bluuebunny/crossref_metadata_2025_split huggingface dataset:
Upper arm versus forearm transcutaneous oximetry during upper limb abduction in patients with suspected thoracic outlet syndrome
Authors: Hersant Jeanne , Lecoq Simon , Ramondou Pierre , Feuilloy Mathieu , Abraham Pierre , Henni Samir 
Published: November 2022

Context: Thoracic outlet syndrome (TOS) is common among athletes and should be considered as being of arterial origin only if patients have “clinical symptoms due to documented symptomatic ischemia.” We previously reported that upper limb ischemia can be documented with DROPm (minimal value of limb changes minus chest changes) from transcutaneous oximetry (TcpO2) in TOS.Purpose: We aimed to test the hypothesised that forearm (F-) DROPm would better detect symptoms associated with arterial compression during abduction than upper arm (U-) DROPm, and that the thresholds would differ.Methods: We studied 175 patients (retrospective analysis of a cross-sectional acquired database) with simultaneous F-TcpO2 and U-TcpO2 recordings on both upper limbs, and considered tests to be positive (CS+) when upper limb symptoms were associated with ipsilateral arterial compression on either ultrasound or angiography. We determined the threshold and diagnostic performance with a receiver operating characteristic (ROC) curve analysis and calculation of the area under the ROC curve (AUROC) for absolute resting TcpO2 and DROPm values to detect CS+. For all tests, a two-tailed p &lt; 0.05 was considered indicative of statistical significance.Results: In the 350 upper-limbs, while resting U-TcpO2 and resting F-TcpO2 were not predictive of CS + results, the AUROCs were 0.68 ± 0.03 vs. 0.69 ± 0.03 (both p &lt; 0.01), with the thresholds being −7.5 vs. −14.5 mmHg for the detection of CS + results for U-DROPm vs. F-DROPm respectively.Conclusion: In patients with suspected TOS, TcpO2 can be used for detecting upper limb arterial compression and/or symptoms during arm abduction, provided that different thresholds are used for U-DROPm and F-DROPm.Clinical Trial Registration:ClinicalTrials.gov, identifier NCT04376177.
Weight self-stigma and engagement among obese students in a physical education class
Authors: Zhang Bao Gen , Qian Xiao Fang 
Published: November 2022

BackgroundThis is a cross-sectional in design. It involves the mediating effects of basic psychological need satisfaction in relation to the moderating effects of teacher autonomy support regarding weight self-stigma's effect on engagement among obese students in physical education classes.MethodsThis study includes 165 Chinese high school obese students [mean age, 16.84 (±0.147) years], comprising 93 males (56.63%) and 72 females (43.63%), with a mean body mass index (BMI) of 30.453 (SD = 2.426). Participants completed the weight self-stigma questionnaire, basic psychological need satisfaction questionnaire, teacher autonomy support questionnaire, and student engagement questionnaire.ResultsWeight self-stigma and engagement among obese students were mediated by basic psychological need satisfaction. Moreover, the mediated effect of basic psychological need satisfaction was moderated by teacher autonomy support.ConclusionWeight self-stigma and basic psychological need satisfaction are the antecedents influencing the engagement of obese students. Notably, weight self-stigma not only directly blocks the engagement of obese students but also their engagement by hindering the acquisition of basic psychological need satisfaction. Teacher autonomy support can significantly reduce the negative impact of weight self-stigma on basic psychological need satisfaction and significantly promote engagement. Therefore, by promoting their physical education engagement, physical education teachers should strengthen the application of their supportive autonomous teaching strategies to help obese students meet their basic psychological needs.
Chains of tragedy: The impact of bullying victimization on mental health through mediating role of aggressive behavior and perceived social support
Authors: Guo Yi , Tan Xiao , Zhu Qiu-jin 
Published: November 2022

