bluuebunny/crossref_metadata_2025_split huggingface dataset:
Word Frequency and Predictability Dissociate in Naturalistic Reading
Authors: Shain Cory 
Published: March 2024

Abstract
Many studies of human language processing have shown that readers slow down at less frequent or less predictable words, but there is debate about whether frequency and predictability effects reflect separable cognitive phenomena: are cognitive operations that retrieve words from the mental lexicon based on sensory cues distinct from those that predict upcoming words based on context? Previous evidence for a frequency-predictability dissociation is mostly based on small samples (both for estimating predictability and frequency and for testing their effects on human behavior), artificial materials (e.g., isolated constructed sentences), and implausible modeling assumptions (discrete-time dynamics, linearity, additivity, constant variance, and invariance over time), which raises the question: do frequency and predictability dissociate in ordinary language comprehension, such as story reading? This study leverages recent progress in open data and computational modeling to address this question at scale. A large collection of naturalistic reading data (six datasets, &gt;2.2 M datapoints) is analyzed using nonlinear continuous-time regression, and frequency and predictability are estimated using statistical language models trained on more data than is currently typical in psycholinguistics. Despite the use of naturalistic data, strong predictability estimates, and flexible regression models, results converge with earlier experimental studies in supporting dissociable and additive frequency and predictability effects.
Effectiveness of neuromuscular exercises and neuromuscular electrical stimulation on pain, function and balance in patients with knee osteoarthritis – a randomised controlled trial
Authors: Sabharwal J. , Joshi S. 
Published: March 2024

Abstract
The current study explores the effect of neuromuscular exercises (NEMEX) and neuromuscular electrical stimulation (NMES) on pain, function, balance, range of motion (ROM), fall risk and dynamic mobility in patients with knee osteoarthritis. A total of 92 subjects were randomly allocated into four groups: Group A – conventional treatment; Group B – NEMEX; Group C – NMES; and Group D – NEMEX in combination with NMES and conventional treatment. Visual analogue scale(VAS), knee injury osteoarthritis and outcome score (KOOS), timed up and go test (TUG), range of motion (ROM), community balance and mobility scale (CBM&S), and dynamic gait index (DGI) were the outcome measures in the study. Statistically significant improvement was found in VAS in Group D with 1.61 ± 0.50 (mean ± standard deviation (SD)) followed by Group C with 2.59 ± 0.50 (mean ± SD) and Group B with 4.18 ± 0.50 (mean ± SD) and at week 10 (follow-up) in Group D with1.74 ± 0.54 (mean ± SD) followed by Group C with 3.23 ± 0.87 (mean ± SD) and Group B with 4.91 ± 0.75 (mean ± SD) and in comparison to Group A at P = 0.0001 at week 6 and at week 10 in comparison to Group A. KOOS subvariables, TUG, ROM (R, L), CBM&S and DGI were also found significant at P = 0.0001 at week 6 and at week 10. This study found that combined application of NEMEX and NMES is helpful in improving pain, function, balance, ROM and reduces fall risks.
Trial registration no. CTRI/2021/06/034213
The sonographic features of lymph node venous networks and flow patterns in patients with primary chronic venous disease
Authors: Liu Gaorui , Clarke Jillian , Liu Yong , Zhang Yunwei , Mohan Irwin 
Published: March 2024

Background Our study aims to enhance the understanding of lymph node venous networks (LNVNs) by summarising their anatomical, sonographic features, and reflux patterns. Method We examined 241 legs from 141 patients with primary chronic venous disease (CVD) using duplex ultrasound. Results The findings indicated variations in the shape, size, vascularity, and echogenicity of LNVN. The superficial inguinal lymph node with reflux appeared slightly larger, exhibiting higher velocities in the hilar artery. Regarding connections, venous flow within LNVN was predominantly drained through the saphenofemoral junction (SFJ), anterior accessory great saphenous vein (AAGSV), and great saphenous vein (GSV). A significant number of LNVNs were observed to be associated with anterolateral thigh tributaries. The study also identified valve cusps within LNVN. Conclusion This study revealed a 12% prevalence of primary LNVN. Understanding the anatomical and haemodynamic features of LNVN informs treatment strategies and potentially helps prevent the recurrence of varicose veins.
Multidisciplinary First-Line Healthcare Leaders’ Roles and Experiences During the COVID-19 Pandemic in Ontario Canada
Authors: Bookey-Bassett Sue , Rose Don , Purdy Nancy , Cook Kim , Harvey Martha , Danial Anthony , Woodside Melanie , Belov Michelle 
Published: March 2024

