bluuebunny/crossref_metadata_2025_split huggingface dataset:
Quantitative microbial risk assessment (QMRA) of the work of manual pit emptiers, commonly known as bayakous
Authors: Jean-Baptiste Davidson , Monette Frédéric 
Published: May 2024

ABSTRACT
In Haiti, manual pit emptiers, known as bayakous, face significant health risks. They work by descending naked into latrine pits, exposing themselves to pathogens and contributing to environmental contamination. This study employs the quantitative microbial risk assessment (QMRA) method to evaluate the microbial risks associated with this practice, considering nine prevalent pathogens in Haiti. Three ingestion scenarios were developed: hand-to-mouth contact, ingestion while immersed in excreta, and a combination of both. A sensitivity analysis assessed the impact of input data on study outcomes. The results indicate a high probability of infection and illness during pit emptying operations annually for all scenarios and pathogens. Recommendations include adopting personal protective equipment (PPE) and using a manual Gulper waste pump to eliminate the need to descend directly into the pits, thereby reducing the risk of injury from sharp objects. The study proposes the establishment of intermediate disposal points approximately 5 km from collection sites to deter illegal dumping. National regulations and professionalization of the bayakou profession are suggested, along with awareness campaigns to promote PPE and Gulper pump usage. Addressing these issues is crucial for safeguarding the health of bayakou and public health in Haiti.
Using Topic Modeling to Understand Patients’ and Caregivers’ Perspectives About Left Ventricular Assist Device: Thematic Analysis
Authors: Melnikov Semyon , Klein Stav , Shahar Moni , Guy David 
Published: May 2024

Background
Heart failure (HF) is a significant global clinical and public health challenge, impacting 64.3 million individuals worldwide. To address the scarcity of donor organs, left ventricular assist device (LVAD) implantation has become a crucial intervention for managing end-stage HF, serving as a bridge to heart transplantation or as a destination therapy. Web-based health forums, such as MyLVAD.com, play a vital role as trusted sources of information for individuals with HF symptoms and their caregivers.

Objective
We aim to uncover the latent topics within the posts shared by users on the MyLVAD.com website.

Methods
Using the latent Dirichlet allocation algorithm and a visualization tool, our objective was to uncover latent topics within the posts shared on the MyLVAD.com website. Through the application of topic modeling techniques, we analyzed 459 posts authored by recipients of LVAD and their family members from 2015 to 2023.

Results
This study unveiled 5 prominent themes of concern among patients with LVAD and their family members. These themes included family support (39.5% weight value), encompassing subthemes such as family caregiving roles and emotional or practical support; clothing (23.9% weight value), with subthemes related to comfort, normalcy, and functionality; infection (18.2% weight value), covering driveline infections, prevention, and care; power (12% weight value), involving challenges associated with power dependency; and self-care maintenance, monitoring, and management (6.3% weight value), which included subthemes such as blood tests, monitoring, alarms, and device management.

Conclusions
These findings contribute to a better understanding of the experiences and needs of patients implanted with LVAD, providing valuable insights for health care professionals to offer tailored support and care. By using latent Dirichlet allocation to analyze posts from the MyLVAD.com forum, this study sheds light on key topics discussed by users, facilitating improved patient care and enhanced patient-provider communication.
Efficacy of Mobile App–Based Cognitive Behavioral Therapy for Insomnia: Multicenter, Single-Blind Randomized Clinical Trial
Authors: Shin Jiyoon , Kim Sujin , Lee Jooyoung , Gu Hyerin , Ahn Jihye , Park Chowon , Seo Mincheol , Jeon Jeong Eun , Lee Ha Young , Yeom Ji Won , Kim Sojeong , Yoon Yeaseul , Lee Heon-Jeong , Kim Seog Ju , Lee Yu Jin 
Published: May 2024

Background
Cognitive behavioral therapy for insomnia (CBTi) is the first-line therapy for chronic insomnia. Mobile app–based CBTi (MCBTi) can enhance the accessibility of CBTi treatment; however, few studies have evaluated the effectiveness of MCBTi using a multicenter, randomized controlled trial design.

Objective
We aimed to assess the efficacy of Somzz, an MCBTi that provides real-time and tailored feedback to users, through comparison with an active comparator app.

Methods
In our multicenter, single-blind randomized controlled trial study, participants were recruited from 3 university hospitals and randomized into a Somzz group and a sleep hygiene education (SHE) group at a 1:1 ratio. The intervention included 6 sessions for 6 weeks, with follow-up visits over a 4-month period. The Somzz group received audiovisual sleep education, guidance on relaxation therapy, and real-time feedback on sleep behavior. The primary outcome was the Insomnia Severity Index score, and secondary outcomes included sleep diary measures and mental health self-reports. We analyzed the outcomes based on the intention-to-treat principle.

