bluuebunny/crossref_metadata_2025_split huggingface dataset:
Education4Conservation, an evolving international program and 14-year curriculum of environmental education
Authors: Lhota Stanislav , Bukit Windi L. , Razafindravony Lovasoa E. , Randrianarivelo Hajanirina 
Published: August 2024

Abstract
Education4Conservation evolved from an environmental education program in Balikpapan Bay, Indonesian Borneo, after its critical evaluation. The initial goal of the program was to support the development of future conservation leaders who would join the ongoing efforts to conserve proboscis monkeys (Nasalis larvatus) and their coastal forest habitat in Balikpapan Bay. We realized that to achieve this goal, we would need to work with students from the age of 4 years and continue to educate them for many years. We also realized that we needed to focus more on mentoring teachers and incorporating their feedback into the curriculum. The new program, which is in line with the new Indonesian national curriculum (Kurikulum Merdeka), has proved attractive to teachers and has spread from Kalimantan to other Indonesian islands and countries outside Asia. The curriculum continues to improve through regular monthly revisions that incorporate feedback from teachers, while teachers’ pedagogical skills have improved through guidance provided by responses to each of their reports. We have been following and supervising participants since the Education4Conservation program began in 2022. Although a preliminary evaluation seems to indicate substantial improvements over the earlier program (in terms of high participation, positive teacher response, improved reporting skills, and increased clarity and applicability of the curriculum), it remains to be seen whether the program ultimately achieves its primary goal to help raise some of the students into conservation leaders.
Scribal Hands, Errors, and Intervention – Manuscript Production Approaches of the Cao Mie zhi zhen 曹蔑之陣 Manuscripts
Authors: Zheng Oscar Qiu Jun 
Published: August 2024

Abstract
This paper studies two Cao Mie zhi zhen manuscripts in the Shanghai Museum and Anhui University Warring States bamboo strip collections, examining their modes of production, scribal hands, errors, and punctuation. I show that both manuscripts’ production was based on written models and involved multiple scribes, one of whom was responsible for writing the main text, whereas others made corrections and inscribed personal remarks on the manuscripts.
A First Reading of the Hujia Caochang Han-Slip “Statutes on Water Control”
Authors: Lu Jialiang 
Published: August 2024

Abstract
In the “Statutes on Water Control” seen in Selected Western Han Bamboo Slips from Jingzhou Hujia Caochang: the phrase er jue kui 而決潰 should be read together with the preceding phrase, and not juxtaposed with the phrase liu yi ruo sha ren 流邑若 殺人; the phrase ruo huairen tian she 若壞人田舍 is closely related with the preceding liu he san qing yi shang 流稼三頃以上 and should be differentiated from the following liu dao, qiao, ti, ta gong 流道、撟（橋）、隄、它功; dushui 都水 and li, jiang 吏、匠 could be separated by a list-separator mark 頓號. Judging from the situation reflected in the “Statutes on Water Control,” the details, principles, and ideas of its legal stipulations to an extent find their origins in the Qin statutes and ordinances.
Impact of Extreme Rainfall on High-Speed Rail (HSR) Delays in Major Lines of China
Authors: Zhou Lei 
Published: August 2024

Abstract
Punctuality monitoring and analysis aim to optimize resource allocation for enhancing rail traffic performance and quality. Adverse weather conditions, particularly heavy precipitation events, are recognized as significant drivers of delays and reduced punctuality of the rail system. This study addresses two key research questions using high-speed rail (HSR) as an example—what is the impact of rainfall on HSR’s delay and to what extent are HSR vulnerable to rainstorms. The data for the study were collected from the HSR on the major lines of eastern China in the rainy season of 2015–17 which lasted from May to October. High-resolution precipitation data are integrated with nonspatial HSR operational data using GIS to create composite grids covering buffer zones around HSR lines. These grids match the spatial scale of historical hourly precipitation data and enable regression analyses to assess how precipitation affects HSR operations. The results indicate that extreme rainfall significantly contributes to delays and reduced punctuality, with varying impacts observed across different HSR lines. Specifically, daily areal precipitation significantly delays services on the Hangzhou–Shenzhen and Nanjing–Hangzhou HSR lines. Rainfall intensity has a more pronounced impact on delay services of the Beijing–Shanghai HSR, while extreme precipitation most frequently affects the Shanghai–Nanjing and Jinhua–Wenzhou HSR lines. The case analysis enhances understanding of HSR vulnerability to heavy rainfall conditions and recommends regional adaptation strategies to manage climate-related uncertainties.
Examining Relationships Among Nursing Students’ Views of Suffering, Positive Thinking, and Professional Quality of Life
Authors: Engbers Ruth A. , Bekhet Abir K. , Jerofke-Owen Teresa , Johnson Norah L. , Singh Maharaj 
Published: August 2024

