bluuebunny/crossref_metadata_2025_split huggingface dataset:
Parenting and Gender as Impact Factors for Social Participation, Quality of Life, and Mental Health in Long COVID
Authors: Schröder Dominik , Schmachtenberg Tim , Heinemann Stephanie , Müllenmeister Christina , Roder Sascha , El-Sayed Iman , Heesen Gloria , Königs Gloria , Dopfer-Jablonka Alexandra , Hummers Eva , Mikuteit Marie , Dopfer Christian , Grewendorf Simon , Niewolik Jacqueline , Steffens Sandra , Doze Valerie , Klawonn Frank , Müller Frank 
Published: May 2024

Objectives: This study aims to investigate the impact of gender and parental tasks on social participation, health-related quality of life (hrQoL), and mental health in persons with long COVID. Methods: A mixed-methods approach was followed including a cross-sectional web-based survey and semi-structured interviews. Multivariable linear regressions were used to quantify the effect of gender and parenting tasks on social participation, hrQoL, and mental health. Qualitative data from interviews with participants experiencing long COVID symptoms was analyzed using content analysis. Results: Data from 920 participants in the quantitative study and 25 participants in the qualitative study was analyzed. Parenting tasks were associated with increased impairments in family and domestic responsibilities in persons with long COVID compared to lower impairments in persons without long COVID ( P = .02). The qualitative data indicate that coping with long COVID and pursuing parenting tasks limit participants’ ability to perform leisure activities and attend social gatherings. In long COVID, men had higher anxiety symptoms than women, and in those without long COVID, the opposite was observed ( P < .001). In the qualitative study, participants expressed feelings of dejection and pessimism about their future private, occupational, and health situations. No differences between the genders could be observed. Conclusions: Long COVID is associated with impairments in family and domestic responsibilities in individuals who have parenting tasks. Among participants with long COVID, anxiety symptoms are higher in men than women.
Cancer Prevention Among Firefighters: Examining Lifestyle, Screening Behavior, and Beliefs
Authors: Glasgow Trevin E. , Burch James B. , Arcan Chrisa , Fuemmeler Bernard F. 
Published: May 2024

Background: Firefighters are at increased risk of developing cancer due to occupational exposures, but they may also face increased risk due to their lifestyle, such as the quality of their diet and physical activity. Cancer beliefs and screening behavior could also influence their cancer risk. The current study aimed to identify individual differences associated with lifestyle behaviors, cancer screening, and cancer beliefs among firefighters; to describe the strategies firefighters use to adapt to their work schedule; and to describe topics firefighters believe are the most important to address in their workplace. Methods: Career firefighters ( N = 171) in a medium-sized U.S. city completed an online survey. Findings: Logistic regression analyses identified age, education, racial identity, years of fire service, perceived stress, and rank as predictors of responses to items addressing cancer screening, lifestyle behaviors, and cancer beliefs. Although results varied, age, education, and racial identity were associated with most of the outcomes. Strategies related to sleep such as getting the right amount and napping, exercise, and getting family/roommate support were selected as the top adaptive strategies for work. Sleep, mental health/well-being, and work-life balance were selected most often as the most important topics to address in the fire service, with topics related to reducing occupational exposures receiving less attention. Conclusions/Application to Practice: The findings suggest individual differences, such as age, education, and racial identity, should be considered when developing occupational health interventions for firefighters. Interventions related to mental health, work-life balance, and sleep may be desired most by those in the fire service.
Effects of intraoperative hinge fracture on postoperative cervical spine alignment in double door cervical laminoplasty
Authors: Wong Yu Chung , Chau Wai Wang , Kwok Kin On , Law Sheung Wai 
Published: May 2024

