bluuebunny/crossref_metadata_2025_split huggingface dataset:
Training Model for Extended Career Athletes: A Narrative Review
Authors: Caparros Toni 
Published: October 2024

Context: Today’s elite and professional sports tend to feature older, more seasoned athletes, who have longer sporting careers. As advancing age can potentially limit peak performance, balancing training load is necessary to maintain an optimal state of performance and extend their sports career. Objective: To describe an appropriate training model for extended career athletes. Data Sources: Medline (PubMed), SPORTDiscus, ScienceDirect, Web of Science, and Google Scholar. Study Selection: A search of the literature between January 1, 2015 and November 22, 2023 was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study Design: Narrative review. Level of Evidence: Level 4. Data Extraction: Data were extracted from studies related to the management of training and performance of athletes with extended and long careers. Results: A total of 21 articles related to extended careers were found. Key themes from these papers included: expertise, biological maturation, and specificity; epidemiology and health; athlete monitoring; strength training; load management and detraining; success management. Conclusion: A training model for extended career athletes should balance the deleterious effects of age with the athletes’ knowledge of, and expertise within, the sport. Designing specific training that accommodates previous injuries, training load intolerances, and caters for quality of life after retirement should be key considerations. Load management strategies for athletes with extended careers should include strength training adaptations to minimize pain, load-response monitoring, a broad range of movement, recovery and intensity activities, and the avoidance of large training load peaks and periods of inactivity.
Mapping the landscape of telemedicine and technology in behavioral addiction treatment: A bibliometric review
Authors: Tan Hui Shan , Syidda  , Zhang Melvyn WB 
Published: October 2024

Background Behavioral addiction (BA) involves compulsive behaviors causing distress or interference with normal functions, akin to substance addiction. Presently, only gambling and gaming disorders are recognized, necessitating further exploration into behaviors like binge-eating, shopping, and internet addiction. Telemedicine, utilizing information and communication technologies, offers remote healthcare services. Reviews on internet-based interventions for BA show mixed efficacy, particularly for gambling disorder. However, research predominantly focuses on gambling, neglecting other BAs. This bibliometric review aims to map research trends and highlight gaps, emphasizing the need for broader telemedicine interventions beyond internet-based treatments. Objectives Examine the existing literature regarding telemedicine and technology-driven interventions for BA by analyzing the current research status and delineating publication patterns. Furthermore, highlight possible future research directions. Results Analysis revealed increasing research output, notably from Asian countries. Virtual reality (VR) interventions for gaming addiction and smartphone applications for managing addictive behaviors emerged prominently. Research gaps exist, particularly for other BA types. Conclusions Telemedicine and technology show promise for BA treatment, especially in gambling disorder. However, research gaps remain, necessitating further investigation across diverse BA types and populations. This review provides insights into the evolving landscape of telemedicine and technology in BA treatment, highlighting the need for continued research.
Knowledge, attitudes, and practices toward preventing and controlling hepatitis B virus infection among pregnant women attending antenatal care at a University Hospital in Central Ethiopia: a cross-sectional study
Authors: Larebo Yilma Markos , Anshebo Abebe Alemu , Behera Sujit Kumar , Gopalan Natarajan 
Published: October 2024

