bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving patients' accessibility to primary care services: the Italian reorganization of territorial medicine
Authors: Diglio Antonio , Morlotti Chiara , Bruno Giuseppe , Cattaneo Mattia , Paleari Stefano , Piccolo Carmela 
Published: June 2024

Abstract

Ensuring widespread access to healthcare services is a crucial policy objective. The Italian National Recovery and Resilience Plan (NRRP) has notably prioritized territorial medicine, channeling post-pandemic investments towards the restructuring of primary care services. A significant change involved the establishment of Community Healthcare Centers (CHCs). This paper investigates how CHCs contribute to accessibility to healthcare in urban and rural areas. By leveraging a comprehensive dataset of general practitioners’ availability and estimating supply and demand future scenarios, we examine the impact of CHCs under two different capacity allocation strategies. Strategy 1—Capacity expansion—involves allocating additional service hours of general practitioners in CHCs to maximize accessibility. Strategy 2—Capacity redistribution—accounts for the persisting shortage of healthcare professionals faced by Italy in recent years, thereby reallocating a portion of general practitioners’ current services from their existing workplace locations to CHCs. Our results indicate that CHCs have the potential to maintain current accessibility levels and even enhance them in the years to come. Moreover, we demonstrate that even redistributing current capacity can improve future accessibility.
School Enhancement: An Alternative to “School Turnaround”
Authors: Irby Beverly J. , McIntush Karen , Villarreal Elsa , Etchells Matthew , Leithwood Kenneth , Meyers Coby , Green Reginald , Reeves Patricia , Lara-Alecio Rafael , Tong Fuhui , Johnson Adrain , Hurst Thyrun , Musik Stu , Ponce Geovanny , Harville J.C. , Loyd Delic , Maza Lidia , Gentry Bobby , Costello Yvonne 
Published: June 2024

School accountability measures have resulted in initiatives for school turnaround reform. In an effort to address issues surrounding school turnaround and enhancement, a think tank was conducted by a research center at a Tier 1 research university along with experts and practitioners in the field. A qualitative content analysis was conducted on the transcripts to identify key themes that emerged from the discussion. Four themes emerged regarding characteristics of effective school enhancement: leadership, capacity building, root cause analysis, and unity of purpose. Implications for practice included nurturing unity of purpose across the school community, building capacity of faculty and staff, establishing strong instructional leadership, intentionality in the school improvement process, and implementing a continuous school improvement process.
Types of data: terminology and examples
Authors: Plana Q. , Villez K. 
Published: June 2024

Data produced at wastewater utilities are obtained through a variety of devices, including actuators, control devices, and sensors. This results in data that can be highly variable in its structure. Dealing with the resulting heterogeneity of data formats can be a challenge when storing or interpreting the data. For this reason, this chapter serves as an overview for the most important structural aspects of data typically found at a utility. The specific aims of this chapter are to: Introduce basic concepts for description, understanding, and management of data produced by online instruments, including sensors and actuators (e.g., valves and pumps).Provide definitions for the most common terms used throughout this report to describe online sensor data as well as other data sources.Provide practical examples to illustrate the provided definitions.
Where feasible, we relied on existing standards and references to provide applicable definitions.
However, many definitions are developed specifically for this report.
A Systematic Study on the Impact of Blueberry Supplementation on Metabolic Syndrome Components
Authors: Yousefizadeh Shahnaz , Farkhondeh Tahereh , Alemzadeh Effat , Samarghandian Saeed 
Published: June 2024

Background:
Metabolic syndrome, which is characterized by a constellation of well--
known risk factors, including obesity, hyperlipidemia, insulin resistance, and hypertension, is associated
with an elevated risk of developing diabetes and cardiovascular disease. Given the lifestyle
change, the prevalence of metabolic syndrome has been growing worldwide in recent years. Accordingly,
the pivotal role of diet in the progression of metabolic syndrome as a lifestyle modification
is taken into account.

Aims:
This systematic review aimed to explore the association of blueberry consumption with
ameliorating metabolic syndrome.

Methods:
We conducted this systematic review under PRISMA (Preferred Reporting Items for
Systematic Reviews and Meta-Analyses) guidelines and performed a systematic literature search
in several databases, including Web of Science, Scopus, PubMed, and Google Scholar.

Results:
Six clinical trial studies indicated that blueberries could not change components of
metabolic syndrome, especially blood glucose. However, most of the animal studies indicated the
protective effects of blueberries on these components.