Background Throughout the COVID-19 pandemic, first-line healthcare leaders across the healthcare system played crucial roles leading, motivating, and supporting staff. Purpose This study aims to describe multidisciplinary first-line healthcare leaders’ experiences during the COVID-19 pandemic in Ontario, Canada using transformational and crisis leadership theory. Methods A descriptive two-phase (quantitative & qualitative) design was conducted in the spring of 2021. Phase 1 employed an online survey sent via email to first-line leaders from various sectors who were members of healthcare professional associations in Ontario. Participants included nurse managers, professional practice leaders (e.g., occupational and physiotherapists), advanced practice nurses, and clinical educators. In Phase 2, a subset (n  =  19) of the Phase 1 participants were interviewed to gain a deeper understanding of these leaders’ experiences including role impact and support available. Semistructured individual interviews were conducted and recorded via Zoom©. Inductive and deductive analysis approaches identified key themes. This paper reports the qualitative findings from Phase 2. Results Leaders’ behaviors were representative of the key dimensions of transformational and complexity leadership theories. Recommendations for leading during a crisis included: engaging in self-care activities to manage the personal impact of the crisis; teamwork and collaborative leadership; and support from fellow first-line leaders and senior leaders. Findings can inform healthcare leadership education programs designed to manage future crises for both academic and practice settings. Conclusion Descriptions of first-line healthcare leaders’ roles and experiences during multiple waves of the COVID-19 pandemic validated their important contributions within various health sectors.
Gerontechnologies, ethics, and care phases: Secondary analysis of qualitative interviews
Authors: Martani Andrea , Tian Yi Jiao (Angelina) , Felber Nadine , Wangmo Tenzin 
Published: March 2024

Background Gerontechnologies are increasingly used in the care for older people. Many studies on their acceptability and ethical implications are conducted, but mainly from the perspective of principlism. This narrows our ethical gaze on the implications the use of these technologies have. Research question How do participants speak about the impact that gerontechnologies have on the different phases of care, and care as a process? What are the moral implications from an ethic of care perspective? Research design Secondary analysis of semi-structure interviews, whose segments on specific technologies were analysed through reflexive thematic analysis. Participants and research context Sixty-seven Swiss stakeholders involved in the use of gerontechnologies, including professional caregivers, informal caregivers, and older persons themselves. Ethical considerations The research study was evaluated by the Ethics Commission of Northwest and Central Switzerland (EKNZ). All participants received an information document before the interview date detailing the purpose, procedure, and anonymization measures. After explaining the study during the agreed upon interview time and upon receiving their written informed consent, the interview process began. Findings/results Four themes are identified: Identifying care needs, Taking responsibility, Hands-on work, Responding to care. As part of these themes, many codes highlighting the ambivalent impact of gerontechnologies are created, ranging from ‘Expanded capacity for…identifying care needs’ to ‘Create new & (un)necessary…hands-on work’. The moral implications of these results from the care ethics perspective are discussed, through the ethical elements of: attentiveness, responsibility, competence, and responsiveness. Conclusions The moral implications of gerontechnologies on care phases from the care ethics perspective open up several questions on whether they actually help give care a central role in social life and provide more competent care.
Documentation Errors and Deficiencies in Medical Records: A Systematic Review
Authors: Shahbodaghi Azam , Moghaddasi Hamid , Asadi Farkhondeh , Hosseini Azamossadat 
Published: March 2024

