bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cognitive impairment according to Montreal Cognitive Assessment independently predicts the ability of chronic obstructive pulmonary disease patients to maintain proper inhaler technique
Authors: Iamthanaporn Chonnipha , Wisitsartkul Apiradee , Chuaychoo Benjamas 
Published: April 2023

Abstract
Background
Maintaining correct inhaler technique is crucial in the management of chronic obstructive pulmonary disease (COPD). We aimed to investigate the inhaler technique in patients with COPD, to compare it immediately after and at 1 month after training, and to identify the predictors of incorrect inhaler use at 1 month after training.

Methods
This prospective study was conducted at the COPD clinic of Siriraj Hospital (Bangkok, Thailand). Patients demonstrating improper inhaler use were trained face-to-face by pharmacists. Inhaler technique was re-assessed immediately after and at 1 month after training. The Montreal Cognitive Assessment (MoCA) score, pulmonary function tests, 6-min walk distance (6 MWD), modified Medical Research Council scale score, and COPD Assessment Test (CAT) score were evaluated.

Results
Sixty-six patients with COPD who demonstrated at least one critical error during the use of any controller inhaler were enrolled. The mean age was 73.0 ± 9.0 years, and 75.8% patients had moderate/severe COPD. Immediately after training, all patients used dry powder inhalers correctly and 88.1% used pressurized metered-dose inhalers correctly. At 1 month, the number of patients demonstrating the correct technique decreased across all devices. Multivariable analysis revealed that MoCA score ≤ 16 was independently associated with a critical error at 1 month after training (adjusted odds ratio: 12.7, 95% confidence interval: 1.8–88.2, p = 0.010). At 1 month, CAT score (11.4 ± 8.9 vs. 8.4 ± 5.5, p = 0.018) and 6 MWD (351 ± 93 m vs. 372 ± 92 m, p = 0.009) had significantly improved in patients demonstrating the correct technique, and CAT score met the minimal clinically important difference.

Conclusions
Face-to-face training by pharmacists improved patient performance. However, the number of patients following proper technique had decreased at 1 month after training. Cognitive impairment (MoCA score ≤ 16) independently predicted the ability of COPD patients to maintain proper inhaler technique. Assessment of cognitive function combined with technical re-assessment and repeated training should improve COPD management.
Young nursing and medical students’ knowledge and attitudes towards sexuality and contraception in two spanish universities: an inferential study
Authors: Scarano-Pereira Juan-Pablo , Martinino Alessandro , Manicone Francesca , Álvarez-García Cristina , Ortega-Donaire Lucía , Clavijo-Chamorro María-Zoraida , López-Medina Isabel M , Álvarez-Nieto Carmen , Sanz-Martos Sebastián 
Published: April 2023

AbstractBackgroundLiving safely sexuality and without risk to one’s health is an international priority. The youth age group has specific characteristics that make it a particularly vulnerable group for adverse consequences such as unwanted pregnancies or sexually transmitted infections. Health professionals are an important group to address this issue; however, to achieve a good result, sufficient knowledge is required to solve all the issues. This study aimed to assess the level of knowledge of young university students studying a nursing or a medical degree.MethodsA descriptive cross-sectional study of young medical and nursing students was conducted. The selection of participants was made by convenience. The Sexuality and Contraceptive Knowledge Instrument scale was used to measure knowledge level. A bivariate analysis was conducted using the Mann–Whitney U test or the Kruskal–Wallis H test, depending on the number of categories of the independent variable. Finally, a multivariate analysis was conducted using a multiple linear regression model, establishing the level of knowledge as the dependent variable and all variables that obtained statistical significance in the bivariate analysis as predictors. Data collection was carried out from October 2020 to March 2021.ResultsThe sample comprised 657 health university students. Participants had a good level of knowledge, with 77.9% answering 50% of the questions correctly. Before training, 34.15% of the participants did not pass 50% of the questions asked. This percentage decreased to 12.87% after receiving sexuality training during their university degrees. The main training gaps were found for the items on hormonal contraceptive methods. The bivariate analysis showed that female participants had significantly higher knowledge scores, as did those who had used a hormonal contraceptive method during the most recent intercourse or were aware of family planning centers. These variables maintained their significant effect at the multivariate level, obtaining two models with good explanatory power for participants of both university degrees.ConclusionThe general level of knowledge of the healthcare students was high and sufficient after receiving training during the university degree (87.13% of the participants obtain more than 50% of items correct). The main training gap was found for items on hormonal contraceptive methods, which should be emphasized in future training programs.
Facilitator competency rubric in nursing simulations: transcultural adaptation and validation of the German version
Authors: Forbrig Theresa A. , Gellert Paul , Biniok Maria , Gräske Johannes 
Published: April 2023

Abstract
Background
Simulations are part of nursing education. To obtain good results, simulation facilitators need to be competent in simulation pedagogy. Part of this study was the transcultural adaptation and validation of the Facilitator Competency Rubric into German (FCRG) and the evaluation of the factors associated with higher competencies.

