bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reinventing a training program to support the professional development of inspectors and school principals: Overcoming difficulties and creating new actions through activity analysis
Authors: Moussay Sylvie , Mauguen Frederique , Ria Luc 
Published: April 2024

AbstractThis article presents an empirical study on a new training program for the professional development of school inspectors and principals. The international literature reviews show that training based on the learning of managerial skills has limits. Another approach to training based on professional difficulties experienced and on authentic practice is necessary for school inspectors and principals. The study explores the effects of the training program “NeopassCadres” on the professional development of inspectors and school principals. A qualitative research design elaborated from a practice perspective and based on self‐confrontation interviews with inspectors and school principals who participated in the program “NeopassCadres”. The results show the impact of the activity analysis on the professional development of inspectors and principals. The activity analysis is an opportunity to describe professional actions and difficulties, share experiences between peers, engage in professional debates on generic problems, identify progress in the practice, and assess the effectiveness of new actions. The study focuses on a case study in France. The number of participants is low; the results must therefore be supplemented by new studies on the impact of activity analysis on the professional development of inspectors and principals. The study contributes to the evolution of training for novice inspectors and novice school principals. The main contribution concerns the understanding of the process of professional development, linking it with individual and collective activity analysis. The other contribution relates to the evolution of the trainers' posture during viewing and analysis of videos. The study provides knowledge about training based on analyzing the “non‐visible” dimensions of actors' activity at work. The activity analysis method helps inspectors and school principals evoke difficulties, motives, intentions, and emotions.
Impact of COVID‐19 Nonpharmaceutical Interventions on Respiratory Syncytial Virus Infections in Hospitalized Children
Authors: Lu Yingfeng , Chen Qinghui , Ren Shaolong , Zhang Youyi , Yi Liping , Qian Chen , Shen Jiaming , Liu Xiaofei , Jiang Miao , Wang Biying , Song Jian , Shao Xuejun , Zhang Tao , Tian Jianmei , Zhao Genming 
Published: April 2024

ABSTRACTBackgroundNonpharmaceutical interventions (NPIs) targeted at SARS‐CoV‐2 have remarkably affected the circulation of other respiratory pathogens, including respiratory syncytial virus (RSV). This study aimed to assess the changes in epidemiological and clinical characteristics of RSV infections in hospitalized children before and during the pandemic in Suzhou, China.MethodsWe prospectively enrolled children aged < 18 years who were hospitalized in Soochow University Affiliated Children's Hospital with acute lower respiratory infection (ALRIs) from January 2018 to July 2022. Changes in epidemiological and clinical characteristics of RSV infections were analyzed.ResultsCompared with the same period in 2018–2019, the difference in the overall positive rate of RSV was not statistically significant in 2020, while it increased significantly in 2021 (11.8% [662/5621] vs. 20.8% [356/1711], p < 0.001) and 2022 (9.0% [308/3406] vs. 18.9% [129/684], p < 0.001). Specifically, the positive rates declined considerably from October to December 2020 but sharply increased during the summer of 2021. Compared to prepandemic period, RSV infections were more frequently observed in older children during the pandemic. RSV‐positive children exhibited milder clinical characteristics during the COVID‐19 pandemic, including decreased proportion of patients with hospital stay ≥ 11 days (10.3% vs. 6.7%, p < 0.05), less requirement for oxygen therapy (13.7% vs. 6.9%, p < 0.001), and fewer cases of polypnea (12.2% vs. 9.7%, p < 0.05) and wheeze (50.1% vs. 42.9%, p < 0.001).ConclusionsThe implementation of multilayered NPIs targeted at COVID‐19 has affected the activity of RSV. Ongoing monitoring of RSV is warranted as the changing RSV epidemiology can provide valuable insights for future healthcare system planning.
Effectiveness of XBB.1.5 Monovalent COVID‐19 Vaccines During a Period of XBB.1.5 Dominance in EU/EEA Countries, October to November 2023: A VEBIS‐EHR Network Study
Authors: Monge Susana , Humphreys James , Nicolay Nathalie , Braeye Toon , Van Evercooren Izaak , Holm Hansen Christian , Emborg Hanne‐Dorthe , Sacco Chiara , Mateo‐Urdiales Alberto , Castilla Jesús , Martínez‐Baz Iván , de Gier Brechje , Hahné Susan , Meijerink Hinta , Kristoffersen Anja Bråthen , Machado Ausenda , Soares Patricia , Nardone Anthony , Bacci Sabrina , Kissling Esther , Nunes Baltazar ,   VEBIS‐EHR Working Group
Published: April 2024

