bluuebunny/crossref_metadata_2025_split huggingface dataset:
Social and Economic Impacts of COVID-19 Among Health Professionals in Vietnam: Status and Associations with Quality of Life and Sleep Quality
Authors: Doan Linh Phuong , Boyer Laurent , Auquier Pascal , Fond Guillaume , Tran Bach , Latkin Carl A. , Nguyen Hien Thu , Van Ngo Toan , Ho Roger C. M. , Ho Cyrus S. H. , Zhang Melvyn W. B. 
Published: October 2023

AbstractPurposeThe COVID-19 pandemic has transformed the way of life of many individuals, especially those working at the frontlines, such as healthcare workers. Our study aims to examine the impact of COVID-19 on the socio-economic status, quality of life, and sleep quality when Vietnam was experiencing the 4th wave of the COVID-19 pandemic.MethodsA cross-sectional study was conducted on 604 healthcare workers using snowball sampling from October through to November 2021. Our study examined the impact of the government’s COVID-19 prevention policy including personal protective measures (5K measures), directive 15, directive 16, and directive 16 plus. The EQ-5D-5L and EQ-VAS were used to measure health-related quality of life and a scale of 1 to 10 was used to rate sleep quality of healthcare workers.ResultsA total of 604 respondents, most people were female (57.9%), and working as civil servants (75.3%). Very few participants were able to increase their earnings during the pandemic. Participants who did not have monthly allowance amounts had the highest proportion (60.1%), followed by those under 2 million VND (21.2%). In the univariate regression model, people with high government policy scores tend to have lower quality of life and sleep quality scores. In addition, in the multivariable regression model, people with high scores on government policies tend to have lower quality of life (EQ-5D) scores.ConclusionThe COVID-19 prevention measures had a negative impact on quality of life, sleep quality, and daily demands of healthcare workers. These findings should help guide future policy implementations.
Caregiver burden and inflammation in parents of children with special healthcare needs
Authors: Bamber Mandy D. , Solatikia Farnaz , Gaillard Philippe , Spratling Regena 
Published: October 2023

AbstractChildren with special healthcare needs (CSHCN) are a vulnerable population that require specialized services and are often cared for by parents. These parents experience psychological, physiological, and potential inflammatory dysfunction related to amplified caregiving burden which may increase with the complexity of the child’s condition. Due to the potential for inflammatory dysregulation, we aimed to compare caregiver burden and inflammation of parents with CSHCN based on the severity of the child’s condition to parents of typically developing children. A cross-sectional design that included parents of typically developing children (n = 60), non-complex chronic disease (n = 28; one chronic condition that does not progress), and complex chronic disease (n = 32) was used. Parents completed the Caregiver Burden Inventory and blood serum was collected to measure inflammation. Multivariate analyses of variance with post-hoc testing was used to determine between group differences. Parents of children with complex disease experienced greater caregiver burden than parents of typically developing children (p < 0.001) and non-complex chronic disease (p = 0.044). Parents of children with non-complex chronic disease reported greater caregiver burden than parents of typically developing children (p = 0.02). Parents of children with complex chronic disease had lower pro- (p = 0.042) and anti-inflammatory (p = 0.002) composite scores, than parents of typically developing children. Parents of children with greater medical complexity experienced more caregiver burden and potential inflammatory dysregulation. Future research should explore inflammatory processes in this specific population and self-care measures to improve psychological and physical well-being.
Effectiveness of breast cancer campaigns in South Asia
Authors: Jaffar Huda , Kumar Gaurav , Atif Anfal , Iqbal Amna 
Published: October 2023

