bluuebunny/crossref_metadata_2025_split huggingface dataset:
Attitudes toward the adoption of eHealth amongst healthcare professionals in trauma surgery – the new digital normal?
Authors: Spierings Jelle Friso , Willinge Gijs Johan Antoon , Twigt Bas Anne , Repping Sjoerd , Kokke Marike Cornelia , van Veen Ruben , van der Velde Detlef 
Published: December 2024

Abstract
Background
As in many other countries, the Dutch emergency healthcare system is under pressure due to increasing numbers of patients, limited budgets, and constrained (human) resources (TraumaNet AMC 19 May, 2016; Int J Emerg Med 6:41, 2013). eHealth, enlarged by the COVID-19 pandemic, has been advocated to substitute face-to-face care to alleviate the pressure of the burden of care (Ministry of Health Welfare and Sport, 2022; Dutch Society of Hospitals, 2022). In order for eHealth solutions to be adopted in daily practice, is it essential to assess healthcare professionals’ attitudes toward its usefulness. As this is currently lacking, this study explores the use of eHealth in daily practice, opportunities of eHealth, implementation barriers, and desired functions and features amongst healthcare professionals working in Dutch orthopedic surgery and traumatology.

Methods
A cross-sectional, web-based survey among the 605 members of the Dutch Society of Trauma Surgery and related healthcare professionals on the attitudes towards eHealth in daily practice was performed between November 4, 2021, and March 31, 2022. The survey consisted of five sections with 42 questions, including close-ended questions, multiple-choice questions, 5-point Likert Scales, Visual Analogue Scales, and free-text questions.

Results
Of the 111 responding healthcare professionals, 59/111 (53%) were male, and the median age was 40 years (IQR 26 to 67). Almost all participants owned smartphones (109/111, 98.2%). Most participants reported that the COVID-19 pandemic had influenced their attitude towards the usefulness of eHealth positively (80/111, 72%). Most participants (59%) would use a digital alternative instead of face-to-face follow-up if proven a safe technology, and expect that 64% of all patients would prefer a digital option. Most healthcare professionals stated that eHealth could reduce healthcare costs (94/111, 85%) and improve patient satisfaction (81/111, 73%) but is hindered most by a lack of financial support during implementation (57/111, 51%), followed by complex laws and regulations (54/111, 49%).

Discussion
Results of this cross-sectional survey show that attitudes of orthopedic surgery or traumatology-related healthcare professionals toward the usefulness of eHealth are positive and may have increased during the COVID-19 pandemic. Even though healthcare professionals believe eHealth could reduce costs and improve patient satisfaction, daily clinical use remains low possibly due to a lack of long-term and short-term financial support and complex laws and regulations.
On the move: understanding home care workers’ experiences of using various modes of transportation at work in an occupational health perspective
Authors: Liaset Ingeborg Frostad , Fimland Marius Steiro , Mathiassen Svend Erik , Redzovic Skender 
Published: December 2024

Abstract
Background
The demand for home care workers (HCWs) is increasing, but home care services face challenges in recruiting and retaining skilled workers, partly due to hazards in the work environment. Transportation to client visits is an important part of HCWs' working conditions, with various modes (e.g., walking, cycling, driving) being utilized. However, these modes are often implemented without considering HCWs' perceptions of their use. Therefore, our study aimed to understand HCWs’ perceptions and experiences of using different transportation modes at work, and how they may influence health.

Methods
Fourteen HCWs from a home care unit in Trondheim (Norway) participated in focus group interviews. The interviews were analyzed using a reflexive thematic analysis approach including reflexive journaling. The analytical process was guided by a biopsychosocial understanding of health.

Results
The analysis showed that when different transportation modes were assigned, predictability of the assignment was important for the HCWs. Both walking and driving were regarded to have both positive and negative health impacts. When walking, informants thought that getting fresh air outdoors and doing physical activity was health-promoting, while bad weather conditions and too much walking could be negative for their health. When driving a car, informants talked about privacy and getting physical rest as positive for their health, while traffic and parking conditions could be stressful. Individual factors such as age, physical health, and strong preferences were highlighted as important to consider when planning HCWs’ transportation modes in an occupational health perspective.

