bluuebunny/crossref_metadata_2025_split huggingface dataset:
The association between health literacy and self-care of hypertension among older adults in five regions in Jordan
Authors: Kawafha Mariam , Alsaqer Khitam , Al-Maghaireh Dua’a , Shiyyab Haider , Al Kofahi Abedelkader , Saleh Mayyada 
Published: August 2024

Purpose
This study aims to determine the relationship between health literacy and the self-care of hypertension in older adults in five regions in Jordan.

Design/methodology/approach
A cross-sectional study was conducted with 1,100 older adult patients with hypertension who had follow-ups in cardiac clinics of the five biggest hospitals in five regions of Jordan. The research instruments included a Health Literacy Questionnaire (CHEWQ) and the self-care of hypertension inventory.

Findings
The average health literacy score was 8.52 ± 1.6, indicating inadequate health literacy, while their self-care of hypertension score was 42.33 ± 10.9, indicating low self-care. Inadequate health literacy and factors such as marital status, education level, income and overall health status were linked to poor self-care of hypertension (p < 0.05).

Practical implications
This study suggests that there is a need to assess the effectiveness of various health literacy interventions, such as educational programs and customized communication strategies, in enhancing self-care behaviors across diverse populations, particularly among the elderly.

Originality/value
The study findings highlight the need for nursing interventions aimed at improving health literacy to enhance the ability of older adults in Jordan to manage their hypertension.
Obstetric transport in rural settings: Referral and transport of pregnant patients in a state without a perinatal regionalized system of care
Authors: Fertaly Kaitlin , Javorka McKenzie , Brown Diane , Holman Carly , Nelson Megan , Glover Annie 
Published: August 2024

AbstractObjectiveTo assess factors impacting obstetric transport and referral processes for pregnant patients experiencing an emergency in a rural state without a perinatal regionalized system of care.Data Sources and Study SettingData is from Critical Access Hospitals (CAHs) without obstetric units and healthcare providers involved in obstetric care and transport at hospitals with varying levels of obstetric capacity in Montana.Study DesignThis mixed‐methods study involved surveying CAHs without obstetric units about the hospitals' capacity for obstetric emergencies and transport policies. Survey data were collected from 32 of 34 CAHs without obstetric units (94% response rate) in the fall of 2021. Subsequent interviews were conducted in the fall and winter of 2022–2023 with 20 hospital and emergency medical services (EMS) personnel to provide further insights into the referral and transport process during obstetric emergencies.Data Collection/Extraction MethodsSurvey data were collected using REDCap; interviews were conducted via videoconference. We performed descriptive statistics and Fisher's exact tests for quantitative data. We analyzed qualitative data using a three‐phase pragmatic analytic approach.Principal FindingsThe survey of CAHs found 12 of 32 facilities faced difficulties coordinating transport for pregnant patients. Qualitative data indicated this was often due to the state's decentralized transport system. Challenges identified through both quantitative and qualitative data included weather, securing a receiving facility/provider, and coordinating medical transport. Only 10 CAHs reported having written protocols for transporting pregnant patients; of those, four facilities had formal transfer agreements. Qualitative data emphasized variations in awareness and the utility of obstetric transport policies.ConclusionsA decentralized transport system in a rural state can exacerbate existing challenges faced by providers arranging transport for pregnant patients during an obstetric emergency. State and interfacility policies could enhance the transport process for increased regionalization as well as increased support for and coordination of existing EMS.
Could machine learning revolutionize how we treat immune thrombocytopenia?
Authors: Ghanima Waleed , Cooper Nichola 
Published: August 2024

The absence of reliable biomarkers in immune thrombocytopenia (ITP) complicates treatment choice, necessitating a trial‐and‐error approach. Machine learning (ML) holds promise for transforming ITP treatment by analysing complex data to identify predictive factors, as demonstrated by Xu et al.'s study which developed ML‐based models to predict responses to corticosteroids, rituximab and thrombopoietin receptor agonists. However, these models require external validation before can be adopted in clinical practice.Commentary on: Xu et al. A novel scoring model for predicting efficacy and guiding individualised treatment in immune thrombocytopenia. Br J Haematol 2024; 205:1108‐1120.
Perioperatives Schmerzempfinden von Patienten bei dermatochirurgischen Eingriffen in Lokalanästhesie – Eine prospektive Beobachtungsstudie
Authors: Volberg Christian , Gschnell Martin , Eubel Verena , Föhr Julia , Schubert Ann‐Kristin , Pfützner Wolfgang 
Published: August 2024

