bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reproductive health needs of HIV serodiscordant couples: a systematic review
Authors: Motaharinezhad Mohadese , Yousefi Zahra , Rostami Sahar , Goli Shahrbanoo , Keramat Afsaneh 
Published: August 2024

ObjectivesHIV is closely linked to reproductive and sexual health. HIV Serodiscordant couples face significant social, reproductive, and sexual challenges. This systematic review aimed to identify their reproductive health needs.MethodsA comprehensive literature search was conducted across six databases: Scopus, PubMed, Web of Science, Google Scholar, Magiran, and Iranmedex. No date restrictions were applied, and only English-language articles published before February 21, 2023, were included. We also searched the grey literature and conducted forward/backward citation searches.ResultsFrom an initial 758 articles, 18 met the inclusion criteria. Studies were qualitative (n = 10) and quantitative (n = 8). Key reproductive health needs included (1) childbearing intention, (2) HIV serodiscordance and sexuality, (3) psychological and social support, (4) training and consultation services, (5) access to reliable information, and (6) focused training for healthcare providers.ConclusionHIV-discordant couples face various reproductive health challenges. Implementing comprehensive guidelines for reproductive and sexual health, rehabilitation, and fertility planning is crucial to improving their quality of life and health.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42023393567.
Exploring resilience among hospital workers: a Bayesian approach
Authors: Uccella Laura , Mascherona Ilenia , Semini Sebastiano , Uccella Sara 
Published: August 2024

Background and importanceHealthcare professionals face significant workloads, as their roles are among the most demanding and stressful. Resilience serves as a crucial factor in helping them cope with the challenges encountered in their work environment and effectively manage stress. Assessing the level of resilience among healthcare workers and identifying potential variations across different groups is essential for effective public health management, preventing burnout, and ultimately enhancing patient care.ObjectiveTo assess the resilience of various categories of workers operating within a tertiary care multisite hospital and understanding if there are any differences in resilience, based on their characteristics, the type of department they work in, and personality traits.Design, setting and participantsThis was a cross-sectional study conducted in January 2024 at EOC, a multi-site tertiary care hospital located in Southern Switzerland. 1,197 hospital workers answered an online survey which included: (1) an ad hoc questionnaire on personal and job characteristics, well-being-related activities, satisfaction level regarding communication, collaboration, support, and training opportunities in the workplace, (2) the Connor-Davidson Resilience Scale 10-Item on resilience, and (3) the Big Five Personality Inventory 10-item on personality traits.Outcome measures and analysisProportion of resilient and highly resilient individuals within the various categories of workers were analyzed with Bayesian approach and Bayesian robust regression.Main resultsBeing part of the hospitality staff, working as a doctor, and having a male sex were associated to the highest scores of resilience. Surgery and emergency departments had the highest proportion of highly resilient individuals. Male sex, older age, seniority, higher hierarchical rank, engagement in physical activities, relaxation or mindfulness practices, religiosity, perception of good collaboration, communication, support, and physical activity correlated with higher resilience skills.ConclusionThis cross-sectional study found that physicians and hospitality staff within our multi-site Swiss hospital are more resilient compared to other categories of hospital workers, and among departments, those working in surgery and Emergency Medicine. Enhancing our comprehension of resilience is crucial for more precise management of healthcare systems and the development of employment policies aimed at sustaining the capacity of healthcare systems to serve patients effectively, while also mitigating shortages of healthcare professionals.
Closing the value-based circle in shared decision-making: a digital framework for informing the shared decision-making process through patient reported outcome and experience measures
Authors: del Olmo Rodríguez Marta , Martos Martinez Rafael , Pascual Martínez Adriana , Miranda Castillo Carolina , Short Apellaniz Jorge , Pfang Bernadette , Baca-García Enrique , Córdoba Mascuñano Raúl 
Published: August 2024

