bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association between trochanteric fractures and gluteal muscle size, density in older women: a cross-sectional study at a university hospital
Authors: Huang Pengju , Ge Yufeng , Liu Yandong , Geng Jian , Zhang Wei , Liang Wei , Yu Aihong , Wu Xinbao , Wang Ling , Cheng Xiaoguang 
Published: December 2024

PurposeThis study aimed to investigate differences in hip muscle area and density between older women with femoral neck fractures (FNF) and trochanteric fractures (TRF).DesignCross-sectional study.Setting and participantsThe study was conducted at a university hospital. A total of 554 older women patients were enrolled, comprising 314 with FNF (mean age 77.02±7.15 years) and 240 with TRF (mean age 79.70±6.91 years), for comparative analysis.MethodsCT scans were used to measure the area and density of the gluteus medius and minimus muscles (G.Med/MinM) and the gluteus maximus muscle (G.MaxM). Areal bone mineral density (aBMD) of the total hip (TH) and femoral neck (FNaBMD) were quantified using quantitative CT. The cohort was stratified by age (cut-off 80 years) to explore age-specific associations.ResultsAmong all subjects, the FNF group exhibited significantly higher muscle parameters compared with the TRF group (p<0.001). With adjustments made for age, body mass index (BMI) and THaBMD, all muscle parameters, except G.Med/MinM density, showed significant correlations with TRF. In the age ≥80 group, no statistically significant correlations were observed between hip muscle parameters and TRF. Conversely, in the age <80 group, adjusting for age, BMI and THaBMD revealed significant associations between decreased muscle density and area of both G.MaxM and G.Med/MinM with TRF.ConclusionsOur findings suggest that in older women, particularly those under 80 years of age, gluteus muscle parameters are associated with TRFs, independently of BMD.
Interventions to improve patient health education competence among nursing personnel: a scoping review protocol
Authors: Wang Guiyun , Wang Shuyi , Liu Ke , Tang Siyuan , Qi Yanxia , Chen Qirong 
Published: December 2024

IntroductionPatient health education has gradually become an indispensable and important part of nursing work. However, nursing personnel’s performance in this domain remains below satisfactory levels. The absence of patient health education competence (PHEC) constitutes a significant impediment to the effective implementation of such education by nursing personnel. Effective training in PHEC can enable nursing personnel to recognise the importance of patient health education, improve their attitudes towards patient health education and gain comprehensive knowledge and skills, thus improving patients’ health outcomes and quality of life, while also enhancing the overall quality of nursing. However, the related research is fragmented and there is a lack of systematic review of related literature. The scoping review aims to provide a comprehensive overview of the existing interventions related to cultivating the PHEC of nursing personnel.Methods and analysisWe will use the Joanna Briggs Institute methodology to guide the scoping review proposed by this protocol. Between 1 April 2024 and 15 April 2024, a systematic search of electronic bibliographic databases, including Cochrane Library, PubMed, EMBASE, CINAHL, MEDLINE and ERIC, will be conducted. In addition, the grey literature source Google search engine will also be searched. Two reviewers will independently screen and conduct data extraction. Any discrepancies that arise will be resolved through consultation with a third reviewer. The data will be analysed and presented in tables, flow diagrams and text.Ethics and disseminationEthical approval is not applicable for this study. We will share the findings from the study at national and/or international conferences and in a peer-reviewed journal in the fields of nursing education and/or patient education.Registration numberThis scoping review had been registered on Open Science Framework (http://osf.io/dapq7).
Trauma-informed family carer education and practical skills training in dementia: a systematic scoping review protocol
Authors: Harkess-Murphy Eileen , Tolson Debbie , Cheyne Joshua , Heron Suzanne , Butler Anthony , Murray Yvonne , Mitchell Bryan , Limond Kath 
Published: December 2024

