bluuebunny/crossref_metadata_2025_split huggingface dataset:
Depression, Anxiety, Stress, and Satisfaction of Medical Students in Relation to Income and Body Mass Index
Authors: Habib Syed Mohammed , Al-Khlaiwi Thamir 
Published: December 2022

Objectives:
The aim of this study was to explore the relationship of students' income and body mass index (BMI) with the level of depression, anxiety, stress, and academic satisfaction.

Methods:
A cross-sectional study with distribution of online Depression, Anxiety, and Stress Scale questionnaire online to medical students in different universities of Saudi Arabia. In addition, they filled out a predesigned pro forma that contained sociodemographic characteristics and satisfaction status regarding lectures, practical, staff, and examinations. A total of 351 participants completed the study. Students were asked about various academic issues and assessed by a three-point Likert scale (satisfied, undecided, and unsatisfied).

Results:
The prevalence of depression, anxiety, and stress in students with a father's monthly income of <3000 US Dollars was 72.4% (n = 79), 83.4% (n = 91), and 63.3% (n = 69), respectively. Furthermore, the prevalence of depression, anxiety, and stress in students with a father's monthly income between 3000-5000 US Dollars was 71.5% (n = 73), 74.5% (n = 76), and 48.0% (n = 49) respectively. As for the students with a father's monthly income >5000 US Dollars had a prevalence of 62.1% (n = 87), 71.4% (n = 100), and 48.5% (n = 68) for depression, anxiety, and stress respectively. Hence, it was noted that the prevalence was higher in students with a father's monthly income <3000 US Dollars in all categories (depression P = 0.056 which was marginal, anxiety P = 0.009, and stress P = 0.050).. 46.8% (n = 51) of students with a father's monthly income <3000 US Dollars, 32.4% (n = 33) of students with a father's monthly income between 3000 and 5000 US Dollars, and 30.7% (n = 43) of students with a father's monthly income >5000 showed an extremely severe anxiety score. It showed that the moderate degree of depression with mean total depression score of students with a father's monthly income <3000 was 17.7 ± 11.7. It showed a severe degree of anxiety with a mean total anxiety score of 18.4 ± 11.4, and a moderate degree of stress with a mean total stress score of 19.1 ± 10.4. The prevalence of depression 69.3% (n = 172), anxiety 77.4% (n = 192), and stress 54.8% (n = 136) in students with BMI <25 was higher than in students with BMI ≥25 65.0% (n = 67), 72.8% (n = 75), and 48.5% (n = 50) with no statistically significant difference (P = 0.161, P = 0.433, and 0.572), respectively. It showed that 37.5% (n = 93) of students with BMI <25 were extremely severely anxious while students with BMI ≥25 were 33.0% (n = 34).

Conclusions:
The prevalence of depression, anxiety, and stress in medical students with low father monthly income was significantly high. The prevalence of severe anxiety in all groups needs more attention from the medical college's higher authorities.
Radiomics signature for prediction of long-term survival and recurrence patterns in patients with gastric cancer after radical gastrectomy
Authors: Huang Jing-Min , Zhuang Lv-Ping , Wang Hua-Gen , Zhong Li-Ying , Xue Sheng-Jin , Tian Fang-Xi , Lin Hua-Yang 
Published: December 2022

Background:
This study aimed to develop and validate a radiomics score to predict the long-term survival and patterns of recurrence of gastric cancer (GC).

Methods:
A total of 513 patients who underwent radical gastrectomy for GC after curative resection between 2008 and 2016 at two institutions were analyzed. A radiomics score was generated using the least absolute shrinkage and selection operator Cox regression model on 327 patients and was validated in 186 patients. A nomogram consisting of the radiomics score and clinicopathological factors was created and compared with the tumor-lymph node-metastasis (TNM) staging system. Model performance was assessed using calibration, discrimination, and clinical usefulness.

Results:
The radiomics score was established based on five selected features. A higher score was significantly associated with poorer recurrence-free survival (RFS) and overall survival (OS) rates, both in the training and validation cohorts (P < 0.05). Multivariate analysis demonstrated that the radiomics score was an independent prognostic factor for both RFS and OS (P < 0.05). A nomogram incorporating the radiomics score had a significantly better prognostic value than the TNM system alone. Moreover, a high score was significantly associated with an increased risk of distant recurrence, a medium score was significantly associated with an increased risk of peritoneal recurrence, and a low score was significantly associated with an increased risk of locoregional recurrence, in the entire cohort (P < 0.05).