BackgroundThe spreading adoption of value-based models of healthcare delivery has incentivized the use of patient-reported outcomes and experience measures (PROMs and PREMs) in clinical practice, with the potential to enrich the decision-making process with patient-reported data.MethodsThis perspective article explores PROs and the shared decision-making (SDM) process as components of value-based healthcare. We describe the potential of PROMs and PREMs within the decision-making process and present a digital framework for informing the shared decision-making process using aggregated data from a healthcare system PROMs and PREMs program, including early results from implementation in hospital network in Madrid, Spain.ResultsThe proposed digital framework incorporates aggregated data from a hospital network PROMs and PREMs program as part of a digital patient decision aid (PDA) for patients with lymphoma. After the first hematologist appointment, participating patients access the PDA to review relevant information about clinical and patient-reported outcomes for each of the possible options, assign a personal order of priority to different outcomes, and then select their preferred course of action. Patients’ answers are automatically uploaded to the EHR and discussed with hematologists at the next appointment. After beginning treatment, patients are invited to participate in the network PROMs program; participants’ PROMs data are fed back into the PDA, thus “closing the circle” between the decision-making process and patient-reported data collection.During the first 14 months after launching the decision aid in October 2022, of 25 patients diagnosed with follicular lymphoma at the four participating hospitals, 13 patients decided to participate. No significant differences in age or sex were observed between groups. Average SDM Q-9 score for patients filling in the questionnaire (n = 6) was 36.15 of 45 points.ConclusionVarious obstacles toward widespread implementation of SDM exist such as time constraints, lack of motivation, and resistance to change. Support and active engagement from policy makers and healthcare managers is key to overcome hurdles for capturing patient-reported data and carrying out shared decision-making at healthcare system level. Early results of a digital framework for PRO-enriched SDM seem to be beneficial to the decision-making process.
Assessing seniors’ satisfaction with local government activities in physical activity promotion: a comparative analysis
Authors: Sobczyk Karolina , Łaskawiec-Żuławińska Daria , Robakowska Marlena , Krupa-Kotara Karolina , Yanakieva Antoniya , Grajek Mateusz 
Published: August 2024

BackgroundThe aging population in Poland poses significant challenges to social and health systems. By 2050, the percentage of people over 65 in Poland is projected to reach 32.7%. Promoting physical activity among seniors is crucial for preventing chronic diseases, improving quality of life, and reducing healthcare burdens. Local governments play a pivotal role in implementing health-promoting measures.ObjectiveThe study aims to analyze seniors’ satisfaction with local government activities in promoting physical activity and to identify the best activities and future needs of seniors in the Silesia, Mazovia, and Pomerania regions of Poland.Material and MethodsThe survey, conducted between May 2023 and May 2024, utilized the Computer Assisted Web Interviewing (CAWI) method to gather data from 1,500 seniors aged 65 and above across the Silesia, Mazovia, and Pomerania regions. The study population was carefully selected to ensure representativeness in terms of gender, age, education, and place of residence. Data analysis included chi-square tests and logistic regression to assess satisfaction levels and identify influencing factors.ResultsThe survey revealed regional differences in satisfaction levels. Seniors in the Mazovia region exhibited the highest satisfaction (74% positive ratings), followed by the Silesian (64%) and Pomeranian (56%) regions. Factors influencing satisfaction included gender, age, education, and place of residence. Women, older seniors, those with higher education, and urban residents reported higher satisfaction levels. The most appreciated local government activities were related to sports infrastructure and sports programs. Future needs emphasized the demand for more sports programs and better infrastructure, with regional variations in preferences.ConclusionSeniors’ satisfaction with local government activities in promoting physical activity varies significantly across regions. Tailoring activities to regional preferences and continuous evaluation of programs are essential for enhancing effectiveness and satisfaction. Increased funding and support for physical activity programs are necessary, especially in less developed regions.
Interventions to support the mental health of family carers of children with brain injury in low and middle income countries: a scoping review
Authors: Linden M. A. , Leonard R. , Ewing-Cobbs L. , Davis K. C. , Schrieff-Brown L. 
Published: August 2024

AimTo review the international evidence base on interventions to support the mental health of family carers of children with brain injuries in low and middle income countries (LMIC).MethodsSearches were conducted with five electronic databases (Pubmed, Web of Science, Embase, PsycINFO, CINAHL) using search terms related to “family carers”, “brain injury”, “children” and “low and middle income countries”. Studies were independently screened using predetermined eligibility criteria by two authors. Data were extracted from included studies using standardised data extraction and quality appraisal tools. These data were then subjected to narrative synthesis. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to govern the review process.FindingsOne study met our inclusion criteria and described an acquired brain injury called nodding syndrome which occurs in Sub-Saharan Africa. The study was conducted in Ghana and provided group-based psychotherapy to carers and their children. As such we found no study which sought to solely support the mental health of family carers.ConclusionsThere has been a lack of focus in the literature on the mental health of family carers of children with brain injuries in LMIC. Considering the vital importance of caregivers in supporting their children it is imperative that service providers and researchers devise programmes to better meet their needs. The mental health of family carers should be better supported to improve their overall wellbeing, which will in turn improve the wellbeing of their children.
Hemiarthroplasty vs. internal fixation for nondisplaced femoral neck fracture in mainland China: a cost-effectiveness analysis
Authors: Wang Shengchun , Tan Lingjie , Sheng Bin 
Published: August 2024

