bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mechanical and biological properties of zirconia crowns prepared by digital light processing
Authors: Su Jun‐Jie , Li Xin‐Yang , Liu Zi‐Mo , Wu Jia‐Min , Huang Cui , Yao Chen‐Min , Zhang Xiao‐Yan , Wang Xiu‐Mei , Shi Yu‐Sheng 
Published: February 2025

AbstractZirconia (ZrO2) ceramics have been extensively used for dental restorations, but the biocompatibility and mechanical properties of three‐dimensional (3D)‐printed zirconia materials have not been thoroughly validated yet. In this study, we employed digital light processing (DLP) technology to fabricate zirconia ceramic crowns. The variation in sintering temperature resulted in alterations in phase composition and microstructure. The ceramics exhibited high average relative density, compressive strength, and Vickers hardness values at 1500°C (97.33%, 1812.61 MPa, and 12.55 GPa, respectively). Meanwhile, the zirconia ceramics sintered at 1500°C showed a maximum flexural strength of 411.33 MPa. In addition, the DLP‐printed zirconia materials demonstrated satisfactory biocompatibility, with a cell viability of 93.35% after 7 days. No significant inflammatory response or cell deformation was detected (p = .51). The ceramics had no adverse effect on cell adhesion or growth at the initial stages. The results indicate that DLP technology‐fabricated zirconia crowns have favorable mechanical properties and biocompatibility.
The Most Significant Change: An Evaluation of Predictive Performance Measures in Nursing Homes
Authors: Wells Yvonne , Rayner Jo‐Anne , Fetherstonhaugh Deirdre , McAuliffe Linda 
Published: February 2025

ABSTRACTRationaleDue to their frailty, older people living in nursing homes are at risk of harm if the care provided is not evidence‐based and high quality. The performance measures routinely collected to measure quality care in public sector nursing homes in Victoria, Australia, are currently acute care focused and collected ‘after the fact’, so there is a need for predictive performance measures that identify circumstances that reflect poor‐quality care that will cause harm to residents.Aims and ObjectivesTo evaluate the readiness of public sector nursing homes in Victoria, Australia to introduce predictive performance measures in aged care.MethodsA qualitative descriptive design was used to evaluate the introduction of eight predictive performance measures in six geographically diverse public sector nursing homes in Victoria, Australia. After implementing the performance measures interviews with staff were undertaken which were used to create 18 most significant change stories. The stories were workshopped by key stakeholders, to detect subtle changes in nursing home staff behaviours and clinical practice.ResultsIn the workshop, using the most significant change methodology six themes from the stories, each with sub‐themes were identified which reflect the preparedness of nursing homes for the introduction of predictive performance measures, revealing ‘gaps’ in aged care practice, and the need for improvements. These included staff‐identified strategies, changes in practice, gaps in aged care practice, areas for improvement, and the need for improvement plans, which prompted changes in staff behaviours and better care for residents.ConclusionsThe study highlights the value and adaptability of using the most significant change methodology to evaluate complex interventions. This method enriches analysis by emphasising individual experiences, and the dynamics of organisational change. It highlighted subtle changes in aged care practice that would have been difficult to measure including staff behaviour, organisational culture, and the role of leadership in improving care quality for residents.
Implementation of a “People‐Like‐Me” Tool for Personalized Rehabilitation After Total Knee Arthroplasty: A Mixed Methods Pilot Study
Authors: Graber Jeremy , Hinrichs‐Kinney Lauren A. , Churchill Laura , Matlock Daniel D. , Kittelson Andrew , Lutz Adam , Bade Michael , Stevens‐Lapsley Jennifer 
Published: February 2025

