bluuebunny/crossref_metadata_2025_split huggingface dataset:
Derivation of a risk-adjusted model to predict antibiotic prescribing among hospitalists in an academic healthcare network
Authors: Onwubiko Udodirim N. , Mehta Christina , Wiley Zanthia , Jacob Jesse T. , Ashley Jones K. , Kubes Julianne , Shabbir Hasan F. , Suchindran Sujit , Fridkin Scott K. 
Published: October 2024

Abstract

Background:
Among inpatients, peer-comparison of prescribing metrics is challenging due to variation in patient-mix and prescribing by multiple providers daily. We established risk-adjusted provider-specific antibiotic prescribing metrics to allow peer-comparisons among hospitalists.

Methods:
Using clinical and billing data from inpatient encounters discharged from the Hospital Medicine Service between January 2020 through June 2021 at four acute care hospitals, we calculated bimonthly (every two months) days of therapy (DOT) for antibiotics attributed to specific providers based on patient billing dates. Ten patient-mix characteristics, including demographics, infectious disease diagnoses, and noninfectious comorbidities were considered as potential predictors of antibiotic prescribing. Using linear mixed models, we identified risk-adjusted models predicting the prescribing of three antibiotic groups: broad spectrum hospital-onset (BSHO), broad-spectrum community-acquired (BSCA), and anti-methicillin-resistant Staphylococcus aureus (Anti-MRSA) antibiotics. Provider-specific observed-to-expected ratios (OERs) were calculated to describe provider-level antibiotic prescribing trends over time.

Results:
Predictors of antibiotic prescribing varied for the three antibiotic groups across the four hospitals, commonly selected predictors included sepsis, COVID-19, pneumonia, urinary tract infection, malignancy, and age >65 years. OERs varied within each hospital, with medians of approximately 1 and a 75th percentile of approximately 1.25. The median OER demonstrated a downward trend for the Anti-MRSA group at two hospitals but remained relatively stable elsewhere. Instances of heightened antibiotic prescribing (OER >1.25) were identified in approximately 25% of the observed time-points across all four hospitals.

Conclusion:
Our findings indicate provider-specific benchmarking among inpatient providers is achievable and has potential utility as a valuable tool for inpatient stewardship efforts.
A synthesis of the current state of marine biodiversity knowledge in the Isles of Scilly, UK
Authors: Exeter Owen M. , Axelsson Magnus , Branscombe Julian , Broderick Annette , Hooper Tom , Morcom Sarah , Russell Trudy , Somerfield Paul J. , Sugar Kate , Webber Julie , Metcalfe Kristian 
Published: October 2024

Abstract
Synthesising knowledge on the health of marine ecosystems and the human activities is crucial to informing holistic marine management. In many coastal states, however, research is conducted in an ad hoc manner and rarely compiled into accessible repositories making it challenging for marine managers to identify knowledge gaps when allocating resources. Here we conduct a structured review of existing literature to identify the current state of marine and coastal knowledge in the Isles of Scilly, an oceanic archipelago in the UK. The archipelago's marine flora and fauna are biogeographically unique in the Northeast Atlantic, with a distinct mosaic of warm and cold temperate habitats and species and are also considered a rare example of a near pristine marine environment in the otherwise highly degraded Northeast Atlantic Ocean. We found 150 sources relating to the marine biodiversity and relevant human activities in the Isles of Scilly with increasing diversification of research topics in recent years. Sources however remain dominated by specific taxa and habitats, suggesting the Isles of Scilly would particularly benefit from future research into: (1) anthropogenic impacts associated with warming waters and intense seasonal vessel activity; (2) development of repeatable survey protocols that can underpin long-term, ecosystem-based monitoring and management (notably for reef and sediment habitats and the European spiny lobster); and (3) data gaps associated with marine teleost fish and elasmobranch communities including identifying core habitat. This review can therefore act as a baseline biological synthesis for the region and importantly, can inform future research priorities.
Kitchen Hinduism: Food politics and Hindi cookbooks in colonial North India
Authors: Gupta Charu 
Published: October 2024

