bluuebunny/crossref_metadata_2025_split huggingface dataset:
Residual Effects of Physical Exercise After Periods of Training Cessation in Older Adults: A Systematic Review With Meta‐Analysis and Meta‐Regression
Authors: Buendía‐Romero Ángel , Vetrovsky Tomas , Hernández‐Belmonte Alejandro , Izquierdo Mikel , Courel‐Ibáñez Javier 
Published: January 2025

ABSTRACTWe aimed to determine the persisting effects of various exercise modalities and intensities on functional capacity after periods of training cessation in older adults. A comprehensive search was conducted across the Cochrane Library, PubMed/MEDLINE, Scopus, and Web of Science Core Collection up to March 2024 for randomized controlled trials examining residual effects of physical exercise on functional capacity in older adults ≥ 60 years. The analysis encompassed 15 studies and 21 intervention arms, involving 787 participants. The exercise and training cessation periods ranged from 8 to 43 weeks and 4 to 36 weeks, respectively. Meta‐analyses were performed using change scores from before the physical exercise to after the training cessation. The effect sizes (ES) were calculated as the standardized mean differences between the intervention and control groups' change scores. Subgroup analyses and meta‐regressions explored the influence of participant characteristics, the magnitude of the effect produced by the initial training program, various exercise modalities (resistance and multicomponent training) and intensities (high and low), and subdomains of functional capacity (agility, balance, standing ability, walking ability, and stair walking). The findings revealed that exercise interventions had a significant effect on preserving functional capacity after training cessation (ES = 0.87; p < 0.01). This protective effect was consistent across various exercise modalities and intensities (ES ≥ 0.67; p ≤ 0.04). The benefits obtained during the training program were positively associated with the residual effects observed after training cessation (β = 0.73; p < 0.01), while age negatively influenced the persisting adaptations (β = −0.07; p < 0.01). Current evidence suggests that exercise‐based interventions, irrespective of modality and intensity, are highly effective in preventing functional declines after training cessation among older adults.
Identification of tiger and lion skulls: An illustrated guide for science and practice
Authors: Formanova Dominika , Kubatova Anna 
Published: January 2025

AbstractTiger and lion bones are valuable subjects of trafficking. They can be easily interchanged. The aim of this study was to develop a methodology to quickly distinguish between tiger and lion skulls. From a number of features reported in the literature, a set of seven significant characters was identified that can be recognized even in photographs. A methodology for their assessment was developed. Using a combination of them allows for a very reliable morphological distinction between the two species. A new character, the greater palatine foramen ratio, of both adult and juvenile skulls, has not been described in the context of identification of tiger and lion skulls before.
The Fundamentals of Care Framework in nursing education: a scoping review protocol
Authors: Kaldal Maiken Holm , Voldbjerg Siri , Conroy Tiffany , Feo Rebecca , Laugesen Britt 
Published: January 2025

Objective:
This scoping review aims to identify and map the use of the Fundamentals of Care Framework in nursing education to provide insights into curriculum development that can benefit educators, health care professionals, and policy makers in educational contexts.

Introduction:
The Fundamentals of Care Framework offers a comprehensive approach for conceptualizing and delivering high-quality, person-centered fundamental care. Use of the framework in education is shown to enhance critical thinking, establish a shared language for nursing care, and increase understanding of person-centered care.

Inclusion criteria:
This scoping review will consider sources such as discussion papers, qualitative and quantitative primary research studies, and review articles that report on activities relating to use of the Fundamentals of Care Framework in nursing education. The focus will be on nursing education internationally, including but not limited to, theoretical learning and clinical learning contexts that provide training for nursing students.

Methods:
The proposed review will use the 3-step search strategy recommended in the JBI methodology for scoping reviews. The databases, CINAHL Ultimate, Embase, PubMed, and PsycINFO will be searched, with no limitations on language or year. Only sources accessible through scientific databases will be considered for inclusion. The reference lists of included sources will be searched for additional sources. Three independent reviewers will screen titles, abstracts, and full texts of retrieved sources and extract relevant data. Data will be presented in a descriptive manner, supported by tables and charts, and accompanied by a narrative summary.

