bluuebunny/crossref_metadata_2025_split huggingface dataset:
“Killjoys and Thrilljoys” – A Crip Theoretical Perspective on Sex Education in Special Schools
Authors: Löfgren Lotta 
Published: May 2024

AbstractSex education geared towards people with intellectual disability often focuses sexual risks and reproduction. However, research shows that students at special schools often find this inadequate and irrelevant. This conceptual article examines this issue from a crip theoretical perspective, combined with the classical concept of stigma. Furthermore, the term killjoy is added to the analysis; a term located at the intersection between queer and feminist theories. Might those in the environment surrounding individuals with ID, i.e., staff and family members, function as “killjoys” in relation to sexuality and intellectual disability? Or might they develop into “thrilljoys”, i.e., individuals who facilitate the embracement of stigma, with a focus on enjoyment rather than apparent problems in relation to sexuality and people with ID? The aim of this article is to highlight the significance of the social environment for these young people’s needs and life conditions, and to challenge presumptions that have to date been taken för granted. The result shows that assuming the role of thrilljoy means listening in a flexible and relevant way to the wishes that people with ID themselves express. This might in turn also make it easier for people with ID to themselves adopt a crip theoretical perspective and to really embrace that which has up until now been defined as a stigma. Developing new ways of looking at non-normative intellectual functionality and sexuality could contribute to develop sex education geared towards this goal group in a sufficient way.
Utility of time in tight range (TITR) in evaluating metabolic control in pediatric and adult patients with type 1 diabetes in treatment with advanced hybrid closed-loop systems
Authors: Bahillo-Curieses Pilar , Fernández Velasco Pablo , Pérez-López Paloma , Vidueira Martínez Ana María , Nieto de la Marca María de la O , Díaz-Soto Gonzalo 
Published: May 2024

Abstract
Purpose
To analyze the time in tight range (TITR), and its relationship with other glucometric parameters in patients with type 1 diabetes (T1D) treated with advanced hybrid closed-loop (AHCL) systems.

Methods
A prospective observational study was conducted on pediatric and adult patients with T1D undergoing treatment with AHCL systems for at least 3 months. Clinical variables and glucometric parameters before and after AHCL initiation were collected.

Results
A total of 117 patients were evaluated. Comparison of metabolic control after AHCL initiation showed significant improvements in HbA1c (6.9 ± 0.9 vs. 6.6 ± 0.5%, p < 0.001), time in range (TIR) (68.2 ± 11.5 vs. 82.5 ± 6.9%, p < 0.001), TITR (43.7 ± 10.8 vs. 57.3 ± 9.7%, p < 0.001), glucose management indicator (GMI) (6.9 ± 0.4 vs. 6.6 ± 0.3%, p < 0.001), time below range (TBR) 70–54 mg/dl (4.3 ± 4.5 vs. 2.0 ± 1.4%, p < 0.001), and time above range (TAR) > 180 mg/dl (36.0 ± 7.6 vs. 15.1 ± 6.4%, p < 0.001). Coefficient of variation (CV) also improved (36.3 ± 5.7 vs. 30.6 ± 3.7, p < 0.001), while time between 140–180 mg/dl remained unchanged. In total, 76.3% achieved TITR > 50% (100% pediatric). Correlation analysis between TITR and TIR and GRI showed a strong positive correlation, modified by glycemic variability.

Conclusions
AHCL systems achieve significant improvements in metabolic control (TIR > 70% in 93.9% patients). The increase in TIR was not related to an increase in TIR 140–180 mg/dl. Despite being closely related to TIR, TITR allows for a more adequate discrimination of the achieved control level, especially in a population with good initial metabolic control. The correlation between TIR and TITR is directly influenced by the degree of glycemic variability.
Prolonged Response to Dabrafenib/Trametinib in Grade 3 Metastatic Pancreatic Neuroendocrine Tumor (NET G3) with BRAF V600E Mutation
Authors: Ueberroth Benjamin E. , Lieu Christopher H. , Lentz Robert W. 
Published: May 2024

Abstract
Purpose
Treatment of metastatic pancreatic neuroendocrine tumors (pancNETs), particularly grade 2 (G2) and grade 3 (G3), often presents a dilemma in choosing from multiple similarly efficacious therapies. Data on targeted therapies for these tumor types is limited, and this report presents BRAF-targeted therapy as a therapeutic option for metastatic pancNET G3.

Methods
This is a case report of a patient with G3 pancNET metastatic to the liver, lung, lymph node, and scalp (soft tissue) treated with dabrafenib/trametinib (D/T) in the presence of a BRAF V600E mutation detected in tumor tissue.

Results
This patient has demonstrated an ongoing partial response to therapy at all involved sites for nearly 15 months with minimal side effects attributable to D/T.