ABSTRACTUsing a common protocol across seven countries in the European Union/European Economic Area, we estimated XBB.1.5 monovalent vaccine effectiveness (VE) against COVID‐19 hospitalisation and death in booster‐eligible ≥ 65‐year‐olds, during October–November 2023. We linked electronic records to construct retrospective cohorts and used Cox models to estimate adjusted hazard ratios and derive VE. VE for COVID‐19 hospitalisation and death was, respectively, 67% (95%CI: 58–74) and 67% (95%CI: 42–81) in 65‐ to 79‐year‐olds and 66% (95%CI: 57–73) and 72% (95%CI: 51–85) in ≥ 80‐year‐olds. Results indicate that periodic vaccination of individuals ≥ 65 years has an ongoing benefit and support current vaccination strategies in the EU/EEA.
How do unintended consequences emerge from EHR implementation? An affordance perspective
Authors: Trocin Cristina , Lee Gwanhoo , Bernardi Roberta , Sarker Suprateek 
Published: April 2024

AbstractDrawing upon an affordance‐actualisation perspective, we aim to advance our knowledge of the emergence of unintended consequences from the implementation of Electronic Health Record (EHR) systems. Prior research has not yet deeply understood how these unintended consequences unfold. We investigate how the (non‐)actualisation of affordances produces unintended consequences. Our exploratory case study of an EHR system implemented in Italy reveals four types of actions (flexing, bypassing, avoiding, and reorganising) through which different types of unintended consequences occur with the (non‐)actualisation of affordances. We explain and theorise how interactions among technology features and psychosocial and organisational constraints/enablers contribute to users' perception of affordances and technological constraints. This, in turn, influences different types of user actions, leading to unintended consequences. Our findings and insights contribute to the literature on unintended consequences and help organisations better manage implementing new systems.
Perceived barriers and enablers to utilising the Australian National Disability Insurance Scheme for adults with an intellectual disability and their families: A scoping review
Authors: Zubrinich Alice , de Jong Gideon , Salehi Nasim , Lakeman Richard 
Published: April 2024

AbstractBackgroundThe introduction of the National Disability Insurance Scheme (NDIS) in Australia in 2013 promised significant improvements in the lives of adults with intellectual disabilities. Although the scheme enables support, there are challenges associated with establishing eligibility and administering funds. This scoping review explored perceived barriers and enablers to effectively utilising the NDIS for adults with intellectual disabilities and their families.MethodA scoping review of the empirical literature on the NDIS and intellectual disabilities included nine studies in this review. These papers were subjected to thematic analysis and the findings were presented as a narrative synthesis.ResultsThe key themes identified were: (1) Limited understanding of the NDIS process; (2) Language use and capacity assumptions; (3) Unrealistic goals and progress, and difficulty utilising plans; (4) Expectations of families and associated workloads; (5) Opening up opportunities not previously available; (6) Knowledgeable planners who actively seek to involve adults and their families.ConclusionAlthough qualitative studies demonstrate that adults with an intellectual disability and their families are largely satisfied with the increased opportunities the NDIS has afforded them, there are various areas in which accessibility to services can be improved. In order for the NDIS to continue to improve, the results from this scoping review underline the need for adults with an intellectual disability and their support systems to have their voices heard and be utilised.
Evaluating Sentence‐BERT‐powered learning analytics for automated assessment of students' causal diagrams
Authors: Pijeira‐Díaz Héctor J. , Subramanya Shashank , van de Pol Janneke , de Bruin Anique 
Published: April 2024