Introduction Identifying errors in documentation can improve the quality of medical records, healthcare services and health care systems, and thus provide a good framework for improvements in documentation policies. To this end, the current research systematically examined studies reporting documentation errors and deficiencies in medical records. Method The systematic review was conducted based on PRISMA. Original articles, published in English from January 2009 to April 2019, were retrieved using the Web of Science, Scopus, EMBASE, PubMed and Google Scholar. Results A total of 7,624 articles were found. After the exclusion of duplicates and irrelevant items from this total, just 48 articles met the requirements of the study, among which 47 had some sorts of incompleteness; inaccuracy, 14 articles; inconsistency, 8 articles; illegibility, 7 articles; unsigned document, 4 articles and irrelevancy, 2 articles. Factors contributing to the incidence of documentation errors included occupational stressors, manual documentation and absence of or a defect in local, national and international standards or guidelines, with 12, 9 and 11 articles, respectively. Discussion Incompleteness, inaccuracy and inconsistency are common errors in medical records documentation. Adopting necessary policies for enhancing the quality of documentation, making strides towards electronic documentation equipped with automatic error detection systems, and standardising the documentation process can be of great assistance in minimising documentation errors and deficiencies.
Therapeutic Alleviation and Mechanism of Glabridin Liposome on Histamine-induced Atopic Dermatitis
Authors: Lu Yongjie , Cheng Lushi , Ren Lu , Chen Dongqiu , Guan Shumin , Zhu Siyang , Xu Xian , Zhang Bing , Tang Minghui , Zhang Chijian , Ai Yong , Zhang Lanyue , He Tinggang 
Published: March 2024

Background One of the primary flavonoids found in the Glycyrrhiza glabra is called glabridin, which has anti-inflammatory, anti-bacterial, and antineoplastic effects. However, the insolubility of glabridin in water limits its application. Liposomes can increase the solubility of insoluble drugs and improve their bioavailability. Objectives We examined the potential for the treatment of glabridin liposomes on histamine-induced atopic dermatitis. Materials and Methods After GL treatment, histopathology, inflammatory cytokines, and atopic dermatitis-related proteins were used to evaluate the therapeutic effect of GL. Results Glabridin liposomes alleviated histamine-induced scratching behavior; reduced mast cell proliferation, infiltration, and degranulation; and restrained the expression of associated pro-inflammatory cytokines. Additionally, glabridin liposomes restored nerve growth factor to normal levels and enhanced the expression of filaggrin to promote cuticle growth and repair skin damage caused by atopic dermatitis. Conclusion Glabridin liposomes may relieve histamine-induced skin hypersensitivity and cortical hyperplasia by inhibiting the production of inflammatory cytokines, demonstrating their potential for the clinical treatment of atopic dermatitis.
Carboplatin desensitization – simplified 4-step 2-bag method
Authors: Kintzel Polly E , Gressel Gregory M , Van Rossum Brett T , Hillaker Kristin N , Ice Lauren L , Eastman Jacqueline J 
Published: March 2024

Introduction Our cancer program adopted a method for carboplatin desensitization (4-step 2-bag method) that administers the same intensity of drug exposure with a simplified approach to product management in comparison to a published protocol (4-step 4-bag method). Methods The intensity of carboplatin administration for 1:1,000, 1:100, 1:10, and 1:1 dilutions and concomitant fluid administration were compared for the 4-step 2-bag (bags A, B) and 4-step 4-bag (bags 1, 2, 3, 4) methods. Pharmacy preparation of bags A and B is described. A succinct overview of the desensitization procedure is provided. Important considerations germane to pharmacy practice are presented. Chart review of patients who underwent carboplatin desensitization with the 4-step 2-bag method between 7/13/2021 and 11/22/2023 was performed to demonstrate institutional use. Results The 4-step 2-bag method delivers similar rates of drug intensity from start of desensitization to completion of the planned dose as the previously published 4-step 4-bag method. Accuracy of regimen-based dose administration is assured by infusion of bag B contents irrespective of infusion interruptions or rate changes necessitated by patient tolerance. Bag A provides the 1:1000 dilution in a pharmaceutically elegant manner using administration rates and volumes compatible with clinical practice. Conclusion The 4-step 2-bag method for carboplatin desensitization administers controlled drug titration corresponding to 1:1000, 1:100, 1:10, and 1:1 dilutions for dose administration using two compounded admixture bags. Inaugural clinical use of the 4-step 2-bag method for carboplatin desensitization at our healthcare facility has proceeded with expected patient tolerance.
Demographic and autism characteristics as predictors of age of autism diagnosis of individuals with autism in Paraguay
Authors: Terol Adriana Kaori , Xia Yan , Jara Ronaldo L. Rodas , Meadan Hedda 
Published: March 2024

