bluuebunny/crossref_metadata_2025_split huggingface dataset:
Expanding a Health Technology Solution to Address Therapist Challenges in Implementing Homework With Adult Clients: Mixed Methods Study
Authors: Bunnell Brian E , Schuler Kaitlyn R , Ivanova Julia , Flynn Lea , Barrera Janelle F , Niazi Jasmine , Turner Dylan , Welch Brandon M 
Published: October 2024

Background
Homework is implemented with variable effectiveness in real-world therapy settings, indicating a need for innovative solutions to homework challenges. We developed Adhere.ly, a user-friendly, Health Insurance Portability and Accountability Act–compliant web-based platform to help therapists implement homework with youth clients and their caregivers. The initial version had limited functionality, was designed for youth clients and their caregivers, and required expanding available features and exercises to suit adult clients.

Objective
The purpose of this study was to better understand barriers and potential solutions to homework implementation experienced by therapists seeing adult clients and obtain their input on new features and exercises that would enable Adhere.ly to better meet their needs when working with this population.

Methods
This study used an exploratory, sequential mixed methods design that included 13 semistructured focus groups with mental health therapists and clinic leaders and a survey administered to 100 therapists. Analyses were performed using the NVivo qualitative analysis software and SPSS.

Results
The findings revealed common barriers, such as clients and therapists being busy, forgetting to complete homework, managing multiple platforms and homework materials, and clients lacking motivation. Adhere.ly was perceived as a potential solution, particularly its user-friendly interface and SMS text-message based reminders. Therapists suggested integrating Adhere.ly with telemedicine and electronic health record platforms and adding more exercises to support manualized therapy protocols and therapy guides.

Conclusions
This study highlights the importance of technology-based solutions in addressing barriers to homework implementation in mental health treatment with adult clients. Adhere.ly shows promise in addressing these challenges and has the potential to improve therapy efficiency and homework completion rates. The input from therapists informed the development of Adhere.ly, guiding the expansion of features and exercises to better meet the needs of therapists working with adult clients.
Learning Styles of Medical Students, Surgical Residents, Medical Staff, and General Surgery Teachers When Learning Surgery: Protocol for a Scoping Review
Authors: Gouvea Silva Gabriela , Costa Carlos Dario da Silva , Gonçalves Bruno Cardoso , Vianney Cidrão Nunes Luiz , dos Santos Emerson Roberto , Lopes Sonia Maria Maciel , Lima Alba Regina de Abreu , Brienze Vânia Maria Sabadoto , Bizotto Thaís Santana Gastardelo , André Júlio César 
Published: October 2024

Background
Learning styles are biological and developmental configurations of personal characteristics that make the same teaching method effective for some and ineffective for others. Studies support a relationship between learning style and career choices in medicine, resulting in learning style patterns being observed in different residency programs, including in general surgery, from medical school to the last stages of training. The methodologies, populations, and contexts of the few studies pertinent to the matter are very different from one another, and a scoping review on this theme will enhance and organize what is already known.

Objective
The goal of this study is to identify and map out data from studies on the learning styles of medical students, surgical residents, medical staff, and surgical teachers.

Methods
The review will consider studies on the learning styles of medical students in a clinical cycle or internship, surgical residents with no restriction on year of residency, medical staff in general surgery, or general surgery’s medical faculty. Primary studies published in English, with no specific time frame, will be considered. The search will be carried out in four databases, and reference lists will be searched for additional studies. Duplicates will be removed, and two independent reviewers will screen the titles, abstracts, and full texts of the selected studies. Data collection will be performed using a tool developed by the researchers. A results summary will be presented with figures, narratives, and tables. A quantitative and qualitative analysis will be carried out and further results will be shared.

Results
The search was funded on September 25, 2023. Data collection was performed in the two following months. Of the 213 articles found, 135 were excluded due to duplication. The remaining 78 articles will have their titles and abstracts analyzed by three of the researchers independently to select those that meet the eligibility criteria. This data is expected to be published in the first semester of 2025.

