bluuebunny/crossref_metadata_2025_split huggingface dataset:
Shared patient information and trust: a qualitative study of a national eHealth system
Authors: Lundhaug Kristine , Faxvaag Arild , Stokke Randi , Andreassen Hege Kristin 
Published: August 2024

Abstract
Background
In Norway, as in other countries, national eHealth systems, such as the Summary Care Record (SCR), have been implemented to improve the collaboration around patients by sharing patient information between health professionals across healthcare institutions and administrative levels. Although widely implemented across the health and care services in Norway, evaluations of the SCR indicate less use than expected. There is a need for analysis that lays out the visions and expectations of the SCR and contrasts these with detailed observations of use in everyday health professional work. This study adds to the eHealth research field by exploring this reality.

Method
This paper has a qualitative design with an ethnographic approach, including participant observation, qualitative interviews, and a document review. Qualitative individual interviews with 22 health professionals and six weeks of participant observation were conducted, and eight documents were reviewed. The field notes and the interview-transcriptions were analyzed following a stepwise-deductive induction analysis.

Results
The document review identified the expectations and visions of the SCR, including an underlying assumption of trust in shared patient information. However, this assumption is implicit and not recognized as a crucial element for success in the documents. In our observation and interview data, we found that health professionals do not necessarily trust information in the SCR. In fact, several procedures and routines to assess the trustworthiness of SCR information were identified that complicate and disturb the expected use. In our analysis, two main themes characterize the health professionals' handling of the SCR: adapting to workflow and dealing with uncertainty.

Conclusion
Our study illustrates that unconditional trust in shared patient information is an implicit assumption in SCR policy documents, but in their everyday work health professionals do not necessarily unconditionally trust shared patient information. Rather, sharing patient information through technology, such as the SCR, requires of health professionals to critically assess the digital information. The information in the SCR, as all sources of information presented to health professionals, becomes an item for their constant trust-work. Our study is of value to policymakers, health information systems developers, and the field of practice both nationally and internationally.
Ranking Model Averaging: Ranking Based on Model Averaging
Authors: Feng Ziheng , He Baihua , Xie Tianfa , Zhang Xinyu , Zong Xianpeng 
Published: August 2024

Ranking problems are commonly encountered in practical applications, including order priority ranking, wine quality ranking, and piston slap noise performance ranking. The responses of these ranking applications are often considered as continuous responses, and there is uncertainty on which scoring function is used to model the responses. In this paper, we address the scoring function uncertainty of continuous response ranking problems by proposing a ranking model averaging (RMA) method. With a set of candidate models varied by scoring functions, RMA assigns weights for each model determined by a K-fold crossvalidation criterion based on pairwise loss. We provide two main theoretical properties for RMA. First, we prove that the averaging ranking predictions of RMA are asymptotically optimal in achieving the lowest possible ranking risk. Second, we provide a bound on the difference between the empirical RMA weights and theoretical optimal ones, and we show that RMA weights are consistent. Simulation results validate RMA superiority over competing methods in reducing ranking risk. Moreover, when applied to empirical examples—order priority, wine quality, and piston slap noise—RMA shows its effectiveness in building accurate ranking systems. History: Accepted by Ram Ramesh, Area Editor for Data Science and Machine Learning. Funding: This research was supported by the Beijing Municipal Natural Science Foundation [Grant 1222002], the National Natural Science Foundation of China [Grants 12071457, 12201018, 12301364, 71925007, 72091212, and 72273120], National Quality Infrastructure [Grant 2022YFF0609903], the Chinese Academy of Sciences Project for Young Scientists in Basic Research [Grant YSBR-008], and the Natural Science Foundation of Anhui Province [Grant 2308085QA09]. Supplemental Material: The software that supports the findings of this study is available within the paper and its Supplemental Information ( https://doi.org/10.1287/ijoc.2023.0257 ) as well as from the IJOC GitHub software repository ( https://github.com/INFORMSJoC/2023.0257 ). The complete IJOC Software and Data Repository is available at https://informsjoc.github.io/ .
Developing critical enquiry, capacity, capability and confidence in the health and care workforce
Authors: Whitehouse Claire L , Webster Jonathan , Copping Jacky , Morris Paul , Yazbek Jonathan , Shiju Mehar , Hall Helen 
Published: August 2024

