bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of telehealth on stroke survivor–caregiver dyad in at‐home rehabilitation: A systematic review
Authors: Bartoli Davide , Petrizzo Antonello , Vellone Ercole , Alvaro Rosaria , Pucciarelli Gianluca 
Published: April 2024

AbstractAimTo examine studies involving the impact of telerehabilitation (TLR), tele‐training and tele‐support on the dyad stroke survivor and caregiver in relation to psychological, physical, social and health dimensions.DesignA systematic review was conducted.Data SourcesThe following electronic databases were consulted until September 2023: PsycInfo, CINAHL, Eric, Ovid, PubMed, Scopus, Cochrane Central and Web of Science.Review MethodsIt was conducted and reported following the checklists for Reviews of PRISMA 2020 Checklist. Critical evaluation of the quality of the studies included in the review was performed with the Joanna Briggs Institute Checklists.Data SynthesisA total of 2290 records were identified after removing duplicates, 501 articles were selected by title and abstract and only 21 met the inclusion criteria. It included 4 quasi‐experimental studies, 7 RCTs, 1 cohort study and 9 qualitative studies. The total number of participants between caregivers and stroke survivors was 1697, including 858 stroke survivors and 839 caregivers recruited from 2002 to 2022. For a total of 884 participants who carried out TLR activities in the experimental groups,11 impact domains were identified: cognitive/functional, psychological, caregiver burden, social, general health and self‐efficacy, family function, quality of life, healthcare utilization, preparedness, quality of care and relationship with technology.ConclusionsThe results support the application of telehealth in the discharge phase of hospitals and rehabilitation centres for stroke survivors and caregivers. TLR could be considered a substitute for traditional rehabilitation only if it is supported by a tele‐learning programme for the caregiver and ongoing technical, computer and health support to satisfy the dyad's needs.ImpactDesigning a comprehensive telemedicine programme upon the return home of the dyad involved in the stroke improves the quality of life, functional, psychological, social, family status, self‐efficacy, use of health systems and the dyad's preparation for managing the stroke.Patient or Public ContributionNo patient or public contribution.
‘They don't think I can do it’: Experiences of self‐advocates, employment specialists, and employers on employment of adults with intellectual disability
Authors: Morris Rae , Christianson‐Barker Jennifer , Stainton Tim , Mills Rachel , Rowley Chris , Cox John , Schroeder Monica , Hole Rachelle 
Published: April 2024

AbstractBackgroundA multi‐phase Canadian study was conducted as part of a large‐scale community and academic research partnership focused on understanding and improving the employment experiences of people with intellectual disabilities.MethodThis multi‐method study utilized a sequential approach, using findings from qualitative interviews (n = 28) to inform an online survey (n = 149). Participants were invited to share their experiences with paid employment or with persons with intellectual disabilities.ResultsThematic analysis of data across interview and survey findings resulted in six themes: (1) assumptions and attitudes, (2) knowledge and awareness, (3) accessibility of processes, (4) use of accommodations, (5) workplace relationships, and (6) supports and resources.ConclusionsA holistic and systemic approach has the potential to improve inclusive employment experiences of people with intellectual disabilities. Action is needed mainly at the policy and employer level to reduce barriers and improve on facilitating measures reinforced by the themes shared in this study.
Ultrasonography is an effective tool for breast cancer screening in individuals with severe motor and intellectual disabilities
Authors: Miyashita Yusuke , Yanagida Kumi , Shirafuji Naoki , Hoshide Ryuji , Sato Katsuyuki , Taku Keiichi , Nakamura Kimitoshi 
Published: April 2024

