bluuebunny/crossref_metadata_2025_split huggingface dataset:
Completeness and Satisfaction with the Education and Information Received by Patients Immediately after Kidney Transplant: A Mixed-Models Study
Authors: Haspeslagh Annelies , De Bondt Kathleen , Kuypers Dirk , Naesens Maarten , Breunig Carine , Dobbels Fabienne 
Published: March 2013

Context Self-management is important in ensuring good clinical results in kidney transplant recipients. It was unclear whether the current education program at a single kidney transplant center sufficiently prepares recent transplant recipients for the many complex self-management tasks required. Objective To evaluate the completeness of and the satisfaction with the current inpatient kidney transplant education program and to determine recipients' needs for information in the first months after discharge. Methods We used a concurrent mixed-methods design, including 31 kidney transplant recipients who were assessed via a semistructured interview (qualitative part) and a questionnaire specifically designed for this study, consisting of 30 Likert-type and open-ended questions (quantitative part). Results Kidney transplant patients reported having received extensive information about medication use after transplant surgery (antirejection medication, 93.5%). Information about healthy lifestyle (physical activity and rehabilitation, 54.8%), return to work (54.8%), and emotional coping (25.8%) was considered suboptimal, although most patients expressed a need for such information. Patients indicated a need for more concrete and practical information, not only during their hospital stay, but also in the long term after transplant. Conclusions This is the first mixed-models approach showing that our education program immediately after transplant focuses on the transfer of factual knowledge, which seems to insufficiently train patients in developing self-management skills. Updates of our program are warranted to overcome the gaps in the information provided, to provide more practical tips, and to repeat education in the long-term after the transplant surgery, tailored to the patients' needs.
Assessing Health Literacy in Renal Failure and Kidney Transplant Patients
Authors: Escobedo Wendy , Weismuller Penny 
Published: March 2013

Context A report released in 2004 by the Institute of Medicine estimated that as many as 90 million Americans do not have the necessary skills required to manage complex treatment regimens or navigate through current health care systems successfully. Objectives To identify the level of health literacy in patients seen at a suburban transplant center by using the Newest Vital Sign tool to assess health literacy. Design and Setting This descriptive study used survey methods. The convenience sample included 44 adult patients, both English and Spanish speaking, who attended a routine clinic visit at a suburban transplant center. Methods The Newest Vital Sign tool was administered during routine outpatient medical visits. Demographic information collected included age, sex, highest level of education, and whether or not the participant was on dialysis or received a kidney transplant. Descriptive statistics were completed for each answer on the tool. Chi-square analyses were done to determine whether demographic factors or the presence of dialysis affected health literacy in this sample. A 1-way analysis of variance between-subjects test was run to compare the effect of primary language and educational level on scores. Results Of the 44 participants, 18 (41%) had scores indicating a possible likelihood to a high likelihood of limited health literacy. Twenty-nine percent of the English-speaking participants and 89% of the Spanish-speaking participants scored in this range. An association was also found between performance on the survey and level of education. However, assessment of educational level alone is not predictive of health literacy; 8 participants (18%) had a high school or college education yet scored as having limited health literacy.
Telephone Requests for Donation: Concerns Expressed by Families and the Impact of the Donor Registry
Authors: Verble Margaret , Darcy Kimberly , Penta Jeffrey G. , Worth Judy 
Published: March 2013

Context The request process for eye and tissue donation is different from the process that families of organ donors experience, but the research into eye/tissue-only decision making has been sparse. Objective To determine the concerns of families approached over the phone for eye/tissue donations and to study the impact of the donor registry on those decisions. Design, Setting and Participants Written instrument filled out by family services coordinators while speaking with families about donation via phone in the San Diego, California, area during 2011. Main Outcome Measures Responses marked on a 21-item instrument, contextual notes, donor registrations, and decisions made. Results With a 60% refusal rate, the most common reasons reported for declining donation are that the potential donor said during life he/she did not want to donate (26%) or that the family, not knowing the potential donor's wishes, opted not to donate (13%). Other specific reasons for not donating were as follows: wanting the body buried whole (8%), concerns about age and prior health (7%), and incompatibility with religion or culture (7%). Consenting families had different concerns: worries about delays (36%), the potential donors' age and health (25%), how the body might look for viewing (14%), the amount of paperwork (10%), for-profit status of beneficiaries (9%), international distribution (8%), and family disunity (8%). Registry-related refusals weighted against donations of tissues from registered donors amounted to a deficit of 92 potential donations. When donations lost to faulty assumptions based on public education are added, the deficit increases to 122 lost donations.
The Present State of Unpopular Music
Authors: Beckwith John 
Published: March 2013

