bluuebunny/crossref_metadata_2025_split huggingface dataset:
Early Implementation of Robotic Training in Surgical and Surgical Subspecialty Residency
Authors: Newland John J. , Sundel Margaret H. , Blackburn Kyle W. , Cairns Cassandra A. , Cooper Laura E. , Stewart Shelby J. , Roque Dana M. , Siddiqui Mohummad Minhaj , Brown Rebecca F. 
Published: January 2024

Background Robotic surgery has emerged as an operative tool for many elective and urgent surgical procedures. The purpose of this study was to evaluate early surgical trainees’ experiences and opinions of robotic surgery. Methods An introductory robotic training course consisting of online da Vinci Xi/X training and in-person, hands on training was implemented for residents and medical students across surgical subspecialties at a single institution. A voluntary survey evaluating perceptions of and interest in robotic surgery and prior robotic surgery experience, as well as a basics of robotics quiz, was distributed to participants prior to the start of the in-person session. Descriptive statistics were used to evaluate the cohort. Results 85 trainees participated in the course between 2020 and 2023, including 58 first- and second-year surgical residents (general surgery, urology, OB/GYN, and thoracic surgery) and 27 fourth-year medical students. 9.4% of participants reported any formal robotic surgery training prior to the session, with only 19% of participants reporting robotic operative experience. 52% of the participants knew of and/or had completed the da Vinci online course modules prior to the scheduled training session. Participants unanimously (100%) agreed that robotic surgery should be implemented into surgical training. Conclusions There is rising enthusiasm for robotic surgery, yet early exposure and training remain infrequent and inconsistent amongst medical students and new surgical residents. A standardized introduction of multi-disciplinary robotic surgery training should be incorporated into medical school and/or early residency education to ensure surgical residents receive appropriate exposure and training to achieve competency.
Perceived barriers and facilitators of childcare providers’ physical activity: A mixed-methods study
Authors: Chaudhary Priyanka , Rech John P , Kumar Gaurav , Dinkel Danae 
Published: January 2024

Background: Childcare providers’ work demands have been associated with high rates of stress and health conditions. Physical activity (PA) may help to alleviate some of these issues, yet few studies have explored this topic. The purpose of the study was to assess childcare providers’ PA levels and to explore their perceived barriers and facilitators to PA. Methods: This was a mixed-methods concurrent triangulation study with childcare providers ( n = 27) from both family childcare homes and childcare centres from urban ( n = 14) and rural ( n = 13) areas. Accelerometers and the Global Physical Activity Questionnaire (GPAQ) measured the amount of PA (leisure, transport-related, occupational), and a semi-structured interview explored barriers and facilitators to PA. Descriptive statistics were calculated for PA data. Qualitative data were analysed using thematic content analysis. Results: For accelerometer data, on average per day, childcare providers accumulated 199.5 ± 62.5 minutes of light activity, 125.9 ± 68.1 minutes of moderate to vigorous PA (MVPA) and 666.3 ± 23.7 minutes of sedentary time. For GPAQ data, childcare providers reported 114.5 ± 48.4 minutes/day of MVPA and 295.6 ± 141.4 minutes/day of sedentary time. Common barriers included time constraints and health issues, while common facilitators included knowledge of PA health benefits and family/peer support. Conclusion: The study suggests an estimated 92% of childcare providers met the US national PA guidelines of 150 minutes of MVPA per week. However, they exhibited prolonged periods of sedentary behaviour (~11 hours). Programmes and interventions could address barriers to PA such as providing short movement breaks to decrease sedentary time and improve childcare providers’ health.
Fabrication and evaluation of silver modified micro/nano structured titanium implant
Authors: Huang Chengyi , Wang Haiyan , Yao Lili , Li Li , Lou Weiwei , Yao Litao , Shi Yitian , Li Renren 
Published: January 2024

