bluuebunny/crossref_metadata_2025_split huggingface dataset:
External Validation of SHA2PE Score: A Score to Predict Low‐Risk Lower Gastrointestinal Bleeding in the Emergency Department
Authors: Ahmad Akram I. , El Sabagh Ahmed , Zhang Jennie , Caplan Claire , Al-Dwairy Ahmad , Bakain Tarek , Buchanan Faith , Fisher Lea , Wilbur Andrew , Marshall Samantha , Buechner Garrett , Hamzeh Malaak , Dhanjal Rachna , Boos Alexander , Sequeira Lynette 
Published: January 2025

Introduction: Lower gastrointestinal bleeding (LGIB) frequently leads to emergency department (ED) visits and hospitalizations, encompassing a spectrum of outcomes from spontaneous resolution to intrahospital mortality.Aim: The purpose of this study was to validate a scoring system designed to identify cases of low‐risk LGIB, allowing for safe discharge from the ED.Methods: A retrospective analysis of all gastrointestinal bleeding cases presented at three EDs in 2020 was conducted, focusing specifically on patients with LGIB. The SHA2PE score incorporates factors such as systolic blood pressure, hemoglobin levels, use of antiplatelet or anticoagulant medications, pulse rate, and episodes of bright blood per rectum.Results: Out of 1112 patients presenting with LGIB to the ED, 55 were hospitalized, 20 required blood transfusions, 15 underwent colonoscopies, one underwent interventional radiology procedures, and two patients died. Employing a SHA2PE score with a cutoff value of 1 yielded a specificity of 78.5% (95% CI (confidence interval) [75.8–81.0]), sensitivity of 76.8% (95% CI [63.6–87.0]), positive predictive value (PPV) of 17.0% (95% CI [12.6–22.2]), and negative predictive value (NPV) of 98.3% (95% CI [97.2–99.1]) for predicting the need for hospitalization and intrahospital intervention. When considering return visits to the ED within 7 days with the same presentation, the score demonstrated a specificity of 78.8% (95% CI [76.0–81.3]), sensitivity of 68.6% (95% CI [56.4–79.1]), PPV of 19% (95% CI [14.3–24.4]), and NPV of 97.2% (95% CI [95.8–98.2]).Conclusions: The SHA2PE score demonstrates potential in predicting cases of low‐risk LGIB, offering a high NPV for hospitalization, the need for intrahospital intervention, and return visits to the ED. However, these findings should be interpreted cautiously given the low prevalence of interventions and limitations in the study’s population and design.
Knowledge of Kidney Disease Among Allied Health Sciences Undergraduates: A Cross‐Sectional Study in the University of Cape Coast
Authors: Opoku Victor Obiri , Yankey Theophilus Junior , Essuman Mainprice Akuoko , Osei George Nkrumah , Attoh Tetteh , Ephraim Richard K. D. 
Published: January 2025

Introduction: Knowledge of kidney disease (KD) is an essential element that is needed in the scope of every healthcare professional. This study assessed the level of awareness and understanding of allied health sciences undergraduates of University of Cape Coast regarding KDs and their risk factors.Methodology: Among the regular allied health sciences undergraduates of the University of Cape Coast, a cross‐sectional study was conducted from March 2022 to June 2022. A well‐structured questionnaire on knowledge of KDs and their risk factors was administered to consented participants. Data were analyzed accordingly using R Studio statistical software version 2022.02.3.Results: The study involved 383 participants (the majority being males (52.7%)) with an average age of 22.23 ± 3.03 years. Age (p < 0.001), year of study (p < 0.001), program of study (p < 0.001), frequency of 30 min of exercise per week (p = 0.002), and body mass index (p = 0.023) showed statistically significant differences between males and females. The mean knowledge score of KD was 20.86 ± 3.88 (out of a maximum score of 27) with the majority of study participants having a high knowledge of KD (61.9% (237/383)). High knowledge level was observed for types and stages, diagnosis, and risk factors for KD (76.8% (3.84/5), 75.3% (5.27/7), and 81.6% (8.98/11), respectively) while moderate knowledge level was observed for signs and symptoms (69.3% (2.77/4)). Multivariate analysis showed that participants were found to be more knowledgeable about KDs if they indicated taking alcohol (OR = 5.96; 95% CI = 2.01–22.35; p = 0.003), being in second (OR = 3.27; 95% CI = 1.22–9.02; p = 0.020) or fourth (OR = 4.72; 95% CI = 1.63–14.37; p = 0.005) year of study, or classified themselves as being underweight (OR = 3.93; 95% CI = 1.22–15.85; p = 0.033). Students reporting alcohol use had almost six times higher odds of high KD awareness compared to those who did not report alcohol intake (OR = 5.96, 95% C = 2.01–22.35, p = 0.003).Conclusion: This study revealed an adequate knowledge level of KDs and their risk factors among allied health sciences undergraduates. However, an inadequate knowledge of its signs and symptoms was observed indicating a need for improved training.
Reforming United Nations Ocean Governance
Authors: Derrig Ríán 
Published: January 2025

