bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implicit associations with non‐suicidal self‐injury: Examination in a clinical sample by borderline personality symptomatology
Authors: Steele Stephanie Jarvi , Jaffe Nigel M. , Kelly Claire A. , Björgvinsson Thröstur , Swenson Lance P. 
Published: October 2024

AbstractObjectivesWe examine correlates and predictors for implicit associations with non‐suicidal self‐injury (NSSI) with the Self‐Injury Implicit Association Test (SI‐IAT) in a treatment‐seeking sample. We also examine group differences in the SI‐IAT among those with low/none, moderate and high/clinically significant borderline personality disorder (BPD) symptomatology in a treatment‐seeking sample.MethodsParticipants (N = 111; 58% female; 89% White; Mage = 30.25) completed the SI‐IAT and self‐report measures at two time points.ResultsHigher BPD symptom scores were significantly, positively correlated with implicit identification with NSSI, and predicted NSSI identity when controlling for depression indices, history of NSSI and other covariates. With Time 1 SI‐IAT scores entered as a covariate, BPD scores no longer significantly predicted Time 2 SI‐IAT scores. Individuals with moderate and high/clinically significant symptom counts of BPD had higher/stronger implicit associations with NSSI identity than those with no/low BPD symptoms.ConclusionsIndividuals with symptoms of BPD may implicitly identify with NSSI more than other clinical groups; examination of implicit assessments in BPD in future research is needed to further explore implicit identification with NSSI in this patient group to further understand both cross‐sectional and prospective relations.
Was Anna Freud a “friend of Dorothy”? A queer phenomenological historiography of Anna Freud and Dorothy Burlingham's personal and professional relationship
Authors: Mossop Harriet 
Published: October 2024

AbstractThe nature of Anna Freud and Dorothy Burlingham's 5‐decade‐long personal and professional relationship has always been subject to speculation. This paper considers the historiography of this important and enigmatic relationship from 1920s Vienna to today. Drawing on Sara Ahmed's Queer Phenomenology, which theorises sexual orientation and whiteness in spatial terms, I illustrate how the relationship was seen as deviating from the ‘straight lines’ of mid‐20th century heteronormative society. I extend this queer phenomenological approach to think about cultural orientations to the relationship through an examination of its depiction in biographies published in the 1980s, the collections at the Freud Museums in London and Vienna, and a fictionalised account of Anna Freud's life published in 2014. Extending Ahmed's queer phenomenological vocabulary, I identify examples of ‘straightening up’, ‘straightening devices’ and ‘straightening up by queering’. The possibility of finding ‘queer angles’ in Anna Freud's early clinical writings, in contrast to the normative tendencies of her later writing on ego psychology, is explored as a counterbalance to discussions about non‐normative sexuality and gender in psychotherapy which typically position these as something new. The relevance for clinical practice today is considered through the lens of an ethical imperative to find space for queer angles in the history of psychoanalysis.
Viviana A. Zelizer: Sociologist of the family and intimacy
Authors: Lazarus Jeanne , Pugliese Maude 
Published: October 2024

AbstractThis article is an introduction to the themed section titled, “Viviana A. Zelizer: Sociologist of the Family and Intimacy.” It first reviews the major works of Viviana Zelizer and their significance for the social studies of families and intimacy, underscoring how she has accounted for the interplay between family and economy through a series of objects: life insurance, the assessment of children's value, the social meaning of money, and, more recently, intimacy. The second part of the article describes extensions of Zelizer's work in the fields of family and intimacy studies and presents the four articles featured in the themed section.
Provider costs of treating opioid dependence with extended‐release buprenorphine in Australia
Authors: Settumba Stella , Shahbazi Jeyran , Byrne Marianne , Degenhardt Louisa , Grebely Jason , Larance Briony , Nielsen Suzanne , Lintzeris Nicholas , Ali Robert , Rodgers Craig , Blazey Alison , Weiss Robert , Dunlop Adrian , McDonough Michael , Cook Jon , Farrell Michael 
Published: October 2024

