bluuebunny/crossref_metadata_2025_split huggingface dataset:
Virtual reality psychological intervention helps reduce preoperative anxiety in patients undergoing carotid artery stenting: a single-blind randomized controlled trial
Authors: Liu Yanhua , Wang Rui , Zhang Yang , Feng Ling , Huang Wenxia 
Published: June 2023

ObjectiveThis study aimed to explore the effectiveness and applicability of a psychological intervention using virtual reality (VR) to reduce preoperative anxiety in patients undergoing carotid artery stenting (CAS).MethodsA total of 114 patients aged 18–86 years who were scheduled to undergo CAS were randomized to the VR and control groups. Patients in the VR group used a VR headset to view a 16-min psychological intervention video, while those in the control group used a tablet for viewing. The primary assessment instrument was the State Anxiety Inventory (S-AI), which was given 20 min before and after the intervention and 24 h after surgery. Secondary assessment tools were the Self-efficacy for Managing Chronic Disease (SEMCD-6) scale, which was completed before the intervention and 24 h after the operation, a smart bracelet to assess sleep quality, monitored in the evening before the operation, and the VR Suitability and Satisfaction Questionnaire, completed 24 h after the operation.ResultsThe two groups were similar in terms of demographic information, preintervention STAI scores and preintervention SEMCD-6 scores (p &gt; 0.05). S-AI scores were lower in both groups after the intervention and surgery, and the scores of the VR group were lower than those of the control group (p = 0.036, p = 0.014). SEMCD-6 scores post-surgery had improved in both groups, but the VR group had significantly higher scores than the control group (p = 0.005). Smart bracelet measurements showed no significant differences in postintervention sleep quality between the two groups (p = 0.540). For satisfaction, the VR group scored higher in all aspects except scheduling. A total of 47 (85.45%) patients reported having a comfortable experience, and only 5 (9.09%) experienced mild adverse effects.ConclusionThe use of a virtual reality psychological intervention was beneficial to reduce the anxiety of patients before CAS and improved their self-efficacy. As virtual reality devices evolve and demonstrate better comfort and safety, more comprehensive and in-depth research of the use of VR to reduce patient anxiety should be performed in the future.Clinical trial registration:https://www.chictr.org.cn/showproj.aspx?proj=186412, identifier ChiCTR2200066219.
Online social media poses opportunities and risks in autistic youth: implications for services from a qualitative study
Authors: Leung Phil Wai Shun , Li Shirley Xin , Holroyd Eleanor Anne , Tsang Carmen Sze Oi , Wong William Chi Wai 
Published: June 2023

BackgroundAutistic people are vulnerable to developing mental health problems due to their difficulties in managing social situations and interpersonal relationships. The popular online social media (OSM) can be a potential solution to these concerns for their social lives as it allows non-face-to-face social interactions, however it remained unclear how this group is using these online platforms. This study explored their experiences of using online social media, and their perceived benefits and risks associated with this use.MethodQualitative data was collected through in-depth face to face interviews. We recruited 13 autistic young adults who were with normal intelligence from two community centers in Hong Kong. Interviews were conducted in a semi-structured format by experienced clinical psychologist and social workers.ResultsFour themes were identified from the data, namely: (1) Paradox of using OSM to supplement social needs; (2) Unpleasant social interactions in the online environment; (3) Restricted and repetitive pattern of interest leading to troubles in OSM use, and; (4) Privacy and personal safety issues. The results suggested that while OSM could be a useful tool for our participants to connect with existing friends and to meet new ones, their limitations, such as difficulties in understanding languages and social interaction as well as restricted patterns of interests could potentially put them at risk, including interpersonal conflicts, cyber-bullying, financial scams, as well as unwanted sexual experiences. These experiences not only paradoxically increased their sense of loneliness and their distance from others, but also resulted in a negative impact on their mood and functioning.ConclusionThis qualitative study provided some insights into the OSM use among autistic young adults. OSM could be a useful tool to overcome potential limitations in social interactions, but at the same time it could potentially bring detrimental consequences. In order to maximize the benefits of online social networking, there is a need for timely guidance and support to use OSM among autists, and for psychoeducation to promote awareness, and enable adequate skills and behaviors attainment associated with safe OSM use.
Family functioning and suicidal ideation in college students: a moderated mediation model of depression and acceptance
Authors: Peng Biao , Hu Ningning , Guan Li , Chen Chao , Chen Zhu , Yu Huiying 
Published: June 2023

