bluuebunny/crossref_metadata_2025_split huggingface dataset:
Crimean Tatars in the Digital Age
Authors: Muratova Elmira 
Published: May 2024

Abstract
This article focuses on how the digital age has affected the Crimean Tatar religious authorities in the emerging cyber-Islamic environment. I argue that despite government restrictions, the internet remains a safe space for public debate and for challenging Muslim authorities in Crimea. I also argue that although online media have allowed traditional Muslim authorities in Crimea to improve communication within their organization and expand their audiences, they have become a platform for challenging their hierarchies, structures, ideologies, and texts. First, the structure of the Crimean Muslim community is outlined. I then describe the Crimean cyber-Islamic environment, before using social-media analysis and interviews with Muslim leaders to analyze the situation in the Crimean Tatars’ cyber-Islamic environment, with a focus on their religious authorities.
Changes in State Laws on Suicide Prevention Training for School Staff, 2002-2022
Authors: Rosenblum Kyle , Dunphy Christopher , Wang Jing , Frantz Kessa , Hulkower Rachel , Wong Sharon 
Published: May 2024

Objectives: Youth suicide is an urgent public health problem. Gatekeeper training aims to prevent suicide by training people to identify warning signs and make referrals to appropriate services. Many states in the United States have enacted gatekeeper training laws (GTLs) to train school staff in suicide prevention. The objectives of this study were to describe the development of a dataset on GTLs and use the dataset to summarize trends in uptake of GTLs from 2002 through 2022 as well as differences in characteristics (eg, frequency and duration of training) of GTLs. Methods: We used publicly available legal databases from all 50 states and the District of Columbia to conduct a policy surveillance assessment of GTLs. We cross-checked data with the American Foundation for Suicide Prevention’s 2022 Suicide Prevention in Schools (K-12) issue brief and used Westlaw Edge to conduct a sensitivity analysis. We included the following data in the full dataset: type of laws (encouraged, mandatory, or conditional mandatory), date passed, effective date, frequency of training, and length of training. Results: In 2022, 49 states and the District of Columbia had GTLs, 31 of which were mandatory laws. In 2002, only 6 states had such laws, and none were mandatory. Conclusion: The growing proliferation of laws on suicide prevention training for school staff warrants evaluation of the laws’ effectiveness. Our policy surveillance data may be used to better understand the role of these laws in a school-based approach to youth suicide prevention.
Development of a Ramayana-based Counseling Module for Persons with Common Mental Health Disorders
Authors: Kurhade Chhaya Shantaram , Jagannathan Aarti , Varambally Shivarama , Shivana Sushrutha , Sudhir Paulomi , Gangadhar B. N. 
Published: May 2024

Background: Common mental health disorders (CMDs) affect nearly 10% of the population, with the majority (80%) remaining untreated. Culturally relevant counseling approaches can be a means to reach many untreated persons. We describe the development and validation of a socioculturally relevant counseling module based on the Ramayana for persons with CMDs. Methods: The study employed an exploratory research framework to design the counseling module. The module underwent a comprehensive review of the Valmiki Ramayana to ensure its cultural relevance. Content validation was performed by mental health professionals from the field of Indian psychology. Concurrently, a panel of 15 experts from diverse backgrounds in Indian psychology validated the counseling module based on the Ramayana. Results: Based on the results of expert interviews ( n = 15), the counseling techniques, encompassing concepts, anecdotes, and narratives, were finalized. These interviews also contributed to the refinement of the counseling module. The primary objective of the content validation process was to systematically assess the appropriateness, accuracy, and practicality of the various components within the module. The content validation demonstrated that all items contained within the module exceeded the established threshold of p = .59. Conclusions: The developed counseling module based on the Ramayana is feasible to be implemented as a sociocultural intervention for persons with CMDs. By assisting persons to enhance coping abilities and improve overall well-being, this module offers a valuable resource for mental health intervention in the Indian sociocultural context. It fosters a culturally sensitive and practical approach to address the diverse mental health needs of the population.
The effect of excessive gas to blood ratios in an ECMO oxygenator
Authors: Shaw Michael , Cross Nigel , Richardson Rebecca , Crook Richard , Thirulchelvam Timothy , Issitt Richard W 
Published: May 2024

