bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predictors of Persistent Participation in Youth Sport: A Systematic Review and Meta-Analysis
Authors: Zhang Meng , Wang Xiao-Chun , Shao Bin 
Published: June 2022

There are many factors affecting decisions to persistent participation in sports and various approaches have been used to frame these antecedents. The aim of this paper was to systematically review and quantify the primary factors of persistent participation and to assess their respective strengths of association with persistent participation in youth sport. Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines, a comprehensive search was implemented on 31st December 2021 in five databases and meta-analytic procedures were applied to data from studies meeting inclusion criteria. The results revealed that sports enjoyment (meta r = 0.45, 95%CI [0.42, 0.49]) was highly correlated with persistent intention, while persistent intention (SMD = 1.13, 95%CI [0.70, 1.56]) was highly correlated with persistent behavior. In addition, parental support, coach support, peer support, basic psychological needs and sports competence were the primary factors associated with persistent intention and persistent behavior, respectively. This study identified the key factors related to persistent participation and provide a complete understanding of children and adolescents' decisions to continue their participation in organized sports. Referring to the key factors, it can provide information for sports clubs and policy makers to develop strategies to increase youth participation in organized sport.Systematic Review RegistrationPROSPERO, identifier: CRD42021229397.
Preschool Temperament as a Factor of Risk and Protection for Later Childhood Psychopathology
Authors: Paulus Frank W. , Möhler Eva , Festag Lisa , Joas Jens 
Published: June 2022

BackgroundTemperament might be considered as a risk factor as well as a resilience factor for later externalizing and internalizing disorders. Therefore, this study examines different dimensions of temperament in preschool age with regard to their predictive value for psychopathology later in childhood.MethodsA total of 76 patients (63.2% male) were assessed in a special psychiatric consultation for preschool age at measuring point time t1 (x = 4.2) and measuring point time t2 (x = 9.2). At t1, the Integrative Child Temperament Inventory (ICTI) was used for assessment. At t2, parents completed the Strengths and Difficulties Questionnaire SDQ. Multiple regression analyses were used to test if the temperament factors of the ICTI predicted clinical abnormalities in the SDQ subscales or total difficulties score.ResultsSDQ total difficulties score as an indicator of total psychiatric disturbance in childhood appears to be good predicted by the temperament factor frustration/anger. Sensory sensitivity in preschoolers serves as a risk factor for later emotional symptoms, whereas high activity levels appear to prevent later emotional symptoms. Behavioral inhibition appears to protect against hyperactivity/inattention.ConclusionOur data suggests that preschool temperament contributes differently to the development of externalizing and internalizing problems in childhood. The temperament factor frustration/anger in preschool children might be a strong predictor of the general mental condition in childhood at nine years of age and can therefore be used as a target for prevention of psychopathology in children. On one hand, high sensory sensitivity can be a predictor to identify preschool children at risk for later emotional symptoms, on the other hand, activity level acts as a protective factor against later emotional symptoms. An increased level of behavioral inhibition might be protective against the development of hyperactivity/inattention symptoms. Overall, this study illustrates the complexity and ambiguity of temperament in child development.
Tobacco Treatment Outcomes for Hospital Patients With and Without Mental Health Diagnoses
Authors: Sanford Brandon T. , Toll Benjamin A. , Palmer Amanda M. , Foster Madeline G. , Cummings K. Michael , Stansell Stephanie , Rojewski Alana M. 
Published: June 2022

