bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medical and pharmacy students’ perspectives of remote synchronous interprofessional education sessions
Authors: Abdelhakim Hend E. , Brown Louise , Mills Lizzie , Ahmad Anika , Hammell James , McKechnie Douglas G. J. , Ng Tin Wai Terry , Lever Rebecca , Whittlesea Cate , Rosenthal Joe , Orlu Mine 
Published: August 2022

Abstract
Background
Interprofessional education (IPE) at university level is an essential component of undergraduate healthcare curricula, as well as being a requirement of many associated regulatory bodies. In this study, the perception of pharmacy and medical students’ of remote IPE was evaluated.

Methods
A series of IPE sessions took place via Zoom and students’ feedback was collected after each session. Both qualitative and quantitative data were collected and analysed.

Results
72% (23/32) of medical students strongly agreed that the sessions had helped to improve their appreciation of the role of pharmacists, whereas 37% (22/59) of pharmacy students strongly agreed, reporting a median response of ‘somewhat agreeing’, that their appreciation of the role of general practitioners had improved. This difference was found to be statistically significant (p = 0.0143). Amongst students who responded, 55% (53/97) identified remote teaching as their preferred mode of delivery for an IPE session.

Conclusions
The survey demonstrated that the students valued the development of their prescribing skills as well as the ancillary skills gained, such as communication and teamwork. Remote IPE can be a practical means of improving medical and pharmacy students’ understanding of each other’s professional roles, as well as improving the skills required for prescribing.
Access to health care perceived by parents caring for their child at home supported by eHealth—a directed approach introducing aperture
Authors: Hylén Mia , Nilsson Stefan , Kristensson-Hallström Inger , Kristjánsdóttir Gudrún , Stenström Pernilla , Vilhjálmsson Rúnar 
Published: August 2022

Abstract
Background
In recent years a variety of eHealth solutions has been introduced to enhance efficiency and to empower patients, leading to a more accessible and equitable health care system. Within pediatric care eHealth has been advocated to reduce emergency and hospital outpatient visits, with many parents preferring eHealth to physical visits following the transition from hospital to home. Still, not many studies have focused on access from the parental perspective. Therefore, the aim of the study was to analyze access to health care as perceived by parents when caring for their child at home, with conventional care supported by eHealth following pediatric surgery or preterm birth.

Methods
Twenty-five parents who went home with their child following hospitalization and received conventional care supported by eHealth (a tablet) were interviewed in this qualitative study. Directed content analysis was used, guided by a framework for dimensions of access previously described as: approachability, acceptability, affordability, appropriateness, and availability.

Results
All dimensions of access were present in the material with the dimensions of approachability, appropriateness and acceptability most frequently emphasized. The dimensions highlighted a strong acceptance of eHealth, which was perceived by the parents as beneficial, particularly access to communication with health care personnel familiar to them. The chat function of the tablet was often mentioned as positive. A new dimension was also identified: “aperture.” It is defined by the pathways by which communication is transmitted in cyberspace, and these pathways are not easily visualized for parents submitting information, therefore generating concerns.

Conclusions
Parents generally experienced good access to the eHealth-supported health care. Describing access through its dimensions complemented previous descriptions of eHealth in pediatric care and gave new insights. As such, the new dimension of “aperture”, the indeterminate opening of pathways of communication reflecting the uncertainty of not comprehending cyberspace, could be further evaluated. The dimensional framework of access is recommended when evaluating eHealth in the future.

Trial registration
ClinicalTrials.gov identifier: NCT04150120.
Associations between gestational age and childhood sleep: a national retrospective cohort study
Authors: Lyu Jiajun , Groeger John A. , Barnett Anna L. , Li Haifeng , Wang Lei , Zhang Jiajia , Du Wenchong , Hua Jing 
Published: August 2022