Background: Exposure to suffering can lead to compassion fatigue in undergraduate nursing students. Objective: Guided by resilience theory, a cross-sectional, correlational design was used to investigate the potential moderating effect of positive thinking skills on the relationships between views of suffering, compassion fatigue, and compassion satisfaction. Results: In 157 undergraduate nursing students, multiple regressions revealed that views of suffering and positive thinking explained 23.8% of the variance in compassion satisfaction ( F11,145 = 4.121, P < .001), and 21.9% of the variance in burnout ( F11,144 = 3.786, P < .001). The Suffering God view, which stresses the presence of a compassionate deity amid suffering, and positive thinking had significant main effects on compassion satisfaction (β = 0.349, P = .025; and β = 0.309, P < .001, respectively). Positive thinking, the Suffering God view, and the Random view, in which the occurrence of suffering is random and purposeless, had significant main effects on burnout (β = −0.280, P < .001; β = −0.392, P = .014; and β = −0.206, P = .014, respectively). The Unorthodox view, in which a deity exists that allows suffering, had a significant main effect on secondary traumatic stress (β = 0.232, P = .027). Positive thinking did not moderate any of the relationships between the views of suffering and the dependent variables. Conclusions: Knowledge of these relationships can aid in the assessment of nursing students at risk for poor outcomes and guide intervention development to promote professional quality of life.
Regional citrate anticoagulation versus LMWH anticoagulation for CRRT in liver failure patients without increased bleeding risk
Authors: Tang Siyan , Yu Yan , Tang Siwei , Liu Tong , Wu Hao , Liu Yi , Zhao Lijuan , Lu Rui , Zhang Peng , Bai Ming 
Published: August 2024

Background: The optimal anticoagulation regimen for continuous renal replacement therapy (CRRT) in liver failure (LF) patients without increased bleeding risk remains controversial. Therefore, we conducted a monocentric retrospective study to evaluate the efficacy and safety of the regional citrate anticoagulation (RCA) versus low molecular weight heparin (LMWH) anticoagulation for CRRT in LF without increased bleeding risk. Method: According to the anticoagulation strategy for CRRT, patients were divided into the RCA and LMWH-anticoagulation groups. The evaluated endpoints were patient survival, filter lifespan, bleeding, citrate accumulation, and totCa/ionCa ratio. Result: Totally 167 and 164 filters were used in the RCA and LMWH group, respectively. The median filter lifespan was significantly longer in the RCA group (34 h (IQR = 24–54) versus 24 h (IQR = 18–45.5) [95%CI, 24.5–33]; p < 0.001). The 4-week mortality rate was significantly higher in the LMWH-anticoagulation group (71 (57.72%) vs 53 (40.46%); p = 0.006). After adjusted the important parameters in the multivariate COX regression model, the mortality risk was significantly reduced in the RCA group (HR = 0.668 [95%CI, 0.468–0.955]; p = 0.027). In the LMWH group, 30 bleeding episodes (24,19%) were observed, whereas only 7 (5.34%) occurred in the RCA group ( p < 0.001). Two patients (1.5%) in the RCA group occurred citrate accumulation. Conclusions: In LF patients without increased bleeding risk who underwent CRRT, RCA significantly extended the filter lifespan and improved patient survival rate. There was no significant difference in the rate of adverse events between the two groups.
Predictive factors for iliac vein compression syndrome in patients with varicose veins
Authors: Guo Chao , Gao ShuTing , Hu Longqing , Shang Dan , Li Yiqing 
Published: August 2024

