bluuebunny/crossref_metadata_2025_split huggingface dataset:
Satisfaction with videoconference-delivered CBT provided as part of a blended treatment approach for children and adolescents with mental disorders and their families during the COVID-19 pandemic: A follow-up survey among caregivers and therapists
Authors: von Wirth Elena , Meininger Lea , Adam Julia , Woitecki Katrin , Treier Anne-Katrin , Döpfner Manfred 
Published: March 2023

Introduction Psychotherapy delivered via videoconferencing (teletherapy) was a well-accepted treatment option for children and adolescents during the early phases of the COVID-19 pandemic. Information on the long-term satisfaction with teletherapy in routine clinical practice is missing. Methods Caregivers (parents) and psychotherapists of n  =  228 patients (4–20 years) treated in a university outpatient clinic completed a follow-up survey on satisfaction with videoconference-delivered cognitive-behavioral treatment (CBT). The follow-up survey (T2) was conducted about 1 year after initial assessment of treatment satisfaction in 2020 (T1). Results At follow up, therapists reported that 79% of families had received teletherapy as part of a blended treatment approach including in-person and videoconference delivery of CBT. Wilcoxon tests revealed that satisfaction with teletherapy was stable over time. In addition, parent ratings of the impact of teletherapy on treatment satisfaction and the therapeutic relationship did not change over time. Therapists’ ratings of the impact of teletherapy on the therapeutic relationship with the caregiver were more negative at T2 compared to T1. Satisfaction with teletherapy was higher for patients with less pandemic-related stress, less externalizing behavior problems, and older age (all r < .35). Conclusion The high level of satisfaction with teletherapy for children and adolescents treated in routine clinical practice reported in 2020 was maintained after social distancing regulations were eased in 2021. Teletherapy provided as part of a blended treatment approach is a well-accepted method of treatment delivery for youths with mental health problems. The study was registered in the German Clinical Trials Register (DRKS00028639).
Using data analytics for telehealth utilization: A case study in Arkansas
Authors: Cengil Aysenur Betul , Eksioglu Burak , Eksioglu Sandra , Eswaran Hari , Hayes Corey J , Bogulski Cari A 
Published: March 2023

Introduction Many patients used telehealth services during the COVID-19 pandemic. In this study, we evaluate how different factors have affected telehealth utilization in recent years. Decision makers at the federal and state levels can use the results of this study to inform their healthcare-related policy decisions. Methods We implemented data analytics techniques to determine the factors that explain the use of telehealth by developing a case study using data from Arkansas. Specifically, we built a random forest regression model which helps us identify the important factors in telehealth utilization. We evaluated how each factor impacts the number of telehealth patients in Arkansas counties. Results Of the 11 factors evaluated, five are demographic, and six are socioeconomic factors. Socioeconomic factors are relatively easier to influence in the short term. Based on our results, broadband subscription is the most important socioeconomic factor and population density is the most important demographic factor. These two factors were followed by education level, computer use, and disability in terms of their importance as it relates to telehealth use. Discussion Based on studies in the literature, telehealth has the potential to improve healthcare services by improving doctor utilization, reducing direct and indirect waiting times, and reducing costs. Thus, federal and state decision makers can influence the utilization of telehealth in specific locations by focusing on important factors. For example, investments can be made to increase broadband subscriptions, education levels, and computer use in targeted locations.
Metacognitive verbs do not show a cross-language gap: An investigation of metacognitive and concrete verbs in bilingual children
Authors: Muszyńska Karolina , Kołak Joanna , Haman Ewa , Białecka-Pikul Marta , Otwinowska Agnieszka 
Published: March 2023

