bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Health and Physical Education Masters of Education Experience
Authors: Gleddie Douglas L. , Kinsella Cassidy , Harding-Kuriger Jodi , Morrison Hayley , Sulz Lauren 
Published: December 2024

Purpose: The rationale for teacher-focused graduate education encompasses diverse motivation, including: enhance salaries, elevate professional status, meet licensure requirements, and improvement of teacher effectiveness (professional development). Despite the proliferation of graduate programs for in-service educators, their impact on teachers, their contexts (schools), and their students remains unclear. This study explored graduate student experiences within a Health and Physical Education Masters of Education cohort. Method: Employing Dewey’s theory of experience and interpretive inquiry, interviews were conducted with students after the first year (n = 11) and upon program completion (n = 10). Interviews were transcribed, coded, and themed. Results: Students expressed deep experiences of growth, reflection, and challenges, which were organized into four themes: (a) theory to practice and back again, (b) multiple perspectives, (c) becoming a community, and (d) transforming purpose. Discussion/Conclusion: The findings inform new cohorts, graduate programs, and future work on a Deweyan framework for graduate studies in Health and Physical Education as transformative professional learning.
Elucidating the bidirectional association between autoimmune diseases and depression: a systematic review and meta-analysis
Authors: Li Yongli , Zhao Chengyuan , Sun Shihua , Mi Guolin , Liu Changhong , Ding Guoyong , Wang Cheng , Tang Fang 
Published: December 2024

QuestionCollective evidence for the bidirectional association between depression and autoimmune diseases (ADs) is scarce, especially for subgroups of patients with specific ADs. We conducted a meta-analysis to determine the incidence rates and relative risks (RRs) of depression among patients with ADs, and vice versa.Study selection and analysisPubMed, Embase, Web of Science, Ovid, PsycNet and Cochrane were searched up to 10 September 2024. Cohort studies evaluating longitudinal risks between ADs and depression were included. Incidence rates and RRs of depression among patients with ADs and vice versa were pooled.FindingsThe analysis included 47 studies, involving over 40.77 million participants. The pooled incidence rate of depression among patients with ADs was 6.71% (95% CI 5.10% to 8.77%), with an RR of 1.85 (95% CI 1.57 to 2.19), higher in patients aged over 45 (2.30; 95% CI 1.62 to 3.26) and females (1.88; 95% CI 1.61 to 2.20). Conversely, the pooled incidence rate of ADs among depression was 0.54% (95% CI 0.24% to 1.19%), with an RR of 1.84 (95% CI 1.10 to 3.09). The incidence rate and RRs also varied across subgroups with the highest incidence rate in the musculoskeletal system and connective tissue (1.36; 95% CI 0.50 to 3.63) and RR in the genitourinary system (2.23; 95% CI 1.98 to 2.51).ConclusionsThis study identified a bidirectional association between depression and ADs, with higher RRs among patients aged over 45 and females. Especially higher risks were also found for specific types of ADs including endocrine, nutritional, and metabolic diseases, genitourinary system, and skin and subcutaneous tissue.PROSPERO registration numberCRD42024541053.
Prospective study of food intake changes in adolescent elite athletes
Authors: Larsson Maria , Lindman Ida , Hörnell Agneta , Abrahamson Josefin 
Published: December 2024

BackgroundInadequate energy intake among athletes can lead to low energy availability (LEA) which in turn can result in negative effects on athletic performance and physical and psychological health. This syndrome is known as relative energy deficiency in sports (REDs).ObjectiveTo map perceived changes in overall food intake among adolescent athletes during the previous year, as well as weekly changes during a 3-month period and to examine how these changes are associated with mental health, physical load and sex.MethodsA total of 168 high school athletes from eight different sports participated. A baseline questionnaire examined changes in training habits and food intake in the past year, mental health (short version of the Warwick-Edinburgh Mental Well-being Scale (SWEMWBS)), injury history and previous periods of poor psychological health. Weekly digital questionnaires for 3 months tracked weekly physical and mental load and changes in food intake. Comparative and correlation analyses were performed with p<0.05 considered significant.ResultsA decreased food intake during the previous year was reported more often among athletes experiencing periods of poor mental health than those without such periods (10% vs 2%; p=0.034). Athletes who decreased their food intake reported lower mental well-being than athletes who increased their food intake (mean difference in SWEMWBS=4.69±1.57; p=0.021). Over a 3-month period, most athletes did not change their food intake, yet fluctuations in physical load were reported.ConclusionThis study showed that athletes experiencing lower mental health or period(s) of poor mental health reported decreased food intake more often than those with better mental health or those without period(s) of poor mental health. In addition, the mismatch found between perceived weekly changes in overall food intake and changes in physical load during the same time period could potentially result in an increased risk for LEA.
Diet quality, psychological factors and their associations with risk factors of cardiovascular disease: a cross-sectional pilot study
Authors: Nybacka Sanna , Peolsson Anneli , Leanderson Per , Ryden Mireille 
Published: December 2024

