bluuebunny/crossref_metadata_2025_split huggingface dataset:
The impact of pre-ictal statin use on vasospasm and outcome in aneurysmal subarachnoid hemorrhage
Authors: Andersen S. , Western E. , Sorteberg W. , Sorteberg A. 
Published: October 2023

Abstract
Background
Pleiotropic effects of statins may be beneficial in alleviating cerebral vasospasm (VS) and improving outcome after aneurysmal subarachnoid hemorrhage (aSAH). Initiation of statin treatment at aSAH is not recommended; however, the effect of pre-ictal and continued statin use is not fully investigated.

Methods
Retrospective study comparing aSAH patients admitted in 2012 to 2021 with pre-ictal statin use versus those not using statins. Patient entry variables, radiological/sonological VS, symptomatic VS, and radiologically documented delayed cerebral ischemia (DCI) were registered. Outcome was scored in terms of mortality, modified Rankin score, Glasgow outcome score extended, and levels of fatigue. Patients were compared on group level and in a case–control design.

Results
We included 961 patients, with 204 (21.2%) statin users. Statin users were older and had more often hypertension. Severe radiological/sonological VS, symptomatic VS, and DCI were less frequent in statin users, and their length of stay was shorter. Mortality, functional outcome, and levels of fatigue were similar in both groups. When analyzing 89 pairs of statin users and non-statin users matched for age, aSAH severity, gender, and hypertension, we confirmed decreased radiological/sonological and symptomatic VS as well as shorter length of stay in statin users. They also had more often a favorable functional outcome and lower levels of fatigue.

Conclusions
Patients with pre-ictal and continued use of statins have a reduced occurrence of radiological/sonological and symptomatic VS, shorter length of stay, and more often favorable functional outcome, whereas mortality is similar to non-statin users. Even though larger multicenter studies with common, strict protocols for prevention, diagnosis, and treatment of vasospasm are needed to finally establish the value of statins in aSAH, continuation of pre-ictal statin use seems worthwhile.
A study of the simulated climatological January mean upwelling in the northwestern Gulf of Alaska
Authors: Yuan Nan , Mitsudera Humio , Sasaki Hideharu 
Published: October 2023

AbstractIn this research, we studied the upwelling in the northwestern Gulf of Alaska using the climatological January mean and data from the output of the Ocean General Circulation Model for Earth Simulator (OFES2). Specifically, we analyzed the upwelling in the regions where the Alaska Coastal Current (ACC) flows out of the Shelikof Strait (especially the part to the west of Kodiak Island) and where the ACC and the Alaskan Stream (AS) are confluent. In both regions, strong geostrophic currents and downwelling-favorable wind predominate in winter. Furthermore, there are freshwater discharges along the Alaskan coast and an observed mean current vertical shear in the ACC. We revealed that when the internal water stress is larger than the wind stress inside the study regions, this could be decisive in terms of the local horizontal velocity divergence and further upwelling, even if the region is away from the coast and lacks upwelling-favorable wind conditions. Geostrophic stress is part of the internal water stress and is a product of the geostrophic current shear (due to the thermal wind relation) and the vertical viscosity coefficient. The analysis indicated that a front with a large geostrophic stress may act as a “virtual wall” and contribute to local upwelling within a depth of approximately 100 m in the study regions. This process could provide a heuristic for understanding the distribution of pollock in the areas during February and March, which corresponds to the simulated upwelling region.
Moult performance varies in relation to colour patterns in crossbills
Authors: Fernández-Eslava Blanca , Alonso Daniel , Galicia David , Arizaga Juan 
Published: October 2023

AbstractCarotenoid-based ornamentation can vary greatly among individual birds of the same population. This variability might consider the timing and duration of moult. Crossbills (genus Loxia) show large variation in their colour patterns, ranging from dull yellow to red. Thus, they provide an excellent avian model for testing whether the timing and duration of their moult are associated with their dominant colour patterns. Using a dataset of more than 1900 crossbills captured in the Pyrenees (Spain), we observed that individuals with red feathers started their primary moult early, while those with yellow feathers started moult on an average of 18 days later. We also found that yellow crossbills were more likely to suspend moults (i.e. temporally interrupt moult), postponing a part of the moult until September. These differences in the moulting process may be related to plumage colour, which reflect individual condition.
Food Insecurity and Engagement in Transactional Sex Among Female Secondary Students in Rwanda
Authors: Sheira Lila A. , Izudi Jonathan , Gatare Emmyson , Packel Laura , Kayitesi Laetitia , Sayinzoga Felix , Hope Rebecca , McCoy Sandra I. 
Published: October 2023

