bluuebunny/crossref_metadata_2025_split huggingface dataset:
Transgender Discrimination in Puerto Rico: An Analysis From a Queer Perspective of Labor Experiences
Authors: Torres‐Castro Thais , Morales‐Villena Amalia 
Published: January 2025

ABSTRACTThe aim of this paper is to show the impact of the gender binary in the workplace, with a special focus on the experiences of the TRANS community in Puerto Rico. This research article, written as a queertext, highlights how social perceptions of gender influence job opportunities, recruitment, and selection processes, as well as discrimination in the workplace. Rooted in social constructs, binary gender norms lead to violence and discrimination against those who dare to challenge them. The research for this article was conducted between 2018 and 2022 utilizing a queer methodology that enabled the authors to compile first‐hand insights in relation to the working lives of 8 Puerto Ricans of TRANS experience through in‐depth interviews and discussions. The findings emphasize the challenges faced by the TRANS community in the job application process, including the need to navigate identity disclosure, dress codes, and social expectations. It also notes the impact of colonization on the construction of the concept of gender in Puerto Rico and the need to continue advocating in favor of TRANS rights. In accordance with the political scope of the queer research, this article declares its commitment to denouncing the abuse of this minority group and vindicating the legitimate rights of this collective, echoing—but not voicing—the claims that the TRANS community has been making for some time.
Enhanced energy storage property in Bi0.5Na0.5TiO3‐based ceramics by composition modulation and grain refinement
Authors: Zhou Wen , Zhang Yangyang , Zhang Yifei , Yang Xinhui , Zhang Xian , Zhang Qingfeng , Jiang Shenglin , Zhang Guangzu , Chen Yong , Shen Meng 
Published: January 2025

AbstractHigh energy density (Wrec) dielectrics with excellent efficiency (η) and thermal stability are crucial in high‐power energy storage applications. In this work, we introduce Ba(Zr0.2Ti0.8)O3 (BZT) into Bi0.5Na0.5TiO3 (BNT) to delay saturation polarization and refine grain sizes for enhancing energy storage performance. BZT diffusing into BNT lattice not only increases electronegativity between A‒O/B‒O bond and the relaxor, but also is beneficial for refining grain sizes and suppressing the development of local electric branches. Therefore, high Pmax with moderate Pr and improved breakdown strength is achieved in BNT‒xBZT ceramics with x = 0.6 mol. Additionally, BNT‒0.60BZT ceramics demonstrate enhanced recoverable energy storage density of 4.1 J cm−3 with high energy storage efficiency of 91%, along with favorable overdamped charge‒discharge properties including a maximum current, discharge energy density, and discharge time of 10 A, 2.4 J cm−3, and 150 ns, respectively.
Cloud Forest Tree Growth Responses to Climate and Drought Vary by Island and Species in the Macaronesian Region
Authors: García‐López María A. , García‐Cervigón Ana I. , Elias Rui Bento , Calvo‐Donate Victoria , Fernández‐Palacios José María , García‐Hidalgo Miguel , Gómez‐González Susana , Gouveia Manuela , Menezes de Sequeira Miguel , Olano José M. , Pescador David S. , Sangüesa‐Barreda Gabriel , Rozas Vicente 
Published: January 2025

ABSTRACTAimMacaronesian cloud forests are insular ecosystems subjected to local environmental variability, but the responses of their tree species to climate variations have never been studied. Our aim was to assess how the variation in environmental conditions associated with the geographical location of several islands in three Macaronesian archipelagos affects the growth patterns and drought‐resistance of the dominant cloud forests trees.LocationAzores, Madeira and Canary archipelagos. Portugal and Spain.TaxonLauraceae, Aquifoliaceae, Clethraceae, Oleaceae, Rosaceae and Cupressaceae.MethodsWe assessed variations in the radial growth response of 10 cloud forest tree species from 18 populations on 5 islands along a geographical gradient in Macaronesia. We quantified the influence of local climatic variables and North Atlantic Oscillation (NAO) and East Atlantic Pattern (EA) circulation patterns on tree growth and how drought events affected to the resistance, recovery and resilience indices estimated for these species.ResultsTrees from the same island showed similar growth patterns, particularly in islands with marked hydric stress. In Madeira and the Canary Islands, radial growth was mainly determined by water availability, winter NAO negatively affected growth and droughts caused abrupt narrow growth‐ring width. In the Azores, the effect of the EA was positive, as it increased temperature and relative humidity and promoted growth. Trees from wetter environments demonstrated higher growth resistance to drought, while trees from drier sites showed faster growth recovery after drought events.Main ConclusionsHomogeneous growth patterns among species from the same island suggested that the radial growth of trees in cloud forests is mostly determined by local environmental conditions, which are more important for their growth than phenotypic traits. The variability in water availability determined by a latitudinal geographical gradient throughout the Macaronesian region influenced both the climatic response of the trees and their resilience to drought.
Free‐Hand Endoscopic Full‐Thickness Resection for Duodenal Subepithelial Lesions
Authors: Xu Peirong , Liu Zuqiang , Wang Li , Qu Yifan , Xu Chenchao , Xiang Anyi , Su Wei , Tan Tao , Zhang Jiyuan , Yao Lu , Xu Meidong , Zhong Yunshi , Li Quanlin , Zhou Pinghong , Hu Hao 
Published: January 2025

