bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aligning Employee Health and Diversity, Equity, and Inclusion Initiatives in the Workplace: A Call for Synchronization
Authors: Wang Monica L. , Poulin Olivia , McKinney Hannah 
Published: February 2024

Reports of burnout and poor mental health are at all-time highs among working U.S. adults. Simultaneously, failure to promote diversity, equity, and inclusion (DEI) is among the top characteristics of an unhealthy work culture and has contributed to high rates of employee attrition. Though many organizations across multiple sectors have made pledges to prioritize employee health and invest in DEI in recent years, few have explicitly addressed these two issues as interconnected. The link between the workplace as a determinant of mental and physical health is well-established. Several studies demonstrate that experiencing discrimination in the workplace is associated with detrimental physical and mental health outcomes. Additionally, the way work is structured directly and indirectly contributes to employee health inequities. In this commentary, we make the connection between employee health and organizational DEI and propose guiding principles to synchronize DEI and employee health initiatives in the workplace. These include: investing in DEI as a cornerstone for developing a healthy workforce for all; recognizing differences in employee experiences, needs, and their connection to health; prioritizing systemic approaches to promote employee health and organizational DEI. Embedding employee health and DEI efforts into broader organizational strategy is a crucial step towards fostering equitable practices that promote inclusive work environments andpositive employee well-being.
Strengthening reinforced concrete bridge piers against heavy vehicle collisions with ultra-high performance concrete collars: A finite element analysis study
Authors: Qu Chunpeng , Farzaneh Farhad , Jung Sungmoon , Zhang Qian 
Published: February 2024

This paper investigates the effectiveness of ultra-high performance concrete (UHPC) collars in strengthening reinforced concrete (RC) bridge piers against heavy tractor-trailer collisions through finite element (FE) analysis. First, validated FE models of UHPC and a heavy tractor-trailer were provided. Then, FE analyses were conducted to evaluate the strengthening performance of the UHPC collar. The effectiveness of UHPC collar was compared with conventional RC collar, and the effects of varying UHPC collar thickness, height, and collar reinforcement were investigated. The results showed that the most severe damage observed on bridge piers due to heavy vehicle collisions primarily occurred below a height of approximately 2000 mm, manifested as diagonal shear cracks and plastic hinges. Therefore, the recommended minimum collar height is 2000 mm. The comparison between UHPC collar and RC collar strengthening demonstrated the superior effectiveness of UHPC collars. A 130-mm UHPC collar exhibited a similar strengthening effect as an 180-mm RC collar. Among the three investigated parameters of UHPC collar thickness, height, and collar reinforcement, the study found that collar thickness had the most significant influence on the effectiveness of the UHPC collar in terms of damage pattern, energy absorption, and maximum deflection. While collar height primarily influenced deflection, a larger collar height was beneficial in reducing pier deflection at the end of the strengthened segment. Adding a small amount of collar reinforcement improved the performance of piers; however, this improvement was limited. The findings of this study address the lack of research on using UHPC for strengthening full-scale bridge piers against heavy tractor-trailer collisions and provide valuable references for future designs with similar applications.
Enriching Museum Collection with Virtual Design Objects and Community Narratives: Pop-up-VR Museum
Authors: Díaz-Kommonen Lily , Svinhufvud Leena , Thiel Susanna , Vishwanath Gautam 
Published: February 2024

In the Pop-up-VR Museum, a selection of design objects from the Design Museum collection can be explored as virtual reality experience together with stories and comments collected in workshops organized with senior communities and museum visitors amongst others. The collaboration between the museum and the Aalto University Department of Art and Media in the EU Horizon 2020 project SPICE (2020–2023), seeks to increase social cohesion and inclusion through cultural heritage. Using semantic tools designed and developed in the project, it studies ways to promote novel forms of “citizen curation” activities. The article discusses the co-design process between media designers, heritage professionals, and different user communities, with varying understandings and needs regarding museum data and Finnish design heritage. In the museum, community-based data raises practical as well as ethical issues. Also the new digital artifacts challenge existing systems: what and how should be preserved in the museum collection from the dialogue with the user that takes place in the Pop-up VR Museum and does this new data demand re-assessing earlier information and, how does should the process of creating new digital artifacts be documented and described.
Endovascular treatment with interwoven nitinol stent for common femoral artery lesions: 2-year outcomes of a single center experience
Authors: Suwanruangsri Veera , Bokerd Surakiat , Chanchitsopon Virapat , Jowcharoen Sirakarn 
Published: February 2024

