bluuebunny/crossref_metadata_2025_split huggingface dataset:
A qualitative study exploring how patient engagement activities were sustained or adapted in Canadian healthcare organizations during the COVID-19 pandemic
Authors: Marcinow Michelle , Sandercock Jane , Cadel Lauren , Singh Harprit , Guilcher Sara J. T. , Dowedoff Penny , Maybee Alies , Law Susan , Fancott Carol , Kuluski Kerry 
Published: March 2023

Background
The COVID-19 pandemic caused disruptions across healthcare systems globally exposing the precarious state of patient engagement across all levels of healthcare. While evidence is emerging to describe how engagement was affected across various settings, insights about how some organizations at the policy and practice level of healthcare were able to sustain or adapt patient engagement activities is lacking.

Objective
This paper addresses the following research question: “How were healthcare, government, and patient partner organizations able to sustain or adapt patient engagement activities during the COVID-19 pandemic?”

Methods
A qualitative descriptive study was conducted to understand how patient engagement activities were maintained or adapted in a variety of healthcare, government, and patient partner organizations in Canada throughout the pandemic. This analysis was part of a larger qualitative, multiple case study where one-to-one interviews were conducted with organizational leaders, managers and patient partners.

Results
The following themes were identified as key aspects of maintaining or adapting patient engagement activities: 1) having an embedded organizational culture of patient engagement; 2) adapting patient engagement activities to focus on COVID-19 response efforts; 3) having patient partners who exercised leadership and advocacy to support patient care and experiences during the pandemic; and 4) leveraging virtual technology as a communication tool to engage patient partners.

Conclusion
This paper highlights important insights that may be useful to other health care organizations on how to sustain or adapt patient engagement activities during a healthcare crisis. Having patient engagement embedded within an organization’s culture supported by, but not limited to, infrastructure, resources, investments in dedicated staff and patient partner leadership, and communication strategies and tools enabled continued patient engagement activities during the pandemic.
Trend and associated factors of cesarean section rate in Ethiopia: Evidence from 2000–2019 Ethiopia demographic and health survey data
Authors: Mezemir Rahel , Olayemi Oladapo , Dessie Yadeta 
Published: March 2023

Background
The world health organization considers cesarean section (CS) prevalence of less than 5% suggests an unmet need. On the other hand, a prevalence of more than 15% may pose to risk to mother and child, however, access to CS in a resource-limited country like Ethiopia was much lower than the aforementioned level, Therefore, this was the first study to determine the trend of CS, and factors that influence it.

Methods
This was done based on the five Ethiopia Demographic and Health Surveys. Trend analysis was done separately for rural and urban. The significance of the trend was assessed using the Extended Mantel-Haenszel chi-square test. The factors on CS delivery were identified based on DHS 2016 data. A multi-level logistic regression analysis technique was used to identify the factors associated with cesarean section delivery. The analysis was adjusted for the different individual- and community-level factors affecting cesarean section delivery. Data analysis was conducted using STATA 14.1 software.

Result
The rate of cesarean section increased from 5.1% in 1995 to 16% in 2019 in an urban area and 0.001 in 1995 to 3% in a rural area, the overall increment of CS rate was 0.7% in 1995 to 2019 at 6%. The odds of cesarean section were higher among 25–34 years (AOR = 2.79; 95% CI: 1.92, 4.07) and 34–49 years (AOR = 5.23;95% CI: 2.85,9.59), among those educated at primary school level (AOR = 1.94; 95% CI: 1.23,3.11), secondary education (AOR = 2.01; 95% CI: 1.17, 3.56) and higher education (AOR = 4.12; 95% CI: 2.33–7.29)with multiple pregnancies (AOR = 11.12; 95% CI: 5.37, 23.), with obesity (AOR = 1.73; 95% CI: 1.22, 2.45), living in an urban area (AOR = 2.28; /95% CI: 1.35–3.88), and increased with the number of ANC visit of 1–3 and 4th(AOR = 2.26; 95% CI: 1.12, 4.58), (AOR = 3.34; 95% CI: 1.12, 4.58), respectively. The odds of cesarean section are lower among parity of 2–4 children (AOR = 0.54; 95% CI: 0 .37, 0.80) and greater than four birth order (AOR = 0.42;95% CI: 0.21,0.84).

