bluuebunny/crossref_metadata_2025_split huggingface dataset:
The role of low health literacy in shared treatment decision-making in patients with kidney failure
Authors: Toapanta Néstor , Salas-Gama Karla , Pantoja Percy Efrain , Soler María José 
Published: September 2023

ABSTRACT
The classic paternalist medicine in nephrology has been modified to a shared decision-making model that clearly offers a benefit in patients with kidney disease. One of the cornerstones of shared treatment decision in patients with kidney failure is the understanding of kidney disease. As kidney disease is silent until advanced stages and is also an entity with a complex pathophysiology with little knowledge in the general population, its presence and understanding are difficult for most people. Health literacy (HL) plays a crucial role in the care of patients with kidney disease and the shared treatment decision. Limited HL has been associated with inefficient use of health services, non-compliance of medications, worse quality of life and increased mortality. In this review, we will address the importance of low HL in nephrology in terms of diagnosis, measurement, its effect on shared decision-making and how to increase it in people with kidney disease.
Smaller herring larval size-at-stage in response to environmental changes is associated with ontogenic processes and stress response
Authors: Joly Léa J , Boersma Maarten , Giraldo Carolina , Mazurais David , Madec Lauriane , Collet Sophie , Zambonino-Infante José-Luis , Meunier Cédric L 
Published: September 2023

Abstract
Global change puts coastal systems under pressure, affecting the ecology and physiology of marine organisms. In particular, fish larvae are sensitive to environmental conditions, and their fitness is an important determinant of fish stock recruitment and fluctuations. To assess the combined effects of warming, acidification and change in food quality, herring larvae were reared in a control scenario (11°C*pH 8.0) and a scenario predicted for 2100 (14°C*pH 7.6) crossed with two feeding treatments (enriched in phosphorus and docosahexaenoic acid or not). The experiment lasted from hatching to the beginning of the post-flexion stage (i.e. all fins present) corresponding to 47 days post-hatch (dph) at 14°C and 60 dph at 11°C. Length and stage development were monitored throughout the experiment and the expression of genes involved in growth, metabolic pathways and stress responses were analysed for stage 3 larvae (flexion of the notochord). Although the growth rate was unaffected by acidification and temperature changes, the development was accelerated in the 2100 scenario, where larvae reached the last developmental stage at a smaller size (−8%). We observed no mortality related to treatments and no effect of food quality on the development of herring larvae. However, gene expression analyses revealed that heat shock transcripts expression was higher in the warmer and more acidic treatment. Our findings suggest that the predicted warming and acidification environment are stressful for herring larvae, inducing a decrease in size-at-stage at a precise period of ontogeny. This could either negatively affect survival and recruitment via the extension of the predation window or positively increase the survival by reducing the larval stage duration.
The utility of the classification tools in National Institute of Health and Clinical Excellence’s Clinical Knowledge Summaries for primary care
Authors: Hopayian Kevork , Dimosthenous Sotiris 
Published: September 2023

Abstract

Background
The National Institute of Health and Clinical Excellence provides a web-based resource, Clinical Knowledge Summaries (CKS), whose aim is to give evidence-based guidance for primary care practitioners and students. Included in the information it provides, are tools for the classification of conditions.

Objectives
The objective of this study was to measure the proportion and utility of the classification tools that have implications for management.

Methods
Each topic on the CKS website was screened in alphabetical order for the presence of a classification tool. The linkage to management and the strength of recommendations were extracted by 2 researchers working independently. Disagreements were resolved through discussion.

Results
Classification tools were present for 35 conditions. There were 52 tools in all. A strong recommendation for their use was made in 37% while for a sizeable minority, 46%, the strength of recommendation was uncertain. There was a relation between strength of recommendation and linkage: for the stronger recommendation, 76% had some form of implication for management.

