bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Associated With Balance and Fear of Falling in Patients With Benign Paroxysmal Positional Vertigo: A Controlled Cross‐Sectional Study
Authors: Baday‐Keskin Dilek , Taş Mustafa Burak , Bayar‐Muluk Nuray 
Published: January 2025

ABSTRACTObjectivesThe aim of this study is to evaluate the factors influencing balance and fear of falling (FOF) in patients with benign paroxysmal positional vertigo (BPPV).DesignA controlled cross‐sectional study.SettingSingle center study.MethodsA total of 31 patients with BPPV and 30 controls were included in this cross‐sectional study. The handgrip strength (HGS) was measured using the Jamar hydraulic hand dynamometer. Ultrasound measurements of muscle thickness (MT) of the biceps brachii, medial head of gastrocnemius, and lateral head of gastrocnemius were recorded. MT/body mass index was calculated. FOF was assessed using the Falls Efficacy Scale (FES). The Berg Balance Scale (BBS) was used to assess the participants' balance. The timed up and go test (TUG) was used to evaluate physical function. The video head impulse test (VHIT) was used to evaluate the semicircular canals.ResultsThe FES scores and TUG duration were higher and the BBS scores were lower in patients with BPPV compared with the control group (p < 0.001). Univariate analysis showed that dominant HGS (B = −1.380, p = 0.012), BMI (B = 2.391, p = 0.011), and female gender (B = 18.369, p = 0.036) were associated factors for the FES in patients with BPPV. Age (B = −0.239, p < 0.001), dominant HGS (B = 0.441, p < 0.001), BMI (B = −0.503, p = 0.032) and R ASC (B = −12.601, p = 0.006) were associated variables for the BBS. Age was an associated factor for the TUG (B = 0.158, p = 0.017).ConclusionLower HGS, higher BMI and female gender were associated factors for greater FOF in patients with BPPV. Clinicians should be aware of risk factors and educate patients regarding balance and FOF.
Implications for Humanitarian‐Development‐Peace Nexus (HDPN) implementation in forced migration context: A collaborative governance approach
Authors: Cho J. M. , Ju Minji , Cha Hyun Jung , Kang Minah 
Published: January 2025

AbstractMotivationThe Humanitarian‐Development‐Peace Nexus (HDPN) approach emphasizes the importance of collaboration. However, there is little exploration of HDPN from a collaborative governance perspective.PurposeThis study aims to analyse how the HDPN approach is applied in settings of forced migration and evaluate the application of Emerson et al.'s (2012) Integrative Framework for Collaborative Governance in these contexts. The focus is on how the four components of collaborative governance are covered in HDPN settings.Approaches and MethodsThe study examines 12 empirical HDPN studies in situations of forced migration. It uses the Integrative Framework for Collaborative Governance to evaluate the components of principled engagement, shared motivation, capacity for joint action and impact/adaptation.FindingsThe findings indicate that the framework is suitable for and relevant to the HDPN approach. Collaborative governance is shown to be necessary to improve cross‐sectoral co‐ordination, deal with complex and protracted crises, and achieve collective outcomes. The study also identified knowledge gaps and difficulties in implementing collaborative governance within HDPN.Policy ImplicationsThe study sets the groundwork for future research to develop comprehensive guidelines and best practices to implement the HDPN approach. It highlights the need for collaborative governance to improve the effectiveness of the HDPN approach in addressing the challenges of forced migration.
Understanding the Needs of Young and Middle‐Aged Chinese People Who Have Experienced a Stroke Who Have Not Successfully Returned to Work: A Qualitative Study
Authors: Liu Ziwei , Liu Shu , Shi Jiaxing , Yang Yanming , Zhong Yuan , Li Jiaxin 
Published: January 2025

