bluuebunny/crossref_metadata_2025_split huggingface dataset:
Charting a sustainable future in radiology: evaluating radiologists’ knowledge, attitudes, and practices toward environmental responsibility
Authors: Abuzaid Mohamed M. , Almuqbil Nora 
Published: February 2025

Abstract

Objectives
This study assesses radiologists’ knowledge, attitudes, and practices regarding healthcare sustainability. With radiology’s substantial environmental impact, sustainable practices are crucial to reduce energy use, waste, and resource depletion. The study evaluates radiologists’ awareness, engagement, and perceived barriers to sustainable practices in the UAE, identifying areas for improvement and intervention.

Methods
A cross-sectional survey was conducted among UAE radiologists in hospitals, clinics, and medical centers from August to October 2024. Developed and piloted by the research team, the survey addressed demographic details, sustainability knowledge, attitudes, current practices, and implementation barriers. Convenience sampling yielded 111 responses, analyzed using descriptive and inferential statistics to identify trends and associations.

Results
The findings indicate moderate knowledge levels, with 31.8% of radiologists agreeing to understand sustainability concepts. While 36.4% strongly agreed on its importance, only 20% felt it was prioritized at their workplace. Key barriers included lack of training (40.5% agreed, 29.7% strongly agreed) and insufficient financial support (37.8% agreed, 25.2% strongly agreed). Digital documentation and waste-reduction practices were observed but varied in consistency.

Conclusion
Radiologists display a positive attitude toward sustainability but face significant implementation barriers, primarily in institutional support and resources. Addressing training gaps and increasing leadership commitment are essential to advancing sustainable practices. Future initiatives should emphasize policy support, education, and resource allocation to foster a sustainable radiology sector.

Critical relevance statement
This article critically examines radiologists’ knowledge, attitudes, and barriers to sustainable practices, highlighting the need for institutional support and targeted training to advance environmental responsibility and sustainable practices within clinical radiology.

Key Points

Radiologists support sustainability but lack knowledge of specific practices.

Key challenges include limited training, support, and funding.

Commitment, training, and resources are essential for sustainable radiology.

Graphical Abstract
CircRNA Itm2b induces oxidative stress via the interaction with Sirt1-Nox4 to aggravate sleep disturbances after traumatic brain injury
Authors: Fu Jiayuanyuan , Du Mengran , Wu Biying , Wu Chenrui , Li Xin , Tan Weilin , Huang Xuekang , Zhu Ziyu , Zhang Jie , Liao Zheng Bu 
Published: February 2025

Abstract
Sleep disorders (SD) are common sequelae following traumatic brain injury (TBI) and may be linked to mitochondrial oxidative stress dysregulation after TBI. Increasing evidence showed that circRNAs play crucial roles in nervous system diseases. However, the involvement of circRNAs in sleep disturbances after TBI is not characterized. In this study, differentially expressed circRNAs were identified by RNA sequencing. Sleep quality in TBI patients was assessed through sleep scales and electroencephalograms. Further experiments were conducted to investigate the role of circItm2b. We found that circItm2b was elevated and involved sleep disorder in TBI patients. Over-expression of circItm2b might aggravate sleep disturbances in mice after TBI. Mechanically, circItm2b regulates Nox4 expression through binding Sirt1, which influences mitochondrial oxidative stress-caused circadian protein losses. Moreover, the knockdown of circItm2b attenuated mitochondrial oxidative stress-induced circadian proteins losses via circItm2b/Sirt1/Nox4 axis after TBI, which might suggest that circItm2b may serve as a prognostic marker for improving sleep disorders and represent a promising therapeutic target for TBI-related sleep disturbances.
Exploring apathy components and their relationship in cognitive decline: insights from a network cross-sectional study
Authors: Sarti Pierfrancesco , Varrasi Simone , Guerrera Claudia Savia , Platania Giuseppe Alessio , Furneri Giovanna , Torre Vittoria , Boccaccio Francesco Maria , Rivi Veronica , Tascedda Sophie , Pirrone Concetta , Santagati Mario , Blom Johanna M. C. , Castellano Sabrina , Caraci Filippo 
Published: February 2025

Abstract

Background
Apathy worsens with age and cognitive decline, particularly in Alzheimer’s, leading to functional and cognitive deterioration. Comprehending its broad impact is vital for customized, preventive treatments.