Conclusion
Relevance is an important feature of a guideline for general practitioners (GPs). Given that nearly half its tools have no utility in guiding management, CKS may need to consider whether extraneous information should be disposed of or retained.
Site Index Models for Loblolly Pine Forests in the Southern United States Developed with Forest Inventory and Analysis Data
Authors: Subedi Mukti Ram , Zhao Dehai , Dwivedi Puneet , Costanzo Bridgett E , Martin James A 
Published: September 2023

AbstractAccurate productivity estimates are essential to assess the overall sustainability of forest resources. Site index (SI) models for loblolly pine (Pinus taeda L.) in plantation and natural forests of the southeastern United States were developed using the Forest Inventory and Analysis (FIA) database. We extracted short (~20 years), unbalanced panel data from the FIA database. Ten different nonlinear models derived from the base models using the algebraic difference approach (ADA) or the generalized algebraic difference approach (GADA) were fitted to the extracted data. The performance of the models was ranked based on a variety of fit and evaluation statistics. The results showed that all top three models were derived using the GADA approach. The best model for loblolly pine plantation and natural forest stands was derived from the Hossfeld model and the Chapman–Richards model, respectively. The best-fitted models for planted forests were also compared with previously developed models. This study demonstrated that base-age invariant and polymorphic SI models could be developed using short panel data extracted from FIA data. The SI models presented here can be used as a height growth model component in forest growth and yield model systems.Study Implications: Improved site index equations for assessing the site quality of loblolly pine plantation and natural stands are now available to stakeholders at the policy, management, and operational levels. Activities such as forest management, restoration, and wildlife management, which require site quality data, will benefit from the new models. Furthermore, the approach of deriving panel data based on Forest Inventory and Analysis data offers information on developing and updating models for other species. Finally, the approach of this study, to use permanent plot measurement data in developing growth and yield models, is cost-effective and time-efficient.
Physical Resilience as a Predictor of Lifespan and Late-Life Health in Genetically Heterogeneous Mice
Authors: Brown Ashley K , Mazula Daniel L , Roberts Lori , Roos Carolyn , Zhang Bin , Pearsall Vesselina M , Schafer Marissa J , White Thomas A , Huang Runqing , Kumar Navasuja , Miller Jordan D , Miller Richard A , LeBrasseur Nathan K 
Published: September 2023

Abstract
Dynamic measures of resilience—the ability to resist and recover from a challenge—may be informative of the rate of aging before overt manifestations such as chronic disease, disability, and frailty. From this perspective mid-life resilience may predict longevity and late-life health. To test this hypothesis, we developed simple, reproducible, clinically relevant challenges, and outcome measures of physical resilience that revealed differences between and within age groups of genetically heterogeneous mice, and then examined associations between mid-life resilience and both lifespan and late-life measures of physiological function. We demonstrate that time to recovery from isoflurane anesthesia and weight change following a regimen of chemotherapy significantly differed among young, middle-aged, and older mice, and were more variable in older mice. Females that recovered faster than the median time from anesthesia (more resilient) at 12 months of age lived 8% longer than their counterparts, while more resilient males in mid-life exhibited better cardiac (fractional shortening and left ventricular volumes) and metabolic (glucose tolerance) function at 24 months of age. Moreover, female mice with less than the median weight loss at Day 3 of the cisplatin challenge lived 8% longer than those that lost more weight. In contrast, females who had more weight loss between Days 15 and 20 were relatively protected against early death. These data suggest that measures of physical resilience in mid-life may provide information about individual differences in aging, lifespan, and key parameters of late-life health.
A scoping review considering the processes involved in changing abortion laws in low- and middle-income countries
Authors: Hall Carmen , Daire Judith , Hendrie Delia 
Published: September 2023