Purpose: Previous research on bilingual vocabulary has focussed largely on words for imaginable objects and actions (e.g., ‘apple’, ‘write’), but did not consider abstract words. We looked for a disproportion across two languages (a cross-language gap) in bilingual children’s knowledge of concrete verbs (e.g., ‘jump’, ‘drink’) and metacognitive verbs (e.g., ‘think’, ‘know’). We also investigated the effects of language exposure and age on bilinguals’ knowledge of both concrete and metacognitive verbs. Methodology: Thirty-nine Polish–English children aged 4;0–7;7 living in the United Kingdom performed vocabulary tasks in both languages: subtasks from Cross-linguistic Lexical Tasks (CLTs) measuring concrete verbs comprehension and production, and metacognitive vocabulary task (METVOC) measuring metacognitive verbs comprehension. Information on children’s cumulative exposure (CE) to each language was collected via parental reports. The amount of metacognitive talk children received in Polish was obtained from parental oral semi-structured narratives. Data and Analysis: Mixed-effects regression models were fitted separately for each task. Findings: A cross-language gap was observed for comprehension of concrete verbs, but metacognitive verbs did not show a cross-language gap. In production of concrete verbs, the English scores showed a steeper increase over age than the Polish scores. CE affected only production of concrete verbs. Correlational analyses showed children’s knowledge of metacognitive verbs in Polish (but not in English) was related to parental metacognitive talk in Polish. Originality: To date, few studies on bilingual children focused on words beyond those referring to imaginable objects and actions, and no study has explored both concrete and metacognitive vocabulary knowledge in bilinguals. Implications: A cross-language gap was observed for bilinguals’ concrete verbs, but metacognitive verbs showed a carry-over effect across languages. The two categories of verbs were also related to different types of linguistic input. While CE affected production of concrete verbs, parental metacognitive talk supported children’s knowledge of metacognitive verbs, but only in the language it was provided in.
Effect of replacing television viewing with different intensities of physical activity on COVID-19 mortality risk: Short communication from UK Biobank
Authors: Hamrouni Malik , Bishop Nicolette 
Published: March 2023

Aims: This study aimed to examine the theoretical effects of replacing television (TV) viewing with different intensities of physical activity on COVID-19 mortality risk using isotemporal substitution models. Methods: The analytical sample was composed of 359,756 UK Biobank participants. TV viewing and physical activity were assessed by self-report. Logistic regressions adjusted for covariates were used to model the effects of substituting an hour a day of TV viewing with an hour of walking, moderate-intensity physical activity (MPA) or vigorous-intensity physical activity (VPA) on COVID-19 mortality risk. Results: From 16 March 2020 to 12 November 2021, there were 879 COVID-19 deaths in the analytical sample. Substituting an hour a day of TV viewing with an hour of walking was associated with a 17% lower risk of COVID-19 mortality (odds ratio (OR)=0.83, 95% confidence interval (CI) 0.74–0.92). In sex-stratified analyses, the same substitution was associated with a lower risk in both men (OR=0.85, 95% CI 0.74–0.96) and women (OR=0.78, 95% CI 0.65–0.95). However, replacing an hour a day of TV viewing with an hour of MPA was only associated with a lower risk in women (OR=0.80, 95% CI 0.65–0.98). Conclusions: Replacing TV viewing with walking was associated with a significant reduction in COVID-19 mortality risk. Public health authorities should consider promoting the replacement of TV viewing with walking as a protective strategy against COVID-19 mortality.
Exploring the provision and support of care for long-term conditions in dementia: A qualitative study combining interviews and document analysis
Authors: Rees Jessica , Burton Alexandra , Walters Kate , Cooper Claudia 
Published: March 2023