Conclusion
In Ethiopia, the CS rate is below the WHO recommended level in both urban and rural areas, thus, intervention efforts need to be prioritized for women living in a rural area, empowering women’s education, encouraging co-services such as ANC usage could all help to address the current problem.
Potential causal association between leisure sedentary behaviors, physical activity and musculoskeletal health: A Mendelian randomization study
Authors: Zhao Xiaoyan , Yang Yan , Yue Rensong , Su Chengguo 
Published: March 2023

BackgroundIncreasing evidence shows that leisure sedentary behaviors (LSB) and physical activity (PA) are associated with various musculoskeletal disorders. However, the causality between LSB/PA and musculoskeletal health remained unknown. In this study, we aimed to evaluate the causal relationships between LSB/PA and lower back pain (LBP), intervertebral disc disorder (IVDD), rheumatoid arthritis (RA), and bone mineral density (BMD) by using a two-sample Mendelian randomization method.MethodsThe exposure data were obtained from large-scale genome-wide association studies (GWAS), including the PA dataset (self-reported PA, n  =  377,234; accelerometer-assessed PA, n  = 91,084) and LSB dataset (n  =  422,218). The outcome data were derived from the FinnGen LBP dataset (n  =  248,528), FinnGen IVDD dataset (n  =  256,896), BMD GWAS dataset (n  =  56,284), and RA GWAS dataset (n  =  58,284). The causal relationships were estimated with inverse variance weighted (IVW), MR-Egger, and weighted median methods. Sensitivity analyses were performed with Cochran’s Q test, MR-Egger intercept test, and leave-one-out analysis to estimate the robustness of our findings.ResultsGenetically predicted leisure television watching increased the risk of LBP (OR = 1.68, 95% CI 1.41 to 2.01; P = 8.23×10−9) and IVDD (OR  =  1.62, 95% CI 1.37 to 1.91; P  =  2.13 × 10−8). In addition, this study revealed a potential causal relationship between computer use and a reduced risk of IVDD (OR  = 0.60, 95% CI 0.42 to 0.86; P  =  0.005) and RA (OR  = 0.28, 95% CI 0.13 to 0.60; P  =  0.001).ConclusionsOur results suggest that leisure television watching is a risk factor for LBP and IVDD, whereas leisure computer use may act as a protective factor against IVDD and RA. These findings emphasized the importance of distinguishing between different sedentary behaviors in musculoskeletal disease studies.
Ankle dorsiflexion range of motion and landing postures during a soccer-specific task
Authors: Akbari Hadi , Shimokochi Yohei , Sheikhi Bahram 
Published: March 2023

Introduction
Ankle dorsiflexion range of motion (DF-ROM) has been shown to be associated with poor landing posture. However, previously used tasks have been controlled, and it is unclear whether clinical measurements of the ankle DF-ROM, are associated with landing positions during sport-specific task. This study sought to determine the relationship between ankle DF-ROM and landing positions.

Methods
Thirty male soccer players participated in this study. The ankle DF-ROM was measured by the weight bearing lunge test in degrees using a cell phone app (TiltMeter). Landing patterns were assessed during a soccer-specific task using landing error scoring system items using Kinovea software. Simple correlations were used to evaluate the relationships between ankle DF-ROM and landing error scores.

Results
Significant correlations were found between ankle DF-ROM and landing errors (r = -0.450, P = 0.006). A decreased ankle DF-ROM was associated with greater landing errors in a soccer specific situation.

Conclusion
These results suggest that ankle DF-ROM may serve a useful clinical measure for identifying poor landing posture in the real-world environment. Therefore, assessment of ankle DF-ROM could be included in the screening process, which could help identify the cause of the faulty motion.
A protocol for the Hearing impairment in Adults: A Longitudinal Outcomes Study (HALOS)
Authors: Tang Diana , Tran Yvonne , McMahon Catherine , Turner Jessica , Amin Janaki , Sinha Kompal , Alam Mohammad Nure , Wuthrich Viviana , Sherman Kerry A. , Garcia Patrick , Mitchell Rebecca , Braithwaite Jeffrey , Leigh Greg , Lim Shermin , Shekhawat Giriraj Singh , Rapport Frances , Ferguson Melanie , Gopinath Bamini 
Published: March 2023

