bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Organic Farmer Safety, Health & Life Questionnaire (OFSHLQ): A Tool for an Expanded Paradigm on Occupational Safety and Health
Authors: Mas Francisco Soto , Hsiao Yu-Yu , Ji Ming , Zhao Shixi 
Published: December 2024

Abstract

Objective
Develop and validate a multidimensional tool consistent with an expanded occupational safety and health (OSH) paradigm.

Methods
Systematic development process; cross-sectional survey design for psychometric properties. Exploratory factor analyses (EFA) and reliability estimates on key theoretical constructs.

Results
The Organic Farmer Safety, Health & Life Questionnaire (OFSHLQ) is a population-specific, theory-based, multilevel tool that integrates work and life dimensions. The development process contributed to face and content validity. The EFA identified 11 scales with acceptable factor loadings. Reliability estimates across scales ranged from 0.58 to 0.92.

Discussion
OFSHLQ integrates traditional dimensions of OSH and other intrapersonal, interpersonal, and contextual factors that contribute to overall workers’ health and well-being.

Conclusion
OFSHLQ constitutes a resource for traditional OSH surveillance and research, and is also consistent with an expanded paradigm of OSH.
Economic Evaluations of Worksite Health Centers: A Systematic Review
Authors: Jiang Hanzi , Schwirtlich Tim , Beestrum Molly , French Dustin D. , McHugh Megan 
Published: December 2024

Abstract

Objective
To systematically review the cost-effectiveness or return on investment (ROI) from worksite health centers (WHCs) in the US.

Methods
We searched four databases and the grey literature for studies that conducted economic evaluation and provided economic outcomes of US-based WHCs. The quality and risk of bias were assessed using JBI Critical Appraisal Tools of Economic Evaluations.

Results
Ten studies met the inclusion criteria. Nine reported WHCs were cost-effective or yielded positive ROI for employers, with annual cost savings per WHC ranging from $35,479 to $2,124,723 and ROI from $1.09 to $15.88 per $1 of investment. Key contributors to higher ROI included company size, utilization, and duration of operations.

Conclusion
WHCs may provide economic savings for large employers. Future studies should consider clinical effectiveness and service quality and investigate the specific mechanisms driving employer cost savings.

Protocol Registration: PROSPERO (CRD42024506086)
Psychosocial risks and resources at work and employee wellbeing in the context of the COVID-19 pandemic: time series of cross-sections
Authors: Ervasti Jenni , Airaksinen Jaakko , Pentti Jaana , Kausto Johanna , Joensuu Matti , Oksanen Tuula , Kivimäki Mika , Vahtera Jussi 
Published: December 2024

ABSTRACT

Objective
We examined the relationships between psychosocial factors and employee wellbeing in the context of the COVID-19 pandemic.

Methods
Survey data were from Finnish public sector employees from 2018 (T1 = before), 2020 (T2 = during), and 2022 (T3 = after the pandemic) (n = 29,360). Employee wellbeing was measured with self-rated health, work ability, and recovery from work. The generalized linear models using Poisson distribution were adjusted for age, sex, socioeconomic status, obesity, and health behaviors.

Results
Psychosocial factors were associated with suboptimal employee wellbeing in every timepoint. The association between high effort-reward imbalance and suboptimal work ability was strongest during the pandemic (risk ratio 1.53, 95% confidence interval 1.47-1.59). The association between high job strain and suboptimal recovery from work was stronger during the pandemic (1.49, 1.46-1.52) than post-pandemic (1.45, 1.43-1.48).

Conclusions
Job stress had the strongest associations with suboptimal wellbeing during the pandemic.
Robotic-Assisted Microsurgery in Gender-Affirming Phalloplasty
Authors: Wellenbrock Sascha , Ozturk Mahmut , Sohn Michael , Puehse Gerald , Cremers Jann-Frederik , Wessel Kai , Hirsch Tobias , Kueckelhaus Maximilian 
Published: December 2024

