bluuebunny/crossref_metadata_2025_split huggingface dataset:
Parents’ reports of colombian children’s neurobehavioral symptoms before, during, and after COVID-19 infection
Authors: Arango-Lasprilla Sofia Catalina , Albaladejo-Blázquez Natalia , Watson Jack D , Moreno Oswaldo , Perrin Paul B , Ferrer-Cascales Rosario , Arango-Lasprilla Juan Carlos 
Published: February 2025

Background COVID-19 disproportionately affected individuals from marginalized and underserved communities, and little research has investigated how COVID-19 might have impacted neurobehavioral symptoms in children from Latin America. What little research suggests that COVID-19 had a negative effect on neurobehavioral symptoms and that this effect was worse for individuals who were younger, had lower education, or other chronic conditions. Main Objective The purpose of the current study was to examine the change (before, during, and after) in neurobehavioral symptoms for a sample of Colombian children who tested positive for COVID-19 and to identify key predictors of post-COVID neurobehavioral impairments. Methods The Neurobehavioral Symptom Inventory was administered to caregivers (92.90% female) of 85 children (51.80% female) by researchers in Colombia. Data was collected after the child had recovered from COVID-19 with retrospective questions about the child's function before and during COVID-19, as well as at the time of data collection. Results At the domain level, caregivers reported large increases in children's somatic symptoms, a medium increase in affective symptoms, and a small increase in cognitive symptoms before vs. during COVID-19. Caregivers also noted a large increase in children's somatic symptoms, a medium increase in affective symptoms, and a small increase in cognitive symptoms before vs after COVID-19. The somatic symptom domain was the only category to see an improvement following infection (during vs after). Three separate linear regressions indicated that greater COVID-19 severity during the infection significantly predicted greater current (after COVID-19) somatic symptom severity, and the presence of a pre-existing respiratory disease significantly predicted greater current cognitive and affective symptom severity. Conclusion This study highlights the importance of evaluating and treating neurobehavioral symptoms post-COVID-19 among children in Colombia and identifies this need in an underserved and under-researched population. Future research may examine whether early intervention and rehabilitation strategies help improve post-COVID-19 neurobehavioral symptoms for this group.
Having a heart-to-heart: Parents’ experiences preparing their child for a cardiac procedure
Authors: Hay Sage , O’Neill Jenny 
Published: February 2025

Cardiac procedures can be overwhelming for children and parents, with a lack of literature surrounding how healthcare professionals can assist parents in preparing young children for such procedures. This exploratory descriptive qualitative study sought to understand experiences of parents preparing and supporting their child with congenital heart disease, for an upcoming cardiac procedure. Parents of children, aged between three and eight years old, who had undergone a cardiac procedure at a tertiary paediatric hospital in Australia were invited to participate in an interview. Seven parents were interviewed, with recordings transcribed and analysed using reflexive thematic analysis. Four major themes identified were (1) evolving information needs; (2) anticipating anxiety; (3) honesty when delivering information; and (4) equipping parents with resources. Findings from this study emphasised that support for children prior to cardiac procedures must include empowering parents, as they know their child best. A key component of procedural preparation is helping parents navigate how to translate procedural information into explanations which are relatable and appropriate for their child. The development of interactive, relatable resources would allow parents to continue their child’s preparation beyond the preadmission visit.
Legislating and adjudicating the rights of LGBTQ youth in child welfare
Authors: Kant Jessica D , Bono Madeline H , Boskey Elizabeth R 
Published: February 2025

