bluuebunny/crossref_metadata_2025_split huggingface dataset:
Latent profile and determinants of self-management behaviors among older adult patients with chronic diseases: a cross-sectional study
Authors: Shao Yu Jiao , Duan Xiao Cui , Xu Xue Jun , Guo Hong Yan , Zhang Ze Yu , Zhao Shuang , Wang Fu Zhi , Chen Yong Xia , Chen Qin , Zhang Shi Qing , Yang Xiu Mu 
Published: February 2025

ObjectiveTo explore latent profiles of self-management behaviors in older adult patients with chronic diseases and identify the factors that influence different profiles, guiding targeted interventions.MethodsThis study used convenience sampling to recruit 536 older adult patients with chronic diseases from three tertiary hospitals in Anhui Province between October 2023 and May 2024. Data were collected using a general information questionnaire, the age-adjusted Charlson Comorbidity Index (aCCI), the Chronic Disease Self-Management Behavior Scale, the Chronic Disease Management Self-Efficacy Scale, the Psychological Status Scale, the Digital Health Literacy Scale, and the Social Support Scale. Latent profile analysis was conducted using Mplus 8.3, and univariate and multivariate logistic regression analyses were performed using SPSS 26.0.ResultsThree profiles of self-management behaviors emerged: “Low Self-Management” (50.2%), “High Exercise and Cognitive Management” (8.6%), and “Moderate Management with Enhanced Communication” (41.2%). Multivariate logistic regression revealed that residence, aCCI, number of digital devices used, perceived usefulness of digital health information, digital health literacy, social support, chronic disease management self-efficacy, and psychological status were significant factors affecting self-management profiles (all p &lt; 0.05).ConclusionSelf-management behaviors in older adult patients with chronic diseases were generally low, with substantial heterogeneity across profiles. Healthcare providers should tailor interventions based on the characteristics of each group to enhance self-management in digital health contexts.
The relationship between perceptions toward advertising and consumption of energy-dense nutrient-poor foods among adults in the United States: results from a national survey
Authors: Thai Chan L. , Villarreal Jacqui , Thai Jacqueline A. 
Published: February 2025

IntroductionMuch of the research on the effects of food advertising has been focused on children and adolescents; however, adults may also be influenced. Prior research has also shown that exposure to food advertisements have impacted the consumption behaviors of adults. The purpose of this study is to explore (1) the differences in perceptions toward and trust in food advertisements between racial/ethnic population subgroups; and (2) the associations between perceptions toward food advertising and the consumption of energy-dense, nutrient poor (EDNP) foods among adults using data from a national data set (n = 1,535).MethodsData from the National Cancer Institute’s Family Life, Activity, Sun, Health, and Eating (FLASHE) survey were utilized in this secondary data analysis study. We conducted one-way ANOVAs to evaluate demographic subgroup differences within advertising trust and perceptions, and utilized bivariate and multivariable linear regression models to examine associations between (1) the perceptions toward and trust in food advertisements between racial/ethnic population subgroups; and (2) the associations between perceptions toward food advertising and the consumption of EDNP foods, while controlling for sociodemographic factors.ResultsResults show significant differences between racial/ethnic groups on advertising perceptions (F = 8.59, p &lt; 0.0001). Planned contrasts show that there was a statistically significant and meaningful difference (p = 0.04) between Non-Hispanic Blacks (mean = 2.85) and Non-Hispanic Whites (mean = 2.52) for trust in food advertising. Regression analyses show that as positive perceptions toward food advertising increase among adults, there is an increase in daily frequency of consumption of EDNP foods and drinks (𝛽 = 0.15, p &lt; 0.0001). This pattern was similar for trust in food advertising (𝛽 = 0.13, p &lt; 0.0001).DiscussionGiven that previous studies have shown that ethnic minority groups, particularly Non-Hispanic Blacks, are more likely to be exposed to unhealthy food advertisements across various types of media, such as TV, billboards, and in grocery stores, it is possible that Non-Hispanic Black adults have greater trust in food advertising because of the increased environmental exposure to advertising through various channels of communication. Numerous studies have demonstrated that exposure to food advertisements is linked to consumption of the foods found in those advertisements. Our results provide some initial empirical support for the cognitive mechanisms of how exposure to food advertising may contribute to consumption. Developing advertising literacy interventions to inoculate against the cognitive impacts of food advertising may be a viable strategy to limiting consumption of EDNP foods.
Large language models generating synthetic clinical datasets: a feasibility and comparative analysis with real-world perioperative data
Authors: Barr Austin A. , Quan Joshua , Guo Eddie , Sezgin Emre 
Published: February 2025

