bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of Family-Centered Care by Parents and Nurses of Children With Congenital Microtia
Authors: He Kexin , Liu Na , Gou Jiayan , Feng Yao , Li Yang 
Published: February 2025

Background The family-centered care is widely applied in pediatric nursing; however, there has been no research reflecting its extent of practice in the auricular reconstruction process for families of children with congenital microtia in China. Objective This study aims to understand the perspectives of parents of children with congenital microtia and nurses at auricular reconstruction centers in Beijing, China, regarding family-centered care practices and specific areas that need improvement. Methods The study utilized the Measure of Processes of Care (MPOC-20) and the Measure of Processes of Care for Service Providers (MPOC-SP) to survey 100 parents and 22 nurses. Scores for each dimension and item with low score (1-4 points, representing for at least 25% respondents) were statistically analyzed, indicated deficiencies in care services. The scores of parents and nurses were compared with international data. Results In this study, the dimension scores of the MPOC-20 ranged from 5.34 ± 1.22 (Coordinated and Comprehensive Care) to 5.57 ± 1.22 (Providing Specific Information). The dimension scores of the MPOC-SP ranged from 5.91 ± 1.08 (Showing Interpersonal Sensitivity) to 6.25 ± 1.20 (Providing General Information). Both sets of scores were higher than most previous studies, particularly in Providing General Information. Conclusion Parents of children with congenital microtia and nurses generally rated family-centered care practices positively. However, improvements are needed in Coordinated and Comprehensive Care and Showing Interpersonal Sensitivity. Future efforts should aim to enhance the care system for microtia by standardizing care service content, increasing auditory and psychological interventions, and strengthening long-term follow-up care.
A qualitative evaluation of the reflective fostering programme – examining foster and kinship carers’ experiences, practical application, and perceived impact
Authors: Katangwe-Chigamba Thando , Murdoch Jamie , Irvine Karen , Redfern Sheila , Midgley Nick 
Published: February 2025

Background Mentalization is the ability to think about and interpret behaviours of both self and others in terms of thoughts and feelings. Caregiver’s capacity to mentalize can enhance the quality of parent-child relationships. The UK Reflective Fostering Programme (RFP) has been developed to enhance foster and kinship carers’ self-regulation and self-mentalizing. Aim To understand carers’ experiences, practical application, and perceived impact of the RFP. Methods A qualitative evaluation of the RFP using in depth interviews with twenty-four carers. Interviews were audio-recorded, transcribed verbatim and analysed thematically. Results Three key themes were identified: (1) ‘ Me time’ – carer’s reflections on the programme and what makes it work, highlights sharing of challenging experiences as important for practising mentalizing. (2) ‘ Stopping and thinking in the moment’ - carer’s understanding of programme concepts explores carer's conceptualizations of mentalization, revealing some male carers described challenges regarding sharing personal experiences in a group and the practical application of mentalization. (3) Practical application and perceived impact of the programme suggests successful enactment of learning from the programme, resulting in enhanced capacity to cope with stress, prevention of outbursts and better communication with children in their care. Conclusions Our findings suggest the programme can successfully facilitate carer’s use of self-mentalizing, leading to greater self-regulation and capacity to support children in their care. Future research should explore experiences of male and kinship carers to inform tailoring.
Structural vibration control of the curved bridge based on the combined effects of TLMD and LMD
Authors: Xia Qi , Chen Ze , Yang Lin , Hou Jie , Zhang Jin-bei , Wang Zheng-xing , Wu Wang-lin , Ye Zhi-wei , Tan Hai-shan 
Published: February 2025

The abnormal vibration of the bridges, particularly those with curved bridges, poses a significant threat to structural safety due to the complex dynamics of vehicle-bridge coupling. This coupling emerges from the generation of centripetal and eccentric forces as moving loads traverse the bridge, leading to intricate interactions that induce unusual vibrations within the structure. The Nanping Curved Bridge (NPCB) in Shenzhen City secrves as a case study, where vertical vibration acceleration can reach up to 1200 mm/s2. The primary research involves: (1) Conducting measurements and analyses of the structural dynamic characteristics both before and after the installation of dampers. (2) Analyzing field test data to reveal that the excitation effects on bridge structures vary depending on the type of vehicle (trucks, cars) and environmental factors. Specific frequency bands for vibration reduction were identified by incorporating finite element analysis results. (3) Innovatively, a combined control strategy of Tuned Liquid-Mass Dampers (TLMDs) and Lever Mass Dampers (LMDs) is proposed to address the challenge of controlling NPCB due to its wide frequency domain distribution. (4) After the installation of the dampers, the corresponding vibration tests were conducted. The analysis results indicated that TLMD and LMD combined operation could reduce bridge vibration by 37.7% and double the damping ratio.
Optimization of science and technology project management system based on hybrid semantic similarity evaluation framework
Authors: Zhang Ying , Zhang Chao , Hu Fan 
Published: February 2025

