bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prediction of Disruptive Behavior over Time from Changes in Patients’ Global Functioning in Acute Psychiatric Care
Authors: de Boer Tamar , Pietersma Marijn , Tiemens Bea 
Published: March 2024

AbstractDisruptive behavior of patients in acute psychiatric care is a problem for both patients and staff. Preventing a patient’s impending disruption requires recognizing and understanding early signals. There are indications that a change in a patient’s global functioning may be such a signal. The global functioning of patients is a multidimensional view on their functioning. It captures a patient’s psychological symptoms, social skills, symptoms of violence, and activities in daily living. The aim of this study was to gain insight into the predictive value of global functioning on the risk of disruptive behavior of patients in acute psychiatric care. Also assessed was the time elapsed between the change in global functioning and a patient’s disruptive behavior, which is necessary to know for purposes of early intervention. In a longitudinal retrospective study, we used daily measurements with the Brøset Violence Checklist (BVC) and the Kennedy Axis V (K-As) of each patient admitted to two acute psychiatric units over a period of six years. Data from 931 patients for the first 28 days after their admission were used for survival analysis and cox regression analysis. Disruptive behavior was mostly observed during the first days of hospitalization. Global functioning predicted disruptive behavior from the very first day of hospitalization. A cut-off score of 48 or lower on the K-As on the first admission day predicted a higher risk of disruptive behavior. If functioning remained poor or deteriorated substantially over three days, this was an additional signal of increased risk of disruptive behavior. Improvement in global functioning was associated with a decreased risk of disruptive behavior. More attention is needed for early interventions on global functioning to prevent disruptive behavior.
Mediating Role of Cultural Values in the Impact of Ethical Ideologies on Chinese Consumers’ Ethical Judgments
Authors: Chan Ricky Y. K. , Sharma Piyush , Alqahtani Abdulaziz , Leung Tak Yan , Malik Ashish 
Published: March 2024

AbstractThis paper develops and tests a new conceptual model incorporating the indirect impact of two ethical ideologies (idealism and relativism) on Chinese consumers’ ethical judgments under four ethically problematic consumption situations (active benefit, passive benefit, deceptive practice, and no/indirect harm) through two cultural values (integration and moral discipline). Data from a large-scale online consumer survey in five major Chinese cities (N = 1046) support most hypotheses. The findings are consistent with the postulated global impact of ethical ideology on forming an individual’s beliefs and values and highlight the importance of a thorough understanding of the significant determinants of consumer ethics to promote ethically responsible consumption behaviors. This study also uses an emic approach to conceptualize and measure Chinese cultural values by using cultural constructs and measures that are designed explicitly in the Chinese context.
Detection of cardiac amyloidosis on routine bone scintigraphy: an important gatekeeper role for the nuclear medicine physician
Authors: Nebhwani Mohit , Chaibekava Karina , Achten Anouk , Oerlemans Marish I. F. J. , Michels Michelle , van der Meer Peter , Nienhuis Hans L. A. , Weerts Jerremy , van Empel Vanessa , Rocca Hans-Peter Brunner-La , Wijk Sandra Sanders-van , van der Pol Jochem , Knackstedt Christian 
Published: March 2024

AbstractCardiac amyloidosis (CA)—mostly transthyretin-related (ATTR-CA)—has recently gained interest in cardiology. Bone scintigraphy (BS) is one of the main screening tools for ATTR-CA but also used for various other reasons. The objective was to evaluate whether all CA cases are detected and what happens during follow-up. All routine BS performed at the Maastricht University Medical Center (May 2012–August 2020) were screened for the presence of CA. Scans performed for suspected CA were excluded. A Perugini stage ≥1 was classified as positive necessitating further examination. The electronic medical record system was evaluated for any contact with cardiology or other specialists until 2021. Of the 2738 BS evaluated, 40 scans (1.46%; median age 73.5 [IQR: 65.8–79.5], 82.5% male) were positive (Perugini grade 1: 31/77.5%, grade 2: 6/15%, grade 3: 3/7.5%); the potential diagnosis ATTR-CA was not seen in 38 patients (95%) by the nuclear medicine specialist. During follow-up, 19 out of those 40 patients (47.5%) underwent cardiac evaluation without diagnosing CA. Available echocardiograms of patients with a positive BS showed left ventricular hypertrophy, a preserved ejection fraction, and diastolic dysfunction ≥2 in 9/47%, 10/53%, and 4/21% of patients, respectively. Additionally, 20 (50%) patients presented to at least one specialty with symptoms indicative of cardiac amyloidosis. The prevalence of a positive BS indicating potential CA in an unselected population is low but substantial. The majority was not detected which asks for better awareness for CA of all involved specialists to ensure appropriate treatment and follow-up.
Graphical abstract
“Documentation is now so ingrained in me”: how students interpret and value documentation in creative learning domains
Authors: Li Yinmiao , Zhou Xiaoyang , Byrne Daragh , Louw Marti 
Published: March 2024

