bluuebunny/crossref_metadata_2025_split huggingface dataset:
The centrality of nursing in realizing high quality palliative care: Exploring Canada’s framework on palliative care priorities
Authors: Pesut Barbara , Thorne Sally , Wright David Kenneth , Banwell Michael 
Published: November 2024

Abstract
Background
Following an earlier mixed-method survey in which we asked stakeholders to report on their perceptions of the progress made in relation to Canada’s Framework on Palliative Care and Action Plan, the purpose of this study was to conduct an in-depth qualitative exploration of the factors influencing that progress, or lack thereof.

Methods
This was a qualitative interview study conducted in Canada. Inclusion criteria included experience with palliative care in Canada in a professional or volunteer capacity. Interviews were conducted by telephone using an interview guide that asked specific questions in relation to the Framework on palliative care priorities (e.g., education, caregiver support, and equitable access). Data was analyzed using qualitative descriptive methods.

Results
Thirty-five diverse stakeholders with extensive experience in palliative care were interviewed. In relation to palliative education, participants indicated that although there were excellent palliative care resources available across the country there was further need for embedding palliative care in undergraduate education and for mentored opportunities to engage in care across diverse contexts. The identification, development, and strategic positioning of champions was an important strategy for improving palliative care knowledge and capacity. The development of standard competencies was viewed as an important step forward; although, there was a need to include more members of the care-team and to create pathways for life-long learning. In relation to support for family caregivers, even as participants cited numerous community-based resources offered by not-for-profit organizations, they described significant barriers including a shortage of in-home support, lack of understanding of what caregivers do, and policy-based contractual and privacy issues. In relation to palliative care access, participants described a nurse-centered, consult-based, multi-site and multi-provider model of care that was facilitated by technology. Barriers to this model were systemic healthcare issues of siloed, fragmented, and for-profit care.

Conclusion
Participants in this study had clear insights into the factors that would support or impede progress to the development of palliative care in Canada. Some of those factors were achievable within current health and educational systems. Other factors were going to require longer term and more comprehensive solutions.
Exploring successes, barriers, and enablers in the one-year digital Healthy Weight Coaching
Authors: Joki Anu , Ahola Aila J. , Suojanen Laura U. , Pietiläinen Kirsi H. 
Published: November 2024

Abstract
Introduction
Healthcare professionals’ perspectives are often overlooked in the evaluation of digital weight loss interventions. Thus, we examined how healthcare professionals perceive patient success in a one-year web-based weight management program, the Healthy Weight Coaching, aiming to identify key success factors and common challenges within the coaching process.

Methods
Thematic analysis was conducted on ten semi-structured interviews with healthcare professionals from the Healthy Weight Coaching. Interviewees included individuals of both sexes, with an average age of 41 years, ranging from 10 months to 5 years of coaching experience, and treating 90 to 500 patients.

Results
Three main themes emerged from the analysis: (1) Positive progress during the Healthy Weight Coaching, (2) Factors facilitating success, and (3) Barriers hindering progress. The coaches noted significant positive changes among patients, including increased self-compassion, reduced weight-related stress, and a shift toward holistic well-being. Improvements in eating habits, physical activity, and vegetable consumption were observed, along with reductions in binge eating behaviors. Personal factors such as internal motivation and engagement with the program were crucial for success. Additionally, aspects of the Healthy Weight Coaching program, such as its individualized and supportive environment, flexible coaching approach, and the pivotal role of coaches, were seen as facilitators of success. Patients valued being treated equally and acceptingly and fostering trust and collaboration. However, challenges such as burdensome life situations, limited resources, and inadequate support posed significant barriers to progress. Unrealistic goals and societal pressures were also observed to hinder successful weight management efforts.

Conclusion
A comprehensive, individualized approach addressing resource limitations and societal norms can enhance long-term success in weight management programs like the Healthy Weight Coaching, ultimately promoting overall well-being.
Behavior of 1-octanol and biphasic 1-octanol/water droplets in a digital microfluidic system
Authors: Wagner Jan , Fiukowski Oliver , Nebesnyi Roman , Ingebrandt Sven , Pich Andrij , Schnakenberg Uwe 
Published: November 2024