Conclusions
Walking now and then between client visits was generally believed by the HCWs to lead to positive health effects compared to only driving a car. Introducing planning of various transportation modes in advance, so that they are predictable, seems important to reduce stress among HCWs. In addition, some individual factors should be considered in the planning, and it should be realized that the planning likely represents a trade-off between promoting the psychosocial work environment when driving a car and potentially enhancing long-term physical health when using active transportation. Thus, biopsychosocial aspects of health should be considered when planning the mode of transport between client visits for HCWs.
Intramuscular fatty infiltration and its correlation with muscle composition and function in hip osteoarthritis
Authors: Gorski Tatiane , Casartelli Nicola C. , Fitzgerald Gillian , Horstman Astrid M. H. , Masschelein Evi , Essers Kalliopi J. , Maffiuletti Nicola A. , Sutter Reto , Leunig Michael , De Bock Katrien 
Published: December 2024

Abstract
Background
Hip osteoarthritis patients display higher levels of fatty infiltration (FI) in the gluteus minimus (GM) compared to other hip muscles. We investigated specific histological factors such as fiber type composition and collagen deposition, and functional outcomes like muscle strength and activation associated with FI in these patients.

Methods
In twelve men (67 ± 6 y) undergoing total hip replacement (THR), hip and knee muscle strength and activation (electromyography, EMG) were assessed bilaterally. Magnetic resonance imaging (MRI) was used to compare the relative FI area and muscle cross sectional area (CSA) of the GM, rectus femoris (RF), tensor fascia latae (TFL) and vastus lateralis (VL). Adipocyte content, fiber type composition, grouping, fiber size, centrally nucleated fiber frequency, collagen deposition, satellite cell density and capillarization were assessed in intraoperative biopsies of the four muscles. Differences between GM and other muscles were assessed with repeated-measures one-way ANOVA followed by Dunnett’s post-hoc test. Pearson coefficients were calculated for the correlations between FI measurements and the other histological and functional parameters.

Results
Strength was lower in the affected limb. Knee extensor weakness was accompanied by lower VL muscle activation. Muscle CSA and FI did not differ between sides. In the affected limb, GM displayed larger relative FI area (MRI) compared to RF and VL. Biopsy adipocyte content was higher in GM than RF and TFL. Compared to the other hip muscles, GM displayed higher type 1 fiber content while its type 2X fiber content was lower. Fiber grouping levels were higher in GM than the other muscles. Collagen content was higher in GM than TFL and VL.
FI in GM was associated with type 1 (r = 0.43) and type 2X (r = -0.34) fiber content, fiber grouping (r = 0.39), and collagen deposition (r = 0.37). FI in VL was negatively associated with maximal knee extension strength (r = -0.65).

Conclusions
In patients undergoing THR, the higher FI levels of GM compared to other hip muscles were associated with fiber type composition and grouping, and with higher collagen deposition. Experimental studies exploring these associations could potentially uncover new targets for the treatment of intramuscular FI and related impairments in muscle function.

Trial registration
KEK number: 2016–01852, date of registration: 12-4-2017.
Changes In the Brain with An External Focus of Attention: Neural Correlates
Authors: Kuhn Yves-Alain , Taube Wolfgang 
Published: December 2024

Abstract
Although it is well established that an external compared to an internal focus of attention enhances motor performance and learning, the underlying neural mechanisms remained relatively underexplored. Recent studies revealed that adopting different attentional strategies results in a differential cortico-motor organization. These findings hold great potential for applying attentional strategies for healthy subjects and populations that display motor deficiencies.
The Silent Threat: Understanding and Managing Diabetic Retinopathy
Authors: Borowiec Kinga , Borowiec Agnieszka , Kwaśniewska Paulina , Biernikiewicz Julia , Wilewska Anna , Biernikiewicz Milena , Pomirski Bartosz , Pomirska Agata , Alabrudziński Konstanty , Kałachurska Miszela 
Published: December 2024

