bluuebunny/crossref_metadata_2025_split huggingface dataset:
A multi‐faceted construct to guide geriatric dental education: Findings from a scoping review with consultation
Authors: Brandt Alicia C. , Lingard Lorelei , Dong Cecilia S. 
Published: June 2024

Background and objectivesOlder adults report unmet oral health care needs and barriers in access to care, due in part to provider attitudes and discomfort towards treating older patients. Our study asked: What is known from the literature about the use of undergraduate dentistry programmes to influence dental students' attitudes, perceptions and comfort towards treating geriatric patients? And how can interdisciplinary care facilitate the ability of dentists to work with geriatric patients?Materials and methodsA scoping review and stakeholder consultation followed established methodological guidelines. Four databases and two grey literature sources were searched. Two researchers independently selected articles using predefined inclusion criteria. Pertinent information was inputted into an iteratively developed extraction table. NVivo 12 was used to organise the extracted data into themes. Key findings were confirmed through stakeholder consultation.ResultsSixty‐eight articles were included in the scoping review. Five key themes emerged: (1) Curricular targets; (2) Intervention components; (3) Dentist and patient factors; (4) The role of interdisciplinary care; and (5) Post‐graduation insights on knowledge‐seeking patterns. Stakeholder consultations involved 19 participants from Southwestern Ontario and generally confirmed our findings.ConclusionsInconsistent reporting of multiple intervention dimensions constrains our ability to strengthen this knowledge. Future interventions and their reporting could be improved by adopting “willingness to treat” as an overarching, multi‐faceted concept which encompasses knowledge on ageing, attitudes towards older patients, perceived competence and empathy. Stakeholder interviews complemented these findings.
Codesign and Launch of ‘On the Ball’: An Inclusive Community‐Based ‘Testicular Awareness’ Campaign
Authors: Saab Mohamad M. , Shetty Varsha N. , McCarthy Megan , Davoren Martin P. , Flynn Angela , Kirby Ann , Robertson Steve , Shorter Gillian W. , Murphy David , Rovito Michael J. , Shiely Frances , Hegarty Josephine 
Published: June 2024

ABSTRACTIntroductionIncreased awareness of testicular diseases can lead to early diagnosis. Evidence suggests that men's awareness of testicular diseases is low, with many expressing their willingness to delay help‐seeking for symptoms of concern. The risk of testicular diseases is higher in gender and sexual minority groups. In this study, we discuss the codesign, refinement and launch of ‘On the Ball’, an inclusive community‐based ‘testicular awareness’ campaign.MethodsThe World Café participatory research methodology was used. Individuals from Lesbian, Gay, Bisexual, Transgender and Queer+ friendly organisations, testicular cancer survivors, policymakers, media/marketing experts and graphic designers were recruited. Participants were handed a brief for ‘On the Ball’, which was designed based on feedback from a previous World Café workshop. They were assigned to three tables. Participants rotated tables at random for three 20‐min rounds of conversations. Each table had a facilitator who focussed on one element of the campaign brief. Data were collected using audio recorders and in writing and were analysed thematically.ResultsThirteen individuals participated in the workshop. The following themes emerged from the data: (i) campaign identity, (ii) campaign delivery and (iii) campaign impact. Participants recommended enhancements to the campaign logo, slogan, social media posts and poster. They suggested delivering the campaign online via social media and offline using various print and broadcast media. Participants recommended targeting areas with a large number of men such as workplaces. To help measure the impact of the campaign, participants proposed capturing social media analytics and tracking statistics relating to testicular diseases. Recommendations were used to refine the ‘On the Ball’ campaign and launch it in a university. In total, 411 students engaged with the various elements of the campaign during the soft launch.Conclusions‘On the Ball’ campaign visuals ought to be inclusive. Online and offline campaign delivery is warranted to reach out to a wider cohort. Campaign impact can be captured using social media analytics as well as measuring clinical outcomes relating to testicular diseases. Future research is needed to implement the campaign online and offline, explore its impact and evaluate its feasibility, acceptability, cost and effect on promoting testicular awareness.Patient or Public ContributionThe ‘On the Ball’ campaign was codesigned and refined with members of Lesbian, Gay, Bisexual, Transgender and Queer+ friendly organisations, testicular cancer survivors, health policymakers, media and marketing experts and graphic designers using the World Café participatory research methodology.
Assessing the Gap Between Women's Expectations and Perceptions of the Quality of Intrapartum Care in Jordan: A Two‐Stage Study Using the SERVQUAL Model
Authors: Hijazi Heba , Al‐Yateem Nabeel , Al abdi Rabah , Baniissa Wegdan , Alameddine Mohamad , Al‐Sharman Alham , AlMarzooqi Alounoud , Subu Muhammad Arsyad , Ahmed Fatma Refaat , Hossain Ahmed , Sindiani Amer , Hayajneh Yaseen 
Published: June 2024