Abstract
This commentary examines a proposal, currently supported primarily by the European Union, to establish an Intergovernmental Panel on Ocean Sustainability (IPOS). It contextualises this proposal by explaining the broader perception of a set of problems with international ocean governance. While emphasising that the IPOS is a good idea, the commentary highlights that its lack of attention to reform of the legal and institutional architecture through which ocean governance is delivered is a potential problem. One way to address this would be to complement IPOS’ orientation towards unifying scientific knowledge by empowering an attached governance body to coordinate how the scientific advice tendered by the IPOS is implemented, or to design an alternative body.
Dietary substitution of fishmeal by yellow mealworm and its effects on growth and metabolism-related gene expressions in Acipenser stellatus
Authors: Safari R. , Hoseinifar S.H. , Azadi H. , Hoseinpour Delavar F. , Pakzad M. , Jafari V. , Gasco L. , Nedaei Sh. , Panahi Sahebi H. 
Published: January 2025

Abstract
Yellow mealworm, Tenebrio molitor (Y-MW) was replaced at 5%, 10% and 20% ration levels with fish meal in the diet of the stellate sturgeon, Acipenser stellatus in view of reducing the consumption of fish meal and after that the effects of this replacement were investigated. Fish were fed four dietary regimes in three replicates for two months including: CTRL: fish fed a diet containing full fish meal diet, M5: fish fed a diet substituted by 5% full fat Y-MW, M10: fish fed a diet substituted by 10% Y-MW, M20: fish fed a diet substituted by 20% Y-MW for 2 months. Y-MW at substitution level of 10-20% increased WG and FW, although the FCR values showed an improvement than control only in the fish of 10% Y-MW (). Use of Y-MW, especially at 10-20% substitution levels stimulated the expression of genes involved in growth, energy metabolism and immunity (). Dietary Y-MW had no effect on the concentration of liver metabolic enzymes in serum (). The lysozyme activity elevated in response to 10-20% Y-MW compared to the control fed fish (). The Ig levels showed a significant increase in all Y-MW treated groups compared to the control fed fish, in which the highest levels were observed in fish of 20% Y-MW (). Y-MW also affected some immune components of mucus. SDS-PAGE analysis of mucus proteins suggested some differences in protein profiles of the control fed and Y-MW fed fish. The pattern and intensity of the protein bands changed in response to dietary Y-MW. The results of the present research showed that the replacement of fish meal up to 10-20% by Y-MW in the diet of the stellate sturgeon can even improve growth and immunity.
Laparoscopic Warshaw Procedure for Solid Pseudopapillary Neoplasms in Children
Authors: Ram Chirag , Cassella Katharyn , Niec Jan A. , Hilmes Melissa A. , Correa Hernán , Shipe Maren E. , Zamora Irving J. , Lovvorn Harold N. 
Published: January 2025