ZusammenfassungHintergrundDermatochirurgische Eingriffe finden überwiegend in Lokalanästhesie statt, jedoch gibt es nur wenig Studien zum perioperativen Schmerzmanagement ausgedehnter oder mehrzeitiger Operationen. Das Ziel dieser Erhebung ist die Erfassung von Schmerzen im Rahmen dermatochirurgischer Eingriffe, der Darstellung der perioperativen Schmerztherapie sowie der Identifizierung von Einflussfaktoren auf das Schmerzempfinden.Patienten und MethodikIn diese prospektive, monozentrische Studie wurden stationäre Patienten von April bis Dezember 2021 eingeschlossen, die einen dermatochirurgischen Eingriff in Lokalanästhesie erhielten. Präoperativ wurden demographische Fragen, ein Schmerzfragebogen und vier psychometrische Fragebögen (PCS, LOT‐R, SFQ, PHQ‐9) erhoben. Postoperativ empfundene Schmerzen und benötigte Schmerzmedikamente der ersten 24 Stunden wurden erhoben.Ergebnisse120 Patienten (mit insgesamt 191 Eingriffen) wurden eingeschlossen. Durchschnittliche postoperative Schmerzen wurden sehr niedrig (NRS < 2) angegeben. Präoperativ bestehende Schmerzen und postoperativ erwartete Schmerzen zeigten sich als prädiktive Merkmale für postoperativen Schmerz. Ein starker Zusammenhang zwischen Katastrophisieren und Angst vor der Operation (r = 0,65) sowie ein mittlerer Zusammenhang für Depression und Angst vor der Operation (r = 0,46) konnten dargestellt werden.SchlussfolgerungenDermatochirurgische Eingriffe in Lokalanästhesie werden insgesamt als schmerzarm empfunden. Bei der präoperativen Aufklärung und Untersuchung sollte auf Patienten geachtet werden, die bereits Schmerzen angeben oder postoperativ Schmerzen erwarten, da sie ein erhöhtes Risiko für die Entwicklung postoperativer Schmerzen zeigten.
Palliativversorgung in der Dermatoonkologie – Aktuelle Praxis in deutschen zertifizierten Hautkrebszentren und dermatoonkologischen Schwerpunktpraxen
Authors: Volberg Christian , Schönfeld Philip Niklas , Krönig Lisa , Hertl Michael , Gschnell Martin 
Published: August 2024

ZusammenfassungHintergründeDermatoonkologische Patienten werden häufig in zertifizierten Hautkrebszentren oder dermatoonkologischen Schwerpunktpraxen betreut. Insbesondere in höheren Tumorstadien entwickeln Patienten krankheitsbedingt oder als Nebenwirkung der Therapien Symptome, die behandlungsbedürftig sind. Bei fortschreitender Erkrankung bedarf es trotz deutlich verbesserter Prognose seit Einführung der zielgerichteten und Immuntherapien einer vorausschauenden Vorsorgeplanung. Unklar ist, wie die Palliativversorgung von Hautkrebspatienten in der Dermatoonkologie aktuell organisiert wird.Patienten und MethodikIn einer deutschlandweiten Befragung wurden alle zertifizierten Hautkrebszentren und dermatoonkologischen Schwerpunktpraxen angeschrieben und um Teilnahme an der anonymisierten Befragung gebeten.ErgebnisseInsgesamt gingen 45 Antworten (42%) ein. Der Großteil (98%) der Befragten screent Patienten regelhaft auf belastende Symptome und alle Zentren haben auch eine Anbindung an eine palliativmedizinische Versorgungsstruktur. Es wurde angegeben, dass lediglich 5% der ärztlichen Mitarbeiter die Zusatzqualifikation „Palliativmedizin“ führen. Bei 68% der teilnehmenden Institutionen wird den Patienten die Möglichkeit einer Vorsorgeplanung angeboten. Für 89% ist Palliativmedizin relevant für die tägliche Arbeit, und 82% wünschen sich hierzu mehr Fortbildungsmöglichkeiten.SchlussfolgerungenMit der Erhebung kann dargestellt werden, dass die palliativmedizinische Versorgung einen wichtigen Stellenwert in der dermatoonkologischen Arbeit hat. Da jedoch nur ein geringer Anteil der Mitarbeitenden eine Weiterbildung in Palliativmedizin besitzt, wäre es für die umfassende Versorgung wünschenswert, wenn dieser Anteil größer würde.
Impact of prior oral anticoagulation therapies on post‐discharge outcomes after COVID‐19: Results from a global federated health network analysis
Authors: Rivera‐Caravaca José Miguel , Frost Freddy , Marín Francisco , Lip Gregory Y. H. 
Published: August 2024

