bluuebunny/crossref_metadata_2025_split huggingface dataset:
Resilience and positive coping style affect the relationship between maladaptive perfectionism and academic procrastination among Chinese undergraduate nursing students
Authors: Huang Haitao , Ding Yueming , Zhang Yiming , Peng Qianwen , Liang Yipei , Wan Xiao , Chen Chaoran 
Published: October 2022

BackgroundPrevious studies have not investigated the role of resilience and coping style on the association between maladaptive perfectionism and academic procrastination among nursing undergraduates. However, how to mobilize the learning enthusiasm of nursing students and reduce the incidence of academic procrastination is an important factor to reduce nursing loss and improve nursing quality.ObjectivesTo investigate the influence of maladaptive perfectionism, resilience and coping style on academic procrastination among Chinese undergraduate nursing students.MethodsA cross-sectional study was conducted. A convenience sampling method was used to select 665 nursing undergraduates from March to May 2022 in China. Maladaptive perfectionism, coping style, resilience, and academic procrastination were measured using questionnaires. The descriptive analysis, Pearson’s correlation analysis and the Hayes’ PROCESS Macro in SPSS 25.0 were used to test the model.ResultsThe results showed that nursing undergraduates’ maladaptive perfectionism, resilience, positive coping style and academic procrastination were significantly correlated between every two variables, with coefficients ranging between −0.290 and 0.584. In addition, resilience played a partial mediating role in maladaptive perfectionism and academic procrastination, accounting for 15.70% of the total effect; in the meantime, this process was moderated by positive coping style.ConclusionMaladaptive perfectionism positively predicted nursing undergraduates’ academic procrastination; as a mediating mechanism with moderating, resilience and positive coping style further explained how maladaptive perfectionism promoted the academic procrastination of nursing undergraduates. Understanding this mechanism is of great significance for nursing educators to reduce the risk of academic procrastination in nursing undergraduates.
Coping with COVID-19: Exploring coping strategies, distress, and post-traumatic growth during the COVID-19 pandemic in Australia
Authors: Kavanagh Bianca E. , O’Donohue Josephine S. , Ashton Melanie M. , Lotfaliany Mojtaba , McCallum Maddy , Wrobel Anna L. , Croce Sarah , Berk Michael , Saunders Lucy , Lai Jerry , Berk Lesley 
Published: October 2022

ObjectiveThis study aimed to explore coping strategies, distress, and post-traumatic growth among Australians with and without a history of a mental health diagnosis during the COVID-19 pandemic.Materials and methodsAustralians (N = 381) completed an online survey between 4-August 2020 and 25-October-2020. Coping strategies, distress, and post-traumatic growth were ascertained via the Brief COPE, Depression Anxiety and Stress Scale (DASS-21), and Post-Traumatic Growth Inventory (PTGI), respectively. Linear regression was conducted to examine the relationship between the Brief COPE, DASS-21, and PTGI, adjusting for sociodemographic factors. Models were conducted separately for those with/without a history of a mental health diagnosis.ResultsHigher distress was found among those with a history of a mental health diagnosis. Significant differences in the types of coping strategies associated with distress and post-traumatic growth were identified between the groups, however, behavioral disengagement and self-blame consistently predicted depression, anxiety, and stress. For those with a history of a mental health diagnosis, positive reframing decreased anxiety. Self-distraction was associated with post-traumatic growth across both groups.ConclusionThere are important differences in the way people with and without a history of a mental health diagnosis cope with the COVID-19 pandemic.
Therapeutic components of digital counseling for chronic heart failure
Authors: Fezza Gabriel C. , Sansone Stephanie , Nolan Robert P. 
Published: October 2022