AbstractDigital microfluidic systems, based on the electrowetting-on-dielectric mechanism, allow the manipulation, dispensing, merging, splitting, and mixing of micro- to nanoliter droplets on hydrophobic surfaces by applying voltages to an array of planar electrodes. The manipulation of both a non-aqueous and an aqueous phase droplet in a single experiment has gained considerable interest. This study focuses on characterizing the dispensing and dosing of 1-octanol droplets, merging with a water droplet, and phase separation with minimal residue formation by shearing off the biphasic droplet at a tear-off edge of a hydrophilic well, using optimized actuation parameters. The volume of the 1-octanol droplet dispensed from an L-junction reservoir design increased with increasing dispensing speed. Dispensing can only occur within a certain reservoir volume range. Under identical conditions, 1-octanol droplets could be dispensed with volume variations of less than 0.55%, and manipulated at a maximum velocity of 5.6 mm/s when the frequency of the applied AC voltage was about 200 Hz. At the tear-off edge of the hydrophilic well, the 1-octanol residue on the water droplet was reduced to less than 0.15% of the original 1-octanol droplet volume. The results will be used for future applications, such as for the precise quantitative characterization of the reaction kinetics of complex parallel or sequential interfacial catalytic reactions, for the study of self-assembly processes or for liquid–liquid extractions at the 1-octanol–water interface.
“Fresh vs dry grafting in interlay type-1 tympanoplasty”
Authors: Parmar Bhagirathsinh D. , Joshi Krupal J. , Solanki Dharmendra 
Published: November 2024

Abstract
Background
Chronic otitis media is a common middle ear disease that leads to varying degrees of hearing loss and otorrhoea. Tympanoplasty is a common surgery used for the reconstruction of sound conductive pathways in mucosal-type COM.

Aims
The study aims to compare the fresh and the dry grafting technique in interlay type-1 tympanoplasty amongst the patients of inactive mucosal type chronic otitis media.

Objectives
The objectives of the study are to compare graft uptake rate, pre-op and post-op AB gap, residual hearing loss, and average graft epithelialization time between the fresh and the dry grafting technique in interlay type-1 tympanoplasty.

Methods
A retrospective cohort study of 48 patients of COM inactive mucosal-type who underwent interlay type-1 tympanoplasty between July 2020 and March 2022.

Results
Out of 48 patients, in 23 patients, the fresh graft was used, while in the rest 25 patients, the dry graft was used. The overall (fresh + dry group) graft uptake rate at the end of three months was 97.9%. The graft uptake rate was 100% with the use of the fresh graft and 96% with the use of the dry graft. The pre-op average air-bone (AB) gap was 12.21 ± 4.23 dB in patients where the fresh graft was used and in patients where the dry graft was used. An overall pre-op average AB gap was 13.35 ± 3.81 dB. The average time for epithelialization was 24.43 ± 4.17 days with the use of the fresh graft and 49.75 ± 6.93 days with the use of the dry graft. It was also statistically significant with a P-value of 0.001.

Conclusions
The fresh graft in the interlay type-1 tympanoplasty shows higher graft uptake rates, reduced epithelialization time, and better hearing improvement compared to dry graft. However, different complication rates are similar with the use of both types of grafts.
Association of Limited Health Literacy With Frailty, Health-Related Quality of Life, and Health Care Utilization Among Older Adults With Cancer: The Cancer and Aging Resilience Evaluation Registry
Authors: Padamatinti Srihitha , Fowler Mackenzie E. , Stephenson Coryn , Dai Chen , Giri Smith , Outlaw Darryl , Hollis Robert , Williams Grant R. 
Published: November 2024

PURPOSE
Limited health literacy—ability to obtain, process, and understand health information—can hinder communication, access to medical treatment, and identification and management of comorbidities. Older adults have high rates of poor health literacy, but its role in aging-related outcomes among older adults with cancer is understudied.

METHODS
We included 876 older adults age 60 years and older with cancer from the Cancer and Aging Resilience Evaluation Registry completing self-reported geriatric assessment, including health literacy, at first visit to medical oncology. The exposure was limited health literacy. Outcomes were frailty, physical/mental health-related quality of life (HRQOL), and health care utilization. We used modified Poisson regression to examine the association of exposure on outcomes adjusting for age, race-ethnicity, sex, and cancer type/stage.

