bluuebunny/crossref_metadata_2025_split huggingface dataset:
Person-centered care: preferences and predictors in speech-language pathology and audiology practitioners
Authors: Mahomed-Asmail Faheema , Hlayisi Vera-Genevey , Joubert Karin , Metcalfe Louise Anne , Graham Marien Alet , Swanepoel De Wet 
Published: June 2023

IntroductionIncreasingly person-centered care (PCC) is being recognized as an important aspect of speech-language pathology and audiology (SLP/A) service delivery. This study aimed to (i) identify preferences toward PCC; (ii) determine predictors of these preferences; and (iii) describe the understanding and views of PCC among SLP/A in South Africa.MethodsA mixed-method design was followed utilizing an online survey and four focus group discussions. The survey included demographic questions, the modified Patient-Practitioner Orientation Scale (mPPOS), the Ten-Item-Personality-Inventory (TIPI) and an open-ended question. The focus group discussions included prompting questions which facilitated an open-ended discussion.ResultsA total of 91 practitioners (39.6% speech-language pathologists) completed the online survey, with nine (44.4% audiologists) participating in the focus group discussions. A high preference toward PCC was noted, with a total mean mPPOS score of 4.6 (0.6 SD). Quantile regression analysis revealed four predictors (age, home language, sector, and personality trait openness) associated with PCC preferences. Three main categories emerged from the open-ended question and focus group discussions: (i) Positive experiences with PCC; (ii) restrictions toward PCC, and (iii) PCC exposure.DiscussionPositive (age and personality trait openness) and negative (home language and sector of employment) predictors toward PCC exist among speech-language pathologists and audiologists, with an overall general preference toward PCC. Practitioners experience facilitators and barriers toward implementing PCC including the extent of personal experiences, available resources and tools as well as workplace culture. These aspects require further investigation.
Effects of an outdoor horticultural activities program on cognitive and behavioral functioning, mood, and perceived quality of life in people with dementia: a pilot study
Authors: Borella Erika , Melendugno Andrea , Meneghetti Chiara , Murroni Veronica , Carbone Elena , Goldin Giulia , Cavalli Raffaele , Basso Andrea , Pazzaglia Francesca 
Published: June 2023

IntroductionOne of various non-pharmacological treatments for people with dementia (PwD) is horticultural therapy. The aim of this double-blind, pre- and post-test, pilot study was to examine the effects of horticultural activities (HA) for PwD at a residential and daytime care facility. Whether combining HA with elements drawn from other psychosocial interventions (cognitive stimulation) would maximize any benefits was also newly examined.Materials and methodsTwenty-four PwD were involved either in HA, alone (TG1, N = 7) or combined with some cognitive stimulation (TG2, N = 8), or in indoor treatment-as-usual activities (CG, N = 9). Benefits were assessed in terms of general cognitive functioning (for participants with mild-to-moderate dementia), mood, behavioral and psychological symptoms, and quality of life.ResultsNo differences emerged between TG1 and TG2 in any outcome measure, so the two groups were combined (N = 15). Compared with the CG, the TG involved in HA exhibited less frequent and severe behavioral and psychological symptoms and an improved mood after the intervention. Caregivers also reported less distress in the TG after the intervention than in the CG. Considering only PwD with mild-to-moderate dementia, the TG also showed benefits in a measure of general cognitive functioning, and self-reported quality of life, compared with the CG.DiscussionOur results further confirm that engaging PwD in participatory HA in contact with natural elements can decrease their dementia symptoms and their caregivers’ distress, but also increase PwD’s quality of life. Our findings also suggest the need to consider dementia severity when assessing the benefits of horticultural therapy.
Stress overload, influencing factors, and psychological experiences of nurse managers during early stages of the COVID-19 pandemic: a sequential explanatory mixed method study
Authors: Jin Yundan , Cui Feifei , Wang Rongting , Chen Shuainan , Hu Lina , Yao Meiqi , Wu Haiying 
Published: June 2023