BackgroundSeveral modifiable risk factors, including dietary habits, are linked to cardiovascular disease (CVD) progression. However, lifestyle changes remain notoriously challenging, perhaps due to psychosocial factors. This pilot study aims to investigate the relationship between adherence to a healthy diet, CVD risk factors, psychological factors and sociodemographic variables among middle-aged adults in Sweden.MethodsData were collected from March to December 2012 in the SCAPIS diet sub-study, where a total of 200 participants aged 50–64 years were enrolled. Dietary intake was assessed using the MiniMeal-Q food frequency questionnaire, and adherence to healthy eating patterns was evaluated using the Diet Quality Index-Swedish Nutrition Recommendations (DQI-SNR). Psychological factors, stress and sleep patterns were assessed through a comprehensive questionnaire. Statistical analyses included t-tests, analysis of variance, X2tests and logistic regression to identify predictors of unfavourable apolipoprotein (Apo) B/Apo A1 ratios.ResultsOut of 200 participants, 182 had complete and reliable dietary data. The majority exhibited intermediate adherence to a healthy diet, with women showing better adherence to dietary fibre intake compared with men. Women with high dietary quality had better cardiovascular profiles, including higher levels of Apo A1 and high-density lipoprotein cholesterol, lower Apo B/Apo A1 ratios and higher plasma carotenoids. Significant predictors of unfavourable Apo B/Apo A1 ratios included low socioeconomic status (SES), higher body mass index, larger waist circumference and smoking. Stratified adjusted analyses revealed distinct predictors based on SES, with depression increasing the OR of an unfavourable lipid profile by 6.41 times (p=0.019) in low SES areas.ConclusionsThis study highlights the potential of tailored recommendations considering socioeconomic and psychological factors. Addressing mental health and promoting physical activity may be crucial for CVD risk reduction, particularly in low SES areas. Further research is needed to confirm these findings in larger cohorts and to develop targeted interventions for diverse population groups.
Camrelizumab plus rivoceranib compared sorafenib as first-line therapeutic options for advanced hepatocellular carcinoma in China: a cost-effectiveness analysis
Authors: Cai Hongfu , Lin Jingwen , Zhu Huide , Zheng Zhiwei 
Published: December 2024

AimThe objective of this research is to assess the cost-effectiveness of combining camrelizumab with rivoceranib in comparison to sorafenib as first-line therapeutic options for advanced hepatocellular carcinoma from the Chinese medical system perspective.MethodsA partitioned survival model was employed to perform a comprehensive cost-effectiveness analysis. This analysis incorporated multiple factors, such as treatment effectiveness, adverse events and costs, all of which were derived from data obtained from the CARES-310 trial. Furthermore, sensitivity analyses were conducted to evaluate the robustness and reliability of the model.ResultsThe comparison between the two groups demonstrated that the cohort receiving camrelizumab combined with rivoceranib exhibited a significant increase of 0.803 quality-adjusted life year (QALY), alongside an additional expenditure of US$7345.051. This computation resulted in an incremental cost-effectiveness ratio of US$9147.012 per QALY, which was lower than the willingness-to-pay threshold of US$39 855.785 per QALY in China. Sensitivity analyses conducted in this study further demonstrated the robustness of the results across various assumptions.ConclusionThe adoption of camrelizumab plus rivoceranib as a treatment option is not only associated with improved health outcomes but also represents a cost-effective choice in China.
Incidence and prevalence of antiphospholipid syndrome (APS) in the USA (2016–2019): a retrospective database study
Authors: Khellaf Meheni , Meisner Paul , Sarno Maria , Zaremba Piotr , Jedrzejczyk Adam , Scowcroft Anna 
Published: December 2024

ObjectiveFew epidemiological studies are reported in the published literature on the incidence or prevalence of antiphospholipid syndrome (APS), and available results are heterogeneous. This study aimed to estimate the incidence and prevalence of APS in the USA, overall and by APS subtype.DesignA retrospective analysis of APS disease incidence and a cross-sectional analysis of disease prevalence.SettingMerative MarketScan Commercial Claims and Encounters Database, and the Medicare Supplemental and Coordination of Benefits Database.ParticipantsAll individuals with claims for at least two antiphospholipid antibody tests undertaken at least 12 weeks apart and a diagnosis claim for APS as a primary or secondary diagnosis on or after the second antibody test, during the period 1 January 2016 to 31 December 2019.Main outcome measuresAnnual incidence and prevalence of APS and APS subtypes.ResultsIn total, 1708 cases of APS were identified during the study period (2016–2019), of which 83% were women. The overall annual standardised incidence rate of APS per 100 000 person-years increased slightly over the study period, from 2.31 in 2016 to 2.71 in 2019. In 2019, the estimated annual prevalence of APS per 100 000 persons was 10.42 per 100 000 persons (95% CI 9.96–10.90). Based on this and US census data, we have estimated that 34 000 persons in the USA were affected by APS in 2019.ConclusionsThese data add to the estimates of prevalence and incidence of APS in the literature, all of which have different strengths and limitations of the different data sources and case ascertainment methods.
Perspectives of paediatric occupational therapists on the use of evidence-based practice in Kuwait: a qualitative study
Authors: Jasem Zainab , Dursia Dareen , Ahmad Dalal , Ahmad Feddah 
Published: December 2024