AbstractBackgroundIndividuals with severe motor and intellectual disabilities have become an aging population, and high cancer morbidity and mortality are critical issues affecting their survival. Cancer screening is a crucial method of resolving this issue; however, a suitable screening method for them has not been established.MethodsWe used ultrasonography alone and performed breast cancer screening for women over 30 years old in our facility from 2016 to 2023. We observed the outcomes and calculated the recall/detection rate in this screening.ResultsThree cases among 379 tested positive in this screening, all of which underwent radical surgery. They are alive and well without relapse present. We detected these breast cancer cases with a low recall rate.ConclusionWe were able to successfully detect breast cancer cases using ultrasonography alone. Ultrasonography is an effective and feasible tool for breast cancer screening in individuals with severe motor and intellectual disabilities.
Design and development of a mobile augmented reality‐based learning environment for teaching the lives of scientists
Authors: Yildirim Pelin , Kececi Gonca 
Published: April 2024

AbstractBackgroundScience history is a discipline that teaches the development of scientific thought and the discoveries of scientists. However, these topics can sometimes be abstract and difficult to understand. The use of technology can make the teaching of the history of science more effective, engaging, and accessible. By providing students with visual and interactive experiences, it allows them to better understand abstract concepts and closely follow the discoveries of scientists. In this way, history of science lessons can become more appealing and conducive to learning for students.ObjectivesThis research aims to design and develop a Mobile Augmented Reality (MAR) environment that can be used for teaching science history.MethodsThe research was conducted using a design‐based research method consisting of four stages: Analysis, design, development‐implementation‐evaluation, and reporting. The research involved 10 science teachers and five secondary school students. Data were collected through focus group interviews, individual interviews, notes, audio recordings, and images, and then analysed using content analysis.Results and ConclusionsAs a result of the research, a MAR application named TISAR‐3D was developed, which allows students to interactively and visually explore scientists and enrich their learning experience.ImplicationsThe widespread use of the TISAR‐3D application in science history education is recommended, as well as the development of similar MAR applications for other topics.
Preliminary evaluation of behavior technician burnout when working with boarded and traditional psychiatric inpatients diagnosed with developmental disabilities
Authors: Luehring Mathew C. , Romani Patrick W. , Ariefdjohan Merlin 
Published: April 2024

AbstractProblemThe COVID‐19 pandemic has led to a youth mental health crisis, with research demonstrating an increased prevalence of depression, anxiety, and disruptive behavior in youth compared to pre‐pandemic years. Consequently, the insurgence of emergency psychiatric evaluations has increased the demands for extended inpatient stay (or patient boarding) at various licensed treatment facilities. Questions remain about the extent of burnout being experienced by behavior technicians who are caring for these patients.MethodsThe Shirom‐Melamed Burnout Measure was used to evaluate symptoms of burnout of behavior technicians practicing at a specialized psychiatric inpatient unit. Comparisons were made for instances of caring for boarded (meeting criteria for discharge but unable to be discharged due to disposition) and traditional patients (short‐term treatment).FindingsBehavior technicians caring for boarded patients reported significantly higher scores in overall stress, physical exhaustion, cognitive fatigue, and emotional exhaustion than those managing patients getting traditional care.ConclusionsExtensive burnout can have adverse impacts at both the personal level (staff well‐being, individual staff–patient interactions) and clinic level (daily operations and service, general quality of care). Efforts need to be made to address this issue to prevent staff turnover.
Modeling Hierarchical Attribute Structures in Diagnostic Classification Models with Multiple Attempts
Authors: Kwon Tae Yeon , Huggins‐Manley A. Corinne , Templin Jonathan , Zheng Mingying 
Published: March 2024

AbstractIn classroom assessments, examinees can often answer test items multiple times, resulting in sequential multiple‐attempt data. Sequential diagnostic classification models (DCMs) have been developed for such data. As student learning processes may be aligned with a hierarchy of measured traits, this study aimed to develop a sequential hierarchical DCM (sequential HDCM), which combines a sequential DCM with the HDCM, and investigate classification accuracy of the model in the presence of hierarchies when multiple attempts are allowed in dynamic assessment. We investigated the model's impact on classification accuracy when hierarchical structures are correctly specified, misspecified, or overspecified. The results indicate that (1) a sequential HDCM accurately classified students as masters and nonmasters when the data had a hierarchical structure; (2) a sequential HDCM produced similar or slightly higher classification accuracy than nonhierarchical sequential LCDM when the data had hierarchical structures; and (3) the misspecification of the hierarchical structure of the data resulted in lower classification accuracy when the misspecified model had fewer attribute profiles than the true model. We discuss limitations and make recommendations on using the proposed model in practice. This study provides practitioners with information about the possibilities for psychometric modeling of dynamic classroom assessment data.
The link between functional response and longevity of Trichogramma evanescens strains indigenous to Türkiye: A comparative assessment of parameters
Authors: Tonğa Adil 
Published: March 2024