ABSTRACTBackground and AimThis work aims to evaluate the efficacy and safety of free‐hand endoscopic full‐thickness resection (EFTR) for duodenal subepithelial lesions (SELs).MethodsWe performed a retrospective review of 105 patients with duodenal SELs who underwent free‐hand EFTR. Free‐hand EFTR means no other devices (over‐the‐scope clip or full‐thickness resection device) are required. The preoperative baseline data, procedure‐related characteristics, and postoperative outcomes were analyzed.ResultsThe technical success rate was 99.0%, and the en bloc resection rate was 94.2%. A total of nine (8.7%) patients experienced major postoperative adverse events (AEs). The incidence of major AEs was significantly higher for lesions with a maximum diameter ≥ 2 cm (30.4%) than for lesions with a maximum diameter < 2 cm (2.6%) (p < 0.001). There were also significant differences in the incidence of major AEs for peri‐ampullary lesions (37.5%), bulb lesions (4.8%), bulb‐descending junction lesions (6.7%), and descending part lesions (12.5%) (p = 0.032). Multivariable regression analyses revealed that the maximum diameter ≥ 2 cm (OR = 18.108; 95% CI = 1.881–174.281; p = 0.012) and lesions located in peri‐ampullary (OR = 18.950; 95% CI = 1.219–294.648; p = 0.036) were independent risk factors for major AEs. The mean duration of the follow‐up period was 36.6 ± 21.3 months, and only one patient with gastrointestinal stromal tumors recurred.ConclusionsFree‐hand EFTR is a safe and effective technique for nonampullary duodenal SELs with a maximum diameter of < 2 cm. Given the complexity of the duodenal anatomy, this procedure should be performed by experienced endoscopists.
Survival Outcomes Associated With Radiological Progressive Disease Subtypes in Patients With Atezolizumab and Bevacizumab–Treated HCC
Authors: Matono Tomomitsu , Tada Toshifumi , Kumada Takashi , Hiraoka Atsushi , Hirooka Masashi , Kariyama Kazuya , Tani Joji , Atsukawa Masanori , Takaguchi Koichi , Itobayashi Ei , Fukunishi Shinya , Nishikawa Hiroki , Tanaka Kazunari , Tsuji Kunihiko , Ishikawa Toru , Tajiri Kazuto , Koshiyama Yuichi , Toyoda Hidenori , Ogawa Chikara , Hatanaka Takeshi , Kakizaki Satoru , Kawata Kazuhito , Ohama Hideko , Tada Fujimasa , Nouso Kazuhiro , Morishita Asahiro , Tsutsui Akemi , Nagano Takuya , Itokawa Norio , Okubo Tomomi , Arai Taeang , Nishimura Takashi , Imai Michitaka , Kosaka Hisashi , Naganuma Atsushi , Aoki Tomoko , Kuroda Hidekatsu , Yata Yutaka , Nakamura Yoshiko , Yoshida Osamu , Nakamura Shinichiro , Enomoto Hirayuki , Kaibori Masaki , Hiasa Yoichi , Kudo Masatoshi ,   the Real‐life Practice Experts for HCC (RELPEC) Study Group,   the Hepatocellular Carcinoma Experts from 48 clinics in Japan (HCC 48) Group
Published: January 2025

