bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of hyperpolarized 3He-MRI, CT based parametric response mapping, and mucus scores in asthmatics
Authors: Carey Katherine J. , Hotvedt Peter , Mummy David G. , Lee Kristine E. , Denlinger Loren C. , Schiebler Mark L. , Sorkness Ronald L. , Jarjour Nizar N. , Hatt Charles R. , Galban Craig J. , Fain Sean B. 
Published: August 2023

Purpose: The purpose of this study was to anatomically correlate ventilation defects with regions of air trapping by whole lung, lung lobe, and airway segment in the context of airway mucus plugging in asthma.Methods: A total of 34 asthmatics [13M:21F, 13 mild/moderate, median age (range) of 49.5 (36.8—53.3) years and 21 severe, 56.1 (47.1—62.6) years] and 4 healthy subjects [1M:3F, 38.5 (26.6—52.2) years] underwent HP 3He MRI and CT imaging. HP 3He MRI was assessed for ventilation defects using a semi-automated k-means clustering algorithm. Inspiratory and expiratory CTs were analyzed using parametric response mapping (PRM) to quantify markers of emphysema and functional small airways disease (fSAD). Segmental and lobar lung masks were obtained from CT and registered to HP 3He MRI in order to localize ventilation defect percent (VDP), at the lobar and segmental level, to regions of fSAD and mucus plugging. Spearman’s correlation was utilized to compare biomarkers on a global and lobar level, and a multivariate analysis was conducted to predict segmental fSAD given segmental VDP (sVDP) and mucus score as variables in order to further understand the functional relationships between regional measures of obstruction.Results: On a global level, fSAD was correlated with whole lung VDP (r = 0.65, p &lt; 0.001), mucus score (r = 0.55, p &lt; 0.01), and moderately correlated (−0.60 ≤ r ≤ −0.56, p &lt; 0.001) to percent predicted (%p) FEV1, FEF25-75 and FEV1/FVC, and more weakly correlated to FVC%p (−0.38 ≤r≤ −0.35, p &lt; 0.001) as expected from previous work. On a regional level, lobar VDP, mucus scores, and fSAD were also moderately correlated (r from 0.45–0.66, p &lt; 0.01). For segmental colocalization, the model of best fit was a piecewise quadratic model, which suggests that sVDP may be increasing due to local airway obstruction that does not manifest as fSAD until more extensive disease is present. sVDP was more sensitive to the presence of a mucus plugs overall, but the prediction of fSAD using multivariate regression showed an interaction in the presence of a mucus plugs when sVDP was between 4% and 10% (p &lt; 0.001).Conclusion: This multi-modality study in asthma confirmed that areas of ventilation defects are spatially correlated with air trapping at the level of the airway segment and suggests VDP and fSAD are sensitive to specific sources of airway obstruction in asthma, including mucus plugs.
Ventilation and perceived exertion are sensitive to changes in exercise tolerance: arm+leg cycling vs. leg cycling
Authors: Nicolò Andrea , Girardi Michele , Bazzucchi Ilenia , Sacchetti Massimo , Felici Francesco 
Published: August 2023

Purpose: Growing evidence suggests that respiratory frequency (fR) is a marker of physical effort and a variable sensitive to changes in exercise tolerance. The comparison between arm+leg cycling (Arm+leg) and leg cycling (Leg) has the potential to further test this notion because a greater exercise tolerance is expected in the Arm+leg modality. We systematically compared Arm+leg vs. Leg using different performance tests.Methods: Twelve males underwent six performance tests in separate, randomized visits. Three tests were performed in each of the two exercise modalities, i.e. an incremental test and two time-to-exhaustion (TTE) tests performed at 90% or 75% of the peak power output reached in the Leg incremental test (PPOLeg). Exercise tolerance, perceived exertion, and cardiorespiratory variables were recorded during all the tests.Results: A greater exercise tolerance (p &lt; 0.001) was found for Arm+leg in the incremental test (337 ± 32 W vs. 292 ± 28 W), in the TTE test at 90% of PPOLeg (638 ± 154 s vs. 307 ± 67 s), and in the TTE test at 75% of PPOLeg (1,675 ± 525 s vs. 880 ± 363 s). Unlike V˙O2 and heart rate, both fR and minute ventilation were lower (p &lt; 0.003) at isotime in all the Arm+leg tests vs. Leg tests. Furthermore, a lower perceived exertion was observed in the Arm+leg tests, especially during the TTE tests (p &lt; 0.001).Conclusion: Minute ventilation, fR and perceived exertion are sensitive to the improvements in exercise tolerance observed when comparing Arm+leg vs. Leg, unlike V˙O2 and heart rate.
Mental health literacy of Chinese nurses from public general and psychiatric hospitals: a cross-sectional study
Authors: Wang Anni , Jia Shoumei , Shi Zhongying , Sun Xiaoming , Zhu Yuan , Shen Miaoli , Tang Dayu , Chen Xizhu 
Published: August 2023