ObjectiveBullying is a worldwide concern for its devastating consequences. The current study focused on bullying victims, examining the effects of being bullied on mental health and the chain of mediating mechanisms among adolescents. Specifically, this study attempts to explain the relationship between bullying victimization and mental health from the perspective of maladaptive behavior and perceived social support.MethodsA total of 3,635 adolescents responded to questions on bullying victimization, aggressive behavior, perceived social support, and mental health measurements including anxiety, depression, and subjective well being scale combined.Results(1) Bullying victimization was significantly correlated with aggressive behavior, perceived social support, and mental health, including anxiety, depression, and subjective well being. (2) Bullying victimization not only negatively predicts mental health levels but also has an indirect impact on mental health through three pathways: a separate mediating effect on aggressive behavior, a separate mediating effect on perceived social support, and a chain mediating effect on both.ConclusionThe present results demonstrate that maladaptive behavior by bullying victims can lead to changes in their perceived social support and mental health problems. Violence begets violence and provides no constructive solutions, instead, produces a tragic chain of victimization. Further implications are discussed accordingly.
Knowledge, attitude, and its correlates of the community toward mental illness in Mattu, South West Ethiopia
Authors: Jarso Mohammedamin Hajure , Debele Gebiso Roba , Gezimu Wubishet , Nigatu Desalegn , Mohammedhussein Mustefa , Mamo Aman , Dule Aman , Hassen Mohammedjud , Jemal Kiyar 
Published: November 2022

BackgroundThe magnitude of mental health conditions in the general population was high in low-resource settings like Ethiopia. This was accompanied by little evidence on knowledge, attitudes, and related determinants in the general population. Therefore, the current survey is planned to assess the knowledge, attitude, and related factors of the community toward mental illness in Mattu, South West Ethiopia.ObjectivesOur study aimed to assess the knowledge, attitude, and related factors of the community toward mental illness in Mattu, South West Ethiopia.MethodsA community-based cross-sectional survey was conducted in South West Ethiopia, Mattu town from 1 April−20 June, 2022 using a systematic random sampling, a multistage stratified technique from 649 households, and employed an interviewer-administered pre-tested semi-structured English version questionnaire. Epi-data Version 3.1 and SPSS-V-23.3 were employed for data entry and analysis respectively. A statistically significant association was declared at a P-value ≤ 0.05 at a 95% confidence interval.ResultsIn the current study, poor knowledge regarding, and unfavorable attitudes toward, mental illness among study respondents were 28% (182) 95% CI (24.3, 31.6) and 60.4% (392) 95% CI (56.5, 64.3), respectively. After controlling for potential confounders, being self-employed was independently associated with poor knowledge [AOR = 3.1, 95%CI (1.65, 4.28)]. Moreover, current use of substances [AOR = 1.64 95%CI (1.09, 5.98)] and not hearing information about mental illness from social media have been shown to be associated in the final model with an unfavorable attitude [AOR = 3.44 95%CI (1.98, 5.99)].Conclusion and recommendationAbout one-third and more than one-half of the study participants showed poor knowledge and an unfavorable attitude, respectively. Compared to similar global and local findings, there was better community knowledge and a poor attitude toward mental illness in the area. Unfavorable attitudes toward mental illness were found to be exacerbated by participants not hearing about it on social media and by current substance use. Moreover, being self-employed was independently associated with poor knowledge of mental illness. Hence, all concerned stakeholders need to enhance mental health advocacy to improve public knowledge and attitude toward mental illness through media campaigns with a special focus on common substances. In addition, due attention should be given to self-employed groups of society to reduce the impacts of mental health conditions.
Comparison of pre- and intra-COVID-19 postpartum depression among reproductive aged women: A comparative cross-sectional study in Ahvaz, Iran
Authors: Afshari Poorandokht , Tadayon Mitra , Abedi Parvin , Beheshtinasab Maryam 
Published: November 2022

BackgroundThe association between PPD and COVID-19 pandemic has been studied in some countries. This study aimed to compare postpartum depression before and during the COVID-19 pandemic among reproductive-aged women in Ahvaz, Iran.MethodsThis comparative cross-sectional study involved 600 women of reproductive age in Ahvaz, Iran during the COVID-19 pandemic who were compared with 504 of their counterparts before the pandemic. Literate women who had given birth 1–6 months prior to the study, were aged 18–35, and were willing to participate in this study were recruited. A demographic questionnaire and Edinburgh Postnatal Depression Scale were used to collect the data. Independent t-test, Chi-square, and Logistic regression were used to analyze the data.ResultsBefore the pandemic, only 123 (24.9%) of the women had PPD, while during the pandemic, this number rose to 409 (68.2%). During the COVID-19 pandemic, the women were 8.727 times more likely to have PPD (95% CI: 5.919–12.868). During the pandemic, women with high school education and those having a high school diploma were 2.454 and 2.054 times more likely to have PPD compared to women with a university degree (95% CI: 1.508–3.996 and 1.302–3.241, respectively).ConclusionThe prevalence of PPD among Iranian reproductive-aged women increased during the COVID-19 pandemic. Policymakers should seek some strategies to support women during pregnancy and postpartum in times of crises such as the COVID-19 pandemic.
Status of work alienation among nurses in China: A systematic review
Authors: You Qian , Bai Dingxi , Wu Chenxi , Gao Jing , Hou Chaoming 
Published: November 2022