Background: Ethiopia is a country with a high endemicity of the hepatitis B virus, and the primary mode of transmission for this virus is mother-to-child transmission. However, the country lacks a comprehensive plan for viral hepatitis surveillance, prevention, and control. Objectives: To assess the knowledge, attitudes, and practices toward preventing and controlling hepatitis B virus infection among pregnant women attending antenatal care at a University Hospital in Central Ethiopia. Design: A hospital-based cross-sectional study was conducted among pregnant women from October to November 2023 at a University Hospital in Central Ethiopia. Methods: A total of 412 pregnant women were selected and included in the study using a systematic random sampling technique. An interviewer-administered questionnaire was used to collect the data. The collected data were imported into Epi-data version 3.1 and then exported to the Statistical Package for Social Sciences version 25 for analysis. In the bivariate analysis, variables with a p-value less than 0.25 were included in the multivariate analysis. A logistic regression model was used. A p-value <0.05 indicated statistical significance. Results: The overall response rate was 94.1%. Of the total 412 respondents, 37.6% exhibited good practices. Notably, pregnant women within the age categories of 29–39 years (adjusted odds ratio (AOR): 0.31; 95% confidence interval (CI): 0.15, 0.64) and ⩾40 years (AOR: 0.17; 95% CI: 0.06, 0.50), residing in rural areas (AOR: 0.35; 95% CI: 0.17, 0.70), with smaller family sizes (AOR: 0.13; 95% CI: 0.07, 0.25), lacking information about hepatitis B virus infection (AOR: 5.15; 95% CI: 2.91, 9.13), having a positive attitude (AOR: 0.03; 95% CI: 0.02, 0.06), and possessing good knowledge (AOR: 0.38; 95% CI: 0.20, 0.71) were significantly associated with poor practice. Conclusion: This study revealed that pregnant women had a low level of knowledge, attitudes, and practices related to hepatitis B virus infection prevention and control. A greater understanding is necessary to effectively prevent and control the spread of infection through prioritized health education programs targeting pregnant women. These programs must focus on raising awareness through campaigns that promote knowledge and immunization for their children.
Understanding the nature and impact of cognitive fluctuations and sleep disturbances in dementia with Lewy bodies: A qualitative caregiver study
Authors: Matterson Ellie , Wilson-Menzfeld Gemma , Olsen Kirsty , Taylor John-Paul , Elder Greg J 
Published: October 2024

Objectives: Dementia with Lewy bodies is characterised by rapid fluctuations in attention, which are known as “cognitive fluctuations.” Despite the fact that cognitive fluctuations are considered to be a core dementia with Lewy bodies symptom, they are very difficult to define and measure using existing quantitative subjective measurement tools, which are typically completed by caregivers. Cognitive fluctuations are also likely to be influenced by various aspects of sleep, but this is as yet unexplored. The primary aim of this qualitative study was to investigate the phenomenology of cognitive fluctuations in dementia with Lewy bodies by understanding caregiver experiences. Methods: Seven caregivers of people with dementia with Lewy bodies completed one-to-one semistructured interviews, which were conducted by telephone. Caregivers were asked to describe the nature, frequency, duration and potential triggers of cognitive fluctuations that were experienced by the individual with dementia with Lewy bodies. Caregivers were also asked about the subjective sleep experience of the individual with dementia with Lewy bodies, and about their own sleep experiences. Interviews were audio recorded, transcribed verbatim and analysed using Thematic Analysis. Results: Caregivers reported that there was a great deal of individual variation in the frequency, duration and severity of cognitive fluctuations. Patient sleep disturbances, including excessive daytime sleepiness, nocturnal awakenings, restless legs and sleep apnoea, were common. However, the impact of sleep alterations or experiences upon the fluctuations was reported to be less clear. Caregivers also reported that their own sleep was negatively affected, potentially due to actively listening for overnight events and behaviours. Conclusions: Qualitatively, caregivers report that dementia with Lewy bodies cognitive fluctuations show large individual variations in terms of their frequency, duration and severity, but that subjectively, sleep may not consistently influence this symptom. Specific, caregiver-focussed interventions are likely to be necessary to maintain good sleep health in dementia with Lewy bodies caregivers.
Hypokalaemic myopathy associated with iatrogenic hypercorticism in a cat
Authors: Tiozzo Ambrosi Annamaria , Lovato Giorgia , Pintore Laura , Callegari Carolina , Tamborini Alice 
Published: October 2024