Results
A total of 98 participants were randomized into the Somzz (n=49, 50%) and SHE (n=49, 50%) groups. Insomnia Severity Index scores for the Somzz group were significantly lower at the postintervention time point (9.0 vs 12.8; t95=3.85; F2,95=22.76; ηp2=0.13; P<.001) and at the 3-month follow-up visit (11.3 vs 14.7; t68=2.61; F2,68=5.85; ηp2=0.03; P=.01) compared to those of the SHE group. The Somzz group maintained their treatment effect at the postintervention time point and follow-ups, with a moderate to large effect size (Cohen d=–0.62 to –1.35; P<.01 in all cases). Furthermore, the Somzz group showed better sleep efficiency (t95=–3.32; F2,91=69.87; ηp2=0.41; P=.001), wake after sleep onset (t95=2.55; F2,91=51.81; ηp2=0.36; P=.01), satisfaction (t95=–2.05; F2,91=26.63; ηp2=0.20; P=.04) related to sleep, and mental health outcomes, including depression (t95=2.11; F2,94=29.64; ηp2=0.21; P=.04) and quality of life (t95=–3.13; F2,94=54.20; ηp2=0.33; P=.002), compared to the SHE group after the intervention. The attrition rate in the Somzz group was 12% (6/49).

Conclusions
Somzz outperformed SHE in improving insomnia, mental health, and quality of life. The MCBTi can be a highly accessible, time-efficient, and effective treatment option for chronic insomnia, with high compliance.

Trial Registration
Clinical Research Information Service (CRiS) KCT0007292; https://cris.nih.go.kr/cris/search/detailSearch.do?seq=22214&search_page=L
Using a Semiautomated Procedure (CleanADHdata.R Script) to Clean Electronic Adherence Monitoring Data: Tutorial
Authors: Bandiera Carole , Pasquier Jérôme , Locatelli Isabella , Schneider Marie P 
Published: May 2024

Background
Patient adherence to medications can be assessed using interactive digital health technologies such as electronic monitors (EMs). Changes in treatment regimens and deviations from EM use over time must be characterized to establish the actual level of medication adherence.

Objective
We developed the computer script CleanADHdata.R to clean raw EM adherence data, and this tutorial is a guide for users.

Methods
In addition to raw EM data, we collected adherence start and stop monitoring dates and identified the prescribed regimens, the expected number of EM openings per day based on the prescribed regimen, EM use deviations, and patients’ demographic data. The script formats the data longitudinally and calculates each day’s medication implementation.

Results
We provided a simulated data set for 10 patients, for which 15 EMs were used over a median period of 187 (IQR 135-342) days. The median patient implementation before and after EM raw data cleaning was 83.3% (IQR 71.5%-93.9%) and 97.3% (IQR 95.8%-97.6%), respectively (Δ+14%). This difference is substantial enough to consider EM data cleaning to be capable of avoiding data misinterpretation and providing a cleaned data set for the adherence analysis in terms of implementation and persistence.

Conclusions
The CleanADHdata.R script is a semiautomated procedure that increases standardization and reproducibility. This script has broader applicability within the realm of digital health, as it can be used to clean adherence data collected with diverse digital technologies.
Evolution of Chatbots in Nursing Education: Narrative Review
Authors: Zhang Fang , Liu Xiaoliu , Wu Wenyan , Zhu Shiben 
Published: May 2024

Abstract

Background
The integration of chatbots in nursing education is a rapidly evolving area with potential transformative impacts. This narrative review aims to synthesize and analyze the existing literature on chatbots in nursing education.

Objective
This study aims to comprehensively examine the temporal trends, international distribution, study designs, and implications of chatbots in nursing education.

Methods
A comprehensive search was conducted across 3 databases (PubMed, Web of Science, and Embase) following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram.

Results
A total of 40 articles met the eligibility criteria, with a notable increase of publications in 2023 (n=28, 70%). Temporal analysis revealed a notable surge in publications from 2021 to 2023, emphasizing the growing scholarly interest. Geographically, Taiwan province made substantial contributions (n=8, 20%), followed by the United States (n=6, 15%) and South Korea (n=4, 10%). Study designs varied, with reviews (n=8, 20%) and editorials (n=7, 18%) being predominant, showcasing the richness of research in this domain.