BackgroundTask force statements support the use of cognitive behavioral therapy (CBT) and motivational interviewing (MI) to promote self-care in chronic heart failure (CHF) patients. Digital counseling interventions have the potential to complement conventional programs. However, therapeutic components of digital programs associated with improved outcomes are not clearly established.ObjectiveIdentify therapeutic components of the Canadian e-Platform to Promote Behavioral Self-Management in Chronic Heart Failure (CHF-CePPORT) protocol that were associated with improved health-related quality of life (HRQL).Materials and methodsOrdinal logistic regression was used to identify therapeutic components of the CHF-CePPORT protocol. The primary outcome was the 12-month Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) tertile. Logistic regressions determined the association between 12-month KCCQ-OS tertile, using logon hours for key segments of the protocol, modality of content delivery, and clinical themes.ResultsA total of 117 patients were enrolled in the e-Counseling arm of the CHF-CePPORT trial. Median age was 60 years (IQR 52–69). Total logon hours in the initial 4-month segment of CHF-CePPORT (Sessions 1–16) was associated with increased 12-month KCCQ-OS tertile (Odds Ratio, OR = 1.31, 95% CI, 1.1–1.5, P = 0.001). Within sessions 1–16, improved KCCQ-OS was associated with logon hours for self-assessment tools/trackers (OR = 1.49, 95% CI, 1.1–2.0, P = 0.007), and videos (OR = 1.57, 95% CI, 1.03–2.4, P = 0.04), but not for CHF information pages.ConclusionThis study highlights the importance of using evidence-based guidelines from CBT and MI as core components of digital counseling, delivered through videos and interactive tools/trackers, to improve HRQL with CHF.
Association between depression or anxiety symptoms and immune-inflammatory characteristics in in-patients with tuberculosis: A cross-sectional study
Authors: Liu Xiangmin , Bai Xinyu , Ren Rong , Tan Lu , Zhang Ye , Lan Huizhen , Yang Qianlan , He Jianqing , Tang Xiangdong 
Published: October 2022

BackgroundDepression and anxiety are major psychological issues among patients with tuberculosis (TB) owing to chronic and complex treatments, have been reported to be closely correlated with immune and inflammation. However, the association of peripheral immune-inflammatory characteristics with depression/anxiety symptoms in in-patients with TB has rarely been reported.MethodsA cross-sectional study of 338 in-patients with TB from 3 hospitals in China were enrolled to investigate their depression and anxiety status by using the nine-item Patient Health Questionnaire (PHQ-9) and seven-item Generalized Anxiety Disorder Scale (GAD-7). Participants were divided into groups based on their PHQ-9 and GAD-7 scores, and differences in demography and immune-inflammatory characteristics were studied. Logistic analysis was performed to explore factors related to depression and anxiety symptoms.ResultsDepression and anxiety prevalence among patients with TB was 47.9 and 42.6%, respectively. Furthermore, 38.5% of patients reported a comorbidity of depression and anxiety symptoms. The counts of CD3, CD4, CD8, and lymphocytes decreased, whereas those of neutrophils, platelets, and peripheral blood cells and their derived indices increased among TB patients with depression or anxiety in comparison with those without symptoms (p &lt; 0.05). In addition, increasing age, lower income (monthly income ≤ 3,000 yuan), divorced or widowed, drug resistance, and higher systemic immune inflammation index (SII) were significantly associated with depression or anxiety symptoms (p &lt; 0.05).ConclusionApproximately half of the patients with TB suffered from depression or/and anxiety symptoms. Patients with depression or anxiety present worse cell immune status and stronger inflammatory responses compared to those without symptoms. We emphasized the importance of paying attention to the dysfunction of immune-inflammation process of TB patients with depression or anxiety symptoms. Especially, SII has a potential application value in guiding the evaluation of TB-related depression or anxiety owing to its easily accessibility and being economical.
Health economic burden of COVID-19 in Saudi Arabia
Authors: Alenzi Khalidah A. , Al-malky Hamdan S. , Altebainawi Ali F. , Abushomi Hamidah Q. , Alatawi Fahad O. , Atwadi Moosa H. , Khobrani Moosa A. , Almazrou Dlal A. , Alrubeh Nariman , Alsoliabi Zainab A. , Kardam Abdulaziz M. , Alghamdi Shakr A. , Alasiri Abdulrahman , Albalwi Maher H. , Alshammari Thamir M. 
Published: October 2022