AbstractThe relationship between food insecurity and transactional sex is well recognized, but less is known about this relationship among adolescents. We analyzed cross-sectional baseline data from 3,130 female secondary students aged 12–19 enrolled in a three-arm, cluster randomized controlled trial to examine the association between food insecurity and transactional sex. The explanatory variable was food security and the outcome was ever engaging in transactional sex. Over one quarter (28.7%) reported any food insecurity and 1.9% of all participants (9.6% of sexually active participants) reported ever engaging in transactional sex. In adjusted models, ever experiencing any food insecurity was associated with a higher prevalence of ever transactional sex (PR: 1.60; 95% CI: 1.02, 2.49) compared to little to no food insecurity. These results provide insight into potential predictors of higher-risk sexual behavior in Rwanda; they also provide policy-makers with populations with whom to intervene on upstream determinants of transactional sex, notably poverty and food insecurity.
BBB security for 5-round even-Mansour-based key-alternating Feistel ciphers
Authors: Bhattacharjee Arghya , Bhaumik Ritam , Dutta Avijit , Nandi Mridul , Raychaudhuri Anik 
Published: October 2023

AbstractIn this paper, we study the security of the Key-Alternating Feistel (KAF) ciphers, a class of key alternating ciphers with the Feistel structure, where each round of the cipher is instantiated with n-bit public round permutation $$P_i$$

P
i

, namely the i-th round of the cipher maps $$\begin{aligned} (X_L, X_R) \mapsto (X_R, P_i(X_R \oplus K_i) \oplus K_i \oplus X_L). \end{aligned}$$

(

X
L

,

X
R

)

↦

(

X
R

,

P
i

(

X
R

⊕

K
i

)

⊕

K
i

⊕

X
L

)

.

We have shown that our 5 round construction with independent round permutations and independent round keys achieves 2n/3-bit security in the random permutation model, i.e., the setting where the adversary is allowed to make forward and inverse queries to the round permutations in a black box way.
Students’ satisfaction and empowerment of a sustainable university campus
Authors: Pedro Eugénia de Matos , Leitão João , Alves Helena 
Published: October 2023

Abstract
Universities are crucial in empowering a sustainable campus through the adoption of sustainable development practices (SDP), which are expressed in terms of economic, organizational, environmental, and social dimensions. Previous findings point out that students’ satisfaction ensures universities’ sustainability. Both SDP and students’ satisfaction increasingly rule universities positioning. Nevertheless, research addressing the relationship between universities’ SDP dimensions and students’ satisfaction is limited. Given this gap, this study focuses on this still unexplored relationship, as perceived by 738 full-time students at seven Portuguese universities and their academic satisfaction, using structural equation modeling. The empirical findings reveal that SDP influence students’ satisfaction, mainly through organizational and social dimensions. From the resulting implications, it is worth highlighting that: Empowerment of the sustainable university campus is positively associated with students’ satisfaction; and universities need to be continuously committed to improving particularly the economic and environmental dimensions of SDP.
The Voting Rights of Senior Citizens: Should all Votes Count the Same?
Authors: Bengtson Andreas , Albertsen Andreas 
Published: October 2023

AbstractIn 1970, Stewart advocated disenfranchising everyone reaching retirement age or age 70, whichever was earlier. The question of whether senior citizens should be disenfranchised has recently come to the fore due to votes on issues such as Brexit and climate change. Indeed, there is a growing literature which argues that we should increase the voting power of non-senior citizens relative to senior citizens, for reasons having to do with intergenerational justice. Thus, it seems that there are reasons of justice to disenfranchise senior citizens, or at least to grant them a lower voting weight than non-senior citizens. In this paper, we investigate whether there are democratic reasons to do so. To answer this question, we turn to the boundary problem in democratic theory, i.e., the question of who should be included in democratic decision-making. Two prominent solutions, and a more recent one, are particularly relevant: the all-affected principle, the all-subjected principle, and the relational egalitarian principle. When it comes to the all-affected principle and the all-subjected principle, we argue that there is reason to grant most senior citizens a lower voting weight than most non-senior citizens in most decisions. Whether that is the case on the relational egalitarian principle depends on how people relate to each other in society. Indeed, it is sometimes in accordance with the relational egalitarian view to grant senior citizens a greater voting weight than non-senior citizens.
Unimodal Maps Perturbed by Heteroscedastic Noise: An Application to a Financial Systems
Authors: Lillo Fabrizio , Livieri Giulia , Marmi Stefano , Solomko Anton , Vaienti Sandro 
Published: October 2023

AbstractWe investigate and prove the mathematical properties of a general class of one-dimensional unimodal smooth maps perturbed with a heteroscedastic noise. Specifically, we investigate the stability of the associated Markov chain, show the weak convergence of the unique stationary measure to the invariant measure of the map, and show that the average Lyapunov exponent depends continuously on the Markov chain parameters. Representing the Markov chain in terms of random transformation enables us to state and prove the Central Limit Theorem, the large deviation principle, and the Berry-Esséen inequality. We perform a multifractal analysis for the invariant and the stationary measures, and we prove Gumbel’s law for the Markov chain with an extreme index equal to 1. In addition, we present an example linked to the financial concept of systemic risk and leverage cycle, and we use the model to investigate the finite sample properties of our asymptotic results
Protective Factors for Antisocial Behavior in Youth: What is the Meta-Analytic Evidence?
Authors: Gubbels Jeanne , Assink Mark , van der Put Claudia E. 
Published: October 2023

