bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cross-cultural adaptation and validation of the Spanish version of the Prevent for Work questionnaire
Authors: Blasco-Abadía Julia , Bellosta-López Pablo , Doménech-García Víctor , Palsson Thorvaldur Skuli , Christensen Steffan Wittrup McPhee , Hoegh Morten , Berjano Pedro , Langella Francesco 
Published: January 2025

BackgroundMusculoskeletal pain represents an increase in medical expenses due to disability and decreased quality of life among workers. Various biopsychosocial factors contribute to the development of persistent and disabling musculoskeletal pain. The Prevent for Work questionnaire (P4Wq) intended to analyze these factors. In this study, the original Italian version of the P4Wq was translated and culturally adapted to Spanish. Moreover, the psychometric properties were evaluated among Spanish workers with and without recent history of disabling spinal pain.MethodsThe first phase consisted of a forward-and-backward translation process and evaluating the face-validity of the questionnaire among 30 Spanish workers. The second phase involved 153 Spanish workers who completed the P4Wq, Oswestry Disability Index (ODI), and EQ-5D-5L questionnaires. Finally, 50 Spanish workers completed the P4Wq 2 weeks later to evaluate test–retest reliability and measurement error.ResultsMinor changes were made after the forward-and-backward translation process, which ensured that the Spanish versions was face-valid. The P4Wq demonstrated acceptable internal consistency for Spanish version (Cronbach’s alpha: 0.91), a moderate negative association with the indicator of quality of life (ρ &lt; −0.39; p = 0.001) and moderate positive association with the disability index (ρ &gt; 0.46; p = 0.001). Furthermore, the P4Wq showed good to excellent item response stability (weighted kappa = 0.75–0.96) and good for the total score (ICC = 0.98).ConclusionThe Spanish version of the P4Wq was face-valid and exhibited a similar structure as the original version. Additionally, good internal consistency and construct validity were found. This translated version of the questionnaire can therefore be considered acceptable for use by workers with and without history of disabling musculoskeletal pain.
Machine learning algorithms to predict depression in older adults in China: a cross-sectional study
Authors: Song Yan Li Qing , Chen Lin , Liu Haoqiang , Liu Yue 
Published: January 2025

ObjectiveThe 2-fold objective of this research is to investigate machine learning's (ML) predictive value for the incidence of depression among China's older adult population and to determine the noteworthy aspects resulting in depression.MethodsThis research selected 7,880 older adult people by utilizing data from the 2020 China Health and Retirement Longitudinal Study. Thereafter, the dataset was classified into training and testing sets at a 6:4 ratio. Six ML algorithms, namely, logistic regression, k-nearest neighbors, support vector machine, decision tree, LightGBM, and random forest, were used in constructing a predictive model for depression among the older adult. To compare the differences in the ROC curves of the different models, the Delong test was conducted. Meanwhile, to evaluate the models' performance, this research performed decision curve analysis (DCA). Thereafter, the Shapely Additive exPlanations values were utilized for model interpretation on the bases of the prediction results' substantial contributions.ResultsThe range of the area under the curve (AUC) of each model's ROC curves was 0.648–0.738, with significant differences (P &lt; 0.01). The DCA results indicate that within various probability thresholds, LightGBM's net benefit was the highest. Self-rated health, nighttime sleep, gender, age, and cognitive function are the five most important characteristics of all models in terms of predicting the occurrence of depression.ConclusionThe occurrence of depression among China's older adult population and the critical factors leading to depression can be predicted and identified, respectively, by ML algorithms.
Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in China
Authors: Yang Dan , Zhang Jingyuan , Meng Meiqi , Li Xuejing , Yan Lijiao , Fang Jiaxin , Wang Ziyan , Chen Sihan , Zhang Xiaoyan , Hao Yufang , Wang Fang 
Published: January 2025

ObjectiveTo develop a patient version of guidelines (PVG) for rehabilitation nursing (RN) in stroke patients with limb dysfunction, aiming to enhance patients’ awareness, self-management skills, and adherence to rehabilitation programs.MethodsThis guideline was developed based on the cultural and healthcare context of China, and was guided on the Minimum standards for the Development Process, Content and Governance of Patient-Directed Knowledge Tools and the PVG tool book of the Guidelines International Network. The guideline was constructed through a normative process involving clarifying priority questions, assessing and integrating evidence, detailing and contextualizing recommendations, and evaluating the prototype of PVG.ResultsFifteen priority RN issues were identified, and eight articles (four guidelines and four evidence summaries) were included, all demonstrating robust methodological quality. The final guideline encompassed five themes: disease knowledge, functional assessment, symptom prevention and nursing, rehabilitation training, and traditional Chinese medicine nursing - a specialized approach integrating traditional Chinese medicine principles with modern nursing practices, including 26 recommendations.ConclusionThis patient-centered guideline, grounded in a robust scientific framework and tailored to patient needs, serves as a valuable reference for the RN of stroke patients with limb dysfunction. The development of context-specific patient guidelines that integrate best available evidence remains an area requiring continued effort and refinement. Further research is warranted to evaluate the implementation and effectiveness of this guideline within diverse Chinese healthcare context.
Long-term health outcomes and quality of life in women with untreated pelvic floor dysfunction: a single-center cohort study
Authors: Chen Wenchao , Gong Jiang , Liu Mingsheng , Cai Ying Chang 
Published: January 2025

