bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rapid and unequal decline in adolescent mental health and well-being 2012–2019: Findings from New Zealand cross-sectional surveys
Authors: Sutcliffe Kylie , Ball Jude , Clark Terryann C , Archer Dan , Peiris-John Roshini , Crengle Sue , Fleming Terry (Theresa) 
Published: December 2022

Objective: To investigate prevalence and trends in key mental health and well-being indicators among New Zealand secondary school students. Methods: Representative cross-sectional youth health surveys with 2–4% of the New Zealand secondary school population were conducted in 2001, 2007, 2012 and 2019 (total n = 34,548). Results: In 2019, 69.1% reported good well-being (95% confidence interval = [67.6, 70.6]; World Health Organization 5-item), 22.8% reported clinically significant depression symptoms (95% confidence interval = [21.4, 24.1]; Reynolds Adolescent Depression Scale–Short Form) and 41.8% reported possible anxiety symptoms (95% confidence interval = [40.5, 43.2]; Generalized Anxiety Disorder 2, adapted). Past-year prevalence of periods of low mood (38.3%, 95% confidence interval = [36.6, 40.1]), deliberate self-harm (24.1%, 95% confidence interval = [22.8, 25.4]), suicide thoughts (20.8%, 95% confidence interval = [19.2, 22.4]) and suicide attempts (6.3%, 95% confidence interval = [5.5, 7.0]) were observed. After relative stability from 2001 to 2012, there were large declines in mental health to 2019. The proportion reporting good well-being decreased (odds ratio 0.71, 95% confidence interval = [0.65, 0.78], p < 0.001), depression symptoms increased (odds ratio 1.96, 95% confidence interval = [1.75, 2.20], p < 0.001) and past-year suicide thoughts and suicide attempts increased (odds ratio 1.41, 95% confidence interval = [1.25, 1.59], p < 0.001; odds ratio 1.60, 95% confidence interval = [1.32, 1.92], p < 0.001). Past-year deliberate self-harm was largely stable. Declines in mental health were unevenly spread and were generally greater among those with higher need in 2012 (females, Māori and Pacific students and those from higher deprivation neighbourhoods), increasing inequity, and among Asian students. Conclusion: Adolescent mental health needs are high in New Zealand and have increased sharply from 2012 among all demographic groups, especially females, Māori, Pacific and Asian students and those from high-deprivation neighbourhoods. Ethnic and socioeconomic disparities have widened.
Vigilance to Spatialized Auditory Displays: Initial Assessment of Performance and Workload
Authors: Greenlee Eric T. , Hess Lucas J. , Simpson Brian D. , Finomore Victor S. 
Published: December 2022

Objective The present study was designed to evaluate human performance and workload associated with an auditory vigilance task that required spatial discrimination of auditory stimuli. Background Spatial auditory displays have been increasingly developed and implemented into settings that require vigilance toward auditory spatial discrimination and localization (e.g., collision avoidance warnings). Research has yet to determine whether a vigilance decrement could impede performance in such applications. Method Participants completed a 40-minute auditory vigilance task in either a spatial discrimination condition or a temporal discrimination condition. In the spatial discrimination condition, participants differentiated sounds based on differences in spatial location. In the temporal discrimination condition, participants differentiated sounds based on differences in stimulus duration. Results Correct detections and false alarms declined during the vigilance task, and each did so at a similar rate in both conditions. The overall level of correct detections did not differ significantly between conditions, but false alarms occurred more frequently within the spatial discrimination condition than in the temporal discrimination condition. NASA-TLX ratings and pupil diameter measurements indicated no differences in workload. Conclusion Results indicated that tasks requiring auditory spatial discrimination can induce a vigilance decrement; and they may result in inferior vigilance performance, compared to tasks requiring discrimination of auditory duration. Application Vigilance decrements may impede performance and safety in settings that depend on sustained attention to spatial auditory displays. Display designers should also be aware that auditory displays that require users to discriminate differences in spatial location may result in poorer discrimination performance than non-spatial displays.
Trends in medical students’ health over 5 years: Does a wellbeing curriculum make a difference?
Authors: Moir Fiona , Patten Bradley , Yielder Jill , Sohn Christopher SE , Maser Brandon , Frank Erica 
Published: December 2022

