bluuebunny/crossref_metadata_2025_split huggingface dataset:
Value-based healthcare for social insurance medicine: key enablers for adoption in practice
Authors: Hagendijk Marije E , Zipfel Nina , Van Der Wees Philip J , Melles Marijke , Hoving Jan L , van der Burg-Vermeulen Sylvia J 
Published: December 2024

BackgroundDriven by rising retirement age and increasing prevalence of chronic diseases impacting work participation, there is an increasing need for quality and efficiency improvement in social insurance medicine (SIM). SIM provides guidance to individuals facing long-term work disability, assess their functional abilities and eligibility for long-term disability benefits. Value-based healthcare (VBHC) targets quality and efficiency improvements in healthcare by placing a priority on improving patient value. So far, VBHC has been introduced with fundamental principles and essential components for its adoption in curative care. Hence, there is room for debate on what are key enablers for the adoption of value-based SIM.PurposeThe study aims to explore key enablers for the adoption of VBHC in the practice of SIM.MethodsIn this exploratory qualitative study, participants consisted of 15 professionals with expertise either in SIM (n=10) or with expertise in the adoption of VBHC in the curative care sector (n=5). Each participant took part in both a semistructured individual interview and a focus group interview. Thematic coding was employed to analyse the data.ResultsSeven key enablers were identified: (1) investigate the meaning and implementation constraints of value in SIM, (2) integrate SIM into work-focused care networks, (3) explore the need and feasibility for specialisation based on functional problems, (4) identify the most important work outcomes for the patient, (5) identify proxy indicators for cost drivers, (6) identify value-driven financial incentives and (7) develop an information technology system to exchange data.ConclusionsThis paper provides understanding of what is needed to adopt value-based SIM. Future research should delve deeper into these seven key enablers to facilitate the adoption of VBHC, and thereby promote value creation in the practice of SIM.
Anesthetic approaches and 2-year recurrence rates in non-muscle invasive bladder cancer: a randomized clinical trial
Authors: Han Jang Hee , Yuk Hyeong Dong , Jeong Seung-Hwan , Jeong Chang Wook , Kwak Cheol , Kim Jin-Tae , Ku Ja Hyeon 
Published: December 2024

BackgroundThe effect of anesthesia methods on non-muscle invasive bladder cancer (NMIBC) recurrence post-resection remains uncertain. We aimed to compare the oncological outcomes of spinal anesthesia (SA) and general anesthesia (GA) in patients with NMIBC.MethodsThis prospective randomized controlled trial recruited 287 patients with clinical NMIBC at Seoul National University Hospital from 2018 to 2020. The patients underwent transurethral resection of the bladder tumor within 4 weeks of randomization. Intrathecal hyperbaric bupivacaine (0.5%) and a mixture of propofol (1–2 mg/kg) and fentanyl (50–100 μg/kg) were used as induction agents in the SA and GA groups, respectively, with desflurane or sevoflurane used for maintaining anesthesia. The primary and secondary outcome measures were disease recurrence and disease progression, respectively, at 2 years after resection. Cumulative incidence of outcomes was compared between the two groups using time-to-event analyses.Results15 patients required alternative anesthesia owing to clinical needs such as SA failure or significant obturator reflex, resulting in a modified intention-to-treat (ITT) population of 272 patients. Time-to-event analysis showed a significantly lower recurrence of NMIBC in the SA group than in the GA group, in both ITT (27.4% vs 39.8%) and modified ITT populations (26.8% vs 39.6%). Disease progression occurred more frequently in the GA than in the SA group (15.2% vs 7.8%), although the difference was not statistically significant.ConclusionsA notable reduction in the 2-year recurrence rate was observed in patients who underwent SA than in those who underwent GA. Thus, SA may be considered the preferred anesthetic approach.Trial registration numberNCT03597087.
Application of the COM-B model to facilitators and barriers to HIV and STI testing among people from Black African and Black Caribbean communities in the UK: a scoping review
Authors: Khanna Ritu , Gobin Maya 
Published: December 2024

