bluuebunny/crossref_metadata_2025_split huggingface dataset:
Polish adaptation of the Dimensional Anhedonia Rating Scale (DARS) - validation in the clinical sample
Authors: Gorostowicz Aleksandra , Rizvi Sakina J. , Kennedy Sidney H. , Chrobak Adrian Andrzej , Dudek Dominika , Cyranka Katarzyna , Piekarska Joanna , Krawczyk Eve , Siwek Marcin 
Published: September 2023

BackgroundAnhedonia is the core symptom of depression. Its presence has been linked to worsened prognosis. The Dimensional Anhedonia Rating Scale (DARS) is a scale measuring desire, motivation, effort and consummatory pleasure across different domains. The aim of this paper was to confirm factor structure, assess reliability and validity of the Polish adaptation of the DARS in a clinical sample of patients with mood disorders and healthy controls (HC).MethodsThe study sample included 161 participants aged 18–65 years - 34 HC, 72 patients with bipolar disorder and 55 with major depressive disorder (in depressive episode or remission). Reliability of the Polish adaptation of the DARS was assessed using Cronbach’s α and the average inter-item correlation (AIC). Convergent and divergent validity was established by Pearson’s correlations between the DARS and the Snaith-Hamilton Pleasure Scale (SHAPS), the Quick Inventory of Depressive Symptomatology- self-report (QIDS-SR), the Hospital Anxiety and Depression Scale (HADS). The structure of the scale was examined by factor analysis.ResultsThe factor structure was consistent with the original scale. Strong internal consistency for the DARS total score (Cronbach’s α = 0.95) and all subscales (0.86–0.93) was observed. The DARS demonstrated good convergent (moderate to strong correlations with measures of anhedonia and depression) and divergent validity (weak correlations with anxiety level).ConclusionThe Polish DARS demonstrated excellent internal consistency and very good validity. The scale is a valuable contribution to the psychometrics of anhedonia measures in patients with mood disorders.
Safety attitudes culture remain stable in a transplant center: evidence from the coronavirus pandemic
Authors: Zhang Chi , Wilson-Sheehan Sena , Ruch Brianna , Wagler Josiah , Abidali Ali , Lim Elisabeth S. , Chang Yu-Hui , Fowler Christopher , Douglas David D. , Mathur Amit K. 
Published: September 2023

BackgroundWe sought to understand how safety culture may evolve during disruption, by using the COVID-19 pandemic as an example, to identify vulnerabilities in the system that could impact patient outcomes.MethodsA cross-sectional analysis of transplant personnel at a high-volume transplant center was conducted using the Safety Attitudes Questionnaire (SAQ). Survey responses were scaled and evaluated pre- and post-COVID-19 (2019 and 2021).ResultsTwo-hundred and thirty-eight responses were collected (134 pre-pandemic and 104 post-pandemic). Represented organ groups included: kidney (N = 89;38%), heart (N = 18;8%), liver (N = 54;23%), multiple (N = 66;28%), and other (N = 10;4%). Responders primarily included nurses (N = 75;34%), administration (N = 50;23%), and physicians (N = 24;11%). Workers had high safety, job satisfaction, stress recognition, and working conditions satisfaction (score &gt;75) both before and after the pandemic with overlapping responses across both timepoints. Stress recognition, safety, and working conditions improved post-COVID-19, but teamwork, job satisfaction, and perceptions of management were somewhat negatively impacted (all p &gt; 0.05).ConclusionsDespite the serious health care disruptions induced by the pandemic, high domain ratings were notable and largely maintained in a high-volume transplant center. The SAQ is a valuable tool for healthcare units and can be used in longitudinal assessments of transplant culture of safety as a component of quality assurance and performance improvement initiatives.
Computational fluid dynamics comparison of the upper airway velocity, pressure, and resistance in cats using an endotracheal tube or a supraglottic airway device
Authors: Zamora-Perarnau Carla , Malvè Mauro , Fernández-Parra Rocío 
Published: September 2023

