bluuebunny/crossref_metadata_2025_split huggingface dataset:
Women in mid-life and older age in recovery from illicit drug use: connecting and belonging
Authors: Shaw April 
Published: August 2023

BackgroundEstablishing and maintaining healthy social connections and relationships are important in encouraging a sense of belonging that can help mid-life and older aged women in recovery from illicit drug use. This paper contributes to an under-researched area of substance use recovery among women in mid-life and older age by asking what influence social relationships have on their sense of self as they age into recovery from illicit drugs.MethodsIn-depth qualitative interviews were undertaken with 19 women in the United Kingdom who self-identified as ‘in recovery’ from illicit drug use. The interviews were transcribed verbatim and analyzed using Braun and Clarke’s thematic analysis techniques. The study received ethical approval from the University of Glasgow.ResultsAs their drug use progressed, the women experienced feelings of estrangement and separation from others. Entering and maintaining a healthy recovery from drug use required the women to break their connections to people considered disruptive or challenging. Creating and setting boundaries enabled some of the women to gain a sense of control over their relationships and recovery. Positive reinforcement from others was pivotal to the process of the women’s self-acceptance, contributing to better self-concepts that helped them maintain their recovery.DiscussionThis investigation into substance use recovery among women in mid-life and older age offers new insights into the relationship challenges they face. It offers suggestions for further research that could support the development of family support programs for mid-life and older age women in active drug use or recovery.
A positive association between the prevalence of circadian syndrome and overactive bladder in United States adults
Authors: Xiao Yunfei , Yin Shan , Wang Jiahao , Cui Jianwei , Yang Zhenzhen , Wang Jia , Bai Yunjin 
Published: August 2023

ObjectiveTo explore the association between the prevalence of circadian syndrome (CircS) and overactive bladder (OAB).Materials and methodsCross-section analysis was based on the National Health and Nutrition Examination Survey 2005–2018. Data regarding OAB was collected from questionnaires. The association between the prevalence of CircS and OAB was elucidated using three multivariable logistic regression models. Stratified and interaction analyses were performed to find whether some factors can modify the association.ResultsTotally 8,033 males and 8,065 females were included. People with CircS had a significantly higher prevalence of OAB compared to the non-CircS group in the fully-adjusted model (OR = 1.238, 95%CI 1.080–1.419). A significant positive correlation between the number of CircS components and the prevalence of OAB was observed when the components were ≥ 6 (OR = 1.975, 95%CI 1.463–2.665). No significant interaction was seen in the three models.ConclusionThere is a positive association between the prevalence of CircS and OAB. When the number of components is ≥6, the prevalence of OAB shows a strongly positive correlation with the number of CircS components.
Identifying care problem clusters and core care problems of older adults with dementia for caregivers: a network analysis
Authors: Leng Minmin , Han Shuyu , Sun Yue , Zhu Zheng , Zhao Yajie , Zhang Yizhu , Yang Xianxia , Wang Zhiwen 
Published: August 2023

BackgroundA shift in research interest from separate care problem to care problem clusters among caregivers of people living with dementia may contribute to a better understanding of dementia care. However, the care problems network among caregivers of people living with dementia are still unknown. This study aimed to identify care problem clusters and core care problems, and explore demographic variables associated with these care problem clusters among caregivers of people living with dementia.MethodsParticipants were recruited through memory clinics and WeChat groups. The principal component analysis was applied to identify care problem clusters. The network analysis was conducted to describe the relationships among care problems and clusters. Multiple linear models were used to explore the associated factors for the occurrence of the overall care problems and top three central care problem clusters.ResultsA total of 1,012 carer-patient pairs were included in the analysis. Nine care problem clusters were identified. In the entire care problem network, “deterioration in activities of daily living” was the most core care problem cluster across the three centrality indices, followed by “verbal and nonverbal aggression” and “loss of activities of daily living.” Variables including marital status, years of dementia diagnosis, number of dementia medication type, and caregiver’s educational attainment were associated with the prevalence of these three care problem clusters.ConclusionOur study suggests that there is a need to evaluate care problem clusters for the improvement of care problem management among people living with dementia. It is particularly important to include assessment and treatment of core care problem as an essential component of the dementia care.
Caregivers’ understanding of childhood influenza vaccination during the epidemic in China. A mixed-methods study
Authors: Han Kaiyi , Hou Zhiyuan , Tu Shiyi , Wang Qian , Hu Simeng , Xing Yuting , Du Jing , Zang Shujie , Chantler Tracey , Larson Heidi 
Published: August 2023