Introduction Hinge fracture and cervical kyphosis are known complications of cervical laminoplasty. Prior literatures on hinge fracture focused mainly on laminoplasty performed using the open-door technique. In this study we aim to assess the effect of intraoperative hinge fracture on postoperative cervical spine alignment in cervical laminoplasty performed using the double door technique. Methods This study recruited patients who received double door cervical laminoplasty from January 2014 to December 2022. The diagnosis, demographic data, preoperation and postoperation cervical spine alignment of the patients with intraoperative hinge fracture were compared with patients withouintraoperative hinge fracture. Cervical spine alignment was measured using C2–7 Cobb's angle on neutral lateral cervical spine X ray. Results Nine patients with intraoperative hinge fracture and 51 patients without intraoperative hinge fracture were recruited into the study. There was no statistically significant difference in age, sex, diagnosis and preoperative cervical spine alignment between the patients with and without intraoperative hinge fracture. Significant difference was found in the postoperation cervical spine alignment (1.9 ± 15.5° vs 9.7 ± 13.6°, p = .044) and change in cervical spine alignment (−12.9 ± 12.1° vs −4.0 ± 10.0, p = .02) between patients with and without intraoperative hinge fracture. Conclusions In double door cervical laminoplasty, intraoperative hinge fracture is associated with development of postoperative cervical kyphosis.
The curing kinetics and properties of self-healing and thermally conductive polymeric composites based on ethylene vinyl acetate copolymer filled with nano alumina
Authors: Lin Hongyi , Zhang Yuchi , Gao Renjin , Wang Liwei , Xia Jianrong , Xue Hanyu 
Published: May 2024

We have investigated a self-healing thermally conductive Ethylene-vinyl acetate (EVA) hot melt adhesive (NAEDS, which denotes the addition of nano-alumina and disulfide bonded EVA hot melt adhesives) that can be used to effectively solve adhesive layer separation problem in photovoltaic (PV) modules and the difficulty of recycling. More specifically, we used diallyl disulfide as a cross-linking agent for EVA and alumina nanofillers as a reinforcing phase. The nano alumina filler gave the EVA better thermal conductivity. We used FTIR, SEM, and DSC to characterize and analyze NAEDS properties. The disulfide bonds in NAEDS underwent a rearrangement reaction under ultraviolet light, resulting in the self-healing of the resin (self-healing efficiency of 78.8%). The added nano alumina not only reduced the resin curing activation energy, improving its curing performance but also enhanced its thermal conductivity, achieving a 2.61 W/(m*k) thermal conductivity coefficient. The overall NAEDS performance is improved.
Determinants of physical activity promotion in primary care from the patient perspective of people at risk of or living with chronic disease: a COM-B analysis
Authors: McGrath Aisling , Lambe Barry , Matthews Evan , McDonnell Karolyn , Harrison Michael , Kehoe Bróna 
Published: May 2024

Abstract
Background
Chronic disease (CD) accounts for more than half of the overall global disease burden and physical activity (PA) is an established evidence-based strategy for the prevention and management of CD. Global policy emphasises the value of embedding PA into primary healthcare, highlighting the positive effects on PA behaviour. However, there is limited implementation of PA protocols in primary care, and research is needed to guide its integration into routine practice. The voice of the patient is underrepresented in the literature, resulting in the absence of critical insights into determinants of PA promotion in primary care. The purpose of the research was to identify the perspectives of people at risk of or living with CD on the determinants of PA promotion in primary care and to map these determinants across the six COM-B constructs.

Methods
Semi-structured interviews (n = 22), guided by the COM-B model were conducted with people aged 35–60 years, at risk of or living with CD and not meeting the PA guidelines. A hybrid analytic approach of thematic inductive and deductive analysis was applied to the participant transcripts guided by a COM-B informed coding framework.

Results
In total, 37 determinants across constructs related to capability, opportunity and motivation were prominent, examples include; physical capability constraints, the conflation of exercise with weight management, credibility of the health services in PA advice, communication styles in PA promotion, expectations of tailored support for PA, social support, accessibility, and integration of PA into routine habits.

Conclusion
Exploring the determinants of PA promotion through the lens of the COM-B model facilitated a systematic approach to understanding the primary care user perspective of the healthcare professional (HCP) broaching the topic of PA. Findings emphasise the value of HCPs being supported to broach the issue of PA in a therapeutic and patient-centred manner using diverse and flexible approaches, while highlighting the importance of tailored, accessible PA opportunities that build self-efficacy and foster social support. The research provides valuable learnings to support PA promotion and the development of strategies in primary care through encompassing the perspective of those living with or at risk of CD.
Prevalence and risk factors for dementia and mild cognitive impairment among older people in Southeast China: a community-based study
Authors: Jiang Bin , Liu Qi , Li Jian-Peng , Lin Si-Ning , Wan Hui-Juan , Yu Zi-Wen , Wang Jing , Zhuang Wei , Tang Jia-Hui , Chen Cai-Hong , Li Fa-Yin , Bi Min , Xiao Nai-An , Zheng Kun-Mu 
Published: May 2024

Abstract
Background
With the aging population, the number of individuals with dementia in China is increasing rapidly. This community-based study aimed to investigate the prevalence and risk factors for dementia and mild cognitive impairment (MCI) among older adults in China.