IntoductionIn veterinary medicine, airway management of cats under general anesthesia is performed with an endotracheal tube (ETT) or supraglottic airway device (SGAD). This study aims to describe the use of computational fluid dynamics (CFD) to assess the velocities, pressures, and resistances of cats with ETT or SGAD.MethodsA geometrical reconstruction model of the device, trachea, and lobar bronchi was carried out from computed tomography (CT) scans that include the head, neck, and thorax. Twenty CT scans of cats under general anesthesia using ETT (n = 10) and SGAD (n = 10) were modeled and analyzed. An inspiratory flow of 2.4 L/min was imposed in each model and velocity (m/s), general and regional pressures (cmH2O) were computed. General resistance (cmH2O/L/min) was calculated using differential pressure differences between the device inlet and lobar bronchi. Additionally, regional resistances were calculated at the device’s connection with the breathing circuit (region A), at the glottis area for the SGAD, and the area of the ETT exit (bevel) (region B) and the device itself (region C).ResultsRecirculatory flow and high velocities were found at the ETT’s bevel and at the glottis level in the SGAD group. The pressure gradient (Δp) was more enhanced in the ETT cases compared with the SGAD cases, where the pressure change was drastic. In region A, the Δp was higher in the ETT group, while in regions B and C, it was higher in the SGAD group. The general resistance was not statistically significant between groups (p = 0.48). Higher resistances were found at the region A (p = &lt;0.001) in the ETT group. In contrast, the resistance was higher in the SGAD cases at the region B (p = 0.001).DiscussionOverall, the provided CT-based CFD analysis demonstrated regional changes in airway pressure and resistance between ETT and SGAD during anesthetic flow conditions. Correct selection of the airway device size is recommended to avoid upper airway obstruction or changes in flow parameters.
Validation of Igls Criteria for Islet Transplant Functional Status Using Person-Reported Outcome Measures in a Cross-Sectional Study
Authors: Bond Zoe , Malik Saffron , Bashir Ayat , Stocker Rachel , Buckingham Jocelyn , Speight Jane , Shaw James A. M. 
Published: September 2023

Associations between islet graft function and well-being in islet transplant recipients requiring exogenous insulin remain unclear. This cross-sectional analysis compared person-reported outcome measures in 15 adults with type 1 diabetes whose islet transplants were classified according to Igls criteria as “Good” (n = 5), “Marginal” (n = 4) and “Failed” (n = 6) graft function. At a mean of 6.2 years post-first islet transplant, 90% reduction in severe hypoglycaemia was maintained in all groups, with HbA1c (mean ± SD mmol/mol) 49 ± 4 in recipients with “Good” function; 56 ± 5 (“Marginal”); and 69 ± 25 (“Failed”). Self-reported impaired awareness of hypoglycaemia persisted in all groups but those with “Good” function were more likely to experience symptoms during hypoglycaemia. “Marginal” function was associated with greater fear of hypoglycaemia (HFS-II score: “Marginal”: 113 [95, 119]; “Failed”: 63 [42, 93] (p = 0.082); “Good”: 33 [29, 61]) and severe anxiety (GAD7: “Marginal”): 21 [17, 21]; “Failed”: 6 [6, 6] “Good”: 6 [3, 11]; (p = 0.079)), diabetes distress and low mood. Despite clear evidence of ongoing clinical benefit, Igls criteria ‘Marginal’ function is associated with sub-optimal well-being, including greater fear of hypoglycaemia and severe anxiety. This study provides person-reported validation that “Good” and “Marginal” graft function are differentiated by general and diabetes-specific subjective well-being, suggesting those with “Marginal” function may benefit from further intervention, including re-transplantation.
Understanding the patient’s experience of coeliac disease diagnosis: a qualitative interview study
Authors: Harper Alice M , Watson Jessica , O’Donnell Rachel , Elwenspoek Martha MC , Banks Jonathan 
Published: September 2023

BackgroundCoeliac disease (CD) presents with non-specific symptoms, and delays to diagnosis are common. The traditional diagnostic pathway involves serological testing followed by endoscopic biopsy; however, the evidence is increasing about the effectiveness of a diagnosis without the need for a biopsy.AimTo understand the patient’s experience of being diagnosed with CD.Design and settingA qualitative study was conducted, which involved semi-structured interviews with adults diagnosed with CD living in the UK.MethodParticipants (n= 20) were purposefully sampled from 200 adults who had completed a diagnostic confidence survey. Interviews were conducted via video-conferencing software (Zoom), recorded, and transcribed verbatim. Data were analysed using reflexive thematic analysis.ResultsInterviewees faced pre-diagnostic uncertainty, presenting with non-specific symptoms that many experienced for several years and may have normalised. GPs often attributed their symptoms to alternative diagnoses, commonly, irritable bowel syndrome or anaemia. Investigations caused further uncertainty, with half of the interviewees unaware that their initial serology included a test for CD, and reporting long waits for endoscopy and challenges managing their diet around the procedure. Their uncertainty reduced once they received their biopsy results. Endoscopy was presented as the ‘gold standard’ for diagnosis and most interviewees believed that the procedure was necessary for diagnostic confidence and conviction in a lifelong gluten-free diet.ConclusionPatients experience uncertainty on the pathway to a diagnosis of CD. GPs could improve their experiences by being mindful of the possibility of CD and sharing information about serological testing. Policy and guidance should address the time to endoscopy and diet during diagnosis. If diagnosis without biopsy is adopted, then consideration should be given to clinical pathway implementation and communication approaches to reduce patient uncertainty.
Fuerza del suelo pélvico postparto tras un programa de rehabilitación
Authors: Gallegos Ana Sofía Guzmán , Díaz Mónica Hernández , Centeno Elizabeth Orduña , Sánchez Daniela Natalia Solís , Vargas María Eustolia Pedroza , Morales Ángel Salvador Xeque , Hernández Arely Guadalupe Morales 
Published: September 2023