In order to enhance the antibacterial property of titanium implant without inducing obvious cytotoxicity, the combination of Ag nanolayer and micro/nano surface structure was conducted by magnetron sputtering and hot-alkali treatment in this study. A series of specimens (AH-Ti, AH-Ti/Ag0.25, AH-Ti/Ag1, AH-Ti/Ag2, and AH-Ti/Ag5) were prepared with different sputtering durations (0 min, 0.25 min, 1 min, 2 min, 5 min), respectively, all realizing long-term release of Ag+. In vitro experiments indicated that AH-Ti/Ag1 group possessed good cytocompatibility, nice osteogenic ability, and excellent antibacterial efficiency as well. In addition, AH-Ti/Ag0.25 showed good biocompatibility, while the reduction of S.aureus (78.5%) was not enough compared with AH-Ti/Ag1. Although the AH-Ti/Ag2 and AH-Ti/Ag5 group showed superior antibacterial activity, their obvious cytotoxicity caused low ALP and mineralization level. Therefore, the design of suitable Ag nanolayer coating combined with micro/nano surface structure (AH-Ti/Ag1) might be a promising strategy to enhance osteogenic property and maintain excellent antibacterial ability at the same time.
The role of peritoneal dialysis in the treatment of acute kidney injury in neurocritical patients: a retrospective Brazilian study
Authors: Ponce Daniela , Ramírez-Guerrero Gonzalo , Balbi André Luis 
Published: January 2024

Background: Acute kidney injury (AKI) occurs frequently in the neurocritical intensive care unit and is associated with greater morbidity and mortality. AKI and its treatment, including acute kidney replacement therapy, can expose patients to a secondary greater brain injury. This study aimed to explore the role of peritoneal dialysis (PD) in neurocritical AKI patients in relation to metabolic and fluid control, complications related to PD and outcome. Methods: Neurocritical AKI patients were treated by PD (prescribed Kt/V = 0.40/session) using a flexible catheter and a cycler and lactate as a buffer. Results: A total of 58 patients were included. The mean age was 61.8 ± 13.2 years, 65.5% were in the intensive care unit, 68.5% needed intravenous inotropic agents, 72.4% were on mechanical ventilation, APACHE II was 16 ± 6.67 and the main neurological diagnoses were stroke (25.9%) and intracerebral haemorrhage (31%). Ischaemic acute tubular necrosis (iATN) was the most common cause of AKI (51.7%), followed by nephrotoxic ATN AKI (25.8%). The main dialysis indications were uraemia and hypervolemia. Blood urea and creatinine levels stabilised after four sessions at around 48 ± 11 mg/dL and 2.9 ± 0.4 mg/dL, respectively. Negative fluid balance and ultrafiltration increased progressively and stabilised around 2.1 ± 0.4 L /day. Weekly delivered Kt/V was 2.6 ± 0.31. The median number of high-volume PD sessions was 6 (4–10). Peritonitis and mechanical complications were not frequent (8.6% and 10.3%, respectively). Mortality rate was 58.6%. Logistic regression identified as factors associated with death in neurocritical AKI patients: age (odds ratio (OR) = 1.14, 95% confidence interval (CI) = 1.09–2.16, p = 0.001), nephrotoxic AKI (OR = 0.78, 95% CI = 0.69– 0.95, p = 0.03), mechanical ventilation (OR = 1.54, 95% CI = 1.17–2.46, p = 0.01), intracerebral haemorrhage as main neurological diagnoses (OR = 1.15, 95% CI = 1.09–2.11, p = 0.03) and negative fluid balance after two PD sessions (OR = 0.94, 95% CI = 0.74–0.97, p = 0.009). Conclusion: Our study suggests that careful prescription may contribute to providing adequate treatment for most neurocritical AKI patients without contraindications for PD use, allowing adequate metabolic and fluid control, with no increase in the number of infectious, mechanical and metabolic complications. Mechanical ventilation, positive fluid balance and intracerebral haemorrhage were factors associated with mortality, while patients with nephrotoxic AKI had lower odds of mortality compared to those with septic and ischaemic AKI. Further studies are needed to investigate better the role of PD in neurocritical patients with AKI.
Percutaneous endoscopic gastrostomy in children receiving peritoneal dialysis: A tertiary centre long-term experience and literature review
Authors: Fati Federica , Pulvirenti Rebecca , Longo Germana , Antoniello Luca Maria , Zambaiti Elisa , Gamba Piergiorgio 
Published: January 2024