When asked, "what kind of music do you write?" the late composer Harry Somers always replied "unpopular music." Whatever it is called, the category has undergone marked changes recently. SOCAN's 1992 transference of control from its "classical" wing to its commercial sector was, for the Canadian musical scene, a historic indicator of change.
The death of modernism has become a critical cliché. Recent studies declare the end of "classical" music cultivation in the U.S.A. Composers are enjoined to conform to the vocabulary of U.S. pop. A simplified and meditative popular approach is espoused by some, notably (in Canada) Christos Hatzis.
Despite signs of decline, a minority consumership for new "unpopular" works of diverse kinds remains strong. For a marginalized Canadian, local communication is genuine, and small is beautiful.
On dual‐purpose buildings built by the Incorporated Church Building Society (Part 2): From the early to middle 20th century
Authors: Ebara Sumiko 
Published: February 2025

AbstractMost of the dual‐purpose buildings built by the Incorporated Church Building Society in the 19th century were mission buildings. In the 20th century, many consecrated churches were constructed as dual‐purpose buildings. Installing a stage for secular use became common. However, reserving at least one‐third of the total floor to be used exclusively for worship was recommended. In addition, several floor plans emerged that allowed the worship floor to be extended but not vice versa. A wider range of floor plan variations was found that explicitly identified worship as the primary use.
Combinatorial Optimization and Large‐Scale Integration of Organic, Low‐Energy, and Fully‐Printed Flexible Ribbon Photosensors
Authors: Bairaktaris Georgios , Hemmi Yudai , Kobayashi Ryota , Hommura Yuki , Bestelink Eva , Matsui Hiroyuki , Sporea Radu A. 
Published: February 2025

AbstractThe development and optimization of flexible electronics has allowed technology to be better integrated in applications and environments where the physically rigid nature of electronics is previously a limiting factor. Printing techniques contribute to lowering the fabrication costs and making manufacturing‐on‐demand viable. The use of flexible electronics in the user interface domain has been previously explored with solution‐processed optical photodetectors created and the feasibility of using flexible sensors demonstrated in augmented paper applications. In this work, low‐cost photodetectors are developed using scalable printing techniques, their electrical performance is analyzed, and their stability over time is studied both in air and in vacuum, the structure is optimized through a combinatorial optimization experiment, and a scalable integration method is demonstrated for creating larger, addressable arrays of detectors. This is a demonstration of how printing methods allow for easy, cost‐effective, and low‐energy manufacturing of uniform and stable photosensors.
The role of tele‐ultrasound for real‐time remote guidance for femoral nerve blocks in the emergency department
Authors: Mand Simanjit K. , Koehler Jessica , Baez Jessica R. , Minges Patrick G. , Stolz Lori A. 
Published: February 2025

AbstractThe use of point‐of‐care ultrasound (POCUS) is integral to the practice of emergency medicine, particularly for procedural guidance. While simulated repetitions can aid in educating physicians in rare or difficult procedures, they cannot replace the need for real‐time supervision and guidance especially when a learner is performing a procedure on a patient for the first time. However, procedural experts may not be immediately available in many clinical environments. We present a framework for a tele‐ultrasound protocol for use with femoral nerve blocks in which expert proceduralists can be readily available to assist with ultrasound‐guided procedures with ease and accessibility.
Factors associated with performance on the emergency medicine qualifying examination
Authors: Santen Sally A. , Calderon Yvette , Reisdorff Earl , Johnston Mary M. , Joldersma Kevin B. , Corbin Theodore , Kraus Chadd K. , Boatright Dowin 
Published: February 2025

