bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring non-linear effects of walking accessibility on well-being in rural older adults of Jintang County: a random forest analysis
Authors: Li Haimei , Li Mingyang , Peng Panyu , Long Yi , Ao Yibin , Bahmani Homa 
Published: February 2024

ObjectiveThe global concern surrounding the aging population has brought the well-being of older individuals to the forefront of societal attention. Unfortunately, studies focusing on the well-being of older people residing in rural areas are frequently overshadowed by the developmental disparities between rural and urban regions. Thus, this study aims to delve into the non-linear impact of walking accessibility on the subjective well-being of rural older adults. The goal is to gain a comprehensive understanding of this relationship, ultimately contributing to an improved quality of life and health for older adults in rural areas.MethodsIn this study, the Random Forest algorithm was employed to explore the non-linear effects of demographic variables, perceived safety, subjective built environment (including perceptions and preferences of the built environment), and walking accessibility on the subjective well-being of older adults.ResultsThe findings of this study underscore the pivotal role of walking accessibility in influencing the well-being of older adults, particularly in terms of access to bazaars and health centers, where non-linear and threshold effects are evident. Furthermore, community safety, road conditions, and walking preferences were identified as positive influencers on the well-being of older adults. Well-being trends varied with age, revealing noteworthy non-linear relationships for certain variables.ConclusionThe insights gained from this study provide crucial theoretical guidance for the development of policies tailored to the unique context of rural aging. By taking into account factors such as walking accessibility, community safety, health support, and social interaction, we can create an improved living environment for rural older adults, ultimately enhancing their happiness and overall quality of life.
Assessing the clinical benefit, safety, and patient-reported outcomes with the use of the PAHcare™ digital platform in pulmonary arterial hypertension: a pilot study
Authors: Peñate Gregorio Pérez , Parra Nuria Ochoa , Morera Juan Antonio Domingo , Meñaca Amaya Martínez , Ramón Marta López , Menéndez Sergio Cadenas , Marrero Fernando León , de la Cal Sara Gómara , Ghadban-Garrido Cristina , Tolosana Patricia Royo , Puentes Javier Martín , Aguayo Rebeca Aldonza , Mahdavi Hadis , Jeanneret Gabriela Bacchini , Subías Pilar Escribano 
Published: February 2024

IntroductionDigital health interventions, particularly mobile health platforms, have shown promise in supporting patients with respiratory conditions, but their application in pulmonary arterial hypertension (PAH) remains limited. We aimed to assess the feasibility, acceptability, and potential clinical benefit of the novel PAHcare™ digital platform as a patient-centred intervention for PAH management through a prospective, single-arm, multicenter pilot study conducted on 53 patients diagnosed with PAH who used the platform for 6 months.MethodsThe primary objective was to assess the impact on Health-Related Quality of Life (HRQoL) through questionnaires. Secondary objectives included evaluating clinical outcomes, including disease progression, PAH signs and symptoms, the 6-min walking test, and the patient’s symptom perception. Additionally, we assessed patient satisfaction and engagement with the PAHcare™ platform, interaction with health coaches, retention, costs and healthcare resource utilisation (HCRU), and safety through monitoring device incidents.ResultsMinimal changes in HRQoL and clinical outcomes were observed over 6 months. A noteworthy 92.4% of patients actively used the platform in the first month, maintaining high usage throughout the study. Patient satisfaction was substantial, with more than half of the patients expressing excellence in service quality, willingness to reuse the platform, and fulfilment of their needs. Health coach interaction was high, with 76% of patients initiating contact within the first week. User retention rates were 70%, with prevalent ongoing usage and interaction with healthcare professionals even after the study. In terms of HCRU and costs, the study showed no significant changes in PAH-related hospital admissions, clinical visits, or tests. Finally, the low number of device-related incidents indicated platform safety.ConclusionThis pilot study provides compelling evidence supporting the feasibility and acceptability of the PAHcare™ digital platform to empower patients to manage their disease and significantly enhance their overall experience with PAH.
Digital accessibility in the era of artificial intelligence—Bibliometric analysis and systematic review
Authors: Chemnad Khansa , Othman Achraf 
Published: February 2024

