bluuebunny/crossref_metadata_2025_split huggingface dataset:
Development of the CLARIFY (CheckList stAndardising the Reporting of Interventions For Yoga) guidelines: a Delphi study
Authors: Ward Lesley , Nault Daryl , Cramer Holger , Moonaz Steffany 
Published: February 2022

BackgroundThe use of yoga as a therapeutic modality is increasing; however, a lack of transparent intervention reporting is restricting the dissemination and implementation of yoga research into clinical and community practice. The aim of this study was to develop a yoga-specific reporting guideline as an extension to existing reporting guidelines for randomised controlled trials, observational studies and case reports.MethodsRecognised international stakeholders in the design and conduct of yoga research were invited to contribute to the electronic Delphi survey. A four-round Delphi was conducted, whereby panellists rated selected items for their importance in the inclusion of yoga reporting guidelines, according to a 5-step Likert scale. A priori consensus for item inclusion was agreement of items as ‘Very important’ or ‘Extremely important’ by ≥80% of panellists. Non-consensus items were forwarded to subsequent rounds for re-rating.Results53 experts in yoga research from 11 countries, primarily identifying as researchers (50%), allied health professionals (18.8%) and yoga professionals (12.5%), consented to participate in the Delphi. Of these, 48 completed Round 1 (91%), 43 completed Round 2 (81%), 39 completed Round 3 (74%) and 32 completed Round 4 (60%). Panellists reached consensus for inclusion on 21 items, grouped under 10 domains reflective of more generic intervention-based guidelines.ConclusionsThe consensus-based 21-item CLARIFY (CheckList stAndardising the Reporting of Interventions For Yoga) checklist provides a minimum reporting template for researchers across a range of methodology designs. Use of these yoga-specific guidelines, in conjunction with the CLARIFY explanation and elaboration guidelines, will standardise the minimum level of detail required for transparent yoga intervention, facilitating the replication, dissemination and implementation of yoga research. Ongoing research will assess the uptake and impact of CLARIFY, to ensure these guidelines retain their relevance to the internationally growing field of yoga research.
Relationship between sociodemographics, healthcare providers’ competence and healthcare access among two-spirit, gay, bisexual, queer and other men who have sex with men in Manitoba: results from a community-based cross-sectional study
Authors: Souleymanov Rusty , Star Jared , McLeod Albert , Amjad Sana , Moore Samantha , Campbell Christopher , Lorway Robert , Payne Michael , Ringaert Laurie , Larcombe Linda , Restall Gayle , Migliardi Paula , Magwood Bryan , Lachowsky Nathan J , Brennan David J , Sharma Uday Norbert 
Published: February 2022

ObjectiveLittle is known about barriers to healthcare access for two-spirit, gay, bisexual and queer (2SGBQ+) men in Manitoba.DesignData were drawn from a community-based, cross-sectional survey designed to examine health and healthcare access among 2SGBQ+ men.SettingCommunity-based cross-sectional study in Manitoba, Canada.ParticipantsCommunity-based sample of 368 2SGBQ+ men.OutcomesLogistic regression analyses assessed the relationship between sociodemographics, healthcare discrimination, perceived healthcare providers’ 2SGBQ+ competence/knowledge and two indicators of healthcare access (analytic outcome variables): (1) having a regular healthcare provider and (2) having had a healthcare visit in the past 12 months.ResultsIn multivariate analyses, living in Brandon (adjusted OR (AOR)=0.08, 95% CI 0.03 to 0.22), small cities (AOR=0.20, 95% CI 0.04 to 0.98) and smaller towns (AOR=0.26, 95% CI 0.08 o 0.81) in Manitoba (compared with living in Winnipeg), as well as having a healthcare provider with poor (AOR=0.19, 95% CI 0.04 to 0.90) or very poor competence/knowledge (AOR=0.03, 95% CI 0.03 to 0.25) of 2SGBQ+ men’s issues (compared with very good competence) was associated with lower odds of having a regular healthcare provider. Living in Brandon (AOR=0.05, 95% CI 0.02 to 0.17) and smaller towns (AOR=0.25, 95% CI 0.67 to 0.90) in Manitoba (compared with living in Winnipeg) was associated with lower odds of having a healthcare visit in the past 12 months, while identifying as a gay man compared with bisexual (AOR=12.57, 95% CI 1.88 to 83.97) was associated with higher odds of having a healthcare visit in the past 12 months.ConclusionsThese findings underscore the importance of reducing the gap between the healthcare access of rural and urban 2SGBQ+ men, improving healthcare providers’ cultural competence and addressing their lack of knowledge of 2SGBQ+ men’s issues.
Effect of large-scale disasters on bystander-initiated cardiopulmonary resuscitation in family-witnessed, friend-witnessed and colleague-witnessed out-of-hospital cardiac arrest: a retrospective analysis of prospectively collected, nationwide, population-based data
Authors: Ushimoto Tomoyuki , Takada Kohei , Yamashita Akira , Morita Hideki , Wato Yukihiro , Inaba Hideo 
Published: February 2022

