bluuebunny/crossref_metadata_2025_split huggingface dataset:
Vitamin D status in children with a psychiatric diagnosis, autism spectrum disorders, or internalizing disorders
Authors: Muskens Jet , Klip Helen , Zinkstok Janneke R. , van Dongen-Boomsma Martine , Staal Wouter G. 
Published: September 2022

Background and objectiveMultiple studies suggest that children with Autism Spectrum Disorders (ASD) have significantly lower vitamin D3 levels than typically developing children. However, whether vitamin D3 deficiency is more common in children with ASD than in children with other psychiatric disorders remains unclear. This study was conducted to explore the prevalence of vitamin D3 in children with a psychiatric diagnosis including children with ASD or with internalizing disorders (mood and anxiety disorders). In addition, this study investigated the potential associations between vitamin D3 and Body Mass Index (BMI).Materials and methodsClinical data, including BMI and vitamin D3 levels, of 93 children (6–18 years; n = 47; 51% female) with ASD (n = 58) and internalizing disorders (n = 37) were retrospectively analyzed.ResultsIn the overall sample, the prevalence of vitamin D3 deficiency (&lt;50 nmol/L) was 77.4%. Additionally, 75.9% of the children with ASD and 79.5% with internalizing disorders had vitamin D3 deficiency. BMI was inversely related to vitamin D3 in the total group (p = 0.016). The multiple regression model for the total group significantly predicted vitamin D3 (p = 0.022). Age contributed significantly to the prediction. Stratified for sex and primary diagnosis, multiple regression models showed that for boys with ASD, higher BMI levels were associated with lower vitamin D3 levels (p = 0.031); in boys with internalizing disorders and in girls, no relation was found between BMI and vitamin D3 levels.ConclusionIn this this cross-sectional, explorative study high rates of vitamin D3 deficiency in children with different psychiatric disorders were found. The results showed an inverse relation between BMI and vitamin D3 levels in the total group. Vitamin D3 deficiency was particularly common in boys with ASD and obesity. Lifestyle factors may contribute to the association between high BMI and low vitamin D3 levels in boys with ASD. Vitamin D3 deficiency is common in patients with psychiatric disorders and it is highly recommended to increase clinicians’ awareness of this common and remediable risk factor.
The mediation and interaction of depressive symptoms in activities of daily living and active aging in rural elderly: A cross-sectional survey
Authors: Fu Xuelian , Su Yinli , Zeng Chunyan , Liu Liqiong , Guo Yang , Wu Yuanyuan 
Published: September 2022

BackgroundCompared with urban areas, old adults in rural areas have limited access to medical and health resources in China. Active of daily living ability (ADL) decline and depressive symptoms are common in rural older adults. In particular, the depressive symptoms of the elderly in rural areas are often ignored. Thus, it is difficult to realize high-level active aging at the individual level. In order to explore the effects of ADL and depressive symptoms on the active aging of rural elderly, we conducted a survey and analyzed the mediation and interaction effects of depressive symptoms of ADL on active aging.MethodsFrom July to November 2019, a cross-sectional study of 945 elderly rural individuals was conducted in three townships in Xiangtan County, China. Active aging, ADL, and depressive symptoms were assessed using the positive aging questionnaire (PAEQ), ADL scale, and depression in old age scale (DIA-S), respectively. PROCESS macro program model 4 and logistic regression were used to explore the mediation and interaction between ADL and depressive symptoms on active aging.ResultsThe proportions of rural elderly with an active aging level were 23.5% (well above average), 50.9% (above average), 24.1% (below average), 1.5% (well below average), respectively. The rates of ADL decline and depressive symptoms were 44.7 and 19.7%, respectively. Mediated effect analysis showed that the relationship between ADL and active aging could be partly mediated by depressive symptoms (ab = −0.2382, boot SE = 0.0437), and the 95% confidence interval was [−0.3311, −0.1584]. The mediating effect proportion of the total effect was 30.7%. Logistic regression showed that ADL and depressive symptoms have an interactive additive effect on active aging. The relative excess risk of interaction (RERI), the attributable proportion due to interaction (API), and the synergy index (SI) scores were 13.109, 0.621, and 2.871, respectively. Older adults with ADL decline and depressive symptoms had higher (OR = 21.115) odds of well-below-average active aging compared with older adults with ADL decline (OR = 3.258) or only depressive symptoms (OR = 5.749).ConclusionThe findings suggest that the association between ADL and active aging is persistent and partly mediated by depressive symptoms, and comorbid depressive symptoms and ADL decline have an additive effect on active aging. Maintaining independence is an important factor for realizing active aging. However, for the rural elderly with ADL decline and low-level active aging, we can promote the realization of high-level active aging at the individual level through the prevention and treatment of depressive symptoms based on multidisciplinary care.
Burnout, negative emotions, and wellbeing among social workers in China after community lockdowns during the COVID-19 pandemic: Mediating roles of trait mindfulness
Authors: Wu Yaxue , Wei Yue , Li Yanli , Pang Jun , Su Yang 
Published: September 2022

