bluuebunny/crossref_metadata_2025_split huggingface dataset:
Unveiling dynamics of language visibility and vitality in café menus near Labrang Monastery
Authors: He Min , Chen Shengnan 
Published: September 2024

IntroductionThis study explores the dynamics of Linguistic Landscapes (LL) in the commercial tourist district near Labrang Monastery by analyzing the use of Tibetan, Mandarin, and English on café menus. Traditionally, LL research has focused on language visibility as an indicator of vitality, overlooking contextual complexities. We challenge this approach by considering geocultural contexts, instigators’ language proficiency, and intended audience.MethodThis study employed a triangulation approach, combining multiple methods of data collection and analysis. First, we conducted a preliminary observation of shop names in the region. Second, with the consent of shop owners, we comprehensively documented visual and textual artifacts both inside and outside the cafés, including signboards, menus, wall billboards, and displayed books. Third, we conducted extensive semi-structured interviews with shop owners and customers. These interviews, transcribed for analysis, provided insights into language usage preferences and decision-making processes.ResultsBy advocating for a holistic LL research approach, integrating qualitative insights with quantitative data, this study contributes to a deeper understanding of LL dynamics. Our findings show that geocultural contexts, instigators’ language proficiency, and intended audience all play a role in shaping language representation and vitality.DiscussionThe absence of a language on signage does not necessarily signify diminished vitality but can reflect strategic decisions influenced by religious, individual and commercial factors. Beyond mere visibility, languages on café menus serve as symbolic markers of ethnic identity and reflect the functions they assume within the speech community, offering insights into language vitality across different usage contexts. This research enriches scholarly discourse on LL, particularly within the Chinese context, by emphasizing the multifaceted nature of language presence and its vitality.
Autistic traits as predictors of post-traumatic stress symptoms among patients with borderline personality disorder
Authors: Carpita Barbara , Bonelli Chiara , Schifanella Vincenzo , Nardi Benedetta , Amatori Giulia , Massimetti Gabriele , Cremone Ivan Mirko , Pini Stefano , Dell’Osso Liliana 
Published: September 2024

BackgroundAutistic traits (AT) seem to be particularly frequent among patients with borderline personality disorder (BPD). Moreover, the autism spectrum is considered a vulnerability factor for the development of post-traumatic stress disorder (PTSD) symptoms, increasing the vulnerability of BPD subjects toward the development of a stress-related disorder.AimThe study aimed to investigate the association between AT and trauma-related symptoms in a clinical sample of patients with BPD.MethodsA total of 48 patients with a clinical diagnosis of BPD and 52 healthy control (HC) subjects were recruited and assessed with the Adult Autism Subthreshold Spectrum Self-Report (AdAS Spectrum) questionnaire and the Trauma and Loss Spectrum—Self-Report questionnaire (TALS-SR). The BPD group was divided into two subgroups: BPD with a symptomatological diagnosis of PTSD (pBPD = 25) and BPD not diagnosed with PTSD (No-pBPD = 23).ResultsThe clinical sample scored significantly higher in almost all AdAS domains. Moreover, pBPD groups reported higher AdAS and TALS-SR scores in the total and in various domains than the No-pBPD group, which scored higher in several domains than HC. AdAS Restricted interests and rumination domain scores were positive predictors of BPD presence independently from PTSD, while Inflexibility and adherence to routine domain was a negative predictor. Finally, AdAS Hyper/hyporeactivity to sensory stimuli domain was a positive predictor only for inclusion in the pBPD group.ConclusionOur study confirmed the existence of a statistically significant relationship between the autism spectrum and BPD, while BPD subjects diagnosed with PTSD seem to show a higher autism spectrum burden.
Economic burden and influence factors among hospitalized children with bronchiolitis or pneumonia: a multiregional study in China
Authors: Hu Hongfei , Zhou Ting , Gao Junyang , Ou Yanglu , Ma Aixia , Wang Pei 
Published: September 2024

