bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the role of health applications in promoting health among older adults: a scoping review protocol
Authors: Silva Angélica Baptista , Leal Maria Tereza , Sindico Sergio Ricardo Ferreira , Serrano-Miguel Mercedes , Loureiro Helena Maria Almeida Macedo 
Published: November 2024

IntroductionEvidence on the use of health apps to support healthcare and promote the health of individuals aged 55 and older is limited. Older adults face challenges with literacy, usability and accessibility of digital tools. This scoping review aims to explore how digital health apps promote healthy living and self-empowerment while identifying successful applications for older adultsMethods and analysisThis study will adopt the JBI methodology for scoping reviews, guided by the (Population, Concept, Context) framework. The results will be comprehensively reported in the final scoping review and illustrated using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The inclusion criteria include studies from 2016 to 2024 that investigate the use of health applications within healthcare services for older adults.Ethics and disseminationEthical approval is not required for this scoping review. The findings will highlight potential directions for future research and improve knowledge among professionals, researchers and the public. The results will be published in a peer-reviewed journal and disseminated through professional networks. Data will be available from the Open Science Framework.
Osteoporosis management in a rural community hospital in Japan: a cross-sectional retrospective study
Authors: Mabuchi Sayaka , Ohta Ryuichi , Sano Chiaki 
Published: November 2024

ObjectivesOsteoporosis is a condition characterised by decreased bone strength and an increased risk of fragility fractures. Its prevalence is increasing in developed countries, highlighting the need for appropriate diagnosis and intervention. However, in practice, adequate testing and treatment are not often provided. Therefore, in this study, we investigated the status of osteoporosis management in a rural community hospital in Japan.DesignCross-sectional retrospective study.SettingDepartment of General Medicine from a rural community hospital in Japan.ParticipantsA total of 984 women aged≥65 years who were recommended to undergo osteoporosis screening were included.Primary and secondary outcome measuresBone mineral density (BMD) testing rates and characteristics of patients who underwent these tests, including diagnosis and treatment rates for osteoporosis.ResultsThe BMD testing rate was 14%. Despite being at risk of osteoporosis, older patients and those requiring nursing care had a lower rate of testing. The proportion of patients diagnosed with osteoporosis was 41%, and the treatment rate was 19%.ConclusionsThe management of osteoporosis in a rural Japanese community hospital was found to be inadequate. The rate of BMD testing was low, particularly among older adults and those requiring nursing care. This finding suggests that osteoporosis may be underdiagnosed in many cases in this population or diagnosed but not appropriately followed up. Further cohort studies and intervention strategies are needed to fully investigate these issues.
Chronic illness and financial burden in Switzerland (FINK): a protocol for a mixed methods research project
Authors: Ribi Karin , Schöpf-Lazzarino Andrea , Visscher Rosa M.S. , Jurisic Josip , Alder Elena , Schwind Bettina 
Published: November 2024

IntroductionPeople with cancer and other chronic illnesses, their families and caregivers report financial burden as a problem that affects multiple aspects of daily life. While cancer research has coined the term ‘financial toxicity’ to describe the financial consequences, the understanding, development and operationalisation of the concept of financial burden are still incomplete, particularly regarding subjective financial burden and its relationship with well-being. The overall aim is to investigate financial burden and its implications for the well-being of people living with chronic illness, their families, and caregivers in Switzerland.Methods and analysisTransdisciplinary discussion groups and a participatory action design element frame: (1) a conceptualisation using a hybrid concept analysis approach and (2) an assessment of financial burden of chronic illness in relation to well-being. The hybrid concept analysis combines the results of a scoping review with a secondary analysis of existing interviews using computational linguistics and qualitative analysis. The assessment phase will investigate the extent and nature of financial burden through a nationwide survey. Results from mobile diaries/interviews will contribute to both—the conceptualisation and assessment phases.Ethics and disseminationThe Ethics Committee of the Canton Zurich, Switzerland, did not consider the research project to fall under the Swiss Law on Human Subjects research and issued a waiver (Req-2O23-01496). The project respects all the rules and regulations in the Swiss Federal Act on Data Protection and those by the Swiss Federal Official Responsible for Data Protection and Transparency. Results will be disseminated through presentations at conferences and publications in peer-reviewed journals and through the established multi-stakeholder network.
Gender differences in burnout among US nurse leaders during COVID-19 pandemic: an online cross-sectional survey study
Authors: Alenezi Latifah , Gillespie Gordon Lee , Smith Carolyn , Davis Kermit G 
Published: November 2024