Methods
In this study, 20,070 individuals aged ≥ 65 were recruited between January 1, 2022, and February 1, 2023, from ten communities in Xiamen City, China. We collected data on age, sex, level of education, and medical history, as well as global cognition and functional status. The prevalence of dementia and MCI was examined, and the risk factors for different groups were assessed.

Results
The overall prevalence of dementia and MCI was approximately 5.4% (95% confidence interval [CI], 5.1–5.7) and 7.7% (95% CI, 7.4–8.1), respectively. The results also indicated that dementia and MCI share similar risk factors, including older age, female sex, hypertension, and diabetes mellitus. Compared with individuals with no formal education, those with > 6 years of education had an odds ratio for MCI of 1.83 (95% CI, 1.49–2.25). We also found that only 5.5% of the positive participants chose to be referred to the hospital for further diagnosis and treatment during follow-up visits.

Conclusions
This study estimated the prevalence and risk factors for dementia and MCI among individuals aged ≥ 65 years in Southeast China. These findings are crucial for preventing and managing dementia and MCI in China.
Vertical transmission of SARS-CoV-2 delta-variant in a preterm infant
Authors: Zia Muhammad T.K. , Kumar Kishan , Gamma Edmund La , Shakeel Fauzia , Hanna Iman , Lin Xinhua , Hanna Nazeeh 
Published: May 2024

Abstract
Background
As SARS-CoV-2 continues to be relevant and cause illnesses, the effect of emerging virus variants on perinatal health remains to be elucidated. It was demonstrated that vertical transmission of SARS-CoV-2 is a relatively rare event in the original SARS-CoV-2 strain. However, very few reports describe vertical transmission related to the delta-variant.

Case presentation
We report a case of a preterm male neonate born to a mother with positive SARS-CoV-2 and mild respiratory complications. The neonate was born by cesarean section due to fetal distress. The rupture of the amniotic membrane was at delivery. The neonate had expected prematurity-related complications. His nasopharyngeal swabs for RT-PCR were positive from birth till three weeks of age. RT-ddPCR of the Placenta showed a high load of the SARS-CoV-2 virus with subgenomic viral RNA. RNAscope technique demonstrated both the positive strand of the S gene and the orf1ab negative strand. Detection of subgenomic RNA and the orf1ab negative strand indicats active viral replication in the placenta.

Conclusions
Our report demonstrates active viral replication of the SARS-CoV-2 delta-variant in the placenta associated with vertical transmission in a preterm infant.
Using structured problem solving to promote fluid consumption in the prevention of urinary stones with hydration (PUSH) trial
Authors: Reese Peter P. , Shah Salima , Funsten Emily , Amaral Sandra , Audrain-McGovern Janet , Koepsell Kristen , Wessells Hunter , Harper Jonathan D. , McCune Rebecca , Scales Charles D. , Kirkali Ziya , Maalouf Naim M. , Lai H. Henry , Desai Alana C. , Al-Khalidi Hussein R. , Tasian Gregory E. 
Published: May 2024

Abstract
Background
Structured Problem Solving (SPS) is a patient-centered approach to promoting behavior change that relies on productive collaboration between coaches and participants and reinforces participant autonomy. We aimed to describe the design, implementation, and assessment of SPS in the multicenter Prevention of Urinary Stones with Hydration (PUSH) randomized trial.

Methods
In the PUSH trial, individuals with a history of urinary stone disease and low urine output were randomized to control versus a multicomponent intervention including SPS that was designed to promote fluid consumption and thereby prevent recurrent stones. We provide details specifically about training and fidelity assessment of the SPS coaches. We report on implementation experiences related to SPS during the initial conduct of the trial.