Summary Over the past 40 years, protections have been enacted in recognition of the unique struggles faced by LGBTQ youth in systems of child welfare, including adoption, foster care, probate and family court, and child protection. These protections have been enacted out of recognition that LGBTQ children are both highly vulnerable and disproportionately represented in these systems. This article examines the history, rhetoric and current landscape of conflicting efforts to both protect LGBTQ youth and erode such protections where they presently exist. Findings Presently, forces are attempting to roll back protections for LGBTQ youth in social services through the courts, as well as enact new avenues for discrimination as part of a political campaign broadly centered under the rhetoric of “parental rights.” In addition to legal battles, new legislation has been proposed which would prevent social workers, teachers, and other human service providers from taking LGBTQ identities into account when assessing a child’s best interest. While public debate has focused on these challenges with respect to schools, less attention has been paid to other domains such as foster care. Applications Social workers and other human service providers must respond to this challenge and preserve protections for vulnerable youth. A failure to institute and maintain policies which elevate youth self-determination represents a fundamental failure to protect youth. This must be resisted by individual social workers and our respective professional organizations.
Look inside the management of colonic diverticular rebleeding: a systematic review
Authors: Carabotti Marilia , Marasco Giovanni , Radaelli Franco , Barbara Giovanni , Cuomo Rosario , Annibale Bruno 
Published: February 2025

Background: Colonic diverticular bleeding is the most common cause of lower gastrointestinal bleeding in adults and carries a significant risk of recurrence. However, there are many uncertainties regarding the management of the prevention of diverticular rebleeding. Objectives: To review the current evidence on the potential role of lifestyle, pharmacological and endoscopic treatments and to discuss the unmet needs in the prevention of colonic diverticular rebleeding. Design: A systematic review. Data sources and methods: Based on the identified Patients-Interventions-Comparators-Outcomes questions, a detailed and comprehensive literature search was conducted, from inception to 12 January 2024, without language restriction, according to the modified Preferred Reporting Items for Systematic review and Meta-Analyses reporting guidelines. Results: We did not find any dietary or lifestyle interventions (fibre intake, smoking, physical activity, alcohol consumption, BMI) to prevent colonic diverticular rebleeding. We also did not find any interventional studies of specific pharmacological treatments (such as rifaximin, mesalazine or probiotics) to prevent diverticular rebleeding. Data comparing endoscopic and conservative approaches used during the index episode come from observational studies and show conflicting results. Finally, there is a paucity of data regarding the timing of resumption of antiplatelet and anticoagulant therapy after an episode of colonic diverticular bleeding, and this remains to be determined. Conclusion: This review highlights the paucity of data on the possible role of lifestyle, pharmacological and endoscopic treatments in the prevention of colonic diverticular rebleeding and advocates future studies aimed at finding effective therapeutic strategies.
Characteristics of highly cited articles in cerebral angiography
Authors: Sameer Hafiz Muhammad , Arif Syed Abdullah , Bhatti Aribah , Arshad Faraz , Ali Khadija 
Published: February 2025

Objective To present and analyze the characteristics of the 100 most cited articles that used cerebral angiography for clinical evaluation and intervention. Method Two researchers independently extracted articles from multiple databases and ranked them by citation count to create the “top 100 most-cited” list. Results The top 100 articles received a total of 115,243 citations. Twenty-one of the top 100 articles were published between 2006 and 2010. Most studied disorder was ischemic stroke ( n = 35), and cerebral angiography was used most frequently for diagnosis ( n = 88).The United States was affiliated with the highest number of articles ( n = 62), with Stroke publishing most articles ( n = 22). Public sources funded 39 articles, private sources funded 35, and 38 articles reported conflicts of interest. Thirty-six studies were randomized controlled trials, and male authors held the majority of both first ( n = 90) and senior ( n = 88) authorship positions. Conclusion Within the scope of this study, the following features may define a typical highly cited article—a randomized controlled clinical trial conducted in the United States that studied ischemic stroke, used cerebral angiography for diagnosis, and was published relatively recently in a high-impact journal by male first and senior authors.
Evaluating the diagnostic ability of treatment response assessment maps (TRAMs)/contrast clearance analysis (CCA) in predicting the presence of active brain tumors
Authors: Alkhatatneh Hassan , Chen Yu-Han , Imhoff Santiago , Fogel Lindsay , Yao Kevin , Dubin David , Zhang Mei , Chen Paul , Nemade Ajay , Herman Marc , Khatatneh Ala , Barnes Tanganyika , Speiser Michael , Janosky Maxwell 
Published: February 2025

