bluuebunny/crossref_metadata_2025_split huggingface dataset:
Productive engagement of older adults in China: A multilevel analysis
Authors: Sia Bik‐Kai , Tey Nai‐Peng , Goh Kim‐Leng , Ng Sor‐Tho 
Published: October 2021

AimThis study investigates how the personal characteristics and behavior, and health status of older adults in China influenced their productive engagement in paid and unpaid jobs.MethodsData for this analysis came from 2002, 2005, 2008 and 2011 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). We used a random intercept multilevel multinomial logit model to analyze data from 3208 older adults aged 65 from the 2002 wave, which decreased to 1385 in 2011. The main study variable is older adults' engagement in paid jobs and unpaid work (including housework, care‐taking, poultry farming, and planting vegetables that have an economic value).ResultsThere was a strong association between older adults' productive engagement and their functional limitations to daily living activities, health and healthy behavior. Older adults with inadequate finance were more likely to be working to support themselves. Those who exercised less and living in the provinces with higher GDP were less likely to work post‐retirement. Chronic diseases, advances in age, no education and rural residence did not deter older adults from doing unpaid work.ConclusionOlder adults in China were actively engaged in paid and unpaid activities. Efforts to support the active engagement of older adults require all stakeholders to promote healthy living, facilitate social engagements and provide an age‐friendly work environment. Geriatr Gerontol Int 2021; 21: 1138–1146.
Inpatient cardiac care for acute coronary syndromes in the Top End of Australia
Authors: Eng‐Frost Joanne , Marangou James , McMurdock Nathanial , Kangaharan Nadarajah , Ilton Marcus , Wing‐Lun Edwina 
Published: October 2021

AbstractBackgroundDisparities in cardiovascular outcomes between Aboriginal and Torres Strait Islander Australians and non‐Indigenous Australians persist. This has previously been attributed to a combination of differences in burden of cardiovascular disease risk factors, and inpatient access to guideline‐recommended care.AimsTo assess differences in inpatient access to guideline‐recommended acute coronary syndrome (GR‐ACS) treatment between Aboriginal and Torres Strait Islander and non‐indigenous patients admitted to Royal Darwin Hospital (RDH) with index ACS event.MethodsThis retrospective study included index ACS admissions (n = 288) to RDH between January 2016 and June 2017. Outcomes included rates of coronary angiography, percutaneous coronary intervention (PCI), surgical revascularisation, GR‐ACS medications prescribed on discharge and short‐term outcomes (30‐day mortality and ACS readmissions; 12‐month all cardiac‐related readmissions).ResultsTwo hundred and eighty‐eight patients, including 109 (37.85%) Aboriginal and Torres Strait Islander patients, were included. Compared with non‐indigenous patients, they were younger (median age 48 years vs 60 years; P < 0.01), with a greater burden of comorbidities, including diabetes (39% vs 19%; P < 0.01), smoking (68% vs 35%; P < 0.01) and chronic kidney disease (29% vs 5%; P < 0.01). There were no differences in rates of coronary angiography (98% vs 96%; P = 0.24) or PCI (47% vs 57%; P = 0.12), although there was a trend towards surgical revascularisation in Aboriginal and Torres Strait Islander patients (16% vs 8%; P = 0.047). There were no differences in 30‐day mortality (1.8% vs 1.7%; P = 0.72), 12‐month ACS readmissions (7% vs 4%; P = 0.20) or 12‐month cardiac‐related readmissions (7% vs 13%; P = 0.11).ConclusionsAboriginal and Torres Strait Islander patients received similar inpatient ACS care and secondary prevention medication at discharge, with similar short‐term mortality outcomes as non‐indigenous patients. While encouraging, these outcomes may not persist long term. Further outcomes research is required, with differences compelling consideration of other primary and secondary prevention contributors.
Supervisory and administrative staff's perspectives of self‐directed supports for people with intellectual and developmental disabilities
Authors: Kim Kyung Mee , Meyer Nichole , Hall‐Lande Jennifer , Freeman Rachel 
Published: October 2021