Autism is a lifelong condition characterized by repetitive and restrictive behaviors and differences in social communication. The reported prevalence of autism has risen exponentially in the past years. Early identification and subsequent early intervention are key to promoting better outcomes for autistic individuals. However, there is a dearth of research focusing on understanding variables that impact the age of diagnosis of autistic children in Paraguay. We collected data from 176 caregivers of autistic individuals aged 18 years or younger who lived in Paraguay and conducted a hierarchical regression analysis to understand whether demographic and clinical variables predicted the age of autism diagnosis in Paraguayan autistic children. Our results indicated that child’s age, child’s age at caregivers’ first concerns for their development, and child’s verbal skills were significant predictors of the age of autism diagnosis in Paraguay. Educating caregivers and professionals to increase awareness of autism characteristics and atypical behaviors in social communication beyond verbal skills may support the early identification of autism and subsequent access to early intervention. Lay abstract Autism is a lifelong condition characterized by repetitive behaviors and social communication differences. The reported cases of autism increased globally in the past years. Detecting autism early and providing appropriate supports promptly are crucial for better outcomes. Yet, little research focuses on what factors interplay in the diagnostic process of autistic children in Paraguay. We gathered data from 176 caregivers of autistic children under 18 years in Paraguay. Through a detailed analysis, we found that child’s age, child’s age at the caregiver’s first concerns about their development, and the child’s verbal skills are key in predicting the age of autism diagnosis in Paraguay. Educating caregivers and professionals about autism and social communication development can help identify autism early and provide timely support.
Application Value of High-Quality Nursing in Operating Room in Rectal Cancer Operation and its Influence on Postoperative Rehabilitation
Authors: Liu Juan , Tan Feng , Zhang Yihui , Zhou Ping , Qian Qian , He Qiaofang , Xu Jingpin 
Published: March 2024

Objective To study the value of high-quality care in operating room during operation of patients with rectal cancer and the effect of this nursing model on postoperative rehabilitation. Methods This study recruited 72 patients with rectal cancer, including 36 in the control group and 36 in the observation group. Patients in the control group received routine care, and those in the observation group received high-quality care in operating room. Results The anxiety score (5.50 ± .77 vs 10. 08 ± 1.13), stress score (6.97 ± .60 vs 8.61 ± .99), and depression score (4.02 ± .65 vs 5.50 ± .91) in the observation group were less than the control group after treatment ( P < .05). The measured values of diastolic blood pressure (73.19 ± 1.96 vs 86.13 ± 2.0), systolic blood pressure (121.08 ± 1.62 vs 130.63 ± 2.84), heart rate (73.05 ± 1.63 vs 87.11 ± 2.91) and adrenaline E(E) (58.40 ± 3.02 vs 61.42 ± 3.86) in the observation group were less than the control group after treatment ( P < .05). The cooperation degree (94.44 vs 75.00) in the observation group was greater than the control group, but the operation time (308.47 ± 9.92 vs 339.47 ± 12.70), postoperative intestinal function recovery time (16.30 ± 1.14 vs 30.94 ± 2.10) and length of stay (10.47 ± 1.85 vs 13.33 ± 1.95) were all shorter than the control group ( P < .05). The nasopharyngeal temperature in the observation group was greater than the control group at 30 minutes during operation (36.16 ± .50 vs 35.19 ± .40) and after operation, and fear score (2.22 ± .42 vs 3.63 ± .72) was less than the control group ( P < .05). Conclusion The application of high-quality care in the operating room during rectal cancer surgery has a significantly good clinical outcome.
The new reality in digital teaching implies the inclusion of personalized digital education as an essential element for the future
Authors: Vázquez-Villegas Patricia , Reyes-Millán Maribell , Membrillo-Hernández Jorge 
Published: March 2024

