bluuebunny/crossref_metadata_2025_split huggingface dataset:
What target language use characterizes high-performing L2 learners in a migration context?
Authors: Arvidsson Klara , Forsberg Lundell Fanny , Zakrzewska Marta , Jemstedt Andreas 
Published: November 2024

Aims and Objectives/Purpose/Research Questions: Previous studies have investigated if quantity of target language (TL) use predicts second language (L2) learning. The aim of this study is to understand what kind of TL use promotes host language proficiency among adults in the context of migration, operationalized as productive collocation knowledge. Design/Methodology/Approach: The study takes a cross-sectional quantitative approach to explore what clusters of TL activities predict language proficiency among 63 first language (L1) French L2 Swedish long-term residents in Sweden. Data and Analysis: Data were collected within a larger project. Productive collocation knowledge was assessed by a collocation test and participants’ TL use through the Language Engagement Questionnaire. We conducted a factor analysis to identify patterns of TL use. We then used structural equation modeling to investigate the relationship between TL use and productive collocation knowledge. Findings/Conclusions: Two factors emerged from the factor analysis: “Everyday Interactive Target Language Use” and “Non-interactive Target Language Use.” Only the former was related to productive collocation knowledge as evidenced by the structural equation modeling. “Everyday Interactive Target Language Use” included using the TL at the workplace, in conversations and service encounters, through text messages and emails, participating in online social network platforms, and browsing the internet. Originality: The study explores what specific kind of TL use promotes second language proficiency among adults in a migration context. This is a topic that has not received much attention in previous research. Significance/Implications: By showing that proficient L2 users engage daily with the TL through, for example, social interactions and language use at work, the study points toward the importance of a certain level of socio-economic as well as socio-cultural integration for efficient second language learning among adults in a migration context.
The effectiveness of home-based transcranial direct current stimulation on chronic pain: A systematic review and meta-analysis
Authors: Antonioni Annibale , Baroni Andrea , Fregna Giulia , Ahmed Ishtiaq , Straudi Sofia 
Published: November 2024

Objective As highlighted by the COVID-19 pandemic, identifying strategies for home-based patient management is crucial. As pain is highly prevalent and imposes significant burdens, interest in its remote management is steadily increasing. Transcranial Direct Current Stimulation (tDCS) seems promising in this context. Methods This systematic review and meta-analysis aimed to determine the effectiveness of home-based tDCS in pain management (PROSPERO, CRD42023452899). The extracted data included clinical conditions, interventions, comparators, outcome measures, adverse effects, and risk of bias; the Grading of Recommendations Assessment, Development and Evaluation (GRADE) assessment was carried out. Results 12 records (9 randomized controlled trials [RCTs], 446 participants, 266 undergoing tDCS) were included in the systematic review. The meta-analysis showed that home-based tDCS might produce large and clinically relevant improvement in chronic pain intensity at the end of the intervention (standard mean difference [SMD] −0.95, 95% CI −1.34 to −0.56; p < 0.01; 404 participants, low certainty), as well as small clinically unimportant improvement at short-term follow-up (SMD −0.50, 95% CI −0.82 to −0.19; p < 0.01; 160 participants, moderate certainty). A subgroup analysis showed that it might clinically improve the chronic pain related to fibromyalgia and knee osteoarthritis. Moreover, home-based tDCS seems to modulate pressure pain threshold, heat pain threshold, and heat and cold tolerance at the end of the intervention. Notably, tDCS appeared to be generally safe, well-accepted and easily applied at home. Conclusions Low to moderate certainty evidence suggests that home-based self-administered tDCS is a safe and effective tool for managing various types of chronic pain. Further well-designed, large-scale RCTs are warranted.
Nurse-Led Mobile Phone Intervention to Promote Self-Management in Type 2 Diabetes in Ghana: A Randomized Controlled Trial
Authors: Asante Ernest , Carter Gillian , McAneney Helen , Bam Victoria , Sarfo-Kantanka Osei , Prue Gillian 
Published: November 2024