With the increasing complexity of scientific and technological project management, traditional project management systems are faced with the challenges of massive data processing and semantic understanding. The study first discusses the computer-implemented technology of semantic similarity evaluation, analyzes the application of word embedding and deep learning algorithms, and emphasizes the importance of these technologies in natural language processing (NLP). A novel hybrid semantic similarity evaluation framework has been developed and implemented, incorporating an optimized algorithm-based semantic feature extraction module alongside multi-source data fusion and processing techniques modeled on semantic relationships. The framework’s primary objective is to enable precise analysis of multilingual project data by deeply exploring contextual information. Experimental validation highlights the framework’s performance and effectiveness, with particular emphasis on its accuracy in semantic similarity calculations, data processing efficiency, and responsiveness in large-scale environments. During testing, the framework achieved a semantic similarity calculation accuracy of 67.37%, based on a test set comprising 73 samples. An analysis of 74,723 project records revealed that the system’s average response time for multi-source data fusion was 2.3 seconds. Under complex semantic analysis conditions, the framework processed data at a rate of 348.15 items per second. Multiple test results further demonstrated that the error margin in semantic evaluation remained within 2.51 percentage points. These findings confirm that the system optimization successfully meets the anticipated goals in terms of both accuracy and efficiency.
Relevant fabric parameters to be considered for optimizing combined drying and support properties of sports bras
Authors: Jerkovic Ivona , Ebrahimi Sahar , Baumann Joyce , Stämpfli Rolf , Camenzind Martin , Annaheim Simon , Rossi René M 
Published: February 2025

The use of textile science and innovative approaches in the development and manufacturing of multifunctional fabrics for sports bras has continuously grown in the last decades, contributing to female well-being and health. The fabrics used for sports bras must be lightweight and have good heat and moisture management properties. A sports bra must provide appropriate stabilization, as the most important and original functionality, while providing optimal thermal comfort. In this work, we examined basic fabric properties influencing the key functionalities, stabilization, and drying. Besides properties such as mass, thickness, water vapor permeability, air permeability, and relative porosity, thermal comfort (water uptake and drying) and mechanical properties (stabilization and support) were investigated. Multiple-linear regression statistical analysis was conducted to identify the most relevant variables and fabric characteristics for stabilization and drying. In addition, a “five-point” benchmarking and ranking system was established for performance assessment of the investigated knitted fabrics. With the proposed approach, we were able to identify the most suitable fabric from a set of benchmarking materials. This fabric exhibited a quick drying time of 16 minutes, along with high air permeability (312 mm/s), excellent moisture management, and very good dynamic elastic recovery (89%) and support. We successfully identified key fabric properties that define fabric drying and stabilization performance by applying models based on Multiple-linear regression. This provides the basis for the informed selection of fabrics for the systematic development of sports bras.
Risk factors and clinical characteristics of Clostridium difficile colonization and infection in patients with inflammatory bowel disease exposed to Vedolizumab: a multicenter retrospective study
Authors: Li Qing , Song Xiaomei , Su Peizhu , Lv Xiaoping , Liu Xinyu , Chen Xuemin , Tang Jian , Gao Xiang , Chao Kang 
Published: February 2025

Background: Vedolizumab (VDZ), a humanized monoclonal antibody that selectively inhibits the binding of the α4β7 integrin, has been approved for treating inflammatory bowel disease (IBD). Long-term safety studies of VDZ in clinical trials identified Clostridium difficile infection (CDI) as the major opportunistic infection. Objectives: We aimed to address the incidence and risk factors of C. difficile colonization (CDC) and CDI in a real-world setting among IBD patients treated with VDZ. Design: Retrospective multicenter study. Methods: We retrospectively included IBD patients who tested negative for C. difficile before initiating standard VDZ therapy at four tertiary hospitals from November 1, 2021, to November 31, 2023. The primary outcome was the occurrence of CDC after VDZ initiation, and the secondary outcome was the occurrence of CDI and severe CDI. Results: A total of 454 patients were included in the final analysis. The median follow-up time was 12.9 (8.2–16.3) months, and the study was followed for 2488.6 person-months. The CDC occurred in 28 patients (6.2%), including 23 (11.4%) patients with ulcerative colitis (UC; 18 asymptomatic carriers and 5 with symptomatic CDI) and 5 (2.0%) patients with Crohn’s disease (asymptomatic carriers). Multivariate analysis showed that age >40 years old and UC were independent risk factors for the occurrence of the CDC after VDZ initiation. The incidence of CDI was 1.1%, and all patients were able to continue VDZ therapy after receiving antibiotic treatment. No risk factors were found to be significantly associated with CDI. There were no cases of severe CDI or deaths within 30 days. Conclusion: The incidence of CDC after VDZ treatment was 6.2% and the majority of patients identified as asymptomatic carriers and were able to continue VDZ treatment. Age (>40 years old) and UC were the risk factors for CDC.
Efficacy of goserelin in ovarian function suppression and preservation for pre- and perimenopausal breast cancer patients: a systematic review
Authors: Chen Nan , Audi Blotta Daniella , Kim Hee Jeong , Sayeed Salma , Cannon Joan , Osman Noran , Macrito Rosa , Lambertini Matteo 
Published: February 2025

