bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient education on Instagram? Structured content analysis of the hashtag “obstructivesleepapnea”
Authors: Seifen Christopher , Pordzik Johannes , Ludwig Katharina , Bahr-Hamm Katharina , Buhr Christoph Raphael , Matthias Christoph , Gouveris Haralampos 
Published: January 2025

Abstract

Purpose
Instagram ranks among the most used social media platforms worldwide. An increasing number of posts are dedicated to specific medical topics, such as sleep medicine. The educational content of these posts is largely unknown. Therefore, a structured content analysis of posts linked to the hashtag “obstructivesleepapnea” was conducted, as obstructive sleep apnea (OSA) represents the most common sleep-related breathing disorder.

Methods
The hashtag “obstructivesleepapnea” was entered into Instagram’s search field. The first linked post was selected and then subdivided into visual content and text content for systematic analysis with a focus on educational information on OSA. Demographic factors of the post such as likes, hashtags and the posting account were also included in the analysis. The data collection was completed for N = 150 consecutive posts.

Results
37.3% of the visual content and 32.7% of the text content addressed educational information on OSA. In both subgroups, the most frequently discussed aspects were OSA symptoms, comorbidities, and therapy (visual content: 50.0%, 39.3, and 41.1%, respectively; text content: 42.9%, 44.9%, and 24.9%, respectively). The most common (professional) background of the account, as self-stated by the holder, was dentists (29.5%). Additional sleep medicine content was posted by 34.3% of all accounts.

Conclusion
Instagram offers informative content about OSA and is therefore a potential source for patient education. However, the content available is often poorly organized and in most cases incomplete. Patients may have difficulty categorizing the information provided to benefit from it.
A comparison of health-related quality of life between continuous ambulatory peritoneal dialysis and automated peritoneal dialysis in children with stage 5 chronic kidney disease in Thailand: a randomized controlled trial
Authors: Thavorncharoensap Montarat , Chaikledkaew Usa , Youngkong Sitaporn , Assanatham Montira , Wisanuyotin Suwannee , Chaiyapak Thanaporn , Pongwilairat Natthida , Srisuwan Konggrapun , Bhummichitra Parkpoom , Pruangprasert Patamakom , Boonyapapong Pantipa , Chongchet Nawarat , Khongkhanin Uthaiwan , Vachvanichsanong Prayong , Chartapisak Wattana , Pattaragarn Anirut 
Published: January 2025

Abstract

Background
Improving health-related quality of life (HRQoL) is one of the main goals in managing stage 5 chronic kidney disease (CKD). However, limited evidence compares HRQoL between continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) in children. This open-label randomized controlled trial (RCT) aimed to compare HRQoL in pediatric patients with stage 5 CKD receiving CAPD vs. APD in Thailand.

Methods
Children with stage 5 CKD were randomized 1:1 to receive APD or CAPD. The primary outcome was HRQoL, measured by EQ-5D-5L, EQ-5D-3L, and PedsQL at baseline, week 16 and week 48. Outcomes were analyzed using linear mixed models.

Results
A total of 60 patients were recruited: 30 with CAPD and 30 with APD. General characteristics, utility scores measured by EQ-5D and HRQoL score measured by PedsQL were comparable between both groups at baseline. During follow-up, no significant differences in terms of utility and HRQoL scores could be identified at week 16 and week 48. Although the children in the APD group seemed to have more favorable changes in some PedsQL domains of PedsQL (school and social domain), as compared to the CAPD group, it was not found that the improvement from baseline was significantly different between both groups.

Conclusions
No significant benefit of APD was found over CAPD in terms of HRQoL improvement. However, larger studies are warranted along with qualitative studies to examine the complete impacts of APD on HRQoL among pediatric patients with stage 5 CKD and their families.