Objective This study aimed to identify predictors of iliac vein compression syndrome (IVCS) in patients with varicose veins and to evaluate the necessity of routine lower extremity venography for preoperative assessment of these patients. Methods A retrospective analysis was conducted on data from 1165 patients with lower-limb varicose veins who underwent preoperative venography at Wuhan Union Hospital, Tongji Medical College, China, between January 2019 and September 2023. Logistic regression analyses identified factors associated with concurrent IVCS, and a nomogram was constructed based on these findings. Results Out of 1165 patients, 75 (6.4%) had IVCS according to venography and 769 had iliac vein ultrasound and found 2 (0.17%) positives. Multivariate analysis revealed the independent predictive value of left-sided involvement (odds ratio (OR) = 3.22, 95% confidence interval (CI): 1.24–8.33, p = 0.016), history of deep vein thrombosis (DVT) in the affected limb (OR = 3.11, 95% CI: 1.21–8.00, p = 0.018), pain (OR = 2.24, 95% CI: 1.17–4.26, p = 0.014), and positive results on iliac vein ultrasound (OR = 25.56, 95% CI: 2.10–311.26, p = 0.011) for the presence of IVCS in patients with lower-limb varicose veins. A nomogram incorporating these predictors demonstrated moderate predictive ability (AUV = 0.689, 95% CI: 0.607–0.771), with good calibration upon validation. Conclusions Patients with left lower extremity varicose veins, pain symptoms, history of DVT in the affected limb, and positive iliac vein ultrasound findings are at a higher risk of concurrent IVCS. Patients with varicose veins who have the aforementioned risk factors may need to undergo preoperative angiography.
The immediate post-operative impact of infrarenal aortic endografts on renal arterial flow dynamics: Insights from four-dimensional flow magnetic resonance imaging analysis
Authors: Sugimoto Masayuki , Horiguchi Ryota , Ikeda Shuta , Kawai Yohei , Niimi Kiyoaki , Hyodo Ryota , Banno Hiroshi 
Published: August 2024

Objectives This study aims to quantify changes in renal blood flow before and after endovascular aneurysm repair (EVAR) using four-dimensional (4D) flow magnetic resonance imaging (MRI) and evaluate its correlation with renal impairment. Methods In this retrospective analysis, 18 patients underwent elective EVAR for infrarenal fusiform abdominal aortic aneurysms using Excluder or Endurant endografts. 4D flow MRI scans were conducted before and 1–4 days after EVAR. Hemodynamics were quantified at the suprarenal aorta (SupAo), bilateral renal arteries (RRA and LRA), and infrarenal aorta (InfAo). Cardiac phase-resolved blood flow values (BFVs), relative flow distribution (RFD), and flow change rates (FCRs) were assessed. Estimated glomerular filtration rate (eGFR) was measured pre- and postoperatively. Results A total of 16 patients were analyzed after excluding two outliers. Pre-EVAR BFVs were 23.1 ± 8.3, 3.7 ± 1.3, 3.4 ± 1.2, and 15.1 ± 5.9 mL/cycle, while post-EVAR BFVs were 20.9 ± 6.9, 3.8 ± 1.1, 3.2 ± 0.9, and 12.1 ± 4.3 mL/cycle in SupAo, RRA, LRA, and InfAo, respectively. Comparing Excluder (N = 8) and Endurant (N = 8), the total renal FCR was 121.8% [106.6–144.7] versus 101.3% [63.8–121.8] ( p = 0.110), suggesting a potential improvement in renal blood flow with the Excluder, although not statistically significant. A significant correlation was found between the total renal FCR and the relative eGFR at 6 months (Spearman correlation coefficient, 0.789; p < 0.001). Conclusions The endografts, particularly the Excluder, showed potential in improving renal artery blood flow in some patients. The significant correlation between the total renal FCR and the relative eGFR at 6 months suggests that acute hemodynamic alterations induced by EVAR may impact post-operative renal function. Further research is needed to confirm these findings and assess their clinical implications.
Analysis of Vibration Characteristics of Electro-hydraulic Driven 3-UPS/S Parallel Stabilization Platform
Authors: Yuan Xiaoming , Wang Weiqi , Pang Haodong , Zhang Lijie 
Published: August 2024