ObjectivesAmong nurse leaders, gender should receive particular attention, because life and work experiences and burnout during COVID-19 pandemic may vary between women and men, potentially requiring different strategies to achieve well-being. Thus, information about gender differences in burnout might be critical to burnout prevention in nurse leaders. Additionally, there has been a substantial call for attention to gender during the COVID-19 pandemic, reflecting a concern that responses to the pandemic that fail to consider gender differences and norms will be ineffective. Therefore, the objective of the current study is to examine personal burnout, client burnout and work-related burnout of nurse leaders while considering the impact of COVID-19 pandemic and work-life balance through a gender lens.DesignA cross-sectional study design was implemented in 2023 using a convenience sampling approach.SettingData on personal burnout, work-related burnout, client burnout, work-life balance and COVID-19 impact were collected electronically and assessed through a gender lens.ParticipantsA sample of 210 nurse leaders filled out the online surveys that were posted on the American Organization for Nursing Leadership and on Facebook.ConclusionFemales had significantly higher personal burnout than males (mean 56.2 vs 49.3, F=5.853, p=0.019). Males had significantly higher client-related burnout than females (mean 45.3 vs 34.8, F=7.014, p=0.008). Findings demonstrate the importance of addressing gender when examining how nurse leaders react to different factors leading to burnout. In employing a gender lens framework, future researchers might study how the pressures that working men and women nurse leaders face were intensified during the COVID-19 pandemic. To support nurse leaders in executing their roles, there is a need to widen the scope of conversations about including family-friendly policies and attention to the needs of men and women as nurse leaders. These policies might include but are not limited to paid childcare, flexible time off, access to paid time off and mandatory overtime laws.
Ophthalmological changes in children with advanced stage of chronic kidney disease: a hospital-based study
Authors: Datta Amit Kumar , Begum Afroza , Roy Ranjit Ranjan , Jesmin Tahmina , Al Mamun Abdullah , Mahfuzullah Mohammad Afzal , Chowdhury Faisal , Iktidar Mohammad Azmain 
Published: November 2024

BackgroundOcular disorders can arise in the advanced stages of chronic kidney disease (CKD) for various reasons, including uraemia, biochemical abnormalities, hypertension and inadequate haemodialysis treatment.MethodsWe conducted a cross-sectional study at the Pediatric Nephrology Department, both inpatient and outpatient, of from January 2020 to July 2021. The study aimed to identify and compare ophthalmological changes among children at different stages of CKD to assess potential visual threats. A total of 92 children with advanced-stage CKD, aged 5–18 years, meeting the inclusion and exclusion criteria, were included in the study. Comprehensive assessments, including medical history, physical examinations, relevant tests and detailed ophthalmological examinations, were conducted.ResultsThe mean age of the participants was 12.1±3.68 years. Most of the children were boys (66%). Twenty-nine patients exhibited impaired visual acuity, children with (6/60–6/24) scores in Snellen’s chart Lid oedema and conjunctival pallor were observed in 20.7% and 60.9% of cases, respectively, which were found to statistically significant with advancing CKD stages (p<0.001). Dry eyes were found in 9.8% of CKD stage V patients receiving dialysis (VD) (p=0.003). One patient had a posterior subcapsular cataract, and 7.6% had conjunctival congestion. Patients with conjunctival congestion and hypertensive retinopathy had significantly higher levels of serum phosphate and calcium phosphate product (p<0.001). Hypertensive retinopathy was present in 16.3% of cases, with a significantly higher proportion in the haemodialysis group (93%). Haemodialysis patients exhibited higher blood pressure, lower haemoglobin levels, and a more severe reduction in estimated glomerular filtration rate (p<0.001).ConclusionThis study highlights the significant ocular complications associated with CKD, underscoring the need for regular ophthalmological screenings.
Anxiety and care experiences in adolescents with chronic health conditions: an international, longitudinal study across the transfer of care
Authors: Alanen Anna , Kallio Mira , Culnane Evelyn , Koivisto Mari , Pasanen Miko , Salanterä Sanna , Sawyer Susan , Kosola Silja 
Published: November 2024

