bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical applications of electrical stimulation for peripheral nerve injury: a systematic review
Authors: Costello Meredith C. , Errante Emily L. , Smartz Taylor , Ray Wilson Z. , Levi Allan D. , Burks Stephen Shelby 
Published: August 2023

IntroductionPeripheral nerve injuries are common neurologic injuries that are challenging to treat with current therapies. Electrical stimulation has been shown to accelerate reinnervation and enhance functional recovery. This study aims to review the literature on clinical application of electrical stimulation for peripheral nerve injury.MethodsPubMed and Embase were sourced from 1995 to August 2022. Selection was based on predetermined inclusion/exclusion criteria. Eight hundred and thirty-five articles were screened with seven being included in this review.ResultsTwo hundred and twenty-nine patients with peripheral nerve injuries were represented. Six of the studies were randomized controlled trials. A variety of nerve injuries were represented with all being in the upper extremity and supraclavicular region. Electrical stimulation protocols and evaluation varied. Electrodes were implanted in four studies with one also implanting the stimulator. Length of stimulation per session was either 20 mins or 1 h. Median stimulation frequency was 20 Hz. Stimulation intensity varied from 3 to 30V; pulse width ranged from 0.1 to 1.007 ms. Three protocols were conducted immediately after surgery. Patients were followed for an average of 13.5 months and were evaluated using electrophysiology and combinations of motor, sensory, and functional criteria.DiscussionPatients who received electrical stimulation consistently demonstrated better recovery compared to their respective controls. Electrical stimulation for peripheral nerve injury is a novel treatment that has not been well-studied in humans. Our review illustrates the potential benefit in implementing this approach into everyday practice. Future research should aim to optimize protocol for clinical use.
Genetic diversity for drought tolerance in the native forage grass Trichloris crinita and possible morpho-physiological mechanisms involved
Authors: Dominguez Deolindo Luis Esteban , Cavagnaro Juan Bruno , Ros Juana Panasiti , Le Anh Tuan , Chung Yong Suk , Cavagnaro Pablo Federico 
Published: August 2023

IntroductionThe use of drought tolerant genotypes is one of the main strategies proposed for coping with the negative effects of global warming in dry lands. Trichloris crinita is a native forage grass occupying extensive arid and semi-arid regions in the American continent, and used for range grazing and revegetation of degraded lands.MethodsTo identify drought-tolerant genotypes and possible underlying physiological mechanisms, this study investigated drought tolerance in 21 genetically diverse T. crinita genotypes under natural field conditions. The accessions were grown under irrigated (control) and drought conditions for 84 days after initiation of the drought treatment (DAIDT), which coincided with flowering initiation. Various morpho-physiological traits were monitored, including total-, foliage-, and root biomass yield, dry matter partitioning to individual plant organs (roots, leaves, stems, and panicles), total leaf area, chlorophyll content, photochemical efficiency of photosystem II, stomatal conductance, and number of panicles per plant.Results and discussionBroad and significant variation (p&lt;0.001) was found among the accessions for all the traits. Three highly tolerant and three very sensitive accessions were identified as the most contrasting materials, and their responses to drought stress were confirmed over two years of experiments. Under prolonged drought conditions (84 DAIDT), the tolerant accessions were generally more productive than the rest for all the biomass yield components analyzed, and this was associated with a postponed and more attenuated decrease in variables related to the plant photosynthetic activity, such as stomatal conductance, chlorophyll content, and photochemical efficiency. In contrast to previous findings, our data indicate no direct relationship between drought tolerance and the level of aridity in the accessions natural habitats, but rather suggest genetic heterogeneity and ample variation for drought tolerance in T. crinita natural populations derived from a particular location or environment. Also, having low total and forageable biomass yield, or increased biomass allocation to the roots (i.e., lower foliage/root ratio), under optimal water availability, were not associated with greater drought tolerance. The drought-tolerant accessions identified are of value for future genetic research and breeding programs, and as forage for range grazing and revegetation in arid regions.
Acceptance and adherence to non-invasive positive pressure ventilation in people with chronic obstructive pulmonary disease: a grounded theory study
Authors: Volpato Eleonora , Banfi Paolo Innocente , Pagnini Francesco 
Published: August 2023

