bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the feasibility, acceptability, usability and safety of a digitally supported self-management intervention for uncontrolled asthma: A pre-post pilot study in secondary care
Authors: Zijp Anne , Versluis Anke , Joosse Laura , Kind Taco , Rouveroy van Nieuwaal Tess MJ , Wassink-Bergman Chantal , van Veen Ilonka HPAA , Weersink Els JM , Chavannes Niels H , Aardoom Jiska J 
Published: November 2024

Introduction Asthma control is often suboptimal, which is associated with incorrect medication use and poor asthma management by patients. Astmakompas, a digital self-management intervention, comprises a mobile app for patients, a web portal for healthcare professionals (HCP), and a wireless spirometer. Together, these components are intended to facilitate symptom monitoring, patient-HCP communication and assist in asthma-related self-management. Objective The pilot study primarily aims to assess the feasibility, acceptability, usability and safety of Astmakompas from patient and HCP perspectives, and secondarily to explore potential effects on asthma control, medication use, Quality of Life, self-efficacy and (in)direct costs. Methods A mixed-method, multi-center, pre-post study design was conducted in two Dutch hospitals, involving patients with uncontrolled asthma and four HCPs. Primary outcomes were assessed post-intervention using questionnaires and in-depth interviews. Secondary outcomes were assessed at baseline and post-intervention using questionnaires, and post-intervention using in-depth interviews. Results In general, the data show that Astmakompas was considered feasible, acceptable, usable and safe by both patients ( n = 14) and HCPs ( n = 4). Furthermore, qualitative data of 11 patients and all HCPs showed the importance of guidance from HCPs and tailoring of Astmakompas to care needs. Astmakompas helped patients recognise symptoms and provided valuable insights into asthma control while being easy to use. Asthma control improved from baseline ( M = 2.1, SD = 1.3) to post-intervention ( M = 1.3, SD = 1.0, t(13) = 2.61; p = .02). Conclusion Astmakompas shows promise for further implementation and research. Future randomized studies with longer evaluation periods are crucial to assess the tool's impact on asthma outcomes and workload. It is important that HCPs guide and tailor interventions to meet the patient's individual needs and circumstances.
Validation of the Short Form Shoulder Instability Return to Sport After Injury (SIRSI-5) and Its Association With Return to Sports
Authors: Magni Nico , Webster Kate , Olds Margie 
Published: November 2024

Background: Psychosocial readiness is thought to be important in establishing whether athletes are ready to return to sports (RTS). The 5-item Shoulder Instability–Return to Sport After Injury (SIRSI-5) is a short-form version of the 12-item questionnaire (SIRSI-12), which was validated in a postoperative Argentinian population and associated with psychological readiness to RTS. It is unknown if the SIRSI-5 is valid in surgical and nonsurgical populations in other geographic locations. Purpose: To establish whether the SIRSI-5 is valid in another population and if it is associated with RTS. Study Design: Cross-sectional study (diagnosis); Level of evidence, 3. Methods: A total of 79 participants with anterior shoulder instability managed operatively and nonoperatively were included. The SIRSI-5 and SIRSI-12 total scores were calculated. Intraclass correlation coefficients (ICCs) and Pearson correlations assessed convergent validity between SIRSI-5 and SIRSI-12. Logistic regression was used to assess the discrimination ability (leave-one-out cross-validation [LOOCV]) of a preexisting SIRSI-5 cut point score (≥59/100) to determine participants who had returned to their preinjury level of sport. In addition, the discrimination ability (LOOCV) of multivariable machine learning models including age, sex, time since injury (months), SIRSI-5 (continuous score), surgery, and contact/noncontact sport to predict return to preinjury level sport was also assessed. The Youden index was calculated to assess the models’ performance. Results: Of the 79 participants, 62 (78.5%) were male and 27 (34%) had been treated surgically. Only 32% (n = 25) of participants had returned to preinjury level sport. The SIRSI-5 and SIRSI-12 were highly correlated ( r > 0.9) with high levels of agreement (ICC, 0.90; 95% CI, 0.76-0.95). The prediction accuracy of the SIRSI-5 cut point score model was 66% (Youden index, 0; sensitivity, 4%; specificity, 94%). The best prediction accuracy obtained through a machine learning model (multilayer perceptron) was 72% (Youden index, 0.4; sensitivity, 64%; specificity, 76%). Conclusion: The SIRSI-5 has excellent convergent validity with the SIRSI-12 to measure psychological readiness to RTS and can be used clinically with less patient burden than the SIRSI-12. However, in a population of surgically and nonsurgically treated contact athletes, the SIRSI-5 with a cut point of ≥59/100 had low levels of prediction accuracy for RTS at preinjury level. The SIRSI-5 should not be utilized in isolation to determine readiness to RTS, and clinicians should consider other factors such as age, type of sport, and time since injury to underpin their clinical reasoning when deciding for RTS.
Relationship Between Stride Mechanics and Shoulder Distraction Force in Collegiate Softball Pitchers
Authors: Oliver Gretchen D. , Yanagita Yuki , Bordelon Nicole M. 
Published: November 2024

