bluuebunny/crossref_metadata_2025_split huggingface dataset:
“The Only Reason I Am Willing to Do It at All”: Evaluation of VA's SUpporting Primary care Providers in Opioid Risk reduction and Treatment (SUPPORT) Center
Authors: Williams Emily C. , Frost Madeline C. , Danner Anissa N. , Lott Aline M. K. , Achtmeyer Carol E. , Hood Carly L. , Malte Carol A. , Saxon Andrew J. , Hawkins Eric J. 
Published: February 2024

Objectives
Medication treatment for opioid use disorder (MOUD) is effective and recommended for outpatient settings. We implemented and evaluated the SUpporting Primary care Providers in Opioid Risk reduction and Treatment (SUPPORT) Center—a quality improvement partnership to implement stepped care for MOUD in 2 Veterans Health Administration (VA) primary care (PC) clinics.

Methods
SUPPORT provided a dedicated clinical team (nurse practitioner prescriber and social worker) and stepped care ([1] identification, assessment, referral; [2] MOUD induction; [3] stabilization; and [4] maintenance supporting PC providers [PCPs] to initiate and/or sustain treatment) coupled with ongoing internal facilitation (consultation, trainings, informatics support). Qualitative interviews with stakeholders (PCPs and patients) and meeting notes identified barriers and facilitators to implementation. Electronic health record and patient tracking data measured reach, adoption, and implementation outcomes descriptively.

Results
SUPPORT's implementation barriers included the need for an X-waiver, VA's opioid tapering policies, patient and PCP knowledge gaps and PCP discomfort, and logistical compatibility and sustainability challenges for clinics. SUPPORT's dedicated clinical staff, ongoing internal facilitation, and high patient and PCP satisfaction were key facilitators. SUPPORT (January 2019 to September 2021) trained 218 providers; 63 received X-waivers, and 23 provided MOUD (10.5% of those trained). SUPPORT provided care to 167 patients, initiated MOUD for 33, and provided education and naloxone to 72 (all = 0 in year before launch).

Conclusions
SUPPORT reached many PCPs and patients and resulted in small increases in MOUD prescribing and high levels of stakeholder satisfaction. Dedicated clinical staff was key to observed successes. Although resource-intensive, SUPPORT offers a potential model for outpatient MOUD provision.
Estradiol associations with brain functional connectivity in postmenopausal women
Authors: Testo Abigail A. , Makarewicz Jenna , McGee Elizabeth , Dumas Julie A. 
Published: February 2024

Abstract

Objective
Previous studies have found that estrogens play a role in functional connectivity in the brain; however, little research has been done regarding how estradiol is associated with functional connectivity in postmenopausal women. The purpose of this study was to examine the relationship between estradiol and functional connectivity in postmenopausal women.

Methods
Structural and blood oxygenation level–dependent resting-state magnetic resonance imaging scans of 88 cognitively healthy postmenopausal individuals were obtained along with blood samples collected the same day as the magnetic resonance imaging to assess hormone levels. We generated connectivity values in CONN toolbox version 20.b, an SPM-based software.

Results
A regression analysis was run using estradiol level and regions of interest (ROI), including the hippocampus, parahippocampus, dorsolateral prefrontal cortex, and precuneus. Estradiol level was found to enhance parahippocampal gyrus anterior division left functional connectivity during ROI-to-ROI regression analysis. Estradiol enhanced functional connectivity between the parahippocampal gyrus anterior division left and the precuneus as well as the parahippocampal gyrus anterior division left and parahippocampal gyrus posterior division right. An exploratory analysis showed that years since the final menstrual period was related to enhanced connectivity between regions within the frontoparietal network.

Conclusions
These results illustrated the relationship between estradiol level and functional connectivity in postmenopausal women. They have implications for understanding how the functioning of the brain changes for individuals after menopause that may eventually lead to changes in cognition and behavior in older ages.
Effects of Acute Sleep Deprivation on the Physiological Response to Woodsmoke and Exercise
Authors: Sol Joseph A. , Covington Anna C. , McCloy Aidan D.A. , Sessums Izaac P. , Malek Elias M. , McGinnis Graham R. , Quindry John C. 
Published: February 2024

Objective
To evaluate sleep deprivation effects on the acute physiological response to a combined stressor of woodsmoke and exercise.

Methods
Ten participants completed two exercise trials (8 hours of sleep vs 4 hours) with woodsmoke. Trials were conducted in a crossover design. Key measures examined before and after each trial included heart rate variability, pulse wave velocity, blood pressure, pulmonary function testing, and oxidative stress.

Results
Acute sleep deprivation experienced before exercise and woodsmoke exposure did not impact metrics of heart rate variability, pulse wave velocity, pulmonary function testing, blood pressure, or oxidative stress.