BackgroundWork alienation is a common feeling of estrangement from the work and its context. Nurses are prone to feel alienated due to the high risk of infection, heavy workload, and the persistence of stress at high levels. Work alienation has serious negative outcomes, organizationally as well as personally. In recent years, the issue of work alienation among nurses has received considerable attention in China, but no systematic reviews have yet been published and its epidemiological status among Chinese nurses remains unclear.ObjectiveTo systematically evaluate the status and distribution characteristics of work alienation among nurses in China.MethodsCINAHL, Embase, Web of Science, PubMed, CENTRAL, Wanfang, SinoMed, CNKI, and VIP were searched for cross-sectional studies before 10 January 2022 on the current status of work alienation among nurses. Two investigators independently screened the articles, extracted the data, and evaluated the risk of literature bias. Stata16.0 software was used for analysis.ResultsA total of 12 studies were included, with 7,265 nurses involved. Meta-analysis results showed that the score of work alienation was 35.43 [95%CI (31.82, 39.04)]. Subgroup analysis showed that the scores of male and female nurses were 37.62 and 35.79 respectively; the scores of junior, undergraduate, and graduate nurses were 34.90, 37.15, and 40.02 respectively; the scores of primary, intermediate, and senior nurses were 36.95, 35.38, and 33.11 respectively; the scores of unmarried and married nurses were 38.59 and 36.70 respectively; the scores of nurses who had worked for 1~ &lt;6 years, 6~10 years, and more than 10 years were 37.46, 36.69, and 32.89 respectively; the scores of nurses with salary &lt;5,000 yuan, 5,000~10,000 yuan, and more than 10,000 yuan were 40.25, 37.19 and 34.52 respectively; and the scores of nurses in emergency department and intensive care units, internal medicine, surgery, and pediatrics were 37.25, 38.73, 36.28, and 31.98 respectively.ConclusionChinese nurses had a moderate level of work alienation. The scores of nurses in the following categories were quite high: male, higher education levels, low-professional titles, unmarried, shorter clinical working time, lower income, working in internal medicine, and working in the emergency department and intensive care units. Managers should take effective measures as soon as possible to reduce the occurrence of nurses' sense of work alienation.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier CRD42022298746.
Association between maternal intimate partner violence and health-related quality of life in their preschool children: The mediating role of maternal parenting styles
Authors: Luo Shengyu , Lin Li , Chen Weiqing , Li Chunrong , Ren Yan , Zhang Meng , Guo Vivian Yawei 
Published: November 2022

BackgroundAlthough intimate partner violence (IPV) against women is a public health issue around the world, there is a lack of evidence regarding the impact of maternal IPV on preschool children’s health-related quality of life (HRQOL). Therefore, the aim of this study was to investigate the association between maternal IPV and HRQOL among Chinese preschool children, as well as the mediating role of maternal parenting styles.MethodsA cross-sectional study was conducted with 4,243 mother-child dyads who attended preschools. Mothers self-reported their parenting styles and experience of IPV. Children’s HRQOL was collected through mother-proxy report with the Pediatric Quality of Life Inventory version 4.0 (PedsQL 4.0). Multivariate linear regression analysis was conducted to evaluate the association between maternal IPV and children’s HRQOL. Mediation models were further applied to explore the possible mediating role of maternal parenting styles.ResultsOf the included mothers, 7.4% had experience of IPV. Compared to children of mothers without any IPV exposure, those of mothers with experience of IPV had significantly lower scores in all HRQOL dimensions and summary scales. After adjustment for covariates, maternal IPV was significantly associated with children’s lower physical health summary score, psychosocial health summary score, and total scale score. Mediation analysis showed that both rejection and overprotection mediated such associations, but not for the emotional warmth.ConclusionOur findings indicated the need to screen maternal IPV supplemented with targeted interventions focusing on parenting styles, in order to mitigate the negative impact of maternal IPV on children’s HRQOL.
Psychological impact on healthcare workers, general population and affected individuals of SARS and COVID-19: A systematic review and meta-analysis
Authors: Cheung Teris , Cheng Calvin Pak Wing , Fong Tommy Kwan Hin , Sharew Nigussie Tadesse , Anders Robert L. , Xiang Yu Tao , Lam Simon Ching ,   SR Nursing Working Group
Published: November 2022

