bluuebunny/crossref_metadata_2025_split huggingface dataset:
Protocol for the Support Application for Food PAntrieS trial: design, implementation, and evaluation plan for a digital application to promote healthy food access and support food pantry operations
Authors: Barnett Daniel J. , Sundermeir Samantha M. , Reznar Melissa M. , Lightner Alexis , Poirier Lisa , Rosenblum Andrew J. , Oladimeji Ayoyemi Toheeb , Igusa Takeru , Neff Roni , Ruggiero Cara F. , Lewis Emma C. , Jager Leah , Moses Leena , Velez-Burgess Veronica , Gagnon Brooke , Attar Noor , Gittelsohn Joel 
Published: May 2024

IntroductionFood-insecure households commonly rely on food pantries to supplement their nutritional needs, a challenge that was underscored during the COVID-19 pandemic. Food pantries, and the food banks that supply them, face common challenges in meeting variable client volume and dietary needs under normal and emergency (e.g., pandemic, natural disaster) conditions. A scalable digital strategy that has the capacity to streamline the emergency food distribution system, while promoting healthy food options, managing volunteer recruitment and training, and connecting to emergency management systems in times of need, is urgently required. To address this gap, we are developing a working mobile application (app) called the Support Application for Food PAntrieS (SAFPAS) and will evaluate its feasibility and impact on food pantry staff preparedness, stocking, and client uptake of healthful foods and beverages in two urban United States settings.MethodsThis paper describes the protocol for a randomized controlled trial of the SAFPAS mobile application. We will conduct formative research in Baltimore, Maryland and Detroit, Michigan to develop and refine the SAFPAS app and increase scalability potential to other urban settings. Then we will test the app in 20 food pantries in Baltimore randomized to intervention or comparison. The impact of the app will be evaluated at several levels of the emergency food system, including food pantry clients (n = 360), food pantry staff and volunteers (n = 100), food pantry stock, and city agencies such as the local food bank and Office of Emergency Management. The primary outcome of the SAFPAS trial is to improve the healthfulness of the foods received by food pantry clients, measured using the Food Assessment Scoring Tool (FAST). Post-trial, we will conduct additional formative research in Detroit to prepare the app for scale-up.DiscussionWe anticipate that SAFPAS will improve alignment in the supply and demand for healthy foods among food pantry clients, food pantries, and city agencies which supply food in Baltimore. Real-time, bidirectional communication between entities across the system allows for increased situational awareness at all levels during normal and emergency operations. By conducting formative research in Detroit, we hope to increase the scalability of the SAFPAS app to additional settings nationwide.Clinical trial registrationNCT87654321. https://classic.clinicaltrials.gov/ct2/show/NCT05880004.
Comparing the effectiveness of narrative therapy and EMDR-GTEP protocols in the treatment of post-traumatic stress in children exposed to humanitarian crises
Authors: Dozio Elisabetta , Bizouerne Cécile , Wamba Valdes , Atienza Ninon 
Published: May 2024

BackgroundThe mental health of children living in humanitarian crisis situations is a major issue. Post-traumatic stress disorder (PTSD) causes great psychological suffering and has negative consequences on children's development. The aim of the study was to analyze retrospective data collected in a mental health and psychosocial support program for children in the Central African Republic, and to compare results of two trauma-focused treatment interventions: the narrative protocol Action contre la Faim (ACF)/KONO; and the EMDR-based Group Trauma Episode Protocol (G-TEP). Both protocols are proposed in a group setting and led by paraprofessionals.MethodsIn the program, 884 children attended a psychoeducation session and after that, 661 children (290 for ACF/KONO and 371 for G-TEP) benefited from all treatment sessions. PTSD was measured by the Children's Revised Impact of Event Scale (CRIES-8). General distress was measured by the Child Psychosocial Distress Screener (CPDS). Data were collected before and after treatment, and measured 5 months after the end of treatment for 185 children.ResultsParticipants in the ACF/KONO group show a significant reduction on CRIES-8 (t = 44.8; p &lt; 0.001, effect size = 2.63) and CPDS (t = 38.2; p &lt; 0.001, effect size = 2.24). Participants to the G-TEP protocol show a significant effect with reduced scores on the CRIES-8 (t = 49.2; p &lt; 0.001, effect size = 2.55) and CPDS (t = 57.2; p &lt; 0.001, effect size = 2.97). A Student's t-test comparing the ACF/KONO and G-TEP groups shows no significant difference between the two types of treatment between pre- and post-treatment CRIES-8 scores (t = 1.744; p = 0.514, effect size = 0.040) and CPDS scores (t = 1.688; p = 0.092, effect size = 0.323). An analysis of the follow-up data for the 185 children shows that the effects of both protocols are maintained over time with mean scores after treatment and follow-up below the clinical cut-off for both CPDS (&lt;8) and CRIES-8 (&lt;17).ConclusionsBoth protocols have been shown to be effective in reducing traumatic symptoms in children exposed to conflict; they can be conducted by paraprofessionals and used in humanitarian crisis situations.
The influence of online information on consumers’ channel migration behavior of fresh agricultural products
Authors: Cui Ningbo , Dong Jin , Fan Xiaofan , Zhao Duanyang , Liang Mingshuo , Shi Jiaoyu 
Published: May 2024

