bluuebunny/crossref_metadata_2025_split huggingface dataset:
Using the Hospital Anxiety and Depression Scale in Patients 80 Years‐Old and Older: A Systematic Review
Authors: Eide Leslie S. P. , Sandvik Reidun K. N. , Jorem Gøril Tvedten , Boge Ranveig M. , Beisland Elisabeth Grov 
Published: February 2025

ABSTRACTAimsTo identify and report results from studies of anxiety and depression, as measured by The Hospital Anxiety and Depression Scale (HADS) in patients ≥ 80 years admitted to hospital settings, and to inform nurses, researchers and educators in nursing about these findings.DesignSystematic review.Data SourcesMEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane, Epistemonikos, Scopus and Web of Science Core Collection of studies published until October 2023.MethodsA search strategy was developed with a university librarian. Four independent reviewers screened titles and abstracts based on predefined inclusion criteria. Data were systematically extracted, descriptively analysed, and Critical Appraisal Skills Programme checklists were used to assess studies.ResultsOut of 7076 identified studies, three met the eligibility criteria. Data from 420 participants aged ≥ 80 years were analysed, revealing anxiety prevalence rates between 6% and 18% and mean scores below 4. Depression prevalence rates ranged from 7% to 17%, with a mean score below 4. Most patients with depression were not previously recognised as being depressed.ConclusionsFew publications reported on anxiety and/or depression in hospitalised patients aged ≥ 80 years using HADS. A gap in the knowledge base has been identified.ImplicationsAnxiety and depression are mental health conditions that can lead to adverse events and strongly affect aging. Increased understanding of the role that these conditions have on hospitalised patients ≥ 80 years is important for nurses when in contact with this patient group.ImpactThere is a need for more studies to generate evidence regarding anxiety and depression in an increasingly common and challenging hospital population by building upon evidence that is based on validated instruments such as the Hospital Anxiety and Depression Scale.Reporting MethodThe PRISMA guideline was followed, and the review registered in PROSPERO (Registration number CRD 42022380943).Patient ContributionNo patient or public contribution.Trial RegistrationCRD 42022380943
Impact of Collagen Membrane in Vertical Ridge Augmentation Using Ti‐Reinforced PTFE Mesh: A Randomised Controlled Trial
Authors: Urban Istvan A. , Serroni Matteo , Dias Debora R. , Baráth Zoltán , Forster Andras , Araújo Tiago G. , Saleh Muhammad H. A. , Cucchi Alessandro , Ravidà Andrea 
Published: February 2025

ABSTRACTAimsThis non‐inferiority randomised clinical trial aimed to compare vertical bone gain (VBG), volumetric bone changes and incidence of complications after vertical ridge augmentation (VRA) using perforated titanium‐reinforced dense‐polytetrafluoroethylene (PTFE) mesh covered by a collagen membrane (CM) or used alone.Materials and MethodsThirty patients with vertical bone defects were randomly assigned to receive VRA with either PTFE + CM or PTFE alone. Meshes were removed after 9 months. Clinical assessments included complication rates, pseudo‐periosteum type and bone density. VBG, effective regeneration rate and the need for additional augmentation were evaluated using CBCT reconstructions.ResultsNon‐inferiority of PTFE alone compared with PTFE + CM was not demonstrated for absolute and relative VBG (4.5 ± 2.1 mm vs. 4.1 ± 2.7 mm, 79.2% ± 16.6% vs. 85.8% ± 10.6%, respectively), effective regeneration rates (69.3% ± 17.9% vs. 72.3% ± 16.4%, respectively) or complication rates (6.7% in both groups). A higher incidence of type 1 pseudo‐periosteum was observed in the PTFE + CM group.ConclusionThe non‐inferiority of PTFE alone compared with PTFE + CM for absolute VBG was not established. However, both techniques led to comparable outcomes for VBG, complication rates and bone density. The higher incidence of type 1 pseudo‐periosteum and lacking bone volume in the PTFE + CM group suggests that adding a collagen membrane may help prevent soft tissue ingrowth.Trial Registration: Clinicaltrials.gov identification number: NCT04843488
Stridulation sounds of the pacamã Lophiosilurus alexandriSteindachner, 1876 (Pseudopimelodidae), a threatened endemic Brazilian catfish
Authors: Raick Xavier , Kurchevski Gregório , Godinho Alexandre Lima 
Published: February 2025

