bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of disturbance of body image perception and engagement in risky behaviors for eating disorders motivated by the Korean wave
Authors: Belalcazar Vivas Valentina 
Published: September 2024

Background: the global expansion of the Korean wave (hallyu) has led to the idealization of Korean beauty standards among fans. Celebrities share extreme diets and exercise routines through social media that help them lose weight and adhere to this standard, which has been shown in some studies conducted in Asia to significantly influence negative body image perception and risk for eating disorders. Aim: to describe the prevalence of disturbance of body image perception and engagement in risky behaviors for eating disorders among Spanish-speaking fans residing in Western countries, motivated by the Korean wave. Method: this cross-sectional and descriptive study employed a quantitative method for data collection. The data were collected through an anonymous online survey created by the author on the Google Forms platform; the survey included demographic questions, information about exposure to hallyu, body perception, body image perception disturbance and engagement in risky behaviors motivated by the Korean wave. A total of 121 participants were recruited to answer through social network X Prevalence was then calculated for each category. Results: a total of 67.8% of the participants reported comparing their bodies to those of Korean celebrities, and 53.7% experienced a disturbance in their body image perception after exposure to hallyu. Risk behaviors related to exercise were more prevalent among participants than were those related to eating. The majority of participants engaging in these behaviors were females aged 18 years or younger. Conclusion: disturbance of the body image perception and engagement in risky behaviors for EDs motivated by the Korean wave are prevalent among its fans, especially female adolescents. More research is needed to understand the extent of this influence on body image perception and the risk of ED, which have a negative impact on physical and mental health.
Digital finance and sustainable development: Evidence from developing nations
Authors: Bakry Walid , Nghiem Xuan-Hoa , Bhatti Muhammad Ishaq , Al-Mohamad Somar , Cui Lianbiao 
Published: September 2024

Objectives This paper investigates the role of digital finance in promoting environmental sustainability within a group of 52 developing economies from 2010 to 2019. Specifically, it examines whether digital finance effectively contributes reducing CO2 emissions in these nations. Methods This paper is a quantitative study which employs the IV-GMM (instrumental variable generalized methods of moment) approach that tackles any potential endogeneity. Furthermore, to ensure robustness of results, this paper also utilizes different measures of financial development. Results Estimation results from this study reveal the presence of inverted U-shaped relationship between digital finance and CO2 emissions. This suggests that the beneficial effects of digital finance may take time to materialize. Additionally, this research also records the presence of the Environmental Kuznets Curve and a significant impact of renewable energy, trade openness, financial development, urbanization, and population on CO2 emissions. Conclusions It can be concluded that it may take time for digital finance to become beneficial to the environment. Therefore, in addition to digital finance, countries should also adopt other measures simultaneously (use of renewable energy, combination between digital finance and financial development).
Clinical correlates of medication adherence in individuals with bipolar disorder and comorbid hypertension
Authors: Levin Jennifer B. , Moore David J. , Briggs Farren , Rahman Mahboob , Montoya Jessica , Depp Colin , Einstadter Douglas , Stange Kurt C. , Weise Celeste , Maniglia Taylor , Barigye Richard , Howard Griggs Gracie , Adeniyi Clara , Yala Joy , Sajatovic Martha 
Published: September 2024