BackgroundClinical data is instrumental to medical research, machine learning (ML) model development, and advancing surgical care, but access is often constrained by privacy regulations and missing data. Synthetic data offers a promising solution to preserve privacy while enabling broader data access. Recent advances in large language models (LLMs) provide an opportunity to generate synthetic data with reduced reliance on domain expertise, computational resources, and pre-training.ObjectiveThis study aims to assess the feasibility of generating realistic tabular clinical data with OpenAI’s GPT-4o using zero-shot prompting, and evaluate the fidelity of LLM-generated data by comparing its statistical properties to the Vital Signs DataBase (VitalDB), a real-world open-source perioperative dataset.MethodsIn Phase 1, GPT-4o was prompted to generate a dataset with qualitative descriptions of 13 clinical parameters. The resultant data was assessed for general errors, plausibility of outputs, and cross-verification of related parameters. In Phase 2, GPT-4o was prompted to generate a dataset using descriptive statistics of the VitalDB dataset. Fidelity was assessed using two-sample t-tests, two-sample proportion tests, and 95% confidence interval (CI) overlap.ResultsIn Phase 1, GPT-4o generated a complete and structured dataset comprising 6,166 case files. The dataset was plausible in range and correctly calculated body mass index for all case files based on respective heights and weights. Statistical comparison between the LLM-generated datasets and VitalDB revealed that Phase 2 data achieved significant fidelity. Phase 2 data demonstrated statistical similarity in 12/13 (92.31%) parameters, whereby no statistically significant differences were observed in 6/6 (100.0%) categorical/binary and 6/7 (85.71%) continuous parameters. Overlap of 95% CIs were observed in 6/7 (85.71%) continuous parameters.ConclusionZero-shot prompting with GPT-4o can generate realistic tabular synthetic datasets, which can replicate key statistical properties of real-world perioperative data. This study highlights the potential of LLMs as a novel and accessible modality for synthetic data generation, which may address critical barriers in clinical data access and eliminate the need for technical expertise, extensive computational resources, and pre-training. Further research is warranted to enhance fidelity and investigate the use of LLMs to amplify and augment datasets, preserve multivariate relationships, and train robust ML models.
Assessing the impact of green transformation on carbon emissions: a dynamic spatial Durbin model
Authors: Gao Peng , Qu Chao 
Published: February 2025

IntroductionChina's environmental policies and the green transformation of its industries have attained paramount significance in the wake of intensifying climate change and soaring carbon emissions, critically shaping sustainable development at both national and international scales. As the exploration of the drivers and outcomes of this green revolution on carbon emissions gains traction as a focal point of research, this study endeavors to assess the effects and their underlying causes.MethodsUtilizing a systems thinking methodology, a dynamic spatial Durbin model was constructed, analyzing statistical data spanning from 2004 to 2021, encompassing 30 Chinese provinces.ResultsChina's green transformation significantly influences the spatial distribution patterns of carbon emissions across various regions.DiscussionEnvironmental Protection investment has been effective in curbing carbon emissions from local businesses, yet it may also prompt a relocation of these businesses to neighboring provinces, inadvertently elevating their carbon emissions. Green innovation and the adoption of green energy technologies have proven instrumental in reducing carbon emissions in a region, with positive spillover effects extending to nearby areas. The dynamic spatial Durbin model analysis further underscores the inertia of carbon emissions, indicating that achieving carbon reduction is a process requiring consistent and sustained efforts over the long term. The findings of this study offer valuable insights and recommendations for the government in devising and implementing green transformation policies that align with the dual-carbon target, aiming to achieve a greener and more sustainable future.
Perceived discrimination in fatigue: a qualitative interview study in the SOMA.SOC project
Authors: Barbek Rieke , Makowski Anna Christin , von dem Knesebeck Olaf 
Published: February 2025