ObjectiveThis study aimed to evaluate the long-term health outcomes and quality of life (HRQoL) associated with untreated pelvic floor dysfunction (PFD) in women, and to identify key factors contributing to symptom severity.MethodsA cohort of 1,651 women aged 18 years and older with untreated PFD were recruited between June 2018 and August 2023. Data on sociodemographic, lifestyle factors, and clinical history were collected via questionnaires and clinical assessments. The Pelvic Floor Distress Inventory (PFDI-20) and Short Form-12 (SF-12) were used to assess symptom severity and HRQoL.ResultsThe study found that 56% of participants experienced urinary incontinence (UI), 52% had pelvic organ prolapse (POP), and 47% reported gynecological disorders. Sleep apnea (OR: 18.3, p &lt; 0.001) and menopause (OR: 2.48, p &lt; 0.001) were significantly associated with higher symptom severity, while postpartum complications had a protective effect (OR: 0.01, p &lt; 0.001). Obesity was inversely associated with symptom severity (OR: 0.3, p &lt; 0.001). HRQoL scores showed that 97.6% of participants had high physical functioning (mean PF: 67.36 ± 11.62), but vitality (VT) was notably lower, with 27.8% scoring below 50 (mean VT: 54.84 ± 6.60). FI (p = 0.006) and pelvic pain (p = 0.001) were linked to significantly poorer physical functioning and higher bodily pain.ConclusionUntreated PFD has a profound impact on HRQoL, especially in women with sleep apnea, menopause, and pelvic pain. Early diagnosis and intervention are critical to mitigating these effects and improving long-term outcomes. These findings highlight the urgent need for targeted public health strategies to address untreated PFD.
Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in Jordan
Authors: Hijazi Heba , Al Abdi Rabah , Abuhammad Sawsan , Bani Issa Wegdan , Al-Sharman Alham , Saadeh Nesreen , AlMarzooqi Alounoud , Refaat Ahmed Fatma , Hossain Ahmed , Radwan Hadia , Arsyad Subu Muhammad , Alameddine Mohamad 
Published: January 2025

BackgroundDiabetic foot is a major public health issue, leading to increased morbidity and mortality among diabetic patients. This study aimed to evaluate the effectiveness of targeted health education interventions on self-efficacy and foot care practices among diabetic women in Jordan.MethodsA pretest-posttest, quasi-experimental design was used to collect data from 76 diabetic women at a tertiary hospital in northern Jordan. Participants were assigned to three groups: a control group receiving standard care; Intervention Group 1, receiving standard care with weekly text reminders and follow-up calls; and Intervention Group 2, receiving the same components as Intervention Group 1, plus small group education sessions and hands-on foot care training. Generalized Estimating Equations models were used to assess the impact of the interventions on foot care practices and self-efficacy over an 8-week period.ResultsThe findings revealed that participants in Intervention Group 2 demonstrated the most significant improvements in both foot care practices and self-efficacy. For foot care practices, Intervention Group 2 had adjusted odds ratios (aORs) of 2.5 (95% CI: 1.3–5.1) and 1.7 (95% CI: 1.2–2.9) when compared to the control group and Intervention Group 1, respectively. Similarly, for self-efficacy, the aORs for Intervention Group 2 were 2.7 (95% CI: 1.4–5.2) relative to the control group, and 1.8 (95% CI: 1.1–3.2) compared to Intervention Group 1.ConclusionOur study demonstrates that interactive educational approaches—featuring group discussions, real-time problem-solving, immediate feedback, and family support—can empower diabetic women to take a more active role in managing their foot health. Routine clinical care alone is insufficient to promote proactive foot care behaviors, highlighting the need for healthcare providers to incorporate educational materials tailored to the local cultural context into standard care to enhance patient outcomes.
The correlation between heavy metal ions in blood and metabolic dysfunction-associated steatotic liver disease from 1999 to 2018 based on NHANES data
Authors: Ma Haijun , Zhao Ju , Xu Jian 
Published: January 2025