AbstractBackgroundThe impact of chronic oral anticoagulant (OACs) use on long‐term post‐discharge outcomes after coronavirus disease 2019 (COVID‐19) hospitalisation remains unclear. Herein, we compared clinical outcomes up to 2‐years after COVID‐19 hospitalisation between patients on vitamin K antagonists (VKAs), direct‐acting OACs (DOACs) and no OAC therapy.MethodsData from TriNetX, a global federated health research network, were used. Adult patients on VKAs, DOACs or no OAC therapy at diagnosis of COVID‐19 between 20 January 2020 and 31 December 2021, who were hospitalised for COVID‐19, were included. The primary outcomes were all‐cause mortality, ischaemic stroke/transient ischaemic attack (TIA)/systemic embolism (SE) and the composite of intracranial haemorrhage (ICH)/gastrointestinal bleeding, at 2 years after COVID‐19 hospitalisation.ResultsWe included 110,834 patients with COVID‐19. Following propensity score matching (PSM), we identified a decreased mortality risk in DOAC‐treated patients compared to the no OAC cohort (RR .808, 95% CI .751–.870). A higher risk of ischaemic stroke/TIA/SE was observed in VKA users compared to DOAC users (RR 1.100, 95% CI 1.020–1.220) and in VKA users compared to patients not taking OAC (RR 1.400, 95% CI 1.140–1.720). VKA use was associated with a greater risk of ICH/gastrointestinal bleeding than DOAC users (RR 1.198, 95% CI 1.066–1.347), while DOAC users had a lower risk compared to no OAC‐treated patients (RR .840, 95% CI .754–.936).ConclusionCOVID‐19 patients taking prior DOACs were associated with lower long‐term mortality risk and ICH/gastrointestinal bleeding than patients not taking OAC. Compared to patients on DOACs, VKA users were associated with higher risks of mortality, ischaemic stroke/TIA/SE and ICH/gastrointestinal bleeding.
The impact of blockchain on firms' environmental and social performance
Authors: Bernard Carole , Cardot Rebecca , Jaballah Jamil 
Published: August 2024

AbstractThis paper studies the relationship between blockchain patents and firms' environmental and social performance. Using data from USPTO, we assess the effect of these patents on subcategories and aggregate grades for social and environmental dimensions. Our results show a negative main effect of blockchain‐related patents on social and environmental grades. However, this effect is moderated by company size and focus on R&D. We exploit the first legislation favorable to blockchain in the United States and find a positive effect of blockchain patents on environmental grades, showing a change in corporate behavior regarding the use of blockchain.
Multiaxial fatigue rule applied to disc specimens with variable thickness subjected to an equibiaxial stress state
Authors: Villani Gianmarco , Aiello Giacomo , Belardi Valerio G. , Gourdin Cedric , Perez Gregory , Salvini Pietro , Sharma Rajat , Vivio Francesco , You Jeong‐Ha 
Published: August 2024

AbstractAssessing multiaxial fatigue theories requires experimental verification of a failure criterion, posing a significant challenge. This study aims to investigate the validity of a multiaxial fatigue method based on the Lagoda‐Macha‐Sakane (LMS) theory. The LMS theory links the critical strain energy density to the fatigue crack initiation cycles through a non‐linear equation defined by a set of empirical parameters calibrated by a strain‐controlled uniaxial fatigue test. This work adopts the LMS formulation, numerically calibrating the fatigue curve based on strain energy density from uniaxial fatigue experimental data and considering only the LMS theory for the critical strain energy density computation. This method avoids compatibility condition uncertainties and previous identification of material parameters. The study uses bi‐axial bending tests on AISI 316 L steel plate specimens with 3D finite element analyses to support computational assessment. The predictive capability of the model and the effectiveness of the testing method are presented and discussed.
Shared space and resource use within a building environment: An indoor geography
Authors: Villarreal Mark , Baird Timothy D. , Tarazaga Pablo A. , Kniola David J. , Pingel Thomas J. , Sarlo Rodrigo 
Published: August 2024