IntroductionNon-Invasive Positive Pressure Ventilation (NPPV) is an established treatment for people with Chronic Obstructive Pulmonary Disease (COPD), but it is often improperly used or rejected. The patterns of acceptance and adherence to NPPV, conceiving constraints, and strengths related to its adaptation have not been explored from a qualitative perspective yet.ObjectivesThis study aims to qualitatively explore patterns of adaptation to NPPV in people affected by COPD and to identify the core characteristics and the specific adaptive challenges during the adaptation process.MethodsForty-two people with moderate or severe COPD were recruited and 336 unstructured interviews were conducted. A Constructivist Grounded Theory was used to gather and analyze data: the transcriptions were mutually gathered in open, selective, and theoretical phases, with open, selective, and theoretical coding, respectively.ResultsThe analysis resulted in a non-linear and dynamic process, characterized by three phases: deciding, trying NPPV, and using NPPV. The patterns revealed that positive and negative NPPV experiences, together with beliefs, emotions, stressful mental states, and behaviors result in different acceptance and adherence rates.DiscussionsThese findings may be helpful to implement new care strategies to promote acceptance and adherence to NPPV.
A qualitative exploration of reunification post alienation from the perspective of adult alienated children and targeted parents
Authors: Matthewson Mandy Louise , Bowring Jessica , Hickey Jacinta , Ward Sophie , Diercke Peta , Van Niekerk Leesa 
Published: August 2023

IntroductionThe aim of this study was to explore the experiences of voluntary reunification from the perspectives of adult alienated children and targeted parentsMethodsNine adult alienated children and 12 targeted parents participated in semi-structured interviews which were transcribed verbatim and analyzed thematicallyResultsSix themes emerged in the data from the adult alienated children including catalysts for reunification, factors influencing reunification, adult alienated child relationships, the role of communication in reunification, adult alienated child understandings of alienation post reunification, and the role of therapy in reunification. Three themes emerged from the targeted parents including what is reunification, factors impacting reunification, and life after reunification.DiscussionFindings from the present study offer novel insights into the experience of voluntary reunification from the perspectives of both adult alienated children and targeted parents. They illustrate that voluntary reunification is a process that takes time. This process can span decades and can include periods of connection and rejection.
Implementing digital neuroscience in special-needs-teacher education: exploring student-teachers’ multifaceted learning outcomes related to teaching children with neurodevelopmental disorders
Authors: Frei-Landau Rivi , Grobgeld Etty , Guberman Raisa 
Published: August 2023

IntroductionIn recent decades, there has been increased use of neuroscience in teacher education, which refers to applying knowledge from brain science to teaching. Similarly, digital learning has been extensively integrated into teacher education, particularly in light of the COVID-19 pandemic. However, the benefits of assimilating educational neuroscience into special-education training—particularly using digital platforms–have yet to be examined. The current study explored the use of digitally-delivered educational neuroscience, related to neurodevelopmental disorders (ND), in teacher education, to gain insight into the learning outcomes alongside the contribution of the digital platform.MethodsEmploying a qualitative approach, we recruited 193 student-teachers who learned a digital ND-related neuroscience course. Data collection included open-ended reflections, open-ended story questions and five focus groups – all of which were analyzed using content analysis.ResultsFindings revealed a process involving four learning outcomes: understanding brain-based mechanisms of ND, enhanced empathy, extended perception of teachers’ professional role, and the design of pedagogical adaptations. The analysis also pointed out the various ways in which the digital platform facilitated these learning outcomes.DiscussionThe study provides theoretical insight into the role of digitally-delivered educational neuroscience in the service of inclusion. It further discusses the practical implications of using digitally-delivered educational neuroscience in teacher education to promote an inclusive pedagogy and best practices.
Effectiveness of exercise interventions on fall prevention in ambulatory community-dwelling older adults: a systematic review with narrative synthesis
Authors: Sadaqa Munseef , Németh Zsanett , Makai Alexandra , Prémusz Viktória , Hock Márta 
Published: August 2023