AbstractDespite the growing burden of cancer, it remains a low priority in healthcare planning and budgeting in South Asian low- and middle-income countries (LMICs). Mass public awareness about cancer signs and symptoms and encouragement to seek help is an important step towards early diagnosis. Due to scarcity of resources in South Asia, the scale of awareness campaigns is limited, and provision of drugs and curative services take precedence over preventative measures. Several misconceptions and superstitious beliefs regarding the treatment of breast cancer with homeopathic medicine and unconventional religious peers provide a challenge to awareness campaigns. Along with that, shortage of staff and transportation add to the difficulties of conducting these campaigns. Interventions such as role plays, weekly clinics providing counseling for the disease, and measures such as pamphlets and presentations have been considered useful. This review assesses the challenges faced by breast cancer awareness campaigns and the interventions that could help in bringing mortality rates lower.
Geographic analysis of landfill suitability in Fez, Morocco: a multi-criteria approach
Authors: Chafiq Tarik , Hmamou Mohamed , Ouhammou Imrane , Labriki Allal , ElHabchi Mourad , Raji Mohammed 
Published: October 2023

AbstractSolid waste management poses a significant challenge to sustainable development. Locating suitable landfill sites is a key difficulty. This study utilizes the Analytical Hierarchy Process (AHP) with a Geographic Information System (GIS) to identify potential landfill locations in Fez province, Morocco. Nine criteria were evaluated for the study area's suitability, including distance from surface water, distance from buildings, distance from roads, distance from protected areas, distance from forests, distance from farmland, elevation, slope, and slope direction. AHP determined criteria weights, and the Consistency Ratio (CR) ensured judgment reliability. Results highlight proximity to residential areas as the most critical factor, followed by distance from surface water and roads. The suitability map indicates the south and southeast of the province as more suitable for landfill placement than the urban areas, parks, and gardens in the north and northwest. These findings aid decision-makers in improving solid waste management practices in Fez province, Morocco.
‘Slogans’ on Coins in Julius Caesar's Dictatorship Years (49–44 BC)
Authors: Marshall Bruce 
Published: October 2023

AbstractA number of coins issued during the years 49–44 had on them an additional legend, a trend which had been developing in the preceding fifty years, but which was used much more extensively by Caesar's moneyers. The legends (with two exceptions) all refer to recognised ‘qualities’, which had temples and cults established in the Roman community. The coin types, particularly in the opening years of the civil war between Caesar and Pompeius, were issued in very large numbers, suggesting that they were not only used to pay the troops whom Caesar had already and those he was recruiting, but also that they were put into general circulation. The qualities emphasised on the coins indicate Caesar's programmatic ideology, and the number issued shows that he wished to circulate this ideology widely. The additional legends can be taken therefore to be ‘slogans’, a form of propaganda for Caesar's aims. The two exceptions werePaxandClementia, but there is evidence to suggest that a cult and temple were planned for each of these.
Increasing safe clinical spaces and the efforts of clinical research for uninsured and underinsured LGBTQIA2+ patients: A case study of the Rainbow Clinic – a student-run free LGBTQIA2+ clinic
Authors: Lee Gabriel Alexander , Fritter Jessica , Shihabuddin Courtney DuBois 
Published: October 2023

Abstract
LGBTQIA2+ patients often experience discrimination and hostility in healthcare spaces. Negative perceptions of healthcare can contribute to poor health outcomes in LGBTQIA2+ patients. This population is rarely included in clinical trials through a lack of inclusion in study protocols, informed consent, and trials not addressing their needs and demographics. Many clinical institutions have created LGBTQIA2+-specific clinics; however, few have successfully developed a free clinic dedicated to this population. A Rainbow Clinic was formed at an established student-run free clinic, utilizing the existing infrastructure. Dissemination of this clinic’s creation can help others replicate similar initiatives.
The Age of Consumer Law Enforcement in the European Union: High Hopes or Wishful Thinking?
Authors: Biard Alexandre 
Published: October 2023

