bluuebunny/crossref_metadata_2025_split huggingface dataset:
Glossary of healthcare pathways: a methodological approach involving a transdisciplinary team in public health
Authors: Fraticelli Laurie , Verot Elise , Späth Hans-Martin , Genton Marine C. , Kempf Cédric , Clement Celine , Darlington-Bernard Adeline , Roy Sylvain , Dussart Claude , Mick Gérard , Carrouel Florence 
Published: April 2024

IntroductionThe healthcare pathway is at the heart of public health organization concerns, but communication between the various players can be an obstacle. This work, produced by a French transdisciplinary team, offers a methodological approach based on formalized consensus to elaborate a glossary of healthcare pathways. A two-steps procedure was elaborated, including a double rounded Delphi method to formalize expert consensus, and two groups of experts: a workgroup and a review group.MethodsThe workgroup provided a list of words or expressions that, in their opinion, described, evaluated or compared the healthcare pathways for patients, caregivers or regulators. The review group checked this list and added or deleted words or expressions. Then, definitions were added by the workgroup based into account three dimensions: official, academic and from the field. The review group validated the definitions and provided complementary proposals if needed.ResultsAfter pooling the list of words proposed by each of the six members of the working group, 417 words/expressions were ranked. After the two rounds of evaluation, 294 words/expressions were rated “appropriate” and were analyzed by the review group. This group, after two rounds of evaluation, agreed on 263 words/expressions that were transmitted to the working group who defined them. These definitions were rated by the review group. The first round of evaluation established 195 definitions as being appropriated whereas 68 definitions were amended by the review group.ConclusionThis glossary supports transdisciplinary communication, reduces the extent of variations in practice and optimizes decision-making. International debate on all aspects might be strengthened by an improved understanding of the concept of health pathway.
Association of depression and sleep quality with frailty: a cross-sectional study in China
Authors: Zhang Yue , Yu Ge , Bai Wei , Wu Songyu , Geng Xiaohan , Zhang Wangyi , Liu Yihang , Meng Yujiao , Gao Junling , Li Wenjun , Kou Changgui 
Published: April 2024

BackgroundWith the rapid growth of global aging, frailty has become a serious public health burden, affecting the life quality of older adults. Depressive symptoms (depression hereafter) and sleep quality are associated with frailty, but the pathways in which sleep quality and depression affect frailty remain unclear.MethodThis cross-sectional study included 1866 community-dwelling older adults. Demographic characteristics and health-related data of them was collected, and we also assessed frailty, depression, and sleep quality. Descriptive statistics were carried out and ordinal logistic regression analysis was used to identify the factors correlated with frailty. Spearman correlation analysis and mediation analysis were employed to assess associations between sleep quality, depression and frailty. Two-sided p &lt; 0.05 was considered as significant.ResultsThe results showed that 4.1% older adults were frail and 31.0% were pre-frail. Ordinal logistic regression showed that age, consumptions of vegetables, exercise, sleep quality, depression, number of chronic diseases, chronic pain, and self-rated health were correlated with frailty. Spearman correlation analysis revealed that frailty was associated with depression and sleep quality. There was a mediation effect that sleep quality was a significant and positive predictor of frailty (total effect = 0.0545, 95% boot CI = 0.0449–0.0641), and depression was a mediator between sleep quality and frailty (mediation effect = 60.4%).ConclusionDepression and poor sleep quality may be early indicators of frailty in older adults. Improving the sleep quality and psychological state of older adults can improve frailty, which is beneficial for healthy aging.
Socially-supported sleep in older adults aged 50 and older: a concept analysis
Authors: Huang Yingyan , Fleury Julie 
Published: April 2024

IntroductionThe population of older adults is growing disproportionately, constituting 13% of the global population in 2022, and is expected to double by 2050. One of public health’s priorities is healthy aging, the maintenance of functional ability aligned with well-being. As many as 50% of older adults report poor sleep quality, leading to an increased risk of morbidity and mortality. The quality and quantity of social relationships may broadly benefit sleep in older adults. However, the concept of socially-supported sleep is underdeveloped as a basis for intervention.MethodsExisting literature was searched without time restriction in PubMed, CINAHL, PsycINFO, and Scopus ending in August 2022. Thematic analysis was used to determine the defining attributes, antecedents, and consequences of socially-supported sleep guided by Rodgers’ evolutionary concept analysis.ResultsTwenty-nine articles written in English, peer-reviewed, and examined social support and sleep in participants aged ≥50 were included. The defining attributes reflect dimensions of sleep quality. The antecedents are safe and secure, belonging and connection, and warmth and comfort. The consequences of socially-supported sleep include improved regulatory capabilities, physical and emotional well-being, and quality of life.ConclusionSocially-supported sleep has the potential to inform interventions that promote sleep in older adults. Ongoing research is needed to address the antecedents and mechanisms through which socially-supported sleep may promote sleep quality for healthy aging.
Impact of war-associated factors on spread of sexually transmitted infections: a systemic review
Authors: Kvasnevska Yulia , Faustova Mariia , Voronova Kseniia , Basarab Yaroslav , Lopatina Yaroslava 
Published: April 2024