Introducción: El suelo pélvico (SP) es un conjunto de estructuras que se encargan de soportar a los órganos que resguardan y dan estabilidad mientras se realizan actividades, como estar de pie o realizar movimientos, así como mantener la continencia. Gracias a los tejidos blandos presentes en el SP, se tienen cualidades físicas que ayudan en su función, por ejemplo, la resistencia, contractibilidad, flexibilidad y la fuerza. Es así, como la fuerza muscular está encargada de mejorar la ejecución de acciones motoras que permiten la continencia urinaria y fecal, también favorece el control postural, contribuyendo en el patrón respiratorio y el complejo abdomino-lumbo-pélvico. El parto es un evento en el cuál todo el complejo abdomino-lumbo-pélvico se ve alterado, principalmente la pérdida de la estabilidad pélvica y a su vez la pérdida de la fuerza muscular. El postparto es un periodo que comienza a partir del alumbramiento y que continúa a través del tiempo, clasificándose en postparto inmediato, precoz y tardío. Un programa de rehabilitación es un conjunto de ejercicios enfocados a un mismo fin, dirigido hacia al SP resulta altamente beneficioso para la mejora de la calidad de vida de la mujer, la vuelta a su condición pre-gestacional y a modificar cualquier alteración músculo-esquelética desarrollada en el embarazo, parto o preexistente a la gestación. Objetivo: Determinar la fuerza del suelo pélvico postparto antes y después de un programa de rehabilitación. Método: Se revisaron 33 expedientes clínicos, de pacientes de la clínica Fisio Ser, pertenecientes a mujeres primíparas de entre 18 y 45 años que hubieran pasado el alumbramiento a partir de la semana 36 de gestación, por parto no instrumentado, de los cuales se obtuvieron datos acerca de la valoración del suelo pélvico por medio del protocolo P.E.R.F.ECT, con la finalidad de comparar la variabilidad de la fuerza tras un periodo de rehabilitación fisioterapéutica de dos meses. Resultados: De los expedientes revisados, la edad P50=32 (rango: 25-41 años), el 100% de las participantes mostró cambios significativos en la fuerza resultando en una media de 3.7 y DE final de 1.1. Conclusión: El ejercicio terapéutico en mujeres postparto es eficaz y la comparación de la fuerza en el suelo pélvico tras la rehabilitación muestra una ganancia significativa (0.000 Wilcoxon Signed Ranks Tes).
Realization of Entrepreneurial Intentions in Global Crises: A Qualitative Study
Authors: Neff Alexander , Würthner Tanja , Weber Patrick , Werth Daniel 
Published: September 2023

Managers have at least two social roles in their job position: One is to keep the business running while the other role searches for entrepreneurial opportunities to exploit. Both roles have one aspect in common: the security of the organization’s existence, in short term as manager and in long term as entrepreneur. Our paper compares entrepreneurial intentions - the mental preparation to follow entrepreneurial goals – as well as the realization of these intentions in crises. The research question is: how do global crises affect the realization of entrepreneurial intentions? The approach is explorative, describes four directions of entrepreneurial intentions and what happened during their realization. We conducted two qualitative interview series, partly structured with two sequentially partly standardized guidelines, one in 2018/19 with 13 participants, the follow-up series in 2022/23 with 10 of the 13. The intentions of the interviews from 2018/19 were assigned to four directions: four of the wholesaling managers intended no to low collaboration in the familiar markets (direction I), four sought high collaboration in the familiar markets (II), two wanted no to low collaboration but to engage in unfamiliar markets (III), and three were looking for high collaboration in unfamiliar markets (IV). During the second interview series we confronted the participants with their intentions. The responses of 2022/23 show that global crises influenced the entrepreneurial intentions in different ways. Despite several crises between the two interview series, three wholesalers followed their intentions. All others changed directions. While some managers struggled with the situation and postponed or even discarded the intentions others saw new opportunities and exploited them. Consequently, it can be stated that crises can nevertheless maintain intentions and/or lead to new ideas. In times of a crisis, it is advisable to continue to keep both roles: the manager role must guide the company through the crisis, while at the same time ensuring its existence by exploiting opportunities as entrepreneur. For this purpose, we derived entrepreneurial paths from the results: (1) focus on existing business in familiar market, (2) expansion of the business segment in familiar market, (3) entering unfamiliar markets.
DEVELOPING TBLT-BASED DIGITAL STORYBOOK FOR 8TH-GRADE STUDENTS AT SMP NEGERI 4 SINGARAJA
Authors: Maharani Ni Wayan Linda , Myartawan I Putu Ngurah Wage , Pratiwi Ni Putu Astiti 
Published: September 2023