Case summary A 12-year-old castrated male domestic shorthair cat was referred for investigation of lethargy, hindlimb weakness with plantigrade stance and ventroflexion of the neck. The cat was fed a balanced diet and had received methylprednisolone acetate at a dose of 20 mg intramuscularly every 6 months for 6 years. On blood work, severe hypokalaemia and marked elevation of muscle enzymes were noticeable. The findings were suggestive of hypokalaemic myopathy. Urine fractional excretion of potassium (FEk) was moderately high (9.04%), and serum aldosterone was below the reference interval. An adrenocorticotropic hormone (ACTH) stimulation test was compatible with adrenal suppression. Upon hospitalisation, the patient was given intravenous (IV) Ringer lactate solution supplemented with potassium chloride and oral potassium citrate. The serum potassium concentration normalised by the fifth day of hospitalisation; therefore, IV potassium supplementation was suspended. The cat was discharged with oral potassium and the dose was gradually reduced over time. After 4 months, the cat was clinically normal; the serum potassium concentration remained within the normal range and the adrenal glands showed some response to ACTH stimulation. Potassium supplementation was therefore discontinued. One month later, the serum potassium concentration was still within normal limits and at the time of writing (7 months after presentation), no clinical signs had reoccurred. Relevance and novel information This report describes a case of hypokalaemic myopathy associated with iatrogenic hypercorticism in a cat. This condition was successfully treated with supplementation of potassium and a complete clinical remission was achieved within 4 months.
Dubbing language-therapy CINEma-based in aphasia post-stroke (DULCINEA): A feasibility randomized crossover controlled trial
Authors: Fuentes Blanca , Jordi-Perea Pablo , Sempere-Iborra Cristian , Tarifa-Rodríguez Aida , de Celis-Ruiz Elena , Martín Alonso Marta , Ruiz-Ares Gerardo , Rigual Ricardo , Rodríguez-Pardo Jorge , Alonso-López Elisa , Alonso de Leciñana María , Virués-Ortega Javier , Borobia Alberto M , Jiménez-González María , Martínez-Balaguer María , Blanco Paloma , Bueno Nereida 
Published: October 2024

Background Helping people recover from aphasia is among the top 10 research priorities relating to life after stroke. Objective We aimed to evaluate the feasibility of dubbing techniques (using newly developed software) for post-stroke aphasia therapy and explore its potential efficacy. Methods Randomised, crossover, interventional, feasibility trial that included patients with chronic post-stroke non-fluent aphasia. The intervention consisted of an individualised programme (16 sessions; 8 weeks) based on dubbing words and sentences progressively adapted to the severity of the aphasia. Patients were allocated to groups that underwent therapy within the first 3 months, or between 3 and 6 months from inclusion, each group serving as the control during the non-therapy periods. Outcomes were the pre-post differences in the Communicative Activity Log, the Boston Diagnostic Aphasia Examination, the General Health Questionnaire-12, the Stroke Aphasia Quality of Life Scale, and the Western Aphasia Battery Revised, administered by psychologists blinded to the patients’ allocation. Results Recruitment was limited due to COVID-19 and prematurely stopped because of funding coming to an end. A total of 23 patients were randomised, 20 of whom completed the study (1 withdrew consent, and 2 dropped out). The adherence rate to the allocated group was 95.3%. No statistically significant differences were found in any of the outcomes; however, 17 (85%) patients reported subjective improvements in communication skills. Conclusions This trial shows the feasibility of dubbing therapy (using dedicated software) for patients with post-stroke non-fluent aphasia. Although it lacks statistical power, certain effects on language and communication cannot be ignored.
SPINE20 Recommendations 2024 -Spinal Disability: Social Inclusion as a Key to Prevention and Management
Authors: Menezes Cristiano M. , Tucci Carlos , Tamai Koji , Chhabra Harvinder S. , Alhelal Fahad H. , Bussières André E. , Muehlbauer Eric J. , Roberts Lisa , Alsobayel Hana I. , Barneschi Guido , Campello Marco A. , Côté Pierre , Duchén Rodríguez Luís Miguel , Cristante Alexandre F. , Kamra Komal , Kitamura Kazuya , Meves Robert , Risso-Neto Marcelo I. , Vlok Adriaan J. , Wadhwa Sanjay , Wiechert Karsten , Yurac Ratko , Blattert Thomas , Costanzo Giuseppe , Darwono Bambang , Nordin Margareta , Al Athbah Yahya S. , Alturkistany Ahmed , Chahal Rupinder , Franke Joerg , Ito Manabu , Arand Markus , Pereira Paulo , Ruosi Carlo , Sullivan William J. , Andújar André L. F. , Ribeiro Carlos Henrique , Carelli Luis Eduardo , Sardá Jamir , Machado Ana Lígia G. E. , AlEissa Sami 
Published: October 2024