Review registration:
Details of this review protocol can be found in Open Science Framework: https://doi.org/10.17605/OSF.IO/4XE2C
Exploring the application of acceptance and commitment therapy by occupational therapy practitioners: a scoping review protocol
Authors: Rider John V. , LaVerdure Abigail E. 
Published: January 2025

Objective:
The proposed scoping review aims to explore the literature on the use of acceptance and commitment therapy (ACT) by occupational therapy (OT) practitioners, including how OT practitioners use ACT in the evaluation or intervention process, what types of client concerns they are addressing through ACT, in what settings they are using ACT, and what outcomes are being reported.

Introduction:
ACT is a third-wave cognitive behavioral therapy that is effective across a wide range of diagnoses commonly seen by OT practitioners. Given the increased use of ACT by OT practitioners, a comprehensive understanding of its use in clinical practice would benefit OT practitioners, referring health care providers, and clients, as well as informing future research.

Inclusion criteria:
The proposed review will consider studies that include participants of any age or diagnosis receiving OT services that involve ACT. All pertinent published studies will be considered, without limit on publication date or restriction on publication language. All primary studies, gray literature, text and opinion papers, and clinical guidelines will be considered.

Methods:
The proposed review will follow JBI methodology for scoping reviews. Searches will be conducted in PubMed, Embase (Ovid), Scopus, CINAHL (EBSCOhost), PsycINFO (EBSCOhost), OTSeeker, OTDBase, SciELO, ProQuest Dissertations and Theses Global, MedNar, and Google Scholar. All relevant sources will be screened by 2 reviewers independently, and data will be extracted using a standardized tool modified for the review. The results will be presented with frequency tables and narrative summaries.

Review registration:
Details of the review can be found in Open Science Framework: https://doi.org/10.17605/OSF.IO/NGZKQ
Mapping resilience and co-occurring theoretical constructs in nurses: a scoping review protocol
Authors: Rosenblatt Audrey , Dominguez-Cancino Karen , Chung Catie , Mecham Kelly , Bennett Marsha , Greenwood Jennifer , Palmieri Patrick 
Published: January 2025

Objective:
The aim of this scoping review is to map the concept of resilience and its measurement along with co-occurring theoretical constructs within nursing research using the COVID-19 pandemic as a critical date range for the current evidence.

Introduction:
Resilience has a wide variety of definitions in research literature and is often measured through its co-occurring theoretical constructs. Nurse resilience is a key element in interventions targeting nurse well-being and has been tied to burnout and mental health. Resilience is influential in workforce stabilization and impactful to nurse retention both within a facility and within the field of nursing. This is significant given the worldwide nursing shortage and the attrition from the field.

Inclusion criteria:
This review will consider published and unpublished studies that investigate resilience and co-occurring theoretical constructs in nurses, excluding students. Studies published in English or Spanish will be considered for inclusion without restriction to setting or geographic location. All instruments that measure resilience will be considered for inclusion and mapped in conjunction with the co-occurring constructs.

Methods:
Database searches from January 10, 2020, onwards will include CINAHL (EBSCOhost), MEDLINE (Ovid), Embase (Ovid), PsycINFO (Ovid), Scopus, and LILACS. Unpublished studies and gray literature will be searched for on ProQuest Dissertations and Theses (ProQuest). The JBI methodology for scoping reviews will be followed. Extracted data will include publication details (authors, titles, year of publication), resilience measurement instruments, co-occurring theoretical constructs, participants, context, and concept. Extracted data will be presented in charts and tables supported by a narrative summary.