Objective Individuals with bipolar disorder (BD) have high rates of suboptimal medication adherence, medical illness, and premature mortality, largely from cardiovascular causes. This study examined the association between adherence to antihypertensive, adherence to BD medications, and clinical symptoms in patients with BD and comorbid hypertension (HTN). Participants were involved in an ongoing clinical trial. Method Inclusion criteria were a BD diagnosis, treatment with antihypertensives, adherence challenges, and poorly controlled HTN. Adherence was measured via self-report using the Tablets Routine Questionnaire and using eCAP, an electronic pill bottle that captures openings. Average systolic blood pressure (SBP) was calculated from 12 readings over one week. The Montgomery-Asberg Depression Rating Scale (MADRS) and the Brief Psychiatric Rating Scale (BPRS) assessed BD symptoms. Results A total of 83 participants with BD and HTN were included. Adherence to BD medications and antihypertensive medications were positively correlated. eCAP openings showed more missed doses than participants self-reported for antihypertensive adherence. BD medication adherence was positively correlated with BPRS at baseline, whereas antihypertensive adherence was negatively correlated with SBP at screening. Antihypertensive adherence improved and SBP decreased between screening and baseline. Conclusions Adherence levels fluctuated over time and differed based on measurement method in participants with comorbid BD and HTN. Self-reported BD adherence was positively related to global psychiatric symptoms and antihypertensive adherence was related to better SBP control. Monitoring both medication and blood pressure led to a change in self-reported adherence. BD symptom severity may interfere with medication adherence in patients with BD and should be considered in treatment planning.
Outcomes in peripheral right ventricular device support: Comparing the dual lumen, single canula and femoral vein cannulation strategies for right ventricular support
Authors: Florea Ioana B , Kotkar Kunal D , Fischer Irene , Damiano Marci , Itoh Akinobu , Damiano Ralph J , Pawale Amit A , Masood Muhammad F 
Published: September 2024

Introduction The Protek Duo (PtD) dual lumen, single cannula was developed as a percutaneous system for temporary mechanical support, inserted through the internal jugular vein (IJ) for both atrial inflow and pulmonary artery outflow. Outcomes of PtD compared to alternative Peripheral Right Ventricular Assist Device (pRVAD) methods are limited. Methods A retrospective analysis was conducted of pRVAD recipients from January 2017 - February 2022 ( n = 111). These were classified into PtD ( n = 52) patients and Non-Protek [(N-PtD) ( n = 59)] recipients undergoing cannulation of the IJ and femoral vein. Results were further stratified by indication for pRVAD support: cardiogenic etiologies of heart failure and progressive ARDS. Results No survival benefit was detected between PtD and N-PtD groups at 1-week (OR: 1.32, 95% CI: 0.49–3.56, p = 0.58) or 6-month (OR: 9.83, 95% CI: 0.37–1.84, p = 0.64) follow-up. There were no statistically significant differences in whether patients’ mobility progressed to out-of-bed activity ( p = 0.26) or ambulation ( p = 0.38). No differences were noted in time to out-of-bed ( p = 0.26) or time to ambulation ( p = 0.36). On subgroup analysis of patients by indication for pRVAD cannulation, these results persisted; no difference was noted in mid-term mortality (Cardiogenic: p = 0.39; ARDS: p = 0.91), progression to out-of-bed ( p = 0.59; p = 1.00), or ambulation ( p = 0.51; p-0.68). Among secondary outcomes, PtD patients had an increased dialysis requirement ( p = 0.02). There were no differences in ability to wean from RVAD ( p = 0.06), tracheostomy ( p = 0.88), major bleeding events ( p = 0.57), stroke ( p = 0.58), or hospital length of stay ( p = 0.39). Conclusions Outcomes with PtD are comparable to those of traditional pRVAD cannulation strategies. Of note, no mobility benefit was observed to the use of PtD across several metrics.
The sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial
Authors: Naisby J , Baker K , Skarparis K , Murdoch J , Clark A , Stirling S , Turner D , Swart AM , Hernon J , Saxton J 
Published: September 2024

Objective This study aimed to explore perceptions regarding the sustainability of exercise following participation in a pre- and post-colorectal surgery exercise intervention trial (PREPARE-ABC). Design Qualitative interview study. Data were analysed using framework analysis and independently coded by two researchers. Setting Six United Kingdom National Health Service Trusts. Participants Eighteen interviews (hospital-based exercise n = 9, home-based exercise n = 3, standard care n = 6) were conducted with patients 12–15 months after being randomised in the trial, after their 12 month appointment. Intervention Individuals who participated in one of two exercise intervention groups (hospital-supervised or home-supported exercise) or a standard care control group of the PREPARE-ABC trial were invited to interview. Results The exercise interventions were reported to influence participants’ recovery and future sustainability of exercise behaviour change. Several participants continued to engage in exercise over a year after their surgery. Reasons for this included being engaged with exercise prior to diagnosis, psychological benefits of exercise and wanting to be engaged with something to help recovery. Perceptions about the sustainability of active lifestyles were influenced by confidence to engage in structured exercise or physical activity and beliefs about its potential to promote future wellness. Conclusions Sustainability varies among individuals and early assessment of physical activity engagement could be beneficial. Physical activity interventions immediately following surgery may be important for future engagement.
Adaptation and Validation of the Psychological Consequences of Screening Questionnaire (PCQ) for Cognitive Screening in Primary Care
Authors: Lovett Rebecca M. , Filec Sarah , Hurtado Jeimmy , Kwasny Mary , Sideman Alissa , Persell Stephen D. , Possin Katherine , Wolf Michael 
Published: September 2024