AbstractIntroductionThe costs of providing medication‐assisted treatment for opioid dependence can determine its scale of provision. To provide estimates of the costs of extended‐release buprenorphine (BUP‐XR), we performed a bottom‐up costing analysis of provider operational treatment costs.MethodsData were collected in a single‐arm open label trial of BUP‐XR injections conducted in specialist public drug treatment services and primary care private practices in three Australian states (the CoLAB study). The unit costs of resources used for each activity were combined with quantities used at each participating facility to arrive at the average annual cost per client.ResultsOne hundred participants across the six health facility sites received monthly subcutaneous BUP‐XR injections administered by a health‐care practitioner. The average cost of providing 1 year of treatment per participant was $6656 ($6026–$8326). Screening cost (initial assessment and medical history) was $282 while monthly follow‐up appointments cost $531 per client. The main cost driver was the monthly treatment costs accounting for 79% of the average annual client cost, with medication costs comprising 95% of this cost.Discussion and ConclusionWith medication costs making up the largest proportion of treatment costs, treatment using BUP‐XR has the potential to free up other health system resources, for example, staff time. The costs reported in this study can be used in an economic evaluation to estimate the net benefit or cost‐effectiveness of BUP‐XR especially when compared to other opioid agonist treatments.
Mobilized Resilience and Development under Sanctions in Iran
Authors: Kalb Zep 
Published: October 2024

ABSTRACTHow do states maintain economic development in the face of sanctions? Recent studies have examined economic resilience as a property of a system preceding a shock, leaving unanswered questions about how sanctioned states discipline employers and limit predatory behaviour. Using the case of Iran, this article aims to fill this gap by presenting a model of Mobilized resilience, describing how bottom‐up and top‐down mobilizations can create demand for institutional capacity. Integrating unique qualitative and quantitative material, the author argues that Iran's political elites responded to sanctions by launching top‐down campaigns that appealed to workers, promoted capital–labour unity, and demanded state commitment to development. These campaigns facilitated widespread labour protests that further empowered the state to block capital flight and steer firms onto more profitable, growth‐oriented routes. Labour ‘resistance’ thus unexpectedly helped to realize the Supreme Leader's calls for a ‘resistance economy’. These findings suggest that political support for worker mobilization in the context of sanctions can result in economic benefits, with significant consequences for our understanding of economic statecraft, development and labour movements.
Spatial Nonstationarity in Phenological Responses of Nearctic Birds to Climate Variability
Authors: Tonelli Benjamin A. , Youngflesh Casey , Cox Tyler , Neate‐Clegg Montague H. C. , Cohen Emily B. , Tingley Morgan W. 
Published: October 2024

ABSTRACTClimate change is shifting the phenology of migratory animals earlier; yet an understanding of how climate change leads to variable shifts across populations, species and communities remains hampered by limited spatial and taxonomic sampling. In this study, we used a hierarchical Bayesian model to analyse 88,965 site‐specific arrival dates from 222 bird species over 21 years to investigate the role of temperature, snowpack, precipitation, the El‐Niño/Southern Oscillation and the North Atlantic Oscillation on the spring arrival timing of Nearctic birds. Interannual variation in bird arrival on breeding grounds was most strongly explained by temperature and snowpack, and less strongly by precipitation and climate oscillations. Sensitivity of arrival timing to climatic variation exhibited spatial nonstationarity, being highly variable within and across species. A high degree of heterogeneity in phenological sensitivity suggests diverging responses to ongoing climatic changes at the population, species and community scale, with potentially negative demographic and ecological consequences.
The effectiveness of cryotherapy and cooled topical anesthesia compared with conventional topical anesthesia in alleviating intraoral injection pain: A systematic review and meta‐analysis
Authors: Saeedi Pooya , Sarraf Shirazi Alireza , Ghorbani Mahsa 
Published: October 2024