ABSTRACTObjectivesThe study aims to understand the return to work (RTW) needs of young and middle‐aged people who have experienced a stroke and to contribute to the development of supportive RTW services.DesignA qualitative study employing the phenomenological method.ParticipantsEleven young and middle‐aged people who have experienced a stroke participated in the study.MethodsSemi‐structured in‐depth interviews were conducted and analysed using Colaizzi's 7‐step method to identify and categorize the RTW needs of participants.ResultsThe analysis delineated four overarching thematic categories of RTW needs among the participants: self‐management needs, emphasizing the regulation of symptoms, health maintenance and recovery planning; social support needs, highlighting the significance of workplace accommodations, professional medical guidance, and emotional encouragement from companions and family; the need for information related to returning to work, which includes accessing resources on rehabilitation opportunities, labour rights and professional consultation services; and personal development needs, focusing on fostering self‐worth, identifying growth opportunities and acquiring new skills to adapt to changing professional demands.ConclusionThe diverse and comprehensive needs of young and middle‐aged people who have experienced a stroke underscore the importance of multifaceted support from healthcare professionals. This support should encompass medical, psychological, informational and skill‐development aspects and should involve enhanced communication and collaboration with relevant stakeholders to facilitate a successful RTW.Patient or Public ContributionThis study was designed without direct involvement from patients or the public in the development of the research question, the design of the study, or the conduct of the research. This decision was informed by the specific focus on qualitative experiences and perceptions of stroke survivors regarding their RTW journey, which relied heavily on personal narratives and subjective accounts collected through individual interviews. However, the insights gained from these narratives have been crucial in shaping the research outcomes, emphasizing the patient‐centred approach to understanding RTW barriers and facilitators.Reporting MethodThis study followed the SRQR checklist for qualitative studies as its reporting method.
Rationing of nursing care in a developing country: A cross‐sectional study
Authors: Torun Kılıç Çiğdem , Özsaban Aysel , Bayram Aysun , Altuntaş Emel 
Published: January 2025

AbstractAimThis study aimed to determine the effect of nurses’ work environment, individual and work schedule features on the rationing of nursing care.IntroductionRationing of nursing care is a concern in healthcare settings worldwide, as it is associated with negative outcomes for both patients and nursing staff.BackgroundLittle is known about the precursors of rationing of nursing care in developing countries.MethodsThis descriptive, correlational and cross‐sectional study was conducted with 405 nurses in Türkiye. Data were collected Nurse Information Form, Basel Extent of Rationing of Nursing Care‐R and Nursing Work Index–The Practice Work Environment Scale. The study was reported following the STROBE and RANCARE guideline.ResultsNurses’ mean rationing of nursing care score was 1.58 ± 0.59, and the mean work environment perception score was 2.58 ± 0.47, with no statistically significant relationship between the scale scores. However, working ward, working hours and working schedule significantly affected the total rationing of nursing care scores.DiscussionIn this study, contrary to the literature, no relationship was found between the rationing of nursing care and the perception of the work environment. Supporting the literature, nurses' individual/work schedule features affected the rationing of nursing care.ConclusionImproving nurses’ work schedule features and nurse staffing may help reduce the rationing of nursing care.Implications for nursing and health policyThis study emphasised the importance of nurses’ work schedule features and nurse staffing in the rationing of nursing care. The data from this study can guide nurse managers in identifying factors related to work schedules that may affect the rationing of nursing care and strategies to follow to make the necessary improvements.
Nurses’ preparedness for disasters: Perceptions and levels of psychological resilience
Authors: Batı Şeyda , Çelikkalp Ülfiye 
Published: January 2025