AbstractWith the development of fluid-power transmission and control technology, electro-hydraulic-driven technology can significantly improve the load-carrying capacity, stiffness, and control accuracy of stabilization platforms. However, compared with mechanically driven platforms, the stiffness and damping of the fluid, as well as the coupling effect between the fluid and the structure need to be considered for electro-hydraulic-driven parallel stabilization platforms, making the modal and dynamic response characteristics of the mechanism more complex. With the aim of solving the aforementioned issues, we research the electro-hydraulic driven 3-UPS/S parallel stabilization platform considering the hinge stiffness. Moreover, the characteristic vibration equation of the mechanism is established using the virtual work principle. Subsequently, the variation characteristics of the natural frequency and the vibration response according to the position of the mechanism are analyzed based on the dynamic equation. Finally, the correctness of the model is verified by a modal test and Runge-Kutta methods. This study provides a theoretical basis for the dynamic design of electrohydraulic-driven parallel mechanisms.
User engagement in clinical trials of digital mental health interventions: a systematic review
Authors: Elkes Jack , Cro Suzie , Batchelor Rachel , O’Connor Siobhan , Yu Ly-Mee , Bell Lauren , Harris Victoria , Sin Jacqueline , Cornelius Victoria 
Published: August 2024

Abstract
Introduction
Digital mental health interventions (DMHIs) overcome traditional barriers enabling wider access to mental health support and allowing individuals to manage their treatment. How individuals engage with DMHIs impacts the intervention effect. This review determined whether the impact of user engagement was assessed in the intervention effect in Randomised Controlled Trials (RCTs) evaluating DMHIs targeting common mental disorders (CMDs).

Methods
This systematic review was registered on Prospero (CRD42021249503). RCTs published between 01/01/2016 and 17/09/2021 were included if evaluated DMHIs were delivered by app or website; targeted patients with a CMD without non-CMD comorbidities (e.g., diabetes); and were self-guided. Databases searched: Medline; PsycInfo; Embase; and CENTRAL. All data was double extracted. A meta-analysis compared intervention effect estimates when accounting for engagement and when engagement was ignored.

Results
We identified 184 articles randomising 43,529 participants. Interventions were delivered predominantly via websites (145, 78.8%) and 140 (76.1%) articles reported engagement data. All primary analyses adopted treatment policy strategies, ignoring engagement levels. Only 19 (10.3%) articles provided additional intervention effect estimates accounting for user engagement: 2 (10.5%) conducted a complier-average-causal effect (CACE) analysis (principal stratum strategy) and 17 (89.5%) used a less-preferred per-protocol (PP) population excluding individuals failing to meet engagement criteria (estimand strategies unclear). Meta-analysis for PP estimates, when accounting for user engagement, changed the standardised effect to -0.18 95% CI (-0.32, -0.04) from − 0.14 95% CI (-0.24, -0.03) and sample sizes reduced by 33% decreasing precision, whereas meta-analysis for CACE estimates were − 0.19 95% CI (-0.42, 0.03) from − 0.16 95% CI (-0.38, 0.06) with no sample size decrease and less impact on precision.

Discussio﻿n
Many articles report user engagement metrics but few assessed the impact on the intervention effect missing opportunities to answer important patient centred questions for how well DMHIs work for engaged users. Defining engagement in this area is complex, more research is needed to obtain ways to categorise this into groups. However, the majority that considered engagement in analysis used approaches most likely to induce bias.
Palliative care in small-scale living facilities: a scoping review
Authors: DeGraves Brittany S. , Meijers Judith M. M. , Estabrooks Carole A. , Verbeek Hilde 
Published: August 2024

Abstract
Background
Innovative small-scale facilities for dementia focus on providing quality of life and maintaining the functional abilities of residents while offering residents a home for life. To fulfill the home-for-life principle, palliative care approaches are necessary to maintain quality of life in these facilities. Few studies have reported on how palliative care is provided to residents in small-scale facilities. The aim of our review is to determine the extent to which palliative care approaches are reported in small-scale facilities.

Methods
A scoping review of the literature using recommended methods from the Joanna Briggs Institute. Four databases, CINAHL, PubMed, PsycINFO, and Web of Science, were searched for studies published from 1995 to 2023. One reviewer completed the title, abstract and full-text screening and data extraction; two additional team members piloted the screening and extraction process and met with the main reviewer to make decisions about article inclusion and ensure consistency and accuracy in the review process. The extracted data was open-coded and analyzed using thematic analysis. The data was then synthesized into themes using palliative care domains for dementia.

Results
Of the 800 articles obtained in the search, only ten met the inclusion criteria: six from Japan, two from the Netherlands, and one each from Austria and the United States. In most small-scale facilities, palliative care is important, with facilities prioritizing family involvement and person-centred care, minimizing resident discomfort and enhancing residents’ remaining abilities until the end of life. The included studies did not discuss palliative care policies or professional staff training in depth.

