bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predictive Validity of Anesthesiologists’ Quality of Clinical Supervision and Nurse Anesthetists’ Work Habits Assessed by Their Associations With Operating Room Times
Authors: Dexter Franklin , Epstein Richard H. , Dillman Dawn , Hindman Bradley J. , Mueller Rashmi N. 
Published: July 2024

BACKGROUND:
At all Joint Commission-accredited hospitals, the anesthesia department chair must report quantitative assessments of anesthesiologists’ and nurse anesthetists’ (CRNAs’) clinical performance at least annually. Most metrics lack evidence of usefulness, cost-effectiveness, reliability, or validity. Earlier studies showed that anesthesiologists’ clinical supervision quality and CRNAs’ work habits have content, convergent, discriminant, and construct validity. We evaluated predictive validity by testing for (expected) small but statistically significant associations between higher quality of supervision (work habits) and reduced probabilities of cases taking longer than estimated.

METHODS:
Supervision quality of each anesthesiologist was evaluated daily by assigned trainees using the 9-item de Oliveira Filho scale. The work habits of each CRNA were evaluated daily by assigned anesthesiologists using a 6-item scale. Both are scored binary, 1 if all items are rated the maximum, 0 otherwise. From 40,718 supervision evaluations and 53,722 work habit evaluations over 8 fiscal years, 16 mixed-effects logistic regression models were estimated, with raters as fixed effects and ratees (anesthesiologists or CRNAs) as random effects. Empirical Bayes means in the logit scale were obtained for 561 anesthesiologist-years and 605 CRNA-years. The binary-dependent variable was whether the case took longer than estimated from the historical mean time for combinations of scheduled procedures and surgeons. From 264,060 cases, 8 mixed-effects logistic regression models were fitted, 1 per fiscal year, using ratees as random effects. Predictive validity was tested by pairing the 8 one-year analyses of clinical supervision, and the 8 one-year analyses of work habits, by ratee, with the 8 one-year analyses of whether OR time was longer than estimated. Bivariate errors in variable linear least squares linear regressions minimized total variances.

RESULTS:
Among anesthesiologists, 8.2% (46/561) had below-average supervision quality, and 17.7% (99/561), above-average. Among CRNAs, 6.3% (38/605) had below-average work habits, and 10.9% (66/605) above-average. Increases in the logits of the quality of clinical supervision were associated with decreases in the logits of the probabilities of cases taking longer than estimated, unitless slope = −0.0361 (SE, 0.0053), P < .00001. Increases in the logits of CRNAs’ work habits were associated with decreases in the logits of probabilities of cases taking longer than estimated, slope = −0.0238 (SE, 0.0054), P < .00001.

CONCLUSIONS:
Predictive validity was confirmed, providing further evidence for using supervision and work habits scales for ongoing professional practice evaluations. Specifically, OR times were briefer when anesthesiologists supervised residents more closely, and when CRNAs had better work habits.
Diverse stimuli induce piloerection and yield varied autonomic responses in humans
Authors: McPhetres Jonathon 
Published: July 2024

ABSTRACT
This research provides an in-depth exploration into the triggers and corresponding autonomic responses of piloerection, a phenomenon prevalent across various species. In non-human species, piloerection occurs in reaction to a variety of environmental changes, including social interactions and temperature shifts. However, its understanding in humans has been confined to emotional contexts. This is problematic because it reflects solely upon subjective experience rather than an objective response to the environment. Further, given our shared evolutionary paths, piloerection should function similarly in humans and other animals. I observed 1198 piloerection episodes from eight participants while simultaneously recording multiple autonomic and body temperature indices, finding that piloerection in humans can be elicited by thermal, tactile, and audio-visual stimuli with equal effectiveness. The data also revealed variations in cardiac reactivity measures: audio-visual piloerection was associated with greater sympathetic arousal, while tactile piloerection was linked to greater parasympathetic arousal. Despite prevailing notions of piloerection as a vestigial response in humans, it does respond to decreases in skin temperature and is associated with a rise in skin temperature during episodes. This research underscores that piloerection in humans is not purely vestigial, nor is it solely an affective response to emotional stimuli. Rather, it is best understood as a reflexive response to environmental changes, suggesting a shared functional similarity with other species.
Physical Activity Patterns in Adolescents and Adults with Intellectual and Developmental Disabilities
Authors: Helsel Brian C. , Bodde Amy E. , Ptomey Lauren T. , Sherman Joseph R. , Rice Anna , Donnelly Joseph E. , Washburn Richard A. 
Published: July 2024