Objective The study aimed was to report 2-year outcomes of endovascular treatment with interwoven nitinol (Supera™) stent for common femoral artery (CFA) lesions. Methods We reviewed the clinical data of 20 patients who presented with CFA stenosis or occlusion and underwent balloon angioplasty followed by Supera™ stenting in CFA between February 2016 and January 2022. The outcomes were evaluated in these patients in terms of technical success, post-intervention complications, reintervention, and cumulative patency (1 year, and 2 years). Results The study included 20 patients (22 lesions) who presented with isolated CFA lesions (3), iliac lesions involving CFA (6), superficial femoral artery (SFA) lesions involving CFA (8), and extensive lesions from the iliac artery to SFA (5). There were 16 men (80%) with a mean age of 69.7 years (range, 34–83). Hypertension, smoking, and diabetes were found in 15 (75%), 7 (35%), and 7 patients (35%), respectively. Clinical presentations were Rutherford stage 5 (9, 45%), Rutherford stage 4 (5, 25%), Rutherford stage 6 (4, 20%), and Rutherford stage 3 (2, 10%). Technical success was achieved in all patients (100%). The procedures for treatment were isolated CFA Supera™ stenting (1, 4.5%), CFA plus DFA Supera™ stenting (jailed SFA) (2, 9.1%), CFA plus SFA Supera™ stenting (jailed DFA) (8, 36.4%), CFA Supera™ stenting plus bare iliac stenting (Astron) (6, 27.3%), CFA plus SFA Supera™ stenting (jailed DFA) plus bare iliac stenting (Astron) (5, 22.7%), and additional DFA angioplasty (7, 31.8%). The rate of in-hospital mortality and morbidity were 0% and 10%, respectively. Distal embolization after pre-dilatation occurred in 1 patient, and cerebral infarction occurred 12 h after the procedure in 1 patient. The mean follow-up time was 23 months (range, 2–64). During the follow-up period, in-stent occlusion occurred in 2 patients at 9 and 46 months. Re-intervention was performed in 1 patient due to recurrent symptom of claudication. The cumulative primary patency at 1 year and 2 years were 93.3% and 93.3%, respectively. Conclusion Endovascular treatment with interwoven nitinol (Supera™) stent for CFA lesions was associated with acceptable outcomes at 2 years.
Improving the Mental Health of Surgical Teams Through Operating Room Design
Authors: Oh Yeinn , Gill Simon , Baek Daehwa , Watral Alexandra , Pulos Bridget , Thompson Bettina , Young Suzanne , Guyer Jean M , McCoy Jessica , Phillips Meshach , Potts Kenneth , Evenson Lindsey , Lim Lisa , Blocker Renaldo 
Published: February 2024

Objective: In this study, we aim to develop and propose an evaluation method for analyzing the design of operating rooms (ORs) from the perspective of surgical teams’ reported experiences and stress levels. Background: Stress and burnout of surgical team members can lead to diminished performance and medical errors, which endangers the safety of both the patients and team members. The design and layout of the OR play a critical role in managing such stress. Methods: To understand surgical teams’ spatial needs related to their experiences and stress, we administered a survey and in-depth focus group discussions to three surgical teams from the same organization. The identified spatial needs were translated into functional scenarios and spatial metrics, essentially viewing the OR through the perspective of users. Results: Our analysis revealed four integral sections—patient flow, room organization, access to facilities/medical equipment/support staff/team members, and staff well-being—identified as critical design factors associated with the experiences and stress levels of the surgical teams in the ORs. Conclusions: We expect this method to serve as a tool for evaluating the effect of the design of OR layouts on stress, thereby supporting the well-being and resiliency of surgical teams.
Evaluating drug stability and sterility in single-dose vials when accessed with a closed system transfer device
Authors: Hopkins James N , Waldman Michael , Sahai Raghvendra , Battle Jason 
Published: February 2024