BackgroundHealthcare systems had an exceptionally difficult time during the early COVID-19 pandemic. Nurse managers in particular made enormous contributions to ensuring the safety of patients and front-line nurses while being under excessive psychological stress. However, little is known about their experiences during this time.ObjectiveThe aim of this study was thus to assess the level of stress overload and psychological feelings of nurse managers during the early COVID-19 pandemic.MethodsA mixed methods sequential explanatory design study with non-random convenience sampling was performed, following the STROBE and COREQ checklists. The study was conducted at the Affiliated Dongyang Hospital, Wenzhou Medical University, with data collected from six provinces in southern China (Zhejiang, Hubei, Shanghai, Jiangsu, Hunan and Jiangxi) during March 2020 and June 2020. A total of 966 nurse managers completed the Stress Overload Scale and Work-Family Support Scale. In addition, a nested sample of nurse managers participated in semi-structured face-to-face interviews. The data were then analyzed using qualitative content analysis, Pearson correlation, and multiple linear regression.ResultsThe quantitative results showed that nurse managers experienced a moderate level of stress load. There was a significant negative correlation between work-family support and stress load (r = −0.551, p &lt; 0.01). Concerns about protecting front-line nurses and work-family support were the main factors affecting the stress load, which accounted for 34.0% of the total variation. Qualitative analysis identified four main thematic analyses that explained stress load: (1) great responsibility and great stress, (2) unprecedented stress-induced stress response, (3) invisible stress: the unknown was even more frightening, and (4) stress relief from love and support. Taken together these findings indicate that concern about protecting front-line nurses and negative work-family support of nurse managers were the main factors causing stress overload.ConclusionImplementing measures focused on individual psychological adjustment combined with community and family support and belongingness is one potential strategy to reduce psychological stress among nurse managers.
The development of the revised COPE 68 inventory with English and Slovak versions
Authors: Halamová Júlia , Kanovský Martin , Strnádelová Bronislava , Baránková Martina , Greškovičová Katarína 
Published: June 2023

IntroductionAlthough there have been several attempts at improving the COPE Inventory, the factor structure of the instrument is still in dispute. In addition, studies have shown low reliability coefficients for some of the first-order factors, with Mental Disengagement having the lowest factor loadings. In a recent study on the external validation of the instrument, two additional first-order factors were identified in the qualitative analysis, namely Self-care and Care for Others.MethodsBased on these arguments we created the Revised COPE 68 Inventory, changing some of the problematic items in the first order factor Mental Disengagement and adding items for the two new factors (Self-care and Care for Others). We then tested its reliability and performed factor analyses on the first and second-order factorial structure. The data were collected through social media in two languages, English and Slovak, using convenience and snowball sampling techniques. The English sample contained 834 participants with mean age 25.27  years (SD = 8.467) and the Slovak sample comprised 1,425 participants with mean age 33 years (SD = 14.59). For the statistical analyses we used Exploratory Structural Equation Model (ESEM) analyses with target rotation and WLSMV, Exploratory and second-order confirmatory factor analysis with the scores of the COPE Inventory and EFA.ResultsThe Revised COPE 68 inventory had a good fit for all 17 first-order factors in both languages, including for the new factors Self-care and Care for Others. It appears that the first-order factors form a three-factor solution in both samples, consisting of active coping, social–emotional coping and avoidant coping. The revised Mental Disengagement has better psychometric properties as well.DiscussionThe Revised COPE 68 inventory was found to be a reliable multidimensional instrument for measuring various coping strategies in both the English and Slovak language versions.
Emotional and behavioral alterations and their relationship with executive functioning in the pediatric population with autism spectrum disorder and epilepsy: a comparative study
Authors: Cano-Villagrasa Alejandro , Moya-Faz Francisco J. , Cortés-Ramos Antonio , López-Zamora Miguel 
Published: June 2023