Introduction Brain tumors pose significant diagnostic and therapeutic challenges due to their diverse treatment responses and complex imaging characteristics. Traditional MRI techniques often struggle to differentiate between tumor recurrence and post-treatment changes such as pseudoprogression and necrosis, highlighting the need for more accurate diagnostic tools. Material and Methods This retrospective study conducted at a single tertiary care center and evaluated the diagnostic efficacy of Treatment Response Assessment Maps (TRAMs), also known as Contrast Clearance Analysis (CCA), in distinguishing between tumor recurrence and post-treatment changes in patients who underwent initial treatment for brain tumors. Data from 27 patients were analyzed, including 10 who underwent surgical resection (Group 1) and 17 who had serial images and TRAMs/CCA assessment (Group 2). Result In Group 1, TRAMs/CCA demonstrated nine positive results, with 8 cases of tumor recurrence confirmed via biopsy. A biopsy also confirmed one negative result after a discussion with the patient. In Group 2, where patients did not undergo biopsy, TRAMs/CCA results varied but correlated with clinical outcomes, underscoring the potential utility of TRAMs/CCA in guiding treatment decisions. These findings suggest that TRAMs/CCA may have superior diagnostic performance compared to traditional MRI in differentiating between tumors. Conclusion TRAMs/CCA represents a promising advancement in the imaging assessment of brain tumor treatment response, offering higher sensitivity than conventional MRI methods. While implementing TRAMs/CCA could potentially improve diagnostic accuracy and optimize therapeutic strategies for patients with brain tumors, the final decision remains highly dependent on patient-centered discussions.
Preferences of community-dwelling older adults with multimorbidity for digital empowerment interventions: Protocol for a discrete choice experiment study
Authors: Ren Yawen , Yang Li , Wang Wenguang , Lv Runtian , Fang Xiuqing , Wang Yueling , Zhong Jiayi 
Published: February 2025

Introduction The development of digital health technologies has had a positive impact on the management of comorbidity in the elderly. At the same time, it also sets certain requirements for the digital health literacy of older adults. To effectively implement interventions that improve digital health literacy among older adults with multimorbidity, it is essential to involve patients in decision-making processes and to develop interventions that align with their preferences. Methods and analysis This study will use Discrete choice experiment to investigate the needs and preferences of older adults with multimorbidity for digital health literacy intervention. Attributes were identified through a literature review, in-depth interviews, and expert consultation. The attributes are intervention provider, content, type, frequency, material, learning mode, supplementary services, and cost. According to the identified attributes and levels, the choice set questionnaires were generated using Stata software. Furthermore, the study will assess the impact of demographic factors, social support, self-efficacy, levels of digital health literacy, and technology anxiety on the selection of preferences. A mixed logic model will analyze respondents’preferences for different intervention attributes and levels. A latent class model will identify heterogeneous group preferences. Results We anticipate a minimum of 300 older adults with multimorbidity in community enrolling and completing data collection. Study results will be published in peer-reviewed scientiﬁc journals. Conclusions The collection and analysis of patient preference information will greatly improve the accuracy and effectiveness of digital health literacy interventions in the development, adoption, and economic evaluation.
Knowledge, Attitudes, and Practices for the Prevention and Vector Control of Dengue in a Colombian Rural Population: A Mixed Method Study
Authors: Rossana López-Saleme , Katty Escobar-Velásquez , Mayra Barajas-Lizarazo 
Published: February 2025