AbstractIndoor spaces are essential to most humans' lives. Furthermore, in many cases, buildings are shared indoor environments that contain diverse people and resources. Spatial patterns of use are important but under‐examined aspects of human‐building interactions. This study leverages perspectives from human‐environment geography and mechanical engineering to examine spatial patterns of use within a network of shared indoor spaces in an academic building at a research university in the United States. Here we ask: (1) What spaces and resources do building users value? and (2) How are values associated with observed measures of use? We hypothesise that spatial patterns of use follow an ideal free distribution (IFD), a common ecological model of resource use. To test this, we define measures of value and use derived from mixed qualitative (n = 50) and survey‐based social data (n = 196) and data from a building‐based system of accelerometers. Our analyses provide some support for the IFD hypothesis. We discuss the implications of this finding and potential new avenues for geographic research in shared indoor environments.
English teachers’ professional identity incorporated with perceived anxiety in the context of flipped teaching: Scale development and model extension
Authors: Luo Shuqiong , Zou Di 
Published: August 2024

AbstractResearch examining teachers’ professional identity in the online context has recently increased; however, there have been few attempts (if any) to design a scale to assess foreign language teachers’ professional identity integrated with technology use in the flipped context. There have also been no extensions to the professional teacher identity model for flipped language teaching incorporated with psycho‐emotional factors. The current study first developed and validated an instrument for English teachers’ professional identity of technology integration in the flipped context (ETITF) to fill in the research gap that the majority of existing instruments for teachers’ professional identity have not considered the characteristics of technology integration in the flipped teaching environment in the subject area of English. Additionally, this present research also attempted to extend the professional teacher identity model by investigating the influence of the psycho‐emotional factor, namely, perceived anxiety of flipped teaching on professional teacher identity coped with technology in the flipped context by English teachers. Grounded by the identity theory and technology acceptance model, 233 in‐service English teachers from mainland China served to explore the constructs of the ETITF and the model extension with perceived anxiety. Results of exploratory factor analysis, first‐order, and second‐order confirmatory factor analysis supported a three‐dimension scale with 15 items: task perception (TP), motivation (M), and teacher self‐efficacy (SE). The results of the study revealed that the ETITF is valid and reliable that could be used by researchers, educators, and education institutions to gain a greater understanding of English language teachers’ professional development and can serve as a tool to support the procedures of developing teacher identity integrated with technology in the flipped context with specific items related to English teaching. The results of structural equation modeling indicated that task perception significantly predict English teachers’ motivation, while motivation showed positive influence on in‐service teachers’ self‐efficacy. This developed tool of ETITF and the extended professional identity with technology incorporation model may contribute to the development of flipped language teaching, which may provide implications for English educators and researchers to facilitate teachers’ effective technology integration in flipped English teaching.
‘I cannot accept it’ distressing experiences in parents of children diagnosed with cancer: A qualitative study
Authors: Jin Xiaohuan , Wong Cho Lee , Li Huiyuan , Yao Wenying 
Published: August 2024

AbstractAimsTo explore the distressing experiences of Chinese parents of children with cancer from the perspective of psychological inflexibility.DesignA qualitative study using a descriptive qualitative approach based on the model of psychological inflexibility was adopted.MethodsIndividual semi‐structured interviews through synchronized online video were conducted with 21 Chinese parents of children with cancer from October 2020 to May 2021. Data were analysed using content analysis.ResultsFour themes and 11 subthemes were identified: (i) immersion in struggling and suffering, (ii) avoidance and suppression, (iii) blaming and complaint and (iv) helplessness and worthlessness. Parents were unwilling to accept the diagnosis and witness their children's suffering, trapped in uncontrollable negative emotions and thoughts. Avoiding emotions and socializing, blaming themselves or complaining of injustice were common. They felt helpless towards life and valueless without the child.ConclusionThe research findings provide additional perspectives in understanding the distressing experiences in parents of children with cancer. Overall, the emotional and coping styles indicated the lack of psychological flexibility of parents when facing childhood cancer, which is profoundly influenced by Chinese culture.Implications for the ProfessionHealthcare professionals are recommended to provide culturally sensitive strategies or interventions for building psychological flexibility in addressing parental psychological distress.ImpactThe study provides insights into exploring distressing experiences and reveals the inflexible psychological and behavioural patterns in parents of children with cancer, which could benefit healthcare providers in managing parental psychological distress and helping these parents build flexible coping strategies.Reporting MethodThe COREQ guideline was followed.Patient or Public ContributionNo patient or public involvement.
Latent trajectories of anxiety and depression among women during subsequent pregnancy following pregnancy loss
Authors: Shen Qiaoqiao , Luo Xiangping , Wei Meijuan , Chen Bizhen 
Published: August 2024