Spine disorders are the leading cause of disability worldwide. To promote social inclusion, it is essential to ensure that people can participate in their societies by improving their ability, opportunities, and dignity, through access to high-quality, evidence-based, and affordable spine services for all. To achieve this goal, SPINE20 recommends six actions. - SPINE20 recommends that G20 countries deliver evidence-based education to the community health workers and primary care clinicians to promote best practice for spine health, especially in underserved communities. - SPINE20 recommends that G20 countries deliver evidence-based, high-quality, cost-effective spine care interventions that are accessible, affordable and beneficial to patients. - SPINE20 recommends that G20 countries invest in Health Policy and System Research (HPSR) to generate evidence to develop and implement policies aimed at integrating rehabilitation in primary care to improve spine health. - SPINE20 recommends that G20 countries support ongoing research initiatives on digital technologies including artificial intelligence, regulate digital technologies, and promote evidence-based, ethical digital solutions in all aspects of spine care, to enrich patient care with high value and quality. - SPINE20 recommends that G20 countries prioritize social inclusion by promoting equitable access to comprehensive spine care through collaborations with healthcare providers, policymakers, and community organizations. - SPINE20 recommends that G20 countries prioritize spine health to improve the well-being and productivity of their populations. Government health systems are expected to create a healthier, more productive, and equitable society for all through collaborative efforts and sustained investment in evidence-based care and promotion of spine health.
Comparison of a Novel Modified PLA/HA Bioabsorbable Interference Screw With Conventional PLGA/β-TCP Screw: Effect on 1-Year Postoperative Tibial Tunnel Widening in a Canine ACLR Model
Authors: Jiang Chuan , Peng Huaming , Sun Yang , Xu Sicheng , Li Weiping , Huang Yucheng , Xiang Dong , Fan Xiaoshan , Zhao Jinzhong , He Chaobin , Song Bin 
Published: October 2024

Background: Tibial bone tunnel widening (TW) is a common postoperative phenomenon after anterior cruciate ligament reconstruction (ACLR). Purpose: To compare the physical, biomechanical, osteoinductive, and histological characteristics of 2 fabricated bioabsorbable interference screws: (1) a modified poly(l-lactide- co-d, l-lactide) and hydroxyapatite (mPLA/HA) screw and (2) a poly(l-lactide- co-glycolide) and β-tricalcium phosphate (PLGA/β-TCP) screw; and to evaluate the effect of the PLA/HA screw on ameliorating postoperative TW in a canine ACLR model. Study Design: Controlled laboratory study. Methods: In vitro, the physical and biomechanical properties of the mPLA/HA and PLGA/β-TCP screws were tested. The osteoinductive activity of the screws was studied by cell experiments. In vivo, ACLR was performed on 48 beagle dogs, divided into the mPLA/HA group and the PLGA/β-TCP group. The femoral and tibial ends of the graft were both fixed with screws. Six animals in each group were sacrificed after live computed tomography (CT) scanning at 1, 3, 6, and 12 months postoperatively. For six knee samples of each group, three knee samples underwent biomechanical testing, and 1 of them, along with the other 3 samples, underwent micro-CT and histological examination to evaluate tibial TW. Results: The mPLA/HA screw exhibited better particle dispersion, bending strength, desirable self-locking effect, and optimized degradation behavior both in vivo and in vitro. Histologically, the mPLA/HA screw had comparative osteoinductive activity. There was good screw-bone integration using the mPLA/HA screw, while most fibrous scar healing was in the PLGA/β-TCP group. There were significant differences between the mPLA/HA and PLGA/β-TCP groups in tibial bone tunnel diameter at the screw body (6 months postoperatively: 5.09 ± 0.44 vs 7.12 ± 0.67; 12 months postoperatively: 4.83 ± 0.27 vs 6.23 ± 0.56; P < .01 for both) and the screw tail (6 months postoperatively: 4.84 ± 0.28 vs 5.97 ± 0.73; 12 months postoperatively: 4.77 ± 0.29 vs 5.92 ± 0.56; P < .01 for both). Conclusion: Compared with the PLGA/β-TCP screw commonly used in clinics at present, the mPLA/HA screw had comparative biosafety and mechanical properties, satisfactory biomechanical properties, and osteoinductive activity in vivo and in vitro. It effectively ameliorated the postoperative tibial TW in a canine ACLR model and increased the quality of screw-bone integration. Clinical Relevance: The good mechanical and biological properties of the mPLA/HA screws may provide an option to reduce the incidence of complications after ACLR.
Nurses’ Perceptions of Support in Cancer Pharmacotherapy at a University Hospital: A Descriptive Quantitative Study
Authors: Saiki Masatoshi , Fujisawa Yoko , Sakai Naoko , Tsukahara Nobuko , Okamoto Yuriko , Sano Motohiro , Kusunoki Junko , Masujima Mariko , Sakai Ikuko , Majima Tomoko 
Published: October 2024