Conclusion
Dabrafenib/trametinib therapy for BRAF-mutated metastatic pancNETs provides a novel treatment option and, especially in the G3 setting, should be considered a first-line option. Tumor testing for actionable mutations should be undertaken at the time of diagnosis and/or progression to identify novel therapeutic avenues in these rare tumors.
Women’s emotional roller coasters during pregnancy as a consequence of infertility: a qualitative phenomenological study
Authors: Hadavibavili Parisa , Hamlaci Başkaya Yasemin , Bayazi̇t Gamze , Cevrioğlu Arif Serhan 
Published: May 2024

AbstractWomen experiencing infertility tend to experience distinct emotions during pregnancy following infertility. Individuals in this population often struggle with psychological and social challenges during pregnancy. This qualitative phenomenological study determines how infertility experiences affect mothers’ mental well-being during pregnancy as well as their experiences and emotions after becoming pregnant. A face-to-face, in-depth interview with 15 women with infertility was conducted between November 2022 and May 2023. The study adhered to ethical guidelines, with informed written consent obtained prior to interviews and voice recordings. The COREQ checklist is applied to follow the EQUATOR guidelines for reporting research and the data were coded using MAXQDA.20 software. A thematic analysis revealed four main themes and 15 codes. Main themes included “Over Emotional Burden,” “Overprotection,” “Overthinking,” and “Social Activity Changes.” Pregnancy after infertility is a unique and emotionally charged experience for women, encompassing a spectrum of feelings that can be difficult to express. The importance of caring for these women and receiving support from their partners, families, and healthcare providers should not be overstated. Healthcare providers should be aware of these emotional challenges so they can provide better support and counselling to improve women’s overall pregnancy experience. It is believed that empathetic communication and tailored support can significantly improve the psychological well-being of this population. Psychologists, psychiatrists, and midwives should also be more attentive to mothers’ emotional challenges and integrate comprehensive emotional support and provide coping mechanisms in perinatal care programs.
Psychometric properties and invariance of the Police Stress Questionnaire in the Romanian context
Authors: Petreuș Ana-Daniela , Vîrgă Delia , Okros Norberth 
Published: May 2024

AbstractThis research evaluates the psychometric properties of the Romanian version of the Police Stress Questionnaire (PSQ), featuring operational and organizational stress scales for police officers. We conducted three studies to test the reliability and validity of this questionnaire. The first study (N = 744) aimed at adapting and validating the Romanian version on the specific population. Confirmatory factor analysis of our two-factor model, each with 20 items grouped in a second-order factor, showed the good value of the fit indices: χ²(738) = 1420.11, p < .001; CFI = 0.992; TLI = 0.992; RMSEA = 0.035 [90% CI 0.033, 0.038]; SRMR = 0.059. Subsequently, we tested measurement invariance, demonstrating that the Romanian version of this questionnaire measures workplace stress (including operational and organizational stress factors) independently of the work environment (police officers vs. correctional officers). The second study (N = 394) confirmed PSQ’s convergent validity through positive correlations with stress perception, burnout, mental health complaints, and psychological distress and its discriminant validity through negative correlations with job satisfaction and work engagement. The third study tested the longitudinal invariance of the stress questionnaire for police (N = 317). The findings suggest that the PSQ is a reliable and valid tool, highlighting its significant impact on the well-being of Romanian police officers by facilitating stress management interventions through baseline and ongoing stress assessment. Future research should longitudinally assess police stress, incorporating multi-source data and diverse units, as well as exploring the impact of socio-demographic aspects for broader insights.
Comorbidities, acute kidney injury and long-term mortality in elderly patients hospitalized because of hip fracture: a moderation analysis
Authors: Borges de Sá Saulo Lacerda , Faria Maria Luiza Medeiros , Gonçalves Tiago Lins Oliveira , Libório Alexandre Braga 
Published: May 2024

Abstract
Introduction
Femoral fractures in elderly individuals present significant health challenges, often leading to increased morbidity and mortality. Acute kidney injury (AKI) during hospitalization further complicates outcomes, yet the interaction between AKI severity and comorbidities, as quantified by the Charlson Comorbidity Index (CCI), remains poorly understood in this population. This study aimed to assess the associations between AKI severity and the CCI and between AKI severity and one-year mortality postfemoral fracture in elderly patients.

Methodology
This study utilized data from the Multiparameter Intelligent Monitoring in Intensive Care (MIMIC-IV) database and focused on elderly patients (> 65 years) admitted with hip fractures. Patients were categorized based on AKI stage according to the KDIGO criteria and CCI scores. The primary outcome assessed was all-cause mortality one year after hospital discharge. The statistical analyses included logistic regression, Cox proportional hazards regression and moderation analysis with the Johnson–Neyman technique to evaluate associations between AKI and long-term mortality and between the CCI and long-term mortality.