Conclusions
Integrating chatbots into nursing education presents a promising yet relatively unexplored avenue. This review highlights the urgent need for original research, emphasizing the importance of ethical considerations.
Revolutionizing Care: Unleashing the Potential of Digital Health Technology in Physiotherapy Management for People With Cystic Fibrosis
Authors: Morrison Lisa , Saynor Zoe Louise , Kirk Alison , McCann Lisa 
Published: May 2024

Abstract
This viewpoint paper explores the dynamic intersection of physiotherapy and digital health technologies (DHTs) in enhancing the care of people with cystic fibrosis (CF), in the context of advancements such as highly effective modulator therapies that are enhancing life expectancy and altering physiotherapy needs. The role of DHTs, including telehealth, surveillance, home monitoring, and activity promotion, has expanded, becoming crucial in overcoming geographical barriers and accelerated by the recent pandemic. Physiotherapy, integral to CF care since 1946, has shifted toward patient-centered approaches, emphasizing exercise training and a physically active lifestyle. The reduction in inpatient admissions due to highly effective modulator therapies has led to increased home care and online or electronic consultations, and DHTs have revolutionized service delivery, offering flexibility, self-management, and personalized care options; however, there is a need to comprehensively understand user experiences from both people with CF and physiotherapists. This paper highlights the essential exploration of user experiences to facilitate clinician adaptation to the digital requirements of modern clinical management, ensuring equitable care in the “future hospitals” arena. Identifying research gaps, this paper emphasizes the need for a thorough evaluation of DHT use in CF physiotherapy education, training, and self-monitoring, as well as the experiences of people with CF with online or electronic consultations, self-monitoring, and remote interventions. Online group exercise platforms address historical challenges relating to infection control but necessitate comprehensive evaluations of user experiences and preferences. Future-proofing DHTs within the physiotherapy management of CF demands a shift toward full integration, considering stakeholder opinions and addressing barriers. While DHTs have the potential to extend physiotherapy beyond the hospital, this paper stresses the importance of understanding user experiences, addressing digital poverty, and working toward more equitable health care access. A flexible approach in the “future hospital” is advocated, emphasizing the need for a nuanced understanding of user preferences and experiences to optimize the integration of DHTs in CF care.
Poblamiento y despoblamiento: retos para un análisis demográfico en el Estado de México
Authors: González-Becerril Juan Gabino , Montoya-Arce Bernardino Jaciel , Pérez-Alcántara Bonifacio Doroteo , Villavicencio-Velázquez Juan José 
Published: May 2024

El objetivo de este texto es analizar las asociaciones de las variables y categorías biológico social en torno al poblamiento y despoblamiento en el Estado de México en 2015-2020. Interesa destacar cuando dos categorías están próximas entre sí si a menudo se toman juntas. También se destaca buscar una o varias variables sintéticas continuas para resumir las categorías. Por último, se busca caracterizar a grupos de municipios según categorías del poblamiento y despoblamiento. Un grupo de municipios pueden tener un perfil similar de poblamiento o despoblamiento determinados por sus dimensiones biológicos social. Es decir, dos municipios están cerca el uno del otro si respondieron a las variables y asociaciones de la misma manera. Con base en una combinación de fuentes de información se construye las tasas, índices, cartografías y el modelo de correspondencia múltiple la cual sintetiza cuatro grupos de poblamiento y despoblamiento en el Estado de México en 2020.
Avaliação do potencial antimicrobiano do extrato etanólico da Petúnia mexicana (Ruellia simplex C. Wright)
Authors: Albuquerque Isabela Ribeiro de , Sousa Maria Lucidalva Ribeiro de , Moura Luana Priscilla Roque , Rocha Bruna Silva da , Nobre Janaína da Costa Nogueira , Freitas Adriana Dantas Gonzaga de , Gomes Waldireny Rocha 
Published: May 2024