IntroductionInfluenza vaccination uptake among young children has been poor in China, but it is unclear how it changed during the COVID-19. This study aimed to investigate the uptake status and reasons of childhood influenza vaccination during the pandemic in China.MethodsA mixed-methods study combining a questionnaire survey and semi-structured interviews was conducted in Anhui, Shaanxi, and Guangdong provinces between September and November 2021. 2081 caregivers completed the valid questionnaire. 38 caregivers participated in interviews, and data were analyzed thematically, using deductive and inductive coding.ResultsA total of 2081 caregivers completed the valid questionnaire, and 38 caregivers participated in interviews. Among the caregivers, a total of 1796 were in the age group for high-risk groups in the 2019–2020 flu season, and 46.10% reported that their children received influenza vaccination in the 2019–2020 flu season; 43.63% said that they vaccinated their children against influenza in the 2020–2021 flu season. Many caregivers indicated that the adoption of nonpharmacologic interventions (NPIs) during COVID-19 reduced the risk of influenza infection for children. Most caregivers consider the severity of influenza to be low, and some confused the common cold with influenza. Meanwhile, some caregivers lack confidence in the vaccine’s effectiveness and importance. They thought that vaccines are not effective in preventing the constantly mutating virus. Despite clear perceptions about the severity of influenza and the effectiveness of the vaccine, we found that most caregivers did not receive any relevant medical information, and the communication about vaccines between caregivers and professional information sources, such as healthcare workers, is inadequate. Hence, caregivers have no scientific evidence to back up their perceptions. In terms of access to vaccination service, caregivers reported conflicts between time of vaccination service and their schedule, and the need for vaccine prices to be reduced.DiscussionTargeted interventions are needed to address caregivers’ lack of risk perception on influenza during COVID-19 and promote communication between caregivers and professional information sources. Extending vaccination service hours and increasing the number of vaccine clinics close to residential areas and expansion of financing sources for self-paid vaccination could facilitate the access to influenza vaccination service.
Defining, quantifying, and reporting intensity, dose, and dosage of neurorehabilitative interventions focusing on motor outcomes
Authors: Goikoetxea-Sotelo Gaizka , van Hedel Hubertus J. A. 
Published: August 2023

IntroductionDetermining the minimal amount of therapy needed for positive neurorehabilitative outcomes is important for optimizing active treatment interventions to improve motor outcomes. However, there are various challenges when quantifying these relationships: first, several consensuses on the definition and usage of the terms intensity, dose, and dosage of motor interventions have been proposed, but there seems to be no agreement, and the terms are still used inconsistently. Second, randomized controlled trials frequently underreport items relevant to determining the intensity, dose, and dosage of the interventions. Third, there is no universal measure to quantify therapy intensity accurately. This “perspectives” paper aims to increase awareness of these topics among neurorehabilitation specialists.Defining, quantifying, and reportingWe searched the literature for definitions of intensity, dose, and dosage and adapted the ones we considered the most appropriate to fit the needs of neurorehabilitative interventions. Furthermore, we suggest refining the template for intervention description and replication (TIDieR) to enhance the reporting of randomized controlled trials. Finally, we performed a systematic literature search to provide a list of intensity measures and complemented these with some novel candidate measures.DiscussionThe proposed definitions of intensity, dose, and dosage could improve the communication between neurorehabilitation specialists and the reporting of dose and dosage in interventional studies. Quantifying intensity is necessary to improve our understanding of the minimal intensity, dose, and dosage of therapy needed to improve motor outcomes in neurorehabilitation. We consider the lack of appropriate intensity measures a significant gap in knowledge requiring future research.
Effects of Health Insurance on Quality of Care in Low-Income Countries: A Systematic Review
Authors: Osei Afriyie Doris , Kwesiga Brendan , Achungura Grace , Tediosi Fabrizio , Fink Günther 
Published: August 2023