BackgroundMental health literacy (MHL) is crucial to address issues related to mental illness. Nurses’ MHL is even more important because they are expected to deal with both the physical and psychological consequences of mental disorders.ObjectiveThis study investigated the level, discrepancy, and characteristics of MHL among Chinese nurses from both public general and psychiatric hospitals; identified influential factors; and explored the relationship between MHL and mental health status.MethodsUsing a stratified cluster sampling method to select participants, a cross-sectional survey was conducted to describe the MHL of 777 nurses from 13 general and 12 psychiatric hospitals using the Chinese version of the Mental Health Literacy Scale, Patient Health Questionnaire-2, Generalized Anxiety Disorder-2, and a demographic questionnaire. A multiple regression analysis was used to determine the factors influencing MHL among the nurses recruited.ResultsThe participants’ total score on the Chinese version of the Mental Health Literacy Scale was 93.25 (SD = 10.52). Multiple regression analysis revealed that nurses who worked in psychiatric or higher-level hospitals, with higher professional titles or higher education had higher levels of overall MHL and core MHL, while those working in general hospitals, with shorter work duration, or who were unmarried had higher social acceptance of patients. Nurses’ MHL was closely correlated with their mental health status.ConclusionThe overall and core MHL of Chinese nurses were at a moderate level, with social acceptance remaining at a relatively low level. There is an urgent need for MHL promotion programs to improve the MHL of clinical nurses. The focus must be given to overall MHL, especially core MHL, for non-psychiatric nurses to enhance their competence in mental health promotion and identification; more emphasis should be placed on the social acceptance of patients with mental illnesses for psychiatric nurses to improve their provision of professional services. Better MHL would be a formula for improving nurses’ own mental health and their mental health service competence.
Stigmatizing attitudes toward mental disorders among non-mental health nurses in general hospitals of China: a national survey
Authors: Li Li , Lu Shurong , Xie Chunyan , Li Yamin 
Published: August 2023