Background Solid pseudopapillary neoplasms (SPNs) arising in the body or tail of the pancreas can be amenable to laparoscopic distal pancreatectomy with or without concomitant splenectomy. The purpose of this study was to evaluate laparoscopic distal pancreatectomy for SPN using the Warshaw technique as a means to preserve spleens in children. Methods We reviewed our database of SPN patients 19 years and younger (January 2006-December 2023). Five had a laparoscopic Warshaw procedure. Using the volumetric analysis tool in Sectra, a pediatric radiologist calculated preoperative tumor, pancreas, and spleen volumes (including postoperative organ volumes) on computed tomography. Descriptive statistics were performed. Results All five spleens were salvaged, although small infarcts occurred centrally in four patients. Splenic volumes on first imaging after Warshaw averaged 93.9% of preoperative size. Splenic volumes were preserved over time, as the most recent scans averaged 110.6% of the preoperative spleen volume. Collateral flow through the short gastric arteries, inferred from dilation on scans, increased in all patients. Median tumor volume was 85.2 mL, and all SPN were resected with negative margins. No relapse occurred (median follow up: 407 days). Median estimated blood loss was 100 mL, median length of procedure was 4.9 hours, and median inpatient length of stay was 3 days. A multimodal pain regimen, including preoperative TAP blocks, non-opiate, and opiate medications, resulted in a median 81 Morphine Milligram Equivalents (MMEs) administered during the hospital stay. Conclusion Laparoscopic Warshaw for SPN in children appears highly effective at preserving splenic volume without compromising oncologic fidelity or consuming excess inpatient resources.
The influence of employees’ regulatory focus on knowledge hiding behavior
Authors: Guo Yuheng , Li Jie , Wang Wangshuai 
Published: January 2025

BACKGROUND Knowledge sharing is a prerequisite for organizational success, while knowledge hiding is often detrimental to organizational development. OBJECTIVE Drawing upon regulatory focus theory and interactionism, this research aims to investigate how regulatory focus influences employees’ knowledge hiding and the moderating role of cooperative climate. METHODS Data were collected through a time-lagged survey of 320 full-time employees enrolled in a professional training program at a Chinese university. Confirmatory factor analysis, descriptive analysis, hierarchical regression analyses, and bootstrap analysis were some of the analytical techniques used. RESULTS The results indicate that promotion focus has a positive impact on knowledge hiding, whereas prevention focus is negative to knowledge hiding. Furthermore, cooperative climate moderates the influence of regulatory focus on knowledge hiding. CONCLUSIONS This study contributes to our understanding of the important role of employees’ regulatory focus on knowledge hiding behavior in the workplace.
The quest for a perfect hybrid working: A case study of Mars Wrigley Poland
Authors: Wiatr Anna , Skowron-Mielnik Beata 
Published: January 2025

BACKGROUND: Although hybrid work has been a topic of research for many years, the pandemic has introduced a new context that remains relatively unexplored. OBJECTIVE: This paper aims to define hybrid working as a novel flexible working arrangement and investigate the factors that influence its effective implementation within organisations. METHODS: To achieve this research objective, we conducted a single case study focusing on Mars Wrigley Poland. The study involved interviews with the People & Organization Director of the company and an analysis of internal documents developed during the implementation of hybrid working. RESULTS: Our findings show that hybrid working is a team-managed flexible working arrangement, and it is within the teams that the specifics of the hybrid work should be determined and defined. Additionally, the findings reveal that hybrid working is not a one-size-fits-all model. It requires a holistic approach to establish a clear strategy that encompasses various factors such as culture, technology, and employee experience. Of particular importance is the need to ensure connection in the broader sense and ongoing support to employees. CONCLUSIONS: Managers can significantly improve the success rate of hybrid working by gaining insight into the key factors that facilitate the implementation of the hybrid model.
Variations in glacial area in the middle Himalayas over the past 30 years
Authors: Fan Yi-fei , Tong Li-yuan , Ji Qin 
Published: January 2025