Background The challenge of managing multiple long-term conditions is a prevalent issue for people with dementia and those who support their care. The presence of dementia complicates healthcare delivery and the development of personalised care plans, as health systems and clinical guidelines are often designed around single condition services. Objective This study aimed to explore how care for long-term conditions is provided and supported for people with dementia in the community. Methods In a qualitative, case study design, consecutive telephone or video-call interviews were conducted with people with dementia, their family carers and healthcare providers over a four-month period. Participant accounts were triangulated with documentary analysis of primary care medical records and event-based diaries kept by participants with dementia. Thematic analysis was used to develop across-group themes. Findings Six main themes were identified from eight case studies: 1) Balancing support and independence, 2) Implementing and adapting advice for dementia contexts, 3) Prioritising physical, cognitive and mental health needs, 4) Competing and entwined needs and priorities, 5) Curating supportive professional networks, 6) Family carer support and coping. Discussion These findings reflect the dynamic nature of dementia care which requires the adaptation of support in response to changing need. We witnessed the daily realities for families of implementing care recommendations in the community, which were often adapted for the contexts of family carers’ priorities for care of the person living with dementia and what they were able to provide. Realistic self-management plans which are deliverable in practice must consider the intersection of physical, cognitive and mental health needs and priorities, and family carers needs and resources.
Real-world Efficacy Data on Anti-Angiogenic Drugs in Recurrent Small Cell Cervical Carcinoma: A Retrospective Study
Authors: Qiu Haifeng , Su Ning , Yan Shuping , Li Jing 
Published: March 2023

Objective Small cell carcinoma of the cervix (SCCC) is rare but extremely aggressive and resistant to current therapies. We herein evaluate the efficacy of bevacizumab, apatinib, and anlotinib in recurrent/metastatic SCCC patients in a real-world setting. Methods Recurrent/metastatic SCCC patients were recruited between January 2013 and July 2020. Baseline characteristics were extracted from medical records, and patients were divided into an anti-angiogenic group and non-anti-angiogenic group. The efficacy of treatments was determined using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria. Kaplan–Meier analysis was performed for survival analysis. Results Sixteen patients received anti-angiogenic drugs after tumor recurrence/metastasis; of them, 10 cases received them as first-line treatment, 5 cases as second-line treatment, and 1 case as fourth-line treatment. Another 23 patients received traditional therapies, including surgery, chemotherapy, and radiotherapy. The use of anti-angiogenic drugs in first-line treatment significantly prolonged progression-free survival (PFS) compared to the controls, with a median PFS of 8 months (2-20 months) and 3 months (1-10 months), respectively ( P = .025). This trend was also notable in patients who started anti-angiogenic treatment after the second-line recurrence/metastasis. However, there was no benefits for overall survival (OS) in either the 10 first-line cases or all 16 cases ( P = .499 and .31, respectively). Both bevacizumab and small molecule drugs (apatinib and anlotinib) presented similar efficacy in SCCC patients. Conclusions At present, this is the largest cohort study that provides real-world data, showing that anti-angiogenic regimens could significantly prolong PFS in recurrent/metastatic SCCC. Aside from bevacizumab, the novel oral small molecule drugs provide more choices with similar efficacy. These findings warrant further validation in well-designed future studies.
Endovascular interventions for peripheral arterial disease in patients with pre-existing endovascular aortic repair utilizing mother-and-child sheath system
Authors: Mukherjee Dipankar , Rahmani Khashi , Paolucci Benjamin 
Published: March 2023

Background Peripheral interventions for Peripheral arterial occlusive disease involving the lower extremity vessels have been a challenge in patients who have undergone prior Endovascular Aneurysm repair. Objective To provide a solution to the above-mentioned challenge. Research design Practical use of existing articulating sheath and catheter and wires to achieve the objective. Results Successful accomplishment of objective. Conclusion Endovascular interventions for Peripheral arterial disease in patients with pre-existing Endovascular Aortic Repair utilizing mother-and-child sheath system have conferred success. This could be a useful technique in the armamentarium of the interventionist.
Chronic critical illness in critically ill COVID-19 patients
Authors: Halacli Burcin , Yildirim Mehmet , Kaya Esat Kivanc , Ulusoydan Ege , Ersoy Ebru Ortac , Topeli Arzu 
Published: March 2023

