bluuebunny/crossref_metadata_2025_split huggingface dataset:
Design and assessment of a musculoskeletal injury prevention programme for wind players
Authors: Rodríguez-Gude Clara , Taboada-Iglesias Yaiza , Pino-Juste Margarita 
Published: January 2025

Background The cervical and mandibular regions are main areas of occurrence of pain in wind players. Objective The aim of this study was to describe the design and to find out the level of satisfaction of a specific exercise programme for cervical and mandibular musculature and mobility in wind players. Methods The programme was divided into two phases: the first one of education and the second one of implementation. The exercises included were divided into warm-up exercises (including cervical and jaw muscle mobility and activation, as well as postural awareness) and cool-down exercises (stretching and relaxing the main muscles in these areas). The programme was 12 weeks long. Participants were wind musician students. Results Twenty-seven students completed the pre- and post-intervention assessment, of which 13 completed the exercises. Considering the total sample, the described difficulty was low and satisfaction was high. The musicians who performed the programme indicated a high importance in instrumental practice and injury prevention, as well as ease of implementation. Conclusions Satisfaction with the exercise programme has been high. The fact that it is short, easy to perform and can be done by everyone makes it a quick and simple programme for everyone to do.
Exploring the professional wellbeing of Grade 2 occupational therapists employed in public health inpatient settings in Victoria, Australia: A mixed-methods study
Authors: Rayner Emily , Brown Ted , Hewitt Alana , Lunt Alison , McKeever Janice , Thorpe Matthew , Leong Annette , Douglas Fiona 
Published: January 2025

Background Patient outcomes and the organisational success of healthcare institutions are largely influenced by the wellbeing of its staff. Occupational therapy is the fastest growing allied health profession in Australia. Current empirical literature, however, has not investigated the professional wellbeing amongst this group. Objective This study explored the professional wellbeing of Victorian bed-based, Grade 2 occupational therapists regarding their professional identity, job satisfaction, turnover intention, work engagement and experiences of work-related burnout. Method Thirty-two Grade 2 occupational therapists completed an online survey involving demographics and measures of burnout, job satisfaction, professional identity, turnover intention, and job demands and resources. Eight participants were interviewed to further explore these concepts. Quantitative data were analyzed using Spearman's correlations and linear regression modelling. Qualitative data were analyzed thematically. Results A significant positive correlation was found between professional identity and job satisfaction (ρ = .516, p = .002), and a significant negative correlation was observed between professional identity and two burnout subscales: disengagement (ρ = −.533, p = .001) and exhaustion (ρ = −.507, p = .002). A regression model accounted for 39.2% of the variance of participants’ professional identity ( p = .002). Notable qualitative findings included the contributors to and preventers of staff turnover, implications of working in a discharge-driven environment, and importance of various coping strategies to mitigate the pressures of competing job demands. Conclusion This research contributes to the growing understanding of professional wellbeing amongst Grade 2 occupational therapists working in hospital environments, and the factors that contribute to and hinder their wellbeing.
Analysis of factors impacting inter-body fusion cage subsidence following an oblique lateral interbody fusion (OLIF) stand-alone procedure
Authors: Chang Sheng , Xiang Hong-Fei , Wei Jia-Hao , Liu Yong 
Published: January 2025

