bluuebunny/crossref_metadata_2025_split huggingface dataset:
Regulation and Innovation Revisited: How Restrictive Environments Can Promote Destabilizing New Technologies
Authors: Park Michael , Wu Shuping , Funk Russell J. 
Published: August 2024

Previous literature offers conflicting findings on how the restrictiveness of the regulatory environment—the amount of rules that prohibit specific activities—affects innovation of firms. One camp suggests that restrictiveness circumscribes the range of available technological components and therefore decreases innovation. The other camp believes that restrictiveness can lead firms to seek new alternative technological components, which could increase innovation. In this article, we develop a new theory on regulation and innovation to reconcile these views, which we test using novel data on federal regulations and the patents of 1,242 firms, from 1994 to 2013. We find that restrictiveness can have both a negative and positive relationship with innovation output depending on the level of regulatory uncertainty and the innovation type in question. Funding: This work was supported by the Mercatus Center, George Mason University, and the Strategy Research Foundation [Grant SRF-2021-DRG-8365]. Supplemental Material: The online appendix is available at https://doi.org/10.1287/orsc.2022.16770 .
Efficacy of graphene nanocomposites for air disinfection in dental clinics: A randomized controlled study
Authors: Ju Ya-Qiong , Yu Xiang-Hua , Wu Jing , Hu Ying-Hui , Han Xiang-Yong , Fang Dan 
Published: August 2024

BACKGROUND
Aerosols containing disease-causing microorganisms are produced during oral diagnosis and treatment can cause secondary contamination.
AIM
To investigate the use of graphene material for air disinfection in dental clinics by leveraging its adsorption and antibacterial properties.
METHODS
Patients who received ultrasonic cleaning at our hospital from April 2023 to April 2024. They were randomly assigned to three groups (n = 20 each): Graphene nanocomposite material suction group (Group A), ordinary filter suction group (Group B), and no air suction device group (Group C). The air quality and air colony count in the clinic rooms were assessed before, during, and after the procedure. Additionally, bacterial colony counts were obtained from the air outlets of the suction devices and the filter screens in Groups A and B.
RESULTS
Before ultrasonic cleaning, no significant differences in air quality PM2.5 and colony counts were observed among the three groups. However, significant differences in air quality PM2.5 and colony counts were noted among the three groups during ultrasonic cleaning and after ultrasonic treatment. Additionally, the number of colonies on the exhaust port of the suction device and the surface of the filter were significantly lower in Group A than in Group B (P = 0.000 and P = 0.000, respectively).
CONCLUSION
Graphene nanocomposites can effectively sterilize the air in dental clinics by exerting their antimicrobial effects and may be used to reduce secondary pollution.
QRS detection in single-lead, telehealth electrocardiogram signals: Benchmarking open-source algorithms
Authors: Kristof Florian , Kapsecker Maximilian , Nissen Leon , Brimicombe James , Cowie Martin R. , Ding Zixuan , Dymond Andrew , Jonas Stephan M. , Lindén Hannah Clair , Lip Gregory Y. H. , Williams Kate , Mant Jonathan , Charlton Peter H. ,   on behalf of the SAFER Investigators
Published: August 2024

Background and objectivesA key step in electrocardiogram (ECG) analysis is the detection of QRS complexes, particularly for arrhythmia detection. Telehealth ECGs present a new challenge for automated analysis as they are noisier than traditional clinical ECGs. The aim of this study was to identify the best-performing open-source QRS detector for use with telehealth ECGs.MethodsThe performance of 18 open-source QRS detectors was assessed on six datasets. These included four datasets of ECGs collected under supervision, and two datasets of telehealth ECGs collected without clinical supervision. The telehealth ECGs, consisting of single-lead ECGs recorded between the hands, included a novel dataset of 479 ECGs collected in the SAFER study of screening for atrial fibrillation (AF). Performance was assessed against manual annotations.ResultsA total of 12 QRS detectors performed well on ECGs collected under clinical supervision (F1score ≥0.96). However, fewer performed well on telehealth ECGs: five performed well on the TELE ECG Database; six performed well on high-quality SAFER data; and performance was poorer on low-quality SAFER data (three QRS detectors achievedF1of 0.78-0.84). The presence of AF had little impact on performance.ConclusionsThe Neurokit and University of New South Wales QRS detectors performed best in this study. These performed sufficiently well on high-quality telehealth ECGs, but not on low-quality ECGs. This demonstrates the need to handle low-quality ECGs appropriately to ensure only ECGs which can be accurately analysed are used for clinical decision making.
Feasibility of a self-management intervention to improve mobility in the community after stroke (SIMS): A mixed-methods pilot study
Authors: Sahely Ahmad , Sintler Carron , Soundy Andrew , Rosewilliam Sheeba 
Published: August 2024