BackgroundNegative attitudes of nurses toward mental disorders have been reported in various countries. Nurses’ stigmatizing attitudes can harm patients with mental disorders (PWMD), thereby delaying the provision of help to patients and leading to decreased quality of care. In this study, we aimed to assess Chinese nurses’ stigmatizing attitudes toward patients with mental illness and provide a basis for future development and testing of appropriate and culturally adapted interventions to reduce it.ObjectiveThis study aimed to assess the attitudes of Non-mental Health Nurses (NMHNs) in general hospitals in China toward the stigma of PWMD and determine the factors influencing them.MethodsA cross-sectional survey of NMHNs in general hospitals were conducted. A self-designed WeChat-based questionnaire was used that included demographic information about the need for training on mental health issues. Participants were provided with a vignette of a depression case with suicidal thoughts. The Depression Stigma Scale (DSS) and Social Distance Scale (SDS) were used to assess attitudes toward mental disorders. Nine questions on the adequacy of knowledge about anxiety and depression and the current status of scale use were used to assess the current status of training needs for mental disorders. Descriptive analysis, chi-square test, and multivariate logistic regression were used for the table.ResultsA total of 8,254 nurses in non-mental health professions participated in this study. The mean DSS score of NMHNs was (17.24 ± 6.700), and the SDS score was (10.34 ± 3.154). The total detection rate of stigma among the survey respondents was 13.40% (1,107/8254). Multivariate logistic regression showed that age between 30 and 39 years [p = 0.001, OR = 1.427 (1.154–1.764)], 4 years of work experience and above [p = 0.018, OR = 1.377 (1.056–1.796)], having a bachelor’s degree [p &lt; 0.001, OR = 0.742 (0.647–0.851)], adequate psychological knowledge [p &lt; 0.001, OR = 1.567 (1.364–1.799)], full knowledge of communication with patients with anxiety and depression [p &lt; 0.001, OR = 1.848 (1.389–2.459)], and the need to acquire skills to identify anxiety and depression were the influencing factors associated with stigma [p &lt; 0.001, OR = 0.343 (0.236–0.499)].ConclusionStigmatizing attitudes toward PWMD exist among NMHNs in general hospitals in China. Thus, more mental health education programs for NMHNs are needed. Factors associated with higher morbidity stigma can be used to develop appropriate interventions to improve NMHNs’ stigmatizing attitudes and provide better quality care to PWMD.
Electric field distribution predicts efficacy of accelerated intermittent theta burst stimulation for late-life depression
Authors: Quinn Davin K. , Upston Joel , Jones Thomas R. , Gibson Benjamin C. , Olmstead Tessa A. , Yang Justine , Price Allison M. , Bowers-Wu Dorothy H. , Durham Erick , Hazlewood Shawn , Farrar Danielle C. , Miller Jeremy , Lloyd Megan O. , Garcia Crystal A. , Ojeda Cesar J. , Hager Brant W. , Vakhtin Andrei A. , Abbott Christopher C. 
Published: August 2023

IntroductionRepetitive transcranial magnetic stimulation (rTMS) is a promising intervention for late-life depression (LLD) but may have lower rates of response and remission owing to age-related brain changes. In particular, rTMS induced electric field strength may be attenuated by cortical atrophy in the prefrontal cortex. To identify clinical characteristics and treatment parameters associated with response, we undertook a pilot study of accelerated fMRI-guided intermittent theta burst stimulation (iTBS) to the right dorsolateral prefrontal cortex in 25 adults aged 50 or greater diagnosed with LLD and qualifying to receive clinical rTMS.MethodsParticipants underwent baseline behavioral assessment, cognitive testing, and structural and functional MRI to generate individualized targets and perform electric field modeling. Forty-five sessions of iTBS were delivered over 9 days (1800 pulses per session, 50-min inter-session interval). Assessments and testing were repeated after 15 sessions (Visit 2) and 45 sessions (Visit 3). Primary outcome measure was the change in depressive symptoms on the Inventory of Depressive Symptomatology-30-Clinician (IDS-C-30) from Visit 1 to Visit 3.ResultsOverall there was a significant improvement in IDS score with the treatment (Visit 1: 38.6; Visit 2: 31.0; Visit 3: 21.3; mean improvement 45.5%) with 13/25 (52%) achieving response and 5/25 (20%) achieving remission (IDS-C-30 &lt; 12). Electric field strength and antidepressant effect were positively correlated in a subregion of the ventrolateral prefrontal cortex (VLPFC) (Brodmann area 47) and negatively correlated in the posterior dorsolateral prefrontal cortex (DLPFC).ConclusionResponse and remission rates were lower than in recently published trials of accelerated fMRI-guided iTBS to the left DLPFC. These results suggest that sufficient electric field strength in VLPFC may be a contributor to effective rTMS, and that modeling to optimize electric field strength in this area may improve response and remission rates. Further studies are needed to clarify the relationship of induced electric field strength with antidepressant effects of rTMS for LLD.
Pursuit of environmental justice in urban forest planning and practice
Authors: Grant Amber , Millward Andrew A. , Edge Sara 
Published: August 2023