RESULTS

Median age at enrollment was 68; 57.8% were male; 20.2% were non-Hispanic Black. The most prevalent cancers were advanced-stage (46.8% stage IV) colorectal (26.9%) and pancreatic (19.0%). Those with limited health literacy were older (70
v
68 years;
P
< .001), male (63.0%
v
55.1%;
P =
.026), non-Hispanic Black (28.8%
v
16.1%;
P
< .001), ≤high school educated (62.3%
v
28.1%;
P
< .001), and retired/disabled (86.3%
v
71.2%;
P
< .001). In multivariable analysis, limited health literacy was associated with higher prevalence of frailty (prevalence ratio [PR], 2.64 [95% CI, 2.15 to 3.26]), impaired physical (PR, 1.90 [95% CI, 1.59 to 2.27]) and mental (PR, 2.08 [95% CI, 1.76 to 2.47]) HRQOL, and hospitalization in the last year (PR, 1.28 [95% CI, 1.10 to 1.48]) versus adequate health literacy.

CONCLUSION
Older adults with cancer and limited health literacy had higher adjusted prevalence of frailty, impaired physical and mental HRQOL, and recent hospitalization. Interventions to address limited health literacy should be explored in this vulnerable and growing cancer population.
Diagnostic Accuracy of Optic Nerve Sheath Diameter Measurement by Ultrasonography for Noninvasive Estimation of Intracranial Hypertension in Traumatic Brain Injury: A Systematic Review and Meta-Analysis
Authors: Uparela-Reyes Maria José , Ordoñez-Cure Sebastian , Moreno-Drada Johana , Villegas-Trujillo Lina María , Escobar-Vidarte Oscar Andrés 
Published: November 2024

BACKGROUND AND OBJECTIVES:
Intracranial hypertension (IH) is associated with an unfavorable outcome in traumatic brain injury (TBI), and management strategies guided by intracranial pressure monitoring improve prognosis. Owing to the limitations of using invasive devices, measurement of optic nerve sheath diameter (ONSD) by ultrasonography is an alternative noninvasive method. However, its accuracy has not been validated in patients with TBI, so we aim to determine the diagnostic accuracy of measuring ONSD by ultrasonography in patients with TBI to estimate IH, compared with invasive monitoring.

METHODS:
Systematic review of electronic databases and manual literature review from inception to June 2023. The analysis included diagnostic accuracy studies of ultrasonographic measurement of ONSD compared with invasive monitoring published in any language and with patients of any age. A qualitative synthesis was performed describing the clinical and methodological characteristics, strengths, limitations, and quality of evidence. In addition, a bivariate random effects model meta-analysis and a hierarchical summary receiver operating characteristics model were performed for the pediatric and adult population separately.

RESULTS:
Five hundred and forty eight patients of 688 in 16 eligible studies were adults and 120 were children. Pooled sensitivity and specificity of ONSD measurement by ultrasonography were 84% (95% CI, 76%-89%) and 83% (95% CI, 73%-90%), respectively. During the sensitivity analysis, these parameters exhibited consistent values. Pooled area under the curve was 0.91 for adults and 0.76 for children. Optimal threshold for estimating IH was 5.76 mm for adults and 5.78 mm for children.

CONCLUSION:
Measurement of ONSD by ultrasonography is a reliable, low-cost, and safe alternative for the estimation of IH with TBI in adults. More robust studies are needed to overcome the high risk of bias and heterogeneity for this analysis.
Subjective and objective effects of anxiety and fatigue on social function in patients with enterostomy and their family caregivers
Authors: Fan Ying , Song Meixuan , Xu Shicong , Tan Yuyue , Li Xianrong 
Published: November 2024

Background
Many patients with enterostomy and their family caregivers experience severe anxiety and fatigue, which affects their participation in normal social activities and family life, resulting in impaired social function. The purpose of this study was to understand the status of social function of patients with enterostomy and their family caregivers;at the same time to analyze the subjective and objective effects of anxiety and fatigue on their social functions.

Methods
The self-made general information questionnaire, WHO Social Disability rating Scale, Miao Yu’s Multidimensional Fatigue Scale-20 and Zung et al. ’s Self-rating Anxiety Scale were used to investigate the general situation, social function, fatigue and anxiety of enterostomy patients and their family caregivers who came to the hospital for treatment from March 28, 2023 to November 30, 2023. SPSS27.0 was used to complete the statistical analysis of the data, and AMOS26.0 was used to establish the structural equation model to complete the subject and object effect analysis.