IntroductionThe incurable and progressive nature of dementia requires complex care, the majority of which is provided via informal caring by family members within the family home. Carers experience significant stress absorbing the challenging care needs of their family member and require education and training that can support and sustain family caring arrangements while considering the psychological distress that threatens caring breakdown. The aim of this scoping review was to map the evidence of trauma-informed principles within education and practical skills training in dementia family caring.Methods and analysisA two-step approach to the selection of literature will be used. In step 1, the review will consider research on active intervention education and practical skills training to support family home-based informal care for individuals with a formal diagnosis of dementia. The review will exclude passive education and self-accessed information/training provision. Only literature in the context of ‘informal’ day-to-day family caring provided by a family member or friend that takes place in the family home or residence will be included. Education and practical skills training provision within specialist care environments will be excluded. In step 2, during the full-text screen, only research where either explicit or implicit use of trauma-informed approaches has been used will be included.Preliminary searches of MEDLINE Ovid and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were carried out between March and May 2023 to identify literature in this area. In line with the Johanna Briggs Institute scoping review guidance, we will conduct a search of published literature within MEDLINE Ovid, Embase Ovid, CINAHL EBSCO, Cochrane Data for Systematic Reviews and Cochrane Central Register for Controlled Trials in the Cochrane Library, PsycINFO Ovid and the British Library EThOS e-theses online. Publications in English with a date range of 1990 to current, with no restriction on geographical region will be considered. The search will be managed by Rayyan software and screened by multiple independent researchers. Results will be presented using narrative summaries and tables.We collaborated with an experienced Academic Support Librarian to develop the MEDLINE Ovid search strategy (Appendix 1), which will be adapted for searching other databases.Ethics and disseminationEthical approval was not required for this review, as it involved the synthesis of publicly available secondary data. The findings will be disseminated through publication in peer-reviewed journals, as well as presentations at national and international conferences. Additionally, stakeholder events will engage carers, individuals with lived experience, and healthcare professionals.
Utilisation and trends of laboratory testing and point-of-care testing in primary care in Germany: an analysis of claims data
Authors: Markwart Robby , Storch Josephine , Bleidorn Jutta , Freytag Antje 
Published: December 2024

ObjectivesGerman general practitioners (GPs) either order laboratory tests from external laboratories (initiated laboratory services (ILS)) or perform point-of-care tests (POCTs) within the GP practice. This study investigated the current use and time trends of laboratory testing in German GP practices with a particular focus on POC testing.DesignRetrospective consecutive cross-sectional study by analysis of complete outpatient healthcare claims data (2017–2022).SettingPrimary care in Thuringia, a federal state in central Germany.ParticipantsData from 2061 GPs.Primary and secondary outcome measuresNumber of performed laboratory analyses per year, mean number of laboratory analyses per patient and year.ResultsIn 2022, 1601 GPs performed 16.1 million laboratory analyses, with 14.9 million (92.5%) being ILS and 1.2 million (7.5%) being POCTs conducted within GP practices. The mean number of laboratory tests per patient was 15.5 in 2022. The number of laboratory tests performed per patient decreased by 18.8% from 2017 to 2022. An especially pronounced reduction was observed in the use of POCTs (−36.0%). During the whole study period, the most common initiated laboratory analyses included creatinine, blood cell count, glucose, thyroid-stimulating hormone and HbA1/HbA1c. The most frequently employed POCTs were glucose, urine test strip, prothrombin time/international normalised ratio, HbA1/HbA1c, erythrocyte sedimentation rate and microalbuminuria. POC testing instead of ILS was more likely performed in older patient groups (≥40 years) compared with young adult patients (18–39 years) (adjusted OR (aOR) 40–59 years: 1.19 (95% CI 1.14 to 1.24); aOR 60–79 years: 1.48 (95% CI 1.40 to 1.57); aOR >79 years: 1.43 (95% CI 1.34 to 1.54)).ConclusionsGerman GPs regularly employ laboratory testing, primarily utilising external laboratory service, while POC testing plays a relatively minor role. The notable decline in the use of POCT testing may be attributed to several factors, including regulations from healthcare authorities, reimbursement guidelines and increasing test costs.
Reducing wait times for access to inpatient rehabilitation for patients with acquired brain injury: a quality improvement initiative
Authors: Neferu Ramona , Fleck Rebecca 
Published: December 2024