ImportanceThe effect of large-scale disasters on bystander cardiopulmonary resuscitation (BCPR) performance is unknown.ObjectiveTo investigate whether and how large-scale earthquake and tsunami as well as subsequent nuclear pollution influenced BCPR performance for out-of-hospital cardiac arrest (OHCA) witnessed by family and friends/colleagues.Design and settingRetrospective analysis of prospectively collected, nationwide, population-based data for OHCA cases.ParticipantsFrom the nationwide OHCA registry recorded between 11 March 2010 and 1 March 2013, we extracted 74 684 family-witnessed and friend/colleague-witnessed OHCA cases without prehospital physician involvement.ExposureEarthquake and tsunamis that were followed by nuclear pollution and largely affected the social life of citizens for at least 24 weeks.Main outcome and measureNeurologically favourable outcome after 1 month, 1-month survival and BCPR.MethodsWe analysed the 4-week average trend of BCPR rates in the years affected and before and after the disaster. We used univariate and multivariate logistic regression analyses to investigate whether these disasters affected BCPR and OHCA results.ResultsMultivariable logistic regression for tsunami-affected prefectures revealed that the BCPR rate during the impact phase in 2011 was significantly lower than that in 2010/2012 (42.5% vs 48.2%; adjusted OR; 95% CI 0.82; 0.68 to 0.99). A lower level of bystander compliance with dispatcher-assisted CPR instructions (62.1% vs 69.5%, 0.72; 95% CI 0.57 to 0.92) in the presence of a preserved level of voluntary BCPR performance (23.6% vs 23.8%) was also observed. Both 1-month survival and neurologically favourable outcome rates during the impact phase in 2011 were significantly poorer than those in 2010/2012 (8.5% vs 10.7%, 0.72; 95% CI 0.52 to 0.99, 4.0% vs 5.2%, 0.62; 95% CI 0.38 to 0.98, respectively).Conclusion and relevanceA large-scale disaster with nuclear pollution influences BCPR performance and clinical outcomes of OHCA witnessed by family and friends/colleagues. Basic life-support training leading to voluntary-initiated BCPR might serve as preparedness for disaster and major accidents.
Active travel behaviour in the family environment: protocol for the mixed-methods cross-sectional ARRIVE study
Authors: Reimers Anne Kerstin , Marzi Isabel , Beck Franziska , Engels Eliane , Renninger Denise , Buttazzoni Adrian , Krieger Claus , Demetriou Yolanda 
Published: February 2022