AbstractWithin creative domains in studio- and project-based education, documentation is often central to demonstrating outcomes, process, and progress. Despite much prior work into the instructional practices, technologies, and tools that support cultivating documentation practices, no prior work explores the student valuing and perception of documentation. To address this, we deploy a design probe to elicit and externalize conceptions of documentation with the same cohort of students in two semesters. Eleven participants engaged in higher education undergraduate programs completed the study. We focus our analysis on one activity — listing and ranking documentation’s perceived values. Through our analysis, we developed and validated a robust codebook for students’ values. We demonstrate the values of documentation to be coherent across background, time, and experience of the student participants. We also share insights on nine main roles documentation plays for students and discuss how documentation plays not only an important role in communicating creative work to diverse stakeholders but in building self-confidence, motivation, and affect for project-based and hands-on exploration.
Enhanced quantum transport in chiral quantum walks
Authors: Annoni Emilio , Frigerio Massimo , Paris Matteo G. A. 
Published: March 2024

AbstractQuantum transport across discrete structures is a relevant topic that can be suitably studied in the context of continuous-time quantum walks. The addition of phase degrees of freedom, leading to chiral quantum walks, can also account for directional transport on graphs with loops. We discuss criteria for quantum transport and study the enhancement that can be achieved with chiral quantum walks on chain-like graphs, exploring different topologies for the chain units and optimizing over the phases. We select three candidate structures with optimal performances and we investigate their transport behaviour with Krylov reduction. While one of them can be reduced to a weighted line with minor couplings modulation, the other two are truly chiral quantum walks, with enhanced transport probability over long chain structures.
Is 80% satisfaction still the expectation in modern TKA mechanically aligned with robot assist? We think not
Authors: Selvanathan Nanchappan , Ayeni Femi E. , Sorial Rami 
Published: March 2024

AbstractSeveral studies reported that20% of patients were unhappy with the outcome of their total knee arthroplasty (TKA). Having commenced robot assist TKA whilst maintaining the goal of implanting the prosthesis to a neutral mechanical axis, we reviewed our patients to find out if we also have a 20% rate of patients being unhappy with the outcome of their knee replacement surgery. We hypothesized that rate of patient satisfaction would be higher than 90% with robot-surgical assistant (ROSA) technique. The first 175 patients who underwent ROSA TKA were reviewed at a minimum of 1 year postoperatively. All TKAs were performed using ROSA technique with Persona cementless prosthesis aiming to restore neutral mechanical coronal alignment with flexion gap balancing. We investigated whether or not the patients were happy they had their knee replacement surgery and whether they were happy with the outcome. 165 (94%) of 175 patients, were contactable with 1 deceased and 9 uncontactable. From the 165 patients who participated in the study, 95% of patients were happy they had the surgery done and 93% were happy with the outcome of their knee replacement. A sub analysis showed that patients who had simultaneous bilateral TKA were significantly less likely to be happy than staged procedures (p < 0.05). Total knee replacement utilising robot technique with modern implants and aiming for mechanical coronal alignment of the implants to restore the mechanical axis with flexion gap balancing may result in > 90% of patients being happy with the outcome of their surgery.
‘I am not alone’: enabling factors for Aboriginal and Torres Strait Islander PhD success
Authors: Holt Leanne , Cross Cara , Worrell Tamika , Henson Connie 
Published: March 2024

