bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge, attitude, and practice of healthcare workers on early gastrointestinal cancer in China
Authors: Zhang Hui , Zhao Changdong , Song Chengwen , Wu Youshan , Wei Dongying , Li Xiuqing 
Published: July 2023

ObjectiveGastrointestinal cancer is the leading cause of cancer-related death in China, and its early screening is largely recommended by healthcare workers. This study investigated the knowledge, attitudes, and practice (KAP) of healthcare workers on early gastrointestinal cancer (EGC).MethodsThis cross-sectional study was conducted on healthcare workers who volunteered to participate from 30 hospitals in China between September and December 2022. A self-administered questionnaire including 37 questions was developed.ResultsA total of 545 completed questionnaires were finally obtained. Healthcare workers had moderate knowledge level [9.22 ± 1.80 (65.88±12.89%), total score: 14], positive attitude [21.84 ± 2.67 (91.01 ± 11.14%), total score: 24], and excellent practice level [19.07 ± 4.43 (79.47 ± 18.44%), total score: 24] on EGC. Pearson's correlation analysis suggested that knowledge score was positively correlated with attitude (r = 0.264, P &lt; 0.001) and practice score (r = 0.140, P = 0.001), and higher attitude score was significantly correlated with higher practice score (r = 0.380, P &lt; 0.001), which were supported and reinforced by structural equation modeling. In addition, subgroup analysis showed that knowledge scores might be influenced by sex, age, education, type of hospital, type of occupation, professional title, and years of working (all P &lt; 0.05); attitude scores might be influenced by years of working (P &lt; 0.05); and practice scores were statistically distinct among groups of different sex, department, and years of working (all P &lt; 0.05).ConclusionHealthcare workers have moderate knowledge level, positive attitude, and excellent practice levels on EGC. Good knowledge and positive attitude might be correlated with excellent practice. KAP level might be influenced by sociodemographic characteristics.
Health behavioral responses to parental myocardial infarction and impact on own risk of disease in the general population
Authors: Skouenborg Christian , Jørgensen Martin Lucas , Nielsen Torben Heien , Benn Marianne 
Published: July 2023

AimsA family history of coronary heart disease increases one's own risk of experiencing cardiovascular disease and death. An implication of the hereditary nature of the disease is that individuals are provided information about their own risk when a parent is affected, potentially leading them to engage in behaviors that reduce their own risk. In this study, we assessed how a 10-year risk of a cardiovascular event, measured by SCORE, changes for the offspring in response to a parent experiencing a myocardial infarction.MethodsWe analyzed 19,995 individuals from the general population in the Copenhagen City Heart Study of whom 2,071 had a parent, who suffered from a myocardial infarction during four decades of observation using fixed-effects regressions.ResultsFollowing a parental myocardial infarction, individuals reduced their 10-year risk by 0.16 percentage points constituting a 7.1% reduction of baseline risk. Male participants had the largest change in the risk SCORE following an event of the mother, with a 12.4% reduction from the baseline risk. The degree of response contingent on their own level of risk was found to be the largest for individuals with a 10-year risk between 5% and 10%, who also showed a reduction in systolic blood pressure following paternal myocardial infarction. Parental myocardial infarction was associated with an increased smoking rate in individuals with a baseline risk above 10%, while reductions in risk were seen for individuals with a lower baseline risk.ConclusionFollowing a parental event, individuals reduced their 10-year risk with the largest reductions in their own risk, as observed in men and individuals experiencing a maternal event. The response was the largest for individuals with a 10-year risk for myocardial infarction between 5 and 10%.
Profiling of patients with type 2 diabetes based on medication adherence data
Authors: Markovič Rene , Grubelnik Vladimir , Završnik Tadej , Blažun Vošner Helena , Kokol Peter , Perc Matjaž , Marhl Marko , Završnik Matej , Završnik Jernej 
Published: July 2023