Background Context-specific measures with adequate external validity are needed to appropriately determine psychosocial effects related to screening for cognitive impairment. Methods Two-hundred adults aged ≥65 y recently completing routine, standardized cognitive screening as part of their Medicare annual wellness visit were administered an adapted version of the Psychological Consequences of Screening Questionnaire (PCQ), composed of negative (PCQ-Neg) and positive (PCQ-Pos) scales. Measure distribution, acceptability, internal consistency, factor structure, and external validity (construct, discriminative, criterion) were analyzed. Results Participants had a mean age of 73.3 y and were primarily female and socioeconomically advantaged. Most had a normal cognitive screening result (99.5%, n = 199). Overall PCQ scores were low (PCQ-Neg: [Formula: see text]= 1.27, possible range 0–36; PCQ-Pos: [Formula: see text] = 7.63, possible range 0–30). Both scales demonstrated floor effects. Acceptability was satisfactory, although the PCQ-Pos had slightly more item missingness. Both scales had Cronbach alphas >0.80 and a single-factor structure. Spearman correlations between the PCQ-Neg with general measures of psychological distress (Impacts of Events Scale–Revised, Perceived Stress Scale, Kessler Distress Scale) ranged from 0.26 to 0.37 ( P’s < 0.001); the correlation with the World Health Organization–Five Well-Being Index was −0.19 ( P < 0.01). The PCQ-Neg discriminated between those with and without a self-reported subjective cognitive complaint ([Formula: see text] = 2.73 v. 0.89, P < 0.001) and was associated with medical visit satisfaction ( r = −0.24, P < 0.001) on the Patient Satisfaction Questionnaire. The PCQ-Pos predicted self-reported willingness to engage in future screening ([Formula: see text] = 8.00 v. 3.00, P = 0.03). Conclusions The adapted PCQ-Neg is an overall valid measure of negative psychological consequences of cognitive screening; findings for the PCQ-Pos were more variable. Future studies should address measure performance among diverse samples and those with abnormal screening results. Highlights The PCQ scale is an overall valid measure of psychological dysfunction related to cognitive screening in older adults receiving normal screen results. PCQ scale performance should be further validated in diverse populations and those with abnormal cognitive screening results. The adapted PCQ may be useful to both health research and policy stakeholders seeking improved assessment of psychological impacts of cognitive screening.
Nudging strategies to influence prescribers’ behavior toward reducing opioid prescriptions: a systematic scoping review
Authors: Diwan Salwan , Vilhelmsson Andreas , Wolf Axel , Jildenstål Pether 
Published: September 2024

Objective This systematic scoping review aimed to map the literature on the use of various nudging strategies to influence prescriber behavior toward reducing opioid prescriptions across diverse healthcare settings. Methods A systematic database search was conducted using seven electronic databases. Only articles published in English were included. A total of 2234 articles were identified, 35 of which met the inclusion criteria. Two independent dimensions were used to describe nudging strategies according to user action and the timing of their implementation. Results Six nudging strategies were identified. The most common strategy was default choices, followed by increasing salience of information or incentives and providing feedback. Moreover, 32 studies used the electronic health record as an implementation method, and 29 reported significant results. Most of the effective interventions were multicomponent interventions (i.e., combining nudge strategies and non-nudge components). Conclusions Most nudging strategies used a passive approach, such as defaulting prescriptions to generics and requiring no action from the prescriber. Although reported as effective, this approach often operates under the prescriber’s radar. Future research should explore the ethical implications of nudging strategies. INPLASY registration number: 202420082.
Preoperative frailty and postoperative complications after non-cardiac surgery: a systematic review
Authors: Becerra-Bolaños Ángel , Hernández-Aguiar Yanira , Rodríguez-Pérez Aurelio 
Published: September 2024