Conclusions:
The newly proposed radiomics score may be a powerful predictor of long-term outcomes and recurrence patterns of GC. Further studies are warranted to confirm these findings.
Does Surgical Treatment for Complicated Pilonidal Cyst Disease in the Sacral Region Affect Anal Sphincter Functions
Authors: Akyurek Mustafa , Benli Caghan , Kaya Mustafa , Sürmeli Ali 
Published: December 2022

Introduction:
Pilonidal cyst disease is characterized by chronic abscess, discharge, and sinus openings. The anal sphincter functions of the patients, who previously undergone recurrent surgical treatment, were compared using a surgical approach. Patients were divided into two groups by whether perianal soft tissues were preserved in the surgery.

Materials and Methods:
Between 2014 and 2019, 21 male patients who had either undergone insufficient surgery or had complications with multiple sinus openings applied to our clinic. Excision and reconstruction of the patients were performed. The coccyx, dorsal part of sacrum, anococcygeal raphe, and ischiorectal fossa were additionally included in the excision for patients with biopsy reports of squamous cell carcinoma. All patients underwent rectoanal manometry to evaluate anal sphincter function. Preoperative, postoperative 5th week, and 6th-month anal manometry results were recorded and analyzed by the Shapiro − Wilk test and independent t-test.

Results:
The anal sphincter function regresses in the 5th week after the reconstruction and improves in the 6 month. The results of the independent t-test, which were used to compare the anal manometry results for each group, showed that the difference in the anal sphincter pressure of the two groups was statistically significant (P < 0.05). If the perianal soft tissues were excised, anal sphincter manometry shows poor results.

Discussion:
The anal sphincter function, which regresses in the 5th week after the reconstruction and improves in the 6 months, depends on the scar tissue occurring in the perianal connective tissue, while the softening caused by the maturation of the scar in the last phase of wound healing improves the function.
Reconstruction of Fracture Associated Skin Defects on Olecranon with Antegrade Posterior Interosseous Artery Flap
Authors: Safali Selim , Ozdemir Ali , Karaoglan Mehmet Afsin , Ertaş Erkan Sabri , Acar Mehmet Ali 
Published: December 2022

Context:
The management of tissue defects of the olecranon after fractures of this region is challenging. Most cases require local or free flaps to obtain both soft-tissue reconstruction and wide range of motion of the elbow joint.

Aim:
The aim of this study is to describe the results of reconstruction of fracture-associated skin defects on the olecranon with posterior interosseous artery (PIA) flap.

Settings and Design:
We present our experience of using antegrade PIA flap for soft-tissue coverage of the olecranon region after fracture surgery.

Materials and Methods:
We retrospectively evaluated 11 cases who underwent reconstruction of the olecranon for soft tissue defect with PIA flap. We evaluated the extent of the soft-tissue defects and the harvested flaps, fracture fixation techniques, complications, patients' demographics, partial or total flap lost, number of perforators, time to reconstruction after injury, esthetic looking of reconstructed area, and donor site coverage.

Results:
The study included 11 patients (7 males and 4 females). The mean age was 35 years. The mean defect size was 15.4 cm2. The mean flap size was 20 cm2. Plates were used in six cases, tension band wiring in three cases, and external fixators in two cases for fracture fixation. Ten flaps survived completely. There was partial flap necrosis in one flap due to venous congestion. Infection, hematoma, and distal neurological deficits were not observed. Minimal morbidity occurred since the donor site was primarily closed in eight cases and skin graft in three cases. Good cosmetic outcome was achieved in all cases. We detected one perforator in one case, two perforators in five cases, three perforators in four cases, and four perforators in one case.

