bluuebunny/crossref_metadata_2025_split huggingface dataset:
Feeling safe in the context of digitalization in healthcare: a scoping review
Authors: Minartz Peter , Aumann Christine Maria , Vondeberg Carmen , Kuske Silke 
Published: February 2024

Abstract
Background
Digitalization in healthcare and society can be challenging, particularly for people who have limited digital experiences. New digital technologies can influence individuals’ perceived safety and well-being. In this study, we aimed to identify and analyze the literature on needs and influencing factors in the context of emotional and psychological safety and digitalization in healthcare.

Methods
A scoping review was conducted based on the PRISMA-ScR standard. The literature was searched based on the databases Medline via PubMed, PsycINFO via Ovid, and CINAHL via EBSCO. Literature was included after a review of the titles, abstracts, and full texts published in English or German in the last 5 years (October 2017–September 2022). Eligible literature included definitions and descriptions of emotional and/or psychological safety and was related to digitalization in healthcare and was analyzed qualitatively via inductive content analysis. The findings were analyzed from ethical, psychosocial, legal, economic, and political perspectives.

Results
A total of 32 publications were finally included thereof qualitative (n = 20), quantitative (n = 3), and mixed methods (n = 2) studies. Other included publications were systematic integrative reviews, scoping reviews, narrative reviews, white papers, and ethical statements. Of these publications, four qualitative studies focused on emotional or psychological safety in the context of digital technology use in healthcare as a primary research aim. Most literature has shown that perceived safety is influenced by perceived changes in healthcare, digital (health) literacy, the design of digital technology, and need orientation. The needs identified in this context overlap strongly with the influencing factors. A low or high perceived safety has an impact on users’ thoughts and actions.

Conclusion
The importance of emotional safety in the context of digital technologies in healthcare is growing, while psychological safety seems to be underrepresented. The interaction between the influencing factors and the need to feel safe leads to considerations that can affect user behavior and have far-reaching outcomes for the implementation of digital technology in healthcare.

Systematic review registration
Open Science Framework Registries on 16 December 2022 https://doi.org/10.17605/OSF.IO/HVYPT.
Harmfulness metrics in digital twins of social network rumors detection in cloud computing environment
Authors: Li Hao , Yang Wu , Wang Wei , Wang Huanran 
Published: February 2024

AbstractSocial network rumor harm metric is a task to score the harm caused by a rumor by analyzing the spreading range of the rumor, the users affected, the repercussions caused, etc., and then the harm caused by the rumor. Rumor hazard metric models can help rumor detection digital twins to understand and analyze user behaviors and assist social network network managers to make more informed decisions. However, there is a lack of models that can quantify the harm of rumors and automated harm metric models in rumor detection digital twins. To address this issue, this paper proposes an innovative social network rumor harm metric based on rumor propagation knowledge and a large language model (LLM), RSK-T5. The method first completes the joint task of rumor comment stance detection and sentiment analysis to capture critical features of rumor propagation. Then, this knowledge is used in the pre-training process of LLM to improve the model's understanding of rumor propagation patterns. Finally, the fine-tuning phase focuses on the hazard metrics task to improve the generalization energy. We compare with some existing variants of rumor detection methods, and experimental results demonstrate that RSK-T5 achieves the lowest MSE scores on three well-known rumor detection datasets. The ablative learning work demonstrates the effectiveness of RSK-T5's knowledge of two rumor spreads.
Prevalence of dyslipidemia and associated factors in sedentary occupational population from Shanghai: a cross-sectional study
Authors: Gu Dongxing , Wang Dandan , Zhu Qinzhong , Luo Li , Zhang Tiantian 
Published: February 2024

Abstract
Background
Dyslipidemia is a major risk factor for cardiovascular diseases, but its prevalence and determinants among sedentary occupational population are poorly understood. This study aimed to investigate the prevalence and associated factors for dyslipidemia among a sedentary occupational population in Shanghai, China.

Methods
We collected data from 35,950 sedentary occupational workers on their demographics, social, medical, and family history, lifestyle, anthropometry, and biochemistry. We used the 2016 Chinese guideline for the management of dyslipidemia in adults to define dyslipidemia and its subtypes. We performed multivariate logistic regression to examine the factors associated with dyslipidemia.