Conclusions
Conducting a scoping review is the best way to map what is known about a subject. Understanding how students, residents, staff, and even teachers prefer to learn surgery is key to staying up to date and knowing how to best educate those pursuing a surgical career.

Trial Registration
Open Science Framework 75ku4; https://osf.io/75ku4

International Registered Report Identifier (IRRID)
DERR1-10.2196/57229
Older Adults’ Perspectives and Experiences With Digital Health in Singapore: Qualitative Study
Authors: Leong Qiao Ying , Lee V Vien , Ng Wei Ying , Vijayakumar Smrithi , Lau Ni Yin , Mauritzon Ingela , Blasiak Agata , Ho Dean 
Published: October 2024

Background
Technology use among older adults is increasingly common. Even though there is potential in leveraging technology to help them manage their health, only a small fraction of them use it for health-related purposes.

Objective
This study seeks to understand the perspectives of and experiences with digital health (DH) among older adults in Singapore.

Methods
A total of 16 participants (age range 60-80 years; n=11, 69% female) were interviewed for approximately an hour (range 27-64 minutes) about their health, DH use, and DH experiences. The interviews were recorded, transcribed verbatim, and thematically analyzed.

Results
Five main themes emerged from the interview: support in developing DH literacy, credibility, cost and benefit considerations, intrinsic drive to be healthy, and telehealth. Older adults need support in familiarizing themselves with DH. When considering DH options, older adults often relied on credible sources and preferred DH to be free. Monetary incentives were brought up as motivators. The intrinsic drive to live longer and healthily was expressed to be a huge encouragement to use DH to help obtain health-related knowledge and achieve healthy living goals. The idea of telehealth was also appealing among older adults but was seen to be more suited for individuals who have issues accessing a physical clinic.

Conclusions
Our findings offer insights into the various aspects that matter to older adults in the adoption of DH, which in turn can help reshape their health-seeking behavior and lifestyle. As such, policy makers and DH implementors are encouraged to take these into consideration and align their strategies accordingly.
Recurrent Massive Hydrothorax in a Patient with Decompensated Liver Cirrhosis
Authors: Zemlyanukhina K. S. , Tikhonov I. N. , Zharkova M. S. , Kiseleva O. Yu. , Rzayev R. Т. , Ivashkin V. T. 
Published: October 2024

Aim: to demonstrate the need for a detailed differential diagnosis and selection of therapy in a patient with decompensated liver cirrhosis of combined etiology (HCV infection and primary sclerosing cholangitis). Key points. The patient came to the clinic with complaints of shortness of breath with minimal physical activity, abdominal enlargement, swelling of the legs, yellowness of the skin, and severe weakness. The complaints arose two months after suffering from left-sided focal pneumonia. Laboratory tests revealed signs of systemic inflammation, liver failure, and acute kidney injury. According to the results of instrumental studies, massive hydrothorax was noted in the right pleural cavity. The patient underwent a series of thoracentesis, and a total of about four liters of non-inflammatory pleural fluid was evacuated. Differential diagnosis was based on the presence of dyspnea and respiratory failure. The patient received effective antiviral therapy with drugs using an interferon-free regimen. Subsequently, conservative therapy was carried out, against the background of which the symptoms regressed and the patient’s condition improved. Conclusions. Hepatopleural syndrome is a serious complication in patients with decompensated liver cirrhosis, although it does not always appear secondary to massive ascites. To resolve hepatic hydrothorax, it is necessary to carry out diuretic therapy, replacement transfusion therapy with albumin preparations, and if there is a large amount of fluid in the pleural cavities, therapeutic and diagnostic thoracentesis is recommended.
Laser Application for Diseases of the Anorectal Region
Authors: Frolov S. A. , Kuzminov A. M. , Vyshegorodtsev D. V. , Korolik V. Yu. , Alibekova T. A. , Mukhin I. A. 
Published: October 2024