AbstractA previous comprehensive survey in the Mediterranean and Southeastern regions of Türkiye investigating the natural egg parasitism of lepidopteran maize pests, Sesamia spp, (Lepidoptera: Noctuidae) Ostrinia nubilalis Hbn. and Chilo partellus (Swinhoe; Lepidoptera: Crambidae) by Trichogramma evanescens Westwood (Hymenoptera: Trichogrammatidae) yielded successful establishment of laboratory cultures of six strains molecularly clustering into two main groups. In this study, the functional response and adult longevity of the strains reared and tested on a factitious host, Ephestia kuehniella Zeller (Lepidoptera: Pyralidae) were investigated to provide insights into their potential as candidate biocontrol agents under constant laboratory conditions. The functional response modelling process consisted of two main sequential steps: model selection using polynomial logistic regression and parameter estimation using an iterative maximum likelihood estimation method. The functional response of two strains showed negative linear parameters (type II): HAP068M and HAP268S. Although their attack rate did not differ, the handling time of HAP268S was longer than that of HAP068M. In contrast, four strains had positive linear and negative quadratic parameters (type III) in their functional response: HAP044S, HAP070S, HAP210S, and HAP258M. The strains exhibiting type III functional response did not differ in their handling time, while HAP044S had a higher attack coefficient than HAP070S, HAP210S, and HAP258M. The longevity of both female and male adults significantly differed between strains. More importantly, the females belonging to strains exhibiting type II functional response presented a shorter longevity, compared to those with type III functional response. Males also showed a similar trend in their longevity. This paper discusses the differences in functional response types and estimated parameters of the strains in relation to their relevance for biological control programs and reveals a link between their functional response and longevity as potential reciprocal predictors.
Effects of hypothermia–hypoxia pulping, high hydrostatic pressure processing, and repeat freeze–thaw cycles on the quality of raw kiwifruit puree
Authors: Lu Lin , Fan Jiangtao , Pan Siyi , Liu Fengxia 
Published: April 2024

AbstractThis study evaluated the effects of the whole process of non‐thermal processing (hypothermia–hypoxia pulping and high hydrostatic pressure (HHP) pasteurization), different freezing methods, and repeat freeze–thaw cycles on physicochemical and nutritional quality of kiwifruit puree. Results showed that hypothermia–hypoxia treatment can retain the vitamin C, total phenol content, and antioxidant capacity of the puree better. Different pasteurization treatments can effectively kill microorganisms and improve the total phenol content and antioxidant capacity of the raw puree. Compared with thermal treatment, HHP can better retain the color, viscosity, and aroma components of the raw puree. The freezing methods have little impact on the quality of the raw puree, but peroxidase enzyme activity after quick freezing was significantly higher than that of slow freezing. Different freeze–thaw treatments had adverse effects on the quality of kiwifruit, and the damage of 25°C thawing conditions was more serious than that of 4°C thawing conditions. This research would provide new ideas for the production and storage of high‐quality kiwifruit puree and potential technical support for kiwifruit puree commercial production.Practical ApplicationsThe results of this study showed that non‐thermal processing can maintain the quality of kiwifruit puree better than traditional thermal processing, which provides a new idea for the production of high‐quality kiwifruit puree. In addition, this study suggests that temperature fluctuations should be minimized during storage to better maintain kiwifruit quality. This will provide potential technical support for the commercialization of kiwifruit puree.
Enhancing resolution and contrast in fibre bundle‐based fluorescence microscopy using generative adversarial network
Authors: Ketabchi Amir Mohammad , Morova Berna , Uysalli Yiğit , Aydin Musa , Eren Furkan , Bavili Nima , Pysz Dariusz , Buczynski Ryszard , Kiraz Alper 
Published: April 2024