ABSTRACTRationaleWhile there are numerous tools available to inform if and when to use total knee arthroplasty (TKA), very few tools exist to help guide the recovery period after surgery.Aims and objectivesWe piloted a decision support tool that promotes a “people‐like‐me” (PLM) approach to rehabilitation after total knee arthroplasty (TKA). The PLM approach encourages person‐centered care by “using historical outcomes data from similar (past) patients as a template of what to expect for a new patient”. In this study, we evaluated how successfully the PLM tool was implemented and examined contextual factors that may have influenced its implementation.MethodsTwo outpatient physical therapy clinics (Clinics A and B) piloted the PLM tool from September 2020 – December 2022. We gathered data related to its implementation from multiple sources including the electronic health record (EHR), the tool itself, and surveys and interviews with patients and clinicians. We used an explanatory sequential mixed methods design to analyze the data overall and separately by each clinic.ResultsOverall, the clinics met most pre‐specified implementation targets, but did not use the tool as frequently as intended. Both clinics identified time, technology, and scheduling barriers to using the tool, but Clinic A scored higher in nearly every implementation outcome. Clinic A's success may have been related to its clinicians' higher level of experience, more positive attitudes towards the tool, and more active approach to implementation compared to Clinic B.ConclusionsThe clinics met most of our implementation targets, but Clinic A experienced more success than Clinic B. Future efforts to implement this PLM tool should (1) engage clinicians as active participants in the implementation process, (2) explore whether incorporating treatment recommendations into the PLM tool and/or using alternative training strategies can enhance its ability to alter clinician behavior, (3) integrate the tool within the EHR to complement existing workflows and mitigate implementation barriers, and (4) include randomized controlled trials that evaluate the tool's effectiveness and scalability across diverse clinical settings.
Psychiatric Wards Nurses' Experiences on Self‐Compassion, Compassionate Care and Compassion Fatigue: A Qualitative Study
Authors: Ali Ghadeer Hussein Ali , Duru Hilal Altundal 
Published: February 2025

ABSTRACTBackgroundCompassion is an important component of providing quality nursing care, and the literature on compassionate care in psychiatric nursing is limited.AimThe aim of this qualitative descriptive study was to explore the experiences of psychiatric ward nurses regarding self‐compassion, compassionate care and compassion fatigue.MethodsA qualitative descriptive study was conducted by thematic analysis with an inductive approach of semi‐structured interviews with 16 psychiatric nurses across psychiatric ward in a state hospital, Kirkuk, Iraq, selected through purposeful sampling between 15 October and 15 November 2023.ResultsThe analysis of the data, two main themes emerged: ‘freedom in difficulties’ and ‘togetherness of suffering’. These results indicate that psychiatric nurses need individual and organizational resources to provide compassionate care.ConclusionIt is thought that developing programmes to improve the self‐compassionate care of psychiatric nurses by institution managers and policy makers may be effective in reducing compassion fatigue and providing compassionate care. In the future research, how religion affects psychiatric nurses' ability to provide compassionate care and the role of belief in coping with compassion fatigue experienced by psychiatric nurses needs to be investigated.
The Effect of Central Venous Catheter Care Training Following Evidence‐Based Guidelines on Nurses' Knowledge Levels and Care Practices
Authors: İskender Nurtaç , Karadeniz Havva 
Published: February 2025

ABSTRACTAimThis study aimed to assess the impact of training on central venous catheter care, aligning with evidence‐based guidelines, on the knowledge levels and care practices of nurses within intensive care units.MethodThis quasi‐experimental study was conducted with the voluntary participation of 39 nurses from a state hospital's intensive care units. The data were collected using the “Descriptive Characteristics Form,” the “Central Venous Catheter Information Form for Evidence‐Based Guidelines,” the “Observation Form for the Evaluation of Nurse Care Practices in Central Venous Catheter Care Guided by Evidence‐Based Guidelines,” and the “Evidence‐Based Nursing Attitude Questionnaire”. Nurses underwent Central Venous Catheter Care Training, and assessments of their knowledge levels and care practices were conducted before and after the training.ResultsFollowing the central venous catheter care training, there was a significant increase in posttest scores for both the knowledge level (p < 0.001) and the Evidence‐Based Nursing Attitude Questionnaire (p < 0.001).ConclusionThis study suggests the incorporation of central venous catheter care based on evidence‐based guidelines into nursing curricula, postgraduate in‐service training programs, and intensive care courses.
Effect of Forage‐Free Diet on the Growth Performance, Feed Efficiency, Blood Metabolites, and Mammary Gland Parenchyma of Prepubertal Holstein Heifers
Authors: Ahmad Muhammad , Rehman Shafiq Ur , Bashir Muhammad Zafar , Akram Muhammad , Qayyum Arslan , Naveed‐ul‐Haque Muhamad , Mohsin Imran , Oneeb Muhammad , Mustafa Ghulam , Usman Mehmood Muhammad , Chishti Ghazanfar Ali 
Published: February 2025