AbstractThis article deliberates on the entanglements between politics and the history of food, health, and gender in Hindu middle-class households of early twentieth-century North India, through the genre of printed cookbooks in Hindi. While cookbooks became important nodes through which to construct an ideal Hindu housewife and kitchen, they were also a place where educated, middle-class women’s voices came to be heard, recorded, and published. The article shows how and why cookbooks are an important source for writing gendered social histories of the Hindu middle classes in modern India. Simultaneously, reflecting on the larger politics of food, the article focuses on the social identities embedded in these culinary texts, and the multiple meanings they embodied, as they strengthened gender, caste, and religious boundaries, constructed a past golden culinary age, upheld ayurvedic knowledge, bemoaned the present state of culinary sciences, used food to overcome the malaise of the middle classes, fashioned an ideal Hindu upper-caste palate as synonymous with a vegetarian diet, and imagined a healthy family and a strong Hindu nation through culinary idioms.
Predictive models of post-traumatic stress disorder, complex post-traumatic stress disorder, depression, and anxiety in children and adolescents following a single-event trauma
Authors: Memarzia Jessica , Lofthouse Katie , Dalgleish Tim , Boyle Adrian , McKinnon Anna , Dixon Clare , Smith Patrick , Meiser-Stedman Richard 
Published: October 2024

AbstractBackgroundThis study examined the power of theory-derived models to account for the development of PTSD, Complex PTSD (CPTSD), depression, and anxiety in children and adolescents who had experienced a single-event trauma.MethodsChildren (n = 234, aged 8–17 years) recruited from local Emergency Departments were assessed at two and nine weeks post-trauma. Data obtained from self-report questionnaires completed by the child, telephone interviews with parents, and hospital data were used to develop four predictive models of risk factors for PTSD, CPTSD, depression, and Generalized Anxiety Disorder (GAD). ICD-11 proposed diagnostic criteria were used to generate measures for CPTSD and PTSD to assess for risk factors and identify the sample prevalence of these disorders.ResultsAt nine weeks post-trauma, 64% did not meet criteria for any disorder, 23.5% met criteria for PTSD, and 5.2% met criteria for CPTSD. 23.9% and 10.7% had developed clinically significant symptoms of depression and GAD, respectively. A cognitive model was the most powerful predictive model, a psychosocial model was weak, and subjective markers of event severity were more powerful than objective measures.ConclusionsYouth exposed to single-incident trauma may develop different forms of psychopathology, and PTSD and CPTSD are frequently experienced alongside other conditions. The cognitive model of PTSD shows utility in identifying predictors of PTSD, CPTSD, depression, and GAD, particularly the role of trauma-related negative appraisals. This supports the application of cognitive interventions which focus upon re-appraising trauma-related beliefs in youth.
Privilege and prejudice in private online English teaching: Discourses in school-owned recruitment websites
Authors: Domingo Ephraim V. 
Published: October 2024

Abstract
Numerous studies have analyzed various aspects of English language teaching to uncover discriminatory employment practices within the field. However, there is a gap in the research regarding the discourses present in school-managed teacher recruitment websites (TRWs), particularly in the field of private online language education (POLE). This study aims to address this gap by investigating how the preferred online English teacher is characterized and what benefits they are promised when visiting these webpages. Using critical discourse analysis, the author analyzed the textual elements of 32 TRWs of online English schools operating in six major markets in Asia. The findings reveal that although a few schools show signs of relatively fair policies and emphasize professional qualifications, most of them appear to exploit native-speakerism through their application requirements and compensation policies that often favor only some groups. The implications emphasize the benefits of creating equitable employment opportunities and professionalizing POLE by leveraging the qualifications and experience of teachers from diverse backgrounds, while ensuring fair compensation. Finally, this study provides practical strategies for present and prospective online teachers on how to take advantage of the opportunities of digital language work while contributing to the attainment of equity in the industry.
Potential actions for preventing high consumption of Non-Nutritive Sweeteners among Chilean children and adolescents: recommendations from a panel of relevant actors
Authors: Reyes Marcela , Pino Constanza , Ortega Alejandra , Pemjean Isabel , Corvalán Camila , Garmendia María Luisa 
Published: October 2024