AbstractBackgroundInjection pain remains a significant concern in dental procedures, often leading to patient anxiety and reluctance to seek necessary care.AimThis study aimed to assess the effectiveness of cryotherapy in reducing injection pain compared with topical anesthesia during intraoral local anesthesia.DesignMEDLINE, Web of Science, EMBASE, Scopus, and Cochrane's CENTRAL databases were searched up to November 2023. Inclusion criteria involved randomized clinical trials aligned with the PICO question. Study selection, data extraction, and risk of bias assessment using the ROB‐2 tool were performed. The results were synthesized through a random‐effects inverse variance meta‐analysis. The primary outcomes assessed were the Visual Analogue Scale (VAS) and Sound Eye Motor (SEM). Subgroup analysis was conducted for children and adults.ResultsIn the meta‐analysis, 31 RCTs involving 2470 subjects were included. Twenty‐seven studies demonstrated cryotherapy's significant superiority over topical anesthesia in reducing injection pain via VAS in adults (p = .01), children (p = .01), and combined age groups (p < .001). Additionally, cryotherapy significantly outperformed topical anesthesia in reducing pain via SEM in children (p = .04) and combined age groups (p = .03) across 13 studies, with no significant difference in adults (p = .51). Furthermore, cooled topical anesthesia also outperformed room temperature topical anesthesia (p < .001). The certainty of the results, however, is of very low quality.ConclusionsOur results indicate that cryotherapy significantly reduces injection pain compared with topical anesthesia, especially in children and combined age groups, but is less effective in adults. Additionally, cooled topical anesthesia is more effective than room temperature topical anesthesia. Thus, cryotherapy is a and potentially superior alternative to topical anesthesia, particularly for children.
Risk Factors for Disease Aggravation in Older Patients With Non‐communicable Diseases: Interpretive Structural and Hierarchical Holographic Modelling
Authors: Sun Yuanqiu , Qu Xiaoyan , Hu Bo , Liu Man , Zhu Xiuli 
Published: October 2024

ABSTRACTAimsThis study aimed to analyse and determine the risk factors of disease aggravation faced by older patients with non‐communicable diseases (NCDs) and their interwoven correlations.DesignWe employed a descriptive and cross‐sectional study, which followed the STROBE guidelines for reporting.MethodsWe conducted a semi‐structured in‐depth interview with 26 older patients with NCDs from a hospital in Qingdao, China between July and August 2022 on the basis of the literature review. Then, we analysed data using the directed content analysis and determined risk factors through a focus group discussion and the Delphi consultation. Afterward, we combined interpretive structural modelling and hierarchical holographic modelling to construct a hierarchical structure model and drew relationship framework diagrams to exhibit diversified risk factors and complex interwoven correlations.ResultsWe identified 30 risk factors from individual, interpersonal, organisational, community and policy levels. The hierarchical structure model constructed by interpretive structural modelling demonstrated a four‐layer structure, and the individual and interpersonal levels were at the highest layer. The relationship framework diagrams demonstrated the identification process of risk factors and interwoven correlations at individual and organisational levels.ConclusionsRisk factors causing disease aggravation amongst older patients with NCDs are diverse. To delay the progression of NCDs, we should comprehensively explore risk factors, interpret the root causes and effects of risks from multiple perspectives and consider the interaction amongst multi‐level risk factors to develop precise measures related to risk control.ImpactControlling risk factors is an effective measure to postpone disease aggravation. Through this study, we provide a scientific and comprehensive basis for clinical risk screening so that healthcare providers can sense potential risk factors for disease aggravation in older patients' surroundings and formulate targeted nursing measures according to the risk factors faced by different patients.Patient or Public ContributionPatients participated in interviews to supplement risk factors included in our study. Experts provided opinions on the inclusion, exclusion and modification of risk factors.
What Determines Healthcare Workers to Seek Professional Psychological Support? A Cross‐Sectional Study
Authors: Wang Hui , Hu Yinhuan , Li Jiayi , Liu Sha , Feng Xiandong 
Published: October 2024