AbstractFibre bundle (FB)‐based endoscopes are indispensable in biology and medical science due to their minimally invasive nature. However, resolution and contrast for fluorescence imaging are limited due to characteristic features of the FBs, such as low numerical aperture (NA) and individual fibre core sizes. In this study, we improved the resolution and contrast of sample fluorescence images acquired using in‐house fabricated high‐NA FBs by utilising generative adversarial networks (GANs). In order to train our deep learning model, we built an FB‐based multifocal structured illumination microscope (MSIM) based on a digital micromirror device (DMD) which improves the resolution and the contrast substantially compared to basic FB‐based fluorescence microscopes. After network training, the GAN model, employing image‐to‐image translation techniques, effectively transformed wide‐field images into high‐resolution MSIM images without the need for any additional optical hardware. The results demonstrated that GAN‐generated outputs significantly enhanced both contrast and resolution compared to the original wide‐field images. These findings highlight the potential of GAN‐based models trained using MSIM data to enhance resolution and contrast in wide‐field imaging for fibre bundle‐based fluorescence microscopy.Lay Description: Fibre bundle (FB) endoscopes are essential in biology and medicine but suffer from limited resolution and contrast for fluorescence imaging. Here we improved these limitations using high‐NA FBs and generative adversarial networks (GANs). We trained a GAN model with data from an FB‐based multifocal structured illumination microscope (MSIM) to enhance resolution and contrast without additional optical hardware. Results showed significant enhancement in contrast and resolution, showcasing the potential of GAN‐based models for fibre bundle‐based fluorescence microscopy.
Invasive group A streptococcal infection can be fatal to pregnant women in restricted medical resources remote areas—Emergent alert after COVID‐19 pandemic
Authors: Onigahara Motohisa , Yanazume Shintaro , Torisu Hiromichi , Kobayashi Hiroaki 
Published: April 2024

AbstractInvasive group A streptococcal (iGAS) infection is a leading cause of maternal death. The increase in the number of patients with iGAS in Japan is markedly greater than before the coronavirus pandemic. We encountered a case of iGAS infection, on a remote island with restricted medical resources, in a third‐trimester pregnant woman, resulting in both maternal and fetal death. A 34‐year‐old woman was admitted via a local general hospital with a high fever. Intrauterine fetal death disseminated intravascular coagulation, and septic shock were confirmed. Broad‐spectrum antibiotics were started, and the patient was returned to the local general hospital. Eight hours after arrival, the patient died of circulatory and respiratory dysfunction complications. iGAS infections in remote areas may directly lead to life‐threatening conditions and should be treated as an emergency, comparable to the serious conditions of placental abruption or placenta previa.
Children with disabilities lack access to nutrition, health and WASH services: A secondary data analysis
Authors: Rice Isabel , Opondo Charles , Nyesigomwe Lydia , Ekude Daniel , Magezi Julius , Kalanzi Andrew , Kerac Marko , Hayes Julia , Robello Malia , Halfman Sarah , DeLacey Emily 
Published: April 2024

