bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Perceptions of Aging Influence Physical Activity and Exercise in Older Age: Exploring the Behavior of People Aged 70+ Years Engaged in Fall Prevention Activities
Authors: Ambrens Meghan , Macniven Rona , Perram Amy , Andrews Sophie , Hawley-Hague Helen , Razee Husna , Todd Chris , Valenzuela Trinidad , Delbaere Kim 
Published: March 2024

For older people, physical inactivity increases fall risk as well as other preventable health conditions. Despite the well-documented benefits of physical activity, uptake and adherence continue to challenge efforts aimed at increasing physical activity and reducing falls. Nested within a randomized controlled trial, this study reports on the factors influencing the physical activity behavior of people, aged between 70 and 90 years, engaged in StandingTall, a home-based balance exercise program proven to reduce falls in the community. The perception of aging, physical activity in older age, and the delivery of exercise were identified as major themes, with the perception of aging an overarching theme influencing both preferences for physical activity in older age and exercise delivery. Findings demonstrate the importance of considering the role of aging, the influence aging has on physical activity and exercise behavior, and how aging influences the delivery and design of exercise programs including falls prevention activities for older people.
Ethical issues in research with second victims: A scoping review
Authors: Catalán Lucía , Kappes María , Morgado Gabriela , Oliveira Déborah 
Published: March 2024

Background Second victim is the name given to the healthcare personnel—most often a nursing professional—involved with the error that led to the adverse event to a patient and who, as a result, have experienced negative psychological effects. Research with second victims has increased over the years, however concerns exist with regards to the ethical risks imposed upon these individuals. Aim To explore the extent to which research with second victims of adverse events in healthcare settings adhere to ethical requirements. Methods A scoping review was conducted following Arksey and O’Malley’s methodological framework and using the following databases: PUBMED, Web of Science, and SCOPUS. Original research of any study design focused on second victims and published in English, Spanish, or Portuguese in 2014–2023 were included. A critical narrative approach was used to discuss the findings. Ethical considerations The review followed ethical guidelines emphasizing accurate authorship attribution and truthful data reporting. Results Fifteen studies using qualitative ( n = 2), quantitative ( n = 10), and mixed-method ( n = 3) designs were included. Over half were not assessed by a research ethics committee, with questionable reasons given by the authors. One-third did not refer to having used an informed consent. In two studies, participants were recruited by their workplace superiors, which could potentially right to autonomy and voluntary participation. Conclusion Over half of the included studies with second victims did not comply with fundamental ethical aspects, with risk to inflict respect for individual autonomy, confidentiality, and of not causing any harm to participants. Implications for nursing research Healthcare personnel involved in adverse events are most often nursing professionals; therefore, any breach of ethics in research with this population is likely to directly affect their rights as research participants. We provide recommendations to promote better research practices with second victims towards safeguarding their rights as research participants.
Antineoplastic agents associated with neutropenic enterocolitis in patients with malignancy: A quantitative safety signal analysis
Authors: Amanati Ali , Van Manen Robbert , Sajedianfard Sarvin , Shojaadini Hafez , Boroughani Mohadese , Molavi Vardanjani Hossein 
Published: March 2024

Background The use of certain chemotherapy agents is associated with the development of a condition called “chemotherapy-associated neutropenic enterocolitis” (CANE). Objective To determine the risk of CANE associated with the use of each antineoplastic agent. Methods The FDA FAERS database of spontaneous adverse reactions was searched for the occurrence of the MedDRA preferred term “neutropenic colitis.” Results The search resulted in 1134 records of patients (535 [47.3%] females, 479 [42.2%] males, sex not specified in 120 [10.6%]) with neutropenic colitis receiving immunosuppressive chemotherapy. The mean age of patients was 47 (SD 22). 22 antineoplastic agents were found to have a strong association (reported odds ratio [ROR] > 100) with the occurrence of CANE; 9 had ROR < 2. Conclusion Drug databases have several limitations in providing updated information about newly approved pharmaceutical adverse events. Signal detection is a diagnostic method recognized as practical in pharmacovigilance. It may be utilized in the FDA's adverse event reporting database and has demonstrated a reasonable predictive performance in signaling adverse events. Our study emphasized the substantial knowledge gap between what we know about the potential risk of CANE caused by antineoplastic agents and the reports of the FDA on their new approved products.
Beyond Trolleyology: The CNI Model of Moral-Dilemma Responses
Authors: Gawronski Bertram , Ng Nyx L. 
Published: March 2024