IntroductionDigital accessibility involves designing digital systems and services to enable access for individuals, including those with disabilities, including visual, auditory, motor, or cognitive impairments. Artificial intelligence (AI) has the potential to enhance accessibility for people with disabilities and improve their overall quality of life.MethodsThis systematic review, covering academic articles from 2018 to 2023, focuses on AI applications for digital accessibility. Initially, 3,706 articles were screened from five scholarly databases—ACM Digital Library, IEEE Xplore, ScienceDirect, Scopus, and Springer.ResultsThe analysis narrowed down to 43 articles, presenting a classification framework based on applications, challenges, AI methodologies, and accessibility standards.DiscussionThis research emphasizes the predominant focus on AI-driven digital accessibility for visual impairments, revealing a critical gap in addressing speech and hearing impairments, autism spectrum disorder, neurological disorders, and motor impairments. This highlights the need for a more balanced research distribution to ensure equitable support for all communities with disabilities. The study also pointed out a lack of adherence to accessibility standards in existing systems, stressing the urgency for a fundamental shift in designing solutions for people with disabilities. Overall, this research underscores the vital role of accessible AI in preventing exclusion and discrimination, urging a comprehensive approach to digital accessibility to cater to diverse disability needs.
“In Limbo”—use of, and alterations to, modified diets by nursing home staff in the absence of timely specialist support
Authors: Okon Mary , Chan Kei Yen , O’Keeffe Shaun T. 
Published: February 2024

BackgroundDysphagia is common in nursing home (NH) residents. Staff may not always be able to access speech and language therapist (SLT) assessments in a timely manner and there are some reports of nurses initiating or changing modified diets in these circumstances.MethodsA mixed quantitative and qualitative approach was used to analyse responses to an online anonymized survey of senior nurses working in Irish NHs. They were asked about their experience of delays accessing SLT services and whether they would ever initiate or change modified diets. Respondents were asked if they would give water to a thirsty resident, prescribed mildly thick liquids, who demanded it on a hot day because thickened fluid was not thirst quenching.ResultsOf 77 nurses surveyed, 63 (82%) responded. Three quarters reported delays accessing SLT services sometimes or often. Thirty-four (54.0%) would not give the thirsty resident water. About 70% reported that thickened fluids or modified texture diets were started without SLT sometimes or often. A third of respondents would thicken fluids or modify food to a greater extent than previously recommended but very few would make a diet less restrictive. The main themes that emerged from the comments provided were related to the uncertainty and dilemmas created for staff, what mitigating actions they might take in those circumstances and the need for better guidance and better access to SLT services.DiscussionDelays accessing SLT services are common for Irish NHs, and staff may initiate or change modified diets themselves in these circumstances. The responses suggest a widespread, and unjustified, belief that thicker or more modified is better for those with dysphagia. Clear and accurate guidance, and a better SLT service, is needed for NH staff.
Exploring the role of indoor microbiome and environmental characteristics in rhinitis symptoms among university students
Authors: Fu Xi , Shama Aga , Norbäck Dan , Chen Qingsong , Xia Yun , Zhang Xin , Sun Yu 
Published: February 2024