BackgroundAcquired brain injury (ABI) is a major cause of disability. Timely access to inpatient ABI rehabilitation is associated with improved outcomes at the patient, system, and societal levels.ProblemWait times to access the inpatient ABI rehabilitation programme at the local regional rehabilitation centre by patients referred from community hospitals were consistently greater than provincial targets and benchmarks.ObjectiveThis initiative aimed to reduce the mean wait times from referral to admission by 30% (from 27 to 19 days) during the 12-month project period. The secondary aim was to concurrently achieve a reduction in the mean wait times for decisions from 9.5 to 5 days during the same period.MethodsA non-randomised time-series design was undertaken. Baseline and postintervention wait times were obtained from patient intake charts. Process mapping, value analysis and five-why analysis were used to identify root causes for delays in the intake process. Referring hospital staff and the ABI Rehab interdisciplinary team members were engaged in change idea development and refinement. Iterative Plan-Do-Study-Act cycles were used to improve the change ideas’ usability and uptake. Data analysis was performed using the QI Macros package in Microsoft Excel.ResultsRoot causes for delays included frequent incomplete referrals, variability in the intake process and limitations in rehab bed availability. Two change ideas were introduced: (1) a standardised intake protocol and (2) a referral checklist. Within 3 months, the mean decision wait times were reduced to 4 days (58% reduction), and the mean admission wait times were reduced to 12 days (54% reduction).ConclusionThis initiative led to the systematic standardisation of the intake process for the local regional ABI rehab programme. Wait time improvements surpassing the initial aims were observed and may inform future benchmarks.
Effect of stellate ganglion block on perioperative myocardial injury following thoracoscopic surgery for lung cancer (SGBMI): protocol for a single-centre, randomised controlled trial
Authors: Wu Wei , Dai Haofei , Liu Meiyun , Liu Yang , Shi Hong 
Published: December 2024

IntroductionMyocardial injury is a common complication of thoracoscopic surgery. The stellate ganglion block is believed to affect myocardial oxygen consumption. The Stellate Ganglion Block and Myocardial Injury (SGBMI) trial aims to test the hypothesis that stellate ganglion block can reduce the incidence of perioperative myocardial injury in patients undergoing thoracoscopic surgery for lung cancer.Methods and analysisThe SGBMI trial is a double-blind, randomised trial comparing the effects of a stellate ganglion block and a sham procedure in patients with cardiovascular risk factors undergoing thoracoscopic surgery. The exclusion criteria include procedure-related contraindications and severe heart failure. The stellate ganglion block or sham procedures will be performed preoperatively. The primary outcome is myocardial injury within 30 days of the follow-up. The main safety outcomes are sepsis, infection and procedure-related complications. We will enrol 248 patients to ensure at least 80% power for the evaluation of the primary outcome. The primary results of the SGBMI trial are expected to be announced by the year 2027.Ethics and disseminationEthical approval for the study is obtained from the Ethics Committee of the Shanghai Pulmonary Hospital (approval number: L22-394). Written informed consent will be obtained from all participating patients. The publication of results in a peer-reviewed journal and presentations at conferences are anticipated.Trial registration numberChiCTR2300071469 (registered on 16 May 2023).
Elucidating the role of physical exercises in alleviating stroke-associated homeostatic dysregulation: a systematic review and meta-analysis
Authors: Villagra Moran Vanina Myuriel , Nila Irin Sultana , Madhuvilakku Rajesh , Sumsuzzman Dewan Md , Khan Zeeshan Ahmad , Hong Yonggeun 
Published: December 2024

