bluuebunny/crossref_metadata_2025_split huggingface dataset:
Antimicrobial Resistance of Environmental V. cholerae Non-O1/O139 Isolates: Systematic Review and Meta-analysis
Authors: Altafi Mana , Beig Masoumeh , Sami Fatima Moayad , Maleki Abbas , Kaviar Vahab Hassan , Shahryari Ali , Khadivar Parand , Sholeh Mohammad 
Published: October 2024

Background:
The understanding of the antibiotic resistance status of environmental nonO1/nonO139 V. cholerae [NOVC] in relation to other illnesses, which can vary in severity from mild to life-threatening, is limited. However, it is important to note that NOVC-related infections are increasing and serve as a significant illustration of emerging human diseases associated with climate change. The primary objective of the present study was to assess the rates of resistance observed in environmental NOVC isolates across various years, and regions, and their resistance rates.

Methods:
We performed a systematic search of Scopus, PubMed, Web of Science, and EMBASE databases [until May 2024] following PRISMA guidelines. All statistical analyses were carried out using the statistical package R.

Results:
Our analysis included a total of 34 studies. According to the meta-regression, chlo-ramphenicol, rifampicin, ciprofloxacin, nalidixic acid, cotrimoxazole, kanamycin, trime-thoprim, amoxicillin/clavulanic acid, and tetracycline resistance rate increased over time. The lowest resistance rates were observed in Austria [amoxicillin; 0.6%], the United States [kana-mycin; 0.1% and tetracycline; 0.1%], Morocco [polymyxin B; 12%], and Spain [trimethoprim; 0.3%]. Conversely, the highest resistance rates were found in Spain [amoxicillin; 61%], Indo-nesia [kanamycin and tetracycline; 94.9%], India [polymyxin B; 97.8%], and Morocco [trime-thoprim; 48.9%].

Conclusion:
The meta-analysis showed significant variability in antibiotic resistance patterns among environmental NOVC isolates across time and regions, emphasizing the need for tar-geted, time-specific, and country-specific approaches to address antibiotic resistance globally.
Association between Internet Game Addiction and Social Anxiety Symptoms among Adolescents in the Kingdom of Saudi Arabia
Authors: Alhujaili Naseem Abdulmohi , Alsubaie Basel , Alzahrani Saleh , Aljahdali Faisal , Alghamdi Waleed Ahmed , Almatrafi Maher Mohammed , Alghamdi Abdulaziz Abdullah 
Published: October 2024

Background:
Internet Gaming Addiction (IGA) can have a significant
impact on the characteristics of individual gamers and may even be a contributing
factor to the development of social anxiety symptoms. This study of adolescent
Saudi Arabian Internet gamers examined the influences of Internet gaming time
and probable Internet Gaming Disorders (IGDs). It investigated the association
between Internet game addiction and social anxiety symptoms among them.

Methodology:
The cross-sectional survey was conducted from March to June of
2023 among adolescents in the Saudi population. Probable IGD was measured by
using the DSM-5 checklist, and the Arabic version of the Social Phobia Inventory
(SPIN) was used to evaluate social phobia or anxiety.

Result:
A total of 764 participants enrolled in the current study, 52% of whom
were females, and 48% were males. 42% belonged to the age group 17-18, and
38% were 15-16. 44.8% of participants have a gaming addiction. There was a
significant association between social phobia and gaming addiction (p-value
≤0.05). There was a significant association of social phobia with age and gender
(p-value≤0.05).

Conclusion:
The findings imply a significant correlation between IGA and
psychological concerns, particularly among male adolescents. Excessive internet
gaming use leads to higher levels of social anxiety.
Evaluation of the Effect of Vaccination Status on Lung Involvement and Hospitalization in COVID-19 Patients
Authors: Akin Ali , Safi Yılmaz , Bektaş Nilay Elif , Demir Hüseyin Avni 
Published: October 2024

Background:
The spectrum of COVID-19 in adults ranges from asymptomatic infection
to mild respiratory tract symptoms to severe pneumonia with acute respiratory distress syndrome
(ARDS) and multiorgan dysfunction. In our study, it was aimed to investigate the effects of COVID-
19 vaccine on lung involvement and hospitalization.

