bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do millennials’ personalities and smartphone use result in materialism? The mediating role of addiction
Authors: Tan Christine Nya-Ling 
Published: December 2023

Purpose
This paper aims to use the five-factor model’s (FFM: emotional instability, introversion, openness to experience, agreeableness and conscientiousness) personality traits and the need for arousal to explain millennials’ habitual and addictive smartphone use and resultant materialistic inclinations. The study also test the mediating role of addictive use in the relationship between habitual use and materialism.

Design/methodology/approach
Participants’ self-reported data (n = 705) from a sample of millennials were gathered using a cross-sectional survey approach conducted in Malaysia and studied using structural equation modelling with partial least squares (PLS-SEM).

Findings
The results discover that emotional instability, openness to experience, agreeableness and need for arousal have a significant influence on habitual smartphone use. Conversely, introversion and conscientiousness have no significant impact on habitual use. Fascinatingly, millennials’ habitual use positively influences their materialism. Furthermore, addictive smartphone use positively affects materialism and mediates the relationship between habitual use and materialism.

Originality/value
The FFM, a prominent personality trait model, has been used in numerous studies to predict usage intention. However, the particular dimension of the FFM personality traits that drive habitual and addictive smartphone use to trigger materialistic tendencies among millennials needs to be exposed in an emerging market context. The results emphasise the need to consider this demographic’s personalities when attempting to comprehend how habitual use and materialism occur. This study also provides practitioners with helpful information in creating targeted interventions to encourage healthy smartphone use behaviours and reduce possible adverse effects related to addictive smartphone use and materialistic attitudes.
Data driven or data informed? How general practitioners use data to evaluate their own and colleagues’ clinical work in clusters
Authors: Haase Christoffer Bjerre , Bearman Margaret , Brodersen John Brandt , Risor Torsten , Hoeyer Klaus 
Published: December 2023

AbstractIn contemporary policy discourses, data are presented as key assets for improving health‐care quality: policymakers want health care to become ‘data driven’. In this article, we focus on a particular example of this ambition, namely a new Danish national quality development program for general practitioners (GPs) where doctors are placed in so‐called ‘clusters’. In these clusters, GPs are obliged to assess their own and colleagues’ clinical quality with data derived from their own clinics—using comparisons, averages and benchmarks. Based on semi‐structured interviews with Danish GPs and drawing on Science and Technology Studies, we explore how GPs understand these data, and what makes them trust—or question—a data analysis. The GPs describe how they change clinical practices based on these discussions of data. So, when and how do data for quality assurance come to influence their perceptions of quality? By exploring these issues, we carve out a role for a sociological engagement with evidence in everyday medical practices. In conclusion, we suggest a need to move from the aim of being data driven to one of being data informed.
Dementia, nurse staffing, and health outcomes in nursing homes
Authors: Mukamel Dana B. , Ladd Heather , Saliba Debra , Konetzka R. Tamara 
Published: December 2023

AbstractObjectiveTo estimate and contrast the relationships between nurse staffing and health outcomes in nursing homes with low and high dementia census, to understand the association of staffing hours with dementia care quality.Data Sources and Study SettingA national sample of nursing homes during 2017–2019 (pre‐COVID). Data included the Payroll‐Based Journal, Medicare Claims, Nursing Home Care Compare, and Long‐Term Care Focus.Study DesignRetrospective, regression analyses. We estimated separate linear models predicting six long‐term facility‐level outcomes. Independent variables included staffing hours per resident‐day (HPRD) interacted with the facility percentage of dementia residents, controlling for other resident and facility characteristics.Data Collection/Extraction MethodsHospital‐based nursing homes, those with fewer than 30% dementia residents, and missing data were excluded.Principal FindingsWe found that registered nurses and certified nurse assistants HPRDs were likely to exhibit positive returns in terms of outcomes throughout most of the range of HPRD for both high and low‐census dementia facilities, although, high‐ and low‐dementia facilities differed in most outcome rates at all staffing levels. Average predicted antipsychotics and activities of daily living as functions of HPRD were worse in higher dementia facilities, independent movement, and hospitalizations did not differ significantly, and Emergency Rooms and pressure sores were worse in lower dementia facilities. Average marginal effects were not statistically different [CI included zero] between the high and low dementia facilities for any outcome.ConclusionsThese findings suggest that increasing staffing will improve outcomes by similar increments in both low‐ and high‐dementia facilities for all outcomes. However, at any given level of staffing, absolute differences in outcomes between low‐ and high‐dementia facilities remain, suggesting that additional staffing alone will not suffice to close these gaps. Further studies are required to identify opportunities for improvement in performance for both low‐ and high‐dementia census facilities.
Clinical validation of the nursing diagnosis of impaired mood regulation among individuals with experience of mood disorders
Authors: Oladokun Munirat Olayinka , Olaogun Adenike Ayobola , Mosaku Samuel Kolawole 
Published: December 2023