Background: Trends in New Zealand (NZ) medical students’ health and the influence of a wellbeing curricula are unknown. Methods: The author’s collected self-report data from NZ medical students on ‘Graduation Day’ from 2014 to 2018, using a serial cross-sectional survey design with validated scales assessing psychological health, stigma, coping, and lifestyle. Comparisons were made with NZ general population same-age peers. Analyses examined trends, differences between ‘cohorts’ of students receiving different exposures to a wellbeing curriculum, and correlations between students’ own lifestyle practices and their frequency of talking with patients about those topics. Results: Of 1,062 students, 886 participated. The authors found statistically significant self-reported increases from 2014 to 2018 for negative psychological indices, including scores for distress and burnout, suicidal thoughts in the preceding year, and the likelihood of being diagnosed with an anxiety disorder. There was a significant increase in numbers of students reporting having their own doctor as well as increased healthy coping strategies and a significant decrease in stigma scores. Academic cohorts of students who had completed a wellbeing curriculum were more likely to report high distress levels, having been diagnosed with a mood disorder, and being non-drinkers than students without wellbeing training. When compared to NZ peers, medical students smoked less, exercised more, and were less likely to have diagnosed mood and anxiety disorders, but reported more distress. The authors found a significant correlation between the amount of exercise students undertook and their likelihood to discuss exercise with patients. Conclusions: NZ medical students have better physical health than general population peers and are more likely to discuss exercise with patients if exercising themselves. However, cohorts of graduating students report increasing distress despite the implementation of a wellbeing curriculum. Research is needed into mechanisms between students’ self-awareness, willingness to report distress, stigma, mind-set, coping, and psychological outcomes, to inform curriculum developers.
Compulsory psychiatric admissions in the canton of Basel-Stadt between September 2013 and April 2022: Analysis of the cantonal database of the Health Department of Basel-Stadt
Authors: Schneider Michael , Back Moritz , Krückl Jana S , Moeller Julian , Lang Undine E , Huber Christian G 
Published: December 2022

Background: According to federal and cantonal law, persons with an acute mental illness can be admitted to a psychiatric hospital or another suitable institution against their will, when other therapeutic options are not available or have been exhausted. In the canton of Basel-Stadt, this is the responsibility of public health officers employed by the division of Social Medicine of the cantonal Health Department. Aims: This study aims to elucidate which factors influence the decision-making of public health officers regarding compulsory admissions over the period from September 2013 to April 2022 in the canton of Basel-Stadt. Method: Leveraging comprehensive clinical data from the health department of the canton Basel-Stadt ( N = 5,′550), we estimated a mixed effects logistic regression model to identify factors contributing to the decision of public-health officers to compulsorily admit patients, while controlling for potential clustering effects among public health officers. Results: The risk for compulsory admissions was most strongly predicted by the presence of potential self-harm. In comparison, while being a strong predictor, potential harm to others played a considerably lesser role. Furthermore, psychiatric syndrome, previous compulsory admissions, and the specific context of evaluation were significant predictors. Finally, we found no meaningful personal bias among public health officers. Conclusion: The results suggest that public health officers’ decision-making regarding compulsory admissions focuses on preventing self-harm and, to a lesser degree, harm to others. This indicates that such measures are only used as a measure of last resort, which is in line with current evidence regarding the detrimental effects of compulsory measures on treatment outcomes in psychiatry. Our findings suggest that all relevant stakeholders, including the police, share this perspective. Decision-making regarding compulsory admissions was mostly free of personal biases, suggesting adherence to shared professional standards by public health officers.
Effect of the pH value of tannin extracts on properties of classic tannin foams
Authors: Goes Lopes Pedro Jorge , Berger Camila , Dalla Costa Henrique Weber , Coldebella Rodrigo , Ibeiro de Oliveira Alencar , Lunkes Nayara , Gatto Darci Alberto , de Avila Delucis Rafael , Missio André Luiz 
Published: December 2022