Background: Softball pitchers experience high shoulder distraction forces, and increased stride lengths are associated with upper extremity pain. Therefore, it is important to consider the influence of stride mechanics on shoulder distraction force in softball pitchers. Purpose: To determine the relationship between stride mechanics and shoulder distraction force in collegiate softball pitchers. Study Design: Descriptive laboratory study. Methods: A total of 63 collegiate softball pitchers (age, 20.1 ± 1.3 years; height, 173.3 ± 7.4 cm; weight, 79.7 ± 11.7 kg) were included in this study. Each pitcher threw 3 maximum-effort fastballs for a strike, and kinematic data were collected using an electromagnetic tracking system with a sampling frequency of 100 Hz. A forward regression analysis was used to determine the relationship between stride parameters at foot contact (stride length, stride-foot progression angle, and stride-foot position) and shoulder distraction force. Results: Regression analysis revealed a significant and positive relationship between stride length and shoulder distraction force ( R2 = 0.11; F(1, 61) = 7.338; P = .009), where stride length accounted for 11% of the variation in shoulder distraction force. Specifically, shoulder distraction force increased by 0.94 N/kg for every 10% increase in stride length normalized as a percentage of body height. Conclusion: A positive relationship was found between stride length and peak shoulder distraction force during the acceleration phase of the softball pitch. Alternatively, no relationship was found between the other stride parameters (stride position and stride-foot progression angle) and shoulder distraction force. Clinical Relevance: Coaches should be aware of the potential negative implications of increasing stride length during softball pitching. Although prior research has shown that greater stride length may positively affect performance, this may also increase stress at the shoulder.
Response to commentaries by Schmidt and Kaplan, Penhune, Hickok and Theofanopoulou on “Beat-based dancing to music has evolutionary foundations in advanced vocal learning.”
Authors: Patel Aniruddh D. 
Published: November 2024

AbstractEach commentary on my article raises important points and new ideas for research on rhythmic processing in humans and other species. Here I respond to points concerning the role of social factors in the ontogeny of beat synchronization, the neural connectivity underlying beat synchronization, the evolution of this connectivity, and the mechanisms by which evolutionary changes in the strength of one white matter tract (driven by natural selection) can have knock-on effects on the structure of an adjacent tract.
Exploring chest wall deformities in childhood and adolescence: insights from a case-control study
Authors: Kılıç Fedli Emre , Küçükkelepçe Osman , Varan Celal , Tanrıverdi Hüseyin , Bakırhan Furkan 
Published: November 2024

Abstract
Background
Chest wall deformities, though relatively uncommon in childhood and adolescence, significantly affect aesthetic perception and can impact cardiac and respiratory function. This study aims to compare individuals with pectus deformities to a healthy control group, shedding light on the condition’s etiology and prognosis.