Results
The analysis included 1,955 patients and revealed that severe AKI (stages 2 and 3) was independently associated with increased one-year mortality. Notably, the CCI moderated these associations significantly. A lower CCI score was significantly correlated with greater mortality in patients with severe AKI. The impact of severe AKI was greater for those with a CCI as low as 3, more than doubling the observed one-year mortality rate. In contrast, higher CCI scores (≥8) did not significantly impact mortality. Sensitivity analyses supported these findings, underscoring the robustness of the observed associations.

Conclusion
This study elucidates the complex interplay between AKI severity and comorbidities and long-term mortality in elderly hip fracture patients. These findings underscore the importance of considering both AKI severity and comorbidity burden in prognostic assessments and intervention strategies for this vulnerable population. Targeted interventions tailored to individual risk profiles may help mitigate the impact of AKI on mortality outcomes, ultimately improving patient care and outcomes. Further research is warranted to explore the underlying mechanisms involved and refine risk stratification approaches in this population.
K3 surfaces, cyclotomic polynomials and orthogonal groups
Authors: Bayer-Fluckiger Eva 
Published: May 2024

AbstractLet X be a complex projective K3 surface and let $$T_X$$

T
X

be its transcendental lattice; the characteristic polynomials of isometries of $$T_X$$

T
X

induced by automorphisms of X are powers of cyclotomic polynomials. Which powers of cyclotomic polynomials occur? The aim of this note is to answer this question, as well as related ones, and give an alternative approach to some results of Kondō, Machida, Oguiso, Vorontsov, Xiao and Zhang; this leads to questions and results concerning orthogonal groups of lattices.
Beyond Work and Play: Decolonising Children’s Right to Leisure
Authors: Mukherjee Utsa 
Published: May 2024

AbstractIn this research note, I unpack the way children’s right to leisure and play has been understood and formulated in contemporary child rights discourses. Article 31 of the United Nations Convention on the Rights of the Child (UNCRC) recognises children’s right to “rest and leisure” including their right to participate in age-appropriate play and recreational activities. I argue that this ‘right to leisure’ discourse within UNCRC reinforces a liberal, unitary model of citizenship that locates the individual child as the locus of rights. Instead, I connect contemporary debates around difference-centred model of children’s citizenship and living rights with decolonial approaches to leisure and vernacular rights cultures to offer a critical appraisal of children’s right to leisure. These inclusive approaches can offer new avenues for theorising and researching children’s right to leisure.
Digital transformation for sustainable health and well-being: a review and future research directions
Authors: Hameed Khizar , Naha Ranesh , Hameed Faisal 
Published: May 2024

AbstractEnsuring good health and well-being is one of the crucial Sustainable Development Goals (SDGs) that aims to promote healthy lives and well-being for people of all ages. This involves providing affordable and environmentally friendly medical services to the public fairly and equitably. Good health and well-being goals include achieving fair health outcomes and strong healthcare systems. It also highlights the importance of integrating sustainable health considerations into the policy frameworks of developing countries, which are established to address the social factors that influence health. Regarding healthcare reform, Information and Communication Technologies (ICTs) play a pivotal role as key enablers to improve patient access, treatment quality, and system efficiency. This shift in focus also highlights the significance of fostering digital accessibility, sustainability, inventiveness, cybersecurity, and digital leadership. Nevertheless, incorporating progressively advancing ICT technology into healthcare systems, sometimes called digital transformation, is not simple. However, some challenges arise in integration, application design, and security measures. While numerous studies have been suggested to tackle incorporating ICT technologies into healthcare systems, these studies have had limited scope and have not considered several factors. Therefore, there is a pressing need for an extensive research study focusing on integration technologies, design challenges, security and privacy challenges, application areas, and the potential positive and negative effects. Therefore, this paper contributes as the research literature study covering an important SDG, “Good health and well-being,” and its digital transformation, along with summarising our research findings in a detailed and taxonomical way. First, we analyze an all-encompassing taxonomy of prior research on healthcare and well-being, emphasizing incorporating ICT in healthcare, specifically with sustainability, security and privacy challenges, design and integration challenges, applications associated with Electronic Health (E-Health), and potential future avenues for exploration. Then, we explore the need for digital transformation in healthcare and its significant components, highlight E-Health’s importance and benefits, explore its integration and design challenges, and categorize the security and privacy challenges. Next, we determine the role of Blockchain Technology as today’s leading technology in E-Health. We discuss Blockchain Technology and its characteristics, highlight its benefits, and describe the possible types of Blockchain-based E-Health use cases. Furthermore, we compare the positive and negative impacts of ICT integration and identify open issues and challenges of integrating ICT technologies into the healthcare systems. We also discuss future research directions, strengthening researchers to address the issues in future solutions.
Occupational and Personal Challenges During the Opioid Crisis: Understanding First Responders’ Experiences and Viewpoints of Clients with Opioid Use Disorder
Authors: Lofaro Ryan J. , Sapat Alka 
Published: May 2024

Abstract

Objectives:
This study provides preliminary findings on the experiences of first responders during the opioid crisis and their viewpoints regarding whether clients with opioid use disorder deserve medical rehabilitation. Understanding associations between first responder experiences and viewpoints of client deservedness can help reduce stigma, improve compassionate care, and identify training gaps.

