bluuebunny/crossref_metadata_2025_split huggingface dataset:
A systematic review of ecological momentary assessment in autism research
Authors: Chen Yixin , Xi Zhenyang , Greene Talya , Mandy Will 
Published: December 2024

Ecological momentary assessment has been increasingly used in autism studies over the last decade to capture and understand autistic people’s behaviours, thoughts, feelings and daily experiences. This systematic review synthesised previous autism ecological momentary assessment studies to learn about the feasibility of ecological momentary assessment with autistic people and derive ideas to optimise the applicability of ecological momentary assessment in autism studies. Five databases (MEDLINE, PsycINFO, Web of Science, EMBASE and CINAHL) were searched, covering the time between January 1990 and October 2024, for studies using ecological momentary assessment with autistic participants. We identified 32 studies with 930 autistic participants. These studies supported the acceptability and feasibility of ecological momentary assessment with young and middle-aged autistic adults with average or above-average intelligence and language skills. Previous researchers and autistic participants in the reviewed literature suggested considering adaptations in the design of sampling schedules, ecological momentary assessment questionnaires and the implementation of incentive strategies, to improve the applicability of ecological momentary assessment with the autistic population. Future ecological momentary assessment studies could address the limitations in the extant literature, for example, lack of evidence from youth and older autistic people and a wider range of study topics. Lay abstract Ecological momentary assessments assess people’s in-the-moment thoughts and behaviours in their daily lives in natural environments. The number of ecological momentary assessment studies with autistic people has increased over the last decade. For the first time, this review (1) summarises how well ecological momentary assessment works for allowing autistic people to describe and express their thoughts, emotions and experiences, and (2) provides suggestions for the design of ecological momentary assessment to make this research method more accessible to future autistic participants. In total, we synthesised participation experiences from 930 autistic people. Overall, ecological momentary assessment is generally acceptable for autistic adults aged from 18 to 60 and with average or above-average intelligence and language. We also identified several issues in the ecological momentary assessment procedure and suggested researchers consider these when designing future ecological momentary assessment studies with autistic people. The findings of this review provide evidence that ecological momentary assessment can be used to investigate many different questions with autistic people and suggest a wider application of ecological momentary assessment in future studies with autistic people.
Exploratory study of French healthcare workers’ experiences of anosognosia in Alzheimer's disease and related disorders
Authors: Vignolo Julie , Jacus Jean-Pierre , Darnaud Thierry , Cuervo-Lombard Christine Vanessa 
Published: December 2024

Background Anosognosia or lack of insight is a common feature of Alzheimer's disease (AD) and associated disorders. It is an impairment in the ability to recognize the disease and related symptoms. Anosognosia is associated among patients with poor compensatory strategies, behavioral disorders, apathy and caregiver burden. Therefore, its early identification by healthcare workers is a major challenge in order to provide support for both patients and caregivers. Objective To explore the knowledge, attitudes and experiences of French healthcare workers relating to anosognosia in AD and related disorders. Methods An online self-completed questionnaire was created for the study. It was anonymous and divided into three dimensions: general knowledge, confidence, and subjective experiences of anosognosia. One hundred and eleven healthcare workers completed the questionnaire. Mann Whitney and Kruskal Wallis tests were used to determine the variables associated with the total knowledge and confidence scores. Ordinal logistic regressions were performed to explore the associations between subjective experiences and demographics. Results The participants had moderate knowledge. Knowledge scores were influenced by their experience in the geriatric field, type of profession, workplaces and training. The areas where knowledge was poorest were anosognosia assessment and management. The participants with the lowest knowledge levels were those interacting the most with patients, especially at home. Overall, they identified difficulties related to anosognosia and did not seem confident about their ability to deal with this condition. Conclusions This study determines specific areas for training on anosognosia, such as identification, assessment and management of this condition.
Potential of D-Dimer as a Tool to Rule Out Sac Expansion in Patients With Persistent Type 2 Endoleaks After Endovascular Aneurysm Repair
Authors: Sugimoto Masayuki , Lee Changi , Ikeda Shuta , Kawai Yohei , Niimi Kiyoaki , Banno Hiroshi 
Published: December 2024