Background: Health and care staff have limited opportunities to design, deliver and lead critical enquiry activities. Aims: To explore barriers and enablers of building capacity, capability and confidence of these practitioners who wish to undertake critical enquiry activity. Methods: A realist conceptual framework including the development of middle range theory allowed analysis of the scholarship process and outcomes. Data were collected through snap surveys, interviews (face to face and online) and project output (posters). Results: Nine scholars completed the programme and all participated in the study. They all experienced an increase in capacity, capability and confidence in critical enquiry activity. Six overarching themes arose from analysis of the interviews and snap survey data: value; expertise; attitudes; meaningful, responsive support; brain space; and skill and knowledge acquisition. Discussion: A combined focus on people and project while staff remained embedded in their work area was key for the growth of skills and knowledge and creating impact from projects. Guilt at having dedicated time to take part in the programme was a self-imposed barrier to building capacity and capability. Social capital (gained from bringing together individuals from different groups with shared values) facilitated bonding, which increased psychological safety and helped enable capability and confidence. Conclusion: The combination of theory and practice embedded in a real-world context led to positive outcomes for staff, patients, carers and the facilitation team as real-life changes were made in clinical environments.
Performance of a silicone foam dressing in management of wounds in a community setting: a sub-analysis of the VIPES study
Authors: Colboc Hester , Ayoub Nayla , Pegalajar-Jurado Adoración , Schueller Romain , Armstrong Florence 
Published: August 2024

Objective: Managing the gap between the dressing and the wound bed can facilitate the healing of exuding wounds. A silicone foam dressing (Biatain Silicone; Coloplast A/S, Denmark) was developed for application to exuding wounds. A sub-analysis of the real-world, prospective, observational VIPES (Observatoire en Ville des Plaies ExSudatives) study was conducted to investigate the use and performance of the silicone foam dressing in a community nursing setting in France. Method: The sub-analysis included patients from the VIPES study who received the silicone foam dressing as a primary dressing for an acute or hard-to-heal (chronic) wound. Epidemiological and wound healing outcomes were reported via a smartphone application. Results: Overall, 64 patients were included in the sub-analysis. At baseline, most wounds (n=33/40; 82.5%) were in treatment failure (i.e., were stagnant, non-healing or had poor exudate management). At the last follow-up visit, a median of 22.5 (range: 3–151) days post baseline, 48.4% of wounds had healed and 25.0% were progressing towards healing. From baseline to the last follow-up visit, significant reductions in exudate level (p<0.0001) and exudate pooling (p<0.0001), and significant improvements in wound edges (p≤0.0001) and periwound skin (p<0.01) were observed. A total of 62.3% of patients had re-epithelialising wounds at the last follow-up visit. The majority of nurses (88.3%) and patients (85.0%) reported that the wound had improved and, at most dressing removals (93.5%), nurses reported that the dressing conformed closely to the wound bed. Conclusion: Overall, the data suggest that use of the silicone foam dressing in community practice supported the healing of wounds, illustrating the importance of exudate and gap management.
An Automated On-The-Go Unloading System Reduces Harvest Operator Stress Relative to Manual Operation
Authors: Burgers Travis A. , Kamarei Kusha , Vora Mukund , Horne Matthew 
Published: August 2024

Highlights

Stress was measured in harvest operators who performed on-the-go unloading manually and with an automated system.

Automated unloading reduced the average grain cart and combine operator stress rate by 18% and 12%, respectively, compared to manual operation.

Harvest operators usually worked more than 9 hours and often worked more than 12 hours per workday during harvest.

The use of automated unloading systems could positively affect the health of harvest operators.