AbstractIntroductionAlthough Jordan has made significant progress toward expanding the utilization of facility‐based intrapartum care, prior research highlights that poor service quality is still persistent. This study aimed to identify quality gaps between women's expectations and perceptions of the actual intrapartum care received, while exploring the contributing factors.MethodsUtilizing a pre–post design, quality gaps in intrapartum care were assessed among 959 women pre‐ and postchildbirth at a prominent tertiary hospital in northern Jordan. Data were gathered using the SERVQUAL scale, measuring service quality across reliability, responsiveness, tangibles, assurance, and empathy dimensions.ResultsThe overall mean gap score between women's expectations and perceptions of the quality of intrapartum care was −0.60 (±0.56). The lowest and highest mean gap scores were found to be related to tangibles and assurance dimensions, −0.24 (±0.39) and −0.88 (±0.35), respectively. Significant negative quality gaps were identified in the dimensions of assurance, empathy, and responsiveness, as well as overall service quality (p < 0.001). The MLR analyses highlighted education (β = 0.61), mode of birth (β = −0.60), admission timing (β = −0.41), continuity of midwifery care (β = −0.43), physician's gender (β = −0.62), active labour duration (β = 0.37), and pain management (β = −0.33) to be the key determinants of the overall quality gap in intrapartum care.ConclusionOur findings underscore the importance of fostering a labour environment that prioritizes enhancing caregivers' empathetic, reassuring, and responsive skills to minimize service quality gaps and enhance the overall childbirth experience for women in Jordan.Patient or Public ContributionThis paper is a collaborative effort involving women with lived experiences of childbirth, midwives, and obstetrics and gynaecologist physicians. The original idea, conceptualization, data generation, and coproduction, including manuscript editing, were shaped by the valuable contributions of stakeholders with unique perspectives on intrapartum care in Jordan.
Lost in the System: Responsibilisation and Burden for Women With Multiple Long‐Term Health Conditions During Pregnancy
Authors: Hanley Stephanie J. , McCann Sharon , Lee Siang Ing , Vowles Zoe , Plachcinski Rachel , Nirantharakumar Krish , Black Mairead , Locock Louise , Taylor Beck 
Published: June 2024

ABSTRACTIntroductionOver a fifth of pregnant women are living with multiple long‐term health conditions, which is associated with increased risks of adverse outcomes for mothers and infants. While there are many examples of research exploring individuals' experiences and care pathways for pregnancy with a single health condition, evidence relating to multiple health conditions is limited. This study aimed to explore experiences and care of women with multiple long‐term health conditions around the time of pregnancy.MethodsSemistructured interviews were conducted between March 2022 and May 2023 with women with multiple long‐term health conditions who were at least 28 weeks pregnant or had had a baby in the last 2 years, and healthcare professionals with experience of caring for these women. Participants were recruited from across the United Kingdom. Data were analysed using thematic analysis.ResultsFifty‐seven women and 51 healthcare professionals participated. Five themes were identified. Women with long‐term health conditions and professionals recognised that it takes a team to avoid inconsistent care and communication, for example, medication management. Often, women were required to take a care navigation role to link up their healthcare providers. Women described mixed experiences regarding care for their multiple identities and the whole person. Postnatally, women and professionals recognised a downgrade in care, particularly for women's long‐term health conditions. Some professionals detailed the importance of engaging with women's knowledge, and recognising their own professional boundaries of expertise. Many participants described difficulties in providing informational continuity and subsequent impacts on care. Specifically, the setup of care systems made it difficult for everyone to access necessary information, especially when care involved multiple sites.ConclusionPregnant women with long‐term health conditions can experience a substantial burden of responsibility to maintain communication with their care team, often feeling vulnerable, patronised, and let down by a lack of acknowledgement of their expertise. These results will be used to inform the content of coproduction workshops aimed at developing a list of care recommendations for affected women. It will also inform future interventional studies aimed at improving outcomes for these women and their babies.Patient or Public ContributionOur Patient and Public Involvement group were involved in the design of the study and the analysis and interpretation of the data, and a public study investigator was part of the author group.
From Research to Knowledge Translation: Co‐Producing Resources to Raise Awareness of Meals on Wheels in England
Authors: Papadaki Angeliki , Willis Paul , Armstrong Miranda Elaine Glynis , Cameron Ailsa 
Published: June 2024