Methods
The study examined 214 adults divided in three groups—Mild Cognitive Impairment, mild Alzheimer’s, and controls—using neuropsychological tests and questionnaires, with statistical and network analysis to explore apathy’s links with other group variables related to demographics and treatment.

Results
Notable differences were observed among the groups' performance of administered tests. While inferential statistics failed to return a predictive model of apathy in mild Alzheimer’s, networks and cluster analyses indicate that the demographic variables analysed have different importance at different times of disease progression and that cognitive apathy is particularly prominent in AD-related decline.

Conclusions
Network analysis revealed insights into dementia risk differentiation, notably the impact of sex and demographic factors, beyond the scope of traditional statistics. It highlighted cognitive apathy as a key area for personalized intervention strategies more than behavioural and emotional, emphasizing the importance of short-term goals and not taking away the person's autonomy when not strictly necessary.
Detailed inventory and initial analysis of landslides triggered by extreme rainfall in the northern Huaiji County, Guangdong Province, China, from June 6 to 9, 2020
Authors: Xie Chenchen , Xu Chong , Huang Yuandong , Liu Jielin , Jin Jiale , Xu Xiwei , Cheng Jia , Wu Lizhou 
Published: February 2025

Abstract

Background
In recent years, the frequency of extreme rainfall events has increased due to climate change, further raising the probability of landslide disasters. From June 6 to 9, 2020, the northern part of Huaiji County, Guangdong Province, and surrounding areas experienced extreme rainfall. By using high-resolution optical remote sensing images before and after the rainfall and interactive human–machine recognition technology, a detailed list of landslides from this extreme rainfall event was established and preliminarily analyzed.

Results
A total of 5173 landslides were triggered by this rainfall event, covering an area of 13.27 km2, mainly concentrated in the central part of the study area. The maximum point density and area density of the landslide list were 60.71 km−2 and 19.11%, showing a high degree of overlap. The relationship between landslide area and quantity, area and probability density showed a good power-law relationship, confirming the completeness of the landslide list. By combining common landslide abundance indicators, the correlation between landslides and five influencing factors including elevation, slope, aspect, strata, and cumulative rainfall was analyzed.

Conclusion
This study supplemented rainfall-induced landslide data in the southeastern coastal region of China, aiding in the analysis of landslide occurrence patterns, landslide risk assessment, and providing a basis for warning and emergency response for local governments and relevant departments.
The impact of sociocultural theory-informed instruction on learners’ IELTS writing: task response, grammar, vocabulary, coherence and cohesion
Authors: Allami Hamid , Najari Boshra , Tajeddin Zia 
Published: February 2025

Abstract
This study explores the impact of sociocultural theory-based instruction on enhancing L2 learners’ writing skills including grammatical accuracy, coherence, cohesion, task response, and lexical resources for the IELTS. To this end, a cohort of 40 participants, spanning intermediate and advanced proficiency levels, was divided into experimental and control groups, each comprising 20 students. The research utilized the Oxford Placement Test to ensure a balanced distribution. Throughout the instructional period, learners actively participated in collaborative group activities and benefited from scaffolding techniques. The analysis of outcomes revealed the effectiveness of sociocultural strategies, leading to significant progress across different proficiency levels. While intermediate participants demonstrated marked improvements in task response, advanced learners exhibited heightened levels of coherence and cohesion in their writing. The findings indicate the paramount importance of employing scaffolding and collaborative methodologies to foster writing proficiency, particularly in the context of preparing for the IELTS. This research sheds light on the potential of sociocultural theory-based instruction to positively influence second language learners' writing abilities.
Comparative performance of PROMIS Sleep Disturbance computerized adaptive testing algorithms and static short form in postmenopausal women
Authors: Trigg Andrew , Haberland Claudia , Shalhoub Huda , Gerlinger Christoph , Seitz Christian 
Published: February 2025

Abstract

Background
The Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance v1.0 item bank (27 items) measures sleep disturbances. Rather than the full item bank, an 8-item short form (PROMIS SD SF 8b) or computerized adaptive testing (CAT) can be used. This study compares the performance of the PROMIS SD SF 8b with two CAT algorithms in postmenopausal women.

