bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical characteristics and symptoms associated withMycoplasma genitaliuminfections among heterosexual men in Hanoi, Vietnam
Authors: Nguyen Hoai Bac , Nguyen Huynh Dang Khoa , Pham Minh Quan , Nguyen Cao Thang , Adamson Paul C 
Published: February 2025

BackgroundMycoplasma genitalium(MG) is a critical pathogen of sexually transmitted infections (STIs) in men, associated with high antibiotic resistance. Understanding the clinical characteristics of MG infections can improve testing and treatment guidelines.AimsTo investigate the clinical features and characteristics of asymptomatic, acute and chronic MG infections in heterosexual males.MethodsFrom January 2018 to September 2023, men diagnosed with urethral STIs using multiplex real-time PCR were enrolled into this cross-sectional study. Testing indications included males with urethritis, suspected STIs and asymptomatic screening. Based on clinical symptoms, participants were classified as acute, chronic or asymptomatic groups. An electronic-based survey was administered to assess demographic, behavioural and clinical information. Univariate and multivariate logistic regression were performed to assess for factors associated with the presence of symptoms.ResultAmong the 2102 men who have sex with women and were tested for STI, 879 records met the eligibility criteria for further analysis; MG was detected in 14.6% of the 2102 cases. Most patients presented with acute urethral symptoms (75.6%). Among men infected with MG, mono-infection accounted for 52.8%, whileChlamydia trachomatisandNeisseria gonorrhoeaeco-infections occurred in 39.3% and 21.3%, respectively. Co-infections were more prevalent among acute urethritis compared with chronic urethritis or asymptomatic groups. Multivariable analysis revealed associations between chronic symptoms with absence of urethral discharge (aOR 0.31; 95% CI 0.2 to 0.47), previous antibiotic use (aOR 6.83; 95% CI 4.47 to 10.4), marriage (aOR 1.66; 95% CI 1.09 to 2.51) and history of STIs (aOR 2.08; 95% CI 1.24 to 3.49).ConclusionOur study revealed a 14.6% prevalence of MG among individuals tested for STIs. Most patients presented with acute urethral symptoms, while chronic symptoms were associated with marriage, antibiotic use history and previous STIs. Routine MG screening of asymptomatic patients is not recommended, but improved access to diagnostics and further research is needed for clinical practice in low-resource settings.
Stochastic fluctuations and Brownian motion detection of gravitons
Authors: Moffat J. W. 
Published: February 2025

Abstract
We propose a way to detect gravitons by replicating the Brownian motion experiment. The number

$$N_g$$

N
g

of gravitons can be large enough for the stochastic gravitational noise produced by them to displace a massive test particle in a physical system, allowing for the detection of gravitons. Possible experiments to detect gravitons are proposed involving collective stochastic fluctuations due to a large number of gravitons, causing a Brownian motion displacement of a massive test body. Gravitational wave experiments involving advanced interferometer techniques and mirrors could detect the large collective number of gravitons, and could detect Brownian motion of test particles in the detectors’ component mirrors. The problem of reducing thermal and other background noise is investigated.
Prenatal Psychosocial Stressors and Blood Pressure Across 4 Years Postpartum
Authors: Pardo Noelle , Eckel Sandrah P. , Niu Zhongzheng , Habre Rima , Yang Tingyu , Chen Xinci , Vigil Mario , Grubbs Brendan , Al-Marayati Laila , Lurvey Nathana , Toledo-Corral Claudia , Johnston Jill , Dunton Genevieve , Breton Carrie , Bastain Theresa M. , Farzan Shohreh F. 
Published: February 2025

BACKGROUND:
Psychosocial stress is a cardiovascular risk factor; however, little is known about whether prenatal psychosocial stressors influence postpartum cardiovascular health. We aimed to examine the associations of multiple measures of prenatal psychosocial stress on maternal blood pressure (BP) in the first 4 years after birth.