Introduction Oxygenators for paediatric Extracorporeal Membrane Oxygenation (ECMO) are required to operate over a wide range of flow rates, in a patient group ranging from neonates through to fully grown adolescents. ECMO oxygenators typically have a manufacturer’s stated maximum gas: blood flow rate (GBFR) ratio of 2:1, however, many patients require greater ratios than this for adequate CO2 removal. Mismatches in GBFR in theory could result in high gas phase pressures. These increased pressures in theory could cause the formation of gross gaseous microemboli (GME) placing the child at higher risk of neurological injury. Methods We evaluated 6 paediatric and 6 adult A.L.ONE™ ECMO oxygenators and assessed their gas phase pressures and GME release, in an ex vivo setting, in GBFR ratios up to greater than 2, across a range of gas flow (1L – 10 L/min) rates with a fraction of inspired oxygen (FiO2) content of 50% and 100%. Results There were no increases above 10 mmHg observed in gas phase pressures in GBFR >= 2:1 in either adult or paediatric oxygenators. Laboratory examination of GME activity demonstrated a small increase in post-membrane GME release over the study period. GME release was unaffected by FiO2 setting or gas flow rate, with a maximum volume of < 6 µL in both paediatric and adult oxygenators. Conclusions In an ex vivo setting, increasing GBFR above 2:1 in a paediatric oxygenator, and to a GBFR of 2:1 in an adult oxygenator did not significantly increase gas phase pressures, and no oxygenator membrane rupture was observed. There were no associations between gas flow rates and GME production.
Epoxy/polymercaptan microcapsules composite: Synthesis, mechanics, and self-healing behavior
Authors: Deng Xiaocui , Li Zhennan , Yang Jingang , Li Xing , Xu Qinming , Li Gang , Yuan Qingmei 
Published: May 2024

To enhance the longevity of materials, minimize maintenance expenses, and optimize material performance. The wall material employed in this study was urea-melamine-formaldehyde (UMF), and a dual microcapsule self-healing system was established by synthesizing two distinct microcapsules of epoxy resin and polymercaptan via an in situ polymerization technique. Moreover, the reaction conditions were optimized. The reaction parameters were as follows: core-shell ratio of 2:1, surfactant concentration of 0.6 g/L (sodium dodecyl benzene sulfonate (SDBS): Arabic gelatin (GA) = 2:1), polymerization pH = 3.5, stirring rate of 700r/min. Then, the two microcapsules (The mass ratio of the two microcapsules is 1:1) were added to the epoxy resin matrix at 0, 2.5, 5, 7.5, 10, and 12.5 wt% to prepare the resin matrix with self-healing properties. The conical double cantilever beam (TDCB) was used to test the mechanical properties of the matrix. The results showed that the matrix with microcapsule content of 10 wt% had relatively better comprehensive properties, and the self-healing rate was 49.87% at room temperature. These findings provide valuable insights and potential for advancing the development of self-healing materials.
Multi-Family Housing Environment and Physical Activity: A Systematic Review of the Literature
Authors: Hegde Manasa Vigneshwar , Park Seokyung , Zhu Xuemei , Lee Chanam 
Published: May 2024

Objective To identify environmental features of multi-family housing (MFH) and their surrounding neighborhoods that influence residents’ physical activity (PA). Data Source Articles published between January 2000 and September 2023 were identified from major social science, medical, health, behavioral science, and urban studies databases. Study Inclusion and Exclusion Criteria Studies were included if they (a) were empirical studies published in peer-reviewed journals and written in English; (b) focused on the MFH environment or the surrounding neighborhood; and (c) had at least one PA outcome. Data Extraction Data was extracted regarding the study objective, location, study sample, research design, results related to MFH and neighborhood environment, and limitations. Data Synthesis Descriptive summary of study characteristics and analysis to identify emerging themes at three spatial scales (i.e., building, site , and neighborhood). Results Findings from 35 identified articles revealed factors influencing MFH residents’ PA. On the building level, typology (apartment, townhouse) and tenure (public, market rent) showed contrasting correlations with PA in different age groups. On the site level, the presence of PA facilities and safe, walking-friendly environments promoted PA. On the neighborhood level, safety, quality of PA and pedestrian infrastructure, upkeep, air quality, aesthetics, neighborhood satisfaction, street connectivity, walkability, land use mix, density, and public transport promoted PA. Conclusion Study findings highlight the importance of the MFH environments in promoting PA, especially in older adults and young children. With increasing housing demand, understanding diverse MFH typologies and the impact of interventions on multi-spatial scales can help promote healthy and activity-friendly communities.
Diabetes Care in A Safety Net Hospital: Impact of a Pharmacist Transitional Care Service
Authors: Murray Shanelle M. , Traynor Laura M. , Carli Larissa , Rhodes Heather , Brigino Ann M. , Wikelius Rajani M. 
Published: May 2024