ObjectiveThis study aimed to investigate burnout situation of social workers (SWs) who experienced the COVID-19 pandemic-related community lockdown 1 year before, and to assess the protective value of trait mindfulness (TM) in states of burnout.MethodWe surveyed the burnout, trait mindfulness, negative emotions (NEs) and wellbeing (WB) of 182 social workers provided services to Wuhan lockdowns community by COVID-19 one year before. Burnout were measured using the Maslach Burnout Inventory–Human Services Survey; TM using the Mindful Attention Awareness Scale; NEs using the Depression Anxiety and Stress Scale-21; and WB using the General Wellbeing Schedule. We also performed correlation regression analysis and mediation test for burnout, TM, NEs, and WB.ResultsAmong the 182 respondents, 75 (41.2%) still suffered from severe burnout. TM was negatively correlated with burnout (r = −0.623), negatively correlated with NEs (r = −0.560), and positively correlated with WB (r = 0.617). Burnout had a significantly positive correlation with NEs (r = 0.544) and a significantly negative correlation with WB (r = −0.666). Further, WB had significantly negative correlation with NEs (r = −0.758). After controlling for age, gender, marital status, educational level, and years of employment, burnout had a significantly positive predictive effect on NEs (β = 0.509), whereas TM had a significantly negative predictive effect on NEs (β = −0.334). TM played a partial mediating role in the effect of burnout on NEs, with a mediating effect and effect ratio of 0.088 and 39.7%, respectively. Burnout had a significantly negative predictive effect on WB (β = −0.598), whereas TM had a significantly positive predictive effect on WB (β = 0.299). TM played a partial mediating role in the effect of burnout on NEs, with a mediating effect and effect ratio of −0.164 and 30.3%, respectively. WB had a significantly negative predictive effect on NEs (β = −0.711), and it played a partial mediating role in the effect of burnout on NEs, with a mediating effect and effect ratio of 0.185 and 83.3%, respectively.ConclusionThe current levels of burnout among local SWs remained high 1 year after the community lockdowns. TM played a mediating role in the relationship between burnout, NEs, and WB. Concomitantly, WB played a mediating role in the relationship between burnout and NEs. Therefore, in the context of burnout, TM is a protective factor for reducing emotional stress and risks of developing psychiatric disorders through the enhancement of WB.
“Provider discretionary power practices to support implementation of patient-centered HIV care in Lusaka, Zambia”
Authors: Mwamba Chanda , Mukamba Njekwa , Sharma Anjali , Lumbo Kasapo , Foloko Marksman , Nyirenda Herbert , Simbeza Sandra , Sikombe Kombatende , Holmes Charles B. , Sikazwe Izukanji , Moore Carolyn Bolton , Mody Aaloke , Geng Elvin , Beres Laura K. 
Published: September 2022