AbstractBackgroundBoard certification standards exceed the baseline requirements for state licensure, assuring the public that specialists demonstrate additional clinical skills, knowledge, and professional behavior to provide safe and high‐quality specialty care. The objective of this study was to determine what physician factors (e.g., gender, age, race/ethnicity, medical school training, and other factors) were associated with the American Board of Emergency Medicine qualifying examination (QE) performance and pass rates.MethodsThis was a national retrospective, observational, cross‐sectional study exploring factors associated with the QE. Subjects were physicians who graduated from accredited emergency medicine (EM) categorical residency programs who took the QE for the first time in 2017, 2018, or 2019. A series of multilevel models was used to examine if physician characteristics were related to score and passing the QE. Relative risks were calculated.ResultsThere were 6174 EM graduates, 2118 of whom were women and 588 who were underrepresented in medicine (URiM) physicians. Controlling for other variables, in‐training examination (ITE) scores and medical doctor (MD) degrees were positively related to mean QE scores, whereas age, 3‐year programs, URiM, and male gender were negatively related to mean QE scores. The QE pass rate was 94%, 95% for non‐URiM and 86% for URiM. Results of the full model indicated ITE score, age, URiM, gender, MD degree, and residency program format were significantly related to performance on the QE. In the final model, passing the QE was positively related to ITE scores and negatively related to age and URiM. After other variables were controlled for, the adjusted risk ratio for URiM was 0.94.ConclusionsSeveral factors were associated with decreased pass rates on the ABEM QE including ITE scores, older age, and URiM, although the risk ratios were small.
Multiscale numerical simulation of the evolution of SiO2 nanoparticles in high‐temperature rapid reaction processes neglecting sintering
Authors: Ju Jie , Luo Lingli , Wu Yingjie , Cheng Qiling , Jiang Hao , Hu Yanjie , Li Chunzhong 
Published: February 2025

AbstractNanoparticle formation in high‐temperature rapid reactions involves multiple phases—chemical reactions, nucleation, growth and aggregation—that interact across various temporal and spatial scales to shape particle size distribution and morphology. This study presents a numerical simulation method combining density functional theory (DFT) with computational fluid dynamics –population balance model (CFD–PBM). This method investigates the dynamics of nano‐SiO2 particles produced from SiCl4 in H2/O2 flame. Temperature distributions at varying flame heights and the granular distributions of primary and aggregated particles were analyzed. The model, incorporating the anisotropy and fractal dimensions of aggregates, accurately predicted the average diameters of nanoparticles, with accuracies between 72.17% and 88.84% under the specified process conditions. These findings affirm the method's potential and theoretical significance for synthesizing nanomaterials in high‐temperature flames.
The Decolonial Turn in Forensic Anthropology
Authors: Go Matthew C. 
Published: February 2025

ABSTRACTForensic anthropology has matured into a formidable and fully fledged discipline that includes specialty graduate programs, diversified employment opportunities, an expanding scope, and improved regulation. As part of this maturity, and in step with other branches of science and the humanities, forensic anthropology has also experienced an upswing in discourse on decolonization and decoloniality. From its inception and throughout its history, anthropology has been a colonial venture that observes humans under a Western gaze. As a critique of the universality and superiority of Western systems of knowledge, the decolonial turn constitutes alternative ways of thinking and doing and provides space for these epistemes to circulate and thrive. In this synthesis, decolonization efforts within forensic anthropology are organized into five “C's” of appraisal: categories, casework, curricula, competence, and collections. Namely, these efforts feature the debates around sex, ancestry, and structural vulnerability estimation (categories); the expansion of humanitarian action and community involvement and the challenges to positivism, neutrality, and objectivity (casework); the assessment of how we educate, train, and value expertise (curricula and competence); and the interrogation of how we extract knowledge from the dead (collections). From the undercurrents of these five, a sixth C, care, is unveiled. Given the academic and practical value of forensic anthropology, especially vis‐à‐vis its consequences for colonized peoples, these discourses become imperative for the continued relevance of a colonialist field in a postcolonial world.
A Selective Chromogenic and Fluorogenic Film Kit for Determination of Cyanide in Water and Soil Samples
Authors: Reinick Ana Paula , Gutierrez Leandro Gabriel , Cravero Facundo , Vaillard Santiago Eduardo , Ferretti Cristián Alejandro 
Published: February 2025