ABSTRACTVariation in nutritional profile and availability of high‐quality forages remain primary challenges for efficient heifer rearing on a forage‐based diet. This study aimed to evaluate the effect of limit feeding forage‐free diet on growth performance, feed efficiency, blood metabolites, behavior, health, and mammary parenchyma of prepubertal dairy heifers. Sixteen prepubertal heifers (Body weight = 168 ± 32Kg) divided into 8 pens (2 heifers/pen) were used in a completely randomized design (n = 4 pen/treatment) to compare the effect of a diet containing 20% forage with a forage‐free diet. Limit feeding forage‐free diet improved the feed efficiency by 10% and ADG by 11.36% (p ≤ 0.05) without negatively affecting the body measurements, health parameters, and blood metabolites (p ≥ 0.23). In udder, three‐quarters of heifers fed a forage‐free diet had greater (p ≤ 0.05) mammary parenchyma growth than the heifers fed a 20% forage diet. Teat lengths and behavioral measurements except rumination time were not affected (p > 0.05) by the forage‐free diet. Heifers fed a 20% forage diet had greater rumination time (p = 0.01) than the heifers fed a forage‐free diet. Limit feeding forage‐free diet can be adopted in prepubertal dairy heifers for the improvement in feed efficiency and mammary parenchyma growth.
Sociolinguistic variation in the rhythm of Nigerian English speech
Authors: Oyebola Folajimi , Ilekura Osemudiamhe 
Published: February 2025

AbstractThere is a dearth of research on speech rhythm in Nigerian English, and scholars have differing views on its nature, ranging from being syllable‐timed to tone‐timed. Apart from the fact that the majority of few available studies were conducted more than a decade ago, the exact nature of speech rhythm in Nigerian English remains contentious. This study aims to address this gap by employing multiple metrics and analyses to investigate speech rhythm in Nigerian English, while also exploring the influence of social factors such as gender and ethnicity on its realisation. The findings reveal a significant divergence between the speech rhythm of Nigerian English and British English. Overall, the study suggests a hierarchy of rhythm patterns, with Nigerian English exhibiting more syllable‐timed patterns compared to British English (Igbo English<Yoruba English<Hausa English<British English), and that Nigerian English has more specific phonological features than British English associated with a syllable‐timed rhythm.
The impact of audio versus audiovisual stimuli with or without face masking on judgements about different varieties of Asian English
Authors: Hansen Edwards Jette G. , Zampini Mary L. 
Published: February 2025

AbstractThis study explores ways in which multilingual English listeners react to and rate three varieties of Asian English in three presentational modes: audio only, audiovisual and audiovisual with a face mask. Using a speech intelligibility framework, the study examines the extent to which presentational mode affects intelligibility and listener ratings of accentedness, comprehensibility and acceptability. In addition, through an analysis of both a think‐aloud protocol and listener familiarity with varieties of English, this study explores the role that linguistic bias and familiarity may play in listener ratings and intelligibility scores. This study is innovative for its systematic exploration of how speech intelligibility and ratings of varieties of English are influenced by face masks and for its in‐depth exploration of the role that familiarity and bias may play in the evaluation of audio vs audiovisual speech. Findings from the study make an important theoretical and methodological contribution to our understanding of speech intelligibility in both L2 and multilingual settings.
The symplectic density property for Calogero–Moser spaces
Authors: Andrist Rafael B. , Huang Gaofeng 
Published: February 2025

AbstractWe introduce the symplectic density property and the Hamiltonian density property together with the corresponding versions of Andersén–Lempert theory. We establish these properties for the Calogero–Moser space of particles and describe its group of holomorphic symplectic automorphisms.
One-stage approach to implant placement in the posterior atrophic maxilla: a review of the literature
Authors: Sleman Nadim , Khalil Ali 
Published: February 2025