Conclusion:
Reconstruction with PIA flap is an effective, useful, and simple surgical technique for soft-tissue coverage on the olecranon region. The procedure involves a single step surgery, low donor site morbidity, and good cosmetic outcomes.
Lung Cancer and Posttraumatic Stress Symptoms
Authors: Chung Pei-Lun , Wu Shu-I , Chen Hong-Ming , Chen Vincent Chin-Hung , Lee Min-Jing 
Published: December 2022

Objective:
Lung cancer is the most common cancer and the leading cause of cancer death worldwide. Research on the correlation between posttraumatic stress symptoms (PTSSs) and lung cancer is limited. In this study, we intended to study PTSS predictors in patients with lung cancer and their subgroups.

Methods:
Patients aged ≥ 20 years with lung cancer diagnosis were recruited. We collected information on demographic characteristics, depressive symptoms, and cognitive function, to examine the effect on PTSSs. With the Chinese version of the startle, physiological arousal, anger, and numbness questionnaire, we analyzed the variables to identify the independent correlates of PTSSs and to compare differences among treatment and cancer stage subgroups.

Results:
A total of 329 lung cancer patients were included with prominent male, below senior high school education level, married status, unemployment, smoking history, non-alcohol drinker, without psychiatric history and comorbid diabetes and hypertension. The correlates of PTSSs were significantly higher in education level (β = 0.197, p < 0.01), cognitive function (β = −0.269, p < 0.001), and depressive symptoms (β = 0.294, p < 0.001). In subgroup analysis, high education level was significantly correlated of PTSSs in different treatment groups surgery group (β = 0.266, p < 0.05), nonsurgery group (β = 0.204, p < 0.05), chemotherapy group (β = 0.189, p < 0.05), and nonchemotherapy group (β = 0.220, p < 0.05). Cognitive function was significantly correlated of PTSSs in different cancer stages in early stage (β = −0.401, p < 0.01) and advanced stage (β = −0.182, p < 0.05).

Conclusion:
Depressive symptoms, high education level, and the poor cognitive function were significantly associated with PTSSs in patients with lung cancer. Health professionals in oncology should consider psychological burden screening, cognitive function examination, and rehabilitation in clinical practice.
Protective Effect of Interferon-Based Antiviral Therapy on Risk of Bipolar Disorder in Patients with Hepatitis C Virus Infection
Authors: Chen Mu-Hong , Tsai Shih-Jen , Chen Tzeng-Ji 
Published: December 2022

Background:
A recent study has shown the beneficial effects of interferon (IFN)-based antiviral therapy (AVT) in reducing the risk of newly diagnosed depression among patients with hepatitis C virus (HCV) infection. But whether IFN-based AVT reduces the risk of bipolar disorder remains unknown.

Methods:
This is a retrospective study based on the Taiwan National Health Insurance Research Database. From enrollment to the end of 2013, 24,240 patients with HCV infection (4473 treated with IFN-based AVT and 19,767 without such treatment) as well as 96,960 age- and sex-matched controls were included in this study. Time-dependent Cox regression models were used to study the differences in risk of newly-diagnosed bipolar disorder between patients being treated with and without IFN-based AVT and the control participants.

Results:
Patients with HCV infection who had not yet received IFN-based AVT (hazard ratio = 4.86, 95% confidence interval = 1.87–12.66, p = 0.001), but not those who were receiving IFN-based AVT (1.69, 0.94 - 30.50, nonsignificance) and those who completed the IFN-based AVT (1.77, 0.69 - 4.54, nonsignificance), were significantly more to be diagnosed with bipolar disorder compared with the control group.

Conclusion:
Our study supports the temporal association between HCV infection and subsequent bipolar disorder, further suggesting that the optimal AVT to eradicate HCV may be associated with a reduced risk of incident bipolar disorder later in life.
Mental Health States of Soldiers with Histories of Corona Virus Disease 2019 Infection in Taiwan
Authors: Yang Hao Ming , Tai Yueh-Ming , Yang Szu-Nian 
Published: December 2022

Objectives:
According to the most recent studies on the mental health impacts of coronavirus disease 2019 (COVID-19), psychological effects are salient in the community, but they are not obvious in the military population. In the study, we intended to examine mental health state and suicide ideation among soldiers with past histories of COVID-19 and to compare them with non-infected controls.

Methods:
We recruited 193 active-duty military personnel from northern Taiwan and collected their responses of a series of copies of the questionnaire, i.e., Beck's Depression Inventory for depression, Beck's Anxiety Inventory for anxiety, Davidson Trauma Scale for symptoms of posttramatic stress disorder (PTSD), Pittsburgh Sleep Quality Index for sleep disturbance and sleep dissatisfaction, and Five-item Brief Symptom Rating Scale for suicide ideation.

