bluuebunny/crossref_metadata_2025_split huggingface dataset:
“YouWalk-UOS” – technology-enabled and user-centred assessment of urban open spaces
Authors: Salama Ashraf M. , Patil Madhavi P. 
Published: March 2024

PurposeThis paper introduces the YouWalk-UOS mobile application, a tool that revolutionises the assessment of urban open spaces (UOS). The paper demonstrates how integrating real-time, on-ground observations with users’ reactions into a digital platform can transform the evaluation of urban open spaces. It seeks to address the existing shortcomings of traditional UOS assessment methods and underscore the need for innovative, adaptable and inclusive approaches.Design/methodology/approachEmphasizing the necessity of UOS for mental and physical health, community interaction and social and environmental resilience in cities, the methodology involves a comprehensive analysis of a number of theoretical frameworks that have historically influenced urban open space conceptualisation, design and assessment. The approach includes a critical review of traditional UOS assessment methods, contrasting them with the capabilities of the proposed YouWalk-UOS application. Building on the reviewed theoretical frameworks, the methodology articulates the application’s design, which encompasses 36 factors across three assessment domains: functional, social and perceptual and provides insights into how technology can be leveraged to offer a more holistic and participatory approach to urban space assessment.FindingsYouWalk-UOS application represents an important advancement in urban space assessment, moving beyond the constraints of traditional methods. The application facilitates a co-assessment approach, enabling community members to actively participate in the evaluation and development of their urban environments. Findings highlight the essential role of technology in making urban space assessment more user-centred, aligning more closely with community needs and aspirations.Originality/valueThe originality lies in the focus on the co-assessment approach and integration of mobile technology into urban open space assessment, a relatively unexplored area in urban design literature. The application stands out as an innovative solution, offering a new perspective on engaging communities in co-assessing their environments. This research contributes to the discourse on urban design and planning by providing a fresh look at the intersection of technology, user engagement and urban space assessment.
Establishing the relationship between the strategic factors influencing blockchain technology deployment for achieving SDG and ESG objectives during infrastructure development: an ISM-MICMAC approach
Authors: Singh Atul Kumar , Kumar V.R.Prasath 
Published: March 2024

PurposeImplementing blockchain in sustainable development goals (SDGs) and environmental, social and governance (ESG)-aligned infrastructure development involves intricate strategic factors. Despite technological advancements, a significant research gap persists, particularly in emerging economies. This study aims to address the challenges related to SDGs and ESG objectives during infrastructure delivery remain problematic, identifying and evaluating critical strategic factors for successful blockchain implementation.Design/methodology/approachThis study employs a three-stage methodology. Initially, 13 strategic factors are identified through a literature review and validated by conducting semi-structured interviews with six experts. In the second stage, the data were collected from nine additional experts. In the final stage, the collected data undergoes analysis using interpretive structural modeling (ISM)–cross-impact matrix multiplication applied to classification (MICMAC), aiming to identify and evaluate the independent and dependent powers of strategic factors driving blockchain implementation in infrastructure development for SDGs and ESG objectives.FindingsThe study’s findings highlight three significant independent factors crucial for successfully integrating blockchain technology (BT) into infrastructure development for SDGs and ESG goals: data security (F4), identity management (F8) and supply chain management (F7). The study unravels these factors, hierarchical relationships and dependencies by applying the MICMAC and ISM techniques, emphasizing their interconnectedness.Originality/valueThis study highlights critical strategic factors for successful blockchain integration in SDG and ESG-aligned infrastructure development, offering insights for policymakers and practitioners while emphasizing the importance of training and infrastructure support in advancing sustainable practices.
Patient and referral characteristics of adults with intellectual disability referred to speech and language therapy with eating, drinking and swallowing difficulties
Authors: Crocker Angela , Titterington Jill , Tennyson Michelle 
Published: March 2024

Purpose
This study aims to investigate the prevalence and characteristics of dysphagia among adults with intellectual disabilities (ID) referred to speech and language therapy for swallow assessment, providing information on the demographic characteristics, referral trends, co-occurring health conditions and reasons for referrals highlighting the complex health-care needs of this population.

Design/methodology/approach
This study used a standardised patient data extraction method over a six-month period involving 74 adults with ID referred to speech and language therapy for swallow assessment.

Findings
This study revealed a high prevalence of dysphagia among adults with ID referred to speech and language therapy for swallow assessment. Increasing age and severity of ID were associated with an increased likelihood of swallowing difficulties. Co-occurring health conditions such as mobility difficulties, epilepsy and gastrointestinal conditions were prevalent, suggesting that adults with ID and swallowing difficulties are often living with complex health conditions. Choking incidents and hospital admissions were primary reasons for referral.