Abstract. On-the-go unloading improves harvest operational efficiency, but it requires skilled labor because it is challenging and stressful to balance numerous concurrent tasks. Harvest automation reduces workload, stress, and fatigue. The objective of this study was to determine if using a commercially available, automated on-the-go unloading system (Raven Cart AutomationTM, RCA, Raven Industries) would reduce operator stress compared to manual operation. Nine grain cart tractor operators and six combine operators participated in this study. Operators performed their typical harvest operation, except to alternate on-the-go unloading using RCA or operating manually. Skin conductance (electrodermal activity) was measured with an Empatica E4 wristband, and stressful events were quantified. Machine data was collected from the tractor and combine via CAN logs. Over 200 total unload events were analyzed. Grain cart and combine operators using RCA had an 18% (p = 0.022) and 12% (p = 0.18) reduction in stress rate, respectively, compared to operating the grain cart tractor manually. RCA reduced the tractor cross-track error standard deviation by 2.5 cm on straight passes (p &lt; 0.0001). The use of an automated on-the-go unloading system reduces operator stress during harvest and could positively affect the health of operators, especially during the long harvest workdays. Keywords: Agricultural workers, Combine operators, Custom harvesters, Electrodermal activity, Grain cart operators, Guidance systems, Harvest, Skin conductance, Stress, Vehicle automation.
Critical values for body mass index related to morbidity in high-volume low-complexity general surgery: a systematic review and meta-analysis
Authors: Hajibandeh S , Hajibandeh S , Harries K , Lewis WG , Egan RJ 
Published: August 2024

Introduction The aim of this study was to investigate the effect of body mass index (BMI, kg/m2) on outcomes of high-volume low-complexity (HVLC) general surgery procedures and to determine critical values for BMI when selecting patients into HVLC programmes. Methods A systematic review was conducted of studies looking at patients in different BMI categories undergoing HVLC general surgery procedures (laparoscopic cholecystectomy, inguinal hernia repair and umbilical or paraumbilical hernia repair), in accordance with the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines. A comparison meta-analysis model was constructed to compare the outcomes using random-effects modelling. The QUIPS (Quality In Prognosis Studies) tool and GRADE (Grading of Recommendations Assessment, Development and Evaluation) system were used to assess bias. Results A total of 26 studies including 486,392 patients were examined. In laparoscopic cholecystectomy, BMI ≥40 was associated with higher conversion to open surgery (odds ratio [OR]: 1.33, p=0.040) but did not affect complications (OR: 0.69, p=0.400) or length of hospital stay (mean difference [MD]: −0.01 days, p=0.900). In inguinal hernia repair, BMI ≥35 was associated with longer operative time (MD: 18.00 minutes, p<0.00001), and higher risk of wound complications (OR: 3.01, p<0.00001) and hospital readmission (OR: 1.46, p=0.0008). In umbilical or paraumbilical hernia repair, BMI ≥30 was associated with higher risk of wound complications (OR: 6.45, p<0.0001) and hospital readmission (OR: 5.56, p<0.00001), and longer operative time (MD: 4.01 minutes, p=0.030). Conclusions Obesity was associated with longer operative time (up to 23 minutes) and higher risk of postoperative morbidity (up to 4-fold) in HVLC procedures. BMI <40 (moderate GRADE certainty – laparoscopic cholecystectomy) and BMI <35 (moderate GRADE certainty – inguinal hernia) appear to represent optimal critical values for perioperative safety metrics.
Perspectives and challenges in developing and implementing integrated dengue surveillance tools and technology in Thailand: a qualitative study
Authors: Rotejanaprasert Chawarat , Armatrmontree Peerawich , Chienwichai Peerut , Maude Richard J. 
Published: August 2024

Background
Dengue remains a persistent public health concern, especially in tropical and sub-tropical countries like Thailand. The development and utilization of quantitative tools and information technology show significant promise for enhancing public health policy decisions in integrated dengue control. However, the effective implementation of these tools faces multifaceted challenges and barriers that are relatively underexplored.

Methods
This qualitative study employed in-depth interviews to gain a better understanding of the experiences and challenges of quantitative tool development and implementation with key stakeholders involved in dengue control in Thailand, using a phenomenological framework. A diverse range of participants, including public health workers and dengue control experts, participated in these interviews. The collected interview data were systematically managed and investigated using thematic analysis to extract meaningful insights.