IntroductionTraditional patient-provider relationships privilege the providers, as they possess the formal authority and clinical knowledge applied to address illness, but providers also have discretion over how they exercise their power to influence patients' services, benefits, and sanctions. In this study, we assessed providers' exercise of discretionary power in implementing patient-centered care (PCC) practices in Lusaka, Zambia.MethodsHIV clinical encounters between patients on antiretroviral therapy (ART) and providers across 24 public health facilities in Lusaka Province were audio recorded and transcribed verbatim. Using qualitative content analysis, we identified practices of discretionary power (DP) employed in the implementation of PCC and instances of withholding DP. A codebook of DP practices was inductively and iteratively developed. We compared outcomes across provider cadres and within sites over time.ResultsWe captured 194 patient-provider interactions at 24 study sites involving 11 Medical Officers, 58 Clinical Officers and 10 Nurses between August 2019 to May 2021. Median interaction length was 7.5 min. In a hierarchy where providers dominate patients and interactions are rapid, some providers invited patients to ask questions and responded at length with information that could increase patient understanding and agency. Others used inclusive language, welcomed patients, conducted introductions, and apologized for delayed services, narrowing the hierarchical distance between patient and provider, and facilitating recognition of the patient as a partner in care. Although less common, providers shared their decision-making powers, allowing patients to choose appointment dates and influence regimens. They also facilitated resource access, including access to services and providers outside of scheduled appointment times. Application of DP was not universal and missed opportunities were identified.ConclusionSupporting providers to recognize their power and intentionally share it is both inherent to the practice of PCC (e.g., making a patient a partner), and a way to implement improved patient support. More research is needed to understand the application of DP practices in improving the patient-centeredness of care in non-ART settings.
The impact of non-modifiable sociodemographic factors on bladder cancer survival outcomes after radical cystectomy: A systematic review and cumulative analysis of population cohort studies
Authors: Yip Wesley , Chen Andrew B. , Basin Michael F. , Cacciamani Giovanni E. , Bhanvadia Sumeet K. 
Published: September 2022

IntroductionSociodemographic factors have been shown to have significant impacts on bladder cancer (BC) outcomes, but there are conflicting data in the literature regarding certain non-modifiable factors. We sought to determine the effect of sociodemographic factors on survival outcomes after radical cystectomy (RC) for BC.Materials and methodsA systematic review of population-based cohort studies published before March 2020 from Surveillance, Epidemiology, and End Results (SEER) and National Cancer Database (NCDB) was performed per Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines by searching PubMed®, Scopus®, and Web of Science®. All full-text English-language articles assessing the impact of sociodemographic factors on BC survival after RC were obtained. Two investigators (WY and AC) independently screened all articles. Discrepancies were resolved by consensus. All studies reporting survival outcomes after RC based on any of the sociodemographic factors were included, except for systematic reviews, which were excluded. Primary end points were overall survival (OS) and disease-specific survival (DSS) after RC. Cohort studies reporting Cox proportional hazards or logistic regression analysis were independently screened. Available multivariable hazard ratios (HRs) were included in the quantitative analysis.ResultsOur search returned 147 studies, of which 14 studies (11 SEER and 3 NCDB) were included for cumulative analysis. Only race and gender were evaluable due to heterogeneity of other factors. Compared to White patients, Black patients have worse OS [HR 0.83; 95% confidence intervals (CIs) 0.75, 0.92; p &lt; 0.01; I2 = 79%] and DSS (HR 0.83; 95% CI 0.69, 1.00; p = 0.05; I2 = 69%), Asian patients have worse OS (HR 0.84; 95% CI 0.77, 0.92; p &lt; 0.01; I2 = 15%) but not DSS (HR 0.81; 95% CI 0.31, 2.10; p = 0.66), Hispanic patients have no difference in OS (HR 1.03; 95% CI 0.79, 1.34; p = 0.66; I2 = 72%) or DSS (HR 2.63; 95% CI 0.34, 20.34; p = 0.35), and Native American patients have no difference in OS (HR 2.16; 95% CI 0.80, 5.83; p = 0.13). Compared to men, women have no difference in OS (HR 1.03; 95% CI 0.93, 1.15; p = 0.53; I2 = 92%) nor DSS (HR 0.99; 95% CI 0.90, 1.08; p = 0.78; I2 = 1%).ConclusionsDisparate BC survival outcomes after RC are present, with Black patients having poorer OS and DSS as compared to White patients. Asian patients have lower OS but not DSS. Survival outcomes do not appear to differentiate by gender. Significant heterogeneity in variable and outcome definitions limited our ability to perform meta-analyses involving other potentially important drivers and sources of disparate outcomes.
Preoperative excessive lateral anterior tibial subluxation is related to posterior tibial tunnel insertion with worse sagittal alignment after anterior cruciate ligament reconstructions
Authors: Liu An , Ye Xiaojun , Li Congsun , Yang Weinan , Yan Shigui , Xin Zengfeng , Wu Haobo 
Published: September 2022

