bluuebunny/crossref_metadata_2025_split huggingface dataset:
Life stories of patients with personality disorders before and after treatment: Change and stability in agency and communion
Authors: Pol Silvia M. , Schug Fabian , Chakhssi Farid , Westerhof Gerben J. 
Published: March 2023

IntroductionStudying written life stories of patients with personality disorders (PDs) may enhance knowledge of how they understand themselves, others and the world around them. Comparing the construction of their life stories before psychotherapy to their reconstruction after psychotherapy may provide insight in therapeutic changes in the understandings of their lives.MethodsAs few studies addressed this topic, the current study explored changes in agency (i.e., perceived ability to affect change in life), and communion (i.e,, perceived connectedness to other persons) in written life stories of 34 patients with various PDs, before and after intensive psychotherapy treatment.ResultsLife stories showed a positive increase in agency from pre- to posttreatment, in particular regarding internal agency, societal success, and occupational success. No significant changes were observed for communion as a whole. However, the perceived number and quality of close relationships revealed a significant positive increase.DiscussionThe increased agency in the reconstruction of patients’ life story after psychotherapy suggests that patients improved their perceived ability to affect change in their own lives. This can be seen as an important step in the treatment of PDs towards further recovery.
Coping with burnout and the impact of the COVID-19 pandemic on workers’ mental health: A systematic review
Authors: Rossi Maria Francesca , Gualano Maria Rosaria , Magnavita Nicola , Moscato Umberto , Santoro Paolo Emilio , Borrelli Ivan 
Published: March 2023

IntroductionThe COVID-19 pandemic had a negative impact on the psychological wellbeing of workers worldwide. Certain coping styles may increase burnout risk. To investigate the relationship between burnout and coping styles, a systematic review was performed.MethodsFollowing the PRISMA statements, three databases were screened up until October 2022, including research articles written in English language and investigating the relationship between burnout and coping strategies in workers. The quality of articles was assessed by the Newcastle-Ottawa Scale.ResultsThe initial search resulted in 3,413 records, 15 of which were included in this review. Most studies were performed on healthcare workers (n = 13, 86.6%) and included a majority of female workers (n = 13, 86.7%). The most used burnout assessment questionnaire was the Maslach Burnout Inventory (n = 8, 53.3%), and the most used coping assessment tool was the Brief-COPE (n = 6, 40.0%). Task-related coping was a protective factor for burnout in all four studies investigating its correlation with burnout dimensions. Two of the four studies investigating emotion-oriented coping found that it was protective while the other two found that it was predictive of burnout. All five studies investigating avoidance-oriented coping and burnout dimensions found that this coping style was predictive of burnout.DiscussionTask-oriented and adaptive coping were protective for burnout, avoidance-oriented, and maladaptive coping were predictive factors of burnout. Mixed results were highlighted concerning emotion-oriented coping, suggesting that different outcomes of this coping style may depend on gender, with women relying more on it than men. In conclusion, further research is needed to investigate the effect of coping styles in individuals, and how these correlates with their unique characteristics. Training workers about appropriate coping styles to adopt may be essential to enact prevention strategies to reduce burnout incidence in workers.
Elimination of hepatitis C in a hospital characterized by infectious diseases
Authors: Han Ying , Zheng Mei , Meng Huan , Han Jinyu , Chen Jin , Wang Yajie 
Published: March 2023