A Ruellia simplex C. Wright, conhecida como petúnia mexicana, é comumente utilizada como planta ornamental, no entanto, estudos recentes têm relatado seu potencial medicinal. Assim, o objetivo deste trabalho foi avaliar o potencial antimicrobiano do extrato etanólico da Ruellia simplex C. Wright utilizando dois métodos de extração para obtenção dos compostos orgânicos, o estático e o ultrassom em seguida testa-los frente às cepas de Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae e Staphylococcus aureus. Foram analisadas quatro concentrações dos extratos (10 mg/mL, 15 mg/mL, 20 mg/mL, 50 mg/mL). Sendo utilizado para a avaliação da atividade antimicrobiana o método de disco difusão, onde discos de papel filtro foram embebidos nas respectivas concentrações, com quatro repetições para cada tratamento, as placas desse experimento foram incubadas a 30 °C em estufa B.O.D., onde foram observadas por 72h, e posteriormente os halos de inibição formados foram medidos e as médias obtidas foram utilizadas na análise estatística (ANOVA). O extrato estático da flor e o ultrassom da folha foram capazes de inibir o crescimento das bactérias S. aureus e E. coli, porém o extrato do ultrassom foi o mais eficaz, observando-se halos de 8 mm para S. aureus. Para a E. coli, os dois tipos de extratos obtiveram um resultado semelhante. O extrato estático da flor apresentou potencial antimicrobiano sobre S. aureus e para E. coli. Portanto, neste trabalho, foi observado que os extratos etanólicos da Ruellia simplex apresentaram atividade antimicrobiana sob as condições avaliadas. Palavras-chave: Análise antimicrobiana. Extrato etanólico. Petúnia Mexicana.
AS REPERCUSSÕES NA QUALIDADE DE VIDA E NA SAÚDE MENTAL DOS PROFISSIONAIS DE ENFERMAGEM FRENTE AO PROCESSO DE PANDEMIA POR COVID-19
Authors: França dos Santos Diego Leonardo , Queiroz Pessoa Yldry Souza Ramos 
Published: May 2024

A COVID-19, ocasionada pelo vírus SARS-CoV-2 que foi identificada em 2019 em pacientes da cidade de Wuhan na China, podendo evoluir para uma Síndrome Respiratória Aguda Grave Foi declarada como uma pandemia em março de 2020 pela OMS devido a gravidade da doença e a rápida disseminação do vírus. O alto número de pessoas acometidas pela COVID-19, acabou por superlotar os sistemas de saúde e demandar ainda mais trabalho dos profissionais de enfermagem. Este artigo tem como objetivo analisar os impactos da pandemia da COVID-19 na saúde mental e na qualidade de vida dos profissionais da enfermagem que atuaram no atendimento aos pacientes acometidos pela doença em 2020-2021. Para esse estudo optamos por uma pesquisa do tipo exploratória, descritiva e aplicada. Fizeram parte do universo da pesquisa os trabalhadores da enfermagem, em todos os níveis de formação, que atuaram na linha de frente no atendimento hospitalar aos doentes com COVID-19. Os dados foram coletados através de questionários, disponibilizados de forma online, por meio do google forms, sendo encaminhado o formulário por e-mail e grupos de Whatsapp.. Os resultados analisados apontam para impactos negativos tanto na qualidade de vida quanto na saúde mental dos profissionais da enfermagem.Palavras chave: Enfermagem. Saúde mental. Qualidade de vida. COVID-19
EXPERIENCIA DE VIDA Y CONOCIMIENTOS DE LA VIDA COTIDIANA EN LOS PROCESOS DE APRENDIZAJE EN TORNO A GÉNEROS Y SEXUALIDADES EN LA FORMACIÓN DOCENTE.
Authors: Pievi Néstor Ricardo 
Published: May 2024

La presente comunicación se propone desarrollar un marco referencial interdisciplinar en el abordaje de las problemáticas vinculadas con géneros y sexualidades en los contextos educativos, poniendo especial énfasis en la relación entre experiencia de vida y construcción del conocimiento de la vida cotidiana en los posicionamientos didácticos docentes. En las prácticas discursivas que se desarrollan en la cotidianeidad de los contextos educativos, se definen configuraciones diversas en torno a géneros y sexualidades. En estas prácticas entran en juego sentidos y significados que están ligados a los escenarios históricos, culturales e institucionales donde los sujetos desarrollan y han desarrollado sus acciones comunicativas. Diferentes trabajos (CONNELLL, 1995; MORGADE, 2006, 2011, 2015; entre otros) han dado cuenta que las prácticas educativas han favorecido la construcción de una concepción dicotómica de los sujetos perpetuando las relaciones de poder típicas del sistema patriarcal, legitimando los modelos de feminidad y masculinidad hegemónicos. En las tomas de decisiones didácticas, en el diseño de las propuestas formativas, se hacen visibles las trazas de los posicionamientos docentes. En esta línea, nos proponemos poner en diálogo a la didáctica con la Teoría de las Representaciones Sociales, los enfoques socio-culturales en la psicología educacional y los aportes de los estudios sobre géneros y sexualidades, con el objetivo de visibilizar la complejidad de la problemática aludida y posibilitar el desarrollo de marcos referenciales que permitan abrir nuevos caminos de trabajo interdisciplinario en relación con estudios sobre género y sexualidades en la formación docente.
Long-Term Exposure to Fine Particulate Matter and Fasting Blood Glucose and Diabetes in 20 Million Chinese Women of Reproductive Age
Authors: Shen Yang , Jiang Lifang , Xie Xiaoxu , Meng Xia , Xu Xianrong , Dong Jing , Yang Ying , Xu Jihong , Zhang Ya , Wang Qiaomei , Shen Haiping , Zhang Yiping , Yan Donghai , Zhou Lu , Jiang Yixuan , Chen Renjie , Kan Haidong , Cai Jing , He Yuan , Ma Xu 
Published: May 2024