AbstractNot since 2018 and the “New Deal for Consumers” package has the European Union (EU) seemed so close to stepping up the enforcement of consumer protection rules. The European Commission is expected to unveil a new “consumer enforcement package” by the end of the year, which should include revisions of the Regulation on Consumer Protection Cooperation, the Directive on Consumer Alternative Dispute Resolution and the Regulation on EU Online Dispute Resolution. In parallel, the Representative Actions Directive came into force recently. This paper examines these different initiatives and assesses whether these evolutions can truly be the first steps towards a brighter future for the enforcement of consumer protection rules in the EU or whether they are likely to remain a series of missed opportunities.
Describing the monthly variability of hospital-onset Clostridioides difficile during early coronavirus disease 2019 (COVID-19) using electronic health record data
Authors: Lang Kaiting , Atchison T. J. , Singh Priti , Kline David M. , Odei James B. , Martin Jennifer L. , Smyer Justin F. , Day Shandra R. , Hebert Courtney L. 
Published: October 2023

AbstractObjective:To assess the relative risk of hospital-onset Clostridioides difficile (HO-CDI) during each month of the early coronavirus disease 2019 (COVID-19) pandemic and to compare it with historical expectation based on patient characteristics.Design:This study used a retrospective cohort design. We collected secondary data from the institution’s electronic health record (EHR).Setting:The Ohio State University Wexner Medical Center, Ohio, a large tertiary healthcare system in the Midwest.Patients or participants:All adult patients admitted to the inpatient setting between January 2018 and May 2021 were eligible for the study. Prisoners, children, individuals presenting with Clostridioides difficile on admission, and patients with <4 days of inpatient stay were excluded from the study.Results:After controlling for patient characteristics, the observed numbers of HO-CDI cases were not significantly different than expected. However, during 3 months of the pandemic period, the observed numbers of cases were significantly different from what would be expected based on patient characteristics. Of these 3 months, 2 months had more cases than expected and 1 month had fewer.Conclusions:Variations in HO-CDI incidence seemed to trend with COVID-19 incidence but were not fully explained by our case mix. Other factors contributing to the variability in HO-CDI incidence beyond listed patient characteristics need to be explored.
Tracking coarse sediment in an Alpine subglacial channel using radio-tagged particles
Authors: Jenkin Matt , Hofmann Margaux , Hubbard Bryn , Mancini Davide , Miesen Floreana M. , Herman Frédéric , Lane Stuart N. 
Published: October 2023

Abstract
We present a method for tracking radio-tagged pebbles and cobbles through subglacial meltwater channels under shallow temperate glaciers. Natural particles tagged with active radio transmitters were injected directly into a large subglacial channel 300 m up-glacier from the terminus of the Glacier d'Otemma, Switzerland. A roving antenna was developed to localise tagged particles planimetrically in subglacial and proglacial channel reaches (350 and 150 m long, respectively) using a probabilistic technique, delivering records of the change in particle location and transport distance over time with uncertainty. The roving antenna had a ±5−15 m planimetric precision, a 75% particle localisation rate and operated at a maximum ice depth of 47 m. Additionally, stationary supraglacial and proglacial antennas continuously monitored the passage of tagged particles through consecutive reaches of the channel, constraining the timing of particle transport events. The proglacial antenna system had a 98.1% detection rate and was operational to 0.89 m water depth during testing. Roving and stationary antenna records were combined to create a transport distance model for each particle, which may be used in conjunction with hydraulic data to investigate the kinematics of particle motion. When applied at scale in future studies, this method may be used to reveal the mechanisms and timescales of coarse sediment export from Alpine glaciers.
Neither a Trait nor Wildly Fluctuating: On the Stability of Populist Attitudes and its Implications for Empirical Research
Authors: Schimpf Christian H. , Wuttke Alexander , Schoen Harald 
Published: October 2023