Method
Conducted as a case-control study between 2020 and 2022, the research included a case group of 71 patients with pectus excavatum or pectus carinatum who were followed up at the Pediatric Cardiology outpatient clinic. The control group consisted of 80 children without chronic diseases. Researchers retrospectively reviewed patient files, recording demographic data, echocardiography findings, and serum levels of calcium, phosphate, vitamin D, and alkaline phosphatase.

Results
Patients with chest wall deformities exhibited significantly lower serum levels of vitamin D, calcium, and phosphorus compared to those without deformities. Males constituted 77% of the case group, with 15.5% exhibiting abnormal echocardiogram results, with mitral valve anomalies being most prevalent.

Conclusion
While pectus deformities may lead to cardiac or respiratory issues, patient concerns often center around aesthetics. Unlike typical studies focused on surgical techniques and postoperative patients, our study focused on all diagnosed patients. Findings emphasize the importance of monitoring calcium, phosphorus, and vitamin D levels in pectus patients to manage surgical risks and facilitate recovery.
Longitudinal policy surveillance of state obesity legislation in California, 1999–2020
Authors: Payán Denise D. , Chan-Golston Alec M. , Garibay Kesia K. , Farias Corbin 
Published: November 2024

Abstract
Background
Obesity rates among children and adults continue to accelerate in the U.S., particularly among marginalized and low-income populations. Obesity prevention and reduction policies can significantly impact population health by improving environmental conditions and increasing access to health-promoting resources. Limited research has been conducted to examine state obesity policy change over time. The primary aim of this study is to examine legislative approaches used to prevent and reduce obesity in the state of California (U.S.).

Methods
We used quantitative policy surveillance methods to develop a state database of obesity-related legislation (bills, resolutions) introduced in California’s legislature between 1999 and 2020. Descriptive statistics were used to examine trends of introduced and enacted policy by legislative and policy characteristics. Chi-square tests were used to determine differences in characteristics between enacted and non-enacted legislation. Legislative session and policy characteristics found to be associated with enactment were used to predict adoption in a logistic regression.

Results
A total of 284 obesity-related bills and resolutions were introduced in California’s legislature between 1999 and 2020 with a peak of 43 in 2005–2006. On average, 25.8 bills and resolutions were introduced each 2-year legislative cycle. Findings indicate that (a) children and schools were the most frequently specified population and setting; (b) the most common policy topics were nutrition (45%) and physical activity (33%); and (c) only 15% of legislation mentioned race/ethnicity. Overall, 24.9% of bills were enacted compared to 82.1% of resolutions adopted. Legislation to raise awareness about obesity had 5.4 times the odds of being passed compared to other topics. Yet this difference was not statistically significant in a sensitivity analysis when we excluded resolutions.

Conclusions
This database can be leveraged to advance our knowledge of effective and equitable policy instruments to prevent and reduce obesity. Results reveal important policy elements that may impact legislative success, including policy topic, and contribute to a nascent evidence base for public health law research, legal epidemiology, and practice. Future work should investigate the role of policy effectiveness research and evidence on legislative policymaking.
Understanding of Health literacy among Healthcare students in Saudi Arabia: a cross-sectional study
Authors: Alqahtani Naji , Bashatah Adel , Asiri Saeed , Syed Wajid , Basil A. Al-Rawi Mahmood 
Published: November 2024

Abstract
Background and objective
Health literacy is the cognitive and social abilities that influence a person’s motivation and capacity to learn, comprehend, and use information to improve and maintain good health. We aimed to investigate Healthcare Students’ knowledge, attitudes, and practices regarding Health Literacy in the Riyadh Province of Saudi Arabia.

Methods
This study used prevalidated electronic questionnaires among healthcare undergraduates from colleges affiliated with Saudi University in Riyadh, Saudi Arabia, from December to April 2024. Healthcare students were asked to answer a self-designed online questionnaire sent to them through social media platforms.