AbstractAimTo determine the longitudinal trajectories of anxiety and depression among pregnant women who have experienced pregnancy loss, and to explore the association between post‐traumatic stress symptoms (PTSS) related to pregnancy loss and these trajectories.DesignA prospective longitudinal study.MethodsBetween October 2022 and August 2023, pregnant women with a history of pregnancy loss were recruited from four hospitals in Guangdong Province, China. Eligible participants were screened for PTSS related to pregnancy loss upon enrolment. Anxiety and depression symptoms were assessed in early, mid and late pregnancy using the Pregnancy‐related Anxiety Questionnaire‐Revised 2 and the Patient Health Questionnaire‐9, respectively. Latent class growth analysis was employed to categorize anxiety and depression trajectories, and multinomial logistic regression analysis was conducted to examine the association between PTSS and these trajectories.ResultsOf the 388 participants included in the analysis, 158 individuals (40.7%) reported high PTSS scores. The best‐fitting models identified three trajectories for both anxiety and depression: low (anxiety: 35.6%, depression: 48.7%), moderate (anxiety: 44.8%, depression: 40.5%) and high (anxiety: 19.6%, depression: 10.8%). Pregnant women with high PTSS levels were significantly more likely to experience moderate‐to‐high trajectories of anxiety and depression compared to those with low PTSS levels.ConclusionPregnant women who have experienced pregnancy loss exhibit higher incidences of elevated anxiety and depression trajectories. Screening for PTSS and targeted supportive care are recommended to alleviate anxiety and depressive symptoms in this population.Implications for the profession and/or patient careThis study underscores the importance of early psychological screening and tailored interventions for pregnant women with a history of pregnancy loss. Trauma‐informed care should be prioritized to mitigate anxiety and depression trajectories in this vulnerable population.Patient or public contributionThere was no patient or public involvement.
Feasibility and acceptability of a culinary nutrition programme for adults with mild‐to‐moderate intellectual disability: FLIP Food and Lifestyle Information Programme
Authors: Asher R. C. , Shrewsbury V. A. , Innes B. , Fitzpatrick A. , Simmonds S. , Cross V. , Rose A. , Hinton E. , Collins C. E. 
Published: August 2024

AbstractBackgroundCulinary nutrition education can support improved diet‐related health and wellbeing. This pre‐post pilot study aimed to assess feasibility and acceptability of an eight‐session culinary nutrition programme, the Food and Lifestyle Information Programme (FLIP), for adults with mild‐to‐moderate intellectual disability. A secondary aim was to evaluate preliminary programme effectiveness.MethodParticipants were recruited through a disability service provider. Feasibility measures were: recruitment and retention; implementation; engagement and participation; adverse outcomes; and feasibility of outcome measures. Acceptability was assessed using an interactive process evaluation. Effectiveness measures included cooking frequency, cooking and food skill confidence and diet quality.ResultsSix of eight participants completed the intervention with high attendance and programme engagement. FLIP was well received by participants and support workers. No adverse outcomes occurred. Diet quality was feasible to assess.ConclusionsFindings can inform content, delivery and evaluation of future culinary nutrition programmes for adults with mild‐to‐moderate intellectual disability.
Product market competition and disclosure content differentiation: A topic modeling analysis
Authors: Chu Yongqiang , Huang Bo , Li Haitong , Liu Junqi 
Published: August 2024

AbstractWe examine how product market competition affects firms’ disclosure content. Theory suggests that competition leads firms to strategically disclose to avoid proprietary costs; however, the empirical evidence has been mixed. We investigate whether firms manage disclosure content to protect proprietary information, a disclosure strategy under‐researched in the literature. We use a topic‐modeling technique to extract and compare thematic topics that industry peers disclose in management discussion and analysis (MD&A) in 10‐K filings. Exploiting large reductions in US import tariff rates as an exogenous shock to product market competition, we find that firms differentiate disclosure topics in response. This effect is more pronounced when disclosures incur higher proprietary costs, as theoretically predicted, and stronger for firms with greater product similarity to industry peers and those with longer MD&A disclosure texts.