IntroductionCompliance with the latest patterns in online consumption of fresh agricultural products should prioritize the shifts in consumer behavior. This study aimed to clarify the influencing factors of consumers’ channel migration behavior of fresh agricultural products. While the migration of consumers’ consumption of fresh agricultural products to online channels is an undeniable fact, and this trend continues, literature on this topic remains limited.MethodsBased on SOR theory, and from the dual perspectives of information transmission and information reception, this study exploratively introduced the network affinity of consumers, and constructed the concept model of the influencing factors of consumers’ channel migration behavior of fresh agricultural products including information acquisition and risk perception. 416 valid questionnaires were used to conduct structural equation model analysis.ResultsThe results confirm that product information and platform information significantly affect consumers’ channel migration behavior of fresh agricultural products. Product information including feature information and price information has a positive influence on consumers’ channel migration behavior of fresh agricultural products. The same is true for such behavior and the platform information including service information and logistics information. Risk perception plays a partial mediating role in the influence of product information variables and platform information variables on consumers’ online purchasing and migration behavior of fresh agricultural products. Network affinity negatively moderates the causal relationship between product information and risk perception as well as that between platform information and risk perception. The effect is more pronounced for consumers with high network affinity than those with low network affinity.DiscussionThe study presented in this paper offers a replicable theoretical framework for future discussions on consumer channel migration behavior, and enriches the literature on consumer online consumption behavior. It is highly meaningful for further improving the online consumption stickiness, tapping the potential of online consumption and improving the circulation efficiency of fresh agricultural products in the post-pandemic era.
How e-commerce can boost China’s high-quality agricultural exports
Authors: Li Jia , Shi Jinming , Cao Ruihan , Wu Jingyi , Liu Jianxu 
Published: May 2024

IntroductionExport quality improvement is a crucial path for a country or region to climb up the advanced division of labor in the global value chain. For developing countries that have long been at the lower end of the global value chain division of labor, the dominance of agricultural trade is often controlled by international retailers, leading to higher costs of agricultural trade and hindering the upgrading of the quality of agricultural exports. As a traditional agricultural exporting country, China still needs a competitive advantage despite the large scale of its agricultural exports. Currently, e-commerce can provide buyers and sellers with comprehensive transaction information and technical support, allowing them to realize rational allocation of resources and export upgrading. Therefore, studying how e-commerce can promote the quality upgrade of agricultural exports is crucial for China to build a trade power.MethodsThis paper clarifies the mechanism of e-commerce’s theoretical impact on the quality of agricultural exports and then empirically tests it using a high-dimensional fixed-effects model with Chinese customs data from 2000 to 2020 as a sample.ResultsThe results show that e-commerce significantly promotes the quality of agricultural exports in all regions of China, and this conclusion still holds after various robustness tests; the heterogeneity test shows that e-commerce fosters the quality of agricultural exports in eastern China, densely populated regions, and economically underdeveloped regions, especially in the case of heterogeneous products; the mechanism analysis confirms that e-commerce promotes the quality of agricultural exports mainly through the optimization of the agricultural industry chain and supply chain, and the enhancement of the level of servicing. Mechanism analysis confirms that e-commerce improves agricultural export quality mainly through optimizing the agricultural industry chain and supply chain, improving the level of servitization, and docking the demand information of the consumer market, etc. Expanded analysis shows that constructing cross-border e-commerce platforms also significantly improves the quality of micro enterprises’ agricultural exports. This paper enriches the research on e-commerce and agricultural trade.DiscussionThis paper provides an essential reference for constructing a robust agricultural trade country and developing high-quality agriculture. Despite encompassing data up to 2020, in the context of today’s global economic volatility directly affecting agricultural trade, future investigations will broaden the scope to delve deeper into how e-commerce can help countries cope with global economic uncertainty.
A Macroscopic Interpretation of the Correlation between Electrical Percolation and Mechanical Properties of Poly-(Ethylene Vinyl Acetate)/Zn Composites
Authors: Agrisuelas Jerónimo , Balart Rafael , García-Jareño José J. , López-Martínez Juan , Vicente Francisco 
Published: May 2024