BackgroundOften considered an “invisible disability”, hearing loss is one of the most prevalent chronic diseases and the third leading cause for years lived with disability worldwide. Hearing loss has substantial impacts on communication, psychological wellbeing, social connectedness, cognition, quality of life, and economic independence. The Hearing impairment in Adults: a Longitudinal Outcomes Study (HALOS) aims to evaluate the: (1) impacts of hearing devices (hearing aids and/or cochlear implants), (2) differences in timing of these interventions and in long-term outcomes between hearing aid and cochlear implant users, and (3) cost-effectiveness of early intervention for adult-onset hearing loss among hearing device users.Materials and methodsHALOS is a mixed-methods study collecting cross-sectional and longitudinal data on health and social outcomes from 908 hearing aid and/or cochlear implant users aged ≥40 years, recruited from hearing service providers across Australia. The quantitative component will involve an online survey at baseline (time of recruitment), 24-months, and 48-months and will collect audiological, health, psychosocial, functional and employment outcomes using validated instruments. The qualitative component will be conducted in a subset of participants at baseline and involve semi-structured interviews to understand the patient journey and perspectives on the Australian hearing service model.EthicsThis study has been approved by the Macquarie University Human Research Ethics Committee (ID: 11262) and Southern Adelaide Local Health Network (ID: LNR/22/SAC/88).Dissemination of results: Study findings will be disseminated to participants via a one-page summary, and to the public through publications in peer-reviewed journals and presentations at conferences.Trial registrationAustralia New Zealand Clinical Trial Registry (ANZCTR) registration number:ACTRN12622000752763.
Riskscore Model Based on Oxidative Stress–Related Genes May Facilitate the Prognosis Evaluation for Patients With Colon Cancer
Authors: Chu Yuxin , Yao Yi , Hu Qinyong , Song Qibin 
Published: March 2023

INTRODUCTION:
This study aims to identify the oxidative stress–related genes (OSRGs) with prognostic value and develop a riskscore model for prognosis evaluation in colon cancer.

METHODS:
The transcriptome data and corresponding clinical information about colon cancer were extracted from The Cancer Genome Atlas database. Differentially expressed OSRGs and transcription factors (TFs) were identified between the normal and tumor samples. A riskscore model was established with OSRGs filtered from Cox regression analysis. This riskscore model was appraised by Kaplan-Meier plot, receiver operating characteristic curve, and Cox regression analysis. The clinical relevance of riskscore and its association with immune cell infiltration were also evaluated.

RESULTS:
A total of 307 differentially expressed OSRGs and 64 differential TFs were identified. A TF-OSRG regulatory network was constructed in Cytoscape software. A riskscore model was established based on 17 OSRGs with independent prognostic value. This riskscore model could separate the patients into low-risk and high-risk groups. It also had good predictive ability, with an area under the curve = 0.8. In multivariate Cox regression analysis, age, T stage, and riskscore were identified as independent risk factors in colon cancer. Riskscore was significantly correlated with T stage, N stage, and immune cell infiltration.

DISCUSSION:
We established a useful riskscore model with 17 OSRGs for prognosticating the overall survival in patients with colon cancer. This study provides a new insight into the clinical utility of OSRG-based riskscore model, which will hopefully facilitate the prognosis evaluation of patients with colon cancer.
A new species of the red alga Erythrotrichia (Erythropeltales, Rhodophyta) from Korea: Erythrotrichia johnawestii sp. nov. and observations in culture
Authors: Wen Xianying , Zuccarello Giuseppe C. , Shim Eunyoung , Kim Soo Yeon , Kim Gwang Hoon 
Published: March 2023

Abstract
Four species of Erythrotrichia (E. biseriata, E. reflexa, E. tetraseriata, E. carnea) have been reported in Korea, but phylogenetic studies have not been conducted on them. We analyzed two newly collected Erythrotrichia isolates using rbcL DNA sequences and determined their species status using four DNA-based species delimitation methods. One isolate (KNU-1) grouped with E. carnea in three methods: Assemble Species by Automatic Partitioning, both single-threshold and multiple-threshold general mixed yule coalescent, but grouped as a distinct species in the statistical parsimony network analysis. A second isolate (KNU-2) was considered a distinct species in all the above species-delimitation methods. We propose the name, Erythrotrichia johnawestii sp. nov., for this new species. The new species was different from E. carnea in lacking a thick outer cell wall layer and with a smaller cell size. Mature monosporangia produced raised openings that released monospores. Cell walls were not detected in newly released monospores but began to appear when the spore attached to the substratum and produced rhizoids. Sexual reproduction was not observed during the four-year culture period.
PrintAssist—a conversational human-machine interface for 3D printers
Authors: Jasche Florian , Weber Philip , Liu Shi , Ludwig Thomas 
Published: March 2023