IntroductionType 2 diabetes mellitus (T2DM) is a complex, chronic disease affecting multiple organs with varying symptoms and comorbidities. Profiling patients helps identify those with unfavorable disease progression, allowing for tailored therapy and addressing special needs. This study aims to uncover different T2DM profiles based on medication intake records and laboratory measurements, with a focus on how individuals with diabetes move through disease phases.MethodsWe use medical records from databases of the last 20 years from the Department of Endocrinology and Diabetology of the University Medical Center in Maribor. Using the standard ATC medication classification system, we created a patient-specific drug profile, created using advanced natural language processing methods combined with data mining and hierarchical clustering.ResultsOur results show a well-structured profile distribution characterizing different age groups of individuals with diabetes. Interestingly, only two main profiles characterize the early 40–50 age group, and the same is true for the last 80+ age group. One of these profiles includes individuals with diabetes with very low use of various medications, while the other profile includes individuals with diabetes with much higher use. The number in both groups is reciprocal. Conversely, the middle-aged groups are characterized by several distinct profiles with a wide range of medications that are associated with the distinct concomitant complications of T2DM. It is intuitive that the number of profiles increases in the later age groups, but it is not obvious why it is reduced later in the 80+ age group. In this context, further studies are needed to evaluate the contributions of a range of factors, such as drug development, drug adoption, and the impact of mortality associated with all T2DM-related diseases, which characterize these middle-aged groups, particularly those aged 55–75.ConclusionOur approach aligns with existing studies and can be widely implemented without complex or expensive analyses. Treatment and drug use data are readily available in healthcare facilities worldwide, allowing for profiling insights into individuals with diabetes. Integrating data from other departments, such as cardiology and renal disease, may provide a more sophisticated understanding of T2DM patient profiles.
Participant experiences with a multipurpose vaginal ring for HIV and pregnancy prevention during a phase 1 clinical trial: learning from users to improve acceptability
Authors: Shapley-Quinn Mary Kate , Song Mei , Chen Beatrice A. , Devlin Brid , Luecke Ellen , Brown Jill , Blithe Diana L. , Achilles Sharon L. , van der Straten Ariane 
Published: July 2023

IntroductionWith high concurrent global rates of HIV incidence and unintended pregnancy, there is a need to provide options beyond condoms to enable users to simultaneously prevent HIV acquisition and pregnancy. Multiple vaginal rings are in development as “MPTs” (multipurpose prevention technologies) as they are shown to provide several co-occurring benefits such as discretion, convenience, reversibility and user control.MethodsIn this Phase 1 trial of a 3-month MPT ring in the U.S., 25 participants (low-risk for HIV and pregnancy) were randomized to use the study ring for 90 days continuously or in 28-day cycles with 2-day removal periods in between. All participants completed in-depth interviews at the end of their study participation.ResultsOverall, the ring was well tolerated. Participants resoundingly endorsed the concept of an extended-use, dual-purpose vaginal ring, but reported too many functional challenges and side effects to endorse this particular ring. Participants assigned to the continuous regimen reported more positive experiences with ring use than those in the cyclic group. A minority of participants who experienced minimal side effects and did not experience challenges with vaginal retention of the ring found it appealing. However, the majority of participants experienced challenges (ring slippage, expulsions, side effects, vaginal bleeding changes) with product use that outweighed the potential benefits and led them to report that – in the future – they would not be interested in using this specific version of the ring in its current form. A subset expressed interest in using the current MPT ring under certain conditions (e.g., if fewer expulsions, less bleeding, higher risk for HIV/pregnancy).DiscussionUser feedback regarding participant experiences and challenges with the study ring was continuously shared with the product developer, underscoring the value of early-stage end-user feedback in product development.
Extracts from Wallis Sponges Inhibit Vibrio harveyi Biofilm Formation
Authors: Caudal Flore , Rodrigues Sophie , Dufour Alain , Artigaud Sébastien , Le Blay Gwenaelle , Petek Sylvain , Bazire Alexis 
Published: July 2023

