bluuebunny/crossref_metadata_2025_split huggingface dataset:
Familial resemblance in dietary intake among singletons, twins, and spouses: a meta-analysis of family-based observations
Authors: Teymoori Farshad , Akbarzadeh Mahdi , Norouzzadeh Mostafa , Kazemi Jahromi Mitra , Farhadnejad Hossein , Saber Niloufar , Ahmadirad Hamid , Jahangiri Mina , Habibi Danial , Riahi Parisa , Mokhtari Ebrahim , Zarkesh Maryam , Daneshpour Maryam S. , Mirmiran Parvin , Vafa Mohammadreza 
Published: November 2024

Abstract
Background
Familial dietary intake can be influenced by both genetic and environmental factors; the current study aimed to examine the role of these two factors on dietary intake by investigating the resemblance in energy, nutrient, and food group intake among spouses and siblings in twin and family-based studies.

Methods
The online literature databases, including PubMed, Scopus, Web of Science, and Cochrane Library were systematically searched up to September 2024. The pooled correlation coefficient (r) of studies was calculated using Fisher’s z and standard error (SE) of z’s of all studies and our final results were reported in six groups including non-twin siblings, monozygotic (MZ) twins, dizygotic (DZ) twins, all-twins, all siblings, and spouse.

Results
Our findings on 30 observational studies indicate that siblings, especially MZ twins, tend to have similar dietary intake, with high correlations for vegetables (r: 0.59), red meat (r: 0.58), and fruits (r: 0.56). Among DZ twins, the lowest correlations were observed for eggs (r: 0.07), soft drinks (r: 0.14), and daily intake of simple carbohydrates (r: 0.17). DZ twins did not show significant differences in dietary resemblance compared to non-twin siblings. Among spouses, the highest correlations for dietary intake were found for polyunsaturated fats (r: 0.41), saturated fats (r: 0.40), and total fats (r: 0.39), while the lowest correlation was for protein intake (r: 0.24).

Conclusions
While the greatest similarity in dietary intake was observed among MZ twins, no significant difference in dietary intake similarity was noted between DZ twins and non-twin siblings. Furthermore, spouses exhibited a significant degree of similarity in their dietary consumption. Therefore, dietary intake is shaped by a complex interplay of genetic and environmental factors, warranting further investigation to validate these observations.
Experiences with COVID-19 economic relief measures among low-wage worker families: a qualitative study
Authors: Caspi Caitlin E. , Gombi-Vaca Maria , Antrum Curtis , Gudaf Salma , De Marco Molly , Welle Emily , Sheppard Brett , Fordyce Kristi , Pratt Rebekah 
Published: November 2024

Abstract
Background
Economic stability is a core social determinant of health and a necessary condition for maintaining food security, housing stability, and both physical and mental health. Using a qualitative approach, we identified barriers, facilitators, and participant perceptions about utilizing these relief measures. This study aimed to understand experiences with COVID-19 economic relief measures among low-wage worker households with children during the COVID-19 pandemic.

Methods
The study conducted semi-structured qualitative interviews from low-wage workers in households with children in two U.S. cities in 2022 (n = 40). The sample was recruited from a larger study which included survey measures of demographics and receipt or utilization of a range of relief measures with both broad and narrow eligibility criteria (e.g., Economic Impact Payments, expanded Supplemental Nutrition Assistance Program (SNAP), Pandemic Electronic Benefit Transfer (P-EBT), expanded Child Tax Credit, expanded unemployment insurance, and the eviction moratorium). A thematic analysis of 40 interviews was conducted using a constructivist approach to grounded theory, from which barriers, facilitators, and participant perceptions were identified.

Results
Interviews identified burdensome administrative processes, administrative errors, and a lack of information as barriers to access among those who were eligible; automatic processes for distributing benefits was identified as a facilitator. Participants expressed positive perceptions about benefits, mixed with some ambivalence about the need to receive them and concern over their discontinuation.

Conclusions
A segment of the population at risk of economic instability identified both barriers and facilitators to receiving an array of economic relief measures during the COVID-19 pandemic. Findings suggest that providing automatic processes for enrollment and reliable information streams for learning about benefits can bolster benefit receipt among those at risk of economic instability. These findings can contribute to the base of knowledge for policymakers involved in responding to the next public health emergency.
Exploring student perceptions on virtual reality in anatomy education: insights on enjoyment, effectiveness, and preferences
Authors: Al-Hor Mohammed , Almahdi Hamad , Al-Theyab Majed , Mustafa Ayman G. , Seed Ahmed Mohammed , Zaqout Sami 
Published: December 2024

Abstract
Background
The dynamic landscape of medical education demands innovative teaching methods. This study introduces virtual reality (VR) technology to anatomy courses at Qatar University, aiming to assess students’ receptiveness to virtual anatomy dissection and its potential transformative impact.