IntroductionActive travel is an important source of physical activity and a primary contributor to overall health among adolescents. To understand and promote active travel behaviour in adolescents, developing a more robust understanding of the predictors of active travel and its associated decision-making processes is needed. Situated within a theoretical socioecological framework for adolescent travel behaviour, the mixed-methods Active tRavel behavioR in the famIly enVironmEnt study aims to quantitatively assess the influence of several predictors of adolescent travel behaviour, and to qualitatively understand the associated decision-making processes of both adolescents and parents.Methods and analysisOur mixed-methods approach will feature online surveys and semistructured interviews. The online questionnaire, developed in accordance with a theoretical framework of adolescent active travel, will examine adolescent travel behaviour with respect to four different destinations while controlling for multiple relevant individual, social and physical environment factors. To enable the comparison of adolescent and parental perspectives, the questionnaire will be answered by a representative sample of German adolescents (11–15 years old) and their parents.Our semistructured interviews, likewise framed based on the central tenets of the theoretical framework of adolescent active travel, will seek to explore the decision-making process of families regarding travel mode choice via conducting interviews with each member (ie, father, mother, adolescent). To investigate travel decision-making processes, adolescents and their parents will be invited to talk about trips they undertook using both active and passive transport modes during the last week. Thematic analyses will be conducted to highlight the central concerns, priorities and values of participants’ decision-making processes.Ethics and disseminationThis study has received ethical approval from the ethics commission of the Friedrich-Alexander-University Erlangen-Nuremberg. Study results will be disseminated at scientific conferences and published in peer-reviewed journals. Additionally, study findings will be made publicly available to relevant health, policy, and research stakeholders and groups.
Patient experiences of co-designed rehabilitation interventions: protocol for a rapid review
Authors: McKercher Jonathan P , Slade Susan C , Jazayeri Jalal , Hodge Anita , Knight Matthew , Green Janet , Woods Jeffrey , Morris Meg E 
Published: February 2022

IntroductionPatient-centred care can be facilitated by co-design, which refers to collaboration between healthcare professionals and consumers in producing and implementing healthcare. Systematic reviews on co-design have mainly focused on the effectiveness of co-produced healthcare interventions. Less attention has been directed towards the experiences of patients in co-designed interventions. This rapid review aims to explore patient experiences of co-designed rehabilitation interventions and inform rehabilitation decision-making.Methods and analysisA rapid review will expedite timely information on co-design experiences for stakeholders. Four electronic databases, including Cochrane CENTRAL, MEDLINE, Embase and CINAHL, will be searched for papers published from 1 January 2000 to 1 January 2022. The Cochrane Risk of Bias tool will be used for randomised trials. Critical appraisal checklists from The Joanna Briggs Institute shall evaluate the risk of bias of non-randomised trials and qualitative studies. A narrative synthesis will be provided for the quantitative studies. Thematic synthesis will be conducted on qualitative findings. The overall strength of the evidence will be measured using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework for quantitative investigations and the GRADE-Confidence in Evidence from Reviews of Qualitative Research for qualitative studies. The results will be presented using narrative summaries, identified themes, summary tables, flow charts and quantitative statistical analyses.Ethics and disseminationEthics approval is not required for the review. The protocol and rapid review will be submitted to an online, open access and peer-reviewed journal for publication. The review findings will be rapidly translated to consumers, clinicians, healthcare leaders, organisations, researchers and policy makers via publications, evidence summaries, conferences, workshops, websites, social media and online events.PROSPERO registration numberCRD42021264547.
Model of delivery of cancer care in South Africa’s Eastern Cape and Mpumalanga provinces: a situational analysis protocol
Authors: Chitha Wezile , Swartbooi Buyiswa , Jafta Zukiswa , Funani Itumeleng , Maake Kedibone , Hongoro Danleen , Godlimpi Lizo , Mnyaka Onke R , Williams Natasha , Buthi Lazola , Kuseni Sibulelo , Zungu Christopher , Sibulawa Siyabonga , Mavimbela Awam , Giwu Olona , Mabunda Sikhumbuzo A , Essel Vivien 
Published: February 2022