Results
The prevalence of dyslipidemia was 29.10%, with 15.86% for high triglycerides (TG), 6.43% for high total cholesterol (TC), 5.37% for high low-density lipoprotein cholesterol (LDL-C), and 14.68% for low high-density lipoprotein cholesterol (HDL-C). Men had a significantly higher prevalence of dyslipidemia than women (39.64% vs. 12.43%, P < 0.01). Factors associated with dyslipidemia included older age, being married, longer sedentary time while resting, frequent intake of animal viscera, current smoking, hypertension, diabetes, and obesity. Current drinking was associated with a 1.24 times higher prevalence of high TG (P < 0.01). Current smokers were less likely to have low HDL-C than non-smokers.

Conclusions
Our present study, in a population of 35,950 sedentary occupational workers from Shanghai, demonstrated a prevalence of dyslipidemia, but lower than in other previous studies without the limitation of occupational characteristics. Prevention and control measures for dyslipidemia should take into account the characteristics and related factors for this population group.
Impact of the online Stoodle software program on Iranian EFL teachers’ autonomy, creativity, and work engagement
Authors: Salmanpour Omid , Tabatabaei Omid , Salehi Hadi , Yunus Melor Md 
Published: February 2024

AbstractThis study investigated the effect of using Stoodle software program on Iranian EFL teachers’ autonomy, creativity, and work engagement in the light of teaching experience and gender. The participants comprised 60 EFL teachers including 30 male (15 novice and 15 experienced) and 30 female (15 novice and 15 experienced) teachers teaching at five language institutes in Ahvaz. Two briefing sessions were held to make the participants familiar with Stoodle and how to use it in their classes. Prior to the implementation of the treatment, all the teachers were required to respond to the three scales of autonomy, creativity, and work engagement. After the implementation of the treatment, they were asked again to respond to the mentioned scales. The results of statistical analysis indicated that using the online Stoodle software program had significant effects on improving EFL teachers’ autonomy, creativity, and work engagement. However, gender and teaching experience did not have a significant role in contributing to teachers’ autonomy creativity, and work engagement in the Stoodle condition. Moreover, the interaction between gender and teaching experience did not leave a significant impact on teachers’ autonomy, creativity, and work engagement. The results are discussed and implications for language teaching are provided.
Service-learning to improve training, knowledge transfer, and awareness in forest fire management
Authors: Souza-Alonso Pablo , Omil Beatriz , Sotelino Alexandre , García-Romero David , Otero-Urtaza Eugenio , Lorenzo Moledo Mar , Reyes Otilia , Rodríguez Juan Carlos , Madrigal Javier , Moya Daniel , Molina Juan Ramón , Rodriguez y Silva Francisco , Merino Agustín 
Published: February 2024

Abstract
Background
Forest fires represent a severe threat to Mediterranean ecosystems and are considered one of the major environmental and socioeconomic problems of the region. The project Plantando cara al fuego (PCF, Spain) is designed to transfer knowledge and to improve the training of new generations in forest fire management. The project is based on the application of service-learning (S-L), an educational methodology that combines learning and community service. Conceived as a compendium of S-L initiatives, the PCF project is composed of several S-L projects with the objective of reducing the problem of forest fires. The individual projects are developed at the regional/local level, each one involving different social agents such as researchers, students (from different disciplines), schools, multidisciplinary professionals, NGOs, or the administration.

Results
Participants received an initial training in S-L to design projects focused on different aspects of forest fires (environmental awareness, outreach/communication, fire prevention or post-fire restoration). These applied projects are formally integrated in the learning process via curriculum, which serve to teach and reinforce transversal skills and allow students to get involved and work to solve real problems. In general, the response of the participants was highly favorable, since the projects served to create an atmosphere that facilitates learning, interaction between participants, the application of theoretical class contents, knowledge transfer, or the exchange of good teaching practices.

