bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sociodemographic Differences in Physician-Based Mental Health and Virtual Care Utilization and Uptake of Virtual Care Among Children and Adolescents During the COVID-19 Pandemic in Ontario, Canada: A Population-Based Study
Authors: Toulany Alene , Kurdyak Paul , Stukel Therese A. , Strauss Rachel , Fu Longdi , Guan Jun , Fiksenbaum Lisa , Cohen Eyal , Guttmann Astrid , Vigod Simone , Chiu Maria , Moore Hepburn Charlotte , Moran Kimberly , Gardner William , Cappelli Mario , Sundar Purnima , Saunders Natasha 
Published: March 2023

Objective We sought to evaluate the relationship between social determinants of health and physician-based mental healthcare utilization and virtual care use among children and adolescents in Ontario, Canada, during the COVID-19 pandemic. Methods This population-based repeated cross-sectional study of children and adolescents (3–17 years; N = 2.5 million) used linked health and demographic administrative data in Ontario, Canada (2017–2021). Multivariable Poisson regressions with generalized estimating equations compared rates of outpatient physician-based mental healthcare use during the first year of the COVID-19 pandemic with expected rates based on pre-COVID patterns. Analyses were conducted by socioeconomic status (material deprivation quintiles of the Ontario Marginalization index), urban/rural region of residence, and immigration status. Results Overall, pediatric physician-based mental healthcare visits were 5% lower than expected (rate ratio [RR] = 0.95, 95% confidence interval [CI], 0.92 to 0.98) among those living in the most deprived areas in the first year of the pandemic, compared with the least deprived with 4% higher than expected rates (RR = 1.04, 95% CI, 1.02 to 1.06). There were no differences in overall observed and expected visit rates by region of residence. Immigrants had 14% to 26% higher visit rates compared with expected from July 2020 to February 2021, whereas refugees had similarly observed and expected rates. Virtual care use was approximately 65% among refugees, compared with 70% for all strata. Conclusion During the first year of the pandemic, pediatric physician-based mental healthcare utilization was higher among immigrants and lower than expected among those with lower socioeconomic status. Refugees had the lowest use of virtual care. Further work is needed to understand whether these differences reflect issues in access to care or the need to help inform ongoing pandemic recovery planning.
Patient satisfaction and attitudes towards immediate sequential bilateral cataract surgery
Authors: Campbell Cara G , La Chuiki J , Chan Kim L , Turnbull Andrew M J 
Published: March 2023

Purpose To investigate patients’ first-hand experience, satisfaction and attitudes towards immediate sequential bilateral cataract surgery (ISBCS). Setting Royal Bournemouth Hospital, University Hospitals Dorset NHS Foundation Trust, Castle Lane East, Bournemouth, UK. Design Retrospective study using semi-structured phone interviews and qualitative content analysis. Methods Semi-structured telephone interviews were conducted by an independent interviewer, to explore patients’ experiences of ISBCS, at least four weeks postoperatively. The open-ended responses were analysed using qualitative content analysis. Categories and meaning units were tabulated, with the number and percentage of patients contributing to each category provided. Results 25 patients were included. All patients rated their overall satisfaction of ISBCS as ‘ very satisfied’ and would opt again to have both eyes operated on the same day. 22 patients (88%) reported a ‘ very good/comfortable’ surgery experience. After surgery, 24 patients (96%) felt completely safe going home, with most organizing for family or friends to drive them home. None of the patients experienced any complications in the postoperative period. 24 patients (96%) experienced only minimal reduction in accomplishing daily living activities after surgery and 24 patients (96%) said they would recommend ISBCS to family and friends. Conclusion The results support wider implementation of ISBCS from the patient's perspective and experience. Providing written information addressing common themes and concerns is recommended to increase patient acceptance and uptake of ISBCS preoperatively.
Addition of cyanoacrylate adhesive improves the strength of catheter securement and integrity of transparent dressing: Results from an in vitro test model
Authors: Zhang Sheng , Price Nastassia , Guido Amanda 
Published: March 2023