AbstractThrough yarning and storying led by Aboriginal researchers, this study explores the success factors for Indigenous PhD Graduates. Participants comprised 21 Aboriginal and/or Torres Strait Islander people who had completed their PhDs within the last 7 years. Our thematic analysis uncovered themes associated with participants’ decision to enrol as a scholar and the factors and experiences that contributed to the successful completion of their PhD. We identified three overlapping yet distinct themes that represent why Aboriginal and Torres Strait Islander people choose to pursue a PhD: Telling our story in our way, My Community needs me to do this, and Practicality rules. A strong sense of Connection and Reciprocity was a crucial factor for participants’ successful completion of the PhD. We present a model of our findings model that translates the three key success factors identified in this study as foundational to success for Indigenous scholars’ success in their PhD journey.
Counter-narrative as method: Researching immigrant teachers differently
Authors: Yan Dave , Bright David , Prosser Howard 
Published: March 2024

Abstract
This article addresses the ethical question concerning how educational research helps immigrant teachers gain authority and ownership over their self-understanding and self-becoming. By critically examining prior research and analysing the dominant discourse surrounding this specific group, we highlight the limitations and ethical implications of existing findings. We problematise current methodological approaches ito advocate for the necessity of counter-narratives. By empowering immigrant teachers to ‘author(w)rite’ their own accounts, this form of authorship broadens scholarly discourse, allowing them to pursue self-understanding and assert agency over their narratives. To illustrate our contention, we present our counter-narratives in the form of satirical poetry within boxed texts, highlighting the need to expand and complicate conventional research practices. Through subversive discourse, we emphasise more empowering methodologies in the ethical interpretation and representation of immigrant teacher participants. We suggest that counter-narratives offer an alternative lens through which to examine the lived realities and emotions of immigrant teachers, ultimately enriching scholarly discussions and fostering a more inclusive and nuanced understanding of their humanity.
Granulocytes in cerebrospinal fluid of adults suspected of a central nervous system infection: a prospective study of diagnostic accuracy
Authors: Staal Steven L. , Olie Sabine E. , ter Horst Liora , van Zeggeren Ingeborg E. , van de Beek Diederik , Brouwer Matthijs C. ,   I.-PACE Study Group
Published: March 2024

Abstract
Purpose
Cerebrospinal fluid (CSF) granulocytes are associated with bacterial meningitis, but information on its diagnostic value is limited and primarily based on retrospective studies. Therefore, we assessed the diagnostic accuracy of CSF granulocytes.

Methods
We analyzed CSF granulocytes (index test) from all consecutive patients in two prospective cohort studies in the Netherlands. Both studies included patients ≥ 16 years, suspected of a central nervous system (CNS) infection, who underwent a diagnostic lumbar puncture. All episodes with elevated CSF leukocytes (≥ 5 cells per mm3) were selected and categorized by clinical diagnosis (reference standard).

Results
Of 1261 episodes, 625 (50%) had elevated CSF leukocytes and 541 (87%) were included. 117 of 541 (22%) were diagnosed with bacterial meningitis, 144 (27%) with viral meningoencephalitis, 49 (9%) with other CNS infections, 76 (14%) with CNS autoimmune disorders, 93 (17%) with other neurological diseases and 62 (11%) with systemic diseases. The area under the curve to discriminate bacterial meningitis from other diagnoses was 0.97 (95% confidence interval [CI] 0.95–0.98) for CSF granulocyte count and 0.93 (95% CI 0.91–0.96) for CSF granulocyte percentage. CSF granulocyte predominance occurred in all diagnostic categories. A cutoff at 50% CSF granulocytes gave a sensitivity of 94% (95% CI 90–98), specificity of 80% (95% CI 76–84), negative predictive value of 98% (95% CI 97–99) and positive predictive value of 57% (95% CI 52–62).

Conclusion
CSF granulocytes have a high diagnostic accuracy for bacterial meningitis in patients suspected of a CNS infection. CSF granulocyte predominance occurred in all diagnostic categories, limiting its value in clinical practice.
Tuberculosis case fatality is higher in male than female patients in Europe: a systematic review and meta-analysis
Authors: Pape Stephanie , Karki Sudip Jung , Heinsohn Torben , Brandes Iris , Dierks Marie-Luise , Lange Berit 
Published: March 2024

Abstract
Purpose
Epidemiological TB data indicate differences in infection prevalence, progression rates, and clinical disease incidence between sexes. In contrast, evidence on sex-specific differential (post) TB case fatality in Europe has not been synthesized systematically.