Natural tannin-based foams are three-dimensional porous materials. Many different formulations have been investigated in order to reach foams with improved performance and increased commercial attractiveness. In this sense, each different tannin pH may impart different physical and thermochemical properties to the foams, which has not yet been fully elucidated. In the present study, seven rigid tannin foams (formaldehyde/sulfur-free) were produced using tannin extracts with variable pH values ( c.a. from 2.3 to 12.2). The most acidic tannin extracts (below 4.8) yielded tannin foams with the most lightweight (apparent density below 0.077 g.cm−3), homogeneous, and hydrophobic (water solubility below 23.5%) cellular-network architectures. Also, in most cases, the smaller the tannin pH, the higher the thermal stability of the foam. Further studies may address other technological requirements needed for thermal insulation applications.
Parapharyngeal Space Ganglioneuroma: Clinical Experience and Review of the Literature
Authors: Li Fei , Feng Huajun , Liao Jiangxue , Bao Yilin , Xu Shengen , Qin Gang 
Published: December 2022

Ganglioneuroma is a rare benign tumor originating in the sympathetic ganglia, composed of differentiated ganglion cells, nerve sheath cells, and nerve fibers, which tend to occur in the posterior mediastinum, adrenal gland, retroperitoneal, and other locations, occurring in the head and neck is relatively rare, and parapharyngeal space involvement is extremely rare. In our report, we present 2 adult male patients whose preoperative imaging and fine needle cytology did not confirm the diagnosis of a parapharyngeal space mass and who completely resected the tumor through a combined cervical and oral approach. Finally, pathology confirmed ganglioneuroma; we also reviewed the English articles on parapharyngeal ganglioneuroma over the past 40 years, and summarized the diagnostic and treatment characteristics of parapharyngeal ganglioneuroma in combination with our cases to improve understanding of the disease.
Actor–partner effects of wellbeing, hope and self-esteem on depression in stroke survivor–caregiver dyads: A randomized controlled trial
Authors: Chow Esther OW , Fung Sai-fu , Singh Hardev 
Published: December 2022

Background Stroke is a disabling, long-term condition that challenges the mental and physical health of stroke-survivors concurrently with their primary family-caregivers (dyad). However, there has been a lack of emphasis on this dyadic need. Thus, this study aims to investigate the impacts of two interventions on hope, self-esteem and hedonic wellbeing on depression among the stroke-survivor–caregiver dyad. Methods This randomized-controlled-trial applied the actor–partner interdependence model to 100 randomly-selected dyads ( N = 200) of stroke-survivors, mean (SD) age was 73.63(7.22) and family-caregivers, mean (SD) age was 62.49(14.44) years, recruited from Hong Kong hospitals and rehabilitation centres. The intervention was eight-weekly two-hour narrative therapy group sessions ( n = 54 dyads), compared with the current model of psychoeducational group to each dyad as needed. Outcomes were collected via questionnaires and interviews, at four time-points: baseline (T1), during-intervention (T2) (1-month), immediately post-intervention (T3) (2-months) and follow-up (T4) (6-months). Results The results demonstrated that there are actor effects on stroke-survivors (β = −0.353, p < 0.05) and caregivers (β = −0.383, p < 0.05), where higher levels of hedonic wellbeing were associated with fewer depressive symptoms. Partner effects were observed as caregivers’ depressive symptoms were possessing a significant negative relationship with stroke survivors’ wellbeing (β = −0.387, p < 0.05). Those stroke survivors in the intervention group had a significantly higher level of self-esteem associated with lower levels of depression (β = −0.314, p < 0.05). Conclusions Improving hope, self-esteem and wellbeing through narrative therapy significantly mediates depressive symptoms, strengthening the dyadic support of stroke survivors and family caregivers.
Intraoperative Channeling in Arthroscopic Rotator Cuff Repair: A Multicenter Randomized Controlled Trial
Authors: Lapner Peter , Bouliane Martin , Pollock J W. , Coupal Stephanie , Sabri Elham , Hodgdon Taryn , Old Jason , Mcilquham Katie , MacDonald Peter ,   CSES Investigators:, Stranges Greg , Berdusco Randa , Marsh Jonathan , Dubberley James , McRae Sheila 
Published: December 2022