Background: Impact of drug wastage is a legitimate and persistent concern. Financial impact of drug waste is borne by the hospital network, patients, and healthcare systems. Measures to reduce drug wastage may have a positive impact throughout healthcare systems. Objective: This study investigated the stability and sterility of single-dose vials when repeatedly accessed with a closed system transfer device. By evaluating the sterility and stability, these results may be used to validate the extension of vial usage and lead to potential drug wastage reduction. Methods: Sterility testing was performed in accordance with US Pharmacopeia 71. A closed system transfer device was incorporated into simulated compounding tasks, utilizing growth media. Simulated compounding tasks were performed in the clinical environment, followed by incubation to stimulate growth. Stability testing was performed in accordance with US Pharmacopeia monographs at multiple timepoints post access. Test samples were comparatively tested via high-performance liquid chromatography to freshly opened vials at each timepoint. Results: No growth was observed in test samples. Control vials displayed growth, where appropriate. The drugs retained stability, when compared to freshly opened vials at 0, 24, 48, and 72 h, post access. Conclusions: This study confirms that closed system transfer devices do not contribute to microbial contamination of drug vials, following the repeated access, for up to 7 days and the tested drugs retained equivalent chemical stability for up to 72 h post access. This study may offer a manner by which a facility may assess single-dose vials’ sterility and stability, following repeated access by a closed system transfer device.
Digital physiotherapy is a satisfactory and effective method to improve the quality of life in Long COVID patients
Authors: Estebanez-Pérez María-José , Pastora-Bernal José-Manuel , Vinolo-Gil María- Jesús , Pastora-Estebanez Pablo , Martín-Valero Rocío 
Published: February 2024

Objective This research aimed to explore Long COVID patient's quality of life, satisfaction and perception with an individualized and customizable digital physiotherapy intervention during a 4-week period. Methods A pre-post clinical trial was conducted with 32 Long COVID patients. Quality of life was assessed using the 12-Item Short Form Survey and the European Quality of Life-5 Dimensions questionnaire (EuroQol-5D), while satisfaction and perception were measured using the Telemedicine Satisfaction Questionnaire. Optional open-ended questions were added as qualitative approach. A mixed design method was conducted. Results After intervention, a statistically significant improvement ( p < 0.05) was observed in quality of life. The SF-12 questionnaire showed an increase of 4.04 points in the physical component and 6.55 points in the mental component with a small/medium effect size. The EuroQoL-5D questionnaire demonstrated a medium effect size with an increase of 0.87 points. Patient perception indicated high rates of satisfaction and values above the minimal clinically important difference. The qualitative approach revealed several interesting findings. Conclusion Participants found the digital intervention satisfactory and effective in improving their quality of life. Suggestions for improvement, such as the inclusion of face-to-face sessions, a chat for immediate contact, sound in breath exercises in the digital program, longer duration and continuity of intervention, were mentioned. Larger sample studies and in-deep qualitative methodologies are needed to draw extrapolable conclusions. Trial registration NCT04742946.
Competency Framework for Podiatric Medicine Training: A Validation Report Based on an Adapted E-Delphi Across Canada
Authors: Andoulsi Yassin , Hue Olivier , Brousseau Martine , Hill James , Alleyne Joel , Blanchette Virginie 
Published: February 2024

OBJECTIVES Competency-based medical education has been introduced into many health professional curricula. Based on CanMEDs, a framework has recently been developed for podiatric medicine education in Canada. This study aimed to validate the framework through a consensus of various podiatric medicine experts across Canada. METHODS An adapted Delphi method was used for content validation. Two structured online questionnaires were used to gather expert opinions and agreement on the roles and core competencies described in the framework previously developed. The validation consensus threshold was set at a minimum of 80% agreement. The summary of comments and suggestions was used to reformulate certain items after the research team reached a consensus. RESULTS Out of the 51 experts invited from the Canadian Podiatric Medicine Association, 19 completed the first-round questionnaire (mean podiatric experience = 24.5 years; standard deviation 17.6). After the first round, “Podiatric Expert”, “Communicator” and “Scholar” roles have been modified. After these modifications, a consensus was obtained at the second round completed by 13 experts. Overall, 95% of the experts agreed that the competency framework was relevant even if some indicators would need to be adapted to suit the requirements of each province and territory. CONCLUSION This validated framework supports the excellence and the quality of our podiatric educational program. It also promotes the adoption of a uniform education of podiatrists in Canada and worldwide.
Prevalence, Risk Factors and Prognosis of Seizures After Ischemic Stroke
Authors: Moreira Mairla Maracaba , de Andrade João Brainer Clares , Rodriguez Carlos Eduardo Lenis , Araújo Davi Said , Rolim Flávia Paiva , Monteiro Marla Rochana Braga , Frota Norberto Anizio , Lima Fabrício Oliveira , Silva Gisele Sampaio 
Published: February 2024