IntroductionCancer contributes to a significant proportion of morbidity and mortality globally. Low-income and middle-income countries such as South Africa tend to be characterised by poor and inequitable access to cancer services. Cancer resources are more likely to be found in urban areas, tertiary centres and quaternary hospitals. However, little is known about the linkages to care, continuity of care and packages of cancer care in rural South African settings. This study describes cancer service delivery for South Africa’s Eastern Cape and Mpumalanga provinces.Methods and analysisA mixed-methods qualitative and quantitative research methods of three substudies which include semistructured interviews with patients, focus group discussions with health providers and a quantitative record review that will be carried out at both Rob Ferreira hospital, Witbank hospital and Nelson Mandela Academic hospital in Mpumalanga and Eastern Cape province, respectively. Instruments assess demographic characteristics, explore packages of cancer care, explore challenges experienced by health professionals, and maps out the referral pathway of patients with a cancer diagnosis in the study sites. Numerical, quantitative data will be explored for normality using the Shapiro-Wilk test and reported using either the mean, SD and range or the median and IQR depending on the normality of the distribution. Qualitative data will be analysed using the phenomenological approach.Ethics and disseminationEthics approval was obtained from the Human Research Ethics Committee of Walter Sisulu University (040/2020) and the University of the Witwatersrand (M210211), South Africa. To the research team’s knowledge, this is the first study presenting the model of cancer delivery in South Africa’s Eastern Cape and Mpumalanga province. This will thus provide better understanding of cancer service delivery systems, packages of cancer care from primary care to quaternary care.
Effects of artificial nitrogen deposition on the forest floor and soil chemistry in chestnut-leaved oak (Quercus castaneifolia) plantation in northern Iran
Authors: Nouraei Azam , Jalilvand Hamid , Hojjati Seyed Mohammad , Schleppi Patrick , Alavi Seyed Jalil 
Published: February 2022

Human demand for food and energy has led to significant changes in the level of reactive nitrogen (N) released to the atmosphere and then deposited in the biosphere. This study aimed to investigate the impact of the deposition of artificial N on the forest floor and on the soil chemical properties in an oak (Quercus castaneifolia C.A. Mey.) plantation in northern Iran. Twelve plots of 200 m2 (20 m × 10 m) were set up in the study area. Four N treatments were considered: zero (control), 50 (low), 100 (medium), and 150 (high) kg N·ha−1·year−1. N in the form of NH4NO3 solution was manually sprayed onto the understory plots monthly for 1 year. The total N, phosphorus (P), potassium (K), and organic carbon (OC) of the forest floor were measured. Soil N, available P, available K, pH, EC (electrical conductivity), OC, microbial biomass C (MBC), and urease enzyme activity were measured in the 0–10 cm depth. The concentration of total N and P of the forest floor was significantly higher in the high-N treatment. The total concentration of N (+36%), the urease activity (+44%), and EC (+12%) of soil increased with raising the high-N treatment compared to the control, but the MBC (−20%), available P (−28%), and available K (−15%) were significantly reduced in the high-N treatment. Our results were obtained with simulated deposition rates that exceed ambient fluxes, but ambient N deposition is nevertheless high in our study area.
Evaluation of a Commercial High-Protein Distiller’s Dried Grain with Solubles (HP-DDGS) Product in the Diet of Juvenile Nile Tilapia (Oreochromis niloticus)
Authors: Suehs Blaine A. , Gatlin Delbert M. 
Published: February 2022

A comparative feeding trial and digestibility determination were conducted to evaluate the nutritional value of a commercial, high-protein distiller’s dried grains with solubles (HP-DDGS) ingredient in the diet of Nile tilapia (Oreochromis niloticus). For the feeding trial, six diets were formulated to contain 360 g total dietary protein kg-1 and were prepared with incremental levels of protein from the HP-DDGS (0, 75, 150, 225, 300, and 375 g of dietary protein kg-1) replacing protein from fishmeal and soybean meal. Juvenile tilapia (

10.4

g
±
0.37

;

average

initial

weight
±
SD

) were evenly distributed in 24, 38-L aquaria operated as a recirculating system and fed twice daily to apparent satiation throughout the 8-week trial. Nile tilapia exhibited no significant (

P
>
0.05

) differences in weight gain, feed efficiency, condition indices, whole-body proximate composition, or innate immunological responses when fed any DDGS-supplemented diets compared to the control diet. Percent apparent digestibility coefficients (ADCs) of the DDGS product for organic matter, crude protein, and gross energy were 74.8%, 83%, and 82.8%, respectively. Availability values for all amino acids were 89% or greater. Thus, this high-protein DDGS was established as a readily digestible protein feedstuff suitable for replacing soybean meal and fishmeal at up to 375 g of total dietary protein kg-1 in a practical diet for Nile tilapia.
Comparison of Extreme Coastal Flooding Events between Tropical and Midlatitude Weather Systems in the Delaware and Chesapeake Bays for 1980–2019
Authors: Callahan John A. , Leathers Daniel J. , Callahan Christina L. 
Published: February 2022

