bluuebunny/crossref_metadata_2025_split huggingface dataset:
Family influence on stigma internalisation in people with severe mental illness: A grounded theory study
Authors: Yin Min , Li Zheng , Li Xiaoxue 
Published: May 2024

AbstractThe internalisation of stigma has adverse effects on the recovery and quality of life of people with severe mental illnesses. Studies have shown that life experiences in one's close environment are highly relevant in explaining the onset and development of self‐stigma. Families play a critical role in the daily care of people with severe mental illness and have a profound impact on patient recovery. This qualitative study explored the influence of family on stigma internalisation among people with severe mental illness in the context of Chinese culture. A grounded theory design was used. Semi‐structured interviews were conducted with 20 patients with severe mental illness and 10 family members, and observations were carried out among five of the families. The data analysis followed three steps (open, axial and selective coding) and involved the use of a constant comparative method and memo writing. The COREQ reporting checklist was used to report the results. Our findings revealed that families can facilitate and impede stigma internalisation in people with severe mental illness via negative or positive daily interactions. A theoretical framework was developed to present the potential effects of the identified family factors on stigma internalisation. Three major family factors influencing patients' internalised stigma were identified, namely, “beliefs of family members” at the individual level, “responses within the family” at the intrafamilial level and “differentiated family environment” at the level of the whole family system, in which “biased beliefs of family members” could bring about “negative responses within the family” and further result in patients' internalised stigma. Our findings suggested that mental health stigma internalised by ill people should be viewed within the broad context of the family. Family‐based programs aimed at improving positive interactions and support within the family need to be developed and launched, with particular attention given to interventions for affiliate stigma, coping with stigma and families' negative responses towards people with severe mental illness to prevent the internalisation of stigma by patients.
The effects of computer‐assisted interactive reading model on higher‐level and lower‐level text processing skills and cognitive load
Authors: Bahari Akbar , Alavinia Parviz , Mohammadi Mohammad 
Published: May 2024

AbstractBackgroundThis study investigates the effects of higher and lower‐level text processing strategies on both higher and lower‐level processing skills and cognitive load using the computer‐assisted interactive reading model (CAIRM) as the educational intervention framework.ObjectivesThe objectives of this study are to examine the effects of the CAIRM model on reading performance and cognitive load, and to investigate the interactive use of higher‐level and lower‐level text processing skills on reading performance and cognitive load.MethodsA mixed methods research design was used with QUAN + QUAL data and one‐way ANOVA to examine the effects of the CAIRM model on 120 randomly sampled BA students majoring in TEFL.ResultsThe study provides empirical evidence for the interactivity effect in digital text processing, revealing that the development of one skill can enhance the development of another skill interactively. The interactive use of higher‐level and lower‐level text processing skills was found to improve reading performance and reduce cognitive load during digital text processing. Interestingly, the results show that some participants preferred lower‐level skills, while others preferred higher‐level skills to manage cognitive load during reading activities, indicating mixed effects in strategy use.ConclusionThe findings of this study underscore the importance of interactive use of higher and lower‐level text processing skills for enhancing reading performance and reducing cognitive load during digital text processing. These results have both theoretical and pedagogical implications for CALL researchers and practitioners, emphasising the need for personalised instruction tailored to individual learners' needs and preferences. Future studies can further explore the potential effects of text processing skills and develop instructional strategies to optimise learners' reading performance and cognitive load. Overall, the study contributes to the growing body of literature in CALL and highlights the significance of interactive learning models for improving learning outcomes.
Adventures with Anxiety: Gender bias in using a digital game for teaching vocational English
Authors: Ahmadian Shilan , Brevik Lisbeth M. , Öhrn Elisabet 
Published: May 2024