IntroductionStatistical data indicate a link between war and the spread of sexually transmitted infections (STIs), then it is necessary to carefully analyze the factors that directly affect the identified pattern in order to overcome this problem. Therefore, the purpose of the study was to systematically analyze the factors that influence the spread of STIs during war.MethodsThe study included all original research articles and meta-analyses on the impact of war on the spread of sexually transmitted infections that met the following eligibility criteria: (1) articles published exclusively in English; (2) articles published in the period 2013–2023; (3) studies with quantitative, qualitative or mixed design. The search for relevant literature was conducted using four databases: PubMed, Embase, Web of Science, and Ebsco.ResultsThe articles selected for our systematic review had different research designs and were mainly published as original studies (n = 8) and literature reviews (n = 6). As a result of the evaluation of the selected articles for the systematic review, the authors identified migration, a decrease in access to health care, difficult access to contraception, sexual violence as the most frequent factors directly affecting the spread of STIs during the war.ConclusionThis systematic review systematizes data on the impact of hostilities on the spread of STIs and outlines the main factors that contribute to the dissemination of pathogens far beyond the territory at the epicenter of the conflict.Systematic review registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023479808, CRD42023479808.
The associations of daily steps and body mass index with incident gastroesophageal reflux disease in older adults
Authors: Saavedra Joey M. , Lefferts Elizabeth C. , Song Bong Kil , Lee Duck-chul 
Published: April 2024

BackgroundHigh body mass index (BMI) is a major risk factor of gastroesophageal reflux disease (GERD), a prevalent morbidity of older adulthood linked to lower quality of life and an increased risk of esophageal cancers. Daily stepping behavior, the most common physical activity of older adulthood, is associated with an array of favorable health outcomes, sometimes independent of high BMI. Whether stepping behavior is associated with the incidence of GERD independently or in combination with BMI is currently unclear.Materials and methodsWe followed 442 individuals (58.4% female) aged 65–91 years enrolled in the Physical Activity and Aging Study. Baseline steps were obtained by pedometer and categorized by tertiles (lower, middle, upper), while BMI was categorized into normal weight, overweight, and obesity. To explore joint associations, daily steps were dichotomized into “high steps” (middle/upper tertiles) and “low steps” (lower tertile), while BMI was dichotomized into normal weight and overweight/obesity. The joint exposure categories included “low steps and overweight/obesity,” “low steps and normal weight,” “high steps and overweight/obesity,” and “high steps and normal weight.”ResultsWe identified 35 (7.9%) cases of GERD over a mean follow-up of 2.5 years. Compared to the lower tertile of steps, the hazard ratios (HRs) [95% confidence intervals (95% CIs)] of GERD were 0.44 (0.20–0.96) and 0.17 (0.05–0.54) for the middle and upper tertiles, respectively, after adjusting for confounders (including BMI). Compared to normal weight, the HRs (95% CIs) of GERD were 1.35 (0.54–3.37) and 3.00 (1.19–7.55) for overweight and obesity, respectively, after adjusting for confounders (including steps). In a joint analysis, compared to “low steps and overweight/obesity,” the HRs (95% CIs) of GERD were 0.32 (0.10–1.00), 0.23 (0.10–0.54), and 0.20 (0.07–0.58) for “low steps and normal weight,” “high steps and overweight/obesity,” and “high steps and normal weight,” respectively.ConclusionHigher daily steps were associated with a lower risk of GERD in older adults, independent of BMI. Since accumulating steps through walking is an achievable and acceptable modality of physical activity in older adulthood, future lifestyle interventions designed to achieve high daily steps counts may have favorable implications for the development of GERD in older adults of any BMI status.
Analyzing the impact of non-participation in the FIFA World Cup Qatar 2022 on LaLiga players' physical performance
Authors: Reverte-Pagola Gonzalo , Pecci Javier , del Ojo-López Juan José , del Campo Roberto López , Resta Ricardo , Feria-Madueño Adrián 
Published: April 2024