ABSTRACT

Introduction
Limited information exists on the descriptive epidemiology of physical activity (PA) in individuals with intellectual disabilities (ID). The purpose of this study was to report device-measured PA and sedentary time for individuals with ID (age 10–70 yr) eligible to participate in PA promotion (i.e., self-reported PA <60–90 min·wk−1) and weight loss (i.e., body mass index ≥25 kg·m−2) clinical trials. We aimed to examine patterns of PA by diagnosis within a day and across days and US meteorological seasons.

Methods
This cross-sectional study used baseline accelerometer data from individuals with ID participating in clinical trials. The Troiano adult and Freedson child cut-points were used to classify sedentary time and PA, and Wilcoxon rank sum or Kruskal–Wallis tests assessed differences by age, diagnosis, weekday versus weekend, time of day, and season. Mixed effects linear regressions explored the effect of time of day, weekend, and season on PA and sedentary time.

Results
There were 330 individuals (57% female) who had valid wear time with an average of 14 ± 18 min·d−1 of moderate-to-vigorous PA (age 10–17 yr: 13 ± 16 min·d−1; age 18–24 yr: 18 ± 23 min·d−1; age ≥25 yr: 12 ± 13 min·d−1). Fewer minutes of moderate-to-vigorous PA were observed on the weekends (β = −0.10, P < 0.001) and in the morning (before 0900 h, β = −0.23, P < 0.001) and evening (after 1900 h, β = −0.32, P < 0.001) compared to weekdays and late afternoon (1500–1659h).

Conclusion
The promotion of PA to individuals with ID is needed, particularly during times when these individuals are not in school or at work (i.e., mornings, evenings, and weekends). Future research should explore PA patterns in adolescents and adults with ID who are normal weight and regularly participating in PA, sport, and fitness programs.
A scoping review on what constitutes a good research culture
Authors: Blatch-Jones Amanda Jane , Lakin Kay , Thomas Sarah 
Published: July 2024

Background The crisis in research culture is well documented, covering issues such as a tendency for quantity over quality, unhealthy competitive environments, and assessment based on publications, journal prestige and funding. In response, research institutions need to assess their own practices to promote and advocate for change in the current research ecosystem. The purpose of the scoping review was to explore ‘What does the evidence say about the ‘problem’ with ‘poor’ research culture, what are the benefits of ‘good’ research culture, and what does ‘good’ look like?’ Aims To examine the peer-reviewed and grey literature to explore the interplay between research culture, open research, career paths, recognition and rewards, and equality, diversity, and inclusion, as part of a larger programme of activity for a research institution. Methods A scoping review was undertaken. Six databases were searched along with grey literature. Eligible literature had relevance to academic research institutions, addressed research culture, and were published between January 2017 to May 2022. Evidence was mapped and themed to specific categories. The search strategy, screening and analysis took place between April-May 2022. Results 1666 titles and abstracts, and 924 full text articles were assessed for eligibility. Of these, 253 articles met the eligibility criteria for inclusion. A purposive sampling of relevant websites was drawn from to complement the review, resulting in 102 records included in the review. Key areas for consideration were identified across the four themes of job security, wellbeing and equality of opportunity, teamwork and interdisciplinary, and research quality and accountability. Conclusions There are opportunities for research institutions to improve their own practice, however institutional solutions cannot act in isolation. Research institutions and research funders need to work together to build a more sustainable and inclusive research culture that is diverse in nature and supports individuals’ well-being, career progression and performance.
Physical rehabilitation versus no physical rehabilitation after total hip and knee arthroplasties: Protocol for a pragmatic, randomized, controlled, superiority trial (The DRAW1 trial)
Authors: Mark-Christensen Troels , Thorborg Kristian , Kallemose Thomas , Bandholm Thomas 
Published: July 2024