AbstractBackgroundIn Norway, games were introduced into the 2020 English curriculum; acknowledging games as language learning resources alongside other text‐based material. However, little is known about the type of games selected by English teachers, reasons for doing so, or how games are actually used in teaching. This is particularly relevant in gendered vocational classes, with mainly girls or boys respectively in different programmes, as national surveys show that while most teenage boys play digital games, comparatively few girls do.ObjectivesThe primary aim was to investigate how the digital commercial game Adventures with Anxiety was used during naturally occurring English teaching in four gendered vocational classes: one Technological and Industrial Production class (boys only) and three Healthcare, Childhood and Youth development classes (girls mainly).MethodsParticipants involved 36 students (aged 16–17) and two English teachers. Using a mixed methods design (Brevik, 2022), we combined quantitative and qualitative analyses of classroom video recordings (5.5 h), student screen recordings during gameplay (8 h) and retrospective teacher interviews (1.5 h). Analyses relied on the validated PLATO observation protocol (Grossman, 2015) and reflexive thematic analysis (Braun & Clarke, 2022).Results and ConclusionsEnglish teachers expressed a dual aim in using the game for teaching English; to improve students' language skills and provide experiences of how to live with anxiety. Although the game offered relevant vocabulary and virtual experiences with anxiety; anxiety emerged as a professional component of caring professions in the girls‐mainly classes, while being used to help boys acknowledge anxiety in their own lives.
Analysis and mapping of global research publications on point‐of‐care testing for infectious diseases
Authors: Sweileh Waleed M. 
Published: May 2024

AbstractRationaleThis study presents the first comprehensive analysis and mapping of scientific research on point‐of‐care testing (POCT) in infectious diseases, filling a gap in understanding the evolving landscape of this field. The identification of research themes and global contributions offers valuable insights.Aims and ObjectivesThis manuscript aims to analyse and map scientific research on POCT in the context of infectious diseases.MethodsThe study employed a comprehensive search strategy using terms related to POCT and infectious diseases. The search was conducted on the Scopus database, refining results based on inclusion and exclusion criteria. The dataset of 1719 research articles was then subjected to descriptive analysis and mapping using VOSviewer.ResultsThe research findings indicate an exponential growth in POCT‐related publications, with 46.8% published post the COVID‐19 pandemic. Plos One journal led in publication frequency, and Biosensors and Bioelectronics received the highest citations per article. North America and Western Europe dominated contributions, with notable participation from China, South Africa, and India. The research landscape revealed the following research themes: detection technologies, human immunodeficiency virus (HIV)/sexually transmitted infection (STI) diagnosis, antibiotic optimisation, and schistosomiasis. Clinical trials focused on antibiotic prescribing, HIV, STIs, and specific infections. The findings suggest a shifting landscape towards POCT, emphasising the need for future planning and investment in healthcare systems. The research identifies areas for future exploration, such as the impact of POCT on antibiotic prescribing and its role in combating infectious diseases in low‐ and middle‐income countries.ConclusionImplementation of POCT has the potential to revolutionise infectious disease management, improve patient outcomes, and reduce the global burden of diseases. Better public awareness, healthcare team management, and planning for POCT at entry points are crucial for societal benefit. Results demonstrated the evolving role of POCT in infectious disease management and prevention.
Analysis of clinical outcomes in older individuals who received pharmaceutical care and posthospital discharge follow‐up
Authors: de Oliveira Alan Maicon , Rodrigues João Paulo Vilela , Campos Marília Silveira de Almeida , Varallo Fabiana Rossi , Pereira Leonardo Régis Leira 
Published: May 2024

