Authors: Zhang Yu , Ye Jianjun , Hou Shuangyi , Lu Xingxing , Yang Chengfeng , Pi Qi , Zhang Mengxian , Liu Xun , Da Qin , Zhou Liping 
Published: February 2023

Background
Pulmonary tuberculosis (PTB) is an infectious disease of major public health problem, China is one of the PTB high burden counties in the word. Hubei is one of the provinces having the highest notification rate of tuberculosis in China. This study analyzed the temporal and spatial distribution characteristics of PTB in Hubei province for targeted intervention on TB epidemics.

Methods
The data on PTB cases were extracted from the National Tuberculosis Information Management System correspond to population in 103 counties of Hubei Province from 2011 to 2021. The effect of PTB control was measured by variation trend of bacteriologically confirmed PTB notification rate and total PTB notification rate. Time series, spatial autonomic correlation and spatial-temporal scanning methods were used to identify the temporal trends and spatial patterns at county level of Hubei.

Results
A total of 436,955 cases were included in this study. The total PTB notification rate decreased significantly from 81.66 per 100,000 population in 2011 to 52.25 per 100,000 population in 2021. The peak of PTB notification occurred in late spring and early summer annually. This disease was spatially clustering with Global Moran’s I values ranged from 0.34 to 0.63 (P< 0.01). Local spatial autocorrelation analysis indicated that the hot spots are mainly distributed in the southwest and southeast of Hubei Province. Using the SaTScan 10.0.2 software, results from the staged spatial-temporal analysis identified sixteen clusters.

Conclusions
This study identified seasonal patterns and spatial-temporal clusters of PTB cases in Hubei province. High-risk areas in southwestern Hubei still exist, and need to focus on and take targeted control and prevention measures.
Tumbuhan Rempah dan Masakan Tradisional di Kelurahan Nanggewer Mekar, Cibinong, Kabupaten Bogor
Authors: Setiawan Marwan , Rahayu Mulyati , Wahyu Ningsih Dewi Qurrohta , Arifa Nissa 
Published: February 2023

Keanekaragaman suku (etnis) yang terdapat di Indonesia sangat banyak dengan berbagai corak budaya yang berbeda satu sama lain, pengetahuan tradisional dan budaya yang berbeda menjadikan Indonesia sebagai negara kebudayaan. Masakan tradisional merupakan masakan yang dikonsumsi dari generasi ke generasi dengan berbagai rempah. Keanekaragaman hayati di Indonesia merupakan sumber komoditi niaga di masa lalu, menarik minat para pedagang termasuk tumbuhan rempah. Penelitian dilakukan di Nanggewer Mekar, Cibinong, Bogor. Mayoritas masyarakatnya yaitu Sunda, selain Jawa, dan Betawi. Masakan tradisional yang terdapat di Nanggewer Mekar ini banyak menambahkan rempah-rempah yang dapat menjadi ciri khas masakan tersebut. Tumbuhan rempah yang dimanfaatkan sebagai bumbu masakan terdiri dari 23 jenis yang termasuk dalam 19 marga dan 14 famili tumbuhan. Masakan tradisional tersebut meliputi: laksa, soto betawi, semur jengkol dan disajikan pada acara - acara tertentu.
Enhancement of work engagement through HRIS adoption mediated by workplace well-being
Authors: A. Ammupriya  , Subrahmanyan Preetha 
Published: February 2023

Goal: The purpose of this paper is to find out the Role of HRIS adoption in enhancing work engagement by considering the mediating effect of workplace well-being.
Design/Methodology/Approach: Applying AMOS software, the (CFA) method is used to construct the actual SEM model. A well-structured questionnaire was framed and collected a maximum of 300 data points using a 5-point Likert scale in a non-probability convenience sample in several organizations.
Results: SEM modeling has various constraints to evaluate the original and modification indices. It is found that there is a mediating effect on workplace well-being between the human resource information system and work engagement. The model establishes the significant impact of workplace well-being in organizations.
Limitations of the investigation: Future research should address that HRIS adoption is necessary for every organization for better decision-making, but they will face challenges in adopting the HRIS
Practical Implications: Receiving innovation in the working environment and recommending how it should be swiftly involved and transformed into a standard method of practice.
Originality/ Value: The study demonstrates the originality and significance of the current model in developing the human resource information system, which helps to ensure employees' workplace well-being towards the organization.
The COVID‐19 vaccine did not affect the basal immune response and menstruation in female athletes
Authors: Chiang Ming‐Ru , Shih Li‐Chun , Lu Chi‐Cheng , Fang Shih‐Hua 
Published: February 2023