Conclusions
Acute sleep deprivation did not amplify physiologic metrics in response to moderate-intensity aerobic exercise with inhaled woodsmoke. Although findings do not eliminate the negative impacts of inhaling woodsmoke, more research is needed to understand the acute effects of woodsmoke exposure on the cardiovascular system.
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Glucose Metabolism of Hippocampal Subfields in Medial Temporal Lobe Epilepsy
Authors: Lee Tse-Hao , Shih Yen-Cheng , Lu Yi-Jiun , Chou Chien-Chen , Lee Cheng-Chia , Yu Hsiang-Yu , Peng Syu-Jyun 
Published: February 2024

Purpose
Reduced glucose metabolism in the hippocampus is commonly observed in cases of medial temporal lobe epilepsy (MTLE) with hippocampal sclerosis (HS). Glucose metabolism among the various hippocampal subfields has not been thoroughly investigated.

Patients and Methods
This study examined 29 patients (18 females; 15–58 years) diagnosed with HS who underwent surgery for drug-resistant epilepsy. FreeSurfer 7.1.1 was used in the processing of MRI data and 18F-FDG PET scans to derive volumetric data and the FDG SUVr in the whole hippocampus and hippocampal subfields, including the CA1, CA2-4, granule cell and molecular layer of the dentate gyrus (GC-ML-DG), and subiculum. Asymmetries in the volume and SUVr between the 2 sides from the subfields of the hippocampus were defined in terms of an asymmetry index. Comparisons of the asymmetry index among these regions were performed. The correlations between asymmetry index values and postoperative outcomes and presurgical neuropsychological test results were also evaluated.

Result
The CA1, CA2-4, subiculum, GC-ML-DG, and whole hippocampus presented reductions in volume and hypometabolism ipsilateral to MTLE. Asymmetries in volume and SUVr were significantly less pronounced in the CA1 and subiculum than in the CA2-4 or GC-ML-DG. Postoperative seizure outcomes were not correlated with the asymmetry index for volume or SUVr in any hippocampal subfield. In cases of left MTLE, scores of immediate logical memory and delayed logical memory were positively correlated with the asymmetry index for SUVr in the following subfields: CA1 (R = 0.829, P = 0.021; R = 0.770, P = 0.043), CA2-4 (R = 0.825, P = 0.022; R = 0.894, P = 0.007), subiculum (R = 0.882, P = 0.009; R = 0.853, P = 0.015), GC-ML-DG (R = 0.850, P = 0.015; R = 0.796, P = 0.032), and whole hippocampus (R = 0.841, P = 0.018; R = 0.822, P = 0.023). In cases of right MTLE, the scores for delayed face memory were positively correlated with the asymmetry index for SUVr in the subiculum (R = 0.935, P = 0.006).

Conclusions
In cases of HS, changes in glucose metabolism levels varied among the hippocampal subfields. Asymmetries in glucose metabolism among the CA-1, CA2-4, subiculum, and GC-ML-DG subregions were correlated with scores for verbal memory among patients with left MTLE. Asymmetric glucose metabolism in the subiculum was also correlated with visual memory scores among patients with right MTLE.
Reimagining work but operating with a no off button: experiences of working mothers in India during the COVID-19 pandemic
Authors: Purang Pooja , Chittem Mahati , Narsimhan Haripriya 
Published: February 2024

Purpose
This study focuses on the work from home experiences of professional, middle and upper middle class married women with children in India during the COVID-19-induced lockdowns. This study aims to examine the experiences of changing nature of work and gendered realities of work–life balance for working mothers while working from home during the pandemic.

Design/methodology/approach
Semi-structured interviews were conducted with eight working mothers at three different time points during the lockdown in the city of Hyderabad in India.

Findings
A thematic analysis revealed changed work practices that required adapting, reinventing and reimagining new ways of working. This was time consuming albeit a satisfying experience for working mothers. At the same time, the blurring between home and work meant working mothers were operating without an off button.

Research limitations/implications
The findings show that the existing gender inequalities in sharing the domestic burden unravelled fast in the absence of support structures.

Originality/value
The authors give voice to the lived experiences of working mothers of managing both work and home and how they navigated challenges during the lockdown.
Parents’ perspectives on adolescent social emotional learning: an explorative qualitative study amongst parents of students in prevocational secondary education
Authors: van de Sande Marion Cornelia , Pars-Van Weeterloo Esther , Diekstra Rene F.W. , Gravesteijn Carolien , Kocken Paul L. , Reis Ria , Fekkes Minne 
Published: February 2024