Objectives To evaluate the presence of chronic critical illness (CCI) in COVID-19 patients and compare clinical characteristics and prognosis of patients with and without CCI admitted to intensive care unit (ICU). Methods It was a retrospective, observational study at a university hospital ICU. Patients were accepted as CCI if they had prolonged ICU stay (≥14 days) and got ≥1 score for cardiovascular sequential organ failure assessment (SOFA) score and ≥2 score in other parameters on day 14 of ICU admission which was described as persistent organ dysfunction. Results 131 of 397 (33%) patients met CCI criteria. CCI patients were older ( p = 0.003) and frailer ( p < 0.001). Their Acute Physiology and Chronic Health Evaluation (APACHE) II and SOFA scores were higher, PaO2/FiO2 ratio was lower ( p < 0.001). Requirement of invasive mechanical ventilation (IMV), steroid use, and septic shock on admission were higher in the CCI group ( p < 0.001). CCI patients had higher ICU and hospital mortality than other patients (54.2% vs. 19.9% and 55.7% vs. 22.6%, p < 0.001, respectively). Regression analysis revealed that IMV (OR: 8.40, [5.10–13.83], p < 0.001) and PaO2/FiO2 < 150 on admission (OR: 2.25, [1.36–3.71], p = 0.002) were independent predictors for CCI. Discussion One-third of the COVID-19 patients admitted to the ICU were considered as CCI with significantly higher ICU and hospital mortality.
Everything is in My Hands. Creative Subjectivities in Privileged Art School Students
Authors: Uboldi Anna 
Published: March 2023

How do privileged young people engage in artistic fields? Are the arts classified and classifying for educational paths? To examine these questions, I propose observations and reflections from a study of secondary art schools in Italy. Artistic education has received focused but limited attention from sociology, as part of an increasing interest towards cultural labour. However, Italian artistic schools remain a neglected research theme. The proposed study on secondary art schools aims to examine certain early dynamics of creative fields in Milan. This article interrogates the educational experiences of privileged students at art schools. The research is based on discursive interviews and focus groups with these students. Students’ class culture is investigated focusing on diverse scholastic dispositions and different outlooks on the future. The Bourdieusian notions of cultural capital and habitus allow certain dynamics of the aspiring young creatives’ process of self-formation to be examined. The analysis reveals privileged individuals who are ambitious, self-confident and with great forward-thinking skills, but who are also academically negligent. The trust in individual enterprise and success is deeply interiorised by interviewees. These neoliberal and entrepreneurial ideas are infused with moral, and often tacit, considerations on class boundaries. The analysis reveals some aspects of the symbolic boundary-making; dynamics in which a meritocratic ethos plays a key role in legitimating social divisions.
Short- and long-term follow-up after fecal microbiota transplantation as treatment for recurrent Clostridioides difficile infection in patients with inflammatory bowel disease
Authors: van Lingen Emilie (E.) , Baunwall Simon (S. M. D.) , Lieberknecht Simone (S. C.) , Benech Nicolas (N.) , Ianiro Gianluca (G.) , Sokol Harry (H.) , Gasbarrini Alessandro (A.) , Cammarota Giovanni (G.) , Eriksen Marcel (M. K.) , van der Meulen-de Jong Andrea (A. E.) , Terveer Elizabeth (E. M.) , Verspaget Hein (H. W.) , Vehreschild Maria (M.) , Hvas Christian (C. L.) , Keller Josbert (J. J.) 
Published: March 2023

Background: Patients with inflammatory bowel disease (IBD) are at an increased risk of developing Clostridioides difficile infection (CDI). Treatment of CDI in patients with IBD is challenging due to higher failure rates and concomitant IBD activity. Objectives: We performed a multicentre cohort study in patients with IBD who received fecal microbiota transplantation (FMT) for recurrent CDI (rCDI), to further investigate factors that influence the clinical outcome and course of both rCDI and IBD. Design: This is a multicentre cohort study conducted in five European FMT centres. Methods: Adult IBD patients treated with FMT for rCDI were studied. Cure was defined as clinical resolution of diarrhoea or diarrhoea with a negative C. difficile test. The definition of an IBD flare was record based. Long-term follow-up data were collected including new episodes of CDI, IBD flares, infections, hospital admissions, and death. Results: In total, 113 IBD patients underwent FMT because of rCDI. Mean age of the patients was 48 years; 64% had ulcerative colitis. Concomitant rCDI was associated with an IBD flare in 54%, of whom 63% had received IBD remission-induction therapy prior to FMT. All FMT procedures were preceded by vancomycin treatment, 40% of patients received FMT via colonoscopy. CDI cure rate was 71%. Long-term follow-up data were available in 90 patients with a median follow-up of 784 days (402–1251). IBD activity decreased in 39% of patients who had active IBD at baseline, whereas an IBD flare occurred in only 5%. During follow-up of up to 2 years, 27% of the patients had infections, 39% were hospitalized, 5% underwent colectomy, and 10% died (median age of these latter patients: 72 years). Conclusion: FMT for rCDI in IBD patients is safe and effective, and IBD exacerbation after FMT is infrequent. Further studies should investigate the effects on IBD course following FMT.
Emotional intelligence: Its place in infection prevention and control
Authors: Cole Mark 
Published: March 2023