AbstractThe COVID‐19 pandemic restricted the regular training and competition program of athletes. Vaccines against COVID‐19 are known to be beneficial for the disease; however, the unknown side effects of vaccines and postvaccination reactions have made some athletes hesitant to get vaccinated. We investigated the changes in inflammatory responses and menstrual cycles of female athletes before and after vaccination. Twenty female athletes were enrolled in this study. Blood was collected from each subject before the first COVID‐19 vaccination and after the first and second vaccinations. Laboratory data, including white blood cell, neutrophil, lymphocyte, and platelet counts, and inflammatory markers, including NLR (neutrophil‐to‐lymphocyte ratio), PLR (platelet lymphocyte ratio), RPR (red cell distribution width to platelet ratio), SII (systemic immune‐inflammation index), and NeuPla (neutrophil–platelet ratio), were analyzed statistically. The menstrual changes before and after vaccination and the side effects were collected by questionnaires. No significant changes in the laboratory data were found after the first and second shots when compared to those at prevaccination: white blood cell, neutrophil, lymphocyte, platelet, NLR, PLR, SII, RPR, and NeuPla (p > 0.05). In addition, there were no significant changes in the menstruation cycle or days of the menstrual period (p > 0.05). All side effects after vaccination were mild and subsided in 2 days. The blood cell counts, inflammatory markers, and menstruation of female athletes were not affected by COVID‐19 vaccines.
Training cessation and subsequent retraining of a world‐class female Olympic sailor after Tokyo 2020: A case study
Authors: Ishida Yuko , Yamagishi Takaki , Mujika Iñigo , Nakamura Mariko , Suzuki Eiko , Yamashita Daichi 
Published: February 2023

AbstractOlympic sailing is a complex sport where sailors are required to predict and interpret weather conditions while facing high physical and physiological demands. While it is essential for sailors to develop physical and physiological capabilities toward major competition, monitoring training status following the competition is equally important to minimize the magnitude of detraining and facilitate retraining. Despite its long history in the modern Olympics, reports on world‐class sailors' training status and performance characteristics across different periodization phases are currently lacking. This case study aimed to determine the influence of training cessation and subsequent retraining on performance parameters in a world‐class female sailor. A 31‐year old female sailor, seventh in the Women's Sailing 470 medal race in Tokyo 2020, completely stopped training for 4 weeks following the Olympics, and resumed low‐intensity training for 3 weeks. Over these 7 weeks, 12.7 and 5.3% reductions were observed in 6 s peak cycling power output and jump height, respectively, with a 4.7% decrease in maximal aerobic power output. Seven weeks of training cessation‐retraining period induced clear reductions in explosive power production capacities but less prominent decreases in aerobic capacity. The current findings are likely attributed to the sailor's training characteristics during the retraining period.
Antiphospholipid antibodies and the risk of thrombosis in myeloproliferative neoplasms
Authors: Dambrauskienė Rūta , Gerbutavičius Rolandas , Rudžianskienė Milda , Paukštaitienė Renata , Vitkauskienė Astra , Skrodenienė Erika , Remeikienė Diana , Zaborienė Inga , Juozaitytė Elona 
Published: February 2023

Abstract
The morbidity and mortality of BCR-ABL-negative myeloproliferative neoplasia (MPN) patients is highly dependent on thrombosis that may be affected by antiphospholipid antibodies (aPLA) and lupus anticoagulant. Our aim was to evaluate the association of the aPLA together with platelet receptor glycoprotein (GP) Ia/IIa c.807C>T CT/TT genotypes and thrombotic complications in patients with MPNs. The study included 108 patients with BCR-ABL-negative MPN with data of previous thrombosis. Two different screening and one confirmatory test for the lupus anticoagulant were performed. Thrombotic complications were present in 59 (54.6%) subjects. aPLA were more frequently found in MPN patients with thrombosis vs no thrombosis (25.4 and 6.1%; p = 0.007). MPN patients with arterial thrombosis were more frequently positive for aPLA vs no arterial thrombosis (38.8 and 11.9%; p = 0.001). aPLA were more frequently found in patients with cerebrovascular events vs other arterial thrombotic complications or no thrombosis, respectively (39.3, 6.1, and 12.9%; p < 0.001). MPN patients with thrombosis were more frequently positive with aPLA and had platelet receptor GP Ia/IIa c.807C>T CT/TT genotypes compared to MPN patients without thrombosis (18.6 and 2.0%; p = 0.006). aPLA alone or with coexistence with platelet receptor GP Ia/IIa c.807C>T CT/TT polymorphism could be associated with thrombotic complications in patients with MPN.
Immunological responses of septic rats to combination therapy with thymosin α1 and vitamin C
Authors: Zhang Daquan , Wang Lu , Wang Zhigao , Shi Xiaohui , Tang Wen , Jiang Long , Bo Ran Yi Ba Yin Cha Han , Lv Xinwei , Hu Congyu , Xiao Dong 
Published: February 2023