AbstractBackgroundSelf‐directed supports (SDS) are a model of disability service delivery that focuses on supporting increased decision‐making authority and budget autonomy for people with disabilities and their families. This study identifies supervisory and administrative staff's perspectives within a self‐directed, individualised budgeting programme for people with intellectual and developmental disabilities.MethodData were collected through 28 face‐to‐face interviews with supervisory and fiscal administrative staff in Minnesota, USA.ResultsA qualitative analysis of these interviews resulted in four major themes: (1) the benefits of SDS, (2) the relationship between SDS and person‐centred strategies, (3) the perception that a natural tension arises when balancing person‐centred approaches with the need for consistent and fair state policy—including rules and regulations within state systems and (4) the unique challenges related to SDS benefits and challenges occurring across Minnesota.ConclusionsThe results indicate the importance of providing effective communication and training to all stakeholders.
Regional circular economy of building materials: Environmental and economic assessment combining Material Flow Analysis, Input‐Output Analyses, and Life Cycle Assessment
Authors: Meglin Ronny , Kytzia Susanne , Habert Guillaume 
Published: October 2021

AbstractThe construction industry is responsible for large quantities of construction and demolition waste and almost 50% of the worldwide annual resource consumption, putting the environment, its natural resources, and ecosystems under high pressure. Therefore, governments are implementing regional policies that support a circular economy (CE). But how do we know whether these developments will lead to a shift toward a CE on a regional scale? How can we identify hotspots in a value chain and regional economy to support decision‐makers and to develop regional policies? We propose an integrated assessment method that considers indicators for environmental impacts and economic benefits by combining Material Flow Analysis (MFA) and Life Cycle Assessment (LCA) with Input‐Output Analysis (IOA) as the connecting element. It provides the necessary data and indicators for a holistic and comprehensive evaluation of a region or industry. We demonstrate its benefits and limitations taking the Swiss canton of Aargovia as an example. We analyze which processes in the material flow system of construction minerals are decisive for formulating mass‐related or financial policies encouraging a CE. We show that a shift toward a CE can only be captured by combining material and money flows in a joined model, because a significant increase of services—mainly waste management—is a core element in this development. It can only be covered sufficiently by combining environmental and economic assessment. Our model captures the degree to which a regional economy is advanced in the transition toward a CE to compare different regions or analyze scenarios of future developments.
Existential phenomenology as a unifying philosophy of science for a mixed method study
Authors: Pedersen Birgith , Grønkjær Mette , Delmar Charlotte 
Published: October 2021

AbstractThis article discusses how existential phenomenology may serve as a frame in a mixed‐methods study of changes in weight and body composition among women in adjuvant treatment for breast cancer. In accordance with ontologically and epistemologically fundamental assumptions in nursing, we link mixed‐methods and existential phenomenology from the perspective of the French philosopher Maurice Merleau‐Ponty and his notion of a unified body subject. Letting this perspective permeate our philosophy, methodology and issues at the method level in mixed‐method research undermines the distinction between first‐ and third‐person perspective when applying and integrating different data sources in a mixed‐methods study. Applying Merleau‐Ponty's third way, the women's bodily experiences appear as gestalt; a ‘figure’ against a ground of existential threats that are grasped through insight from data integrating in joint displays, which revealed the women's experiences on a deep existential level. Existential phenomenology as a frame in mixed‐method studies can speak not only to nurses but also to a multidisciplinary audience in a shared attempt to deepen the understanding of a patient's healthcare problem.
The value of remote care in the reduction of healthcare utilization in implantable cardioverter‐defibrillator patients
Authors: van Steenbergen Gijs , Ben Jaddi Oumaima , Theuns Dominic , van Veghel Dennis , Dekker Lukas , Simmers Tim 
Published: October 2021