Background: Despite recent advances in arthroscopic rotator cuff repair, the retear rate remains high. New methods to optimize healing rates must be sought. Bone channeling may create a quicker and more vigorous healing response by attracting autologous mesenchymal stem cells, cytokines, and growth factors to the repair site. Hypothesis: Arthroscopic rotator cuff repair with bone channeling would result in a higher healing rate compared with arthroscopic rotator cuff repair without adjuvant channeling. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Our primary objective was to compare healing rates in patients undergoing arthroscopic rotator cuff repair for degenerative tears, with and without bone channeling. Secondary objectives included comparisons of the Western Ontario Rotator Cuff Index (WORC) score, American Shoulder and Elbow Surgeons (ASES) score, Constant score, Constant strength subscore, and visual analog scale (VAS) for pain score between groups. Patients undergoing arthroscopic rotator cuff repair were recruited at 3 sites and were randomized to receive either bone channeling augmentation or standard repair. Healing was determined via ultrasound at 24 months postoperatively. WORC, ASES, and Constant scores were compared between groups at baseline and at 3, 6, 12, and 24 months postoperatively. Results: A total of 168 patients were enrolled between 2013 and 2018. Intention-to-treat analysis revealed no statistical differences in healing rates between the 2 interventions at 24 months postoperatively. Statistically significant improvements occurred in both groups from preoperatively to all time points for the WORC, the ASES score, the Constant score or Constant strength subscore, and the VAS for pain ( P < .0001). No differences were observed between the bone channeling and control groups in WORC, ASES, Constant, and VAS pain scores at any time point. Conclusion: This trial did not demonstrate the superiority of intraoperative bone channeling in rotator cuff repair over standard rotator cuff repair at 24 months postoperatively. Healing rates, patient-reported function, and quality-of-life outcomes were similar between groups. Registration: NCT01877772 ( ClinicalTrials.gov identifier).
Characteristics of renal oncocytomas and clinical novelties: Single center experience of 17 years
Authors: Yüksel Ömer , Gümrükçü Gülistan , Tokuç Emre , Bilen Osman , Verim Levent 
Published: December 2022

Objective: To assess the characteristics of renal oncocytomas and the clinical outcomes of patients in the last 17 years in our institution. Methodology: The medical records of the patients who underwent partial and radical nephrectomy from May 2004 to December 2021 were evaluated retrospectively. Radiology and pathology results were evaluated. Patients diagnosed with oncocytoma after surgery were included in the study. Results: Out of 791 patients who were operated for renal masses, 55 patients with the diagnosis of oncocytoma were included in the study, 17 of them were female. The mean age of the patients was 64.77 ± 10.58 years. Open and laparoscopic methods were applied to patients. Partial nephrectomy was performed in 25 patients (46.2%). It was observed that none of the patients with a mean follow-up of 76 months developed recurrence or death due to oncocytoma. Conclusion: Oncocytoma is a benign and rare tumor of the kidney which distinguishing it from malign tumors preoperatively with recent techniques is impossible. Especially in small sized tumors, considering the possibility of oncocytoma, nephron sparing surgery should be preferred in terms of patients’ benefit. Further research is needed for the novel imaging techniques and biomarkers proposed to be used in routine use to distinguish oncocytoma.
Evaluation of crystallinity, thermal, mechanical and morphological features of high density polyethylene composites reinforced with crosslinked semifluorinated acrylate polymer microspheres
Authors: Soykan Ugur , Cetin Sedat 
Published: December 2022