Materials and Methods:
Cases over the age of 18, who had a history of contact with cases infected
with COVID-19 or had clinical findings suggestive of COVID-19, who applied to the emergency
department and who were diagnosed with COVID-19 by reverse-transcriptase-polymerase chain
reaction (RT-PCR) were included in the study. Age, gender, comorbid diseases, hospitalization status,
thorax tomography findings, and vaccination status in the last 3 months of the patients included
in the study were obtained by examining the hospital information system and patient files.

Results:
Our study included 496 patients. One hundred eighty-three of the cases were vaccinated and
42.6% (n = 78) of the vaccinated patients were male. Of the 313 unvaccinated patients, 36% (n =
113) were male. Comorbid disease was observed in 55.2% (n = 101) of the vaccinated patients and
38.7% (n = 121) of the unvaccinated patients. Of the 313 unvaccinated patients, 72.2% (n = 226)
were discharged from the emergency department, 19.8% (n = 62) were admitted to the service, and
8% (n = 25) were admitted to the intensive care unit. Of the 183 vaccinated patients, 78.1% (n = 143)
were discharged from the emergency department, 16.4% (n = 30) were admitted to the service, and
5.5% (n = 10) were admitted to the intensive care unit. In the vaccinated patient group, both the service
admission rate and the intensive care hospitalization rate were found to be significantly lower
than the non-vaccinated patient group (p < 0.05). Thoracic tomography findings of 32.9% (n = 103)
of 313 unvaccinated patients were reported as CORADS 1-2-3, and thoracic tomography of the remaining
210 patients was reported as CORADS 4-5. The number of patients whose thorax tomography
report was CORADS 4-5 was found to be significantly higher in the unvaccinated group than in
the vaccinated group (p < 0.05).

Conclusion:
In our study, it was found that vaccination significantly reduced hospitalization in
COVID-19 patients. Although the mean age was higher in the vaccinated patient group, both the
service admission rate and the intensive care admission rate were found to be lower.
Uncovering the Top Nonadvertising Weight Loss Websites on Google: A Data-Mining Approach
Authors: Almenara Carlos A , Gulec Hayriye 
Published: October 2024

Background
Online weight loss information is commonly sought by internet users, and it may impact their health decisions and behaviors. Previous studies examined a limited number of Google search queries and relied on manual approaches to retrieve online weight loss websites.

Objective
This study aimed to identify and describe the characteristics of the top weight loss websites on Google.

Methods
This study gathered 432 Google search queries collected from Google autocomplete suggestions, “People Also Ask” featured questions, and Google Trends data. A data-mining software tool was developed to retrieve the search results automatically, setting English and the United States as the default criteria for language and location, respectively. Domain classification and evaluation technologies were used to categorize the websites according to their content and determine their risk of cyberattack. In addition, the top 5 most frequent websites in nonadvertising (ie, nonsponsored) search results were inspected for quality.

Results
The results revealed that the top 5 nonadvertising websites were healthline.com, webmd.com, verywellfit.com, mayoclinic.org, and womenshealthmag.com. All provided accuracy statements and author credentials. The domain categorization taxonomy yielded a total of 101 unique categories. After grouping the websites that appeared less than 5 times, the most frequent categories involved “Health” (104/623, 16.69%), “Personal Pages and Blogs” (91/623, 14.61%), “Nutrition and Diet” (48/623, 7.7%), and “Exercise” (34/623, 5.46%). The risk of being a victim of a cyberattack was low.

Conclusions
The findings suggested that while quality information is accessible, users may still encounter less reliable content among various online resources. Therefore, better tools and methods are needed to guide users toward trustworthy weight loss information.
Reliability and Accuracy of the Fitbit Charge 4 Photoplethysmography Heart Rate Sensor in Ecological Conditions: Validation Study
Authors: Ceugniez Maxime , Devanne Hervé , Hermand Eric 
Published: October 2024

Abstract

Background
Wrist-worn photoplethysmography (PPG) sensors allow for continuous heart rate (HR) measurement without the inconveniences of wearing a chest belt. Although green light PPG technology reduces HR measurement motion artifacts, only a limited number of studies have investigated the reliability and accuracy of wearables in non–laboratory-controlled conditions with actual specific and various physical activity movements.