Elastic composites were prepared using a procedure involving hot plates and zinc powder that was directly dispersed into an EVA matrix. The correlation between the zinc content and the conductive properties of the material was studied via impedance spectroscopy, the thermal properties of the material were studied via differential calorimetry and the mechanical properties of the composites were studied via tensile strength curves, representing an important advancement in the characterization of this type of composite material. The composites’ tensile strength and elongation at break decrease with the addition of filler since zinc particles act as stress-concentrating centres, while the composites’ hardness and Young’s modulus increase because of an increase in the stiffness of the material. The AC perturbation across the EVA/Zn composites was characterized using an RC parallel equivalent circuit that allowed us to easily measure their resistivity (ρp) and permittivity (εp). The dependence of these electrical magnitudes on the zinc content is correlated with their mechanical properties across the characteristic time constant τp = ρp·εp of this equivalent circuit. The dependence of the mechanical and electrical magnitudes on the zinc content is consistent with the formation of percolation clusters. The addition of graphite particles increases their potential performance. Three possible mechanisms for the electrical transport of the ac-perturbation across the EVA/Zn composites have been identified. Chemical corrosion in acid media causes the loss of zinc surface particles, but their bulk physical properties practically remain constant.
Antibiotic prescriptions associated with a diagnosis of acute nasopharyngitis by general GPs in France: a retrospective study
Authors: Duong Tran Tue , Matta Matta , Lekens Beranger , Diamantis Sylvain 
Published: May 2024

Background
Nasopharyngitis is a common viral infection that has led to an overuse of prescription drugs, in particular antibiotics, which are not indicated for this condition.

Aim
The purpose of this study was to describe drug prescriptions for patients with a diagnosis of acute rhinopharyngitis in general practices in France.

Design & setting
Retrospective study of 1 067 403 prescriptions for a diagnosis of nasopharyngitis issued by 2637 physicians to 754 476 patients living in metropolitan France.

Method
The data were sourced from the prescription software, Cegedim, for the period 1 January 2018 to 31 December 2021 and analysed according to patients’ and physicians’ ages.

Results
A total of 2 591 584 medications were prescribed by GPs, with a median of three medications per patient. A total of 171 540 courses of antibiotics were prescribed (16% prescription rates), with amoxicillin being the most frequently prescribed (102 089 prescriptions; 59.5% of antibiotic prescriptions). Amoxicillin prescription increased in extreme age groups (18.2% of visits in those aged 9 years and under, and 10.0% of visits in those aged over 80 years, while patients aged 20–29-years were prescribed amoxicillin in just 2.9% of visits), and more prescriptions are issued by older doctors (GPs older than 70 years prescribed antibiotics in 26.4% of visits versus 3.2% of visits by GPs aged under 29 years).

Conclusion
Nasopharyngitis is frequently a cause of therapeutic over-prescriptions including antibiotics, with an antibiotic prescription rate of 16%. Additional research is required to enhance our understanding of factors linked to drug prescriptions.
Role modelling to support careers in general practice: a realist review protocol
Authors: Lamb Elizabeth Iris , Burford Bryan , Exley Catherine , Vance Gillian , Wass Valerie , Alberti Hugh 
Published: May 2024

Background
Role models encountered during undergraduate training play an important part in shaping future doctors. They can act as powerful attractants towards, and deterrents away from, a career in general practice. Many GP educators, who act as role models, are burnt-out and wish to leave the profession, which may limit their ability to influence students positively, with consequent detrimental impact on recruitment to the specialty.

Aim
A realist review will be undertaken, aiming to explore how, why, and for whom role modelling in undergraduate medical education can support medical students towards careers in general practice.

Design & setting
The realist review will follow Pawson’s five steps, including: locating existing theories; searching for evidence; article selection; data extraction; and synthesising evidence and drawing conclusions. It will explore literature published in the English language between 2013 and 2024.

Method
An initial explanatory framework (initial programme theory; IPT) will be developed, guided by a stakeholder panel including medical undergraduates, GPs, and patient and public representatives. Searches will be developed and conducted in electronic databases and grey literature. Studies will be included if they explore the relationship between GP role modelling and undergraduate career choice, and relevant data will be extracted.

Conclusion
Findings will refine the IPT, unveiling key contexts, mechanisms, and outcomes that influence role modelling in undergraduate GP medical education and support or deter students from careers in general practice. These findings will support recommendations and interventions to facilitate positive outcomes, including improved recruitment to general practice.
Deconstructing Digital Rhetoric to Face Geopolitical Challenges: A Social Media Narrative Analysis Framework
Authors: Popescu Maria-Magdalena 
Published: May 2024