Abstract

Objective:
To provide local policymakers with a guideline of potential actions to prevent the high consumption of Non-Nutritive Sweeteners (NNS) among children and adolescents observed in Chile, given the potential health problems related to NNS intake.

Design:
The Delphi method was used for the evaluation of twenty-one recommendations to decrease the intake of NNS in paediatric population, with the participation of a panel of relevant actors.

Setting:
The proposed recommendations were developed by the research team using the NOURISHING framework; potential actions were based on the increase in the use and intake of NNS by Chilean children, current local food regulations, recommendations of health organisations and foreign policy experiences.

Participants:
Twenty-five relevant actors related to NNS, nutrition, food technology and paediatrics (out of thirty-nine invitations made to scholars, professional institutions and civil society’s organisations) participated in the Delphi study.

Results:
A consensus was reached on nine recommendations regarding relevance and feasibility to be part of the guideline. Recommendations involved measures mostly related to improving the delivery of information (food content and potential health effects of NNS), supporting the generation of more evidence of NNS health effects and substitutes, and marketing restrictions when targeted to children.

Conclusions:
The process produced a nine-action guideline to reduce the excessive NNS consumption among Chilean children and adolescents. Developed through a consensus-driven approach among key stakeholders, this guideline provides policymakers with a framework to adopt a precautionary stance, particularly concerning vulnerable populations, given the currently inconclusive evidence on the long-term health effects of NNS consumption.
An exploratory qualitative study on factors influencing the level of agreement in symptom reports in child–caregiver dyads
Authors: Montgomery Kathleen E. , Alshakhshir Nadeen , Basha Mays , Geenen Elizabeth , Nyholm Leah , Skeens Micah A. 
Published: October 2024

AbstractObjectivesClinicians often rely on caregiver proxy symptom reports to treat cancer-related symptoms in children. Research has described disagreement between children’s and caregivers’ symptom reports. Factors influencing the level of agreement is an understudied area. Thus, this study aimed to examine potential factors contributing to the level of agreement between symptom reports provided by children and their caregivers.MethodsSixteen child–caregiver dyads participated separately in semi-structured interviews after completing a brief symptom measure independently using an electronic device. Child and caregiver quantitative symptom responses were reviewed in real-time and incorporated into the semi-structured interview. Sample characteristics and the level of agreement between symptom reports were calculated using descriptive statistics. Transcribed participant interviews were analyzed using content analysis.ResultsNearly half of child–caregiver dyads exhibited a moderate (37.5%, n = 6) or low (18.75%, n = 3) level of agreement on the abbreviated symptom measure. Qualitative analysis identified 5 themes: recognizing symptoms, experiencing symptoms, communicating symptoms, re-assessing and treating symptoms, and influencing individual and relationship factors. Influencing individual, including a child’s tendencies or personality traits, and relationship factors intersected the other themes, partially explained their symptom perceptions, and served to facilitate or hinder symptom communication.Significance of ResultsSymptom communication is an important part of the symptom cycle, comprised of symptom recognition, experience, and management. Individual and relational factors may influence discrepancies in symptom perceptions between the child and caregiver. Clinicians and researchers should consider developing interventions to enhance symptom communication and promote collaboration between children and their caregivers to address symptom suffering during cancer treatment.
High‐Resolution Modeling and Projecting Local Dynamics of Differential Vulnerability to Urban Heat Stress
Authors: Marginean I. , Crespo Cuaresma J. , Hoffmann R. , Muttarak R. , Gao J. , Daloz Anne Sophie 
Published: October 2024