Results
The response rate was 560 out of 600 (93.3%); 293 of the 560 students (52.3%) were aged between 23 and 24 years (mean age was 21.29 SD = 1.852). The mean GPA among the students was 4.31(± 0.682). The average overall score for health literacy among healthcare students was 100.92 ± 11.80. The mean scores for knowledge were 24.17 ± 4.67, attitudes were 38.65 ± 4.20, and practice in health literacy was 38.09 ± 5.09. Among all healthcare students, 50.2% reported good knowledge, 54.1% had good attitudes, and 50.1% exhibited good practices in health literacy. However, students’ knowledge (p = 0.019) and training (p = 0.024) in health literacy were significantly associated with smoking cigarettes. Additionally, smoking shisha was significantly associated with students’ knowledge (p = 0.022), attitudes (p = 0.001), and practices (p = 0.001) in health literacy.

Conclusion
Our study highlights that half of the healthcare students reported limited knowledge, attitude, and practice in health literacy. Age, gender, and course of study did not show significant differences. Rather, students who did not smoke cigarettes or shisha were found to have higher knowledge, attitudes, and practice in health literacy compared to smokers. However, to improve health literacy, additional education and increased awareness are needed. Further investigation is warranted to address the factors related to poor health literacy.
Retention of nickel, cobalt and chromium in skin at conditions mimicking intense hand hygiene practices using water, soap, and hand-disinfectant in vitro
Authors: Vilela Libe , Schenk Linda , Julander Anneli , Midander Klara 
Published: November 2024

Abstract
Background
During the COVID-19 pandemic, increased hand hygiene practices using water, soap and hand disinfectants, became prevalent, particularly among frontline workers. This study investigates the impact of these practices on the skin’s ability to retain the allergenic metals nickel, cobalt, and chromium. The study constitutes three parts: (I) creating an impaired skin barrier, (II) exposing treated and untreated skin to nickel alone, and (III) in co-exposure with cobalt and chromium.

Methods
Using full-thickness skin from stillborn piglets, in vitro experiments were conducted to assess retention of metals in skin at conditions mimicking intense hand hygiene practices. Treatment of skin with varying concentrations of sodium lauryl sulphate (SLS), to impair its barrier integrity was assessed. This was followed by exposure of treated and untreated skin to the metals, that were dissolved in Milli-Q water, 0.5% SLS, and ethanol respectively.

Results
Results showed that pre-treatment with 5% SLS impaired the skin barrier with regards to the measure of trans epidermal water loss (TEWL). Metal amounts retained in the skin were generally higher in treated than untreated skin. The highest amounts of metal retained in skin were observed for exposure to nickel in ethanol. Co-exposure to nickel, cobalt, and chromium in 0.5% SLS resulted in the highest amounts of total metal retention.

Conclusions
The in vitro findings highlight the increased risk of metal retention in skin due to an impaired barrier. The SLS concentration used in the current study corresponds to those used in many hand hygiene products. Hence, occupational settings with frequent exposure to water, soap and disinfectants need to consider protective measures not only for the irritant exposures themselves but also simultaneous exposure to allergenic metals.
Pain, quality of life, and integral management in a cohort of patients diagnosed with hypophosphatasia in Colombia
Authors: Rojas Martínez Jorge Armando , Zarante Bahamón Ana María , Salazar Luz Victoria , Morales Andrés Felipe , Higuera Cristancho María Fernanda , Villanueva Congote Juliana , Zarante Montoya Ignacio , Gómez Espitia Lina María 
Published: November 2024

Abstract
Background
Hypophosphatasia (HPP; OMIM 241510, 241500, and 146300) is a progressive metabolic, genetic disease with wide clinical heterogeneity, ranging from perinatal lethality to mild or moderate localized symptoms. This study aims to analyze the perception of pain, quality of life, and access barriers to healthcare among patients diagnosed with hypophosphatasia in Colombia. In this document we present pain and quality of life results.