ObjectiveTo investigate whether preoperative lateral anterior tibial subluxation (LATS) measured from magnetic resonance imaging (MRI) can influence tibial insertion and postoperative sagittal alignment after anterior cruciate ligament reconstructions (ACLRs).Methods84 patients who underwent single-bundle ACLRs were retrospectively investigated. Among them, 39 patients (LATS of &lt;6 mm) 23 patients (LATS of ≥6 mm and &lt;10 mm) and 22 patients (excessive LATS of ≥10 mm) were defined as group 1, 2 and 3, respectively. LATS, the position of graft insertion into tibia as ratio of anterior-posterior width (AP ratio) and the sagittal graft angle (SGA) were postoperatively assessed from MRI at 2-year follow-up. Following linear regression analyses were employed.ResultsThe group 3 exhibited the largest preoperative LATS and remained the most postoperative LATS. Moreover, the group 3 possessed the most posteriorly located tunnel insertion with the largest AP ratio and the most vertical graft orientation. Of all included patients, a moderate correlation was demonstrated between pre- and postoperative LATS (r = 0.635). A low correlation was observed between preoperative LATS and AP ratio (r = 0.300) and a moderate correlation was displayed between AP ratio and SGA (r = 0.656).ConclusionFor ACL injuries with excessive LATS (≥10 mm), most posteriorly located tibial insertion was found out, and worse sagittal alignment containing high residual LATS was associated with more vertical graft orientation following ACLRs.
Yohanes Pembaptis dan Fenomena Post-Truth di Era Digital: Sebuah Kajian Lukas 3:19-20
Authors: Karinda Rocky Samuel 
Published: September 2022

Pembacaan Lukas 3:19-20 tidak banyak menjadi perhatian karena terhenti pada pemahaman sebagai pemisah antara pelayanan Yohanes Pembaptis dan misi Yesus. Artikel ini berisi kajian kritik teks dan sosio-historis yang berupaya memunculkan sisi yang terpinggirkan ketika membaca Lukas 3:19-20, yaitu Lukas yang mengungkapkan pertarungan jatidiri antara Herodes dan Yohanes Pembaptis sebagai landasan penting dalam kehidupan beriman komunitas Lukas. Melalui kajian ini akan didapatkan pemahaman bahwa Lukas 3:19-20 adalah sebuah penegasan jatidiri bagi komunitas Lukas mengenai perilaku kehidupan yang harus dipelihara dalam kehidupan beriman maupun bermasyarakat yaitu menampilkan jati diri yang berintegritas, berhati Nurani dan konsisten, dalam praktiknya menolak bungkam terhadap praktik kejahatan.
Pandangan Etika Kristen terhadap Tindakan Eutanasia pada Pasien Tahap Terminal
Authors: Haryani Titik 
Published: September 2022

This article is to show that Christian ethics have a role in the act of euthanasia in someone who is terminally ill. This decision-making is closely related to the human spirit in the realm of eternity. Suicide or murder is against the sixth commandment of the Torah. Mistakes in making decisions will result in fatal mistakes related to Heaven and Hell. The Lord Jesus is an example for humans in the face of suffering. The light sufferings of the world work out eternal glory above all that is greater. Euthanasia has pros and cons; therefore, Christians must return to the Bible as a basis for making decisions about euthanasia in terminally ill patients.Artikel ini untuk menunjukkan bahwa etika Kristen memiliki peranan terhadap tindakan eutanasia pada seorang yang mengalami sakit tahap terminal. Pengambilan keputusan ini sangat berhubungan dengan roh manusia dialam kekekalan. Bunuh diri atau membunuh bertentangan dengan hukum ke enam dalam Hukum Taurat. Kesalahan dalam mengambil keputusan akan mengakibatkan kesalahan fatal yang berhubungan dengan Surga dan Neraka. Tuhan Yesus adalah teladan bagi manusia dalam menghadapi penderitaan. Penderitaan ringan dalam dunia mengerjakan kemuliaan kekal melebihi segala-galanya yang lebih besar. Eutanasia menjadi pro dan kontra, oleh sebab itu orang Kristen harus kembali kepada Alkitab sebagai dasar dalam pengambilan keputusan dalam tindakan eutanasia pada pasien tahap terminal.
romantização de relacionamentos abusivos em produções de cultura pop do Leste Asiático
Authors: Paschoal Baldin Vitoria 
Published: September 2022

Esse trabalho busca refletir e apontar sobre a relação entre relacionamentos abusivos das produções culturais do leste asiático que chegam ao nosso país. Com foco em produções românticas e voltadas ao público feminino, identificamos representações sucessivas de violências físicas, sexuais e psicológicas sendo utilizadas entre o par romântico, sem qualquer forma de questionamento, reflexão ou problematização por parte do conteúdo. Na verdade, essas ações são normalizadas e vistas com tom de romantismo ou, em alguns casos, de humor. Dessa maneira, o estudo busca argumentar como essas produções românticas, voltadas ao público feminino, auxiliam na romantização desse tipo de violência em nosso país, principalmente entre as mulheres mais jovens.
abordagem não centrada na mídia das relações entre mídia e conflito
Authors: Paschoal Baldin Vitoria 
Published: September 2022