Background: Children with severe chronic kidney disease receiving maintenance peritoneal dialysis (PD) are often malnourished and may require nutritional supplementation. Recent PD guidelines address laparoscopic and open surgical gastrostomy as safe approaches in children established on PD, while existing evidence on percutaneous endoscopic gastrostomy (PEG) is still lacking; as well as the role of perioperative antibiotic and antifungal prophylaxis. Hence, this study aimed to report our experience with PEG placement in patients on PD and compare it with the available literature. Methods: We retrospectively reviewed the medical records from patients on PD, who underwent PEG placement at a tertiary referral centre between 2000 and 2020. Data on perioperative management, complications and outcomes were retrieved. An extensive literature search was performed; studies describing PEG placement and perioperative prophylaxis in patients on PD were used as a comparison. Descriptive statistical analysis was conducted. Results: Seven patients (five males) were included. Perioperative antibiotic and antifungal prophylaxis were standard practice. At a median follow-up of 27 months (10–75), the peritonitis rate was 0.2 patient/years. No statistical significance was found between the peritonitis rate before and after PEG placement ( p = 0.2). Patients’ demographics and postoperative complications were comparable to the reported studies. Conclusions: Based on our experience, our technique of PEG insertion with antimicrobial prophylaxis is feasible and associated with an acceptable complication risk in patients on PD. Further multicentric studies about surgical technique in patients on PD will be necessary to verify the feasibility of PEG and standardise the perioperative protocol.
Examining the associations among knowledge, empowerment, and advocacy among parents of transition-aged youth with autism
Authors: Li Chak , Cheung W. Catherine , Burke Meghan M , Taylor Julie Lounds , DaWalt Leann S 
Published: January 2024

Parents of individuals with autism face many challenges in accessing appropriate services and supports for their offspring. Parents also play vital roles in advocating for their offspring’s rights and needs. Furthermore, despite advocacy programs becoming increasingly common, it remains unclear how to best foster advocacy among parents of individuals with autism. To this end, we examined the associations among knowledge, empowerment, and three types of advocacy activities (i.e. individual, peer, and systemic) among 185 parents of transition-aged youth with autism using structural equation modeling. Results show that empowerment has a greater impact on advocacy than knowledge. Significant direct and indirect effects of individual advocacy activities on peer advocacy activities, and peer advocacy activities on systemic advocacy activities were also confirmed. Implications for research and practice are discussed. Lay abstract Parents of individuals with autism face many challenges in finding appropriate services and support for their children, and they also play an important role in advocating for their children’s rights and needs. Despite the increasing availability of advocacy programs, it is still uncertain how to best encourage parents to advocate for their children. This study explored the connection between parents’ knowledge and sense of empowerment, and how these factors relate to three types of advocacy activities (i.e. individual, peer, and systemic). The findings reveal that feeling empowered has a greater impact on advocacy than simply having knowledge. In addition, the study found that individual advocacy correlates to more peer advocacy, which also correlates to more systemic advocacy. These results can help researchers and professionals to better develop programs to increase parent advocacy and, in turn, help improve the lives of individuals with autism.
In-situ measurements of temperature and strain fields of large-diameter concrete-filled steel tube columns and the refined finite element modeling
Authors: Liu Xiaofan , Wang Zhangxuan , Bai Bin , Wang Tao , Tong Teng , Li Xiaobo 
Published: January 2024

Concrete-filled steel tube (CFST) columns are prevalent in transmission towers and arch bridges due to their cost-effectiveness and superior mechanical performance. The growing megastructures lead to large-diameter CFST components, which are exposed to the risk of early-age thermal concrete cracking. In this study, temperature and strain fields of two 2.1 m-dia. CFST columns were monitored in-situ. Within 30 h, the peak temperature and tensile strain at the centroid reached 97.0°C and 400 με, respectively. Meanwhile, temperature fields of eight scaled CFST columns were also monitored and compared. In addition, ultrasonic pulse velocity test was performed to detect the early-age thermal cracking. To predict the temperature and strain evolutions accurately, a refined numerical model is proposed, considering coupled mechanical, hydration and thermal processes. It is revealed that the model could accurately predict the temperature and strain evolutions of CFST columns. Furthermore, experiments and numerical simulations illustrate that thermal cracking would likely be triggered in CFST components with diameter greater than 1.2 m.
A rare dissecting anterior inferior cerebellar artery aneurysm treated with flow diversion using a silk vista baby device
Authors: Kass-Hout Omar , Darkhabani Ziad , Becske Tibor 
Published: January 2024