IntroductionRhinitis is one of the most prevalent chronic respiratory diseases worldwide. There is emerging evidence suggesting that the indoor microbiome may contribute the onset and exacerbation of rhinitis symptoms, but comprehensive studies on this topic remain scarce.MethodsIn this study, we assessed the microbiome assemblage of settled air dust collected in Petri dishes in 86 dormitory rooms of Shanxi University, China using 16s rRNA sequencing. A self-administered questionnaire, including questions about rhinitis symptoms and personal information, was completed by 357 students residing in these dormitories. Logistic and linear regression model was applied to examine the associations between environmental characteristics, indoor microbiome, and rhinitis.ResultsThe most abundant genera in the dormitories were Ralstonia (15.6%), Pelomonas (11.3%), Anoxybacillus (9.3%) and Ochrobactrum (6.2%). Taxa richness in the class of Actinobacteria and Fusobacteriia was negatively/protectively associated with rhinitis (p&lt;0.05). Six bacterial genera, including those from Actinobacteria (Actinomyces), Fusobacteriia (Fusobacterium), and Bacteroidetes (Prevotella and Capnocytophaga), were negatively/protectively associated with rhinitis. Conversely, seven genera, predominantly from Alphaproteobacteria and Betaproteobacteria (Sphingomonas, Caulobacter, uncharacterized Caulobacteraceae and Comamonadaceae), were positively associated with rhinitis. Living in higher floor level and higher indoor PM2.5 concentrations were associated with a higher abundance of taxa potentially protective against rhinitis and a lower abundance of taxa potentially increasing the risk of rhinitis (P&lt;0.01). However, having curtain indoor and higher indoor CO2 concentrations were associated with a lower abundance of taxa potentially protective against rhinitis and a higher abundance of taxa potentially increasing the risk of rhinitis (P&lt;0.01).DiscussionThis study enhances our understanding of the complex interactions between environmental characteristics, indoor microbiomes, and rhinitis, shedding light on potential strategies to manipulate indoor microbiome for disease prevention and control.
Chronic exercise interventions for executive function in overweight children: a systematic review and meta-analysis
Authors: Lin Chenxin , Li Danyi , Wang Xiaying , Yang Shuo 
Published: February 2024

ObjectivesTo systematically evaluate the effectiveness of chronic exercise in physical activity (PA) as an intervention for executive functions (EFs) in children.MethodsWe conducted a systematic search in the following online databases: Web of Science, Cochrane Library, PubMed, Embase, and EBSCOhost. The timing is from database inception to July 2023, following PRISMA guidelines. Our inclusion criteria required studies reporting executive function (EF) levels in overweight children (age 0–18 years) before and after interventions. The Cochrane risk of bias tool assessed study bias, and Egger's test examined publication bias. Subgroup analyses considered three moderators: intervention duration, weekly frequency, and session length.ResultsThe meta-analysis included a total of 10 studies with 843 participants. It revealed a statistically significant yet relatively small overall positive effect (g = 0.3, 95% CI 0.16–0.44, P &lt; 0.01) of chronic exercise on EF in overweight children. Importantly, there was no significant heterogeneity (Q = 11.64, df = 12, P = 0.48; I2 = 0).ConclusionsChronic exercise interventions had a consistent positive impact on EF, irrespective of intervention duration, weekly frequency, or session length. However, given limitations in the number and design of studies, further high-quality research is needed to strengthen these conclusions.Systematic Review RegistrationPROSPERO identifier (CRD42023468588).
Digital Intervention Services to Promote HIV Self-Testing and Linkage to Care Services: A Bibliometric and Content Analysis—Global Trends and Future Directions
Authors: Mhando Frank , Nyankomo Marwa , Hall Christa , Olughu Kelia , Hlongwa Mbuzeleni , Janson Samuel , Idahosa Love O. , Hatcher Genae , Conserve Donaldson F. 
Published: February 2024