Introduction and objectives Epileptic seizures (ES) are a recognized complication of stroke, commonly associated with extensive ischemic regions and cortical damage. Despite thorough investigation, reports on the incidence, risk factors, and functional implications of post-stroke ES vary widely in the literature. We aimed to evaluate the predictive factors for post-stroke ES and their effects on the clinical outcome at hospital discharge. Methods Patients with acute ischemic stroke (AIS) admitted to our stroke unit from 2015 to 2017 were eligible to this study. A multivariable logistic regression modeling was built to assess associated variables with acute symptomatic seizures (AS). We defined AS as seizures that occurred within the period of hospitalization (stroke unit discharge) without a history of seizures with clinical or electroencephalographic evidence. Results Four hundred ninety-two were included in the final analysis. The patients had a mean of 66.7 (±14.4) years; 56% were male. Thirty-eight (7.7%) patients experienced clinical ES in-hospital, with a higher incidence in those with total anterior circulation syndrome. The NIH Stroke Scale score (odds ratio [OR] 1.07, 95% confidence interval [CI], p = .03) and symptomatic hemorrhagic transformation (HT) (OR: 3.53, 95% CI: 1.38–8.99, p = .01) independently predicted ES. We did not find an association between the occurrence of seizures and unfavorable outcomes (Modified Rankin Scale 3–6) at discharge (OR1.26, 95% CI: 0.3–5.32, p = .75). Patients with seizures had a longer hospital stay (18.5 [11–35] vs. 9 [7–14] days). Conclusions Patients presenting higher NIH Stroke Scale scores upon admission or experiencing symptomatic HT face an increased risk of in-hospital ES. Nonetheless, acute symptomatic ES following AIS does not independently predict adverse functional outcomes at discharge.
Improving the forecast of fine dust emission and transmission from cattle barns: a comprehensive data package and analysis
Authors: Mostafa Ehab , Paßmann Jessica , Abdellatif Hassan R. S. , Buescher Wolfgang 
Published: February 2024

AbstractThe livestock sector emits harmful gases and bioaerosols, impacting animals, plants, and human health. Ventilation systems in livestock buildings disperse polluted air, affecting nearby air quality depending on the wind patterns and atmospheric stability. Understanding pollutant emission and transmission is crucial for environmental mitigation. This study focuses on fine dust dispersion from dairy cattle buildings. Chemical and microscopic analyses were conducted to identify the cattle barn dust sources. Particle mass emissions were quantified by measuring particle mass concentrations and air volume flow using the tracer gas decay method. Seasonal and daily effects on dust emissions were studied. Remarkably, particle emissions remained below prescribed values in Germany. Additionally, particle transmission, including resuspension and adsorption parameters, was investigated using a developed wind tunnel. Resuspension measurements revealed minimal resuspended particle mass due to low ground wind speeds. Notably, wheat, as a model plant, exhibited high adsorption rates, which increased with particle size. Overall, the findings for resuspension and adsorption parameters provide an initial database for understanding fine dust transmission from cattle barns.
Transcriptomics and metabolomics analysis reveal the dietary copper deficiency and supplementation effects of liver gene expression and metabolite change in grazing sheep
Authors: Jin Xiwei , Meng Lingbo , Qi Zhi , Mi Lan 
Published: February 2024

Abstract
Background
The appropriate mineral nutrients are essential for sheep growth and reproduction. However, traditional grazing sheep often experience mineral nutrient deficiencies, especially copper (Cu), due to inadequate mineral nutrients from natural pastures.