ObjectiveTo present a systematic review of randomized controlled trials which summarizes the effects of community-based resistance, balance, and multi-component exercise interventions on the parameters of functional ability (e.g., lower extremities muscle strength, balance performance and mobility).MethodsThis PROSPERO-registered systematic review (registration no. CRD42023434808) followed the PRISMA guidelines. Literature search was conducted in Cochrane, Embase, Ovid Medline, PEDro, Pubmed, Science Direct, Scopus and Web of Science. We included RCTs that investigated the following interventions: lower extremity strengthening, balance and multi-component exercise interventions on ambulatory community-dwelling adults aged ≥65 years.ResultsLower extremity strengthening exercises revealed significant effects on the strength of lower extremity, balance outcomes and mobility. Balance exercises reduce the rate of injurious falls, improve static, dynamic and reactive balance, lower extremity strength as well as mobility. Multi-component exercise training reduces medically-attended injurious falls and fallers, incidence of falls, fall-related emergency department visits as well as improves mobility, balance, and lower extremity strength.ConclusionPhysical exercises are effective in improving the components of balance, lower extremity strength, mobility, and reducing falls and fall-related injuries. Further research on fall prevention in low-income countries as well as for older adults in vulnerable context is needed.
How to bridge the nurse innovation–diffusion gap? An in-depth case study of Create4Care
Authors: Rigtering Coen , Spaans Lara J. , de Jong Jeroen P. J. 
Published: August 2023

IntroductionNurses frequently innovate in response to operational failures, regulations, procedures, and/or other workflow barriers that prevent them from delivering high-quality patient care. Unfortunately, most nurse innovations do not diffuse to a broader audience, depriving other nurses from taking advantage of solutions that have already been developed elsewhere. This under-diffusion is problematic from a societal and welfare point of view. The goal of this paper is to understand how diffusion shortage of nurse innovations can be reduced.MethodsWe develop a qualitative case study of a medical makerspace at the largest academic hospital in the Netherlands. This medical makerspace reported unusually high rates of nurse innovation diffusion. Our data collection includes on-site observations, archival data, secondary data, and fifteen in-depth interviews with key informants. Qualitative coding procedures and a combination of deductive and inductive reasoning are used to analyze the data.ResultsOur data show that personal, organizational, regulatory, and market barriers prevent nurses from further developing and diffusion their innovations in an anticipatory manner. That is, because nurses expect that transforming an initial solution into an innovation that can be shared with others will be too time consuming and difficult they do not proceed with the further development. The medical makerspace that we investigated adequately addresses this problem by developing an innovation ecosystem that largely takes over the innovation and diffusion process.DiscussionWe provide a concrete example of how a medical makerspace, and innovation support systems in a broader sense, can be designed to more adequately address the nurse innovation-diffusion gap. The two main elements of the practical solution that we identified are: (1) Support systems should facilitate that others may lead the development and diffusion of innovations and (2) The support system should promote that actors integrate their functional specializations within an innovation ecosystem. We make two theoretical contributions. First, we contribute to understanding barriers in the nurse innovation-diffusion process from a psychological point. Second, we identified that an ecosystem perspective is beneficial to develop innovation support systems in which diffusion occurs more often.
Coupling the effects of extreme temperature and air pollution on non-accidental mortality in Rencheng, China
Authors: Yu Daozheng , Lee Soo-Beom , Chen Si , Kim Seong Wook , Xi Shuaishuai 
Published: August 2023

