bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sleep well and live well: Impact of sleep hygiene intervention on sleep duration in a rural community: A randomized controlled trial (THE SWELL STUDY)
Authors: Sharma Sunil , Stansbury Robert , Ramadan Jad , Rojas Edward , Finomore Victor , Pham Chris , Quan Stuart F. , Wen Sijin 
Published: February 2025

AbstractIntroductionSleep is a key component of a healthy lifestyle and the Center for Disease Control (CDC) and prevention recommends that adults get at least 7 hours of sleep each night. Within the United States, West Virginia is among the most sleep‐deprived states with 42% of the population reporting insufficient sleep per the CDC. Sleep insufficiency in rural populations is linked to disparities in health and accessibility to health care services. The study evaluated the impact of sleep hygiene (SH) education on sleep duration and quality.MethodsA 12‐week randomized controlled trial of participants residing in Harrison County, WV. Baseline data included the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale, and sleep duration as recorded by a sleep wearable. The intervention included an SH video on weeks 3 and 5. The control arm did not receive intervention but were allowed to cross over and receive intervention at week 8.ResultsA total of 100 participants (61 females) were recruited from the community. No changes in sleep duration were observed in intention to treat analysis between Arm 1 and Arm 2 at 7 weeks. In the treatment analysis, the compliant cohort demonstrated a significant increase of 31 minutes mean sleep duration (P = .01) as well as an improvement in the PSQI (6.30 to 5.68 by week 12, P = .05).ConclusionThe study demonstrates that the introduction of a modest SH intervention may have a beneficial effect on the duration and quality of sleep in a rural community. ClinicalTrials. gov Identifier: NCT04849572
The cathartic dream: Using a large language model to study a new type of functional dream in healthy and clinical populations
Authors: Perogamvros Lampros , Rochas Vincent , Beau Jean‐Baptiste , Sterpenich Virginie , Bayer Laurence 
Published: February 2025

SummaryAccording to some theories of emotion regulation, dreams could modify negative emotions and ultimately reduce their intensity. We introduce here the idea of cathartic dream, a specific and separate type of emotional dream, which is characterized by a dynamic plot with emotional twists, and where negative emotions are expressed and ultimately decreased. This process would reflect psychological relief (catharsis according to the Aristotelian definition) and fulfil an emotion regulation function. We developed and validated a tool using a large language model to emotionally categorize the different dreams from dream diaries. Based on this tool, we were able to detect the prevalence of cathartic dreams in datasets of both healthy participants and patients with nightmares. Additionally, we observed the increase of cathartic dreams during 2 weeks of imagery rehearsal therapy and targeted memory reactivation during rapid eye movement sleep. We also demonstrate how the increase of cathartic dreams correlates significantly with the decrease of depression scores in patients with nightmares under therapy, thus supporting their likely functional role in well‐being and their distinct nature among other emotional dreams.
The endothelin‐1 system among high‐risk pregnant women with obstructive sleep apnea
Authors: Shirk Samantha , Kozakiewicz Melissa L. , Sheehan Kristin N. , Xiang Kang Rui , Saha Amit K. , Stamilio David , Zhang Jie , Koch Abigail L. , Namen Andrew M. 
Published: February 2025

