bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stapling Common Enterotomy Does Not Increase Leak Rates in Stapled Anastomoses
Authors: Bartholomew Reid , Zumwalt Christopher M. , Reede Kristen R. , Differding Shawna , Sang Hilla I. , Sahmoun Abe , Ahmeti Mentor 
Published: November 2022

Background Stapled vs handsewn methods of bowel anastomosis have been extensively studied, however, no study has compared the handsewn vs stapled technique of closing the common enterotomy. Anecdotal concerns of higher leak rates due to crossing staple lines has led some to prefer a handsewn technique for closing the common enterotomy. Methods Patients undergoing stapled side-to-side enteroenteric and enterocolonic anastomoses in both emergent and elective settings at 1 tertiary center from 2016 to 2020 were studied. 758 patients were included. They were divided into 2 cohorts: Stapled-Stapled (SS) and Stapled-Handsewn (SH) depending on the fashion in which their stapled common enterotomy was closed. Association of anastomotic leak rate overall, in the emergent vs elective setting, and within enteroenteric and enterocolonic anastomotic subgroups was evaluated with both univariate and multivariate analysis. Association with the closure technique, mortality and average operative time was also compared. Results Multivariate analysis overall leak rates (SS 5.9% vs SH 3.7%, P = .23) and enteroenteric leak rates (SS 2.9 vs SH 4.1, P = .52) were similar between cohorts. Operative times were significantly shorter in the SS cohort (SS 121.8 min vs SH 138.1 min, P = .049), with a difference of 16.3 min on average. No difference in mortality was seen. Discussion The SH and SS result in similar anastomotic leak rates overall, and the SS technique is significantly faster than the SH technique. We therefore consider the SS technique to be an acceptable, and in the emergent setting, potentially preferred method of anastomotic technique.
Local governments’ communication on social media platforms: refining and assessing patterns of adoption in Belgium
Authors: Mabillard Vincent , Zumofen Raphael , Pasquier Martial 
Published: November 2022

This article relies on the literature on technology adoption and empirical studies on social media adoption in the public sector to analyze the case of Belgian municipalities. Our objective is threefold as we aim to: (a) provide a new approach to assess the adoption of social media platforms by governments, (b) describe the current situation in Belgium through the concept of “active adoption” and (c) determine the main factors that relate to the uptake of Facebook in Belgian municipalities over 10,000 inhabitants. To achieve these objectives, we used software to retrieve quantitative data regarding Facebook adoption and institutionalization. Our results reveal that municipality size, median age and longevity on the platform are positively associated with the adoption of Facebook. In contrast, median income is, surprisingly, negatively associated with several dimensions of active adoption. These findings contribute to the literature on the factors related to social media use. In addition, the new ways of uncovering social media adoption and institutionalization patterns provide a solid conceptual approach for future research. For practitioners, our study provides municipalities with a better assessment framework and offers them a new model to evaluate social media adoption, underlining the fundamental difference between registration and “active adoption”. Points for practitioners This article provides a new approach to assess social media adoption and institutionalization patterns in public organizations. It offers a framework to evaluate social media adoption, underlining the fundamental difference between registration and ‘active adoption’. It also identifies the main factors that relate to the uptake of Facebook in Belgian municipalities over 10,000 inhabitants: population size, median age, median income and social media-related variables – that is, activity on Twitter and Instagram – as well as longevity on the platform.
If not home, where? Implementing an innovative model of care as an alternative place of care & death for patients living in an area of high socio-economic deprivation. Short-report on opening a long-term palliative care unit
Authors: Wakefield Donna 
Published: November 2022