Purpose: In managing type 2 endoleak (T2EL) following endovascular aortic aneurysm repair (EVAR), an indication for reintervention is aneurysm enlargement (AnE). A previous study found that low D-dimer levels (DDLs) at 1 year were associated with reduced AnE risk in patients with persistent T2ELs (pT2ELs). This study analyzed patients with pT2ELs to determine the correlation between DDLs at annual follow-ups and AnE and proposed a follow-up protocol incorporating DDL monitoring. Methods: A retrospective review of elective EVAR cases between June 2007 and January 2021 identified “persistent” T2EL as confirmed at both 6- and 12-month contrast-enhanced CT studies. “Isolated” T2EL referred to cases without other endoleak types within 12 months. Inclusion criteria comprised >2 years of follow-up, isolated pT2ELs at 1 year, and DDL data at any annual follow-up over 5 years. The association between DDL and AnE, defined as ≥5 mm expansion within 5 years, was analyzed. Results: A total of 109 patients with DDL data at 288 time points were enrolled. During a median follow-up of 49 months [31-60, IQR], 43 AnE were observed. In patients without AnE and with DDL data at 1 and 2 years (N=77 and 56), lower DDLs were associated with a reduced AnE risk (p=0.03 and 0.01). Optimal cutoff points were 5.4 and 5.3 µg/mL (AUC=0.651 and 0.702) with high negative predictive values (86.9% and 93.8%). Cox regression analyses confirmed that DDLs surpassing the cutoff values correlated significantly with AnE (p=0.042 and p=0.038). Our simulated protocol for omitting imaging studies in patients with stable aneurysms and low DDL might have overlooked one AnE but could have saved 28 imaging studies over 3 years if implemented on our patients. Conclusion: Low DDLs at the 1- and 2-year follow-ups can potentially exclude AnE in pT2EL patients, suggesting DDL monitoring as a resource-saving approach. Clinical Impact The management of type 2 endoleaks in post-EVAR patients has been a topic of debate. This retrospective single-center study, featuring strict inclusion criteria, included 109 patients with persistent type 2 endoleaks. The findings indicate that patients with lower D-dimer levels at 1- and 2-year follow-ups are unlikely to experience sac enlargement ≥5 mm within 5 years, even in the presence of type 2 endoleaks. This study suggests that D-dimer monitoring has the potential to reduce reliance on imaging studies for the follow-up of patients with type 2 endoleaks, leading to significant savings in medical resources.
Electromagnetic shielding efficiency of hybrid knitted fabrics treated with mxene
Authors: Mohammadi Mofarah Hamed , Abulikemu Mutalifu , Tabrizi Bita E. A. , Choi Hyung Woo , Jabbour Ghassan E. 
Published: December 2024

This study details the fabrication of a hybrid fabric structure achieved through the utilization of copper-cotton core-spun yarns and a streamlined dip-coating method for the coating of MXene sheets. This fabrication approach results in a substantial enhancement in electromagnetic interference shielding efficiency (EMI SE) in the X-band frequency (8.2-12.4 GHz) while significantly reducing the required number of MXene coating steps. The textile samples fabricated with 0.08 mm diameter copper core filaments and a knitting density of 12 gauge (needle/inch) exhibit a peak EMI SE of 43.9 dB following three MXene coating cycles, utilizing a 1×1 Rib knit pattern. In comparison, employing a Full Milano knit pattern results in an improved EMI SE, reaching up to 45.2 dB. These findings elucidate the substantial impact of knit structure and the effective MXene coating process on improving the EMI SE for hybrid textiles.
Errorless Learning for Everyday Functioning in Adults With Brain Injury: A Scoping Review
Authors: Chui Adora , Mcleod-Maenpaa Jerryd , Zhang Alan , Rotenberg Shlomit , Vasquez Brandon 
Published: December 2024