Abstract
This study investigated the effect of combined thymosin α1 and vitamin C (Tα1 + VitC) on the immunological responses of septic rats. Five groups were designed. The septic model was established by the cecal ligation puncture (CLP) method. The sham group did not undergo CLP, the model group was given normal saline solution, the Tα1 group was given Tα1 (200 µg/kg), the VitC group was given VitC (200 mg/kg), and the Tα1 + VitC group was given Tα1 + VitC. Specimens for immunological analyses were collected at 6, 12, 24, and 48 h posttreatment in each group except for the sham group (only at 48 h). CD4 + CD25 + T cells in the peripheral blood and dendritic cell (DC) proportions in the spleen were analyzed by flow cytometry. Tumor necrosis factor α (TNF-α), interleukin 6 (IL-6), transforming growth factor-β (TGF-ß1), and nuclear factor kappa-B (NF-κB) were measured by ELISA. CD4 + CD25 + T cells and OX62 + DCs levels significantly increased in the model group and decreased in the Tα1 and/or VitC treatment groups. Similarly, the levels of TNF-α, IL-6, TGF-ß1, and NF-κB significantly increased in the model group and decreased in the Tα1, VitC, and Tα1 + VitC groups, indicating that combined Tα1 and VitC therapy may help regulate the immunological state of patients with sepsis, thereby improving prognosis.
Crystal structure of (3a7R,13bR)-3-((1R)-1-hydroxy-1-(5-methyl-6-oxo-3,6-dihydro-2H-pyran-2-yl)ethyl)-3a,11,11,13b-tetramethyl-2,3,3a,4,5,11,11a,12,13,13b-decahydroindeno[5′,4′:4,5] cyclohepta[1,2-c]oxepin-9(1H)-one, C30H40O5
Authors: Ye Jiang-Hai , Chen Ren-Song , Xu Chuan-Yan , Zou Juan , Zhang Jing-Jie 
Published: February 2023

Abstract
C30H40O5, orthorhombic, P212121 (no. 19), a = 6.5012(3) Å, b = 15.3297(7) Å, c = 21.8138(14) Å, V = 2672.3(2) Å3, Z = 4, Rgt
(F) = 0.0537, wRref
(F
2) = 0.1355, T = 273(2) K.
Effects of stretching velocity on double fractional Jeffreys fluids with rheological synergistic heat conductivity
Authors: Liu Shengna , Yang Weidong , Ding Yiming , Zheng Liancun 
Published: February 2023

Abstract
Double fractional Jeffreys fluids are widely used in production and life. In this paper, the effects of stretching velocity on the flow and heat transfer of double fractional Jeffreys fluid are studied. Three types of stretching velocity are considered, i.e., (i) uniform velocity; (ii) acceleration; and (iii) deceleration. The rheological synergistic thermal conductivity model introduced to the energy equation is formulated based on experiments. The governing equations are solved by using a combination of the finite difference technique and the L1 algorithm. Results show that there is an inflection point on each velocity profile which divides the velocity field into two sections, convex (the elasticity plays a primary effect) and concave (the viscosity plays a primary effect). As the stretching velocity parameter increases, the thickness of the region where the elasticity plays a major role does not change in case (i), however, it reduces in case (ii) and grows in case (iii). We also found that, compared with uniform stretching, accelerated stretching can lead to higher heat transfer, while decelerated stretching causes less heat transfer. And for uniform velocity stretching, the stretching velocity parameter has little effect on the temperature field. In the case of accelerated stretching, increasing the stretching velocity parameter enhances heat transfer, however, for decelerated stretching, it weakens heat transfer. These results are instructive for industrial design.
A 19. és 20. századi klinikai értelemben vett szorongásfogalom keletkezésének állomásai a pszichoanalitikus tradícióban
Authors: Busku Szilvia 
Published: February 2023

The stages of formation of the clinical concept of anxiety in the 19th and 20th century in the psychoanalytic traditionSzilvia BuskuThe psychoanalytic school has not described a homogeneous theory about anxiety. There is no undivided principle about the development of anxiety neurosis but a consecutive creation of new models similarly to the Freudian concept of anxiety described in this study, which has also been alternated several times. Thus, the source of the clinical concept of anxiety can be examined from multiple points of view. Freud and Adler assumed the continuous activity of the same instinct, where sometimes sexuality at other times assertiveness dominates. Unlike Jung, who believes that human existence should not be regarded as a rigid system but a moving and continuousaction affected by different instincts. This study describes the Freudian concepts of anxiety and the Jungian psychology with a brief view on the Kantian and Heideggerian concept of anxiety related conscience.