ABSTRACTAimAlthough healthcare workers often experience significant mental health challenges, their willingness to seek professional psychological help remains relatively low. However, the factors associated with healthcare workers' psychological help‐seeking remain unclear. This study aims to identify the determinants of professional psychological help‐seeking intention among healthcare workers based on the theory of planned behaviour.DesignCross‐sectional study.MethodsA questionnaire, incorporating demographic information and latent variable items, was developed and employed on 403 healthcare workers through online and offline surveys from December 2022 to January 2023 using convenience sampling. Structural equation modelling was applied to test the research hypotheses.ResultsThe model explained 46.9% of the variance in help‐seeking intention. Subjective norm had the strongest total association with help‐seeking intention. Attitude towards help‐seeking behaviour, subjective norm and perceived behavioural control were directly positively related to help‐seeking intention. Moreover, self‐stigma, public stigma, perceived barriers and perceived risk were indirectly associated with help‐seeking intention mediated by attitude towards the behaviour and perceived behavioural control. Of the four constructs, public stigma showed the most significant indirect relation to behavioural intention.ConclusionHealthcare workers' intention to seek psychological support is associated with multiple interacting factors, particularly subjective norm and public stigma. Targeted interventions addressing individual and systemic barriers are essential to create a supportive environment for healthcare workers to access mental health services.ImpactThis study identified key barriers and facilitators to healthcare workers seeking psychological support, which can assist authorities in enhancing mental health services and implementing tailored intervention strategies, thereby promoting help‐seeking behaviour among healthcare workers. Moreover, our research reinforces the applicability of the theory of planned behaviour in explaining healthcare workers' intention to seek professional psychological support.Patient or Public ContributionNo patient or public contribution.
(Not) Going Out and Barriers to Leaving the House for People With Intellectual Disabilities Through the COVID‐19 Pandemic in the UK
Authors: Caton Sue , Hatton Chris , Bradshaw Jill , Jahoda Andrew , Kelly Rosemary , Maguire Roseann , Oloidi Edward , Taggart Laurence , Todd Stuart , Hastings Richard P. ,   the Coronavirus and People with Learning Disabilities Study Team
Published: October 2024

ABSTRACTBackgroundPeople with intellectual disabilities commonly experience multiple barriers to ‘going out’.AimsThis paper explores what barriers prevented people from going out, and if the extent and nature of going out changed over time for people with intellectual disabilities as the COVID‐19 pandemic progressed.MethodsData are drawn from a wider study that explored, at four time points, the experiences of people with intellectual disabilities through the COVID‐19 pandemic in the United Kingdom.FindingsThe number of people leaving the house for almost all reasons increased over time through the pandemic, except for some outdoor participation and exercise. However, there was a significant decrease in outdoor exercise at the final time point of the study. Reliance on other people and a lack of availability of support were identified as barriers.ConclusionA combination of factors restricted the extent to which people were going out even after COVID‐19 protections were lifted.
Hospital 4Ms: Documentation and association with patient characteristics
Authors: Welch Sarah A. , Archer Kristin R. , Hymel Alicia M. , Pennings Jacquelyn S. , Schwartz Andrea Wershof , Kang Christy , Qian Edward T. , Duggan Maria C. , Roumie Christianne L. 
Published: October 2024

AbstractBackgroundFor the thousands of health systems recognized as Age‐Friendly, considerable progress has been made to integrate 4Ms into clinical care. This study evaluated associations between 4Ms documentation and patient characteristics in an inpatient setting.MethodsIn this prospective cohort, hospitalizations included were from patients in an Acute Care for Elders (ACE) unit where the 4Ms were adopted and implemented. Each M (What Matters, Medication, Mentation, and Mobility) was stratified into three categories (not documented, partly documented, and fully documented) reflecting “assessment” and “action” clinical care processes. Electronic health records were reviewed for patient and hospitalization characteristics. Descriptive statistics evaluated these characteristics across categories of each M.ResultsThere were 620 hospital encounters (573 patients) included in the cohort. Patients had a median age of 80 years [IQR 76, 86] and 85% were White. Of all 4Ms, What Matters had the lowest documentation with 413 (67%) of encounters falling into the not documented group. Medication had the highest documentation with 453 (73%) of encounters in the fully documented group. Significant differences in documentation were associated with age and partly versus fully documented Mobility (80 [76, 86] and 82 [77, 88] (p = 0.019)). Hospital length of stay was differentially associated with documentation of all 4M categories. Initial mobility scores were associated with not versus partly documented Medication (6 [2, 7] and 2 [2, 6] (p = 0.041)).ConclusionsWe developed a structured way to categorize “assessment” and “action” 4Ms care processes reflective of three documentation categories in the hospital (not, partly, and fully) and identified important patient and hospital characteristics associated with each. These results offer opportunities for future improvement efforts and insight to which characteristics may be important to measure with wider 4Ms adoption and uptake.
Therapeutic Performance of Needle Injection Versus Needle‐Free Jet Injector System for Polynucleotide Filler in Skin Rejuvenation
Authors: Hong Ji Yeon , Lee Yoon Hwan , Kim Hyun‐Jo , Park Kui Young 
Published: October 2024