Methods
The study utilized a comprehensive survey and the 3D-Organon VR anatomy software to explore students’ perceptions and acceptance of VR in comparison with traditional anatomy learning tools during practical sessions. Fisher’s exact test for independence was performed to gauge shifts in students’ attitudes and preferences towards different educational modalities.

Results
The findings reveal a generally positive reception towards VR, with many students indicating a preference for VR over traditional methods. The study noted significant improvements in understanding and memorization attributed to the use of VR. Exposure to a variety of educational modalities led to notable shifts in student perceptions, particularly an increase in positive perceptions regarding the understanding of anatomy lectures and a heightened preference for VR as a learning method.

Conclusions
The study underscores the evolving and adaptable attitudes of students towards VR, emphasizing the significant role that diverse learning experiences play in shaping their receptiveness. It provides valuable insights into how medical education can be reshaped through a blended approach that integrates technological innovation with traditional learning methods. These findings advocate for the strategic incorporation of VR in anatomy courses to enhance learning outcomes.
Addressing the gap in health data management skills: an online self-guided course for researchers and health professionals
Authors: Waithira Naomi , Mutinda Brian , Shah Kehkashan , Kestelyn Evelyne , Bull Susan , Boggs Liam , Lang Trudie , Cheah Phaik Yeong 
Published: November 2024

Abstract
Background
The healthcare sector is rapidly evolving with the rise of digital technology and data-driven decision-making. However, traditional medical education has yet to fully integrate training on managing health-related information, resulting in a significant skills gap among medical and research professionals. This gap is pronounced in low- and middle-income countries (LMICs), where data privacy concerns and inadequate infrastructure hinder efforts to utilise and share health data.

Aims
To address this gap, we developed an online, modular course aimed at providing foundational skills on capturing, storing and sharing health data.

Methods
The course was developed using the ADDIE(Analyze, Design, Develop, Implement, Evaluate) instructional design model. A needs assessment workshop involving 25 global health proffesionals identified key training gaps which informed the curriculum’s development. A multidisciplinary team from six institutions developed the modules. The course was piloted in a face-to-face setting with 37 participants and later adapted for online delivery via the Global Health Network platform. We evaluated the course using Level 1 of Kirkpatrick’s model for training evaluation.

Results
Six foundational modules were developed: Introduction to Data Management, Data Quality, Data Repositories, Ethics of Data Sharing, Data Governance, and Costing for Data Management. Between December 2020 and April 2024, 6,384 individuals from 90 countries completed the course. Of these, 32% were from Africa, 15% from Asia, 16% from South/Central America and the Caribbean, and 24% from Europe. Summative evaluations, based on voluntary post-module surveys, demonstrated high relevance to participants’ learning needs (96.6%) and strong intentions to apply the skills gained (88.3%). Key motivators for enrollment included the course’s free access, relevance to professional or academic needs, and trust in the organizations and authors behind the content.

Conclusions
The high enrolment and broad geographical reach demonstrates the potential of online training as a cost-effective tool to equip health practitioners and researchers with data literacy skills. Future evaluations will assess its impact on participants’ knowledge, behavior, and data-sharing and reuse practices.
Improving medical certification of cause of death in Assiut University Children Hospital: an intervention study
Authors: El-Gibaly Omaima , Elela Mohamed Gamil Mohamed Abo , Rizk Yasser Farouk Abdel-Raheem , Mahmoud Shimaa Hosny Hassan 
Published: November 2024

Abstract
Introduction
Death certification is a health indicator and a public health surveillance tool. High-quality death certificate ensures reliability of mortality statistics used to direct the arranging of health-related programs and leading assessments of research and proper healthcare outcomes. The World Health Organization (WHO) puts Egypt in the group of ‘low quality’ death registration data. The aim of this study was to evaluate the impact of composite training and audit intervention on accurate completion of death notification forms (DNFs) in Assiut University Children Hospital (AUCH) that has an average monthly mortality of 120 children’s deaths.

Methods
A Quasi-experimental study design was conducted among residents of AUCH. The intervention consisted of 1- Preparing training material with basic information on how to report causes of death according to WHO criteria and case scenarios extracted from the medical records of children who died at AUCH, 2- One hundred residents of the AUCH were trained in one day workshops in 4 groups, with a pre-post knowledge assessment questionnaire. 3- A weekly audit of a sample of 10–15 DNFs was done for six months with reporting of findings to quality assurance director of the hospital.

