bluuebunny/crossref_metadata_2025_split huggingface dataset:
Trends in health librarianship topics presented at four UK‐based conferences between 2017 and 2022: A thematic analysis
Authors: Rudd Sarah 
Published: December 2024

AbstractIntroductionAlthough thematic analysis of health librarianship (HL) presentations at conferences in the USA exists, no similar research has been reported focused on HL at UK conferences.ObjectivesTo determine trends in HL conference presentations from 2017 to 2022 at three UK‐based HL conferences and the Chartered Institute of Library and Information Professionals (CILIP) conferences.MethodsThematic analysis of conference programmes obtained from websites, the Internet Archive Wayback Machine and conference organisers.ResultsA total of 226 HL‐related conference presentations were identified across all the examined conference programmes. Eight themes emerged: being a Healthcare Librarian; Digital Working; Finding the Evidence; Generating Research; Strategic Library Management; Literacies; Other; and Using the Evidence. ‘Being a Healthcare Librarian’ (n = 54) and ‘Strategic Library Management’ (n = 53) were the most prominent cross‐conference themes.DiscussionPresentations at HL‐specific conferences provide a wider range of themes than CILIP conferences, with ‘Being a Healthcare Librarian’ absent from CILIP conferences but ‘Literacies’ appearing in similar numbers at both. Differences in conference formats and the COVID‐19 pandemic likely influenced presentation numbers.ConclusionHL conference themes are not directly reflected in CILIP conferences. NHS Knowledge and Library Services staff should be encouraged to undertake and disseminate original research, creating a UK evidence base for healthcare librarianship.
Breast biomarkers evolution between primary and distant metastasis: incidence and significance
Authors: Khedr Maha , Gandhi Shipra , Roy Arya Mariam , Alharbi Malak , George Anthony , Attwood Kristopher , Khoury Thaer 
Published: December 2024

AimsTo evaluate the evolution when breast cancer (BC) is classified as three clinical profiles and five clinical profiles by incorporating human epidermal growth factor 2 (HER2)‐low to the biomarkers’ profile.Methods and resultsBC with distant metastasis that has document hormonal receptors (HR) (positive, negative) and HER2 (positive, low, zero) results were included (n = 161). Cases were categorised into three clinical profiles (HR‐positive/HER2‐negative, HER2‐positive and TNBC) and five (HR‐positive/HER2‐zero, HR‐positive/HER2‐low, HR‐negative/HER2‐zero, HR‐negative/HER2‐low, HR‐positive or negative/HER2‐positive). Evolution occurred in 22.4% cases when three clinical profiles were analysed and 36.6% considering five clinical profiles. There were no statistically significant differences among the three clinical profiles in overall survival (OS). When five clinical profiles were analysed, HR‐negative/HER2‐zero had the worst OS with HzR = 6.82 and 95% confidence interval (CI) =1.19, 39.23, P = 0.031. In the multivariable analysis, ER‐positive was associated with HER2 discordance less than oestrogen receptor (ER)‐negative with odds ratio (OR) = 0.354 and 95% CI = 0.14–0.88, P = 0.025. In the multivariable analysis, patients with Eastern Cooperative Oncology Group 2+ had worse OS with hazard ratio (HzR) = 5.54 and 95% CI = 2.4–12.79, P < 0.0001. HR concordant had better OS with HzR = 0.34 and 95% CI = 0.2–0.63, P = 0.0004. HER2 conversion from low to zero had worse OS than HER2 concordance with HzR 2.66 and 95% CI = 1.21–5.83, P = 0.015.ConclusionsFive‐profile classification provides a more accurate idea about the rate of potential change in treating BC in the metastatic setting.
A Qualitative Study of Career Motivations and Career Expectations of Malaysian Dental Therapist: Post New Dental Regulations
Authors: Musa Muhd Firdaus Che , Ab‐Murat Norintan , Ming Cheong Joo , Ramle Nur Syazwani Mohd , Sabri Siti Zulaiha Ahmad 
Published: December 2024