This study aims to develop a digital storybook based on the TBLT method as a facility for literacy activities for grade 8 students at SMP Negeri 4 Singaraja. The method used in this research is the methodology of Richey and Klein (2014), namely the Design and Development research model. The data obtained in this study were collected with data collection instruments in the form of questionnaire interviews, observation, and document analysis. The quality of the digital storybook has been assessed by two experts with very good results and is tend to be valid to be used for learning media and encouraging literacy activities of grade 8 students. This digital storybook has been trialed in small groups of grade 8 to get responses and conduct formative assessments. The results obtained from the trial of digital storybooks based on the TBLT method with "Recount Text" material for grade 8 can help teachers and students in creating innovative and communicative learning activities through the tasks contained in the storybook. This digital storybook product helps students in facilitate literacy activities.
Surface chemical states and structures of epitaxial Mg2Sn thermoelectric thin films
Authors: Ohkubo Isao , Aizawa Takashi , Senados Kenneth Magallon , Lima Mariana S. L. , Sakurai Takeaki , Mori Takao 
Published: September 2023

Abstract
Evaluation of the surface chemical states and structures of thermoelectric thin films is vital for the successful fabrication and operation of microscale thermoelectric devices incorporating such films. The chemical states and structures present in the surface layers of epitaxially grown Mg2Sn thermoelectric thin films were evaluated by Auger electron spectroscopy and reflection high-energy electron diffraction measurements. An oxide layer about 5 Å thick was shown to form on the surface of epitaxially grown Mg2Sn thermoelectric thin films on exposure to air, giving meaningful insights into potential ways of improving the microfabrication of thin-film-based miniaturized thermoelectric devices.
PRAZER FEMININO E SATISFAÇÃO SEXUAL
Authors: Rocha Rita Martins Godoy , Moraes Ana Beatriz , Souza Mariane Ventura , Fucci Paula Micali 
Published: September 2023

A relação entre mulheres e sexualidade, historicamente, traduz esforços de compreensão e de emancipação de seus corpos, distanciando as práticas sexuais do reducionismo biológico. O objetivo da pesquisa buscou identificar a percepção de prazer atribuída por mulheres em relação a sua sexualidade. Foi realizada uma pesquisa de levantamento com base no questionário adaptado QS-F: Quociente Sexual Feminino. A pesquisa teve caráter descritivo, segundo cálculo de escore total, a resultante relaciona-se ao nível da atividade sexual da mulher. Participaram da pesquisa 310 mulheres, 67,7% jovens adultas entre 21 e 25 anos, cerca de 86% cursam ou já concluíram o ensino superior. Relevância para o aparecimento de 30% de mulheres bissexuais e 6,5% de pansexuais, a maioria situa-se no espectro heterossexual (62,3%). A resultante do coeficiente em escore de 78, indica que as mulheres tendem a vivenciar a sua satisfação e desempenho sexuais de maneira “regular a bom”. Conclui-se que os dados demonstraram maior alcance em torno da mulher jovem na contemporaneidade, recorte que convida a novas reflexões em torno da satisfação sexual feminina nas diferentes gerações.
Implementasi Kebijakan Gerakan Membangun Desa di Provinsi Jawa Barat
Authors: Supandi Dedi 
Published: September 2023