ObjectivesTo evaluate changes in anxiety, care experiences and condition impact among adolescents with chronic health conditions in two countries as they transfer to adult healthcare and to assess factors influencing anxiety levels.DesignA longitudinal international study. Data was collected by questionnaires before (2017–2021) and a year after (2018–2022) transfer of care.SettingTwo specialist hospitals in Finland and Australia.Participants440 adolescents with chronic health conditions were recruited from Finland (FIN n=237; mean age 17.2) and Australia (AUS n=203; mean age 18.3) with the answering percentage FIN 68.8% and AUS 55.2% of the first time point.Main outcome measuresThe validated State-Trait Anxiety Inventory short form (STAI) was used to measure care-related anxiety. Care experiences were measured using eight questions from the Adolescent-Friendly Hospital Survey. Self-reported condition impact was measured by a Visual Analogue Scale. Care experiences, condition impact, country and age were included in regression analyses as predictors of care-related anxiety.ResultsAt baseline, there were few clinically meaningful differences between participants at the two sites. Adolescents reported positive care experiences both before and after the transfer of care. In regression analyses after the transfer of care, adolescents with lower condition impact experienced lower anxiety levels than adolescents with higher condition impact (beta −9.00, 95% CI −13.85 to 4.16, p<0.001). After the transfer of care, adolescents who reported negative care experiences also reported higher anxiety (median STAI score 40.0 (IQR 30.0–50.0) versus 33.3 (IQR 23.3–41.6), p<0.001).ConclusionAcross two different healthcare systems, most adolescents with chronic health conditions reported low anxiety and positive care experiences before and after transfer to adult healthcare. Beyond efforts to generally enhance positive care experiences, focusing on adolescents with higher-impact chronic conditions may reduce disease-related anxiety.Trial registration numberClinicalTrials.orgNCT04631965, submitted 21 October 2020.
Developing injury prevention programmes for ladies Gaelic football: a Delphi study
Authors: Corrigan John , O'Keeffe Sinéad , Whyte Enda , O'Connor Siobhán 
Published: November 2024

BackgroundHigh injury rates are evident in the community sport of ladies Gaelic football, and the costs associated with these injuries have major implications for players and the governing body. Injury prevention programmes have been designed but are not being widely adopted. This study aimed to elicit the expert opinion of academics and practitioners on the content and format of injury prevention programmes for ladies Gaelic football.MethodsTwenty-four experts from the areas of coaching science, injury prevention, athletic therapy and physiotherapy took part in this three-round Delphi study. Each round contained multiple-choice, Likert scale and open-ended questions. For each question, consensus was defined as 67% or greater agreement among experts.ResultsThe experts agreed that 17 components (eg, agility, balance) should be included in injury prevention programmes for ladies Gaelic football, with 12 considered vital for inclusion in most or every session. Programmes should require minimal/no equipment, be 10–15 min in duration and contain 3–4 versions of each exercise for progression and variation purposes. Experts recommended when certain components should be completed but generally agreed that programmes should be capable of being delivered throughout sessions. There was consensus among experts for 13 items (eg, pictures, exercise volume) to be included in full versions of programmes and six in condensed versions.ConclusionsThe outcomes of this study provide the foundation for the development of future injury prevention programmes for ladies Gaelic football. Combining these findings with the preferences of end-users throughout programme development may enhance the efficacy of future injury prevention programmes.
Burden of incidental cerebral aneurysms on lifestyle and quality of life: a survey of patients in expectant management (the SPICE Study)
Authors: Rodríguez-Pardo Jorge , García-Castro Jesús , Gómez-Escalonilla Carlos , García-Torres Araceli , García-Pastor Andrés , Vivancos-Mora José , Fernández-Ferro José , Cruz-Culebras Antonio , Carneado-Ruiz Joaquín , Granja-López Juan , Estebas-Armas Carlos , Lorenzo-Diéguez Manuel , González-Sarmiento Ricardo , García-Yu Raúl , Alvarez-Muelas Alberto , Navas-Vinagre Inmaculada , Oses-Lara Marta , Iglesias-Mohedano Ana , Santos Laura , de la Rosa Carmen , Alonso de Leciñana María , Díez-Tejedor Exuperio , Ruiz-Ares Gerardo , Rigual Ricardo , de Celis Elena , Hervás-Testal Carlos , Casado-Fernández Laura , González-Martín Laura , Navía Pedro , Fernandez-Prieto Andres , Frutos Remedios , Fuentes Blanca 
Published: November 2024