SummaryObstructive sleep apnea is associated with gestational hypertension. Elevated endothelin‐1 is a proposed factor in the pathogenesis of gestational hypertension. However, the association between endothelin‐1 and obstructive sleep apnea complicating pregnancy is unknown. In a prospective cohort of 60 pregnant patients with obesity but without confounding comorbid conditions (i.e. cardiac/pulmonary disease), plasma and placental samples were collected at delivery in 30 women with obstructive sleep apnea and 30 without. Endothelin‐1 concentrations were evaluated using Western blot, quantitative real‐time polymerase chain reaction, immunohistochemistry, and enzyme‐linked immunosorbent assay. Multivariable analyses were conducted comparing endothelin‐1 levels between obstructive sleep apnea and non‐obstructive sleep apnea groups. There was no significant difference in band intensity or quantitative densitometric evaluation when comparing obstructive sleep apnea‐positive and ‐negative groups (p = 0.42). mRNA expression of endothelin‐1 did not differ in placental tissues between groups (p = 0.73). There was no significant difference in endothelin‐1 median plasma concentrations between groups (p = 0.95). However, there was a significant sixfold increase in the rate of endothelin‐1 elevation > 90th percentile (adjusted odds ratio 5.9, 95% confidence interval 1.05–32.7) after adjusting for confounding by body mass index. Additionally, lower pre‐pregnancy body mass index (< 32 kg m−2) was associated with plasma endothelin‐1 > 11 at delivery (p < 0.01), and class 3 obesity appeared protective for having elevated plasma endothelin‐1 > 90th percentile (p = 0.03). Overall, in this prospective cohort of high‐risk pregnant patients, obstructive sleep apnea was associated with an increased rate of markedly elevated (> 90th percentile) endothelin‐1 plasma levels. Lower pre‐pregnancy body mass index among patients with obesity was associated with elevated endothelin‐1 plasma levels. Obstructive sleep apnea screening questionnaires focused on high body mass index may result in underestimated risk.
Hepatitis E Infection in Immunocompromised Patients Previously Treated With Rituximab
Authors: Kogias Dionysios , Gavriilidis Efstratios , Antoniadou Christina , Skeva Aikaterini , Kafalis Nikolaos , Tsilingiris Dimitrios , Kanellis George , Panopoulou Maria , Mitroulis Ioannis , Ritis Konstantinos , Skendros Panagiotis , Kouklakis Georgios 
Published: February 2025

ABSTRACTHepatitis E virus (HEV) infection is a frequent cause of acute viral hepatitis. Immunocompromised patients, especially those under anti‐CD20 regimens, are prone to chronic or treatment‐resistant courses of hepatitis E. We report a case of chronic HEV infection in a 36‐year‐old man with a history of thrombotic thrombocytopenic purpura treated with rituximab 6 months ago, who presented with new‐onset painless jaundice and malaise. Laboratory tests and imaging revealed signs of inflammation and hepatic dysfunction. Due to initial suspicion of autoimmune hepatitis, corticosteroid therapy was started. However, liver biopsy and positive HEV RNA value redefined the diagnosis. Serology tests revealed initially acute infection, which later progressed to chronic hepatitis E infection. Treatment with ribavirin, along with supportive care, achieved significant clinical and laboratory improvement, resolving jaundice, restoring normal transaminase and suppressing HEV RNA values. Further review of the literature highlights the impact of immunosuppression caused by anti‐CD20 therapies on HEV infection, as well as the challenges in both treatment and achieving sustained virus clearance in such patients. Moreover, this report underlines the importance of HEV screening in patients with hepatitis who have undergone anti‐CD20 therapies, shedding light on a situation that is not well described in the literature and should not be overlooked, even in developed countries.
Effects of Teaching Practices on Life Satisfaction and Test Scores: Evidence From the Program for International Student Assessment (PISA)
Authors: O'Connor Kelsey J. , Bartolini Stefano 
Published: February 2025

ABSTRACTSchools present an ideal setting for intervention. We demonstrate that a greater prevalence of group discussion used in schools positively affects students' life satisfaction and noncognitive skills, and has no negative impact on test scores, based on a sample from the 2015 PISA, which includes more than 35 thousand students from approximately 1500 schools in 14 countries. We perform regressions of student life satisfaction on school‐level group discussion and lecturing, including a battery of controls and random intercepts by school. For robustness, we use instrumental variables and methods to account for school‐selection. The impact of group discussion is meaningful—a one‐standard‐deviation increase leads to an increase in life satisfaction that is about one‐half of the negative‐association with grade repetition. In contrast, lecturing does not have any effects. We are the first to show group discussion improves student life satisfaction and noncognitive skills, and thereby likely positively affects later‐life outcomes.
How Do Different Forms of Note‐Taking Affect Second Language Vocabulary Learning?
Authors: Jin Zhouhan , Webb Stuart 
Published: February 2025