ABSTRACTA single, quick, and effective film kit for the quantification of cyanide ions in water and soil samples was developed. The film kit consists of a polymeric membrane of sodium carboxymethyl cellulose and hydroxypropyl methyl cellulose that contains matrix dispersed SBA‐15 particles impregnated with the molecular sensor. The molecular sensor is highly selective for the chromogenic and fluorometric detection of CN−, whose recognition mechanism is based on the nucleophilic addition to the dicyanovinyl group linked to an anthracenyl moiety. The analytical evaluation was carried out for quantification of CN− with the film kit and with the free sensor using UV–vis spectroscopy and fluorescence spectroscopy. The detection limit for the film kit by fluorescence spectroscopy was 0.6 μM CN−, which is lower than the WHO guideline for cyanide in drinking water. This method was successfully validated, and the application in real water and soil samples gave excellent results, suggesting that the film kit is versatile for determining CN− in these media.
Preparation and Properties of Toughened PLA/PBAT Blends Based on EVA and Multi‐Functional Epoxy Chain Extender
Authors: Chen Rong‐yuan , Zhang Fu‐peng , Jin Bi‐hui , Han Lin , Zhang Zhong‐hou , Lin Bao‐de , Pan Fan , Fang Shao‐ming 
Published: February 2025

ABSTRACTThe effects of ethylene‐vinyl acetate copolymer (EVA) and multi‐component epoxy chain expander (ADR) on the performance of PLA/PBAT blend were investigated by preparing PLA/PBAT/EVA blends and PLA/PBAT/EVA/ADR blends through melt blending method. The mechanical properties, morphology, thermal behavior, and rheological properties were studied. The addition of EVA had a slight improvement on the impact strength of PLA, while the tensile strength had a decrease and elongation at break had significant increase. The microstructure of PLA/PBAT/EVA also showed a sea‐island morphology, the EVA had a small impact on the rheological property of PLA/PBAT blend. When introduced ADR in the PLA/PBAT/EVA blend, the morphology showed that the interface interaction of the blends was been significantly improved. As a result, the rheological property, including the complex viscosity, storage modulus and loss modulus increased remarkably compared with PLA. The impact strength of PLA/PBAT/EVA/ADR blends had a significant improvement, the highest impact strength reaches 51.99 kJ/m2, which is 22.3 times higher than that of PLA. The elongation at break of the blend maintains in the range of 400%–500% with tensile strength 43.5 MPa. Furthermore, the PLA/PBAT/EVA/ADR blends also showed an improved of heat resistance and thermostability compared with PLA.
Mechanically Robust Poly (Metaphenylene Isophthalamide) Fibers Enhanced From the Recycling of Heterocyclic Para‐Aramid Fibers via Deprotonation and Blending Strategies
Authors: Zhong Guofeng , Li Na , Yu Junrong , Wang Yan , Hu Zuming 
Published: February 2025