BackgroundBronchiolitis and pneumonia are both significant lower respiratory tract infections with a profound impact on children’s health. The purpose of this study is to explore the economic burden and related influence factors of pediatric patients with bronchiolitis and pneumonia in China.MethodsA face-to-face interview was employed for the investigation of hospitalized patients (≤5 years old) with bronchiolitis and pneumonia, along with their guardians from January to October 2019. Demographic and costs were collected from Shanghai, Zhengzhou, and Kunming, representing three regions with different levels of economic development in China. Multiple linear regression analysis was used to explore factors associated with the economic burden of the diseases.ResultsA total of 338 patients with bronchiolitis and 529 patients with pneumonia were included in the analysis. The average hospitalization and total cost for patients with bronchiolitis are 4,162 CNY and 5,748 CNY, respectively, while those with pneumonia are 6,096 CNY and 7,783 CNY. Patients from Shanghai, both bronchiolitis and pneumonia, exhibited the lowest cost expenditures, with average total costs of 3,531 CNY and 3,488 CNY, respectively. Multiple regression analysis indicated that, among bronchiolitis patients, factors such as region, medical insurance, relationship, loss of work time, and length of stay were found to be significantly associated with both hospitalization cost and total cost (p &lt; 0.05). For pneumonia patients, the hospitalization cost and total cost were significantly impacted by region, medical insurance, and length of stay (p &lt; 0.05).ConclusionBronchiolitis and pneumonia in children put substantial economic burden on families of affected children. The financial strain varies significantly across different regions, with families in underdeveloped areas and those dealing with pneumonia facing particularly daunting challenges. Targeted policies to reduce healthcare costs and improve insurance coverage, especially in economically disadvantaged regions are needed.
Mind4Health: decolonizing gatekeeper trainings using a culturally relevant text message intervention
Authors: Caughlan Colbie , Kakuska Amanda , Manthei Jane , Galvin Lisa , Martinez Aurora , Kelley Allyson , Craig Rushing Stephanie 
Published: September 2024

BackgroundWhen a person dies by suicide, it takes a reverberating emotional, physical, and economic toll on families and communities. The widespread use of social media among youth and adolescents, disclosures of emotional distress, suicidal ideation, intent to self-harm, and other mental health crises posted on these platforms have increased. One solution to address the need for responsive suicide prevention and mental health services is to implement a culturally-tailored gatekeeper training. The Northwest Portland Area Indian Health Board (NPAIHB) developed Mind4Health, an online gatekeeper training (90 min) and text message intervention for caring adults of American Indian/Alaska Native (AI/AN) youth.MethodsThe Mind4Health intervention was a multi-phase, single-arm, pre-and post-test study of users enrolled in the intervention that is available via text message (SMS) or via a 90 min online, self-paced training. We produced four datasets in this study: Mobile Commons, pre-survey data, post-survey data, and Healthy Native Youth website’s Google Analytics. The analysis included data cleaning, basic frequency counts, percentages, and descriptive statistics. Qualitative data were analyzed using thematic content analysis methods and hand-coding techniques with two independent coders.ResultsFrom 2022 to 2024, 280 people enrolled in the Mind4Health SMS training, and 250 completed the 8-week intervention. Many messages in the sequence were multi-part text messages and over 21,500 messages were sent out during the timeframe. Of the 280 subscribers, 52 participated in the pre-survey. Pre-survey data show that 94% of participants were female, and nearly one-fourth lived in Washington state, 92% of participants in the pre-survey were very to moderately comfortable talking with youth about mental health (n= 48). Most participants interact with youth in grades K–12. Post-survey data demonstrate changes in knowledge, beliefs, comfort talking about mental health, and self-efficacy among participants. Mind4Health improved participant’s skills to have mental health conversations with youth and refer youth to resources in their community.
Understanding herpes zoster vaccine hesitancy and information asymmetry: a qualitative study in China
Authors: Wang Xiaolong , Xing Yufei , Zhang Enming , Dai Zhengyue , Li Yuan , Shang Shuhui , Hu Jiale , Zhang Xian , Fang Qiong 
Published: September 2024