ABSTRACTBackground and AimTo assess the relationship between survival outcomes and subtypes of radiological progressive disease (PD) in patients with hepatocellular carcinoma (HCC) treated with atezolizumab and bevacizumab (Atezo/Bev).MethodsA total of 462 patients with Atezo/Bev‐treated HCC diagnosed with radiological PD during follow‐up were enrolled. PD was classified into three categories: progression or emergence of intrahepatic lesions (PD‐IH), macroscopic vascular invasion (PD‐MVI), and extrahepatic spread lesions (PD‐EHS). We defined PD‐multiple as the presence of two or more PD categories. Subsequent analysis was categorized into the “PD‐IH or PD‐EHS” and “PD‐MVI or PD‐multiple” groups.ResultsThe median progression‐free survival (PFS) durations for patients with PD‐IH, PD‐MVI, PD‐EHS, and PD‐multiple were 5.3, 3.2, 3.9, and 3.5 months (p = 0.003). Patients with “PD‐IH or PD‐EHS” and “PD‐MVI or PD‐multiple” had median PFS of 5.2 and 3.5 months (p < 0.001). Median overall survival (OS) for PD‐IH, PD‐MVI, PD‐EHS, and PD‐multiple was 22.3, 15.1, 19.4, and 14.2 months (p = 0.002). The OS for patients with “PD‐IH or PD‐EHS” and “PD‐MVI or PD‐multiple” was 21.4 and 14.5 months (p < 0.001). Multivariate analysis demonstrated that ECOG‐PS ≥ 1 (hazard ratio (HR), 1.508), α‐fetoprotein levels ≥ 100 ng/mL (HR, 1.293), albumin–bilirubin grade ≥ 2 (HR, 1.573), liver cirrhosis (HR, 1.361), and PD subtypes PD‐MVI or PD‐multiple (HR, 1.735) were independently associated with OS.ConclusionsPatients with HCC undergoing Atezo/Bev treatment, diagnosed with PD‐multiple (not solely based on IH or EHS) or PD‐MVI, experienced poor prognosis, specifically in terms of OS.
Network Analyses to Explore Comorbidities Among Older Adults Living With Dementia
Authors: Quan Samuel , Monchka Barret A. , St. John Philip D. , Doupe Malcolm B. , Turgeon Maxime , Lix Lisa M. 
Published: January 2025

ABSTRACTBackgroundOlder persons living with dementia (PLWD) often have multiple other chronic health conditions (i.e., comorbidities). Network analyses can describe complex profiles of chronic health conditions through graphical displays grounded in empirical data. Our study compared patterns of chronic health conditions among PLWD residing in and outside of long‐term care (LTC) settings.MethodsPopulation‐based administrative data, including outpatient physician claims, inpatient records, pharmaceutical records, and LTC records, for the study were from the Canadian province of Manitoba. We included PLWD, ages ≥ 67 years, with two or more other chronic health conditions, who resided in Manitoba from 2017 to 2020. A total of 138 chronic health conditions were ascertained using a modification of the open‐source Clinical Classification Software. Networks defined by nodes (health conditions) and edges (associations between nodes) were stratified by residence location (in versus outside LTC). Network properties were described, including: density (ratio of number of edges to number of potential edges), and modularity (associations between and within clusters of health conditions), and the median and interquartile range (IQR) for node degree (number of associations per node).ResultsThe population comprised 19,672 PLWD, of which 17,534 (89.1%) had two or more chronic health conditions. The median number of co‐occurring conditions was similar among PLWD in LTC (median: 6, IQR: 3–10) versus outside LTC (median: 7, IQR: 4–10). Network properties were similar for PLWD and multiple comorbidities residing in versus outside LTC, including node degree (median 11 vs. 12), density (0.15 vs. 0.14), and modularity (0.18 vs. 0.26).ConclusionsMultiple chronic diseases characterize PLWD residing in and outside of LTC. Using network analyses, chronic diseases among PLWD do not form easily distinguishable groups or patterns. This suggests the need for comprehensive clinical assessments, individualized approaches for disease management, and highlights the importance of person‐specific care.
Social Internet Use by People With Intellectual Disabilities: A Systematic Review and Thematic Synthesis of Qualitative Studies
Authors: van Alem Johanna L. L. , Frielink Noud , Embregts Petri J. C. M. 
Published: January 2025