Review registration:
Open Science Framework https://osf.io/n2uge/
The acute effects of dynamic stretching on the neuromuscular system are independent of the velocity
Authors: Vieira Denis César Leite , Babault Nicolas , Hitier Marion , Durigan João Luiz Quagliotti , Bottaro Martim 
Published: January 2025

AbstractThis study examined the acute effects of dynamic stretching at different velocities on the neuromuscular system. Fourteen participants underwent four experimental sessions in random order: (1) control (lying at rest with the ankle in a neutral position); (2) slow velocity dynamic stretching (50 beats/min; SLOWDS); (3) moderate velocity dynamic stretching (70 beats/min; MODDS); and (4) fast velocity dynamic stretching (90 beats/min; FASTDS). The stretching protocols consisted of four sets of 10 repetitions and targeted the plantar flexor muscles of the right ankle. Assessments included corticospinal excitability (via motor‐evoked potential—MEP/Mmax), spinal reflex activity (via H‐reflex—Hmax/Mmax), muscle contractile properties (peak twitch torque; PTT), maximal voluntary contraction (MVC), and maximal range of motion (ROMmax). Dynamic stretching did not affect MEP/Mmax and MVC of the plantar flexor muscles (P > 0.05). All stretching protocols similarly reduced soleus Hmax/Mmax (P < 0.05), and increased PTT (P < 0.05). Additionally, all conditions, including control, similarly increase ROMmax (P < 0.05, and Cohen's d value of −0.39, −0.28, −0.38 and −0.29 for CON, SLOWDS, MODDS and FASTDS, respectively). Therefore, dynamic stretching reduces spinal reflex activity and enhances muscle contractile properties irrespective of movement velocity without impairing corticospinal excitability and MVC.
Cross-sectional study protocol to assess ultraviolet radiation exposure among military outdoor workers in Lohatla, Northern Cape Province of South Africa
Authors: Galawe Sipho David , Lebelo Kgomotso , Rathebe Phoka Caiphus 
Published: January 2025

IntroductionThe sun is one of the primary natural sources of ultraviolet radiation (UVR) and a known human carcinogen. It has been related to melanoma and several skin cancers, such as squamous cell carcinoma and basal cell carcinoma. Non-melanoma skin cancers are prevalent in South Africa, with high reported incidence rates in both genders. Due to its diversified population, South Africa experiences extreme ultraviolet index (UVI) levels, reaching 13 in the summer (a UVI of 11+ is considered extreme). Most summer workdays expose outdoor workers to repeated UVR exposure, which can lead to health risks like sunburn, premature ageing, cataracts, and an increased risk of skin cancer. This study aims to evaluate UV radiation exposure among outdoor military workers.Methods and analysisA cross-sectional quantitative study will occur at the Lohatla military base in Kathu, Northern Cape province of South Africa, using personal electronic dosimeters for solar UVR assessment. Additionally, a self-administered questionnaire will assist in assessing health effects and perceived exposure behaviours. The study addresses a critical public health concern, exploring significant risks associated with UVR exposure among outdoor military workers across different demographics.Ethics and disseminationThe ethical approval for this study was obtained from the Health Sciences Research Committees of the University of Free State (UFS-HSD2023/1227/2811). The confidential data will be accessed by the named researchers and stored in secure password-protected platforms. In addition, the findings will be disseminated through high-impact publications in various formats to government departments and the broader scientific community.
Epidemiological features of uterine fibroid-associated imaging changes in Chinese women of reproductive age: a retrospective study
Authors: Zhang Lijun , Xu Fan , Huang Yanyan , Xu Wei , Pu Yang , Chen Ke , Zhou Bingqian , Gong Ruoyan , Su Xueyao , Zhang Jiayuan , Shi Qiuling 
Published: January 2025