AbstractBackgroundBoth sleep quality and quantity are essential for normal brain development throughout childhood; however, the association between preterm birth and sleep problems in preschoolers is not yet clear, and the effects of gestational age across the full range from preterm to post-term have not been examined. Our study investigated the sleep outcomes of children born at very-preterm (<31 weeks), moderate-preterm (32–33 weeks), late-preterm (34–36 weeks), early-term (37–38 weeks), full-term (39–40 weeks), late-term (41 weeks) and post-term (>41 weeks).MethodsA national retrospective cohort study was conducted with 114,311 children aged 3–5 years old in China. Children’s daily sleep hours and pediatric sleep disorders defined by the Children’s Sleep Habits Questionnaire (CSHQ) were reported by parents. Linear regressions and logistic regression models were applied to examine gestational age at birth with the sleep outcomes of children.ResultsCompared with full-term children, a significantly higher CSHQ score, and hence worse sleep, was observed in very-preterm (β= 1.827), moderate-preterm (β= 1.409), late-preterm (β= 0.832), early-term (β= 0.233) and post-term (β= 0.831) children, allp<0.001. The association of pediatric sleep disorder (i.e. CSHQ scores>41) was also seen in very-preterm (adjusted odds ratio [AOR] = 1.287 95% confidence interval [CI] (1.157, 1.433)), moderate-preterm (AOR = 1.249 95% CI (1.110, 1.405)), late-preterm (AOR = 1.111 95% CI (1.052, 1.174)) and post-term (AOR = 1.139 95% CI (1.061, 1.222)), allp<0.001. Shorter sleep duration was also found in very-preterm (β= −0.303), moderate-preterm (β= −0.282), late-preterm (β= −0.201), early-term (β= −0.068) and post-term (β= −0.110) compared with full-term children, allp<0.01. Preterm and post-term-born children had different sleep profiles as suggested by subscales of the CSHQ.ConclusionsEvery degree of premature, early-term and post-term birth, compared to full-term, has an association with sleep disorders and shortened daily sleep duration. Preterm, early-term, and post-term should therefore all be monitored with an increased threat of sleep disorder that requires long-term monitoring for adverse sleep outcomes in preschoolers.
Phosphite synthetic auxotrophy as an effective biocontainment strategy for the industrial chassis Pseudomonas putida
Authors: Asin-Garcia Enrique , Batianis Christos , Li Yunsong , Fawcett James D. , de Jong Ivar , dos Santos Vitor A. P. Martins 
Published: August 2022

AbstractThe inclusion of biosafety strategies into strain engineering pipelines is crucial for safe-by-design biobased processes. This in turn might enable a more rapid regulatory acceptance of bioengineered organisms in both industrial and environmental applications. For this reason, we equipped the industrially relevant microbial chassis Pseudomonas putida KT2440 with an effective biocontainment strategy based on a synthetic dependency on phosphite, which is generally not readily available in the environment. The produced PSAG-9 strain was first engineered to assimilate phosphite through the genome-integration of a phosphite dehydrogenase and a phosphite-specific transport complex. Subsequently, to deter the strain from growing on naturally assimilated phosphate, all native genes related to its transport were identified and deleted generating a strain unable to grow on media containing any phosphorous source other than phosphite. PSAG-9 exhibited fitness levels with phosphite similar to those of the wild type with phosphate, and low levels of escape frequency. Beyond biosafety, this strategy endowed P. putida with the capacity to be cultured under non-sterile conditions using phosphite as the sole phosphorous source with a reduced risk of contamination by other microbes, while displaying enhanced NADH regenerative capacity. These industrially beneficial features complement the metabolic advantages for which this species is known for, thereby strengthening it as a synthetic biology chassis with potential uses in industry, with suitability towards environmental release.
Two-dimensional speckle tracking echocardiography in assessing the subclinical myocardial dysfunction in patients with gestational diabetes mellitus
Authors: Li Wei , Li Ziyao , Liu Wei , Zhao Peng , Che Guoying , Wang Xudong , Di Zhixin , Tian Jiawei , Sun Litao , Wang Zhenzhen 
Published: August 2022

Abstract
Background
Gestational diabetes mellitus (GDM) may increase the risk of cardiovascular disease and accompany asymptomatic deterioration of the myocardial function. This study aims to identify the subclinical impact of GDM on maternal left ventricular function by two-dimensional speckle tracking echocardiography (2D-STE).

Methods
We prospectively recruited 47 women with GDM and 62 healthy pregnant women who underwent transthoracic echocardiography (TTE) at 24 to 28 weeks of pregnancy. GDM diagnosis agreed with the IADPSG criteria. TTE was performed according to the criteria of the American Society of Echocardiography. Conventional echocardiographic data and 2D-STE parameters were compared between the two groups.

Results
Age, gestational weeks, heart rate, and conventional echocardiographic parameters had no difference between the two groups. The average LV global longitudinal strain (LV-GLS) of GDM patients was lower than controls (18.14 ± 2.53 vs. 22.36 ± 6.33, p < 0.001), and 31 patients (66%) in our study had an absolute LV-GLS less than 20%. The LA reservoir and conduit strain in patients with GDM were also significantly reduced (32.71 ± 6.64 vs. 38.00 ± 7.06, 20.41 ± 5.69 vs. 25.56 ± 5.73, p < 0.001). However, there was no significant difference in LA contractile function between the two groups. In multiple regression analysis, LV-GLS and LA conduit strain independently associated with GDM.