Purpose The purpose of the study was to test the effectiveness of a nurse-led mobile phone intervention (NMPI) on glycemic variability and self-management among people living with type 2 diabetes (T2DM) in Ghana. Methods In this randomized controlled trial, the intervention group received a 3-month NMPI program plus standard care, and the control group received standard care alone in a tertiary health care setting. Ninety-eight participants (baseline A1C > 7%) were randomized 1:1 to either NMPI or standard care group. The primary study outcomes were changes in A1C testing and self-management assessed using the Summary of Diabetes Self-Care Activities tool at baseline and end of the study. Results The intervention group had statistically significant improvement in their mean A1C level from baseline to the end of the study. In comparison, the control group also had improvement in their mean A1C level but was not statistically significant. Consistently, the intervention participants had better statistically significant improvements in self-management behaviors than the control group. There was a medium, negative correlation between A1C changes and overall self-care changes for the intervention group, whereas that of the control group was smaller. Conclusions Study findings have shown that a tailored NMPI program in addition to standard care could improve glycemic variability and self-management among people living with poorly managed T2DM in Ghana better than standard care alone.
Simplified calculation model for typical Dou-gong under horizontal load
Authors: Chen Qi , Chun Qing , Li Pan , Zhang Chengwen , Jia Xiaohu , Lin Yijie , Hua Yiwei 
Published: November 2024

AbstractDou-gong is important component of ancient timber buildings in China, Japan, and South Korea, etc. It has important decoration and load transferring functions. Due to its complex structure, Dou-gong is difficult to be fully analyzed in large-scale structured. Therefore, it is necessary to establish a reliable and simplified Dou-gong calculation model. In this study, some traditional Chinese timber buildings built in the Song and Yuan dynasties (960–1368 AD) are investigated, and the characteristics of the typical Dou-gong model are obtained. Experimental study and refined finite-element analysis of the typical Dou-gong model is then carried out to study the load transferring mechanism under horizontal load. Then, the load path is extracted from the force-flow perspective to establish a simplified beam element model. The simplified model is then numerically and experimentally verified. The results show that the simplified model has a good consistency with the experimental model, and it is suitable for large-scale structural analysis of ancient timber buildings.
3D morphometric analysis of the epiglottis using CBCT: age and gender differences
Authors: Özeren Keşkek Ceren , Aytuğar Emre 
Published: November 2024

Abstract
Background
This study aimed to perform a comprehensive morphometric analysis of the epiglottis using cone-beam computed tomography (CBCT) images, including the determination of epiglottis dimensions, the investigation of shape variations, and the assessment of their relationship with gender and age.

Methods
A retrospective analysis was conducted on high-quality CBCT images from 100 patients, obtained using the NewTom 5G system. In CBCT images, epiglottis thicknesses (right, midline, left) and horizontal angle at three levels (suprahyoid, hyoid, infrahyoid) were measured in axial sections, while the length and vertical angle of epiglottis were measured in midsagittal view. Epiglottis shapes were identified through 3D visualization.

Results
The midline epiglottis thicknesses were 4.68 mm at the suprahyoid level, 5.51 mm at the hyoid level, and 6.80 mm at the infrahyoid levels. Epiglottis thicknesses and length were statistically significantly greater in males. Of the 100 patients, 51 had a normal curvature, 41 had a flat epiglottis, and 8 had an omega epiglottis. The omega-shaped epiglottis was significantly longer compared to both the flat and normal curvature types (p = 0.011). There was a positive correlation between age and epiglottis thicknesses at the suprahyoid level and horizontal angles at three levels.

Conclusions
This study visualizes epiglottis morphology and uncovers significant morphometric differences. Males exhibit greater epiglottis thickness and length compared to females, while the omega-shaped epiglottis is notably longer than other types. These findings underscore the need for further investigation into the clinical relevance of these morphometric differences, particularly in improving airway management and refining approaches to swallowing function.
Effect of a playful parenting programme on early childhood development and care outcomes of young children in vulnerable communities: findings from a quasi-experimental study
Authors: Sargsyan Viktoria , Walea Harriet , Mahat Bal , Tamale Robert , Chaudhary Ramdhani , Birungi Janet , Marasini Sabina , Thapa Nisha , Kuikel Bihari Sharan , Karmacharya Biraj , Rasheed Muneera A. 
Published: November 2024

Abstract
Background
World Vision launched the Inclusive Playful Parenting for a Brighter Childhood (IPP4BC) project in identified vulnerable communities in Nepal and Uganda to mitigate risk for children at risk of poor development due to COVD 19. The intervention, based on the nurturing care framework, offered a customized parenting curriculum for young children, emphasizing holistic development through behavior change approaches tailored to local contexts.

Objective
To evaluate the effect of the IPP4BC project, on early childhood development (ECD) and care outcomes of children under 6 years in vulnerable communities in Nepal and Uganda, particularly those affected by the COVID-19 pandemic.

Methods
The intervention was delivered by trained facilitators over a 7-month period in different arms defined by the dosage: high (10 group sessions, 4 home visits) medium (5 group sessions, 2 home visits) or low (delivery of key messages through media) dose. An endline evaluation designed as quasi-experimental non-equivalent control groups post-test only study, assessed the effect of the project utilizing the Malawi Development Assessment Tool (MDAT) for child outcomes and the Multiple Indicator Cluster Survey (MICS) for caregiver outcomes. Additionally, an implementation survey was conducted to assess program fidelity and participant engagement.