ABSTRACTObjectivesTo explore the Malaysian dental therapists' perceptions regarding the provisions concerning them in the new dental act and potential market changes, considering their current career motivations and expectations.MethodsDental therapists from two major public dental organisations in the East‐Peninsular Malaysia (n = 26) were invited to participate in an audiotaped semi‐structured interview using a pre‐tested topic‐guide informed by workforce policy and research literature. The qualitative data were transcribed and analysed using Framework Analysis.ResultsThe research conducted with dental therapists (n = 26) identified four motivation domains namely ‘altruism’, ‘personal and academic inspiration’, ‘profession characteristics’ and ‘career advising and social influences’ as key factors motivating their choice of a professional career as dental therapists, influenced by work‐life balance and financial stability. They were also aware of the new dental act and its potential implications, particularly regarding their future career expectations. The majority felt the necessity ‘to improve their skills and knowledge’ within the first 5 years as part of their short‐term career plans. A few participants expressed a desire to ‘pursue a higher level of education’ and ‘wished to join the private sector’ in the long‐term. They perceived the possibility of ‘working in the private sector’ to increase their income and believed that they did not require any additional training for such a transition.ConclusionMalaysian dental therapists welcomed the changes in the new act, which allow them to work across sectors. Many perceived themselves as adequately motivated and equipped to transition to different work settings without requiring additional training.
Defining nurse‐led models of care: Contemporary approaches to nursing
Authors: Clarke Jarrod , Davis Kate , Douglas Jane , Peters Micah D. J. 
Published: December 2024

AbstractBackgroundThe evolving nature of nursing practice necessitates the development and implementation of contemporary models of care; however, inconsistent definitions hinder this. With the increasing demand for nurse‐led models of care, it is crucial to establish a consistent understanding to ensure the efficacy of implemented models.AimWe aim to provide a working definition for nursing models of care, then using this, present the key features that nurse‐led models of care should consider.Sources of EvidenceAn unstructured literature review was used to explore the research aim.DiscussionWe propose that nursing models of care be defined as involving three interrelated domains: (1) a theoretical basis that underpins conceptualisation of care, (2) organisational work methods that direct task delegation, organisational governance, and care responsibility and (3) practical methods for care delivery that describes practical care methodologies. Extrapolating from this framework, nurse‐led models of care are defined as having an evidence‐based and person‐centred theoretical basis, an organisational work method driven by nurses, and practical methods of care delivery supported by the creation of holistic care plans.ConclusionAs the design and implementation of a model of care is influenced by unique contextual considerations, the definitions provided in this paper should be considered as a starting point for further refinement, consideration and discussion.Implications for Nursing PolicyStandardisation in how models of care are defined enables greater understanding and improved comparability between disparate sources of evidence and can aid stakeholders by providing a common language. Creating standardisation in the terminology of nurse‐led models of care specifically supports the continued advocacy efforts for these models of care and assists policymakers and health providers in their design and implementation.
A Mixture Modeling of the Behavioral Activation System and Problematic Internet Use in Adolescents: The Role of Metacognition, Online Dissociation, and Insomnia
Authors: Çelik Oğuzhan , Yalçın Ragıp Ümit , Eşkisu Mustafa 
Published: December 2024

ABSTRACTDue to the rapidly developing technological advancements, the overuse of the Internet has led to the emergence of problematic Internet use, which has become a part of our daily lives. This study aims to investigate the relationships between problematic Internet use, Behavioral Activation System (BAS), metacognition, online dissociative experiences, and insomnia. Participants were 341 Turkish adolescents aged between 15 and 19 years (Mean = 15.49, SD = 1.03), of whom 63% were female. Participants responded to the Behavioral Inhibition/Behavioral Activation System Scale, Metacognition Questionnaire, Van Online Dissociative Experiences Schedule, Insomnia Severity Index, and Chen Internet Addiction Scale. The mixture structural equation modeling approach was used to analyze the data. We found a positive relationship between BAS and metacognition, as well as insomnia, and a negative relationship with online dissociation. Furthermore, BAS was indirectly related to problematic Internet use via metacognition, online dissociation, and insomnia. The mixture analysis grouped participants into two latent classes. The first class (76%) had low levels of metacognition, online dissociation, insomnia, and problematic Internet use and high levels of behavioral activation while the second class (24%) had low levels of behavioral activation and high levels of metacognition, online dissociation, insomnia, and problematic Internet use. These findings indicate that individuals with high impulsivity, a tendency toward fun‐seeking, and reward sensitivity are predisposed to excessively use the Internet and that metacognition, online dissociative experiences, and insomnia play a determining role in this behavior.
Minna de Honkoku: Citizen-Participation Transcription Project for Japanese Historical Documents
Authors: Kano Yasuyuki , Hashimoto Yuta 
Published: December 2024