Background: Diabetes is associated with increased risk of hospital readmission and imposes a significant economic burden on patients and healthcare systems. Literature suggests that pharmacist-led transitions-of-care (TOC) services reduce hospital readmissions and improve patient outcomes and data within safety-net hospitals is limited. Methods: This was a single-center evaluation to assess the impact of pharmacist-led diabetes TOC services on hospital readmissions among diabetes patients vs standard care (SC). The evaluation included patients admitted from 11/1/2021-2/28/2022 and 10/19/2022-2/28/2023 who had a primary diagnosis of diabetes mellitus, were admitted for a diabetes-related reason, or were seen by the endocrine consult service during admission. The primary outcome was 30-day readmissions. Secondary outcomes included time to readmission, readmission diagnosis, changes in HbA1c, completion of follow-up visits, and number of pharmacist interventions at follow-up. Results: There were 109 patients included (TOC n = 65; SC n = 44) and 13.8% (9/65) of TOC and 18.2% (8/44) of SC patients readmitted within 30 days ( P = .235). Average time to readmission was 15.3 days in the TOC and 10.4 days in the SC cohorts. There were no diabetes-related readmissions in the TOC cohort. Over 60% (5/8) of readmissions in the SC cohort were diabetes-related. The average change in HbA1c was −2.5% in the TOC cohort and −1.2% in the SC cohort, P = .046. Approximately 51% of TOC patients completed an outpatient follow-up visit and nearly 70% of those patients had an intervention made at that time. Conclusion: Pharmacist-led diabetes TOC services within a safety-net hospital may reduce hospital readmissions and improve clinical outcomes.
Evaluation of health risk experienced by urban taxi drivers to whole-body vibration and multiple shocks
Authors: Salehi Sahlabadi Ali , Azrah Keykāvus , Mehrifar Younes , Poursadeghiyan Mohsen 
Published: May 2024

This cross-sectional study was done aiming at determining the exposure of taxi drivers to vibration on 35 safe taxis (19 cars with engine volume of 1.325 L, 9 cars with engine volume of 1.645 L, and 7 cars with engine volume of 1.761 L). Measurements were based on ‘ISO 2631-1’ on seats’ pans, by Castel GA2005 vibrometer. The results through two different evaluative methods indicated moderate exposure levels, corresponding to suggestive Health Guidance Caution Zone (HGCZ) in ‘ISO 2631-1’. Evaluation of exposure to the WBV among taxi drivers, in the taxis with low and high mean acceleration values, using the VDV method is preferred over the R.M.S method. In lower accelerations, in all conditions, the mean of the reckoned values in the VDV method was less than the R.M.S method, and in higher accelerations, where there are more differences, and the CF values were higher (PAIK 1761 cars), again the assessed mean duration in the VDV method is less than R.M.S method. In higher accelerations and with fewer crest factors, this matter didn’t hold, and the allowed time in the R.M.S method became lower.
Experimental test and analysis of impact suppression for hydraulic-driven leg using a new MR damper with multi-channels
Authors: Huang Hui , Yang Xin , Ma Baizhou , Xiao Lanfang , Chen Shumei , Li Yuzheng , Lin Xiufang 
Published: May 2024

When hydraulic-legged robots move under high loads on irregular ground, they are vulnerable to ground impacts. Vibration affects the motion performance of the robot and damages its mechanical structure. This study aims to improve the properties of vibration absorption and impact resistance of hydraulic-legged robots. Because the traditional MR damper (MRD) has small output in finite volume, a novel MRD with a multistage flow channel (MFC-MRD) can output a large damping force designed. First, an MRD prototype was designed for a mechanical leg’s driving joint. Subsequently, the system is analyzed theoretically, and a semi-active control strategy is designed and simulated. Finally, the vibration and impact resistance of the prototype were tested. The experimental results show that in the signal tracking experiment, the maximum overshoot under semi-active control was reduced by 53.0%, and the settling time was reduced by 76.9% compared with the passive control. The impact test reduced the maximum displacement fluctuation by 41.09%, and the buffer time is only 0.24 s.
Decoding medical educators’ perceptions on generative artificial intelligence in medical education
Authors: Cervantes Jorge , Smith Blake , Ramadoss Tanya , D’Amario Vanessa , Shoja Mohammadali M. , Rajput Vijay 
Published: May 2024