AbstractBackgroundPrevious evidence underscores the need to assess potential clinical outcomes resulting from pharmaceutical care interventions and to monitor patient's progress to evaluate their clinical evolution, which is crucial for bolstering the relevance of implementing pharmaceutical care in healthcare services.AimsTo conduct an in‐depth analysis of pharmaceutical care practices in a geriatric ward and monitor the clinical outcomes of older people served.MethodsThis interventionist study was conducted in the geriatrics ward of a Brazilian university hospital. The research intervention occurred between January and May 2022, with a follow‐up conducted for up to 90 days after patients' hospital discharge. Older patients in the geriatrics ward received pharmaceutical care, including medication reconciliation, medication review, and pharmacotherapeutic follow‐up, aimed at identifying and resolving drug‐related problems (DRPs). The clinical relevance of DRPs and pharmaceutical recommendations was evaluated. Additionally, analyses were conducted on mortality and rehospitalization outcomes in older patients at 30, 60, and 90 days following initial hospital discharge.ResultsOf the patients evaluated, a significant 88.3% exhibited at least one DRP (with an average of 2.6 ± 1.9 DRPs per patient), with the majority classified as need/indication problems (38.9%). The acceptance rate of pharmaceutical recommendations was 80.9%, with the majority categorized as very significant relevance (60.4%). DRPs were predominantly of serious clinical relevance (50.9%). In patients whose clinical indicators could be monitored, 95.5% showed some clinical response (in vital signs, laboratory tests and/or clinical status evolution) potentially related to resolved DRPs. Association analysis revealed that a higher number of medications in use before hospitalization correlated with a greater identification of DRPs during hospitalization (p = 0.03). At hospital discharge, 23.6% of patients were no longer using polypharmacy. In total, 16 patients (26.7%) died during the study period. Among patients who did not die during hospitalization (n = 54), 20 patients (37%) experienced rehospitalizations within 90 days following discharge.ConclusionThis study facilitated the consolidation of pharmaceutical care implementation in a geriatric ward. We conducted identification, evaluation, and proposed evidence‐based solutions, as well as monitored cases for outcome analysis. It is anticipated that this methodology will inspire future research and the implementation of pharmaceutical care‐related services.
Urban flood drifters (UFD): Identification, classification and characterisation
Authors: Bayón Arnau , Valero Daniel , Franca Mário J. 
Published: May 2024

AbstractExtreme floods threaten lives, assets and ecosystems, with the largest impacts occurring in urbanised areas. However, flood mitigation schemes generally neglect the fact that urban floods carry a considerable amount of solid load. In this study, we define urban flood drifters (UFDs) as loose objects present in the urban landscape that can become mobile under certain flow conditions, thereafter blocking drainage infrastructure and endangering both downstream and upstream communities. Based on 270 post‐flood photographic records from 63 major inundations of the past quarter‐century across 46 countries, we provide a comprehensive analysis of UFDs and their flood‐hazard implications. We show that a variety of vehicles, furniture and a heterogeneous mixture of drifters are present in post‐flooding scenarios. Plastic, construction debris and wood (natural or anthropogenic) dominate the statistics of transported drifters in urban floods (with frequencies of roughly 50%–60% each), followed by cars (present in 31.5% of post‐flood images). Other heavy vehicles are readily observed in post‐flood imagery and furniture such as bins, garden sheds or water tanks also appear occasionally, therefore suggesting that they can play a relevant role in extreme floods.
Well‐to‐wheels analysis of greenhouse gas emissions for passenger vehicles in Middle East and North Africa
Authors: Ankathi Sharath , Gan Yu , Lu Zifeng , Littlefield James A. , Jing Liang , Ramadan Farah O. , Monfort Jean‐Christophe , Badahdah Alhassan , El‐Houjeiri Hassan , Wang Michael 
Published: May 2024