AbstractPseudopimelodidae comprises 49 species of freshwater catfish endemic to South America, with limited research on their acoustic behaviour. This study focuses on the pacamã Lophiosilurus alexandri Steindachner, 1876, a vulnerable catfish species endemic to the São Francisco River basin, known for its ecological and economic importance. Sound production by this species was analysed for the first time. Three individuals were recorded while being held underwater revealing the production of two distinct sound types (type I and type II) associated with pectoral fin movements (abduction and adduction). Sounds were 85–135 ms long with a variable number of pulses or peaks. Type II sounds were longer and louder than type I sounds, with both types showing a similar peak frequency ranging between 200 and 500 Hz. The sounds were produced alternately by the pectoral fins, with occasional lateralization. More research is needed to determine whether these sounds can be used for monitoring or if they lack sufficient species‐specific characteristics.
Sexual and Gender Minority Migrants' Experiences of Health Service Access and Utilisation: A Qualitative Meta‐Synthesis
Authors: Gottvall Maria , Péter‐Szabó Osszián , Isaac Rummage , Aav Christoffer , Norgren Erik , Carlsson Tommy 
Published: February 2025

ABSTRACTAimsTo describe and synthesise qualitative studies exploring sexual and gender minority migrants' experiences of health service access and utilisation.DesignSystematic meta‐synthesis of qualitative studies.Data SourcesSystematic searches in four databases and citation screening were conducted in 2023 and 2024. English‐language empirical qualitative studies published in scientific journals within 10 years were included. Of 1109 screened, 21 reports were included.MethodsIncluded reports were appraised using CASP and JBI checklists. Extracted results were analysed with inductive content analysis in a collaborative process.ResultsAll reports had acceptable quality, including 365 participants from 72 countries. A range of external and internal barriers to accessing health services were reported, including financial constraints and fears. Although migrants expressed an appreciation of health services, they also experienced non‐affirming behaviours and discrimination related to their intersecting identities. Several essential components in health services necessary to cater to the needs of migrants were addressed, including the personality and manner of health professionals as well as adherence to confidentiality.ConclusionBarriers to health services, intersectional discrimination and non‐affirming behaviours when interacting with health services are pressing issues that need further attention.Implication for the Profession and/or Patient CareEnsuring safety through affirming support is key to achieving high‐quality and accessible health services for sexual and gender minority migrants. Nurses and other health professionals need to carefully consider intersectional layers related to sensitivity and safety when supporting sexual and gender minority migrants. Open, friendly, validating, respectful and encouraging communication is essential in clinical settings.ImpactThis review addressed experiences of health services amongst a marginalised population. The findings highlight the importance of affirming care and are relevant for health professionals, stakeholders and decision‐makers.Reporting MethodENTREQ.Patient or Public ContributionTwo persons with lived experience were involved in the meta‐synthesis.
Relationship Between Depression and Suicide Attempts: The Moderating Effect of Social Network
Authors: Kim Dongwoo , Lee Yeonju , Choi Sungwon 
Published: February 2025