BackgroundMonitoring external load demands in soccer is crucial for optimizing performance and reducing injury risk. However, events like the FIFA World Cup Qatar 2022 and unexpected interruptions can disrupt load management strategies. Understanding the impact of such events on player performance is essential for effective training and recovery strategies.ObjectiveThis study retrospectively assessed the impact of the FIFA World Cup Qatar 2022 on the physical performance of LaLiga elite soccer players who were not part of the tournament. The aim was to analyze various external load parameters and determine the direction of their changes post-tournament.MethodsData from 239 LaLiga players who were not selected for the World Cup were analyzed. External load parameters from 8 matches before and after the tournament were compared. Statistical analyses, including repeated measures ANOVA, were conducted to evaluate changes in performance metrics.ResultsMinutes played and total distance covered showed no significant changes post-tournament. However, maximal speed decreased significantly (p &lt; 0.001; η2p = 0.117). High-speed running parameters improved significantly (p &lt; 0.05), except for HSRRelCount (p = 0.074; η2p = 0.013). Sprint-related variables demonstrated significant enhancements, except for SprintAbsAvgDuration, SprintMaxAvgDuration, and Sprints &gt;85% Vel Max. Acceleration metrics showed significant improvements in Accel_HighIntensityAccAbsCount (p = 0.024; η2p = 0.021), while Accel_Accelerations showed no significant changes. Deceleration metrics remained unchanged, but Accel_HighIntensityDecAbsCount and Accel_HighIntensityDecAbsDistance increased significantly post-tournament (p = 0.002; η2p = 0.040, p = 0.001; η2p = 0.044, respectively).ConclusionNon-participant LaLiga players demonstrated enhanced performance in most external load metrics after the FIFA World Cup Qatar 2022. These findings highlight the importance of effective load management during periods of competition interruption and suggest strategies to optimize performance and reduce injury risk. Further research should consider holistic performance metrics and internal load parameters to provide comprehensive insights into player response to mid-season tournaments.
POTENCIAL DE HÍBRIDOS E LINHAGENS DE MILHO PARA CONSUMO IN NATURA EM CONDIÇÕES DE ESTRESSE ABIÓTICO EM SÃO PAULO
Authors: De Lima Luan Filipe Salvador , Paterniani Maria Elisa Ayres Guidetti Zagatto , Gallo Paulo Boller , Fachini Cristina , Bernini Cristiani Santos 
Published: April 2024

O milho consumido in natura (Milho verde) é uma tradição em todo o país e se apresenta como um importante nicho de mercado e fonte alternativa de renda para os produtores. Contudo, a escassez de genótipos que reúnam características de produção e qualidade é um obstáculo na exploração dessa atividade. Neste sentido, o desenvolvimento de cultivares que atendam às expectativas do produtor e consumidor depende do sucesso dos programas de melhoramento de híbridos de milho verde. Os métodos de dialelos ou top crosses são amplamente utilizados para a seleção de linhagens e obtenção de híbridos em programas de melhoramento de milho. Desta forma, o objetivo desse trabalho foi avaliar híbridos, estimar a capacidade geral de combinação (CGC) entre linhagens de milho com aptidão para o consumo in natura e identificar combinações híbridas promissoras, que ofereçam elevada produtividade e qualidade, beneficiando produtores e consumidores. Para a obtenção de híbridos top crosses foram cruzadas doze linhagens S6, pertencentes ao programa de melhoramento de milho verde do Instituto Agronômico (IAC) em Campinas, com os testadores IAC 8046 e Cativerde. Os 24 híbridos topcrosses e mais seis testemunhas comerciais foram submetidos a avaliações de campo, no Polo Regional da APTA (IAC) em Mococa-SP, no ano agrícola 2019/20. Nesse local, a temperatura e umidade média foram 24,84ºC e 69,21%, respectivamente. Ainda, segundo o CIIAGRO (2021), a precipitação no período de florescimento foi de 880,912mm, com chuvas e ventos fortes que se apresentaram como adversidades na condução do experimento. Avaliaram-se os seguintes caracteres morfoagronômicos: florescimento masculino e feminino (número de dias), peso de espigas (kg.ha-1), diâmetro e comprimento da espiga (cm) e peso de 100 grãos (g). Foi possível verificar diferenças significativas entre os tratamentos para peso de espigas, número de fileiras de grãos na espiga, florescimento masculino e peso de 100 grãos. Houve efeitos significativos da CEC (dominância) para os caracteres florescimento masculino, peso de espigas e da CGC para todas as características avaliadas, evidenciando os efeitos aditivos. Os híbridos top crosses Cativerde x (6B277V-4-3) e (6B277V-2-4) x IAC-8046 foram selecionados por apresentarem as melhores médias de produtividade, estimativas elevadas da capacidade geral e específica de combinação das linhagens envolvidas, evidenciando ainda a sua tolerância a fatores de estresse hídrico.
Oral health of children and adolescents with type 1 diabetes mellitus: a literature review
Authors: Scherbakova M. M. , Admakin O. I. , Morozova N. S. , Kozlitina I. A. , Saushkina A. A. 
Published: April 2024