Conclusions
The summary of the PCF project presented in this work serves as a practical guide describing the activities, participants, and the necessary steps involved in the design, development, and evaluation of S-L projects to address environmental problems. In this case, the S-L was adapted to a specific context (i.e., the problem of forest fires) to which it had never been previously applied, but this methodology is versatile and can be applied to different environmental issues.
Pattern of cognitive impairment among community-dwelling elderly in Egypt and its relation to socioeconomic status
Authors: Tawfik Amany A. , Hamza Sarah A. , Adly Nermien N. , Abdel Kader Radwa M. 
Published: February 2024

Abstract
Background
Cognitive decline is one of the aging health problems that strongly affects daily functioning and quality of life of older adults and threatens their independence. The aim of this study was to assess the prevalence and pattern of cognitive impairment (CI) among community-dwelling elderly in Egypt and the contribution of socioeconomic status to inequality in cognitive impairment.

Methods
A cross-sectional study involved 470 community-dwelling elderly aged 60 years or older living in Kafr El-Sheikh Governorate, Egypt. Subjects were recruited from home visits, geriatric clubs, and outpatient clinics. The Montreal Cognitive Assessment tools (MoCA & MoCA-B) were used to assess the prevalence of cognitive impairment, Hachinski ischemic score (HIS) to investigate the type of cognitive impairment, Ain Shams Cognitive Assessment (ASCA) tool to assess the pattern of specific cognitive domain affection, and an Egyptian socioeconomic status (SES) scale to classify the SES of the study participants.

Results
The prevalence of cognitive impairment was 50.2% distributed as 37.7% for mild cognitive impairment (MCI) and 12.5% for dementia. The most common type of cognitive impairment was the degenerative type (47.9%). Pattern of specific domain affection among cognitively impaired subjects ranged from 94% for visuospatial function to 12.7% for abstraction. Cognitive impairment was significantly higher with increasing age, female sex, marital status (single or widow), low education, higher number of comorbidities, and positive family history of cognitive impairment (p < 0.001). Also, cognitive impairment was concentrated mainly among participants with low socioeconomic score (p < 0.001).

Conclusion
In Egypt, cognitive impairment is significantly prevalent and concentrated among those who are in low socioeconomic status. Patients with mild CI were more than those with dementia, and the most common type of CI was the degenerative type. Increasing educational level of low SES population and improving their access to healthcare services are highly recommended to improve the inequity of cognitive impairment.
Virtual and augmented reality gamification of visuospatial neglect treatment: therapists’ user experience
Authors: Bousché E. , Bakker M. D. J. , Holstege M. S. , Huygelier H. , Nijboer T. C. W. ,   Knowledge Broker Neglect Study Group, Brinkhof Eugenie , Haver Oscar , Jansen Marike , van de Moosdijk Cindy , Timmerarends-Van Eck Anja 
Published: February 2024

Abstract
Background
Visuospatial neglect (VSN) is a cognitive disorder after stroke in which patients fail to consciously process and interact with contralesional stimuli. Visual Scanning Training (VST) is the recommended treatment in clinical guidelines. At the moment, several mixed reality versions of Visual Scanning Training (VST) are being developed. The aim of this study was to explore the opinions of end-users (i.e., therapists) on the use of Virtual Reality (VR) and Augmented Reality (AR) in VSN treatment.

Methods
Therapists played one VR and two AR Serious Games, and subsequently filled out a questionnaire on User Experience, Usability, and Implementation.

Results
Sixteen therapists (psychologists, occupational, speech, and physiotherapists) played the games, thirteen of them evaluated the games. Therapists saw great potential in all three games, yet there was room for improvement on the level of usability, especially for tailoring the games to the patient’s needs. Therapists’ opinions were comparable between VR and AR Serious Games. For implementation, therapists stressed the urgency of clear guidelines and instructions.

Discussion
Even though VR/AR technology is promising for VSN treatment, there is no one-size-fits-all applicability. It may thus be crucial to move towards a plethora of training environments rather than a single standardized mixed reality neglect treatment.