Background Errorless learning is an intervention technique used in acquired brain injury (ABI) rehabilitation. To support the use of this intervention within occupational therapy practice, it is important to know how errorless learning has been applied to (re)train daily functions. Objectives To describe the empirical literature on errorless learning applied to everyday functioning in adults with ABI. Method A scoping review was conducted with systematic searching of four databases (i.e., AMED, CINAHL, MEDLINE, PsycINFO) and screening by independent reviewers. Findings 41 experiments from 34 papers met eligibility criteria. Errorless learning has been heterogeneously delineated, described, and applied. Operationalization of everyday functioning has been poorly reported, and mostly applied to technology use and instrumental activities of daily living. Implications Greater clarity and detail of errorless learning interventions are required, and more research is needed on its applications to everyday functioning.
Preoperative hemoglobin level and anemia frequency among patients admitted for diabetic lower extremity amputation
Authors: Yammine Kaissar , Abou Orm Ghadi , Honeine Mohamad Omar , Assi Chahine 
Published: December 2024

Objectives Anemia is known to be prevalent in patients with diabetic foot ulcers, but such was not documented in those who required lower extremity amputations (LEAs). In this high-risk population, preoperative anemia could be an additional risk factor for postoperative morbidity and mortality. This study attempts to address the knowledge gap related to the preoperative hemoglobin (Hg) level and anemia prevalence in patients admitted for diabetic LEA. Methods Using a cross-sectional design, the primary outcomes were defined as the mean preoperative Hg level and anemia frequency. Mean differences and sex-based results were calculated and compared between three categories: major, midfoot, and forefoot amputation groups. Correlation between Hg level and serum creatinine was set as a secondary outcome. Results A total of 141 patients comprising 192 amputation cases were included. The mean Hg value for the whole sample was 10.6 ± 1.8 g/dl. Only 18 patients (9.7%) had a normal Hg level and 174 (90.3%) were anemic: 90 cases (46.8%) with mild anemia, 76 (40.8%) with moderate anemia, and 8 cases (4.3%) with severe anemia. No significance was found between mean Hg values of the three groups or between sex groups. A significant negative correlation between the levels of serum creatinine and Hg was found ( p = .037). Conclusions An overwhelming majority of patients admitted for diabetic LEA were anemic. Since anemia could impede limb perfusion and induce higher postoperative mortality rate, adjusting this confounder could be justified. Future research should aim to evaluate the impact of preoperative blood component transfusion on postoperative complications following diabetic LEA.
Comparison of high-pressure compression stockings and compression bandages for ulcer treatment in venous ulcer patients
Authors: Toz Hasan , Kuserli Yusuf , Türkyılmaz Gülsüm , Türkyılmaz Saygın , Kavala Ali Aycan 
Published: December 2024

