bluuebunny/crossref_metadata_2025_split huggingface dataset:
Barriers to and Recommendations for Equitable Access to Healthcare for Migrants and Refugees in Aotearoa, New Zealand: An Integrative Review
Authors: Kanengoni-Nyatara Blessing , Watson Katie , Galindo Carolina , Charania Nadia A. , Mpofu Charles , Holroyd Eleanor 
Published: September 2023

AbstractThe health system in Aotearoa New Zealand is predicated on equity in access to health services as a fundamental objective yet barriers to equitable access for migrant and refugees continue to exist. There is a paucity of studies that synthesise the experiences and realities of migrants, refugees and healthcare providers that hinder access to healthcare and provide recommendations to improve services. This review synthesised these barriers and recommendations, with an aim to improve equitable access to healthcare to migrants and refugees. An integrative review of 13 peer-reviewed research studies from EBSCOhost research databases published between January 2016 and September 2022. Studies included: (i) related to Aotearoa; (ii) had a focus on equitable delivery of healthcare to migrants and refugees; and (iii) had a full English text available. The PRISMA framework guided the reporting of the review. The findings were thematically analysed and presented using a narrative empirical synthesis. The findings were organised into three broad themes: attitudinal barriers, structural barriers, and recommendations. Attitudinal barriers included the lack of culturally competent healthcare providers, discrimination by healthcare providers, and personal, social, and cultural attributes. Structural barriers referred to policies and frameworks that regulated the accessibility of health services such as the cost of healthcare, accessibility and acceptability of interpreter services, length of allocated appointments and long waiting times for an appointment, difficulties navigating the health system, and logistical barriers. Recommendations focused on promoting a sense of belonging, enabling a whole-of-society approach that brings together all sectors involved in providing health care for collective impact, and advocating for government policies to create a system that addresses the core health service access needs. This review provides rich context-specific findings on the barriers to equitable access to healthcare and proposed interventions to enhance equitable health outcomes for migrants and refugees in Aotearoa. The review contributes to relevant policy decisions and has practical implications to build responsive health systems which are inclusive, equitable and best address the health needs of populations from diverse cultural backgrounds.
Treatment of Fusarium Infection of the Central Nervous System: A Review of Past Cases to Guide Therapy for the Ongoing 2023 Outbreak in the United States and Mexico
Authors: Hoenigl Martin , Jenks Jeffrey D. , Egger Matthias , Nucci Marcio , Thompson George R. 
Published: September 2023

Abstract
Introduction
Fusariosis of the central nervous system (CNS) is extremely uncommon. Treatment and outcome data from previously published cases may provide some guidance in light of the ongoing fungal meningitis outbreak in 2023 involving Fusarium spp. in the United States and Mexico.

Methods
We reviewed the published literature describing cases of invasive fusariosis of the (CNS) that included data on patient demographic characteristics, treatment, and outcome.

Results
Twenty-six cases met inclusion criteria. The mean age was 36 years, 55% involved females, 60% had underlying hematologic malignancy, and another 16% were on immunosuppressants. The majority of infections were from Fusarium solani species complex. Overall 72% of patients died. The majority received monotherapy with amphotericin B, although some received voriconazole monotherapy or combination therapy with amphotericin B plus voriconazole with or without adjuvant surgery. Among the survivors, 3 received amphotericin B monotherapy, 2 voriconazole monotherapy, 1 combination therapy of both, and one surgery only.