ABSTRACTBackgroundMeals on Wheels (MoWs) could help adults with care and support needs continue living independently. However, many people are not aware that the service still exists in England, or that it could provide benefits beyond nutrition.ObjectiveWorking with an existing advisory group of six people with lived experience of MoWs (an adult who uses MoWs and people who have referred a family member to MoWs), this work aimed to co‐produce knowledge translation resources (two infographics and a film) to raise awareness of MoWs and their benefits.MethodsFour participatory online workshops were held in May–July 2023, to establish perceived high‐priority themes from recent qualitative research that should be included in the resources, and preferences about message content, language, design, and how the resources should be disseminated.FindingsThe most important perceived MoWs benefits that the group agreed should be included in the resources were: the importance of a nutritious meal that requires no preparation; the service's reliability/consistency; the importance of interactions in reducing social isolation, and; the ease to commence the service. The group highlighted the need for language to be nontechnical and invitational, and for images to relate to respective messages, and be inclusive of anyone who could benefit from MoWs. Several routes for dissemination were proposed, highlighting the need to disseminate to the NHS, social care organisations and community groups.ConclusionThese co‐produced resources could enhance adult social care delivery in England, as raising awareness of MoWs and their benefits could increase referral rates, so that more adults with care and support needs can benefit from the service.Patient or Public ContributionAn advisory group of people with lived experience of MoWs (users of the service and family referrers) participated in the workshops, extensively discussed the findings of earlier research, co‐produced the knowledge translation resources, and advised on the implications and future dissemination steps. The group also provided informal feedback on a draft of this manuscript.
‘I Do It All Alone’: The Burdens and Benefits of Being Diagnosed With, and Treated for, Colorectal Cancer During the Covid‐19 Pandemic
Authors: Dobson Christina M. , Deane Jennifer , Osborne Beth , Araújo‐Soares Vera , Rees Colin J. , Angell Lorraine , Sharp Linda 
Published: June 2024