Background Lumbar oblique lateral interbody fusion (OLIF stand-alone) procedures have become a common treatment for various spinal conditions, including spinal stenosis and spondylolisthesis. However, cage subsidence following OLIF stand-alone procedures is a significant concern that can compromise the surgical outcomes. Objective To investigate the occurrence of cage subsidence following OLIF procedures and identify the relevant factors influencing cage subsidence. Method A retrospective analysis was conducted on 86 patients who underwent elective OLIF stand-alone procedures at the Affiliated People's Hospital of Qingdao University between 2019 and 2023. Patients were categorized into two groups based on disc height (DH) subsidence: cage non-subsidence group (< 2 mm) and cage subsidence group (> 2 mm). General and imaging data were collected pre-surgery, post-surgery, and at six months follow-up. Single-factor analysis identified factors influencing cage subsidence, followed by multi-factor regression analysis on these variables to determine their impact. Results When the degree of DH subsidence in the last follow-up (M6) was evaluated, among the 86 patients (102 segments), 26 patients (25.49%) fulfilled the criteria for cage subsidence. Factors with clinical and statistical significance in the single-factor analysis were incorporated into the multi-factor analysis, and it was found that the mean CT value of the concerned segment, multifidus area, and severe multifidus atrophy were relevant risk factors for cage subsidence; the protective factors for cage subsidence were degree III zygapophyseal joint degeneration, posterior cage position, and end-plate inflammation sclerosis (P < 0.05). Conclusion Surgeons should be cautious in preoperatively identifying patients at risk of cage subsidence, particularly those with a low mean CT value of the concerned segment or severe multifidus atrophy. During surgery, selecting a cage of adequate length to span the epiphyseal ring and align with the original DH can help protect paravertebral muscles from iatrogenic injury and reduce the risk of cage subsidence.
Gait analysis in patients with cerebral infarction and intracerebral hemorrhage walking with a body weight-supported walker
Authors: Koshisaki Hiroo , Tanabe Shigeo , Nagai Shota , Kawakami Kenji , Sakurai Hiroaki 
Published: January 2025

Background There is increasing recognition of the effectiveness of body weight-supported (BWS) walkers for stroke patients with hemiplegia. However, it is unclear whether the effectiveness of BWS walkers is because of the walker alone or the combined effect of the walker and body weight support. Objective We aimed to determine whether there are differences between normal, walker, and BWS walker gaits in patients after cerebral infarction (CI) and intracerebral hemorrhage (ICH). Methods Twenty-one stroke patients with hemiplegia underwent trials under three gait conditions: normal, walker, and BWS walker gait. Spatiotemporal parameters and joint kinematics during walking were calculated using a three-dimensional motion analyzer. We further examined differences in effects depending on CI and ICH. Results Speed and cadence improved in the walker gait and BWS gait groups compared with the normal gait group. In addition, the percentage of the stance and swing phases was improved in BWS walker gait compared to normal gait. Both patients with CI and those with ICH showed similar trends in gait parameters by BWS Walker. Conclusions These results suggest that using a BWS walker improves walking in stroke patients with hemiplegia in terms of gait parameter, and is a useful tool for gait training.
An Exploratory Analysis of Early Care Differences and Risk of Post-Maxillary Advancement VPI in Individuals With Cleft Palate
Authors: Kinter Sara , Kapadia Hitesh , Susarla Srinivas 
Published: January 2025

Objective To investigate whether differences in early cleft care increase risk of velopharyngeal insufficiency (VPI) after maxillary advancement. Design Retrospective cohort study. Setting Large pediatric tertiary care hospital. Patients/Participants Adolescents and young adults (AYAs) with cleft palate (∓cleft lip) who underwent maxillary advancement between 2008 and 2019. Interventions/Comparisons Initial palate repair at a different institution (early care elsewhere, ECE) versus care at a single institution (consistent care, CC). Main Outcome Measures Post-maxillary advancement VPI. Results One-hundred seventy-eight AYAs underwent maxillary advancement, 74 in the ECE group and 104 in the CC group. The ECE group was more likely to be internationally adopted (34% versus 4%), to have a history of VPI surgery (54% versus 32%) and to be older at time of palate repair (mean 25 versus 16 months). Of anatomical measures, only velar length differed, with the ECE group tending to have a shorter velum (mean 26 mm versus 28 mm). Proportional odds regression revealed increased odds of post-operative VPI in the ECE group (OR 1.46, 95% CI 0.75-2.85) relative to the CC group. This relationship was stronger among those with bilateral cleft lip and palate (OR 3.29, 95% CI 0.86-13.52). For patients with history of prior VPI surgery, the odds of post-operative VPI in the ECE group was more than 3 times that in the CC group (OR 3.06, 95% CI 1.08-9.16). Conclusions VPI after maxillary advancement is more likely among individuals who received early cleft care elsewhere compared to those who underwent all cleft operations at a single center.
Perioperative Outcomes of Spring-Assisted Cranioplasty, Distraction Osteogenesis Versus Conventional Expansion in Craniosynostosis: A Systematic Review and Meta-Analysis
Authors: Putri Indri Lakhsmi , Hasanah Rizka Uswatun , Aisyah Imaniar Fitri , Pramanasari Rachmaniar , Dyah Kencono Wungu Citrawati 
Published: January 2025

