bluuebunny/crossref_metadata_2025_split huggingface dataset:
Development and Well¯being: Maritime Infrastructure and Ocean Grabbing on the Colombian Pacific Coast
Authors: Franz Tobias , Gómez Diana , Idrobo C. Julián , Corzo Olga 
Published: June 2023

The Colombian government’s proposal for the Tribugá Port project puts in evidence the juxtaposition of dominant approaches to development and place-based well-being strategies of local communities. The extension of the national maritime infrastructure network follows mainstream development narratives centered around the spatial reorganization and expansion of capitalism to cater to the needs of industrial and commercial accumulation. Ethno-development plans and interviews indicate that local well-being initiatives rooted in local livelihoods, identity, culture, and environmental conservation form the basis for resisting the Tribugá Port project. Such well-being perspectives not only provide a different understanding of development but also are likely to lead to a different outcome because they foster inclusive and sustainable processes and a sense of solidarity, self-determination, and self-management of resources. La propuesta del gobierno colombiano para el proyecto del Puerto de Tribugá pone en evidencia la yuxtaposición de enfoques dominantes para el desarrollo y las estrategias de bienestar implementadas en los sitios de comunidades locales. La extensión de la red nacional de infraestructura marítima sigue las narrativas principales de desarrollo centradas en la reorganización espacial y la expansión del capitalismo para satisfacer las necesidades de la acumulación industrial y comercial. Los planes de etnodesarrollo y las entrevistas indican que las iniciativas locales de bienestar arraigadas en medios de vida locales, la identidad, la cultura y la conservación del medio ambiente forman la base para resistir el proyecto del Puerto de Tribugá. Tales perspectivas de bienestar no solo proporcionan una comprensión diferente del desarrollo, sino que también es probable que conduzcan a un resultado diferente porque fomentan procesos inclusivos y sustentables, así como un sentido de solidaridad, autodeterminación y autogestión de los recursos.
Environmental Benefits of Using New Last-Mile Solutions and Using Electric Vehicles in China
Authors: Song Liying , Wang Bin , Bian Qian , Shao Lihua 
Published: June 2023

Unlike much of the existing research into the environmental impacts of home shopping and delivery activities, which focus on evaluating the operational efficiency of home delivery failures, this paper aims to investigate the CO2 emissions associated with treatments of failed-delivery parcels. The paper considers the potential environmental profits from using some innovative home delivery solutions: 1) the utilization of new home delivery solutions, under which the self-pickup point (SPP)/smart cabinet (SCB) is used as an intermediate address for customer’s collection and 2) upgrading fuel-powered goods vehicles to battery vans to make deliveries. Two sets of vehicle routing problem models for fuel-powered vans and battery vans are established. A sample network comprising of 500 customers and several SPPs/SCBs in Beijing, China, is proposed in the case study, to verify the proposed models and heuristics. The numerical results suggest that: 1) reductions in CO2 per average parcel delivered by new home delivery solutions increase with the ratio of home delivery failures, 2) it is proved that using battery freight vehicles obtains more environmental benefits than using the fuel-powered vans, and 3) customers’ personal trips for collecting their failed-delivery packages from the local depot or SPPs/SCBs share a large proportion of CO2 per parcel. The research has practical implications for both government and industry practitioners. Possible suggestions include: 1) promote a cleaner transportation mode for residents, by encouraging them to either take the bus or drive a battery passenger car, 2) careful design of a combined SPP and SCB network in urban areas, and 3) accelerate the process of vehicle electrification in the logistics industry by issuing allowances for purchasing electric vehicles from the government.
Opioid-free anesthesia versus opioid-based anesthesia in patients undergoing cardiovascular and thoracic surgery: a meta-analysis and systematic review
Authors: Mathew Dave M , Fusco Peter J , Varghese Kathryn S , Awad Ahmed K , Vega Eamon , Mathew Serena M , Polizzi Mia , George Jerrin , Mathew Christopher S , Thomas Jeremiah J , Calixte Rose , Ahmed Adham 
Published: June 2023