Penelitian ini menggambarkan Strategi Implementasi Kebijakan Gerakan Membangun Desa di Provinsi Jawa Barat, Masalah penelitian: 1) Implementasi Kebijakan Gerakan Membangun Desa. 2) Faktor determinan yang mempengaruhi Implementasi Kebijakan Gerakan Membangun Desa. 3) Upaya mengatasi faktor-faktor yang mempengaruhi implementasi kebijakan Gerakan Membangun Desa di Provinsi Jawa Barat dan 4) Alternatif strategi implementasi kebijakan yang harus dilakukan agar Kebijakan Gerakan Membangun Desa di Provinsi Jawa Barat efektif. Metode penelitian yang digunakan peneliti adalah deskriptif dengan pendekatan kualitatif. Hasil pembahasan penelitian adalah Kebijakan gerakan membangun desa telah diimplementasikan di seluruh Kabupaten di Jawa Barat, diindikasikan dengan adanya penurunan jumlah desa tertinggal dan desa berkembang di Provinsi Jawa Barat, dan meningkat menjadi desa maju dan desa mandiri. Implementasi kebijakan gerakan membangun desa di Provinsi Jawa barat dipengaruhi oleh faktor produktivitas, linearitas, dan efisiensi, Sedangkan faktor determinan yang mempengaruhi implementasi kebijakan gerakan membangun desa mencakup subtansi kebijakan, prilaku tugas pelaksana, interaksi jejaring kerja, partisipasi kelompok sasaran dan sumber daya. Sementara upaya untuk mengatasi kendala yang mempengaruhi implementasi kebijakan gerakan membangun desa yaitu dengan kesiapan kelembagaan, kesiapan program, dan kesiapan SDM serta kolabrasi penta helix. Terdapat tiga faktor dominan yang menjadi kendala dalam implementasi gerakan membangun desa yaitu waktu, regulasi, dan kehati-hatian. Analisis Strategi SOAR terkait dengan implementasi kebijakan gerakan membangun desa menghasilkan strategi koleborasi penta helix, strategi transparansi dan strategi peningkatan inovasi desa melalui didigalisasi desa, gerbang desa dan one vilage one prodauct. Hasil temuan penelitian ini adalah model implementasi kebijakan Muchlis Hamdi (2014) masih relevan untuk digunakan, namun demikian dalam implementasi kebijakan gerakan membangun desa di Provinsi Jawa Barat, model implementasi kebijakan perlu dilengkapi dengan pendekatan kolaborasi (melalui skema penta helix), transparansi program (melalui edukasi masyarakat, komunitas mitra, dan pemantauan kebijakan), dan peningkatan inovasi untuk mewujudkan desa juara di Provinsi Jawa Barat.
MANAJEMEN HAK AKSES KONEKSI INTERNET MENGGUNAKAN SQUID PROXY SERVER DI RELOAD.NET
Authors: Ragil Prihantoro Candra 
Published: September 2023

Internet as information resources have a role that is so important to the community . Things to consider is the Internet in interacting factors of the use of the Internet is the use of Proxy Server is one of the solutions offered to provide Internet safety . One Proxy Server is quite popular today is Squid , Squid Proxy Server is the most widely used program by the network administrator as a program for squid proxy server is open source so it can be modified according to our wishes . Therefore we use the Squid to help in setting permissions in Internet networks required to provide information security data accessed by way of the filter so that the website - a website that can be accessed should not be blocked , limiting Internet bandwidth required in the network in an attempt to equally distribute owned bandwidth according to the number of clients in the Internet network. Internet access required and Restrictions For Internet access can be used that are not held by the client who does not have the right to access the internet. The method used for the design of an internet connection access rights management using a squid proxy server in reload.net consists of several stages: planning , data collection , analysis , design , system design , and preparation of reports. The results of this research is the implementation of ACL Squid Proxy Server is configured by the server to limit the use of the internet so that the client can provide internet accessible data security. Key words : Squid Proxy Server , Unblock sites , limiting bandwidth , restricting internet access
ANALISIS ONLINE SHOP DI INDONESIA MENGGUNAKAN TOOLS ALEXA.COM KATEGORI FORUM ONLINE DAN IKLAN BARIS
Authors: Setyowibowo Sigit , Firdaus Nasrul 
Published: September 2023

Perkembangan teknologi informasi yang semakin pesat menimbulkan banyak hal baru bermunculan salah satunya yaitu online shopping, Online Shopping adalah pembelian barang maupun jasa yang dilakukan melalui internet, Indonesia menduduki peringkat ke-4 tertinggi di Asia Tenggara dalam populasi pemakaian internet pada tahun 2014, hal ini mengindikasikan bahwa Indonesia merupakan pasar yang menjanjikan dalam bisnis online shopping. kaskus.co.id, berniaga.co.id, olx.co.id merupakan contoh dari beberapa situs online shooping diindonesia, penelitian ini bertujuan untuk memberikan rangking dari ke-3 situs tersebut untuk nantinya dapat digunakan sebagai bahan pertimbangan bagi penjual dalam memasarkan produknya. Penelitian ini mengguna menggunakan situs pemeringkatan dalam metode pemberian rangking yaitu alexa.com Keywords: online shoping, forum online , alexa.com