Abstract
Genital gender-affirming masculinization surgeries require handling of small vessels and nerves handling in deep planes. Since the introduction of the Symani Surgical System for robotic-assisted microsurgery in clinical practice, its value in handling small and deep vessels via additional distal motion axes, motion scaling, and tremor elimination has been demonstrated. We combined the Symani with the robotic exoscope RoboticScope to achieve maximum flexibility and ergonomics for the microsurgeon. Here, we present the initial application of robotic-assisted microsurgery for gender-affirming phalloplasty. The Symani and the RoboticScope were used to perform the end-to-side nerve coaptation of the lateral antebrachial cutaneous nerve to the dorsal nerve of the clitoris with five epineural 9.0 Ethilon sutures. Arterial anastomosis to the deep inferior epigastric artery (DIEA) was completed in an end-to-end fashion with six 8.0 Ethilon sutures. Cephalic vein anastomosis to the great saphenous vein was performed manually in an end-to-end fashion using a 3.5-mm coupler. The time for nerve coaptation was 17 minutes; for arterial anastomosis, 26 minutes; and for vein anastomosis, 6 minutes. Time for flap ischemia was 157 minutes. Incision to closure was performed in 401 minutes. Symani's tremor elimination and motion scaling support precise arterial anastomosis and nerve coaptation. The additional degrees of freedom distal to the tips of the instruments enable flexible operation in deep planes, such as the periclitoral space. Combining Symani with a robotic exoscope enables a comfortable remote positioning for the surgeon. The presented case demonstrates feasibility and encourages further exploration to elucidate the potential benefits of this robotic-assisted technique.
Increasing Popularity of Tattoo-Only Nipple-Areolar Complex Reconstruction
Authors: Byrnes Yasmeen M. , Lin Yu An , Kwon Catherine M. , Agarwal Nitesh , Wang Shengxuan , Kauffman Christian A. 
Published: December 2024

Background
Nipple-areolar complex (NAC) reconstruction can be broadly categorized into surgical reconstruction, tattooing, or both. NAC tattooing has shown continued advances recently, resulting in increased discussion of tattoo-only methods within the literature.

Objective
This study aims to quantify recent trends in choice of NAC reconstruction and explore driving factors.

Methods
Patients who underwent postmastectomy breast and NAC reconstruction between January 2007 and December 2021 at a single academic institution were reviewed and grouped based on method of NAC reconstruction: (1) surgical-only, (2) tattoo-only, and (3) both surgical and tattoo. Trends were assessed in each group using Poisson regression.

Results
The study included 138 patients; 17.4% (n = 24) were in the surgical-only group, 16.7% (n = 23) tattoo-only, and 65.9% (n = 91) both surgical and tattoo. Over the 15-year period, patients receiving tattoo-only NAC reconstruction significantly increased (β = 0.173, P < 0.0001), while those receiving both surgical and tattoo significantly decreased (β = −0.064, P = 0.007). There were no significant changes in surgical-only (β = 0.013, P = 0.563) or total (any type) NAC reconstruction (β = −0.013, P = 0.503). Rates of breast reconstruction significantly increased (β = 0.062, P < 0.0001). Variables such as autologous versus implant-based, unilateral versus bilateral, revision number, and radiation were stable over time and were not significantly associated with NAC reconstruction method.

Conclusions
There is a significant trend toward tattoo-only and away from surgical-only reconstruction over the past 15 years, highlighting the importance of access to tattoo-based NAC reconstruction as part of comprehensive breast reconstruction care. The less invasive nature of tattooing and increase in tattoo quality are possible reasons for the increase in popularity.
Morphine Versus Nalbuphine as Intra-Articular Medications Following Temporomandibular Joint Arthrocentesis: A Randomized Clinical Trial
Authors: Bahaa Moataz , Ghanem Amr Amin , Abdelhameed Abdelrahman Mohamed Fahmy , Eissa Ahmed Adel Soliman , El Badawy Fatma Mostafa 
Published: December 2024

Purpose:
This study aimed at comparing the therapeutic effect of nalbuphine in comparison to morphine after Temporomandibular joint (TMJ) arthrocentesis in patients with anterior disc displacement without reduction (ADDwoR).

Materials and Methods:
Twenty-four female patients diagnosed with ADDwoR. Patients were treated with TMJ arthrocentesis then randomly divided into parallel groups. Group (A) received an intra-articular injection of 2 mL 10 mg morphine and group (B) received an intraarticular injection of 2 mL 10 mg nalbuphine. Each patient was assessed in terms of maximum mouth opening (MMO), lateral excursions and pain according to visual analogue scale (VAS). Follow-up was made at the intervals of 1 week 1 month, 3 months and 6 months.