AbstractBackgroundWhen learning causal relations, completing causal diagrams enhances students' comprehension judgements to some extent. To potentially boost this effect, advances in natural language processing (NLP) enable real‐time formative feedback based on the automated assessment of students' diagrams, which can involve the correctness of both the responses and their position in the causal chain. However, the responsible adoption and effectiveness of automated diagram assessment depend on its reliability.ObjectivesIn this study, we compare two Dutch pre‐trained models (i.e., based on RobBERT and BERTje) in combination with two machine‐learning classifiers—Support Vector Machine (SVM) and Neural Networks (NN), in terms of different indicators of automated diagram assessment reliability. We also contrast two techniques (i.e., semantic similarity and machine learning) for estimating the correct position of a student diagram response in the causal chain.MethodsFor training and evaluation of the models, we capitalize on a human‐labelled dataset containing 2900+ causal diagrams completed by 700+ secondary school students, accumulated from previous diagramming experiments.Results and ConclusionsIn predicting correct responses, 86% accuracy and Cohen's κ of 0.69 were reached, with combinations using SVM being roughly three‐times faster (important for real‐time applications) than their NN counterparts. In terms of predicting the response position in the causal diagrams, 92% accuracy and 0.89 Cohen's κ were reached.ImplicationsTaken together, these evaluation figures equip educational designers for decision‐making on when these NLP‐powered learning analytics are warranted for automated formative feedback in causal relation learning; thereby potentially enabling real‐time feedback for learners and reducing teachers' workload.
Functional divergences of natural variations of TaNAM‐A1 in controlling leaf senescence during wheat grain filling
Authors: Zhou Longxi , Chang Guowei , Shen Chuncai , Teng Wan , He Xue , Zhao Xueqiang , Jing Yanfu , Huang Zhixiong , Tong Yiping 
Published: April 2024

ABSTRACTLeaf senescence is an essential physiological process related to grain yield potential and nutritional quality. Green leaf duration (GLD) after anthesis directly reflects the leaf senescence process and exhibits large genotypic differences in common wheat; however, the underlying gene regulatory mechanism is still lacking. Here, we identified TaNAM‐A1 as the causal gene of the major loci qGLD‐6A for GLD during grain filling by map‐based cloning. Transgenic assays and TILLING mutant analyses demonstrated that TaNAM‐A1 played a critical role in regulating leaf senescence, and also affected spike length and grain size. Furthermore, the functional divergences among the three haplotypes of TaNAM‐A1 were systematically evaluated. Wheat varieties with TaNAM‐A1d (containing two mutations in the coding DNA sequence of TaNAM‐A1) exhibited a longer GLD and superior yield‐related traits compared to those with the wild type TaNAM‐A1a. All three haplotypes were functional in activating the expression of genes involved in macromolecule degradation and mineral nutrient remobilization, with TaNAM‐A1a showing the strongest activity and TaNAM‐A1d the weakest. TaNAM‐A1 also modulated the expression of the senescence‐related transcription factors TaNAC‐S‐7A and TaNAC016‐3A. TaNAC016‐3A enhanced the transcriptional activation ability of TaNAM‐A1a by protein–protein interaction, thereby promoting the senescence process. Our study offers new insights into the fine‐tuning of the leaf functional period and grain yield formation for wheat breeding under various geographical climatic conditions.
The effect of work readiness on work well‐being for newly graduated nurses: The mediating role of emotional labor and psychological capital
Authors: Ding Yueming , Tang Haishan , Zhang Yiming , Peng Qianwen , Dong Wanglin , Lu Guangli , Chen Chaoran 
Published: April 2024