Methods
We searched electronic databases and grey literature up to December 2020 for studies reporting sex-stratified TB death data for Europe. The JBI critical appraisal tools served for bias risk assessment and subgroup analyses for studying heterogeneity. Random-effects models meta-analyses enabled estimating pooled relative risks of sex-associated TB fatality. Considering associations of comorbidities and risk factors on fatality differences, we applied relative risk meta-regression.

Results
Based on 17,400 records screened, 117 studies entered quantitative analyses. Seventy-five studies providing absolute participant data with moderate quality and limited sex stratification reported 33 to 235,000 TB cases and 7 to 27,108 deaths. The pooled male-to-female TB fatality risk ratio was 1.4 [1.3–1.5]. Heterogeneity was high between studies and subgroups. Study time, concurrent comorbidities (e.g., HIV, diabetes, cancers), and mean participant ages showed no effect modification. We identified higher male TB fatality in studies with higher homelessness (coefficient 3.18, 95% CI [-0.59 to 6.94], p-value 0.10) and lower migrants proportion (coefficient − 0.24, 95% CI [− 0.5 to 0.04], p-value 0.09).

Conclusion
We found 30–50% higher TB case fatality for males in Europe. Except for homelessness, migration, and a trend for some comorbidities, assessing effect modification could not reduce our meta-analysis’ high heterogeneity. Public health authorities should take heed of this higher risk of dying in male patients’ treatment services.
Hypercalcemia as a rare manifestation of immune reconstitution inflammatory syndrome (IRIS) in a person living with Human Immunodeficiency Virus (HIV) with disseminated nontuberculous mycobacteriosis
Authors: Webendoerfer Maximilian , Konik Margarethe , Zettler Markus , Wienker Johannes , Rawitzer Josefine , Esser Stefan , Kehrmann Jan , Herrmann Ken , Reinhardt Hans Christian , Witzke Oliver , Dolff Sebastian 
Published: March 2024

Abstract
Introduction
Granulomatosis due to immune reconstitution inflammatory syndrome (IRIS) and disseminated Mycobacterium avium-intracellulare (M. avium) infection may trigger hypercalcemia. Here, we report a rare case of hypercalcemia and acute kidney damage related to IRIS in a person living with Human Immunodeficiency Virus (HIV).

Case presentation
A 39-year-old male person living with HIV presented with muscle weakness and unwanted weight loss of 8 kg within the last 2 weeks. Laboratory findings included serum hypercalcemia of 3.27 mmol/mL associated with elevated calcitriol and acute kidney damage. Since the first diagnosis of HIV and concomitant disseminated M. avium infection, the patient received antiretroviral therapy (ART), rifabutin, clarithromycin, and ethambutol. 18Fluoro-D-glucose positron emission computed tomography (18FDG-PET/CT) showed progressive multilocular lymphadenopathy. Biopsy specimen from the duodenum as well as retroperitoneal and mediastinal lymph nodes revealed granulomatous inflammation consistent with IRIS. Treatment with forced diuresis, bisphosphonates, and calcitonin normalized serum calcium and kidney function recovered.

Conclusion
Hypercalcemia due to IRIS is a rare differential diagnosis in persons living with HIV and may lead to acute kidney damage, despite sufficient ART and antimycobacterial treatment.
Effects of Darcy and Viscous Dissipation on Natural Convection Flow in a Vertical Tube Partially Filled with Porous Material under Convective Boundary Condition
Authors: Ajibade Abiodun O. , Gambo Jeremiah J. , Jha Basant K. 
Published: March 2024