BackgroundThe prevalence of mental health conditions is higher in cigarette smokers than nonsmokers. However, those with diagnosed mental health disorders are understudied within general inpatient hospital settings. This study seeks to evaluate how having a mental health diagnosis influences response to a brief opt-out inpatient tobacco treatment intervention.MethodsData included 4,153 admitted patients who completed a tobacco treatment visit. Post-discharge self-reported abstinence was obtained via response to an automated call 1-month after discharge. Mental health co-morbidities were assessed by reviewing electronic medical records. Logistic regression was used to assess associations between having a mental health diagnosis and patients' smoking history, interest in quitting smoking, and post-discharge abstinence.ResultsOverall 34.1% of patients were diagnosed with mental health disorders, most commonly depression or substance use disorders. Patients with a diagnosed mental health disorder were more likely to report a history of long-term heavy smoking and were less likely to express an interesting in remaining abstinent from smoking after hospitalization. An intent-to-treat analysis using logistic regression analysis found lower rates of self-reported smoking abstinence in those with a mental health disorder compared to those without (9 vs. 13.2%, p &lt; 0.001).ConclusionsPatients with a history of mental health diagnoses, such as depression or substance use disorders, was associated with lower rates of smoking abstinence in patients after hospitalization. Hospital based opt-out smoking cessation programs have shown to be generally effective and efficient. However, certain subpopulations may require tailored intervention in order to improve treatment outcomes. Future research is needed to develop brief, effective tobacco treatment for hospital patients with comorbid mental health diagnoses.
Assessment of COVID-19 Vaccine Acceptance and Reluctance Among Staff Working in Public Healthcare Settings of Saudi Arabia: A Multicenter Study
Authors: Maqsood Muhammad Bilal , Islam Md. Ashraful , Al Qarni Ali , Nisa Zeb-un- , Ishaqui Azfar Athar , Alharbi Naif Khalaf , Almukhamel Murtaja , Hossain Mohammad Akbar , Fatani Nayyra , Mahrous Ahmad Jamal , Arab Muhammad Al , Alfehaid Fahad Sami Abdulaziz , Akbar Zahida 
Published: June 2022

ObjectiveThe study aimed to evaluate the novel coronavirus disease 2019 (COVID-19) vaccination acceptance and reluctance among staff working in Saudi healthcare facilities.MethodsA cross-sectional study was conducted during April – May 2021, among healthcare workers in five public hospitals under the National Guards Health Association located in Alahsa, Dammam, Jeddah, Madinah, and Riyadh. The study used a questionnaire in English language, which was distributed through official email communication among healthcare staff currently working at study venues. The data was analyzed using IBM SPSS v23. An ethical approval was obtained.ResultsA total of 1,031 responses were recorded. Most of the staff had both doses of COVID-19 vaccine (89%). The mean score for vaccine acceptance on a scale of 1 (strongly disagree) to 5 (strongly agree) was 3.55 ± 1.6. The mean score for vaccine reluctance on the same scale was 2.71 ± 1.05. Most participants mentioned safety (76.9%) and efficacy (56.3%) as vaccine concerns and believed that COVID-19 vaccine may not be effective because of changes in virus strain (55.5%). The variables of gender and nationality significantly affected vaccine acceptance, while age, gender, nationality, and profession significantly affected vaccine reluctance (p&lt; 0.05).ConclusionMost healthcare staff were vaccinated, and a high acceptance for COVID-19 vaccination was reported. Several demographic factors affected the vaccine acceptance and reluctance.
Application of Telemedicine in COVID-19: A Bibliometric Analysis
Authors: Lan Xue , Yu Han , Cui Lei 
Published: June 2022

BackgroundTelemedicine as a tool that can reduce potential disease spread and fill a gap in healthcare has been increasingly applied during the COVID-19 pandemic. Many studies have summarized telemedicine's technologies or the diseases' applications. However, these studies were reviewed separately. There is a lack of a comprehensive overview of the telemedicine technologies, application areas, and medical service types.ObjectiveWe aimed to investigate the research direction of telemedicine at COVID-19 and to clarify what kind of telemedicine technology is used in what diseases, and what medical services are provided by telemedicine.MethodsPublications addressing telemedicine in COVID-19 were retrieved from the PubMed database. To extract bibliographic information and do a bi-clustering analysis, we used Bicomb and gCLUTO. The co-occurrence networks of diseases, technology, and healthcare services were then constructed and shown using R-studio and the Gephi tool.ResultsWe retrieved 5,224 research papers on telemedicine at COVID-19 distributed among 1460 journals. Most articles were published in the Journal of Medical Internet Research (166/5,224, 3.18%). The United States published the most articles on telemedicine. The research clusters comprised 6 clusters, which refer to mental health, mhealth, cross-infection control, and self-management of diseases. The network analysis revealed a triple relation with diseases, technologies, and health care services with 303 nodes and 5,664 edges. The entity “delivery of health care” was the node with the highest betweenness centrality at 6,787.79, followed by “remote consultation” (4,395.76) and “infection control” (3,700.50).ConclusionsThe results of this study highlight widely use of telemedicine during COVID-19. Most studies relate to the delivery of health care and mental health services. Technologies were primarily via mobile devices to deliver health care, remote consultation, control infection, and contact tracing. The study assists researchers in comprehending the knowledge structure in this sector, enabling them to discover critical topics and choose the best match for their survey work.
Students' Perceptions of Learning Life Skills Through the Teaching Personal and Social Responsibility Model: An Exploratory Study
Authors: Jacobs Jennifer M. , Wright Paul M. , Richards K. Andrew R. 
Published: June 2022