Objective: The global burden of HIV remains a critical public health challenge, particularly in sub-Saharan Africa, home to over two-thirds of individuals living with HIV. HIV self-testing (HIVST) has emerged as a promising strategy endorsed by the World Health Organization to achieve UNAIDS targets. Despite its potential, challenges persist in linking self-testers to care post a positive result. Digital health interventions, including chatbots and mobile applications, offer innovative solutions to address this gap. However, a comprehensive bibliometric analysis of the collaboration and growth in the literature at the intersection of HIVST and digital interventions is lacking.Methods: The study employs a bibliometric approach, leveraging data from the Web of Science, to analyze the characteristics, citation pattern and content of 289 articles spanning 1992–2023. The analysis involves performance assessment, scientific collaboration analysis, science mapping, and content analysis. Key bibliometric indicators, such as annual growth rate, citation impact, and authorship patterns, are explored. Collaboration patterns among countries, institutions, and authors are elucidated, and thematic mapping provides insight into the key research themes.Results: The analysis reveals a dynamic and expanding field, with an annual scientific growth rate of 12.25%. Notable contributions come from diverse sources, including North America, Europe, and Africa. High-impact journals such as JMIR mHealth and uHealth play a crucial role in disseminating research findings. African authors, including Lebelonyane R, Ford N, and Lockman S, feature prominently, reflecting a positive trend in diverse authorship. Co-citation analysis highlights influential manuscripts, with systematic reviews dominating the top-cited articles. Collaboration analysis underscores strategic partnerships globally, particularly involving the United States, Australia, South Africa, and the United Kingdom.Conclusion: This bibliometrics analysis provides a comprehensive overview of the digital health landscape in HIVST and linkage to care. It identifies key contributors, high-impact journals, and collaborative networks. The thematic map reveals nuanced research domains, including alcohol dependence, men’s health, outcomes, and user acceptance. The findings offer insights for researchers, policymakers, and practitioners, guiding future directions in the evolving intersection of HIVST and digital health interventions.
Sinopsis de la conversación en Erving Goffman
Authors: Cano Álvaro 
Published: February 2024

Si partimos de una definición intuitiva, la conversación ha sido entendida como un tipo de conducta verbal comunicativa que está determinado por un sistema de toma de turno específico, mediado por los intereses y por los propósitos del intercambio comunicativo. Lo anterior trae unas consecuencias de carácter teórico que son abordadas por Erving Goffman y que serán rastreadas en la presente guía bibliográfica en torno al análisis de la conversación, con énfasis en la toma de turnos; esta lista es el resultado de una prolongada lectura de diversos documentos y autores que me permitió organizar una presentación que puede resultar útil al interesado en estudiar estos temas.
La primera parte está dedicada a hacer un panorama de las diferentes tendencias y estudiosos sobre el tema. Se intentará hacer una pequeña sinopsis del ambiente teórico donde ha surgido la teorización del problema conversacional. Luego, en la segunda parte, se sintetizarán las principales ideas de nuestro autor sobre el tema del análisis conversacional, a partir de su relación alegórica con el teatro, tratando de presentar las principales ideas del sociolingüista canadiense cuyo trabajo académico ha sido desarrollado fundamentalmente en EE.UU., especialmente en su libro La presentación de la persona en la vida cotidiana (1982). Asimismo, se exhibirán los principales momentos de la investigación de Goffman basadas en la experiencia teatral.
Cómo se reproduce el poder por medio del discurso
Authors: Guerrero Edwin Fernando 
Published: February 2024

En este texto se exponen algunas ideas que surgen de una primera aproximación al pensamiento del lingüista neerlandés Teun Van Dijk, uno de los fundadores del análisis crítico del discurso. La intención en este trabajo es mostrar algunos elementos que nos permitan comprender cómo es que el poder se reproduce por medio del discurso. Para llegar a este objetivo primero tendremos que entender qué son las representaciones sociales y advertir la manera en que éstas se relacionan con el discurso. Se advertirá que ocurre una doble relación, pues, veremos que, por un lado, las representaciones sociales constituyen el aspecto cognitivo que permite la expresión e interpretación de los discursos; y, por otro, las representaciones sociales se reproducen por medio del discurso. Finalmente, se mostrará que el poder se reproduce por medio del discurso implantando, con una determinada estrategia, representaciones sociales en la mente de las personas. Entré más se divulguen y perpetúen ciertas representaciones sociales, más efectivo será el discurso.
A teoria econômica do crime: importância da atividade de inteligência de segurança pública para inverter a balança decisória do crime
Authors: Peijo Rangel Calixto , Strugala Willian 
Published: February 2024