Background Despite their extensive clinical use, opioids are characterized by several side effects. These complications, coupled with the ongoing opioid epidemic, have favored the rise of opioid-free-anesthesia (OFA). Herein, we perform the first pairwise meta-analysis of clinical outcomes for OFA vs opioid-based anesthesia (OBA) in patients undergoing cardiovascular and thoracic surgery. Methods We comprehensively searched medical databases to identify studies comparing OFA and OBA in patients undergoing cardiovascular or thoracic surgery. Pairwise meta-analysis was performed using the Mantel–Haenszel method. Outcomes were pooled as risk ratios (RR) or standard mean differences (SMD) and their 95% confidence intervals (95% CI). Results Our pooled analysis included 919 patients (8 studies), of whom 488 underwent surgery with OBA and 431 with OFA. Among cardiovascular surgery patients, compared to OBA, OFA was associated with significantly reduced post-operative nausea and vomiting (RR, 0.57; P = .042), inotrope need (RR .84, P = .045), and non-invasive ventilation (RR, .54; P = .028). However, no differences were observed for 24hr pain score (SMD, −.35; P = .510) or 48hr morphine equivalent consumption (SMD, −1.09; P = .139). Among thoracic surgery patients, there was no difference between OFA and OBA for any of the explored outcomes, including post-operative nausea and vomiting (RR, 0.41; P = .025). Conclusion Through the first pooled analysis of OBA vs OFA in a cardiothoracic-exclusive cohort, we found no significant difference in any of the pooled outcomes for thoracic surgery patients. Although limited to 2 cardiovascular surgery studies, OFA was associated with significantly reduced postoperative nausea and vomiting, inotrope need, and non-invasive ventilation in these patients. With growing use of OFA in invasive operations, further studies are needed to assess their efficacy and safety in cardiothoracic patients.
Joint Hypermobility and Fatigue Are Associated With Injuries in a Group of Preprofessional Ballet Dancers
Authors: Dondin Morgan , Baeza-Velasco Carolina 
Published: June 2023

Introduction: Strenuous preprofessional ballet training places young students at an increased risk of injury. This represents a major concern for aspiring dancers since a link has been described between injury and dropping out. It is therefore important to identify physical and psychological factors related to injuries in dance for prevention purposes. Methods: In this cross-sectional study, we explored the frequency and characteristics of injuries, as well as their physical and psychological determinants in preprofessional ballet dancers. Seventy-three participants (women = 75.6%; mean age = 13.7; SD = 1.8) were evaluated with the Beighton criteria for joint hypermobility and self-questionnaires assessing injuries in the last 18 months, fatigue, fear of injury, and motivation. Results: Most of participants (61.6%) experienced injuries in the last 18 months, mainly in the lower limbs, and due to overuse. Multivariate analyses showed that joint hypermobility and fatigue predict injury status in this sample. Conclusion: These results confirm previous reports suggesting that physical factors such as fatigue and joint hypermobility, that are frequent in ballet dancers, should be taken into account in order to prevent injuries.
Examining the Preferences and Priorities of Dance Educators for Dance Science Information: A Pilot Study
Authors: Hawke Jamie J. , Bredin Shannon S. D. 
Published: June 2023

Introduction: The growing field of dance medicine and science provides dance educators the opportunity to incorporate evidence-based approaches into teaching practices. Incorporating knowledge produced by dance science research into evidence-based practice can improve learning and health outcomes for dance students. Guided by the Knowledge to Action (KTA) Framework, the purpose of this study was to examine the preferences and research priorities of dance educators for receiving, accessing, and implementing dance science knowledge. Methods: Ninety-seven dance educators representing a range of styles, experience, and educational settings completed an online survey. Dance educators responded to questions about the dance science topics they felt were important to their teaching practices, their preferences for receiving dance science information, and areas of dance science that need more research. Results: Responses indicated that dance science was important to participants’ teaching practices although there was variability in which dance science topics were seen as “Absolutely Essential.” Participants reported a preference for receiving dance science information through in-person methods and observations. Variability was also shown in participant responses to statements about the accessibility, format, and applicability of dance science information to teaching practices. Dance educators indicated that the easiest dance science topics to find information about were anatomy, flexibility, biomechanics, and injury prevention; dance educators also identified that more research was needed in mental health and psychology. Conclusion: The findings of this survey provide key considerations for factors such as accessibility, specificity, and resources that are user-friendly to inform future knowledge translation efforts tailored to dance educators.
Feasibility and safety of left distal trans-radial approach for coronary angiogram and percutaneous coronary intervention in a center in Hong Kong
Authors: Hui Yiu Hong , Kong Chun Cheong , Wong Cheuk Hon John , Au Shek Yin , Leung Chun Yu , Lee Sze Chai Arthur , Wong Shun Hei 
Published: June 2023