Introduction Advances in treatment have transformed cancer from a fatal to a chronic illness. This requires healthcare professionals, particularly nurses, to have advanced knowledge and collaborative skills. However, challenges persist in implementing patient-centered care in the context of evolving treatment complexity. Objectives This study aimed to clarify nurses’ support practices in providing cancer pharmacotherapy at a university hospital in Japan and compare these practices based on nurses’ years of experience. Methods A questionnaire survey was conducted from February to April 2023 among 430 nurses involved in provision of cancer pharmacotherapy at a Japanese university hospital. Nurses were asked about the types of support they provided during care for patients undergoing cancer pharmacotherapy. Nurses’ cancer pharmacotherapy support practices were extracted using factor analysis, and differences in support scores by years of experience were examined. Results Responses were received from 184 nurses (42.8% response rate). Three support factors were identified: “Providing patient-centered cancer pharmacotherapy,” “Management of continued cancer pharmacotherapy treatment,” and “Assessment of and response to physical symptoms.” Scores for “Providing patient-centered cancer pharmacotherapy” were significantly lower than those for the other two factors ( p < .001). The group with ≥10 years of nursing experience had statistically significantly lower practice scores than those with 4–9 years of experience. Conclusions Enhancing nursing education and interprofessional collaboration are crucial to overcome barriers to patient-centered cancer care. Continuous learning opportunities are essential to adapt to evolving cancer treatment protocols and ensure delivery of patient-centered care, particularly for experienced nurses.
A Cross-Sectional Study on Nursing Preceptors’ Perspectives About Preceptorship and Organizational Support
Authors: Ibrahim Rasha , Varghese Manju , Salim Said Saleh 
Published: October 2024

Background A skilled and experienced preceptor enhances nursing candidates’ education. Students can acquire invaluable insights by observing and learning from the preceptor's professional nursing practice. Organizations must furnish sufficient support to guarantee the efficacy of preceptors in their responsibilities. Objective To evaluate preceptors’ perceptions of the preceptorship and the relationship between organizational support and preceptor perspective of preceptorship. Methods A cross-sectional correlational design was deployed using purposive sampling of 90 nurses in the UAE. Between August 2023 and December 2023, a self-reported questionnaire with 40 items on preceptor perspectives of preceptorship (PPP) was distributed to nurses. The student's t-test, Chi-square, Monte Carlo, Fisher Exact, and Pearson coefficient were used. Results The results revealed that most participants were female (71.1%), with 48.9% between 36 and 45 years old. The mean score for the PPP was high (73.81 ± 10.92). There was a significant association between age, years of nursing experience, work area, and overall PPP. A strong correlation was found between self-preparation ( r = .675), preceptorship perception commitment ( r = .762), and the benefits of preceptorship ( r = .830), along with organizational support. Conclusion The preceptors in this study had a positive perspective about preceptorship. Their acknowledgment of preceptorship's benefits to the organization shows their optimism and dedication. Future studies should analyze preceptor training programs and devise initiatives to improve clinical teaching.