Research limitations/implications
This study stresses the pressing need for strategies to mitigate risks associated with choking incidents and hospital admission among this vulnerable population. Possible limitations include a reliance on referral and the focus being on a single service over a short period which may limit generalisation to the wider ID population.

Practical implications
This study emphasises the need to understand each person’s unique profile of health needs and the value of a specialised speech and language therapy service.

Social implications
The importance of increasing awareness among caregivers and medical experts is highlighted.

Originality/value
The findings underscore the importance of tailored assessment, caregiver involvement and heightened interdisciplinary awareness to effectively manage dysphagia in individuals with ID.
I am what I am?—An integrative review of understandings of ‘health identity’ and ‘illness identity’ in scientific literature
Authors: Pelters Pelle 
Published: March 2024

AbstractHealth and illness identities have been presented as important for the experience of health and illness, and they are a widespread research interest. However, these identities are conceptualised in many different ways. This conceptual diversity calls for us to take stock of existing understandings of health and illness identities to provide conceptual clarity and reliability. The study performs an integrative review of these understandings in scientific articles identified through the databases PsychInfo, Pubmed and Scopus. The final sample consists of 64 articles, on which a thematic analysis has been performed. Health and illness identities are regarded as constructed and can be understood in terms of being, acting and judging, answering the questions ‘Who are you, with regard to health/illness?’, ‘How do you deal with health/illness?’ and ‘How are people judged by their health/illness?’, respectively. The terms health identity and illness identity are understood in varied, not necessarily compatible ways, and need to be applied carefully. Health identity concepts appear to be less well established and based upon a more varied theoretical background, while illness identity concepts appear to be more well established and usually relate to a (bio‐)medical context. A potential understanding of health identity for medical sociology is suggested.
Prognosis and prognostic factors of lung cancer complications in patients with rheumatoid arthritis
Authors: Fujita Shunichi , Nakano Kazuhisa , Nagasu Akiko , Hiramatsu‐Asano Sumie , Akagi Takahiko , Morita Yoshitaka 
Published: March 2024

AbstractAimTo clarify the prognosis and prognostic factors for lung cancer in patients with rheumatoid arthritis (RA).MethodsIn this retrospective longitudinal study, we investigated the medical records of patients with RA among 1422 patients diagnosed with lung cancer and registered in a hospital‐based cancer registry between January 2013 and May 2022. The Kaplan–Meier method and Cox proportional hazards model were used to analyze survival and identify predictive factors.ResultsOf 26 patients with RA complicated with lung cancer (median age, 69 years), the 2‐year overall survival rates for stages I–II were 90%–100%, and those for stages III–IV were 20%, respectively. Positivity of anti‐citrullinated protein/peptide antibody, smoking history, interstitial lung disease, poorly controlled RA, stage III and IV lung cancer, histological types other than adenocarcinoma and squamous cell carcinoma, and RF ≧ 50 IU/mL were associated with increased mortality. After the surgical resection of stage I and II lung cancer, 5 of the 16 patients experienced cancer recurrence after resumption of RA treatment, and the histology of the recurrent cancers was mostly squamous cell carcinoma.ConclusionsEarly detection of lung cancer is needed, especially in patients with RA who have a history of smoking, seropositivity, or interstitial lung disease. Even after surgical resection, it should be noted that squamous cell carcinoma is prone to recurrence.
How the method for delivering loans impacts on the economic efficiency of microfinance institutions
Authors: Fernández Sánchez José L. , Odriozola María D. , Baraibar‐Diez Elisa 
Published: March 2024

AbstractThe aim of this research has been to analyse how the method employed for lending can affect the cost efficiency of microfinance institutions (MFIs) since innovations for lending have been introduced in the sector in the last years and there are not empirical studies to analyse the actual impact of it. The improvement of MFIs' cost efficiency is very important for these institutions to achieve their financial self‐sufficiency and be sustainable in the long run. The data employed in this analysis have been an unbalanced panel composed of a sample of 1017 MFIs for the 2008–2018 period and collected from the microfinance information exchange (MIX) database. Our results also show that community or group‐lending methods, as village banking and solidarity groups, have a positive effect on the MFIs’ cost efficiency versus traditional methods based on individual lending. In addition, we have found that MFIs with a higher proportion of borrowers in rural areas are more cost efficient than institutions with more borrowers in urban areas, although community or group‐lending methods have a larger positive effect on MFIs’ cost efficiency in urban than in rural areas.
Assessing the one‐month mortality impact of civilian‐setting prehospital transfusion: A systematic review and meta‐analysis
Authors: Schoenfeld David W. , Rosen Carlo L. , Harris Tim , Thomas Stephen H. 
Published: March 2024