AbstractAimThis study investigates the relationship between nurses’ disaster preparedness, the factors influencing it, and nurses’ psychological resilience.BackgroundThe International Council of Nursing considers disaster preparedness and response to be essential qualifications for nurses. Nurses’ resilience levels have a significant impact on their professional behavior under challenging circumstances, such as disasters, resulting in improved patient care and satisfaction.MethodsThis cross‐sectional study involved 400 nurses employed at secondary and tertiary healthcare institutions in a city in Turkey. Data were collected through face‐to‐face interviews using a descriptive questionnaire, the nurses’ perception of disaster preparedness scale (NP‐DPS), and the Connor–Davidson resilience scale (CD‐RISC).ResultsParticipants’ average age was 32.29 ± 7.12 years, and 75.3% were female. The average total score on the NP‐DPS was 78.64 ± 9.47, with notably lower scores observed in the intervention subscale. Nurses with higher education levels, prior disaster training and experience, a sense of preparedness for disasters, and a passion for their profession had significantly higher average scores (p < 0.05). The results indicate that the nurses’ psychological resilience was at a moderate level, and disaster preparedness was identified as the most significant predictor (R2 = 0.214, p ≤ 0.001).ConclusionNurses’ disaster preparedness is influenced by their education level, disaster training, previous volunteer experience in disasters, passion for the profession, and psychological resilience. Healthcare administrators can enhance nurses’ disaster preparedness by providing targeted support and resources.Implications for nursing policyThe results highlight the need for national policies that integrate nurses’ professional competencies and resilience for effective disaster responses and emphasize the importance of disaster preparedness training programs for nurses. Managers play a crucial role in implementing these national and international policies.
Respectful Maternity Care in the United States: A Scoping Review of the Research and Birthing People's Experiences
Authors: Cayama Morgan Richardson , Vamos Cheryl A. , Harris Nicole L. , Logan Rachel G. , Howard Allison , Daley Ellen M. 
Published: January 2025

IntroductionBirthing people around the world experience mistreatment during labor and birth, contributing to adverse maternal health outcomes. The adoption of respectful maternity care (RMC) has been recommended to address this mistreatment and improve care quality. Most RMC and mistreatment research has been conducted internationally. The purpose of this scoping review was to (1) explore the extent of RMC research and (2) describe labor and birth experiences in the United States.MethodsEmbase, Scopus, and CINAHL databases were searched for concepts relating to RMC and mistreatment. A total of 66 studies met review inclusion criteria. Two reviewers screened titles, abstracts, and full‐text articles. Data were extracted and categorized using the Bohren et al typology of mistreatment. Summary statistics and narrative summaries were used to describe study characteristics and birthing people's experiences.ResultsMost studies represented national or urban samples and Western or Northeastern US regions. Few were from the South, and only one represented rural participants specifically. Few studies represented the unique experiences of justice‐involved birthing people, and none represented sexual and gender minorities or Indigenous people. Qualitative methods were predominant. The most common forms of mistreatment included (1) poor rapport between women and health care providers (88% of studies), (2) stigma and discrimination (79%), and (3) a failure to meet professional standards of care (73%).DiscussionThe extent of mistreatment in the United States highlights the need for robust programs and policies targeting provision of RMC. Additional research is needed to better understand the experiences of additional minority communities and those living rural areas and in the Southern United States.
Intergenerational Relationships and Their Impact on Social Resilience Amongst Arab Society Elderly Populations: A Qualitative Exploration
Authors: Badawy Walaa , Shaban Mostafa 
Published: January 2025

ABSTRACTAimTo explore the impact of intergenerational relationships on the social resilience of elderly populations in Arab societies. Additionally, the study aimed to identify the factors that influence the quality of these relationships and their role in enhancing or diminishing the resilience of older adults.DesignA qualitative study.MethodSemi‐structured interviews were conducted between June and July 2024 with 12 elderly participants from urban and semi‐urban communities in Al‐Ahsa, Saudi Arabia. Data were analysed using both deductive framework analysis, guided by social support theory, and inductive thematic analysis to identify key themes related to intergenerational relationships and social resilience.ResultsThe study involved 12 participants aged 61–85 years (average age of 72 years), with a mix of educational backgrounds and living arrangements. Strong intergenerational ties were found to significantly enhance social resilience by providing emotional support and a sense of security. Participants in multi‐generational households reported more positive outcomes compared to those with less frequent family contact. However, generational differences and modern‐life pressures posed challenges to maintaining these relationships.ConclusionThe findings underscore the importance of fostering strong intergenerational relationships to support the social resilience of elderly populations in Arab societies. Future research should explore interventions that bridge generational gaps and strengthen family ties, particularly in the context of evolving social structures.Implication for the Profession and/or Patient CareHealthcare practitioners and policymakers should consider the role of intergenerational relationships when designing interventions aimed at improving the well‐being and resilience of older adults in a culturally sensitive approaches.Reporting MethodThe Consolidated Criteria for Reporting Qualitative Research (COREQ).Patient or Public ContributionThe engagement and interview data from elderly participants provided valuable insights into the dynamics of intergenerational relationships and their impact on social resilience.
Customised Convolutional Neural Network With Transfer Learning for Multi‐Nutrient Deficiency Identification With Pattern and Deep Features in Paddy Image
Authors: Kavitha S , Chinnaiah Kotadi 
Published: January 2025