AbstractThe literature on populist attitudes frequently makes one of two assumptions: populist attitudes are either stable or unstable. However, few studies have examined these diverging assumptions empirically. We use panel data collected over six panel waves between 2017 and 2021 in Germany to assess the stability of populist attitudes. Integrating inter-individual stability (variable-centred) and intra-individual stability (individual trajectories), we find that populist attitudes are neither fully stable (trait) nor fully flexible (state). For example, some respondents constantly changed their view on populism while the attitudes in one out of three individuals remained stable. We also explore empirical consequences and find that populist attitudes are more closely linked to vote choice when they are stable. Accordingly, we argue for a more nuanced understanding of the dynamics of populist attitudes, both at the variable and individual levels, where these attitudes are stable and consequential for only a subset of individuals.
The extracapsular dissection technique in the management of benign tumours of the parotid gland: our experience in 194 patients
Authors: Allevi Fabiana , Borzi Patrizia , Valsecchi Federico , Cucurullo Marco , Bolognesi Federico , Rabbiosi Dimitri , Biglioli Federico 
Published: October 2023

AbstractObjectiveThe indications for and approaches to extracapsular dissection for parotid gland benign tumours are debated in the literature. This study retrospectively evaluates a single site's short- and long-term results with a standardised extracapsular dissection approach to benign parotid tumours.MethodsA retrospective review of a single institution's records identified cases with extracapsular dissection as the primary surgery for non-recurrent benign parotid tumours. A total of 194 eligible patients were identified (124 women and 70 men, age 47.75 ± 15.62 years). Pre-, intra- and post-surgical data were reviewed for complications and recurrences.ResultsHistology reported pleomorphic adenoma in 165 patients, Warthin's tumour in 28 patients and both in one patient. Mean follow up was 36 ± 16 months (range, 12–84 months). The incidences of complications following extracapsular dissection were temporary (n = 13) and permanent (n = 0) facial nerve dysfunction, Frey's syndrome (n = 1)) and recurrences (n = 5). These rates align with prior literature.ConclusionThis case series shows how a standardised approach to extracapsular dissection for benign parotid tumours yields favourable results, supporting a progressive change of strategy towards reduced invasiveness.
Ageing in place with non-medical home support services need not translate into dependence
Authors: Kuryk Kaitlyn , Funk Laura M. , Warner Grace , Macdonald Marilyn , Lobchuk Michelle , Rempel Julie , Spring Lauren , Keefe Janice 
Published: October 2023

Abstract
Older adults who age at home independently are often celebrated as having anticipated and planned for their care needs in the later stages of life, whereas those who receive assistance from home support services are often stigmatised as dependent and characterised as a ‘drain on the system’. However, this thematic analysis of interview data from 12 home care clients in two Canadian provinces offers evidence that counters the assumption that home care clients are passive recipients of care. Extending Corbin and Strauss' theorisation of how individuals manage chronic conditions alongside Dorothy Smiths' conception of work, we explore how home care clients ‘work’ to receive care as they age in place. Specifically, home care clients not only engage in daily life work, illness work and biographical work, but also advocate for themselves and their workers, co-ordinate and negotiate with members of their caring convoys and networks, and adapt in various ways to navigate personal, relational, structural and policy-level challenges. We suggest that work done by older adults who are ageing in place be addressed, acknowledged and incorporated into care planning and operational policy development to challenge both the stigma of dependency and neoliberal narratives of self-sufficiency.
Making Local Histories: The Authenticity and Credibility of County Gazetteers in Communist China
Authors: Yan Fei , Xiao Tongtian 
Published: October 2023

AbstractMany scholars have used local Chinese county gazetteers for historical and socioeconomic analyses, yet little research has examined the completeness of coverage or the biases in reporting that characterize the compilation of these gazetteers. In this paper, we provide a novel source for studying Chinese political movements and local history under the communist regime after 1949: the internal-discussion drafts of county gazetteers (xianzhi pingyigao). Our findings constitute the first study to use internal review drafts to examine the authenticity and credibility of county gazetteers. Prior to their publication, gazetteer drafts are compiled by a team of editors and typically receive at least three rounds of rigorous internal review. These internal-discussion drafts are subject to a prolonged and strict process of self and external censorship. Our analysis engages in a close comparison of text samples extracted from two versions of local gazetteers collected from four counties in Guangxi province. Compared to the draft versions, we find evidence of serious data manipulation and a tendency to underreport historical events in the published editions. Our research evidently demonstrates the process of historiography editing and reveals how local history is presented through the lens of government public documents in China.
Towards intersectional approaches to gendered change in Antarctic research
Authors: Seag Morgan C. , Nielsen Hanne E.F. , Nash Meredith , Badhe Renuka 
Published: October 2023