Abstract
Providing legal and safe abortion is promoted as one of the key global strategies for reducing maternal mortality. Following the landmark 1994 International Conference on Population and Development, low- and middle-income countries (LMICs) are shifting towards more liberal abortion legislation. Whilst the existing literature has predominantly focused on agenda setting and individual country contexts, there is a need to understand the universal policy process of changing abortion laws. Drawing on the heuristic policy stages model and policy analysis triangle, this paper explores the processes involved in changing abortion laws in LMICs and discusses the influencing factors. We conducted a search for peer-reviewed literature in ProQuest, Scopus, Global Health (Ovid), PubMed and CINAHL. Initially, the search was conducted in February 2021 and was then re-run in May 2023. A total of 25 studies were included in the analysis. Following a descriptive, thematic and interpretive analysis of the extracted data, we have drawn out the key stages involved in changing abortion laws in LMICs: (1) establishing the need for changing abortion laws in a local context; (2) generating local evidence to support changes in abortion laws; (3) drafting of new and/or amendments of existing abortion laws; (4) adoption and enactment of changes in abortion laws; (5) translating the legal provisions into services and (6) assessing the impact of changes in abortion laws on maternal health. Our analysis explores the influence of actors and contextual factors, and we also discuss the policy solutions and decisions made by governments. The findings demonstrate that while the timing of change in abortion law was found to be dependent on the context of individual settings, the process and factors that influenced the change were remarkably consistent across geographies. Further research is required to evaluate the link between changes in abortion laws and maternal health outcomes.
King Arthur of England, count of Habsburg: the use of Arthurian imagery in Habsburg diplomacy
Authors: Curry A D 
Published: September 2023

Abstract
Arthurian symbolism utilized by King Henry VIII in Habsburg diplomacy was a tribute to his esteemed mythic forefather, King Arthur, who commanded great respect from countless individuals, not least his imperial cousins. This article proposes that the King Arthur pageant at the 1522 London entry of Charles V was part of Henry’s broader use of Arthuriana in Habsburg political theatre, inspired by Maximilian I’s pseudo-ancestry. This article provides a new insight into Henry’s attempts to engage in the power politics of early sixteenth-century Europe and the use of British history in forging connections with his political rival.
Racial and Ethnic Disparities in Patients With Inflammatory Bowel Disease: An Online Survey
Authors: Shah Shamita , Shillington Alicia C , Kabagambe Edmond Kato , Deering Kathleen L , Babin Sheena , Capelouto Joseph , Pulliam Cedric , Patel Aarti , LaChappelle Brandon , Liu Julia 
Published: September 2023

Abstract

Background
Data regarding care access and outcomes in Black/Indigenous/People of Color/Hispanic (BIPOC/H) individuals is limited. This study evaluated care barriers, disease status, and outcomes among a diverse population of White/non-Hispanic (W/NH) and BIPOC/H inflammatory bowel disease (IBD) patients at a large U.S. health system.

Methods
An anonymous online survey was administered to adult IBD patients at Ochsner Health treated between Aug 2019 and Dec 2021. Collected data included symptoms, the Consumer Assessment of Healthcare Providers and Systems and Barriers to Care surveys, health-related quality of life (HRQOL) via the Short Inflammatory Bowel Disease Questionnaire, the Medication Adherence Rating Scale-4, and the Beliefs about Medicines Questionnaire. Medical record data examined healthcare resource utilization. Analyses compared W/NH and BIPOC/H via chi-square and t tests.

Results
Compared with their W/NH counterparts, BIPOC/H patients reported more difficulties accessing IBD specialists (26% vs 11%; P = .03), poor symptom control (35% vs 18%; P = .02), lower mean HRQOL (41 ± 14 vs 49 ± 13; P &lt; .001), more negative impact on employment (50% vs 33%; P = .029), worse financial stability (53% vs 32%; P = .006), and more problems finding social/emotional support for IBD (64% vs 37%; P &lt; .001). BIPOC/H patients utilized emergency department services more often (42% vs 22%; P = .004), reported higher concern scores related to IBD medication (17.1 vs 14.9; P = .001), and worried more about medication harm (19.5% vs 17.7%; P = .002). The survey response rate was 14%.