Conclusion
As therapists see the potential value of mixed reality, it remains important to investigate the efficacy of AR and VR training tools.
Predictors of primary care psychological therapy outcomes for depression and anxiety in people living with dementia: evidence from national healthcare records in England
Authors: Bell Georgia , El Baou Celine , Saunders Rob , Buckman Joshua E. J. , Charlesworth Georgina , Richards Marcus , Fearn Caroline , Brown Barbara , Nurock Shirley , Michael Stuart , Ware Paul , Marchant Natalie L. , Aguirre Elisa , Rio Miguel , Cooper Claudia , Pilling Stephen , John Amber , Stott Joshua 
Published: February 2024

BackgroundPsychological therapies can be effective in reducing symptoms of depression and anxiety in people living with dementia (PLWD). However, factors associated with better therapy outcomes in PLWD are currently unknown.AimsTo investigate whether dementia-specific and non-dementia-specific factors are associated with therapy outcomes in PLWD.MethodNational linked healthcare records were used to identify 1522 PLWD who attended psychological therapy services across England. Associations between various factors and therapy outcomes were explored.ResultsPeople with frontotemporal dementia were more likely to experience reliable deterioration in depression/anxiety symptoms compared with people with vascular dementia (odds ratio 2.98, 95% CI 1.08–8.22; P = 0.03) or Alzheimer's disease (odds ratio 2.95, 95% CI 1.15–7.55; P = 0.03). Greater depression severity (reliable recovery: odds ratio 0.95, 95% CI 0.92–0.98, P < 0.001; reliable deterioration: odds ratio 1.73, 95% CI 1.04–2.90, P = 0.04), lower work and social functioning (recovery: odds ratio 0.98, 95% CI 0.96–0.99, P = 0.002), psychotropic medication use (recovery: odds ratio 0.67, 95% CI 0.51–0.90, P = 0.01), being of working age (recovery: odds ratio 2.03, 95% CI 1.10–3.73, P = 0.02) and fewer therapy sessions (recovery: odds ratio 1.12, 95% CI 1.09–1.16, P < 0.001) were associated with worse therapy outcomes in PLWD.ConclusionsDementia type was generally not associated with outcomes, whereas clinical factors were consistent with those identified for the general population. Additional support and adaptations may be required to improve therapy outcomes in PLWD, particularly in those who are younger and have more severe depression.
Expanding Access to Computed Tomographic Staging and Three-Dimensional Intensity Modulated Radiotherapy for Cervical Cancer in Ghana
Authors: Scott Aba Anoa , Vanderpuye Verna , Dadzie Mary-Ann , Yarney Joel , Aidoo Charles Akoto , Tackie Judith , Kpatsi Stephen , Boateng Samuel , Obeng-Mensah Tony , Nyamadi Michael , Odonkor Philip , Lam Tony , Tadic Tony , Velasco Lian , Milosevic Michael 
Published: February 2024

PURPOSE To build capacity for improved treatment of locally advanced cervical cancer in Ghana, including computed tomography (CT) staging and intensity modulated radiotherapy (IMRT). MATERIALS AND METHODS Patients with histologically confirmed cervical cancer were prospectively staged with abdominopelvic CT and ultrasound and offered the opportunity to have IMRT instead of conventional two-dimensional radiotherapy. The development of an efficient, high-quality, and safe IMRT program was facilitated by investment in new technology and comprehensive training of the interdisciplinary radiotherapy team in collaboration with a North American center of excellence. RESULTS Of 215 patients with cervical cancer referred in 2022, 66% were able to afford CT scans and 26% were able to afford IMRT. Lymph node metastases were identified in 52% of patients by CT but in only 2% of patients by ultrasound. The use of CT resulted in 63% of patients being upstaged and changed treatment intent or radiation treatment volumes in 67% of patients. Patients who had IMRT experienced fewer acute side effects and were more likely to complete treatment as planned. CONCLUSION It is feasible to provide state-of the-art cancer treatment with CT staging and IMRT to patients with cervical cancer in low-resource settings and achieve meaningful improvements in outcomes. It requires a broad commitment by program leadership to invest in technology and staff training. Major challenges include balancing improved clinical care with reduced patient throughput when radiation treatment capacity is constrained, and with the additional cost in the absence of universal health coverage.
Validation of the Combined Clinical Cell-Cycle Risk Score to Prognosticate Early Prostate Cancer Metastasis From Biopsy Specimens and Comparison With Other Routinely Used Risk Classifiers
Authors: Hutten Ryan J. , Odei Bismarck , Johnson Skyler B. , Tward Jonathan D. 
Published: February 2024