BackgroundThis study aimed to investigate the role of physical exercises as a non-pharmacological intervention for ameliorating post-stroke dysregulated homeostatic parameters.MethodsEmbase, PubMed, PEDro, ISI Web of Science and CENTRAL were searched until April 2024. Parallel randomised controlled trials (RCTs) analysing the effect of post-stroke physical exercises (PSPE) on homeostatic parameters such as blood glucose, oxygen consumption (VO2), high-density lipoprotein (HDL), low-density lipoprotein (LDL), systolic (SBP) and diastolic blood pressure (DBP) in individuals with stroke were selected.ResultsSixteen RCTs (n=698) were included. PSPE reduced fasting glucose levels (MD=−0.22; 95% CI −0.22 to −0.02; p=0.00) and increased the VO2(MD=2.51; 95% CI 1.65 to 3.37; p=0.00) and blood HDL levels (MD=0.07; 95% CI 0.00 to 0.13; p=0.00). However, we did not observe beneficial effects on LDL, SBP and DBP parameters. Further analyses demonstrated that both low and moderate exercises are more suitable for improving blood glucose and VO2in this population.DiscussionPSPE have the potential to improve dysregulated post-stroke parameters by reducing blood glucose levels and increasing VO2and HDL levels. However, the small size and limited number of included studies limited the precision of our results. Further research is needed to comprehensively analyse the effects of PSPE, particularly on LDL levels and blood pressure.PROSPERO registration numberCRD42023395715.
Compliance of Pharmaceutical Manufacturing Companies to Good Manufacturing Practices in Heating, Ventilation, and Air‐Conditioning Systems: The Case of Local Ethiopian Firms
Authors: Tune Tibesso Desta , Gabriel Tesfaye , Balcha Balla Tamrat , Belete Anteneh 
Published: December 2024

Background: Good manufacturing practice (GMP) is a part of quality management that maintains product quality and manages it according to the criteria of fitness for use. The heating, ventilation, and air‐conditioning (HVAC) system comprises the equipment, technology, and procedure that ensure product quality through maintaining heat, ventilation, and coolness of pharmaceutical manufacturing firms. The aim of the study was to evaluate the GMP compliance of HVAC systems and assess the opportunities and challenges of improving these systems in pharmaceutical manufacturing companies in Ethiopia.Methods: The study was conducted in eight local pharmaceutical manufacturing companies in Ethiopia from April 20 to August 30, 2021, by using a concurrent mixed‐method approach to evaluate the implementation of GMP in HVAC systems. The pharmaceutical firms were directly observed by using a structured and standard observational checklist that was adopted from the WHO minimum GMP requirements. In order to understand the challenges and opportunities, face‐to‐face interviews with key informants using a purposive sampling technique were conducted.Results: The study findings revealed that the local pharmaceutical companies applied for 67.1% of the GMP requirements of the HVAC systems. The GMP implementation status in the basic quality features of HVAC systems of local pharmaceutical companies was 75% on premises, 70.67% in HVAC system design and maintenance practices, 56.25% in product protection, 61.25% in environmental protection, and 75% in cross‐contamination prevention. The primary obstacles to implementing GMP in the HVAC systems were a shortage of skilled professionals, HVAC system spare parts, and foreign currency besides poor practice of HVAC system calibration.Conclusion: The study revealed that the local pharmaceutical manufacturing companies did not adhere to GMP standards in HVAC systems.
High Prescribing: A Case Study of High‐Potency Medicinal Cannabis Inducing Psychosis
Authors: Bradlow Richard C. J. , Wright Sophie , Szrajbman Vaz Da Silva Anamaria , Armstrong Ferghal 
Published: December 2024

Introduction: There has been a recent significant increase in medical cannabis prescribing in Australia despite weak evidence for its effectiveness in treating the most common indications. Concern has been raised about the potential harms of inappropriate prescription of cannabis; however, there have been no prior published cases of psychosis secondary to medicinal cannabis in Australia.Case Presentation: We present a case of a 21‐year‐old Indigenous male with psychosis following switching from illicitly obtained cannabis to prescription cannabis, which resulted in Othello delusions towards his partner, violence towards her and ultimately an attempt to end his life.Discussion: Cannabis use is linked to the development of a psychotic illness whether it is prescribed or obtained illicitly. People who are prescribed cannabis are also at an elevated risk of developing cannabis use disorder (CUD). Cannabis prescribers need to screen for risk factors of drug‐induced psychosis such as a family member with a psychotic illness, review patients regularly and provide harm minimisation advice to prevent damage from their prescription.Conclusion: There are clear dangers to overprescribing medicinal cannabis and the care that needs to be taken by prescribers to avoid them. There is a need for a change in the regulation of cannabis prescribing in Australia. Further research is warranted on the effects of the increase in prevalence of cannabis prescribing.
Patients’ Perceptions of Cannabis Contamination in Florida's Medical Program
Authors: Spandau Gabriel , Loizzo Jamie , Jury Hannah , Bunch James C. , Stedman Nicole , Pearson Brian , Goodin Amie J. 
Published: December 2024