AbstractStudies of protective factors regarding the suicidal risk in individuals with depression commonly suggest that social resources are important. However, there are some incoherent results that may be due to the cognitive distortion of depressed people. Therefore, the purpose of this study was to explore the relationship using social network variables, a relatively objective measurement method. The 145 participants were college students who studied in Seoul, South Korea. The Center for Epidemiologic Studies Depression Scale (CES‐D), the Suicide Ideation Scale, and an indicator evaluating the number of social networks were used. In the relationship between depression and suicide attempts, the size of social networks showed a significant moderating effect. In particular, when the size of the social network is fewer than six people, it is found that there is a conditional effect, confirming that the minimum human resources play an important role in identifying the risk of suicide attempts. This study may be meaningful in that it uses social network variables to examine the impact of social resources in more diverse aspects and to present specific goals for suicide crisis intervention.
The Saliency of Attachment, Affiliation, and Caregiving Functions in Japanese Young Adults' Relationships with their Mothers and Friends
Authors: Handa Kyonosuke , Azuma Tomomi , Umemura Tomotaka 
Published: February 2025

AbstractEmerging adults' relationships with their mothers and friends serve attachment, affiliation, and caregiving functions. The attachment function provides security. The affiliation function promotes mutual partnerships. The caregiving function involves caring for others. However, few non‐Western studies have examined the degree and role of the three functions. This study recruited 100 Japanese university students (Mage = 20.91 years, SD = 1.35 years, women = 50) and evaluated relationship functions using a narrative method, the Three‐Words Interview. Similar to findings from Western contexts, Japanese emerging adults were more likely to perceive the attachment function of their mothers and the affiliation function of their friends. Additionally, men were less likely to use these three relationship functions in friendships than women. Finally, this study found links between the attachment function of mothers and mental health and between the affiliation function of friends and social competence. These findings emphasize the distinct functions of mothers and friends in emerging adults.
Vertical Transmission in Mothers Taking TAF With Exceptionally High Viral Load
Authors: Zou Huaibin , Zhu Liying , Cao Lihua , Suo Shuyi , Zhu Yunxia , Wang Yuanyuan , Dong Jingchao , Han Baiyila , Duan Zhongping , Chen Yu , Pan Calvin Q. 
Published: February 2025

ABSTRACTPublished studies on tenofovir alafenamide (TAF) therapy for preventing vertical transmission of hepatitis B virus (HBV) have primarily enrolled mothers with viremic levels of approximately 7 log10 IU/mL. This study aimed to evaluate the efficacy and safety of TAF therapy in preventing mother‐to‐child transmission (MTCT) in mothers with exceptionally high viral loads, defined as HBV DNA levels > 2,000,000 IU/mL. Hepatitis B e antigen (HBeAg)‐positive mothers with HBV DNA levels > 2,000,000 IU/mL were prospectively enrolled from four hospitals and initiated on TAF therapy between gestational weeks 26 and 28, continuing until delivery. All infants received immunoprophylaxis and were followed up to 28 weeks postpartum. The primary endpoints were the MTCT rate and the occurrence of congenital abnormalities in infants. Secondary outcomes included maternal HBV suppression at delivery and the safety of both mothers and infants. Among 137 mothers screened, 120 were enrolled in TAF therapy, and 121 infants completed the study. At delivery, 93.3% (112/120) of mothers achieved HBV DNA levels < 200,000 IU/mL. At birth, 0.8% (1/121) of infants had a congenital malformation, and 9.9% (12/121) tested positive for HBsAg. The vertical transmission rate was 2% (2/121, intention‐to‐treat) at 28 weeks of age. No severe adverse effects were reported in mothers or infants. On‐treatment and postpartum alanine aminotransferase (ALT) flares after TAF cessation occurred in 7.5% (9/120) and 41.1% (46/112) of mothers, respectively, alongside viral rebound after cessation. Infant physical development remained within normal ranges based on national reference standards. In summary, approximately 2% of mothers on TAF therapy during late pregnancy experienced MTCT, despite proper immunoprophylaxis for their infants. Extending the treatment duration beyond 12 weeks for mothers with extremely high viral loads is recommended to improve MTCT prevention. No safety concerns were observed for either mothers or infants.Trial Registration: ClinicalTrials.gov identifier: NCT04237376
Perceived HBV‐Related Stigma Is Associated With Lower Antiviral Medication Adherence in Patients With Chronic Hepatitis B
Authors: Juon Hee‐Soon , Yang Daniel , Fang Cindy Xin , Hann Hie‐Won , Bae Ho , Chang Mimi , Klassen Ann C. 
Published: February 2025