Objective
To evaluate the feasibility of implementing a self-management intervention to improve mobility in the community for stroke survivors.

Methods
A two-phase sequential mixed methods design was used (a pilot randomised controlled trial and focus groups). Participants were adult stroke survivors within six months post discharge from hospital with functional and cognitive capacity for self-management. The intervention included education sessions, goal setting and action planning, group sessions, self-monitoring and follow up. The control group received usual care and both groups enrolled for 3 months in the study. Feasibility outcomes (recruitment and retention rates, randomisation and blinding, adherence to the intervention, collection of outcome measures, and the fidelity and acceptability of the intervention). Participants assessed at baseline, 3 months and 6 months for functional mobility and walking, self-efficacy, goal attainment, cognitive ability, and general health. A descriptive analysis was done for quantitative data and content analysis for the qualitative data. Findings of quantitative and qualitative data were integrated to present the final results of the study.

Results
Twenty-four participants were recruited and randomised into two groups (12 each). It was feasible to recruit from hospital and community and to deliver the intervention remotely. Randomisation and blinding were successful. Participants were retained (83%) at 3 months and (79.2%) at 6 months assessments. Adherence to the intervention varied due to multiple factors. Focus groups discussed participants’ motivations for joining the programme, their perspectives on the intervention (fidelity and acceptability) and methodology, perceived improvements in mobility, facilitators and challenges for self-management, and suggestions for improvement.

Conclusion
The self-management intervention seems feasible for implementation for stroke survivors in the community. Participants appreciated the support provided and perceived improvement in their mobility. The study was not powered enough to draw a conclusion about the efficacy of the program and a future full-scale study is warranted.
Exploring the impact of the environment on physical activity in patients with chronic obstructive pulmonary disease (EPCOT)—A comparative analysis between suggested and free walking: Protocol study
Authors: Guimarães Paiva Larissa , Oliveira Túlio Medina Dutra de , Souza Nara Batista de , Alberto Klaus Chaves , Almeida Daniela Pereira , Oliveira Cristino Carneiro , José Anderson , Malaguti Carla 
Published: August 2024

Background
Individuals with chronic obstructive pulmonary disease (COPD) exhibit reduced levels of physical activity, which are associated with poorer outcomes. The number of clinical trials aiming to promote behavioral changes to increase physical activity in this population has grown; therefore, these trials have yet to produce satisfactory results. An ecological model encompassing individual, social, environmental, and political factors represent a potentially more effective approach to promoting physical activity. While favorable urban environments can positively impact physical activity, specifically tailored environmental interventions for individuals with COPD could enhance their engagement in physical activity. Therefore, the aim of this randomized controlled trial (RCT) study was to analyze the effects of walking in a suggested environment and free walking on physical activity levels in individuals with COPD.

Methods
The environment on physical activity for chronic obstructive disease (EPCOT) is a randomized controlled clinical trial protocol approved by our institution’s Ethics Committee and registered with The Brazilian Registry of Clinical Trials (ReBEC) (https://ensaiosclinicos.gov.br, number RBR-4tfwdhp). This protocol will involve 38 volunteers diagnosed with COPD recruited from the pulmonary physiotherapy and rehabilitation service. The volunteers were randomly divided into two walking groups: an experimental group (ERG) with guidance for walking in a suggested environment and an active control group (ACG) instructed to choose their own routes. The intervention consisted of eight consecutive weeks, with progressive walks carried out 3 to 5 times weekly. The primary outcome will be assessing participants’ physical activity levels. Secondary outcomes will include exercise capacity, quality of life, dyspnea levels, motivation, anxiety, depression, and perceptions of the environment. All assessments will occur before and after the intervention period, aiming to fill a literature gap by investigating the impact of urban environments on COPD-related physical activity. The results may shed light on the importance of environmental factors in promoting physical activity among individuals with COPD, helping to develop more effective interventions.
Low handgrip strength with asymmetry is associated with elevated all-cause mortality risk in older Chinese adults with abdominal obesity
Authors: Wei Ling , Wang Binyou , Wang Yilin 
Published: August 2024