Rehabilitating the posterior atrophic maxilla presents a significant challenge due to the need to create sufficient bone volume for implant placement. The amount of existing bone height is critical in deciding between a one-stage or two-stage lateral sinus lift procedure. This review investigates the feasibility of implant placement in the atrophic maxilla during simultaneous maxillary sinus floor augmentation, focusing on implant survival rates, particularly when the bone height is less than 5 mm. By analyzing implant survival rates in this specific scenario, this comprehensive review contributes to the understanding of successful implant integration in the posterior atrophic maxilla.
Hemodynamic evaluation of Norwood aortic arch geometry compared to native arch controls
Authors: Blanch Granada Aloma , LaDisa John , Samyn Margaret , Cava Joseph , Handler Stephanie S. , Gerardin Jennifer F , Goot Benjamin , Maadooliat Mehdi , Hraška Viktor 
Published: February 2025

Abstract
The Norwood procedure creates a reconstructed neo-aorta to provide unobstructed systemic cardiac output (CO) for Hypoplastic Left Heart Syndrome (HLHS) patients. We used patient-specific computational fluid dynamics (CFD) simulations incorporating physiologic boundary conditions to quantify hemodynamics for reconstructed aortic arch geometries versus native aortic arches from a control group of single ventricle patients. We hypothesized that reconstructed arches from Norwood patients (n=5) would experience significant differences in time-averaged wall shear stress normalized to body surface area (TAWSSnBSA), oscillatory shear index (OSI), energy efficiency (Eeff), and energy loss (EL) versus controls (n=3). CFD simulations were conducted using 3T cardiac magnetic resonance imaging, blood flow and pressure data. Simulations incorporated downstream vascular resistance and compliance to replicate patient physiology. TAWSSnBSA and OSI were quantified longitudinally and circumferentially. Global differences in Eeff and EL were compared. Significance was assessed by Mann?Whitney U test. Norwood patients had higher TAWSSnBSA distal to the transverse arch (TA) at locations of residual narrowing presenting following coarctation correction, as well as higher OSI within ascending aorta (AAo) and TA regions (p&lt;005). EL correlated with patient features including cardiac output (r=0.9) and BT-shunt resistance (r=-0.63) but did not correlate with arch measurements or morphology. These results indicate reconstructed arches from Norwood patients are exposed to altered WSS and energy indices linked to cellular proliferation and inefficiency in prior studies. These results may help clinicians further understand what constitutes an optimally reconstructed arch after confirmation in larger studies
Research priorities for the most premature babies born <25 weeks’ gestation: results of an international priority setting partnership
Authors: Peart Stacey , Ray Olivia , Galletta Laura , Bates Amber , Boland Rosemarie Anne , Davis Peter G , Gale Chris , Johnson Samantha , Kinsella Suzannah , Knight Marian , Owen Louise S , Pallot Louise , Prentice Trisha M , Santhanadass Patricia , Stanbury Kayleigh , Tingay David , Whitehead Clare L , Manley Brett James , Roehr Charles C , Hardy Pollyanna 
Published: February 2025