Objectives This study aims to compare the effectiveness of compression bandages and compression stockings in the treatment of venous ulcers following venous ulcer surgery. Method A total of 170 patients who underwent venous ulcer surgery were included in this retrospective study. Patients were divided into two groups: the first group used compression bandages, and the second group used compression stockings. In all patients, a sterile cotton dressing from the venous ulcer care kit was first applied directly over the open ulcer to protect the wound bed. Both groups were followed for 3 months. Demographic and clinical characteristics such as age, gender, smoking status, hypertension, peripheral arterial disease (PAD), and diabetes mellitus (DM) were recorded. Primary endpoints included changes in ulcer size, calf circumference, NPRS pain scores, and VCSS scores. Measurements were taken before treatment, at 1 week, at 1 month, and at 3 months. The data were statistically analyzed using appropriate methods. Results The results showed that the compression bandage group had a more significant reduction in ulcer size compared to the compression stocking group. The ulcer size in the bandage group decreased from 16.5 ± 2.2 cm2 to 7.9 ± 5.1 cm2 after 3 months, while in the stocking group, it reduced from 16.1 ± 1.8 cm2 to 9.6 ± 3.1 cm2 ( p < .001). Additionally, the calf circumference showed a greater reduction in the bandage group, from 41.3 ± 1.9 cm to 35.3 ± 2.9 cm, compared to the stocking group, which showed a reduction from 40.7 ± 1.8 cm to 38.1 ± 2.4 cm ( p < .001). NPRS pain scores also decreased more significantly in the bandage group, with scores dropping from 8.0 ± 1.1 to 2.9 ± 2.8, while the stocking group saw a decrease from 7.9 ± 1.2 to 5.4 ± 2.4 ( p < .001). VCSS scores improved in both groups, but the bandage group showed a more marked improvement from 19.6 ± 5.1 to 5.2 ± 8.3 compared to the stocking group, which improved from 18.0 ± 5.1 to 7.1 ± 4.7 ( p < .001). Conclusion The findings suggest that compression bandages may be more effective than compression stockings in the post-surgical treatment of venous ulcers, particularly in terms of reducing ulcer size, calf circumference, and pain, as well as improving VCSS scores. These results support the continued use of compression bandages as a primary treatment modality for venous ulcers following surgery.
Severe malnutrition predicts early postoperative complications in aseptic revision total shoulder arthroplasty
Authors: Liu Steven H , Mahboubi Ardakani Rustin , Loyst Rachel A , Cerri-Droz Patricia , Komatsu David E , Wang Edward D 
Published: December 2024

Background This study investigates the association between the Geriatric Nutritional Risk Index (GNRI), a simple readily available measure of malnutrition risk, and 30-day postoperative complications following revision total shoulder arthroplasty (TSA). Methods The American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients who underwent TSA between 2015 and 2022. The study population was divided into three groups based on preoperative GNRI: normal/reference (GNRI > 98), moderate malnutrition (92 ≤ GNRI ≤ 98), and severe malnutrition (GNRI < 92). Logistic regression analysis was conducted to investigate the connection between preoperative GNRI and postoperative complications. Results Compared to normal nutrition, moderate malnutrition was not independently associated with postoperative complications. Compared to normal nutrition, severe malnutrition was independently associated with a greater likelihood of experiencing any complication (odds ratio (OR) 3.08, 95% confidence interval (CI) 1.80–5.27; P < 0.001), blood transfusions (OR 3.68, 95% CI 1.40–9.66; P = 0.008), non-home discharge (OR 2.99, 95% CI 1.50–5.98; P = 0.002), and length of stay >2 days (OR 3.10, 95% CI 1.77–5.42; P < 0.001). Discussion Severe malnutrition based on GNRI is a predictor of early complications following revision TSA, however moderate malnutrition is not.
Through their eyes: A retrospective mixed-methods study on the experiences and support needs of children growing up with a parent with Huntington’s disease
Authors: Daemen Maud MJ , Duits Annelien A , van der Meer Lucienne B , Andriessen Ruben L , Veenhuizen Ruth B , Wassenberg Renske , Peeters Tanja , de Jager Lia , Oosterloo Mayke 
Published: December 2024

Background Growing up with a parent with Huntington's disease (HD) profoundly impacts children. However, this impact and children's needs are often misunderstood, even by professional services. Even when resources are available, children often feel that their needs are unmet, raising concerns about the adequacy of available guidance and support. Objective This study aims to offer an in-depth understanding of the multifaceted impact of growing up with a parent with HD, examining the needs for professional guidance on emotional and social aspects, and identifying specific areas where support can be improved to better aid them. Methods This retrospective study utilized an exploratory sequential mixed methods design, combining qualitative focus groups ( n = 13) and a quantitative survey ( n = 23). Qualitative data were analyzed using an inductive thematic analysis with a descriptive phenomenological approach. Quantitative data were analyzed using descriptive statistics. Results The impact of HD on children extends across various domains, affecting self-development, social interactions, and family dynamics. Support received at home varied, with limited access to professional help. Support needs primarily revolved around emotional support and access to comprehensive information. Key support providers, such as parents, peers, mentors, healthcare providers and coaches with expertise in HD, play crucial roles in addressing these needs. Conclusions The study underscores challenges faced by children in HD families. By centering our efforts on the emotional well-being of these children, offering tailored information, involving their social network, providing community-based support, and strengthening parental support systems, we can improve the support required by children in these families.
An integrated subacute stroke ward within a community hospital increases rehabilitation efficiency and reduces healthcare expenditure
Authors: Tay San San , Goh Teck Kheng Edward , Tun Mon Hnin , Neo Edmund Jin Rui , Lee Onn Kei Angel 
Published: December 2024