AbstractBackgroundMinimal evidence is available of the reduction in healthcare utilization of remote care in ICD patients over a longer period of follow‐up.ObjectivesThis study compared healthcare utilization up to 3 year follow‐up in implantable cardioverter‐defibrillator (ICD) patients with remote care compared to conventional care.MethodsWe conducted a retrospective cohort study of patients who received a single or dual‐chamber ICD or cardiac resynchronization therapy‐defibrillator (CRT‐D) between 2016 and 2018. Patients with remote care and patients were compared with patients with received conventional care (control group). The primary endpoint was a composite of cardiac follow‐up visits, ICD follow‐up visits, telephone consultations, emergency department (ED) visits and hospital admissions and was defined as total healthcare utilization. The secondary endpoints were the individual care activities and one‐year all‐cause mortality.ResultsA total of 497 patients were included in the study, of which 299 patients were allocated to the remote care and 198 patients to the control group. Mean follow‐up was 815 ± 279 days. Remote care was associated with a significantly lower rate of adjusted total healthcare utilization in comparison to the control group that sustained for 3 subsequent follow‐up years (IRR = 0.78, 95% CI [0.67 to 0.92], p < .01). One‐year all‐cause mortality was similar between the remote care and control group (respectively 3.0% vs. 5.5%, p = .29).ConclusionsCompared to the standard follow‐up of in‐office care, a remote care program was associated with a sustained lower rate of planned and unplanned healthcare utilization up to 3 subsequent years after ICD/CRT‐D implantation.
Three decades' analysis of pediatric liver transplantation outcomes reveals limited long‐term improvements
Authors: Bakhtiyar Syed , Batra Anjay , Malik Tahir , Cotton Ronald , Galvan N. Thao , O’Mahony Christine , Goss John , Rana Abbas 
Published: October 2021

AbstractBackgroundThe aim of this study was to assess improvements in long‐term survival of pediatric patients after liver transplantation by analyzing outcomes in transplant recipients who survived beyond 1 year after transplantation. There has been a marked increase in the 1‐year survival of pediatric patients, from 78% in transplant recipients between 1987 and 1990 to 95% in transplant recipients between 2011 and 2017. The long‐term outcomes have not seen a similar trend, creating a disparity that warrants analysis.MethodsWe analyzed 13 753 pediatric patients who survived for 1 year after receiving orthotopic liver transplantation between 1987 and 2017. The study period was divided into six eras. Outcomes were analyzed using the Kaplan–Meier method for time‐to‐event analysis, and multivariable Cox regression.ResultsThere were no significant gains in long‐term outcomes among 1‐year survivors over the past three decades. Log‐rank tests for equality of survivor functions between each era and 1987–1990 were not statistically significant. Cause of death analysis revealed that although infections caused 20.6% of deaths in patients transplanted between 1987 and 1990, this number dropped to 5.6% in those transplanted between 2011 and 2017 (p = .01). Malignancy caused 10.6% of deaths in 1987–1990 but caused 22.2% of the deaths in 2011–2017 (p = .04).ConclusionDespite the gratifying gains in short‐term survival of pediatric patients, 1‐year survivors have no significant improvements in long‐term survival after undergoing a liver transplantation. Long‐term sequelae of immunosuppression, such as malignancy and infection, continue to be the most common causes of death. This study highlights the necessity for better long‐term management of immunosuppression.
Floral traits and reproductive success variation among inflorescence orders in Eryngium maritimum
Authors: Cortés‐Fernández I. , Cerrato M. D. , Ribas‐Serra A. , Gil Vives L. 
Published: October 2021

Abstract

Eryngium maritimum L. is considered a key species in dunes of the western Mediterranean. Although Northern European populations are endangered, the Mediterranean populations show a good conservation status, despite a lack of studies of the reproductive requirements and strategies of this species. This study aims to analyse the reproductive biology of a population of E. maritimum in the western Mediterranean (Balearic Islands, Spain), specifically focusing on differences in morphometric and reproductive traits among inflorescence orders.

Capitulum size, number of flowers, fruit set and seed set were analysed to evaluate the morphological and reproductive differences among inflorescence orders. The association between subterranean development and investment in reproductive structures was also studied along the dune location. Breeding system was analysed, evaluating self‐pollination capacity at capitulum level and the pollen/ovary ratio. Finally, floral visitors were assessed.