Conclusions
BIPOC/H patients with IBD had worse clinical disease, lower HRQOL scores, had more medication concerns, had less access to specialists, had less social and emotional support, and used emergency department services more often than W/NH patients.
HCV Microelimination for High-risk Special Populations
Authors: Huang Chung-Feng , Chen Guan-Jhou , Hung Chien-Ching , Yu Ming-Lung 
Published: September 2023

Abstract
The World Health Organization has set tremendous goals to eliminate viral hepatitis by 2030. However, most countries are currently off the track for achieving these goals. Microelimination is a more effective and practical approach that breaks down national elimination targets into goals for smaller and more manageable key populations. These key populations share the characteristics of being highly prevalent for and vulnerable to hepatitis C virus (HCV) infection. Microelimination allows for identifying HCV-infected people and linking them to care more cost-effectively and efficiently. In this review, we discuss the current obstacles to and progress in HCV microelimination in special populations, including uremic patients undergoing hemodialysis, people who inject drugs, incarcerated people, people living in hyperendemic areas, men who have sex with men with or without human immunodeficiency virus (HIV) infection, transgender and gender-diverse populations, and sex workers. Scaling up testing and treatment uptake to achieve HCV microelimination may facilitate global HCV elimination by 2030.
Move First to Avoid the Worst: Leadership Turnover and the Targeting of New Leaders
Authors: Wang Chen 
Published: September 2023

Abstract
Are leaders more likely to face militarized challenges earlier in their tenure? Existing studies posit contradictory hypotheses: new leaders can both invite challengers to take advantage of their inexperience and deter challengers by their strong incentive to establish a reputation for resolve. This paper seeks to reconcile these competing propositions by developing an argument that centers on the direction of foreign policy preference change associated with leadership turnover. I argue that foreign adversaries are likely to challenge a new leader in their rival state only when the newcomer is perceived to be more hawkish than the predecessor. The perception of a heightened risk of conflict accompanied with the emergence of a more hawkish leader in the rival state gives foreign adversaries a stronger incentive to seek for an early confrontation in which they can (re)demonstrate their own position to the new hawk. In contrast, when the newcomer is perceived to be more dovish than the predecessor, optimistic expectations of future interactions tend to restrain foreign adversaries from provoking the new dove, whose reputation concerns are high. A series of statistical analyses on post-WWII dyadic rivalries with democratically elected leaders on the target side yield strong evidence that supports this conditional hypothesis.
Dengue 1 outbreak in Rosso, northern Senegal, October 2021: entomologic investigations
Authors: Diouf Babacar , Gaye Alioune , Dieng Idrissa , Diagne Cheikh Tidiane , Ndiaye El Hadj , Mhamadi Moufid , Gueye Assiyatou , Ndiaye Oumar , Sene Ndeye Marie , Sy Faty Amadou , Faye Oumar , Dia Ibrahima , Weaver Scott C , Diallo Mawlouth , Diallo Diawo 
Published: September 2023

Abstract
Senegal has experienced periodic epidemics of dengue in urban areas with increased incidence in recent years. However, few data are available on the local ecology of the epidemic vectors. In October 2021, a dengue outbreak was reported in northern Senegal to the Institute Pasteur de Dakar. Entomologic investigations then were undertaken to identify the areas at risk of transmission and to identify the vector(s). Adult mosquitoes were collected indoors and outdoors at selected households, while containers with water were inspected for mosquito larvae. All the Aedes aegypti (L.) collected were tested for dengue virus NS1 protein using a rapid diagnostic test (RDT), and positive samples were confirmed by real-time RT–PCR. The qRT–PCR positive samples were subjected to whole genome sequencing using Nanopore technology. The majority of the larvae-positive containers (83.1%) were used for water storage. The Breteau and Container indices exceeded the WHO-recommended thresholds for the risk of dengue virus transmission except at 2 localities. Ae. aegypti, the only reputed dengue vector, was collected resting indoors as well as outdoors and biting during the day and night. The NS1 protein was detected in 22 mosquito pools, including one pool of females emerging from field-collected larvae. All NS1-positive results were confirmed by RT-PCR. Virus serotyping showed that the outbreak was caused by DENV-1. This study demonstrates the need for continuous control of adult and aquatic stages of Ae. aegypti to prevent future dengue epidemics in Senegal. RDTs appear to be a promising tool for dengue diagnostics and surveillance.
I am not an employee, am I then a professional? Work arrangement, professional identification, and the mediating role of the intra-professional network
Authors: Flatøy Christer A 
Published: September 2023

