bluuebunny/crossref_metadata_2025_split huggingface dataset:
Racial differences in familiarity, interest, and use of integrative medicine among patients with breast cancer
Authors: Freeman Jincong Q. , Sheade Jori B. , Zhao Fangyuan , Olopade Olufunmilayo I. , Huo Dezheng , Nanda Rita 
Published: May 2024

Abstract
Purpose
Integrative medicine (IM) has received the American Society of Clinical Oncology’s endorsement for managing cancer treatment-related side effects. Little is known about racial differences in familiarity, interest, and use of IM among patients with breast cancer.

Methods
Patients with breast cancer enrolled in the Chicago Multiethnic Epidemiologic Breast Cancer Cohort were surveyed regarding familiarity, interest, and use of acupuncture, massage, meditation, music therapy, and yoga. Familiarity and interest, measured by a 5-point Likert scale, was modeled using proportional odds. Use was self-reported, and modeled using binary logistic regression.

Results
Of 1,300 respondents (71.4% White and 21.9% Black), Black patients were less likely than White patients to be familiar with acupuncture (aOR 0.60, 95% CI 0.41–0.87); there were no racial differences in familiarity with massage, meditation, music therapy, and yoga. While there were no differences in interest in acupuncture between Black and White patients (aOR 1.12, 95% CI 0.76–1.65), Black patients were more interested in massage (aOR 1.86, 95% CI 1.25–2.77), meditation (aOR 2.03, 95% CI 1.37–3.00), music therapy (aOR 2.68, 95% CI 1.80–3.99), and yoga (aOR 2.10, 95% CI 1.41–3.12). Black patients were less likely than White patients to have used acupuncture (aOR 0.49, 95% CI 0.29–0.84); but there were no racial differences in use of massage, meditation, music therapy, and yoga.

Conclusion
Black patients expressed more interest in IM than their White counterparts; there were no racial differences in IM use, except lower acupuncture use among Black patients. A breast program focused on equity should provide access to these services for patients with breast cancer.
On ‘the Politics of Repair Beyond Repair’: Radical Democracy and the Right to Repair Movement
Authors: Lloveras Javier , Pansera Mario , Smith Adrian 
Published: May 2024

Abstract
This paper analyses the right to repair (R2R) movement through the lens of radical democracy, elucidating the opportunities and limitations for advancing a democratic repair ethics against a backdrop of power imbalances and vested interests. We commence our analysis by exploring broader political-economic trends, demonstrating that Original Equipment Manufacturers (OEMs) are increasingly shifting towards asset-based repair strategies. In this landscape, hegemony is preserved not solely through deterrence tactics like planned obsolescence but also by conceding repairability while monopolizing repair and maintenance services. We further argue that the R2R serves as an ‘empty signifier’, whose content is shaped by four counter-hegemonic frames used by the R2R movement: consumer advocacy, environmental sustainability, communitarian values, and creative tinkering. These frames, when viewed through Laclau and Mouffe’s theory of radical democracy, reveal different potentials for sustaining dissent and confronting OEMs' hegemony in the field of repair. Analysed in this way, an emerging business ethics of repair can be understood as driven by the politics of repair beyond repair. This notion foregrounds the centrality of non-violent conflict and antagonism for bringing radical democratic principles to repair debates, looking beyond narrow instrumentalist conversations, where repairability is treated as an apolitical arena solely defined by concerns for eco-efficiency and resource productivity.
Public understanding of climate change terminology in Germany
Authors: Wege Lena , Bruine de Bruin Wändi , Kause Astrid 
Published: May 2024