Parte da série Anthropology of media lançada pela Berghahn Books, Theorising Media and Conflict editado por Philipp Budka e Birgit Bräuchler propõe oferecer novas abordagens agregando a perspectiva etnográfica e associando os campos quantitativos e qualitativos, para os estudos sobre as relações entre mídia e conflito. Oferecemos aqui uma breve resenha dessa obra, considerando suas profundas contribuições teóricas e metodológicas para diversos campos de estudos.
Université et Politique sous la République de Weimar, le cas Norbert Elias
Authors: Charle Christophe 
Published: September 2022

Cet article présente le contexte politique qui caractérise les trois principales universités où Norbert Elias s’est formé ou a commencé sa carrière d’assistant des années 1920 à 1933. Chacune présente un profil politique et intellectuel bien spécifique, plus nationaliste et antisémite à Breslau, plus libéral mais glissant de plus en plus à droite voire à l’extrême droite à Heidelberg, plus à gauche et ouverte au marxisme à Francfort. La confrontation entre les sources objectives et les témoignages tardifs d’Elias permet de déterminer qu’Elias était en fait plus ou moins engagé dans les combats de l’époque (à travers l’adhésion à une forme de sionisme), contrairement à l’image neutre et censurée qu’il a reconstruite plus tard pour se donner une image de sociologue apolitique. Il a cherché aussi à effacer sa sous-estimation des dangers de la radicalisation antisémite de l’Allemagne au début des années 1930. La comparaison avec les attitudes de ses principaux collègues ou disciples rend compte aussi des raisons de sa mémoire sélective de ce passé douloureux.
Strengthening School Literature Movement in Elementary School During the Covid-19 Pandemic
Authors: Istiq'faroh Nurul , Wibowo Amiruddin Hadi , Lestari Wahyu Maulida , Murni Arie Widya , Mahsunah Evi 
Published: September 2022

Literacy development in Indonesia is still reported to be low. This is written in the findings of a 2020 program for international student assessment (PISA) survey, which found that Indonesia ranked 72 out of 79 countries in the world in reading literacy. During the Covid-19 pandemic, the implementation of the school literacy movement program was done online. The purpose of this study is to investigate the implementation of SLM throughout the Covid-19 era, as well as the barriers encountered by teachers during the SLM implementation process. The case study method is used in this work, which takes a qualitative approach. Data was collected by observation, interviews, and documentation, and data was analyzed utilizing triangulation techniques in three stages: collection, reduction, and conclusion. The findings revealed that schools were still practicing the three steps of SLM, namely habituation, development, and learning. During the epidemic, literacy exercises are introduced in which students are directed to be productive in their work through writing tasks. The work of the students is published in the form of a book. The challenge to implement SLM during the Covid-19 pandemic has been teachers' inability to manage students' reading comprehension exercises properly.
Critical Thinking Skill And Independence on Learning Natural Science Based on Gender During The Covid-19 Pandemic
Authors: Wulandari Ratna Wahyu 
Published: September 2022

To improve students' critical thinking skills, this study used online PBL (Problem-Based Learning) on learning Natural Science in the field of Biology. This research was conducted in pre-experimental research design with the subjects of 4th semester students in study program of PGMI (Teacher Education of Madrasah Ibtidaiyah). The results of the analysis showed that the improvement of critical thinking skill of female students is better than male groups. Based on the results of the hypothesis testing obtained from the data showed that the N_Gain critical thinking skill of male and female students were greater than α (sig. 0.051 ˃ (α) 0.05.), therefore H0 was accepted and H1 was rejected. That is, there is no difference in the improvement of critical thinking skill between male and female students. When it came from the indicators of critical thinking, the N-Gain score for all indicators of the female group was better than that of the male one. Also, for students’ independence, the average percentage of student responses in all aspects showed that they were in a Good category. The average percentage of student responses on the planning aspect was 73.65% in a Good category. The process aspect of student independent learning had the highest score among the three aspects, which was 75.73% or in the Good category, and the Learning Evaluation Aspect has the lowest score among the three aspects, which was 66.53% and was in a Good category.