Minna de Honkoku began as an online citizen science project to transcribe earthquake-related historical materials from the Earthquake Research Institute Library of the University of Tokyo. In Japan, almost all the documents are written in kuzushiji (old-style Japanese cursive script), a writing style used before ∼1900. Because the style of writing is different modern Japanese, transcription is necessary to use the historical documents as data for earthquake research. The workspace of Minna de Honkoku consists of a viewer of a document image and a vertical (Japanese-style) editor for transcription. Users can input transcribed text while viewing its image. The ranking of characters transcribed is displayed to keep users motivated. As of October 2024, more than 9,700 people were registered for the project, with the total number of characters transcribed at about 41 million. The text generated by Minna de Honkoku can be used for various academic research fields including seismology and can be used to enhance citizens’ disaster awareness. The paired kuzushiji characters and text data generated by Minna de Honkoku are beginning to be used as training data for artificial intelligence.

▪
Minna de Honkoku is an online citizen science project aimed at deciphering historical documents.

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The total number of participants is 9,700, and characters transcribed by Minna de Honkoku reaches 41 million.

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Minna de Honkoku began as a project to transcribe earthquake-related historical materials.

▪
The text generated by Minna de Honkoku is used in seismology and various research fields and for building artificial intelligence–based kuzushiji recognition.
Cartilaginous Choristoma of the Oral Cavity: A Rare Presentation in the Nasopharynx
Authors: Al-Ali Maryam , Hantzakos Anastasios 
Published: December 2024

Objective: This case report describes a rare presentation of a cartilaginous choristoma of the oral cavity within the tonsillar fossa, emphasizing the importance of recognizing and differentiating this uncommon entity from more frequently encountered oral lesions.Methods: A comprehensive clinical and histopathological examination was conducted on a 30‐year‐old male patient who presented with a painless mass in the nasopharynx. An excisional biopsy was carried out, and a histopathological analysis was conducted to establish a definitive diagnosis.Results: Histopathological examination demonstrated a cartilaginous choristoma, characterized by the presence of mature hyaline cartilage surrounded by the connective tissue. The patient underwent surgical excision of the lesion, and follow‐up assessments indicated a favorable postoperative outcome without recurrence.Conclusion: Cartilaginous choristomas in the oral cavity are exceedingly rare. Awareness of this entity is crucial for accurate diagnosis and appropriate management, as it can mimic other more common oral lesions. This case report contributes to the limited literature on oral cartilaginous choristomas and underscores the significance of considering this entity in the differential diagnosis of oral mucosal masses.
Spontaneous Hepatic Rupture Complicating Preeclampsia and HELLP Syndrome: A Case Report
Authors: Dabi Bezza Kedida , Mohammed Ahmed Siraj , Disasa Fanta Asefa , Merga Osias Tilahun 
Published: December 2024