IntroductionThe pediatric population with Autism Spectrum Disorder (ASD) and epilepsy presents behavioral and emotional alterations that hinder their correct developmental maturation as well as their integration in different contexts such as school, family or social. This population shows atypical behavioral and emotional patterns, with difficulties in emotional regulation, understanding of emotions, aggressiveness, or low frustration tolerance. They also present alterations in executive functions, which significantly influence the emotional and behavioral characteristics of this population. Research suggests that epilepsy worsens the emotional, behavioral, and executive functioning status.ObjectiveTo explore differences in behavioral, emotional, and executive functioning profile in individuals with a diagnosis of ASD, epilepsy, and ASD with epilepsy.MethodIn this quasi-experimental and cross-sectional study, a total of 170 participants were selected and distributed into three groups: a group of participants with ASD, a group with epilepsy, and a group of participants with ASD and epilepsy. The SENA, BASC-3, and ENFEN tests were administered to verify the behavioral, emotional, and executive functioning profile in the three groups.ResultsThe results indicate that individuals diagnosed with ASD and epilepsy present greater emotional, behavioral, and executive functioning alterations compared to those who only present ASD or epilepsy.ConclusionIndividuals with ASD and epilepsy present significant alterations in emotional, behavioral, and executive functioning processes, which hinder their adaptation to different contexts, as well as decreasing their quality of life and that of their family.
LetsTalkShots: personalized vaccine risk communication
Authors: Salmon Daniel A. , Dudley Matthew Z. , Brewer Janesse , Shaw Jana , Schuh Holly B. , Proveaux Tina M. , Jamison Amelia M. , Forr Amanda , Goryn Michelle , Breiman Robert F. , Orenstein Walter A. , Kao Lee-Sien , Josiah Willock Robina , Cantu Michelle , Decea Tori , Mowson Robin , Tsubata Kate , Bucci Lucie Marisa , Lawler Jaqueline , Watkins James D. , Moore Jamie W. , Fugett James H. , Fugal Adriele , Tovar Yazmine , Gay Marie , Cary Aleen M. , Vann Iulia , Smith Lee B. , Kan Lilly , Mankel Magda , Beekun Sumayya , Smith Victoria , Adams Stephanie D. , Harvey Steven A. , Orton Peter Z. 
Published: June 2023

IntroductionVaccine hesitancy is a global health threat undermining control of many vaccine-preventable diseases. Patient-level education has largely been ineffective in reducing vaccine concerns and increasing vaccine uptake. We built and evaluated a personalized vaccine risk communication website called LetsTalkShots in English, Spanish and French (Canadian) for vaccines across the lifespan. LetsTalkShots tailors lived experiences, credible sources and informational animations to disseminate the right message from the right messenger to the right person, applying a broad range of behavioral theories.MethodsWe used mixed-methods research to test our animation and some aspects of credible sources and personal narratives. We conducted 67 discussion groups (n = 325 persons), stratified by race/ethnicity (African American, Hispanic, and White people) and population (e.g., parents, pregnant women, adolescents, younger adults, and older adults). Using a large Ipsos survey among English-speaking respondents (n = 2,272), we tested animations aligned with vaccine concerns and specific to population (e.g., parents of children, parents of adolescents, younger adults, older adults).ResultsDiscussion groups provided robust feedback specific to each animation as well as areas for improvements across animations. Most respondents indicated that the information presented was interesting (85.5%), clear (96.0%), helpful (87.0%), and trustworthy (82.2%).DiscussionTailored vaccine risk communication can assist decision makers as they consider vaccination for themselves, their families, and their communities. LetsTalkShots presents a model for personalized communication in other areas of medicine and public health.
Sensor-based augmented visual feedback for coordination training in healthy adults: a scoping review
Authors: Hegi Heinz , Heitz Jakob , Kredel Ralf 
Published: June 2023