Objectives This study compares perioperative outcomes between spring-assisted cranioplasty (SAC), distraction osteogenesis (DO) and conventional expansion in craniosynostosis surgery. Design Systematic review and meta-analysis. Setting Retrospective and prospective cohort. Patients and Participants A comprehensive electronic search was conducted using PubMed/Medline, Scopus, Science Direct, EBSCO, Web of Science, and Cochrane Library, alongside Gray literature sources (SSRN, Scopus preprint, and MedRxiv). Publication bias was assessed and study quality was evaluated using the Newcastle Ottawa Scales (NOS). Interventions SAC or DO. Main Outcome Measures Blood loss and blood transfusion. Results Thirteen studies were included, with 7 studies comparing DO versus conventional and 6 comparing SAC vs conventional. All studies met eligibility criteria for meta-analysis, with study quality ranged from good to very good. Compared to conventional, the SAC or DO significantly reduced blood loss (MD = −190.42 mL), and blood transfusion (MD = −227.22). Additionally, SAC and DO shorten operative time (MD = −94.38 min), anesthesia duration (MD = −114.81 min), hospital stay (MD = −0.68 days), and ICU stay (MD = −1.00 days). Long-term follow-up showed a lower reoperation rate (OR = 0.20), but no significant change in cranial index at 10 years (MD = 0.06, P = .74). Conclusions SAC or DO result in lower perioperative complications, overall shorter durations, and reduced reoperation rates compared to conventional expansion. Standardized postoperative outcome reports are useful to classify the severity of complications and guide the future long-term treatment strategies for craniosynostosis surgery.
Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic Study
Authors: Ilboudo Michel , Woromogo Sylvain Honoré , Kaboré Dagnagnéwendé Dieudonné , Zerbo Nina Assanatou Jumelle , Nkoua Mbon Jean Bernard 
Published: January 2025

Objectives Breast cancer is leading the cancer incidence and mortality ranks worldwide. Currently, breast cancer represents 30.1% of all cancers occurring in women in Congo. In sub-Saharan Africa, breast cancer is diagnosed delayed in 70% of cases. The purpose of this work is to study the epidemiological aspects of patients with late diagnosis of breast cancer at the Brazzaville University Hospital, Congo. Methods We carried out a cross-sectional analytic study in the medical oncology service of the University Hospital of Brazzaville. We used systematic, exhaustive sampling. Logistic regression was used for data analysis, and P values ≤5% were considered significant. Results Data for 182 patients were collected. Delay in diagnosis represented 91.21% of cases. Delay in diagnosis was significantly associated with lack of finance ( P = 0.011) and with breast cancer stages greater than 2 ( P < 0.001), but the proximity to the center was suggestive. Multivariate analysis revealed an association between diagnostic delay and proximity to the center ( P = 0.025) as well as with breast cancer stages greater than 2 ( P < 0.001). Conclusion The delay in breast cancer diagnosis widely discussed in the literature remains relevant in Congo. Routine screening, the construction of a cancer center and its optimal equipment, and the subsidy of care are all critical factors for battling delayed breast cancer diagnosis in Congo.
Telomere Length and Symptoms of Attention Deficit and Hyperactivity Disorder in Children at 6–12 Years
Authors: Campos-Sánchez Irene , Navarrete-Muñoz Eva María , Martens Dries S. , Riaño-Galán Isolina , Lertxundi Aitana , Llop Sabrina , Guxens Mónica , Rodríguez-Dehli Cristina , Lertxundi Nerea , Soler-Blasco Raquel , Vrijheid Martine , Nawrot Tim S. , Wright John , Yang Tiffany C. , McEachan Rosie , Gützkow Kristine Bjerve , Chatzi Vaia Lida , Vafeiadi Marina , Kampouri Mariza , Grazuleviciene Regina , Andrusaityte Sandra , Lepeule Johanna , Valera-Gran Desirée 
Published: January 2025