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has added a massive economic burden on health care systems worldwide. Saudi Arabia is one of the numerous countries that have been economically affected by this pandemic. The objective of this study was to provide real-world data on the health economic burden of COVID-19 on the Saudi health sector and assess the direct medical costs associated with the management of COVID-19.MethodsA retrospective cohort study was conducted based on data collected from patients hospitalized with COVID-19 across 10 institutions in eight different regions in Saudi Arabia. The study calculated the direct medical costs of all cases during the study period by using SAS statistical analysis software. These costs included costs directly related to medical services, such as the health care treatment, hospital stays, laboratory investigations, treatment, outcome, and other related care.ResultsA total of 5,286 adult patients admitted with COVID-19 during the study period were included in the study. The average age of the patients was 54 years, and the majority were male (79%). Among the COVID-19 patients hospitalized in a general ward, the median hospital length of stay was 5.5 days (mean: 9.18 days), while the ICU stay was 4.2 days (mean: 7.94 days). The total medical costs for general ward and ICU patients were US$ 38,895 and US$ 24,207,296.9, respectively. The total laboratory investigations ranked as the highest-cost services US$ 588,975 followed by treatment US$ 3,886,509.8. Overall, the total cost of all medical services for patients hospitalized with COVID-19 was US$ 51,572,393.4.ConclusionThis national study found that COVID-19 was not only a serious concern for patients but also a serious economic burden on the health care system in Saudi Arabia.
Daily diurnal temperature range associated with outpatient visits of acute lower respiratory infection in children: A time-series study in Guangzhou, China
Authors: Zhang Zhigang , Xu Debo , Chen Jiamin , Meng Qiong , Liang Zhenyu , Zhang Xiao 
Published: October 2022

BackgroundDiurnal temperature range (DTR) has been increasingly recognized as a risk factor for mortality and morbidity, but the association between DTR and acute lower respiratory infection (ALRI) outpatient visits has not been examined among children in China.MethodsA total of 79,416 ALRI outpatient visits among children were obtained from the Guangdong Second Provincial General Hospital between 2013 and 2019. DTR was calculated by taking the difference between the maximum and the minimum temperatures. Generalized additive models using a quasi-Poisson distribution were used to model the relationship between DTR and ALRI outpatient visits.ResultsDiurnal temperature range was significantly associated with elevated risks of ALRI outpatient visits: the excess risks (ERs) and 95% confidence intervals (CIs) were 2.31% (1.26, 3.36%) for ALRI, 3.19% (1.86, 4.54%) for pneumonia, and 1.79% (0.59, 3.01%) for bronchiolitis, respectively. Subgroup analyses suggested that the associations were significantly stronger during rainy seasons (ER for ALRI: 3.02%, 95% CI: 1.43, 4.64%) than those in dry seasons (ER for ALRI: 2.21%, 95% CI: 0.65, 3.81%), while no significant effect modifications were found in sex and age groups.ConclusionDiurnal temperature range may elevate the risk of ALRI outpatient visits among children in China, especially during rainy seasons. Public health policies are needed to mitigate the adverse health impacts of DTR on children.
The landscape of photoaging: From bench to bedside in a bibliometric analysis
Authors: Sun Pei Hong , Yan Wei Tong , Tian Rui Feng , Sun Yan , Wu Yan 
Published: October 2022

BackgroundBibliometric software exists as a platform providing multiple algorithms to process the data to suffice diverse goals. Interpretation of the result must be based on insight into the meaning of the original data and the algorithm used. Medical Subject Headings (MeSH) terms represent the macro-level meaning of topics, keywords that commonly reflect the micro-level aspects.ObjectiveThis study attempts to investigate the landscape of photoaging in the recent two decades by using bibliometric analysis.MethodsPublished studies of photoaging were obtained from PubMed and Web of Science Core Collection (WoSCC) from 2000 to 2020. Basic bibliometric information was generated by WoSCC. Major MeSH terms were performed in cluster analysis and displayed as a hierarchical form to induce knowledge structure, detection algorithm on keywords was presented as a timeline form to obtain hotspots, and institutional clusters were labeled with keywords to achieve institutional characteristics.ResultsA total of 2,727 and 2,705 studies were identified in PubMed and WoSCC, respectively. The number of photoaging-related studies at 3-year intervals grew steadily. The studies were performed in about 80 countries/regions. The highly frequent major MeSH terms were distributed in seven clusters, reflecting the etiology, pathophysiology, treatment, and prevention of photoaging. The hotspots changed as time went on, and the hotspots in recent 5 years were mitogen-activated protein kinase (MAPK), nuclear factor erythroid-derived 2-like 2 (Nrf2), and antioxidant activity. The highly productive institutions labeling in the top four clusters were Seoul National University, University of Michigan, China Medical University, and Harvard University, with corresponding keywords of UVB, retinoic acid, Nrf2, and rejuvenation.ConclusionsThis study built a knowledge structure of pathophysiology, treatment and prevention of photoaging, and identified recent hotspots of MAPK, Nrf2, and antioxidant activity. We provide a landscape of photoaging, from the bench (pathophysiology) to bedside (treatment, prevention), and pave the way for future research.
Microvascular anastomosis in a challenging setting using a 4 K three-dimensional exoscope compared with a conventional microscope: An in vivo animal study
Authors: Zhang Zhiping , Feng Yao , Lu Xia , Yang Bin , Zhang Hongqi , Ma Yan 
Published: October 2022