IntroductionFatigue is a frequent somatic symptom impacting health and well-being and lately receiving increased attention as a long-term consequence of COVID-19. Emerging evidence suggests that persons afflicted with fatigue symptoms are often stigmatized and discriminated because their symptoms are still poorly understood and not recognizable to others. Existing stigma research mainly focused on specific medical conditions and domains and overlooked intersectional discrimination – the negative amplification effect of intersecting social identities. The purpose of the current study is to examine perceived discrimination in fatigue across different medical conditions and domains, also considering intersectional discrimination.Materials and methodsSemi-structured telephone interviews were carried out with 19 patients with clinically significant fatigue, considering a variety of different social identities like gender, history of migration, and occupational status. The interviews were analyzed using a structured qualitative content approach with consensual coding.ResultsThe findings on perceived discrimination could be subsumed in eight practices: (nonverbal) communication, negative emotional reaction, medical treatment, leadership responsibility, structural barriers, diagnostic terminology, and scientific controversy. Participants reported overlapping experiences of perceived discrimination across several intertwined domains: medical setting, work, social, public, and at an overarching structural level. Thereby, especially discrimination in the medical setting and on structural level occurred with great impact on health care and social protection. By applying an intersectional approach, intersectional discrimination specific for certain stigmatized social identities, like female gender and low occupational status became apparent.DiscussionThese findings need to be further researched and addressed in intervention strategies increasing resilience and public knowledge to reduce intersectional discrimination and health inequalities.
Proposal of an objective formula-based model for equitable ranking of veterinary colleges
Authors: Gogal Robert M. , Holladay Steven David 
Published: February 2025

IntroductionWe suggest an objective ranking formula that has wide national and international application. The new formula is presented with U.S. Colleges of Veterinary Medicine as an example. Methods used by ranking agencies differ, as do the ranks they generate. In some instances, relatively narrow information is collected from a limited number of polled contributors, raising questions about strength and validity of the generated ranks.MethodsA new formula-based weighted model for ranking of veterinary colleges is proposed. Numbers fed into the formula parameters, for instance teaching hospital case load, faculty number and research expenditures, derive from real and measurable qualities of each college and drive an objective final ranking score for each veterinary college. This formula is designed to be readily modified within and beyond the veterinary profession.ResultsThe new ranking system works from calculations that are straightforward and transparent with little room for subjective interpretation. It is designed to provide a rigorous and defendable institutional rank for all veterinary colleges.DiscussionThe new ranking system is designed to be readily adaptable within veterinary colleges as the profession changes, as well as to academic institutions with focuses other than veterinary medicine. The goal is to provide a new model that is useful for objective comparisons.
Prevalence of COVID-19 Vaccine Hesitancy Among Healthcare Workers in Nigeria: A Systematic Review and Meta-Analysis
Authors: Abaate Taagbara Jolly , Buowari Dabota Yvonne , Agiri Utchay A. , Inimgba Tamunodiepiriye , Ogbonna Vivian Ifeoma , Onyeaghala Chizaram , Worgu Glory Ovunda , Somiari Abiye , Ezebuiro Emmanuella I. , Onuah Ibe Arthur 
Published: February 2025

ObjectiveThe purpose of this systematic review and meta-analysis was to determine the prevalence of COVID-19 vaccine hesitancy among Nigerian healthcare professionals.MethodsAn extensive language-unrestricted literature search was conducted across PubMed, Scopus, the Cochrane Library, and the African Index Medicus to identify studies reporting hesitancy to COVID-19 vaccines among healthcare workers in Nigeria. Quality assessment was performed using the Newcastle-Ottawa scale for cross-sectional studies. A single-arm meta-analysis was performed using a random-effects model.ResultsOf the 206 articles, 22 publications with 20,724 participants were included. The pooled prevalence of COVID-19 vaccine hesitancy was 75% (95% CI: 61%–88%, I2 = 99.69%, P &lt; 0.001). Reasons for hesitancy, including concerns about side effects, lack of trust, and safety, were prevalent at 76% (CI: 0.57–0.94, I2 = 99.24%, P &lt; 0.001), 55% (CI: 0.042–0.272, I2 = 97.42%, P &lt; 0.001), and 68% (CI: 0.047–0.89, I2 = 98.59%, P &lt; 0.001), respectively.ConclusionThere was significant hesitancy among Nigerian healthcare workers towards COVID-19 vaccination; thus, strategies to increase vaccination acceptance among healthcare workers should be developed.
Расчет пожарного риска учреждений здравоохранения на примере психиатрического отделения (г. Северск)
Authors: Карабутов С.В. , Елфимов Н.В. 
Published: February 2025