Objective: To explore the association between telomere length (TL) and attention deficit hyperactivity disorder (ADHD) symptoms in children at 6–12 years. Method: Data from 1,759 children belonging to the HELIX project cohorts and the Asturias, Gipuzkoa and Valencia cohorts of INMA project were included. TL was determined by blood sample using a PCR protocol. ADHD symptoms were described by parents using the Conners’ Parent Rating Scale-Revised: Short Form. Multiple negative binomial regression models adjusted for potential confounders were used to estimate associations. Results: Overall estimates showed no associations between TL and ADHD symptoms. However, we observed that a longer TL was significantly associated with a lower risk of presenting hyperactivity symptoms in children belonging to the HELIX project (IRR = 0.93, 95% CI [0.87, 0.99]; p = .022). Conclusion: While our study did not find a consistent association between TL and ADHD symptoms across all cohorts, the significant association found within the HELIX cohort suggests that longer TL may be linked to a lower risk of hyperactivity symptoms. Further research is needed to explore this association in more detail.
CT Texture Analysis in Breast Cancer Patients Undergoing CT-Guided Bone Biopsy: Correlations With Histopathology
Authors: Wermelskirchen Silvio , Leonhardi Jakob , Höhn Anne-Kathrin , Osterhoff Georg , Schopow Nikolas , Briest Susanne , Denecke Timm , Meyer Hans-Jonas 
Published: January 2025

Background: Texture analysis has the potential to deliver quantitative imaging markers. Patients receiving computed tomography (CT)-guided percutaneous bone biopsies could be characterized using texture analysis derived from CT. Especially for breast cancer (BC) patients, it could be crucial to better predict the outcome of the biopsy to better reflect the immunohistochemistry status of the tumor. Objectives: The present study examined the relationship between texture features and outcomes in patients with BC receiving CT-guided bone biopsies. Design: This study is based on a retrospective analysis. Methods: The present study included a total of 66 patients. All patients proceeded to undergo a CT-guided percutaneous bone biopsy, using an 11-gauge coaxial needle. Clinical and imaging characteristics as well as CT texture analysis were included in the analysis. Logistic regression analysis was performed to predict negative biopsy results. Results: Overall, 33 patients had osteolytic metastases (50%) and 33 had osteoblastic metastases (50%). The overall positivity rate for the biopsy was 75%. The clinical model exhibited a predictive accuracy for a positive biopsy result, as indicated by an area under the curve (AUC) of 0.73 [95% confidence interval (CI) = 0.63-0.83]. Several CT texture features were different between Luminal A and Luminal B cancers; the best discrimination was reached for “WavEnHH_s-3” with a P-value of .002. When comparing triple-negative to non–triple-negative cancers, several CT texture features were different, the best discrimination achieved “S(5,5)SumVarnc” with a P-value of .01. For the Her 2 discrimination, only 3 parameters reached statistical significance, “S(4,-4)SumOfSqs” with a P-value of .01. Conclusions: The utilization of CT texture features may facilitate a more accurate characterization of bone metastases in patients with BC. There is the potential to predict the immunohistochemical subtype with a high degree of accuracy. The identified parameters may prove useful in clinical decision-making and could help to identify patients at risk of a negative biopsy result.
The use of outpatient support services: Differences between people with mild cognitive impairment and people with mild to moderate dementia
Authors: Keefer Anne , Dietzel Nikolas , Kolominsky-Rabas Peter L , Graessel Elmar 
Published: January 2025