Results:
A vast improvement was attained in both groups in all assessment variables with a significant value at the end of the follow-up period in comparison to the preoperative assessment values. Yet there was an insignificant difference between both groups regarding the assessment criteria. However insignificant yet the scales tip slightly towards nalbuphine group.

Conclusion:
Nalbuphine is a highly potent and effective analgesic to be administered post TMJ arthrocentesis in patients with closed lock and highly comparable to that of morphine.
A Clinical Prediction Model For Short-Term Prognosis In Patients With Non Acute Myocardial Infarction Related Cardiogenic Shock
Authors: Wang Xiaoke , Fan Xiaojuan , Wu Taibo , Che Shaopeng , Shi Xue , Liu Peining , Liu Junhui , Luo Yongbai , Wu Yue , Lan Beidi 
Published: December 2024

Abstract

Background
While acute myocardial infarction (AMI) is widely recognized as the primary cause of Cardiogenic Shock (CS), Non-AMI related CS has been excluded from the majority of CS studies. Information on its prognostic factors remains largely understudied, and it is necessary to focus on these patients to identify the specific risk factors. In this study, we aimed to build and validate a predictive nomogram and risk classification system.

Methods
1298 patients and 548 patients with CS from the Medical Information Mart for Intensive Care IV (MIMIC-IV) and MIMIC-III databases were included in the study after excluding patients with acute myocardial infarction. Lasson and logistic regression analysis were used to identify statistically significant predictors which were finally involved in the nomogram. The predictive performance of the nomogram was validated by calibration plots and was compared with other scoring systems by AUC and DCA curves.

Results
Age, heart rate, WBC count, albumin level, lactic acid level, GCS Score, 24 h urine output, and vasopressor use were identified as the most critical factors for in-hospital death. Based on these results, a nomogram was established for predicting in-hospital mortality. The AUC value of the nomogram was 0.806 in the training group and 0.814 and 0.730 in the internal and external validation sets, respectively, which were significantly higher than those of other commonly used Intensive Care Unit scoring systems (SAPSII, APSIII, and SOFA).In addition, the survival curve showed significant differences in the 30-day survival of the three risk subgroups divided by the nomogram.

Conclusion
For non-AMI associated CS, a predictive nomogram and risk classification system were developed and validated, and the nomogram demonstrated good performance in prognostic prediction and risk stratification.
A Risk Score Using a Cell-based Assay Predicts Long-term Over-immunosuppression Events in Kidney Transplant Recipients
Authors: Désy Olivier , Thivierge Marie-Pier , Béland Stéphanie , Desgagnés Jean-Simon , Bouchard-Boivin François , Gama Alcino , Houde Isabelle , Lapointe Isabelle , Côté Isabelle , Lesage Julie , De Serres Sacha A. 
Published: December 2024

Background.
Infections and cancer are major causes of premature death in organ recipients. However, there have been few advances in personalized immunosuppressive therapy. We previously reported that a cell-based assay measuring CD14+16+tumor necrosis factor-α+ monocytes after peripheral blood mononuclear cell (PBMC) incubation with Epstein-Barr virus peptides has a high sensitivity for detecting over-immunosuppression (OIS) events in kidney recipients in the short term. We aimed to develop a risk score for predicting long-term events.

Methods.
We studied 551 PBMC samples from 118 kidney recipients. Following random allocation to a testing and training set, we derived a risk function for the delineated tertiles of low, intermediate, and high risk of OIS based on age and CD14+16+tumor necrosis factor-α+ cells.

Results.
Patients were followed for a median of 6.3 y (25th–75th percentiles: 3.7–8.3 y). Of these, 40 (34%) experienced an OIS event. The validation indicated that the risk score was well calibrated, with an absolute risk of 21%, 41%, and 61% in the low-, intermediate-, and high-risk categories, respectively (P = 0.03). In sensitivity analyses, the risk score was robust to alternative definitions of OIS ranging from mild to severe. In particular, when restricted to life-threatening OIS, the proportion of events varied from 5% to 27% among the low- and high-risk categories, respectively (P = 0.01).