Background: Healthcare professionals and policy makers often view home as the most appropriate place of care and death for patients. However, this makes assumptions about what home is like and does not account for high levels of complexity experienced by patients from areas of high socioeconomic deprivation. Alternative models of care should be explored to provide equitable care for this patient group. Aims: To describe the development of a new innovative model of care, a long-term palliative care unit. Design: Description of the model, with secondary analysis of retrospective routinely gathered data. Setting: Hartlepool in North-East England, includes some of the most socio-economically deprived areas in England, with associated high-levels of multimorbidity. In 2014, the eight-bedded hospice, opened an additional 10-bedded long-term unit. Results: Within 7 years, 199 patients were admitted to the long-term unit. With 98% remained there until death. All patients were offered a full holistic assessment and advance care planning, with 24/7 access to specialist palliative care support. None were transferred to hospital. In general, patients from socio-economically deprived areas are less likely to access hospice care, however, 27% of all admissions to the long-term unit were from areas in the 10% most deprived in England (with 41% admitted from areas in the poorest quintile). Conclusion: We suggest that this model has been a valuable asset in providing an alternative place to home, enabling patients to receive high-quality care towards end of life. Further research is needed to hear directly from patients about their experiences.
A case series of constrictive pericarditis and suggested echocardiographic diagnostic criteria
Authors: Li Junfang , Li Rong , Cheng Guangting , Lu Changhong , Liu Weigang , Sun Dongmei , Li Xue , Wang Zhibin 
Published: November 2022

Background The diagnosis of constrictive pericarditis (CP) is challenging as there are currently no standard echocardiographic diagnostic criteria. In this retrospective case series, we analyzed and summarized the features of 25 patients with CP and proposed echocardiographic diagnostic criteria. It is hoped that the suggested criteria help professionals make decisions in their daily practice so that patients receive timely diagnosis and effective treatment. Methods Twenty-five patients with CP were selected for this retrospective study. The clinical and echocardiographic imaging data were analyzed and summarized, and echocardiographic diagnostic criteria for CP were proposed. Results The main clinical manifestations were fatigue, breathlessness, exertional dyspnea (88%), lower-limb edema (84%), hepatomegaly, and jugular vein filling (84%). Echocardiographic features comprised pericardial thickening (88%) and calcification (60%), pulmonary hypertension (52%), inferior vena cava dilation (80%), left and/or right atrial enlargement (100%), diastolic flattening of the left ventricular (LV) posterior wall (72%), septal shudder and bounce (64%), restrictive LV and right ventricular diastolic filling pattern (100%), early filling changes of mitral and tricuspid flow (80% and 60%, respectively), and mitral annulus reversus (73%). Conclusions Echocardiography is a simple and valuable examination for CP. The echocardiographic diagnostic criteria are valid and worth promoting.
Associations Between Age of Onset of Pediatric Overweight/Obesity, a Child’s Sociodemographic Characteristics, and Characteristics of a Child’s Home Census Tract
Authors: Bhattacharya Prateek , Klein Melissa D. , Beck Andrew F. , Xu Yingying , Kharofa Roohi Y. 
Published: November 2022

Purpose To identify associations between age of onset of overweight/obesity, a child’s sociodemographic characteristics, and characteristics of a child’s home census tract. Design Retrospective electronic health record review of children with overweight/obesity. Setting Three primary care centers associated with a free-standing, tertiary-care pediatric institution in Cincinnati. Subjects Patients born between August 1, 2013 and July 31, 2014, who had a body mass index (BMI) ≥85th percentile before 5 years of age (n = 794). Measures Primary outcome was the patient’s age at the first encounter when BMI was ≥85th percentile. Patient-level predictors were sex, age, race/ethnicity, health insurance, and number of moves captured in the health record. Census tract-level predictors were density of bus stops, presence of grocery stores, and a Socioeconomic Deprivation Index. Analysis Multivariable linear regression models assessed for independent associations between age of onset of overweight/obesity and predictors. Results Patients were 55.8% female, 73.6% black, and 79.1% publicly insured. Each additional move per year was associated with onset of overweight/obesity occurring 4.05 months earlier ( P < .0001). No significant associations between age of onset of overweight/obesity and census tract-level density of bus stops ( P = .82), presence of grocery stores ( P = .39), and socioeconomic deprivation ( P = .53) were demonstrated. Conclusion Public policy efforts toward improving access to grocery stores or public transportation may not be sufficient to prevent childhood obesity. Population-level interventions related to improving housing may also reduce obesity.
Demographic and Symptom Correlates of Initial Idiopathic Psychiatric Diagnosis in Frontotemporal Dementia
Authors: Sejourne Corinne , Dworkin Jordan D , Barker Megan S , Manoochehri Masood , Gottesman Reena T , Wassermann Eric M , Tierney Michael C , Huey Edward D , Grafman Jordan 
Published: November 2022