Results
Eighty- nine physicians completed the pre-post knowledge assessment with significant increase in knowledge score after the intervention (15.7 ± 3.2 vs. 11.9 ± 2.8). There was a significant decrease in the errors of reporting on the DNFs. The main improvement was in decrease from 90 to 18% in reporting the mechanism of death, and significant decline in writing cause of death in Arabic language only.

Conclusion
Accurate reporting of the medical cause of death can be achieved by educational intervention targeting physicians with institutionalizing of audit system for continuous quality improvement.
Investigation of treatment delay in a complex healthcare process using physician insurance claims data: an application to symptomatic carotid artery stenosis
Authors: van Gaal Stephen Christopher , Alimohammadi Arshia , Karim Mohammad Ehsanul , Zhang Wei , Sutherland Jason 
Published: November 2024

Abstract
Background
Delays in diagnostic and therapeutic processes are a potentially preventable cause of morbidity and mortality. Process improvement depends on accurate knowledge about as-is processes, historically collected from front-line workers and summarized in flowcharts. Such flowcharts can now be generated by process discovery algorithms supplied with chronological records from real-world cases. However, these algorithms may generate incomprehensible flowcharts when applied to complex unstructured processes, which are common in healthcare. The aim of this study is to evaluate methods for analysing data from real-world cases to determine causes of delay in complex healthcare processes.

Methods
Physician insurance claims and hospital discharge data were obtained for patients undergoing carotid endarterectomy at a single tertiary hospital between 2008 and 2014. All patients were recently symptomatic with vision loss. A chronological record of physician visits and diagnostic tests (activities) was generated for each patient using claims data. Algorithmic process discovery was attempted using the Heuristic Miner. The effect of activity selection on treatment delay was investigated from two perspectives: activity-specific effects were measured using linear regression, and patterns of activity co-occurrence were identified using K means clustering.

Results
Ninety patients were included, with a median symptom-to-surgery treatment time of 34 days. Every patient had a unique sequence of activities. The flowchart generated by the Heuristic Miner algorithm was uninterpretable. Linear regression models of waiting time revealed beneficial effects of emergency and neurology visits, and detrimental effects of carotid ultrasound and post-imaging follow-up visits to family physicians and ophthalmologists. K-means clustering identified two co-occurrence patterns: emergency visits, neurology visits and CT angiography were more common in a cluster of rapidly treated patients (median symptom to surgery time of 18 days), whereas family physician visits, carotid ultrasound imaging and post-imaging follow-up visits to eye specialists were more common in a cluster of patients with treatment delay (median time of 57 days).

Conclusions
Routinely collected data provided a comprehensive account of events in the symptom-to-surgery process for carotid endarterectomy. Linear regression and K-means clustering can be used to analyze real-world data to understand causes of delay in complex healthcare processes.
Feeling valued at work: a qualitative exploration of allied health profession support workers
Authors: Hall Abigail J. , Goodwin Victoria A. , Allchurch Lorraine , Capon Luke , Farrell Vicky , Olufunmilayo Oludare , Griffin Richard 
Published: November 2024

Abstract
Objectives
The aim of this study was to explore Allied Health Professions (AHP) support worker perceptions of feeling valued and to understand what factors contribute to this feeling of “value”.

Design
This was a qualitative study with semi-structured interviews undertaken virtually. The data were analysed using a process of thematic analysis in order to gain an in depth understanding of the factors that affect support workers feeling “valued”.

Setting and participants
Twenty-nine AHP support workers were recruited. They had a wide range of characteristics and experience in a variety of different settings and working with different professions. Participants all had experience of working in England and data collection was undertaken during February and March 2024.

Results
A sense of belonging, recognition for their skills and abilities, empowerment within their role, as well as opportunities to develop, were seen as key factors contributing to their feeling of value. Where support workers did not feel valued, they often referred to themselves as “just a support worker” and their skills and abilities were not fully utilised. Where support workers did feel valued, they thrived in their roles and enjoyed the opportunities that the role afforded them. There was significant variation in how valued our support workers felt which had a clear impact on them as people, but also would influence the care that they delivered.