AbstractClimate change‐induced heat stress has significant effects on human health, and is influenced by a wide variety of factors. Most assessments of future heat‐related risks however are based on coarse resolution projections of heat hazards and overlook the contribution of relevant factors other than climate change to the negative impacts on health. Research highlights sociodemographic disparities related to heat stress vulnerability, especially among older adults, women and individuals with low socioeconomic status, leading to higher morbidity and mortality rates. There is thus an urgent need for detailed, local information on demographic characteristics underlying vulnerability with refined spatial resolution. This study aims to address the research gaps by presenting a new population projection exercise at high‐resolution based on the Bayesian modeling framework for the case study of Madrid, using demographic data under the scenarios compatible with the Shared Socioeconomic Pathways. We examine the spatial and temporal distribution of population subgroups at the intra‐urban level within Madrid. Our findings reveal a concentration of vulnerable populations, as measured by their age, sex and educational attainment level in some of the city's most disadvantaged neighborhoods. These vulnerable clusters are projected to widen in the future unless a sustainable trajectory is realized, driving vulnerability dynamics toward a more uniform and resilient change. These results can guide local adaptation efforts and support climate justice initiatives to protect vulnerable communities in urban environments.
Diverse Responses of Upper Ocean Temperatures to Chlorophyll‐Induced Solar Absorption Across Different Coastal Upwelling Regions
Authors: Meng Siyu , Webber Benjamin G. M. , Stevens David P. , Joshi Manoj , Palmieri Julien , Yool Andrew 
Published: October 2024

AbstractChlorophyll in phytoplankton absorbs solar radiation (SR) and affects the thermal structure and dynamics within upwelling regions. However, research on this process across global‐scale coastal upwelling systems is still lacking. Here, we use a coupled ocean‐biogeochemical model to investigate differing responses to chlorophyll‐induced solar absorption between Pacific and Atlantic coastal upwelling regions. Chlorophyll‐induced solar absorption leads to colder Pacific coastal upwelling but warmer Atlantic coastal upwelling. In the Pacific, the shading effect of the surface chlorophyll maximum leads to colder subsurface water, which is then upwelled, contributing to cooling. The more stratified upper ocean leads to shallower mixed layer depth, intensifying offshore transport and upwelling. In the Atlantic, the absorption of SR by the subsurface chlorophyll maximum causes warmer and weaker upwelling. The processes described, in turn, trigger positive feedback to ocean biogeochemistry and potentially interact with climate dynamics, underscoring the necessity to incorporate them into Earth system models.
Tracking the Filling, Outburst Flood and Resulting Subglacial Water Channel From a Large Canadian Arctic Subglacial Lake
Authors: Gray Laurence , Lauzon Benoît , Copland Luke , Van Wychen Wesley , Dow Christine , Kochtitzky Will , Alley Karen E. 
Published: October 2024

AbstractWe use digital elevation models (DEMs) and ICESat‐2 data to study the filling and outflow from a large subglacial lake under Manson Icefield in the Canadian Arctic. When full, the lake is ∼17 × 3 km with an area of 52 km2. Early in 2021 the ice surface over the center of the lake sank by >140 m implying a subglacial outburst flood of ∼4 km3. Rapid outflow occurred over ∼30 days at an average rate of ∼1,500 m3s−1 resulting in the formation of a single ∼15 km subglacial outflow path detectable from post‐outflow surface depression. The shape of the surface depression, 600–800 m wide by 2–4 m deep, reflects the shape of the subglacial channel prior to closure. Downstream ice movement appears unaffected by the outflow. After outflow ends the surface depression persisted over weeks, apparently dependent on the difference between water and overburden pressures.
Landmine Detection Using Electromagnetic Time Reversal‐Based Methods: 2. Performance Analysis of TR‐MUSIC
Authors: Karami Hamidreza , Koch André , Romero Carlos , Rubinstein Marcos , Rachidi Farhad 
Published: October 2024