ABSTRACTIntroductionThe Covid‐19 pandemic dramatically altered the way cancer care services were accessed and delivered, including for colorectal cancer (CRC). In the United Kingdom, patients were discouraged from presenting in primary care, many consultations took place remotely, investigative procedures and screening programmes were temporarily suspended, and fewer operations and treatments were delivered. People had to face the practical consequences of having cancer during a pandemic and navigate never before seen pathways, often alone. We examined the experience of being diagnosed and treated for CRC during the pandemic, and the implications of this on people's cancer journeys.MethodsSemi‐structured interviews were undertaken with people diagnosed with CRC during the Covid‐19 pandemic (January 2020–May 2021), in the North East of England. An iterative topic guide was used during interviews, which took place remotely (telephone or Zoom), were audio recorded, pseudo‐anonymised and transcribed. Initial transcripts were independently coded by two researchers, and a code ‘bank’ developed for application across transcripts. Development of themes and overarching analytical constructs was undertaken collaboratively by the research team.ResultsInterviews were conducted with 19 participants, analysed and four key themes identified: (1) The relative threats of Covid‐19 and Cancer were not comparable, with cancer seen as posing a far greater risk than Covid‐19; (2) Remote consultations were problematic, affecting patients' abilities to build rapport and trust with clinicians, assess nonverbal communication, and feel able to disclose, comprehend and retain information; (3) Stoma follow‐up care was seen to be lacking, with long wait times for stoma reversal experienced by some; Finally, (4) Being alone during consultations negatively impacted some peoples' abilities to absorb information, and left them without the support of loved ones at an emotionally vulnerable time. However, some participants preferred being alone at certain points in their pathways, including receiving a diagnosis, and most frequently when receiving in‐patient treatment.ConclusionBeing alone brought unexpected benefits, absolving people from undertaking emotions work for others, and instead focus on their recovery, however, remote consultations negatively impacted patients' experiences. This study highlights the complex benefits and burdens of pandemic‐located cancer journeys, including how these shifted at different points across cancer pathways.Patient or Public ContributionLorraine Angell, a cancer survivor, has been central to this study from idea conception, contributing to: development of study focus and design; securing funding; production of patient‐facing materials; development of interview topic guides; analysis and interpretation of data; and drafting of key findings and manuscripts.
Effect of alumina sol on the preparation of magnesia‐alumina spinel foam ceramics by foaming‐sol method
Authors: Sun Gege , Li Guohua , Jiao Changfa , Tian Lin , Deng Shudan 
Published: June 2024

AbstractIn this work, magnesia‐alumina spinel foam ceramics were prepared by foaming‐sol method using magnesia alumina spinel as raw material, anionic surfactant potassium oleate (PO) as foaming agent, and alumina sol as curing agent. The curing mechanism and the effect of alumina sol content on the stability of foam slurry and the properties of foam ceramics were investigated. In the foam slurry, the alumina sol can react with PO, so magnesia‐alumina spinel can be fixed in the foam structure through the gel network to improve the stability of the foam slurry. The gelation process reduces the viscosity of the foam slurry. The pores of magnesia‐alumina spinel foam ceramics sintered at 1500°C are mostly closed pores and the average pore was 29.7–42.1 µm. With the increase of alumina sol content, the bulk density of magnesia‐alumina spinel foam ceramics increased from 1.3 to 1.9 g/cm3, the cold compressive strength from 8.8 to 22.7 MPa, and the thermal conductivity from .417 to .806 W·m−1·K−1(350°C).
Construction and analysis of a mechanical model for viscoelasticity and plasticity in potato
Authors: Xie Shengshi , Lu Yan , Shang Zhenyu , Deng Weigang , Lu Kailiang 
Published: June 2024

AbstractThe aim of this paper is to develop a precise collision model of potatoes falling onto a separation sieve to assess their damage characteristics. A viscoelastic‐plastic mechanics model is created by integrating the collision process with the potato soil separation device. Test factors include fall height, potato mass, fall direction, and varieties. Potato deformation and damage volume serve as evaluation indices in single‐factor tests to explore their relationships with these factors. The model analyzes the collision loading and unloading process, studying relationships between parameters and test factors, examining the potato collision damage mechanism. Predictive equations for potato damage volume based on fall height, potato mass, and plasticity ratio λp are derived: V1 = 1606λp–537, V2 = 4751λp–2087, and V3 = 12617λp–5303. This study provides a theoretical foundation for analyzing potato collision damage and offers technical references for optimizing potato harvesting machinery.Practical applicationsDamage resulting from the mechanical harvesting process significantly impacts the quality and economic worth of the tubers. Currently, research on constructing a mechanical model of potatoes, treating them as viscoelastic plastic bodies, and integrating the collision process with potato soil separation devices is limited. Thus, the objective of this paper is to investigate the correlation between various test factors and potato damage via drop tests, and to establish a viscoelastic–plastic mechanical model. Additionally, the study further explored the correlation between model parameters and tuber damage, resulting in the establishment of a mathematical model for predicting the extent of damage. This study provides a theoretical basis for an in‐depth analysis of the collision damage mechanism of potato, and a technical reference for the design and optimization of potato harvesting machinery.
Modeling high‐intensity ultrasound to enhance shrimp (Penaeus vannamei) brining without compromising crucial purchase attributes
Authors: Bernardo Yago A. A. , Monteiro Maria Lúcia G. , Marques Lucas P. , Conte‐Junior Carlos A. 
Published: June 2024