Objective
The purpose of this study was to (1) assess the reliability and accuracy of the PPG-based HR sensor of the Fitbit Charge 4 (FC4) in ecological conditions and (2) quantify the potential variability caused by the nature of activities.

Methods
We collected HR data from participants who performed badminton, tennis, orienteering running, running, cycling, and soccer while simultaneously wearing the FC4 and the Polar H10 chest belt (criterion sensor). Skin tone was assessed with the Fitzpatrick Skin Scale. Once data from the FC4 and criterion data were synchronized, accuracy and reliability analyses were performed, using intraclass correlation coefficients (ICCs), Lin concordance correlation coefficients (CCCs), mean absolute percentage errors (MAPEs), and Bland-Altman tests. A linear univariate model was also used to evaluate the effect of skin tone on bias. All analyses were stratified by activity and pooled activity types (racket sports and running sports).

Results
A total of 77.5 hours of HR recordings from 26 participants (age: mean 21.1, SD 5.8 years) were analyzed. The highest reliability was found for running sports, with ICCs and CCCs of 0.90 and 0.99 for running and 0.80 and 0.93 for orienteering running, respectively, whereas the ICCs and CCCs were 0.37 and 0.78, 0.42 and 0.88, 0.65 and 0.97, and 0.49 and 0.81 for badminton, tennis, cycling, and soccer, respectively. We found the highest accuracy for running (bias: 0.1 beats per minute [bpm]; MAPE 1.2%, SD 4.6%) and the lowest for badminton (bias: −16.5 bpm; MAPE 16.2%, SD 14.4%) and soccer (bias: −16.5 bpm; MAPE 17.5%, SD 20.8%). Limit of agreement (LOA) width and artifact rate followed the same trend. No effect of skin tone was observed on bias.

Conclusions
LOA width, bias, and MAPE results found for racket sports and soccer suggest a high sensitivity to motion artifacts for activities that involve “sharp” and random arm movements. In this study, we did not measure arm motion, which limits our results. However, whereas individuals might benefit from using the FC4 for casual training in aerobic sports, we cannot recommend the use of the FC4 for specific purposes requiring high reliability and accuracy, such as research purposes.
Capabilities for Using Telemonitoring in Physiotherapy Treatment: Exploratory Qualitative Study
Authors: van Westerhuis Charlotte , Sanders Astrid F , Aarden Jesse J , Major Mel E , de Leeuwerk Marijke E , Florisson Nadine , Wijbenga Miriam H , van der Schaaf Marike , van der Leeden Marike , van Egmond Maarten A 
Published: October 2024

Abstract

Background
Telemonitoring (TM), as part of telehealth, allows physiotherapists to monitor and coach their patients using remotely collected data. The use of TM requires a different approach compared with face-to-face treatment. Although a telehealth capability framework exists for health care professionals, it remains unclear what specific capabilities are required to use TM during physiotherapy treatments.

Objective
This study aims to identify the capabilities required to use TM in physiotherapy treatment.

Methods
An exploratory qualitative study was conducted following a constructivist semistructured grounded theory approach. Three heterogeneous focus groups were conducted with 15 lecturers of the School of Physiotherapy (Bachelor of Science Physiotherapy program) from the Amsterdam University of Applied Sciences. Focus group discussions were audiotaped and transcribed verbatim. Capabilities for using TM in physiotherapy treatment were identified during an iterative process of data collection and analysis, based on an existing framework with 4 different domains. Team discussions supported further conceptualization of the findings.

Results
Sixteen capabilities for the use of TM in physiotherapy treatment were found addressing 3 different domains. Four capabilities were identified in the “digital health technologies, systems, and policies” domain, 7 capabilities in the “clinical practice and application” domain, and 5 capabilities in the “data analysis and knowledge creation” domain. No capabilities were identified in the “system and technology implementation” domain.

Conclusions
The use of TM in physiotherapy treatment requires specific skills from physiotherapists. To best use TM in physiotherapy treatment, it is important to integrate these capabilities into the education of current and future physiotherapists.
Oncology Clinicians' Perspectives of a Remote Patient Monitoring Program: Multi-Modal Case Study Approach
Authors: Mazzella-Ebstein Ann Marie , Daly Robert , Huang Jennie , Bernal Camila , Wilhelm Clare , Panageas Katherine S , Holland Jessie , Salvaggio Rori , Ackerman Jill , Cracchiolo Jennifer , Kuperman Gilad , Mao Jun , Begue Aaron , Barton-Burke Margaret 
Published: October 2024

Abstract

Background
Remote patient monitoring (RPM) aims to improve patient access to care and communication with clinical providers. Overall, understanding the usability of RPM applications and their influence on clinical care workflows is limited from the perspectives of clinician end users at a cancer center in the Northeastern United States.