Methods
This is a secondary analysis of data collected for the original psychometric testing of the PROMIS Sleep Disturbance item bank, in a sub-sample of women aged ≥55. A graded response model (GRM) was fitted for the item bank, then simulations evaluated the performance of CAT algorithms and the short form, in terms of root mean square error (RMSE) versus the latent trait estimate derived from the full bank. Two CAT algorithms were tested: CAT1 (stop once standard error <0.3 or 12 items administered) and CAT2 (stop once 8 items administered). Convergent and divergent hypotheses for validity were tested through correlations with the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Known-groups comparisons were made between those with and without self-reported sleep disorder.

Results
A sample of 337 women was analyzed. Unidimensionality and item-level fit to the GRM was supported; however, the local independence assumption was violated. The CAT1 algorithm showed 4.18 items on average, with a minor decrease in performance (higher RMSE value) compared to CAT2 or the PROMIS SD SF 8b. Administering 8 items adaptively (CAT2) compared to fixed (PROMIS SD SF 8b) performed similarly (RMSE difference = 0.001). Reliability exceeded 0.90 across most of the latent trait for all approaches. Correlations with the PSQI and ESS were largely as hypothesized, with minor differences in coefficient values between the approaches (all within 0.05). Women reporting a sleep disorder had greater sleep disturbance than those who did not (p < 0.001 for all).

Conclusions
The results of this study support using the PROMIS Sleep Disturbance item bank in postmenopausal women. The choice of PROMIS SD SF 8b versus CAT can largely be driven by practical reasons (respondent burden and operational complexity) rather than concerns of differential reliability and validity.
Research focus and theme trend on Charcot–Marie–Tooth disease since 2000: a bibliometric analysis
Authors: Dai Shimiao , Zhu Junying , Yang Aolin , Li Yao , Ma Miaomiao , Lv Qingqing , Chen Yuqing , Sun Litao , Zhou Ji-Chang 
Published: February 2025

Abstract

Background
Charcot–Marie–Tooth disease (CMT) represents a hereditary neuromuscular disorder characterized by an incomplete pathological understanding and a lack of effective therapeutic interventions. This study aimed to investigate the advancement of CMT research, anticipate its developmental trajectory, and offer insights for development endeavors.

Results
Bibliometric data of articles published from January 2000 to December 2023 were downloaded from five databases: Scopus, Embase, Web of Science, and PubMed. The study retrieved 5,053 articles. The United States has emerged as the most productive country and maintained the most robust cooperation with other countries on CMT research. Following a clustering analysis, 124 high-frequency keywords were categorized into three clusters, further subdivided into seven specific themes: cell and animal model studies, associated protein, neurological studies, epidemiological distribution, disease diagnosis, clinical feature, and genetic analysis. The strategic diagram highlights genetic analysis emerges as a prospective focus.

Conclusions
CMT genetic analysis, which encompasses novel gene identification, therapy oriented toward molecular genetics, and the synergistic influence of multiple genes, are expected to be the prospective hotspots and potential trends in the CMT research field.
Optimization of phosphorus leaching from sludge of rubber-latex processing wastewater-treatment plant in Vietnam
Authors: Dinh Khang Vu , Le Hung Anh , Pfennig Andreas 
Published: February 2025

Abstract
In this study, optimal parameters for P leaching from sludges of a rubber-latex processing wastewater-treatment plant were carried out. The process optimization is based on laboratory experiments and simulation with a MATLAB program. The optimal P-leaching parameters for dried sludges were found to be as follows: dried sludge particle size below 2.5 mm, leaching time of 60 min, a phase ratio of 10 mL g−1 with 2 M H2SO4 for chemical sludge, a phase ratio of 5 mL g−1 with 1.7 M H2SO4 for biological sludge. At these conditions, P leaching efficiency reaches 90% on average for chemical as well as biological sludge. The equilibrium pH of the leached liquid was found to affect formation of mineral precipitates, such as gypsum (CaSO4), which leads to significant reduction in the dissolved Ca content in the leached liquid. Simulation results from the solid–liquid-liquid thermodynamic equilibrium tool also show the formation of other precipitated minerals such as AlPO4, FePO4, or Al(OH)3 at different equilibrium pH. The highest dissolved P and lowest dissolved Ca contents were observed at equilibrium pH less than 0.3.
A bibliometric analysis of the 50 most cited articles about quality of life in patients with atrial fibrillation
Authors: Hassan Muhammad Arslan Ul , Mushtaq Sana , Li Tao , Yang Zhen 
Published: February 2025