AbstractBattery electric vehicles (BEVs) are widely considered a pathway to achieve low carbon mobility. BEVs emit zero emissions from the tailpipe, but their life cycle carbon reduction compared to gasoline vehicles varies based on primary energy sources, electricity generation, and use efficiency. The Middle East and North Africa (MENA) region is an area rich in fossil fuels, meriting a detailed comparison between the emissions from BEV and other powertrains. We developed a MENA‐specific life cycle model that estimates well‐to‐wheel (WTW) greenhouse gas (GHG) emissions from passenger transport with internal combustion engine vehicles (ICEVs), hybrid electric vehicles (HEVs), plug‐in hybrid electric vehicles, and BEVs. MENA's average WTW GHG emissions for all supply chain steps including combustion emissions from vehicle operation are 767 g/kWh and 84 g CO2eq/MJ for electricity and gasoline, respectively, but are highly variable due to heterogeneity in upstream supply chains. The use of hybrid gasoline ICEVs provides the largest emission reduction opportunity for existing vehicle fleets in 9 of the 16 MENA countries. For these nine countries, replacing gasoline ICEVs with HEVs could, on average, reduce country‐level life cycle GHG emissions by 47%. There is a similar emission reduction opportunity for 14 of the 16 MENA countries when normalizing vehicle efficiencies irrespective of the powertrain shares and other trends in existing vehicle fleets. Future scenario analysis shows that BEVs would have the lowest WTW GHG emissions among all powertrains in most MENA countries only if significantly reduced electricity transmission losses and cleaner grid mix are realized, although a high cost of infrastructure developments is expected.
Perceived stress, positive psychological capital and health literacy in patients with multiple chronic conditions: A structural equation modelling
Authors: Zou Jiaxu , Liu Ying 
Published: May 2024

AbstractAimTo investigate the structural relationships among perceived stress (PS), positive psychological capital (PsyCap) and health literacy (HL) in patients with multiple chronic conditions (MCC) and construct a model to explore the relationships of PS and PsyCap on HL.BackgroundHL is critical in the rehabilitation and management of patients with MCC. Extensive understanding of the relationships between research variables can help nursing staff to implement effective programmes that improve the level of HL of patients. However, currently there is no research that has evaluated the structural relationships among these variables using a single model.MethodsThis study adhered to the STROBE guidelines for reporting cross‐sectional studies. The Health Literacy Scale for Chronic Patients, Chinese Perceived Stress Scale (CPSS) and Positive Psychological Capital Questionnaire were used to assess HL, PS and PsyCap, respectively. Questionnaires were distributed to 317 patients with MCC attending a tertiary general care hospital in China from February to May 2023, using convenience sampling approach. Structural equation modelling was used to validate the proposed model.ResultsThe findings showed that PS has a negative relationship with HL and PsyCap. PS was indirectly associated with HL through PsyCap. The results indicated that PsyCap was positively associated with HL. The PS and PsyCap explained 64% of the variance in HL.ConclusionsThe findings showed that the proposed model had high validity and structural relationships between chosen variables were observed for MCC patients.Relevance to Clinical PracticeThese results may help nursing staff develop strategies to improve the HL of patients with MCC, which should focus on reducing PS and enhancing PsyCap to improve HL. Nursing staff can provide targeted psychological counselling and health guidance for patients to alleviate negative emotions and further promote their HL.Patient or Public ContributionParticipate in research and fill out questionnaires.
Addressing the White problem critically: A latent profile analysis of racial attitudes
Authors: Parigoris Ryan , Hochman Alissa , Hayes‐Skelton Sarah , Suyemoto Karen L. 
Published: May 2024

AbstractAdvancing racial justice requires changes in White people's critical consciousness, including understanding the historical, material, and cultural conditions that have given rise to and maintain racism and White supremacy on individual, interpersonal, and systemic levels. To effect such changes, we need to better understand White people's current racial attitudes and their relation to anti‐racist action. Consistent with the QuantCrit framework, this study explored White Americans’ (N = 531; mean age = 34.4; 60.8% female) racial attitudes using Latent Profile Analysis with indicators selected from measures categorized within four themes: empathic connection in cross‐racial relationships, affective awareness of white privilege, blatant colorblind racial attitudes, and structural awareness. LPA resulted in four profiles based on patterns in participant responses to indicator items: Uncritical, Ambivalent, Incongruous, and Critical racial attitudes. Analyses of demographic differences between profile members indicated that participants with higher levels of critical racial consciousness were more likely to be women, trans, or non‐heterosexual, and have more friendships with People of Color. Members of profiles with higher levels of critical reflection also had significantly higher scores on racial justice action outcomes.
Colorblindness and race dismissiveness: Discursive racism and the limits of multicultural competence
Authors: Liu Wen , Buckley Tamara R. , Foldy Erica Gabrielle 
Published: May 2024