Pathogenic bacteria and their biofilms are involved in many human and animal diseases and are a major public health problem with, among other things, the development of antibiotic resistance. These biofilms are known to induce chronic infections for which classical treatments using antibiotic therapy are often ineffective. Sponges are sessile filter-feeding marine organisms known for their dynamic symbiotic partnerships with diverse microorganisms and their production of numerous metabolites of interest. In this study, we investigated the antibiofilm efficacy of different extracts from sponges, isolated in Wallis, without biocidal activity. Out of the 47 tested extracts, from 28 different genera, 11 showed a strong activity against Vibrio harveyi biofilm formation. Moreover, one of these extracts also inhibited two quorum-sensing pathways of V. harveyi.
Osteoporosis and fracture as risk factors for self-harm and suicide: a systematic review and meta-analysis
Authors: Manning Fay M , Mughal Faraz , Ismail Hazem Ahmed Saad Mohamed , Baines Libby M , Chew-Graham Carolyn A , Paskins Zoe , Prior James A 
Published: July 2023

BackgroundIncrease in presentations of self-harm to primary care, a risk factor of suicide, has led to a growing interest in identifying at-risk populations.AimTo examine whether osteoporosis or fractures are risk factors for self-harm, suicidal ideation, and suicide.Design and settingThis was a systematic review of observational studies in adults (>18 years) that had examined the role of osteoporosis and/or fractures in subsequent self-harm, suicidal ideation, and/or suicide.MethodSix databases were searched from inception to July 2019. Additional citation tracking of eligible studies was undertaken in November 2022. Screening, data extraction, and quality assessment of full-text articles were performed independently by at least two authors. Where possible, meta-analysis was run on comparable risk estimates.ResultsFifteen studies were included: two examined the outcome of self-harm, three suicidal ideation, and 10 suicide. In approximately half of studies on osteoporosis, the risk of suicidal ideation and suicide remained significant. However, pooling of adjusted odds ratios from three studies indicated no association between osteoporosis and suicide (1.14, 95% confidence interval = 0.88 to 1.49). Nine studies examined the risk of a mixture of fracture types across different outcomes, limiting comparisons. However, all studies examining vertebral fracture (n= 3) reported a significant adjusted negative association for self-harm and suicide.ConclusionPatients with vertebral fractures, a risk potential factor for suicide, may benefit from clinical case finding for mood disorders with personalised primary care management. However, because of the limited number and quality of studies and mixed findings, further examination of these associations is warranted.
Handmaidens, partners or go-betweens: Reflections on the push and pull of the judicial and justice policy audience
Authors: Mulcahy Linda , Tsalapatanis Anna 
Published: July 2023

Debate about the ways in empirical accounts of socio-legal phenomena may be compromised by close engagement with policy audiences has long dogged discussions of the possibility of progressive agendas in the field. This paper re-examines these critiques by reference to a case study in which the authors worked closely with UK judges and the court service. It argues that accounts of the relationship between the policy audience and researchers frequently rely on overly simplistic conceptualisations of elite state actors and the ways in which empirical researchers engage with the powerful. We suggest that a range of forms of interaction are possible in which researchers can be characterised as handmaidens, partners or go-betweens. While acknowledging the importance of interrogating how the policy audience can compromise the independence of academic researchers, we argue that debate has tended to rest on oversimplified understandings of the dynamics of interactions with powerful state actors.
ANALISIS POWER ACCEPTANCE ENGINE DART7 MK 534-2 DI DEPARTEMEN TEST CELL PT. NUSANTARA TURBIN DAN PROPULSI
Authors: Andi Dwi Apriansyah  , Maridjo Maridjo , Yuliyani Ika 
Published: July 2023