ObjectiveThe James Lind Alliance (JLA) Most Premature Babies Priority Setting Partnership aimed to identify the most important areas for research for infants born <25 weeks’ gestation.DesignEmploying standardised JLA methodology, questions for research were sought from stakeholders via an online survey. Summary questions were formed and checked against existing evidence, with unanswered questions compiled into a second shortlisting survey for prioritisation by stakeholders. A stakeholder consensus workshop was held to determine the top 10 research priorities.ParticipantsPeople with lived experience of neonatal intensive care, including parents/carers of preterm infants and adults born preterm, and healthcare professionals caring for preterm infants across Australia, New Zealand and the UK.Main outcome measureThe top 10 research priorities for infants born <25 weeks’ gestation.ResultsFrom 844 questions received from the initial survey, 81 summary questions were formed, of which 80 were unanswered and included in the second shortlisting survey. The 19 top-ranked questions were taken to the final prioritisation workshop, where the top 10 research priorities were determined by people with lived experience and healthcare professionals. The most important research question identified was ‘What can be done in the neonatal intensive care unit to improve long-term health and developmental outcomes?’. Other important areas for research included antenatal interventions and neonatal care at birth, preventing intraventricular haemorrhages, managing pain, postnatal corticosteroid treatment and supporting families.ConclusionsThis study identified the most important areas of research for infants born <25 weeks’ gestation, as determined jointly by stakeholders. These findings should be used to guide future research and funding aimed at improving meaningful outcomes for these infants and their families.
Sociocultural constructs and sensorimotor control: a scoping review examining implications for anterior cruciate injury
Authors: Wilford Katherine F , Mena-Iturriaga Maria Jesus , Wainer-Baracatt Macarena Paz , Vugrin Margaret , Hooper Troy L , Brooks Toby , James C Roger , Kim Shinye , Seeber Gesine H , Sizer Phillip S 
Published: February 2025

ObjectiveThere is a need to explore the many factors that may have a more subtle influence on, or relationship with, sensorimotor control as it pertains to anterior cruciate ligament injury risk. Due to well-established sex/gender-related differences in sensorimotor control, a close examination of key sociocultural constructs is warranted. This scoping review examined the connection between sociocultural constructs and sensorimotor control.DesignScoping review.Data sourcesThe following databases were searched: PubMed, Embase, Scopus, CINAHL Complete, Academic Search Complete, Pre-Prints Database and Rehabilitation Reference Center from inception to September 2023. Additionally, relevant grey literature was identified.Eligibility criteria for selecting studiesTwo blinded reviewers independently performed screening, study selection and data extraction. Original references in English, Spanish and German reporting on sociocultural constructs and motor task performance were included.ResultsData were extracted from 68 included articles. Stereotype threat, gender and race have been examined more than other sociocultural constructs. Sensorimotor control was assessed in upper and lower quarter tasks and physical activity (PA). Task assessment methods varied, often focusing on task completion or completion speed. It is evident that sociocultural constructs influence sensorimotor control, but the exact mechanism remains unclear.ConclusionSociocultural constructs can influence sensorimotor control and PA. Future research should further explore this connection as it relates to biomechanical profiles associated with increased injury risk. Additionally, sociocultural construct inventory scores could be added to existing injury screening programmes to create a more gendered approach to risk mitigation.
Potential role of ChatGPT in simplifying and improving informed consent forms for vaccination: a pilot study conducted in Italy
Authors: Cosma Claudia , Radi Alessio , Cattano Rachele , Zanobini Patrizio , Bonaccorsi Guglielmo , Lorini Chiara , Del Riccio Marco 
Published: February 2025

ObjectivesInformed consent forms are important for assisting patients in making informed choices regarding medical procedures. Because of their lengthy nature, complexity and specialised terminology, consent forms usually prove challenging for the general public to comprehend. This pilot study aims to use Chat Generative Pretrained Transformer (ChatGPT), a large language model (LLM), to improve the readability and understandability of a consent form for vaccination.MethodsThe study was conducted in Italy, within the Central Tuscany Local Health Unit. Three different consent forms were selected and approved: the standard consent form currently in use (A), a new form totally generated by ChatGPT (B) and a modified version of the standard form created by ChatGPT (C). Healthcare professionals in the vaccination unit were asked to evaluate the consent forms regarding adequacy, comprehensibility and completeness and to give an overall judgement. The Kruskal–Wallis test and Dunn’s test were used to evaluate the median scores of the consent forms across these variables.ResultsConsent forms A and C achieved the top scores in every category; consent form B obtained the lowest score. The median scores were 4.0 for adequacy on consent forms A and C and 3.0 on consent form B. Consent forms A and C received high overall judgement ratings with median scores of 4.0, whereas consent form B received a median score of 3.0.ConclusionsThe findings indicate that LLM tools such as ChatGPT could enhance healthcare communication by improving the clarity and accessibility of consent forms, but the best results are seen when these tools are combined with human knowledge and supervision.