PurposePhysical education (PE) lags behind community-based sport and physical activity programs in the integration of positive youth development (PYD) principles and practices such as teaching transferable life skills. However, research and educational policy indicates this can and should be part of the PE curriculum. Therefore, there is a significant need to explore students' perceptions and experiences about learning life skills within the PE context. In the current study, an intervention based in a wellestablished PYD approach called Teaching Personal and Social Responsibility (TPSR), was delivered to assess these issues.MethodsThe current study was conducted in the mid-western U.S. Participants were 122 adolescent students (m = 60, f = 62; M = 12.48 years, SD = 0.97 years) in intervention and control classes. For the intervention, a PE teacher received training on the TPSR approach to promote life skills, while the control teacher received no training and participated in usual practices. Pre- and post-surveys were distributed that examined student perceptions about learning life skills, and supplemental systematic observations were recorded to capture the intervention teacher's fidelity to the TPSR model.ResultsResults indicated that the intervention group students' perceptions of in-class experiences with life skills such as problem solving, emotional regulation, effort, goal setting, identity experiences, time management, and promoting social norms were enhanced overtime, compared to the control group.ConclusionPE is in a unique position to promote PYD in the school curriculum by teaching of life skills. In this case, participants in the intervention group demonstrated learning personally and socially responsible behaviors across the course of 15 PE lessons. Future research should examine if changed in-class perceptions about life skills can foster use of these skills outside of the PE setting.
Industrial Processing Induces Pericardial Patch Degeneration
Authors: Peivandi Armin Darius , Martens Sven , Heitplatz Barbara , Guseva Alena , Mueller Klaus-Michael , Martens Sabrina 
Published: June 2022

BackgroundAutologous pericardium is considered gold standard for various reconstructive surgical procedures in children. However, processed bovine, equine, and porcine pericardial tissue are also widely used. We investigated structural differences and analyzed alterations caused by industrial processing. Additionally human and equine pericardium explants, used during aortic valve reconstruction were analyzed.MethodsPericardial tissues (native, processed and explanted) were gathered and stained with HE and EvG to visualize collagen as well as elastic fibers. Fiber structures were visualized by light and polarization microscopy. Antibody staining against CD 3, CD 20, and CD 68 was performed to identify inflammation.ResultsNative pericardium of different species showed small differences in thickness, with bovine pericardium being the thickest [bovine: 390 μm (± 40.6 μm); porcine: 223 μm (± 30.1 μm); equine: 260 μm (± 28.4 μm)]. Juvenile pericardium was 277 μm (± 26.7 μm). Single collagen bundle diameter displayed variations (~3–20 μm). Parallel collagen fibers were densely packed with small inter-fibrillary space. After industrial tissue processing, loosening of collagen network with inter-fibrillary gapping was observed. Pericardium appeared thicker (mean values ranging from 257–670 μm). Processed tissue showed less birefringence under polarized light. All analyzed tissues showed a small number of elastic fibers. Fibrosis, calcification and inflammatory processes of autologous and equine pericardium were observed in patient explants.ConclusionNone of the analyzed tissues resembled the exact structure of the autologous pericardial explant. Degeneration of pericardium starts during industrial processing, suggesting a potential harm on graft longevity in children. A careful surgical approach prior to the implantation of xenografts is therefore needed.
Establishment and Application of a Novel Difficulty Scoring System for da Vinci Robotic Pancreatoduodenectomy
Authors: Sun Hongfa , Sun Chuandong , Zhang Bingyuan , Ma Kai , Wu Zehua , Visser Brendan C. , Han Bing 
Published: June 2022