BackgroundMetabolic-associated steatohepatitis and liver fibrosis (MASLD) is a growing public health concern, with environmental factors potentially playing a role in its development. This study aimed to investigate the associations between serum cadmium and mercury levels and the risk of MASLD in a nationally representative sample from the United States.MethodsData from the National Health and Nutrition Examination Survey from 1999 to 2018 were analyzed. Serum cadmium and mercury concentrations were measured, and MASLD was defined based on established criteria. Logistic regression models were used to assess the associations between serum metal levels and MASLD, with adjustments for potential confounders. Stratified analyses and restricted cubic spline curves were employed to examine subgroup differences and nonlinear relationships.ResultsThe study revealed significant inverse associations between serum cadmium and mercury levels and the likelihood of MASLD. Individuals in the highest quartiles of cadmium and mercury had lower odds of MASLD compared to those in the lowest quartiles (Model 3: Cadmium Q4 vs. Q1, Mercury Q4 vs. Q1). Stratified analyses showed stronger inverse associations in older adults, males, and never smokers for cadmium, and in females and individuals without diabetes for mercury. Nonlinear dose–response curves indicated critical thresholds beyond which the risk dynamics changed.ConclusionHigher serum levels of cadmium and mercury were associated with a lower risk of MASLD, with notable variations across subgroups. These findings challenge the conventional understanding of these heavy metals as universally harmful and highlight the need for further research to unravel the complex interplay between environmental exposures and MASLD pathophysiology.
Dementia incidence among a cohort of lebanese older adults: first incidence estimates from the Middle East and North Africa region
Authors: Chaaya Monique , Assaad Sarah , Darwish Hala , Haber Marc , Khoury Rosemary , Saab Dahlia , El Asmar Khalil , Hajjar Ramzi 
Published: January 2025

ObjectiveTo provide the first estimates of dementia incidence rates among elderly in Lebanon.MethodsThe cohort established in 2013 consisted of 470 elderly from Beirut and Mount Lebanon, who consented to be followed-up. In 2017, we reached 341 participants/informants, achieving a response rate of 72.6%. The validated Arabic version of the 10/66 Dementia Research Group diagnostic tool was administered through face-to-face interviews. Direct age standardization was applied to the data using the Western European population distribution. Age-, sex- and location-specific incidence rates were estimated.ResultsAfter 3.5 years of follow up, 19 new cases of dementia were identified among 229 surviving participants. The crude incidence rate was 16.8 per 1,000 p-y, and the age standardized rate was 20.5 per 1,000 p-y. The incidence rate increased with age, going from 6.5 for those aged 65–74 years to 54.0 for those aged 85–89 years. Incidence rate was higher among females than males (20.7 vs.12.0), and higher in Mount Lebanon, as compared to the capital city Beirut (19.5 vs.14.9).ConclusionDementia incidence rate was close to European and North American countries' estimates. The use of validated tools increased the internal validity of our results. A large cohort study is warranted to confirm these results.
Care coordination for people living with serious mental illness: understanding the caregiver's perspective
Authors: Obegu Pamela , Nicholls Kayla , Alberti Mary 
Published: January 2025

IntroductionFamily caregivers of people living with serious mental illness such as bipolar disorder, psychosis and schizophrenia, are continuously burdened with caregiving, following the complexities of navigating the mental health system for their loved ones. The aim of the study was to understand the perspectives of caregivers about care coordination for people living with serious mental illness, highlighting the current landscape and new directions across Canada.MethodsIn this co-designed participatory qualitative research, caregivers of people living with serious mental illness, and service providers were engaged and purposively sampled across Canada.ResultsThe main findings of the study revealed care coordination as a key strategy to alleviate the burden of caregivers and enhance sustainable support for them. In complement with collaborative mental health care, care coordination can improve service delivery and strengthen the mental health system.ConclusionGiven the severity of bipolar disorder, psychosis and schizophrenia, it is important that we prioritize care for people living with these illnesses while providing support for their caregivers who bear the brunt of the otherwise fractured mental health system. Ultimately, collaboration between people and systems is how the mental health system can be much improved, and care coordinators serve as resourceful go-betweens in this ‘collaborativerse’.
Experiences of infertility among couples in Morocco
Authors: Benbella Amal , Mburu Gitau , Zaidouni Asmaa , Elomrani Sanae , Yahyane Abdelhakim , Gholbzouri Karima , Kiarie James , Bezad Rachid 
Published: January 2025