ABSTRACTMedication nonadherence among patients with chronic hepatitis B (CHB) can lead to severe liver disease progression, including liver cirrhosis and hepatocellular carcinoma (HCC). Yet the factors that influence adherence in high‐risk groups, like Korean Americans, remain unclear. Thus, this study explored the psychosocial and clinical factors affecting medication adherence in CHB patients. A cohort of 365 Korean American patients with CHB from two clinics in Philadelphia and Los Angeles was studied. The 8‐item Morisky Medication Adherence Scale (MMAS‐8) gauged their adherence to antiviral medication. Using descriptive and multivariable logistic regression analyses, we identified factors associated with MMAS‐8 scores. Of the participants, 78% were undergoing antiviral therapy, with over two‐thirds (69%) reporting medium to high adherence levels. The multivariable logistic regression analysis revealed that age, knowledge of sequalae of CHB, perceived HBV stigma and possession of pharmacy plan were associated with medication adherence. Older participants had higher medication adherence than younger. High knowledge of sequalae of CHB and low perceived HBV stigma were associated with higher medication adherence. Having pharmacy plans was also associated with higher medication adherence to antiviral therapy. These findings highlight the critical role of person‐related factors (e.g., knowledge and stigma) and healthcare factors in medication adherence. Future research should focus on developing targeted educational interventions focusing on personal factors to improve medication adherence among Korean American patients with CHB.
Conceptualizing identity construction in language teacher education
Authors: LaScotte Darren K. 
Published: February 2025

AbstractThe construct of identity has been widely debated among social theorists, as previous understandings of identity have given way to new conceptualizations that consider the important impact of social contextual and material factors. In light of this, it is clear that our theories of identity construction require heightened consideration of the dynamicity of such social and material factors, as do our analytical frameworks. This article compares different theoretical frameworks and heuristics that researchers have used to document and explore identity construction in terms of their analytic potential and how they have been used to shape scholarship related to language teacher identity. Following each of these descriptions, I identify areas where the use of a single theoretical and analytical framework may fall short of providing a more nuanced and comprehensive understanding of identity construction. In doing so, I echo and bolster previous arguments for complementary, multilayered, and integrated identity models that may prove most useful for future research in language teacher identity construction, and which can contribute broadly to language‐centered and sociomaterial identity inquiry across academic disciplines.
Tracking hidden dimensions of plant biogeography from herbaria
Authors: Daru Barnabas H. 
Published: February 2025

SummaryPlants are diverse, but investigating their ecology and evolution in nature across geographic and temporal scales to predict how species will respond to global change is challenging. With their geographic and temporal breadth, herbarium data provide physical evidence of the existence of a species in a place and time. The remarkable size of herbarium collections along with growing digitization efforts around the world and the possibility of extracting functional traits and geographic data from preserved plant specimens makes them invaluable resources for advancing our understanding of changing species distributions over time, functional biogeography, and conserving plant communities. Here, I synthesize core aspects of plant biogeography that can be gleaned from herbaria along changing distributions, attributes (functional biogeography), and conservation biogeography across the globe. I advocate for a collaborative, multisite, and multispecies research to harness the full potential of these collections while addressing the inherent challenges of using herbarium data for biogeography and macroecological investigations. Ultimately, these data present untapped resources and opportunities to enable predictions of plant species' responses to global change and inform effective conservation planning.
Just scratching the surface: A review of pediatric skin allergies
Authors: Baker Mary Grace , Ford Lara S. , Campbell Dianne E. , Sampson Hugh A. 
Published: February 2025