Abstract
Coastal flooding is one of the most costly and deadly natural hazards facing the U.S. mid-Atlantic region today. Impacts in this heavily populated and economically significant region are caused by a combination of the location’s exposure and natural forcing from storms and sea level rise. Tropical cyclones (TCs) and midlatitude (ML) weather systems each have caused extreme coastal flooding in the region. Skew surge was computed over each tidal cycle for the past 40 years (1980–2019) at several tide gauges in the Delaware and Chesapeake Bays to compare the meteorological component of surge for each weather type. Although TCs cause higher mean surges, ML weather systems can produce surges just as severe and occur much more frequently, peaking in the cold season (November–March). Of the top 10 largest surge events, TCs account for 30%–45% in the Delaware and upper Chesapeake Bays and 40%–45% in the lower Chesapeake Bay. This percentage drops to 10%–15% for larger numbers of events in all regions. Mean sea level pressure and 500-hPa geopotential height (GPH) fields of the top 10 surge events from ML weather systems show a low pressure center west-southwest of “Delmarva” and a semistationary high pressure center to the northeast prior to maximum surge, producing strong easterly winds. Low pressure centers intensify under upper-level divergence as they travel eastward, and the high pressure centers are near the GPH ridges. During lower-bay events, the low pressure centers develop farther south, intensifying over warmer coastal waters, with a south-shifted GPH pattern relative to upper-bay events.

Significance Statement
Severe coastal flooding is a year-round threat in the U.S. mid-Atlantic region, and impacts are projected to increase in magnitude and frequency. Research into the meteorological contribution to storm surge, separate from mean sea level and tidal phase, will increase the scientific understanding and monitoring of changing atmospheric conditions. Tropical cyclones and midlatitude weather systems both significantly impact the mid-Atlantic region during different times of year. However, climate change may alter the future behavior of these systems differently. Understanding the synoptic environment and quantifying the surge response and subbay geographic variability of each weather system in this region will aid in public awareness, near-term emergency preparation, and long-term planning for coastal storms.
Modern Didactic Formats in Surgery: A Systematic Review
Authors: Velez David Ray 
Published: February 2022

Introduction: “Traditional teaching” models often fail to engage millennial residents. Multiple modern didactic methods have been employed. The most frequently used objective measure to assess the effectiveness of didactic formats has been American Board of Surgery In-Training Examination performance. Methods: A literature search was conducted searching PubMed, EMBASE, and JAMA Network from June 2011 to June 2021, in accordance with the PRISMA guidelines. Searches were performed for the terms “ABSITE” and “American Board of Surgery In-Training Examination.” Only studies discussing didactic structures were included. Results: A final 16 studies were included. Modern methods such as a “flipped classroom,” Team Based Learning (TBL), and “gamification” have all shown increased engagement and significantly improved ABSITE performance. Structured biostatistics reviews may be used to supplement research and statistics which are often missed by other resources. Discussion: Programs have a duty to promote excellent resident education. In addition to fostering individual study habits, didactics and program structures should be optimized for resident development. As opposed to focusing on the pure amount of scheduled protected time, programs may instead consider focusing on the quality of the didactic format used and modern didactic methods may be beneficial.
Using a Multiple Intelligences Assessment to Promote Teacher Development and Student Achievement
Authors: Shearer C. Branton 
Published: February 2022

This article addresses three interrelated propositions. First, a valid and reliable assessment for the multiple intelligences (MI) can be created. Second, teachers can use this MI profile to better understand, accept and create Mi-inspired instruction and curriculum. Third, an MI profile can be used by both teachers and students to promote the use of strength-based learning activities to enhance instructional practice as well as personal development. Evidence gathered during two phases of research over a period of 7 years is supportive of these three propositions. In contrast to a “testing society”, I think that the assessment approach and the individual-centered school constitute a more noble educational vision. I define assessment as the obtaining of information about the skills and potentials of individuals, with the dual goals of providing useful feedback to the individuals and useful data to the surrounding community. Gardner (1993, p. 183)