Abstract

Background
Atrial fibrillation is a progressive arrhythmia that has become a global concern affecting the quality of life of millions of patients. This bibliometric analysis aims to highlight the top 50 most cited articles in the field of quality of life in atrial fibrillation patients, focusing on publication trends, citations, influential authors and journals, promising institutions, and key contributing countries.

Results
The top 50 articles were published between 1995 and 2021 across 15 journals, with an average number of citations of 380.5 per article. The article with the highest number of citations, i.e., 1525, was published in the ‘Circulation’ journal. ‘Natale Andrea’ and ‘Verma Atul’ contributed the most to the field, with 7 articles each. The United States of America had the highest total number of publications among the countries, with 20 articles. The field is extensively researched; however, there remains a necessity for methodological enhancements in the assessment of quality of life.

Conclusions
This study assessed advancements in research regarding quality of life in atrial fibrillation patients and serves as an invaluable resource for clinicians and researchers to comprehend the existing body of knowledge in the field. Although quality of life in patients with atrial fibrillation has been the focus of interest in recent years, the management of patients still needs improvement.
Fluctuations of topological charges in two-dimensional classical Heisenberg model
Authors: Tang Shan-Chang , Shi Yu 
Published: February 2025

Abstract
Binding and unbinding of vortices drives Kosterlitz-Thouless phase transition in two-dimensional XY model. Here we investigate whether similar mechanism works in two-dimensional Heisenberg model, by using the fluctuation of the topological charge inside a loop to characterize the nature of binding versus unbinding of defects. Through Monte Carlo simulations, we find that the fluctuation is proportional to the perimeter of the loop at low temperatures while to the area of the loop at high temperatures, implying binding of the defects at low temperatures and unbinding at high temperatures.
Medullary Thyroid Carcinoma and Clinical Outcomes in Heterozygous Carriers of the RET K666N Germline Pathogenic Variant
Authors: Yip Allison T , Kim Teresa H , Peluso Esther M , Jacobsen Steven E , Yeh Michael W , Lechner Melissa G 
Published: February 2025

Abstract
Medullary thyroid carcinoma (MTC) is a rare neuroendocrine tumor of the thyroid parafollicular C-cells associated with activating mutations in the rearranged during transfection (RET) kinase proto-oncogene. We report the clinical outcomes of a family with a rare germline RET K666N pathogenic variant discovered incidentally by genetic testing performed for breast cancer risk stratification in an asymptomatic 24-year-old woman. Subsequent genetic testing identified the same pathogenic variant in her 21-year-old sister, 60-year-old father, and 84-year-old paternal grandmother. The proband and her sister had no biochemical or imaging evidence of MTC. The 60-year-old father had mildly elevated serum calcitonin and multiple thyroid nodules on ultrasound. Fine-needle aspirate thyroid biopsy cytology suggested MTC so he underwent total thyroidectomy. Surgical pathology demonstrated bilateral subcentimeter foci of MTC and C-cell hyperplasia. The 84-year-old grandmother was also found to have multiple thyroid nodules and elevated calcitonin but declined further evaluation. There was no biochemical evidence of other multiple endocrine neoplastic type 2 (MEN2)-associated tumors (ie, parathyroid adenoma, pheochromocytoma) in the family. These data, along with prior rare reports in the literature, suggest that monoallelic germline RET K666N pathogenic variants carry a risk of familial MTC that demonstrate age-dependent expressivity but low penetrance of other MEN2 tumors in affected individuals.
An Unusual Cause of Hypokalemia to Consider
Authors: Borrego-Soriano Inés , Hernández-Perdomo Yanieli , Rivas Begoña , Parra-Ramírez Paola , Moreno-Domínguez Óscar , Vega-Cabrera Cristina 
Published: February 2025