BackgroundThe World Health Organization has proposed to eliminate hepatitis C by 2030, yet there is still a large gap to the goal. Screening for hepatitis C is cost-effective and efficient in medical institutions. The aim of this study was to identify the key populations for HCV antibody screening in hospital characterized by infectious diseases, and provide estimates of the proportion of HCV-infected persons in the Beijing Ditan hospital completing each step along a proposed HCV treatment cascade.MethodsA total of 105,112 patients who underwent HCV antibody testing in Beijing Ditan hospital between 2017 and 2020 were included in this study. HCV antibody and HCV RNA positivity rate were calculated and compared by chi-square test.ResultsThe positivity rate of HCV antibody was 6.78%. The HCV antibody positivity rate and the proportion of positive patients showed an upward trend along with age in the five groups between 10–59 years. In the contrary, a decreasing trend was observed in the three groups above 60 years. Patients with positive HCV antibody were mainly from the Liver Disease Center (36.53%), the Department of Integrative Medicine (16.10%), the Department of Infectious Diseases (15.93%) and the Department of Obstetrics and Gynecology (9.44%). Among HCV antibody positive patients, 6,129 (85.95%) underwent further HCV RNA testing, of whom 2097 were HCV RNA positive, the positivity rate was 34.21%. Of the patients who were HCV RNA positive, 64.33% did not continue with HCV RNA testing. The cure rate for HCV antibody positive patients was 64.98%. Besides, there was a significant positive correlation between HCV RNA positivity rate and HCV antibody level (r = 0.992, P &lt; 0.001). The detection rate of HCV antibody among inpatients showed an upward trend (Z = 5.567, P &lt; 0.001), while the positivity rate showed a downward trend (Z = 2.2926, P = 0.0219).ConclusionsWe found that even in hospitals characterized by infectious diseases, a large proportion of patients did not complete each step along a proposed HCV treatment cascade. Besides, we identified key populations for HCV antibody screening, namely: (1) patients over 40 years of age, especially those aged 50–59 years; (2) the Department of Infectious Diseases and the Department of Obstetrics and Gynecology patients. In addition, HCV RNA testing was highly recommended for patients with HCV antibody levels above 8 S/CO.
COVID-19 vaccine hesitancy in Spain and associated factors
Authors: Falcon Maria , Rodríguez-Blázquez Carmen , Romay-Barja María , Ayala Alba , Burgos Alfredo , De Tena-Dávila María José , Forjaz Maria João 
Published: March 2023

IntroductionThe present study explores the reasons of those who have not been vaccinated in the later stage of the vaccine rollout in Spain and its associated determinants.MethodsCluster and logistic regression analyses were used to assess differences in claimed reasons for vaccine hesitancy in Spain using two samples of unvaccinated people (18–40 years old) gathered by an online cross-sectional survey from social networks (n = 910) and from a representative panel (n = 963) in October-November 2021.ResultsThe main reasons for not being vaccinated were believing that the COVID-19 vaccines had been developed too fast, they were experimental, and they were not safe, endorsed by 68.7% participants in the social network sample and 55.4% in the panel sample. The cluster analysis classified the participants into two groups. Logistic regression showed that Cluster 2 (individuals who reported structural constraints and health-related reasons such as pregnancy or medical recommendation) presented a lower trust in information from health professionals, had a lower willingness to get vaccinated in the future, and avoided less social/family events than those in Cluster 1 (reasons centered in distrust on COVID-19 vaccines, conspiracy thoughts and complacency).ConclusionsIt is important to promote information campaigns that provide reliable information and fight fake news and myths. Future vaccination intention differs in both clusters, so these results are important for developing strategies target to increase vaccination uptake for those who do not reject the COVID-19 vaccine completely.
Extent, Type and Reasons for Adaptation and Modification When Scaling-Up an Effective Physical Activity Program: Physical Activity 4 Everyone (PA4E1)
Authors: Mclaughlin Matthew , Campbell Elizabeth , Sutherland Rachel , McKenzie Tom , Davies Lynda , Wiggers John , Wolfenden Luke 
Published: March 2023