BackgroundHerpes zoster is more prevalent among the older adult due to the age-related immune decline, leading to significant pain and complications. Although vaccination effectively prevents viral infections, vaccine hesitancy remains a major barrier to achieving high vaccination rates.To address this, we conducted a qualitative survey using Vaccine Hesitancy Determinants Matrix and 5C model to understand and improve vaccination rates in this group.MethodsDescriptive qualitative research design based on the philosophical underpinnings of naturalistic inquiry and purposive sampling methodology was conducted on adults aged 50 and above, as well as community health workers. Data were collected through semi-structured, in-depth personal interviews. The interview outline was constructed following a comprehensive review of the literature and consideration of the theoretical framework.ResultsSeventeen adults over 50 years and four community healthcare workers were included in this study. The study found that information asymmetry in immunization planning was evident at all stages of vaccine supply, dissemination and demand. The main manifestations included limited access to authoritative information, insufficient community awareness of herpes zoster as a route of vaccination, insufficient vocational training, significant gaps in vaccine knowledge, and high levels of complacency among individual residents.ConclusionHerpes zoster vaccine hesitancy is prevalent among middle-aged and older adults in China due to information asymmetry, vaccine complacency, inadequate community services, and other multiple layers of factors. Public health strategies should aim to reduce cognitive biases and information gaps by disseminating diverse and credible vaccine information through social media, medical institutions, and offline channels to promote higher vaccination rates.
Mitigating COVID-19 in meat processing plants: what have we learned from cluster investigations?
Authors: Kooh Pauline , Guillois Yvonnick , Federighi Michel , Pivette Mathilde , Maillard Anne-Laure , Luong Ngoc-Du Martin , Chaix Estelle 
Published: September 2024

IntroductionSeveral COVID-19 outbreaks have been reported in meat processing plants in different countries. The aim of this study was to assess the environmental and socio-economic risk factors favouring the transmission of SARS-CoV-2 in meat processing plants and to describe the prevention measures implemented.MethodsData from epidemiological investigations of COVID-19 clusters in France, the scientific literature, structured interviews and site visits were collected and summarised to investigate the main risk factors for SARS-CoV-2 infection in meat processing plants, including determinants within and outside the workplace.ResultsAn increased risk of infection was identified among workers with unfavourable socio-economic status (temporary/non-permanent workers, migrants, ethnic minorities, etc.), possibly related to community activities (house-sharing, car-sharing, social activities). Working conditions (proximity between workers) and environmental factors (low temperatures and inadequate ventilation) also appear to be important risk factors. These environmental conditions are particularly prevalent in cutting and boning plants, where the majority of reported cases are concentrated. Preventive measures applied included screening for COVID-19 symptoms, testing, wearing masks, increased hygiene and sanitation, physical and temporal distancing, control of ventilation. Certain food safety hygiene measures were compatible with protecting workers from SARS-CoV-2. The hygiene culture of agri-food workers made it easier to implement preventive measures after adaptation.ConclusionThis study made it possible to identify the environmental and socio-economic factors conducive to the transmission of SARS-CoV-2 in meat processing plants. The knowledge gained from this work was used in simulations to understand the transmission of the virus in the plants.
Training experience is an important factor affecting willingness for bystander CPR and awareness of AED: a survey of residents from a province in Central China in 2023
Authors: Tian Xueli , Zhang Yongle , Dou Dongmei 
Published: September 2024

BackgroundBystander cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) may improve survival in patients with out-of-hospital cardiac arrest (OHCA). The purpose of this study was to investigate the effect of CPR training experience and sociodemographic characteristics on bystander CPR willingness and AED awareness.MethodsIn this study, a questionnaire survey was conducted among 3,569 residents in central China. Descriptive statistics, multiple linear regression and multivariate logistic regression modeling were used to investigate the effect of training experience and sociodemographic characteristics on knowledge of cardiac arrest first aid, awareness of AEDs, and willingness for bystander CPR.ResultsOf the 3,569 participants, nearly 52% were female, 69.6% were &lt; 23 years old, 23.5% had CPR training and 22.1% had witnessed OHCA. Characteristics of increasing bystander CPR willingness included CPR training experience, male, witnessed OHCA but not acting, knowing whether family members have cardiac disease, older age (&gt;40 years) and lower level of education. Farmers were the subgroup with the least awareness of AED and knowledge of first aid.ConclusionIn China, CPR training experience was an important factor in improving bystanders’ CPR willingness, AED awareness and knowledge of cardiac arrest first aid. Additionally, having witnessed OHCA also had a positive effect on bystander CPR willingness.
AI integration in nephrology: evaluating ChatGPT for accurate ICD-10 documentation and coding
Authors: Abdelgadir Yasir , Thongprayoon Charat , Miao Jing , Suppadungsuk Supawadee , Pham Justin H. , Mao Michael A. , Craici Iasmina M. , Cheungpasitporn Wisit 
Published: September 2024