Conclusion:
There are evidence suggesting that blueberry may effectively impact metabolic syndrome,
whereas some disputed findings have shown that there is no alteration of metabolic syndrome
components. Further clinical trials are needed to be conducted to investigate the potential
impact of blueberries on metabolic syndrome and address this question.
A Systematic Review and Meta-Analysis of the Effects of Statin Therapy on Heart Transplantation
Authors: Mardani-Nafchi Hossein , Hashemi Rafsanjani Seyed Mahmoud Reza , Heidari-Soureshjani Saeid , Abbaszadeh Saber , Gholamine Babak , Naghdi Nasrollah 
Published: June 2024

Background:
Most of the mortality after Heart Transplantation (HT) is attributed to severe
cardiac allograft vasculopathy (CAV) and rejection.

Objectives:
This meta-analysis aimed to investigate the effects of postoperative statin therapy on
outcomes (mortality, rejection, and CAV in HT patients).

Methods:
This systematic review and meta-analysis was performed on publications between 1980
and October 2023 in Web of Science, Scopus, PubMed, Cochrane, Science Direct, Google Scholar,
and Embase databases. Heterogeneity was assessed using Chi-square, I2, and forest plots.
Publication bias was evaluated using Begg's and Egger's tests. Analyses were performed in Stata
15 with significance at p < 0.05.

Results:
This meta-analysis included 17 studies comprising 4,627 participants and conducted between
1995 to 2021. Compared to non-users, the odds of mortality were lower among statin users
(OR= 0.49, 95% CI: 0.32–0.75, p < 0.001). The odds of CAV were also reduced with statin use
(OR= 0.71, 95% CI: 0.53–0.96, p = 0.027). The odds of rejection were not significantly different
(OR= 0.69, 95% CI: 0.41–1.15, p = 0.152). However, rejection odds were lower with statins in
RCTs (OR= 0.42, 95% CI: 0.21–0.82, p = 0.012) but not in case-control studies (OR= 0.87, 95%
CI: 0.49-1.52, p = 0.615). No publication bias was observed with Begg's test, but Egger's test
showed possible bias.

Conclusion:
This meta-analysis found postoperative statin use associated with lower mortality
and CAV, but not overall rejection, though RCT subgroup analysis showed decreased rejection
with statins. Statin therapy may improve prognosis in HT patients.
A Comparative Study of Complete Blood Count (CBC) Tests in Children with COVID-19 in the Fifth Peak Compared to Other Peaks: A Cross-Sectional Study
Authors: Mirrashidi Fateme Sadat , Raesi Rasoul , Hushmandi Kiavash , Mojaz Ali , Daneshi Salman 
Published: June 2024

Background
Awareness and recognition of the changes resulting from laboratory results in patients with COVID-19 can lead to effective clinical judgment and evidence-based care.

Aim
This study was conducted to compare the results of complete blood count (CBC) tests in children with COVID-19 hospitalized in the fifth peak1 with other COVID-19 peaks.

Methods
This cross-sectional study was carried out by census method on 112 hospitalized cases of children suffering from COVID-19. The data were collected using a researcher-made checklist by referring to the medical records unit of the hospital and analyzed with SPSS-25 statistical software and descriptive and inferential statistical tests at a significance level of 0.05.

Results
In the examined peaks, iron deficiency anemia was related to the severity of COVID-19, so MCV and RBC levels were reduced in children with COVID-19. The average blood platelet in the fifth peak was significantly lower than in the third and fourth peaks.

Conclusion
Decreased values of some CBC indices, such as MCV, RBC, and platelets in the fifth peak during hospitalization, can predict poor clinical outcomes in patients with COVID-19. Moreover, according to the Mentzer index, the degree of iron deficiency anemia affects the clinical course and prognosis of patients with COVID-19, therefore, knowing the laboratory results can help the clinical judgment of doctors in treating patients.
Revolutionizing Plant Tissue Culture: Harnessing Artificial Intelligence for Precision Propagation and Optimization
Authors: Kaushik Preeti , Rani Madhu , Khurana Neha , Pandey Parijat , Payal  , Kapoor Sonia 
Published: June 2024