Conclusions
This study provides an overview of the literature on palliative care in small-scale facilities for individuals with dementia. Most facilities focus on residents’ wishes at the end of life to enhance comfort and provide a home-like environment. However, more research is needed to further understand the quality of palliative care approaches in these homes.
Improving prognostication of pneumonia among elderly patients: usefulness of suPAR
Authors: Ulaj Artida , Ibsen Arni , Azurmendi Leire , Sanchez Jean-Charles , Prendki Virginie , Roux Xavier 
Published: August 2024

Abstract
Purpose
Elderly patients with suspected pneumonia represent a significant proportion of hospital admissions, which is a prognostic challenge for physicians. Our research aimed to assess the prognosis of patients with pneumonia using soluble urokinase plasminogen activator receptor (suPAR) combined with clinical data.

Methods
In a prospective observational study including 164 patients > 65 years (mean age 84.2 (+/-7.64) years) who were hospitalized for a suspicion of pneumonia, suPAR was assessed for each patient, as was the prognosis score (PSI, CURB65) and inflammatory biomarkers (C-reactive protein, procalcitonin, white blood cells). The prognostic value of the suPAR for 30-day mortality was assessed using receiver operating characteristic (ROC) curve analyses. Optimal cut-offs with corresponding sensitivity (SE) and specificity (SP) were determined using the Youden index.

Results
A suPAR > 5.1 ng/mL was predictive of 30-day mortality with a sensitivity of 100% and a specificity of 40.4%. A combination of the following parameters exhibited an SE of 100% (95% CI, 100–100) for an SP value of 64.9% (95% CI, 57.6–72.2) when at least two of them were above or below the following cut-off threshold values: suPAR > 9.8 ng/mL, BMI < 29.3 kg/m2 and PSI > 106.5.

Conclusion
The suPAR seems to be a promising biomarker that can be combined with the PSI and BMI to improve the prognosis of pneumonia among elderly patients. Prospective studies with larger populations are needed to confirm whether this new approach can improve patient outcomes.

Trial registration
ClinicalTrials.gov (NCT02467192), 27th may 2015.
Feasibility of hand grip tests during and after hospitalization in geriatric patients: an observational study
Authors: Swart Myrthe M , Smetsers Ligaya , Bautmans Ivan , Plácido da Silva Hugo , Geerds Merle , Tielemans Rudi , Melis René , Peeters Geeske 
Published: August 2024

Abstract
Background
Monitoring the recovery trajectory during and after hospitalization can be a valuable method to observe whether additional care is needed to optimize recovery. Hand grip strength tests are commonly used to measure an individual’s physical condition. Eforto® is a system to monitor hand grip strength and grip work as measures of recovery. We examined the feasibility of daily repeated hand grip tests measured with Eforto® in geriatric inpatients, during hospitalization and at home after discharge.

Methods
Geriatric inpatients (n = 191) were evaluated for grip strength and grip work with Eforto®, twice daily during their admission. We calculated attempt and success rates. Participants were divided into complete, high, moderate, and low attempt/success rate groups to study differences in patient characteristics. Reasons for non-attempt and unsuccessful tests were categorized and analyzed. Nine participants were interviewed about acceptability and user experience within the hospital setting. Four out of twenty participants accepted the invitation to continue the measurements after discharge at home for 4 weeks and were interviewed about acceptability and user experience.

Results
Across the 191 participants, the attempt rate was 85% and 86% of the attempted tests was successful. The main reasons for non-attempt were that the patient felt physically unwell (41%), and that the patient was otherwise engaged, for example receiving care or undergoing medical tests (40%). Measurements were unsuccessful mostly because of the patient not having enough strength to reach the 80% threshold needed for the grip work test (60%). Participants in the complete and high attempt/success rate groups had a shorter length of stay (p<0.05) and a lower mortality (p<0.05) than participants in the moderate/low groups. The interview data showed good acceptability and user experience during hospitalization. The acceptability was strengthened by experienced usefulness. Self-monitoring at home resulted in low inclusion rate (20%) and low success rate (25%), with the uncertain time after discharge from the hospital as the main barrier.

Conclusions
For most patients, the tests were feasible in the supervised hospital setting. At-home testing with Eforto® is challenging, primarily because of the uncertain time after discharge from the hospital.