AbstractBackgroundBased on convincing evidence for outcomes improvement in the military setting, the past decade has seen evaluation of prehospital transfusion (PHT) in the civilian emergency medical services (EMS) setting. Evidence synthesis has been challenging, due to study design variation with respect to both exposure (type of blood product administered) and outcome (endpoint definitions and timing). The goal of the current meta‐analysis was to execute an overarching assessment of all civilian‐arena randomized controlled trial (RCT) evidence focusing on administration of blood products compared to control of no blood products.MethodThe review structure followed the Cochrane group's Preferred Reporting Items for Systematic Review and Meta‐Analysis (PRISMA). Using the Transfusion Evidence Library (transfusionevidencelibrary.com), the multidatabase (e.g. PubMed, EMBASE) Harvard On‐Line Library Information System (HOLLIS), and GoogleScholar, we accessed many databases and gray literature sources. RCTs of PHT in the civilian setting with a comparison group receiving no blood products with 1‐month mortality outcomes were identified.ResultsIn assessing a single patient‐centered endpoint—1‐month mortality—we calculated an overall risk ratio (RR) estimate. Analysis of three RCTs yielded a model with acceptable heterogeneity (I2 = 48%, Q‐test p = 0.13). Pooled estimate revealed civilian PHT results in a statistically nonsignificant (p = 0.38) relative mortality reduction of 13% (RR 0.87, 95% CI 0.63–1.19).ConclusionsCurrent evidence does not demonstrate 1‐month mortality benefit of civilian‐setting PHT. This should give pause to EMS systems considering adoption of civilian‐setting PHT programs. Further studies should not only focus on which formulations of blood products might improve outcomes but also focus on which patients are most likely to benefit from any form of civilian‐setting PHT.
Increased ventral anterior insular connectivity to sports betting availability indexes problem gambling
Authors: Brevers Damien , Baeken Chris , Bechara Antoine , He Qinghua , Maurage Pierre , Sescousse Guillaume , Vögele Claus , Billieux Joël 
Published: March 2024

AbstractWith the advent of digital technologies, online sports betting is spurring a fast‐growing expansion. In this study, we examined how sports betting availability modulates the brain connectivity of frequent sports bettors with [problem bettors (PB)] or without [non‐problem bettors (NPB)] problematic sports betting. We conducted functional connectivity analyses centred on the ventral anterior insular cortex (vAI), a brain region playing a key role in the dynamic interplay between reward‐based processes. We re‐analysed a dataset on sports betting availability undertaken in PB (n = 30) and NPB (n = 35). Across all participants, we observed that sports betting availability elicited positive vAI coupling with extended clusters of brain activation (encompassing the putamen, cerebellum, occipital, temporal, precentral and central operculum regions) and negative vAI coupling with the orbitofrontal cortex. Between‐group analyses showed increased positive vAI coupling in the PB group, as compared with the NPB group, in the left lateral occipital cortex, extending to the left inferior frontal gyrus, the anterior cingulate gyrus and the right frontal pole. Taken together, these results are in line with the central assumptions of triadic models of addictions, which posit that the insular cortex plays a pivotal role in promoting the drive and motivation to get a reward by ‘hijacking’ goal‐oriented processes toward addiction‐related cues. Taken together, these findings showed that vAI functional connectivity is sensitive not only to gambling availability but also to the status of problematic sport betting.
Health needs, treatment decisions and experience of traditional complementary and integrative medicine use by women with diminished ovarian reserve: A cross‐sectional survey
Authors: Maunder Alison , Arentz Susan , Armour Mike , Costello Michael F , Ee Carolyn 
Published: March 2024

BackgroundWomen with diminished ovarian reserve (DOR) have fewer eggs than would be expected at their age. It is estimated that 10% of women seeking fertility treatment are diagnosed with DOR. However, the success rate of medically assisted reproduction (MAR) is significantly lower in women with DOR, thus many seek additional approaches.AimTo explore the health needs of women with DOR, treatment options and experience of treatment including traditional complementary integrative medicine (TCIM).MethodsAnyone with a diagnosis of DOR, living in Australia or New Zealand, aged over 18 were invited to complete an online survey distributed via fertility support networks and social media platforms from April to December 2021.ResultsData from 67 respondents were included. The main aspects of health that were impacted by DOR were fertility (91.0%) and mental health (52.2%). The main treatment recommended was MAR with most women either currently using MAR (38.8%) or having previously used MAR (37.3%). TCIM was widely used with 88.1% of women utilising supplements, 74.6% consulting with TCIM practitioners, and 65.7% adopting self‐care practices. The main reasons for using TCIM were to improve fertility or support pregnancy, and to support general health and well‐being.ConclusionsWomen with DOR have additional health needs apart from infertility, most notably mental health support. The main form of treatment utilised is MAR, despite DOR being challenging for fertility clinicians. TCIM was widely used, and respondents perceived benefits related to improving fertility, supporting pregnancy, or improving well‐being through use of acupuncture, meditation, naturopathy, massage, yoga.
Close Collaboration with Parents—Implementation and effectiveness
Authors: Ahlqvist‐Björkroth Sari , Axelin Anna , Lehtonen Liisa 
Published: March 2024