ABSTRACTPoly (metaphenylene isophthalamide) (PMIA) fiber has excellent heat resistance and flame‐retardant ability, but its mechanical properties are poor due to its own structure. Therefore, it is of great significance to improve the mechanical properties of fibers to expand their application range. Meanwhile, a large amount of waste aramid fibers generated during the production process are mishandled, resulting in the waste of valuable resources as well as serious environmental pollution. In this study, heterocyclic para‐aramid fibers were treated by deprotonation to obtain heterocyclic para‐aramid nanofibers, which were combined with PMIA fibers as a reinforcing phase. The composite fibers presented superior mechanical properties through wet spinning and stretching phases. The results showed that when the addition of HANF was 0.4%, the tensile strength and elongation at break of HANF/PMIA composite fibers were increased by 86.28% and 48.48% respectively, compared with PMIA fiber. Compared to most of the current studies on nano‐filler reinforced fiber, this work has the advantages of low addition of nano‐filler and significant strengthening effect. It provides a feasible and cost‐effective approach for the recycling of heterocyclic aramid fiber.
Effects of Habitat Structure and Environmental Factors on Fish Fauna in Temperate River Estuaries
Authors: Itsukushima Rei , Kano Yuichi 
Published: February 2025

ABSTRACTRiverine estuaries provide several ecosystem services to humankind. Notably, river estuaries are important habitats for both saltwater and freshwater organisms. However, the environment is experiencing degradation due to both direct and indirect anthropogenic impacts across various spatial scales (e.g., dredging, river channelization, land use change and dam construction). This study aims to reveal the relationship between the river estuarine fish fauna and the environmental factors including anthropogenic impacts as the basic knowledge necessary for the conservation and restoration. The Bōsō Peninsula (Japan) was selected as the study area. We identified the environmental factors that affected the fish species diversity and determined the factors that affected the habitat structure in the river, while focusing on anthropogenic impacts and topographical conditions. The fish species that occur in river estuaries are strongly influenced by habitat‐scale factors, such as flow velocity and water depth, along with watershed‐scale factors (such as wave exposure and direct fetch). In addition, the width–depth ratio, which indicates the degree of river channelization, was an important factor that controlled the habitat structure of the fish in the estuary. The results suggest the need for developing restoration plans based on the predictions of the potential physical environment, while considering the predictions for the occurrence of different fish species in the target area. Although this study is limited to the Bōsō Peninsula, our study can be used as a framework for improving future conservation and restoration plans for river estuaries in not just Japan but also other countries.
Stable Isotope Analysis of Oysters as a Tool for Environmental Monitoring in a Marine Extractive Reserve
Authors: Cortez Pedro Sant' Anna , Ferreira Nícollas Menezes , Cardoso Narcilo , Felizardo João Paulo de Sá , Muniz Marcelo Costa , Monteiro Julio Cesar , Farias Cássia de Oliveira , Lopes Giselle Pinto de Faria , Anjos Roberto Meigikos dos , Coutinho Ricardo , Oliveira Louisi Souza de 
Published: February 2025

ABSTRACTThe stable isotopes δ13C and δ15N are widely recognized and utilized as biomarkers for analysing trophic links, paleoenvironmental reconstruction, biogeography and nutrient sources. However, it is essential to further develop their applications, as their use in marine environmental monitoring is not as prominent. 13C and 15N have distinct signatures in organic compounds, which can be utilized to identify potential carbon and nitrogen sources. Marine bivalves are often employed in environmental studies as efficient bioindicators because sessile filter feeders tend to bioaccumulate pollutants. The present study analysed δ13C and δ15N in seston and oysters inhabiting two areas with different environmental conditions in a marine extractive reserve. The isotopic values were compared for two trophic levels and three oyster tissues, resulting in a broad view of local dynamics. Seston samples from Forno Beach (FB) exhibited depleted δ13C values, possibly reflecting a terrigenous carbon contribution in this area. Considering oyster tissues, δ13C and δ15N values in the hepatopancreas were similar to seston, possibly due to oysters' role as filter feeders, supporting the use of digestive tissues for assessing short‐term changes of environmental conditions. Moreover, isotope values for oyster gills and muscles suggest long‐term homogeneous conditions for Anjos Beach (AB) and FB, with a predominance of marine carbon and nitrogen sources. Our results underline the relevance of analysing bivalve tissues separately because they display different turnover rates and depict variable time frames of environmental conditions. This article provides valuable information on the variables that must be considered when applying stable isotope analysis in coastal environmental monitoring, highlights knowledge gaps and recommends best practices for future work in this area.