AbstractAlthough both risk and protective factors are important components of etiological theories for antisocial behavior, far less is known about protective factors and their impact. This review summarized primary studies on the impact of different protective factors for antisocial behavior in youth. In total, 305 studies reporting on 1850 potentially protective factors were included. Each extracted factor was first classified into one of 77 mutually exclusive groups of similar factors (referred to as domains), after which a three-level meta-analysis was conducted to determine the protective effect of each domain. A significant and negative effect was found for 50 domains, which were therefore designated as being truly protective. The largest impact (r < −0.20) was found for higher levels of conservativeness, self-transcendence, life satisfaction, involvement in romantic relationships, the capacity to reflect or mentalize, peer relationships quality, prosocial peers, prosocial values, agreeableness, school self-esteem, parental control, general resilience, and social skills. Analyses revealed that the impact of some of the 77 domains was moderated by the youth’s age (five domains) and gender (four domains) as well as the severity of antisocial behavior they exhibit (two domains), indicating that the impact of these domains differs across subgroups of antisocial youth. Given the substantial number of factors that were identified as being protective for antisocial behavior in youth, this study discusses implications for future directions, assessment strategies, and (preventive) interventions.
Lessons Learned Serving Pregnant, Postpartum, and Parenting People with Substance Use Disorders in Massachusetts: The Moms Do Care Program
Authors: Sternberger Laura , Sorensen-Alawad Amy , Prescott Telyia , Sakai Hibiki , Brown Kayla , Finkelstein Norma , Salomon Amy , Schiff Davida M. 
Published: October 2023

Abstract
Purpose
The purpose of this paper is to describe the design and implementation of a multidisciplinary, integrated approach to supporting pregnant, postpartum, and parenting people (PPPP) and their families affected by substance use disorders (SUD).

Description
Between 2015 and 2022, the Moms Do Care (MDC) Program, sponsored by the Massachusetts Department of Public Health Bureau of Substance Addiction Services, established or expanded 11 co-located medical and behavioral health teams in locations across Massachusetts. These teams provided trauma-informed primary and obstetrical health care, SUD treatment and recovery services, parenting support, and case management for approximately 1048 PPPP with SUD.

Assessment
By enhancing the capacity of medical and behavioral health providers offering integrated care across the perinatal health care continuum, MDC created a network of support for PPPP with SUD. Lessons learned include the need to continually invest in staff training to foster teambuilding and improve integrated service delivery, uplift the peer recovery coach role within the care team, improve engagement with and access to services for communities of color, and conduct evaluation and sustainability planning.

Conclusion
MDC prioritizes trauma-informed integrated care, peer recovery, and commits to addressing inequities and stigma; thus, this program represents a promising approach to supporting PPPP impacted by SUD. The MDC model is relevant for those working to build multidisciplinary, integrated systems of health care and perinatal SUD services for marginalized populations.
Promoting Innovation in State and Territorial Maternal and Child Health Policymaking
Authors: Akbarali Sanaa , Dronamraju Ramya , Simon Jessica , Echols Amani , Collins Stacy , Kaeberle Betsy , Chaudhry Atyya 
Published: October 2023

Abstract
Introduction
The Association of Maternal & Child Health Programs (AMCHP) and the Association of State and Territorial Health Officials (ASTHO) launched the PRISM (Promoting Innovation in State and Territorial MCH Policymaking) Learning Community, funded by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). The goal of PRISM was to build state and territorial health agency program and policy-making capacity to address substance use and mental health in the maternal and child health (MCH) population. Expanding access to care and treatment for perinatal substance use disorders (SUD) emerged as the issue of greatest need for state teams.

Methods
The PRISM Learning Community consisted of three major components: (1) intensive capacity building for cross-agency state teams, which involved action planning, peer-to-peer learning, and technical assistance; (2) programming to inform the MCH field broadly about innovations in perinatal SUD policy and practice; and (3) a program evaluation involving pre-, mid-, and post-assessments and follow-up key informant interviews with state teams. This manuscript is not based on clinical study or patient data, therefore IRB approval was not required.

Results
States reported that their knowledge of perinatal SUDs increased and their cross-agency partnerships were strengthened as a result of their participation in PRISM. States identified four key priorities for their continued work: to improve multisector collaborations, to institute equitable SUD screening practices for pregnant people, to strengthen the perinatal behavioral health workforce, and to enhance Medicaid coverage for perinatal SUD prevention and treatment services. The need to respond to urgent demands of COVID-19 and the stigma associated with perinatal SUDs were the most significant barriers to advancing state action plan goals.