METHODS:
Among 225 MADRES cohort (Maternal and Developmental Risks From Environmental and Social Stressors) participants, we examined associations of average prenatal Perceived Stress Scale (PSS), Center for Epidemiological Studies Depression (CES-D) scores, and second-trimester neighborhood social cohesion scores on systolic and diastolic BP collected at annual postpartum study visits (1–4 years) using linear mixed-effects models, adjusted for covariates.

RESULTS:

Higher prenatal PSS and CES-D scores were associated with greater diastolic BP at 1 year postpartum (0.24 [95% CI, 0.01–0.46] and 0.24 [95% CI, 0.08–0.40] mm Hg per 1-unit higher PSS and CES-D, respectively) and greater systolic BP (0.25 [95% CI, 0.02–0.48] mm Hg per 1-unit higher CES-D). Overall associations of PSS and CES-D with BP were attenuated over the 4-year postpartum period (
P
<0.05). Stratified analyses suggested larger associations of PSS and CES-D among US-born participants and participants with normotensive pregnancies. While neighborhood social cohesion was not associated with postpartum BP overall, higher neighborhood social cohesion scores were associated with lower BP at 1 year postpartum among participants with normotensive pregnancies and lower systolic BP among foreign-born Hispanic participants.

CONCLUSIONS:
Higher prenatal perceived stress and depressive symptoms were associated with greater 1-year postpartum BP, whereas neighborhood cohesion was associated with lower 1-year postpartum BP. These results suggest prenatal psychosocial factors may impact cardiovascular health within the first year after birth.
The Distinctiveness of Regional International Organization Law
Authors: Chalmers Damian 
Published: February 2025

Abstract
This article argues that there is a distinct regional international organization law which derives from that law’s concern with the institution, management and cultivation of qualities identified with regions. This concern gives this law four qualities. First, it seeks to institute the region into being, with the region identified as somewhere that combines a place and a mission-based association. Secondly, it characterises regions as fissile so that the provision of trust and security are central features of this law. Thirdly, it sees emancipation and solidarity as central ideals of both the region and its Member States. Fourly, this law contains an account of national inadequacy. This essay concludes by arguing for inclusion of a fifth quality, an account of regional inadequacy. This would problematise more extensively both what the regional international organization does and the concentrations of power it often facilitates.
Regional International Organizations and Regionalism in the Theory of International Law
Authors: Fernandes Carvalho Fabia 
Published: February 2025

Abstract
This article explores the relationship between international law and space with particular attention to regionalism. Focusing on theoretical debates in the discipline, it will examine the interplay between regionalism and Regional International Organizations and the universal character of international law, re-describing central theoretical legal issues concerning this relationship. Regionalism will be assessed as one form of spatial ordering in international law. Regional order is an international legal notion that contributes to a more nuanced understanding of the politics of space and the processes of production, organization and distribution of power, resources and identities in a particular region. In this setting, changes in the spatial focus while employing theoretical interrogations in the discipline are productive ways to make sense of the diverse modes of engagement with international law in different regions worldwide.
Regional Organizations in International Law: Exploring the Function-Territory Divide
Authors: Brölmann Catherine 
Published: February 2025

Abstract
Regional international organizations have a problematic image among international lawyers (in contrast to IR scholars and international practitioners generally). In this paper I argue how this is due not to a systemic problem but rather to an ideological tension in international law. While according to received knowledge states are based on ‘territory’ and organizations are based on ‘function,’ it is true that the legal identity of regional organizations appears to have an uneasy combination of both. Yet, the contrasting notions of ‘territory’ and ‘function’ relate especially to the legal origin of states and organizations. The contrast does not as such ruffle the general mechanisms of international law. What is difficult, on the other hand, is to square the territorial (in truth geographical) dimension of regional organizations with the universalist aspirations of international law and with the claims of functionalist, a-political neutrality projected onto international organizations. Regional organizations challenge the vision of a universally applicable body of law as well as the vision of a world without territorial boundaries, where authority is segmented by specific issues or ‘functions.’ This ideological challenge is arguably a prime reason for the limited presence of regional organizations in international law narratives and in international (institutional) law scholarship.
Predictive factors for functional improvement and assessment of outcomes in CKD patients after PCNL
Authors: Navriya Shivcharan , Singh Vikram , Sharma Kartik , Bhirud Deepak Prakash , Singh Mahendra , Choudhary Gautam Ram , Sandhu Arjun Singh 
Published: February 2025