Aim: to summarize the literature data of use of laser technologies in the treatment of anorectal diseases. Key points. Lazer intervention technologies in the treatment of anorectal diseases such as haemorrhoids, anal fistula, anal fissure and pilonidal disease makes it possible to significantly reduce the intensity of pain syndrome, shorten the time of wound healing and also reduce the duration of the period of disability of the patient without worsening the quality of life. The main advantages of minimally invasive techniques are the absence of extensive wounds, minimal complications and reduction of the disease recurrence rate, minimally invasive methods are almost as effective as traditional ones. Besides, the use of laser allows to perform minimally invasive interventions under local anaesthesia in a day hospital. Conclusion. It is necessary to further study and improve the use of laser technologies in the treatment of anorectal diseases, and to actively introduce techniques into practice to improve the results of treatment of patients with these nosologies.
Functional Disorders of the Biliary Tract and Cholelithiasis: Analysis of a Possible Relationship
Authors: Shulpekova Yu. O. , Popova I. R. , Nechaev V. M. 
Published: October 2024

Aim: Diagnostic criteria for functional disorders of the biliary tract are presented in the materials of the Rome IV consensus, as well as expert councils of Russian and foreign specialists. Episodes of functional biliary pain are caused by a violation of bile outflow through the cystic duct and sphincter of Oddi. It has been suggested that there is a “biliary continuum” in which in some patients’ biliary dysfunction is transformed into cholelithiasis. Key points. Lithogenic bile is considered as the pathophysiological basis for the development of biliary dyskinesia and cholelithiasis. Lithogenic bile provokes inflammation of low grades in the mucous membrane of the biliary tract, decreased contractility of the gallbladder and impaired relaxation of the biliary sphincters, impaired physiological response to cholecystokinin. Changes in motility of the biliary tract may be associated with the influence of hydrophobic bile salts and impaired eicosanoid metabolism. Hyperplasia of the epithelium and muscle layer, hypersecretion of mucin and cholesterol precipitation further impair the outflow of bile. Experimental data and some clinical observations indicate the possibility of transformation of biliary dysfunction into cholelithiasis. Dysfunction of the sphincter of Oddi is one of the possible consequences of cholecystectomy and, in fact, acts as a variant of postcholecystectomy syndrome. The basis for the treatment of biliary dysfunctions are antispasmodics of different classes, which can be combined with ursodeoxycholic acid. The biliary tract-selective antispasmodic hymecromone has shown high effectiveness in relieving biliary pain, which also has a moderate choleretic effect and the ability to prevent the crystallization of cholesterol in bile and can be used both for functional diseases and for cholelithiasis. The domestic drug hymecromone “Odecromone” entered the pharmaceutical market. Conclusion. There is no doubt that the relevance of further study of the patterns of development of biliary dysfunctions and GI is obvious. The study of this problem will contribute to the development of effective preventive approaches, including in the field of nutraceuticals.
Increased Intra-Abdominal Pressure as One of the Links in the Pathogenesis of Secondary Diffuse Purulent Peritonitis
Authors: Cherdantsev D. V. , Ovchinnikova O. V. , Trofimovich Yu. G. , Noskov I. G. , Pervova O. V. , Kovalenko A. A. 
Published: October 2024