ABSTRACTMulti‐nutrient deficiency in crops, involving a shortage of essential nutrients such as nitrogen, phosphorus and potassium, impacts plant growing and yield. Accurate recognition is vital for effective nutrient management and maximising productivity. Identification techniques include extractive methods that analyse symptoms and abstractive methods that generate insights from data, with hybrid approaches aiming to improve the accuracy. However, challenges remain in maintaining diagnostic consistency and so forth. Continuous improvements are necessary to better integrate and interpret complex data for more accurate nutrient deficiency identification. To tackle these challenges, this research proposes the customised convolutional neural network‐transfer learning (CCNN‐TL) model for identifying multi‐nutrient deficiencies in paddy leaves. This model includes several key phases: image preprocessing, segmentation, feature extraction, data augmentation and identification. Initially, the paddy leaf images undergo preprocessing using the improved Wiener filtering (IWF) technique. Next, the modified U‐Net model is proposed for segmenting the preprocessed images. In the feature extraction phase, relevant features are identified from the segmented images. These features are then augmented through the data augmentation process. Finally, the CCNN‐TL model is used for multi‐nutrient deficiency identification. The model's effectiveness is demonstrated through comprehensive simulations and experimental evaluations. These evaluations showcase its enhanced performance, with improved accuracy, precision and specificity compared to traditional methods. The CCNN‐TL scheme attained the greatest accuracy of 0.982, precision of 0.975 and F‐measure of 0.973. The Nutrient‐Deficiency‐Symptoms‐in‐Rice dataset was employed for simulations and analysis, ensuring a solid foundation for the evaluations.
Unraveling the Bryocladia scopulorum complex from the Southwestern Atlantic Ocean with the description of three new species of Bryocladia (Rhodomelaceae, Rhodophyta)
Authors: Jhullyrson Osman Ferreira de Brito  , Cassano Valéria 
Published: January 2025

AbstractThe filamentous red algal genus Bryocladia was recently deeply revised based on molecular and morphological data. However, data from the Southwestern Atlantic Ocean are scarce. Here, we provide a phylogenetic study of Bryocladia representatives from the Brazilian coast with new additions to the genus. Our samples were collected from the north to southeastern Brazilian coast in marine and estuarine areas. We carried out a morphological and molecular study based on COI‐5P and rbcL gene sequences. Our phylogenetic analyses confirmed the presence of seven species on the Brazilian coast, four of which were previously known: B. cuspidata, B. subtilissima, B. thyrsigera, and B. villum. Three new species are described here, B. itaipensis sp. nov., B. oceanica sp. nov., and B. mucuripensis sp. nov., all morphologically included in the B. scopulorum complex. Bryocladia subtilissima was observed only in Brazilian estuarine areas. However, it was split into two subclades, which require further investigation. The three new species expand the known diversity of the B. scopulorum complex from 12 to 15 species. Bryocladia itaipensis is closely related to B. canariensis and B. caespitosa, whereas B. oceanica and B. mucuripensis formed distinct lineages with unsolved relationships. All new species are restricted to their type localities in Brazilian waters, reinforcing the need for further study of tiny species, especially from the tribes Polysiphonieae and Streblocladieae.
Compartmental location of middle ear inflammatory polyps in cats: 9 cases (2021‐2023)
Authors: Bohin C. , Garcia M. , Bertinot C. , Graille M. , Bernardé A. 
Published: January 2025