Conclusion
The overall mortality rate in published cases of fusariosis of the CNS was high, although—unlike during the current outbreak—the preponderance of patients were severely immunocompromised. While historically the majority were treated with amphotericin B monotherapy, some recent patients were treated with voriconazole monotherapy or combination therapy with amphotericin B plus voriconazole. Current guidelines recommend monotherapy with voriconazole or lipid formulations of amphotericin B or combination of both for the treatment of invasive fusariosis, which is in line with the findings from our literature review and should be considered during the ongoing 2023 outbreak.
How Military Chaplains Strengthen the Moral Resilience of Soldiers and Veterans: Results From a Case Studies Project in the Netherlands
Authors: Schuhmann Carmen , Pleizier Theo , Walton Martin , Körver Jacques 
Published: September 2023

AbstractIn spiritual care research, studies on military chaplaincy are underrepresented, and most available studies center on moral injury. This article contributes to the existing literature on spiritual care in the military by presenting a study of 13 case descriptions of spiritual care provision by military chaplains from the Netherlands. These were analyzed using the framework method, a qualitative method of systematically searching for patterns in data sets, in order to answer the question: How do military chaplains contribute to the moral resilience of soldiers and veterans experiencing moral stress? The analytical framework was constructed on the basis of Doehring’s (Pastoral Psychology, 64(5), 635–649, 2015) conceptual understanding of moral resilience as the outcome of processes of spiritual integration of moral stress in caregiving relationships. This study shows that soldiers experience moral stress when core values associated with ‘being a soldier’ conflict with expectations or actions of soldiers themselves or of others, with the way the military organization functions, or with the spiritual notion of ‘being a good, loving and loveworthy human being’. In their responses to moral stress, chaplains contribute to moral resilience by engaging in co-creating spiritual orienting frameworks which accommodate a sense of goodness of self and others and allow for nuanced, biographically rooted moral views. Soldiers experience conversations and brief encounters with chaplains as relational ‘moments of goodness’, which may also contribute to moral resilience.
Agent-Based and Continuum Models for Spatial Dynamics of Infection by Oncolytic Viruses
Authors: Morselli David , Delitala Marcello Edoardo , Frascoli Federico 
Published: September 2023

AbstractThe use of oncolytic viruses as cancer treatment has received considerable attention in recent years, however the spatial dynamics of this viral infection is still poorly understood. We present here a stochastic agent-based model describing infected and uninfected cells for solid tumours, which interact with viruses in the absence of an immune response. Two kinds of movement, namely undirected random and pressure-driven movements, are considered: the continuum limit of the models is derived and a systematic comparison between the systems of partial differential equations and the individual-based model, in one and two dimensions, is carried out. In the case of undirected movement, a good agreement between agent-based simulations and the numerical and well-known analytical results for the continuum model is possible. For pressure-driven motion, instead, we observe a wide parameter range in which the infection of the agents remains confined to the center of the tumour, even though the continuum model shows traveling waves of infection; outcomes appear to be more sensitive to stochasticity and uninfected regions appear harder to invade, giving rise to irregular, unpredictable growth patterns. Our results show that the presence of spatial constraints in tumours’ microenvironments limiting free expansion has a very significant impact on virotherapy. Outcomes for these tumours suggest a notable increase in variability. All these aspects can have important effects when designing individually tailored therapies where virotherapy is included.
Fears and Resistances to Mindfulness: Development of a Self-Report Scale
Authors: Gilbert Paul , Basran Jaskaran , Plowright Ptarmigan , Matos Marcela , Kirby James , Petrocchi Nicola 
Published: September 2023

Abstract
Objectives
The aim of the study was to develop a new self-report scale to explore the “fears, blocks and resistances of mindfulness”. Currently, there is no scale to identify individuals who may struggle with engaging in mindfulness.

Method
A total of 522 participants were invited to take part in the study from three countries: Australia (n = 199), Portugal (n = 160), and the UK (n = 163). Participants completed a range of self-report scales including the newly developed Fears and Resistances to Mindfulness (FRM), Fears of Compassion, Depression, Anxiety and Stress Scales, Forms of Self-criticising/Attacking and Self-Reassuring, and the Five Facet Mindfulness Questionnaire.

Results
Factor analyses suggested the scale comprised 2 factors. One was related to fears of paying attention to what arises within one’s mind. The second factor was related to resistances, i.e. that mindfulness is a waste of time. Seven items were filler items, and 5 items were identified as problematic due to low communalities or cross-loading; therefore from the original 31 items, 19 were retained in the final scale, which demonstrated excellent internal consistency (McDonald’s Ω = 0.90 for both scales), good construct validity, and temporal stability. Blocks to mindfulness did not emerge as a separate factor.