Method
A written-standardized cross-sectional survey was conducted. N = 100 facilitators (mean age: 41.0 (9.8), female: 75.3%) participated. Test–re-test, confirmatory factor analysis (CFA), and ANOVAs were conducted to evaluate the reliability and validity of, and the factors associated with, FCRG. Intraclass correlation coefficient (ICC) values > .9 indicate excellent reliability.

Results
The FCRG achieved good intra-rater reliability (all ICC > .934). A moderate correlation (Spearman-rho .335, p < .001) with motivation indicates convergent validity. The CFA showed sufficient to good model fits (CFI = .983 and SRMR = .016). Basic simulation pedagogy training is associated with higher competencies (p = .036, b = 17.766).

Conclusion
The FCRG is a suitable self-assessment tool for evaluating a facilitator’s competence in nursing simulation.
Retinal imaging technologies in cerebral malaria: a systematic review
Authors: Wilson Kyle J. , Dhalla Amit , Meng Yanda , Tu Zhanhan , Zheng Yalin , Mhango Priscilla , Seydel Karl B. , Beare Nicholas A. V. 
Published: April 2023

Abstract
Background
Cerebral malaria (CM) continues to present a major health challenge, particularly in sub-Saharan Africa. CM is associated with a characteristic malarial retinopathy (MR) with diagnostic and prognostic significance. Advances in retinal imaging have allowed researchers to better characterize the changes seen in MR and to make inferences about the pathophysiology of the disease. The study aimed to explore the role of retinal imaging in diagnosis and prognostication in CM; establish insights into pathophysiology of CM from retinal imaging; establish future research directions.

Methods
The literature was systematically reviewed using the African Index Medicus, MEDLINE, Scopus and Web of Science databases. A total of 35 full texts were included in the final analysis. The descriptive nature of the included studies and heterogeneity precluded meta-analysis.

Results
Available research clearly shows retinal imaging is useful both as a clinical tool for the assessment of CM and as a scientific instrument to aid the understanding of the condition. Modalities which can be performed at the bedside, such as fundus photography and optical coherence tomography, are best positioned to take advantage of artificial intelligence-assisted image analysis, unlocking the clinical potential of retinal imaging for real-time diagnosis in low-resource environments where extensively trained clinicians may be few in number, and for guiding adjunctive therapies as they develop.

Conclusions
Further research into retinal imaging technologies in CM is justified. In particular, co-ordinated interdisciplinary work shows promise in unpicking the pathophysiology of a complex disease.
Canadian pediatric eating disorder programs and virtual care during the COVID-19 pandemic: a mixed-methods approach to understanding clinicians’ perspectives
Authors: Novack Kaylee , Dufour Rachel , Picard Louis , Taddeo Danielle , Nadeau Pierre-Olivier , Katzman Debra K. , Booij Linda , Chadi Nicholas 
Published: April 2023

Abstract
Background
As a result of the public health measures put in place during the COVID-19 pandemic in Canada, many health services, including those for the treatment of eating disorders, were provided at a distance. This study aims to describe the adaptations made in specialized pediatric eating disorder programs in Canada and the impact of these adaptations on health professionals’ experience of providing care.

Methods
A mixed-methods design was used to survey healthcare professionals working in specialized pediatric eating disorder programs about adaptations to treatment made during the pandemic and the impact of these adaptations on their experience of providing care. Data were collected between October 2021 and March 2022 using a cross-sectional survey comprising 25 questions and via semi-structured interviews. Quantitative data were summarized using descriptive statistics and qualitative data were interpreted using qualitative content analysis.

Results
Eighteen healthcare professionals in Canada completed the online survey, of whom six also participated in the semi-structured interviews. The cross-sectional survey confirmed that, unlike in pre-pandemic times, the majority of participants provided medical care (15/18) and mental health care (17/18) at a distance during the pandemic, with most participants using telephone (17/18) and videoconferencing (17/18). Most (16/18) health professionals indicated that virtual care would continue to be used as a tool in pediatric ED treatment after the pandemic. Participants used a combination of virtual and in-person care, with most reporting weighing patients both in clinic (16/18) and virtually (15/18). Qualitative content analysis generated five themes: (1) responding to increased demand with insufficient resources; (2) adapting to changes in care due to the COVID-19 pandemic; (3) dealing with uncertainty and apprehension; (4) virtual care as an acceptable and useful clinical tool, and (5) optimal conditions and future expectations. Most interview participants (5/6) had globally positive views of virtual care.