BackgroundAccurate ICD-10 coding is crucial for healthcare reimbursement, patient care, and research. AI implementation, like ChatGPT, could improve coding accuracy and reduce physician burden. This study assessed ChatGPT’s performance in identifying ICD-10 codes for nephrology conditions through case scenarios for pre-visit testing.MethodsTwo nephrologists created 100 simulated nephrology cases. ChatGPT versions 3.5 and 4.0 were evaluated by comparing AI-generated ICD-10 codes against predetermined correct codes. Assessments were conducted in two rounds, 2 weeks apart, in April 2024.ResultsIn the first round, the accuracy of ChatGPT for assigning correct diagnosis codes was 91 and 99% for version 3.5 and 4.0, respectively. In the second round, the accuracy of ChatGPT for assigning the correct diagnosis code was 87% for version 3.5 and 99% for version 4.0. ChatGPT 4.0 had higher accuracy than ChatGPT 3.5 (p = 0.02 and 0.002 for the first and second round respectively). The accuracy did not significantly differ between the two rounds (p &gt; 0.05).ConclusionChatGPT 4.0 can significantly improve ICD-10 coding accuracy in nephrology through case scenarios for pre-visit testing, potentially reducing healthcare professionals’ workload. However, the small error percentage underscores the need for ongoing review and improvement of AI systems to ensure accurate reimbursement, optimal patient care, and reliable research data.
Predictors of Birth Preparedness and Complication Readiness Practices Among Pregnant Women in Ethiopia, a Systematic Review and Meta-Analysis
Authors: Alamrew Abebaw , Ayele Mulat , Shitie Lake Eyob , Mulugeta Chalie , Kumie Getinet , Birara Zemariam Alemu 
Published: September 2024

ObjectivesWe conducted this review to identify factors associated with birth preparedness and complication readiness (BPCR) among pregnant women in Ethiopia. BPCR is a comprehensive approach that helps address delays in seeking care for obstetric problems.MethodsPRISMA was followed and different databases were used to find studies. Adjusted Odds Ratio (AOR) with a 95% Confidence Interval was used to identify factors. The I2 statistic, funnel plot, and Egger test were used to assess the heterogeneity of studies and publication bias.ResultsKnowledge of BPCR, danger signs during pregnancy, labor, and postpartum (AOR = 1.99, 95% CI: 1.51, 2.64, AOR = 1.55; 95% CI: 1.35, 1.80; AOR = 1.45; 95% CI: 1.27, 1.63, and AOR = 1.4; 95% CI: 1.21, 1.63), respectively, residency (AOR = 1.49; 95% CI: 1.32, 1.68), antenatal care visit (AOR = 1.59; 95% CI: 1.43, 1.78), history of stillbirth (AOR = 1.58; 95% CI: 1.36, 1.86), and educational status (AOR = 1.62: 95% CI: 1.45, 1.78) were significantly associated with BPCR practice.ConclusionThis study identified some modifiable factors in the practice of BPCR. Integrating counseling and expanding ANC services in health facilities may improve BPCR practice.
The Effects of Replacing Soybean Meal with Chlorella vulgaris in Laying Hen Diets on Performance and Physical Characteristics of Eggs
Authors: Madacussengua Obete , Mendes Ana Rita , Martins Cátia Falcão , Carvalho Daniela , Almeida André Martinho de , Lordelo Madalena 
Published: September 2024