Findings
In Nepal, higher intervention doses were associated with significantly better child development outcomes (High dose M = 1.20, SD = 2.22, Medium dose M = 1.01, SD = 1.99; Low dose M = 0.43, SD = 2.32, p < 0.001) whereas in Uganda, only medium dose (M = -0.03, SD = 1.28) showed significant improvement (High dose M = -0.30, SD = 1.30; Low dose M = -0.28, SD = 1.51, p = 0.015). A higher proportion of caregivers in both high and medium dose reported engagement with early learning practices compared to low dose. With respect to uptake, in Nepal, a higher number of families received home visits compared to group sessions, while in Uganda, more families reported attending group sessions than receiving home visits.

Conclusion
The study demonstrated that higher intervention doses were associated with better child development outcomes in Nepal and only with medium dose in Uganda, emphasizing the importance of implementation factors like dosage, quality and delivery modality in community-based interventions for improving ECD outcomes in vulnerable populations.
Effect of households’ members disability and serious illness on public health insurance subscription among urban refugees during the COVID-19 pandemic in Kenya
Authors: Oyekale Abayomi Samuel , Molelekoa Thonaeng Charity 
Published: November 2024

Abstract
Background
The adverse selection theory speculates a high level of demand for health insurance by people with vulnerable health conditions. However, the COVID-19 pandemic changed the prevailing narratives and pattern of healthcare utilization in many African countries. This study estimated the effects of household member’s disability and presence of serious illness on the probability of National Hospital Insurance Fund (NHIF) subscription with the average treatment effect (ATE) and average treatment effect on the treated (ATET).

Methods
The data were collected telephonically in 2020 using the sampling frame of the United Nations High Commission on Refugees (UNHCR). The respondents were refugees with active phone numbers who were registered by the UNHCR in Nairobi, Mombasa and Nakuru cities. A total of 2,438 completed the surveys. The data were analysed with Treatment Effects Probit regression model using the regression adjustment estimator.

Results
The results showed that 24.89% of the respondents had health insurance. Also, 3.28%, 1.39% and 2.46%, respectively suffered from physical, cognitive and sensory disability, while 8.28% had some form of serious illness. The Probit regression results showed that probability of being health insured significantly increased (p < 0.05) with membership of community-based organizations (CBO), asset index, possession of bank savings account, residence in Nairobi and household size, while residence in Nakuru reduced it. The ATE for physical and cognitive disabilities were significant (p < 0.05) with 0.1100 and 0.1816, respectively, while that for serious illness was 0.1046 (p < 0.01). The ATET for physical disability and serious illness were also significant (p < 0.05) with 0.1251 and 0.0996, respectively.

Conclusion
It was concluded that efforts to facilitate NHIF subscriptions among the refugees should be channelled among people with disability and serious illness. In addition, there is the need to promote refugees’ welfare through employment that can induce formal savings and promote less reliance on informal borrowing. The operational mechanisms and differences in healthcare service distribution between the three cities should be considered along some salient interventions for health insurance subscription that are channelled through some CBOs.
The development and effects of a social constructivist approach in an interprofessional discomfort care online education program
Authors: Choi Young-Rim , Lee Ye-NA , Kwon Dai Young , Kim Dayeong , Park Won Hee , Chang Sung Ok 
Published: November 2024

Abstract
Background
The importance of interprofessional education (IPE) programs is increasing due to the complexity and multidimensional aspects of discomfort in long-term care facilities (LTCFs). The social constructivist approach, which is helpful in IPE, has received considerable attention in education. This study aimed to develop and identify the effects of an interprofessional discomfort management online education program using a social constructivist approach.

Methods
Using the Network-Based Instructional System Design model, five steps were employed for online educational program development: analysis, design, production, implementation, and evaluation. We modified the framework of interprofessional discomfort care and a C3 (case-based, collaborative, and contextual learning) instructional model to construct the program. The study used a non-equivalent control group pre-post-test design with 54 interprofessional participants from four LTCFs.

Results
The pre-post outcomes were statistically significant for proactivity in problem-solving (t = − 2.244, p = 0.030), team outcomes (t = − 2.457, p = 0.017), and transactive memory system (t = − 3.229, p = 0.002). The results of the learners’ educational program-related satisfaction were as follows: overall degree of satisfaction, 3.67 ± 0.67; difficulty, 3.56 ± 0.82; suitability for practice, 3.83 ± 0.64, content, 3.69 ± 0.75; and educational method, 3.46 ± 0.86.