Engine sebelum beroperasi perlu dilakukan proses pengujian power acceptance test. Power acceptance test adalah pengujian untuk mendapatkan hasil kelayakan engine untuk beroperasi dengan parameter yang meliputi putaran (speed), daya (shaft horse power), aliran bahan bakar (fuel flow), specific fuel consumption, temperature.
Tahapan dalam power acceptance engine meliputi engine shipping, engine installation on test bed, prior to start check in control room, test check for tester and principal tester, kemudian dilakukan engine test general dengan urutan compressor washing, test oil circulation, fuel and oil leaks, ground idle, running in/power acceptance engine (dengan parameter speed, shaft horse power, fuel flow, specific fuel consumption, dan temperature). Kemudian dilakukan acceleration and decelaration, vibration survei, oil consumption test, test bed calibration. Selanjutnya dilakukan engine receiving condition check untuk diserahkan kembali ke customer.
Dari hasil pengujian dapat diketahui bahwa engine Dart 7 MK 534-2 ini dikatakan layak terbang dengan parameter SHP telah mencapai batas minimal yaitu 1880 SHP dan Temperatur serta Specific Fuel Consumption-nya tidak melebihi batas maksimal yang telah diizinkan yaitu 790°C dan 0.68500pph/Hp, dengan nilai efisiensi pada saat kondisi take off yang didapat adalah 27.8% dan nilai tersebut dikatakan masih efisien menurut standar. Maka dapat diputuskan bahwa engine Dart7 MK 534-2 layak untuk terbang atau dalam kategori Acceptance untuk beroperasi.
Sub-millisecond 4D X-ray tomography achieved with a multibeam X-ray imaging system
Authors: Liang Xiaoyu , Voegeli Wolfgang , Kudo Hiroyuki , Arakawa Etsuo , Shirasawa Tetsuroh , Kajiwara Kentaro , Abukawa Tadashi , Yashiro Wataru 
Published: July 2023

Abstract
A proof-of-concept experiment for sub-millisecond temporal and 10 μm order spatial resolution 4D X-ray tomography imaging using a multibeam X-ray imaging system is reported. The 3D structure of a tungsten wire during mechanical deformation was reconstructed using a super-compressed sensing-based algorithm from 28 projection images acquired simultaneously with a temporal resolution of 0.5 ms. The multibeam imaging system does not require rotation of the sample, X-ray source or detector. The experiment demonstrates the potential for improving the time resolution in observing non-repeatable dynamic phenomena, such as those occurring in fluids, living beings, or material fractures.
Indicator of Job Satisfaction Related to Intention to Quit in Peruvian Nurses
Authors: Paredes Karin Monica Sanchez , Rodriguez Sara Karina Torpoco , Arévalo-Ipanaqué Janet Mercedes , Chaparro Josué Edison Turpo , Riva Monica Elisa Meneses-La , Cabanillas-Chavez María Teresa , Polonia Ana da Costa 
Published: July 2023

The objective of this study is to determine the relationship between job satisfaction and intention to quit among nurses in Peru. The methodology used is quantitative, non-experimental, cross-sectional, descriptive correlational study. The sample consisted of 335 nursing professionals from various public and private institutions in Peru. The G Clinic questionnaire was used to measure job satisfaction and the Boshoff and Allen questionnaire was used to measure intention to quit. The results show that the 55.5% of nurses had medium job satisfaction and 63.6% had low levels of intention to leave. The higher the job satisfaction, work climate, interpersonal relationships, work motivation and recognition, the lower the levels of intention to quit (p?0.05). It is concluded that there is a negative mean correlation was found between job satisfaction and intention to quit, the same was true for the dimensions of job satisfaction. It is important for health institutions to strengthen the job satisfaction of their workers in order to build their loyalty and prevent them from leaving their jobs.

Received: 13 March 2023 / Accepted: 12 May 2023 / Published: 5 July 2023
IT Knowledge Requirements of an External Auditor
Authors: Mahlangu Simphiwe , Moosa Riyad 
Published: July 2023

The growing use of Information Technology (IT) systems in businesses necessitates the hiring of auditors who have IT knowledge and abilities. An external auditor’s competence in IT ensures that the audit is run professionally and effectively. Consequently, the objective of this study was to ascertain the current state of IT knowledge among external auditors. This study followed a quantitative descriptive research design. Data was collected using a questionnaire, and analysed using descriptive statistics. A total of 62 external auditors from three small to medium-sized audit firms completed the questionnaire. The results reported in the study show that the respondents believed that the IT proficiency of external auditors is currently low, including the identification of IT technologies (cognitive technologies, data analytics, smart digital platforms, and blockchain systems) that are growing in importance for external auditors. The results of this study are important, as they provide insight into the perspectives of external auditors with regards to their IT knowledge and skill when conducting audits. As such, a number of recommendations are provided to audit firms, regulators, and professional accounting bodies.