OBJECTIVE
Evidence of the associations between fine particulate matter (PM2.5) and diabetes risk from women of reproductive age, in whom diabetes may have adverse long-term health effects for both themselves and future generations, remains scarce. We therefore examined the associations of long-term PM2.5 exposure with fasting blood glucose (FBG) level and diabetes risk in women of reproductive age in China.

RESEARCH DESIGN AND METHODS
This study included 20,076,032 women age 20–49 years participating in the National Free Preconception Health Examination Project in China between 2010 and 2015. PM2.5 was estimated using a satellite-based model. Multivariate linear and logistic regression models were used to examine the associations of PM2.5 exposure with FBG level and diabetes risk, respectively. Diabetes burden attributable to PM2.5 was estimated using attributable fraction (AF) and attributable number.

RESULTS
PM2.5 showed monotonic relationships with elevated FBG level and diabetes risk. Each interquartile range (27 μg/m3) increase in 3-year average PM2.5 concentration was associated with a 0.078 mmol/L (95% CI 0.077, 0.079) increase in FBG and 18% (95% CI 16%, 19%) higher risk of diabetes. The AF attributed to PM2.5 exposure exceeding 5 μg/m3 was 29.0% (95% CI 27.5%, 30.5%), corresponding to an additional 78.6 thousand (95% CI 74.5, 82.6) diabetes cases. Subgroup analyses showed more pronounced diabetes risks in those who were overweight or obese, age &gt;35 years, less educated, of minority ethnicity, registered as a rural household, and residing in western China.

CONCLUSIONS
We found long-term PM2.5 exposure was associated with higher diabetes risk in women of reproductive age in China.
De la innovación como producto a la innovación como proceso: desafíos y estrategias para la transformación de la enseñanza en la universidad
Authors: Garcia Daiana , Domínguez María Alejandra , Stipcich María Silvia 
Published: May 2024

La necesidad de propiciar procesos de innovación en las prácticas de enseñanza en el nivel universitario es indiscutible. Sin embargo, es imposible pensar que tal tarea recaiga completamente en los docentes, sino que indispensable el trabajo conjunto de diferentes actores. En esta oportunidad se comunica parte del proceso de transformación que tuvo lugar en las prácticas de enseñanza de Física en la universidad, como consecuencia de la colaboración entre profesores universitarios e investigadores en educación en ciencias, y se identifican desafíos y estrategias que se asumen como potenciales para la innovación en el nivel.
Perspectivas acerca de las alfabetizaciones múltiples en la era de las inteligencias artificiales en la formación docente inicial de la provincia de Buenos Aires durante el período pospandemia
Authors: Conde Griselda Rosana , López Linda Angélica 
Published: May 2024

El presente trabajo se enmarca en el Proyecto de investigación: Alfabetizaciones múltiples en la formación docente en los institutos de gestión estatal de la región IV de la Provincia de Buenos Aires en la pospandemia: Curriculum y propósitos para la enseñanza. Intenta visibilizar el lugar que adquieren las alfabetizaciones múltiples en la formación docente inicial. Esto implica configurar un escenario donde las tecnologías de la información y comunicación social (TICS) otorgan sentido y legitimidad en el ámbito de las políticas de formación docente.
Así, interesa tomar como punto de referencia el anclaje conceptual que habilita a resignificar la mirada acerca los modos y posicionamientos que hacen posible pensar y encuadrar las prácticas de enseñanza en la formación docente inicial a partir del uso y acceso de la educación digital.
En este sentido, se pone énfasis en las estrategias que se implementan en un contexto específico y ligadas a la formación de docentes. Interesa poner en valor de qué modo se resignifican las mismas en pos de contribuir a la construcción de propuestas de integración de alfabetizaciones múltiples.
De este modo, se explicitan las características que asumen las alfabetizaciones digitales como también los desafíos que se implican en las propuestas de enseñanza en contextos específicos de formación docente inicial en la provincia de Buenos Aires durante el período de pospandemia.