Background The Infection Prevention Societies Competency Framework is a detailed tool that recognises the multi factorial work of Infection Prevention and Control Teams. This work often takes place in complex, chaotic and busy environments where non-compliance with policies, procedures and guidelines is endemic. As reductions in Healthcare Associated Infection became a health service priority the tone of Infection Prevention and Control (IPC) became increasingly uncompromising and punitive. This can create conflict between IPC professionals and clinicians who may take a different view as to the reasons for sub optimum practice. If unresolved, this can create a tension that has a negative impact on working relationships and ultimately patient outcomes. Concepts and Context Emotional Intelligence, that ability to recognise, understand and manage our own emotions and recognise, understand and influence the emotions of others, is not something, hitherto, that has been headlined as an attribute for individuals working in IPC. Individuals with higher level of Emotional Intelligence show a greater capacity for learning, deal with pressure more effectively, communicate in interesting and assertive ways and recognise the strengths and weaknesses of others. Overall, the trend is that they are more productive and satisfied in the workplace. Conclusion Emotional Intelligence should be a much sought after trait in IPC as this will better equip a post holder to deliver challenging IPC programmes. When appointing to an IPC team, the candidates Emotional Intelligence should be considered and then developed through a process of education and reflection.
Evaluation of a health system’s implementation of a monkeypox care model under the RE-AIM framework
Authors: Polk Christopher , Sampson Mindy , Fairman Robert T. , DeWitt Michael E. , Leonard Michael , Neelakanta Anupama , Davidson Lisa , Roshdy Danya , Branner Chris , McCurdy Lewis , Ludden Tom , Tapp Hazel , Passaretti Catherine 
Published: March 2023

Objective: Emerging infectious diseases challenge healthcare systems to implement new models of care. We aim to evaluate the rapid implementation of a new care model for monkeypox in our health system. Design: This is a retrospective case series evaluation under the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework of implementation of a testing and care model for monkeypox in a large, integrated health system. Methods: Atrium Health implemented education of providers, testing protocols, and management of potential monkeypox cases using electronic health record (EHR) data capabilities, telehealth, and collaboration between multiple disciplines. The first 4 weeks of care model implementation were evaluated under the RE-AIM framework. Results: One hundred fifty-three patients were tested for monkeypox by 117 unique providers at urgent care, emergency departments, and infectious disease clinics in our healthcare system between 18 July 2022 and 14 August 2022. Fifty-eight monkeypox cases were identified, compared with 198 cases in the state during the time period, a disproportionate number compared with the health system service area, and 52 patients were assessed for need for tecovirimat treatment. The number of tests performed and providers sending tests increased during the study period. Conclusion: Implementation of a dedicated care model leveraging EHR data support, telehealth, and cross-disciplinary collaboration led to more effective identification and management of emerging infectious diseases and is important for public health. Plain Language Summary Impact of care model implementation on monkeypox New infectious diseases challenge health systems to implement new care practices. Our health system responded to this challenge by implementing a care model for education, testing, and clinical care of monkeypox patients. We analyzed results from implementing the model. We were able to identify a disproportionate number of monkeypox cases compared with the rest of our state by using our model to educate medical providers, encourage testing, and ensure patients had access to best disease care. Implementation of care models for testing and management of new diseases will improve patient care and public health.