AbstractThe United Nations’ Intergovernmental Panel on Climate Change (IPCC) and other institutions communicate about climate change to international audiences without a background in climate science, including the general public. The effectiveness of climate change communications may be undermined by their use of complex terminology. Bruine de Bruin et al. (2021) found that Americans struggled to understand key terms from IPCC reports. Here, we examined how 24 Germans interpreted German translations of these key terms, including tipping point, unprecedented transition, carbon neutral, carbon dioxide removal from the atmosphere, adaptation, mitigation of climate change/ of greenhouse gas emissions, sustainable development, and abrupt change. We also presented these terms in the context of sentences taken from German-language IPCC reports. We identified common themes and misunderstandings. Overall, 93% of the themes arose by the 10th interview, and no new themes arose after the 18th interview. While interviewees initially rated most terms as easy to understand, both climate-concerned and climate-ambivalent interviewees were unfamiliar with some terms or combinations of terms, unsure of the link to climate change, and confused about details. Some also expressed mistrust. Moreover, all sentences were perceived as too long and complex. We discuss the implications of these findings for climate change communications.
Intolerance of Uncertainty is Associated with Heightened Arousal During Extinction Learning and Retention: Preliminary Evidence from a Clinical Sample with Anxiety and Obsessive-Compulsive Disorders
Authors: Morriss Jayne , Rodriguez-Sobstel Claudia , Steinman Shari A. 
Published: May 2024

Abstract
Background
Uncertainty-related distress is considered a hallmark of anxiety and obsessive compulsive disorders (OCD). Previous research in community samples has demonstrated that individuals with high Intolerance of Uncertainty (IU), the tendency to find uncertainty aversive, display altered threat extinction learning and retention.

Methods
Here, we conducted an exploratory secondary analysis of an existing dataset (Steinman et al., 2022) to examine the extent to which IU in a clinical sample with anxiety and OCD predicts threat extinction learning and retention. Participants with an anxiety disorder and/or OCD completed a differential threat learning task across two days (n = 27). Skin conductance response (SCR) was used as an index of conditioned responding.

Results
No significant effects of self-reported IU were observed for differential SCR during any of the experimental phases. However, higher self-reported IU, while controlling for trait anxiety, was specifically associated with greater SCR overall during same-day extinction training, next-day extinction training, and next-day reinstatement test.

Conclusions
Such findings provide preliminary evidence that higher IU within clinical samples with anxiety and/or OCD may be associated with heightened arousal under uncertainty, and highlight IU as a promising treatment target for anxiety and OCD.
Accelerated Theta Burst Transcranial Magnetic Stimulation for Refractory Depression in Autism Spectrum Disorder
Authors: Blank Elizabeth , Gilbert Donald L. , Wu Steve W. , Larsh Travis , Elmaghraby Rana , Liu Rui , Smith Elizabeth , Westerkamp Grace , Liu Yanchen , Horn Paul S. , Greenstein Ethan , Sweeney John A. , Erickson Craig A. , Pedapati Ernest V. 
Published: May 2024

Abstract

Purpose
Major depressive disorder (MDD) disproportionately affects those living with autism spectrum disorder (ASD) and is associated with significant impairment and treatment recidivism.

Methods
We studied the use of accelerated theta burst stimulation (ATBS) for the treatment of refractory MDD in ASD (3 treatments daily x 10 days). This prospective open-label 12-week trial included 10 subjects with a mean age of 21.5 years, randomized to receive unilateral or bilateral stimulation of the dorsolateral prefrontal cortex.

Results
One participant dropped out of the study due to intolerability. In both treatment arms, depressive symptoms, scored on the Hamilton Depression Rating Scale scores, diminished substantially. At 12 weeks post-treatment, full remission was sustained in 5 subjects and partial remission in 3 subjects. Treatment with ATBS, regardless of the site of stimulation, was associated with a significant, substantial, and sustained improvement in depressive symptomatology via the primary outcome measure, the Hamilton Depression Rating Scale. Additional secondary measures, including self-report depression scales, fluid cognition, and sleep quality, also showed significant improvement. No serious adverse events occurred during the study. Mild transient headaches were infrequently reported, which are expected side effects of ATBS.