В статье освящены актуальные вопросы нормирования требований безопасной эвакуации, учитывая наличие неоднородного контингента психиатрических отделений – пациентов с ограниченными возможностями здоровья, способных к самостоятельной эвакуации и с помощью персонала больницы. Описаны особенности обеспечение пожарной безопасности учреждений здравоохранения. Проведен расчет индивидуального пожарного риска для психиатрического отделения ФГБУ СибФНКЦ ФМБА России МЦ -1 корпус 13, г. Северск.
The article discusses topical issues of rationing safe evacuation requirements, given the presence of a heterogeneous contingent of psychiatric departments - patients with disabilities, capable of self-evacuation and with the help of hospital staff. Features of ensuring fire safety of healthcare institutions are described. An individual fire risk for the psychiatric department of the Federal State Budgetary Institution SibFNKTS FMBA of Russia MC -1 building 13, Seversk was calculated.
Оценка времени сосредоточения сил и средств пожарной охраны г. Красноярска к объектам метрополитена с помощью библиотеки OSMnx
Authors: Шамсудинов Г.Ю. , Ондар С.О. 
Published: February 2025

Проведено исследование с помощью библиотеки OSMnx, показывающая оперативность реагирования подразделений пожарной охраны к строящимся станциям метрополитена с помощью анализа уличной сети и маршрутизации на основе данных OpenStreetMap. Основной задачей исследования являлось определение временных показателей сосредоточения сил и средств к каждой станции метрополитена. Ключевые слова: OSMnx, программное обеспечение, сосредоточение сил и средств, геоинформационные системы, цифровые технологии, маршрутизация.
A study using the OSMnx library was conducted to show the responsiveness of fire department units to subway stations under construction using street network analysis and routing based on OpenStreetMap data. The main objective of the study was to determine the time indicators of the concentration of forces and means to each metro station.
К вопросу совершенствования системы подготовки кадров МЧС России: опыт актуализации учебной дисциплины экология
Authors: Талалаева Г.В. , Кокшаров А.В. 
Published: February 2025

Представлен опыт работы кафедры химии и процессов горения по актуализации программы учебной дисциплины «Экология» на предмет введения в нее дидактического и иллюстративного материала, посвященного акклиматизации к суровым условиям Крайнего Севера пожарных и спасателей, обладающих адаптивным типом жителей средних широт. Изложены результаты мониторинга эффекта температурных качелей, проведенные курсантами во время учебных занятий и работы в научном кружке кафедры химии и процессов горения. Показан значительный географический масштаб регионального изменения климата, влияющий на комплексную безопасность населения и территорий Уральского региона, в т.ч. входящего в Арктическую зону РФ. Описаны два сценария быстрого изменения региональных метеоусловий: ламинарные потоки теплого воздуха из Средней Азии вдоль восточных склонов Уральских гор и вихревые потоки холодного воздуха из Арктики в обратном направлении.
The article presents the experience of the Department of Chemistry and Combustion Processes in updating the curriculum of the discipline «Ecology » in terms of introducing didactic and illustrative material dedicated to acclimatization of firefighters and rescuers with an adaptive type of residents of mid-latitudes to the harsh conditions of the Far North. The article presents the results of monitoring the effect of temperature swings, conducted by cadets during classes and work in the scientific circle of the Department of Chemistry and Combustion Processes. It shows a significant geographical scale of regional climate change affecting the comprehensive safety of the population and territories of the Ural region, including those included in the Arctic zone of the Russian Federation. Two scenarios of rapid change in regional weather conditions are described: laminar flows of warm air from Central Asia along the eastern slopes of the Ural Mountains and vortex flows of cold air from the Arctic in the opposite direction.
Esporte Olímpico como tecnologia política
Authors: Alves Stefanie Hesse , Giglio Sérgio Settani 
Published: February 2025