Introduction: Intravenous catheters present complications to patients, such as dislodgment, pistoning, micromovement, and infection. Despite the use of transparent dressings, a significant rate of I.V. catheter complications still arise. This article is to provide a scientific and technological perspective on how bonding a transparent dressing to a substrate using 2-octyl cyanoacrylate and n-butyl cyanoacrylate (OBCA) via multiple methods can significantly enhance the adhesion strength of the transparent dressing product, which subsequently increases the securement strength of the catheter. Materials and methods: Using porcine skin, an adhesive formula made of a mixture of OBCA was applied to both the I.V. catheter and transparent dressing to evaluate the adhesion strength and securement strength in vitro. Results: The studies show that using OBCA to bond the transparent dressing to the substrate significantly improved the adhesion strength by up to 8 times, and catheter securement by up to 7.4 times stronger than using a transparent dressing alone. Conclusion: It was determined that using OBCA to bond the transparent dressing to the substrate results in strengthening the adhesion strength of the transparent dressing, which could potentially reduce dressing complications. By using OBCA to affix the transparent dressing to the substrate catheter securement strength was also significantly increased which can potentially reduce catheter dislodgment, migration, and micromovement.
Dual mobility prosthesis for trapeziometacarpal osteoarthritis: results from a prospective study of 55 prostheses
Authors: Falkner Florian , Tümkaya Arman Mahmut , Thomas Benjamin , Panzram Benjamin , Bickert Berthold , Harhaus Leila 
Published: March 2023

This prospective study evaluated outcomes after trapeziometacarpal joint replacement with a dual mobility prosthesis (Touch®) in 55 thumbs (52 patients) with a mean follow-up of 25 months (range 12–36). Pre- and postoperative assessments included pain, range of motion, the Kapandji index, pinch- and grip strength, as well as functional scores and radiological parameters. Mean preoperative metacarpophalangeal joint hyperextension of 19° (range 15°–28°) showed a significant correction after 1 year with a mean value of 2° (range 0°–5°). Mean Quick Disabilities of the Hand, Shoulder and Arm score was 14 (range 6–28), and Michigan Hand Questionnaire 82 (range 67–92). No revisions due to infection, loosening, dislocation or material failure occurred during follow-up. The dual mobility trapeziometacarpal joint prosthesis was a reliable treatment option to decrease pain, improve motion, strength and pre-existing metacarpophalangeal joint hyperextension at short-term follow-up. Level of evidence: IV
Evaluation of Achilles Tendon Stiffness as Measured by Shear Wave Elastography in Female College Athletes Compared With Nonathletes
Authors: Althoff Alyssa D. , Vance Kayleigh , Plain Megan , Reeves Russell A. , Pierce Jennifer , Gwathmey Frank W. , Werner Brian C. 
Published: March 2023

Background: We sought to utilize a noninvasive technology to assess the effects of activity on Achilles tendon stiffness and define baseline Achilles tendon stiffness in female college athletes compared with nonathletes using tendon shear wave velocity as a marker for tendon stiffness. Hypothesis: Training status and exercise may affect Achilles tendon stiffness. Study Design: Prospective cohort study. Level of Evidence: Level 4. Methods: A total of 32 college-age female athletes were prospectively enrolled (n = 17 varsity athletes and n = 15 nonathletes). Demographic characteristics, activity level, and previous injuries were recorded. Sonographic shear wave elastography (SWE) was used to assess Achilles tendon shear wave velocity bilaterally for all subjects, both at baseline and after 2 minutes of exercise. Student t tests were used to compare the mean elastography measurements between participants stratified by athlete status and pre/postexercise stimulus. Analysis of variance (ANOVA) was used to compare the mean proximal, middle, and distal Achilles tendon elastography measurements. Results: As seen by a greater mean shear wave velocity (8.60 ± 1.58 m/s vs 8.25 ± 1.89 m/s; P = 0.02), athletes had stiffer tendons than nonathletes. Exercise stimulus decreased average tendon shear wave velocity (8.57 ± 1.74 m/s vs 8.28 ± 1.72 m/s; P = 0.05). Tendon shear wave velocity was greatest proximally and least distally with significant differences between each region ( P < 0.001). In addition, there was a significant 2-way interaction between weekly training status and foot dominance ( P = 0.01). Post hoc analysis showed that this result was due to differences in tendon shear wave velocity between the dominant and nondominant lower extremity in nonathletes (7.73 ± 2.00 m/s vs 8.76 ± 1.62 m/s; P < 0.001). Conclusion: Female varsity collegiate athletes have higher baseline Achilles tendon stiffness as measured by SWE compared with nonathletes. Mean tendon stiffness varies based on Achilles measurement location. SWE is a quick, cost-effective, and noninvasive imaging modality that can be used to evaluate tendon stiffness and elasticity. Clinical Relevance: SWE is an efficient and noninvasive imaging modality that can evaluate dynamic tendon stiffness and elasticity. SWE may be helpful to assess injuries in female college athletes and may play a role in risk stratification or clinical follow-up. In theory, SWE could be used to identify athletes with increased elasticity as a marker for potential risk for rupture in this population.
Superior Labrum Anterior – Posterior (SLAP) Lesion: Consideration and Controversies
Authors: Panjaitan Troydimas 
Published: March 2023