Conclusion
Overall, ATBS treatment was highly effective and well-tolerated in individuals with ASD and co-occurring MDD. The findings support the need for a larger, sham-controlled randomized controlled trial to further evaluate efficacy of ATBS in this population.
Parenting Emerging Adults with Multiple Sclerosis: A Qualitative Analysis of the Parents’ Perspective
Authors: Graziano Federica , Borghi Martina , Bonino Silvia , Calandri Emanuela 
Published: May 2024

AbstractParents of emerging adults are requested to adjust their level of support and control according to their child’s developmental age and to foster their autonomy. This developmental task may be more difficult when emerging adults are suffering from a chronic illness. Parenting emerging adults with a chronic illness is an under-investigated topic, especially with reference to multiple sclerosis (MS), a chronic neurological disease usually diagnosed in emerging adulthood. The study aims to qualitatively explore the characteristics of the relationship that parents report having with their emerging adult children (18–29 years) with MS. Specifically, we investigated how the dimensions of support and control emerge from the parents’ perspective, whether overparenting (characterized by both oversupport and overcontrol) emerges, and its characteristics. Eleven semi-structured interviews were conducted with parents of emerging adults with MS, and a qualitative content analysis was performed through Atlas.ti 6.0 software, combining a deductive and an inductive approach in relation to the study aims. A system of 13 codes was defined and a total of 141 quotations were codified. Overparenting appears to be the most frequent relational mode among the parents interviewed. Most quotations referred to oversupport (in particular, parents report anticipatory anxiety about child’s well-being and show excessive indulgence and permissiveness) and overcontrol (in particular, parents report a vicarious management of daily life and medical therapies). The study gives indications for psychological interventions helping parents to adequately support their children while encouraging their autonomous management of daily life and illness-related difficulties.
Training Paraeducators to Promote Communication Opportunities for Students with Complex Communication Needs
Authors: Anderson Eric J. , Brock Matthew E. , Shawbitz Kara N. 
Published: May 2024

AbstractParaeducators are often tasked with supporting students with complex communication needs (CCN) without being well prepared to promote their communication. Previous studies have focused on training paraeducators to promote communication during non-instructional contexts for limited or unspecified communication types. We extend the literature by targeting the diversity of communication opportunities during academic instruction. We used a multiple-probe-across-participants design to test the effects of behavioral skills training to increase the number and variety of communication opportunities (i.e., mands, tacts, and intraverbals) provided by three paraeducators providing instruction for students on the autism spectrum with CCN. The training package resulted in improvements in communication opportunities across all paraeducator-learner dyads. This study serves as an example of one method to promote diverse communication opportunities for students with CCN during academic instruction.
Housing prices and points of interest in three Polish cities
Authors: Cellmer Radosław , Bełej Mirosław , Trojanek Radosław 
Published: May 2024

AbstractThis paper shows the usefulness of open source points-of-interest (POI) data for understanding the causes of volatility in residential property prices. Points of interest are unique locations or features cartographically mapped in space and explicitly connected to various aspects of human life. This point number, and density, primarily reflect a city’s spatial structure. They could therefore indicate a higher quality of life in a given urban zone, resulting in higher demand for housing in the area and, consequently, higher housing prices. This study was conducted in three Polish cities: Warsaw, Poznań and Olsztyn. Our research also attempted to establish which POI categories constitute stimulants and which are destimulants in the housing market. To determine the significance of POI in the price formation process, we used the quantile regression model and its spatial version, apart from classical regression models. The results of our research show the importance of POIs for the formation of housing prices. Individual POI categories are of minor importance, while the simultaneous presence of many different POIs definitely has a positive impact on housing prices.
Measurement of effective 98Mo(n,γ)99 Mo reaction cross-section in the epi-cadmium neutron flux produced by 10 MeV electron LINAC with Ta-BeO assembly
Authors: Deo Kapil , Kumar Rajeev , Mallick Amod K. , Samanta Sudipta , Bhandari Deep , Sarkar Anindita , Umasankari K. , Chaudhary Nishant , Pant Amar D. , Verma Amit , Anilkumar P. 
Published: May 2024