Discussion
Since 2018, the PRISM project has supported nine jurisdictions across two cohorts. Participation in PRISM advanced state policies and programs to improve perinatal SUD care through capacity building, technical assistance, and virtual programming. Findings and lessons learned from PRISM may inform the activities of other states seeking to address perinatal substance use disorders.
Developing strategic targeted interaction design to enhance disaster resilience of vulnerable communities
Authors: Hendriks Eefje , Stokmans Mia 
Published: October 2023

AbstractStill too often, technical reconstruction assistance does not lead to adoption of hazard-resistant construction techniques by disaster-affected households. Ideally, effective interactions should be framed and communicated in such a way that it appeals to different intentions of individual households to build back safer. Currently, there is no model for humanitarian interactions that indicates what household characteristics reveal intention differences. To develop audience-specific interactions, this study adapted the three stages used in marketing: segmentation, targeting, and positioning, and the established social scientific model motivation, ability, and opportunity. Our strategic targeted interaction design (STID) method segments the affected population based on intentions to build back safer and provides tailored interactions. Based on similarities, 27 target groups are identified, requiring different interaction approaches. To test viability of the STID method, data were collected through 865 open-ended household interviews in earthquake affected communities in Nepal. Cluster analysis shows the presence of different target groups within the same communities. Descriptive statistics of the target groups led to a proposal of audience-specific interaction strategies to enhance safer construction practices and reduce disaster risk. Our analysis indicates a combination of multiple interaction strategies, prioritizing the learning process and interactions within communities over interactions with external actors. This study presents a highly promising method toward personalization of aid, tailored to perceptions of target groups over general community characteristics.
Feasibility and Efficacy of Intensive Dialectical Behavior Therapy Skills Training in An Outpatient Setting for A Group of Patients with Extensive Care Needs - A Transdiagnostic Approach
Authors: Felix Christina Bertholds , Sand Peter 
Published: October 2023

AbstractPurposeDialectical behavior therapy (DBT) is a treatment originally developed för chronically suicidal adults. It is common to adapt it by using one specific component, the DBT skills training (DBT-ST) and apply it in a group therapy setting for a variety of mental disorders. The primary aim of the study was to explore whether patients with extended care needs would report improved mental health after participating in an intensive form of DBT-ST. The secondary aim was to explore whether the use of psychiatric inpatient care for the group would decrease.MethodsThirty-seven participants completed the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), and visual analogue scale (VAS) at three time points: pre-intervention, post-intervention and at 6-month follow-up after intensive DBT-ST.ResultsOne-way ANOVA showed a significant effect for time on the CORE-OM: F (2,35) = 7.93, p = .001, η2 = 0.312 (large effect size). Post hoc tests indicated a significant difference between pre-intervention and post-intervention (p = .001) and between pre-intervention and follow-up (p = .01). A Friedman test indicated a statistically significant difference in the VAS scale scores across the three time points, with p-values between 0.00 and 0.05. There was no difference in psychiatric healthcare consumption.ConclusionThese study results confirm to some extent the feasibility and effectiveness of the intensive DBT-ST in a transdiagnostic clinical setting. The participants had a positive outcome from the skills training program, but psychiatric healthcare consumption did not decrease.
Uncovering Student Strategies for Solving Scientific Inquiry Tasks: Insights from Student Process Data in PISA
Authors: Teig Nani 
Published: October 2023

AbstractThe advancement of technology has led to a growing interest in assessing scientific inquiry within digital platforms. This shift towards dynamic and interactive inquiry assessments enables researchers to investigate not only the accuracy of student responses (product data) but also their steps and actions leading to those responses (process data). This is done by analyzing computer-generated log files that capture student activity during the assessment. The present study leverages this opportunity by drawing insights from student log files of the Programme for International Student Assessment (PISA). It demonstrates the potential of process data in uncovering typically unobserved students’ problem-solving processes by focusing on two critical scientific inquiry skills: coordinating the effects of multiple variables and coordinating a theory with evidence. This study presents two examples for analyzing process data. The first example examined data from the PISA field trial study and showcased the advantage of using a process mining approach to visualize the sequence of students’ steps and actions in conducting investigations. The second example linked student log files and questionnaire data from the PISA 2015. It applied latent profile analysis to identify unique patterns of students’ inquiry performance and examined their relationships to their school-based inquiry experiences. Findings from both examples indicate that students often encounter considerable challenges in solving complex inquiry tasks, especially in applying multivariable reasoning and constructing scientific explanations. This study highlights the profound potential of process data in facilitating a deeper understanding of how students interact with scientific inquiry tasks in a digital-based environment.