PurposeWorldwide, schools implement social-emotional learning programs to enhance students' social-emotional skills. Although parents play an essential role in teaching these skills, knowledge about their perspectives on social-emotional learning is limited. In providing insight into the perspectives of parents from adolescent students this paper adds to this knowledge.Design/methodology/approachAn explorative qualitative study was conducted to gain insight into parents' perspectives (N = 32) on adolescent social-emotional learning. A broadly used professional framework for social emotional learning was used as a frame of reference in interviews with parents from diverse backgrounds. Within and across case analyses were applied to analyze the interviews.FindingsA conceptual model of four social-emotional skills constructs considered crucial learning by parents emerged from the data: respectful behavior, cooperation, self-knowledge and self-reliance. Parents' language, interpretations and orderings of skills indicate that the model underlying these constructs differs from skills embedded in the professional framework.Research limitations/implicationsParticipants were small in number and mainly female. Therefore, more research is necessary to test the model in other parent populations.Practical implicationsThe social-emotional skills students in prevocational secondary education learn at home differ from those targeted in SEL programs. Engaging students’ parents in SEL program implementation is indicated to align the skills taught at home and school. Preparing teachers to implement such programs requires training them on engaging parents from diverse backgrounds.Originality/valueThe study is one of the first providing insight into parents’ perspectives on SEL, the social-emotional skills deemed crucial to master for adolescents, and the roles they view for themselves and school on teaching these skills.
Exploring the perceived importance of neuroscientific research on addictions in legal contexts: a survey of US criminal justice students and German legal professionals
Authors: Ochterbeck Doris , Berryessa Colleen M. , Forberger Sarah 
Published: February 2024

Purpose
Neuroscientific research on addictions has prompted a paradigm shift from a moral to a medical understanding – with substantial implications for legal professionals’ interactions with and decision-making surrounding individuals with addiction. This study complements prior work on US defense attorney’s understandings of addiction by investigating two further perspectives: the potential “next generation” of legal professionals in the USA (criminal justice undergraduates) and legal professionals from another system (Germany). This paper aims to assess their views on the brain disease model of addiction, dominance and relevance of this model, the responsibility of affected persons and preferred sources of information.

Design/methodology/approach
Views of 74 US criminal justice undergraduate students and 74 German legal professionals were assessed using Likert scales and open-ended questions in an online survey.

Findings
Neuroscientific research findings on addictions and views that addiction is a brain disease were rated as significantly more relevant by American students to their potential future work than by German legal professionals. However, a majority of both samples agreed that addiction is a brain disease and that those affected are responsible for their condition and actions. Sources of information most frequently used by both groups were publications in legal academic journals.

Practical implications
In the USA, information for legal professionals needs to be expanded and integrated into the education of its “next generation,” while in Germany it needs to be developed and promoted. Legal academic journals appear to play a primary role in the transfer of research on addiction into legal practice.

Originality/value
This study complements prior work on US defense attorney’s understandings of addiction by investigating two further perspectives.
Tourist perceptions of health-safety risks in a time of pandemic
Authors: Dalle Nogare Chiara , Scuderi Raffaele 
Published: February 2024

PurposeThe COVID-19 pandemic has induced tourism destinations to reconsider organisational aspects related to health safety measures, as perceptions of health safety may have become particularly important for tourists. Using data from summer 2020, the period immediately after the outbreak of the pandemic, we investigate the factors that affected tourist perceptions of health safety.Design/methodology/approachData come from a survey of tourist-card holders in Trentino, an Italian mountain destination. Through regressions, we assess the conditional correlation between health safety measure evaluations following a holiday and a set of covariates related to the features of the tourist area and the tourists themselves, as well as COVID-19 incidence in their province of residence in the months before the holiday.FindingsTourist-related features seem not to impact on perceived health safety, whereas some destination- and accommodation-related elements do. In particular, the number of tourist beds affects it negatively, and staying at a hotel does it in a positive way. COVID-19 incidence in one’s home province does not affect perceptions of health safety measures, which suggests a possible sample selection effect and/or the need for more fine-grained data.Originality/valueThis paper is one of the few on the immediate effects of the COVID-19 pandemic using data from a large sample of actual tourists. Our findings point out the importance of the intrinsic features of some places and accommodation in influencing perceptions of safety. We discuss implications for scholars and destination managers.
The relationship between digital economy and industrial green innovation efficiency – based on the perspective of external knowledge sources
Authors: Liao Ganli , Hou Xinshuai , Li Yi , Wang Jingyu 
Published: February 2024

Purpose
Driven by the development of the global digital economy, knowledge management in industrial enterprises offers more possibilities for green innovation. Based on the perspective of external knowledge sources, this study aims to construct a panel regression model to explore the relationship between digital economy and industrial green innovation efficiency.

Design/methodology/approach
Panel data from 30 regions in China from 2011 to 2020 were selected as research samples. All data are obtained from national and provincial statistical yearbooks. Coupling coordination degree analysis, entropy method, panel regression analysis, robustness test and threshold effect test by Stata 16.0 were used to test the hypotheses.