Introduction: The left distal trans-radial approach is not only more convenient for the operator than the conventional left forearm radial approach, it is also more comfortable for right-hand patients during the peri-procedural period. Comparing with conventional approach, it has lower bleeding risk, less pain and lower risk of radial artery occlusion. The aim of this study was to determine the feasibility and the safety of left distal trans-radial approach for coronary angiogram and percutaneous coronary intervention in Hong Kong Chinese who had smaller body built and therefore smaller radial arterial size. Method: In this single-center prospective study, 72 patients undergoing elective coronary angiography and/or percutaneous coronary intervention were recruited from August to October 2018. All right-handed patients aged 18 or above undergoing elective procedures during the period were recruited. Exclusion criteria were non-palpable radial arteries, pregnancies, incapability to consent, abnormal Allen’s test, and emergency procedures. Sixty patients (42 males, age ranging from 45 to 86 years old) were recruited and underwent the procedures via left distal radial approach. The measurements during access establishment, the procedure details, complications, patients’ satisfaction, and arterial occlusion rate were studied. Results: The procedures with left distal radial approach were successful in 51 patients (85%). Crossover rate to conventional right radial approach was 15% (nine patients). Among successful cases, the mean patients’ satisfaction was 8.32/10 and the mean pain score was 1.6/10. Post-procedural radial artery occlusion was not encountered. Conclusion: Left distal radial approach is a feasible alternative for patients undergoing coronary angiography and/or percutaneous coronary intervention in Hong Kong Chinese patients. It provides good comfortability with minimal pain in right-handed patients. The risk of radial artery occlusion is minimal.
Exploring autistic adults’ psychosocial experiences affecting beginnings, continuity and change in camouflaging over time: A qualitative study in Singapore
Authors: Loo Beatrice Rui Yi , Teo Truman Jing Yang , Liang Melanie Jiamin , Leong Dawn-Joy , Tan Diana Weiting , Zhuang Sici , Hull Laura , Livingston Lucy A , Mandy Will , Happé Francesca , Magiati Iliana 
Published: June 2023

Camouflaging (or otherwise referred to as masking or passing) involves hiding one’s autistic-related characteristics and differences to get by in social situations in predominantly non-autistic societies. Very little is known to date about the course of camouflaging motivations and strategies over time or the psychosocial factors that may influence autistic people’s camouflaging choices and trajectories. In an exploratory qualitative study within an Asian sociocultural context, we interviewed 11 Singaporean autistic adults (9 males, 2 females, aged 22–45 years) about their camouflaging experiences to better understand (1) their camouflaging motivations and strategies over time, and (2) related psychosocial influences. Organised across four phases (pre-camouflaging, beginnings, continuity and change over time), 17 themes relating to camouflaging motivations and 8 themes relating to strategies were identified. The earliest camouflaging motivations were predominantly relational, linked to a negative self-identity that had been shaped by adverse social experiences. Camouflaging strategies became increasingly complex and integrated into one’s sense of self over time. Our findings highlight the role of psychosocial pressures precipitating camouflaging and emphasise the need for individual and societal changes, including moving towards enhanced acceptance and inclusion to reduce psychosocial pressures on autistic people to camouflage. Lay Abstract Over their lifetimes, many autistic people learn to camouflage (hide or mask) their autism-related differences to forge relationships, find work and live independently in largely non-autistic societies. Autistic adults have described camouflaging as a ‘lifetime of conditioning . . . to act normal’ involving ‘years of effort’, suggesting that camouflaging develops over an autistic person’s lifetime and may start early on, in childhood or adolescence. Yet, we know very little about why and how autistic people start to camouflage, or why and how their camouflaging behaviours continue or change over time. We interviewed 11 Singaporean autistic adults (9 male, 2 female, 22–45 years old) who shared their camouflaging experiences. We found that autistic adults’ earliest motivations to camouflage were largely related to the desire to fit in and connect with others. They also camouflaged to avoid difficult social experiences (such as being teased or bullied). Autistic adults shared that their camouflaging behaviours became more complex and that, for some, camouflaging became a part of their self-identity over time. Our findings suggest that society should not pathologise autistic differences, but instead accept and include autistic people, to reduce the pressure on autistic people to hide who they truly are.
Trends in metabolic indicators and microvascular complications in Chinese adults with newly diagnosed type 2 diabetes: A retrospective, single-centre study of twenty-years
Authors: Shi Lintao , Xue Jing , Zhao Weibo , Cheng Yuxia , Wang Jianjun , Xu Zhangrong , Wang Aihong 
Published: June 2023