ObjectivesTo investigate uterine fibroid (UF)-associated imaging changes, and their prevalence, incidence and potential risk factors in the Chinese population.DesignThis was a retrospective observational study using health examination data.SettingA physical examination centre in Nanchong, China, between October 2017 and December 2020.ParticipantsA total of 33 915 Chinese women older than 15 years of age underwent uterine imaging during the study period.Primary and secondary outcome measuresThis study identified entries of UF-associated imaging changes through a two-round expert consultation and calculated prevalence and incidence of UF-associated imaging changes. Logistic regression estimated the association (OR, 95% CI of body mass index, high blood pressure (HBP), blood lipid profile, and fasting blood glucose level) with UF-associated imaging changes. Age-stratified (≤40 years and >40 years) risks were ascertained.ResultsBesides the entry ‘Potential UF’, 17 other entries of UF-associated imaging changes screened by the expert consultation were included, involving a total of 46 864 records (n=33 915), and crude prevalence=25.18%; crude incidence density/1000-woman-years=63.28. Incidence and prevalence increased with age during reproductive age (15–49 years) and decreased thereafter. The greatest burden was in women aged 40–54 years, the prevalence was 38.60%–45.38% and the incidence was 14.73%–17.96%. In the incident younger population (age ≤40 years), overweight (OR: 1.48, 95% CI 1.03 to 2.14) and HBP (OR: 2.16, 95% CI 1.10 to 4.24) were associated with a higher risk for UF-associated imaging changes; in the >40 years group, no association was observed.ConclusionUF incidence and prevalence in Asians were higher than previously reported, showed age-related increase in reproductive age, and UF incidence increased with overweight and HBP in ≤40-year-old participants. Variation in UF burden and factors with higher risk noted in different age ranges, and the correlations identified in younger women make it possible for early preventive measures for women with a higher risk of UF.
Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria
Authors: Sanni Taofeek Adedayo , Durowade Kabir Adekunle , Elegbede Olusegun Elijah , Adewoye Kayode Rasaq , Aderinwale Oluseyi Adedeji , Ipinnimo Tope Michael , Ojo John Olujide , Alabi Ayo Kamal , Agbana Richard Dele , Bosan Joy 
Published: January 2025

ObjectivesLong-acting reversible contraception (LARC) provides continuous pregnancy prevention to women for a period of 3 to 12 years, and it is very safe and effective. The aim of this study was to determine the prevalence, determinants and willingness to use LARC among undergraduate female students attending public and private universities in Ekiti State, Southwest NigeriaDesignThis survey employed a cross-sectional comparative study design.SettingPublic and private universities in Ekiti State, Southwest Nigeria.Participants418 female students in their undergraduate years at public and private universities (208 students in public universities and 210 students in private universities).Primary and secondary outcomesA semistructured questionnaire was used to gather data, and analysis was done using IBM SPSS V.25. Prevalence, willingness and determinants of LARC were determined and compared between public and private universities at the level of bivariate analysis using χ2. Multivariate regression analysis was used to determine the predictor of LARC use. The statistical significance level was placed at a p value of <0.05.ResultsThe mean age of female undergraduate students was higher in public universities (21.1±2.5 years) than in private universities (19.3±2.1 years). The prevalence of LARC usage among the sexually active respondents was 12.5% for public universities and 12.7% for private universities. Determinants and predictors of LARC uptake among the students in both university settings were age, marital status and good knowledge of LARC. Only about one quarter (24.0% in public universities and 24.8% in private universities) were willing to take up LARC among the students in both settings.ConclusionThe prevalence and willingness to take up LARC in the public and private universities are still low. Determinants and predictors of LARC uptake include age, marital status and good knowledge of LARC.
Study protocol for key interventions to improve the follow-up adherence postcervical precancerous lesion treatment in Ethiopia: a pragmatic randomised controlled trial
Authors: Destaw Alemnew , Getachew Sefonias , Getachew Eyerusalem , Shita Abel , Midaksa Miresa , Rossner Sophie , Kroeber Eric Sven , Addissie Adamu , Kantelhardt Eva Johanna , Gizaw Muluken 
Published: January 2025