Background Dissecting intracranial pseudoaneurysms represent a challenge for treatment both endovascularly and surgically. Methods We review the treatment course of a ruptured anterior inferior cerebellar artery (AICA) dissecting pseudoaneurysm in a 50-year-old patient and review the history of dissecting aneurysms and AICA aneurysms treatment. Results An aneurysm cure was achieved using flow diversion in the AICA. The recent introduction of flow diversion devices that can be deployed through 0.017” microcatheters represents a new avenue for treatment of aneurysms. Conclusion To the best of our knowledge this is the first published case of flow diversion in the(?) AICA to treat a dissecting aneurysm. The introduction of Silk Vista Baby and similar future devices is likely to widen the scope of aneurysm treatment utilizing flow diversion in distal distribution with small parent arteries.
Are We Speaking the Same Language? Terminology Consistency in EBD
Authors: Golgolnia Tahere , Kevdzija Maja , Marquardt Gesine 
Published: January 2024

Objective: The aim of this study is to analyze the consistency, variability, and potential standardization of terminology used to describe architectural variables (AVs) and health outcomes in evidence-based design (EBD) studies. Background: In EBD research, consistent terminology is crucial for studying the effects of AVs on health outcomes. However, there is a possibility that diverse terms have been used by researchers, which could lead to potential confusion and inconsistencies. Methods: Three recent large systematic reviews were used as a source of publications, and 105 were extracted. The analysis aimed to extract a list of the terms used to refer to the unique concepts of AVs and health outcomes, with a specific focus on people with dementia. Each term’s frequency was calculated, and statistical tests, including the χ2 and the post hoc test, were employed to compare their distributions. Results: The study identified representative terms for AVs and health outcomes, revealing the variability in terminology usage within EBD field for dementia-friendly design. The comparative analysis of the identified terms highlighted patterns of frequency and distribution, shedding light on potential areas for standardization. Conclusions: The findings emphasize the need for standardized terminologies in EBD to improve communication, collaboration, and knowledge synthesis. Standardization of terminology can facilitate research comparability, enhance the generalizability of findings by creating a common language across studies and practitioners, and support the development of EBD guidelines. The study contributes to the ongoing discourse on standardizing terminologies in the field and provides insights into strategies for achieving consensus among researchers, practitioners, and stakeholders in health environmental research.
Assessment of nursing knowledge and practice toward prevention of acquired infections in the emergency department of King Faisal Medical Complex in Taif
Authors: Althiyabi Fahad Sulaiman , Khuded Fares Mabrok , Alzaidi Fawaz Mohammed , Alswat Abdulmjeed Saleh Greeb , Alotaibi Fahad Suwaylih B , Alotaibi Wael Suwaylih B , Alotaibi Khalid Ibrahim A , Alshehri Faisal Abdullah H , Almutairi Atallah Mesfer A , Alnathli Jamaan Aali Ahmed 
Published: January 2024