Introduction: Patients with urinary stone disease may present with CKD. The incidence of developing end stage renal disease (ESRD) in patients with renal calculi is 0.2%–3.2%. In the present study we aim to discuss outcomes of PCNL in CKD patients. Materials and Methods: This was a prospective observational study done, from January 2023 to March 2024. Data of 96 CKD patients with renal stones who underwent standard PCNL were recorded. Patients were followed up with urinalysis, serum creatinine and ultrasound KUB. Preoperative eGFR were compared with eGFR 36 months follow up. Patients were divided into two groups. Group 1- improved and group 2- stable or worsened disease since the final follow up visit. Observations and Results: After PCNL renal function improvement was seen in 52 (54%) patients that is, Group I & in 44 (46%) patients it was stable or declined that is, Group II. In Group I, mean preoperative eGFR was 41.13 ± 14.23 ml/min/m2 which improved to 46.91 ± 12.14. In Group II mean preoperative eGFR was 37.14 ± 12.32 which declined to 33.17 ± 12.57. The statistically significant factor decreasing the efficacy of PCNL in CKD patients were presence of co morbidities (Hypertension, DM; p = 0.007), staghorn stones ( p = 0.001), history of previous renal surgery ( p = 0.001), operation time > 100 min ( p < 0.0001), post PCNL stone free status( p < 0.0001), and Complications( p = 0.03). After 6 months follow up 8 patients in Group I shifted from CKD stage 4 to CKD stage 3 and four patients in group II shifted from CKD stage 3 to CKD stage 4. Conclusion: Factors like presence of comorbidities, staghorn calculus, previous surgery operative time and post operative complications affects improvement of renal function in CKD patients after stone clearance.
Burnout status of Japanese healthcare workers and the association with medical errors: A 1-year follow-up
Authors: Trinh Tien Dat , Tran Quyen An , Nguyen Thanh Luan , Nguyen Thi Hong Hanh , Watanabe Ryo , Tsuno Kanami 
Published: February 2025

Background Burnout and medical errors are the most prevalent issues affecting health and life outcomes among healthcare professionals. Objective This study aimed to investigate the longitudinal association between burnout and medical errors in healthcare workers in Japan. Methods We conducted a prospective cohort study involving 539 healthcare workers from January 2017 to January 2018. Burnout was evaluated using the Maslach Burnout Inventory-General Survey (MBI-GS), which included exhaustion, cynicism, and professional efficacy dimensions. Medical errors during the previous year were measured by self-assessment at follow-up. Multivariate modified Poisson regressions estimated the association between baseline burnout and follow-up medical errors. Results In the age and sex-adjusted model, overall burnout was significantly associated with medical errors ( p = 0.008). Participants with high burnout levels exhibited a greater risk of medical errors than those with low or moderate levels (RR = 1.19, 95% CI: 1.05–1.35). Exhaustion and cynicism correlated significantly with medical errors ( p < 0.05). High or moderate levels of exhaustion and cynicism were associated with elevated risks of medical errors (RR = 1.31 [95% CI: 1.10–1.55]; 1.25 [1.02–1.53]), (RR = 1.31 [95% CI: 1.13–1.53]; 1.20 [1.03–1.41]), compared to low-level counterparts, respectively. Conclusion Healthcare workers who experience burnout may be at an increased risk for medical errors.
Dynamic evaluation of vertebral alveolar echinococcosis using MR T2 mapping
Authors: Han Jinhuan , Chang Yushan , Guo Hui 
Published: February 2025