Abstract
Apparent mineralocorticoid excess syndrome is a rare disorder that can be acquired through inhibition of the enzyme 11 β-hydroxysteroid dehydrogenase type 2 by various substances such as bile acids. We report the case of a 61-year-old woman presenting with painless jaundice. Computed tomography demonstrated a pulmonary as well as a pancreatic tumor, with multiple metastases and dilated bile ducts. Laboratory findings showed persistent hypokalemia despite aggressive enteral and parenteral supplementation, as well as hypertension, metabolic alkalosis, and elevated cholestasis enzymes. Urinary potassium excretion was inappropriately high. Plasma aldosterone concentration was 0.97 ng/dL (26.91 pmol/L) (reference range, 2.21-25.30 ng/dL [61.31-701.82 pmol/L]) and direct renin concentration was 3.9 mIU/L (2.1 ng/L) (reference range, 4.4-46.1 mIU/L [2.53-27.42 ng/L]). Endogenous hypercortisolism was ruled out. After the placement of a metal biliary stent via endoscopic retrograde cholangiopancreatography and the subsequent decrease in cholestasis enzyme levels, potassium levels, hypertension, and metabolic alkalosis gradually normalized. The case was ultimately diagnosed as apparent mineralocorticoid excess syndrome resulting from 11 β-hydroxysteroid dehydrogenase type 2 inhibition caused by elevated bile acids secondary to malignant obstruction of the biliary tract.
Pocketbook Voting in a Polarized Era: Economic Vulnerability and Anti-incumbent Voting in Presidential Elections
Authors: Schaffner Brian F. , Soler Caroline 
Published: February 2025

Abstract
Economic circumstances and vote choice have long been shown to be closely linked, but increasing partisan polarization may be weakening this traditional relationship. We examine whether pocketbook voting – the tendency to vote based on personal economic circumstances – still influences presidential vote choice in this polarized era. Using the Cooperative Election Study’s data from 2020 to 2024, we explore how different indicators of economic vulnerability affect support for incumbent presidential candidates. We find that while partisans remain largely loyal except when suffering the most difficult economic hardships, independent voters show strong anti-incumbent voting when they experience financial strains. Our findings suggest that personal economic circumstances remain influential in American elections, but primarily among voters without strong partisan attachments.
The Trump Effect: Nationalized Narratives and Congressional Outcomes in the 2024 Elections
Authors: Carson Jamie , Hitefield Aaron , Wall Megan 
Published: February 2025

Abstract
The 2024 elections resulted in a rightward shift, with Republicans taking back both the presidency and Senate while holding onto a very slim majority in the House of Representatives. Despite multiple felony convictions and near constant controversy, Donald Trump defeated Kamala Harris to win the presidency and all six of the swing states he had lost to Joe Biden in 2020. Down-ballot Republicans were also successful in their congressional races. Though Democrats had controlled the Senate since 2020, Republicans ultimately flipped four seats to take a 53–47 advantage in the chamber. Lastly, despite some concern among pundits that the dysfunctional Republican leadership in the House could negatively affect Republicans’ reelection chances across the board, Republicans were able to retain the House majority by a narrow margin of 220 to 215. This article highlights the political conditions and circumstances that defined the 2024 contest especially considering the increasingly nationalized nature of U.S. elections.
The Same F

1
but a Different F

2
– with Absolute Identity
Authors: Francescotti Robert 
Published: February 2025

Abstract
Here I present an analysis of what it is for an x and a y to be the same F. Unlike the Fregean Analysis (FRE), according to which ‘x is the same F as y’ is equivalent to ‘x is an F, y is an F, and x = y’, the analysis presented and defended here allows that there are possible cases in which x and y are the same F

1
but not the same F

2
even though x is an F

2
and y is an F

2
. The analysis offered here, FRE+, retains the conditions that FRE deems are necessary for being the same F while adding a further condition to allow that the same F

1
can be a different F

2
. Although FRE+ is compatible with there being such cases, FRE+ shares with FRE that the identity mentioned in the analysis is nothing other than absolute identity. Thus, FRE+ offers a way to allow that the same F

1
can be a different F

2
while avoiding conflict with the traditionally accepted logic of identity, and I argue without conflict with the Indiscernibility of Identicals in particular.