Results
A total of 260 pairs of enterostomy patients and their family caregivers were included in this study. The social function scores of enterostomy patients and their family caregivers were (8.80±3.44) and (6.44±3.60). The anxiety scores were (37.81±7.60) and (34.73±7.50). The fatigue scores were (63.35±12.80) and (51.21±12.38).The results of the subject-object effect analysis reported the subject effect: the anxiety of patients with enterostomy had a significant positive impact on the degree of social dysfunction (β = 0.154, P = 0.015); The fatigue of patients with enterostomy had a significant positive effect on the degree of social dysfunction (β = 0.132, P = 0.034). The anxiety of family caregivers had a significant positive effect on the degree of social dysfunction (β = 0.161, P = 0.023). The fatigue of family caregivers had a significant positive effect on the degree of social dysfunction (β = 0.201, P = 0.005). In terms of object effects: only the fatigue of family caregivers had a significant positive impact on the degree of social dysfunction of enterostomy patients (β = 0.224, P < 0.001), and other ways had no object effects.

Conclusion
Patients with enterostomy and their family caregivers have serious social function defects. Clinical medical staff should take care of them as a whole in order to better return to family and society after surgery.
Variasi Ukuran Kerang Hijau (Perna viridis) Di Pesisir Tambak Lorok,Semarang
Authors: Hakim Ghani Hakim , Taufiq-Spj Nur , Redjeki Sri 
Published: November 2024

Kerang hijau (Perna viridis) merupakan salah satu kerang yang hidup di daerah estuari, teluk, dan daerah mangrove yang memiliki substrat pasir berlumpur dengan salinitas yang sedikit lebih rendah. Kerang hijau merupakan salah satu kerang yang mampu bertahan hidup dan berkembang biak pada tekanan ekologis yang tinggi tanpa gangguan dan tanpa persediaan pakan. Kerang hijau tersebar luas di wilayah perairan Indonesia dan spesiesnya melimpah di wilayah pesisir, mangrove, dan muara sungai. Kawasan Tambak Lorok Kecamatan Semarang Utara merupakan wilayah pesisir di wilayah Pantai Utara. Daerah tersebut memiliki sumberdaya hayati berupa kerang hijau (Perna viridis). Adanya perbedaan ukuran panjang, tebal cangkang, dan berat daging dipengaruhi oleh kondisi perairan dan waktu pemijahan. Tujuan dari penelitian ini adalah mengetahui variasi morfometri ukuran kerang hijau (Perna viridis). Metode yang digunakan pada penelitian ini menggunakan metode deskriptif eksploratif. Hasil perhitungan hubungan panjang dan berat kerang hijau (P.viridis) dari Sampel pertama dan kedua memiliki nilai konstanta b<3 yang berarti allometrik negatif yaitu pertumbuhan panjang lebih dominan daripada pertumbuhan berat. Hasil pengukuran menunjukkan ukuran panjang, tebal cangkang, dan berat daging P.viridis beragam pada setiap stasiun pengambilan sampel. Frekuensi kehadiran P.viridis dalam berbagai ukuran selama dua Sampel pada dua stasiun tersebut juga bervariasi,selalu ada perbedaan ukuran P.viridis yang di ambil dari perairan Tambak Lorok. Green mussel (Perna viridis) is one of the shellfish that live in estuaries, bays and mangrove areas which have muddy sand substrates with slightly lower salinity. Green mussel is one of the shellfish that are able to survive and reproduce under high ecological pressure without disturbance and without food supplies. Green mussel is widespread in Indonesian waters and the species is abundant in coastal areas, mangroves and river estuaries. The Tambak Lorok area, North Semarang District, is a coastal area in the North Coast region. This area has biological resources in the form of green mussel (Perna viridis). The differences in length, shell thickness and meat weight are influenced by water conditions and spawning time. The aim of this research is to determine the morphometric variations in size of green mussel (Perna viridis). The method used in this research uses an exploratory descriptive method. The results of calculating the relationship between length and weight of green mussel (P.viridis) from the first and second Sample have a constant value of b<3 which means negative allometric meaning that length growth is more dominant than weight growth. The measurement results showed that the length, shell thickness and meat weight of P.viridis varied at each sampling station. The frequency of presence of P. viridis in various sizes during the two Sample at the two stations also varied, there was always a difference in the size of P. viridis taken from Tambak Lorok waters.
Morfometri dan Hubungan Panjang Berat Kerang Batik (Paphia textile) dari TPI Kerang Bungo Kabupaten Demak Jawa Tengah
Authors: Prihindrasto Hafizh , Setyati Wilis Ari , Nuraini Ria Azizah Tri 
Published: November 2024