Skyrocketing technological advancement along with changes in environment dynamics allowed people, states and governments to influence each other’s diplomacy, security and international relations, using words and images, strings of events, to construct narratives. The rhetoric of power and conflict is distributed in chameleonic volatile environments, targeting members of the society to challenge security status and power balance, while new media instruments feed people`s thirst for information to challenge their beliefs into tailoring attitudes and behaviours. Defined by many as a “portrayal of events surrounding change” (Dunford and Jones, 2000) or as “central feature of modern influencing across borders (Wagnsson and Lundström, 2023) in a continuous “battle”, (Van Noort, 2017), strategic narratives bear multiple meanings, generated by the versatility of the digital dissemination channels. Understanding these meanings enlighten many directions, like international relations, diplomacy and politics, resulting in risk-free engagement, vulnerability- awareness and controlled decision-making policies, just by using narrative analysis as the appropriate instrument. However, the classical analytical models do not provide enough lenses to grasp all the components generating meaning in a digitally disseminated content and many features are thus ignored, mutilating paramount intelligence otherwise needed to complete the picture. That is why, this paper advances a model framework for a digital narrative analysis that looks at components of the textual narrative backed by the features of the environment, the characteristics of the audience and the dynamics of the dissemination, coupled with more recent social media metrics. To this end, we reviewed literature on Russian formalism (Propp, 1928), (Tomashevsky, 1965) structuralist narratology (Todorov 1969, Genette 1988, Bal 1977), poststructuralism (Chatman,1978) and postclassical narratology (Herman, Fludernik, 1999) to the most recent digitally related approaches (Georgakopoulou, 2020), (Bal, 2021) and then advanced our analysis framework that adds specific traits which social media environments enhance. We thus intend to contribute to the large body of literature with an analytical model, to render a mould of the strategic narratives in the security, defence, politics and international relations.. This paper is part of a larger study, the framework will be piloted in further research, where data will be gathered to validate the model.
Effect of knowledge level on IUD contraceptive use in women of childbearing age
Authors: Okvitasari Yenny 
Published: May 2024

Introduction: The use of intrauterine device (IUD) contraception is one effective method for birth control and family planning. Despite this, IUD adoption rates among women of childbearing age are still relatively low. One factor that can affect IUD use is a woman's level of knowledge about this method of contraception.
Objective: analyze the effect of knowledge level on IUD contraceptive use in women of childbearing age.
Methods: This study used a quantitative research design with a cross sectional approach. The sampling technique uses Total Sampling and the number of respondents is 134 KB acceptors. Data collection using Knowledge questionnaire.
Result: The results of the Chi Square statistical test showed a p value (0.001) < α = (0.05) with a confidence level of 95%, indicating that Ho was rejected and Ha was accepted or there was a knowledge relationship with IUD contraceptive use.
Conclusion: The level of knowledge about IUDs has a significant effect on a woman's decision to use this method of contraception. Efforts to increase education and information about IUDs are expected to increase IUD use rates and help family planning programs.
Is there a case for gridshell structures in humanitarian assistance and disaster relief efforts?
Authors: Imhoff Thomas , Malek Samar R. 
Published: May 2024

This article focuses on the core concerns of shelter and settlement, and more specifically focuses on large-span shelters in humanitarian assistance and disaster relief (HA/DR) efforts. Furthermore, this article introduces the audience to novel large-span structures called gridshells. This paper presents a parametric, computational study that quantifies the efficacy of bracing orientation and arrangement on the load carrying capacity of gridshells. The varied parameters include the grid density (“16 by 16” to “30 by 30”) and the bracing scheme (unbraced, continuous fully-braced, discontinuous fully-braced, continuous half-braced, and discontinuous half-braced). Four load cases were analyzed, namely a symmetric distributed load, an asymmetric distributed load, a centered point load, and an off-centered point load. The results of the study provide designers with trends and basic design options upon which they can base further analysis depending on the requirements of the final structure.
Contribution of Tourism Investments and their Impact on the Local Economies of Kenya: A Case Study of Nakuru County
Authors: Ondieki Eusabia B. , Amwata Dorothy A. , Nyariki Dickson M. , Bulitia Godrick M. 
Published: May 2024

Tourism development stimulates growth by attracting foreign direct investment and building new facilities and partnerships. This study sought to establish the contribution of hospitality and tourism investments to the local economy of Kenya, taking Nakuru County as a case study. The study adopted a descriptive survey research design, accommodating qualitative and quantitative methods; both primary and secondary data. Purposive sampling was used to select 51 out of 151 tourism and hospitality investments in the study area. Secondary data were obtained from tourism and hospitality published and unpublished reports from government and non-governmental organisations. Quantitative data were analysed through descriptive statistics, content and regression analyses. Salaries of staff, park entry fees, and curio shops constituted 2%, 21.3% and 0.5%, respectively, of the total revenue generated in the study area. Regression analysis results indicate that tourism investment accounted for a 36.6% improvement in the economy, as shown by the values [R Square=0.366, F (1, 151) = 87.311, p<0.05]. Tourism and hospitality investments contributed Kshs 10.12 billion, which was 54% of Nakuru County's gross domestic product, showing that tourism and hospitality investments contribute significantly to the local economy and, by extension, to the country’s economy