AbstractThis qualitative study integrates critical race theory to examine the practice of multicultural competence and the mechanism of discursive racism in the context of child welfare workers. We troubled the dominant paradigm of multicultural competence taken up by practitioners, and deployed discourse analysis on racial dialogue in a real‐life setting to highlight how the multicultural competence approach risks becoming a form of colorblind racism that diminish the importance of structure racial power which we call race dismissiveness. In our findings we identified four distinct patterns of race dismissiveness that the practitioners adopted to deflect racial dialogue: race identity fetishism, racial peripheralization, racial erasure, and racial externalization. We argue that the separation between semantic expressions of multicultural beliefs and enacted racial practices needs to be conceptualized as a part of the discursive enactment of colorblind racism that functions to keep structural racism intact through everyday practice.
The transition process for paediatric rheumatology clinic patients at a single tertiary paediatric rheumatology centre in Australia
Authors: Huynh Aimee , Buckle Joanne , Cox Angela , Czerniecki Leanne , Gowdie Peter , Renton William , Allen Roger , Tiller Georgina 
Published: May 2024

AimThis study aimed to examine the transition process of paediatric rheumatology patients from the Monash Children's Hospital (MCH) in Melbourne in order to identify areas that could be improved.MethodsRetrospective review of clinical data from the rheumatology database of paediatric rheumatology patients eligible for transition between January 2015 and September 2020.ResultsOne hundred and sixty‐five patients were included; 57 patients were transitioned. Of patients transitioned to an adult service, 38 (88%) were on medication and 14 (33%) had active disease. All patients transitioned to the general practitioner (GP) had inactive disease off medication. Juvenile idiopathic arthritis (JIA) (non‐systemic) was the most common diagnosis in patients transitioned. The mean age at which transition was first discussed was 18.0 years; the first referral was made at a mean of 18.3 years. The mean age at the first adult appointment was 18.5 years. Thirty‐nine (91%) patients had a referral completed and 8 (19%) had a transfer letter. Thirteen (93%) patients transferred to the GP had a transfer letter. Transfer documents to an adult public rheumatology service rated 4.3 for quality, compared to 5.5 to the GP. Transfer of care was confirmed in 40 (93%) patients transitioned to an adult service; however, correspondence was available for only 3 (7%).ConclusionAlthough the transition process at MCH was adequate, it could be improved through earlier discussion of the process and improved referrals and documentation. A readiness‐to‐transfer checklist and a young adult clinic have the potential to improve the process of transition to adult rheumatology care.
Paediatric obesity diagnosis and intervention practices in Australian hospitals – Australia‐wide survey
Authors: Ocariza Linnette M , Leong Gary M , Gandham Sowmya , Poulton Alison , Liu Anthony , Bhurawala Habib 
Published: May 2024

AimPrevious studies suggest a lack of a unified approach in identifying and addressing children with obesity while being inpatients in individual Australian hospitals. Our study aimed to describe current clinical practice across Australia and identify discrepancies that can aid in developing a more unified response to children identified with obesity as hospital inpatients.MethodsA cross‐sectional exploratory online survey was distributed to major paediatric in‐patient departments in Australia, with a response rate of 68%. Questions focused on education, identification, interventions and attitudes towards a national protocol.ResultsTwenty percent of respondents indicated that staff in their department regularly record body mass index, 66% address weight issues and only 8% consistently refer to appropriate outpatient services. Although 88% of respondents believe that a national protocol for addressing paediatric obesity would be beneficial, respondents emphasised concerns regarding their local resources.ConclusionOur study can inform the development of a guideline for a unified response to opportunistically identify children with overweight and obesity as inpatients.