ObjectiveIndividuals from Black African and Black Caribbean communities (black communities) in the UK bear a disproportionate burden of HIV and sexually transmitted infections (STIs), while exhibiting lower testing rates. The aim of the scoping review was to summarise interventions developed to increase HIV/STI testing among black communities in the UK and describe the facilitators and barriers that influence testing uptake in these populations, according to the Capability Opportunity Motivation Behaviour (COM-B) approach.MethodsSix databases were systematically searched to identify quantitative, qualitative and mixed-method studies evaluating the effectiveness of HIV/STI testing interventions among black communities in the UK, published from 2000 onwards. The review was conducted in accordance with the Joanna Briggs Institute Framework of Evidence Synthesis and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Data were analysed using thematic analysis, and the factors were mapped onto the COM-B model components.ResultsTwenty-two studies, of which 11 were available as abstracts only, were included. Twelve studies included testing provision and health promotion, six studies testing provision only and four health promotion only. Nineteen studies looked at HIV testing interventions only. Facilitators to testing included interventions that provided an understanding of STI and HIV risk, assured privacy for testers and normalised testing through integration into existing services and delivery in non-traditional settings by appropriately trained staff. Barriers to testing included interventions that were stigmatising through the choice of intervention settings and/or targeting of groups, low perceived risk and limited knowledge about infections among people from black communities, and limited engagement and partnership working with relevant community organisations and groups.ConclusionMultifaceted interventions that include health promotion and opportunities for testing, co-designed with and by local communities, are crucial in addressing the range of barriers and facilitators experienced by people from black communities.
Clinical utility of routine postoperative labs in emergency general surgery patients
Authors: Empey Rebecca , Ko Hyunkyu , Nirula Ram 
Published: December 2024

BackgroundMorning postoperative labs are often obtained for emergency general surgery (EGS) patients. Studies in other surgical fields indicate that routine postoperative day 1 (POD1) labs are sometimes being performed excessively and do not require intervention. The purpose of this study is to identify predictors indicating the need for POD1 labs in EGS patients based on likelihood of intervention.MethodsThis is a retrospective review of non-critically ill EGS patients from 2022 to 2023 who received POD1 morning labs. The odds of having an abnormal result and likelihood of intervention were measured through multivariate logistic regression accounting for patient characteristics and procedure. Least absolute shrinkage and selection operator (LASSO) regression analysis was performed to determine significant predictors of an abnormal result and intervention.Results502 EGS patients were included. LASSO revealed that procedure duration, fever, lysis of adhesions, preoperative systolic blood pressure <90 mm Hg, older age, heart failure, operative blood loss, chronic kidney disease, and anticoagulation use were independent predictors for any abnormal result (area under the receiver operation curve (AUC)=0.785). Independent predictors of intervention were procedure duration, older age, higher estimated blood loss (EBL), anticoagulant use, and lysis of adhesions (AUC=0.704). Procedures >400 min carried an 84.3% chance of an abnormal lab requiring intervention. EBL >200 mL carried a 75.5% chance of an abnormal lab requiring intervention.ConclusionPOD1 labs for non-critically ill EGS patient rarely require intervention and can be safely omitted. Labs should be considered for longer procedures, higher EBLs, older patients, those on anticoagulation, or after lysis of adhesions.
Improved paper recommendation model incorporating knowledge graph embedding with IRGAN model
Authors: THIERRY NIMBESHAHO , Christ Chatelain Ingabire Batamira , Ali Zafar , Kefalas Pavlos 
Published: December 2024

The exponential growth of published papers in digital libraries has made finding relevant papers increasingly challenging for researchers. Numerous citation recommendation models have been developed to mitigate this issue and assist researchers in identifying pertinent works. Unfortunately, many of these models struggle to generate high-quality recommendations because they fail to capture diverse relationship patterns and effectively model the multifaceted relationships present in citation networks. Additionally, these models lack robustness in learning the representations of research papers.To address these limitations, we propose an innovative model that integrates graph embeddings to better understand hidden relationships in bibliographic networks and model multi-fold relations using the MRotatE framework. Our model first leverages graphical feature embeddings and content-based representations through MRotatE and SPECTER document embedding to construct initial representations of both query and candidate papers. These representations are then used in a generator and discriminator, which undergo adversarial training, ultimately resulting in improved recommendation outcomes. We evaluated our model against several baselines using three real-world datasets, and the results demonstrate that our approach outperforms existing models. The code for this project is publicly available online .
Trends in the Clinical Characteristics and Outcome of Infective Endocarditis: A Nationwide Study From 2016 to 2021
Authors: Okamoto Hiroshi , Nishi Takeshi , Kamisaka Kyo , Sasahira Yoshitaka , Kanaoka Koshiro , Sumita Yoko , Iwanaga Yoshitaka , Izumi Chisato , Uemura Shiro 
Published: December 2024

Background
Infective endocarditis (IE) is still a fatal disease, and given its rarity, ongoing updates to patient characteristics and outcomes of IE are essential for providing precision diagnoses and effective treatments. This study sought to examine temporal trends in the clinical characteristics and in‐hospital occurrence of adverse outcomes of IE.