BackgroundThe increasing availability of neuroimaging tests has led to a rise in the identification of incidental unruptured intracranial aneurysms (UIAs). Their management is under debate, with no consensus on their follow-up strategy, which can cause anxiety in patients. Our aim is to evaluate the impact of diagnosis and imaging follow-up on daily activities and quality of life.MethodsA multicenter cross-sectional study was carried out in patients with UIAs undergoing watchful waiting. Exclusion criteria were history of stroke, renal polycystic disease, symptomatic aneurysms, intervention or scheduled for intervention. The patients completed an anonymous 36-question survey about their habits and perceived quality of life after diagnosis through a validated questionnaire (PROMIS).ResultsWe obtained 73 responses from 183 patients identified in eight hospitals (40%), 68 of which were included in the study (50 women (74%), median (IQR) age 62 (55–70) years). Forty-nine patients (72%) underwent at least one imaging follow-up per year. Forty-two patients (63%) found follow-up tests reassuring and 12 (18%) experienced concern about the results. Nineteen patients (28%) reported adopting a healthier lifestyle since diagnosis, while 13 (19%) acknowledged a negative impact on their daily activities. Forty-six (68%) admitted avoiding or conditioning at least one activity or situation from a list. PROMIS scores were similar to those of the general reference population. Overall, 77% rated their quality of life as ‘good’ or better.ConclusionsThe diagnosis of UIAs seems to influence the activities of the majority of patients. However, follow-up yielded more benefit in the form of healthier lifestyles than harm to daily activities, without detriment to their perceived quality of life.
Incidence of mental disorders and its predictors among air force personnel exposed to counter-insurgency operations in a West African country: a 6-month follow-up study
Authors: Akinlose Motunbi Nelson , Ndukuba A C , Onu J U 
Published: November 2024

BackgroundDespite robust reports in the literature concerning the effect of exposure to combat on mental health, there is a paucity of studies in the Nigerian Air Force (NAF) using a longitudinal design. This study was designed to determine the incidence of mental disorders among a cohort of NAF personnel exposed to combat and highlight its association with psychosocio-religious variables.MethodsIt was a follow-up study using a total population sampling in which all the 290 deployed personnel participated. Data was collected at two intervals: Baseline and 6 months after with sociodemographic questionnaire, Brief Coping Orientation to Problems Experienced Inventory, the Brief Religious Coping, the Oslo Social Support Scale and the Big Five Inventory, General Health Questionnaire (GHQ-12) and the Mini-International Neuropsychiatric Interview (MINI-Plus). A two-staged process involving screening with the GHQ and a further diagnostic interview using MINI-Plus for participants with a GHQ score of 2 and above.ResultsThe incidence of any mental disorder was 243.1 per 1000 person-years. The top three priority conditions were: Substance use disorder (94.1 per 1000 person-years), major depressive disorder (43.8 per 1000 person-years) and post-traumatic stress disorder (PTSD) (41.6 per 1000 person-years). Being deployed in early adulthood was a risk factor for developing a mental illness (adjusted OR (AOR), (95% CI): 2.89, (1.28, 6.50), p=0.01) while longer duration in the military service was a protective factor (AOR, (95% CI): 0.95, (0.91, 0.99), p=0.03). Social support, personality traits, religious coping and other coping strategies did not significantly predict mental disorders in this population (p>0.05).ConclusionThe incidence of any mental disorder among NAF personnel exposed to combat was huge. The three top priority conditions were substance use disorder, major depressive disorder and PTSD. These findings are useful in identifying priority conditions for interventions in the NAF population.
Black bounces in Cotton gravity
Authors: Junior Ednaldo L. B. , Junior José Tarciso S. S. , Lobo Francisco S. N. , Rodrigues Manuel E. , Rubiera-Garcia Diego , Silva Luís F. Dias da , Vieira Henrique A. 
Published: November 2024