Introduction Dengue fever is a viral disease of public health concern. Adequate knowledge and self-care practices are the most effective strategies for vector control. Objective To describe the knowledge, attitudes, and practices for the prevention and vector control of dengue. Methods Mixed method study. A total of 283 residents in a Colombian rural population were studied. Relative and absolute frequency measures were used for statistical analysis of study variables; emergent categories were identified for qualitative data. Results 73% were women, 60% were housewives, and 37% had completed primary education. Both knowledge and attitudes presented low percentages in relation to the characteristics of the vector. Regarding practices, 76% did not have a positive disposition toward the use of mosquito nets. Participants perceived problems related to waste management, lack of education, and the presence of mosquitoes in covered water tanks. Conclusion The inhabitants of the surveyed population demonstrated acceptable knowledge with respect to dengue control practices; however, they neglected sources of risk in their immediate environment.
First Metatarsophalangeal Joint-Preserving Surgery Is Effective for Forefoot Deformity With Moderate to Severe Joint Destruction in Rheumatoid Arthritis
Authors: Sakai Soichiro , Fujiwara Toshifumi , Yamaguchi Ryosuke , Yokoyama Nobuhiko , Hara Daisuke , Akasaki Yukio , Nakashima Yasuharu 
Published: February 2025

Background: The study compares the clinical outcomes of first metatarsophalangeal (MTP) joint fusion vs joint-preserving surgery in rheumatoid arthritis (RA) patients with severe forefoot deformities. Methods: This single-center retrospective study at Kyushu University Hospital reviewed RA patients who underwent either first MTP joint arthrodesis or joint-preserving surgery for hallux valgus (HV) deformity between January 2008 and December 2022. A total of 103 feet (73 cases) were analyzed, with 75 feet (58 cases) showing radiographic bone destruction of Larsen grade 3 or higher. One foot underwent resection arthroplasty, so ultimately 74 feet in 57 cases were evaluated. Surgical procedures included joint-preserving biplane osteotomy or arthrodesis with crossed screws. Clinical outcomes were measured using the Japanese Society for Surgery of the Foot (JSSF) Hallux scale, whereas radiographic assessments included HV angle (HVA). Propensity score matching was used to minimize bias when comparing postoperative outcomes between the arthrodesis and joint-preserving surgery groups. Results: This study analyzed 74 feet undergoing either arthrodesis (27 feet) or joint-preserving surgery (47 feet) for HV. Patients in the 2 groups showed similar demographic and clinical characteristics except with respect to length of follow-up, which was greater in the arthrodesis group (5.1 ± 2.6 years vs 2.4 ± 2.0 years, P < .01) than the joint-preserving group. In the arthrodesis group, all patients underwent resection arthroplasty on the second to fifth toes. The joint-preserving group included first MTP joint surgery alone (n = 5) and first MTP joint and lesser MTP joint surgeries (resection arthroplasty, n = 29; joint-preserving surgery, n = 13). Functional scores significantly improved in both groups, with first metatarsophalangeal joint-preserving surgery yielding better postoperative outcomes. In cases of deformity recurrence, the recurrent cases exhibited greater immediate postsurgical HVA, but other foot function outcomes remained similar at the end of follow-up. Conclusion: Joint-preserving surgery for advanced rheumatoid forefoot deformity showed better functional improvement than arthrodesis using the propensity score matching and comparable clinical outcomes, highlighting it as a potential treatment option for severe joint destruction. Level of Evidence: Level Ⅳ, retrospective study.
The association between exercise, activities, and frailty in older Chinese adults: a cross-sectional study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) data
Authors: Dai Linyan , Tang Yangyang , Guo Yihong , Lai Xia , Wang Xingsheng , Li Baoshan 
Published: February 2025

Abstract

Objectives
The purpose of this study was to evaluate the association between exercise/activities and frailty in older Chinese adults using the Chinese Longitudinal Healthy Longevity Survey (CLHLS).

Methods
This cross-sectional study included 6862 participants aged 65 years or older from the CLHLS 2018. Frailty was assessed using a 38-variable frailty index (FI). Activities included Tai chi, square dance, garden work, raising animals/pets, playing cards/mah-jongg, social activity and housework. Multivariate logistic regression was used to assess the association between exercise/activities and frailty, adjusting for covariates such as gender, age, BMI, chronic diseases, residence, education, co-residence, economic status, smoking, drinking, physical labor history, and nutritional supplements.