ObjectiveTo explore the mediating role of depression in the relationship between family functioning and suicidal ideation (SI) in college students, and to explore whether acceptance (It is one of the core components of psychological flexibility) plays a moderating role in this mediating model.MethodsIn a cross-sectional study, questionnaires were distributed to college students during November and December 2022. The sample of Chinese college students (n = 592, 43.07% male, 56.93% female, mean age 19.40 years, SD = 1.24 years) completed the Family Adaptability and Cohesion Evaluation Scale (FACES III), the Center for Epidemiological Depression Scale (CES-D), the Positive and Negative Suicide Ideation Inventory (PANSI), and the Acceptance and Action Questionnaire-Second Edition (AAQ II). SPSS 25.0 for Windows and PROCESS 2.15 macros were used for data analysis.ResultsThere was a significant negative correlation between family functioning and SI, and depression played a mediating role in this relationship. Acceptance moderated the indirect effects of depression and SI in college students. In college students with a lower acceptance level (i.e., higher experiential avoidance level), depression had more influence on SI, while the influence of depression on SI was less in college students with a higher acceptance level (i.e., lower experiential avoidance level). Family functioning indirectly influenced SI through the moderation of acceptance.ConclusionMental health educators in colleges and universities should pay more attention to identifying and relieving depression in college students, thereby dealing with suicide risk more effectively. At the same time, college students should be discouraged from excessive use of experiential avoidance strategies, and instead taught to master effective emotional regulation strategies such as mindfulness, distress tolerance, and radical acceptance skills to improve their acceptance level and alleviate the influence of depression on SI.
Engaging community-dwelling older adults in fall prevention programs: a qualitative study on strategies promoting participation in fall prevention programs among community-dwelling older adults
Authors: van Scherpenseel Meike , van Veenendaal Lidia , Donné Lennie , te Velde Saskia , Ronteltap Amber 
Published: June 2023

IntroductionFall rates and fall-related injuries among community-dwelling older adults (≥65 years) are expected to increase rapidly, due to the aging population worldwide. Fall prevention programs (FPPs), consisting of strength and balance exercises, have been proven effective in reducing fall rates among older adults. However, these FPPs have not reached their full potential as most programs are under-enrolled. Therefore, this study aims to identify promising strategies that promote participation in FPPs among community-dwelling older adults.MethodsThis is an exploratory qualitative study. Previously, barriers and facilitators for participation in FPPs by older adults had been identified. Next, six strategies had been designed using the Intervention Mapping approach: (1) reframing; (2) informing about benefits; (3) raising awareness of risks; (4) involving social environment; (5) offering tailored intervention; (6) arranging practicalities. Strategies were validated during semi-structured interviews with community-dwelling older adults (n = 12) at risk of falling. Interviews were audio-recorded, transcribed, and analyzed following a qualitative thematic methodology, with a hybrid approach.ResultsAll strategies were considered important by at least some of the respondents. However, two strategies stood out: (1) reframing ‘aging’ and ‘fall prevention’: respondents preferred to be approached differently, taking a ‘life course’ perspective about falls, and avoiding confronting words; and (2) ‘informing about benefits’ (e.g., ‘living independently for longer’); which was mentioned to improve the understanding of the relevance of participating in FPPs. Other strategies were considered important to take into account too, but opinions varied more strongly.DiscussionThis study provides insight into potential strategies to stimulate older adults to participate in FPPs. Results suggest that reframing ‘aging’ and ‘fall prevention’ may facilitate the dialogue about fall prevention, by communicating differently about the topic, for example ‘staying fit and healthy’, while focusing on the benefits of participating in FPPs. Gaining insight into the strategies’ effectiveness and working mechanisms is an area for future research. This could lead to practical recommendations and help professionals to enhance older adults’ participation in FPPs. Currently, the strategies are further developed to be applied and evaluated for effectiveness in multiple field labs in a central Dutch region (Utrecht).
Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area
Authors: Lee Helen H. , Dziak John J. , Avenetti David M. , Berbaum Michael L. , Edomwande Yuwa , Kliebhan Margaret , Zhang Tong , Licona-Martinez Karla , Martin Molly A. 
Published: June 2023