:
Plant tissue culture is a process of in vitro regeneration requiring numerous resources and
intensive labour to mass produce disease-free clones. Diverse factors such as sterilizing agents, media
composition, and environmental conditions contribute toward successful regeneration and decide
the production, such as the total shoot number, shoot length, in vitro rooting, and adaptation of plants
to the external environment. Plant tissue culture, the successful induction of rapid shoot production,
and subsequent root formation in plants are influenced by the utilization of appropriate growing conditions
customized to each specific explant type. By carefully manipulating environmental factors,
such as temperature, light, and nutrient availability, it is possible to stimulate the growth and development
of new shoots in a time-efficient manner. This strategic combination of optimal growing
conditions and hormone supplementation holds great promise in the domain of efficient propagation
of plants through tissue culture techniques. The recent progress in artificial techniques such as artificial
neural networks (ANN) and machine learning (ML) algorithms has presented promising opportunities
for the development of sustainable and precise plant tissue culture processes. These techniques
are widely recognized as robust techniques for assessing outcomes and enhancing the accuracy
of predicting outputs in the domain of plant tissue culture. AI techniques and optimization algorithms
have been applied to predict and optimize callogenesis, embryogenesis, several shoots, shoot
length, hairy root culture, in vitro rooting, and plant acclimatization by helping predict sterilizing
conditions, optimal culture conditions, and formulation of a suitable medium. Patents, modeling, and
formulation of each stage of plant tissue culture using tools like artificial neural networks (ANNs),
neuro-fuzzy logic, support vector machines (SVMs), decision trees (DT), random forests (FR), and
genetic algorithms (GA) are presented.

Conclusion:
In this article, the current state of Artificial Intelligence (AI) algorithms, including their
applications in all elements of plant tissue culture, as well as the patents that have been gained for
these algorithms, are dissected in great detail.
The Role of Identity in the Relationship between PTSD and Executive Functioning
Authors: Washburn Stephanie , Branch Reilly , Jean-Francois Ishara , Berman Steven L. 
Published: June 2024

Introduction:
The developmental period of late adolescence is when
significant identity formation takes place, especially for college students
(Erikson, 1968). However, traumatic experiences can affect identity development
and lead to extreme identity distress. With exposure to trauma, executive
functioning can also diminish, leading to a decrease in self-control and greater
sensitivity.

Methods:
Although trauma affects both executive functioning and identity, the
possible direct link between identity and executive function has not been
adequately explored. Among a college sample (N = 507), those who experienced
trauma reported higher levels of identity distress, ruminative identity exploration,
and lower levels of executive functioning.

Results:
It was hypothesized that identity variables plus PTSD would better
predict executive functioning than PTSD alone. The hypothesis was supported,
suggesting the incremental validity of using identity in addition to PTSD to
predict executive functioning scores.

Conclusion:
Implications of this study include the need to consider identity
development in the treatment and prevention of PTSD, as well as trauma history,
in interventions aimed at promoting positive identity development in youth.
YouTube as a Source of Patient Information on External Cephalic Version: Cross-Sectional Study
Authors: van Dijk Merle R , van der Marel Anne-Fleur , van Rheenen-Flach Leonie E , Ganzevoort Wessel , Moll Etelka , Scheele Fedde , Velzel Joost 
Published: June 2024

Background
With the global increase of cesarean deliveries, breech presentation is the third indication for elective cesarean delivery. Implementation of external cephalic version (ECV), in which the position of the baby is manipulated externally to prevent breech presentation at term, remains suboptimal. Increasing knowledge for caretakers and patients is beneficial in the uptake of ECV implementation. In recent decades, the internet has become the most important source of information for both patients and health care professionals. However, the use and availability of the internet also bring about concerns since the information is often not regulated or reviewed. Information needs to be understandable, correct, and easily obtainable for the patient. Owing to its global reach, YouTube has great potential to both hinder and support spreading medical information and can therefore be used as a tool for shared decision-making.

Objective
The objective of this study was to investigate the available information on YouTube about ECV and assess the quality and usefulness of the information in the videos.

Methods
A YouTube search was performed with five search terms and the first 35 results were selected for analysis. A quality assessment scale was developed to quantify the accuracy of medical information of each video. The main outcome measure was the usefulness score, dividing the videos into useful, slightly useful, and not useful categories. The source of upload was divided into five subcategories and two broad categories of medical or nonmedical. Secondary outcomes included audience engagement, misinformation, and encouraging or discouraging ECV.

Results
Among the 70 videos, only 14% (n=10) were defined as useful. Every useful video was uploaded by educational channels or health care professionals and 80% (8/10) were derived from a medical source. Over half of the not useful videos were uploaded by birth attendants and vloggers. Videos uploaded by birth attendants scored the highest on audience engagement. The presence of misinformation was low across all groups. Two-thirds of the vloggers encouraged ECV to their viewers.