IntroductionRecent advances in sensor technology demonstrate the potential to enhance training regimes with sensor-based augmented visual feedback training systems for complex movement tasks in sports. Sensorimotor learning requires feedback that guides the learning process towards an optimal solution for the task to be learned, while considering relevant aspects of the individual control system—a process that can be summarized as learning or improving coordination. Sensorimotor learning can be fostered significantly by coaches or therapists providing additional external feedback, which can be incorporated very effectively into the sensorimotor learning process when chosen carefully and administered well. Sensor technology can complement existing measures and therefore improve the feedback provided by the coach or therapist. Ultimately, this sensor technology constitutes a means for autonomous training by giving augmented feedback based on physiological, kinetic, or kinematic data, both in real-time and after training. This requires that the key aspects of feedback administration that prevent excessive guidance can also be successfully automated and incorporated into such electronic devices.MethodsAfter setting the stage from a computational perspective on motor control and learning, we provided a scoping review of the findings on sensor-based augmented visual feedback in complex sensorimotor tasks occurring in sports-related settings. To increase homogeneity and comparability of the results, we excluded studies focusing on modalities other than visual feedback and employed strict inclusion criteria regarding movement task complexity and health status of participants.ResultsWe reviewed 26 studies that investigated visual feedback in training regimes involving healthy adults aged 18-65. We extracted relevant data regarding the chosen feedback and intervention designs, measured outcomes, and summarized recommendations from the literature.DiscussionBased on these findings and the theoretical background on motor learning, we compiled a set of considerations and recommendations for the development and evaluation of future sensor-based augmented feedback systems in the interim. However, high heterogeneity and high risk of bias prevent a meaningful statistical synthesis for an evidence-based feedback design guidance. Stronger study design and reporting guidelines are necessary for future research in the context of complex skill acquisition.
Physical activity when riding an electric-assisted bicycle with and without cargo
Authors: Martnes Jørgen Jerstad , Bere Elling 
Published: June 2023

BackgroundRegular physical activity provides several health benefits, and active transport is a convenient way to implement physical activity in everyday life. However, bikes’ lack of possibilities to carry cargo is a limitation. E-cargo bikes can help overcome barriers to cycling and increase levels of active transport while still providing the option to carry cargo such as groceries and children. As such, E-cargo bikes have a greater potential for being a substitute for cars, but relevance is not known as no study has assessed the energy expenditure and time used using E-cargo bikes with considerable cargo.ObjectivesThe aim of this study is to compare time spent riding and exercise intensity when (1) riding an electric-assisted bicycle with cargo (30 kg) and without cargo and (2) driving a car.MethodThis study has a randomised crossover design. Eleven participants (six women) were recruited through convenience sampling. The participants traversed through a 4.5 km route with three different forms of transportation: an electric-assisted bicycle (E-bike) with 30 kg cargo, an E-bike without cargo, and a car. Oxygen uptake was measured with a portable oxygen analyser (Metamax 3B), and time spent cycling was measured on site by the test leader using a stopwatch.ResultsRiding an E-bike with cargo was slightly slower than riding an E-bike without cargo (11.8 vs. 11.1 min,p = 0.017) and driving a car (8.8 min,p = 0.002). There was no significant difference in exercise intensity between E-bikes with and without cargo but riding an E-bike with cargo entailed significantly higher exercise intensity compared to driving a car [4.9 metabolic equivalents of task (METs) vs. 1.4 METs,p ≤ 0.001].ConclusionsE-biking with cargo was rather similar in time spent and exercise intensity to E-biking without cargo, and not much slower than driving a car. Using E-cargo bikes, therefore, appears a good alternative to driving a car when in need of carrying things such as grocery bags and children, resulting in increasing physical activity and, at the same time, decreasing greenhouse gas emissions.
Modified Oxford technique of colpopexy for the treatment of uterine and vaginal vault prolapse: a retrospective pilot cohort study
Authors: Devassy Rajesh , Naem Antoine , Krentel Harald , De Wilde Rudy Leon 
Published: June 2023