BackgroundRobotic pancreatoduodenectomy (RPD) technology is developing rapidly, but there is still a lack of a specific and objective difficulty evaluation system in the field of application and training of RPD surgery.MethodsThe clinical data of patients who underwent RPD in our hospital from November 2014 to October 2020 were analyzed retrospectively. Univariate and multivariate logistic regression analyses were used to determine the predictors of operation difficulty and convert into a scoring system.ResultsA total of 72 patients were enrolled in the group. According to the operation time (25%), intraoperative blood loss (25%), conversion to laparotomy, and major complications, the difficulty of operation was divided into low difficulty (0–2 points) and high difficulty (3–4 points). The multivariate logistic regression model included the thickness of mesenteric tissue (P1) (P = 0.035), the thickness of the abdominal wall (B1) (P = 0.017), and the preoperative albumin (P = 0.032), and the nomogram was established. AUC = 0.773 (0.645–0.901).ConclusionsThe RPD difficulty evaluation system based on the specific anatomical relationship between da Vinci’s laparoscopic robotic arm and tissues/organs in the operation area can be used as a predictive tool to evaluate the surgical difficulty of patients before operation and guide clinical practice.
Comparison of Four Lymph Node Staging Systems in Gastric Adenocarcinoma after Neoadjuvant Therapy – A Population-Based Study
Authors: Lai Hongkun , Zheng Jiabin , Li Yong 
Published: June 2022

IntroductionNeoadjuvant treatment leads in a reduction in positive lymph nodes and examined lymph nodes (ELN), which may affect assessment of lymph node staging and postoperative treatment. We aimed to compare the staging systems of lymph node ratio (LNR), the positive logarithm ratio of lymph nodes (LODDS), negative lymph nodes (NLN), and the 8th AJCC ypN stage for patients with gastric adenocarcinoma after neoadjuvant therapy.Materials and MethodsData was collected from the Surveillance, Epidemiology, and End Results database and 1,551 patients with gastric adenocarcinoma who underwent neoadjuvant therapy and radical surgery were enrolled. Harrell’s concordance index, the Receiver Operative Curve, the likelihood ratio test, and the Akaike information criterion were used to compare the predictive abilities of the different staging systems.ResultsAmong the 1,551 patients, 689 (44.4%) had ELN &lt; 16 and node-negative patients accounted for 395 (25.5%). When regarded as the categorical variable, LNR had better discrimination power, higher homogeneity, and better model fitness for CSS and OS compared to other stage systems, regardless of the status of ELN. When regarded as the continuos variable, LODDS outperformed others for CSS. Furthermore, the NLN staging system performed superior to others in node-negative patients.ConclusionsLNR had a better predictive performance than ypN, LODDS and NLN staging systems regardless of the status of ELN when regarded as the categorical variable, whereas LOODS became the better predictive factor for CSS when regarded as the continuos variable. In node-negative patients, NLN might be a feasible option for evaluating prognosis. A combination of LNR and NLN should be considered as user-friendly method in the clinical prognostic assessment.
Distress and Well-Being Among Psychiatric Patients in the Aftermath of the First COVID-19 Lockdown in Israel: A Longitudinal Study
Authors: Grossman-Giron Ariella , Tzur Bitan Dana , Mendlovic Shlomo , Shemesh Sharon , Bloch Yuval 
Published: June 2022

Objectives: Studies assessing the effect of the COVID-19 pandemic on psychiatric patients have mostly focused on cross-sectional evaluations of differences in levels of distress. In this study, we aimed to assess changes in distress and well-being following the COVID-19 pandemic outbreak as compared with pre-pandemic levels, as well as potential predictors of symptomatic deterioration, among psychiatric outpatients treated in a public mental health hospital in Israel.Methods: Patients evaluated for distress and well-being before the pandemic (n = 55) were re-evaluated at the end of the first lockdown in Israel.Results: Analyses revealed a significant decrease in the patients’ sense of personal growth. Increases in distress were significantly associated with fear of COVID-19 beyond patient characteristics.Conclusion: These results suggest that the pandemic has a short-term effect on patients’ well-being, and that fear of the pandemic is associated with elevations in distress.
Roteiro Integrado para o Turismo de Observação de Aves na Rota Bioceânica: Brasil, Paraguai, Argentina e Chile
Authors: Mamede Simone , Benites Maristela , Mangini Giselle , Esquivel Alberto 
Published: June 2022