AbstractAntarctic research remains an enterprise in which people with certain backgrounds and identities have distinct career advantages over others. In this paper, we focus on barriers to women's participation and success in Antarctic research. Drawing on feminist social science literature on gender inequality in science, we identify two foundational, interrelated factors that have hampered progress across global Antarctic research. We propose that these barriers can be effectively addressed through intersectional approaches to change. We synthesize a broad range of multidisciplinary research on intersectionality in scientific workplaces and apply this literature to the unique institutional, historical and geographical contexts of Antarctic research. We argue that an intersectional lens improves understanding of persistent gender inequalities in Antarctic research, and we offer examples of how intersectionality can be practically applied within Antarctic institutions and communities. By embracing intersectional approaches to change, the Antarctic research community has the opportunity to lead in the advancement of equitable global scientific cultures and to fully realize Antarctica's potential as a place for peaceful, scientific collaboration by and for all humanity - not just a privileged few.
Nature in the concrete jungle: valuing urban ecosystem services in Costa Rica
Authors: Piaggio Matías , Siikamäki Juha 
Published: October 2023

AbstractUrban green spaces are primarily recognized for their ability to provide opportunities for recreational activities. However, these spaces also offer a broader range of ecosystem services and benefits, which are often overlooked by city inhabitants and the government. This paper utilizes choice experiments to estimate the benefits derived from ecosystem services provided by undeveloped natural areas and urban parks in San José, Costa Rica. We evaluate three ecosystem services provided by undeveloped natural areas, namely habitats for animals and plants, hydrological control, and recreation. Additionally, we estimate the benefits derived from the restoration and construction of three types of urban parks: neighborhood, metropolitan, and central district parks. The results demonstrate that individuals place significant value on the restoration of undeveloped natural areas and urban parks. The findings also indicate variations in the valuation of ecosystem services between undeveloped natural areas and different park types, as well as among households.
Lower redemption of monthly Special Supplemental Nutrition Program for Women, Infants and Children benefits associated with higher risk of program discontinuation
Authors: Anderson Christopher E , Yepez Catherine E , Whaley Shannon E 
Published: October 2023

AbstractObjective:To determine whether Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food benefit redemption is associated with discontinuing WIC participation, failure to recertify, overall and by race/ethnicity-language preference and participant category.Design:Retrospective cohort study, using multivariable modified Poisson regression to determine risk ratios (RR) and 95 % CI for associations between household-level food benefit redemption (interval-scaled benefit redemption percent, averaged across WIC benefit subcategories, for the final 3, 6 and 12 months of certification) and failure to recertify in WIC, overall and within strata of race/ethnicity-language preference and participant category.Setting:WIC administrative data collected November 2019–July 2021 in Southern California.Participants:WIC-participating children ages 0–3 years at initial certification from November 2019 to May 2020 (n 41 263).Results:In all time periods, and for all subgroups, every 10 % lower food benefit redemption was associated with increased risk of failure to recertify. Among households without missing food benefit data, failure to recertify risk peaked at 505 % higher (RR = 6·05, 95 % CI (5·63, 6·51)) in households with average 12-month redemption <10 % compared with households with ≥70 % redemption.Conclusions:Lower WIC benefit redemption was associated with higher risk of failing to recertify among participants. Focused nutrition education around benefit redemption may improve WIC retention and child health through incremental increases in food benefit redemption.