A large body of research has investigated responses to artificial scenarios (e.g., trolley problem) where maximizing beneficial outcomes for the greater good (utilitarianism) conflicts with adherence to moral norms (deontology). The CNI model is a computational model that quantifies sensitivity to consequences for the greater good ( C), sensitivity to moral norms ( N), and general preference for inaction versus action ( I) in responses to plausible moral dilemmas based on real-world events. Expanding on a description of the CNI model, the current article provides (a) a comprehensive review of empirical findings obtained with the CNI model, (b) an analysis of their theoretical implications, (c) a discussion of criticisms of the CNI model, and (d) an overview of alternative approaches to disentangle multiple factors underlying moral-dilemma responses and the relation of these approaches to the CNI model. The article concludes with a discussion of open questions and new directions for future research. Public Abstract How do people make judgments about actions that violate moral norms yet maximize the greater good (e.g., sacrificing the well-being of a small number of people for the well-being of a larger number of people)? Research on this question has been criticized for relying on highly artificial scenarios and for conflating multiple distinct factors underlying responses in moral dilemmas. The current article reviews research that used a computational modeling approach to disentangle the roles of multiple distinct factors in responses to plausible moral dilemmas based on real-world events. By disentangling sensitivity to consequences, sensitivity to moral norms, and general preference for inaction versus action in responses to realistic dilemmas, the reviewed work provides a more nuanced understanding of how people make judgments about the right course of action in moral dilemmas.
An Exploration of Low Back Beliefs of Male Pre-Professional and Professional Dancers
Authors: Campbell Isaac , Fary Robyn , Hopper Luke , Hendry Danica 
Published: March 2024

Background: Globally, male dancers are affected by low back pain (LBP) up to 2.5 times more than female dancers. While female dancers’ beliefs around LBP and dance-specific low back movements exist, no research has explored male dancers’ beliefs. This study aimed to (1) examine the low back beliefs of Australian male professional and pre-professional dancers, and (2) determine if beliefs toward common low back movements and lifting differed when current LBP or history of disabling LBP (DLBP) were considered. Methods: 40 male dancers (mean age [SD] 26.9 years [7.9]) from a range of dance backgrounds (all participating in ballet) were recruited to complete a cross-sectional survey comprising a beliefs questionnaire considering dance-specific movement and lifting tasks, the Back Pain Attitudes Questionnaire (Back-PAQ) and the Athletic Fear Avoidance Questionnaire (AFAQ). Primary analysis included initial descriptives, a repeated measures ANOVA for movement-specific beliefs and visual thematic analysis for written responses within the belief’s questionnaire. Secondary subgroup analysis included independent T-tests for those with/without current LBP and those with/without a history of DLBP. Results: Fourteen dancers reported current LBP and 30 reported a history of DLBP. Dancers held generally negative beliefs toward the low back (Back-PAQ mean 123.1 ± 9.7) with neither subgroup demonstrating significant between-group difference ( P < .05). Dance-specific flexion movements were seen as safer than extension movements ( P < .05), and more extended-spine lifting was seen as safer than more flexed-spine lifting ( P < .05). Dancers experiencing current LBP held less positive beliefs surrounding some dance-specific movements. Conclusions: Dancers hold negative general beliefs toward the low back irrespective of current or historical DLBP, however their beliefs surrounding dance-specific movements were relatively positive. Dancers’ beliefs surrounding some movements were affected by the presence of current LBP, in particular an arabesque and a fish dive.
ACL Injury Prevention Education Improves Implementation of Neuromuscular Training Among High School Sports Coaches: A Cross-Sectional Survey Study
Authors: Janosky Joseph J. , Russomano James , Duscha Connor , Henderson Alexandra , Archer Alexandra , Kinderknecht James J. , Marx Robert G. 
Published: March 2024