Aim: to present literature data on the importance of intra-abdominal hypertension in the pathogenesis of peritonitis. Key points. Secondary purulent peritonitis is a severe and fairly common form of abdominal infection with high mortality. According to statistics, hospitalization of patients with signs of local or diffuse peritonitis is more than 15 % among patients with acute surgical pathologies. One of the factors in the development of complications and an unfavorable prognosis for this disease is increased intra-abdominal pressure. To measure this indicator, a Foley catheter inserted into the bladder is used in medical practice. According to reference values, the optimal level of intra-abdominal pressure does not exceed 5 mmHg. A persistent increase in pressure of 12 mmHg and above indicates the development of intra-abdominal hypertension. An increase in the level of intra-abdominal pressure indicates the progression of the inflammatory destructive process in the abdominal cavity and contributes to the development of multiple organ failure with subsequent fatal outcome with untimely treatment. With an indicator exceeding 20 mmHg, there is a risk of developing abdominal compartment syndrome. This condition is characterized by increased pressure in two or more anatomical areas, which leads to decreased blood flow and subsequent tissue hypoxia. Intra-abdominal hypertension also increases the risk of developing postoperative peritonitis in patients who have undergone laparotomy. Conclusion. To predict the course of secondary diffuse purulent peritonitis, reduce the risk of complications and mortality, it is necessary to focus on measuring intra-abdominal pressure as a mandatory manipulation in surgical patients. Despite its general availability and ease of implementation, this technique allows assessing the severity of organ dysfunctions.
Traceology of metalwork - limitations and new perspectives
Authors: Nowak Kamil , Sych Dawid 
Published: October 2024

The article focuses on the traceology of metalwork, its methodological limitations, and new research perspectives. In the text, we explain what studies on traces on metals entail and how they are characterized. We provide examples from both Poland and other regions of Europe. We highlight possible directions for the development of the method as well as factors that hinder it.
Tracing the Past: Microwear Analysis of Stone and Shell Beads Unearthed in Early Neolithic Burials at Samborzec, Poland
Authors: Kurzawska Aldona , Sobkowiak-Tabaka Iwona , Mrozek-Wysocka Małgorzata , Oberc Tomasz 
Published: October 2024

This paper presents a thorough analysis of ornaments discovered in two Neolithic burials at Samborzec Site 1, providing valuable insights into their origins and significance. The artefacts, retrieved over six decades ago in the burials of a woman and child, have undergone extensive examination, including raw material identification, microwear studies, and the analysis of red residues found on their surfaces. While most of the ornaments concerned were crafted from marble, two beads were identified as Spondylus shells. Chemical analysis of residues, primarily found on the marble ornaments, revealed the presence of cinnabar, a red pigment of foreign origin. The remarkable similarities in ornaments between the investigated burials strongly suggest the association of both with LBK communities. The presented studies offer valuable insights into their object biographies, from the acquisition of raw materials from distant regions through their manufacture, assembly, and prolonged use as personal items. In this context, our research emphasizes their belonging to a shared Neolithic tradition in Europe.
Efforts Implemented for Developing Health Management Workforce in the Asia Pacific: A scoping review
Authors: Pokhrel Priyanka , Liang A/Professor Zhanming , Taylor Dr Judy 
Published: October 2024

Background and objective: A strong and effective health management workforce (HMW) is essential to underpin the comprehensive health care services provided by health care organizations. The fast-growing nature of healthcare systems suggests the required competencies for HMW continue to evolve. The objective of this scoping review is to identify and confirm the key strategies that have been used in developing the health management workforce in the Asia Pacific region.
Materials and Methods: A scoping review of the literature was conducted between May and August 2022 using the following databases: Medline, Ovid Emcare, CINAHL, Scopus, and Web of Science, to retrieve original research articles demonstrating development efforts for HMW in the Asia Pacific regions. The review was guided by the PRISMA-ScR (2018) checklist [23].
Results: The scoping review identified four different development strategies for HMW in Asia Pacific region: i) Organisational informal professional development programs, ii) Competency assessment and identification of gaps in knowledge and skills of HMW, iii) Confirming competencies and developing competency framework and iv) Formal education and training. Among these four development strategies, organisational informal professional development programs and competency assessment and the identification of gaps in knowledge and skills of HMW were the main strategies implemented for HMW in the Asia Pacific region.
Conclusion: The review concluded that the existing development strategies and efforts for HMW are not evenly implemented within the Asia Pacific region. Political will and policy direction are important and plays a vital role in the competency development of HMW. It is also critical to provide multilevel commitment from system and organisational level together with identifying and addressing the bottlenecks in the development strategies by considering organisation types, management levels and positions, practical training methods, motivation of participants, and other contextual factors.
Insights on neural signal analysis with Higuchi fractal dimension
Authors: Armonaite Karolina , Conti Livio , Olejarczyk Elzbieta , Tecchio Franca 
Published: October 2024