The International Olympic Committee (IOC) has historically sought to maintain a discourse of neutrality, establishing recommendations and regulations with the aim of preventing the appropriation of Olympic sports for non-Olympic purposes. However, an analysis of the IOC's internal practices reveals a contradictory picture. On the one hand, there are indications of a political technology that serves a disciplinary, coercive and exclusionary system. On the other hand, there are also indications of a power structure that is characterised by quarrels, domination and the use of power. The objective of this article is to investigate how this modality of power was structured based on the analysis of official documents and decision-making processes, in the period from the creation of the IOC until the mid-1950s.
High surface electron-proton mixed conduction at medium temperature of c-axis oriented BaCe0.7Ru0.1Y0.2O3−δ thin film
Authors: Kaneda Naohiro , Notake Go , Wang Yicheng , Kaneko Riku , Tabuchi Riku , Morizane Ryota , Shiga Daisuke , Kumigashira Hiroshi , Higuchi Tohru 
Published: February 2025

Abstract
Electrochemical reaction-based solid oxide fuel cells (SOFCs), which operate at a medium temperature range from 300 to 600 °C, are expected to be a new renewable energy source. The performance of their electrochemical reactions for SOFC anode and cathode electrode membranes can be enhanced using electron-ion mixed conductor material. To realize a practical anode electrode film for SOFCs, c-axis oriented BaCe0.7Ru0.1Y0.2O3−δ
(BCRY) thin films were prepared on an MgO (100) substrate by RF magnetron sputtering. The oxygen vacancy concentration in the BCRY thin films was quantitatively evaluated by X-ray absorption spectroscopy and defect chemical analysis. Proton conductivity was proven from the O 1 s photoemission spectrum showing an OH- peak formed on the oxygen ion sites. Electron conductivity was proven from the small density-of-state at the Fermi level (E
F) and the energy difference between the top of the valence band and the E
F, which is close to the activation energy of the conductivity. The wet-annealed BCRY thin film, which exhibits surface electron-proton mixed conductivity of more than ∼10−3 S cm−1 at 300 °C, can be applied as a practical anode electrode film for SOFC operating in the medium temperature range.
Peran Guru Sebagai Edukator dalam Menanamkan Karakter Religius Peserta Didik di SD/MI
Authors: Alimah Fitri Nur , Purwowidodo Agus 
Published: February 2025

<p>Pendidikan merupakan usaha untuk mewujudkan suatu pembelajaran untuk mengembangkan potensi peserta didik. Karakter merupakan watak yang ada pada pribadi seseorang. Jadi, karakter religius merupakan sikap atau perilaku seseorang yang didasari iman dan takwa yang berlandaskan al-Qur’an dan Hadits. Penelitian ini bertujuan untuk menganalisis peran guru sebagai edukator dalam menanamkan karakter religius pada peserta didik. Penulisan artikel ini menggunakan metode Library Research menelaah literature yang berkaitan dengan judul. Karakter religius peserta didik harus ditanamkan sejak kecil, karena semakin berkembangnya ilmu pengetahuan dan teknologi maka juga harus diimbangi dengan karakter religius. Peran guru sebagai edukator dalam penanaman karakter religius ini cukup besar terutama yang berkaitan dengan pembelajaran di dalam maupun di luar kelas. Perencanaan penanaman karakter religius ini dimulai dari visi misi suatu lembaga itu sendiri dan juga tujuan pendidikan yang disinkronkan dengan tujuan pembelajaran di dalam kelas. Pelaksanaan di dalam kelas dapat melalui metode keteladanan, metode nasehat, dan sebagainya sedangkan penanaman karakter religius di luar kelas salah satunya dengan pembiasaan mengucapkan salam, berdo’a, sholat dhuha dan duhur berjama’ah dan lain sebagainya. Evaluasi penanaman karakter religius dapat dilakukan melalui observasi dan penilaian sikap religius peserta didik.</p>