AbstractObjectiveTo investigate the relationship between work readiness and work well‐being for newly graduated nurses and the mediating role of emotional labor and psychological capital in this relationship.MethodsA cross‐sectional survey was conducted in mainland China. A total of 478 newly graduated nurses completed the Work Readiness Scale, Emotional Labour Scale, Psychological Capital Questionnaire, and Work Well‐being Scale. Descriptive statistical methods, Pearson correlation analysis, and a structural equation model were used to analyze the available data.ResultsNewly graduated nurses' work readiness was significantly positively correlated with work well‐being (r = 0.21, p < 0.01), deep acting (r = 0.11, p < 0.05), and psychological capital (r = 0.18, p < 0.01). Emotional labor and psychological capital partially mediated the relationship between work readiness and work well‐being. Additionally, emotional labor and psychological capital had a chain‐mediating effect on the association.Conclusions and Clinical RelevanceWork readiness not only affects newly graduated nurses' work well‐being directly but also indirectly through emotional labor and psychological capital. These results provide theoretical support and guidance for the study and improvement of newly graduated nurses' work well‐being and emphasize the importance of intervention measures to improve work readiness and psychological capital and the adoption of deep‐acting emotional‐labor strategies.
Misdiagnosis of cutaneous facial sporotrichosis: An analysis of five cases
Authors: Shi Weiwei , Zheng Yunyan , Wang Huiying , Zhang Ruzhi 
Published: April 2024

AbstractBackgroundFacial cutaneous sporotrichosis presents with diverse clinical manifestations, often leading to misdiagnosis.ObjectiveThis study aims to present the clinical characteristics of five misdiagnosed cases of facial cutaneous sporotrichosis, aiming to enhance understanding of this disease and prevent misdiagnosis and mistreatment.MethodsClinical data, histopathology, and fungal culture results of these five cases were comprehensively analyzed.ResultsAmong these five patients, three presented with lymphocutaneous sporotrichosis, while two had the fixed cutaneous type. Due to misdiagnosis, initial treatments were ineffective for all patients. Upon histopathological examination and fungal culture confirming sporotrichosis, treatment with itraconazole for 3 months led to complete resolution of lesions. While one patient experienced a relapse due to noncompliance with the prescribed medication.ConclusionFacial sporotrichosis, with its diverse clinical manifestations and obscure trauma history, is prone to misdiagnosis. Timely and thorough examinations are crucial for precise diagnosis and management. Itraconazole treatment demonstrated notable efficacy, and patient compliance is also essential for favorable outcomes.
A Formula to Save Us (From Ourselves): Continuity and Change in the Spanish Legal Domination System (1959–2024)
Authors: Villena‐Oliver Andrés , Romero‐Reche Alejandro 
Published: April 2024

AbstractThis paper analyzes how a structure of Weberian rational domination has been built and consolidated in Spain since 1959, the year when the so‐called Economic Stabilization Plan was approved. This sort of economic constitution represents one of the most important foundations of a technocratic regime that survived the death of a dictator (General Francisco Franco), not only transcending the traditional differentiations between autocratic and democratic regimes but also offering a different perspective to the debate about the degree of continuity and rupture attained by the Spanish political transition in the 1970s. We analyze the institutions, leadership, most influential networks, political discourse, and historical myths through a theory of power and elites to examine the Spanish case. With this remarkable example of structural transformation and institutional resilience over decades, we also propose a more complex and multidimensional approach that could be fruitful to understanding some of the problems of political representation that current democracies are undergoing.
Artificial intelligence and smile design: An e‐Delphi consensus statement of ethical challenges
Authors: Rokhshad Rata , Karteva Teodora , Chaurasia Akhilanand , Richert Raphaël , Mörch Carl‐Maria , Tamimi Faleh , Ducret Maxime 
Published: April 2024

AbstractPurposeSmile design software increasingly relies on artificial intelligence (AI). However, using AI for smile design raises numerous technical and ethical concerns. This study aimed to evaluate these ethical issues.MethodsAn international consortium of experts specialized in AI, dentistry, and smile design was engaged to emulate and assess the ethical challenges raised by the use of AI for smile design. An e‐Delphi protocol was used to seek the agreement of the ITU‐WHO group on well‐established ethical principles regarding the use of AI (wellness, respect for autonomy, privacy protection, solidarity, governance, equity, diversity, expertise/prudence, accountability/responsibility, sustainability, and transparency). Each principle included examples of ethical challenges that users might encounter when using AI for smile design.ResultsOn the first round of the e‐Delphi exercise, participants agreed that seven items should be considered in smile design (diversity, transparency, wellness, privacy protection, prudence, law and governance, and sustainable development), but the remaining four items (equity, accountability and responsibility, solidarity, and respect of autonomy) were rejected and had to be reformulated. After a second round, participants agreed to all items that should be considered while using AI for smile design.ConclusionsAI development and deployment for smile design should abide by the ethical principles of wellness, respect for autonomy, privacy protection, solidarity, governance, equity, diversity, expertise/prudence, accountability/responsibility, sustainability, and transparency.
Ethnicity and socio‐economic deprivation in children with intestinal failure in New Zealand: Disparities in incidence, but not in outcomes
Authors: Andrews Amy , Fraser‐Irwin Cate , Herbison Kim , Han Dug Y , Evans Helen M , Roberts Amin J 
Published: April 2024