ObjectiveNondisplaced femoral neck fractures constitute a substantial portion of these injuries. The optimal treatment strategy between internal fixation (IF) and hemiarthroplasty (HA) remains debated, particularly concerning cost-effectiveness.MethodsWe conducted a cost-effectiveness analysis using a Markov decision model to compare HA and IF in treating nondisplaced femoral neck fractures in elderly patients in China. The analysis was performed from a payer perspective with a 5-year time horizon. Costs were measured in 2020 USD, and effectiveness was measured in quality-adjusted life-years (QALYs). Sensitivity analyses, including one-way and probabilistic analyses, were conducted to assess the robustness of the results. The willingness-to-pay threshold for incremental cost-effectiveness ratio (ICER) was set at $11,083/QALY following the Chinese gross domestic product in 2020.ResultsHA demonstrated higher cumulative QALYs (2.94) compared to IF (2.75) but at a higher total cost ($13,324 vs. $12,167), resulting in an ICER of $6,128.52/QALY. The one-way sensitivity analysis identified the costs of HA and IF as the most influential factors. Probabilistic sensitivity analysis indicated that HA was more effective in 69.3% of simulations, with an ICER below the willingness-to-pay threshold of $11,083 in 58.8% of simulations.ConclusionsHA is a cost-effective alternative to IF for treating nondisplaced femoral neck fractures in elderly patients in mainland China.
Clinical presentation, magnetic resonance imaging findings, and outcome of 80 Dachshunds with cervical intervertebral disc extrusion
Authors: Violini Francesca , Tirrito Federica , Cozzi Francesca , Contiero Barbara , Anesi Simone , Zini Eric , Toni Cristina 
Published: August 2024

IntroductionLarge clinical studies regarding cervical intervertebral disc extrusion (IVDE) in Dachshunds are lacking. This retrospective multicentric study therefore aims to describe the clinical features, magnetic resonance imaging (MRI) findings and outcomes of Dachshunds diagnosed with cervical IVDE.MethodsMedical records of Dachshunds with cervical IVDE were reviewed for signalment, onset of clinical signs, neurological examination, MRI features, treatment and outcome.ResultsEighty Dachshunds were included in the study, mostly ambulatory (55% grade 1 and 33% grade 2) and without nerve root signature (85% of cases) on presentation. Information on coat type was available for 56% of dogs; specifically, 41% were smooth-haired, 9% were long-haired and 6% were wire-haired Dachshunds. There were 29 (36%) neutered female, 27 (34%) male entire, 15 (19%) male neutered and 9 (11%) entire female dogs. The onset of clinical signs was most often &gt;48 h (84%). The most common intervertebral disc space affected was C2-C3 (38%) and foraminal IVDEs were reported in 14% of dogs. A foraminal IVDE was diagnosed in only 25% of dogs presented with nerve root signatures. Most dogs (77.5%) were treated surgically. In this group, a higher body condition score on presentation and a higher mean spinal cord compression ratio calculated on MRI were directly and moderately associated with a longer hospitalization time (r = 0.490 p = 0.005 and r = 0.310 p = 0.012, respectively). The recovery time was longer in dogs with an onset of clinical signs &lt;24 h or 24–48 h compared to those with an onset of clinical signs &gt;48 h (3.1 ± 6.5 days versus 1.6 ± 6.2, p &lt; 0.001) in both medically and surgically treated groups. Data about the outcome was available for 83% of dogs. Eighty percent of the entire population of dogs was considered to have completely returned to normal. There was no association between the therapeutic choice (surgical versus medical management) and the outcome of the dogs included in this study.
Comparison of Kidney Graft Function and Survival in an Emulated Trial With Living Donors and Brain-Dead Donors
Authors: Savoye Emilie , Santin Gaëlle , Legeai Camille , Kerbaul François , Gaillard François , Pastural Myriam ,   the CRISTAL Registry Study Group
Published: August 2024