AbstractRecently, J. Harada proposed a theory relating gravity to the Cotton tensor, dubbed as “Cotton gravity” (CG). This is an extension of General Relativity such that every solution of the latter turns out to be a solution of the former (but the converse is not true) and, furthermore, it is possible to derive the cosmological constant as an integration constant within it. In this work we investigate CG by coupling it to both non-linear electrodynamics (NLED) and scalar fields. We study static and spherically symmetric solutions implementing a bouncing behaviour in the radial function so as to avoid the development of singularities, inspired by the Simpson–Visser black bounce and the Bardeen model, both interpreted as magnetic monopoles. We identify the NLED Lagrangian density and the scalar field potential generating such solutions, and investigate the corresponding gravitational configurations in terms of horizons, behaviour of the metric functions, and regularity of the Kretchsman curvature scalar. Our analysis extends the class of non-singular geometries found in the literature and paves the ground for further analysis of black holes in CG.
Probing QGP droplets with charmonium in high-multiplicity proton–proton collisions
Authors: Bai Yunfan , Chen Baoyi 
Published: November 2024

AbstractWe study the hot medium effects in high-multiplicity proton–proton (pp) collisions at $$\sqrt{s_{NN}}=13$$

s

NN

=
13

TeV via the charmonium probes. The hot medium is described with the hydrodynamic model, while charmonium evolutions in the medium are studied with a time-dependent Schrödinger equation. The hot medium dissociation on charmonium is considered with the temperature-dependent complex potential parametrized with the results from lattice QCD calculations. The ratio $$\sigma _{\psi (2S)}/\sigma _{J/\psi }$$

σ

ψ
(
2
S
)

/

σ

J
/
ψ

of $$J/\psi $$

J
/
ψ

and $$\psi (2S)$$

ψ
(
2
S
)

production cross sections are calculated and compared with the LHCb experimental data in pp collisions. Our calculations explain the charmonium relative suppression in different transverse momentum and multiplicity bins. The suppression of this ratio is mainly affected by the effects of the deconfined medium. It is less affected by the initial effects before the generation of the heavy quark pair. We suggest this to be a clear signal of the small QGP droplets generated in high multiplicity pp collisions.
Dynamic CRRT Prescription for Complicated Critically Ill Patient: A Case Report
Authors: Santorsola Clemente , Corona Alberto , Cecchi Matteo , Nicolini Niccolò Castellani , Zendra Elena , Capone Alice , Gatti Ivan , Brivio Matteo , Falsini Silvia , Villa Gianluca 
Published: November 2024

Continuous renal replacement therapies (CRRTs) and sequential extracorporeal blood purification (EBP) therapies can be used in patients with severe COVID‐19 disease to support kidney failure and restore immune homeostasis. EBP prescription should be based on the patient’s clinical needs and frequently re‐evaluated during the intensive care unit (ICU) stay. Personalization of treatment at the bedside plays a fundamental role for patient recovery. This aim can be simplified by using both clinical and molecular data collected from a patient‐individualized web registry. In this case report, we describe how we apply a sequential approach to EBP therapies following the rapid evolution of a critically ill COVID‐19 patient with acute kidney injury. We show patient strategies and outcomes using bedside data from a registry‐based method for the routine use of EBP. We explain the choice of specific hemofilter prescription, also focusing on dose and anticoagulation strategies. We describe the difficulties, uncertainties, and mistakes made during EBP prescription. Furthermore, we discuss the causes and workable solutions that can be adopted by the ICU physician for a better EBP prescription, considering the current lack of well‐recognized indications.Trial Registration: ClinicalTrials.gov identifier: NCT03807414