AbstractMalnutrition and disability are major global public health problems. Poor diets, inadequate access to nutrition/health services (NaHS), and poor water, sanitation and hygiene (WASH) all increase the risk of malnutrition and infection. This leads to poor health outcomes, including disability. To better understand the relationship between these factors, we explored access to NaHS and household WASH and dietary adequacy among households with and without children with disabilities in Uganda. We used cross‐sectional secondary data from 2021. Adjusted logistic regression was used to explore associations between disabilities, access to NaHS, WASH and dietary adequacy. Of the 6924 households, 4019 (57.9%) reported having access to necessary NaHS, with deworming and vaccination reported as both the most important and most difficult to access services. Access to services was lower for households with children with disabilities compared to those without, after adjusting for likely confounding factors (Odds ratio = 0.70; 95% CI 0.55–0.89, p = 0.003). There is evidence of an interaction between disability and WASH adequacy, with improved WASH adequacy associated with improved access to services, including for children with disabilities (interaction odds ratio = 1.12, 95% CI: 1.02–1.22, p = 0.012). The proportion of malnourished children was higher among households with children with disabilities than households without it (6.3% vs. 2.4% p < 0.001). There are concerning gaps in access to NaHS services in Uganda, with households with children with disabilities reporting worse access, particularly for those with low WASH adequacy. Improved and inclusive access to NaHS and WASH needs to be urgently prioritized, especially for children with disabilities.
The prevalence of rumination syndrome and rumination disorder: A systematic review and meta‐analysis
Authors: Haworth Jordan J. , Treadway Sam , Hobson Anthony R. 
Published: April 2024

AbstractBackgroundRumination is characterized by the repeated regurgitation of food. Rumination syndrome is a disorder of gut‐brain interaction diagnosed by Rome criteria, whereas rumination disorder is a feeding and eating disorder diagnosed by DSM‐5 criteria. We aimed to determine the global prevalence of rumination according to these criteria across all age groups.MethodsWe performed a systematic review and meta‐analysis of studies reporting the prevalence of rumination syndrome according to Rome III and Rome IV and rumination disorder according to the following validated DSM‐5 assessments: PARDI, EDA‐5, EDY‐Q, STEP, and STEP‐CHILD. We searched MEDLINE, EMBASE, and PsychINFO (from January 1, 2006, to June 1, 2023) to identify studies reporting the prevalence of rumination in community settings in participants of any age. We did a meta‐analysis to estimate the pooled prevalence and odds ratio (OR) of rumination according to diagnostic criteria, country, and characteristics such as age and sex.Key ResultsThe search strategy generated 1243 studies, of which 147 studies appeared to be relevant. Thirty studies were included, with a total of 114,228 participants, of whom 61,534 of these were adults and 52,694 were children. The pooled prevalence of rumination syndrome in children of all ages according to Rome III criteria was 1.0% (95% CI 0.3–1.6; I2 91.1%), but no data were available for adults. According to Rome IV criteria, the pooled prevalence of rumination syndrome in children of all ages was 0.4% (95% CI 0.2–0.6; I2 56.4%) and 3.7% in adults (95% CI 2.3–5.1; I2 91.4%). The pooled prevalence of rumination disorder in children of all ages according to EDY‐Q was 2.1% (95% CI 0.9–3.4; I2 = 78.1%), but only one study utilizing EDY‐Q in adults was included (0.7% [95% CI 0.4–1.0]). No data were available for children or adults using any other validated DSM‐5 assessments for rumination disorder. Irrespective of diagnostic criteria, the pooled prevalence of rumination was higher in adults compared to children and adolescents (3.0% [95% CI 1.4–4.7; I2 = 98.1%] vs. 0.8% [95% CI 0.4–1.3; I2 = 90.8%]), but higher in adolescents than in children (1.1% [95% CI 0.3–2.0; I2 = 92.8%] vs. 0.1% [95% CI 0.0–0.2; I2 = 24.5%]). In adults, factors independently associated with rumination were female gender (OR 1.4 [95% CI 1.0–2.0]), anxiety (OR 2.3 [95% CI 2.1–2.6]), and depression (OR 1.8 [95% CI 1.2–2.9]). No association between gender and rumination was seen in children.Conclusions and InferencesThe prevalence of rumination is more common in adults than in children. In adults, rumination is associated with female gender, anxiety, and depression. Future population studies should aim to better understand why this behavior is more common in adults and also compare validated DSM‐5 assessments for rumination disorder with Rome criteria for rumination syndrome as prevalence may differ.