Objective
This study aims to explore the usability and functionality of RPM and elicit the perceptions and experiences of oncology clinicians using RPM for oncology patients after hospital discharge.

Methods
The sample included 30 of 98 clinicians (31% response rate) managing at least 5 patients in the RPM program and responding to the mHealth usability between March 2021 and October 2021. Overall, clinicians responded positively to the survey. Item responses with the highest proportion of disagreement were explored further. A nested sample of 5 clinicians who responded to the study survey (30% response rate) participated in interview sessions conducted from November 2021 to February 2022, averaging 60 minutes each.

Results
Survey responses highlighted that RPM was easy to use and learn and verified symptom alerts during follow-up phone calls. Areas to improve identified practice changes from reporting RPM alerts through digital portals and its influence on clinicians’ workload burden. Interview sessions revealed 3 main themes: clinician understanding and usability constraints, patient constraints, and suggestions for improving the program. Subthemes for each theme were explored, characterizing technical and functional limitations that could be addressed to enhance efficiency, workflow, and user experience.

Conclusions
Clinicians support the value of RPM for improving symptom management and engaging with providers. Improvements to address RPM challenges include functional changes to enhance the program’s utility, such as input from patients about temporal changes in their symptoms and technical resources for home monitoring devices.
SIGNIFICADO DO DINHEIRO PARA ESTUDANTES: UMA PESQUISA BIBLIOGRÁFICA
Authors: Vieira da Rosa Vitória , Munz Fernandes Alice 
Published: October 2024

O dinheiro desempenha um papel fundamental na vida das pessoas, pois permite adquirir de itens que atendem a necessidades básicas até bens que proporcionam felicidade e prazer. Nesse sentido, o estudo realizado teve como objetivo analisar o significado do dinheiro para estudantes, uma vez que representações sociais evidenciam que o ato de estudar tende a estar relacionado com o objetivo financeiro de ganhar dinheiro. Para tanto, desenvolveu-se uma pesquisa qualitativa e exploratória realizada de maneira bibiográfica. Para a seleção do material de investigação consideraram-se estudos que aplicaram a Escala de Significado do Dinheiro (ESD) proposta por Moreira e Tamayo junto à estudantes brasileiros. Desse modo, obteve-se um portfólio composto por cinco documentos, cujos resultados demonstraram destaque para a dimensão de significado do dinheiro associada à “estabilidade”. Constatou-se também, que estudantes do gênero feminino são mais propensas a associar dinheiro à aspectos desfavoráveis. Além disso, observou-se que discentes de cursos que integram a área gerencial apresentam menor predisposição a perceber o dinheiro como uma maneira de proporcionar bem-estar coletivo, em comparação com estudantes do curso de Teologia. As contribuições do estudo realizado respaldam-se em proporcionar um compilado de informações relacionadas ao significado atribuído ao dinheiro pelos estudantes, o que oportuniza insights para pesquisas futuras.
Growth Activity of Apple Trees Depending on the Method and Timing of Crown Pruning
Authors: Chaploutskyi Andrii , Butsyk Roman , Chepurnyi Valery , Kucher Inna , Chetskyi Bohdan , Zabolotnyi Oleksandr 
Published: October 2024

Abstract
The apple tree is one of the most widespread fruit crops in the world. As the area of plantings increases and horticulture transitions to intensive technologies, the demand for skilled workers increases. The introduction of mechanization processes can solve this problem at all stages of fruit production. The aim of this study was to investigate the effect of contour pruning and its modification at different times on the growth of ‘Jonaweld’ apple trees grafted onto the dwarf rootstock M.9 T337. As a result of contour pruning, the trunk diameter increased by 61% and the number of shoots by 40%. Contour pruning with manual refinement produced intermediate results between manual and contour pruning. Furthermore, contour pruning produced the shortest shoots, only 22 cm, compared to 29 cm with manual pruning. There was also a general tendency to limit the growth activity of trees due to postponing pruning. The growth of trunk diameter slowed by 25%, the number of shoots decreased by 8%, and their length decreased by 20%. Specific productivity was highest when contouring with postharvest refinement and pruning.
Österreichs Industrie im Wandel: Wettbewerbsfähigkeit und Wertschöpfung unter Druck
Authors: Hundstorfer Anna 
Published: October 2024