ObjectivesTo report the compartmental location of feline aural inflammatory polyps within the tympanic bulla.Materials and MethodsNine client‐owned cats with clinical signs and middle ear filling consistent with feline aural inflammatory polyps were prospectively pre‐selected and underwent unilateral or bilateral ventral bulla osteotomy. Preoperative and surgical findings, complications and outcomes were recorded. Tissues obtained from the ventromedial compartment and from the dorsolateral compartment of the tympanic bulla were submitted separately for histological examination. Definitively selected cats were those having feline aural inflammatory polyps in at least one compartment of their operated tympanic bulla.ResultsTen ventral bulla osteotomies were performed on nine cats. Feline aural inflammatory polyps were histologically diagnosed in both compartments of all tympanic bullas. There were no intraoperative complications. Apart from Horner's syndrome on the ipsilateral eye following surgeries, post‐operative complications were rare. This is the first study that documents the presence of feline aural inflammatory polyps in both compartments of the tympanic bulla in all cats with aural involvement.Clinical SignificanceShould a complete excision of feline aural inflammatory polyps be desired, complete debridement of both compartments of the tympanic bulla is required. Traction‐avulsion techniques using approaches of tympanic bulla with no visit of the ventromedial compartment may not completely resolve the condition.
Legacies from early‐season hot drought: how growth cessation alters tree water dynamics and modifies stress responses in Scots pine
Authors: Ruehr N. K. , Nadal‐Sala D. 
Published: January 2025

Abstract
Tree responses to drought are well studied, but the interacting effects of drought timing on growth, water use, and stress legacy are less understood. We investigated how a widespread conifer, Scots pine, responded to hot droughts early or late in the growing season, or to both.
We measured sap flux, stem growth, needle elongation, and leaf water potential (Ψleaf) to assess the impacts of stress timing on drought resilience in Scots pine saplings.
The early summer hot drought had peak temperatures of 36.5 °C, while the late summer hot drought peaked at 38.2 °C. Soil water content during both periods declined to ca. 50% of control values. The early‐season hot drought caused growth cessation already at Ψleaf − 1.1 MPa, visible as an almost 30 days earlier end to needle elongation, resulting in needles 2.7 cm shorter, on average. This reduction in leaf area decreased productivity, resulting in a reduction of 50% in seasonal transpiration. However, the reduced water use of early‐stressed saplings appeared to enhance resistance to a late‐season drought, as reflected in a smaller decline in Ψleaf and lower tree water deficit compared to saplings that did not experience early‐season stress.
In summary, we observed persistant drought legacy effects from early‐season hot‐drought stress, as evident in a 35% reduction of leaf area, which impacted tree water use, stress resistance, and productivity. These structural adjustments of leaf development and reduced bud mass from early‐season stress could be critical in evergreen conifers, whose long‐lived foliage influences future water use and growth potential.
Synergistic effects of temperature and light on photoprotection in the model diatom Phaeodactylum tricornutum
Authors: Giossi Chiara E. , Bitnel Dila B. , Wünsch Marie A. , Kroth Peter G. , Lepetit Bernard 
Published: January 2025

AbstractDiatoms dominate phytoplankton communities in turbulent waters, where light fluctuations can be frequent and intense. Due to this complex environment, these heterokont microalgae display remarkable photoprotection strategies, including a fast Non‐Photochemical Quenching (NPQ). However, in nature, several abiotic parameters (such as temperature) can influence the response of photosynthetic organisms to light stress in a synergistic or antagonistic manner. Yet, the combined effects of light and these other drivers on the photosynthetic and photoprotective capacity of diatoms are still poorly understood. In this work, we investigated the impact of short‐term temperature and light stress on the model diatom Phaeodactylum tricornutum, combining NPQ induction‐recovery assays or light curves with a broad gradient of superimposed temperature treatments (5 to 35°C). We employed mutant lines deficient in NPQ generation (vde KO) or recovery (zep3 KO) and wild type. We found that temperature and light have a synergistic effect: lower temperatures limited both the photosynthetic capacity and NPQ, while the general photophysiological performance was enhanced with warming, up to a heat‐stress limit (above 30°C). We discuss the temperature effects on NPQ induction and recovery and propose that these are independent from the energy requirements of the cells and result from altered xanthophyll cycle dynamics. Namely, we found that de‐epoxidation activity strongly increases with temperature, outweighing epoxidation and resulting in a positive increase of NPQ with temperature. Finally, we propose that in a short‐term time frame, temperature and light have a synergistic and not antagonistic effect, with a positive relationship between increasing temperature and NPQ.