Methods:
Analyses were run with data from a nationwide survey of Emergency Medical Services-providers and law enforcement workers collected from August to November 2022 (N = 3836). The study used univariate statistics and ordered logistic regression to understand first responders’ experiences and viewpoints on client deservedness, as well as the relationship between the two.

Results:
Results show a negative correlation between responding to overdose calls and perceiving clients with opioid use disorder as deserving of medical rehabilitation. Law enforcement, males, and conservatives also had negative viewpoints. Conversely, having a friend experience addiction and believing addiction has had a direct impact on respondents’ lives predicted increases in client deservedness.

Conclusions:
Policy should focus on creating spaces where first responders can have positive interactions with people who use drugs or are in recovery. Better training is needed to help first responders manage on-the-job stressors and understand the complexities of addiction.
Properties of Relativistic Bouncing Microbursts
Authors: Wetzel Wyatt , Sample John , Engel Eric , Shumko Mykhaylo 
Published: May 2024

AbstractMicrobursts are short duration intensifications in precipitating electron flux that are believed to be a significant contributor to electron losses in the magnetosphere. Microbursts have been observed in the form of bouncing electron packets, which offer a unique opportunity to study their properties and importance as a loss process. We present a collection of bouncing microbursts observed by the HILT instrument on SAMPEX from 1994 to 2004. We analyze the locations of the bouncing microbursts in L and MLT and find they align well with the properties of relativistic microbursts as a whole. We find that the majority of bouncing microbursts observed by SAMPEX have scale sizes of ∼30 km at the point of observation, or ∼300 km when mapped to the magnetic equator. The time separation between the peaks of these bouncing microbursts is usually either half a bounce period or a whole bounce period.
Formation and Evolution of the Pacific‐North American (San Andreas) Plate Boundary: Constraints From the Crustal Architecture of Northern California
Authors: Furlong Kevin P. , Villaseñor Antonio , Benz Harley M. , McKenzie Kirsty A. 
Published: May 2024

AbstractThe northward migration of the Mendocino triple junction (MTJ) drives a fundamental plate boundary transformation from convergence to translation; producing a series of strike‐slip faults, that become the San Andreas plate boundary. We find that the 3‐D structure of the Pacific plate lithosphere in the vicinity of the MTJ controls the location of San Andreas plate boundary formation. At the time of initiation of the Pacific‐North America plate boundary (∼30 Ma), the sequential interaction with the western margin of North America of the Pioneer Fracture Zone, soon followed by the Mendocino Fracture Zone, led to the capture of a small segment of partially subducted Farallon lithosphere by the Pacific plate, termed the Pioneer Fragment (PF). Since that time, the PF has translated with the Pacific Plate along the western margin of North America. Recently developed, high‐resolution seismic‐tomographic imagery of northern California indicates that (a) the PF is extant, occupying the western half of the slab window, immediately south of the MTJ; (b) the eastern edge of the PF lies beneath the newly forming Maacama fault system, which develops to become the locus for the primary plate boundary structure after approximately 6–10 Ma; and (c) the location of the translating PF adjacent to the asthenosphere of the slab window generates a shear zone within and below the crust that develops into the plate boundary faults. As a result, the San Andreas plate boundary forms interior to the western margin of North America, rather than at its western edge.
When, Where and to What Extent Do Temperature Perturbations Near Tropical Deep Convection Follow Convective Quasi Equilibrium?
Authors: Li Yi‐Xian , Masunaga Hirohiko , Takahashi Hanii , Yu Jia‐Yuh 
Published: May 2024

AbstractConvective Quasi‐Equilibrium (CQE) is often adopted as a useful closure assumption to summarize the effects of unresolved convection on large‐scale thermodynamics, while existing efforts to observationally validate CQE largely rely on specific spatial domains or sites rather than the source of CQE constraints—deep convection. This study employs a Lagrangian framework to investigate leading temperature perturbation patterns near deep convection, of which the centers are located by use of an ensemble of satellite measurements. Temperature perturbations near deep convection with high peak precipitation are rapidly adjusted toward the CQE structure within the [−2, 1] hours centered on peak precipitation. The top 1% precipitating deep convection constrains neighboring free‐tropospheric leading perturbations up to 9°. Notable CQE validity beyond a 1° radius is observed when peak precipitation exceeds the 93rd percentile. These findings suggest that only a small fraction of deep convection with extreme precipitation shapes tropical free‐tropospheric temperature patterns dominantly.