Methods and Results
Using the Japan nationwide administrative database, we identified patients with IE in Japan from 2016 to 2021. A total of 17 407 patients with IE (37.8% women; median age, 72 [interquartile range, 59–81] years) were identified. The incidence of IE increased from 2.02 per 100 000 population in 2016 to 2.59 per 100 000 population in 2021. The median age of the patients increased from 70 years in 2016 to 73 years in 2021, and patient backgrounds were becoming more complex. The in‐hospital mortality rate was 14.5%, which significantly increased from 14.1% in 2016 to 15.4% in 2021. Higher age (odds ratio [OR], 1.34 [95% CI, 1.29–1.40]), heart failure (OR, 1.37 [95% CI, 1.18–1.59]), cerebrovascular complications (OR, 1.78 [95% CI, 1.59–1.99]), renal failure (OR, 2.36 [95% CI, 2.06–2.70]), and sepsis (OR, 2.79 [95% CI, 2.48–3.13]), were independently associated with an increased in‐hospital mortality rate. In contrast, cardiac surgery (OR, 0.47 [95% CI, 0.41–0.55]), and a higher number of total cardiac surgeries (OR, 0.77 [95% CI, 0.65–0.92]) independently predicted a lower in‐hospital mortality rate.

Conclusions
The characterization and comprehensive analysis of IE in Japan provides valuable insights into the epidemiology, risk factors, and outcomes of IE, which may inform health service planning and treatment strategies.
Market Liberalization and Georgia’s De Facto Industrial Policy
Authors: Kim Minjung , Mah Jai S. 
Published: December 2024

Abstract
Since independence, Georgia’s government has been implementing reforms seeking to eradicate corruption and attain market liberalization. It has not officially deployed an industrial policy promoting specific sectors. In recognizing unsuccessful economic performances, the government has been pursuing de facto industrial policy since the mid-2010s. This article explains Georgia’s economic development strategy, which can be characterized as pursuing pro-market reform, liberalization, and lacking an official industrial policy. This study then explains the consequent economic performances by analyzing each major sector. Finally, this article presents the policy implications derived from Georgia’s experience of market liberalization.
Rorty and Bernstein in Conversation: Where do Things Stand?
Authors: Fischel Joshua 
Published: December 2024

Abstract
This essay seeks to clarify where things stand between Richard Bernstein and Richard Rorty, given the fact that both drew their philosophical inspiration in part from the work of John Dewey. Is Bernstein right that the disagreements over Dewey’s legacy are significant enough to matter? Is Rorty’s restrained and infrequent responses to Bernstein’s criticism’s an indication that any disagreements between them, from Rorty’s vantage point at least, make no difference that makes a difference? Or Is it the case, ultimately, that Bernstein is just another in a long line of what Bjorn Ramberg has termed the “demonizing” critics of Rorty?
The Curse of the Egyptian ʿAlawī as a Protest against the Policies of Aḥmad b. Ṭūlūn
Authors: Stewart Devin J. 
Published: December 2024

Abstract
“The Curse of the Egyptian ʿAlawī”, preserved in Muhaj al-daʿ⁠awāt (The Lifeblood of Supplications) by Raḍī al-Dīn Ibn Ṭāwūs (d. 664/1266), is known in Twelver Shiʿi tradition as an effective supplication for thwarting tyrants and oppressors. Ibn Ṭāwūs recorded the text in two versions that date from the fourth/tenth century, both accompanied by a framing account set in the time of Aḥmad b. Ṭūlūn, the Abbasid governor of Egypt in 254–270/868–884. Analysis of the account suggests that it was written originally by a sayyid who opposed Ibn Ṭūlūn’s policies, particularly after the Damascus Assembly of Dhū al-Qaʿda 269/May 883, when he had a document drawn up that deposed the Abbasid heir-apparent al-Muwaffaq and declared jihād against him. Ibn Ṭūlūn attempted to establish virtual independence from the Abbasid administration in Iraq and to control all of Egypt, Syria, and the Hejaz. In doing so, he sought to enlist the support of the learned class, some of whom resisted his coercive efforts. It is argued here that the frame account in its current form differs significantly from its original form. The original text was likely modified by a Shiʿi scholar in the mid-fourth/tenth century in order to focus on the historical oppression of Shiʿis and to stress the intervention of the occulted Twelfth Imam.
Tābān’s Magnificence Illuminated in Delhi’s Early Reḳhtah Scene, 1728–1748
Authors: Tabor Nathan L. M. 
Published: December 2024