BackgroundAny infectious disease outbreak may lead to a negative detrimental psychological impact on individuals and the community at large, however; there was no systematic review nor meta-analysis that examined the relationship between the psychological/mental health impact of SARS and COVID-19 outbreak in Asia.Methods and designA systematic search was conducted using PubMed, EMBASE, Medline, PsycINFO, and CINAHL databases from 1/1/2000 to 1/6/2020. In this systematic review and meta-analysis, we analyzed the psychological impact on confirmed/suspected cases, healthcare workers and the general public during the Severe Acute Respiratory Syndrome (SARS) outbreak and Coronavirus disease (COVID-19) epidemics. Primary outcomes included prevalence of depression, anxiety, stress, post-traumatic stress disorder, aggression, sleeping problems and psychological symptoms.ResultTwenty-three eligible studies (N = 27,325) were included. Random effect model was used to analyze the data using STATA. Of these studies, 11 were related to the SARS outbreak and 12 related to COVID-19 outbreaks. The overall prevalence rate of anxiety during SARS and COVID-19 was 37.8% (95% CI: 21.1–54.5, P &lt; 0.001, I2 = 96.9%) and 34.8% (95% CI: 29.1–40.4), respectively. For depression, the overall prevalence rate during SARS and COVID-19 was 30.9% (95% CI: 18.6–43.1, P &lt; 0.001, I2 = 97.3%) and 32.4% (95% CI: 19.8–45.0, P &lt; 0.001, I2 = 99.8%), respectively. The overall prevalence rate of stress was 9.4% (95% CI: −0.4 −19.2, P = 0.015, I2 = 83.3%) and 54.1% (95% CI: 35.7–72.6, P &lt; 0.001, I2 = 98.8%) during SARS and COVID-19, respectively. The overall prevalence of PTSD was 15.1% (95% CI: 8.2–22.0, P &lt; 0.001) during SARS epidemic, calculated by random-effects model (P &lt; 0.05), with significant between-study heterogeneity (I2 = 93.5%).ConclusionThe SARS and COVID-19 epidemics have brought about high levels of psychological distress to individuals. Psychological interventions and contingent digital mental health platform should be promptly established nationwide for continuous surveillance of the increasing prevalence of negative psychological symptoms. Health policymakers and mental health experts should jointly collaborate to provide timely, contingent mental health treatment and psychological support to those in need to reduce the global disease burden.Systematic review registrationCRD42020182787, identifier PROSPER.
Reconstruction of chronic radiation-induced ulcers in the chest wall using free and pedicle flaps
Authors: Zhou Bo , Long Ying , Li Sha , Lv Chunliu , Song Dajiang , Tang Yuanyuan , Yi Liang , Luo Zhenhua , Xiao Gaoming , Li Zan , Zhou Xiao 
Published: November 2022

Background and purposeResection of radiation-induced ulcers often causes full-thickness defects of the chest wall. We retrospectively reviewed and evaluated 17 patients to explore a method of chest wall reconstruction.Materials and methodsA total of 17 breast cancer patients with radiation-induced ulcers were included. Various type of prostheses and flaps were used, results of clinic were evaluated.ResultsSixteen patients had full-thickness defects and one patient had only a soft tissue defect and underwent reconstruction with a pedicle latissimus dorsi (LD) myocutaneous flap. Among all 16 full-thickness defect cases, 15 patients underwent bony thoracic reconstruction using polymesh/3D-printed titanium plates or methyl methacrylate. For soft tissue reconstruction, 13 patients reconstruction using a free deep inferior epigastric perforator (DIEP) flap in combination with a contralateral transverse rectus abdominis myocutaneous (TRAM) flap, and 2 underwent pure free DIEP flap reconstruction. Among all the patients 15 healed with no complications, and 2 patients had delayed healing on the edges of the flaps.ConclusionsDistant pedicle or free flap can used for soft tissue defect coverage, for those severe patients with full-thickness defects and used prostheses, free deep inferior epigastric perforator flap in combination with a contralateral transverse rectus abdominis myocutaneous flap (TRAM + DIEP) would be an applicable choice.
Sinestesia dalam Novel "Tanjung Kemarau" Karya Royyan Julian
Authors: Milliana Milliana , Badrih Moh 
Published: November 2022