Introduction: Spontaneous hepatic rupture is a rare complication that occurs in pregnant mothers with HELLP syndrome, or preeclampsia with severe features, or eclampsia. The most common symptom of hepatic rupture/hematoma is right upper quadrant pain or epigastric pain, which is similar to the presentation of preeclampsia with severe features. Therefore, the absence of specific signs and symptoms leads to a diagnostic dilemma and a delay in management. The objective of this index study is to report available evidence on incidence, clinical presentation, pathophysiology, diagnosis, maternal and perinatal outcome, challenges, and best experiences in the management of hepatic rupture.Case History: A 38‐year‐old G3P1A1 kaffa mother whose gestational age was 30 weeks plus 4 days from reliable last normal menstrual period had three ANCs. She presented with right upper quadrant pain of 3 days duration and severe global headache and blurring of vision of 5 days duration. Abdominal ultrasound showed a well‐defined hyperechoic mass measuring 6 cm by 8 cm on the subcapsular area of the left lobe of the liver, as well as free intra‐abdominal fluid. A diagnosis of ruptured hepatic subcapsular hematoma associated with preeclampsia with severe features was made, and an emergency laparotomy was done. Intraoperatively, 2500 mL of hemoperitoneum, a large hematoma (9 × 10 cm) on the left lobe of the liver, and active bleeding from the right lobe of the liver were found. Surgicell was applied to the actively bleeding site, and the right hepatic artery was ligated, along with perihepatic packing and a subhepatic drainage tube. Cesarean delivery was made to effect a delivery of a freshly dead male fetus weighing 1.4 kg. Despite this management, after 6 h of admission to the ICU, she passed away with a possible cause of death of multiorgan failure (liver, kidney, respiratory, and heart) secondary to underlying illness.Conclusion: A high index of suspicion, multidisciplinary approach, and urgent laparotomy to secure hemostasis could prevent maternal death and perinatal loss due to hepatic rupture in preeclamptic mothers. The absence of specific signs and symptoms and a high case fatality rate mandate standardized protocols of management for hepatic rupture during pregnancy.
Relationship Between Perceived Organizational Support, Work Well‐Being, and Medical Narrative Ability Among Nurses: A Cross‐Sectional Multicenter Study
Authors: Li Yanjia , Kang Limei , Zhang Rong , Hu Yanli , Zhang Limei , Zeng Xiaoying , Wu Fengju , He Xiao , Zhang Yiying , Liu Jing , Tang Shurong 
Published: December 2024

Aims: The purpose of this study was to investigate the relationship between nurses’ perceived organizational support, work well‐being, and medical narrative ability.Background: With the proposed bio‐psycho‐social medical model, nurses’ medical narrative ability is closely related to patients’ health problems and quality of life. Nurses’ perceived organizational support and work well‐being can improve nurses’ empathy and reflection ability to a certain extent and promote patients’ rehabilitation. However, the relationship between nurses’ perceived organizational support, work well‐being, and medical narrative ability is unclear.Methods: A total of 1831 nurses from 8 hospitals in China were surveyed using an online questionnaire that included nurses’ sociodemographic, perceived organizational support, work well‐being, and medical narrative ability. IBM SPSS 27.0 was used for Pearson’s correlation analysis, one‐way ANOVA, t‐test, and mediation effect analysis using Model 4 in PROCESS (5000 resamples).Results: The total mean score of perceived organizational support (46.68 ± 11.00), work well‐being (53.09 ± 10.81), and medical narrative ability (154.48 ± 22.93) among nurses was found to be moderate. The relationship between perceived organizational support, work well‐being, and medical narrative ability was significant, with correlation coefficients ranging from 0.348 to 0.685 (p < 0.01). The relationship between perceived organizational support and medical narrative ability is partially mediated by work well‐being. The intermediate effect accounted for 52.36% of the total effect.Conclusion: This study found that nurses’ work well‐being mediated the relationship between perceived organizational support and medical narrative ability.Implications for Nursing Management: This study evaluated nurses’ medical narrative ability and explored the relationship between nurses’ perceived organizational support, work well‐being, and medical narrative ability. The results of this study can help nursing managers and educators to take appropriate measures to intervene nurses’ perceived organizational support and work well‐being, so as to improve nurses’ medical narrative ability and optimize nursing quality.
Recreational and Occupational Physical Activity and Risk of Adverse Events in Truncating
MYBPC3
Founder Variant Carriers
Authors: Hassanzada Fahima , Jansen Mark , van Lint Freyja H.M. , Bosman Laurens P. , Schmidt Amand F. , Dooijes Dennis , van de Sande Danny , Miah Bristi , van der Crabben Saskia N. , Wilde Arthur A.M. , Lekanne Deprez Ronald H. , de Boer Rudolf A. , Christiaans Imke , Jongbloed Jan D.H. , Jorstad Harald T. , Asselbergs Folkert W. , van Tintelen J. Peter , Baas Annette F. , te Riele Anneline S.J.M. 
Published: December 2024

BACKGROUND:

MYBPC3
founder variants cause hypertrophic cardiomyopathy leading to heart failure and malignant ventricular arrhythmias. Exercise is typically regarded as a risk factor for disease expression although evidence is conflicting. Stratifying by type of exercise may discriminate low- from high-risk activities in these patients. Here, we evaluate the effects of exercise, stratified by high-static and high-dynamic components, on the risk of major cardiomyopathy-related events (MCEs) and cardiomyopathy penetrance among
MYBPC3
founder variant carriers.