AbstractTraditional brining methods, such as immersion, are time‐consuming and affect the quality of the food product. Thus, high‐intensity ultrasound (HIUS) has been studied as a brining‐assisted non‐thermal technology. However, this approach to shrimp and the assessment of the individual and combined effects of HIUS parameters, for example, time (t), power (P), and salt concentration (SC), is a knowledge gap. This study aimed to model HIUS‐brining for improving salt diffusion and water properties while maintaining relevant purchase attributes closer to fresh shrimp (Penaeus vannamei) quality. Our findings suggest HIUS improves salt diffusion, decreasing Aw and enhancing water‐holding capacity (WHC). Instead, the increased P reduced hardness and enhanced whiteness. HIUS‐brining (22.02 min/267.89 W/6.68%) maximized Na+ (2.58%) and WHC (86.31%), minimized Aw (.92), and retained hardness (71.07 N) and whiteness (55.14) close to freshness. Therefore, it is possible to employ HIUS in the shrimp brine to improve salt diffusion without damaging physicochemical attributes.Practical applicationsDespite traditional methods for seafood brining being considered effective, they are time‐consuming, taking hours to reach the desirable moisture value. High‐intensity ultrasound (HIUS) is an emerging non‐thermal technology recently explored as a brining technology for animal‐origin food, such as meat. The cavitation induced by HIUS generates gas microbubbles. The implosion increases local temperature and pressure and generates microjets, facilitating the mass transfer (sponge effect) and salt diffusion in the muscle tissues. However, the cavitation mechanism also releases free radicals, resulting in physicochemical alterations during processing, such as damage to color and texture. The present research contributes to providing a better understanding of the application and optimization of HIUS to accelerate the shrimp brining process. The findings herein are promising for the industrial utilization of sonication to obtain brined products without damaging the quality attributes of shrimp.
Colorectal adenoma detection rate using texture and color enhancement imaging versus white light imaging with chromoendoscopy: a propensity score matching study
Authors: Toyoshima Osamu , Nishizawa Toshihiro , Hiramatsu Takuma , Matsuno Tatsuya , Yoshida Shuntaro , Mizutani Hiroya , Ebinuma Hirotoshi , Matsuda Takahisa , Saito Yutaka , Fujishiro Mitsuhiro 
Published: June 2024

AbstractBackground and AimFew studies have evaluated the adenoma detection rate (ADR) of colonoscopy with texture and color enhancement imaging (TXI), a novel image‐enhancing technology. This study compares the detection of colorectal polyps using TXI to that using white light imaging (WLI).MethodsThis single‐center retrospective study used propensity‐matched scoring based on the patients' baseline characteristics (age, sex, indication, bowel preparation, endoscopist, colonoscope type, and withdrawal time) to compare the results of patients who underwent chromoendoscopy using WLI or TXI at the Toyoshima Endoscopy Clinic. The differences in polyp detection rates and the mean number of detected polyps per colonoscopy were determined between the TXI and WLI groups.ResultsAfter propensity score matching, 1970 patients were enrolled into each imaging modality group. The mean patient age was 57.2 ± 12.5 years, and 44.5% of the cohort were men. The ADR was higher in the TXI group than in the WLI group (55.0% vs 49.4%, odds ratio: 1.25). High‐risk ADR were more common in the TXI group than in the WLI group (17.6% vs 12.8%; OR: 1.45). The mean number of adenomas per colonoscopy (APC) was higher in the TXI group than in the WLI group (1.187 vs 0.943, OR: 1.12). APC with a flat morphology (1.093 vs 0.848, OR: 1.14) and APC of <6 mm (0.992 vs 0.757, OR: 1.16) were higher in the TXI group than in the WLI group.ConclusionCompared to WLI, TXI improved the ADR in patients who underwent chromoendoscopy based on actual clinical data.