Graphical abstract
Towards common prosperity: can Environmental regulations help narrow income gap in China?
Authors: Zhao Jun , Dong Kangyin Y. , Nepal Rabindra 
Published: January 2025

Abstract
Strict environmental regulations (ERs) may restrict enterprise activities and macroeconomic development, and thus affect the income distribution pattern of citizens in cities and villages in the country. To statistically explore the actual and special effect of ERs on income inequality, a panel threshold model is applied to check the nonlinearity of ERs-income inequality nexus, and the conclusion is verified by using robustness tests. In addition, whether the 12th Five-Year Plan, which focuses on ecological protection, will have a differentiated effect on the ERs-income inequality nexus is further discussed. We discover that: (1) both ERs and income inequality show substantial spatiotemporal features. Among them, the imbalance of ERs in each province is relatively prominent. Income inequality has gradually eased, and inequality is more severe in the west than in the east. (2) Significant threshold effect is found in ERs-income inequality nexus; specifically, ERs and income inequality show an inverted “U” type, that is, only after pollution investment reaches the threshold value can ERs become an essential driver to accomplish a purpose of national prosperity. (3) Prior to the 12th Five-Year Plan, ERs produce a modest influence on income gap. While after the emphasis on ecological civilization in the 12th Five-Year Plan, the improvement of pollution investment has become a powerful means for ERs to alleviate income inequality.
A healthy and reliable rating profile expansion approach to address data sparsity in food recommendation systems
Authors: Ahmadian Sajad , Rostami Mehrdad , Jalali Seyed Mohammad Jafar , Oussalah Mourad , Farrahi Vahid 
Published: January 2025

Abstract
Food recommendation systems have become increasingly popular due to the proliferation of online food service websites. Accordingly, the ratings assigned by users are one of the most important resources in these systems. However, users generally express their opinions about a few foods, which results in data sparsity. Furthermore, food recommendation is a health-critical task, as recommending unhealthy foods to users may threaten their health. In this paper, we developed a novel rating profile expansion approach for food recommenders that considers both health and reliability measures. This approach enhances the efficiency of the user’s rating profile by including healthy and reliable virtual ratings. Specifically, we introduce a probabilistic rating profile evaluation technique to determine whether a profile needs to be expanded. Then, those profiles with an insufficient number of ratings are automatically expanded by adding virtual ratings obtained using the opinions of users who belong to the target user’s community. For this purpose, the users are grouped using a novel time-aware community detection algorithm based on their preferences. Moreover, a health-aware reliability measure is proposed so that only the most reliable virtual ratings are accounted for in the target user’s rating profile expansion. Therefore, the developed approach not only mitigates issues stemming from sparse data in food recommendation systems but also makes them more effective in recommending healthy foods to users. Experiments conducted on two publicly available real-world datasets demonstrated that the developed system is superior to other baseline models.
Doubling the rate: improved error bounds for orthogonal projection with application to interpolation
Authors: Sloan Ian H. , Kaarnioja Vesa 
Published: January 2025

Abstract
Convergence rates for

$$L_2$$

L
2

approximation in a Hilbert space H are a central theme in numerical analysis. The present work is inspired by Schaback (Math Comp, 1999), who showed, in the context of best pointwise approximation for radial basis function interpolation, that the convergence rate for sufficiently smooth functions can be doubled, compared to the best rate for functions in the “native space” H. Motivated by this, we obtain a general result for H-orthogonal projection onto a finite dimensional subspace of H: namely, that any known

$$L_2$$

L
2

convergence rate for all functions in H translates into a doubled

$$L_2$$

L
2

convergence rate for functions in a smoother normed space B, along with a similarly improved error bound in the H-norm, provided that

$$L_2$$

L
2

, H and B are suitably related. As a special case we improve the known

$$L_2$$

L
2

and H-norm convergence rates for kernel interpolation in reproducing kernel Hilbert spaces, with particular attention to a recent study (Kaarnioja, Kazashi, Kuo, Nobile, Sloan, Numer. Math., 2022) of periodic kernel-based interpolation at lattice points applied to parametric partial differential equations. A second application is to radial basis function interpolation for general conditionally positive definite basis functions, where again the

$$L_2$$

L
2

convergence rate is doubled, and the convergence rate in the native space norm is similarly improved, for all functions in a smoother normed space B.
Clinicopathologic characteristics of ductal carcinoma in situ and risk of subsequent invasive breast cancer: a multicenter, population-based cohort study
Authors: Rohan Thomas E. , Wang Yihong , Couch Fergus , Feigelson Heather Spencer , Greenlee Robert T. , Honda Stacey , Stark Azadeh , Chitale Dhananjay , Zhang Chenxin , Xue Xiaonan , Ginsberg Mindy , Loudig Olivier 
Published: January 2025

Abstract

Purpose
To study the association between clinicopathologic characteristics of ductal carcinoma in situ (DCIS) and risk of subsequent invasive breast cancer (IBC).