PurposeThe prevalence of childhood caries in urban Chicago, compared with national and state data, indicates that neighborhood context influences oral health. Our objective was to delineate the influence of a child's neighborhood on oral health outcomes that are predictive of caries (toothbrushing frequency and plaque levels).MethodsOur study population represents urban, Medicaid-enrolled families in the metropolitan Chicago area. Data were obtained from a cohort of participants (child–parent dyads) who participated in the Coordinated Oral Health Promotion (CO-OP) trial at 12 months of study participation (N = 362). Oral health outcomes included toothbrushing frequency and plaque levels. Participants' neighborhood resource levels were measured by the Area Deprivation Index (ADI). Linear and logistic regression models were used to measure the influence of ADI on plaque scores and toothbrushing frequency, respectively.ResultsData from 362 child–parent dyads were analyzed. The mean child age was 33.6 months (SD 6.8). The majority of children were reported to brush at least twice daily (n = 228, 63%), but the mean plaque score was 1.9 (SD 0.7), classified as “poor.” In covariate-adjusted analyses, ADI was not associated with brushing frequency (0.94, 95% CI 0.84–1.06). ADI was associated with plaque scores (0.05, 95% CI 0.01–0.09, p value = 0.007).ConclusionsFindings support the hypothesis that neighborhood-level factors influence children's plaque levels. Because excessive plaque places a child at high risk for cavities, we recommend the inclusion of neighborhood context in interventions and policies to reduce children's oral health disparities. Existing programs and clinics that serve disadvantaged communities are well-positioned to support caregivers of young children in maintaining recommended oral health behaviors.
Management of urinary tract infections in the community: a clinical audit and patient survey
Authors: Fisher Stacey Jayne , Graham Clive , Kennard James , Jonker Leon 
Published: June 2023

BackgroundUrinary tract infection (UTI) is a common ailment but can develop into sepsis. The outcomes related to UTI may potentially be affected by both patient and clinician management of UTI.AimTo explore the circumstances around a single UTI episode to determine whether there are patient and clinician-related variables that may contribute to differences in management.Design & settingSurvey and clinical audit in 12 general practices in England.MethodPatients (n= 504) completed a bespoke survey and their corresponding index UTI consultation was audited. The TARGET (Treat Antibiotics Responsibly, Guidance, Education and Tools) UTI audit toolkit was utilised.ResultsA significantly higher proportion of females compared with males used self-management measures. Increase in fluid intake was 78% for females aged <65 years and 71% for females aged >65 years compared with 53% for males (P<0.001, Χ2test). Analgesic use was 50% for females aged <65 years and 41% for females aged >65 years compared with 36% for males (P= 0.036, Χ2test). Males also indicated they lacked UTI knowledge when compared with females (P= 0.002, Kruskal-Wallis test). Males also claimed to have waited significantly longer for a consultation appointment (P= 0.027, Χ2test). Antibiotics were prescribed in 98% of all cases, with adherence to clinical diagnostic guidelines lowest in females aged <65 years. Only 40% (89/221 of cases in this guideline sub-cohort [females aged >65 years]) would have been a UTI, according to TARGET criteria, following a medical record audit.ConclusionUTI symptom management by clinicians is suboptimal; the presence or absence of symptoms is often insufficiently recorded in medical records. Additionally, suboptimal adherence to guidelines concerning urinalysis and microbiological investigation is common. Known increased clinical risks for males may be compounded by their more limited knowledge of (self)-managing UTI and their comparatively late presentation.
ZOOM LEARNING MEDIA RELATIONSHIP AND INTEREST IN LEARNING WITH LEARNING OUTCOMES CIVICS
Authors: Prasetyo Pardan , Abidin Zainal 
Published: June 2023