AbstractPurposeThe aim of the study was to validate the defining characteristics (DCs) of the nursing diagnosis impaired mood regulation using related criteria in an African context.MethodsThis descriptive study was conducted in two tertiary mental healthcare institutions in Nigeria. Richard Fehring's clinical diagnostic validity model was employed to collect data from 87 individuals experiencing mood problems. Their scores were validated with other criteria, and the influence of socio‐demographic and clinical variables on participants’ identification of the DCs was determined using analysis of covariance (ANCOVA). The significance level was 0.05.FindingsFive of the 27 DCs validated were rated major, 5 considered not characteristics, and the rest were minor characteristics of the diagnosis. A two‐way subject ANCOVA was significant for diagnosis alone, F (2, 87) = 7.41, p = 0.006 (after eliminating the effect of age and gender of the participants), and when combined with duration of illness, F (38, 87) = 2.38, p = 0.036. A positive but weak correlation was found between the DC scale and mood disorder questionnaire, rs (85) = 0.353, n = 87, p = 001 with R2 = 0.102, but a positive and strong correlation with patient health questionnaire, rs (85) = 0.733, n = 87, p = 000 with R2 = 0.565.ConclusionsThe DCs listed in NANDA‐I nursing diagnoses manual were valid for the nursing diagnosis. However, there are additional characteristics that would further enhance the applicability of the diagnosis.Implications for nursing practiceThe result of this study will contribute immensely to the identification of individuals experiencing problems with mood regulation that would otherwise have been missed, thus facilitating early intervention and good outcome. Furthermore, additional characteristics validated in this study offered opportunity for further research on the diagnosis.
Sorbent functionalization with vancomycin enhances bacteria killing in extracorporeal hemoadsorption
Authors: Ramírez‐Guerrero Gonzalo , de Cal Massimo , Lorenzin Anna , Vigolo Dario , Toscano Anna Italia , Araya‐Rojas Marisel , Zanella Monica , Ronco Claudio 
Published: December 2023

AbstractBackgroundThe level of bacteremia in patients with sepsis and septic shock is a predictor of complications and mortality, regardless of the type of bacteria. Devices for bacteria, endotoxin and cytokines removal by adsorption have been recently developed. Thus, extracorporeal blood purification therapies have been proposed as adjunctive therapy in sepsis in combination with drugs. Some potentially useful drugs, however, are precluded due to their organ or metabolic toxicity. The present study represents a preliminary report on the in vitro effect of a sorbent device (minimodule with HA380 beads, Jafron medical, Zhuhai, China) in which the particles have been functionalized with vancomycin on the surface. The impact of the surface‐modified beads on circulating bacteria (Staphylococcus aureus) has been tested in a simulated in vitro circulation.MethodsIn vitro experiments were carried out with 800 mL of blood enriched with S. aureus species. Blood was circulated in the vancomycin‐functionalized and non‐functionalized mini‐module cartridges in hemoadsorption setup (300 mL each) and the bactericidal effect was assessed. Also, 200 mL of blood was used as a control.ResultsA significant increase in the time to positivity of blood cultures was observed after 60 min and also after 120 min of therapy with the mini‐module functionalized with vancomycin as opposed to the non‐functionalized cartridge.ConclusionsThese results suggest a possible way of treating sepsis by using drug‐ or antibiotic‐functionalized cartridges without worrying about pharmacological toxicity. The prolongation of the time to bacterial culture positivity to S. aureus after a passage through a column packed with beads functionalized with vancomycin represents a proof of concept.
Epstein–Barr virus‐associated lymphomas decoded
Authors: Bednarska Karolina , Chowdhury Rakin , Tobin Joshua W. D. , Swain Fiona , Keane Colm , Boyle Stephen , Khanna Rajiv , Gandhi Maher K. 
Published: December 2023