Abstract
This article examines the productive tensions of delight, memory, and affiliation as they structured early Urdu literary history by presenting the previously unconsidered lineages of poet ʿAbd ul-Ḥayy Tābān (1715–1748). Among notable reḳhtah composers of the 1730s and 1740s, Tābān was a Delhi local who died young but influenced ġhazal-writing over his short career. He wrote simple, idiomatic verse, seeming to pre-empt Delhi’s turn away from poetry that featured īhām (misdirection). However, the sociability of īhām writers greatly informed Tābān’s ġhazal writing abilities, instantiating him within a mid-century constellation of writers such as Maz̤har, Ḥātim, Yaqīn, and Saudā. Modern writings, however, circumvent the most important facet of Tābān’s background: Tābān earned his literary credentials through connections to a popular cohort of street poets and punsters informally known as the firqah-e qabūliyah or the “Qabūliyan Contingent.” The Qabūliyans were a tight confederation of Persian- language īhām writers named for their founder ʿAbd ul-Ġhanī Beg Qabūl (d. 1727), a Kashmiri poet, denizen of Feroz Shah Kotla, and important teacher to Delhi’s poets in the early 1700s, most notably Tābān’s beloved ustād Muḥammad ʿAlī Ḥashmat (1696?– 1749). The “Qabūliyan Contingent” included, among others, Qabūl’s son Mīrzā Girāmī Hamadānī (d. 1743) and the tażkirah writer Kishan Chand Iḳhlāṣ (d. 1748 or 1754). Tābān’s emulations, tributes, and chronograms that laud the Qabūliyans when coupled with tażkirah writing from the period contextualize literary values that focused on enjoyment and flexibility, a conception of popular literary sociability that was enthusiastically documented in Persian tażkirahs but regarded with ambivalence by early reḳhtah writers and later Urdu-language historians. Tābān’s words, stylistic generosity, and concern for literary delight when examined from a Qabūliyan stance illuminate a previously unconsidered facet of Delhi’s complex early reḳhtah literary culture.
ʿArīb Puts al-Wāṯiq in His Place: Visualizing Unspoken Love (and Unbridled Emotion)
Authors: Toorawa Shawkat M. 
Published: December 2024

Abstract
In this essay, I analyse an anecdote in the Nisāʾ al-ḫulafāʾ of Ibn al-Sāʿī (d. 674/1276) in which ʿArīb (d. 277/890–1) describes an exchange between al-Wāṯiq (d. 232/847), his slave Farīda (fl. 3rd/9th c.), and one of Farīda’s unnamed female servants (fl. 3rd/9th c.). I show how the anecdote’s visuality and spatiality, and the ensuing visualisation in which readers engage, enable ʿArīb, herself once a slave, to contrast the caliph’s power with the slave women’s power over him, as well as to contrast the women’s restraint with the man’s loss of control. In the space of only a few lines, the power of love and lust are demonstrated in a neat exchange of words unspoken.
Correlates of Mean Platelet Volume and Psychosocial factors in cases of Attempted Suicide: Study from a Rural Medical College of Central India
Authors: Mishra Kshirod K.  , Pawar Gaurav B.  
Published: December 2024