Background: Following total hip- and knee arthroplasty (THA and TKA), post-discharge physical rehabilitation is common practice, but varies significantly regarding content, duration, intensity and mode of delivery. Recent systematic reviews have found home-based rehabilitation to be as good as outpatient rehabilitation in terms of pain and physical function. We therefore wonder if physical rehabilitation “works” at all when compared to no physical rehabilitation after THA and TKA – “no rehabilitation” defined as no prescribed therapeutic rehabilitation exercises. The purpose of this trial is to compare the effectiveness of home-based telerehabilitation, home-based rehabilitation and no physical rehabilitation following THA and TKA. Methods: This pragmatic, randomized controlled trial will include 168 patients following discharge after THA or TKA, in Bornholm Denmark. Patients will be randomized into one of the three 6-week rehabilitation strategies: home-based telerehabilitation, home-based rehabilitation or no physical rehabilitation. The trial is designed as a superiority trial to test the hypothesis that rehabilitation (home-based telerehabilitation and home-based rehabilitation) is superior to no physical rehabilitation. The primary outcome will be the hip disability and osteoarthritis outcome score (HOOS)/ the knee injury and osteoarthritis outcome score (KOOS)-subscale: function of daily living at first follow-up (end of the 6-weeks' intervention). Additional follow-ups are scheduled at 3 and 12 months. Outcome assessors and data analysts are blinded to group allocation. Conclusions: Knowledge about the effectiveness of the three investigated rehabilitation strategies will help guide the future organization of post-discharge rehabilitation after THA and TKA. Trial registration: Clinicaltrials.gov NCT03750448 (23/11/2018)
Nutrient loading and farm characteristics of giant gourami fish aquaculture systems in Lake Maninjau, Indonesia: basic knowledge of production performance
Authors: Syandri Hafrijal , Azrita Azrita , Sumiarsih Eni , undefined Elfiondri 
Published: July 2024

Background Aquaculture systems for giant gourami, Osphronemus goramy Lacepède (1801), have significantly improved fish production yields and food security in Indonesia. However, these systems also cause serious problems in terms of eutrophication in waterbodies. This study analysed the nutrient loading and farm characteristics of giant gourami in floating cages in Lake Maninjau. Method A total of 20 floating cages were used to record these nutrients in feed supply, female and male juvenile fish, dead fish and harvested fish to estimate nutrient loading. Data on the harvested fish, production cycle, stock number and cage capacity were used to estimate the stocking density, feeding rate, feed efficiency, and net fish yield, and the relationship between feed supply and nutrient loading and farm characteristics was analysed by least squares regression methods. Results A total of 20 floating cages released nutrients into waterbodies at an average rate of 236.27±60.44 kg/cycle for C, 84.52±20.86 kg/cycle for N and 8.70±3.63 kg/cycle for P. On average, fish production for each floating cage (±SD) was 1226±282 kg wet weight/cycle, and the net fish yield was 12.63±2.82 kg/m3/cycle. Survival rates ranged from 86.33 to 95.27%/cycle. The production cycles varied from 160 to 175 days with feed conversion ratios between 1.60 and 1.75, feed conversion efficiencies were between 0.58 and 0.63. The production parameters that had strong relationships with the net fish yield were feed supply (r2=0.960), stocking rates (r2=0.924) and feeding rates (r2=0.961). In contrast, the length of the production cycle was not strongly related to the net fish yield (r2=0.187). Conclusion Nutrient loading from the supplied feed was greater than that from the harvested fish, juvenile fish and dead fish. Increasing the net fish yield in floating cages was better predicted by the stocking densities and feeding levels than by the other factors.
New incidence or recurrence hepatocellular carcinoma (HCC) in genotype 4 hepatitis C virus treated with sofosbuvir/daclatasvir with or without ribavirin
Authors: Essawy Aya , Mehrez Mai , Shaheen Sara M. , El Garem Hassan , Sabri Nagwa A. 
Published: July 2024