Abstract
Austria's industry is under great pressure. Global competition has intensified in recent years, along with international trade conflicts and tensions between the major economic blocs. At the same time, industrial value creation in Austria is suffering from high labor and energy costs as well as increasing bureaucracy and tighter regulatory requirements. In January 2024, Deloitte conducted a survey among more than 500 WKO member companies from all trade associations in the industrial sector to identify the most important challenges facing Austria's industry.
Effects of The Cistern Program on Environmental Recovery and Desertification Mitigation in The Semi-Arid Region of Paraíba
Authors: Fernandes Amanda Cristiane Gonçalves , Candeias Ana Lúcia Bezerra 
Published: October 2024

Objective: This study aims to analyze the impact of the Cistern Program on mitigating desertification and promoting environmental recovery in the semi-arid region of Paraíba, focusing on the municipalities of Esperança, Lagoa Seca, and São Sebastião de Lagoa de Roça.

Theoretical Framework: The research is based on studies addressing the effects of climate change and water scarcity in Brazil’s semi-arid region. Theories of public water policies and strategies for living with the semi-arid climate were also examined, with a focus on the role of cisterns in ensuring water security.

Method: This descriptive study employs geotechnologies such as Geographic Information Systems (GIS) and remote sensing to develop desertification maps and track the distribution of cisterns. Data from the Trends.Earth plugin and images from MapBiomas were used to analyze soil degradation between 2004 and 2020.

Results and Discussion: The results indicate that the Cistern Program significantly contributed to reducing soil degradation and increasing vegetation cover. Continuous access to water enabled the adoption of sustainable agricultural practices and enhanced environmental resilience in the studied areas.

Research Implications: This study contributes to the formulation of public policies that promote water security and sustainable development, reinforcing the importance of social technologies for living in the semi-arid region.

Originality/Value: The study provides a novel analysis of the effectiveness of the Cistern Program in combating desertification in the semi-arid region of Paraíba, highlighting its relevance for environmental sustainability policies.
Exploring the Perception of the Impact of Personal Learning Environments (PLEs) in the Generative AI Era in Engineering Education
Authors: Flores Yury Toro , Vidal Elizabeth 
Published: October 2024

Objective: This study explores students' perceptions of using Personal Learning Environments (PLEs) in the era of generative artificial intelligence as a learning resource in higher education. The specific objectives are: 1) to determine the current tools that students incorporate into their PLEs and 2) to identify students' perceptions of the use of PLEs for lifelong learning.

Theoretical Framework: UNESCO and other institutions recognize lifelong learning as an essential competency for personal and professional development. Personal Learning Environments (PLEs) are considered effective tools for promoting self-directed learning, allowing students to manage their learning processes, especially with the advent of generative artificial intelligence technologies.

Method: A qualitative study was conducted with 207 first-semester engineering students from a public university in Peru. Participants were introduced to a training program to develop their PLEs using various digital tools, including generative AI tools such as ChatGPT DALL-E. The instrument used to evaluate students' perceptions was the MUSIC model (Jones, 2009), which focuses on empowerment and usefulness.

Results: The results indicate that more than 80% of the students positively perceive PLEs, considering them valuable and empowering tools for achieving their learning objectives. Integrating generative AI tools into PLEs is notable, as it provides a dynamic and personalized learning experience. Most students found PLEs helpful for their future and relevant for promoting lifelong learning skills.

Research Implications: The research suggests that PLEs, especially when integrated with generative AI tools, positively impact self-directed learning and promote collaborative and social learning. These findings can inform the development of educational programs and policies that encourage using PLEs as a student-centered learning strategy.

Originality/Value: This study contributes to the understanding of the role of PLEs in the context of higher education and generative artificial intelligence. It is one of the first studies to examine students' perceptions of using PLEs with generative AI tools, highlighting their potential to enhance learning autonomy and personalization.