Conclusions.
Using a combination of age and in vitro PBMC response to Epstein-Barr virus peptides allows a substantial shift in the estimated risk of OIS events.
Idiopathic Intracranial Hypertension Is Associated With an Increased Risk of Hypertensive Pregnancy Disorders
Authors: Shaia Jacqueline K. , Trinh Ilene P. , Alam Taseen A. , Rock Jenna R. , Chu Jeffrey Y. , Kaelber David C. , Singh Rishi P. , Talcott Katherine E. , Cohen Devon A. 
Published: December 2024

Background:
Idiopathic intracranial hypertension (IIH) mainly occurs in women of a reproductive age who are overweight or obese. As pregnancy occurs in this age group, it is important to understand whether there are associations between IIH and pregnancy. The purpose of this study was to determine the incidence of IIH development during a pregnancy and whether IIH is associated with hypertensive disorders of pregnancy (HDP).

Methods:
In this retrospective cohort analysis, electronic health records from a tertiary care center were used to identify patients with IIH. Patients who had a diagnostic code for IIH or papilledema and were seen between June 1, 2012, and September 1, 2023, were included. After meeting the revised Dandy diagnostic criteria, patients were evaluated for a history of pregnancy before, during, or after their IIH diagnosis and hypertensive disorders including preeclampsia/eclampsia, HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome, and hypertension. Incidence and risk ratios (RR) were calculated comparing patients with IIH with controls without IIH. To corroborate these results while controlling for obesity and migraine, the TriNetX platform housing more than 100 million patients was used to design a case–control analysis evaluating the odds of an IIH patient having an HDP.

Results:
Two hundred ninety-two IIH patients with a prior pregnancy were identified of which 7% developed new onset IIH during pregnancy. Patients had increased risks of all HDP including eclampsia (RR: 12.92, 95% CI: 5.35, 31.22), preeclampsia (2.39, CI 1.84, 3.10), and HELLP syndrome (6.72, CI 2.16, 20.90) compared with controls. Patients with IIH also had higher risks of ectopic pregnancies and miscarriages (P < 0.05). When controlling for obesity and migraine, patients continued to have increased odds of all HDP and eclampsia (P < 0.05).

Conclusions:
Patients with IIH had an increased risk of having an HDP, especially eclampsia and HELLP syndrome highlighting a need for increased clinical monitoring of these patients during pregnancy.
Effect of powder recycling on corrosion mechanism of plasma sprayed Ni625-WC composite coatings
Authors: Wang Qin-Ying , Ma Wen-Qi , Chai Hui , Zhang Xing-Shou , Xi Yu-Chen , Bai Shu-Lin 
Published: December 2024

Purpose
This study aims to investigate the effect of powder recycling on the microstructure of plasma-sprayed Ni625-WC composite coating and to verify the feasibility of Ni625-WC powder recycling by comparing the corrosion resistance of the coatings in high-temperature and pressure CO2 environment.

Design/methodology/approach
Recycling powder is an efficient way to improve the utilization rate of metal powder during plasma spraying. The plasma-sprayed Ni625-WC composite coatings with original powder (OC) and recovered powder (RC) were analytically compared by using scanning electron microscope (SEM) equipped with an energy-dispersive spectroscopy, X-ray diffractometer, and X-ray photoelectron spectroscopy. The corrosion resistance of the Ni625-WC composite coatings was characterized in a self-designed high-temperature and pressure autoclave by an electrochemical workstation.

Findings
The results showed that there is massive M23C6 in OC and acicular M23C6 in RC. The WC particles in RC are more uniformly distributed, and the area ratios of WC particles to Inconel 625 matrix are 2.37% higher than OC. RC showed high corrosion resistance, and the recycling of Ni625-WC powder is feasible.

Originality/value
The feasibility of Ni625-WC powder recycling was verified from the microstructure evolution and electrochemical behavior of the coatings.
Influence of locus of control on green buyer behaviour: mediating role of motivation and the moderating role of health consciousness
Authors: Backer Sabana , Prasanth A.P. 
Published: December 2024