Background: Few studies have described the extent, type and reasons for making changes to a program prior to and during its delivery using a consistent taxonomy. Physical Activity 4 Everyone (PA4E1) is a secondary school physical activity program that was scaled-up for delivery to a greater number of schools. We aimed to describe the extent, type and reasons for changes to the PA4E1 program (the evidence-based physical activity practices, implementation support strategies and evaluation methods) made before its delivery at scale (adaptations) and during its delivery in a scale-up trial (modifications).Methods: The Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) was used to describe adaptations (planned and made prior to the scale-up trial) and modifications (made during the conduct of the trial). A list of adaptations was generated from a comparison of the efficacy and scale-up trials via published PA4E1 protocols, trial registrations and information provided by trial investigators. Monthly trial team meetings tracked and coded modifications in “real-time” during the conduct of the scale-up trial. The extent, type and reasons for both adaptations and modifications were summarized descriptively.Results: In total, 20 adaptations and 20 modifications were identified, these were to physical activity practices (n = 8; n = 3), implementation support strategies (n = 6; n = 16) and evaluation methods (n = 6, n = 1), respectively. Few adaptations were “fidelity inconsistent” (n = 2), made “unsystematically” (n = 1) and proposed to have a “negative” impact on the effectiveness of the program (n = 1). Reasons for the adaptations varied. Of the 20 modifications, all were “fidelity consistent” and the majority were made “proactively” (n = 12), though most were “unsystematic” (n = 18). Fifteen of the modifications were thought to have a “positive” impact on program effectiveness. The main reason for modification was the “available resources” (n = 14) of the PA4E1 Implementation Team.Conclusions: Adaptations and modifications to public health programs are common. Modifications have the potential to impact the implementation and effectiveness of programs. Our findings underscore the importance of comprehensive reporting of the extent, type and reasons for modifications as part of process evaluations, as this data may be important to the interpretation of trial findings.Clinical Trial Registration:https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=372870, Identifier ACTRN12617000681358.
To scrape or not to scrape, this is dilemma. The post-API scenario and implications on digital research
Authors: Trezza Domenico 
Published: March 2023

IntroductionThis article aims to investigate the potential impact of restricted social data access on digital research practices. The 2018 Cambridge Analytica scandal exposed the exploitation of Facebook user data for speculative purposes and led to the end of the so-called “Data Golden Age,” characterized by free access to social media user data. As a result, many social platforms have limited or entirely banned data access. This policy shift, referred to as the “APIcalypse,” has revolutionized digital research methods.MethodsTo address the impact of this policy shift on digital research, a non-probabilistic sample of Italian researchers was surveyed and the responses were analyzed. The survey was designed to explore how constraints on digital data access have altered research practices, whether we are truly in a post-API era with a radical change in data scraping strategies, and what shared and sustainable solutions can be identified for the post-API scenario.ResultsThe findings highlight how limits on social data access have not yet created a “post-Api” scenario as expected, but it is turning research practices upside down, positively and negatively. On the positive side, because researchers are experimenting with innovative forms of scraping. Negatively, because there could be a “mass migration” to the few platforms that freely grant their APIs, with critical consequences for the quality of research.DiscussionThe closure of many social media APIs has not opened up a post-API world, but has worsened the conditions of making research, which is increasingly oriented to “easy-data” environments such as Twitter. This should prompt digital researchers to make a self-reflexive effort to diversify research platforms and especially to act ethically with user data. It would also be important for the scientific world and large platforms to enter into understandings for open and conscious sharing of data in the name of scientific progress.
Predictive role of arterial lactate in acute kidney injury associated with off-pump coronary artery bypass grafting
Authors: Yu Ruiming , Liang Tingyi , Li Longfei , Bi Yanwen , Meng Xiangbin 
Published: March 2023