Introduction This study aims to measure frequency and correlates of initial idiopathic psychiatric diagnosis in a cohort of 147 patients with Frontotemporal Dementia (FTD)-spectrum disorders. Methods Participants were evaluated at the National Institutes of Health in Bethesda, Maryland. Initial participant diagnoses were determined by chart review and patient and informant interviews. Logistic regression was used to assess the relationships between diagnosis and age of symptom onset, gender, education, family history of psychiatric illness, and family history of dementia. Additional exploratory analyses investigated patients’ first symptom type. Results 25% (n=43) of all the patients reviewed were initially misdiagnosed with an idiopathic psychiatric illness, which is less than half the commonly cited 50% rate.3 Depression was the most common misdiagnosis (46.5%). Family history of dementia, family history of mental illness and an exploratory analysis of behavioral first symptoms suggested significant association with a greater likelihood of initial idiopathic psychiatric diagnosis in FTD patients. Discussion This data confirms patterns of initial idiopathic psychiatric diagnosis in FTD and elucidates potential factors underlying misdiagnosis. Potential implications for patient outcomes, caregiver burden and healthcare costs are discussed.
Are you vaccinated? COVID-19 vaccination rates and the effect of a vaccination program in a metropolitan mental health inpatient population in Australia
Authors: Hooper Kaylin , Hooper Michael , Nguyen Jessica , Fukutomi Akira 
Published: November 2022

Objective To assess the COVID-19 vaccination rates of a severe mental illness (SMI) population in Western Australia (WA) in January to March 2022, and to evaluate an inpatient COVID-19 vaccination program available to this group. Method A retrospective audit of the COVID-19 vaccination status of inpatients at the Mental Health Unit (MHU) at a tertiary hospital in WA was conducted and compared with the state average. Additionally, the medical records were interrogated to determine whether eligible inpatients were offered and received COVID-19 vaccination via the inpatient vaccination program. Results Vaccination rates for the MHU population were substantially lower than those for the WA population, particularly earlier in 2022. During January, just 49.0% of admitted patients had received two doses of the vaccine, compared to 92.8% of WA. Over the three months, 67 (47.2%) of all admissions were eligible for vaccination during their admission and 19 of the eligible patients (28.4%) were successfully vaccinated. Conclusion This audit has demonstrated a slow uptake of COVID-19 vaccinations in the SMI population, despite the wide availability for 12 months prior to this period. This indicates a significant potential for targeted, assertive programs to improve vaccination rates in this population group.
Transition to ePrescribing for systemic anti-cancer therapy – Perceptions of a multidisciplinary haematology/oncology team in a large teaching hospital
Authors: O’Connor Hannah , Melanophy Gail , Martin Carlos Medina , Flattery Martin , O’Dea Edel 
Published: November 2022