SummaryEpstein–Barr virus (EBV)‐associated lymphomas cover a range of histological B‐ and T‐cell non‐Hodgkin and Hodgkin lymphoma subtypes. The role of EBV on B‐cell malignant pathogenesis and its impact on the tumour microenvironment are intriguing but incompletely understood. Both the International Consensus Classification (ICC) and 5th Edition of the World Health Organization (WHO‐HAEM5) proposals give prominence to the distinct clinical, prognostic, genetic and tumour microenvironmental features of EBV in lymphoproliferative disorders. There have been major advances in our biological understanding, in how to harness features of EBV and its host immune response for targeted therapy, and in using EBV as a method to monitor disease response. In this article, we showcase the latest developments and how they may be integrated to stimulate new and innovative approaches for further lines of investigation and therapy.
Early concrete bridges in China as (dissonant) modern heritage: A case study of the double‐curved bridges in Nanjing
Authors: Chen Yichuan 
Published: December 2023

AbstractThis research aims to explore early concrete bridges in China, especially those from 1950s to 1970s, as a form of modern heritage. It asserts that there are inherent contradictions in how these bridges were perceived over half a century later. Although this may affect their listing as cultural heritage, it also makes them a representative case for a decentered approach to modern heritage not only at an international level, but also within a particular national context. In a country still building concrete bridges of ever‐increasing scales, early concrete bridges in China, despite their age, are seldom considered as cultural heritage. However, while historically and technologically these bridges were close to the everyday lived experiences, they are often more difficult to research than older, pre‐1949 buildings and structures. This is not only because of the lack of readily available archives, but also that these bridges, especially the iconic “double‐curved” bridges, which were politicized during the Great Proletarian Cultural Revolution (1966–1976), represented an important period in modern Chinese history that is still politically sensitive and contested, possessing cultural values that mean vastly different things for different people. This is illustrated by the case study of three bridges in Nanjing: the Yangtze River Bridge of Nanjing, arguably the most famous Chinese bridge in the twentieth century; the Little Egret Bridge (Bailu Bridge), an early double‐curved bridge, which is said to be a prototype of the former; and the Xiaolingwei Experimental Bridge, an important landmark in the development of the double‐curved bridge but entirely forgotten after the beginning of the Cultural Revolution in 1966. Accounts from before, during, and after the Cultural Revolution provide very different narratives about the process of their design and construction. Their different geographical locations and different associations with this turbulent and contested period of modern Chinese history also affects their conservation status today. All these factors combined make these bridges an exemplar of dissonant modern heritage that, although situated in a Chinese context, has important lessons globally for our understanding of the impact and legacies of modernity.
Leaves stimulate aquatic phosphorus uptake by dark‐grown but not by light‐grown microbial communities in sediments: A laboratory study
Authors: Akbari Elmira , Baldan Damiano , Watzinger Andrea , Weigelhofer Gabriele 
Published: December 2023

Abstract

It is a widely discussed topic in restoration ecology to use organic carbon (OC) management to increase nutrient uptake in chronically loaded agricultural streams. However, although nitrate uptake has been shown to correlated closely with the availability of dissolved OC, this relationship is less clear for phosphate. Likewise, the role of particulate OC (POC) on stimulating nutrient uptake has to be clarified. We aimed at investigating the effects of leaf additions on the net uptake of soluble reactive phosphorus and nitrate‐nitrogen from the water column by benthic biofilms in combined laboratory flume and batch experiments.