Results
With training and fidelity assessment, coaches in the PUSH trial applied SPS to help participants overcome barriers to fluid consumption. In some cases, coaches faced implementation barriers such as variable participant engagement that required tailoring their work with specific participants. The coaches also faced challenges including balancing rapport with problem solving, and role clarity for the coaches.

Conclusions
We adapted SPS to the setting of kidney stone prevention and overcame challenges in implementation, such as variable patient engagement. Tools from the PUSH trial may be useful to apply to other health behavior change settings in nephrology and other areas of clinical care.

Trial registration
ClinicalTrials.gov Identifier NCT03244189.
Perinatal outcomes and growth discordance of triplet pregnancies based on chorionicity: a retrospective cohort study
Authors: Hu Qing , Zeng Zhaomin , Liu Hongyan , Liao Hua , Xu Tingting , Yu Haiyan 
Published: May 2024

Abstract
Background
The worldwide occurrence of triplet pregnancy is estimated to be 0.093%, with a natural incidence of approximately 1 in 8000. This study aims to analyze the neonatal health status and birth weight discordance (BWD) of triplets based on chorionicity from birth until discharge.

Methods
This was a retrospective study. We reviewed a total of 136 triplet pregnancies at our tertiary hospital between January 1, 2001, and December 31, 2021. Maternal and neonatal outcomes, inter-triplet BWD, neonatal morbidity, and mortality were analyzed.

Results
Among all cases, the rates of intrauterine death, neonatal death, and perinatal death were 10.29, 13.07, and 24.26%, respectively. Thirty-seven of the cases resulted in fetal loss, including 13 with fetal anomalies. The maternal complications and neonatal outcomes of the 99 triplet pregnancies without fetal loss were compared across different chorionicities, including a dichorionic (DC) group (41 cases), trichorionic (TC) group (37 cases), and monochorionic (MC) group (21 cases). Neonatal hypoproteinemia (P < 0.001), hyperbilirubinemia (P < 0.019), and anemia (P < 0.003) exhibited significant differences according to chorionicity, as did the distribution of BWD (P < 0.001). More than half of the cases in the DC and TC groups had a BWD < 15%, while those in the MC group had a BWD < 50% (47.6%). TC pregnancy decreased the risk of neonatal anemia (adjusted odds ratio [AOR] = 0.084) and need for blood transfusion therapy after birth (AOR = 0.119). In contrast, a BWD > 25% increased the risk of neonatal anemia (AOR = 10.135) and need for blood transfusion after birth (AOR = 7.127). TC pregnancy, MCDA or MCTA, and BWD > 25% increased neonatal hypoproteinemia, with AORs of 4.629, 5.123, and 5.343, respectively.

Conclusions
The BWD differed significantly according to chorionicity. Additionally, TC pregnancies reduced the risk of neonatal anemia and need for blood transfusion, but increased the risk of neonatal hypoproteinemia. In contrast, the BWD between the largest and smallest triplets increased the risk of neonatal anemia and the need for blood transfusion. TC pregnancy, MCDA or MCTA, and BWD > 25% increased the risks of neonatal hypoproteinemia. However, due to the limited number of triplet pregnancies, further exploration of the underlying mechanism is warranted.
IgE to wheat, prick test, and Patch test among children with celiac disease
Authors: Khalighi Marjaneh , Javaherizadeh Hazhir , Hakimzadeh Mehran , Ahmadi Mitra , Torabizadeh Mehdi , Fayezi Abbas 
Published: May 2024

Abstract
Introduction and aim
Celiac disease is one of the most common autoimmune disorders. This study aimed to evaluate the relationship between celiac disease and wheat sensitization.

Subjects and methods
In the current study, children aged < 18 years with confirmed celiac disease were included. Data were analyzed using SPSS.

Results
Gastrointestinal problems were the most common indication for evaluation in terms of celiac disease. Prick and patch tests were positive in 43.4% and 34% respectively.