METHODS:
We interviewed 188 carriers (57.4% male; aged 43.0±15.0 years) on exercise participation since the age of 10 years. The exercise was quantified as the metabolic equivalent of task-h/wk before the presentation. MCE was defined as a composite of malignant ventricular arrhythmia (sustained ventricular tachycardia/fibrillation), heart failure (heart failure hospitalizations or transplantation), and septal reduction therapy. Static and dynamic exercises were defined per the Bethesda classification. Associations of exercise with MCE and cardiomyopathy penetrance were adjusted for sex and assessed using Cox regression.

RESULTS:

Overall, 43 (22.9%) subjects experienced MCE and 139 (73.9%) were diagnosed with cardiomyopathy. No association was found between overall physical activity and high-static activity with MCE (
P
=0.587 overall;
P
=0.322 high static) or cardiomyopathy penetrance (
P
=0.317 overall;
P
=0.623 high static). In contrast, high-dynamic activity was associated with malignant ventricular arrhythmia (dichotomized at the 75th percentile: adjusted hazard ratio, 3.26 [95% CI, 1.26–8.44];
P
=0.015).

CONCLUSIONS:

Overall exercise participation does not generally increase the risk of adverse events among
MYBPC3
founder variant carriers. Nonetheless, an increased risk of malignant ventricular arrhythmia was observed among those engaged in the highest quartile of high-dynamic sports, suggesting that high-level high-intensity exercise activities should be entertained with caution.
Real Marriages, Fake Marriages, and Marriages for Fun
Authors: Alfieri Fernanda , Vargiu Riccardo James 
Published: December 2024

Abstract
This essay addresses the topic of “true marriage” by referring especially to a historiographical tradition that in Italy has examined the impact of the norms of the Council of Trent on the sacrament, measuring the effectiveness of their application in the early modern age. After a survey of the studies that, over the course of the 20th century, have observed the nuptial institution from the perspective of social, legal, and cultural history, a series of cases preserved in the Archives of the Dicastery for the Doctrine of the Faith are analyzed. These include a register dedicated to “matrimonia ficta” (fake marriages) involving a diverse set of situations, documented between the late sixteenth and the late eighteenth centuries, in which a wedding-like ritual was enacted, sometimes with both parties being aware of the fictitious nature of the ceremony but more often with one being kept in the dark, to achieve a union that appeared to be a marriage, at once bypassing and moving within the rules. Two cases from the fonds of the Inquisition of Siena complete the body of documents analyzed, paying particular attention to the meaning assigned “from below” to gestures (such as ring exchange or kissing) and to gender relations in the ritual performance.
The Roman Inquisition as a Potential Archive for the History of Emotions
Authors: Lavenia Vincenzo 
Published: December 2024

Abstract
The essay explores the possibility of examining history of emotions through the documents of the Holy Office, providing a series of examples through the analysis of a number of sources: the letters of the local inquisitors, the biographies and autobiographies of the judges, the trial depositions of the accused, the manuals for the magistrates, and literary representation.
Enslaved Muslims on the Early Modern Italian Peninsula
Authors: Colombo Emanuele 
Published: December 2024

Abstract
This article analyzes Italian historiography’s recent contributions to the study of Mediterranean slavery in the early modern period, focusing primarily on Muslim enslavement across the Italian Peninsula through the late nineteenth century. Following a brief examination of Italian Christian redemption practices in Islamic territories, the study investigates three critical dimensions: Muslim-Christian interactions in urban settings, religious orders’ pastoral care of enslaved individuals, and the dynamics of religious conversion. To illustrate these historiographical trends, the article examines the case of Baldassarre Loyola (1631–1667), a purported Muslim prince who embraced Catholicism and entered the Society of Jesus.