ABSTRACTIntroductionAlthough existing research has explored both the benefits and risks associated with social internet use amongst people with intellectual disabilities (ID), a comprehensive understanding of the underlying reasons for this engagement is still lacking. This systematic review synthesizes literature investigating the reasons for social internet use amongst people with ID.MethodsEight electronic databases (Cinahl, Cochrane, Embase, ERIC, Google Scholar, Medline, PsycINFO and Web of Science) were systematically searched in June 2023 and November 2024 and screened using active machine learning techniques. Studies were considered for inclusion if they qualitatively described the reasons, motivations and personal opinions of people with ID regarding their social internet use in English and were published in peer‐reviewed journals. Caregivers' insights were included if individuals could not verbally communicate directly. Only voluntary social internet use was considered; interventions were excluded unless preintervention views on social internet use were reported. Risk of bias was assessed using the Mixed Methods Appraisal Tool (MMAT; Hong et al. 2018). Data were extracted using the SPIDER tool and analysed using thematic synthesis.ResultsIn total, 21 relevant articles were identified. Most studies described social internet use in Western contexts (n = 19), primarily amongst adults (n = 16). Four articles specifically addressed social internet use during COVID‐19. Only seven studies explicitly reported participants' level of ID, with six focusing on mild‐to‐moderate ID and one on profound and multiple ID. Four themes emerged: a feeling of fitting in (n = 12), maintaining connections (n = 16), making new connections (n = 14) and enhancing autonomy and empowerment (n = 10).DiscussionThe findings underscore the importance of social internet use in fostering feelings of inclusion, connectedness and autonomy amongst people with ID. These insights can guide researchers and caregivers in developing tailored support strategies that both maximize the benefits and mitigate the risks of online social engagement for this population. By understanding the specific reasons behind social internet use, caregivers can offer more personalized guidance that aligns with the individual needs and preferences of people with ID. The review also highlights a need for future research to adhere to reporting guidelines to enhance transparency and quality in the field.
Life history and growth dynamics of a peirosaurid crocodylomorph (Mesoeucrocodylia; Notosuchia) from the Late Cretaceous of Argentina inferred from its bone histology
Authors: Navarro Tamara G. , Cerda Ignacio A. , Filippi Leonardo S. , Pol Diego 
Published: January 2025

AbstractNotosuchia were a successful lineage of Crocodyliformes that achieved a remarkable diversity during the Cretaceous of Gondwana, particularly in South America. Although paleohistology has expanded our knowledge of the paleobiology of notosuchians, several clades of this lineage remain poorly understood in this aspect. Here we help to address this gap by conducting the first histological analysis of appendicular bones of a peirosaurid. To increase our knowledge about growth dynamics and examine intraeskeletal and interspecific histological variation, we analyze the microstructure of a tibia, fibula, phalanx, fragment of ornamented element (possible osteoderm or skull bone) and a possible long bone of an individual assigned to Peirosauridae indet. (MAU‐Pv‐437). The peirosaurid studied here appears to have reached sexual but not somatic maturity and the minimum age inferred from appendicular bones results in a lower estimated than the age inferred from osteoderms in a previous study on the same individual. The cortical bone in MAU‐Pv 437 is formed by vascularized parallel fibered bone/lamellar bone which indicates that this individual experienced a moderate growth rate. This indicates different growth dynamics from what has been observed for other notosuchians specimens, suggesting a lack of a uniform growth pattern for this clade.
Attitudes toward same‐sex couple parents: A decade of change
Authors: Manning Wendy D. , Gustafson Kristen E. 
Published: January 2025

AbstractObjectiveOur goal is to track changes in attitudes about same‐sex parents in the United States across a 10‐year time span between 2012 and 2022.BackgroundDuring this period, there have been transformations in the legal rights of same‐sex couples to marry and increased support for same‐sex marriage; however, recent increase in hostile state‐level policies regarding same‐sex couples often center on issues about children.MethodDrawing on data from the 2012 and 2022 General Social Survey (https://gss.norc.org/), we examine changes in attitudes regarding same‐sex parents.ResultsWe find significant increases in support for same‐sex parents, and this differential persists once accounting for sex, race/ethnicity, education, family background, age, parenthood status, religiosity, political beliefs, urbanicity and region of residence. Although increases in support occurred for all groups, most of the covariates were related to attitudes about same‐sex parents in a similar manner in 2012 as 2022.ConclusionThese findings suggest growth in support for both male and female same‐sex parents. New research on how changes in support for same‐sex couples and families are linked to specific policies changes is warranted. Underlying value orientations (politics and religiosity) appear to still drive differentials in public opinion.ImplicationsThis new level of support for same‐sex parents may have implications for the enactment of new policies at the local, state and national level that ensure same‐sex parent families receive protections from discrimination.
Who Could Be Targeted for Teledentistry in Japanese Clinics? A Questionnaire Survey of Patients
Authors: Takeda Asuka , Fukuda Hideki 
Published: January 2025