Introduction and purpose: Diabetic retinopathy (DR) is a common complication of diabetes mellitus, characterized by damage to the blood vessels in the retina. It is one of the leading causes of blindness in adults worldwide. This article aims to explore the pathophysiology, risk factors, basic rules of patient screening, DR classification and current treatment approaches for DR, with the goal of improving awareness and understanding of this vision threatening condition.Materials and methods: A review was conducted in PubMed and Google Scholar including publications regarding diabetic retinopathy and its’ pathogenesis, risk factors, classification, screening and treatment. Literature was searched using the following terms: “diabetic retinopathy pathogenesis and treatment”, “diabetic retinopathy screening”, “diabetic retinopathy risk factors”, “vascular endothelial growth factor inhibitors”, “laser photocoagulation” and “vitrectomy”.Brief description of the state of knowledge: DR is typically classified into two stages: non-proliferative DR, where the retinal vessels leak fluid or bleed and proliferative DR, characterized by the growth of abnormal blood vessels that can lead to retinal detachment or hemorrhaging. Treatment for DR aims to slow disease progression and preserve vision. Modern therapies include laser therapy, anti-VEGF injections and vitrectomy.Conclusions: Prevention is the most effective way to avoid vision loss from DR. Maintaining a healthy lifestyle, controlling blood glucose and blood pressure, as well as regular eye examinations are essential for managing DR. Therapeutic interventions such as anti-VEGF intravitreal injections, laser photocoagulation and vitrectomy proved to be very effective in DR management. Early intervention with modern therapies, patients education and treatment adherence are main factors in preventing severe outcomes of DR.
Pemanfaatan Digital Surface Model (DSM) dari UAV Fixed Wing untuk Analisis Potensi Panel Surya (Studi Kasus: Desa Banturejo, Kabupaten Malang)
Authors: Hidayat Husnul , Kariim Farhan Kariim Maulana 
Published: December 2024

Energi surya merupakan sumber energi yang tidak akan pernah habis ketersediaannya dan energi ini juga dapat dimanfaatkan sebagai energi alternatif yang dapat diubah menjadi energi listrik dengan menggunakan sel surya. Dengan melihat letak geografis Indonesia yang terletak pada garis khatulistiwa dan memiliki iklim tropis dapat dikatakan bahwa negara ini memiliki tingkat intensitas matahari yang cukup stabil dan kaya akan potensi energi surya. Salah satu teknologi yang digunakan dalam penggunaan energi surya adalah panel surya. Dalam memaksimalkan penggunaan panel surya dibutuhkan pemilihan lokasi yang tepat salah satunya dengan menggunakan teknologi fotogrametri. Salah satu teknik Unmanned Aerial Vehicle (UAV). Hasil yang didapatkan dengan wahana Unmanned Aerial Vehicle (UAV) di Desa Banturejo antara lain adalah Orthophoto dan (Digital Surface Model) DSM. Orthophoto hasil pengolahan memiliki resolusi 8,1 cm/pixel sedangkan DSM memiliki resolusi 1,8 cm/pixel. Digitasi dilakukan untuk mendapatkan luasan atap dimana pada Desa Banturejo terdapat 6467 bidang atap dan 1954 atap bangunan dengan luasan 4,43 – 887,95 . Pada penelitian ini perhitungan dilakukan menggunakan software pengolahan data spasial dengan tools Area Solar Radiation dan dengan data pendukung yaitu curah hujan yang didapatkan dari Badan Klimatologi dan Geofisika (BMKG). Perhitungan menghasilkan pola distribusi matahari dimana bangunan yang memiliki permukaan datar dan mengarah ke utara mendapatkan lebih banyak radiasi matahari pada bulan Juli. Nilai radiasi matahari dilakukan perhitungan estimasi produksi listrik, Dimana pada Desa Banturejo bulan Juli menghasilkan 106,94 - 18.785,44 Kwh. Hasil distribusi matahari dilakukan validasi dengan pola sebaran temperatur atap drone thermal. Pola sebaran radiasi matahari dengan temperatur atap memiliki pola yang sesuai.
A preliminary investigation on the occurrence, distribution, and risk assessment of antibiotics in a drinking water source of Chengdu, China
Authors: Wu Changyun , Han Liyang , Tan Huan 
Published: December 2024

Abstract
The adverse effects of antibiotics on ecological health of aquatic environments is increasingly a social and scientific concern. Here we investigated the occurrence, distribution, and risk assessment of residual antibiotics in the main drinking water source (Baitiao River and Xuyan River) of Chengdu, China. Five commonly used antibiotics including sulfamethoxazole, tetracycline, roxithromycin, erythromycin, and chloramphenicol were tested in the two rivers with concentration ranging from less than limits of quantification to 3.62 ng L-1. Among them, tetracycline was persistent in surface water and exhibited no significant differences along the flow direction of the two rivers. Compared to other rivers or surface waters in the world, the concentrations of the five antibiotics in present rivers were mainly below average levels. All the risk quotients of detected antibiotics in the rivers were lower than 0.001, suggesting that they were at a low level of ecological risk across trophic levels of aquatic organisms.
Blurred lines of participation: nexus analytical tools for reflecting on the roles of researchers and participants in change-oriented research projects
Authors: Tumelius Riikka , Legutko Justyna , Intke-Hernandez Minna , Vorobeva Polina 
Published: December 2024