Background and objectives
Low handgrip strength (HGS) and abdominal obesity (AO) have been reported to be linked to an increased all-cause mortality risk in older adults. However, the combined impact of AO with low HGS and/or HGS asymmetry on mortality risk remains unclear. Therefore, this study aimed to investigate the synergistic effects of AO and abnormal HGS on mortality risk among Chinese older adults.

Methods
Baseline data of the China Health and Retirement Longitudinal Study in 2011, along with mortality outcomes obtained in 2018 were used for the analysis. Low HGS was identified as HGS <18 kg in women or <28 kg in men, while HGS asymmetry is defined as an HGS of either hand > 10% stronger than the other. AO was characterized by a waist circumference ≥90 cm in men and ≥85 cm in women. Logistic regression analysis was used to evaluate the relationship between AO, abnormal HGS and mortality risk.

Results
A total of 5186 subjects aged 60 years or older were enrolled, 50.6% of whom were male. The proportions of participants with only AO, only low HGS, only HGS asymmetry, low HGS with asymmetry, both AO and low HGS, both AO and asymmetric HGS, and AO with both low HGS and asymmetry were 20.0%, 6.1%, 16.6%, 8.3%, 3.2%, 13.4%, and 3.9%, respectively. Over the course of a 7-year follow-up interval, 970 of these individuals died, with 13.4%, 12.4%, 13.6%, 15.5%, 4.1%, 10.1% and 6.9% of deaths in the above groups, respectively. The adjusted logistic regression analysis model confirmed that only low HGS (OR = 1.897, 95%CI: 1.386–2.596, p<0.001), low HGS with asymmetry (OR = 1.680, 95%CI: 1.265–2.231, p<0.001), and AO combined with both low HGS and asymmetry (OR = 2.029, 95%CI: 1.381–2.981, p<0.001) were associated with a higher risk of mortality.

Conclusions
Low HGS, with or without asymmetry, is associated with increased mortality risk in older Chinese adults without AO, and the combination of low HGS and HGS asymmetry further elevates mortality risk in those with AO.
The prevalence of using beta-blockers and its relationship with social anxiety among health profession students at Umm Al-Qura University
Authors: Quronfulah Baraa Sami , Alzahrani Ruyuf Saleh , Kattan Ebtesam Tariq , Tamim Hala Mamun , Alharbi Taif Hazzaa , Alghamdi Mariyyah Mohammed , Badawoud Amal Mohammad 
Published: August 2024

Background
Social Anxiety Disorder (SAD) is an anxiety disorder characterized by excessive fear of scrutiny in social situations. Health students are more susceptible to SAD due to academic demands. They may resort to self-medication, particularly beta-blockers (BBs) for managing physical symptoms of SAD. The study aims to investigate the prevalence of beta-blocker use and its relationship with social anxiety disorder among health students at Umm Al-Qura University.

Methods
In this cross-sectional study, 461 undergraduate health students participated in a questionnaire with 30 questions divided into three sections: The Social Phobia Inventory (SPIN), BBs usage behavior questionnaire, and demographic characteristics.

Results
The study found 56.2% had SAD. A total of 7.8% of the sample reported using BBs, and no significant correlation was found between the usage of BBs and the SAD score (P = 0.085).