Results
The mean age of this study was 81.5 (SD = 10.3)years, with 3567 (52%) females. Frailty prevalence was 32.3%. The prevalence of exercise and daily activities was 31% and 78.6%, respectively. Multivariate logistic regression analysis showed that the likelihood of frailty increased with decreased exercise (OR = 1.85, 95% CI: 1.57, 2.18, P < 0.001) and activities (OR = 4.43, 95% CI: 3.74, 5.25, P < 0.001).

Conclusions
Participation in exercise/activities is associated with a lower likelihood of frailty. Regular housework may also contribute to reducing frailty risk.
Telehealth and virtual supervision practices for health professions education in the Department of Veterans Affairs
Authors: Harada Nancy D. , Falco Kimberly , Bowman Marjorie , Byrne John M. 
Published: February 2025

Abstract

Background
Telehealth and virtual supervision practices in health professions clinical education has grown rapidly, including in the Department of Veterans Affairs (VA) which oversees the largest interprofessional training effort in the United States. Telehealth is the provision of healthcare that is provided remotely through telecommunication technology, and virtual supervision is clinical supervision of health professions trainees (HPTs) that occurs through telecommunication technology. In this study we evaluate participation in telehealth and virtual supervision for physician, nursing, and associated health HPTs, and describe prevalent themes concerning HPT perceptions of telehealth and virtual supervision.

Methods
The survey study cohort included 10,865 HPTs that responded to the VA Trainee Satisfaction Survey in Academic Year 2023 (between July 2022 to June 2023). Descriptive and bivariate analyses were conducted to evaluate participation rates by profession. Responses to the open-ended question within the survey were coded and summarized using rapid qualitative analysis methods.

Results
Participation rates for telehealth and virtual supervision were: Associated health HPTs (47.2% telehealth, 33.8% virtual supervision), physician residents (31.1% telehealth, 21.5% virtual supervision), and nursing HPTs (22.9% telehealth, 21.5% virtual supervision) (p < .001). HPTs of all professions expressed positive views on their experiences, with profession-specific differences noted in location, frequency and depth of these practices.

Conclusions
Participation in telehealth and virtual supervision was common and well received by HPTs across multiple professions in VA. HPT responses suggest additional efforts are needed to refine profession-specific instructional methods tailored for defined educational needs and goals.
Utilization of second medical opinions as a function of the payment method
Authors: Shmueli Liora , Horev Tuvia 
Published: February 2025

Abstract

Background
The cost of a medical service and its mode of payment are known to play a role in patient decision-making, as demonstrated by the pioneering RAND Corporation Health Insurance Experiment (HIE). This study explores second medical opinion (SO) utilization by payment tracks- “financial reimbursement track” and “network track” by holders of an optional supplementary health insurance. It estimates SO utilization patterns before and after a “Reimbursement-to-Networks Arrangement” regulatory reform initiated on 2015 that eliminated the reimbursement option for SO consultations specifically involving surgeons, and identifies demographic and clinical predictors associated with each payment track before the reform.

Methods
Retrospective analysis of medical records data, including secondary care visits data from Clalit Health Services, Israel’s largest healthcare provider, and claims data from Clalit’s supplementary insurance. An algorithm based on data from Clalit’s electronic medical records was used to identify SO instances by payment method. Multivariate logistic regression was used to identify characteristics of SO seekers by their payment method.

Results
There was an increase of 28% in patient demand for SO consultations via the supplementary insurance's co-payment track from 2015 to 2017 due to the regulatory reform initiated in 2015. Before this reform, patients from the Arab sector, low socio-economic groups, immigrants, and residents of central geographical areas tended to seek SO via the “network track”. Whereas patients from peripheral areas and Jewish Orthodox tended to seek SOs via the financial reimbursement track.

Conclusions
In line with the RAND Corporation HIE, we show that incentive structures, such as provider payment methods, can explain some of the variability seen in seeking specialists across health plans or payment tracks. Considerations other than cost, such as geographic distance from the service provider, play a role in deciding on the mode-of-payment for a SO. Analyzing utilization patterns can improve the tracking of regulations’ consequences on expenditure, policy, clinical outcomes, and patient satisfaction.