SLAP tears are a common pathology, observed in 26% of patients undergoing shoulder arthroscopy. First described by Andrews et al, SLAP tears were then further subclassified by Snyder et al. The variable relationship between the anterosuperior labrum and the glenohumeral ligaments has important implications for the evaluation and treatment of SLAP lesions. These normal variants include a sublabral recess / foramen (3.3%), a sublabral foramen with a cord-like MGHL (8.6%) and an absent anterosuperior labrum with a cord-like MGHL (i.e. Buford complex, 1.5%). Frequently accepted mechanisms of injury include forceful traction loads to the arm, direct compression loads, and repetitive overhead throwing activities. SLAP lesions are difficult to examine accurately, because that most SLAP lesions occur concomitantly with other shoulder injuries (e.g. glenohumeral instability, rotator cuff tears, biceps tendon ruptures), and they typically have no specific associated pain pattern. Several provocative tests for SLAP tears have been described, however, none of these tests has been found to be highly accurate for diagnosis of SLAP tears. The definitive diagnosis of SLAP lesions is best made through diagnostic arthroscopy. Treatment of these lesions is directed according to its type. Treatment ranges from non-operative management to surgical management including SLAP repair, biceps tenotomy, and biceps tenodesis. The management of Type-II SLAP (most common) of the shoulder remains a controversial topic. Whether to repair a shoulder SLAP lesion or perform a biceps tenodesis depends on a multitude of factors: patient age, activity or work level, type of SLAP tear, location of SLAP tear, and quality of labral tissue. Determining which procedure to perform does not have such a simple, one-size-fits-all solution.
Bamboo slivers with high strength and toughness prepared by alkali treatment at a proper temperature
Authors: Wu Jieyu , Yixiu Zong , Zhong Tuhua , Zhang Wenfu , Chen Hong 
Published: March 2023

AbstractDespite bamboo slivers having long been used to manufacture bamboo weaving products, the flexibility is still well below satisfactory, especially for those split from inner layer of bamboo culm. Here, a facile approach was reported to obtain strong and flexible bamboo slivers, in which the slivers from the outer and inner layer of bamboo culm were processed with 5 wt% alkali treatment at various temperatures (23, 40, 60, and 80 °C), respectively. Compared with untreated bamboo slivers, the treated ones were investigated in terms of the microstructure, chemical composition, morphology, tensile and bending performances. The results showed that tensile and bending properties of all treated bamboo slivers were significantly improved, especially for those from inner layer of bamboo culm. The tensile strength of outer bamboo sliver treated at 60 °C and the inner ones treated at 40 °C increased up to the maximum, respectively, increasing by 86.6% and 132.0% compared with the untreated ones. The highest flexibility of the outer- and inner bamboo sliver can be achieved at 80 °C and 60 °C alkali treatment, respectively. The slivers can be completely wound around a nylon rod with a diameter of 10 mm without fracture. The excellent tensile and bending performance of bamboo slivers alkali-treated at proper temperature was largely attributed to tightly cellulose molecule aggregating induced by substantially increasing hydrogen bonding after the partial removal of lignin and hemicellulose. A denser and interlocking cellular structure due to the collapse of parenchyma cells after alkali treatment at proper temperature also partly contributed to the increased tensile and bending strength. The results suggest that strong and flexible bamboo slivers can be prepared by one-spot alkali treatment at a proper temperature, which may widen the application scope of bamboo slivers.
Should migraine without aura be further divided? A study of 1444 female patients with migraine without aura
Authors: Wang Xiaolin , Na Weinan , Yang Ying , Zhang Wenwen , Zhao Junxia , Zhang Tingting , Zhou Yuanji , Liu Hua , Zhao Dong , Yu Shengyuan 
Published: March 2023