Conclusions
A minor percentage of videos about ECV on YouTube are considered useful. Vloggers often encourage their audience to opt for ECV. Videos with higher audience engagement had a lower usefulness score compared to videos with lower audience engagement. Sources from medically accurate videos should cooperate with sources with high audience engagement to contribute to the uptake of ECV by creating more awareness and a positive attitude of the procedure, thereby lowering the chance for a cesarean delivery due to breech presentation at term.
Burden and Inattentive Responding in a 12-Month Intensive Longitudinal Study: Interview Study Among Young Adults
Authors: Wang Shirlene D , Hatzinger Lori , Morales Jeremy , Hewus Micaela , Intille Stephen , Dunton Genevieve F 
Published: June 2024

Background
Intensive longitudinal data (ILD) collection methods have gained popularity in social and behavioral research as a tool to better understand behavior and experiences over time with reduced recall bias. Engaging participants in these studies over multiple months and ensuring high data quality are crucial but challenging due to the potential burden of repeated measurements. It is suspected that participants may engage in inattentive responding (IR) behavior to combat burden, but the processes underlying this behavior are unclear as previous studies have focused on the barriers to compliance rather than the barriers to providing high-quality data.

Objective
This study aims to broaden researchers’ knowledge about IR during ILD studies using qualitative analysis and uncover the underlying IR processes to aid future hypothesis generation.

Methods
We explored the process of IR by conducting semistructured qualitative exit interviews with 31 young adult participants (aged 18-29 years) who completed a 12-month ILD health behavior study with daily evening smartphone-based ecological momentary assessment (EMA) surveys and 4-day waves of hourly EMA surveys. The interviews assessed participants’ motivations, the impact of time-varying contexts, changes in motivation and response patterns over time, and perceptions of attention check questions (ACQs) to understand participants’ response patterns and potential factors leading to IR.

Results
Thematic analysis revealed 5 overarching themes on factors that influence participant engagement: (1) friends and family also had to tolerate the frequent surveys, (2) participants tried to respond to surveys quickly, (3) the repetitive nature of surveys led to neutral responses, (4) ACQs within the surveys helped to combat overly consistent response patterns, and (5) different motivations for answering the surveys may have led to different levels of data quality.

Conclusions
This study aimed to examine participants’ perceptions of the quality of data provided in an ILD study to contribute to the field’s understanding of engagement. These findings provide insights into the complex process of IR and participant engagement in ILD studies with EMA. The study identified 5 factors influencing IR that could guide future research to improve EMA survey design. The identified themes offer practical implications for researchers and study designers, including the importance of considering social context, the consideration of dynamic motivations, and the potential benefit of including ACQs as a technique to reduce IR and leveraging the intrinsic motivators of participants. By incorporating these insights, researchers might maximize the scientific value of their multimonth ILD studies through better data collection protocols.

International Registered Report Identifier (IRRID)
RR2-10.2196/36666
Effectiveness of Technological Interventions for Older Adults With Parkinson Disease: Systematic Review
Authors: Bevilacqua Roberta , Benadduci Marco , Barbarossa Federico , Amabili Giulio , Di Donna Valentina , Martella Clotilda , Pelliccioni Giuseppe , Riccardi Giovanni Renato , Maranesi Elvira 
Published: June 2024

Background
Among the older population, Parkinson disease (PD) stands out as a leading contributor to disability. Clinically, the foremost objectives in managing PD involve proactively delaying and preventing disability. Understanding the pivotal role of gait and balance in daily functionality holds substantial clinical significance, signaling imminent disability and prompting a reevaluation of management approaches. A key priority lies in identifying novel and effective interventions for symptoms that substantially contribute to disability.

Objective
This paper presents a systematic review that critically examines the existing body of literature on the use of technology in the rehabilitation of older patients with PD. By synthesizing current evidence, we aim to provide insights into the state of the field, identify gaps in knowledge, and offer recommendations for future research and clinical practice.

Methods
A systematic review of the literature was conducted in September 2023 analyzing manuscripts and papers of the last 5 years from the PubMed, Scopus, Embase, Web of Science, and CINAHL databases following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A total of 14 papers were included. The inclusion criteria are as follows: (1) randomized controlled trial, (2) PD in people aged 65 years and older, and (3) use of technology in the rehabilitation training in the older population.

Results
A large portion of effective interventions relies on the incorporation of technology, particularly through virtual reality exergames. This technology appears to have effects not only on the cognitive aspect but also on the physical domain. The analysis of the results clearly indicates that, in terms of gait and balance performance, the technological intervention outperforms the traditional approach, irrespective of the specific technology employed.

Conclusions
This systematic review seeks to shed light on the evolving landscape of technology-assisted rehabilitation for older individuals with PD. As we delve into the available evidence, we will assess the extent to which technology can serve as a valuable adjunct to conventional therapy, offering new avenues for optimized care and improved outcomes in this growing patient demographic. As we sift through the existing evidence, our goal is to evaluate the potential of technology as a valuable supplement to traditional therapy, presenting fresh opportunities for enhanced care and better outcomes in this expanding patient demographic.