As an integral part of the Asian water tower, the spatiotemporal characteristics of Himalayan glaciers are closely linked to climate and the environment. Using Landsat TM/ETM+/OLI image data, the distributions of and changes in glacial areas in the middle Himalayas from 1990 to 2020 were extracted and analysed through the ratio threshold method and manual visual interpretation. The findings revealed a retreat of glaciers over the past 30 years, with the glacial area decreasing from 8584.75 km2 in 1990 to 7210.79 km2 in 2020, indicating a reduction of 1373.97 km2 (16.00%) and an average annual retreat rate of 0.53%. Debris-covered glaciers and debris-free glaciers show similar proportions in the study area, but the former exhibit a significantly lower annual retreat rate (−0.30%) than the latter (−0.78%), suggesting that moraine may impede glacier retreat. Glacial morphology encompasses valley glaciers, hanging glaciers, cirque glaciers, cirque valley glaciers, and flat-topped glaciers. Among these glaciers, valley glaciers constitute the primary glacier type in the study area, accounting for approximately 50% of the total area, whereas flat-top glaciers are the least common. Moraines associated with valley glaciers are relatively developed; debris-covered glaciers represent 75.74% of this glacier type, whereas flat-topped glaciers are entirely debris-free.
State Physical Education and Physical Activity Laws and Regulations in the United States: Estimating Mandated Time in Public Schools
Authors: Liang Yahan , Zhu Xihe , Wang Yubing , Martinez-Rivera Sheyla 
Published: January 2025

Purpose This study estimated mandated physical education (PE) and physical activity (PA) time stipulated by state laws in public schools across the 50 States and the District of Columbia, and compared these times between states with and without specified mandates across education levels. Design Descriptive research. Sample State PE and PA regulation across 50 States and the District of Columbia. Measures Regulations were sourced from the School Health Policy Database developed by the National Association of State Boards of Education, Nexis Uni academic research database, Casetext, and state government websites. Analysis Frequency analysis and two-way analysis of variance were used to compare estimated PE and PA time between states with and without specific mandates. Results Across education levels, only 25.5% of the states mandated specific PA/recess time, 74.5% did not. About 51.0% mandated specific PE time, 45.1% mandated PE without specifying time, and 3.9% did not mandate PE. States with specified mandated PE and PA time averaged 76.54 and 131.41 minutes per week, respectively, showing significantly higher estimated PE and PA ( P < 0.001) time compared to states without such mandates. Conclusion Many states mandate specific PA or PE times, but the average mandated time is significantly below the recommended 60 minutes of daily PA for school-aged children. This highlights the need to reassess current legislation to align with established recommendations.
Pharmaceutical product recall and educated hesitancy towards new drugs and novel vaccines
Authors: Rhodes Peter , Parry Peter I 
Published: January 2025

Background: Of many pharmaceutical products launched for the benefit of humanity, a significant number have had to be recalled from the marketplace due to adverse events. A systematic review found market recalls for 462 pharmaceutical products between 1953 and 2013. In our current and remarkable period of medical history, excess mortality figures are high in many countries. Yet these statistics receive limited attention, often ignored or dismissed by mainstream news outlets. This excess mortality may include adverse effects caused by novel pharmaceutical agents that use gene-code technology. Objective: To examine key pharmaceutical product withdrawals and derive lessons that inform the current use of gene-based COVID-19 vaccines. Methods: Selective narrative review of historical pharmaceutical recalls and comparative issues with recent COVID-19 vaccines. Results: Parallels with past drug withdrawals and gene-based vaccines include distortion of clinical trial data, with critical adverse event data absent from high-impact journal publications. Delayed regulatory action on pharmacovigilance data to trigger market withdrawal occurred with Vioxx (rofecoxib) and is apparent with the gene-based COVID-19 vaccines. Conclusion: Public health requires access to raw clinical trial data, improved transparency from corporations and heightened, active pharmacovigilance worldwide.
Experimental study on vibration control of pipeline system with enhanced active constrained layer treatment
Authors: He Tong , Gao Peixin , Jin Jie , Yin Hui , Yu Tao 
Published: January 2025