Background: Neuromuscular training (NMT) programs delivered by trained personnel have demonstrated protective effects against anterior cruciate ligament (ACL) injury among high school sports participants, but few studies have investigated the impact of education on high school sports coaches’ knowledge and incorporation of NMT programs into daily practice sessions. Purpose: We sought to evaluate changes in knowledge and behavior among high school sports coaches who completed an NMT-based injury prevention training program. Methods: High school sports coaches were invited to complete a free online training course in incorporating NMT into daily practice sessions. Anonymized surveys were administered before and after education and at 3 months to evaluate knowledge level and program effectiveness. Results: Of the 13,640 coaches who enrolled in the training course in 2019, 1641 submitted pre- and post-education and 3-month follow-up surveys. Prior to training, 4.4% reported incorporating NMT into daily training sessions and the mean knowledge score was 1.89 ± 1.55. After training, 92.7% of participants reported that they intended to incorporate NMT into their daily training sessions and the mean knowledge score was 4.87 ± 1.11. At 3-month follow-up, 88.9% of participants reported incorporating NMT into daily training sessions. A chi-square test revealed a significant association between pre- and post-education incorporation of NMT into daily practice sessions, and a multiple regression analysis resulted in a significant model with intent to incorporate NMT into daily practice sessions identified as a significant behavior predictor. Conclusion: These survey results show that completion of a training course significantly improved ACL injury prevention knowledge among a cohort of high school sports coaches and likely contributed to the sustained incorporation of NMT into their daily practice sessions.
Explant of an infected, endo-trashed IVC filter in an immunosuppressed patient with chronically occluded iliocaval stents
Authors: Alexander Alice , Smith Andrew H , Krantz Matthew , Simon Robert , Caputo Francis J , Quatromoni Jon G 
Published: March 2024

Background In the absence of a contiguous bowel perforation or intraabdominal source, infection of a retained vena cava filter in an occluded IVC has never been described. Objective To describe a case of an infected IVC filter in a chronically occluded iliocaval segment. Methods Here we present a case of an immunosuppressed 35-year-old female with chronically occluded iliocaval stents and an extensive staphylococcus hominis infection of a previously endo-trashed Bard Eclipse® filter. Particular attention is paid to supportive imaging in establishing the diagnosis and technical aspects of successful device explant and retroperitoneal debridement. Results At 6 months postoperatively, the patient was doing well without evidence of recurrent infection. Her lower extremity edema was controlled with compression alone. Conclusions The main objective of this operation was source control with debridement of the infection and removal of the filter and as much of the iliac vein as safely possible. Superinfection of a previously placed iliocaval stents and inferior vena cava filter remains a concern in patients with retroperitoneal infection and chronic iliocaval occlusion. Operative explant and debridement can be safely performed in patients with favorable cardiopulmonary risk.
Hospital quality of life for children: development of a new measurement tool for hospitalised children
Authors: Demirbağ Selin , Ergin Dilek 
Published: March 2024