Conclusion
AHP support workers are an integral part of the workforce, occupy diverse roles in healthcare and work collaboratively with registered staff, often prioritising patient care over their own career development and ambition. Recognising, empowering, and including them in teams is crucial for a supportive environment. Acknowledging their skills, providing learning opportunities, and supporting their development is essential for their well-being and fostering inclusivity in healthcare. By valuing and nurturing AHP support workers, we improve patient care and build a stronger healthcare workforce.
The impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United States
Authors: Sadrolashrafi Kaviyon , Hao Audrey , Yamamoto Rebecca K. , Guo Lily , Kikuchi Robin , Tolson Hannah C. , Bilimoria Sara N. , Yee Danielle K. , Armstrong April W. 
Published: November 2024

Abstract
Background
Psoriasis is a chronic, inflammatory skin condition requiring long-term care. However, many psoriasis patients may not regularly receive care. Several factors affect access to care in the United States, including health insurance status. Additionally, it is unknown how health insurance status impacts the healthcare-seeking behavior of psoriasis patients. Healthcare-seeking behavior is broadly defined as an individual’s actions to prevent or treat a perceived health problem, such as visiting a physician’s office. Because early diagnosis and timely treatment improve patient outcomes, determining how insurance status impacts psoriasis patients’ healthcare-seeking behavior and their ability to get care is important. This allows us to identify patients at risk for being untreated or undertreated. In this study, we aimed to assess the relationship between insurance status and (1) the degree to which psoriasis patients delay seeking or receiving care and (2) the degree to which psoriasis patients are unable to obtain care.

Methods
This population-based study used 20 years of data from the Medical Expenditure Panel Survey from 2002 to 2021. We calculated descriptive statistics and performed adjusted multivariable logistic regression analyses.

Results
We identified a weighted total of 4,506,850 psoriasis patients. Compared to those with private insurance, psoriasis patients with public-only insurance were 2.7 times more likely to delay seeking or receiving care (95% CI, 1.26–5.87). Compared to private insurance patients, uninsured psoriasis patients were 3.4 times more likely to be unable to obtain care (95% CI, 1.31–8.92). Compared to those with public-only insurance, uninsured psoriasis patients were 3.7 times more likely to be unable to obtain care (95% CI, 1.32–10.38).

Conclusions
This study found that psoriasis patients with public-only insurance were significantly more likely to delay seeking or receiving care compared to those with private insurance. This study also found that uninsured psoriasis patients were significantly more likely to be unable to obtain care than psoriasis patients with private insurance and those with public-only insurance. Developing strategies to increase healthcare access is necessary to ensure equitable, timely, and appropriate care for all psoriasis patients, regardless of their insurance status.
Transforming nursing work environments: the impact of organizational culture on work-related stress among nurses: a systematic review
Authors: Kiptulon Evans Kasmai , Elmadani Mohammed , Limungi Godfrey Mbaabu , Simon Klara , Tóth Lívia , Horvath Eva , Szőllősi Anna , Galgalo Dahabo Adi , Maté Orsolya , Siket Adrienn Ujváriné 
Published: December 2024

Abstract
Background
Creating a healthy and conducive nursing work environment is a universal global nursing concern. Work-Related Stress, global nursing and a public health problem that has continued to bedevil the world healthcare systems is of a particular interest. It has not only compromised the quality of patient care but also negatively impacted nurses’ quality of work life and adversely affected global healthcare management. Organizational culture is an important determinant of nurses’ work-related stress, yet it remains systematically under-researched. Despite a plethora of research on work-related stress in nursing environments, there are few dedicated systematic literature reviews, and this study aimed to fill this gap.

Objective
To determine the scientific evidence in the literature, on the impact of organizational culture on work-related stress among nurses and provide valuable insights to mitigation of work-related stress among nurses.

Design
A Systematic literature review.

Methods
The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A comprehensive literature search was conducted in major electronic databases, including PubMed, Scopus, Web of Science, Ovid Medline, Embase and CINAHL in July 2023. Studies that met the inclusion criteria set were screened using Rayyan and Covidence. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality and risk of bias.

Results
The search generated a total of 2,113 records, and 13 were included. Thematic analysis generated three main themes: types of organizational culture, organizational climate, and organizational politics, each with distinct effects on nurses’ work-related stress. We found overall that, positive organizational culture, positive organizational climate and positive organizational politics were consistently associated with nurse’s happiness and joy at the workplace and lower levels of work-related stress while negative organizational culture, climate and politics were strongly associated with nurses’ work-related stress.

Conclusions
This review underscores the crucial role of organizational culture in nursing work environments and its impact on nurses’ stress levels, offering valuable insights for the mitigation of work-related stress and the transformation of the nursing profession.