AbstractThe present study compared learning gains at both form recall and meaning recall levels across three learning conditions: viewing without note‐taking, viewing with conventional note‐taking, and viewing with guided note‐taking. A total of 134 Chinese learners of English were assigned to three experimental groups and a no‐treatment control group. Results showed that (a) guided note‐taking contributed to greater vocabulary learning than conventional note‐taking on the form recall test, (b) both guided and conventional note‐taking contributed to significant vocabulary gains on the meaning recall test, and (c) viewing without note‐taking did not contribute to significant learning gains. The analyses also revealed that writing unknown words in notes, the inclusion of target words in the lecture slides, and learners’ prior vocabulary knowledge affected learning, but frequency of occurrence, word length, and learners’ level of viewing comprehension did not.
Who gets to speak for the party? How parliamentary party groups select spokespersons
Authors: Mickler Tim , Otjes Simon , Willumsen David M. 
Published: February 2025

AbstractMembers of parliament (MPs), and by extension, parliamentary party groups (PPGs), have to make decisions about all aspects of public policy. In many parliamentary systems, PPGs subdivide the workload and assign one of their members as the spokesperson for a specific policy portfolio. These speak almost exclusively on that issue and are primarily responsible for formulating and articulating their party's position on that issue in parliament. We explore what drives the assignment of MPs as spokespersons for their PPG. Building on the literature on committee assignments, issue competition, and floor access in legislatures, we argue that the assignment of spokespersons should be understood as a process in which party leaders seek to balance the interests of their parties with the demands of individual MPs. We analyze a database covering the parliamentary and preparliamentary careers of Danish MPs (2011–2019), their electoral results, as well as the full text of floor speeches on legislation in this period. Our analysis sheds important light on how PPGs function. The results show that while the PPG leadership can sanction MPs who do not support the party line, the advantages for a PPG from having high‐quality spokespersons means that the leaderships' hands are, to a large extent, tied.
Supporting Breastmilk Feeding for Infants in Foster Care: A Scoping Review
Authors: Mitchell Vicky , White Marianne , Shinwell Shona , Biazus‐Dalcin Camila 
Published: February 2025

ABSTRACTWorldwide, around 2.7 million children are not in the care of their parents, and access to breastmilk is often absent from foster care policies. We aimed to explore the evidence available on how foster families, health and social workers and mothers with infants in care can be supported in providing breastfeeding and expressed breastmilk (EBM), and to identify barriers and facilitators for breastfeeding and EMB in foster care. The JBI methodology for scoping reviews was used. Three academic databases and grey literature were searched in March 2023, and data extraction charts were used. The findings were synthesised using thematic analysis. In total, 11 papers were included, 5 peer‐reviewed papers and 6 from the grey literature. Five themes were identified in the analysis: ‘Is this safe?’, ‘Substance use: Protecting the breastfeeding rights of mothers and infants’, ‘Making milk accessible through breastfeeding and EBM’, ‘Where are the policies’? and ‘Attitudes around breastfeeding’. The findings showed concern from foster parents around the safety of breastmilk and the challenges of supporting breastmilk provision when infants are in foster care. Training, positive attitudes and multi‐disciplinary team involvement can support breastfeeding and the breastfeeding rights for infants in foster care. Health and social care professionals who support mothers and foster families with breastfeeding and EBM feeding lack knowledge and guidance in how to do this safely and with a rights‐based approach. We found that facilitating breastfeeding is not prioritised when an infant is placed into foster care and that the breastfeeding rights of mothers and infants require urgent attention in policies and guidelines to facilitate safe and person‐centred infant feeding.
Citizen scientists mapping the United Kingdom's and Republic of Ireland's flat flies (louse flies) (Diptera: Hippoboscidae) reveal a vector's range shift
Authors: Wawman Denise C. 
Published: February 2025