ObjectivesTo investigate the perspectives of paediatric occupational therapists on factors relating to the use of evidence-based practice (EBP) in clinical practice/settings.DesignA qualitative approach entailing the use of (face-to-face) semistructured interviews. Collected data were analysed using thematic analysis.SettingGovernmental and private hospitals, clinics and schools in Kuwait that offered occupational therapy services.Participants10 occupational therapists with a minimum of 2 years experience working with children.Primary and secondary outcome measuresOccupational therapists’ perspectives on the factors relating to the implementation of EBP in clinical practice.ResultsThree themes emerged: (1) source of motivation towards EBP; (2) organisational support for EBP use and (3) creativity and flexibility in implementing EBP. Several motivators encouraged therapists to use EBP in their clinical practice, including their personal motivation and clients’ outcomes. However, the barriers to EBP implementation are due to the lack of organisational support for EBP. Using creativity and flexibility in practice is essential to overcome challenges.ConclusionThis study identified factors related to the implementation of EBP from the perspective of paediatric occupational therapists in Kuwait. It provides several implications and recommendations for occupational therapy education and practice in the region due to similarities in culture. As therapists’ concerns are identified, developing the educational curricula at universities and providing continuous professional development courses in regard to EBP utilisation are important for delivering effective healthcare services.
What factors affect acceptance attitudes towards vaccination amidst a major public health crisis? A national cross-sectional study
Authors: Cheng Li Nan , Kong Jianhui , Xie Xiao Feng , Zhang Feng Ying 
Published: December 2024

ObjectivesVaccine hesitancy persists as a significant global health concern, especially during public health crises. This study aimed to explore factors influencing vaccination acceptance during a major public health crisis and establish a model of influencing factors.DesignA cross-sectional study.MethodsAn anonymous cross-sectional survey was conducted online, encompassing sociodemographic characteristics, anxiety levels, personal risk perception and attitudes towards vaccination acceptance. Data analysis was performed using t-tests, one-way analysis of variance and multiple linear regression techniques in IBM SPSS Statistics V.25.0 (IBM Corp., Armonk, NY, USA).ResultsA total of 3921 participants participated in the survey. The mean acceptance attitudes were above the moderate level (M=4.02, SD=0.51), the mean risk perception score was below the moderate level (M=2.66, SD=0.58), and the mean score on the Self-Rating Anxiety Scale was also below the moderate level (M=2.05, SD=0.53). The results showed that internal variables (gender, age, marital status, professional background, region) and external variables (average family income, distance from home to vaccination site, family medical background) were statistically significant (p<0.05). Gender, region, distance from home to the vaccination site, anxiety, family medical background, risk coping, emotional perception and psychological representation of unusual severity were identified as significant predictors of vaccination acceptance attitudes, with the model explaining 35% of the variance (R²= 0.35, adjusted R²= 0.33). Based on these results, we constructed a theoretical model of influencing factors for vaccine acceptance attitudes.ConclusionsDespite increased acceptance of vaccination during major public health events, factors that both support and hinder acceptance remain. Identifying these factors allows for effective disease control and informs the development of public health strategies and crisis response measures.
Defining and measuring long COVID fatigue: a scoping review
Authors: Thomas Bethan , Pattinson Rachael , Edwards Deborah , Dale Carys , Jenkins Benjamin , Lande Helena , Bundy Christine , Davies Jennifer 
Published: December 2024