IntroductionThere is a growing demand for urban forest management that prioritizes genuine community involvement, acknowledges power imbalances within society, and embraces the principles of environmental justice. To assess current initiatives and share better/best approaches, examining how environmental justice principles are applied in urban forest planning and practice is crucial. This study aims to understand the perspectives of urban foresters on the factors that either facilitate or impede the attainment of environmental justice goals.MethodsInterviews were conducted with urban foresters from non-profit organizations and municipal government in San Francisco, California, and Seattle, Washington. The interviewees were asked to identify and discuss their tree planting and maintenance strategies, public engagement protocol, and inter-organizational collaboration processes. To provide a contextual understanding of environmental injustice in the study cities, the historical racist practice of neighborhood redlining was examined alongside current tree canopy cover, locations of environmental hazards, and the spatial distribution of persons of color and those living in poverty.ResultsThe findings revealed that urban forestry professionals in each city approached environmental justice in distinct yet complementary ways: San Francisco prioritized distributional justice, while Seattle focused on elements of procedural and recognitional justice. The Race and Social Justice Initiative in Seattle and Proposition E in San Francisco have been instrumental in identifying and addressing inequities in urban forest planning and practice.Discussion/conclusionCreating fair and inclusive urban forestry practices that prioritize disadvantaged neighborhoods has been a difficult task for both cities. Acknowledging and addressing past policies and cultural perspectives that have led to marginalization is crucial for building trust with these communities. Moving forward, prioritizing recognitional justice in urban forest planning and management should be a top priority.
The importance of additional intracranial injuries in epidural hematomas: detailed clinical analysis, long-term outcome, and literature review in surgically managed epidural hematomas
Authors: Marhold Franz , Prihoda Romana , Pruckner Philip , Eder Vanessa , Glechner Anna , Klerings Irma , Gombos Jozsef , Popadic Branko , Antoni Anna , Sherif Camillo , Scheichel Florian 
Published: August 2023

ObjectiveEpidural hematomas (EDH) occur in up to 8.2% of all traumatic brain injury patients, with more than half needing surgical treatment. In most patients suffering from this perilous disease, good recovery with an excellent clinical course is possible. However, the clinical course is mainly dependent on the presence of additional intracerebral injuries. Few studies comparing isolated and combined EDH in detail exist.MethodsWe performed a retrospective single-center study from April 2002 to December 2014. The mean follow-up time was more than 6 years. In addition to analyzing diverse clinicoradiological data, we performed a systematic literature review dealing with a detailed comparison of patients with (combined) and without (isolated) additional intracerebral injuries.ResultsWe included 72 patients in the study. With increasing age, combined EDH had a higher incidence than isolated EDH. The mortality rate of the patients in the cohort was 10%, of which 0% had isolated EDH and 10% had combined EDH. Good recovery was achieved in 69% of patients, of which 91% had isolated EDH and 50% had combined EDH. A subgroup analysis of the different additional intracerebral injuries in combined EDH demonstrated no significant difference in outcome. A systematic literature review only identified six studies. Patients with isolated EDH had a statistically significantly lower mortality risk [relative risk (RR): 0.22; 95% CI: 0.12–0.39] and a statistically significantly lower risk of unfavorable Glasgow outcome scale score (RR: 0.21; 95% CI: 0.14–0.31) than patients with combined EDH.ConclusionsAn excellent outcome in patients with surgically treated isolated EDH is possible. Furthermore, patients with combined EDH or isolated EDH with a low Glasgow coma scale (GCS) score may have favorable outcomes in 50% of the cases. Therefore, every possible effort for treatment should be made for this potentially lethal injury.
Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
Authors: Zhou Qi , Li Yao , Gao Qiang , Yuan Huiping , Sun Liang , Xi Huan , Wu Wenbin 
Published: August 2023

Objectives: To systematically review the epidemiology of frailty in China, one of the world’s most populous countries, and to provide insightful guidance for countries to deal with fast population ageing.Methods: Six electronic databases were searched until November 2022. Data from cross-sectional studies with a clear definition of frailty and a mean age ≥60 years were pooled using meta-analysis.Results: 64 studies (n = 106,826 participants) from 23 (67.6%) of China’s provinces were included. The overall prevalence of frailty and prefrailty among older community dwellers was 10.1% (95% CI: 8.5%–11.7%) and 43.9% (95% CI: 40.1%–47.8%), respectively. Adults over 70 years, women, unmarried, living alone, and those with less education had higher odds of being frail. Furthermore, regional disparities in frailty were observed; people in rural areas or areas with worse economic conditions had a higher prevalence of frailty.Conclusion: A great variation in frailty prevalence was observed between subgroups of older adults stratified by common risk factors. The Chinese government should pay more attentions to seniors at high risk and regions with a high prevalence of frailty.
Cross-cultural Communication Strategies in the Digital Era: A Bibliometric Analysis
Authors: Owusu Edward , Arthur Jones Lewis , Amofah Kwaku 
Published: August 2023