AimsThe New Zealand National Intestinal Failure and Rehabilitation Service (NZ‐NIFRS) was established in October 2015 to gather longitudinal data on the aetiology, clinical course and outcomes of children with intestinal failure (IF). One main objective is to achieve health equity for patients with IF in NZ.MethodsClinical outcomes (enteral autonomy, parenteral nutrition (PN) dependence, death or intestinal transplantation) for IF patients diagnosed from October 2015 to 2018 were analysed; comparisons were made by ethnicity and socio‐economic status (SES) using published ‘prioritised‐ethnicity’ health data and the NZ index of deprivation, respectively. The Cox proportional‐hazards model was used to assess time to enteral autonomy.ResultsOf the 208 patients (55.77% male, 43.75% preterm), 170 (81.73%) achieved enteral autonomy and 14 (6.73%) remained PN dependent. Pacific and Māori children accounted for 12.98% and 27.88% of the patient cohort, respectively, compared to 9.46% and 25.65% of the NZ paediatric population. More significantly, IF patients with a high NZ socio‐economic deprivation score were overrepresented, with 35.92% in the highest deprivation quintile and 10.19% in the least deprived quintile, compared to 23.53% and 20.31%, respectively, of the NZ paediatric population. There were no significant differences in primary clinical outcomes for any patients based on ethnicity or SES.ConclusionWhile disparities in ethnicity and social deprivation do exist in the incidence of IF in NZ children, clinical outcomes are similar for children regardless of ethnicity or SES. NZ‐NIFRS has achieved one of its core objectives: to achieve health equity for all patients with IF nationwide.
Dietary Tenebrio molitor larvae meal effects on cellular stress responses, antioxidant status and intermediate metabolism of Oncorhynchus mykiss
Authors: Feidantsis Konstantinos , Panteli Nikolas , Bousdras Thomas , Gai Francesco , Gasco Laura , Antonopoulou Efthimia 
Published: April 2024

AbstractIn the context of evaluating the impact of environmentally friendly and sustainably produced alternative protein sources in fish feed, the present study's aim was to examine the overall physiological stress response in one of the main fish species of European freshwater aquaculture, Oncorhynchus mykiss (rainbow trout), following the partial substitution of fish meal (FM) with a Tenebrio molitor (TM) (yellow mealworm) full‐fat meal. In total, 222 rainbow trout individuals (115.2 ± 14.2 g) were allocated randomly into six tanks, three per dietary treatment, and were fed a formulated diet containing 60% yellow mealworm (TM60) compared to a control diet without insect meal (TM0). Both diets contained equal amounts of crude protein, dry matter and, lipid content, while the FM in TM60 was 100 g kg−1 corresponding to the one seventh of the TM0. Heat shock response (HSR), MAPK signalling, cell death pathways (apoptosis and autophagy), antioxidant defence mechanisms, and intermediate metabolism were evaluated. In general, HSR and MAPK signalling were activated in response to the inclusion of T. molitor. Moreover, triggering of apoptotic and autophagic processes and the onset of antioxidant defence mechanisms underlined the existence of physiological stress. Despite the apparent dietary‐induced stress, rainbow trout in the present study exhibited no mortality and no significant effects regarding growth performance parameters. Specifically, TM60 dietary inclusion resulted in no changes in final body weight, weight gain, and specific growth rate. However, feed intake depicted a statistically significant decrease in TM60 fish compared to TM0 individuals. Nevertheless, nutrient stress should be considered a limiting factor regarding the utilization of T. molitor in O. mykiss diet due to the associated risks for health and welfare.