The vibration of a pipeline system significantly affects the stability and reliability of aircraft and industrial equipment. Effective methods are required to control pipeline vibration. The predominant approach for pipeline vibration suppression is passive vibration reduction, which involves adding damping materials to the pipeline or its support. However, the effectiveness of this method is limited, especially for the low-frequency vibration control. Active constrained layer damping (ACLD) is a modern technology that can realize effective vibration control in a wide frequency range. Adding elastic materials to the ACLD forms an enhanced active constraint layer (EACL) structure, which can further improve the vibration suppression effect. In this study, a test platform was used to investigate the influence of various parameters of EACL on the vibration-damping effect of the pipeline, which is supported by metal damping clamps. The test results demonstrated that the pipeline vibration decreased by 12.8 dB when the control was activated, verifying the effectiveness of the EACL for vibration reduction of the pipeline. Additionally, the effects of the viscoelastic layer thickness, the location and coverage length of the active constraint layer, and the control voltage on the vibration damping effect were all discussed. An intriguing phenomenon regarding pipeline vibration stress was discovered. Vibration stress significantly drops in the middle of the pipeline, while increasing close to the actuator. Therefore, this phenomenon should be considered in engineering applications of pipeline systems. These findings are significant and can provide efficient design guidelines for the active vibration control in the pipeline systems.
Information-seeking and content creation: The impact of YouTube educational videos on learning practices in library and information science
Authors: Boté-Vericad Juan-José 
Published: January 2025

This study examines the information behaviour of university professors and students in higher education, specifically within Library and Information Science, from Europe and Latin American countries, as they search for, utilize, and create educational content on YouTube. The research aims to shed light on the evolving role of educational videos in academic settings and their impact on digital literacy. Using a qualitative approach, semi-structured interviews were conducted with 63 participants, including 21 video creators and 42 professors and students. The findings reveal diverse motivations for creating and consuming educational videos, highlighting YouTube’s dual function as both a supplementary learning resource for students and a tool for pedagogical enhancement for professors. The study identifies significant preferences for content produced by established university professors, emphasizing the importance of authority and credibility in digital education. Additionally, linguistic challenges, such as the scarcity of content in minority languages and the need for accurate subtitles, emerged as critical factors influencing video consumption and comprehension. This research contributes to the field of librarianship and information science by exploring how digital platforms like YouTube are transforming traditional educational practices and information-seeking behaviours. The insights provided are valuable for librarians, educators, and information professionals who must navigate the complexities of digital content creation and curation in academic environments. The study also suggests future research directions, including the integration of emerging technologies such as virtual reality into educational videos and further exploration of the impact of digital media on academic performance.
The clinical use of dream content in modern psychiatry
Authors: Plevin David , Munro Virginia 
Published: January 2025

Objective Though there is a rich psychoanalytic tradition investigating the content and phenomenology of dreams, the clinical use of this has fallen into widespread disuse. We have undertaken a narrative review of the clinical significance and utility of dream content. Findings Dream content may have useful clinical and prognostic value in a number of neurological and psychiatric conditions, including schizophrenia, borderline personality disorder, temporal lobe epilepsy, REM sleep behaviour disorder, dementia, the culture-bound syndrome of Latah, and substance use. Conclusions This review highlights the importance of dream phenomenology in clinical practice. Building on the psychoanalytic tradition, the findings of our review should motivate clinicians to regularly enquire about dream content, in order to enhance diagnostic insights and formulations of patient presentations.
Design of health technologies for users facing limitations: A scoping review
Authors: König-Klever Emanuele , Bohn Patrícia Raquel , Libânio Cláudia de Souza , Fogliatto Flavio Sanson , Tonetto Leandro Miletto 
Published: January 2025

BACKGROUND Studies reveal healthcare disparities for people with disabilities (PwD) due to various barriers. Digital health offers promise but raises concerns about the digital divide. To address that, health Information and Communication Technologies (ICTs) should follow inclusive design principles for accessibility to all, including PwD. OBJECTIVE We examine the design of ICTs in healthcare to address the needs of people with disabilities. Three research questions guide the study: (i) how health technologies contribute to healthcare accessibility and inclusion; (ii) what the main challenges are in implementing these technologies; (iii) how health ICTs are structured to meet users’ limitations and enhance performance. METHODS Research questions are addressed through a scoping review and critical literature analysis, drawing from seven databases and grey literature. The analysis of research question (iii) uses the accessibility fundamentals recommended by the Web Accessibility Initiative as starting point. RESULTS Our research reveals a predominant focus on the elderly, with cognitive impairment as the most studied limitation, followed by mobility, reach and dexterity, vision, and hearing. CONCLUSIONS We emphasize the need for inclusive design for all health technologies and investigate their potential to improve user and healthcare system performance. We also propose four promising research directions for further investigation.