ObjectiveLong COVID encompasses a range of symptoms in which fatigue is one of the most prevalent. It is clear from other conditions that the definition and measurement of fatigue can be complex; however, it is not clear how fatigue is defined and measured in long COVID. To advance our understanding, this review summarises the definitions and measures of long COVID fatigue being used by researchers.DesignThis is a scoping review that follows the JBI methodology and reports using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews.Data sourcesMedline, Scopus, CINAHL, PsycINFO, EMCARE, Web of Science, Epistemonikos, Cochrane Central Register of Controlled Trials, Dimensions, Overton and ProQuest Dissertations & Theses databases were searched from January 2020 to May 2023.Eligibility criteriaThis review included quantitative and qualitative studies that included any definition of long COVID and/or measurement tool that purported to quantify either the impact, severity or symptoms of long COVID fatigue.Data extraction and synthesisTwo independent reviewers screened the title, abstract and full text of the selected studies based on the inclusion criteria. Data extraction was performed by two independent reviewers. The data were summarised in tabular format and a narrative summary.ResultsThe search retrieved 9839 studies, of which 57 met the inclusion criteria. Only 21 (37%) provided a definition of fatigue. Definitions ranged across physical, mental, cognitive, emotional, psychosocial, central, peripheral, postexertional symptom exacerbation and general dimensions of fatigue. Fifty-five (96%) used a measurement or assessment of fatigue. Twenty-six measures of fatigue were identified: 21 self-report measures (eg, Fatigue Assessment Scale) and 5 fatigability measures that purport to reflect changes in physiological processes that contribute to or reflect fatigue (eg, change in the force generating capacity of a muscle).ConclusionsThe definitions identified demonstrate considerable diversity, each highlighting different dimensions of long COVID fatigue. Long COVID fatigue was predominantly measured through self-report methods, which is problematic. There is an urgent need to better understand long COVID fatigue and to identify the different mechanisms involved. In order to do this, we need consistency with the language around fatigue and its measurement within research and across disciplines.Review registrationThe protocol has been registered on Open Science Framework (https://doi.org/10.17605/OSF.IO/HNF8Z).
Healthcare workers’ experiences in long-term care facilities during cohort quarantine for the COVID-19 pandemic in South Korea: a qualitative study
Authors: Park Ju Young , Lee Insook 
Published: December 2024

ObjectivesThis study aimed to investigate the experiences of healthcare workers in long-term care facilities (LTCFs) during cohort quarantine for the COVID-19 pandemic in South Korea.DesignA qualitative study using thematic analysis.Setting and participantsTen workers from two LTCFs that underwent cohort quarantine due to COVID-19 in South Korea, including direct-care staff and administrators.MethodsIn-depth, semi-structured interviews were conducted from 23 April to 7 May 2021. Data were analysed using Braun and Clarke’s thematic analysis approach.ResultsFive main themes emerged: (1) adapting to unprecedented infection control measures; (2) enduring prolonged cohort quarantine situation; (3) confronting social stigma and discrimination; (4) developing organisational resilience; and (5) recognising the need for systemic support.ConclusionsThis study provides insights into the multifaceted experiences of LTCF workers during the COVID-19 quarantine. The findings suggest the need for enhanced infection control training, mental health support, and systemic changes to better prepare LTCFs for any future pandemic.
Investigating the relationship between opium use and coronary slow flow: a propensity score matched case–control study
Authors: Abdan Leili , Nematollahi Soroush , Masoudkabir Farzad , Jalali Arash , Pashang Mina , Vasheghani-Farahani Ali , Hosseini Kaveh , Pourhosseini Hamidreza 
Published: December 2024

ObjectivesRecent studies have suggested a potential link between opium consumption and microvascular dysfunction in coronary arteries, which may contribute to the development of coronary slow-flow syndrome. This study aims to investigate the relationship between opium use and coronary slow-flow syndrome.Design and settingThis retrospective study analysed medical records of patients who underwent coronary angiography at the Tehran Heart Center from 2006 to 2020. It focused on those with coronary slow flow phenomenon (CSFP) or non-obstructive coronary artery disease, excluding patients with significant left ventricular dysfunction (left ventricular ejection fraction <40%), previous coronary revasculariation, arrhythmias or coronary artery ectasia. The coronary slow flow was assessed using thrombolysis in myocardial infarction flow grade and frame count. Propensity score matching and inverse probability weighting were applied to minimise confounding variables. Conditional logistic regression and logistic regression models were then used to examine the association between opium use and coronary slow flow, controlling for potential confounders.ResultsAmong 21 835 patients with normal coronary angiograms, 767 were identified with CSFP and matched with 3068 controls. The mean age of CSFP patients was 51.59 years, with 64.6% male. Opium use was similar, reported in 8.9% of CSFP patients and 9.5% of controls (p=0.96). Within the CSFP group, opium use was associated with more extensive coronary artery involvement (33.3% vs 18.9%, p=0.03). Initial analysis indicated a higher risk for CSFP in opium users (OR: 1.74, p=0.001), but after adjustments, no significant association was found (OR: 1.06, p=0.70; OR: 1.15, p=0.55).ConclusionOur study indicates that opium use is not an independent risk factor for CSFP but may exacerbate the severity of coronary artery involvement, noted by a higher incidence of multivessel disease among users. This suggests that opium may affect the extent of coronary artery issues rather than cause CSFP directly.