IntroductionInfertility has significant implications on health. It affects physical, emotional, and social wellbeing. In Morocco, about 12% of couples or live with infertility. In 2013 the first public Assisted Reproductive Technology (ART) Center was established at the Maternity and Reproductive Health Hospital les Orangers in Rabat, Morocco. This qualitative study explores the experiences of infertility among couples who have benefited from diagnosis and treatment at ART center. The study represents a part of the overall evaluation of this first public ART centre in Morrocco.MethodsData were collected through in-depth patient interviews. A semi-structured interview guide was used to elicit the perspectives and experiences couples with infertility. Data collection occurred between January and March 2023. Inductive thematic analysis was conducted to explore the experiences of infertility among the couples.ResultsThe study showed that couples with infertility were exposed to negative experiences such as (i) biomedical experiences (diagnostic delays, fragmented care, multiplicity of treatments), (ii) social experiences (gendered social pressures, stigma, discrimination, marital challenges, isolation and disrupted social routines), (iii) mental experiences (anger, anxiety, depression, and mood changes) as well as (iv) financial limitations (out of pocket payments and financial indebtedness). Solutions addressing these challenging experiences were suggested by interviewed couples including continued quality and respectful care to enhance biomedical experiences; public education campaigns to educate the public and destigmatize infertility to improve social experience, inclusion of psychosocial services as part of fertility integrated care to enhance psychological experiences, and enhanced financial protection, and service decentralisation to mitigate negative financial pressures.ConclusionCouples with infertility are exposed to various challenges in the biomedical, social, psychological, and financial domains. A health system strengthening approach is essential to address those challenges, and multiple strategies are needed to improve the experiences of couples with infertility in Morocco. Given interconnectedness between biomedical, social, psychological, and financial divers of experiences, a holistic approach is required to comprehensively improve the experiences of infertile couples and address all the issues faced by couples during their treatment journey.
Identifying community-driven priority questions in acoustic backscatter research
Authors: Lecours Vincent , Misiuk Benjamin , Butschek Felix , Blondel Philippe , Montereale-Gavazzi Giacomo , Lucieer Vanessa L. , McGonigle Chris 
Published: January 2025

IntroductionRemotely-sensed acoustic backscatter is an indispensable tool for seabed mapping, among other disciplines. Almost a decade after the GeoHab Backscatter Working Group published its guidelines and recommendations report, new technologies, new challenges and new questions have emerged. Given the range of potential backscatter research avenues, it can be difficult to align research programs with the priorities of the community of practice. Prioritization of backscatter research topics is thus necessary to establish a roadmap for acoustic backscatter research efforts.MethodsWe asked the international community working with acoustic backscatter to submit their priority research questions over a 5- to 10-year horizon. We analyzed and curated a total of 177 research questions from 73 contributors, and the resulting 104 questions were grouped into eight broad recurring themes: “Technologies”, “Calibration”, “Data acquisition and ground-truthing”, “Data processing”, “Post-processing, quality control, data handling, and curation”, “Data analysis”, “Data interpretation”, and “Applications and end uses”. A follow-up survey based on the final list of questions was distributed to characterize the community working with backscatter and to identify key research priorities.ResultsA total of 120 responses originating from 23 countries were used for the analyses. Most respondents were researchers (68%), while others were technicians (25%) or department or program managers (11%), among other roles. Affiliations of respondents included academia (43%), governmental agencies (37%), and industry/private sector (18%). After scaling the responses, the most commonly selected theme was “Post-processing, quality control, data handling, and curation”, followed by “Calibration” and “Data analysis”. Respondents consistently ranked several research questions as priorities. The two questions that were identified as priorities by over 25% of respondents were “How can we move towards absolute calibration of different systems to allow interregional comparisons?”, and “How can we quantify seafloor backscatter quality and develop standards similar to what exists with bathymetry?”.DiscussionAll eight themes are represented in the top 10 priority questions, underscoring the need for contributions to backscatter research from multiple perspectives to advance the field. The ranking of priority questions encourages collaboration within the community and will serve as a roadmap for backscatter research programs over the next decade.
From speech acts to communicative acts: social network debates about sexual consent
Authors: Torras-Gómez Elisabeth , Krauchenberg Arja , Petuya Victor , Marcos Rebeca , Serradell Olga , Soler-Gallart Marta 
Published: January 2025

IntroductionUnderstanding consent is essential to combat sexual violence, a deeply rooted social problem. Amidst its complexities, the scientific literature has emphasized the shortcomings of only considering the speech act—whether the victim-survivor said “yes” or not. Instead, sociological research underscores the need to analyze the whole communicative act where different elements lead to either a power relationship where there is no consent or a dialogic relationship where freedom is granted. Although some research has been conducted on citizens’ social media debates on consent, how such debates include the concept of communicative acts to discuss it has not been analyzed yetMethods55 gender-related Instagram and Twitter (now known as X) posts—published and extracted over the course of 14 days—were analyzed.ResultsFindings reveal that most posts refer to Power Communicative Acts as a hindrance for consent due to hierarchical power imbalances or to coercion, and called for the need to establish elements of Dialogic Communicative Acts to achieve consent and construct more egalitarian environments. Finally, most posts that considered ethics spoke about the need for perpetrators to be held accountable or offered similar takes on consequentialism.DiscussionThese findings help illustrate how several social media debates about consent successfully fall into the Communicative Acts framework.