Introduction A National Cancer Information System is planned for phased implementation in Irish cancer centres to enable electronic prescribing (ePrescribing) of systemic anti-cancer therapy. This study aimed to capture the opinions of healthcare professionals in a hospital setting relating to the current paper-based workflow for systemic anti-cancer therapy prescribing and their attitudes and expectations of the new ePrescribing system to develop recommendations, which assist in the planning and implementation of future ePrescribing systems. Methods A mixed methods study of concurrent design was conducted. Interviews with healthcare professionals primarily aimed to evaluate processes and identify areas requiring improvement within the current paper-based workflow for systemic anti-cancer therapy prescribing. An online questionnaire adapted from the Information Systems Expectations and Experiences tool primarily aimed to capture expectations of the new ePrescribing system and attitudes towards the transition. Results Twelve healthcare professionals were interviewed, and 50 healthcare professionals responded to the online questionnaire (response rate: 33.3%). Eight major themes emerged from interview transcripts relating to opinions on the paper-based workflow. Questionnaire respondents reported positive attitudes towards ePrescribing implementation and had high expectations for workflow improvements and functionalities of the new system. Seven recommendations for ePrescribing implementation were developed: (1) prioritise specific processes; (2) plan for changes in communication; (3) repeat research in the post-implementation setting; (4) ensure good information technology infrastructure and system support; (5) ensure optimum training; (6) outline limitations of clinical decision support; (7) provide clear instructions on local configurability. Conclusion This study identifies potential challenges in transitioning to ePrescribing and provides recommendations, which assist stakeholders in ensuring safe and effective transitions, thus informing future ePrescribing systems’ implementation in haematology/oncology settings.
Autism-friendly public bus transport: A personal experience–based perspective
Authors: Dirix Hélène , Ross Veerle , Brijs Kris , Bertels Laura , Alhajyaseen Wael , Brijs Tom , Wets Geert , Spooren Annemie 
Published: November 2022

Community participation and the formation of social networks are crucial for a qualitative life. To this end, transportation plays an essential role. Many autistic people rely on public transportation for their mobility needs. However, research shows that it is not always easy for them to use it. The issues they face when using public bus transport have not yet been thoroughly studied. The current case study in Flanders aimed to give autistic people the opportunity to express the issues they face while using public bus transportation. A qualitative hermeneutic phenomenological study was carried out. Semistructured interviews were conducted with 17 autistic individuals. The interviews were analyzed based on the interpretative phenomenological analysis method. Three main themes emerged: creating predictability, limiting stimuli, and open and accessible communication. In addition, various coping strategies were described, such as the use of noise-canceling headphones. The results of this study may lead to a more autism-friendly public transportation environment. Lay Abstract Transportation plays an essential role in daily life, allowing people to participate in the community and form social relationships. Many autistic people rely on public transportation to meet their mobility needs. However, research shows that it is not always easy for them to use it. The exact issues autistic individuals face when traveling with public transportation and how public transportation can be made more autism-friendly have yet to be researched. The current study allowed autistic individuals to express themselves regarding issues they face while traveling by public bus transportation, to raise awareness for making public transportation more autism-friendly. We interviewed 17 autistic individuals about their experiences riding the bus. Three main themes emerged from the results: creating predictability, limiting stimuli, and open and accessible communication. If transport companies take initiatives related to these themes, autistic people traveling by bus can have a more pleasant experience. Participants also described coping strategies for stressful or uncomfortable situations while using public bus transportation, such as using noise-cancelling headphones or digital applications for real-time route tracking, etc. These findings may lead to a more autism-friendly public transportation.
The effect of an integrated electronic medical record system on malaria out-patient case management in a Ugandan health facility
Authors: Kavuma Michael , Mars Maurice 
Published: November 2022

Background Malaria contributes 20% of outpatient cases in health facilities in Uganda. Data also show that there is a severe shortage of skilled health care personnel in sub-Saharan Africa. Electronic Medical Record (EMR) systems have been shown to provide benefits to health care providers and patients alike, making them important for low resourced settings. Methods A comparative study was performed from March 2018 to March 2019 in which an integrated EMR system was implemented with treatment guidelines for malaria, and its effect was evaluated on malaria outpatient case management in one Ugandan health facility. Another health facility was used as a control site. Results Malaria outpatient visits were 1.3 h shorter in the EMR group ( p < .0001), and 80% more participants in the EMR group had age and weight information available to clinicians at the point of prescribing ( p < .0001). Fewer participants in the EMR group had recurring malaria with no statistical significance ( p = .097). Malaria surveillance reporting was significantly more accurate at the EMR intervention site ( p < .05). Conclusion The EMR system probably improved malaria outpatient case management by reducing outpatient visit durations, improving the availability of patient age and weight information to inform prescribing and improving the accuracy of malaria surveillance reporting.
Effect of the upper material of running shoes on muscle mechanical power transfer on lower limbs
Authors: Cordero-Sánchez Juan , Pérez-Soriano Pedro , Bazuelo-Ruiz Bruno 
Published: November 2022