Results
The results indicated that dietary Cu deficiency and supplementation significantly reduced and elevated liver concentration of Cu, respectively (p < 0.05). FOXO3, PLIN1, ACTN2, and GHRHR were identified as critical genes using the weighted gene co-expression network analysis (WGCNA), quantitative real-time polymerase chain reaction (qRT-PCR), and receiver operating characteristic curve (ROC) validation as potential biomarkers for evaluating Cu status in grazing sheep. Combining these critical genes with gene functional enrichment analysis, it was observed that dietary Cu deficiency may impair liver regeneration and compromise ribosomal function. Conversely, dietary Cu supplementation may enhance ribosomal function, promote lipid accumulation, and stimulate growth and metabolism in grazing sheep. Metabolomics analysis indicated that dietary Cu deficiency significantly decreased the abundance of metabolites such as cholic acid (p < 0.05). On the other hand, dietary Cu supplementation significantly increased the abundance of metabolites such as palmitic acid (p < 0.05). Integrative analysis of the transcriptome and metabolome revealed that dietary Cu deficiency may reduce liver lipid metabolism while Cu supplementation may elevate it in grazing sheep.

Conclusions
The Cu content in diets may have an impact on hepatic lipid metabolism in grazing sheep. These findings provide new insights into the consequences of dietary Cu deficiency and supplementation on sheep liver and can provide valuable guidance for herders to rationalize the use of mineral supplements.
Mortality of traumatic chest injury and its predictors across sub-saharan Africa: systematic review and meta-analysis, 2024
Authors: Adal Ousman , Tareke Abiyu Abadi , Bogale Eyob Ketema , Anagaw Tadele Fentabil , Tiruneh Misganaw Guadie , Fenta Eneyew Talie , Endeshaw Destaw , Delie Amare Mebrat 
Published: February 2024

Abstract
Introduction
Globally, chest trauma remain as a prominent contributor to both morbidity and mortality. Notably, patients experiencing blunt chest trauma exhibit a higher mortality rate (11.65%) compared to those with penetrating chest trauma (5.63%).

Aim
This systematic review and meta-analysis aimed to assess the mortality rate and its determinants in cases of traumatic chest injuries.

Methods
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist guided the data synthesis process. Multiple advanced search methods, encompassing databases such as PubMed, Africa Index Medicus, Scopus, Embase, Science Direct, HINARI, and Google Scholar, were employed. The elimination of duplicate studies occurred using EndNote version X9. Quality assessment utilized the Newcastle-Ottawa Scale, and data extraction adhered to the Joanna Briggs Institute (JBI) format. Evaluation of publication bias was conducted via Egger’s regression test and funnel plot, with additional sensitivity analysis. All studies included in this meta-analysis were observational, ultimately addressing the query, what is the pooled mortality rate of traumatic chest injury and its predictors in sub-Saharan Africa?

Results
Among the 845 identified original articles, 21 published original studies were included in the pooled mortality analysis for patients with chest trauma. The determined mortality rate was nine (95% CI: 6.35–11.65). Predictors contributing to mortality included age over 50 (AOR 3.5; 95% CI: 1.19–10.35), a time interval of 2–6 h between injury and admission (AOR 3.9; 95% CI: 2.04–7.51), injuries associated with the head and neck (AOR 6.28; 95% CI: 3.00–13.15), spinal injuries (AOR 7.86; 95% CI: 3.02–19.51), comorbidities (AOR 5.24; 95% CI: 2.93–9.40), any associated injuries (AOR 7.9; 95% CI: 3.12–18.45), cardiac injuries (AOR 5.02; 95% CI: 2.62–9.68), the need for ICU care (AOR 13.7; 95% CI: 9.59–19.66), and an Injury Severity Score (AOR 3.5; 95% CI: 10.6–11.60).

Conclusion
The aggregated mortality rate for traumatic chest injuries tends to be higher in sub-Saharan Africa. Factors such as age over 50 years, delayed admission (2–6 h), injuries associated with the head, neck, or spine, comorbidities, associated injuries, cardiac injuries, ICU admission, and increased Injury Severity Score were identified as positive predictors. Targeted intervention areas encompass the health sector, infrastructure, municipality, transportation zones, and the broader community.