Tem-se, preliminarmente, que o crime é fenômeno dinâmico e mutável, que adequa-se às ações dos órgãos de segurança pública, com o escopo de eximir os autores de suas devidas responsabilidades. Historicamente, a Policia Militar do Estado do Paraná tem-se mostrado aguerrida e combativa frente às inúmeras modalidades criminosas que surgem, entretanto, faz-se necessário uma adaptação para que as prisões e apreensões (notadamente as realizadas em estado de flagrância) sejam efetivas e, se for o caso, permitam a responsabilização dos autores. Cediço que o indivíduo que cogita adentrar ao mundo criminoso, em algum momento, ainda que inconscientemente, analisa os prós e contras de sua ação. Tem-se, pela mundividência dos autores deste trabalho, somado à obras cientificas analisadas, que neste sopesamento “custo x beneficio”, via de regra o indivíduo se convence que o crime irá compensar, pois os benefícios de sua ação (lucro, status, ocultação de bens etc) têm mais peso, na balança decisória, que os possíveis prejuízos de sua atitude (ser apanhado em flagrante e condenado). No transcorrer desta obra, evidenciar-se-á imperioso compreender a necessidade de inverter a balança decisória daquele que cogita adentrar ao mundo delituoso, de maneira que os prejuízos tenham mais peso que os benefícios oriundos de determinado crime, acarretando, a médio longo prazo, na diminuição dos indicativos criminais. Para tal intento faz-se mister que a Polícia Militar aja com maior tecnicidade e profissionalismo em suas ações, de maneira a viabilizar uma instrução processual mais justa às partes, permitindo, se for o caso, uma efetiva responsabilização aos autores de crimes apanhados em flagrante delito. Este avanço dar-se-á por meio de instruções e palestras direcionadas (já aplicadas pela Instituição), e também por meio de ações de inteligência de segurança pública, hábeis a angariar indicativos robustos e legítimos de determinada ação delituosa, para a devida instrução processual. Esta atividade de inteligência não confunde-se com inteligência estratégica, bem delineada por Andre Soares (Soares, 2022). Necessário consignar que tais ações de inteligência não confundem-se com investigação, mas sim em simples tentativa legal de restabelecimento da ordem pública, cumprindo a missão constitucional imposta à Polícia Militar. Convictos acerca da imprescindibilidade de “prender bem”, os autores debruçaram-se sobre os temas existentes acerca da teoria Econômica do Crime, com o escopo de propor solução efetiva para resultados a médio longo prazo.
Atuação fisioterapêutica na fraqueza muscular adquirida em unidade de terapia intensiva
Authors: Gurjão Aila Ferreira , Ferreira Josiane Valéria Ribeiro , Cruz Flávia Katrine Lopes , De Miranda Amanda Oliveira , Batista Maria Gabrielly Lima , Reis Lucimaria Mota , De Oliveira Yasmin Evelim Nascimento , Lima Ana Claudia Serrão , Furtado Marcos Vinícius da Conceição 
Published: February 2024

Introdução: A fraqueza muscular é um termo que relata a diminuição da força de um músculo ou grupo muscular. Esta condição pode impactar no prognóstico do paciente, tanto em um provável aumento da internação, dependência do ventilador mecânico, quanto após a alta hospitalar. Objetivo: Compreender a importância das intervenções terapêuticas em pacientes com fraqueza muscular adquirida em unidade de terapia intensiva. Metodologia: Trata-se de uma revisão integrativa de caráter descritivo e qualitativo, realizada nas bases de dados PubMed (Biblioteca Virtual dos Estados Unidos), Cochrane Library, Lilacs ( Literatura Latino-Americana e do Caribe em Ciências da Saúde) e PEDro (Physiotherapy Evidence Database). A pesquisa ocorreu no período de maio de 2023 e adotou os seguintes critérios de inclusão: estudos publicados na língua inglesa, no período de 2018 a 2023, com níveis de evidência alta. Resultados: Estudos apontaram ganho de massa muscular e força após cinco dias de internação na Unidade de Terapia Intensiva (UTI) com exercícios físicos. Ademais, a utilização de EENM mostrou menor perda de massa muscular em 10 dias. Conclusão: A mobilização precoce (MP) isolada ou associada à eletroestimulação neuromuscular (EENM) tem efeito direto na FAUTI, uma vez que, minimiza a perda de massa muscular.