Abstract
This article discusses nexus analysis (NA) as a research strategy that provides specific tools for reflecting on the roles of researchers and participants in participatory research. While many research traditions use participatory methods and problematise what it means to participate in research, thus far the potential of nexus analytical concepts as tools to mediate such a reflection has not been discussed explicitly. In order to illustrate how NA promotes such reflections, we draw on four linguistic projects in multilingual settings that deal with (1) preservice teachers’ learning to design for language learning in hybrid environments on a university course, (2) plurilingual and collaborative teaching approaches to writing in language classrooms in secondary schools, (3) language socialisation of migrant mothers, and (4) family language policy in single-parent families. With this article, we demonstrate how the nexus analytical conceptual tools of ‘zone of identification’, ‘historical body’ and ‘interaction order’ facilitate reflection upon the researcher’s participatory engagement in various stages of the research process. We show that the lines between the roles of researchers and participants are blurry, in particular in research projects that focus on introducing social change. Additionally, we highlight the importance of reflecting on power relations between researchers and participants and how control over project direction and decisions can impact the representation and involvement of community members.
Discourses of Heritagization in East-Central Europe
Authors: Eitler Ágnes , Ament-Kovács Bence 
Published: December 2024

AbstractThe making of heritage is a complex contemporary process that permeates society from the normative contexts of the global as well as national level to local communities. It enters extremely diverse sites, since it is part of both rural and urban life-worlds, and it is present in the institutional space of museums as well. Cultural elements that have been detached from their former contexts and made into heritage are no less diverse. The symbolic valorization of different historical periods depends on the regional and local contexts of heritage-making. The prestige (acceptance or rejection) and meanings of the legacy of certain periods, relationship to tradition, as well as the ways in which ‘authenticity’ is interpreted are products of a constant re-defining process steered by various social actors, such as members of local communities, cultural brokers, and experts. These positions often represent intertwining roles (researcher, expert, mediator, active or passive local actors) that are difficult to distinguish from one another in the various situations in which heritage-making can be researched empirically.
Physical Performance Effects Associated with a 16-Week Therapeutic Yoga Intervention in Survivors of Cancers in the South Texas Region: A Pilot Study
Authors: Ortiz Alexis , Darby Nydia , Almeida Gustavo , Calderon Tim , Patel Darpan , Zhang Tony , Hughes Daniel C. 
Published: December 2024

Abstract
Yoga is recognized as a complementary practice that improves physical, mental, and spiritual health in survivors of cancer. The present study assessed associations between a holistic approach and physical function for 30 survivors of cancer in south Texas. Cancer survivors (86% female) of diverse backgrounds (62% underrepresented minorities) performed a battery of physical function tests, including a 6-minute walk test, to assess cardiorespiratory function, isometric shoulder and elbow-flexor strength, dominant-arm grip strength, dominant-arm shoulder range of motion via inclinometer, sit-and-reach test to assess trunk and lower-extremity flexibility, and a 30-second sit-to-stand test to assess lower-extremity endurance. Participants were reassessed 16 weeks after starting the intervention. The intervention involved a 75-minute live-streamed therapeutic yoga program, including meditation, three times a week and daily psychosocial support text messaging through a telehealth platform to increase efficacy in promoting health-enhancing behaviors. Repeated-measures analysis of variance was used to assess changes in physical performance between sessions. Statistically significant improvements were observed for the 6-minute walk test (+35.68 m; p = 0.020), elbow-flexor strength (+7.44 kg; p &lt; 0.001), dominant-hand grip strength (+3.19 kg; p &lt; 0.004), sit-and-reach test (+5.25 cm; p = 0.010), and dominant-arm shoulder range of motion in flexion (+11.18 degrees, p = 0.012) and abduction (+17.06 degrees, p = 0.036). A 16-week live-streamed therapeutic yoga intervention performed three times a week, coupled with daily psychosocial support messaging, was associated with improved cardiorespiratory endurance by increasing the distance walked in 6 minutes, improving upper-extremity strength and range of motion, and increasing the flexibility of back and hamstring muscles.
Urea coated with cellulose acetate-lignin composite presents lower loss by ammonia volatilization
Authors: Nascimento Jhonatan Nolasco , Marangon Letícia Said , Ballotin Fabiane Carvalho , Silva Renê  Chagas da , Almeida José Mauro de , Mattiello Edison Márcio , Cantarutti Reinaldo Bertola , Silva Deusanilde de Jesus 
Published: December 2024