ObjectivesThis observational study aims to explore the predictive role of postoperative arterial lactate in off-pump coronary artery bypass grafting (CABG)-associated acute kidney injury (AKI).Materials and methodsA total of 500 consecutive patients who underwent off-pump CABG from August 2020 to August 2021 at the Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, were included. Logistic regression analysis was used to confirm the independent risk factors of off-pump CABG-associated AKI. Receiver operating characteristic (ROC) curve was performed to evaluate the discrimination ability and Hosmer–Lemeshow goodness of fit test was performed to evaluate the calibration ability.ResultsThe incidence of off-pump CABG-associated AKI was 20.6%. Female gender, preoperative albumin, baseline serum creatinine, 12 h postoperative arterial lactate and duration of mechanical ventilation were independent risk factors. The area under the ROC curve (AUC) of 12 h postoperative arterial lactate for predicting off-pump CABG-associated AKI was 0.756 and the cutoff value was 1.85. The prediction model that incorporated independent risk factors showed reliable predictive ability (AUC = 0.846). Total hospital stay, intensive care unit stay, occurrence of other postoperative complications, and 28-day mortality were all significantly higher in AKI group compared to non-AKI group.Conclusion12 h postoperative arterial lactate was a validated predictive biomarker for off-pump CABG-associated AKI. We constructed a predictive model that facilitates the early recognition and management of off-pump CABG-associated AKI.
Clinical effect of limited posterior decompression and 13-mm titanium mesh implantation on severe thoracolumbar burst fractures: A case series
Authors: Jingcheng Liu , Lei Lu 
Published: March 2023

BackgroundPosterior incision with 270° spinal canal decompression and reconstruction surgery is a treatment option for thoracolumbar burst fractures (TLBF), but the large diameter titanium mesh placement is difficult. This study evaluated the characteristics and clinical effects of limited posterior decompression and 13-mm titanium mesh implantation to treat TLBF.Hypothesis13-mm titanium meshes could be used to fix thoracolumbar burst fractures.Patients and methodsThis case series included patients who underwent limited posterior decompression and 13-mm titanium mesh implantation at China Medical University Shaoxing Hospital (01/2015–12/2019). The Cobb angle, injury vertebral anterior edge height loss percentage, and spinal canal occupancy rate were analyzed. The degree of spinal cord injury was evaluated according to the ASIA grade.ResultsFifteen patients were included (eight males and seven females). The patients were 32.2 ± 4.6 years of age. The American Association of Spinal Injury improved after surgery (A/B/C/D/E: from 2/6/5/2/0 to 0/0/2/8/5, P &lt; 0.001). The Cobb angle decreased after surgery (from 20.1 ± 4.8° to 7.1 ± 1.4°, P &lt; 0.001) but increased to 8.2 ± 0.9° at 1 year (P = 0.003). The percentage of loss of the anterior edge height of the injured vertebrae decreased after surgery (from 40.9% ± 6.1% to 7.5% ± 1.8%, P &lt; 0.001) and decreased at 1 year (7.0% ± 1.5%, P = 0.044). The spinal canal occupancy rate decreased after surgery (from 64.8% ± 7.8% to 20.1% ± 4.2%, P &lt; 0.001) but did not decrease further at 1 year (19.4% ± 3.4%, P = 0.166).DiscussionSpinal canal limited posterior decompression, and 13-mm titanium mesh implantation in the treatment of TLBF can achieve one-stage spinal canal decompression and three-column reconstruction. The curative effect was satisfying.Level of evidenceLevel IV; case series.
Trichoderma harzianum and Bacillus subtilis in Association with Rock Powder for the Initial Development of Maize Plants
Authors: Silva Pedro Henrique Vinha , Souza Ane Gabriele Vaz , de Araujo Lilian Dutra , Frezarin Edvan Teciano , de Souza Gabriel Vinicius Lima , da Silveira Cesar Martoreli , Rigobelo Everlon Cid 
Published: March 2023