AbstractIn this paper, a study is presented considering the effects of Darcy and Viscous dissipation in a steady natural convection incompressible fluid through a vertical composite tube partially filled with a porous material. The fluid motion in the vertical composite tube is caused by a temperature gradient due to heat applied to the wall of the tube. The Brinkman Darcy extended model was used to stimulate the fluid flow under the working fluids of water and air. The Homotopy pertubation method was used to solve the temperature and velocity equations in both the clear and porous fluids. An increase in the Brinkman number increases the temperature and velocity profiles of both working fluids. An increase in the thickness of the porous material can be used to increase the velocity of the fluid in the composite vertical tube. An increase in the internal conductive resistance leads to a decrease in the buoyancy force and, as a result, the fluid thickness, which leads to a decrease in the velocity of the fluid.
Shear thickening fluids in cork composites for impact mitigation: the role of fumed silica concentration
Authors: Oliveira L. , Serra G. F. , Gürgen S. , Novais R. M. , de Sousa R. J. Alves , Fernandes F. A. O. 
Published: March 2024

AbstractCork composites have shown excellent potential in impact mitigating systems. Their sustainability greatly surpasses the currently used solutions. In addition, recent advances in developing cork composites with shear thickening fluids (STFs) have demonstrated exciting results for impact mitigation. This study explores different STF formulations based on polyethylene glycol (PEG), with a molecular weight of 400 g/mol, and SiO2 particles, investigating their application in layered cork composites for impact mitigation. Different STF formulations are investigated by processing suspensions with different fumed silica concentrations ranging from 10 to 60 wt.%. Using a cone–plate configuration, rheological measurements were conducted on these suspensions, which were then employed as an interfacial layer in agglomerated cork composite layered structures. These hybrid composites were then subjected to 20 J impact tests. PEG 400 exhibited fluid final states for silica concentrations up to 30 wt.% and crystallised at higher concentrations. Based on the results, STF within cork layers was positive regarding impact force reduction, drawing insights for future application of STF suspensions in cork composites for impact mitigation.
Graphical abstract
Borneo Stalagmite Evidence of Significantly Reduced El Niño‐Southern Oscillation Variability at 4.1 kyBP
Authors: Theaker C. M. , Carolin S. A. , Day C. C. , Cobb K. M. , Chen S. , Grothe P. R. , Couper H. O. 
Published: March 2024

AbstractThe timing and geographic extent of a potential “4.2 ky event” remain highly contested. Here we present records of ENSO variability at 3.8 kyBP and 4.1 kyBP derived from a Borneo stalagmite, which suggest a significant change in ENSO properties between these time intervals. The Borneo records show evidence of significantly reduced ENSO activity at 4.1 kyBP, relative to other measured windows within the Holocene. This reduced ENSO activity coincides with a period of drier conditions and enhanced dust events in the Middle East that took place ∼4.0–4.3 kyBP. The Borneo records show evidence of enhanced ENSO activity at 3.8 kyBP. Various hydroclimate changes attributed to the “4.2 ky event” in many regions may thus be reflecting a shift from reduced to enhanced El Niño activity that occurred between 3.8 kyBP to 4.0 kyBP.
Strong Aerosol Absorption and Its Radiative Effects in Lhasa on the Tibetan Plateau
Authors: Wang Shuo , Zhao Weixiong , Liu Qianqian , Zhou Jiacheng , Crumeyrolle Suzanne , Xu Xuezhe , Zhang Chong , Ye Chunxiang , Zheng Yu , Che Huizheng , Zhang Weijun 
Published: March 2024

AbstractKnowledge of aerosol radiative effects in the Tibetan Plateau (TP) is limited due to the lack of reliable aerosol optical properties, especially the single scattering albedo (SSA). We firstly reported in situ measurement of SSA in Lhasa using a cavity enhanced albedometer (CEA) at λ = 532 nm from 22nd May to 11th June 2021. Unexpected strong aerosol absorbing ability was observed with an average SSA of 0.69. Based on spectral absorptions measured by Aethalometer (AE33), black carbon (BC) was found to be the dominated absorbing species, accounting for about 83% at λ = 370 nm, followed by primary and secondary brown carbon (BrCpri and BrCsec). The average direct aerosol radiative forcing at the top of atmosphere (DARFTOA) was 2.83 W/m2, indicating aerosol warming effect on the Earth‐atmosphere system. Even though aerosol loading is low, aerosol heating effect plays a significant role on TP warming due to strong absorbing ability.