Abstract
3D printers are no longer found only in industry, universities or makerspaces but now are increasingly used in domestic settings. Personal fabrication will increase in the coming years, and 3D printing will play an important role in this process. Due to technology and price development, 3D printers are becoming established among casual users at home. However, there are still many hurdles in the use of 3D printers that interfere with their appropriation in everyday life. In this paper, we investigate how chatbots can overcome these hurdles and support onboarding to 3D printing. Furthermore, we explore how chatbots can be used as a human–machine interface and facilitate interaction with 3D printers for both novice and expert users. In a research-through-design approach, we have created a fully functional chatbot that introduces users to 3D printing and helps them perform typical tasks when operating 3D printers.
Two-stage adsorber design for malachite green and methylene blue removal using adsorbents derived from banana peel
Authors: Pua Eng Hock , Mohd Faizal Azrul Nurfaiz , Lawal Sirajo , Zaini Muhammad Abbas Ahmad 
Published: March 2023

Abstract
This work was aimed at evaluating the adsorptive characteristics and two-stage adsorber design of banana peel adsorbents for malachite green and methylene blue removal. The adsorbents were characterized for specific surface, functional groups, and morphology. Activated carbon and hydrochar activated carbon exhibit similar textural and surface properties, but different capacities of malachite green and methylene blue. The latter with surface area of 877 m2/g endows a greater malachite green removal at 582 mg/g, while the former with surface area of 897 m2/g displays a higher methylene blue capacity of 503 mg/g. The Langmuir model was employed in a two-stage adsorber design. The second stage of adsorber is necessary to accomplish the adsorption process with high performance and minimum dosage of activated carbon.
Perspectives of student incivility in the online learning environment and social media platforms
Authors: Guy Misty , Miller Kristina S. , Barinas Jennifer , Breazeale Haidi 
Published: March 2023

Abstract

Objectives
The purpose of this study was to examine student and faculty perspectives of student incivility in the online learning environment and social media platforms and to describe the participants’ recommendations for promoting civility.

Methods
Mixed-method design was used to collect data from a convenience sample of students and faculty in a nursing program in the Southeast United States.

Results
53 faculty members and 203 nursing students participated, and the majority agreed that incivility is a problem to some degree. Several themes emerged for effectively promoting civility.

Conclusions
Incivility is a problem, but students and faculty believe the use of proactive strategies may be effective in promoting civility. Implications for International Audience: As more nursing programs move to the OLE, even if temporarily as occurred during the pandemic, coupled with the increase in social media use, there is need to recognize and implement strategies to thwart the incidence of incivility.
Retrospective analysis of whole-body cryotherapy adverse effects in Division I collegiate athletes
Authors: Kelly Emily A. , Forootan Nazilla Seyed , Checketts Jake X. , Frank Austin , Tangen Christopher L. 
Published: March 2023

Abstract

Context
Although the physiological effects and the performance of athletes after utilizing whole-body cryotherapy (WBC) have been widely studied, there is a lack of data on its adverse effects. It is important to be aware of the adverse effects of any treatment for its use to be properly recommended.

Objectives
This study aims to provide insight to any adverse effects that collegiate athletes experienced after utilizing WBC to better utilize this therapeutic modality.

Methods
After the Institutional Review Board (IRB) deemed exemption, all 457 Division 1-A varsity athletes were recruited via email to participate in a retrospective survey. Participants consented to the study by continuing to the questions. The inclusion criteria were that they must be 18 years of age or older, had completed WBC at that university, and were a student-athlete. The survey was six questions long, and if any of the inclusion criteria was not met, they were redirected to end the survey. The data were analyzed utilizing odds ratios.