Abstract
Professions face challenges from proliferation and dilution, two processes that challenge our understanding of what a profession is and what it means to be a professional. As a response, profession scholars are paying increasing attention to how individuals come to see themselves as a professional. We contribute to this evolving literature by investigating the relationship between work arrangements, that is, freelancing and employment, and professional identification. In so doing, we pay particular attention to the mediating role of an intra-professional network and three aspects that characterise such a network. We sample from journalists to investigate the relationships in question and employ structural equation modelling to test our hypotheses. We found no direct relationship between work arrangements and professional identification. However, we do observe that freelancers’ intra-professional network density is lower than that of employees. The consequence of this mediating mechanism, we found, was that they identified less with their profession than employees did. This paper shows that the type of work arrangement has important implications for professional identification.
The genetic basis of plants’ battle against witchweeds: linking immune responses to distinct resistance mechanisms
Authors: Jhu Min-Yao , Kawa Dorota , Brady Siobhán M 
Published: September 2023

This article comments on:Mutinda S, Mobegi FM, Hale B, Dayou O, Ateka E, Wijeratne A, Wicke S, Bellis ES, Runo S. 2023. Resolving intergenotypic Striga resistance in sorghum. Journal of Experimental Botany 74, 5294–5306.
Bridging pathways: SBP15 regulates GOBLET in modulating tomato axillary bud outgrowth
Authors: Sharma Rameshwar , Sreelakshmi Yellamaraju 
Published: September 2023

This article comments on:Barrera-Rojas CH, Vicente MH, Brito DAP, Silva EM,Muñoz Lopez A, Ferigolo LF, Carmo RM, Silva CMS, Silva GFF, Correa JPO, Notini MM, Freschi L, Cubas P, Nogueira FTS. 2023. Tomato miR156-targeted SlSBP15 represses shoot branching by modulating hormone dynamics and interacting with GOBLET and BRANCHED1b. Journal of Experimental Botany 74, 5124–5139.
A Descriptive Study of Casualties Evacuated Out of Afghanistan by Critical Care Air Transport Teams During the Withdrawal of U.S. Troops
Authors: Baldwin Darren , Arana Allyson A , Savell Shelia C , Cutright Julie , Medellin Kim , Castaneda Maria , Bebarta Vikhyat S , Davis William T , Maddry Joseph K , Ng Patrick C 
Published: September 2023

ABSTRACT

Introduction
The War in Afghanistan ended in August 2021. Evacuation from the country was a large effort during the last days of the conflict. During evacuation efforts at Kabul Hamid Karzai International Airport, a suicide bombing occurred necessitating emergent medical care for many injured troops and civilians. The U.S. Air Force Critical Care Air Transport Teams (CCATTs) played a role in the medical care provided during the operations in Afghanistan. We report on in-flight events and interventions that took place during the final days of the Afghanistan withdrawal.

Materials and Methods
We performed a retrospective chart review of patients requiring aeromedical evacuation from the Afghanistan theater of operations by CCATT from July 1 to August 30, 2021. From the CCATT patient care record, data abstractors collected patient characteristics, flight information, vital signs, laboratory values, in-flight interventions, and in-flight events in a study-specific electronic database. We performed descriptive analyses of patient characteristics and in-flight interventions. This study was approved by the San Antonio Institutional Review Board.

Results
Nine patients were included in this analysis. Seven out of nine patients were foreign nationals; the remaining two were U.S. Marines. Five patients suffered penetrating injuries from gunshot wounds and four suffered blast injuries. Six received intravenous narcotic analgesia. Four received intravenous sedatives, and four received antibiotics in flight. Two patients required chest tube management. One patient received blood. Three patients were in acute respiratory distress.

Conclusions
Severe injuries were sustained during the withdrawal efforts at the end of the War in Afghanistan. Critical Care Air Transport Teams played a role in the care and evacuation of patients out of theater during this unique and unprecedented time. Even given the limitations associated with retrospective studies and a small sample size, information reported in this study can help inform future decisions, and aid in preparatory efforts for future operations, that may require medical care by CCATT.