AbstractAn experiment was carried out to study the feasibility of 99Mo production using an electron accelerator based epi-cadmium neutron source. The neutrons were produced by the interaction of bremsstrahlung end-point energy of 10 MeV with BeO blocks and the neutrons thus produced were moderated using High Density Polyethylene blocks. Effective cross-section of 98Mo(n,γ)99Mo reaction was measured using foil activation method. An enhancement in the effective cross-section due to resonances in the epi-cadmium region was observed. The photons and neutron production/transport in the experimental set-up were simulated using the FLUKA Monte Carlo code. The simulations were found to be in good agreement with the experimental findings.
Machine learning allows for large-scale habitat prediction of a wide-ranging carnivore across diverse ecoregions
Authors: O’Malley W. Connor , Elbroch L. Mark , Zeller Katherine A. , Beier Paul , Beale Meghan M. , Beausoleil Richard A. , Kertson Brian , Knopff Kyle , Kunkel Kryan , Maletzke Benjamin T. , Martins Quinton , Matchett Marc R. , Wilmers Christopher C. , Wittmer Heiko U. , Vickers Winston , Sager-Fradkin Kimberly , Robinson Hugh 
Published: May 2024

Abstract
Context
Resource selection functions are powerful tools for predicting habitat selection of animals. Recently, machine-learning methods such as random forest have gained popularity for predicting habitat selection due to their flexibility and strong predictive performance.

Objectives
We tested two methods for predicting continental-scale, second-order habitat selection of a wide-ranging large carnivore, the mountain lion (Puma concolor), to support continent-wide conservation management, including estimating abundance, and to predict habitat suitability for recolonizing or reintroduced animals.

Methods
We compared a generalized linear model (GLM) and a random forest model using GPS location data from 476 individuals across 20 study sites in the western USA and Canada and remotely-sensed landscape data. We internally validated models and examined their ability to correctly classify used and available points by calculating area under the receiver operating characteristics (AUC). We performed leave-one-out (LOO) out-of-sample tests of predictive strength on both models.

Results
Both models suggested that mountain lions select for steeper slopes, areas closer to water, and with higher normalized difference vegetation index (NDVI), and against variables associated with human impact. The random forest model (AUC = 0.94) demonstrated that mountain lion habitat can be accurately predicted at continental scales, outperforming the traditional GLM model (AUC = 0.68). Our LOO validation provided similar results (x̄ = 0.93 for the random forest and x̄ = 0.65 for the GLM).

Conclusions
We found that the added flexibility of the random forest model provided deeper insights into how individual covariates impacted habitat selection across diverse ecosystems. Our LOO analyses suggested that our model can predict mountain lion habitat selection in unoccupied areas or where local data are unavailable. Our model thus provides a tool to support discussions and analyses relevant to continent-wide mountain lion conservation and management including estimating metapopulation abundance.
Functional and regulatory diversity of homeobox-leucine zipper transcription factors BnaHB6 under dehydration and salt stress in Brassica napus L.
Authors: Żyła Natalia , Cieśla Agata , Szała Laurencja , Babula-Skowrońska Danuta 
Published: May 2024

AbstractThe plant-specific homeodomain-leucine zipper I subfamily is involved in the regulation of various biological processes, particularly growth, development and stress response. In the present study, we characterized four BnaHB6 homologues from Brassica napus. All BnaHB6 proteins have transcriptional activation activity. Structural and functional data indicate the complex role of BnaHB6 genes in regulating biological processes, with some functions conserved and others diverged. Transcriptional analyzes revealed that they are induced in a similar manner in different tissues but show different expression patterns in response to stress and circadian rhythm. Only the BnaA09HB6 and BnaC08HB6 genes are expressed under dehydration and salt stress, and in darkness. The partial transcriptional overlap of BnaHB6s with the evolutionarily related genes BnaHB5 and BnaHB16 was also observed. Transgenic Arabidopsis thaliana plants expressing a single proBnaHB6::GUS partially confirmed the expression results. Bioinformatic analysis allowed the identification of TF-binding sites in the BnaHB6 promoters that may control their expression under stress and circadian rhythm. ChIP-qPCR analysis revealed that BnaA09HB6 and BnaC08HB6 bind directly to the promoters of the target genes BnaABF4 and BnaDREB2A. Comparison of their expression patterns in the WT plants and the bnac08hb6 mutant showed that BnaC08HB6 positively regulates the expression of the BnaABF4 and BnaDREB2A genes under dehydration and salt stress. We conclude that four BnaHB6 homologues have distinct functions in response to stress despite high sequence similarity, possibly indicating different binding preferences with BnaABF4 and BnaDREB2A. We hypothesize that BnaC08HB6 and BnaA09HB6 function in a complex regulatory network under stress.
Multilevel Intervention Stepped Wedge Designs (MLI-SWDs)
Authors: Sperger John , Kosorok Michael R. , Linnan Laura , Kneipp Shawn M. 
Published: May 2024