Results
Of the 457 student-athletes, 11.2% (n=51) responded and 6.3% (n=29) met the inclusion criteria. Responses were obtained from women’s lacrosse (27.6%; n=8), women’s gymnastics (24.1%, n=7), field hockey (17.2%, n=5), wrestling (6.9%, n=2), football (6.9%, n=2), women’s cross country (3.5%, n=1), men’s basketball (3.5%, n=1), women’s volleyball (3.5%, n=1), softball (3.5%, n=1), and baseball (3.5%, n=1). Among the responses, 79.3% (n=23) were females and 29.7% (n=6) were males. Within 1 h of WBC, the most frequently reported adverse effects were skin rash (27.6%, n=8), itching (13.8%, n=4), and fatigue (6.9%, n=2). More than 1 h after WBC, the most frequently reported adverse effects were skin rash (20.7%, n=6), itching (10.3%, n=3), and increased energy (6.9%, n=2). When stratified by female and male athletes, for both within 1 h and more than 1 h after WBC, there were increased odds for females reporting adverse effects; however, neither were statistically significant (OR 4.58, p=0.19, 95% CI 0.46 to 45.61) (OR 3.84, p=0.25, 95% CI 0.39 to 38.36). Within 1 h of WBC, 58.6% (n=17) of subjects reported no adverse effects, and more than 1 h after WBC, 65.5% (n=19) subjects reported no adverse effects. The mean satisfaction level rating was 6.34 (range 0–10, n=29). When asked if they would do WBC again, 65.5% (n=19) responded “yes” and 34.5% (n=10) responded “no.”

Conclusions
In this collegiate athlete population, negative adverse effects of WBC commonly included skin burns and itching while potentially proving a beneficial adverse effect of increased energy. Subjects commonly reported no adverse effects after WBC treatment as well.
Numerical simulation of subcooled flow boiling for nuclear engineering applications using OpenFOAM
Authors: Yang Zhi , Herb Joachim 
Published: March 2023

Abstract
This work is focused on the development and validation of models and methods for the simulation of wall boiling in nuclear engineering applications with the computational fluid dynamics (CFD) code OpenFOAM. The new chtMultiRegionReactingTwoPhaseEulerFoam solver was developed based on the reactingTwoPhaseEulerFoam solver of OpenFOAM Foundation version 7. The solver is used for the simulation of two-phase flow under consideration of wall boiling and conjugate heat transfer (CHT) between solid structure and two-phase fluid regions. The Euler–Euler approach for two-phase flows was used. The heat flux during wall boiling was calculated with the help of the extended Rensselaer Polytechnic Institute wall heat flux partitioning model, in which the convective heat flux between solid wall and two-phase flow with high void fractions was also considered. The solver was validated against experimental data from the OECD/NEA PWR Subchannel and Bundle Tests benchmark. This Nuclear Power Energy Corporation (NUPEC) database provides data for different fuel assembly subchannel geometries at different thermal-hydraulic conditions. 10 experimental runs with different boundary conditions of the benchmark exercise I-1 were simulated with the chtMultiRegionReactingTwoPhaseEulerFoam solver. The solver showed good numerical stability in all examined cases, which captured different boiling regimes with up to cross-section averaged void fractions of 0.6. The results were compared with measured data for the averaged over the cross-section of the investigated geometry void fractions. Good agreement with experimental data was observed.
The name-bearing type is essential for the objective identification of a taxonomic name: the message from the lectotypification of Lemmus obensis bungei
Authors: Kryštufek Boris , Shenbrot Georgy I. 
Published: March 2023

Abstract
We looked at lectotype designations by Baranova and Gromov from among syntypes in the Mammal Collection of the Zoological Institute of the Russian Academy of Sciences (ZIN) in St. Petersburg, Russia. We identified 20 lectotypifications, published in 2003, which do not accord to Articles 74.7.3 and/or 74.1.3 of the Code and are therefore invalid. Particularly instructive is the case of Lemmus obensis bungei Vinogradov, B.S. (1924). Two new interesting lemmings from Siberia. Ann. Mag. Nat. Hist. 9: 186–188, since its syntypes originated from two allopatric phylogenetic lineages which were classified as distinct nominal taxa. Because the act of lectotypification by Baranova and Gromov does not contain an express statement of deliberate designation as is requested by the amended Article 74.7.3 of the Code, their designation is not valid. To secure the nomenclatural stability of Siberian lemmings we designate voucher ZIN 11,025 (skin and skull from Sagastyr Island) as the lectotype of Lemmus obensis bungei. The name bungei thus defined is a junior synonym of Lemmus lemmus sibiricus (Kerr, R. (1792). The animal kingdom […] of the celebrated Sir Charles Linnæus. Class I. Mammalia, J. Murray, London) with a range at the shores of the Arctic Ocean, between the Northern Dvina and Lena Rivers. We furthermore provide a list of all invalid lectotypifications of hamsters (Cricetinae) and voles (Arvicolinae) based on ZIN syntypes.