This study aims: 1) To find out the relationship between Zoom learning media and Civics learning outcomes. 2) To determine the relationship between students' interest in learning with Civics learning outcomes. 3) To determine the relationship between Zoom learning media and students' interest in learning and Civics learning outcomes. This study uses survey methods and correlational techniques. The target population reached in this study were all students of class IX in CIVICS at SMPN 1 Tajurhalang, a total of 371 students. Data retrieval using the instrument of learning outcomes for Civics subjects and questionnaires for learning media zoom and interest in learning. The data analysis technique used descriptive and inferential analysis.Based on the results of the analysis using descriptive statistics at SMPN 1 Tajurhalang, the average value was 83.8 for civics learning outcomes, 78.3 for Zoom learning media, and 80.88 for interest in learning. The analysis of simple regression analysis and correlation with the ANOVA test obtained that the media correlation coefficient (rxy) = 0.137 indicates that the relationship between X1 and Y has a strong relationship level. Then the correlation coefficient (rxy) = 0.355 indicates that the relationship between X2 and Y has a strong level of relationship. The study results show that 1) There is a positive relationship between Zoom learning media and civics learning outcomes. 2) There is a positive relationship between interest in learning and learning outcomes of Civics. 3) There is a positive relationship between Zoom learning media and interest in learning and Civics learning outcomes
Penatalaksanaan Pengendalian Infeksi Silang di Puskesmas Caringin Kecamatan Babakan Ciparay Kota Bandung Tahun 2022
Authors: Hamama Fenny Fatin , Nurnaningsih Hera , Heriyanto Yonan , Laela Dewi Sodja 
Published: June 2023

Alat kedokteran gigi yang terkontaminasi darah dan cairan tubuh pasien dapat menyebabkan terjadinya infeksi silang. Dokter gigi dan terapis gigi dan mulut berkontak langsung dengan saliva dan darah pasien sehingga berisiko tinggi menyebabkan penularan penyakit. Tenaga kesehatan pada pelayanan kesehatan gigi dan mulut di Indonesia memiliki kewajiban untuk melaksanakan pencegahan dan pengendalian infeksi (PPI) pada saat bekerja. Penelitian ini bertujuan untuk mengetahui Penatalaksanaan Pengendalian Infeksi Silang di Puskesmas Caringin Kecamatan Babakan Ciparay Kota Bandung Tahun 2022. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan kualitatif menggunakan metode Observasi, wawancara, dan pengisian kuesioner. Hasil penelitian mengenai Penatalaksanaan Pengendalian Infeksi Silang di Puskesmas Caringin menunjukan penerapan personal hygiene dan penggunaan alat pelindung diri serta penanganan ruang perawatan telah sesuai dengan prosedur. Pada penanganan alat kedokteran gigi belum dilaksanakan 100% karena tidak melakukan penyimpanan instrumen sesuai dengan standar pencegahan dan pengendalian infeksi menurut KEMENKES RI tahun 2012, Kepala contra angle dan water syringe tidak ditutup oleh kasa beralkohol 70%, lampu dan tray instrumen tidak diulas dengan kapas beralkohol 70%. Penatalaksanaan pengendalian infeksi belum sesuai dengan Standar Pencegahan dan Pengendalian Infeksi Silang menurut KEMENKES RI tahun 2012.
Relationship Between Dental and Oral Health Knowledge Levels With Toothbrushing Behavior in Former Methamphetamine Users
Authors: JANNAH MIFTAHUL , Putri Megananda Hiranya , Ningrum Nining , Insanuddin Isa 
Published: June 2023