Background The purpose of this study is to assess metabolic indicators and trends in microvascular complications among Chinese adults with newly diagnosed type 2 diabetes during 2000–2020. Methods 3,907 patients were included and divided into three groups according to a time period of 7 years. This study analyzed trends in proportions of patients reached therapeutic targets of blood glucose, pressure and lipids, and trends in albuminuria, retinopathy, and peripheral neuropathy. Results In the past 20 years, the age of adults with newly diagnosed type 2 diabetes tended to be younger, and the proportion of female patients increased. There seemed no improvements in blood glucose and pressure. The rate of awareness and treatment on target of hypertension was less than 50%. There was a significant decrease in the prevalence of retinopathy, but no changes in nephropathy or peripheral neuropathy. Complications were more common for patients who were smoker, male, or with hypertension and obesity. Conclusions Over the past two decades, there have been encouraging reductions in retinopathy in Chinese adults with newly diagnosed diabetes, but no significant change in albuminuria and peripheral neuropathy. It may be related to the low awareness of diabetes and insufficient controlled blood glucose, pressure and lipids on target.
“I’m Really Glad that You’re Doing this Research”. Qualitative Research Involving Doctors With Lived Experience of Mental Health or Substance Use Challenges in Australia and Aotearoa New Zealand
Authors: Bradfield Owen M. , Spittal Matthew J. , Bismark Marie M. 
Published: June 2023

Background Doctors with a history of mental health or substance use challenges face barriers accessing treatment and are difficult to recruit for research. This makes understanding their experiences challenging, yet essential. Overcoming barriers to research participation among unwell doctors is critical to advancing their overall health and wellbeing. Methods A qualitative interview study of 21 allegedly impaired doctors in Australia and Aotearoa New Zealand who were subject to regulatory processes relating to their health. Based in an interpretative phenomenological paradigm, this paper examines participants’ motivations for participation in this study and their reactions to participating. It highlights wider implications for sensitive research involving doctors and marginalised groups. Results Participants were strongly motivated to participate in our research for their own benefit (desire to be heard, catharsis, and empowerment) and to benefit others (to change the system, and to avoid other doctors experiencing what they experienced). Careful planning and communication of unique legal risks fostered a trusting researcher-participant relationship. To assist other researchers undertaking sensitive qualitative research with vulnerable participants, we describe our research protocol, challenges, and successes in detail. Conclusions Despite ethical concerns about research risk, researchers can and should pursue qualitative research into the experiences of under-represented groups, including allegedly impaired doctors. Without involving them in research that examines issues directly impacting on them, we may be inadvertently perpetuating the barriers and stigma that also hinder them from accessing treatment and support. This also deprives us of knowledge that can be used to improve doctors’ health. This paper has broader relevance for anyone doing research with doctors, people in vulnerable positions, people disempowered by institutional or social systems, people who are stigmatised or shamed, and people who have experienced trauma.
Effectiveness of biofeedback-assisted asynchronous telerehabilitation in musculoskeletal care: A systematic review
Authors: Janela Dora , Costa Fabíola , Weiss Brandon , Areias Anabela C. , Molinos Maria , Scheer Justin K. , Lains Jorge , Bento Virgílio , Cohen Steven P. , Correia Fernando Dias , Yanamadala Vijay 
Published: June 2023