Digital education has been growing worldwide in recent years. However, derived from the intensive use of hybrid and distance modalities during the pandemic and to capitalize on what has been learned, several questions arose: What should the digital education strategy in higher education institutions be? How can digital education enrich the teaching-learning process throughout the student’s journey? Derived from these questions, the need arises to understand the attributes of the hybrid and distance modalities that are more important for the students attending to two main differentiators: career or School and employment status. A survey instrument was adapted and applied to students from 26 Campuses of a Higher Education Institution, Tecnologico de Monterrey. Students were asked about their perception of 24 aspects of digital learning. In addition, they were asked to select which ones they considered most important and which ones they considered less important. A total of 2933 surveys were collected in 3 weeks. Analyses of correlation and descriptive statistics were applied to the learners’ tendencies. The results show that personalized learning is one of the most critical dimensions for students of the new generations.
Radiographic Risk Factors for Adjacent Segment Disease Following Anterior Cervical Discectomy and Fusion (ACDF): A Systematic Review and Meta-Analysis
Authors: Mesregah Mohamed Kamal , Baker Melissa , Yoon Camilla , Meisel Hans-Joerg , Hsieh Patrick , Wang Jeffrey C. , Yoon S. Tim , Buser Zorica ,   AO Spine Knowledge Forum Degenerative
Published: March 2024

Study Design Systematic review and meta-analysis. Objectives To assess the radiographic risk factors for adjacent segment disease (ASD) following anterior cervical discectomy and fusion (ACDF) for degenerative cervical spine pathologies. Methods PubMed, Embase and the Cochrane Library databases were searched up to December 2023. The primary inclusion criteria were degenerative spinal conditions treated with ACDF, comparing radiological parameters in patients with and without postoperative ASD. The radiographic parameters included intervertebral disc height, cervical sagittal alignment, sagittal segmental alignment, range of motion, segmental height, T1 slope, sagittal vertical axis (SVA), thoracic inlet angle (TIA), and plate to disc distance (PPD). Risk of bias was assessed for all studies. The Cochrane Review Manager was utilized to perform the meta-analysis. Results From 7044 articles, 13 retrospective studies were included in the final analysis. Three studies had “not serious” bias and the other 10 studies had serious or very serious bias. The total number of patients in the included studies was 1799 patients. Five studies included single-level ACDF, 2 studies included multi-level ACDF, and 6 studies included single or multi-level ACDF. On meta-analysis, the significant risk factors associated with ASD development were reduced postoperative cervical lordosis (mean difference [MD] = 3.35°, P = .002), reduced last-follow-up cervical lordosis (MD = −3.02°, P = .0003), increased preoperative to postoperative cervical sagittal alignment change (MD = −3.68°, P = .03), and the presence of developmental cervical canal stenosis (Odds ratio [OR] = 4.17, P < .001). Conclusions Decreased postoperative cervical lordosis, greater change in cervical sagittal alignment and developmental cervical canal stenosis were associated with an increased risk of ASD following ACDF.
Alarming levels of inadequate intake of B group vitamins in tribal lactating women from South India
Authors: Kumar Pentapati Siva Santosh , Gupta Arti , Desu Sai Subhakar , Reddy B Venkatashiva , Shaik Yusuf Noorani , Kakkar Rakesh , Aravindakshan Rajeev 
Published: March 2024

Background: Micronutrients are necessary for proper growth and development of the human body, though required in small amounts. Dietary intake of these micronutrients by lactating women is essential for their own health as well as children’s overall growth and development. objective of present study is to assess the adequacy of dietary B-group vitamins intake during lactation and to find out the factors associated with their inadequate intake. Design and methods: It was a analysis of data from prospective cohort study for 10 months carried out among 340 Scheduled Tribes mothers in 10 clusters in Guntur district, Andhra Pradesh, India. Data collection was done using a 24 h dietary recall questionnaire. A p-value less than 0.05 was considered to be statistically significant. Results: All the mothers ( n = 340) were not having adequate intake of Thiamine, Riboflavin, Niacin, Pyridoxine, Pantothenic acid, Biotin and Folic acid. Methyl cobalamin intake was inadequate in 37.5% mothers ( n = 136). The mean intake of Vitamin B12 was 40.98 + 42.8 (SD) µg/day. Age at marriage, location and parity were significantly associated with inadequate intake of Vitamin B12. Conclusions: The current diet pattern of mothers of vulnerable groups might affect the growth and development of the infant. We strongly recommend for supplementation of B-group vitamins to pregnant and lactating women in India.