Methods
This study is an observational cohort of 18 HPP patients registered in the Colombian Association of Patients with Lysosomal Storage Diseases and Other Orphan Diseases (ACOPEL) database. We conducted a descriptive analysis using data from three questionnaires (SF-36, Brief Pain Questionnaire (BPQ), and Hypophosphatasia Impact Patient Survey (HIPS); the latter was translated into Spanish and validated for this study.

Results
The most affected features, according to the SF-36 questionnaire, were overall health, vitality, and pain, with a median score above 67%. Patients' perception of their health status (HIPS questionnaire) was favorable, with 38.9% of cases reporting excellent health. On average, results from the BPQ indicated mild to moderate intensity of current pain experienced by patients. Consistency was observed in the reports of either the absence of pain or the presence of mild to moderate intensity when analyzing the results of the three questionnaires.

Conclusions
Colombian patients with HPP experience mild to moderate impairment in quality of life and pain that interfere with their daily activities. However, there is wide variability in the results obtained.
An innovative approach to post-occupancy evaluation of architectural heritages in the Peking-Mukden railway
Authors: Liu Fuying , Lu Zuliang , Qiang Wei 
Published: November 2024

Abstract
The architectural heritages of the Peking-Mukden Railway has witnessed the industrialization of China. When it no longer serves its original function, finding a new way for reuse becomes a trend. It requires feedback from reused cases to guide decision-making. This article aims to propose an approach to post-occupancy evaluation of architectural heritages in the Peking-Mukden Railway and apply it to real cases for analysis. The evaluation indicator system used here consists of a hierarchical structure, evaluation indicators, and interpretation indicators. Cosine similarity, entropy weight method, and precedence chart method are utilized to determine final weights. The GRA-TOPSIS method is utilized to identify reuse cases that require additional optimization. The conclusions are as follows: 1. The cosine similarity can be introduced to neutralize individual preferences. The entropy weight method can be used to neutralize subjective factors. 2. Based on the analysis of the sensitivity levels, indicators that need to be improved first can be identified. Priority should be given to spatial accessibility and cultural transmission when making adjustments with limited resources. 3. The GRA-TOPSIS evaluation method can be used to rank and find reuse cases that need further optimization.
Proposal for a socially constitutive process of personal recovery in psychiatry
Authors: Muramatsu Hideki 
Published: November 2024

SUMMARY
This article discusses the importance of personal recovery in psychiatry and proposes a new socially constitutive process. The author, an expert by experience, emphasises that recovery is not only an individual endeavour but also an intersubjective one. Moreover, social relationships and external factors such as community, family, health service culture and social norms influence the recovery process. The socially constitutive process posits that support from professionals and family members is crucial, significantly reducing the burden of responsibility carried by individuals with mental illness.
“In Absolute Control of My Own Grading Destiny”
Authors: O'Meara Katherine Daily 
Published: November 2024

Abstract
This article focuses on student perceptions of their experiences in an ungraded classroom that uses engagement-based grading contracts (EBGCs). The assessment ecology is described in detail, and then the author shares student reflections on their experiences with EBGCs, which were collected in the form of an end-of-semester memo assignment. Comprehensively, students find EBGC use to be a positive and worthwhile assessment experience. While there is a learning curve involved, students appreciate the real-life approach to both labor and engagement on writing tasks, the amount of agency and choice built into the contract, and the ecology's incorporation of extensive written feedback in lieu of scores or points. Another key takeaway is its positive impact on student affect — especially in instances of students self-disclosing diagnoses of anxiety. Student-reported challenges to EBGC use are also discussed, including their own wrestling with ideas about past experiences with traditional grading, personal levels of motivation, and accountability. Overall, an engagement-based grading contract approach appears to be a pleasurable and accessible assessment option for teachers looking to pursue an ungraded approach in their writing classrooms.