Conclusions
Providing virtual multidisciplinary treatment for children and adolescents with eating disorders seemed feasible and acceptable to professionals during the pandemic. Moving forward, focusing on health professionals’ perspectives and providing appropriate training in virtual interventions is essential given their central role in successful implementation and continued use of virtual and hybrid care models.
Implementation of electronic prospective surveillance models in cancer care: a scoping review
Authors: Lopez Christian J. , Teggart Kylie , Ahmed Mohammed , Borhani Anita , Kong Jeffrey , Fazelzad Rouhi , Langelier David M. , Campbell Kristin L. , Reiman Tony , Greenland Jonathan , Jones Jennifer M. , Neil-Sztramko Sarah E. 
Published: April 2023

Abstract
Background
Electronic prospective surveillance models (ePSMs) for cancer rehabilitation include routine monitoring of the development of treatment toxicities and impairments via electronic patient-reported outcomes. Implementing ePSMs to address the knowledge-to-practice gap between the high incidence of impairments and low uptake of rehabilitation services is a top priority in cancer care.

Methods
We conducted a scoping review to understand the state of the evidence concerning the implementation of ePSMs in oncology. Seven electronic databases were searched from inception to February 2021. All articles were screened and extracted by two independent reviewers. Data regarding the implementation strategies, outcomes, and determinants were extracted. The Expert Recommendations for Implementing Change taxonomy and the implementation outcomes taxonomy guided the synthesis of the implementation strategies and outcomes, respectively. The Consolidated Framework for Implementation Research guided the synthesis of determinants based on five domains (intervention characteristics, individual characteristics, inner setting, outer setting, and process).

Results
Of the 5122 records identified, 46 interventions met inclusion criteria. The common implementation strategies employed were “conduct educational meetings,” “distribute educational materials,” “change record systems,” and “intervene with patients to enhance uptake and adherence.” Feasibility and acceptability were the prominent outcomes used to assess implementation. The complexity, relative advantage, design quality, and packaging were major implementation determinants at the intervention level. Knowledge was key at the individual level. At the inner setting level, major determinants were the implementation climate and readiness for implementation. At the outer setting level, meeting the needs of patients was the primary determinant. Engaging various stakeholders was key at the process level.

Conclusions
This review provides a comprehensive summary of what is known concerning the implementation of ePSMs. The results can inform future implementation and evaluation of ePSMs, including planning for key determinants, selecting implementation strategies, and considering outcomes alongside local contextual factors to guide the implementation process.
Developing strategies to address disparities in retention communication during the consent discussion: development of a behavioural intervention
Authors: Coffey Taylor , Duncan Eilidh , Morgan Heather , Gillies Katie 
Published: April 2023

Abstract
Background
Clinical trials are essential to evidence-based medicine. Their success relies on recruitment and retention of participants: problems with either can affect validity of results. Past research on improving trials has focused on recruitment, with less on retention, and even less considering retention at the point of recruitment, i.e., what retention-relevant information is shared during consent processes. The behaviour of trial staff communicating this information during consent is likely to contribute to retention. So, developing approaches to mitigate issues in retention at the point of consent is necessary. In this study, we describe the development of a behavioural intervention targeting the communication of information important to retention during the consent process.

Methods
We applied the Theoretical Domains Framework and Behaviour Change Wheel to develop an intervention aimed at changing the retention communication behaviours of trial staff. Building on findings from an interview study to understand the barriers/facilitators to retention communication during consent, we identified behaviour change techniques that could moderate them. These techniques were grouped into potential intervention categories and presented to a co-design group of trial staff and public partners to discuss how they might be packaged into an intervention. An intervention was presented to these same stakeholders and assessed for acceptability through a survey based on the Theoretical Framework of Acceptability.

Results
Twenty-six behaviour change techniques were identified with potential to change communication of retention-information at consent. Six trial stakeholders in the co-design group discussed means for implementing these techniques and agreed the available techniques could be most effective within a series of meetings focussed on best practices for communicating retention at consent. The proposed intervention was deemed acceptable through survey results.

Conclusion
We have developed an intervention aimed at facilitating the communication of retention at informed consent through a behavioural approach. This intervention will be delivered to trial staff and will add to the available strategies for trials to improve retention.
The effect of Pilates exercises on sleep quality and fatigue among female students dormitory residents
Authors: Amzajerdi Azam , Keshavarz Maryam , Ezati Maryam , Sarvi Fatemeh 
Published: April 2023

Abstract
Background
This study aims to investigate the effect of Pilates exercises on sleep and fatigue among female college students residing in the dormitory.