Background Musculoskeletal conditions are the leading cause of disability worldwide. Telerehabilitation may be a viable option in the management of these conditions, facilitating access and patient adherence. Nevertheless, the impact of biofeedback-assisted asynchronous telerehabilitation remains unknown. Objective To systematically review and assess the effectiveness of exercise-based asynchronous biofeedback-assisted telerehabilitation on pain and function in individuals with musculoskeletal conditions. Methods This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The search was conducted using three databases: PubMed, Scopus, and PEDro. Study criteria included articles written in English and published from January 2017 to August 2022, reporting interventional trials evaluating exercise-based asynchronous telerehabilitation using biofeedback in adults with musculoskeletal disorders. The risks of bias and certainty of evidence were appraised using the Cochrane tool and Grading of Recommendations, Assessment, Development, and Evaluation (GRADE), respectively. The results are narratively summarized, and the effect sizes of the main outcomes were calculated. Results Fourteen trials were included: 10 using motion tracker technology ( N = 1284) and four with camera-based biofeedback ( N = 467). Telerehabilitation with motion trackers yields at least similar improvements in pain and function in people with musculoskeletal conditions (effect sizes: 0.19–1.45; low certainty of evidence). Uncertain evidence exists for the effectiveness of camera-based telerehabilitation (effect sizes: 0.11–0.13; very low evidence). No study found superior results in a control group. Conclusions Asynchronous telerehabilitation may be an option in the management of musculoskeletal conditions. Considering its potential for scalability and access democratization, additional high-quality research is needed to address long-term outcomes, comparativeness, and cost-effectiveness and identify treatment responders.
Preoperative Hemoglobin <10 g/DL Predicts an Increase in Major Adverse Cardiac Events in Patients With Hip Fracture Over 80 Years: A Retrospective Cohort Study
Authors: Li Min , Chen Chen , Shen Jiang , Yang Linyi 
Published: June 2023

Background Preoperative anemia has been associated with perioperative morbidity and mortality in patients undergoing cardiac and non-cardiac surgery. Preoperative anemia is common in elderly hip fracture patients. The primary objective of the study was to explore the relationship between preoperative hemoglobin levels and postoperative major adverse cardiovascular events (MACEs) in hip fracture patients over 80 years. Methods The retrospective study enrolled hip fracture patients over 80 years from January 2015 to December 2021 in our center. The data were collected from the hospital’s electronic database after approval by the ethics committee. The primary objective of the study was to investigate MACEs, and the secondary objectives included in-hospital mortality, delirium, acute renal failure, ICU admission rate, and transfusion (>2 U). Results 912 patients were entered for final analysis. Based on the restricted cubic spline, the risk of preoperative hemoglobin (<10 g/DL) was associated with an increased risk of postoperative complications. With univariable logistic analysis, a hemoglobin level <10 g/DL was associated with increased MACEs [OR 1.769, 95% CI (1.074, 2.914), P = .025], in-hospital mortality [OR 2.709, 95% CI (1.215, 6.039), P = .015] and transfusion >2 U risk [OR 2.049, 95% CI (1.56, 2.69), P < .001]. Even after adjustment for confounding factors, MACEs [OR 1.790, 95% CI (1.073, 2.985), P = .026], in-hospital mortality [OR 2.81, 95% CI (1.214, 6.514), P = .016] and transfusion >2 U rate [OR 2.002, 95% CI (1.516, 2.65), P < .001] were still higher in the lower hemoglobin level cohort. Moreover, a log-rank test showed increased in-hospital mortality in the cohort with a preoperative hemoglobin level of <10 g/DL. However, there was no difference in delirium, acute renal failure, and ICU admission rates. Conclusions In conclusion, for hip fracture patients over 80 years, preoperative hemoglobin levels <10 g/DL might be associated with increased postoperative MACEs, in-hospital mortality, and transfusion >2 U.