Objectives: To evaluate the effectiveness of health insurance on quality of care in low-income countries (LICs).Methods: We conducted a systematic review following PRISMA guidelines. We searched seven databases for studies published between 2010 and August 2022. We included studies that evaluated the effects of health insurance on quality of care in LICs using randomized experiments or quasi-experimental study designs. Study outcomes were classified using the Donabedian framework.Results: We included 15 studies out of the 6,129 identified. Available evidence seems to suggest that health insurance has limited effects on structural quality, and its effects on the process of care remain mixed. At the population level, health insurance is linked to improved anthropometric measures for children and biomarkers such as blood pressure and hemoglobin levels.Conclusion: Based on the currently available evidence, it appears that health insurance in LICs has limited effects on the quality of care. Further studies are required to delve into the mechanisms that underlie the impact of health insurance on the quality of care and identify the most effective strategies to ensure quality within insurance programs.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=219984, identifier PROSPERO CRD42020219984
Pre- and Post-Operative Online Prediction of Outcome in Patients Undergoing Endovascular Coiling after Aneurysmal Subarachnoid Hemorrhage: Visual and Dynamic Nomograms
Authors: Zhou Zhou , Wang Fusang , Chen Tingting , Wei Ziqiao , Chen Chen , Xiang Lan , Xiang Liang , Zhang Qian , Huang Kaizong , Jiang Fuping , Zhao Zhihong , Zou Jianjun 
Published: August 2023

Background: Aneurysmal subarachnoid hemorrhage (aSAH) causes long-term functional dependence and death. Early prediction of functional outcomes in aSAH patients with appropriate intervention strategies could lower the risk of poor prognosis. Therefore, we aimed to develop pre- and post-operative dynamic visualization nomograms to predict the 1-year functional outcomes of aSAH patients undergoing coil embolization. Methods: Data were obtained from 400 aSAH patients undergoing endovascular coiling admitted to the People’s Hospital of Hunan Province in China (2015–2019). The key indicator was the modified Rankin Score (mRS), with 3–6 representing poor functional outcomes. Multivariate logistic regression (MLR)-based visual nomograms were developed to analyze baseline characteristics and post-operative complications. The evaluation of nomogram performance included discrimination (measured by C statistic), calibration (measured by the Hosmer–Lemeshow test and calibration curves), and clinical usefulness (measured by decision curve analysis). Results: Fifty-nine aSAH patients (14.8%) had poor outcomes. Both nomograms showed good discrimination, and the post-operative nomogram demonstrated superior discrimination to the pre-operative nomogram with a C statistic of 0.895 (95% CI: 0.844–0.945) vs. 0.801 (95% CI: 0.733–0.870). Each was well calibrated with a Hosmer–Lemeshow p-value of 0.498 vs. 0.276. Moreover, decision curve analysis showed that both nomograms were clinically useful, and the post-operative nomogram generated more net benefit than the pre-operative nomogram. Web-based online calculators have been developed to greatly improve the efficiency of clinical applications. Conclusions: Pre- and post-operative dynamic nomograms could support pre-operative treatment decisions and post-operative management in aSAH patients, respectively. Moreover, this study indicates that integrating post-operative variables into the nomogram enhanced prediction accuracy for the poor outcome of aSAH patients.
The Effects of Different Auxin–Cytokinin Combinations on Morphogenesis of Fritillaria meleagris Using Bulb Scale Sections In Vitro
Authors: Marković Marija , Trifunović-Momčilov Milana , Radulović Olga , Paunović Danijela M. , Antonić Reljin Dragana D. , Uzelac Branka , Subotić Angelina 
Published: August 2023

Fritillaria meleagris is a horticulturally and medicinally valuable bulbous plant that requires a period of low temperatures for proper growth and flowering. Since conventional methods of propagation are ineffective and very slow, tissue culture techniques offer an integrated approach to mass production of this valuable geophyte. In this study, we investigated the effects of various auxin–cytokinin combinations on different morphogenetic pathways in bulb scale culture. Bulbs obtained in vitro were cut longitudinally, and bulb scales were cultured for four weeks at 7 °C on MS medium supplemented with 6-benzylaminopurine (BAP) in combination with 2,4-dichlorophenoxyacetic acid (2,4-D) or α-naphthaleneacetic acid (NAA) at different concentrations in order to investigate the influence of plant growth regulators (PGRs) on different morphogenetic responses. Regeneration percentage, number of shoots per explant, shoot length, number of bulbs and number of somatic embryos were monitored weekly. After chilling, bulb scales were transferred to 24 °C, and all parameters were recorded again. Low PGR concentrations were very effective for shoot multiplication, yielding up to 5.5 shoots per explant. 2,4-D (at 2 mg/L) in combination with low BAP (0.25 mg/L) produced the highest number of bulbs (11.00 ± 0.00), while PGR-free medium was extremely effective in somatic embryo formation (13.50 ± 2.90). Detached somatic embryos and bulblets continued to grow and develop on fresh PGR-free medium. We present data demonstrating that low auxin–cytokinin concentrations and PGR-free medium provide an effective method for a combined morphogenetic pathway in F. meleagris that is suitable for large-scale propagation.
Sharp Existence of Ground States Solutions for a Class of Elliptic Equations with Mixed Local and Nonlocal Operators and General Nonlinearity
Authors: Luo Tingjian , Xie Qihuan 
Published: August 2023