ABSTRACTBackgroundPolynucleotide (PN) filler often causes pain and can lead to delivery inaccuracies when applied via intradermal injection using a traditional needle.AimsTo evaluate the efficacy of treatment and the pain during the procedure using conventional needle injection versus a needle‐free jet system for intradermal PN filler application.MethodsIn this split‐face clinical trial, 10 Korean subjects were enrolled. Each subject received an intradermal injection of PN filler on one side of the face and a needle‐free jet injection using CureJet on the other side. Assessments included global and 3D skin imaging at each visit. Pain intensity was evaluated using visual analogue scale (VAS) scores during the injection. Additionally, patient satisfaction and adverse events were documented.ResultsFindings revealed that Global Aesthetic Improvement Scale scores and patient satisfaction were significantly higher with the CureJet compared to the needle injection method. VAS scores were notably lower on the CureJet side. Improvements in both pore and wrinkle indices were observed from baseline, with a more pronounced improvement rate on the CureJet side compared to the needle injection side.ConclusionsNeedle‐free injection of PN for aging skin was found to be effective in enhancing pore and wrinkle improvement, while reducing associated discomfort.
Experiences and Perceptions of Medication Management Communication During Transitions of Care for Residents in Aged Care Homes and Their Caregivers: A Qualitative Meta‐Synthesis
Authors: Dowling Alison , Garratt Stephanie , Manias Elizabeth 
Published: October 2024

ABSTRACTAimTo explore the experiences and perceptions of communication about managing medication across transitions of care for residents living in aged care homes and their family caregivers.BackgroundEffective medication communication across transitions of care involves exchanging information, resident, and family caregiver's participation in decision‐making, and shared responsibility.DesignA qualitative meta‐synthesis.MethodThis review was conducted in accordance with the PRISMA 2020 guidelines and the accompanying 27‐item checklist. A systematic search of seven electronic databases (Embase, PsycINFO, Medline Ovid, Scopus, CINAHL, EmCare and Web of Science) was performed from inception to December 2023. Studies eligible for inclusion in this review were required to be published in peer‐reviewed English journals and focus on medication communication among healthcare providers, residents and family caregivers during transitions of care for aged care residents. The JBI Critical Appraisal Checklist for Qualitative Research was employed for the critical appraisal of the studies, and the COREQ checklist was used to evaluate their quality.ResultsOf the 2610 studies identified, 12 met the inclusion criteria. No study was excluded based on quality. Two main themes were generated: (1) Medication information exchange involving residents and families, and (2) resident and family factors influencing medication communication engagement. The findings revealed a lack of supportive structure for effective communication and collaboration among residents, family caregivers and healthcare providers during transitions of care, marked by one‐way interactions and limited evidence of shared decision‐making or family caregiver engagement in medication management communication, despite varying individual needs and preferences.ConclusionsCommunication about medication management during transitions of care focused on sharing details rather than active engagement. Residents and their family caregivers have individual needs and perspectives regarding communication about medication management, which are not well addressed by healthcare providers during transitions of care. Healthcare providers' communication remains limited, and family caregivers are underutilised.