Conclusions
These findings support the effectiveness of the social constructivist approach education program for the awareness of discomfort care in LTCF healthcare professionals and can contribute to the improvement of IPE.
I love my job. But it’s physically, mentally, and emotionally draining”: a cross-sectional survey exploring midwives’ intentions of leaving the profession in Melbourne, Australia
Authors: Matthews Robyn P , Newton Michelle S , Hyde Rebecca L , Shafiei Touran , Llewelyn Fleur , Forster Della A 
Published: November 2024

Abstract
Background
Prior to the COVID-19 pandemic there were midwifery workforce deficits reported in Australia, but inadequate workforce data to identify retention and attrition in the profession. In the post-pandemic era, workforce deficits continue. This paper reports on midwives’ intentions to leave the profession and explores reasons for and factors associated with having high intention to leave, to inform strategies that can address retention and attrition of midwives.

Methods
A cross-sectional survey with midwives was conducted in 2017 via an online survey in two maternity care sites in Victoria, Australia. Plans for remaining in or leaving the profession were explored along with reasons for leaving or intending to leave the profession. Other data collected included demographic and workforce characteristics and occupational stressors. Burnout was measured using the Copenhagen Burnout Inventory and job satisfaction using the Midwifery Process Questionnaire. Descriptive statistics, univariate, multivariate analyses, and content analysis were used for data analysis.

Results
Of the 326 respondents (326/508, 64%), over half had considered leaving the midwifery profession in 12 months prior to the study, 20% had thought about leaving frequently and 12% were planning on leaving in the next five years. The main reasons for leaving were not wanting to do shift work, feeling worn out, and experiencing work-related stress. Factors associated with a high intention to leave the profession were work-related burnout, poor job satisfaction and a high intention to leave the workplace. Age did not impact intention to leave but was influential on the reasons for leaving.

Conclusions
Pre-pandemic, midwives in Victoria, Australia had a high intention to leave the profession regardless of age. Approaches that address midwifery stress, burnout, and fatigue need to be considered, including developing options that offer employment that does not require shift work. To provide safe quality care that supports positive outcomes for women and their families, an appropriate midwifery workforce must be achieved and maintained. Understanding midwives’ intentions to leave the profession is critical and requires ongoing attention given the workforce is likely to remain under significant stress until the major contributing factors are addressed.
Vital lessons from struggling partnerships and potential partnerships: an international study with leaders across the health sector
Authors: Zwisler Greg , Sauer Christopher Martin , Shoultz David 
Published: November 2024

Abstract
Background
Inter-organizational partnerships and collaborations, used here interchangeably, have growing prominence across the health sector. Successful partnerships have received extensive study. However, especially for partnerships including nonprofit partners, limited attention has been given to negative factors that contribute to struggling partnerships, including failed partnerships, and/or impede potential partnerships, including unexplored and undeveloped potential partnerships. This study aimed to explore these across diverse examples of struggling and potential partnerships considered otherwise worthwhile in principle, according to leaders and managers—in 13 countries across Asia-Pacific, EU+, North America—from diverse roles and settings across the health sector. It also aimed to explore success factors they said contributed to successful partnerships.

Methods
Interviews were conducted with 70 practitioners in 13 countries and a wide range of roles and nonprofit, industry, and government settings, including research institutions, across the health sector. Interviews covered their examples of struggling, potential, and successful partnerships; and, factors. Interview data were analyzed inductively, employing thematic network analysis. Comments underlying themes were reviewed regarding the participants concerned to note range (e.g., regions).

Results
Key findings included: (1) the many negative factors and success factors identified as themes; (2) their occurrence across diverse contexts, including different regions and institutional sectors (i.e., nonprofit, industry, government); (3) the complementarity of negative factors and success factors, with each set placing different emphasis on certain topics and negative factors both broadening the overall range of topics and contributing more to literature; (4) the occurrence of most negative factors with both struggling and potential partnerships. The 255 partnerships and potential partnerships discussed included nonprofit (190/255), industry (112/255), and/or government (140/255) partners. Many spanned two different institutional sectors (147/255); 86/255 spanned one; 20/255 spanned three.

Conclusions
The findings suggest three takeaways for practitioners: (1) factors used to consider partnerships should reflect factors from struggling partnerships and/or potential partnerships, plus successful partnerships; (2) negative factors can highlight opportunities to advance partnerships, individually and systematically; (3) practitioners should consider developing frameworks of factors from literature and experience to facilitate judicious consideration of partnerships and inform approaches, lessons drawn, and potential partnerships sought. Struggling and potential partnerships merit scholarly attention.