Objective Many tools have been used to assess frailty in the perioperative setting. However, no single scale has been shown to be the most effective in predicting postoperative complications. We evaluated the relationship between several frailty scales and the occurrence of complications following different non-cardiac surgeries. Methods This systematic review was registered in PROSPERO (CRD42023473401). The search strategy included PubMed, Google Scholar, and Embase, covering manuscripts published from January 2000 to July 2023. We included prospective and retrospective studies that evaluated frailty using specific scales and tracked patients postoperatively. Studies on cardiac, neurosurgical, and thoracic surgery were excluded because of the impact of underlying diseases on patients’ functional status. Narrative reviews, conference abstracts, and articles lacking a comprehensive definition of frailty were excluded. Results Of the 2204 articles identified, 145 were included in the review: 7 on non-cardiac surgery, 36 on general and digestive surgery, 19 on urology, 22 on vascular surgery, 36 on spinal surgery, and 25 on orthopedic/trauma surgery. The reviewed manuscripts confirmed that various frailty scales had been used to predict postoperative complications, mortality, and hospital stay across these surgical disciplines. Conclusion Despite differences among surgical populations, preoperative frailty assessment consistently predicts postoperative outcomes in non-cardiac surgeries.
Daily living skills in adolescents with and without (developmental) language disorder, measured using the WHEEL OF INDEPENDENCETM framework
Authors: Burridge Debbie , Hughes Lucy , Titterington Jill , Dawson Nicola , Ebbels Susan 
Published: September 2024

Introduction: Developing daily living skills, such as self-care, cooking and managing money, is a key priority for adolescents with special educational needs. Previous studies investigated the emergence of daily living skills in young people with a range of neurodevelopmental conditions. However, none focused on adolescents with language disorders, including developmental language disorder. Method: Two groups of 16-year-olds participated in this study: a typically developing group ( n = 88) and a (developmental) language disorder group ( n = 78), which was subdivided into participants with co-occurring motor difficulties ( n = 56) versus typical motor development ( n = 22). Data were collected using the WHEEL OF INDEPENDENCE™ framework, a daily living skills measurement tool. Between-group comparisons assessed whether there were significant differences in daily living skills between typically developing and (developmental) language disorder participants and between those with and without motor difficulties within the (developmental) language disorder group. Results: Findings revealed that typically developing participants had significantly better daily living skills than the (developmental) language disorder group. Within the (developmental) language disorder group, participants with motor difficulties showed marginally significantly lower daily living skills than those without. Conclusion: Adolescents with (developmental) language disorder experience challenges developing their daily living skills, compared to typically developing peers. This may be compounded if they have co-occurring motor difficulties. Further research could inform understanding of the mechanisms underlying these differences in order to develop tailored and effective interventions.
The intratesticular artery resistive index as a predictor of spermatogenesis: A prospective study
Authors: Sharma Sachin , Yash Manharlal Tilala , Tripathi Abhilekh , Swain Samir , Panda Sabyasachi , Paul Amiya Shankar , Choudhuri Sanjay 
Published: September 2024