Este trabalho tem como objetivo avaliar como a geografia territorial da Rota de Integração Latino-Americana contribui para a construção e a formatação de roteiro para o turismo de observação de aves, com enaltecimento de paisagens, de práticas culturais, de territorialidades e da sociobiodiversidade como um todo representadas na Rota. A área de estudo envolve municípios brasileiros, paraguaios, argentinos e chilenos atingidos diretamente por esse Corredor Rodoviário. O território abarcado pela Rota de Integração Latino-Americana é contemplado por vários ambientes propícios para a prática do turismo de observação de aves, em especial aqueles contemplados por Áreas Protegidas e arredores. O roteiro proposto percorre diferentes topografias, ecorregiões e ecossistemas singulares da América do Sul, tais como: Cerrado, Pantanal, Mata Atlântica, Chaco (seco e úmido), Yungas, Deserto de Montanhas, Campos de Altitude, Puna, Lagoas Altoandinas, Deserto e Vales desérticos, Costa do Pacífico e Tamarugales. Em cada localidade a biodiversidade compõe o espaço junto das práticas culturais e de territorialidades singulares. Tamanha riqueza e diversidade projeta esse percurso como um excelente roteiro para o turismo de observação de aves, pronto a ser percorrido, contemplado e apreciado em suas múltiplas possibilidades.
Turismo de Observação de Aves: um novo olhar sobre o meio ambiente em Mato Grosso do Sul
Authors: Kmitta Ilsyane do Rocio , Arakaki Susana 
Published: June 2022

O estado de Mato Grosso do Sul, privilegiado pela ocorrência dos biomas Pantanal, Cerrado, Mata Atlântica e Chaco, sendo este último limitado ao município de Porto Murtinho, tem se constituído como espaço ímpar para a atividade de observação de aves. Atividade relativamente recente no estado, vem se destacando como possibilidade de exploração do ecoturismo. Prática consolidada no mundo e nacionalmente, o estado acolhe observadores de vários estados e do exterior, interessados nas mais de 800 espécies de aves já catalogados. Todavia, a observação de aves pela população local ainda é recente e teve início após declínio da caça e pesca predatória e a necessidade de viabilizar novas formas de exploração sustentável do turismo no estado. Este trabalho apresenta as características históricas da formação das propriedades rurais e suas formas de exploração econômica. Apresenta a atividade de observação de aves no estado, além de histórico de ações e atores que vêm construindo esse novo segmento a ser explorado interna e externamente. Apresenta o protagonismo feminino na condução das iniciativas que dão visibilidade à atividade.
Hubungan pola asuh dengan perilaku bullying pada anak sekolah dasar
Authors: Rahmawati Iva Milia Hani , Rosyidah Inayatur , Hartatik Hartatik 
Published: June 2022

Perilaku bullying merupakan perilaku seseorang khususnya lebih kuat menyakiti baik fisik maupun secara verbal terhadap orang yang lemah. Salah satu faktor penyebab seorang anak melakukan perilaku bullying adalah pola asuh orang tua. Pola asuh yang tepat dalam mengasuh dan mendidik anak sangat dibutuhkan, karena pola asuh akan mempengaruhi kondisi psikologis anak. Tujuan penelitian ini adalah untuk mengidentifikasi pola asuh orang tua, perilaku bullying pada anak sekolah dasar serta menganalisis hubungan pola asuh orang tua dengan perilaku bullying pada anak sekolah dasar di Sekolah Dasar Negeri Carangrejo 02, Kesamben, Jombang. Sampel dalam penelitian ini berjumlah 48 responden terdiri dari siswa Sekolah dasar dan orang tua/wali dengan menggunakan purposive sampling. Desain penelitian yang digunakan adalah desain cross sectional dan Analisa data yang digunakan untuk mengetahui hubungannya adalah uji Chi Square. Pengumpulan data menggunakan kuesioner dan lembar observasi. Hasil penelitian menunjukkan adanya hubungan antara pola asuh orang tua dengan perilaku bullying pada siswa sekolah dasar SDN Carangrejo 02, Kesamben, Jombang. Saran dapat diadakan kegiatan parenting dengan tema penguatan pola asuh dan bullying serta penanggulanganya.