Conclusions
This is the first study to specifically explore fears and resistances to mindfulness and their associations with fears of compassion, self-criticism, and mental health difficulties. Data suggested that fears and resistances are distinct constructs and should be measured independently. The new measure can offer insights in to fears and resistances to mindfulness, and future research can explore how to work with them.

Preregistration
This study was not preregistered.
Impact of natural disasters on health disparities in low- to middle-income countries
Authors: Nashwan Abdulqadir J. , Ahmed Syed Hassan , Shaikh Taha Gul , Waseem Summaiyya 
Published: September 2023

AbstractNatural disasters, characterized by their ferocity and unpredictability, can cause a lot of damage to people's lives. These effects can last for many years and affect entire communities. After these huge events, the healthcare system faces numerous challenges. Smart planning and timely, clear actions are important to reduce and eventually overcome the bad effects of the events. It's particularly important to acknowledge the status of the healthcare system in low- and middle-income countries (LMICs). These countries have a tough time because their economies are often limited, with limited finances and resources. Hence, natural disasters can damage their healthcare system more. This review looks closely at how various natural disasters have caused big problems for LMICs and their healthcare systems. We carefully look at what happens after these disasters and how they worsen existing problems in these economies. The review also highlights how communities work hard to improve after these events. By showing how natural disasters affect healthcare systems in LMICs, this paper tries to make more people aware of these issues. It encourages everyone to work together to strengthen these important systems against nature's strong forces.
Freelance information management agents: why information management is so hard on translational teams
Authors: Chladek Jason , Kelly Patrick W. , Rolland Betsy 
Published: September 2023

Abstract

Introduction:
To conduct high-quality, rigorous research, and advance scientific knowledge, Translational Teams (TTs) engage in information behaviors, including seeking, using, creating, sharing, storing, and retrieving information, in ways specific to the translational context. Currently, little is known about TTs’ approach to information management. This qualitative pilot study explored how TTs at the University of Wisconsin-Madison interact with information, as well as the scientific and organizational impact of their interactions.

Methods:
We conducted interviews with ten members of UW TTs. Interviews were transcribed and thematic analysis was conducted.

Results:
Four themes emerged: (1) TT members did not recognize the centrality of information or information behaviors to their scientific work; (2) TT members engaged in similar information behaviors and used similar tools across disciplines and topics; (3) TT members did not receive support or guidance from their institution in managing information; and (4) Individualized choices of TT members conflicted at the team level, causing confusion and increasing the potential for data and information loss. Acting as freelance information management agents, TT members made individualized decisions about what tools to use and how to use them, often in a piecemeal manner and without communicating these decisions to other team members.

Conclusion:
Research institutions should both encourage teams to discuss their information management approaches at the beginning of a project and provide leaders with training on how to have these conversations and what topics should be included. Additionally, institutions can provide researchers with guidelines for using software platforms to help mitigate information management challenges.
Well-being predictors of body composition and associated behavioral risk factors in midlife/older women participating in a meditative movement intervention: an exploratory analysis
Authors: James Dara L. , Larkey Linda K. , Goldsmith Kimberley , Evans Bronwynne , Sebren Ann , Hawley Nanako A. 
Published: September 2023

Abstract

Introduction:
Greater than 40% of women are obese, a key risk factor for cardiometabolic, neurocognitive disease, mood disorders, and certain cancers. Obesity and unfavorable body composition can compromise physical and psychological health and well-being. Preliminary evidence demonstrates Meditative Movement (i.e., Tai Chi Easy) improves health outcomes and body composition among midlife/older women. This single-group pilot study explored relationships between well-being predictors related to body composition and associated behavioral risk factors in midlife/older women pre-to-post Tai Chi Easy intervention.