Objective To explore the diagnostic value of MR T2 mapping in monitoring and evaluating the rabbit vertebral model with Echinococcus multilocularis infection. Materials and methods 24 New Zealand white rabbits were randomly divided into the experimental group ( n = 16), saline control group ( n = 4), and blank control group ( n = 4). The experimental group underwent surgery to drill holes on the surface of the spinous process of the 12th thoracic vertebra, fill it with a gelatin sponge, and adsorb multilocular hydatid suspension. The saline control group received an operation with saline, and the blank control group did not receive any intervention. The model rabbits were dynamically evaluated by routine MRI and MR T2 mapping once a month after surgery, 6 times. Two rabbits with positive imaging results were randomly selected every 2 months for histopathological examination to evaluate the severity and pathological features of the rabbit model with Echinococcus multilocular infection. Results There was no significant difference in the T2 mapping values between the diseased vertebrae and the undiseased vertebrae in the experimental group at the 1st month after surgery ( t = 1.7, p = .119), and the differences were statistically significant at the 2nd to 6th month after surgery ( p < .05). In the 1st and 2nd months after an operation, there was no significant difference in T2 values between the vertebrae of the saline control group, the blank control group, and the experimental group. In the third, fourth, fifth, and sixth months after surgery, the vertebrae of the experimental group were compared with that of the saline control group and the blank control group, and the difference was statistically significant ( p < .05). There was no significant difference in T2 mapping values every month after surgery between the saline control group and the blank control group ( p > .05). Conclusion The MR T2 mapping technique can quantitatively evaluate the changes of vertebral alveolar echinococcosis, and it shows sensitivity to pathological changes in vertebrae prior to detectable damage using conventional MRI; this offers potential for early detection of vertebral alveolar echinococcosis.
Health-related risk factors for subsequent work disability: A systematic literature review
Authors: Kalski Linda , Claußen Lars , Hofmann Maja A , Wolfarth Bernd 
Published: February 2025

Background Work disability is a major public health challenge, with various health conditions leading to long-term sickness and early retirement, placing a substantial burden on individuals and society. Objective This systematic review aimed to identify key health-related risk factors for work disabilities, highlighting the importance of early prevention strategies. Methods A systematic literature search was conducted in 06/2023 using MEDLINE via PubMed, EMBASE via OVID, and CINAHL via Cochrane Library Trials. Two independent reviewers screened abstracts and reviewed full-text articles describing risk factors for work disabilities. Data extraction followed PRISMA guidelines, with the databases searched using synonymous keywords for “risk factors” and “work disability”. Results Of the 61,872 articles identified, 17 met the inclusion criteria. The studies identified several health-related risk factors leading to work disabilities. The most frequently reported conditions were common mental disorders and musculoskeletal disorders, often leading to short- or long-term sick leave. The review highlighted that health-related risk factors frequently co-occur and interact, suggesting that work disability is rarely due to a single factor. The quality of the included studies varied, and many relied on self-reported data, which can introduce bias. Conclusion (Chronic) conditions, particularly mental and musculoskeletal disorders, are significant risk factors for work disability. Primary and secondary prevention measures, such as rehabilitation are crucial to mitigate the need for disability retirement. Future research should focus on prospective cohort studies and a thorough scientific investigation of potential intervention factors to provide decision-makers with information on cost-effective prevention programs. Prospero ID: CRD42023422118
Disaster preparedness and response among individuals or their immediate family members lacking legal status (IFLLS) in the United States: a national survey
Authors: Blackburn Christine Crudo , Boyce Matthew R. , Rico Mayra , Niekamp Kirk , Moats Jason 
Published: February 2025

Abstract

Background
Approximately 11 million immigrants without legal status live in the United States and many of these individuals live in areas that are prone to natural hazards. While there is sufficient literature to suggest that these individuals are more vulnerable to the impacts of disasters and are less prepared for disasters, there is limited understanding of natural disaster risk perception, behavioral intentions, and trust in disaster assistance among individuals or their immediate family members lacking legal status (IFLLS) in the United States. To address this gap, this study sought to describe and compare risk perception, barriers to evacuation, and trust in disaster assistance between legal citizens and IFLLS.