Misuse of methamphetamine types can cause dental and oral health problems such as meth mouth, xerostomia, periodontitis and so on. Meanwhile, based on the 2018 BNN survey, cases of methamphetamine abuse in Indonesia are still relatively high. The high level of dental and oral health problems in shabu addicts can also be caused by a lack of knowledge and behavior in maintaining dental and oral health. Therefore, this study aims to determine the level of knowledge and behavior as well as the relationship between the level of knowledge of dental and oral health with brushing behavior in former users of methamphetamine.
This study is an analytical study using a cross-sectional design. Data was collected by distributing questionnaires containing closed-ended questions regarding dental and oral health and by observing tooth brushing behavior in 40 respondents who were undergoing rehabilitation at the Cakra Sehati Foundation, Bandung. The analytical method used is the Fisher Exact test because there are cells with an expected value of less than 5. The results show that 92.3% of respondents have a level of knowledge of oral health and tooth brushing behavior in the poor category. Fisher's Exact statistical test showed that there was a relationship between the level of knowledge of oral health and tooth brushing behavior in former methamphetamine addicts at the Cakra Sehati Foundation, Bandung (p = 0.013 < 0.05).
The Correlation Between The Use Of Dentures With Nutritional Status In The Elderly At RSGM UNPAD
Authors: Saharani Reunni , Nurjanah Neneng , Utami Ulfah , Octaviana Devy 
Published: June 2023

ABSTRACT In the elderly stage, a decrease in the level of dental and oral hygiene as well as a decrease in teeth usually occurs, this will cause the elderly to lose their teeth. One way that can be done to reduce the impact of tooth loss is to use dentures. When entering old age, the level of appetite will decrease. To reduce morbidity in the elderly, it is necessary to pay more attention to their nutritional status. This study aims to determine the relationship between the use of dentures and the nutritional status of the elderly at RSGM UNPAD. The type of research used in this research is quantitative analytic. The data collection technique used a cross sectional study approach. The population in this study were elderly patients using dentures at the Prosthodontic Polyclinic, RSGM UNPAD, sampling by accidental sampling was 36 people. Data analysis was carried out univariately, bivariately with Kendall's Tau-b. The results of the bivariate analysis of variables had no relationship between the use of dentures and nutritional status (p = 0.175). It is expected that the elderly will continue to increase their nutritional intake in order to maintain good nutritional status.
Key words: The Use Of Dentures, Nutrional Status, Elderly
Employment growth and innovation in the economy Poland
Authors: Waląg Piotr 
Published: June 2023

RESEARCH OBJECTIVEThe paper aims to investigate whether product and technological innovations in the manufacturing sector determined its share in total employment in 1995-2018 and, at the same time, how they shaped the processes of change in the real structure of the Polish economy.
THE RESEARCH PROBLEM AND METHODS: It was hypothesised that the low level of innovation in the manufacturing sector is a key determinant of the decline in its share in total employment, and the dichotomy of the deindustrialisation process in the Polish economy over the period 1995-2018.
THE PROCESS OF ARGUMENTATION: In order to realise the objective, and to verify the hypothesis posed, a statistical analysis of the process of changes in the structure of the Polish economy for the years 1995-2018 in the production category as well as in the employment category was carried out.
RESEARCH RESULTS: The analysis of changes in the structure of Poland's economy showed that the strongest growth in the total economy was in the production demand of the industrial sector. The increase in GDP per capita was most determined by the volume of manufacturing production (industrialisation process). In contrast, there was a large decline in employment in industry (deindustrialisation process) and no increase in employment in the total economy.
CONCLUSIONS, INNOVATIONS, AND RECOMMENDATIONS:The research has shown the existence of a dualistic deindustrialisation process, the cause of which is the lack of innovation in the industrial sector. This results in jobless economic growth creating a very high level of unemployment, as well as an excess of labour force in agriculture. Hence the need for research into the impact and level of innovation in the structure of the industrial sector itself on its competitiveness. Then, on the basis of these, an appropriate state economic policy aimed at reindustrialisation based on product and technological innovation.