AbstractChanges in climate may cause changes in the ranges, phenology and interactions of insects with other species and lead parasites to switch host species. A study of louse (flat) flies in the United Kingdom, Republic of Ireland and Isle of Man, in which licensed bird ringers acting as citizen scientists collected ectoparasites that left birds during ringing, showed recent range shifts of several species. The Common or Bird Louse Fly Ornithomya avicularia (Linnaeus, 1758), a vector of Haemoproteus sp. and trypanosomes, has undergone a major northwards range expansion of over 300 km in the United Kingdom (UK) since the 1960s. The Finch Louse Fly Ornithomya fringillina (Curtis, 1836) has also expanded its range over 300 km northwards and 400 km westwards into the Island of Ireland, and the Swallow Louse Fly Ornithomya biloba (Dufour, 1827) is now established in Wales and Southern England. The Grouse Louse Fly Ornithomya chloropus (Bergroth, 1901) has undergone a range contraction at lower altitudes and on the southern edge of its range. Other species of louse fly were detected: Crataerina pallida (Latreille, 1812), Stenepteryx hirundinis (Linnaeus, 1758), Pseudolynchia garzettae (Rondani, 1879) and Icosta minor (Bigot, 1858). Some generalist species have shifted their phenology, whereas the more specialist nest parasites of migrant birds have not, as the arrival and breeding dates of their hosts have not changed. The range changes of the generalist species of these ectoparasites may have implications for bird health, especially if they switch to new host species as their ranges shift.
Candida Infective Endocarditis in Patients With Candida spp. Bloodstream Infection: Risk Factors and 1‐ Year Mortality
Authors: Vieceli Tarsila , Giordani Betina Maria , de Magalhães Gabriel Azeredo , Serena Guilherme Carvalho , Aquino Valério Rodrigues , Borges Vicente Stolnik , Zavascki Alexandre Prehn , Pivatto Júnior Fernando 
Published: February 2025

ABSTRACTIntroductionAlthough there are some studies evaluating CIE incidence and associated risk factors, none assessed mortality several months after the Candida spp. BSI episode. We aimed to assess risk factors for CIE and outcomes, including 1‐year mortality, in patients with Candida spp. BSI in a public tertiary‐care teaching hospital in Brazil.Patients and MethodsRetrospective case–control, followed by a cohort study, with adult patients who presented a Candida spp. BSI. Participants were eligible if they had at least one echocardiogram performed no longer than 3 days before Candida spp. BSI diagnosis and thereafter during the respective hospital admission. CIE diagnosis was defined by the presence of two major Duke criteria.ResultsWe studied 164 patients (median age: 57.6 years) with a median Charlson comorbidity index of 3 points. Most patients were female (54.9%), were on haemodialysis (54.9%), and 4.6% had a preexisting moderate/severe heart valve disease. C. albicans (36.2%) and C. parapsilosis complex (34.4%) were the most frequent Candida species identified. CIE was detected in 10 patients (6.1%; 95% CI: 2.4%–9.8%). In the multivariable analysis, age and C. parapsilosis complex remained as independent predictors of CIE. There was no significant difference between CIE and no CIE groups in 1‐year mortality after Candida spp. BSI diagnosis and hospital discharge.DiscussionConsidering the low costs and hazards associated with an echocardiogram, performing it systematically in all patients with Candida spp. BSI might improve CIE diagnosis and ultimately survival rates.
Exploring Family Caregiver Burden Using the Ecological Model: Insights From Thailand's Older Population
Authors: Juntasopeepun Phanida , Bliss Donna Z. , Deeluea Jirawan , Rhiantong Jittawadee 
Published: February 2025

ABSTRACTThis study aimed to assess the burden of caregiving and identify factors predicting caregiver burden among family caregivers of community‐dwelling older adults. Family caregivers of older adults face significant challenges in their caregiving responsibilities. Although some studies have examined factors related to caregiver burden among these caregivers, they are often limited in scope and frequently lack comprehensive theoretical frameworks and large population‐based samples. This study conducted a secondary data analysis using the 7th Thailand National Survey of Older Persons from 2021. The analysis focused on 3192 dyads of older adults and their primary family caregivers. Primary family caregivers in this study generally experienced a mild burden. Higher caregiver burden was associated with leaving the workforce, being in an extended family, the older adult having poorer health, higher ADL dependency, age under 90 years, and poor hearing ability, and lack of community health worker visits. Addressing these findings can enhance nursing practices and health policies, providing more effective support to family caregivers and improving the well‐being of both caregivers and older adults.
Precision and Variability: Exploring Osteotomy Cuts in Sagittal Ramus Osteotomy—A Review
Authors: Dubey Prajesh , Mowar Apoorva , Jain Vipul , Singh Snigdha 
Published: February 2025