Methods
A cross-sectional, online survey was conducted from April 24 to June 3, 2024. Survey respondents were asked about their demographic and socioeconomic characteristics, their risk perceptions and attitudes regarding natural hazards, reasons for not complying with evacuation orders, and their trust in assistance offered by various entities during the response to natural hazards. Pearson chi-square tests and Cramér’s V were used to investigate the association between IFLLS and variables of interest.

Results
2,989 individuals completed the survey and 284 reported that they identified as IFLLS. Statistically significant relationships existed between IFLLS and residing in an area that experiences natural hazards, having been previously impacted by a disaster, anticipating being impacted by a natural hazard within the next 12 months, various reasons for noncompliance with evacuation orders, and trust in assistance offered during disaster response. There were not statistically significant relationships between IFLLS and the belief that preparedness for natural hazards is important or concern about natural hazards becoming more severe or frequent in the future.

Conclusions
These results provide the first nationally representative examination of disaster risk faced by IFLLS in the United States, as well as the barriers to evacuation. These findings highlight the importance of developing disaster preparedness and response plans that incorporate the needs of IFLLS, as these groups face higher risk. Preparedness and response policies must consider and address the unique barriers faced by IFLLS.
The mediating and moderating role of social support on the relationship between psychological well-being and burdensomeness among elderly with chronic illness: community nursing perspective
Authors: Amin Shaimaa Mohamed , Khedr Mahmoud Abdelwahab , Tawfik Ahmed Farghaly , Gamal Noaman Malek Mohamed , El-Ashry Ayman Mohamed 
Published: February 2025

Abstract
The increasing prevalence of chronic illnesses among the elderly affects their physical and psychological well-being, contributing to emotional burdens and feelings of burdensomeness. This study aims to investigate the mediating and moderating role of social support in the relationship between psychological well-being and burdensomeness among elderly individuals with chronic illnesses. A cross-sectional descriptive design was employed, involving 311 participants aged 60 and older, recruited through purposive sampling. Data were collected using validated instruments via structured interviews conducted from June to August 2024. The results indicate that perceived burdensomeness has a strong negative effect on psychological well-being (r = -0.654). Social support significantly mediates this relationship, with higher social support associated with lower burdensomeness (β = -0.646) and improved psychological well-being (β = 0.318). Strengthening social support networks can mitigate feelings of burdensomeness and promote mental health, ultimately enhancing the quality of life for older adults facing chronic health challenges.
Morphological characteristics and functional adaptation of gills in the Meagre, Argyrosomus regius (Asso, 1801)
Authors: Hanafy Basma G. , Abumandour Mohamed M.A. 
Published: February 2025

Abstract
A comprehensive morphological description of Argyrosomus regius (Asso, 1801) gills was conducted through the gross and scanning electron microscopic examinations in addition to the morphometric analysis of the number, length of the gill rakers and the space between them. The medial surface of the 1st gill arch was differed than that of the other three gill arches. Four gill arche's lateral surfaces contained pear-shaped, circular, and oval-shaped spine groups with varying sizes. The medial surface of the 1st gill arch only had different sizes of pear-shaped and oval groups of spines, while the other gill arches had the same-shaped groups of spines beside the presence of small circular groups. The lateral rakers of the 1st gill arch were long, and only one border carried pointed spines, while its medial rakers were triangular. The rakers of the 2nd, 3rd, and 4th gill arches appeared flask like medially and laterally. There were few folds and tubercles appearing on the primary gill filament surfaces; some folds appeared like the helix on the surface of their parts near the gill arch convex border. This is the first anatomical study on Argyrosomus regius gills and we aimed to reveal the unique structural specifications for gill rakers that related to its feeding behavior and we will contribute to a better understanding of its ecological niche and feeding strategies in its natural environment.