Results:
Among our samples, about 58.5% (113/193) reported a past history of COVID-19 infection (infected group) at least once. More than 85% had vaccinated in more than two doses. The infected soldier group presented themselves significantly higher magnitude (1.92 ± 0.54) of impacts on their lives than noninfected control group (1.72 ± 0.66, p < 0.05). The discrepancy in life impact between infected and non-infected groups was significantly more salient in male soldiers (p < 0.05) comparing with female. In male soldiers, most mental health states were higher in the non-infected group than the infected group but nonsignificant.

Conclusion:
This study shows the common and differences in mental health states and suicide ideation between COVID-19 infected and non-infected soldiers in Taiwan and genders. In line with the findings of current studies, our results showed nonsignificant differences between male and female groups in the military population although significant differences among the community population. Further studies with larger sample sizes and more details are needed to confirm our assumption.
On the pluriclosed flow on Oeljeklaus–Toma manifolds
Authors: Fusi Elia , Vezzoni Luigi 
Published: December 2022

AbstractWe investigate the pluriclosed flow on Oeljeklaus–Toma manifolds. We parameterize left-invariant pluriclosed metrics on Oeljeklaus–Toma manifolds, and we classify the ones which lift to an algebraic soliton of the pluriclosed flow on the universal covering. We further show that the pluriclosed flow starting from a left-invariant pluriclosed metric has a long-time solution
$\omega _t$
which once normalized collapses to a torus in the Gromov–Hausdorff sense. Moreover, the lift of
$\tfrac {1}{1+t}\omega _t$
to the universal covering of the manifold converges in the Cheeger–Gromov sense to
$(\mathbb H^s\times \mathbb C^s, \tilde {\omega }_{\infty })$
, where
$\tilde {\omega }_{\infty }$
is an algebraic soliton.
Etnografía sensorial sobre la movilidad en la ciudad de Madrid vivida desde un minicruiser
Authors: Sánchez García Raúl 
Published: December 2022

Este artículo propone una etnografía sensorial crítica sobre la experiencia vivida al ir subido a un minicruiser (pequeña tabla de skate para pasear) por las calles de Madrid. De modo más específico, la etnografía ha tratado de registrar a partir de las propias sensaciones corporales los distintos ritmos y las atmósferas afectivas que se van experimentando al ir avanzando por la ciudad en el minicruiser. Se realizaron cuatro grabaciones mediante cámara de punto de vista de primera persona de una hora de duración cada una en cuatro zonas de la ciudad de Madrid con una morfología distintas a la que se sumó la grabación del evento Se Baja la Cabra. Además de las grabaciones, realicé un registro de mi experiencia en cada una de las sesiones mediante notas de campo. Los hallazgos mostraban puntos comunes entre algunas de las zonas, pero también grandes contrastes, como los vividos entre la zona de Arganzuela (que permitía un mayor disfrute y vivencia lúdica) y la del eje Castellana-El Prado (tremendamente hostil para el desplazamiento). El análisis de la experiencia de distintas atmósferas afectivas vinculadas a distintas zonas sirve para proponer preguntas sobre cómo las infraestructuras (la planificación de la ciudad) afecta a los ritmos y la experiencia sentida de los que se desplazan por la urbe.
Standards of Behavior of the Dominant Person in Contractual Relations
Authors: Belik I. A. 
Published: December 2022

In contractual relations, the dominant person does not have the right to impose unfavorable conditions on the counterparty. However, the concept of “imposing unfavorable terms of the contract” has no legal deﬁnition. The Supreme Court, in its Plenum Resolution No. 2 dated March 4, 2021 “On Certain Issues Arising in connection with the Application of Antimonopoly Legislation by Courts”, indicates that the very oﬀer of unfavorable conditions is not an abuse.It follows from this legal position that the courts have some criteria that allow individualizing the imposition of unfavorable terms of the contract and separating it from permissible contractual practices. Therefore, we can talk about some antitrust standards of behavior that a dominant person should follow when concluding a contract. The article attempts to formulate the basic standards of such behavior.
Relato de experiência de um fisioterapeuta residente em saúde mental inserido em um hospital psiquiátrico do distrito federal
Authors: Tenório Ramos Willamis , Autran Leite Lima Paulo , Kalline Alves Cartaxo Freitas Carla , RAFAELA DE AGUIAR FASSANARO BRUNA , Eduardo da Silva Portela Carlos 
Published: December 2022