PURPOSEWe aim to independently validate the prognostic utility of the combined cell-cycle risk (CCR) multimodality threshold to estimate risk of early metastasis after definitive treatment of prostate cancer and compare this prognostic ability with other validated biomarkers.METHODSPatients diagnosed with localized prostate cancer were enrolled into a single-institutional registry for the prospective observational cohort study. The primary end point was risk of metastasis within 3 years of diagnostic biopsy. Secondary end points included time to definitive treatment, time to subsequent therapy, and metastasis after completion of initial definitive treatment. Multivariable cause-specific Cox proportional hazards regression models were produced accounting for competing risk of death and stratified on the basis of the CCR active surveillance and multimodality (MM) thresholds. Time-dependent areas under the receiver operating characteristic curve were calculated.RESULTSThe cohort consisted of 554 men with prostate cancer and available CCR score from biopsy. The CCR score was prognostic for metastasis (hazard ratio [HR], 2.32 [95% CI, 1.17 to 4.59]; P = .02), with scores above the MM threshold having a higher risk than those below the threshold (HR, 5.44 [95% CI, 2.72 to 10.91]; P < .001). The AUC for 3-year risk of metastasis on the basis of CCR was 0.736. When men with CCR above the MM threshold received MM therapy, their 3-year risk of metastasis was significantly lower than those receiving single-modality therapy (3% v 14%). Similarly, a CCR score above the active surveillance threshold portended a faster time to first definitive treatment.CONCLUSIONCCR outperforms other commonly used biomarkers for prediction of early metastasis. We illustrate the clinical utility of the CCR active surveillance and multimodality thresholds. Molecular genomic tests can inform patient selection and personalization of treatment for localized prostate cancer.
Continuum 2024 and Beyond
Authors: Jones Lyell K. , Albin Casey S. W. , Bhattacharyya Shamik , Doering Amanda F. , Kentris Michael , Korb Pearce , Monteith Teshamae , Rosendale Nicole 
Published: February 2024

ABSTRACT
In Continuum’s 30-year history, the journal has adapted to meet the education needs of its subscribers, readers, and listeners to support high-quality patient care. The journal’s evolution continues with new topics and an updated topic rotation, new audio experiences with Continuum Audio and Continuum Aloud, inclusion of health equity content, a new nonclinical section covering various topics important to the practice of neurology, and a commitment to the global audience of neurology clinicians. Continuum will continue to evolve in the years and decades to come with the goal of helping clinicians take the best possible care of patients with neurologic illness.
Spinal Cord Neoplasms
Authors: McFaline-Figueroa J. Ricardo 
Published: February 2024

ABSTRACT

OBJECTIVE
This article discusses the diagnostic approach to patients with suspected neoplasms of the spinal cord and reviews the most common primary and metastatic spinal neoplasms and their presentations.

LATEST DEVELOPMENTS
Neoplasms of the spinal cord are rare entities that can involve the spinal cord parenchyma, the dura and leptomeninges, or the extradural space. The most common intramedullary spinal cord neoplasms are primary spinal cord tumors, including ependymomas, pilocytic astrocytomas, and diffuse midline gliomas. The most common primary neoplasms of the spine are intradural extramedullary spinal meningiomas, whereas primary neoplasms of the leptomeninges are rare. Advances in molecular characterization of spinal cord tumors and recent clinical trials of these rare entities are expanding the repertoire of systemic therapy options for primary spinal cord neoplasms. Metastases to the spine most often affect the extradural space. Metastatic epidural spinal cord compression is a neurologic emergency that requires a rapid, multidisciplinary response to preserve neurologic function.

ESSENTIAL POINTS
Neurologists should understand the diagnostic approach to neoplasms of the spinal cord. Knowledge of the most common spinal cord neoplasms will allow for appropriate management and optimal patient care.