Background: Several studies have resulted in controversial data about the recurrence or new incidence of hepatocellular carcinoma (HCC) in patients with hepatitis C who were treated with direct-acting antivirals (DAAs). Aim: This observational study aimed to assess the occurrence rate of HCC in patients who developed a sustained virological response (SVR). METHOD: A six-month prospective study was done at the National Hepatology and Tropical Medicine Research Institute [NHTMRI] in Cairo, Egypt on 150 chronic hepatitis C (CHC) patients treated with sofosbuvir and daclatasvir with or without ribavirin. Patients were assigned into two groups according to their laboratory values to either receive sofosbuvir/daclatasvir and ribavirin (S/D/R) or receive only sofosbuvir/daclatasvir (S/D). The main outcome measure was the occurrence of HCC. Results: SVR-12 was 100%. 8.5% of patients developed HCC in the S/D/R group, while 0% in the S/D group. Conclusion: New incidence or recurrence of HCC may occur in CHC genotype 4 cirrhotic patients receiving sofosbuvir/daclatasvir and ribavirin (difficult to treat) although achieving SVR. The cause of HCC development in this study is cirrhosis, not the administered DAAs.
Reflective practice across speech and language therapy and education: a protocol for an integrative review
Authors: McCluskey Jessica , Gallagher Aoife L. , Murphy Carol-Anne 
Published: July 2024

Effective co-practice is considered a linchpin of inclusive education. Speech and language therapists (SLT), in collaboration with teachers, are amongst the professionals who have a role in ensuring inclusion for students. The challenges of collaboration are well documented, with communication considered a potential antidote. Proposals for how collaborative communication can take place often align with models of reflection. Uncertainty around a shared language for reflection within and across the professions of teaching and SLT may pose a barrier to it occurring. Reflection has long been documented as a strategy used by effective clinicians to improve practice. Hence, teachers and SLTs reflecting together could be considered ‘a port of entry’ for effective collaborative practice. This study aims to synthesise literature and knowledge on the phenomenon of reflective practice across the professions to facilitate collaboration for inclusive education. The method of qualitative evidence synthesis will be an integrative review. A systematic search will be conducted to extract empirical studies, reviews and theoretical papers on the topic of reflection across both professions. An adapted version of the PRISMA reporting guidelines will be used in the development, design and reporting of this review. Four databases will be searched: CINAHL, SCOPUS, Education Source and ERIC. A web-based search will also be conducted to retrieve relevant policy documents. Included literature will be appraised using the M-MAT and an adapted checklist from the Joanna Briggs Institute. Deductive content analysis will endeavour to determine if a shared language exists about reflection, across the professions of teaching and speech and language therapy. Establishing a shared language represents a first step towards the development of a framework for collaborative reflection between teachers and SLTs. This is turn serves to inform future research, policy and practice regarding how speech and language therapist can work collaboratively with teachers in schools.
Systematic review of thyroid function in NKX2-1-related disorders: Screening and diagnosis
Authors: Carmona-Hidalgo Beatriz , Martín-Gómez Carmen , Herrera-Ramos Estefanía , Rodríguez-López Rocío , Fontanet Laia-Nou , Moreno José C. , Blasco-Amaro Juan Antonio , Léger Juliane , Dario-Ortigoza-Escobar Juan ,   NKX2-1-Related Disorders Guideline Working Group
Published: July 2024

Background
NKX2-1-related disorders (NKX2-1-RD) are rare conditions affecting lung, thyroid, and brain development, primarily caused by pathogenic variants or deletions in the NKX2-1 gene. Congenital hypothyroidism (CH) is a common endocrine manifestation, leading to irreversible intellectual disability if left untreated.

Objectives
The aim was to evaluate the current evidence for the use of screening and diagnostic techniques for endocrine alterations in patients with NKX2-1-RD.

Methods
This systematic review was reported following the PRISMA guidelines. Two separate research questions in PICO format were addressed to cover initial screening and diagnosis procedures for endocrine diseases in patients with NKX2-1-RD. Eligibility criteria focused on patients with genetic confirmation of the disease and hypothyroidism. Various databases were searched, and data were extracted and assessed independently by two reviewers.

Results
Out of 1012 potentially relevant studies, 46 were included, for a total of 113 patients. CH was the most frequent endocrine alteration (45% of patients). Neonatal screening was reported in only 21% of patients based on blood TSH measurements. TSH thresholds varied widely across studies, making hypothyroidism detection ranges difficult to establish. Diagnostic tests using serum TSH were used to diagnose hypothyroidism or confirm its presence. 35% of patients were diagnosed at neonatal age, and 42% at adult age. Other hormonal dysfunctions identified due to clinical signs, such as anterior pituitary deficiencies, were detected later in life. Thyroid scintigraphy and ultrasonography allowed for the description of the thyroid gland in 30% of cases of hypothyroidism. Phenotypic variability was observed in individuals with the same variants, making genotype-phenotype correlations challenging.