ABSTRACTObjectivesThe COVID‐19 pandemic has fostered the use of teledentistry worldwide. However, teledentistry remains underutilized in Japan due to a lack of clarity regarding its target population. This study aimed to determine the current demands of patients of dental clinics in Saitama, Japan; enable dental care professionals to adopt teledentistry; and examine which patients could be targeted for teledentistry.MethodsThis cross‐sectional study involved a survey of dental patients who visited one of 28 participating dental clinics in September 2020 in Saitama, Japan. The patients were asked about their demographic information, impact of the COVID‐19 pandemic, and teledentistry—including future demands (whether they would like to receive teledentistry consultations). Data were analyzed using descriptive statistics and a multiple logistic regression model.ResultsQuestionnaires were distributed to 1335 patients, 1312 of whom responded (response rate: 98.3%). The analysis included 835 of the 1227 valid responses to the question about the future demand for teledentistry (“demand” group: 299 patients; “unnecessary” group: 536 patients). The difference in the frequency of dental visits between the “demand” and “unnecessary” groups was significant (p = 0.04). The multiple logistic regression model identified “visited dentists only when necessary” as an independent contributor to the future demand for teledentistry (odds ratio = 1.60, 95% confidence interval = 1.00–2.57).ConclusionsTeledentistry presents an opportunity for dental care for those who do not habitually visit the dental clinic. Further research should explore the type of dental consultation required by infrequent dental patients and how teledentistry can meet these needs.
Behavior change techniques in low‐calorie and very low‐calorie diet interventions for weight loss: A systematic review with meta‐analysis
Authors: Evans Tamla S. , Dhir Pooja , Matu Jamie , Radley Duncan , Hill Andrew J. , Jones Andrew , Newson Lisa , Freeman Charlotte , Kolokotroni Katerina Z. , Fozard Therese , Ells Louisa J. 
Published: January 2025

SummaryBackgroundThere is limited evidence and clinical guidelines on the behavior change support required for low‐calorie diet programs. This systematic review aimed to establish the behavior change technique(s) (BCT) implemented in weight loss interventions (≤1200 kcal/d) and how these contribute to effectiveness.MethodsDatabases were searched from inception to April 2022. Screening, data extraction, BCT coding, and quality appraisal were conducted in duplicate using the Template for Intervention Description and Replication framework, Behavior Change Technique Taxonomy, and Cochrane Risk of Bias 2 tool. Data were analyzed via narrative synthesis and random effects multi‐level meta‐analyses.ResultsThirty‐two papers reporting on 27 studies were included. Twenty‐four BCTs were identified across studies. Eight BCTs were significantly associated with a larger reduction in weight at the end‐of‐diet time‐point; one BCT was statistically significant at the end of weight maintenance. Physical activity, Type 2 Diabetes, and BMI category moderated intervention effects.Conclusions and implicationsThis is the first meta‐analysis to examine how specific BCTs contribute to the effectiveness of low‐calorie diets. It is recommended that a) these findings are used to develop clinical guidelines specific to behavioral support in low‐calorie diet programs, and b) program commissioners stipulate the use of these BCTs in their service specifications.
Distal Pedicle Subtraction Osteotomy for Ankylosing Spondylitis With the Dual Complications of Andersson Lesions and Idiopathic Spinal Cord Hernia: A Rare Case Report
Authors: Li Junyu , Yang Zexi , Zhang Xinyu , Shang Zesen , Wu Hongyu , Zheng Danfeng , Sun Zhuoran , Wang Yongqiang , Zeng Yan , Li Weishi , Yu Miao 
Published: January 2025

ABSTRACTBackground and ImportanceAnkylosing spondylitis (AS) is a systemic chronic inflammatory disease. Andersson lesion (AL) is a late complication of advanced AS. Idiopathic spinal cord hernia (ISCH) is a rare disorder of the spinal cord. However, according to our literature review, the simultaneous occurrence of AL together with ISCH in a single AS patient had never been reported.Clinical PresentationA 49‐year‐old male reported a 30‐year history of thoracolumbar pain and limited mobility and was diagnosed with AS with dual complications of AL and ICSH. Before correction surgery, physical examination, x‐ray, CT,MRI and Blood HLA‐B27 examination were performed and a series of radiological parameters, including the degree of kyphosis and the T1‐pelvic angle (TPA), were measured. Several days after surgery (Distal PSO was used), we performed examinations to check the patient's physical condition which showed the patient recovered remarkably. CTA was done, indicating that the patient's aorta moved anteriorly with the osteotomy side undamaged. A series of morphological parameters were measured again, including TPA, LL, and TK. CT and MRI were performed again, reflecting significant bone‐to‐bone fusion and successful recovery. The patient relieved the symptoms and regained his daily activities.ConclusionsWe deepen the understanding of the diagnosis and treatment of AS with rare complications of AL and ISCH. Distal PSO could be an effective option for severe AS patient.