The growth of global industrialisation, migration, international trade, industry-academia collaboration, government-industry-academia collaboration, and internationalisation of institutions and business entities has led to an expansion of cross-cultural communication strategies and digitalisation across the world. Because of this, a lot of scientific research publications have been done on cross-cultural communication and digitalisation. Therefore, the purpose of this study was to assess authors’ citations, affiliations, and bibliometric coupling on cross-cultural communication and digitalisation within ten years, between 2014 and May 2023. The purpose of this paper was to identify the countries and disciplines with the most and least scientific publications on cross-cultural communication and digitalisation from 2014 to May 2023. Since the design of the paper was qualitative, the descriptive approach was used. The data (scientific publications) were electronically sampled from Scopus using three key phrases (“cross-cultural” or “communication” or “digitalisation”). In the first instance, a total of 122,461 data were collected from 2014 to May 2023. However, a sample size of 5,493 scientific publications was collected after filtering the initial data with the open-access option. The data collected from Scopus were then analysed with the 1.6.13 version of the VOSviewer software. The results of the study indicate that between 2014 and May 2023, Chang L. is the author with the highest number of scientific Scopus-indexed publications (13 papers) on cross-cultural communication and digitalisation. Also, the United Kingdom is the country with the highest number of scientific publications on cross-cultural communication and digitalisation from 2014 to May 2023. Still, on the results, the United Kingdom with total documents of 674 is the country with the highest number of bibliometric couplings on cross-cultural communication and digitalisation from 2014 to May 2023. In terms of authors with the highest citation within the period studied, Hofstede recorded 546 during ten years. The study recommends that more collaborative research should be done on cross-cultural communication and digitalisation among authors from various disciplines.
PENGARUH LINGKUNGAN KERJA DAN INSENTIF TERHADAP KEPUASAN KERJA KARYAWAN UD. TRUBUS KOTA BEKASI
Authors: Rezkiani Viona , Setiorini Amanda 
Published: August 2023

<em>The purpose of this study was to analyze the effect of the work environment and incentives on UD job satisfaction. Bekasi City Trubus. This research uses quantitative descriptive methods. The population of this study was all UD employees. Trubus has</em> <em>510 employees. The sample of this study amounted to 60 employees. The sampling technique is with the formula isaac and michael. The data collection technique is carried out by questionnaires. The data analysis techniques used are multiple and part</em><em> partially ial linear regression analysis, The results of this study show: First, there is a positive and significant influence of the work environment on job satisfaction. Second,</em> <em>there isa positive influence of incentives on job satisfaction. Third, there is a positive influence of the work environment and incentives on job satisfaction. The results of this study are expected to be useful for increasing job satisfaction through a comfortable work environment and incentives provided.</em>
El conocimiento experiencial en la Educación para la Paz
Authors: Barrios María Teresa , Coll Melina , Rodini Luciana , Uberti Ornella 
Published: August 2023

El presente trabajo intenta recoger una serie de reflexiones y problematizaciones en torno a las actividades llevadas a cabo por la ONG Constructores de Paz (CoPaz), cuyo objetivo es promover los derechos humanos de las niñas, niños, adolescentes y mujeres, fomentando la construcción de Culturas de Paz, a través de la educación popular, el arte, la filosofía y el deporte como herramientas pedagógicas que potencien, liberen, inspiren y desnaturalicen la violencia como forma de abordaje de los conflictos. En tal sentido, se propone recorrer brevemente por fuentes teóricas, así como las experiencias de los talleres realizados en el Barrio Toba de Rosario desde distintas miradas y disciplinas. Por último, intentará aportar consideraciones y desafíos en la materia. Este trabajo busca analizar por tanto cómo promover el cambio del paradigma adversarial a uno colaborativo donde la empatía, la creatividad y la colaboración sean los valores fundantes de las relaciones entre niñas, niños y jóvenes.