Abstract
Neurophysiological signal analysis is crucial for understanding the complex dynamics of brain function and its deviations in various pathological conditions. Traditional linear methods, while insightful, often fail to capture the full spectrum of inherently non-linear brain dynamics. This review explores the efficacy and applicability of the Higuchi fractal dimension (HFD) in interpreting neurophysiological signals such as scalp electroencephalography (EEG) and stereotactic intracranial encephalography (sEEG). We focus on three case studies: i) distinguishing between Alzheimer’s disease (AD) and healthy controls; ii) classifying neurodynamics across diverse brain parcels looking for a signature of that cortical parcel; and iii) differentiating states of consciousness. Our study highlights the potential of non-linear analysis for deeper insights into brain dynamics and its potential for improving clinical diagnostics.
Applying the monomiality principle to the new family of Apostol Hermite Bernoulli-type polynomials
Authors: Ramírez William , Cesarano Clemente 
Published: October 2024

Abstract
In this article, we introduce a new class of polynomials, known as Apostol Hermite Bernoulli-type polynomials, and explore some of their algebraic properties, including summation formulas and their determinant form. The majority of our results are proven using generating function methods. Additionally, we investigate the monomiality principle related to these polynomials and identify the corresponding derivative and multiplicative operators.
A degenerate version of hypergeometric Bernoulli polynomials: announcement of results
Authors: Quintana Yamilet , Ramírez William 
Published: October 2024

Abstract
This article explores some properties of degenerate hypergeometric Bernoulli polynomials, which are defined through the following generating function

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We deduce their associated summation formulas and their corresponding determinant form. Also we focus our attention on the zero distribution of such polynomials and perform some numerical illustrative examples, which allow us to compare the behavior of the zeros of degenerate hypergeometric Bernoulli polynomials with the zeros of their hypergeometric counterpart. Finally, using a monomiality principle approach we present a differential equation satisfied by these polynomials.
The Problem of Protecting the Rights and Legitimate Interests of the Child in the Family and Outside It
Authors: Apakhayev Nurlan , Adilova Kultay , Bugybay Dina , Toktybaev Aset , Kopbayev Duman 
Published: October 2024

Abstract
Protecting children's rights and interests, especially within families, is crucial globally. Effective laws and enforcement are needed to ensure their safety and prevent violence, both offline and online. Kazakhstan's efforts in this regard, including legal protection for motherhood and childhood, are important. All of the above allowed for formulating the general purpose of the study – a comprehensive systematic examination of the protection of the subjective rights and legitimate interests of the child in family legal relations and in surrounding society (using the example of the Republic of Kazakhstan). The results were obtained using the tools of theoretical and methodological research of publications devoted to the problems and issues of observance and protection of children's rights and freedoms at the national and global levels, methods of comparative legal and comparative political research, content analysis of official documents, etc. In the study, key issues regarding the protection of children's rights in Kazakhstan were identified, including violence, neglect, and juvenile delinquency. It highlighted the growing number of appeals for the protection of violated children's rights and emphasized the urgent need for improvement in the child protection system. Promising areas for development include enhancing social services, reducing violence in families and institutions, improving legal protection against sexual harassment, and promoting child-friendly activities in preschool education. The study is of both theoretical interest and practical importance for various stakeholders involved in child welfare and protection. The research has practical value and originality in posing individual questions; it is aimed at examining in-depth the most important problems of maternity, family, and childhood protection in modern Kazakhstan.