PurposeThe study investigates the role of locus of control and motivation in predicting green buyer behaviour using social cognitive theory. The study also examines the mediating role of motivation and the moderating role of health consciousness in the relationship between motivation and green consumer behaviour.Design/methodology/approachTo test the postulated relationships in the study, responses were collected from 410 customers. The study tested validity through confirmatory factor analysis and examined various hypotheses through Process Macros.FindingsThe analysis revealed that the locus of control of the buyer increases green buyer behaviour. The study established a positive relationship between internal and external locus of control and intrinsic and extrinsic motivation, impacting green buyer behaviour. The study also identified evidence supporting the mediating role of intrinsic and the extrinsic motivation and the moderating influence of health consciousness.Practical implicationsThe study expands upon current theory by illustrating the association between intrinsic and extrinsic motivation and customers' green purchasing behaviour. It enhances existing literature by identifying health consciousness as a personal factor influencing the connection between motivation and eco-friendly purchasing, urging marketers and policymakers to promote green buying.Originality/valueTo the best of the authors’ knowledge, no prior studies have examined the effect of internal and external locus of control on green buyer behaviour. Through identifying the mediating mechanism and health consciousness as a personal factor, the study enhances both theoretical understanding and practical applications.
3D reconstruction of building interiors based on scan-to-BIM and generative design for as-built building
Authors: Cai Weilang , Hua Dongqi , Li Sihao , Xue Shiwei , Xu Zhao 
Published: December 2024

PurposeBIM technology has a huge potential for improving the renovation efficiency for as-built buildings. However, due to the absence of raw design drawings and the complex interior environment, it is difficult to implement 3D reconstruction of building interiors in interior renovation projects. Therefore, this study proposes a 3D reconstruction framework of building interiors, with an aim to generate building interiors building information modeling (BIM) models quickly and accurately based on scan-to-BIM and generative design.Design/methodology/approachThe proposed framework begins by reconstructing interior structured elements based on the scan-to-BIM process including collecting accurate information of as-built buildings by laser scanning, obtaining point clouds of structured elements through deep learning and developing an efficient dynamo algorithm workflow for generating structured elements BIM model. For unstructured elements, intelligent layout design and efficient BIM generation are conducted by combining the BIM tools and generative design.FindingsThe successful implementation of the proposed framework in a conference room demonstrated the feasibility of the proposed framework. The semantic segmentation scheme based on deep learning also exhibited excellent recognition and high efficiency for interior structured elements. Furthermore, it is proved that the combination of scan-to-BIM and generative design has high application value in the 3D reconstruction of building interiors.Originality/valueOn one hand, a feasible framework is proposed to generate BIM model of building interiors, improve interoperability among different software tools, streamline the complexity of the scan-to-BIM process and meet the reconfiguration requirement of unstructured elements layout scheme in interior renovation projects. On the other hand, the use of BIM and various emerging technologies can drive digital transformation and further advance the industrialization process of interior renovation in as-built buildings.
Service design in the context of sustainable production and consumption: a case study of elderly fall-protection clothing
Authors: Wang Mingrun , Shaari Nazlina , Abidin Sazrinee Zainal , He Yan 
Published: December 2024

Purpose
This study aims to identify the superior service strategies for elderly people in the context of sustainable production and consumption, thereby providing the principles for optimizing the service system of elderly fall-protection clothing.

Design/methodology/approach
This study adopted a new service design methodology that integrates a Kansei Engineering methodology and a customer life cycle. The Kansei Engineering methodology can use psychological methods to grasp customer feelings (or needs) and then transfer the collected data to the design domain by using multivariate statistical analyses. The customer life cycle can simulate all the service activities required by a new service system systematically and logically. In terms of the hypothetical scenarios provided by the customer life cycle, the Kansei Engineering methodology can collect service design elements more effectively and logically, thereby making the Kansei Engineering methodology more adaptable to the requirements of service design and sustainable design.

Findings
The research findings are the service strategies required for a new service system of elderly fall-protection clothing, as well as a new service design methodology that integrates a Kansei Engineering methodology and a customer life cycle.

Research limitations/implications
Designing a service system involves more than just figuring out what service strategies consumers desire; it includes examining how the business integrates resources to help those strategies be implemented. This study’s limitation is that it only looks at service strategy development; more research will probably conclude the study on how businesses integrate resources to support service strategy implementation.

Practical implications
Elderly fall-protection clothing companies can refer to the service strategies and new knowledge outlined in this study to optimize their service systems.

Originality/value
The research results of this study fulfilled the research gap in the service design of elderly fall-protection clothing. Furthermore, this study developed a new design framework for Kansei Engineering methodology, enriching a new Kansei Engineering methodology for service design.