Living donation (LD) transplantation is the preferred treatment for kidney failure as compared to donation after brain death (DBD), but age may play a role. We compared the 1-year estimated glomerular filtration rate (eGFR) after kidney transplantation for recipients of LD and DBD stratified by recipient and donor age between 2015 and 2018 in a matched cohort. The strength of the association between donation type and 1-year eGFR differed by recipient age (Pinteraction &lt; 0.0001). For LD recipients aged 40–54 years versus same-aged DBD recipients, the adjusted odds ratio (aOR) for eGFR ≥60 mL/min/1.73 m2 was 1.48 (95% CI: 1.16–1.90). For DBD recipients aged ≥ 60 years, the aOR was 0.18 (95% CI: 0.12–0.29) versus DBD recipients aged 40–54 years but was 0.91 (95% CI: 0.67–1.24) versus LD recipients aged ≥60 years. In the matched cohort, 4-year graft and patient survival differed by donor age and type. As compared with DBD grafts, LD grafts increased the proportion of recipients with 1-year eGFR ≥60 mL/min/1.73 m2. Recipients aged ≥60 years benefited most from LD transplantation, even if the donor was aged ≥60 years. For younger recipients, large age differences between donor and recipient could also be addressed with a paired exchange program.
АНАЛИЗ ПРОМЫШЛЕННОСТИ КИТАЯ НА ОСНОВЕ СТАТИСТИЧЕСКИХ ДАННЫХ
Authors: Huang C. 
Published: August 2024

This article describes an analysis of China's industry, considered in detail the main areas of activity, import and export statistics based on open information from the "China statistical Yearbook". Today, China has solidified its position as one of the preeminent and influential global powers, a country with a stable and strong economy, a good reputation and numerous spheres of influence. That is why China is quite an interesting subject for research. The analysis showed that the main drivers of Chinese economic growth are the automotive and engineering industries; The metallurgical and mechanical engineering industries are of primary importance. Other important industries are the chemical industry, electronics, science, and energy. The oldest industry, textiles, also continues to develop. Analysis of statistics showed that, in recent years, China's economy has developed rapidly, achieving significant success in different industries; and China is one of the leaders of the world economy and is constantly increasing its industrial power.
В данной статье проведен анализ промышленности Китая, подробно рассмотрены основные направления деятельности, статистика импорта и экспорта на основе открытой информации «Китайского статистического ежегодника». Сегодня Китай укрепил свои позиции одной из выдающихся и влиятельных мировых держав, страны со стабильной и сильной экономикой, хорошей репутацией и многочисленными сферами влияния. Именно поэтому Китай является весьма интересным объектом для исследования. Анализ показал, что основными драйверами экономического роста Китая являются автомобильная и машиностроительная отрасли; первостепенное значение имеют металлургическая и машиностроительная отрасли. Другими важными отраслями являются химическая промышленность, электроника, наука и энергетика. Продолжает развиваться и старейшая отрасль промышленности – текстильная. Анализ статистики показал, что в последние годы экономика Китая развивалась быстрыми темпами, достигая значительных успехов в различных отраслях, что позволяло Китаю постоянно наращивать свою промышленную мощь.
DIGITAL TRANSFORMATION OF ENTERPRISES: THE MAIN RESEARCH AREAS IN MANAGEMENT
Authors: Лесик А.Н. 
Published: August 2024

Статья посвящена влиянию цифровой трансформации на деятельность предприятий и обоснованию необходимости цифровой трансформации с современном мире. Актуальность исследования обусловлена повышением интереса в российских компаниях к возможности принимать более обоснованные решения на основе использования облачных технологий, носимых устройств и возможностей искусственного интеллекта. Увеличение популярности цифровых технологий основано на поиске альтернативных путей для принятия управленческих решений, которые становятся более ориентированы на требования новых цифровых экономических моделей. Однако при создании моделей для цифровой трансформации предприятия сталкиваются со сложностями различной природы, главным образом, с высокими затратами на новые продукты и сервисы, информационные и управленческие технологии, с несовершенством цифровых драйверов и информационных моделей. Настоящее исследование проведено с целью систематизировать существующие данные о нынешнем состоянии процесса цифровой трансформации предприятий для выяснения их природы, а также условий их успешной реализации. Статья носит обзорный характер. Автор провел семантическую категоризацию фаз цифровой трансформации и сформировал систематизацию всеохватывающих категорий, что позволило лучше структурировать фазы и учесть различные тенденции в литературе.
The article is devoted to the digital transformation impact on the enterprises’ activities and the need rationale for digital transformation in the modern world. The relevance of the study is due to increased interest in Russian companies in the ability to make more informed decisions based on the use of cloud technologies, wearable devices and artificial intelligence capabilities. The increasing popularity of digital technologies is based on the search for alternative ways to make management decisions, which are becoming more focused on the new digital economic models’ requirements. However, when creating models for digital transformation, enterprises are faced with various difficulties, mainly with high costs for new products and services, information and management technologies, and imperfect digital drivers and information models. The aim of this study was to systematize existing data on the current state of the enterprises’ digital transformation process in order to clarify their nature, as well as the conditions for their successful implementation. The article is of a review nature. The author carried out a semantic categorization of the digital transformation phases and formed a systematization of all-encompassing categories, which made it possible to better structure the phases and take into account various trends in the literature.