Fine sediments were colonised under nutrient‐enriched conditions in the dark (dark‐grown heterotrophic biofilms) and under a 12/12‐hr dark/light cycle (light‐grown photoautotrophic biofilms) in flumes. In each light treatment, half of the biofilms were grown under strong OC‐limitation, the other half under near‐optimal C:N:P ratios. For the uptake experiments, the colonised sediments were incubated in nutrient‐enriched water to which (1) fresh alder leaves, (2) pre‐leached leaves, or (3) no leaves were added. Net nutrient uptake (or release) rates were determined via the change in nutrient concentrations in the water column over time.

Net phosphorus uptake by dark‐grown biofilms was significantly increased by the addition of leaves. Despite their high initial nutrient leaching, fresh leaves showed stronger stimulating effects on the net P uptake than leached leaves over the entire experiment. Furthermore, biofilms grown under near‐optimum C:N:P ratios responded stronger to the POC supply than biofilms grown under C‐limited conditions. In contrast to dark‐grown biofilms, leaf additions had no significant effects on the net P uptake by light‐grown biofilms. We also found no effects of leaf additions on net nitrate uptake.

Our study shows that an increased POC supply in nutrient‐impacted streams may boost heterotrophic phosphate uptake. However, the stimulating effect of the POC addition depends on a variety of POC‐dependent (e.g. respiration, heterotrophic assimilation, denitrification) and independent (e.g. adsorption, photoautotrophic assimilation) processes, making nutrient control via POC management challenging. We suggest application of management approaches that focus on restoration of riparian areas and wetlands to increase the amount of natural, complex POC with a moderate degradability, thus keeping the heterotrophic metabolism low but potentially stimulating in‐stream N and P retention.
Size matters: Aerobic methane oxidation in sediments of shallow thermokarst lakes
Authors: Manasypov Rinat , Fan Lichao , Lim Artem G. , Krickov Ivan V. , Pokrovsky Oleg S. , Kuzyakov Yakov , Dorodnikov Maxim 
Published: December 2023

AbstractShallow thermokarst lakes are important sources of greenhouse gases (GHGs) such as methane (CH4) and carbon dioxide (CO2) resulting from continuous permafrost thawing due to global warming. Concentrations of GHGs dissolved in water typically increase with decreasing lake size due to coastal abrasion and organic matter delivery. We hypothesized that (i) CH4 oxidation depends on the natural oxygenation gradient in the lake water and sediments and increases with lake size because of stronger wind‐induced water mixing; (ii) CO2 production increases with decreasing lake size, following the dissolved organic matter gradient; and (iii) both processes are more intensive in the upper than deeper sediments due to the in situ gradients of oxygen (O2) and bioavailable carbon. We estimated aerobic CH4 oxidation potentials and CO2 production based on the injection of 13C‐labeled CH4 in the 0–10 cm and 10–20 cm sediment depths of small (~300 m2), medium (~3000 m2), and large (~106 m2) shallow thermokarst lakes in the West Siberian Lowland. The CO2 production was 1.4–3.5 times stronger in the upper sediments than in the 10–20 cm depth and increased from large (158 ± 18 nmol CO2 g−1 sediment d.w. h−1) to medium and small (192 ± 17 nmol CO2 g−1 h−1) lakes. Methane oxidation in the upper sediments was similar in all lakes, while at depth, large lakes had 14‐ and 74‐fold faster oxidation rates (5.1 ± 0.5 nmol CH4‐derived CO2 g−1 h−1) than small and medium lakes, respectively. This was attributed to the higher O2 concentration in large lakes due to the more intense wind‐induced water turbulence and mixing than in smaller lakes. From a global perspective, the CH4 oxidation potential confirms the key role of thermokarst lakes as an important hotspot for GHG emissions, which increase with the decreasing lake size.
Cartels in infrastructure procurement—Evidence from Lebanon
Authors: Mahmalat Mounir , Maktabi Wassim 
Published: December 2023