ABSTRACTBackgroundDr. Hugo Obwegeser first performed sagittal ramus osteotomy (SRO), a crucial orthognathic surgery technique, in the 1950s. Anatomical variations, surgeon skill, and procedural adjustments all contribute to the persistence of result variability despite improvements in imaging, instrumentation, and procedures.ObjectiveThis review explores the precision and variability of osteotomy cuts in SRO, emphasizing the role of technological advancements, anatomical considerations, and surgical expertise.MethodsA comprehensive literature review was conducted, analyzing historical modifications, osteotomy techniques, and emerging technologies such as CAD, CBCT, and intraoperative navigation. Various osteotomy designs were compared for their effectiveness in optimizing surgical outcomes.ResultsModifications by Schuchardt, Obwegeser, Dal Pont, Hunsuck, and Epker have improved SRO stability and predictability. Innovations like piezoelectric bone surgery and CAD/CAM guides enhance precision. Studies highlight that anatomical variations influence split patterns, and technologies like VR training and intraoperative navigation help standardize osteotomy cuts.ConclusionAlthough SRO precision has increased because of technological developments but variability still exists. Better results require a multidisciplinary approach that incorporates cutting edge technologies, surgical expertise, and meticulous preoperative preparation. Future research should refine osteotomy techniques and enhance technological integration for improved predictability.
Reduction of rejection‐related emotions by transcranial direct current stimulation over right ventrolateral prefrontal cortex in borderline personality disorder: A double‐blind randomized pilot study
Authors: Lisco Alessandro , Gallucci Alessia , Fabietti Chiara , Fornaroli Annalisa , Marchesi Carlo , Preti Emanuele , Riva Paolo , De Panfilis Chiara , Romero Lauro Leonor Josefina 
Published: February 2025

AimsBorderline personality disorder (BPD) patients show negative emotional reactions to both excluding and including social scenarios, with levels normalizing only during extreme inclusion. Prior research among healthy individuals highlights the right ventrolateral prefrontal cortex (rVLPFC) role in regulating emotional responses to social exclusion, since transcranial direct current stimulation (tDCS) of rVLPFC decreases rejection‐related emotions following social exclusion. This pilot study investigated whether, in BPD patients, tDCS over the rVLPFC reduces rejection‐related emotions not only after social exclusion but also after fair social inclusion.MethodsForty BPD patients randomly received either real or sham tDCS on rVLPFC before participating in the Cyberball paradigm, which involved phases of inclusion, exclusion, and over‐inclusion. Participants self‐reported their level of rejection‐related emotions following each phase.ResultsTranscranial direct current stimulation reduced rejection‐related emotions during both social exclusion and fair inclusion, but not during over‐inclusion. Specifically, those in the Real tDCS group exhibited comparable emotional responses to fair and over‐including scenarios, unlike those in the Sham group who experienced heightened rejection‐related emotions during fair inclusion compared to over‐inclusion.ConclusionsTranscranial direct current stimulation over the rVLPFC reduces BPD patients' tendency to feel rejected both in fairly including and excluding scenarios. These findings confirm the rVLPFC involvement in emotional regulation and highlight a therapeutic potential for tDCS in moderating BPD's typical heightened rejection‐related emotional responses to fairly including scenarios. This study supports the application of tDCS in BPD treatment, providing new insights into neuromodulatory interventions that can aid BPD patients to better regulate their emotions during varying social scenarios.
“No to the Fake Reform!” Strategies and Outcomes of Student Protests on Chile's Higher Education Reform
Authors: Ríos‐Jara Héctor 
Published: February 2025

ABSTRACTThis article examines the strategies and outcomes of the Chilean student movement during the higher education reform of 2018. Following the waves of protest in 2011 and 2013, students successfully pressured the enactment of free education policy in 2016 and a new higher education law in 2018. However, why did activists persist in opposing the reform, in what ways did they oppose it, and what outcomes did they achieve? The study shows that students opposed the reform due to significant policy disagreements and omissions between government proposals and activist demands. It further details how students employed insider strategies to enhance their access and representation within policy‐making processes. Nonetheless, these strategies did not yield improved outcomes; activists encountered political and institutional constraints that limited their impact on the reform. The article concludes by reflecting on how the movement's constrained impacts illustrate the resilience of neoliberal policies and the ongoing challenges in democratizing educational policy.