Relevance. Type 1 diabetes mellitus is a prevalent chronic metabolic autoimmune condition among children and adolescents. The compromised metabolic control associated with this endocrinopathy elevates the risk of various complications, including oral diseases. Establishing an interdisciplinary approach to enhance oral care for young patients with type 1 diabetes mellitus is crucial in contemporary dentistry.Objective. To synthesize information regarding the relationship between type 1 diabetes mellitus and oral health in children and adolescents.Materials and methods. The search strategy involved both electronic and manual searches, querying key databases like PubMed, eLibrary, MEDLINE, and Embase using specific keywords related to the subject. Additionally, a manual search was conducted in the references of relevant articles.Results. The literature review identified the most frequently occurring oral diseases in children and adolescents with type 1 diabetes mellitus. It highlighted key biomarkers for monitoring oral health in these patients. The review uncovered major gaps in understanding the oral manifestations of type 1 diabetes mellitus.Conclusion. Exploring the links between pathogenesis of type 1 diabetes mellitus in young populations and their oral health is pivotal for pediatric dentistry and endocrinology. Addressing this issue could lead to more effective treatment strategies, enhance preventive measures, and improve the diagnostic accuracy of oral diseases. Discrepancies among study findings underscores the imperative for ongoing research and substantiates the value of an interdisciplinary approach in investigating the dental manifestations associated with this endocrine disorder.
Factors for the integration of prevention in primary care: an overview of reviews
Authors: Clet Estelle , Leblanc Pierre , Alla François , Cohidon Christine 
Published: April 2024

Background
The global burden of non-communicable diseases is increasing and the need for prevention is huge. Policies have yet to produce results and prevention indicators remain low. Primary care (PC) represents an opportunity to optimise the practice of prevention, but GPs are coming up against barriers that are holding back their prevention practices.

Aim
To identify the barriers and facilitators for the implementation of routine prevention practices in PC.

Design & setting
This study is an international overview of reviews focusing on the integration of prevention in PC settings.

Method
The search was conducted in July 2022 using MEDLINE, Embase, Web of Science, and the Cochrane Database of Systematic Reviews. Included reviews are systematic reviews or scoping reviews adopting a systematic approach.

Results
The 35 reviews included identify multiple barriers and facilitators related to the integration of prevention in PC. These factors are heterogeneous with regard to their source (the patient, the professional, and the health system) and their level of action (individual, organisational, or contextual). The results show the need to organise PC at the professional level (for example, in training), at the local level (for example, the information system), and at the political level (for example, the unclear definition of the role of professionals).

Conclusion
The factors influencing the integration of prevention in PC are multiple and act at different levels (individual, organisational, and health-system level). Organisation factors play a major role and seem to be a means of overcoming the difficulties encountered by healthcare professionals in developing preventive practices.
The effectiveness of online teaching and learning compared to in-person instruction in science for junior secondary students: a case study in the Kurunegala education zone
Authors: Ganehenege Manawadevi Yasatissa Udugala , Shifana Mohamed Haniffa 
Published: April 2024

Schools and Universities in Sri Lanka have been closed intermittently during the past three years due to COVID-19 and fuel shortages. During this period, in-person teaching became impossible, and online teaching was developed. However, schools have been reopened for in-person teaching and learning at present. In contrast, other countries adopted both methods, online and in-person. It was noticed that a decline in test scores among junior secondary students in some education zones during online learning. This study aimed to assess and compare the effectiveness of online and in-person teaching and learning science among junior secondary students in a selected school within the Kurunegala education zone. The study objectives were to 1). conduct both online and in-person science lessons for two groups separately and compare grade-eight students' performance in both settings; 2) compare teacher-student interaction, learning resources, peer group interaction, and motivation in both sittings; and 3) make suggestions for effective teaching and learning process. Two equally weighted courses were used to teach the two groups. Convenience sample of 72 Grade 8 students was used in the data collection with mixed methods approach. Pre-tests, post-tests, and questionnaires were used in the quantitative data collection. Qualitative data were collected via interviews with ten randomly selected students. The findings revealed that the performance scores of in-person group in Unit 4 (Properties of Matter) of grade-eight Science evaluation were slightly higher than that of online group. Both groups demonstrated similar performance levels in Unit 8 (Changes in Matter). However, in-person teaching exhibited significantly higher scores (p < 0.05) than the online group for factors such as teacher-student interaction, peer group interaction, learning resources, and motivation. Students achieved high results in both settings but needed more resources, reliable internet facilities, and adequate technology skills for online teaching and learning. The study suggests adapting effective instructional methods, technology usage, resource availability, training, participation, peer interactions, and monitoring well-being for effective online science teaching.