Background Little is known about the utilization of outpatient support services by people with mild cognitive impairment (MCI). Objective This study aimed to analyze the use of support services by people with MCI compared to people with mild to moderate dementia. Methods The data basis is the multicenter, prospective register study ‘Digital Dementia Register Bavaria – digiDEM Bayern’. The sample consists of 913 people with cognitive impairment, including 389 with MCI and 524 with mild to moderate dementia. Classification into ‘MCI’ and ‘mild to moderate dementia’ is based on the Mini-Mental State Examination and Montreal Cognitive Assessment. The use of support services was surveyed using the Dementia Assessment of Service Needs. Fisher’s exact test and multiple linear regression were conducted to analyze for group differences. Results Four out of thirteen support services are used less frequently by people with MCI than by people with mild to moderate dementia: ‘Outpatient care’ ( p < 0.001, φ = −0.199), ‘Acquisition of aids’ ( p = 0.004, φ = −0.096), ‘Adult daycare’ ( p < 0.001, φ = −0.290), and ‘Respite care’ ( p = 0.029, φ = −0.095). Even the overall utilization rate is lower for people with MCI (b = −0.18, p = 0.027), although other factors such as a care level (b = 1.01, p < 0.001) are more strongly related. Conclusions There are differences in utilization between people with MCI and people with mild to moderate dementia, but these are small. Therefore, access to support services should be provided at the first signs of cognitive impairment.
Reporting client-initiated threats and violence in home care services
Authors: Shanks Emelie 
Published: January 2025

Summary Home care workers often work alone and are geographically distant from colleagues, managers, and security services, placing them at a high risk for client-initiated violence. Studies have shown that home care workers are subjected to significant degrees of such violence, yet there is an indication of underreporting. Based on 25 individual and group interviews with 79 staff from various types of home care services in Sweden this study aims to enhance our understanding of why home care workers choose to report or not report violence. Findings Using a theoretical lens of emotional labor, the findings reveal that, in the face of violence, workers manage their emotions in accordance with organizational and professional norms. This contributes to and perpetuates a view of client-initiated violence as something that workers should endure, manage, and prevent, rather than acknowledge and report. In the long run, this idea shifts the focus away from the organization and its responsibilities, redirecting it toward the individual worker. Applications As the findings suggest that violence is often minimized and normalized, finding a common definition of client-initiated violence in the organization could relieve workers from having to define and, at worst, reinterpret violent incidents. Furthermore, norms contributing to an understanding of violence as a professional failure should be addressed. Organizations and cultures that facilitate swift reporting, provide organizational support and work against the stigmatization of those who report are likely to create safer and better work situations for their home care workers.
Provider Lifestyle Counseling Among Adults With Cardiometabolic Disease Diagnosis Differs by Sociodemographic Characteristics and Lifestyle Modification: NHANES 2017-2020
Authors: Agbonlahor Osayande , Gamble Abigail , Compretta Caroline , Mann Joshua R. , Bidwell Josie , Williams Brian D. 
Published: January 2025

Background Provider lifestyle counseling is important for improving lifestyles and cardiometabolic disease (CMD) prognosis. However, an examination of the relationship between sociodemographic characteristics, lifestyle modification and provider lifestyle counseling receipt among adults with CMD is scarce. The study examined the prevalence and associations of lifestyle modification and sociodemographic characteristics with provider lifestyle counseling among adults with CMD diagnosis. Methods We used cross-sectional data from 2017-2020 National Health and Nutrition Examination Survey (N = 4847). Provider lifestyle counseling (i.e., advice to control/lose weight, exercise, reduce salt, and reduce fat/calories), and lifestyle modification (yes or no) were assessed. Adjusted odds ratios were evaluated using logistic regression models. Results Among the sample of adults with CMD, 44.6% received advice to lose weight, 56.1% to exercise, 36.1% to reduce salt, and 43.9% to reduce fat/calories. Adults who made lifestyle modifications had higher odds of receiving advice to lose weight (OR: 1.81), exercise (OR: 1.95), reduce salt (OR: 2.23) and reduce calories (OR: 2.66). Age, sex, race/ethnicity, educational attainment, and insurance were associated with provider lifestyle counseling. Conclusion Provider lifestyle counseling is generally suboptimal among U.S. adults with lifetime diagnosis of CMD, and the odds of counseling receipt differ by sociodemographic characteristics and lifestyle modification. CMD control should involve training providers to increase lifestyle counseling.