Urea is one of the main nitrogen sources used in plant nutrition. During its management, due to chemical, physical, and biological processes, part of N is volatilized in ammonia form, and negatively impacts the environment. When protected with renewable and biodegradable materials, such as lignin (Lig) and cellulose acetate (Ac), urea can reduce ammonia losses. Therefore, this work aimed to develop Lig and Ac composites to cover urea in order to reduce N-urea loss. The lignin was obtained by the acid precipitation of commercial kraft black liquor, corresponding to a 3-6 pH range. Film-forming solutions (Fs) were produced by combining Lig (0.3, 0.6, 0.9, and 1.2 %, w/w, based on Ac), and Ac (2 %, w/w, based on urea). In addition, two reference treatments were included: urea without coating (U) and urea coated only with Ac. In order to obtain the the coatings, the granules were placed in a dish-type granulator, equipped with shovels, sprayed with the Fs, kept in rotation (125 rpm), and dried under hot air flow (~100 ºC). Ammonia volatilization was evaluated in a static capture system (24 h), with 2% boric acid, followed by titration with sulfuric acid (0.005 mol/L). The results revealed that the granules with Ac coating, without and with Lig, reduced volatilization. For the coating without Lig, there was a U reduction of 33.2%. For the coating with Lig, the combination of Ac, 2%, and Lig, 0.9%, was the most effective, compared to urea without coating. The mean reduction in volatilization for this formulation was 58.4%. According to the visual and SEM image evaluations, the coating system developed was satisfactory and presented a thin and uniform layer. Satisfactory adhesion of the films was also observed, both with and without Lig, in the granule surfaces.
A Tecnologia de Pasteurização pelo Método Alternativo: Capacitação e Novas Perspectivas para a Agricultura Familiar
Authors: Pereira Tarciara Fonseca , Gois Vilson Alves , Soares Karoline Mikaelle Paiva , Barreto Laís Karla Silva 
Published: December 2024

O objetivo deste estudo foi tornar público e trazer outra alternativa viável de pasteurização do leite para pequenos produtores de queijo coalho da agricultura familiar. A metodologia foi feita através de uma capacitação para demonstração na prática. Os resultados demonstraram que os pequenos produtores não tinham uma noção e desconheciam as tecnologias para pasteurização do leite, não obtinham conhecimento sobre como manipular alimentos de uma forma correta. Quando aprenderam sobre a pasteurização, a qualidade do queijo obteve melhoras na sua significativas. As discussões relatadas neste estudo, além de realizar a verificação da realidade dos pequenos agricultores, forneceu auxilio aos produtores nos requesitos: Pasteurização do leite de forma altenativa, de forma possível e econômica, e dessa forma agregar valor ao produto.
Direito ao acesso à justiça: considerações a partir do Objetivo do Desenvolvimento Sustentável 16
Authors: De Souza Cargnin Milena , Padilha dos Santos Rafael 
Published: December 2024

O presente trabalho busca fazer uma análise do direito ao acesso à justiça a partir do Objetivo do Desenvolvimento Sustentável (ODS) 16. Para isso, fixa-se como problemática os questionamentos a seguir: qual a abrangência do ODS 16 mais especificadamente na parte em que visa assegurar o acesso à justiça? Nessa perspectiva, o objetivo mencionado foi implementado no país? O principal objetivo é justamente analisar o direito constitucional do acesso à justiça em paralelo ao objetivo estabelecido pela Organização das Nações Unidas na Agenda 2030 (ODS 16). Além disso, propõe-se também a, em decorrência disso, investigar eventuais percalços impostos à concretização do ODS 16 no que se refere ao acesso à justiça, bem como a investigar eventuais medidas tomadas no sentido de eliminar os entraves eventualmente existentes. O método de pesquisa utilizado será o indutivo, por conseguinte, realizado com base em artigos científicos, obras literárias e publicações de revista em meio eletrônico.