Conclusion
The study revealed significant relationships between the presence of SAD with gender, history of mental conditions, and correlation between the use of BBs with history of mental conditions. Although BBs usage is low among health students, the prevalence of SAD is alarming. The results could raise awareness about the need for early detection of SAD among health students.
THE IMPACT OF INTELLECTUAL CAPITAL AND GOOD CORPORATE GOVERNANCE ON THE ISLAMIC BANKS' FINANCIAL PERFORMANCE: THE MODERATING ROLE OF COMPETITIVE ADVANTAGE
Authors: Annisa Annisa , Haryono Slamet 
Published: August 2024

The inconsistency of previous research results encourages this research. This study examines the impact of intellectual capital and good corporate governance on the financial performance of Islamic commercial banks moderated by competitive advantage. From 2016 to 2021, 9 Indonesian Islamic commercial banks were tested, which were selected using purposive sampling technique and estimated using panel data regression fixed effect model through Eviews 12 program. The results of this study reveal that intellectual capital can affect financial performance, but good corporate governance has no impact on the financial performance of Islamic commercial banks. This study also reveals the relationship between intellectual capital and good corporate governance with financial performance cannot be moderated by competitive advantage. The results of this study imply the importance of managing intellectual capital to improve financial performance and the implementation of good corporate governance needs to be improved.
Profesor Roman Pollak jako współtwórca i JM Rektor Uniwersytetu Ziem Zachodnich
Authors: Franz Maciej 
Published: August 2024

The aggression of Nazi Germany against Poland on September 1, 1939 was followed by the occupation of Poznan, during which the Germans dissolved the University of Poznań and wanted to denationalise Greater Poland by expelling Poles from the Warta Land, as they called it. Risking their lives, professors and students decided to create a secret University of the Western Lands in Warsaw and other cities of the General Government. It was the largest secret university in occupied Poland and one of its key figures was professor Roman Pollak. He was the second chancellor of the university, managing it during its greatestdevelopment.
Publicystyka Romana Pollaka na łamach „Kuriera Poznańskiego”
Authors: Malinowski Józef 
Published: August 2024

Apart from numerous scientific publications, professor Roman Pollak also contributed his articles to “Kurier Poznańki” (Poznań Messenger) from 1923 to 1935. They are a perfect illustration of the reflections on the broad range and depth of the professor’s interests; he appreciated the critical thoughts of Benedetto Croce, the poetry of the futurists, the art of typography and theatrical experiments of Anton Bragaglia. He also closely followed the Polish themes in Italian professional and daily magazines. Roman Pollak meticulously noted everything that indicated interest in Poland and its culture in Italy, such as Italians’ visits to Poznan or the initiatives of the Ministry of Religious Affairs and Public Education aimed at promoting Polish culture abroad. Many of the articles were devoted to the authors and researchers of Polish literature. The analysis of these text complements the intellectual biography of the professor not only as a literary historian, renowned expert in the Baroque or the co-founder and leader of Polish studies in Italy, but also as a scholar who skillfully combined his scientific and didactic work with prolific writing for one of the major daily newspapers in the Second Polish Republic.
Whole body resistance training on functional outcomes of patients with Stage 4 or 5 chronic kidney disease: A systematic review
Authors: Abrahim Salma , Steele Alexandra P. , Voth Jennifer , Krepinsky Joan C. , Lanktree Matthew B. , Hawke Thomas J. 
Published: August 2024

AbstractChronic kidney disease (CKD) causes skeletal muscle wasting, resulting in reduced function and inability to live independently. This systematic review critically appraised the scientific literature regarding the effects of full‐body resistance training on clinically‐relevant functional capacity measures in CKD. The study population included studies of people with Stage 4 or 5 CKD and a mean age of 40+ years old. Eight databases were searched for eligible studies: Pubmed, Embase, Cochrane, CINAHL, Scopus, Web of Science, MEDLINE, and AGELINE. MeSH terms and keyword combinations were used for screening following the PRISMA conduct. Inclusion criteria were based on PICO principles and no date of publication filter was applied. The intervention was training 2 days/week of structured resistance exercises using major upper and lower muscle groups. Minimum intervention period was 7 weeks. Comparison groups maintained their habitual activity without structured exercise training. Outcome measures of interest were: 6‐min walk test, grip strength, timed up‐and‐go test, and sit‐to‐stand. Eight randomized controlled trials and one nonequivalent comparison‐group study fulfilled the inclusion criteria and underwent data extraction. All studies were of hemodialysis patients. The evidence indicates that full‐body resistance exercise significantly improved grip strength, timed up and go and sit to stand tests; metrics associated with enhanced quality and quantity of life.
Direct-to-consumer testing as consumer initiated testing: compromises to the testing process and opportunities for quality improvement
Authors: Shih Patti , Sandberg Sverre , Balla Jan , Basok Banu Isbilen , Brady Jennifer J. , Croal Bernard , De Vos Nathalie , Karlsson Mathias , Kedars Piret , Ozben Tomris , Pijanovic Marina , Plebani Mario , Orth Matthias 
Published: August 2024