IntroductionPelvic organ prolapse is a common health issue that affects 30.8% of women. Laparoscopic sacrocolpopexy and colpopectopexy are two of the most common procedures to restore the pelvic anatomy. Mesh application on the other hand carries an increased complications risk over the short and long terms. The aim of this study is to provide a basis for meshless sacrocolpopexy and colpopectopexy.MethodsThis study is a retrospective cohort pilot study that analyzed the data of patients with a pelvic organ prolapse according to the pelvic organ prolapse quantification system and underwent the modified technique for sacrocolpopexy and colpopectopexy. Descriptive statistics were used to express the different variables.ResultsA total of 36 patients met the inclusion criteria and provided consent for the participation in this study. The majority of patients were postmenopausal. 22 out of 36 patients received a previous prolapse surgery. All patients presented with reducible vaginal lump. Dyspareunia and sexual dysfunction were the most commonly reported symptoms. The intraoperative complications rate was 0%. Only one patient had a postoperative persistent urinary retention that was managed medically.DiscussionSacrocolpopexy and colpopectopexy seems to be a safe alternative to the mesh-based pelvic surgeries with a very low rate of intraoperative complications and favorable follow up outcomes.
Morphological and Molecular Characterization of Anisakid Nematode Larvae (Nematoda: Anisakidae) in the Black Cusk eel Genypterus maculatus from the Southeastern Pacific Ocean off Peru
Authors: Chero Jhon Darly , Ñacari Luis , Cruces Celso Luis , Lopez David Fermín , Cacique Edson , Severino Ruperto , Lopez Jorge , Luque José Luis , Saéz Gloria 
Published: June 2023

The back cusk eel, Genypterus maculatus (Tschudi, 1846), (Ophiidiformes: Ophiididae) is one of the benthic-demersal fish usually consumed in northern Peru. Here, we identified the third stage (L3) Anisakidae sampled from 29 specimens of G. maculatus captured off the south American Pacific coast, Lambayeque Region, Peru. A total of 20 anisakid nematode larvae were collected on the visceral surface and divided morphologically into three types (Type I–III). These larvae were identified by mtDNA Cox2 sequences analysis, which indicated that corresponded to Anisakis pegreffii Campana-Rouget and Biocca, 1955, Skrjabinisakis physeteris (Baylis, 1923) and S. brevispiculata (Dollfus, 1966) Safonova, Voronova, and Vainutis, 2021, respectively. This is the first record of S. brevispiculata in Peru. The results obtained in this study provide knowledge on the diversity and distribution of Anisakis Dujardin, 1845 and Skrjabinisakis Mozgovoi, 1951, species in the south American Pacific waters and their relevance for public health. In addition, we suggest that combined use of molecular and morphological approaches is needed to characterize L3 anisakid larvae.
Si Supply Could Alter N Uptake and Assimilation of Saplings—A 15N Tracer Study of Four Subtropical Species
Authors: Liu Xiaoyu , Tang Xinghao , Ran Huan , Deng Mengyang , Song Qingni , Yang Qingpei , Huang Dongmei , Liu Jun 
Published: June 2023

Si availability may be altered by bamboo expansion when other trees are replaced by bamboo due to the influence of plant communities on the quantity of phytoliths and Si accumulation. It has been shown that Si availability can modify nutrient-use efficiency (e.g., N and P) of some Si-accumulating plants. However, it is unclear how Si availability might alter N uptake and assimilation between Si-accumulating plants such as bamboo compared to other species, particularly for different chemical forms such as ammonium (NH4+) and nitrate (NO3−). To explore the influences of Si availability on uptake and assimilation rates for different forms of inorganic N between bamboo and other trees, we selected one-year-old seedlings of bamboo (Phyllostachys pubescens) and three other native subtropical species, namely Phoebe bournei, Schima superba, and Cunninghamia lanceolata. We applied three levels of Si and 15N tracers in a pot experiment and then measured the concentrations of Si (total Si, soluble Si, and exchangeable Si), C, N (total N, NH4+-N, and NO3−-N), and N uptake and assimilation rates for both roots and leaves. We found that there were higher inorganic N root uptake and assimilation rates for bamboo compared to other species, likely due to higher biomass accumulation and quicker turnover of fine roots. Moreover, Si supply did not change the uptake preference for N forms or overall uptake and assimilation rates in most species; however, a high concentration of the Si supply slightly increased NO3−-N uptake and assimilation rates in fine roots and leaves of P. bournei, particularly immediately following the addition of Si. These results have implications for predicting the coexistence and competition between bamboo and other trees through the uptake and assimilation of different forms of inorganic N (i.e., high Si-accumulating plants compared to other plants), particularly when Si availability is altered in ecosystems.