Results
The ability to collect dengue surveillance data and conduct ongoing analyses were contingent upon the availability of individuals possessing essential digital literacy and analytical skills, which were often in short supply. Furthermore, effective space-time early warning and precise data collection were hindered by the absence of user-friendly tools, efficient reporting systems, and complexities in data integration. Additionally, the study underscored the importance of the crucial role of community involvement and collaboration among organizations involved in integrated dengue surveillance, control and quantitative tool development.

Conclusions
This study employed a qualitative approach to gain a deeper understanding of the contextual intricacies surrounding the development and implementation of quantitative tools, which, despite their potential for strengthening public health policy decisions in dengue control, remain relatively unexplored in the Thai context. The findings yield valuable insights and recommendations for the development and utilization of quantitative tools to support dengue control in Thailand. This information also has the potential to support use of such tools to exert impact beyond dengue to a broader spectrum of diseases.
Comparison of cardiovascular disease risk association with metabolic unhealthy obesity identified by body fat percentage and body mass index: Results from the 1999–2020 National Health and Nutrition Examination Survey
Authors: Xiong Qian , Zhang Yang , Li Jun , An Yaping , Yu Shan 
Published: August 2024

Background and aim
Cardiovascular disease (CVD) risk among individuals across different categories of metabolic obesity phenotypes is controversial. The study used body fat percentage (BFP) or body mass index (BMI) to categorize obese status and to investigate the association between metabolic obesity phenotypes and CVD risk in a nationally representative population.

Methods
This cross-sectional study included 49463 adult participants in National Health and Nutrition Examination Survey from 1999 to 2020. Metabolic healthy status was defined by the absence of metabolic syndrome according to the revised National Cholesterol Education Program Adult Treatment Group definition. Obesity was identified by BFP, assessed by dual-energy X-ray absorptiometry scan, and BMI. The primary outcome was CVD prevalence. The multivariable logistic regression model and restricted cubic spline analyses were used to examine the associations between metabolic obesity phenotypes and the risk of CVD.

Results
Among 49463 adult participants, 32.12% were metabolically unhealthy, 34.10% were overweight, 37.94% were obese; and 8.41% had CVD. Compared with metabolic healthy normal weight, metabolic healthy obesity, and metabolic unhealthy normal weight/overweight/obesity were all associated with increased CVD risk with adjusted odds ratios (95% confidence intervals) of 1.45 (1.14–1.85), 2.80(1.53–5.11), 2.55(1.88–3.47), and 2.96(2.18–4.02), respectively. Nonlinear dose-response relationships between BFP and CVD were observed both in metabolically healthy and unhealthy participants (both P for non-linearity<0.0001). When obesity was defined with BMI, there were a similar prevalence of obesity, and similar associations between metabolic obesity phenotypes and CKD risks.

Conclusions
Metabolic healthy and unhealthy obesity were both associated with higher risks of CVD, whether using BFP or BMI to define obese status. It suggests that metabolic obesity phenotype is a risk factor for CVD.
On being a scholar/activist: Personal history and acquired wisdom
Authors: Apple Michael W. 
Published: August 2024

Requests to publicly think about what one has learned over time are always interesting to me. They require that authors reflect back on a trajectory that may not be totally clear even to the writers themselves. They ask writers to construct an historical narrative that is simultaneously both personal and intellectual/political. In this “acquired wisdom” essay, I want to engage with this combined task, to reflect on some of the political/intellectual/educational history of the development of my work over time, on some of the most important things I have learned, and on the situations and processes that made this more likely. At the same time, I want to situate this development in some of the more personal groundings that might explain how and why the work I’ve done came about.
Let me begin with some general points that bear on my later comments about my grounding in politically engaged educational efforts. There are two fundamental motivations behind such critical work. The first is understanding the complex dynamics of exploitation, domination, and subordination that all too often structure our societies and their constitutive relations inside and outside of education. Yet, while understanding is absolutely crucial, it is not sufficient. Emerging out of such understandings is a commitment to interruption. Both understanding and interruption have their basis in a set of ethical and political commitments that are simultaneously collective and personal (Bourdieu, 2003). And both are crucial to me.
Coalgebraic methods for Ramsey degrees of unary algebras
Authors: Mašulović Dragan 
Published: August 2024