AbstractIn this paper, a series of numerical simulations are conducted for various 2D and 3D configurations to demonstrate the performance of the Time Reversal MUltiple SIgnal Classification (TR‐MUSIC) method. The results reveal the excellent performance of TR‐MUSIC, taking into account the effects of noise, soil types (both homogeneous and layered), and their electrical parameters, as well as different types of targets (varying in number, size, shape, and location). Additionally, unlike other electromagnetic TR‐based techniques, TR‐MUSIC offers very high resolution (on the order of /10 or higher) with a reasonable number of sensors, enabling the detection of multiple closely spaced targets. In TR‐based methods, reflections from the object(s) or landmine(s) are crucial and are determined by the difference between the constitutive parameters (e.g., permittivity, permeability, and conductivity) of the landmine(s) and their surrounding medium. Therefore, TR‐based approaches, similar to conventional GPR‐based approaches, are suitable for detecting objects or landmines with significant differences in constitutive parameters compared to their immersion medium. This research primarily focuses on metallic objects or landmines.
Applications of Augmented and Virtual Reality in Enhancing Communication for Individuals Who Are Hard of Hearing: A Systematic Review
Authors: Borna Azadeh , Mousavi Seyede Zohre , Fathollahzadeh Farnaz , Nazeri Ahmadreza , Harari Rayan E. 
Published: October 2024

Purpose:
This systematic review examines the role of augmented reality (AR) and virtual reality (VR) in enhancing communication for individuals who are hard of hearing.

Method:
Following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, we conducted a comprehensive search across databases including PubMed, WoS, EMBASE, and IEEE. Of the 5,981 records initially identified, 22 studies met our inclusion criteria after screening. Most of these studies (68%) focused on nonverbal communication modalities using tools such as sign language and visual cues, while the remainder focused on verbal communication. A descriptive synthesis was used due to the expected diversity in study characteristics.

Results:
Our assessment showed a substantial emphasis on educational impacts, speech perception, and cognitive skills development through AR and VR. The reviewed articles provide preliminary evidence on the efficacy of these technologies in teaching sign language, enhancing cognitive skills such as reasoning, and improving speech perception among the deaf or hard of hearing individuals.

Conclusion:
This review underscores the transformative potential of AR and VR in addressing communication challenges faced by individuals who are hard of hearing, emphasizing the need for further research with diverse, larger sample sizes to investigate these technologies for broader communication support.
Spatially correlated stellar accretion in the Lupus star-forming region
Authors: Winter Andrew J. , Benisty Myriam , Manara Carlo F. , Gupta Aashish 
Published: October 2024

Context. Growing evidence suggests that protoplanetary discs may be influenced by late stage infall from the interstellar medium (ISM). It remains unclear the degree to which infall shapes disc populations at ages ≳1 Myr.
Aims. We explored possible spatial correlations between stellar accretion rates in the Lupus star-forming region, which would support the hypothesis that infall can regulate stellar accretion.
Methods. We considered both the ‘clustered’ stars towards the centre of Lupus 3, and the ‘distributed’ stars that are more sparsely distributed across the Lupus complex. We took the observed accretion rates in the literature and explore spatial correlations. In particular, we tested whether the clustered stars exhibit a radial gradient in normalised accretion rates, and whether the distributed stars have spatially correlated accretion rates.
Results. We found statistically significant correlations for both the clustered and distributed samples. The clustered sample exhibits higher accretion rates in the central region, consistent with the expected Bondi-Hoyle-Lyttleton accretion rate. Stars that are spatially closer among the distributed population also exhibit more similar accretion rates. These results cannot be explained by the stellar mass distribution for either sample. Age gradients are disfavoured, though not discounted, because normalised disc dust masses are not spatially correlated across the region.
Conclusions. Spatially correlated stellar accretion rates within the Lupus star-forming region argue in favour of an environmental influence on stellar accretion, possibly combined with internal processes in the inner disc. Refined age measurements and searches for evidence of infalling material are potential ways to further test this finding.