Conclusions
2D-STE could detect the subclinical myocardial dysfunction more sensitively than conventional echocardiography, with LV-GLS and LA conduit strain as independent indicators of the GDM impact on maternal cardiac function during pregnancy.
Perceptions and knowledge regarding the COVID-19 pandemic between U.S. and China: a mixed methods study
Authors: Xiong Yutang , Weng Xingran , Snyder Bethany , Ma Lin , Cong Menglong , Miller Erin L. , Van Scoy Lauren Jodi , Lennon Robert P. 
Published: August 2022

Abstract
Background
SARS-CoV-2, a new coronavirus first reported by China on December 31st, 2019, has led to a global health crisis that continues to challenge governments and public health organizations. Understanding COVID-19 knowledge, attitudes, and practices (KAP) is key for informing messaging strategies to contain the pandemic. Cross-national studies (e.g.: comparing China to the U.S.) are needed to better understand how trans-cultural differences may drive differences in pandemic response and behaviors. The goal of the study is to compare knowledge and perceptions of COVID-19 between adults in China and the U.S. These data will provide insight into challenges these nations may face in coordinating pandemic response.

Methods
This is a convergent mixed methods study comparing responses from China and the U.S. to a multinational COVID-19 KAP online survey. The survey included five quantitative constructs and five open-ended questions. Chinese respondents (n = 56) were matched for gender, age, education, perceived social standing, and time of survey completion with a U.S. cohort (n = 57) drawn from 10,620 U.S. respondents. Quantitative responses were compared using T-test & Fisher-Exact tests. Inductive thematic analysis was applied to open-ended questions.

Results
Both U.S. and Chinese samples had relatively high intention to follow preventive behaviors overall. Differences in intended compliance with a specific recommendation appear to be driven by the different cultural norms in U.S. and China. Both groups expressed trepidation about the speed of COVID-19 vaccine development, driven by concern for safety among Chinese respondents, and concern for efficacy among U.S. respondents. The Chinese cohort expressed worries about other countries’ passive handling of the pandemic while the U.S. cohort focused on domestic responses from individuals and government. U.S. participants appeared more knowledgeable on some aspects of COVID-19. Different perspectives regarding COVID-19 origins were identified among the two groups. Participants from both samples reported high trust in health professionals and international health organizations.

Conclusions
Mixed methods data from this cross-national analysis suggests sociocultural differences likely influence perceptions and knowledge of COVID-19 and its related public health policies. Discovering and addressing these culturally-based differences and perceptions are essential to coordinate a global pandemic response.
Ethnobotany of wild edible plants in multiethnic areas of the Gansu–Ningxia–Inner Mongolia junction zone
Authors: Jia Xiaohuan , Zhao Yongxia , Zhu Yunyue , Zeng Xin , Liang Xuehui , Xie Jian , Wu Faming 
Published: August 2022

Abstract
Introduction
In recent years, research on wild edible plant resources has become increasingly popular. The Hassan Nature Reserve is a multiethnic area mainly composed of people belonging to the Han, Hui, and Mongolian groups. The utilization of edible wild plant resources in this area is extremely high. However, with the advancement of urbanization and the development of modern agricultural technology, these resources have been seriously damaged, and related traditional knowledge, such as that related to national medicine, has been lost.

Methods
Based on a literature study, interviews with village and community organizations, participatory observation, and quantitative evaluation of ethnobotanical resources, wild edible plants in the Gansu–Ningxia–Inner Mongolia junction zone, were investigated.

Results
The survey results showed that there were 53 species (varieties) of wild edible plants belonging to 24 families in this area. The Compositae and Liliaceae families were the most abundant, with 8 and 7 species, respectively. The young stems and leaves were the most edible parts of the plants, as observed for 17 species, followed by fruits (including young fruits), which were considered the edible part of 16 species. Other edible parts included the roots or rhizomes (bulbs), seeds, whole plants, skins, etc. The edible plants were consumed in two forms: raw and cooked; raw plants, mainly fruit, were typically consumed as snacks. The cooked foods mainly consisted of vegetables, with tender stems and leaves as the main food source. These components were also used as seasoning, in medicinal diets, and as an emergency food source in times of famine. Important (CFSI > 500) wild edible plants used in health care in the region include Mulgedium tataricum (L.) DC., Nostoc commune Vaucher ex Bornet & Flahault, Sonchus arvensis L., Taraxacum mongolicum Hand.-Mazz., Allium schoenoprasum L., Robinia pseudoacacia L., Hemerocallis citrina Baroni, Elaeagnus angustifolia L., Medicago sativa L., Ulmus pumila L., Stachys sieboldii Miq., and Toona sinensis (Juss.) M. Roem., and these plants had high utilization values and rates locally.