In this paper, we study the existence/non-existence of ground states for the following type of elliptic equations with mixed local and nonlocal operators and general nonlinearity: (−▵)su−▵u+λu=f(u),x∈RN, which is driven by the superposition of Brownian and Lévy processes. By considering a constrained variational problem, under suitable assumptions on f, we manage to establish a sharp existence of the ground state solutions to the equation considered. These results improve the ones in the existing reference.
STRATEGI BERTAHAN UNTUK MERESPON PANDEMI COVID-19 PADA KEUANGAN UMKM TAHU “BINA USAHA TAHU” Pakunden Kota Blitar
Authors: Wahyudi Arif , Indarriyanti Henni 
Published: August 2023

The current Covid-19 pandemic is certainly very impactful for entrepreneurs, especially SMEs Tofu "Bina Usaha Tofu", one of the impacts is the reduced activity of buyers due to PPKM as it is today. Tofu UMKM certainly suffer losses, from the decline in buyers to limited supplies of raw materials. The impact of the COVID-19 pandemic will be fatal to financial problems and will affect a business such as continuous losses.
For this reason, this researcher aims to find out how the survival strategy is to maintain financial stability in order to deal with the covid-19 pandemic used by UMKM Tofu "Bina Usaha Tahu" Pakunden Blitar City. This study uses qualitative research methods by approaching a study, namely interviews with resource persons as informants, and documentation as evidence of research results.

The results of this study indicate that the survival strategy to respondto the covid-19 pandemic in tofu UMKM "Bina Usaha Tahu" is to reduce the amount of production in white tofu and process solid and liquid waste in tofu so that tofu waste is not wasted and can increase income and reduce environmental pollution.
Financial Technology DAMPAK KEBIJAKAN FINANCIAL TECHNOLOGY DI INDONESIA
Authors: Estu Hardining 
Published: August 2023

Era.digital saat ini.diwarnai.dengan.munculnya.perusahaan-perusahaan.baru.yang.memanfaatkan.perkembangan.teknologi. FinTech.merupakan.salah.satu.alternatif.berinvestasi.yang menghadirkan pilihan buat Sobat Sikapi yang mempunyai keinginan untuk mengakses layanan jasa keuangan secara praktis, efisien, nyaman, dan ekonomis. Keberadaan FinTech sangat memengaruhi gaya hidup masyarakat ekonomi. Perpaduan antara efektivitas dan teknologi memiliki dampak positif bagi masyarakat pada umumnya. Fintech muncul di Indonesia untuk berbagai jenis layanan keuangan digital sejak 2007. Fintech di Indonesia telah merambah ke berbagai sektor, mulai dari pembayaran, peminjaman (lending), perencanaan keuangan (financial planner), investasi ritel, pembiayaan (crowdfunding), remitansi, riset keuangan, dan lain-lain. Menjamurnya fintech di Indonesia sebagai bukti beralihnya masyarakat dari sistem keuangan tradisional menjadi menggunakan fintech. Beralihnya masyarakat didasari oleh kecepatan dan juga kemudahan fintech dalam mengakses berbagai kepentingan yang berhubungan dengan sistem keuanganPenelitian ini merpakan penelitian kualitatif dengan pendekatan phenomenology dengan Tinjauan Pustaka Sistematis / SLR (Systematic Literature Review). Penelitian ini dilakukan dengan menggunakan penjabaran metode dan langkah-langkah yang dilakukan dengan merincikan secara eksploratif dengan menggunakan pendekatan kualitatif. Penelitian kualitatif dipilih dengan alasan karena adanya kedekatan dan kemudahan informasi yang bisa diakses terkait penelitian dan kedekatan antara peneliti dan responden maka dalam hal penyampaian informasi akan lebih terbuka dan transparan sehingga data yang dikumpulkan akan lebih mendalam.
ANALISIS JIWA WIRAUSAHA PADA UMKM PENGRAJIN BATAKO DI KECAMATAN BINANGUN KABUPATEN BLITAR
Authors: Suprianto  
Published: August 2023