Introduction
As medical cannabis becomes more accessible, product quality must be evaluated. Researchers identified a social media community where Florida medical cannabis patients discuss personal experiences. The objective of this study was to analyze posts in this community to understand patient experience with products purchased from Florida medical dispensaries they believed to be contamination, perceptions of product quality, and desired changes to the Florida program.
Methods
Social networking theory acted as the underlying framework, and we employed a qualitative case study design to identify mentions of possible contamination and understand patient perceptions of contamination and the Florida medical cannabis program from the Reddit community FLMedicalTrees. The lead researcher conducted a social media analysis of posts identified as containing discussions relevant to product contamination. Constant comparison methods were used to code data, arrive at themes, and maintain validity and reliability of interpretation of coded themes.
Results
Of 300 post mentions of contamination, 98 posts were identified as relevant following review. Key results were:
1.	Multiple mentions of possible contamination for products from medical cannabis dispensaries reported by Florida program patients.
2.	Patients sought second opinions when concerned about possible contamination and shared personal experiences as well as advice on what concerned patients should do if they believe they have contaminated products.
3.	Some patients expressed feelings of anxiety and worry about health, safety, and quality control, while others that described possible product contamination did not express concern.
4.	Patients wanted changes regarding vertical integration, company accountability, state oversight, and home grow law.
Conclusions
Medical cannabis patients and providers could benefit from education on responding to possible contamination within medical cannabis products. Policymakers should consider these findings when setting regulations around contamination testing thresholds, dispensary oversight, and other regulations that directly impact patient safety like allowing patients to see products before purchase.
Antwerp, Zutphen, Venlo and Geldern
Authors: Oosterman Johan 
Published: December 2024

Abstract
In the first half of the 16th century, extensive collections of songs were compiled in various cities in the Netherlands. The Antwerp Songbook of 1544, which was published in print, is the best known and most comprehensive. This suggests that the focus of song culture was to be found in Antwerp. However, the Zutphen Songbook (Weimar, HAAB, Cod. Oct. 146) and the Venlo-Geldrische Hausbuch (Brussels, KBR, II 144) show that there was also a rich song culture in the eastern regions. This raises questions about the centers of Netherlandish song culture at the beginning of the 16th century, about the interaction between the different territories and about the motives of the various collectors.
A Daring Book
Authors: Lionetto Adeline 
Published: December 2024

Abstract
In 1612, Toussaint du Bray, a renowned Parisian bookseller, publishes a daring anthology: Le Recueil des plus excellents ballets de ce temps, a collection of texts borrowed from ballets of his time. In this article, the author tries to highlight the fact that Toussaint du Bray’s approach constitutes an extremely strong gesture that decisively contributes to the emergence of a true editorial genre. While attempting to address this question, the author will also seek to assess the political significance of this selection of ballets.
Zwischen Anthologisierung und Eigenwerbung
Authors: Laureys Marc 
Published: December 2024

Abstract
The four collections of Delitiae, arranged by nation, which the Heidelberg professor and librarian Janus Gruterus published between 1608 and 1614 in a total of fifteen volumes, far exceed the scope of earlier Neo-Latin anthologies. However, the selection principles of the individual pieces, the arrangement and classification of the poems, the relationship of their respective text versions to earlier drafts or editions, and the precise aims and ambitions that Gruterus had for this project still await detailed investigation. In this article, only one facet of this set of questions will be examined in depth. In the second volume of his Delitiae C. poetarum Belgicorum, Gruterus fills around 200 pages with his own poems. An attempt will be made to interpret what this self-anthologization reveals about the genesis and impact of Gruterus’ Neo-Latin anthologies.