AbstractMultilevel interventions (MLIs) hold promise for reducing health inequities by intervening at multiple types of social determinants of health consistent with the socioecological model of health. In spite of their potential, methodological challenges related to study design compounded by a lack of tools for sample size calculation inhibit their development. We help address this gap by proposing the Multilevel Intervention Stepped Wedge Design (MLI-SWD), a hybrid experimental design which combines cluster-level (CL) randomization using a Stepped Wedge design (SWD) with independent individual-level (IL) randomization. The MLI-SWD is suitable for MLIs where the IL intervention has a low risk of interference between individuals in the same cluster, and it enables estimation of the component IL and CL treatment effects, their interaction, and the combined intervention effect. The MLI-SWD accommodates cross-sectional and cohort designs as well as both incomplete (clusters are not observed in every study period) and complete observation patterns. We adapt recent work using generalized estimating equations for SWD sample size calculation to the multilevel setting and provide an R package for power and sample size calculation. Furthermore, motivated by our experiences with the ongoing NC Works 4 Health study, we consider how to apply the MLI-SWD when individuals join clusters over the course of the study. This situation arises when unemployment MLIs include IL interventions that are delivered while the individual is unemployed. This extension requires carefully considering whether the study interventions will satisfy additional causal assumptions but could permit randomization in new settings.
“All Children in Focus”: Effects of a Universal Parenting Program at a 6-Month Follow-Up in a Randomized Controlled Trial in Sweden
Authors: Cinà Isabella Victoria , Lindberg Lene , Enebrink Pia 
Published: May 2024

AbstractParenting programs have been shown to empower parents and prevent mental health problems in children. However, few programs are designed to promote wellbeing, which led to the development of the Swedish-promotive universal program, “All Children in Focus” (ACF). This study aimed to understand the effects of parents’ participation in the ACF program on parents’ emotion regulation and parenting practices over a 6-month follow-up and if intervention-produced changes predict child wellbeing (CW). Parental self-efficacy (PSE) was also included to assess the relation with parental outcomes and CW. This is an evaluation of a multicenter randomized waitlisted control trial conducted in Stockholm County, Sweden, with parents of children aged 3 to 12 years (n = 621) in 2012. Parents were randomized 1:1 to enter the program or to a waitlist. Questionnaires were completed by parents at baseline, post-intervention, and 6 months post-baseline. We used generalized mixed modeling to test effects on parental outcomes over time and regression analyses to study the predictive role of parental outcomes on CW. From baseline to the post- and to the 6-month follow-ups, parents in the intervention group reported greater levels of emotion regulation skills, cognitive reappraisal, and positive parenting than did parents in the control group. A decrease in negative and harsh parenting was evident in both groups, although it was greater in the intervention group. An increase in PSE was associated with high negative parenting at baseline in the intervention group. Child gender moderated positive parenting, suggesting that parents of girls in the intervention group had more favorable development of positive strategies. The findings indicate that a change in PSE predicts a change in CW at 6 months. The ACF program can be used to strengthen and develop parenting. This study advances our knowledge about the potential advantages of using a health-promoting approach to strengthen the wellbeing of families in the general population. Clinical trial registration: ISRCTN70202532 Current Controlled Trials