Abstract
In this paper, we prove the existence of small and big Ramsey degrees of classes of finite unary algebras in an arbitrary (not necessarily finite) algebraic language Ω. Our results generalize some Ramsey-type results of M. Sokić concerning finite unary algebras over finite languages. To do so, we develop a completely new strategy that relies on the fact that right adjoints preserve the Ramsey property. We then treat unary algebras as Eilenberg-Moore coalgebras for a functor with comultiplication, and using pre-adjunctions transport the Ramsey properties, we are interested in from the category of finite or countably infinite chains of order type ω. Moreover, we show that finite objects have finite big Ramsey degrees in the corresponding cofree structures over countably many generators.
Existence results for a fourth order problem with functional perturbed clamped beam boundary conditions
Authors: Cabada Alberto , Jebari Rochdi , López-Somoza Lucía 
Published: August 2024

Abstract
In this paper, we study the existence of positive solutions for a fourth order boundary value problem coupled to functional perturbed clamped beam boundary conditions. Our main ingredient is the classical fixed point index. The problem investigated is an extension of other problems studied in previous papers by covering very general nonlocal perturbed conditions on the boundary.
Induced mappings on the hyperspace of totally disconnected sets
Authors: Anaya José G. , Hernández-Castañeda Martha , Maya David 
Published: August 2024

Abstract
The symbol TD(X) denotes the hyperspace of all nonempty totally disconnected compact subsets of a Hausdorff space X. This hyperspace is endowed with the Vietoris topology. For a mapping between Hausdorff spaces f : X → Y, define the induced mapping TD(f) : TD(X) → TD(Y) by TD(f)(A) = f(A) (the image of A under f). In the current paper, we study the relationships between the condition f belongs to a class of mappings between Hausdorff spaces 𝕄 and the condition TD(f) belongs to 𝕄.
A dinâmica da transferência interlinguística de padrões de VOT em crianças multilíngues
Authors: Tessmann Bandeira Marta , Cristina Zimmer Márcia 
Published: August 2024

Este artigo apresenta os resultados de uma investigação sobre as diferenças relativas aos padrões de VOT em plosivas surdas do inglês produzidas por crianças monolíngues e multilíngues, aprendizes de inglês. Também apresenta uma análise da dinâmica da transferência dos padrões de VOT das plosivas /p/, /t/ e /k/ nas três línguas (pomerano, português brasileiro e inglês) faladas pelas crianças multilíngues, a partir da noção de deriva gestual (SANCIER; FOWLER, 1997; FOWLER et al., 2008).
Os efeitos de um treinamento de percepção na aquisição de pré-proparoxítonas inglesas por brasileiros
Authors: Brawerman Albini Andressa , Cristina Kluge Denise , Hercília Pescatori Silva Adelaide 
Published: August 2024

Este trabalho investiga os efeitos de um treinamento de percepção na aquisição do padrão acentual pré-proparoxítono da língua inglesa por falantes brasileiros. Parte-se da hipótese de que falantes de português brasileiro armazenem poucos exemplos de palavras pré-proparoxítonas pelo fato de ser um padrão de acentuação raro em sua língua materna. Assim, esse padrão seria pouco frequente ou produtivo para eles. O treinamento perceptual consistiu em tarefas de identificação do acento com feedback imediato ministradas durante cinco sessões. Os resultados obtidos confirmam que o treinamento possibilitou uma melhora significativa na percepção e produção de pré-proparoxítonas. Ainda, os efeitos da produção são generalizados para novas palavras e retidos por um período de dois meses após o término do treinamento. Acredita-se que, a partir do uso frequente do padrão pré-proparoxítono, o treinamento teria proporcionado a criação dessa categoria pelos participantes desta pesquisa.