Background: Hospitalisation affects children’s quality of life (QoL) regardless of illness, treatment and care. Aims: The objective of this study was to create an instrument for evaluating QoL of hospitalised children aged 7 to 18 years. Methods: Initially, 46 items for the preliminary Hospital Quality of Life for Children Scale (HQL-children) were developed through a combination of literature reviews and individual interviews. The study was conducted with 230 participants from a general paediatric ward of a hospital. Exploratory and confirmatory factor analyses were conducted to examine the construct, convergent and discriminant validities of the measure. Criterion validity was assessed by confirming split-half reliability, whereas reliability was established using Cronbach’s alpha coefficient. Results: The HQL-child scale consists of 17 items and the total variance is 51.14%. The scale is categorised into five sub-dimensions: illness, fear, activity, hospital and perception. The scale demonstrated construct, convergent and divergent validity, discriminant and split-half reliability, with Cronbach’s alpha coefficient 0.75. Conclusions: The scale is a promising instrument to determine children’s perception by capturing their experiences on hospitalisation. Assessing the QoL in hospitalised children is crucial for enhancing patient satisfaction and facilitating the development of health policies based on patient self-reporting in Turkey.
Cross-cultural validation of the Portuguese version of the Dialysis Symptom Index for haemodialysis patients
Authors: Barros João Pedro , Fonseca João Almeida , Pinto Rui , Pratas Jorge , Correia Ricardo João Cruz 
Published: March 2024

Background: Patients with end-stage renal disease (ESRD) undergoing haemodialysis (HD) are associated with low quality of life (QoL) and high disease-related symptoms. The patient self-report instruments can assess the burden of physical and psychological symptoms. The Dialysis Symptom Index (DSI) is a specific instrument to evaluate the multidimensional reported symptoms by patients undergoing HD. Aims: To translate, validate and assess the psychometric properties of the Portuguese version of the DSI. Methods: A cross-cultural adaptation process from English to Portuguese and a validation study ( n = 156) were conducted. Reliability, validity and responsiveness were assessed. Results: The patients’ most reported symptoms were, nausea ( n = 86, 55%), muscle cramps ( n = 92, 59%), feeling tired or lack of energy ( n = 92, 59%), bone or joint pain ( n = 88, 56%) and trouble staying asleep ( n = 95, 60%). Cronbach’s alpha of the DSI was 0.87, and intraclass correlation coefficient was 0.868 (95%CI 0.836–0.896). The smallest detectable change was 28.32. Conclusion: The Portuguese DSI demonstrates excellent psychometric properties for assessing HD patients’ reported symptoms. It highlights symptom severity and impact, providing valuable insights for healthcare practitioners. Nurses can use the DSI to tailor interventions and enhance patient-centred care.
Validity and reliability of the Turkish version of the Difficult Intravenous Access Scale for adult patients
Authors: Taşkın Oğuzhan , Günay İsmailoğlu Elif 
Published: March 2024

Background: Difficult intravenous access is a condition that decreases the first-attempt success rate of intravenous catheterisation. It is important to evaluate patients with difficult vascular access using a standardised scale. This study was carried out to establish the Turkish validity and reliability of the ‘Adult Difficult Intravenous Access Scale’. Methods: The methodological descriptive study was carried out in the Adult Emergency Department. The research sample consisted of 100 patients over 18 years of age, who were conscious, whose condition was not critical or who did not require resuscitation. ‘Case Report Form’ and ‘Adult Difficult Intravenous Access Scale’ were used. Results: The mean age of the patients was 57.54 ± 19.44 years, and 55% ( n = 55) were female and 77% ( n = 77) had a chronic disease. The factor loads of the scale items are between 0.366 and 0.852. The Cronbach’s alpha coefficient was found to be 0.708. Conclusions: The Turkish version of the scale is a valid and reliable scale for determining the risk of difficult intravenous access. The practical use of this scale by healthcare professionals will enable earlier diagnosis of patients with difficult vascular access.
Quest for Equitable Education in Phases: Insights From an NGO in China
Authors: Pan (潘江雪) Shirley , Wang (王博) Bo 
Published: March 2024

Highlights Among the East Asian nations, a recurring predicament faced by educational institutions is that of providing inclusive but high-quality education. Active involvement of non-governmental organizations (NGOs) in education is valuable in China. Adream was such an NGO on education in China, established in 2008 with a singular and noble objective: promotion of equitable access to quality education within the disadvantaged regions of China. The trajectory of Adream's endeavor to secure equitable access to quality education in rural China stands as a compelling exemplar of the transformative potential that NGOs wield within the realm of education.
In Vivo 3-Dimensional Dynamic Evaluation of Shoulder Kinematics After the Latarjet Procedure: Comparison With the Contralateral Healthy Shoulder
Authors: Park Jisu , Kim Doo Sup , Huh Hyungkyu , Cho Won Gil , Kim HyunWoo , Lee Dong-Woo 
Published: March 2024