Morphometric and reproductive traits showed a decline in size and production from early to subsequent inflorescence orders. A correlation between width of stem base (caudex) and number of reproductive structures was observed, whereas seashore distance did not affect the reproductive development. Flowering occurred during summer, from May until late July, while fructification took place from the middle of August until the last days of September. Pollinator exclusion treatments induced a fruit and seed set decline. Twenty‐one species of floral visitor were found.

First and second inflorescence orders contributed to the generation of seeds, displaying high fruit and seed production, while other inflorescence orders seemed to attract pollinators. Reproductive and non‐reproductive development could depend on the capacity to reallocate resources from underground to aerial structures, which seemed to be superior in samples with highly developed caudices. In the studied population, inner areas closest to the seashore showed a delay in anthesis, which could be related to microclimate differences along the coast‐to‐inland gradient. Pollination is strongly entomophilous and showed low levels of self‐compatibility at capitulum level. Considering these results, for habitat conservation the reported microclimate diversity should be taken into consideration, with a focus on conservation of the pollinator populations
Comparison of quality of life in end‐stage renal disease patients undergoing hemodialysis and peritoneal dialysis in a Moroccan city
Authors: Chrifi Alaoui Amina , Touti Wiam , Al Borgi Yassine , Sqalli Houssaini Tarik , El Rhazi Karima 
Published: October 2021

AbstractPurposeEnd‐stage renal disease patients (ESRD) generally complain about a poor quality of life (QOL). The current study aims to describe and compare ESRD patients' QOL according to dialysis modalities (hemodialysis [HD] and peritoneal dialysis [PD]).MethodsThis is a cross‐sectional study, conducted in dialysis facilities of a Moroccan university hospital, during October 2018. All adult ESRD patients, treated either by HD or PD for more than 3 months and agreeing to participate, were included. Medical data were collected using a questionnaire, whereas the QOL data were collected using the Kidney Disease Quality of Life Short Form (KDQOL SF v 1.3) scale previously validated in dialectal Arabic. The patients' characteristics and QOL data were compared between dialysis modalities (HD vs. PD), using a linear regression, before and after adjustment on several demographic and medical factors as well as a propensity score created to reduce the effect of confounding factors related to the choice of the treatment.ResultsOut of the 91 included patients (50.5% of men, median age 52.0 (IQR [36.5; 62.0]) years), 71 were on HD and 20 were on PD. The highest subscale score, for all participants, was the social support's one with a median of 83.3 (IQR [66.7; 100]), and the lowest one was the kidney disease burden with a median of 25.0 (IQR [0.00; 46.9]). The univariate analysis showed that the Physical Component Score (PCS), the cognitive function, and the dialysis staff encouragement were better in PD patients (p = 0.03, p = 0.04, and p = 0.007, respectively), while the multiple linear regression indicates that the PCS, the dialysis Staff encouragement, and the patient's satisfaction subscores decreased within patients on HD compared with those on PD (p = 0.01, p = 0.03, and p = 0.02, respectively) and that the burden of the kidney disease and the work status subscores increased within patients on HD against those on PD (p = 0.007 and p = 0.04, respectively).ConclusionThis study showed a significant difference between dialysis modalities in some sides of quality of life.
The Association Between Active Transportation and Serum Total 25-Hydroxyvitamin D Levels Among US Childbearing-Aged Women
Authors: Hong Jia-Pei , Lee I-Min , Vasunilashorn Sarinnapha M. , Baer Heather J. , Charoenpong Prangthip , Lee Chih-Hong 
Published: October 2021