Methods
This quasi-experimental study, two parallel groups was performed on 80 single female college students (40 per group), between 18 to 26 years old who lived in the two dormitories. One dormitory was considered as the intervention group and another as the control group. The Pilates group received three one-hour Pilates exercise sessions per week for eight weeks and the control group maintained their routine activities. The Pittsburgh Sleep Quality Index (PSQI) and the Multidimensional Fatigue Inventory (MFI-20) were used respectively to assess sleep quality and fatigue levels, at three time points: baseline, end of week four, and eight follow-ups. Fisher’s exact, Chi-square, independent sample t-test and repeated measurements were used.

Results
Overall, 66 participants completed the study (32 and 35 participants in the Pilates and control groups, respectively). After four and eight weeks of intervention, the overall mean score of sleep quality improved significantly (p < 0.001). At week four of the intervention, the Pilates group had a significantly lower mean score for subjective sleep quality and daytime dysfunction than the control group (p < 0.001 and p < 0.002, respectively), although sleep duration and habitual sleep efficiency improved after eight weeks of intervention (p < 0.04 and p < 0.034, respectively). Additionally, the overall mean score of fatigue and its dimensions in weeks four and eight of the intervention in the Pilates group were significantly lower compared to the control group (p < 0.001).

Conclusion
After eight weeks of Pilates exercises implementation, most components of sleep quality significantly improved; however, the effect of Pilates exercises on fatigue was evident from week four onward.
Trial registration This trial was registered on 2/6/2015 in the Iranian Registry of Clinical Trials with the IRCT ID: IRCT201412282324N15. URL of registry: https://www.irct.ir/trial/1970.
MYRiAD: a multi-array room acoustic database
Authors: Dietzen Thomas , Ali Randall , Taseska Maja , van Waterschoot Toon 
Published: April 2023

AbstractIn the development of acoustic signal processing algorithms, their evaluation in various acoustic environments is of utmost importance. In order to advance evaluation in realistic and reproducible scenarios, several high-quality acoustic databases have been developed over the years. In this paper, we present another complementary database of acoustic recordings, referred to as the Multi-arraY Room Acoustic Database (MYRiAD). The MYRiAD database is unique in its diversity of microphone configurations suiting a wide range of enhancement and reproduction applications (such as assistive hearing, teleconferencing, or sound zoning), the acoustics of the two recording spaces, and the variety of contained signals including 1214 room impulse responses (RIRs), reproduced speech, music, and stationary noise, as well as recordings of live cocktail parties held in both rooms. The microphone configurations comprise a dummy head (DH) with in-ear omnidirectional microphones, two behind-the-ear (BTE) pieces equipped with 2 omnidirectional microphones each, 5 external omnidirectional microphones (XMs), and two concentric circular microphone arrays (CMAs) consisting of 12 omnidirectional microphones in total. The two recording spaces, namely the SONORA Audio Laboratory (SAL) and the Alamire Interactive Laboratory (AIL), have reverberation times of 2.1 s and 0.5 s, respectively. Audio signals were reproduced using 10 movable loudspeakers in the SAL and a built-in array of 24 loudspeakers in the AIL. MATLAB and Python scripts are included for accessing the signals as well as microphone and loudspeaker coordinates. The database is publicly available (https://zenodo.org/record/7389996).
A higher-order extension of Atangana–Baleanu fractional operators with respect to another function and a Gronwall-type inequality
Authors: Abdeljawad Thabet , Thabet Sabri T. M. , Kedim Imed , Ayari M. Iadh , Khan Aziz 
Published: April 2023

AbstractThis paper aims to extend the Caputo–Atangana–Baleanu ($ABC$
A
B
C
) and Riemann–Atangana–Baleanu ($ABR$
A
B
R
) fractional derivatives with respect to another function, from fractional order $\mu \in (0,1]$
μ
∈
(
0
,
1
]
to an arbitrary order $\mu \in (n,n+1]$
μ
∈
(
n
,
n
+
1
]
, $n=0,1,2,\dots $
n
=
0
,
1
,
2
,
…
. Also, their corresponding Atangana–Baleanu (AB) fractional integral is extended. Additionally, several properties of such definitions are proved. Moreover, the generalization of Gronwall’s inequality in the framework of the AB fractional integral with respect to another function is introduced. Furthermore, Picard’s iterative method is employed to discuss the existence and uniqueness of the solution for a higher-order initial fractional differential equation involving an $ABC$
A
B
C
operator with respect to another function. Finally, examples are given to illustrate the effectiveness of the main findings. The idea of this work may attract many researchers in the future to study some inequalities and fractional differential equations that are related to AB fractional calculus with respect to another function.