O presente estudo objetiva relatar a experiência no desenvolvimento de atividades realizadas por um residente da categoria profissional fisioterapia inserido em um hospital psiquiátrico na região do Distrito Federal. Método: Trata-se de um estudo com abordagem qualitativa e descritiva, do tipo relato de experiência, desenvolvido a partir de questionamentos sobre as contribuições e desafios encontrados em um cenário de prática com pacientes internados em um hospital psiquiátrico, admitidos no pronto socorro (PS) e enfermaria (ALA). Buscou-se por manter a estruturação do método do Arco de Charles Maguerez. Resultados: Cerca de 168 atendimentos foram realizados, distribuídos entre o serviço de acompanhamento pós-internação, sala de espera, ambulatório de psicogeriatria, além de atendimentos individuais e coletivos em oficinas terapêuticas. Considerações finais: Reflete-se que as atividades desenvolvidas, por meio da experiência neste cenário, tornaram-se uma importante estratégia capaz de quebrar paradigmas e fomentar habilidades essenciais para modulação pedagógica de um saber voltado na relação entre a bagagem de uma graduação de origem biológica com a prática profissional em uma nova área de atuação que foca seu estudo na compreensão das relações humanas e sociais
Application of interdisciplinarity in the northern region
Authors: Júnior Antônio Pereira , Bispo Carlos José Capela , Morales Gundisalvo Piratoba , Ribeiro Hebe Morgane Campos , Pontes Altem Nascimento 
Published: December 2022

Interdisciplinarity is one of the tools at the disposal of teaching, learning and research in the context of Brazilian education. The objective of this study was to analyze the applicability of the theme under study, in the articles published by 11 Higher Education Institutions, in the last five years (2017-2021) in the North region. The method employed was inductive, with qualitative scope, and observational nature. To obtain and select the literature, access was made to their repositories, as well as specialized electronic journals with free access. The analysis of the statistical data was carried out using electronic spreadsheets contained in the Excel software, version 2013, and application of Descriptive Statistics. The data obtained and analyzed allowed the identification of interdisciplinarity in these academic productions (n = 26;100%), and in the areas of knowledge established by CAPES, most frequently the association occurred between Environmental Sciences - Humanities (CAMB-CH, n = 4.0;15.4%). In quantitative terms, little was produced ( ) in this period, and the largest volume was identified at UFPA (n = 7.0;27%); the smallest, in six (n = 1.0; 3.8%), among which, UEPA. With this, it can be verified that there is still much to be done for interdisciplinarity to be more applied in the HEIs of the northern region.
PENGGUNAAN QR CODE DALAM PEMBELAJARAN DISCOVERY LEARNING UNTUK MENINGKATKAN KEMAMPUAN LITERASI DIGITAL BERWAWASAN LINGKUNGAN
Authors: Hidayati Laily 
Published: December 2022

QR Code merupakan salah satu inovasi pengembangan media literasi digital dalam edentifikasi tanaman di sekolah. Tujuan penelitian ini adalah Untuk mengetahui respon peserta didik tentang pengembangan media literasi digital sebagai inovasi identifikasi tanaman di sekolah. Sedangkan Respon peserta didik diperoleh dari analisis angket oleh 30 peserta didik SMP Negeri 1 Jatiroto. Hasil Uji instrumen didapatkan hasil bahwa QR Code sebagai Inovasi Literasi digital Identifikasi Tanaman yang dikembangkan menunjukkan hasil positif dengan hasil persentase 93,27%. Hal ini berarti QR Code sebagai inovasi literasi digital dalam identifikasi tanaman sekolah dapat digunakan dalam pembelajaran dan mendukung literasi digital berwawasan lingkungan.
Kata Kunci: Penggunaan QR Code, Pembelajaran Discovery Learning, Literasi Digital, Berwawasan Lingkungan