Background: Serum total 25-hydroxyvitamin D (25[OH]D) and physical activity (PA) both play important roles in maternal–fetal health. However, a high prevalence of vitamin D and PA insufficiency has been observed in women of childbearing age. Active transportation may increase overall PA levels and potentially boost serum 25(OH)D levels. Methods: Data from the National Health and Nutrition Examination Survey between 2007 and 2014 were used. A total of 5601 women aged 18–49 years were included. Transportation PA (TPA) was quantified as metabolic equivalents of task and serum 25(OH)D levels was measured. Multivariable logistic regression models adjusted for potential confounders were conducted. Results: The corresponding adjusted odds ratios associated with vitamin D insufficiency (<50 nmol/L) were 1.09 (95% confidence interval, 0.87–1.37) for 1 to 499 MET minutes per week of TPA, 0.69 (0.52–0.91) for 500 to 1000 MET minutes per week of TPA, and 0.95 (0.72–1.26) for >1000 MET minutes per week of TPA, respectively, compared with no TPA. Using vitamin D deficiency (<30 nmol/L) as the outcome led to similar results. The association between TPA and serum 25(OH)D levels was more robust in high sedentary time. Conclusions: A moderate level of TPA is related to lower odds of suboptimal vitamin D status among women of childbearing age.
“Beyond the Rink”: A Multilevel Analysis of Social Identity Behaviors Captured Using the Electronically Activated Recorder
Authors: Herbison Jordan D. , Martin Luc J. , Benson Alex J. , McLaren Colin D. , Slatcher Richard B. , Boardley Ian D. , Sutcliffe Jordan , Côté Jean , Carré Justin M. , Bruner Mark W. 
Published: October 2021

This study used ecological sampling methods to examine associations between youth athletes’ experiences receiving and engaging in behaviors indicative of in-group ties, cognitive centrality, and in-group affect (i.e., social identity) during a 3-day competitive ice hockey tournament. Forty-five youth (Mage = 12.39 years; SDage = 1.14 years; 94% male) from nine teams wore an electronically activated recorder that captured brief (50-s) audio observations throughout the tournament. Participants also completed daily diary questionnaires for each day of competition. Multilevel structural equation modeling demonstrated that athletes were more likely to engage in behaviors indicative of in-group affect and cognitive centrality on days when they received as higher-than-average frequency of behaviors indicative of cognitive centrality from teammates, coaches, and parents. The findings suggest that when team members interact in ways that demonstrate they are thinking about their team, they influence fellow members to behave in ways that promote a sense of “us.”
From Counting to Retrieving: Neural Networks Underlying Alphabet Arithmetic Learning
Authors: Fias Wim , Sahan Muhammet Ikbal , Ansari Daniel , Lyons Ian M. 
Published: October 2021

Abstract
This fMRI study aimed at unraveling the neural basis of learning alphabet arithmetic facts, as a proxy of the transition from slow and effortful procedural counting-based processing to fast and effortless processing as it occurs in learning addition arithmetic facts. Neural changes were tracked while participants solved alphabet arithmetic problems in a verification task (e.g., F + 4 = J). Problems were repeated across four learning blocks. Two neural networks with opposed learning-related changes were identified. Activity in a network consisting of basal ganglia and parieto-frontal areas decreased with learning, which is in line with a reduction of the involvement of procedure-based processing. Conversely, activity in a network involving the left angular gyrus and, to a lesser extent, the hippocampus gradually increases with learning, evidencing the gradual involvement of retrieval-based processing. Connectivity analyses gave insight in the functional relationship between the two networks. Despite the opposing learning-related trajectories, it was found that both networks become more integrated. Taking alphabet arithmetic as a proxy for learning arithmetic, the present results have implications for current theories of learning arithmetic facts and can give direction to future developments.
Antennas Up! Laura Nader’s Undergraduate Lecture Courses as Public Anthropology
Authors: Harms Erik 
Published: October 2021

Abstract
While teaching lecture courses at the University of California, Berkeley, Laura Nader taught generations of students to raise their anthropological antennae. This article uses an autoethnographic approach to describe the author’s exposure to anthropology at Berkeley in the nineteen-nineties, gesturing towards the way undergraduate lecture courses play an important but largely underrecognized role in fostering public anthropology. Nader’s lecture courses were particularly effective at this because their focus on pushing students to question dogma and analyze controlling processes offered students a sense of how anthropology could foster critical public discourse. Nader stressed the importance of asking good questions designed to challenge assumptions, finding the right methods to answer those questions, and paying attention to pathways of power. While always questioning received wisdom, ideological assumptions, and Western categories of knowledge, Nader continued to stress the importance of developing straightforward, highly-accessible concepts that captured the attention of students—like Harmony Ideology, trustanoia, controlling processes, and the vertical slice.