AbstractAimThere has been a need to develop programs to facilitate family‐centered care. This paper describes the content of a program called Close Collaboration with Parents, its implementation, and research on its effectiveness.MethodsThe program is a systematic training with a focus on staff communication and observation skills and skills to support parenting. The primary implementation strategy is mentoring. Staff engage in bedside practices and reflections with mentors covering all four phases of the program. The effects of this unit‐wide program have been evaluated using a pre‐post study design, a qualitative study design, and a register‐based study design.ResultsThe program has been successfully implemented in 26 units so far. Our research has shown that the training benefits infants, parents, staff, and healthcare organisations. Specifically, family‐centered care practices improved after the program, the parents' presence and parent‐infant skin‐to‐skin contact increased, infant growth improved and the length of hospital stays shortened. The mothers' depressive symptoms decreased in the long term.ConclusionWe have described an educational program for the multidisciplinary staff of a neonatal intensive care unit, Close Collaboration with Parents. The program has changed hospital care cultures for the benefit of infants, parents, staff, and even the healthcare organisation.
Knock‐out of dipeptidase CN2 in human proximal tubular cells disrupts dipeptide and amino acid homeostasis and para‐ and transcellular solute transport
Authors: Pfeffer Tilman , Krug Susanne M. , Kracke Tamara , Schürfeld Robin , Colbatzky Florian , Kirschner Philip , Medert Rebekka , Freichel Marc , Schumacher Dagmar , Bartosova Maria , Zarogiannis Sotiris G. , Muckenthaler Martina U. , Altamura Sandro , Pezer Silvia , Volk Nadine , Schwab Constantin , Duensing Stefan , Fleming Thomas , Heidenreich Elena , Zschocke Johannes , Hell Rüdiger , Poschet Gernot , Schmitt Claus P. , Peters Verena 
Published: March 2024

AbstractAimAlthough of potential biomedical relevance, dipeptide metabolism has hardly been studied. We found the dipeptidase carnosinase‐2 (CN2) to be abundant in human proximal tubules, which regulate water and solute homeostasis. We therefore hypothesized, that CN2 has a key metabolic role, impacting proximal tubular transport function.MethodsA knockout of the CN2 gene (CNDP2‐KO) was generated in human proximal tubule cells and characterized by metabolomics, RNA‐seq analysis, paracellular permeability analysis and ion transport.ResultsCNDP2‐KO in human proximal tubule cells resulted in the accumulation of cellular dipeptides, reduction of amino acids and imbalance of related metabolic pathways, and of energy supply. RNA‐seq analyses indicated altered protein metabolism and ion transport. Detailed functional studies demonstrated lower CNDP2‐KO cell viability and proliferation, and altered ion and macromolecule transport via trans‐ and paracellular pathways. Regulatory and transport protein abundance was disturbed, either as a consequence of the metabolic imbalance or the resulting functional disequilibrium.ConclusionCN2 function has a major impact on intracellular amino acid and dipeptide metabolism and is essential for key metabolic and regulatory functions of proximal tubular cells. These findings deserve in vivo analysis of the relevance of CN2 for nephron function and regulation of body homeostasis.
Conscientious refusal or conscientious provision: We can't have both
Authors: Kulesa Ryan , Giubilini Alberto 
Published: March 2024

AbstractSome authors argue that it is permissible for clinicians to conscientiously provide abortion services because clinicians are already allowed to conscientiously refuse to provide certain services. Call this the symmetry thesis. We argue that on either of the two main understandings of the aim of the medical profession—what we will call “pathocentric” and “interest‐centric” views—conscientious refusal and conscientious provision are mutually exclusive. On pathocentric views, refusing to provide a service that takes away from a patient's health is professionally justified because there are compelling reasons, based on professional standards, to refuse to provide that service (e.g., it does not heal, and it is contrary to the goals of medicine). However, providing that same service is not professionally justified when providing that service would be contrary to the goals of medicine. Likewise, the thesis turns out false on interest‐centric views. Refusing to provide a service is not professionally justified when that service helps the patient fulfill her autonomous preferences because there are compelling reasons, based on professional standards, to provide that service (e.g., it helps her achieve her autonomous preferences, and it would be contrary to the goals of medicine to deny her that service). However, refusing to provide that same service is not professionally justified when refusing to provide that service would be contrary to the goals of medicine. As a result, on either of the two most plausible views on the goals of medicine, the symmetry thesis turns out false.