Received: 21 January 2023 / Accepted: 13 May 2023 / Published: 5 July 2023
Psychometric Properties and Sociodemographic Profile of the Perceived Stress Scale in Peruvian University Students
Authors: Vera-Calmet Velia Graciela , Aguilar-Armas Haydee Mercedes , Alva Lucy Angélica Yglesias , Diaz Susana Edita Paredes , Meneses-La-Riva Monica Elisa , Villacorta Jessica Vicuña , Fernández-Mantilla Mirtha Mercedes , Barrera Maricelys Jimenez 
Published: July 2023

The university population had to adapt to new ways of learning causing in them a strong emotional impact. Therefore, there is a need for an instrument with adequate psychometric properties to develop a profile of perceived stress. Objective: To demonstrate the psychometric properties of the EEP-10 Perceived Stress Scale and to characterize perceived stress according to sociodemographic profile in university students. Method: Instrumental and non-experimental design, sample of 820 university students from 16 to 42 years of age, probabilistic sampling. Results: The internal structure of the scale presents a good fit of the two-dimensional model with RMR= .036; AGFI= .985; NFI= .982, RFI= .976 and PNFI= .791, as well as factor loadings between .643 and .797. A reliability of .835 and .825 omega coefficient for each of the dimensions. In the General Distress dimension of perceived stress, it was found that the differences according to sociodemographic variables differed from null, gender (p=.000**), age (p=.003**), economic dependence (p=.001**), and the effect size of the differences was of small magnitude. Discussion and conclusions: The study showed adequate psychometric properties of the perceived stress scale and differences in perceived distress according to sex, age and economic dependence. However, no differences were found in coping capacity based on sociodemographic variables.

Received: 24 February 2023 / Accepted: 28 May 2023 / Published: 5 July 2023
Virtual Environments in Higher Education: A Systematic Review
Authors: Bolo-Romero Karla Mavel , Guevara-Granados Vicky Inceborg , Peceros-Peceros Karina , Suyo-Vega Josefina Amanda , Alvarado-Suyo Sofia Almendra 
Published: July 2023

Virtual environments are technological tools that facilitate teaching and learning in various academic contexts. This study aims to systematize scientific evidence on the different digital tools and platforms used by university faculty in their teaching processes. A search was conducted in databases such as Scopus, SciELO, Eric, and Dialnet using the terms "digital tools and platforms" and Boolean operators in Spanish and English. The study analyzed 19 scientific articles published between 2011 and 2021 on higher education. The PRISMA flow chart was used to analyze the data. The results showed a variety of concepts related to tools and platforms, which can be confusing for readers. The study concludes that there is a need for more comprehensive research on the conceptualization and differentiation between tools and platforms.

Received: 18 January 2023 / Accepted: 10 June 2023 / Published: 5 July 2023
Global Media Framing Russian Invasion of Ukraine
Authors: Sahide Ahmad , Muhlis . , Misran . , Muhammad Ali 
Published: July 2023

On February 24, 2022, global political landscapes were shaken by Russian invasion of Ukraine. President Vladimir Putin has repeatedly emphasized that his actions were necessary to defend Russia against perceived Western expansionism, with Ukraine being a prominent example due to its expressed intention to join North Atlantic Treaty Organization (NATO) and European Union (EU). This study aims to analyze the framing of the Russian invasion of Ukraine by four media outlets, namely The Jakarta Post, Al Jazeera, Reuters, and The New York Times. A total of 120 news stories published between the 15th of February and the 15th of March 2022 were analyzed using NVivo software. The four media outlets portrayed Russia negatively, describing the country as aggressive and invading Ukraine while also criticizing its political measures.

Received: 02 March 2023 / Accepted: 10 June 2023 / Published: 5 July 2023Russia