Chlorella vulgaris (CV) is a microalga with considerable nutritional value, containing high levels of protein, carotenoids, and polyunsaturated fatty acids, which have the potential to positively influence the productive performance and egg quality of laying hens. CV emerges as a more sustainable ingredient than soybean meal (SBM) as it can be produced locally and with fewer inputs. In this regard, a study was conducted with 48 H&N Brown Nick strain laying hens, at 19 weeks of age, over a period of 16 weeks. The hens were divided into four treatments, with 12 replicates each. The treatments consisted of providing four different diets: a control diet based on corn and SBM without the inclusion of CV, and three other diets with partial substitution of SBM by 2.5, 5, and 10% of CV. The results showed that the inclusion of CV in the diets did not significantly affect feed intake, feed conversion ratio, or egg production (p > 0.05). In addition, moderate CV levels increased egg weight, while higher levels reduced it. Haugh units, yolk index, albumen index, egg surface area, specific density, and translucency were not affected (p > 0.05), while shell index and shell thickness were lower in the groups that received the CV (p < 0.0001). Yolk color improved significantly with increasing CV levels (p < 0.0001), with darker, more intensely colored yolks at higher CV concentrations. The results of this study suggest that the incorporation of CV in the diet of laying hens had a limited impact on performance parameters. In addition, CV supplementation can positively influence egg quality and yolk color, although careful consideration of optimal levels is necessary to avoid negative effects on other parameters.
Fishing for Estuarine Oomycetes
Authors: Christova Petya Koeva 
Published: September 2024

Oomycetes are water molds that are frequently isolated during a survey of waterways. Biodiversity of oomycetes in the estuary region of the Veleka River in Bulgaria was investigated in 2021. A total number of 32 isolates were derived using the baiting method. Species identification based on sequencing of the ITS region divided them into four different genera: Phytophthora (P.), Phytopythium (Pp.), Pythium (Py.) and Elongisporangium (E.). The most abundant species in the studied region was P. lacustris (sixteen isolates), followed by P. honggalleglyana (nine isolates). P. bilorbang and P. inundata were represented by only one isolate each and were recognized for the first time in Bulgaria. The genus Phytopythium was presented by two isolates that belong to different species, Pp. litorale and Pp. citrinum. In the obtained collection, the genera Pythium and Elongisporangium were represented by only one species each, Py. angustatum (one isolate) and E. anandrum (two isolates), respectively. Colony morphology of the eight collected oomycete species was characterized by cultivation of selected isolates on three different media. Potential host species of the isolated estuarine oomycetes were estimated by pathogenicity tests conducted with sixteen plants from ten diverse families. P. lacustris and P. honggalleglyana demonstrated a higher aggressiveness among Phytophthora isolates, whereas P. bilorbang and P. inundata showed less ability to infect the tested plant species. Similar pathogenicity and a potential host range for both Phytopythium species were observed. Less aggressive against analyzed plants in this study were Py. angustatum and E. anandrum.
Statistical Optimization and Purification of Cellulase Enzyme Production from Trichosporon insectorum
Authors: Touijer Hanane , Benchemsi Najoua , Irfan Muhammad , Tramice Annabella , Slighoua Meryem , Mothana Ramzi A. , Alanzi Abdullah R. , Dalila Bousta , Bekkari Hicham 
Published: September 2024

Enzymatic degradation of cellulosic biomass represents the most sustainable and environmentally friendly method for producing liquid biofuel, widely utilized in various commercial processes. While cellulases are predominantly produced by bacteria and fungi, the enzymatic potential of cellulase-producing yeasts remains significantly less explored. In this study, the yeast strain Trichosporon insectorum, isolated from the gut of the coprophagous beetle Gymnopleurus sturmii, was utilized for cellulase production in submerged fermentation. A central composite design was employed to optimize cellulase production, with substrate concentration, temperature, and pH as dependent variables. The highest CMCase activity of 0.71 IU/mL was obtained at 1% substrate concentration, pH 5, and an incubation temperature of 40 °C for 72 h of fermentation using cellulose as a carbon source. For FPase production, the high value was 0.23 IU/mL at 0.5% CMC, pH 6, and an incubation temperature of 40 °C for 72 h. After purification, the enzymes produced by T. insectorum represent 39% of the total proteins. The results of this study offer an alternative strategy for utilizing various carbon sources, both soluble (CMC, carboxymethylcellulose) and insoluble (cellulose), to efficiently produce cellulase for the degradation of lignocellulosic materials. This approach holds promising benefits for sustainable waste management.