Background: Over the past few decades, the gonadotropin-releasing hormone agonist goserelin has been evaluated in ovarian function suppression (OFS) with adjuvant endocrine therapy and ovarian function preservation (OFP) during chemotherapy. Objective: The goal of this systematic literature review was to assess the efficacy of goserelin in OFS and OFP in combination with endocrine therapies and chemotherapy, respectively, in pre- and perimenopausal women with early-stage breast cancer. Design: This study is a systematic review. Data sources and methods: The literature search was conducted using PubMed. Prospective clinical studies evaluating the efficacy of goserelin in OFS or OFP in pre- or perimenopausal breast cancer were identified by four reviewers working in teams of two. Results: Twenty-nine studies were included in this systematic review. The addition of goserelin as OFS to adjuvant endocrine therapy generally resulted in significant benefits in disease-free survival. Studies have shown better OFP results among women 40 years or younger compared with older patients. Chemotherapy in association with goserelin for OFP resulted in a higher recovery rate of menses within 6–24 months, a shorter time for menstrual recovery, and significantly higher pregnancy rates when compared with cytotoxic therapy without goserelin. Hormonal recovery with higher anti-Müllerian hormone and estradiol levels, and lower follicle-stimulating hormone and luteinizing hormone levels occurred more frequently among women who received goserelin during chemotherapy as compared with those receiving cytotoxic therapy alone. The benefits of goserelin in OFP were more substantial among women 40 years or younger than in older patients. Conclusion: The findings of this systematic review highlight the benefits of adding goserelin to endocrine therapies for OFS and chemotherapy for OFP in early-stage breast cancer. Additionally, scientific data supporting OFS (including goserelin) in combination with newer agents such as cyclin-dependent kinase 4 and 6 inhibitors and bone-modifying agents are emerging.
Comparison of the Effect of Teleconsultations, Hybrid Visits, and In-Person Visits on Glycemic and Metabolic Parameters Among Individuals With Type 2 Diabetes in India
Authors: Amutha Anandakumar , Reji Shyama , Hema Aarthi Ramamurthy , Keertan Rao Srinivas , Ganesan S. , Jebarani Saravanan , Praveen Gangadhara , Unnikrishnan Ranjit , Mohan Viswanathan , Anjana Ranjit Mohan 
Published: February 2025

Aim: We compared biochemical and clinical data of individuals with type 2 diabetes (T2D) who opted for only teleconsultation (ie, no in-person visit at all), hybrid visits (combining home blood tests and in-person consultation), and fully in-person visits (both tests and consultation in person) at a tertiary care diabetes center. Methods: In this observational cohort study, we retrieved demographic, anthropometric, and biochemical data of 8197 individuals with T2D who sought diabetes care between 2021 and 2023 (384 participants with only teleconsultations, 721 with hybrid visits, and 7092 with fully in-person visits) from the electronic medical records of a chain of tertiary diabetes care centers across India. Results: Individuals who opted for teleconsultation had a shorter duration of diabetes compared with those who opted for hybrid or fully in-person visits. Although participants who opted for a teleconsultation had better glycemic and lipid control at baseline, those who underwent hybrid and in-person visits showed greater improvements in fasting plasma glucose, glycated hemoglobin (A1c), and LDL cholesterol (LDL-C) during follow-up. Improvements in overall ABC target achievement (A1c, Blood pressure, and LDL-C) were greater in participants who had in-person visits compared with the other two groups. Conclusion: While teleconsultation is a useful complement to in-person visits, the latter results in better glycemic and lipid control, perhaps due to more effective engagement with the diabetes care team.
Efficacy of a physical rehabilitation program using virtual reality in patients with chronic tendinopathy: A randomized controlled trial protocol (VirTendon-Rehab)
Authors: Lucena-Anton David , Dominguez-Romero Juan G , Chacon-Barba Juan C , Santi-Cano María José , Luque-Moreno Carlos , Moral-Munoz Jose A 
Published: February 2025