Conclusion
This review highlights the need for standardized protocols in endocrine screening for NKX2-1-RD, emphasizing the importance of consistent methodology and hormone threshold levels. Variability in NKX2-1 gene variants further complicates diagnostic efforts. Future research should concentrate on optimizing early screening protocols and diagnostic strategies.
Intimate Partner Violence and its associated factors among pregnant women receiving antenatal care. A Bayesian analysis approach
Authors: Aychiluhm Setognal Birara , Mare Kusse Urmale , Ahmed Kedir Y. , Demissie Mahlet Seifu , Tadesse Abay Woday 
Published: July 2024

Background
Intimate Partner Violence (IPV) is a major public health problem worldwide. In developing nations, including Ethiopia, the problem is under-reported and under-estimated. Therefore, this study attempts to assess intimate partner violence and its associated factors among pregnant women receiving antenatal care at public hospitals in Amhara region, Ethiopia.

Methods
A health facility-based cross-sectional study design was employed. A sample of 418 pregnant women was selected using random sampling technique from 1st May to 1st June 2021. IPV was measured using the World Health Organization (WHO) Multi-country study of violence against women assessment tool. Data were entered into Epi-data 3.1 and exported into Stata 17 for further analysis. A Bayesian multivariable logistic regression analysis was carried out from the posterior distribution, and an adjusted odds ratio (AOR) with a 95% credible interval (CrI) was used to declare statistically significant variables.

Results
The prevalence of any IPV among pregnant women was 31.3% [95% CrI 26.6%, 36.1%]. After adjusting a range of covariates, IPV during pregnancy was more likely among women whose husbands used substances [AOR = 4.33: 95% CrI 1.68, 8.95] and household decisions made by husbands only [AOR = 6.45: 95% CI 3.01, 12.64]. Conversely, pregnant women who attended primary [AOR = 0.47: 95% CrI 0.24, 0.81] and secondary [AOR = 0.64: 95% CrI 0.41, 0.92] educational levels, women who had four or more ANC visits antenatal care visits [AOR = 0.43: 95% CrI 0.25, 0.68], and women with no prior history of adverse birth outcomes [AOR = 0.48: 95% CI 0.27, 0.80] were less likely to experience IPV during pregnancy.

Conclusion
The study revealed a relatively high prevalence of any IPV among pregnant women, with factors such as substance use by husbands and limited decision-making autonomy associated with increased IPV likelihood. Conversely, women with higher education levels, four and above antenatal care attendance, and no history of adverse birth outcomes showed a reduced likelihood of experiencing IPV during pregnancy. Therefore, targeted interventions to address substance use, empower women in decision-making, and promote education and healthcare access to mitigate IPV risk during pregnancy are recommended.
Continuity of care in general practice in Norway
Authors: Delalic Lamija , Grøsland Mari , Godager Geir , Øien Henning 
Published: July 2024

Aims
Maintaining continuity of care between doctors and patients is considered a fundamental aspect of quality in primary healthcare. In this study, we aim to examine continuity in Norway over time by computing two commonly used indicators of continuity: the St Leonard’s Index of Continuity of Care (SLICC) and the Usual Provider of Care Index (UPC).

Method
We employ individual-level data, which covers all primary care consultations. This data includes the identities of each patient and physician, and we can identify each patient’s regular general practitioner (GP). The SLICC is calculated as the share of consultations conducted by the patient’s regular GP annually from 2006 to 2021. Additionally, we identify each patient’s most visited physician and compute the UPC as the share of total consultations conducted by the most visited physician during the same period. Our analysis is conducted at the national level and stratified according to the level of centrality, differentiating between areas of high, moderate, and low centrality.

Results
Our findings reveal that, at the national level, SLICC and UPC exhibit remarkable stability, reaching 64 and 71 percent, respectively, in 2021. However, there is significant geographical variation, with the least central areas experiencing less continuous healthcare (SLICC at 49 percent in 2021) than patients residing in more central areas (SLICC at 68 in 2021).

Conclusion
Our results demonstrate a high degree of continuity that has been stable over time. However, large geographical variations suggest that policymakers should strive to reduce geographical disparities in healthcare quality.