AbstractThe skin is a large and sophisticated organ populated by innate and adaptive immune effector cells. These immune cells provide a critical first line of defense against pathogens, but genetic and environmental factors can lead to inappropriate signaling that may manifest as hypersensitivity. The most common cutaneous allergic disorders in children include atopic dermatitis, urticaria/angioedema, and contact dermatitis. In this review, we will briefly review these conditions, with a focus on recent developments in our understanding of the diagnosis and management of these disorders.
First do no harm: Client and staff experiences of negative effects from dialectical behaviour therapy
Authors: Lawson Zazie , Farquharson Lorna 
Published: February 2025

AbstractObjectivesResearch has shown that dialectical behaviour therapy (DBT) is effective in reducing self‐harm and suicidal ideation, but there is also some evidence of negative effects with differences in the reports from clients and staff. However, no research has focused on both groups' understandings of negative effects. This study aimed to explore client and staff experiences of the negative effects from DBT, investigate how their understandings compare, and how staff address any negative effects that arise.MethodsEight client participants and seven staff participants, who had experienced or witnessed negative experiences from DBT, engaged in semi‐structured interviews, the transcripts of which were analysed using reflexive thematic analysis.ResultsFour themes relating to client experiences were generated: ‘I'm the problem’, ‘DBT can do no wrong’, ‘No understanding of trauma’ and ‘An unhealthy “blueprint for relationships”’. Five themes relating to staff experiences were generated: ‘It's not me, it's the client’, ‘DBT or nothing’, ‘We don't do ‘why’ in DBT’, ‘We did make some changes’ and ‘Organisational “restrictions”’.ConclusionsBoth staff and clients understood negative effects from DBT to include pathologisation and re‐traumatisation. However, whilst clients related negative effects to the therapeutic relationship, staff highlighted the impact of organisational restrictions. The findings support a number of changes to practice, particularly the need to recognise potential negative effects and provide meaningful informed consent procedures.
Impact of Microcredit on Performance of Women‐Owned Non‐Farm Microenterprises
Authors: Namayengo Faith Muyonga M. , Antonides Gerrit , van Ophem Johan 
Published: February 2025

ABSTRACTThis study evaluates microcredit outcomes in Uganda, where non‐farm enterprises are critical for complementing farming incomes and diversifying livelihoods. It investigates the effects of microcredit on the performance of non‐farm microenterprises (MEs) run by female small‐holder farmers, using quasi‐experimental cross‐sectional and panel designs. The average loan amount was $278, while the monetary worth of MEs for old borrowers (OBs) and new borrowers (NBs) were $280 and $184, respectively. Propensity score matching (PSM) revealed a 24% and 47% increase in funds used to restock and in ME monetary value, respectively, but no differences in ME profits. Difference‐in‐difference analysis (DiD) over 1 year showed improvements in ME monetary value and employee numbers but no effect on profits, trade expenses, or restocking. Across both methods, no improvement in ME profit levels was observed. However, the increase in monetary worth suggests potential profit growth over time. The borrowing context, repayment terms, and the type and size of MEs appeared to limit profitability. This study highlights the importance of understanding microcredit impacts in contexts where non‐farm enterprises are pivotal to rural livelihoods.
FDI Determinants in Developing Countries: A Firm‐Level Analysis
Authors: Cerdeira Jorge , Fortuna Natércia 
Published: February 2025

ABSTRACTForeign direct investment (FDI) has been an important driver of economic growth in developing countries. Between 2005 and 2017, FDI grew significantly in developing countries as the corresponding global growth rate of FDI inflows is around 32 percentage points higher than the world growth rate. The purpose of this paper is to analyze FDI determinants at the firm level in developing countries. Using a sample of 96,826 firms from 125 countries between 2005 and 2017, we adopt a fractional probit regression with endogenous covariates, a more suitable estimation method for addressing the FDI variable. The micro‐level results show that exports, investment, and human capital have a statistically positive impact on FDI inflows, while credit barriers and taxes have a negative effect. Also, market size and resources foster FDI, whereas inflation and environmental emissions lower foreign investment levels. This study demonstrates that governments wishing to attract FDI should adopt a variety of policies, including the promotion of international trade and measures that boost investment and human capital in firms and ease the access to credit.