IntroductionThe follow-up adherence after treatment for a positive screening test is critical for preventing the development of screen‐detected abnormalities in cervical cancer. Yet, this poses a major challenge in developing countries like Ethiopia, emphasising the urgency for intervention strategies. Our trial aims to assess which strategies would be effective in improving adherence to follow-up after suspicious cervical lesion treatment in Ethiopia. Thus, the objective of this study is to evaluate key interventions to improve the follow-up adherence rate among women treated for suspicious cervical lesions in primary healthcare settings in Ethiopia.Method and analysisWe will employ a pragmatic randomised control trial study design, using Consolidated Standards of Reporting Trials guidelines for reporting and a Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) checklist for developing the protocol, to evaluate intervention effectiveness. These interventions are: (a) structured nurses-led telephone call reminders, (b) home-visit reminders led by health extension workers and (c) application-based automated short message service text reminders. The standard care involves only receiving oral follow-up advice and a baseline follow-up card. The planned start date is 1 November 2024, with an anticipated end date of 1 November 2025. Our study will include women aged 30–49 who are HIV-negative and those over 25 who are HIV-positive, and who have been treated for suspicious cervical lesions after a positive visual inspection with acetic acid (VIA) screening, as per Ethiopian Ministry of Health guidelines for cervical cancer screening eligibility. The required sample size is 460, with 115 participants per arm. Study participants in the intervention group will receive the stated interventions plus the standard care, while the control group will receive only the standard care. The interventions will be delivered three times annually: 4 months from baseline, then at 8 months and finally at 12 months before the appointment due date. The primary outcome of our study is the proportion of adherence to follow-up recommendations, which will be measured by rescreening (VIA) after 1 year (11–13 months after the first screening). Descriptive statistics, χ2test (Fisher’s exact test), binary logistic regression analysis and intention-to-treat will be used to describe and interpret the results.Ethics and disseminationThe trial protocol has been approved by the institutional review board of Addis Ababa University with protocol number (008/24/SPH). Trial results will be disseminated to study participants, national and international audiences through workshops, conferences and publications in reputable journals.Trial registration numberNCT06515301.
Is longer really better? Results of a retrospective real-life cohort study evaluating the benefit of adding a weekly educational session to a traditional 8-week home-based pulmonary rehabilitation programme in people with COPD
Authors: Gephine Sarah , Le Rouzic Olivier , Peres Sophie , Chenivesse Cécile , Grosbois Jean-Marie 
Published: January 2025

ObjectivesTo evaluate the short-term and long-term benefits of adding a weekly educational session to a traditional 8-week home-based pulmonary rehabilitation (PR) programme in people with chronic obstructive pulmonary disease (COPD). Primary hypothesis was that 8 home-based supervised sessions will be equivalent to 16 home-based supervised sessions at both short- and long-term after PR.DesignRetrospective cohort study conducted on prospectively collected real-life data, from January 2010 to December 2021.SettingFormAction Santé, Pérenchies France.ParticipantsEligible individuals were aged >18 years with a diagnosis of COPD and referred to the home-based PR programme by their respiratory physician. Participants were retrospectively divided into two groups (Gr 1, 8 PR sessions, n=759, and Gr 2, 8 PR sessions+8 educational sessions, n=262).InterventionAll participants received an 8-week personalised home PR programme. A subgroup of participants received one additional supervised home session per week, including education and motivational support for daily physical activities and walking.OutcomesHealth-related quality of life, dyspnoea, anxiety and depressive symptoms, fatigue and exercise tolerance were assessed at baseline (M0), at the end of PR (M2), and 14 months (M14) after M0.ResultsBaseline characteristics and assessments were similar between groups with an exception for long-term oxygen therapy (Gr1: 69.8% vs Gr2 53.0%, p<0.001) and noninvasive ventilation (Gr1: 38.6% vs Gr2: 29.8%, p=0.015). At M2 and M14, all the assessments were improved in both groups (p<0.01). At M2, the improvement in health status and exercise tolerance was higher in Gr 2 compared with Gr 1 (p<0.05). From M0 to M14, 90 (11.9%) participants and 29 (11.1%) participants died in Gr 1 and Gr 2, respectively (p=0.794).ConclusionPeople with COPD benefited, at short and long terms, from both 8 or 16 supervised home-based PR sessions. Once-weekly home-based supervised sessions during 8 weeks, combined with unsupervised physical training sessions and self-management plan for the other health behaviours, might be the best compromise between patients, health professionals and policy makers.