BackgroundExtreme temperatures and air pollution have raised widespread concerns about their impact on population health.AimTo explore the quantitative exposure risks of high/low temperatures and types of air pollutants on the health of various populations in urban areas in China, this study assessed the effects of temperature and air pollutants on daily non-accidental deaths in Rencheng District, Jining City, China from 2019 to 2021.MethodsA combination of Poisson regression models and distributed lag non-linear models was used to examine the relationships between temperature, air pollutants, and daily non-accidental deaths. We found that temperature and air pollutants had a significant non-linear effect on non-accidental mortality. Both high and low temperatures had a noticeable impact on non-accidental deaths, with heat effects occurring immediately and lasting 2–3 days, while cold effects lasted for 6–12 days. The relative risks of non-accidental deaths from PM2.5, NO2, and SO2 were highest in winter and lowest in autumn. The relative risk of non-accidental deaths from O3 was highest in spring, with no significant variations in other seasons. Older adults (≥75) and outdoor workers were at the greatest risk from temperature and air pollutant exposure.Conclusions/interpretationExposure to extreme temperatures and air pollutants in the Rencheng District was associated with an increased mortality rate. Under the influence of climate change, it is necessary for policymakers to take measures to reduce the risk of non-accidental deaths among residents.
Tribal women empowerment through entrepreneurship: evidence from Mayurbhanj District, Odisha
Authors: Naveen S. , Parida Jayanta Kumar , Panda Itishree 
Published: August 2023

IntroductionEmpowering women in a tribal context through entrepreneurship is an approach for enabling and making them economically and socially viable. This paper aims to highlight entrepreneurship in a specific tribal context and provide insight on some instances or cases relating to women's empowerment. Although there are many initiatives from international organizations and governmental institutions to support women entrepreneurs, especially tribal women, they suffer from isolation as a result of their language and lifestyle differ from the rest of society, which made the growth of their business and ability to compete arduous, and thus affected their ability to make various decisions in their lives. This study examines the pathway to a better understanding of increasing access to entrepreneurship for tribal women in Mayurbhanj district, Odisha.MethodsThe sample size was 111 Santhal tribal women entrepreneurs, and all of them were interviewed using an interview schedule and Focus Group Discussions (FGDs). Two analytical tools were used (a linear regression model to find which dependent variables influence entrepreneurs and the Women's Empowerment Index (WEI) to measure the progress in social and economic opportunities). The respondents was interviewed and asked on the various WEI indicators before and after an entrepreneurship intervention.Results and discussionIt was observed through the results that the empowerment of women has changed in a positive direction after establishing their work; according to the indicators of the study, the Women's Empowerment Index has changed from 0.61 to 1.26. It was also found that entrepreneurship has a positive and significant impact on women's decision-making within the family, and therefore, it was suggested through research to increase the intervention from the government and related organizations with more initiatives that contribute to the possibility of increasing women's education and their financial ability to open new enterprises.
Economic costs related to foodborne disease in Burkina Faso and Ethiopia in 2017
Authors: van Wagenberg Coen P. A. , Havelaar Arie H. 
Published: August 2023

IntroductionFoodborne diseases (FBD) are a significant problem in low- and middle-income countries, especially in Africa. Country-specific estimates of the economic costs related to FBD caused by different hazards in different food products can inform decision makers about this problem’s magnitude. This aids policy makers in prioritising actions to mitigate risks and prevent illness. Although estimates exist for many high-income countries, they are lacking for African countries.MethodsThis study estimates economic cost in Burkina Faso and Ethiopia related to FBD caused by non-typhoidal Salmonella enterica (NTS), Campylobacter spp. (CAMP) and enterotoxigenic Escherichia coli (ETEC) in all foods, chicken meat and tomatoes. The World Health Organization’s estimates of FBD burden, updated from 2010 to 2017, were used as a basis. Economic cost estimates were the sum of estimates of willingness-to-pay (WTP) to reduce risk of death and of pain and suffering, and lost productivity. WTP was based on value of statistical life (VSL) and value of statistical life year (VSLY), extrapolated from USA data. We used sensitivity options to account for uncertainty in these values.ResultsMean economic costs related to FBD caused by NTS, CAMP and ETEC in 2017 were estimated at 391 million constant 2017 international dollars in Burkina Faso and 723 million in Ethiopia. These represent 3.0% of gross national income in Burkina Faso and 0.9% in Ethiopia. Lost productivity contributed 70%, WTP to reduce risk of death 30%, and WTP to reduce risk of pain and suffering 1-2%. NTS caused the highest costs, followed by ETEC and CAMP. Chicken meat caused 9-12 times higher costs than tomatoes. Children under five years (14.6-17.1% of populations) bore 20-75% of the costs. Due to uncertainty in disease burden and economic data, costs could be four times higher than mean estimates.DiscussionPolicies to control FBD likely result in substantial benefits, especially efforts aiming at this study’s hazards in chicken meat and children under 5 years. Efforts to reduce uncertainty in VSL, VSLY and disease burden estimates, estimate costs for other countries, attribute costs to other food products and hazards, further standardise estimation methodologies, and estimate treatment costs and illness prevention expenditures are recommended.
Association of Job Characteristics and Burnout of Healthcare Workers in Different Positions in Rural China: A Cross-Sectional Study
Authors: Zhang Mei , Li Sangsang , Han Dan , Wu Yunyi , Zhao Jie , Liao Hui , Ma Ying , Yan Chaoyang , Wang Jing 
Published: August 2023