AbstractTo explore the possibility of further dividing migraine without aura (MWA), 1444 female patients fulfilled the criterion were recruited, and grouped basing on the association of MWA onset with menarche and childbirth (group J1, onset before menarche; group J2, onset between menarche and childbirth; group J3, onset after childbirth). By comparing migraine (side, location, aggravated by routine physical activity, NRS score, frequency, accompanying symptoms, with premonitory symptom (PS) and trigger, sum of PS and trigger) and migraine-related factors [chronic daily headache, medicine overused headache, body mass index (BMI), education level, exercise status, sleep status, consumption of tea/coffee/alcohol, patient health questionnaire-9 (PHQ-9) score and generalized anxiety disorder-7, (GAD-7) score)] among groups, it was found that the J1 group and the J2 group presented more typical migraine features than the J3 group; 2) the J3 group was more prone to emotion and sleep disorders, weight management issues, frequent migraine attacks and medication overuse. This study provided a basis for further dividing MWA. Genetic research should be conducted and treatment should be prescribed accordingly because the underlying pathogenesis may be different.
Screen exposure time of children under 6 years old: a French cross-sectional survey in general practices in the Auvergne-Rhône-Alpes region
Authors: Akbayin Mehtap , Mulliez Aurélien , Fortin Frédéric , Vicard Olagne Mathilde , Laporte Catherine , Vorilhon Philippe 
Published: March 2023

Abstract
Background
The advent of miniature, easy-to-use and accessible multimedia products is leading to screen exposure that begins in early childhood. Overexposure in preschool may lead to adverse effects. The main objective of this study was to determine the average daily time (ADT) spent by children under 6 years of age, followed in general practice, in front of television or interactive screens.

Methods
A cross-sectional survey was conducted in the Auvergne-Rhône-Alpes region among randomly selected General Practitioners (GPs). The average daily screen time (ADST), regardless of the type of device (TVs, computers, tablets, smartphones, video game consoles), of the included children aged 0 to 2 years and 2 to 5 years was calculated from a self-questionnaire completed by the parents. A multivariate Poisson regression model was performed to analyse daily screen time, adjusted by factors selected on their clinical relevance and statistical significance.

Results
The 26 participating GPs included 486 parents. They reported an ADST of 26 (± 44) minutes on weekdays and 30 (± 46) minutes on weekends for children under 2 years of age. For children over 2 years of age, the ADST was 66 (± 82) minutes on weekdays and 103 (±91) minutes on weekends. There was an association between the children’s average screen time and certain sociodemographic and environmental factors. Children whose parents had higher levels of education, those living in a family without TV screens or those who were well informed about the possible adverse health consequences of overuse of screens had lower average screen time. On the other hand, children of parents who spent more than 2 hours a day in front of screens, were more exposed.

Conclusions
In our survey, the ADST of children under 6 years of age followed in general practice was higher than the current recommendations. GPs can warn parents of preschool children of the effects of overexposure to screens, particularly parents of at-risk children.
Racial/ethnic differences in social determinants of health and health outcomes among adolescents and youth ages 10–24 years old: a scoping review
Authors: Monroe Patricia , Campbell Jennifer A. , Harris Melissa , Egede Leonard E. 
Published: March 2023

Abstract
Introduction
With the recent emergence of the Healthy People 2030 goals there is a need to understand the role of SDOH on health inequalities from an upstream perspective. This review summarizes the recent body of evidence on the impact of SDOH across adolescence and youth health outcomes by race/ethnicity using the Health People 2030 Framework.

Methods
A systematic, reproducible search was performed using PubMed, Academic Search Premier, PsychInfo, and ERIC. A total of 2078 articles were screened for inclusion. A total of 263 articles met inclusion criteria, resulting in 29 articles included for final synthesis.