Objectives To analyze the efficacy of a virtual reality (VR)-based rehabilitation program in people with chronic tendinopathy (CT) on pain, muscle activation pattern, range of motion, muscle strength, kinesiophobia, physical function, quality of life, and user satisfaction compared to a control group. In addition, the relationship between these variables and the clinical profile of this population will be analyzed. Design A 12-week, single-blind, low-risk, randomized controlled trial. Methods Sixty patients diagnosed with CT will be enrolled and randomly assigned to two groups. The control group will receive a physical exercise program without VR support (45 min), whereas the experimental group will receive an additional 15-min intervention through a physical exercise program delivered by VR. Both groups will receive three sessions per week, and the outcomes will be collected at baseline, after 12 weeks, and at the 24-week follow-up. Stratified groups will be established according to tendinopathy location (shoulder rotator cuff, elbow, patella, and Achilles tendon). Statistical analyses using SPSS v.24 will include descriptive analysis, stratified analysis by tendinopathy location, normality checks, intragroup and intergroup differences, effect sizes, and variable relationships. Discussion The results of this project may have a significant impact on the knowledge of using VR in tendinopathy management, understanding how the outcomes are related, and characterizing the clinical profiles of the population diagnosed with CT. If these results are confirmed, VR would be clinically useful for the treatment of these conditions. Trial registration number NCT06056440.
Assessing the Acceptability of a Vaginal Self-Sampling Device in a Rural Parish of Cuenca, Ecuador
Authors: Delgado López Dayanara , Acosta Bedón Ana , Rivas-Párraga Roque , Heredia Micaela , Muñoz Carolina , Vega Crespo Bernardo , Vermandere Heleen , Hendrickx Marie , Gama Ana , Neira Vivian Alejandra 
Published: February 2025

Introduction: Cervical Cancer (CC) is a preventable and treatable disease if detected early, yet it remains a global health challenge. In Ecuador, CC is the second most common cancer; however, screening uptake remains suboptimal due to poor knowledge, low willingness, and limited access to healthcare. Traditionally, CC screening requires a healthcare professional, creating social and access barriers. Innovative techniques such as “self-sampling” (SS) for human papillomavirus (HPV) detection offer a promising alternative. Objective: This study evaluates the acceptability, attitudes, and user experience of a community-based SS program among a hard-to-reach population following a local educational session. Methods: A quasi-experimental study was conducted in a rural community in Cuenca, Ecuador. Educational sessions were organized, after which women were offered the option to perform SS for HPV detection. Three questionnaires were administered to assess population characteristics, risk factors, and experiences toward the process. Results: Of the 130 participants, 90% accepted SS, and 10% rejected SS. A significant number of women reported that SS was faster and less painful compared to traditional Papanicolaou tests ( P < .05). Conclusions: SS shows strong potential for increasing CC screening, especially in hard-to-reach areas, emphasizing the need to adapt screening programs to meet diverse community needs.
Psychological and Emotional Challenges Faced by Female HIV Counselors in Kashmir—A Phenomenological Study
Authors: Bashir Khalid , Haq Inaamul , Qurieshi Mariya Amin , Khan S. Muhammad Salim 
Published: February 2025

Background Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) counselors play a crucial, albeit challenging, role in preventing and controlling HIV. People living with HIV (PLHIV) need emotional support in addition to clinical treatment. Counseling is more difficult for female counselors, considering the psychological and emotional aspects of HIV counseling. Methodology A qualitative study design was used to understand the complexity of the challenges faced by female HIV counselors. Interpretative phenomenological analysis (IPA) was employed as the research design. A small, homogeneous sample was purposively selected, comprising all 11 female HIV counselors in the Kashmir province and one female counselor in Leh (Ladakh). The IPA methodology was utilized, which emphasizes meaning-making and understanding the counselor's perspectives. The study was conducted from December 2022 to January 2023, with data collected through in-depth interviews at the counselors’ workplaces and via Zoom for the Leh participant. Data were analyzed thematically using the IPA approach, revealing the counselors’ real-life experiences, perceptions, and challenges. Results The analysis generated two superordinate themes with multiple overarching themes and sub-themes: Intrusive emotional and psychological experiences: Counselors experienced significant emotional strain, including emotional exhaustion, burnout, and stigma. Inadequate skills for effective counseling of people who inject drugs (PWID): Limited training hindered effective counseling for substance users and PWID, highlighting the need for specialized training. Conclusion Female HIV counselors in Kashmir face numerous psychological and emotional challenges, including emotional exhaustion, burnout, and stigma. Additionally, there is a lack of adequate training for counseling substance users. Addressing these issues through specialized training, stigma reduction initiatives, and mental health support is crucial for improving HIV counseling services and the overall HIV/AIDS response in the region.