Background Stroke is a leading cause of hospitalisation, disability, and death in Singapore. The healthcare system’s rehabilitative care model has seen ongoing evolution in response to changing patient needs and healthcare financing demands. Changi General Hospital (CGH) and St Andrew’s Community Hospital (SACH) collaborated on an integrated subacute stroke ward (SSW) in 2019 to optimise the transfer of stroke patients to the subacute rehabilitation setting. Objective To evaluate the outcomes of the integrated SSW. Methods This was a retrospective study. Anonymised data was used to evaluate functional, financial, and length-of-stay (LOS) outcomes. Results There were 71 patients in the control group (historical cohort) and 226 patients in the SSW cohort. Both groups were demographically, medically, and functionally similar except for a higher proportion of lacunar infarcts (LACI) in the SSW group. Although functional scores by Modified Barthel Index (MBI) were similar on discharge, the total LOS fell significantly (20 days) for the SSW group, with significant improvements in median rehabilitation efficiency (19.6 vs 10.9) but not median rehabilitation effectiveness (35.3 vs 31.0). Subgroup analysis revealed no impact from the disproportionate number of LACIs. Gross bill size, when corrected for inflation, was significantly lower across the combined hospitalisation ($31,270 vs $40,005). Conclusions This collaboration achieved savings in healthcare expenditure and LOS without compromising functional outcomes. The community hospital is a potent bridge for care transition and integrated services such as the SSW can optimise the rehabilitation journey for patients with stroke. Innovation in care provision can help to address the ever-changing challenges of healthcare.
Factors Influencing Patient Enrollment in a Community-based Physical Activity Program After Healthcare Provider Referral: A Mixed Methods Study
Authors: Schumacher Leah M. , Trilk Jennifer L. , McNulty Lia K. , Ylitalo Kelly R. , Eskuri Stephanie , Brooks John M. , Estabrooks Paul A. , Jindal Meenu , Stoutenberg Mark 
Published: December 2024

Introduction and Objectives: Structured physical activity (PA) programs help to prevent and manage chronic diseases, yet systematic approaches to identify and enroll patients in these programs are lacking. Exercise is Medicine Greenville (EIMG) is a novel clinic-to-community model that identifies patients with chronic diseases in primary care settings and connects them to a structured, evidence-informed, community-based PA program. This study assessed influences on PA program enrollment using a mixed methods design. Methods: Data were collected from 12 clinics over 18 months. Electronic health record data were used to quantitively compare the characteristics of referred patients who did versus did not enroll. Semi-structured interviews were conducted with a subset of non-enrollees to elucidate barriers and facilitators to enrollment. Results: Of the 217 referred patients who were eligible, 84 (38.7%) enrolled in the PA program. A greater percentage of enrollees had a history of high cholesterol (73.8%) relative to non-enrollees (57.9%, χ2 (1, N = 217) = 5.66, P = .02). Twenty-six patients completed qualitative interviews. Three themes emerged from interviews: (1) positive referral experiences with opportunity for enhanced information sharing and improved flow; (2) strong patient motivation, perceived capability, and social support; and (3) external barriers, such as cost and time, that prevented enrollment. Conclusions: Findings can guide improvements to the EIMG model, thus increasing its positive impact on individual- and community-level health. Findings can also inform efforts to build similar clinic-to-community PA models at other health systems.