Objectives: Health workers in rural primary care systems are at increased risk of job burnout, but their associations with different positions have received scant attention in the literature. Thus, this study aims to measure job burnout in different positions in rural China and to identify factors associated with it.Methods: A cross-sectional survey was conducted with a total of 15,627 participants from six provinces in China. And job burnout was measured using the Chinese version of the Maslach Burnout Inventory-General Scale (MBI-GS). Multilevel regression analyses were used in examining factors potentially associated with job burnout in different positions.Results: Overall, more than half of providers suffered from moderate burnout. The degree of job burnout varied among different positions. Middle managers showed higher levels personal stress, while general staff showed the lowest interpersonal and self-evaluation dimensions of burnout. Job duty, job capability, job treatment, and career advancement are potential factors affecting these results.Conclusion: Interventions aimed at providing appropriate training and development opportunities, developing relevant career planning and management strategies, and implementing reasonable staffing and job design may be promising strategies for alleviating burnout in different positions and improving health system performance.
Influence of Early Postoperative Basal Insulin Treatment and Post-Transplant Diabetes Mellitus Risk on Health-Related Quality of Life in Kidney Transplant Recipients—An Analysis of Data From a Randomized Controlled Trial
Authors: Odler Balazs , Huemer Matthias , Schwaiger Elisabeth , Borenich Andrea , Kurnikowski Amelie , Krall Marcell , Hafner-Giessauf Hildegard , Eleftheriadis Georgios , Bachmann Friderike , Faura Anna , José Pérez-Sáez María , Pascual Julio , Budde Klemens , Rosenkranz Alexander R. , Hecking Manfred , Eller Kathrin 
Published: August 2023

Health-related quality of life (HRQOL) improves after kidney transplantation (KT) but declines over time. Studies on the effect of early postoperative basal insulin therapy on HRQOL after KT, especially KTRs at high risk of developing post-transplant diabetes mellitus (PTDM) are missing. Data from a randomized controlled trial on 148 non-diabetic KTRs were analyzed. HRQOL using the KDQOL-SF™ was compared in KTRs who either received early postoperative basal insulin therapy or standard-of-care and in KTRs at risk of developing PTDM. Determinants of HRQOL outcomes were investigated using multivariable linear regression analysis. In total, 148 patients completed the KDQOL-SF at baseline. Standard-of-care or early basal insulin therapy after KT did not influence HRQOL. Overall, KT improved the mental (MCS) and physical component summary (PCS) scores at 6-month after KT, which remained stable during further follow-up visits. However, patients at high-risk for PTDM had significantly greater impairment in the PCS score (baseline, 24 months) without differences in MCS scores. In the multivariable regression analysis, allograft function and hemoglobin levels were associated with decreased MCS and PCS scores, respectively. A limitation of the study is the fact that only around 50% of the ITP-NODAT study patients participated in the HRQOL evaluation. Still, our data clearly show that early basal insulin therapy does not affect HRQOL after KT but is negatively influenced by classical clinical factors and PTDM-risk at 24 months after KT. The latter might be influenced by older age.