Conclusion
Prick test and patch test for wheat sensitization were positive in about 30–45% of the children for celiac disease.
The discrepancy of antemortem clinical diagnosis and postmortem autopsy diagnosis of lung pathologies in under-five deaths and the reasons for discrepancies: a case series analysis
Authors: Leulseged Haleluya , A. Rees Chris , Alemu Addisu , A. Tippett Barr Beth , Dheresa Merga , Madrid Lola , Scott Anthony , Assefa Nega 
Published: May 2024

Abstract
Background
Diagnostic autopsy is the most reliable approach to definitively ascertain the cause of death and evaluate the accuracy of antemortem clinical diagnoses. Identifying diagnostic discrepancies is vital to understanding common gaps in antemortem clinical diagnoses and modifying antemortem diagnostic approaches to increase the accuracy of clinical diagnosis. The objective of this study was to determine the frequency of diagnostic discrepancies between antemortem clinical diagnoses and postmortem autopsies on lung pathologies and to understand the reasons for diagnostic discrepancies among cases included in Child Health and Mortality Prevention Surveillance (CHAMPS) in Ethiopia.

Methods
A clinical case series study of deaths among children under-five in the CHAMPS study at three sites in Ethiopia between October 2019 and April 2022 was conducted. The antemortem clinical diagnoses and postmortem pathological diagnoses of the lung were compared for each case. Two senior physicians assessed the findings for both agreement and disagreement. McNemar’s test was used to assess for statistically significant differences between antemortem and postmortem diagnoses.

Results
Seventy-five cases were included (73.3% male). Over half (54.7%) died between the 1st and 7th day of life. Sepsis (66.7%), pneumonia (6.7%), and meconium aspiration syndrome (5.0%) were the most common immediate causes of death. Half (52%) of cases were correctly diagnosed antemortem. The magnitude of diagnostic discrepancy was 35% (95% CI: 20-47%). The most common contributing factors to diagnostic discrepancy were gaps in knowledge (22/75, 35.5%) and problems in consultation and teamwork (22/75, 35.5%).

Conclusions
Misdiagnoses were common among young children who died with positive lung pathology findings. In-service education initiatives and multidisciplinary collaboration are needed to mitigate high rates of diagnostic discrepancies among young children to potentially prevent future deaths.
Individual and community-level factors associated with repeat induced abortion among women in Ghana: a multivariable complex sample logistic regression analysis of 2017 Ghana maternal health survey
Authors: Yeboah Isaac , Okyere Joshua , Klu Desmond , Agbadi Pascal , Agyekum Martin Wiredu 
Published: May 2024

Abstract
Background
Repeat induced abortion is a serious public health issue that has been linked to adverse maternal health outcomes. However, knowledge about repeat induced abortion and its associated factors among reproductive age women in Ghana is very scarce. The objective of this study is to examine individual and community factors associated with repeat induced abortion in Ghana which would be helpful to design appropriate programmes and policies targeted at improving the sexual and reproductive health of women.

Methods
We used secondary cross-sectional data from the 2017 Ghana Maternal Health Survey. The study included a weighted sample of 4917 women aged 15–49 years with a history of induced abortion. A multivariable complex sample logistic regression analysis was used to investigate individual and community factors associated with repeat induced abortion among women in Ghana. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) was used to measure the association of variables.

Results
Of the 4917 reproductive women with a history of abortion, 34.7% have repeat induced abortion. We find that, compared to women who experience single induced abortion, women who experience repeat abortion are age 25–34 years (AOR:2.16;95%CI = 1.66–2.79) or 35–49 years (AOR:2.95;95%CI:2.18–3.99), have Middle/JHS education (AOR:1.69;95%CI = 1.25–12.27), use contraceptive at the time of conception (AOR:1.48: 95%CI = 1.03–2.14), had sexual debut before 18 years (AOR:1.57; 95%CI: 1.33–1.85) and reside in urban areas (AOR:1.29;95%CI = 1.07–1.57). On the other hand, women who reside in Central (AOR:0.68;95%CI: 0.49–0.93), Northern (AOR:0.46;95%CI:0.24–0.88), Upper West (AOR:0.24; 95%CI: 0.12–0.50) and Upper East (AOR:0.49; 95%CI = 0.24–0.99) regions were less likely to have repeat induced abortion.

Conclusion
The study showed that both individual and community level determinants were significantly associated with repeat induced abortion. Based on the findings, it is recommended to promote sexual and reproductive health education and more emphasis should be given to adult, those with early sexual debut, those with Middle/JHS education and those who live in urban centers.