Background: Hospital-acquired infections constitute a significant source of morbidity and mortality for both patients and healthcare professionals. Nursing professionals constitute an integral component of any quality-related program in a hospital, given their oversight and provision of nearly all healthcare services. Nurses’ knowledge and attitudes play a significant role in healthcare delivery. Within Saudi Arabia, the prevalence of hospital-acquired infections in hospital settings has prompted a growing emphasis on evaluating nursing knowledge and adherence to practice standards aimed at hospital-acquired infection prevention. Methods: This single-center cross-sectional study was conducted at the emergency department of King Faisal Medical Complex, Taif, between October and December 2022, involving 168 nurses. The study utilized a pre-validated structured online questionnaire comprising three sections: demographics, knowledge assessment, and practice evaluation. Knowledge and practice levels were categorized as good, moderate, and poor using quartiles. Results: The study encompassed 168 nurses employed in the emergency department of the hospital, revealing their proficiency in standard practices for preventing hospital-acquired infections. Notably, 63.8% of participants demonstrated a commendable “Good” level of knowledge, while 10.6% exhibited a “Moderate” level and 25.5% manifested a “Poor” level in terms of knowledge. Similarly, concerning practice levels, 56.4% showcased a commendable “Good” practice level, 22.3% maintained a “Moderate” practice level, and 21.3% presented a “Poor” practice level. Chi-square analysis unveiled a significant association between age and knowledge levels ( p = 0.000). In addition, age ( p = 0.000) and years of clinical experience ( p = 0.000) were significantly linked to nurses’ practice levels The nurses aged 40–50 years (82%) and those with 10–15 years of clinical experience (83.3%) showed good levels of knowledge and practice, respectively. Overall, most of the nurses demonstrated effective knowledge and compliance with infection prevention practices. Conclusion: Sociodemographic factors such as age and clinical experience exert a notable impact on nurses’ knowledge and practices regarding hospital-acquired infections.
The development and validation of a digital biomarker for remote assessment of Alzheimer's diseases risk
Authors: Butler Joe , Watermeyer Tamlyn J , Matterson Ellie , Harper Emily G , Parra-Rodriguez Mario 
Published: January 2024

Background Digital cognitive assessment is becoming increasingly widespread in ageing research and care, especially since the COVID-19 pandemic. Remote online collection provides opportunities for ageing and dementia professionals to collect larger datasets, increase the diversity of research participants and patients and offer cost-effective screening and monitoring methods for clinical practice and trials. However, the reliability of self-administered at-home tests compared to their lab-based counterparts often goes unexamined, compromising the validity of adopting such measures. Objective Our aim is to validate a self-administered web-based version of the visual short-term memory binding task (VSTMBT), a potential digital biomarker sensitive to Alzheimer's disease processes, suitable for use on personal devices. Methods A final cross-sectional sample of 37 older-adult (51–77 years) participants without dementia completed our novel self-administered version of the VSTMBT, both at home on a personal device and in the lab, under researcher-controlled conditions. Results ANOVA and Bayesian t-test found no significant differences between the task when it was remotely self-administered by participants at home compared to when it was taken under controlled lab conditions. Conclusions These results indicate the VSTMBT can provide reliable data when self-administered at-home using an online version of the task and on a personal device. This finding has important implications for remote screening and monitoring practices of older adults, as well as supporting clinical practices serving diverse patient communities. Future work will assess remote administration in older adults with cognitive impairment and diverse socio-economic and ethno-cultural backgrounds as well as a bench-to-bedside application.
Racial and Ethnic Disparities in Blood Pressure and Glycemic Control in the US Community Health Center Patient Population
Authors: Alosi Brittany , Curtis David S. 
Published: January 2024

Objective: To describe blood pressure and glycemic control by racial/ethnic group in the US Community Health Center (CHC) patient population, and whether center characteristics, proxying for higher resource levels and better quality of care, were associated with greater rates of controlled cardiometabolic conditions. Methods: Data came from the Uniform Data System, representing aggregate patient clinical data for individual health centers in 2019. Descriptive analyses were conducted weighting by health center patient populations to produce race-specific national rates of blood pressure and glycemic control, and linear regression is used to test whether cardiometabolic control rates varied by center characteristics. Results: Hypertension was controlled for 67.2% of non-Hispanic White, 66.9% of Hispanic, and 56.7% of non-Hispanic Black patients. Diabetes was controlled for 70.7% of non-Hispanic White, 65.7% of Hispanic, and 66.1% of non-Hispanic Black patients. The rate of blood pressure control was 2.54 to 3.99 percentage points higher across racial/ethnic groups in health centers that adopted a patient-centered medical home (PCMH) model of care relative to non-PCMH centers, while glycemic control was 1.08 to 2.27 pp. higher as a function of PCMH certification. Results for other center characteristics did not show consistent patterns across racial groups or outcomes. Conclusion: This study documented racial and ethnic health disparities in the CHC patient population after major expansion of the CHC program. CHCs with PCMH certification have improved clinical outcomes among patients with hypertension and diabetes across racial/ethnic groups relative to centers without this certification.