Results
Across the 29 articles, 11 were cross-sectional, 16 were cohort, and 2 were experimental. Across SDOH categories (economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context), 1 study examined self-efficacy, 6 educational attainment, 10 behavior, 5 smoking, 11 alcohol use, 10 substance use, and 1 quality of life. The majority of outcomes represented in this search included health behaviors such as health risk behavior, smoking, alcohol use, and substance use. Across the 29 articles identified, significant differences existed across outcomes by race/ethnicity across SDOH factors, however magnitude of differences varied by SDOH category.

Discussion
SDOH differentially affect adolescents and youth across race/ethnicity. The lived adverse experiences, along with structural racism, increase the likelihood of adolescents and youth engaging in risky health behaviors and negatively influencing health outcomes during adolescence and youth. Research, public health initiatives, and policies integrating SDOH into interventions at early stage of life are needed to effectively reduce social and health inequalities at a population level.
Cohort Profile: evaluation of the targeted individual promotion in german preschools using the revised Dortmund Developmental Screening for Preschools DESK 3–6 R (project “GIF MV”)
Authors: Ernst Vanessa Sophie , Franze Marco , Kästner Anika , Hoffmann Wolfgang 
Published: March 2023

AbstractThis dynamic cohort was established to evaluate the targeted individual promotion of children affected by developmental risks as part of the German federal state law for child day-care and preschools in Mecklenburg-Western Pomerania. The project has been conducted in preschools in regions with a low socio-economic profile since 2011. Since 2017, the revision of the standardized Dortmund Developmental Screening for Preschools (DESK 3–6 R) has been applied. Developmental risks of 3 to 6-year-old children in the domains of motor, linguistic, cognitive and social competencies are monitored. The cohort is followed up annually. In 2020, n = 7,678 children from n = 152 preschools participated. At the baseline (2017), n = 8,439 children participated. Due to the defined age range of this screening, 3,000 to 4,000 5-6-year-old children leave the cohort annually. Simultaneously, an approximately equal number of 3-year-old children enters the cohort per survey wave. N = 702 children participated in all 4 survey waves. On the basis of DESK 3–6 R scores available from survey waves 2017 to 2019 it is possible to compute expected values for the survey wave 2020 and to compare those with the measured values to evaluate the effects of the COVID-19 pandemic (i.e. parental home care due to restrictions related to COVID-19).
Prevalence of QT prolongation and its risk factors in patients with type 2 diabetes
Authors: Aburisheh Khaled , AlKheraiji Mohammad F. , Alwalan Saleh I. , Isnani Arthur C. , Rafiullah Mohamed , Mujammami Muhammad , Alfadda Assim A. 
Published: March 2023

Abstract
Background
QT prolongation increases cardiovascular mortality in diabetes. The risk factors for QT prolongation vary across different studies. There is no data on the QT prolongation in patients with diabetes from the Arab region, where diabetes is highly prevalent. Here we aimed to assess the prevalence of QT prolongation and its associated risk factors in patients with type 2 diabetes from Saudi Arabia.

Method
This was a retrospective, cross-sectional, hospital-based file review study. Data were collected from the medical records of patients with type 2 diabetes aged above 14 years and underwent ECG examination, and laboratory investigations were done within one month of ECG.

Results
The study included 782 patients with a prevalence of QTc prolongation of 13%. Patients with prolonged QTc interval were characterized by older age, higher BMI, longer diabetes duration, lower total cholesterol and LDL-C, and more diabetic nephropathy, hypertension, and CVD cases. They were also more in insulin treatment, antihypertensive medications, loop diuretics, and potassium-sparring diuretics. Logistic regression analysis revealed the odds of prolonged QTc interval increased significantly with CVD (OR = 1.761, 95% CI:1.021–3.036, p = 0.042), and usage of loop diuretics (OR = 2.245, 95% CI:1.023–4.923, p = 0.044) after adjusting for age, gender, and duration of diabetes.

Conclusion
The risk factors associated with QTc prolongation in patients with type 2 diabetes are CVD, and loop diuretics. Age, BMI, and diabetes duration were more in people with QTc prolongation, whereas total cholesterol and LDL-C levels were lower. More patients had diabetic nephropathy, hypertension, and CVD with prolonged QTc.