Methods
We conducted a case–control study nested in a multicenter, population-based cohort of 8175 women aged ≥ 18 years with DCIS diagnosed between 1987 and 2016 and followed for a median duration of 83 months. Cases (n = 497) were women with a first diagnosis of DCIS who developed a subsequent IBC ≥ 6 months later; controls (2/case; n = 959) were matched to cases on age at and calendar year of DCIS diagnosis. Univariable and multivariable conditional logistic regression models were used to examine the associations between the DCIS characteristics of interest (non-screen detection of DCIS, tumor size, positive margins, grade of DCIS, necrosis, architectural pattern, microcalcification, and estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2) status) and risk of IBC.

Results
In the total study population, the associations were largely null. In subgroup analyses, there were strong position associations with punctate necrosis (pre/perimenopausal women), detection by physical exam (postmenopausal women), architectural patterns other than the main types (breast-conserving surgery [BCS]), and DCIS margins (ipsilateral cases), and inverse associations with HER2 positivity (BCS) and microcalcification (mastectomy); however, the associated confidence intervals were mostly very wide.

Conclusion
The results of this study provide limited support for associations of the DCIS clinicopathologic characteristics studied here and risk of IBC.
Ethical Concerns with Referral to Privately-Owned Therapeutic Boarding Schools: The Case of Iowa's Midwest Academy
Authors: Kolbe Athena R. 
Published: January 2025

Abstract
This study examines the ethical dilemmas that social workers confront when referring to privately owned therapeutic boarding schools, using Iowa’s Midwest Academy as a case study. It critically examines the conflict between parental preferences for residential treatment and the growing body of evidence advocating for less restrictive, community-based interventions as more effective for adolescents. The research uncovers diverse parental motivations for choosing residential programs, from seeking a fresh start to implementing behavioral control strategies. These motivations are set against a backdrop of mental health and educational systems prioritizing evidence-based, regulated care approaches. Profound ethical concerns arise with placements in unregulated Troubled Teen Industry (TTI) facilities, which lack licensing, accreditation, and qualified mental health professionals, thereby posing grave risks to youth’s welfare. The case of the Midwest Academy is utilized to illustrate the ethical breaches, including allegations of abuse, neglect, and substandard mental health care, highlighting the dangers of such placements. The discussion extends to the responsibilities of social workers in making ethical referrals, emphasizing adherence to national and international ethical codes. Advocating for a cautious, principle-driven referral process, the paper argues for prioritizing accredited, evidence-based services to protect young clients and uphold the integrity of the social work profession. It concludes with a call for a collaborative decision-making process in managing complex referral scenarios, contributing to the discourse on ethical practices in social work and emphasizing the need for continuous scrutiny of referral practices to privately owned therapeutic programs.
A dialogue between Finite Fracture Mechanics and Phase Field approaches to fracture for predicting crack nucleation at the microscale
Authors: Jiménez-Alfaro Sara , Leguillon Dominique , Maurini Corrado , Reinoso José 
Published: January 2025

Abstract
Unraveling the material behavior at the microscale is one of the challenges of this century, demanding progress in experimental and computational strategies. Among the latter, two approaches are commonly applied for predicting crack nucleation. The Coupled Criterion (CC) and the Phase Field (PF) model, both depending on a material length parameter. In brittle materials at the macroscale, this parameter is significantly smaller than the specimen size. However, when the scale decreases, this material length might approach the structural dimensions. In this context, a comprehensive comparison between the two models is conducted, changing the ratio between the material length parameter and the dimensions of the specimen. Results indicate that when this ratio is sufficiently small predictions from both models coincide, otherwise both the CC and the PF model predict different results. Despite their differences, an agreement with experiments reported in the literature have been observed.
Progress on theory of planned behavior research: advances in research synthesis and agenda for future research
Authors: Hagger Martin S. , Hamilton Kyra 
Published: January 2025