BackgroundThree-dimensional (3D) exoscope systems have been developed and are reported to be adequate alternatives to the conventional microscope. This study aimed to evaluate the feasibility and effectivity of microvascular anastomosis using a 4 K 3D exoscope in an in vivo animal study.MethodsThe abdominal aortas of mice were selected as the target vessels for comparing the outcomes of microvascular anastomosis for both the conventional microscope and 3D exoscope. We recorded the vessel separation, temporary occlusion, and total procedure durations. Local conditions at the sutures were also recorded. Typical histopathological images were presented, and the patency of anastomotic vessels within 5 and 30 min were evaluated. All procedures included both superficial and deep anastomosis.ResultsSixty mice were included in the analysis; the weight and vascular diameter were 38.5 ± 5.8 g and 0.77 ± 0.06 mm, respectively, and around 8 stiches were required. Regarding feasibility, vessel separation duration, temporary occlusion duration, total procedure duration, blood leak, and number of vascular folds between stiches, the results were comparable between the two types of microscopes. The feasibility of anastomosis was also confirmed by pathology. Regarding effectiveness, anastomotic vascular patency at 5 and 30 min were similar for both microscopes. Even in the more difficult scenario of deep anastomosis, the results were comparable.ConclusionsIn a challenging experimental setting, comparable outcomes of microvascular anastomosis were observed for the conventional microscope and 3D exoscope in these animal experiments. Therefore, in vivo microvascular anastomosis is feasible and effective using a 3D exoscope.
Accuracy of end-on fluoroscopy in predicting implant position in relation to the vertebral canal in dogs
Authors: Goffart Laura M. , Precht Christina , Fosgate Geoffrey T. , Maiolini Arianna , Hettlich Bianca F. 
Published: October 2022

ObjectiveTo evaluate the accuracy of end-on fluoroscopy in predicting implant position in relation to the vertebral canal in the canine thoracolumbar vertebral column.Study designIn vitroimaging and anatomic study.AnimalsCanine cadaveric thoracolumbar vertebral columns (n= 5).MethodsSmooth Steinmann pins were inserted bicortically into the thoracolumbar vertebral columns between T10 and L7 using recommended insertion angles. Penetration of the spinal canal was not strictly avoided. After pin placement, end-on fluoroscopy images were obtained of each pin. Pin position was subsequently assessed by four evaluators and determined to either being out of the vertebral canal or in, with the latter being additionally divided into partially or completely penetrating the canal. To assess potential differences in modalities, fluoroscopy images were gray-scale inverted and evaluated again later by the same four individuals. Correct identification of pin position in relationship to the vertebral canal was assessed for both fluoroscopy images. Anatomic preparation of the spines was used for verification of pin position in relation to the spinal canal. Some data from this study were compared with historical data on accuracy using orthogonal radiography and computed tomography (CT).ResultsOverall sensitivity and specificity of F to detect vertebral canal penetration was 98.8 % (95% confidence interval (CI), 96.0–99.6) and 98.0% (95% CI, 77.0–99.9), respectively. For Fi, sensitivity and specificity were 97.0% (95% CI, 91.5–99.0) and 98.5% (95% CI, 81.5–99.9) respectively. F exceeded Fi for the sensitivity of detecting pin penetration into the vertebral canal (p= 0.039) but specificities were not different (p= 0.585). When comparing to historical data, the overall accuracy of end-on fluoroscopy (F) and inverted fluoroscopy (Fi) was statistical better than conventional radiographic assessment (p&lt; 0.001).ConclusionEnd-on fluoroscopy is a highly accurate method for the assessment of pin position in relationship to the thoracolumbar spinal canal in cadaveric dogs.Clinical significanceEnd-on fluoroscopy, with or without inversion, is accurate in identifying vertebral canal violation by bicortically placed Steinmann pins. When CT is not available, end-on fluoroscopy might be a valuable imaging modality to determine pin position in the canine vertebral column.
The SARS-CoV-2 Infection Among Students in the University of Porto: A Cross-Sectional Study
Authors: Meireles Paula , Costa Joana Pinto , Novais Maria João , Miranda Daniela , Lopes Mariana Mendes , Severo Milton , Barros Henrique 
Published: October 2022