This study mainly aims both to prepare well-shaped crosslinked 3,3,4,4,5,5,6,6,7,7,8,8,8 tridecafluorooctyl-4-(acrloyloxy) benzoate (ABCF13) polymer microspheres and to investigate the influences of the prepared microspheres addition on the crystallinity, thermal, mechanical and morphological features of high density polyethylene (HDPE). The suspension polymerization method was used for the production of well-defined microspheres and, the content of the microspheres varied from 1.0% to 10.0% in the composites. The characterization of crosslinked poly(ABCF13) microsphere-loaded HDPE composites were performed via powder X-ray diffraction, differential scanning calorimeter, universal mechanical (tensile and impact) testers and scanning electron microscope (SEM) techniques. According to the experimental findings, a and b unit cell parameters increased initially and reached maxima with the sample including 5.0% microsphere, which were followed by dramatic decreases, while c parameter remained relatively unchanged. Thermal analysis also showed that the melting temperature of HDPE reduced with the initial loading of the microspheres, then stayed at a plateau value of about 129°C due to the formation of lattice distortions, generation of microstructural disorders and the defects in the crystal structures. The mechanical test results revealed that there existed considerable improvements in tensile strength, modulus and impact strength. The maximum tensile strength 25.66 MPa, elastic modulus 499.30 MPa and maximum absorbed energy in the impact test 26.84 kJ/m2 (29%, 42% and 41% improvement, respectively) were achieved with the blend involving 5.0% microsphere. After the maxima, the mechanical characters depicted weakening trend as the microsphere content increased in the matrix. The SEM analyses revealed that although there existed fibrillar formations in all samples, the extensions decreased with the increase of the microsphere content. While ductile behavior was observed with the formation of long-bulky extensions at low contents, brittleness started to prevail at high contents with some short and thin fibrils.
Surgical Treatment is Still Recommended for Patients Over 75 Years with IA NSCLC: A Predictive Model Based on Surveillance, Epidemiology and End Results Database
Authors: Zhang Wenting , Liu Yafeng , Wu Jing , Wang Wenyang , Zhou Jiawei , Guo Jianqiang , Wang Qingsen , Zhang Xin , Xie Jun , Xing Yingru , Hu Dong 
Published: December 2022

Background To determine the populations who suitable for surgical treatment in elderly patients (age ≥ 75 y) with IA stage. Methods The clinical data of NSCLC patients diagnosed from 2010 to 2015 were collected from the SEER database and divided into surgery group (SG) and no-surgery groups (NSG). The confounders were balanced and differences in survival were compared between groups using PSM (Propensity score matching, PSM). Cox regression analysis was used to screen the independent factors that affect the Cancer-specific survival (CSS). The surgery group was defined as the patients who surgery-benefit and surgery-no benefit according to the median CSS of the no-surgery group, and then randomly divided into training and validation groups. A surgical benefit prediction model was constructed in the training and validation group. Finally, the model is evaluated using a variety of methods. Results A total of 7297 patients were included. Before PSM (SG: n = 3630; NSG: n = 3665) and after PSM (SG: n = 1725, NSG: n = 1725) confirmed that the CSS of the surgery group was longer than the no-surgery group (before PSM: 82 vs. 31 months, P < .0001; after PSM: 55 vs. 39 months, P < .0001). Independent prognostic factors included age, gender, race, marrital, tumor grade, histology, and surgery. In the surgery cohort after PSM, 1005 patients (58.27%) who survived for more than 39 months were defined as surgery beneficiaries, and the 720 patients (41.73%) were defined surgery-no beneficiaries. The surgery group was divided into training group 1207 (70%) and validation group 518 (30%). Independent prognostic factors were used to construct a prediction model. In training group (AUC = .678) and validation group (AUC = .622). Calibration curve and decision curve prove that the model has better performance. Conclusions This predictive model can well identify elderly patients with stage IA NSCLC who would benefit from surgery, thus providing a basis for clinical treatment decisions.