Methods:
Eligible women 45–75 years old, participated in once-weekly 30-minute Tai Chi Easy classes over 8-weeks. Pre/post-intervention data included self-report surveys and on-site body composition. Multivariate linear regression models were fitted with putative predictor variables having correlations p-values of 0.20 or less with sleep quality and eating behaviors.

Results:
Participants (N = 36) (M age = 53.7) were White (80.4%) and attended ≥ 4 years of college (70.6%). Analyses resulted in one independent variable per model as a predictor of the dependent variables of sleep quality and emotional eating. Results indicated: (1) stress explained 13.4% sleep quality variance (F (2, 20) = 2.71, p = 0.09) and (2) self-compassion explained 42.1% emotional eating variance (F (2, 31) = 12.54, p < .01).

Conclusion:
Findings suggest stress and self-compassion partially explain variance in the dependent variables of sleep quality and emotional eating, both associated behavioral risk factors of body composition. Additional research may guide interventions to test efficacy and examine mediators to improve well-being predictors, body composition, and associated behavioral risk factors among midlife/older women.
Age-Friendly Research: promoting inclusion of older adults in clinical and translational research
Authors: De Lima Bryanna , Lindauer Allison , Eckstrom Elizabeth 
Published: September 2023

Abstract

Introduction:
Older adults have a high disease burden but are often underrepresented in research studies due to recruitment and retention obstacles, among others. Geriatric research specialists have identified solutions to these challenges and designed frameworks to help other researchers. Our team utilized three frameworks to create an interactive webinar series aimed to educate research team members on Age-Friendly practices.

Methods:
We recruited 40 non-aging-trained research team members to participate in a six-session, real-time webinar series from October to November 2022. Sessions were comprised of 20–30 minute didactics and 30–40 minute group discussions. Participants completed pre- and post-program surveys, commitment to change forms, and post-webinar session surveys. Responses were examined for strengths and areas for improvement. Wilcoxon signed-rank tests assessed differences in confidence scores.

Results:
Self-reported confidence scores improved after the webinar series. Most participants provided positive feedback and high likeliness to use what they learned and recommend the webinar to others. The strengths were practical tips, applicable tools, and real-world examples. The major area for improvement was information on industry-sponsored trials. The commitment to change responses varied from pledging to use more inclusive language to adapting materials to improve the consent process.

Conclusion:
This interactive Age-Friendly Research webinar series was feasible and well received by participants. We created an Age-Friendly Research community fostering commitment to change clinical and translational research to be more inclusive of older adults. Future work will include more information on industry-sponsored trials and expand to other research centers.
Event Study Design for Modeling Early Relaxation in Turkish Public with COVID-19 Vaccine
Authors: Keser Merve , Sariyer Gorkem , Kahraman Serpil 
Published: September 2023

Abstract

Objective:
Vaccination is crucial to fighting the coronavirus disease (COVID-19) pandemic. A large body of literature investigates the effect of the initiation of the COVID-19 vaccination in case numbers in Turkey, including the resistance and willingness to taking the vaccine. The effect of early relaxation in the Turkish public with the initiation of vaccination on new daily cases is unknown.

Methods:
This study performs an event study analysis to explore the pre-relaxation effect of vaccination on the Turkish public by using daily data of new cases, stringency index, and residential mobility. Two events are comparatively defined as the vaccination of the health personnel (Event 1) and the citizens age 65 and over (Event 2). The initial dates of these events are January 13 and February 12, 2021, respectively. The length of the estimation window is determined as 14 days for the 2 events. To represent only the early stages of the vaccination, the study period ends on April 12, 2021. Thus, whereas the event window of Event 1 includes 90 observations, Event 2 covers 60 observations.