Synesthesia is change. the meaning of the word form due to the use of responses from the two senses. This research discusses; what are the types and meanings of synesthesia contained in the novel Tanjung Kemarau by Royyan Julian. The method used in this research is descriptive qualitative with semantic studies. Data was collected by reading and note-taking techniques. Meanwhile, the data analysis used in the study, namely; transcribing, identifying, copying, analyzing, rechecking, and concluding. The novel found five types of synesthesia, namely; changes in the response of the sense of taste to the sense of sight, changes in the response of the sense of touch to the sense of hearing, changes in the response of the sense of touch to the sense of sight, changes in the response of the sense of sight to the sense of hearing, and changes in the response of the sense of hearing to the sense of sight. In addition, there are five meanings of synesthesia in it, namely the meaning based on the context of feeling (feeling), the setting context, the context of the goal, the context of tone, and the meaning of synesthesia based on the context of the relationship.Keyword: language; novel; synesthesia; semantics Abstrak:Sinestesia adalah perubahan. makna bentuk kata akibat penggunaan tanggapan dari kedua indra. Penelitian ini membahas; apa saja jeniss dan makna sinestesia yang terdapat dalam novel Tanjung Kemarau karya Royyan Julian, Metode yang digunakan dalam penelitian ini adalah kualitatif deskriptif dengan kajian semantik. Pengumpulan data dilakukan dengan teknik baca dan catat Sedangkan analisis data yang digunakan dalam penelitian, yaitu; mentranskrip, mengidentifikasi, menyalin, menganalisis, pengecekan ulang, dan menyimpulkan. Dalam novel ditemukan lima jenis-jenis sinestesia yakni; perubahan tanggapan indra perasa ke indra penglihatan, perubahan tanggapan indra peraba ke indra pendengaran, perubahan tanggapan indra peraba ke indra penglihatan, perubahan tanggapan indra penglihatan ke indra pendengaran, dan perubahan tanggapan indra pendengaran ke indra penglihatan. Selain itu, ada lima makna sinestesia di dalamnya yakni makna berlandaskan konteks perasaan (felling), konteks setting, konteks tujuan, konteks nada, dan makna sinestesia berlandaskan konteks relasiKata kunci: bahasa; novel; sineastesia; semantik
Sistem Organisasi Masyarakat Desa Kon dalam Novel "Haniyah dan Ala di Rumah Teteruga" Karya Erni Aladjai
Authors: Latifah Suci Ayu , Muhajir Muhajir , Sutejo Sutejo 
Published: November 2022

A strong social system can create harmony, harmony, and peace. This kind of life is closely related to rural communities in fact suffering the same fate. This study will describe how the Kon village community organization system appears in the storytelling of the novel. The analysis uses the theory of literary anthropology. The research method uses descriptive qualitative, namely the findings of the data in the form of words and sentences in accordance with the formulation of the problem. The data collection technique used content analysis techniques sourced from the novel Haniyah and Ala di Rumah Teteruga by Erni Aladjai. The results of the research on the community organization system in the novel include (i) the kinship system; (ii) associations and associations; (iii) the state system; and (iv) the living unitary system. Portraits of community activities with their cultural environment are often found along the plot of storytelling and depictions of novel characters.Keywords: social system; anthropology; literatureAbstrak: Sistem kemasyarakatan yang kuat dapat menciptakan keharmonisan, kerukunan, dan kedamaian. Kehidupan semacam ini lekat dengan masyarakat pedesaan yang notabene bernasib sama. Penelitian ini akan mendeskripsikan bagaimana sistem organisasi masyarakat desa Kon yang tampak dalam penceritaan novel. Penganalisisan menggunakan teori antropologi sastra. Metode penelitian menggunakan deskriptif kualitatif, yaitu temuan data berupa kata-kata maupun kalimat sesuai dengan rumusan masalah. Teknik pengumpulan data menggunakan teknik analisis isi yang bersumber data novel Haniyah dan Ala di Rumah Teteruga karya Erni Aladjai. Adapun hasil penelitian sistem organisasi masyarakat dalam novel meliputi: (i) sistem kekerabatan; (ii) asosiasi dan perkumpulan; (iii) sistem kenegaraan; dan (iv) sistem kesatuan hidup. Potretisasi aktivitas masyarakat dengan lingkungan budayanya banyak ditemukan di sepanjang alur penceritaan dan penggambaran karakter tokoh-tokoh novel.Katakunci: sistem kemasyarakatan; antropologi; sastra