Introduction: With the objective to assess the correlation between the resistive index of intratesticular artery as predictor of spermatogenesis this case control study was conducted. Methods: A Prospective study conducted during period April 2021 to March 2023. Total 50 patients, with oligoasthenozoospermia taken as cases and other 50 men with normal sperm count taken as controls. History taken & clinical examination, Semen analysis, hormonal evaluation & Color Doppler ultrasonography of scrotum done. Resistive Index of testicular arteries was obtained. Cases and controls were compared. Results: The age of the study group ranged between 21 and 40 years. Among the cases maximum patients 23 out of 50 and among controls with maximum number 21 out of 50 patients were belonged to age group 26–30 years.The mean semen volume for the cases & controls was 2.76 ± 0.44 ml and 3.32 ± 0.54 ml respectively. The Mean sperm concentration in the cases & controls was 14.33 million/ml & 84.8 million/ml. Mean Type A sperm motility was 20.82% ± 7.86 in cases and 54.96% ± 5.41 in controls. The mean testicular volume in cases was 18.36 ± 0.75 & in controls was 18.39 ± 0.62 ml. Hormonal evaluation done in both cases and controls and mean value of FSH in cases and controls was 7.57 ± 2.34 and 6.27 ± 3.55 respectively ( p-value = 0.036). Mean value of Resistive Index (PSV − EDV)/PSV) in cases and controls were found 0.63 ± 0.32 and 0.53 ± 0.37 respectively ( p-value = 0.001). Conclusion: The intratesticular artery resistive index can be utilized as valuable predictive marker to indicate spermatogenesis.
Informing Culturally Safe Advance Care Planning: An Interpretive Descriptive Study of Internationally Educated Nurses in Ontario
Authors: Jonathan Shereen , Pfaff Kathryn , Cruz Edward 
Published: September 2024

Background Maintaining cultural safety during advance care planning (ACP) discussions is an essential component of holistic care provision. Most nurses feel unprepared to engage in ACP and the current literature offers limited recommendations on how nurses can lead culturally safe ACP discussions. Internationally educated nurses (IENs) have unique personal and professional experiences to address this gap. Purpose The purpose of this study was to understand IENs’ contributions to culturally safe ACP and its implications to nursing practice and ACP policy. Methods An interpretive descriptive approach was undertaken. Ten IENs working in Ontario, Canada were individually interviewed using a semi-structured guide to understand their perspectives and experiences of engagement in culturally safe ACP practices. Results IENs utilized various approaches that were reflected in three actions: practicing cultural humility, utilizing a cautious approach, and empowering clients and families. IENs engaged in intrapersonal and interpersonal cultural humility practices to recognize the unique influence of one's culture on the ACP process. Establishing trust in the nurse-client relationship and cautiously approaching ACP conversations was recognized as important in maintaining cultural safety. IENs also empowered clients by addressing knowledge deficits, misconceptions about ACP, and informing them of their decision-making rights. Conclusion Nurses require education and resources to carry out culturally safe ACP. Education should begin at the undergraduate level and include self-engagement in ACP and cultural humility training. Practicing nurses need ACP training and clear standards/guidelines. There is an opportunity for healthcare organizations and professional/governing nursing bodies to collaborate on developing culturally safe ACP guidelines.
N-acetyl-cysteine in Intensive Care Unit Patients with Acute Respiratory Distress Syndrome due to COVID-19: A Retrospective Cohort Study
Authors: González-Guzmán Diego , Andrade-Castellanos Carlos A. , Ponce-Gallegos Marco A. , Mesina-Estarrón Ignacio , Mora-Almanza José G. , Ruelas-Moreno Hugo E. , Rodríguez-González Daniel , Eguia-Ortega Omar , Colunga-Lozano Luis Enrique 
Published: September 2024

COVID-19-related acute respiratory distress syndrome (ARDS) is linked to mortality, primarily due to a cytokine storm, oxidative stress imbalance, and pro-thrombotic state. Purpose We assessed the potential association between N-acetyl-cysteine (NAC) and clinical outcomes in critically ill subjects with COVID-19-related ARDS. Material and Methods We included subjects with confirmed COVID-19 who were admitted to our ICU between March 1, 2020, and January 31, 2021, due to ARDS and necessitating invasive mechanical ventilation (IMV). Subjects who received standard of care (SOC) were compared with subjects who additionally received NAC 600 mg bid orally. Results A total of 243 subjects were included in this study. The results indicate significantly improved survival rates in the NAC plus SOC group, both in the unadjusted analysis and after adjusting for confounding factors such as ARDS severity (HR 0.48, 95% CI 0.32-0.70). Conclusions We found that oral administration of NAC was associated with reduced mortality in critically ill patients with COVID-19 related ARDS.