Kerang Batik (Paphia textile) merupakan komoditas yang berpotensi dalam pertumbuhan ekonomi dan penyedia nutrisi yang baik bagi masyarakat. TPI Kerang Bungo yang berada di Kabupaten Demak, merupakan salah satu penyedia kerang batik. Penelitian tentang morfometri dan hubungan panjang berat kerang batik masih sangat jarang ditemukan. Penelitian bertujuan untuk mengukur dan mengetahui kelas panjang, berat dan lebar serta mengetahui hubungan panjang berat kerang batik dari TPI Kerang Bungo. Metode yang digunakan adalah metode deskriptif kuantitatif. Sebanyak 257 individu sampel kerrang batik diambil secara random. Pengukuran panjang dan lebar cangkang menggunakan kaliper dengan ketelitian 0,01 mm dan penimbangan berat total dengan menggunakan timbangan digital dengan ketelitian 0,01 gr. Hasil penelitian menunjukkan bahwa panjang maksimal kerrang batik adalah 53,9 mm dan minimal 35,8 mm dengan rata-rata 49,85 mm. Berat maksimal yang didapatkan 14,61 gr. dan berat minimal 3,84 gram dengan rata-rata 9,21 gr. Lebar maksimal yang didapatkan 32,9 mm dan minimal 18,1 mm dengan rata-rata 28,2 mm. Hasil perhitungan kelas panjang, kelas berat dan kelas lebar pada Kerang Batik (Paphia textile) menghasilkan 9 kelas. Interval pada kelas panjang sebesar 2,02 mm, interval pada kelas berat sebesar 1,20 gr. dan interval pada kelas lebar sebesar 1,65 mm. Hubungan panjang berat Kerang Batik (Paphia textile) memiliki persamaan dengan nilai b sebesar 2,2725 sehingga pertumbuhan kerang batik bersifat alometri negatif. Carpet Clam (Paphia textile) is one of the potential commodities for economic growth and nutrition resources for community. Bungo Fish and Clam Auction Market in Demak Regency is one of supplier of carpet clam. Research about carpet clam morphometric is still rare to find. This research aims to measures and know about length, weight and wide also length-weight relation of carpet clam from Bungo Fish and Clam Auction Market. Descriptive quantitative method is used in this research and 257 individu of clam were sampled randomly. Length and wide measured by a calipher with 0,01 mm accuracy and weight measured by a scale with 0,01 gram accuracy. The result of research showed that the maximum length of the clam is 53,9 mm and minimum length is 35,8 mm with average of 49,85 mm. Maximum weight as resulted is 14,61 gram and minimum weight is 3,84 grams with average of 9,21 gram. Maximum wide as resulted is 32,9 mm and minimum is 18,1 mm with average of 28,2 mm. Class of length, weight and wide of Carpet Clam (Paphia textile) divided by 9 class. Length class interval is 2,02 mm, weight class interval is 1,20 gram and wide class interval is 1,65 mm. The length-weight relation of Carpet Clam (Paphia textile) has an equation by with b value is 2,275 with result that carpet clam growth is negative allometric.
Analisis Morfometrik Siput Lola (Rochia nilotica L.) di Pulau Enggano, Bengkulu dan Pulau Sumbawa, Nusa Tenggara Barat
Authors: Utami Risnita Tri , Nasir Muhhamad , Hardono Ichtineza Halida , Pardiansyah Dedi , Triandiza Teddy , Nurhabib Asro 
Published: November 2024

Lola snails (Rochia nilotica L.) are economical marine biota that can be found in tropical coral reef areas spread across the Indo-Pacific region including Indonesia. However, over the past few decades it has been overexploited. Therefore, the purpose of this study was to determine the growth patterns and condition factors of lola snails in Bengkulu and West Nusa Tenggara waters. Data were collected in July-August 2024 in Enggano Island, Bengkulu and Pasaran Island and Kaung Island, West Nusa Tenggara using purpossive sampling method. The total number of lola snails obtained was 103 individuals with a diameter of 63.85-113.9 mm; height 67.7-113.22 mm' and weight 102-496 g. The length-weight relationship in Enggano Island, Bengkulu with a value of W = 0.000147L3.1947, Pasaran Island, NTB is W = 0.10649L 2.2378, and Kaung Island (NTB) with a value of W = 0.002221L2.6166. The results of this study indicate that the growth pattern of lola snails on Enggano Island is a positive allometric model which means that weight growth is faster than height growth. While the growth pattern of lola snails on Pasaran Island and Kaung Island is a negative allometric model which means that height growth is faster than weight growth. The condition factor is 1.0048-1.0130, indicating that the Bengkulu and West Nusa Tenggara regions are still a suitable environment for the growth of lola snail.