Background: Researchers have attempted to understand the underlying mechanism of the Latarjet procedure; however, its effects on shoulder kinematics have not been well studied. Purpose/Hypothesis: The purpose was to analyze shoulder kinematics after the Latarjet procedure. It was hypothesized that the nonanatomic transfer of the coracoid process during the procedure would affect normal shoulder kinematics. Study Design: Controlled laboratory study. Methods: The study included 10 patients (age range, 20-52 years) who underwent the modified Latarjet procedure between June 2016 and November 2021. Computed tomography and fluoroscopy were conducted on both shoulder joints of all patients, and 3-dimensional models were reconstructed. The 3-dimensional coordinates were encoded on the reconstructed models, and shoulder kinematics were analyzed through a 3-dimensional–2-dimensional model-image registration technique. Scapular rotation parameters (scapular upward rotation, posterior tilt, external rotation, and scapulohumeral rhythm) were compared between the Latarjet and the nonsurgical contralateral sides during humeral abduction, as was anteroposterior (AP) translation relative to the glenoid center during active humeral external rotation. Results: The Latarjet side displayed significantly higher values of scapular upward rotation at higher degrees of humeral elevation (130°, 140°, and 150°) compared with the nonsurgical side ( P = .027). Posterior tilt, external rotation, and scapulohumeral rhythm were not significantly different between sides. AP translation at maximal humeral rotation was not significantly different between sides (Latarjet, −0.06 ± 5.73 mm vs nonsurgical, 5.33 ± 1.60 mm; P = .28). Interestingly, on the Latarjet side, AP translation increased until 40° of humeral rotation (4.27 ± 4.64 mm) but began to decrease from 50° of humeral rotation. Conclusion: The Latarjet side demonstrated significant changes in scapular upward rotation during higher degrees of humeral elevation compared with the contralateral shoulder. Posterior movement of the humeral head at >50° of humeral rotation could be the desired effect of anterior stabilization; however, researchers should evaluate long-term complications such as osteoarthritis. Clinical Relevance: Analysis of shoulder kinematics after the Latarjet procedure could provide information regarding long-term outcomes and whether the procedure would affect the daily activities of patients.
Can ChatGPT-3.5 Pass a Medical Exam? A Systematic Review of ChatGPT's Performance in Academic Testing
Authors: Sumbal Anusha , Sumbal Ramish , Amir Alina 
Published: March 2024

OBJECTIVE We, therefore, aim to conduct a systematic review to assess the academic potential of ChatGPT-3.5, along with its strengths and limitations when giving medical exams. METHOD Following PRISMA guidelines, a systemic search of the literature was performed using electronic databases PUBMED/MEDLINE, Google Scholar, and Cochrane. Articles from their inception till April 4, 2023, were queried. A formal narrative analysis was conducted by systematically arranging similarities and differences between individual findings together. RESULTS After rigorous screening, 12 articles underwent this review. All the selected papers assessed the academic performance of ChatGPT-3.5. One study compared the performance of ChatGPT-3.5 with the performance of ChatGPT-4 when giving a medical exam. Overall, ChatGPT performed well in 4 tests, averaged in 4 tests, and performed badly in 4 tests. ChatGPT's performance was directly proportional to the level of the questions’ difficulty but was unremarkable on whether the questions were binary, descriptive, or MCQ-based. ChatGPT's explanation, reasoning, memory, and accuracy were remarkably good, whereas it failed to understand image-based questions, and lacked insight and critical thinking. CONCLUSION ChatGPT-3.5 performed satisfactorily in the exams it took as an examinee. However, there is a need for future related studies to fully explore the potential of ChatGPT in medical education.