Agricultural production currently faces many challenges worldwide, mainly due to its dependence on high amounts of input for food production, which may cause many environmental issues. The present study evaluated whether the inoculation of Bacillus subtilis, Trichoderma harzianum, and rock powder into the soil would benefit soil fertility and plant growth in vase conditions. The results showed that soil fertility for some nutrients increased, such as phosphorus, iron, sulfur, calcium, and potassium. The results also showed that plant parameters related to plant growth, such as plant height, leaf area, shoot dry matter (SDM), and root dry matter (RDM) increased with the inoculation of the microorganisms coupled with rock powder into the soil, even with 50% of the chemical fertilization dose compared to their control treatments. The findings showed potential benefits to soil fertility and plants with the inoculation of B. subtilis and the fungus T. harzianum in maize plants coupled with the application of rock powder to the soil. This study concludes that there is evidence that inoculating with microorganisms and applying rock powder could reduce the amount of chemical fertilizer needed. However, many years of field research are needed to verify the real contribution of this practice to sustainable agriculture.
Heterotrophic Plate Count Can Predict the Presence of Legionella spp. in Cooling Towers
Authors: Sanchis Marta , Inza Isabel , Figueras Maria José 
Published: March 2023

Legionella pneumophila (Lp) colonizes aquatic environments and is a potential pathogen to humans, causing outbreaks of Legionnaire’s disease. It is mainly associated with contaminated cooling towers (CTs). Several regulations, including Spanish legislation (Sl), have introduced the analysis of heterotrophic plate count (HPC) bacteria and Legionella spp. (Lsp) in management plans to prevent and control Legionella outbreaks from CTs. The 2003 Sl for CTs (RD 865/2003) considered that concentrations of HPC bacteria ≤10,000 cfu/mL and of Lsp ≤100 cfu/L are safe; therefore, no action is required, whereas management actions should be implemented above these standards. We have investigated to what extent the proposed standard for HPC bacteria is useful to predict the presence of Lsp in cooling waters. For this, we analyzed Lsp and HPC concentrations, water temperature, and the levels of chlorine in 1376 water samples from 17 CTs. The results showed that in the 1138 water samples negative for Legionella spp. (LN), the HPC geometric mean was significantly lower (83 cfu/mL, p < 0.05) than in the positive Lsp. samples (135 cfu/mL). Of the 238 (17.3%) LP samples, 88.4% (210/238) were associated with values of HPC ≤10,000 cfu/mL and most of them showed HPC concentrations ≤100 (53.7%). In addition, a relatively low percentage of LP (28/238, 11.6%) samples were associated with HPC bacteria concentrations >10,000 cfu/mL, indicating that this standard does not predict the colonization risk for Legionella in the CTs studied. The present study has demonstrated that a threshold concentration ≤100 cfu/mL of HPC bacteria could better predict the higher concentration of Legionella in CTs, which will aid in preventing possible outbreaks.
Parental experiences of eczema advice in online parenting forums: a qualitative interview study
Authors: Treadgold Bethan Mair , Muller Ingrid , Teasdale Emma , Coulson Neil , Roberts Amanda , Santer Miriam 
Published: March 2023

BackgroundParents of children with eczema are increasingly turning to online parenting forums for advice about how to manage it. Little is known about how parents make sense of advice about eczema treatments in online forums, and how it affects their management of childhood eczema.AimTo explore how parents of children with eczema make sense of and act on advice about eczema treatments exchanged in online parenting forums.Design & settingQualitative interviews with parents of children with eczema from the UK.MethodFifteen parents were recruited through online advertisements and snowball sampling. Semi-structured interviews were carried out face to face or by telephone, and analysed inductively using reflexive thematic analysis.ResultsWhen seeking advice from online parenting forums about eczema treatments, parents described appraising the credibility of advice and considering the potential suitability of treatments that were recommended in the forum. Parents proceeded to make sense of online advice through either reading advice and not engaging in online discussions, or actively engaging in online discussions to direct topics and seek most relevant advice. Parents discussed advice received online in subsequent consultations with their GP and requested prescriptions of recommended treatments. Some parents described trying new treatments without consulting their GP.ConclusionUnderstanding how parents appraise, make sense of, and act on online advice could support healthcare professionals to disseminate advice appropriately, ask additional questions, and signpost parents to reliable online resources.