This study focuses on determining the effects of the upper material of running shoes on the mechanical power flows of the muscles of the lower limbs during the support phase of running. Two models of running shoes—differentiated only by the upper structure and material—have been used, being randomly assigned to 19 participants. Five measurements of each participant per shoe model were obtained at 3.3 m·s−1 to perform inverse dynamic analysis with the data obtained. Statistically significant differences have been found between the two models for the muscle power flow variables in the ankle, knee and hip joints, as well as at the ends of adjacent segments. The KNIT-upper model (model 2) presents higher generation (8.87 ± 7.63 W/kg; p < .001; d = -.13) and less absorption (−5.11 W/kg; p < .001; d = −6.7) of mechanical power in the ankle compared to the MESH-upper model (model 1). The mechanical power flows in the knee and hip indicate that with model 2, greater mechanical power is generated and absorbed by the flexor and extensor muscle groups of these joints compared to model 1 (-.38 ± 2.9 W/kg vs -.22 ± 2.54 W/kg for the knee and −1.75 ± 2.91 W/kg vs −1.15 ± 2.07 W/kg for the hip, respectively). Therefore, it can be concluded that the upper material has an influence on mechanical power flow patterns. However, more studies are needed in order to accurately and reliably establish the impact that the upper material of the shoes has on performance and on the prevention of sports injuries.
Long-term use of proton-pump inhibitor on Alzheimer’s disease: a real-world distributed network analysis of six observational Korean databases using a Common Data Model
Authors: Kim Yerim , Seo Seung In , Lee Kyung Joo , Kim Jinseob , Yoo Jong Jin , Seo Won-Woo , Lee Hyung Seok , Shin Woon Geon 
Published: November 2022

Background: Dementia has a crucial impact on the quality of life of elderly patients and their caregivers. Proton-pump inhibitors (PPIs) are the most frequently prescribed treatment, but they have been shown to be associated with dementia. The data are inconsistent, however. Objective: To investigate the association between PPIs use and Alzheimer’s disease (AD) or all-cause dementia in six observational Korean databases using a Common Data Model (CDM) and to perform a distributed network analysis. Methods: Subjects aged over 18 years between 1 January 2004 and 31 December 2020. Among 7,293,565 subjects from 6 cohorts, 41,670 patients met the eligibility criteria. A total of 2206 patients who were included in both cohorts or with a history of dementia were excluded. After propensity matching, 5699 propensity-matched pairs between the PPIs and histamine-2 receptor antagonist (H2RA) users were included in this study. The primary outcome was the incidence of AD at least 365 days after drug exposure. The secondary outcome was the incidence of all-cause dementia at least 365 days after drug exposure. Results: In the 1:1 propensity score matching, the risk of AD or all-cause dementia was not significantly different between the PPIs and H2RA groups in all six databases. In the distributed network analysis, the long-term PPI users (⩾365 days) were unassociated with AD [hazard ratio (HR) = 0.92, 95% confidence interval (CI) = 0.68–1.23; I2 = 0%] and all-cause dementia (HR =1.04, 95% CI = 0.82–1.31; I2 = 0%) compared with H2RA users. Conclusion: In the distributed network analysis of six Korean hospital databases using Observational Medical Outcomes Partnership (OMOP)-CDM data, the long-term use of PPI was not associated with a statistically significantly increased risk of AD or all-cause dementia. Therefore, we suggest that physicians should not avoid these medications because of concern about dementia risk.