Generative AI (GenAI) is a disruptive technology likely to generate a major impact on faculty and learners in medical education. This work aims to measure the perception of GenAI among medical educators and to gain insights into its major advantages and concerns in medical education. A survey invitation was distributed to medical education faculty of colleges of allopathic and osteopathic medicine within a single university during the fall of 2023. The survey comprised 12 items, among those assessing the role of GenAI for students and educators, the need to modify teaching approaches, GenAI’s perceived advantages, applications of GenAI in the educational context, and the concerns, challenges, and trustworthiness associated with GenAI. Responses were obtained from 48 faculty. They showed a positive attitude toward GenAI and disagreed on GenAI having a very negative effect on either the students’ or faculty’s educational experience. Eighty-five percent of our medical schools’ faculty responded to had heard about GenAI, while 42% had not used it at all. Generating text (33%), automating repetitive tasks (19%), and creating multimedia content (17%) were some of the common utilizations of GenAI by school faculty. The majority agreed that GenAI is likely to change its role as an educator. A perceived advantage of GenAI in conducting more effective background research was reported by 54% of faculty. The greatest perceived strengths of GenAI were the ability to conduct more efficient research, task automation, and increased content accessibility. The faculty’s major concerns were cheating in home assignments in assessment (97%), tendency for blunder and false information (95%), lack of context (86%), and removal of human interaction in important feedback processes (83%). The majority of the faculty agrees on the lack of guidelines for safe use of GenAI from both a governmental and an institutional policy. The main perceived challenges were cheating, the tendency of GenAI to make errors, and privacy concerns. The faculty recognized the potential impact of GenAI in medical education. Careful deliberation of the pros and cons of GenAI is needed for its effective integration into medical education. There is general agreement that plagiarism and lack of regulations are two major areas of concern. Consensus-based guidelines at the institutional and/or national level need to start to be implemented to govern the appropriate use of GenAI while maintaining ethics and transparency. Faculty responses reflect an optimistic and favorable outlook on GenAI’s impact on student learning.
Cognitive demand in parent–child shared book reading and home language development among dual language learners in low-income immigrant families
Authors: Mak Emily , Mauer Ezra , Luo Rufan , Zhou Qing , Uchikoshi Yuuko 
Published: May 2024

Aims and objectives: The existing literature indicates that shared book reading is associated with benefits in children’s home language development. Parents play a significant role in shaping children’s language outcomes. The purpose of this study was to investigate the relations among the quality of parents’ shared book reading, children’s language output, receptive vocabulary, and expressive vocabulary outcomes in the home language of dual language learners (DLLs) to inform book reading practices that can support DLLs’ early home language development. Methodology: 36 Mexican American (43–67 months) and 31 Chinese American (38–70 months) DLLs and their mothers, who were home language dominant, were recruited from Head Start programs, which are federally funded programs that provide early childhood education to low-income children, in Northern California. Data and analysis: Utterances produced by the parents during parent–child shared book reading were coded for cognitive demand levels. DLLs’ home language expressive vocabulary and receptive vocabulary and information about parents’ demographics and parent–child shared reading frequency were collected. Correlations and hierarchical regression analyses were computed. Findings/conclusions: The findings demonstrated possible cultural differences in mothers’ book reading quality regarding cognitive demand. Although maternal statements and questions were not significantly associated with DLLs’ home language receptive and expressive vocabulary for both groups, asking yes/no, referential, and inferential questions were more likely to evoke more language output from DLLs. Originality: This study extends the literature on home language development of low-income DLLs during parent–child shared reading, as only a few studies have investigated the significance of shared reading in the home language. Significance/implications: The findings of this study yield important implications for parents’ shared reading practices with low-income DLLs. Using all levels of cognitively demanding speech and encouraging DLLs to talk during shared reading may benefit their home language development.
Impact of oral administration of calcitriol to prevent symptomatic hypocalcemia after total thyroidectomy: Systematic review and meta-analysis
Authors: Dadkhah Parisa A. , Farshid Amirali , Khademi Reza , Yaghoubi Shayan , Asadzadeh Ailin , Moharamnejad Nima , Jadidian Faezeh , Ziaei Seyed A. , Haghshoar Sepehr , Salimi Omid , Shafagh Seyyed-Ghavam , Rabiei Negin , Shahsavari Saleh , Shokravi Samin , Maroufi Zahra , Deravi Niloofar , Erabi Gisou , Naziri Mahdyieh 
Published: May 2024