Conclusion
In summary, the species of wild edible plants and their edible parts, categories, consumption forms and roles in health care in this area are diverse. The utilization of traditional knowledge is rich, and some wild plants have high development value.
The association of maternal dietary quality and the antioxidant-proxidant balance of human milk
Authors: Karbasi Samira , Bahrami Afsane , Asadi Zahra , Shahbeiki Fatemeh , Naseri Mohsen , Zarban Asghar , Ferns Gordon A. 
Published: August 2022

Abstract
Background
Human milk composition varies over time within an individual mother as well as between lactating mothers due to several factors including maternal health, diet, and nutritional status. Therefore, improving nutrition status during gestation and breastfeeding is crucial for improving the health of both mothers and infants. Diet can enhance the oxidant-antioxidant balance of human milk. This study aimed to investigate the association between human milk oxidant-antioxidant balance with dietary patterns of lactating mothers identified by using principal component analysis.

Method
This cross-sectional study included 350 breastfeeding women between the ages of 20 to 35 years. The dietary intakes of the women in the study were estimated using a validated food frequency questionnaire, which included 65 food items. The oxidant-antioxidant balance of milk samples was assessed using the ferric reducing antioxidant power (FRAP), 2, 2′-diphenyl-1-picrylhydrazyl (DPPH), thiobarbituric acid reactive substances (TBARs), and Ellman’s assay. The milk concentration of total protein, calcium, and triglyceride was also measured using commercial kits.

Result
Two predominant dietary patterns were recognized that we defined as a healthy and unhealthy pattern. There were higher levels of DPPH and thiol in the milk from mothers in the third tertile (highest adherence) of a healthy dietary pattern compared to the first tertile (lowest adherence; p < 0.05). Milk calcium and thiol were significantly lower in the third tertile of mothers with an unhealthy dietary pattern versus the first tertile (P < 0.05). In multivariate multinomial logistic regression analyses adjusted for mother’s age, body mass index (BMI), energy intake, and infant’s sex, adherence to a healthy dietary pattern was associated with higher levels of milk DPPH (OR = 1.32, 95% confidence interval (CI): 1.01, 1.80) and milk thiol (OR = 1.21, 95% CI: 1.10, 1.50). On the other adherence to the unhealthy dietary pattern was correlated with low levels of milk thiol (OR = 1.29; 95%CI: 1.09, 1.59) and milk calcium (OR = 1.28; 95%CI: 1.11, 1.55).

Conclusion
Our findings demonstrated that adherence to a healthy dietary pattern, identified by higher consumption of green vegetables, other vegetables, and fruits is associated with a higher milk oxidant-antioxidant status in breastfeeding mothers.
A scoping review of frameworks in empirical studies and a review of dissemination frameworks
Authors: Baumann Ana A. , Hooley Cole , Kryzer Emily , Morshed Alexandra B. , Gutner Cassidy A. , Malone Sara , Walsh-Bailey Callie , Pilar Meagan , Sandler Brittney , Tabak Rachel G. , Mazzucca Stephanie 
Published: August 2022

AbstractBackgroundThe field of dissemination and implementation (D&I) research has grown immensely in recent years. However, the field of dissemination research has not coalesced to the same degree as the field of implementation research. To advance the field of dissemination research, this review aimed to (1) identify the extent to which dissemination frameworks are used in dissemination empirical studies, (2) examine how scholars define dissemination, and (3) identify key constructs from dissemination frameworks.MethodsTo achieve aims 1 and 2, we conducted a scoping review of dissemination studies published in D&I science journals. The search strategy included manuscripts published from 1985 to 2020. Articles were included if they were empirical quantitative or mixed methods studies about the dissemination of information to a professional audience. Studies were excluded if they were systematic reviews, commentaries or conceptual papers, scale-up or scale-out studies, qualitative or case studies, or descriptions of programs. To achieve aim 1, we compiled the frameworks identified in the empirical studies. To achieve aim 2, we compiled the definitions from dissemination from frameworks identified in aim 1 and from dissemination frameworks identified in a 2021 review (Tabak RG, Am J Prev Med 43:337-350, 2012). To achieve aim 3, we compile the constructs and their definitions from the frameworks.FindingsOut of 6017 studies, 89 studies were included for full-text extraction. Of these, 45 (51%) used a framework to guide the study. Across the 45 studies, 34 distinct frameworks were identified, out of which 13 (38%) defined dissemination. There is a lack of consensus on the definition of dissemination. Altogether, we identified 48 constructs, divided into 4 categories: process, determinants, strategies, and outcomes. Constructs in the frameworks are not well defined.Implication for D&I researchThis study provides a critical step in the dissemination research literature by offering suggestions on how to define dissemination research and by cataloging and defining dissemination constructs. Strengthening these definitions and distinctions between D&I research could enhance scientific reproducibility and advance the field of dissemination research.