Findings
The empirical results demonstrate the hypotheses and reveal the following findings: the digital economy is positively related to industrial green innovation efficiency and external knowledge sources, and external knowledge sources mediate the relationship between them. Moreover, based on the threshold test results, the digital economy has a double-threshold effect on industrial green innovation efficiency.

Originality/value
Based on the perspective of external knowledge sources, the proposed mediating mechanism between the digital economy and industrial green innovation efficiency has not been established previously, further enriching the research on the antecedents and outcomes of external knowledge sources. Moreover, this study estimated the direct influence mechanism and double-threshold effect of the digital economy on industrial green innovation efficiency from theoretical and empirical analysis, thus responding to the call of scholars and adding to existing research on how the digital economy affects the green transformation of industrial enterprises.
Race, local context, and traffic stops: an examination of racial profiling in traffic stops in rural and non-rural places
Authors: Iwama Janice 
Published: February 2024

PurposeThe current study examines the effects of race, agency and environment on traffic stops in rural and non-rural spaces.Design/methodology/approachUsing traffic stop data collected in a Midwest US County from January 1, 2020 to December 31, 2021, the current study uses logistic regression to examine racial disparities in traffic stops.FindingsThe results indicate that police decision-making in traffic stops may be influenced by other factors besides a driver’s race or ethnicity. In other words, the police officer’s decision making in a traffic stop varies between small and large agencies as well as rural and non-rural places.Originality/valueThis study provides one of the few examinations of racial disparities in traffic stops in rural places.
Soft TQM for competitive advantage in the transportation sector: investigating green human resource management and stakeholder integration
Authors: Karakasnaki Maria , Gerou Anastasia 
Published: February 2024

PurposeRecent trends in total quality management (TQM) argue in favor of incorporating environmental concerns into TQM and considering external stakeholders. The aim of this study is to bring environmental consciousness in the soft TQM dimension of human resource management (HRM) and assess its interrelationship with stakeholder integration towards achieving a competitive advantage.Design/methodology/approachAn empirical study was conducted in the transportation sector, specifically targeting managers in Greek shipping companies involved in global cargo transport and vessel operations. A structured questionnaire was administered, yielding 109 responses. The collected data were analyzed using partial least squares structural equation modeling.FindingsThe findings reveal the positive effect of both green HRM (GHRM) and stakeholder integration on the innovation differentiation advantage and market differentiation advantage of shipping companies. Results confirm the complementary (partial) mediating effect of GHRM in the relationship between stakeholder integration and both types of competitive advantage.Research limitations/implicationsThe primary limitation resides in data collection exclusively from shipping companies in Greece. A longitudinal approach would be beneficial for examining how the relationship between variables changes over time.Practical implicationsThe findings of the study could assist shipping managers in their decisions to allocate resources for developing GHRM practices and for involving stakeholders in organizational practices to overcome competition.Originality/valueThis study contributes to the discourse on TQM by empirically investigating the combined impact of GHRM and stakeholder integration on competitive advantage – an aspect that has been relatively overlooked in existing literature.
Customer engagement and intention to purchase attitudes of generation Z consumers toward emojis in digital marketing communications
Authors: Duffett Rodney Graeme , Maraule Mihlali 
Published: February 2024

Purpose
Emojis are quickly becoming a popular new language in social media and marketing. The capability to express emotions and make message understanding easier is one of the primary reasons for using emojis. The aim of this research was to determine the influence of perceived usefulness, perceived ease of use, trust, and involvement on customer engagement due to emojis used in digital marketing communications among Generation Z (Gen Z) in South Africa.

Design/methodology/approach
Following the descriptive research approach, quantitative research was used in this study. A questionnaire (self-administered) was utilized to test the effectiveness of using emojis among 1,000 young consumers. Structural equation modeling was used to test the hypotheses.

Findings
The findings of the study yielded positive relationships between the variables, namely between trust and involvement; involvement and the perceived ease of use; involvement and perceived usefulness; perceived ease of use and perceived usefulness; trust and customer engagement; perceived usefulness and customer engagement; involvement and customer engagement; customer engagement and intention to purchase; trust and intention to purchase; and perceived usefulness and intention to purchase.

Practical implications
This study can help organizations in emerging markets use emojis in their digital marketing communications to engage customers and stimulate intention to purchase among young people, especially the Gen Z cohort, who seek organizations and brands that understand and connect with them.

Originality/value
By investigating the effects of emojis in digital marketing communications, this study contributes to the customer-centric process and the literature on emoji usage while also involving a credible digital language when communicating with members of Gen Z. By extending TAM, the findings of this study contribute to the TAM literature by demonstrating that emoji usage in digital marketing communications positively influences various attitudinal associations among Gen Z consumers.