Tujuan dilakukannya penelitian ini yaitu untuk mengetahui jiwa wirausaha pada UMKM pengrajin batako di Kecamatan Binangun Kabupaten Blitar. Metode yang digunakan yaitu pendekatan penelitian kualitatif. Penelitian ini dilakukan di Kecamatan Binangun Kabupaten Blitar. Informan dari penelitian ini yaitu pengrajin batako yang berada di Kecamatan Binangun Kabupaten Blitar. Hasil penelitian ini yaitu Jiwa wirausaha yang dimiliki oleh pengusaha UMKM Batako di Binangun mayoritas memilik jiwa wirausaha yang tinggi. Jiwa wirausaha tersebut ditunjukkan dengan para pengusaha yang berani mengambil risiko kegagalan, memiliki komitmen dan tanggung jawab, memiliki jiwa kepemimpinan yang tinggi dan memiliki jiwa yang ulet serta tegas.
ANALISIS PERBANDINGAN KINERJA PERUSAHAAN BERDASARKAN ECONOMIC VALUE ADDED PADA PT SMARTFREN TELECOM TBK DAN PT INDOSAT TBK YANG TERDAFTAR DI BURSA EFEK INDONESIA
Authors: Sasombo Gresiano , Saerang David P. E. , Maradesa Djeini 
Published: August 2023

Economic Value Added (EVA) merupakan alat ukur yang dipakai untuk melihat kinerja beserta nilai tambah yang dihasilkan oleh perusahaan. Apabila suatu perusahaan memiliki nilai EVA positif, maka dapat dikatakan perusahaan tersebut mampu menciptakan nilai tambah. Sebaliknya apabila nilai EVA negatif, dapat dikatakan kinerja dari perusahaan tersebut kurang baik. Tujuan penelitian ini yaitu untuk melihat dan mengetahui perbandingan kinerja perusahaan dari PT Smartfren Telecom Tbk dan PT Indosat Tbk yang di ukur dengan economic value added (EVA) pada periode tahun 2019 sampai dengan periode tahun 2021. Jenis penelitian ini adalah deskriptif kualitatif dengan data kuantitatif dan sumber data sekunder. Hasil penelitian menunjukan kinerja perusahaan berdasarkan Economic Value added pada PT Smartfren Telecom Tbk memiliki kinerja yang kurang baik karena memiliki nilai EVA negatif, yaitu kurang dari nol (EVA<0) di tahun 2019, 2020 dan 2021, sedangkan untuk PT Indosat Tbk pada tahun 2019-2020 juga memiliki nilai EVA negatif, yaitu kurang dari nol (EVA<0), namun untuk tahun 2021 memiliki nilai EVA positif yaitu lebih dari nol (EVA>0). Hasil tersebut menunjukan PT Indosat Tbk memiliki kinerja yang lebih baik dibandingkan dengan PT Smartfren Telecom Tbk.

Kata kunci: Economic Value Added, kinerja perusahaan
PENGARUH LINGKUNGAN KERJA DAN KESEIMBANGAN KEHIDUPAN KERJA TERHADAP KEBAHAGIAAN DAN DAMPAKNYA TERHADAP OCB PADA KARYAWAN GRAN PURI HOTEL MANADO
Authors: Conoras Dinda Rahmawati Muhaimin , Lengkong Victor P.K. , Uhing Yantje 
Published: August 2023

Penelitian ini berjudul “Pengaruh lingkungan kerja dan keseimbangan kehidupan kerja terhadap kebahagiaan dan dampaknya terhadap OCB pada karyawan Gran Puri Hotel Manado”.Sampel dalam penelitian ini berjumlah 84 responden yang diambil dari seluruh populasi pada Gran Puri Hotel Manado dengan menggunakan Teknik sampling jenuh.Metode analisis yang digunakan adalah analisis jalur dan Teknik analisis data dilakukan dengan menggunakan bantuan dari program Smart PLS 4.Hasil dari penelitian ini menemukan bahwa Lingkungan Kerja berpengaruh secara positif dan signifikan terhadap Kebahagiaan,Keseimbangan kehidupan kerja berpengaruh secara negatif atau tidak signifikan terhadap Kebahagiaan,Lingkungan kerja berpengaruh secara negatif atau tidak signifikan terhadap OCB,keseimbangan kehidupan kerja berpengaruh secara positif dan signifikan terhadap OCB,Kebahagiaan berpengaruh secara positif dan signifikan terhadap OCB,lingkungan kerja berpengaruh secara positif dan signifikan terhadap OCB melalui kebahagiaan,dan keseimbangan kehidupan kerja berpengaruh secara negatif atau tidak signifikan terhadap OCB.

Kata Kunci: lingkungan kerja, keseimbangan kehidupan kerja, kebahagiaan, OCB