Abstract
Direct-to-consumer testing (DTCT) refers to commercial laboratory tests initiated by laypersons without the involvement of healthcare professionals. As this market grows in size and variety of products, a clear definition of DTCT to ground the conceptualization of their harms and benefits is needed. We describe how three different modalities of DTCT (home self-testing, self-sampled tests, and direct access tests) present caveats to the traditional testing process (‘brain-to-brain loop’), and how this might differ between medical vs. non-medical laboratories. We make recommendations for ways to improve quality and reduce errors with respect to DTCT. The potential benefits and harms of DTCT will invariably depend on the context and situation of individual consumers and the types of tests involved. Importantly, implications for both consumers and the healthcare system should be considered, such as the effects on improving health outcomes and reducing unnecessary testing and use of clinical resources. ‘Consumer initiation’ must be a central defining characteristic of DTCT, to clearly demarcate the key drawbacks as well as opportunities of this type of testing from a laboratory specialists’ perspective. The concept of ‘consumer initiated testing’ should also help define DTCT regulation, and provide a locus of efforts to support consumers as the main decision-makers in the purchasing and conducting of these tests in the absence of clinician gatekeeping.
Navigating the challenges: exploring the association between COVID-19 lockdowns and eating behavior in university students: a systematic review and investigation of factors impacting ed levels
Authors: Sharma Atul Kumar , Jain Kapilaanjan , Mulchandani Kratika , Sorte Smita R. , Rathod Sachin B. , Vij Vinu , Gumashta Jyotsna 
Published: August 2024

Abstract

Introduction
The COVID-19 pandemic has significantly impacted the mental and physical well-being of individuals globally, with university students being particularly susceptible to mental health issues. Factors such as the transition to adulthood, economic hardships, and academic responsibilities, compounded by pandemic-related disruptions like lockdowns and remote learning, have elevated stress levels and altered daily routines. The pandemic has given rise to post-traumatic stress symptoms in certain individuals, including university students which may contribute to the emergence of emotional eating or adopting unhealthy eating patterns as a coping mechanism, leading to excessive consumption or unhealthy dietary choices. This review aims to investigate the influence of COVID-19 restrictions on eating disorders among university students and identifying the contributing factors.

Content
Out of 59 identified articles, 10 met the inclusion criteria, involving 23,542 participants (70.2 % women, 29.35 % men, 0.42 % gender fluid/undisclosed). The lockdown led to increased prevalence and severity of eating disorders among university students, particularly in women.

Summary
The review highlights a notable increase in eating disorders among university students during the COVID-19 pandemic. Mental health issues, reduced physical activity, and economic stress were significant contributors to this trend, with women being disproportionately affected.

Outlook
To mitigate the impact of future pandemics or similar disruptions, universities should implement early screening, provide mental health counseling, virtual support groups, nutritional guidance, and opportunities for physical activity. Encouraging students to seek professional help is crucial for managing mental health and eating habits in such scenarios.
Traditional identity contents predict women’s amusement with sexist jokes about men through benevolent but not hostile sexism
Authors: Koszałkowska Karolina , Wróbel Monika 
Published: August 2024

Abstract
Two preregistered studies (N = 679) tested the links between women’s gender identity and their amusement with sexist jokes targeting men. We hypothesized that the interaction between the strength (i.e., level of in-group identification) and contents (traditional/progressive) of women’s gender identity would be associated with their amusement with jokes targeting men and that this relationship would be mediated by sexism toward men. Although Study 1 provided no support for this hypothesis, we found positive associations between women’s traditional identity contents and their amusement with benevolent and hostile jokes about men, explained by the higher endorsement of benevolent (but not hostile) sexism toward men. Study 2 replicated this effect, suggesting that women’s enjoyment of jokes targeting men might stem from their beliefs that justify the existing power (im)balance between sexes and not their hostility toward men.