AbstractWe study cartels in public infrastructure procurement and analyze the conditions under which they succeed in generating rents. We first conceptualize the interplay of the central actors of a procurement project, notably the contractor, the procurement agency, as well as the supervision and design consultants. By focusing on consultants, our framework includes important yet understudied actors in cartels that design tenders, evaluate bids, and supervise the implementation of projects. We go on to explore an original dataset of infrastructure procurement contracts in Lebanon and analyze the conditions under which powerful political elites can broker deals to overprice and/or overspend contracts. To examine how cartels operate, we identify the political connections of contractors and consultants and classify them according to their “quality” in terms of access to institutional functions of the implementing agency. We argue that design consultants serve as the lynchpin of the cartel by reducing transaction costs for searching, bargaining, and enforcing of corrupt deals.
Validation of schedules for optimal prostate‐specific antigen monitoring after radical prostatectomy
Authors: Blas Leandro , Shiota Masaki , Tanegashima Tokiyoshi , Tsukahara Shigehiro , Ueda Shohei , Mutaguchi Jun , Goto Shunsuke , Kobayashi Satoshi , Matsumoto Takashi , Inokuchi Junichi , Eto Masatoshi 
Published: December 2023

BackgroundEarly detection of biochemical recurrence (BCR) after radical prostatectomy (RP) is crucial for early treatment and improving survival outcomes. The optimal prostate‐specific antigen (PSA) monitoring remains unclear, and several models have been proposed. We aimed to externally validate four models for optimal PSA monitoring after RP and propose modifications to improve them.MethodsWe reviewed the clinicopathological data of 896 patients who underwent robot‐assisted RP between 2009 and 2022. We examined all PSA values and estimated the PSA value for four monitoring schedules at each time point in the virtual follow‐up. We defined the ideal PSA for BCR detection between 0.2 and 0.4 ng/mL.ResultsDuring the median follow‐up of 21.4 months, 128 (14.3%) patients presented BCR. The original and modified Keio models, National Cancer Center Hospital model, and American Urological Association/American Society for Radiation Oncology model detected BCR in 14 (10.9%), three (2.3%), 12 (9.4%), and 11 (8.6%) patients with PSA >0.4 ng/mL. Most patients experienced BCR detected with PSA >0.4 ng/mL during the first year postoperative. The modification of interval within 6 months postoperative avoided BCR detection with PSA >0.4 ng/mL within the first year postoperative in 8/9 (88.9%), 1/2 (50.0%), 5/6 (83.3%), and 4/4 (100%) for the original and modified Keio models, National Cancer Center Hospital model, and American Urological Association/American Society for Radiation Oncology model, respectively.ConclusionWe validated four models for PSA monitoring after RP to detect BCR and suggested modifications to avoid detections out of the desired range of PSA. These modifications could help to establish an optimal PSA monitoring schedule after RP.
Stepping outside national borders: International active learning educational collaboration events
Authors: L Mackavey Carole , Henderson Colette , Stout Tammy 
Published: December 2023

AbstractAimThis paper discusses the benefits of international collaborations for advanced practice nursing education. It identifies new perspectives and innovative practices to enhance cultural competency.BackgroundCompetent, well‐trained advanced practice nurses (APNs) are necessary to provide high‐quality and safe patient care, improve access to care, and address health disparities that are no longer geographically bound.In 2021, an international network of advanced practice educators established an active learning program to teach students their role in global citizenship and increase awareness of health disparities. APN students from Scotland, Wales, Minnesota, Houston, and Rotterdam participated in presentations, online discussions, and in‐country scholarships.Sources of evidenceGrowing health disparities have created the need for efficient international collaboration to develop new concepts, approaches, and bidirectional exchange of experiences, culture, and knowledge. Integrating global health into curricula engages students’ curiosity and integrates education, research, practice, and leadership while improving cultural competency.DiscussionForty‐two students participated in the international presentations. The students strongly believed in the benefit of international collaboration and the need for a universal role for the advanced practice nurse. They responded positively to sharing cultural and clinical experiences.ConclusionThe recent global health challenge supported the development of innovative methods to deliver education and created an opportunity for advanced practice students to develop cultural competence and critical thinking. Collaborative solutions are essential to education and healthcare as we move forward in the 21st century.Implications for nursing practiceRobust international collaborations have enabled the development of cultural competence and critical thinking. These are crucial elements for advanced practice roles.