Objective: We aimed to quantify SARS-CoV-2 specific antibodies’ seroprevalence among university students in Porto.Methods: A rapid point of care testing for SARS-CoV-2 specific immunoglobulin (Ig) M and IgG antibodies was performed, and a questionnaire was applied to 6512 voluntary students from September to December 2020. We computed the apparent IgM, IgG, and IgM or IgG prevalence, and the true prevalence and 95% credible intervals (95% CI) using Bayesian inference.Results: We found an apparent prevalence (IgM or IgG) of 9.7%, the true prevalence being 7.9% (95% CI 4.9–11.1). Prevalence was significantly higher among males (10.9% vs. 9.2%), international students (18.1% vs. 10.4% local vs. 8.8% nationally displaced), and increased with age. Those with a known risk contact, that experienced quarantine, had symptoms, or a previous negative molecular test had a higher seroprevalence. Of the 91 (1.4%) students who reported a molecular diagnosis, 86.8% were reactive for IgM or IgG.Conclusion: Based on immunological evidence infection was 5.6-fold the reported molecular diagnosis. The higher seroprevalence among male, older, and international students emphasizes the importance of identifying particular groups.
Segmentasi Pelanggan Distributor Daging Sapi Menggunakan Pendekatan Recency, Frequency, Monetary (RFM) dan Fuzzy C-Means Clustering
Authors: Paduloh Paduloh , Widyantoro Murwan , Supratman Jasan 
Published: October 2022

Pengembangan produk dan menjaga hubungan baik dengan pelanggan merupakan hal penting yang dilakukan dalam industri. Dalam Industri daging sapi hal tersebut penting sekali dilakukan dalam rangka mengantisipasi perubahan permintaan terutama dalam kondisi pandemi dimana permintaan pasar cepat sekali berubah. Dalam penelitian ini akan dilakukan Segmentasi pelanggan dalam rangka pengembangan produk dan pengembangan pelanggan. Dalam penelitian ini segmentasi pelanggan dilakukan dengan metode kombinasi antara analisis pada data transaksi pelanggan selama tiga tahun di distributor daging sapi. Proses pemilihan menggunakan software RStudio 3.1.1. Dari hasil penelitian didapatkan pelanggan daging sapi terbagi menjadi 3 pemilihan pelanggan, berdasarkan data pelanggan selama tiga tahun. Dari cara pemilihan tersebut, cluster 2 merupakan kelompok pelanggan yang potensial atau baik sedangkan cluster 3 merupakan kelompok customer dengan tingkat loyalitas yang rendah terhadap perusahaan.
COMPARING THE FINANCIAL EFFICIENCY OF TRADITIONAL VERSUS ORGANIC RICE FARMING IN TIEU CAN DISTRICT, TRA VINH PROVINCE, VIETNAM
Authors: Dang Thai Hoa 
Published: October 2022

This study aimed to analyze the financial efficiency, determine influencing factors and propose solutions to developing organic rice farming models. The results showed that while it requires farmers to have more production experience and education, organic rice farming has advantages in producing more per land area with lower production costs and more stable product output. The lack of labor and tools for mechanization were the main difficulties of using this model. The average profit per crop of the organic rice model was1,768,000 VND/1,000 m2/crop, approximately 530,300 VND/1,000 m2/crop higher than the traditional rice model. Regression analysis results showed that the financial performance of the two models was affected by the educational level of farmers and types of costs such as fertilizers, pesticides and labor. Production experience of farmers also influences the efficiency of the organic rice production model, while factors relatedto seed and selling price affect the efficiency of the traditional rice production model.