Background: Suicide attempts have become a major mental health concern, with increasing rates in recent years. There is a clear connection between suicide attempts and depression. Many studies suggest that people suffering from depression show increased platelet activity. However, the changes in mean platelet volume (MPV) in individuals with attempted suicide have not been well-studied in the Indian setup. Understanding the psychosocial and biological factors is crucial for effective prevention and intervention strategies. This study aims to explore the relationship between clinical and psychosocial factors and MPV in individuals with attempted suicide. Methodology: This was a hospital-based, descriptive, observational, cross-sectional study. Data was collected from 150 consecutive referrals of suicide attempt cases to the psychiatry outpatient department from January 2021 to December 2021 after obtaining informed consent. Socio-demographic information was gathered using a semi-structured proforma. Clinical and psychological evaluations were conducted using the Beck Suicidal Intent Scale (BSI), Beck Depression Inventory (BDI), and the Presumptive Stressful Life Events Scale (PSLE). MPV values were obtained from complete blood count reports using the Beckman Coulter method. Results: In this study, 150 individuals who attempted suicide were assessed, with a majority being male (70%). The most common method of attempt was pesticide consumption, accounting for 88.7% of cases. Depression was present in 27.3% of these cases. We found a significant positive correlation between the severity of depression ( p < .001) and the level of suicidal intent ( p < .05). Additionally, patients with depression had significantly higher MPV levels ( p < .05) compared to those without depression. Conclusion: Our findings highlight the link between suicide attempts and increased platelet activity, emphasizing the need for further research to understand the biological markers associated with suicide risk. This understanding could lead to better prevention and intervention strategies, ultimately helping to save lives.
Electroacupuncture pretreatment at ST36 alleviates acute gastric mucosal lesions induced by water immersion restraint stress through the TRPV1/SP/CGRP/NO pathway in rats
Authors: Jiang Qun , Guo Mingyan , Guo Lingsong , Ling Qiong , Xie Chuangbo , Li Xiangyu , Zhao Gaofeng , Tu Weifeng 
Published: December 2024

Objective: The aim of this study was to determine the impact of electro-acupuncture (EA) pretreatment on the progression of acute gastric mucosal lesions (AGMLs) induced by water immersion restraint stress (WIRS) and explore the related mechanisms including the transient receptor potential vanilloid (TRPV)1 signaling pathways. Methods: Rats treated with EA for 4 days were subjected to WIRS for 6 h. Microscopic lesions, oxidative stress and TRPV1, substance P (SP), calcitonin gene-related peptide (CGRP) and nitric oxide (NO) levels in the dorsal root ganglion (DRG) and gastric tissues were detected. Results: The results indicated the development of AGMLs with a substantial increase of TRPV1/SP in the DRG and TRPV1/SP/MDA (malondialdehyde activity) in the stomach, and a significant decrease in CGRP/NO/SOD (superoxide dismutase) in gastric tissues, using a combination of real-time reverse transcription polymerase chain reaction, Western blotting and enzyme-linked immunosorbent assay. Conclusion: The TRPV1 signaling pathways likely play an important role in the pathogenesis of AGML. In addition, EA pretreatment protected gastric mucosa lesions induced by WIRS by reducing the expression of TRPV1/SP in the DRG and gastric mucosa, as well as up-regulating gastric CGRP/NO. Antioxidant mechanisms are likely to at least partially mediate the protective effects of EA against AGML.
Predicting Behavioural Intention Towards Electric Vehicle Adoption in India: A Unified TAM-SOBC Framework
Authors: Rani Priya , Pannu Sonia , Dalal Garima , Vyas Pooja , Khurana Tripta 
Published: December 2024

Purpose: The research explores the consumers’ behavioural intention towards electric vehicle adoption (EVA) specifically in the Indian milieu. It examines the impact of social influence (SI), facilitating conditions (FC) and knowledge about electric vehicles (EVs) on the consumers’ perceptions, further affecting their behavioural intention to adopt EVs. Methodology: This empirical research extends the traditional Technology Acceptance Model (TAM) within the Stimulus-Organism-Behaviour-Consequence (SOBC) framework to predict the consumers’ behavioural intention to adopt EVs. A cross-sectional analysis of data collected from 288 respondents is done employing partial least squares-based structural equation modelling. Findings: The findings of the research ratified all the hypothesised relationships establishing the sufficiency of the proposed framework. Outcomes emphasised that SI, FCs and knowledge about EVs significantly contribute to shaping positive consumers’ perceptions, ultimately leading to willingness to pay a premium (WTPP) price for EVs. Practical implications: The results offer intriguing implications for marketers and policymakers to speed up the adoption of EVs in emerging markets. It delivers valuable insights into how people with favourable adoption intentions in developing nations (like India) are willing to pay a premium for EVs, despite a low per capita income. Originality/Value: The current study adds value to the existing literature as it is the first study attempting to explore the intention to adopt EVs in an emerging market by integrating TAM within the SOBC framework.