Results:
While average values of residential mobility, stringency index, and daily numbers of cases are 15.36, 71.03, and 11 978.93 in the estimation window for Event 1, these averages are 8.89, 70.88, and 17 303.20 in the event window. For Event 2, the same average values are 9.14, 69.38, and 7 664.93 in the estimation window and 8.25, 71.12, and 22 319.10 in the event window. When 14-day abnormal growth rates of the daily number of cases for Event 1 and Event 2 are compared, it is observed that Event 1 has negative growth rates initially and reaches a 7.59% growth at most. On the other hand, Event 2 starts with a 1.11% growth rate, and having a steady increase, it reaches a 23.70% growth in the last 14 days of the study period.

Conclusion:
The preliminary result shows that, despite taking more strict governmental measures, while residential mobility decreases, the daily number of COVID-19 cases increases in the early stages of vaccination compared to short pre-periods of it. This indicates that the initiation of vaccination leads to early behavioral relaxation in public. Moreover, the effect of Event 2 on the case numbers is more significant and immediate, compared to that of Event 1, which may be linked to the characteristic of the Turkish culture being more sensitive to the older adult population.
Direct detonation initiation in hydrogen/air mixture: effects of compositional gradient and hotspot condition
Authors: Jia Xiongbin , Xu Yong , Zheng Hongtao , Zhang Huangwei 
Published: September 2023

Two-dimensional simulations are conducted to investigate the direct initiation of cylindrical detonation in hydrogen/air mixtures with detailed chemistry. The effects of hotspot condition and mixture composition gradient on detonation initiation are studied. Different hotspot pressures and compositions are first considered in the uniform mixture. It is found that detonation initiation fails for low hotspot pressures and the critical regime dominates with high hotspot pressures. Detonation is directly initiated from the reactive hotspot, whilst it is ignited somewhere beyond the non-reactive hotspots. Two cell diverging patterns (i.e. abrupt and gradual) are identified and the detailed mechanisms are analysed. Moreover, cell coalescence occurs if many irregular cells are generated initially, which promotes the local cell growth. We also consider non-uniform detonable mixtures. The results show that the initiated detonation experiences self-sustaining propagation, highly unstable propagation and extinction in mixtures with a linearly decreasing equivalence ratio along the radial direction, i.e. 1 → 0.9, 1 → 0.5 and 1 → 0. Moreover, the hydrodynamic structure analysis shows that, for the self-sustaining detonations, the hydrodynamic thickness increases at the overdriven stage, decreases as the cells are generated and eventually becomes almost constant at the cell diverging stage, within which the sonic plane shows a ‘sawtooth’ pattern. However, in the detonation extinction cases, the hydrodynamic thickness continuously increases, and no ‘sawtooth’ sonic plane can be observed.
Wind turbine wakes: experimental investigation of two-point correlations and the effect of stable thermal stability
Authors: Placidi Marco , Hancock Philip E. , Hayden Paul 
Published: September 2023

Wind tunnel experiments are performed in both neutral and stable boundary layers to study the effect of thermal stability on the wake of a single turbine and on the wakes of two axially aligned turbines, thereby also showing the influence of the second turbine on the impinging wake. In the undisturbed stable boundary layers, the turbulence length scales are significantly smaller in the vertical and longitudinal directions (up to 50 % and

$\approx$

40 %, respectively), compared with the neutral flow, while the lateral length scale is unaffected. The reductions are larger with the imposed inversion of a second stable case, except in the near-wall region. In the neutral case, the length scales in the wake flow of the single turbine are reduced both vertically and laterally (up to 50 % and nearly 40 %, respectively). While there is significant upstream influence of a second turbine (on mean and turbulence quantities), there is virtually no upstream effect on vertical length scales. However, curiously, the presence of the second turbine aids length-scale recovery in both directions. Longitudinally, each turbine contributes to successive reduction in coherence. The effect of stability on the turbulence length scales in the wake flows is non-trivial: at the top of the boundary layer, the reduction in the wall-normal length scale is dominated by the thermal effect, while closer to the wall, the wake processes strongly modulate this reduction. Laterally, the turbines’ rotation promotes asymmetry, while stability opposes this tendency. The longitudinal coherence, significantly reduced by the wake flows, is less affected by the boundary layer's thermal stability.