Background: One of the most common complications of total thyroidectomy is post-operative transient or persistent hypoparathyroidism that can cause symptomatic hypocalcaemia. To prevent this complication, shorten the period of hospitalization and reduce morbidity, routine supplementation of oral vitamin D and calcium has been suggested. This systematic review and meta-analysis aims to critically assess the association between pre-operative calcitriol supplementation and post-operative hypocalcaemia. Methods: Randomized controlled trial studies were identified by searching PubMed, Scopus, and Google Scholar databases up to 30 March 2023. Screening of titles, abstracts, and full texts of articles were performed, and data were extracted for a meta-analysis. Results: This meta-analysis includes data from nine randomized controlled trials with a total of 1259 patients but with significant heterogeneity. The results demonstrate that calcium levels were higher in patients who had pre-operative calcitriol supplementation, with a weighted mean difference (WMD) 0.18 (95% confidence interval (CI) = 0.00, 0.37). Pre-operative calcitriol supplementation did not lead to significant changes in parathyroid hormone (PTH) levels, with WMD −0.49 (95% CI: −1.91, 0.94). Conclusion: Pre-operative calcitriol supplementation leads to higher calcium levels, but the high heterogeneity of the included studies (79% to 98.7%) could affect the results.
Enhanced versus standard hydration in acute ischemic stroke: REVIVE—A randomized clinical trial
Authors: Lin Leng Chieh , Lee Tsong-Hai , Huang Yen Chu , Tsai Yuan Hsiung , Yang Jen Tsung , Yang Lan Yan , Pan Yu-Bin , Lee Meng , Chen Kuan-Fu , Hung Yu-Cheng , Cheng Hsien-Hung , Lee I-Neng , Lee Ming Hsueh , Chiu Tefa , Chang Yeu-Jhy , Goh Zhong Ning Leonard , Seak Chen-June 
Published: May 2024

Rationale: Early neurological deterioration (END) within 72 h of stroke onset is associated with poor prognosis. Optimizing hydration might reduce the risk of END. Aims: This study aimed to determine in acute ischemic stroke patients if enhanced hydration versus standard hydration reduced the incidence of major (primary) and minor (secondary) END, as well as whether it increased the incidence of early neurological improvement (secondary), at 72 h after admission Sample size estimate: A total of 244 participants per arm. Methods and design: A prospective, double-blinded, multicenter, parallel-group, randomized controlled trial conducted at four hospitals from April 2014 to July 2020, with data analyzed in August 2020. The sample size estimated was 488 participants (244 per arm). Ischemic stroke patients with measurable neurological deficits of onset within 12 h of emergency department presentation and blood urea nitrogen/creatinine (BUN/Cr) ratio ⩾ 15 at point of admission were enrolled and randomized to 0.9% sodium chloride infusions of varying rates—enhanced hydration (20 mL/kg body weight, one-third given via bolus and remainder over 8 h) versus standard hydration (60 mL/h for 8 h), followed by maintenance infusion of 40–80 mL/h for the subsequent 64 h. The primary outcome measure was the incidence of major END at 72 h after admission, defined as an increase in National Institutes of Health Stroke Scale of ⩾ 4 points from baseline. Results: Overall, 487 participants were randomized (median age 67 years; 287 females). At 72 h, 7 (2.9%) in the enhanced hydration arm and 5 (2.0%) in the standard hydration developed major END (p = 0.54). The incidence of minor END and early neurological improvement did not differ between treatment arms. Conclusion and relevance: Enhanced hydration did not reduce END or improve short-term outcomes in acute ischemic stroke. Trial Registration: ClinicalTrials.gov (NCT02099383, https://clinicaltrials.gov/study/NCT02099383 )