Abstract
The theory of planned behavior is a social cognition theory that has been widely applied to identify the psychological determinants of intentions and behavior in health contexts. Our 2015 meta-analysis of theory applications in chronic illness contributed to a burgeoning evidence base comprising syntheses supporting theory predictions in health behavior. In this review, we identify limitations of prior meta-analyses of theory applications in health behavior and highlight salient evidence gaps, summarize how recent meta-analyses of the theory have addressed some of the limitations, outline outstanding research questions, and suggest future research syntheses, including those currently in progress, to resolve them. We point to recent and ongoing meta-analyses addressing theory hypotheses and assumptions not tested in previous syntheses, such as perceived behavioral control moderating effects and indirect effects of environmental (e.g., sociostructural variables) and intrapersonal (e.g., personality traits) determinants on health behavior mediated by theory constructs. We also highlight meta-analyses examining behavioral effects of constructs representing extended processes (e.g., habit, implicit cognition) in the context of the theory. Further, we summarize recent meta-analyses addressing directional and causal inferences in theory effects, including meta-analyses of longitudinal studies and experimental and intervention research. We also highlight attempts to test the mechanisms of action of interventions based on the theory including the change meta-analysis method and mediation analyses. We conclude by summarizing the advances that recent meta-analyses of the theory have made to the evidence base of health behavior determinants and interventions and highlighting suggestions for meta-analyses that will further progress the evidence base.
How and When Team Mindfulness Enables Us to Navigate Adversity: Survey and Field Experimental Evidence
Authors: Feng Xingyu , Long Tianyi , Han Ping 
Published: January 2025

Abstract
We developed and tested a model that illustrates the benefits of team mindfulness with respect to helping teams resist and bounce back from adversity. Based on the literature on team dynamics and conservation of resources (COR) theory, we propose that team mindfulness can facilitate task‐ and emotion-related interpersonal interactions, thus laying a solid foundation for team members to employ and acquire additional resources to cope with adverse events. We also explore the role of team task interdependence in these processes. We conducted two studies in an automobile manufacturing enterprise that was undergoing a business transformation: (1) a multi-wave, multisource survey of 176 manufacturing teams and (2) a field experiment in which 84 sales teams were assigned to either a mindfulness intervention or a control condition. The results largely support our model. Team mindfulness increases team resilience via team emotional support and information sharing. Team task interdependence amplifies the positive effects of team mindfulness on emotional support and information sharing such that the indirect effect of team mindfulness on resilience is strengthened when the level of task interdependence is high (rather than low). Our research extends the mindfulness literature and provides useful insights into ways of cultivating resilient teams.
Agent-constrained truthful facility location games
Authors: Deligkas Argyrios , Lotfi Mohammad , Voudouris Alexandros A. 
Published: January 2025

Abstract
We consider a truthful facility location game in which there is a set of agents with private locations on the line of real numbers, and the goal is to place a number of facilities at different locations chosen from the set of those reported by the agents. Given a feasible solution, each agent suffers an individual cost that is either its total distance to all facilities (sum-variant) or its distance to the farthest facility (max-variant). For both variants, we show tight bounds on the approximation ratio of strategyproof mechanisms in terms of the social cost, the total individual cost of the agents.
Disparities in Patient Demographics at a Student-Run Free Clinic: Comparing Clinic Utilization to City, State, and National Trends
Authors: Esser Katherine , McKeown Johnny , White Tatiana , Besly Steuart , Sim Julianna , Sparks Addison , Hatch Sydney , Paat Richard , Matus Coral 
Published: January 2025

Abstract

Background
With 8.4% of Americans uninsured, free clinics serve as essential safety nets for underserved populations. This study compared the demographics of the patients of a student-run free to Toledo, Ohio, and national census data to evaluate health needs, barriers to care, and the characteristics of the underserved population.

Methods
A retrospective review of 1,338 visits across five clinic sites was conducted from February 2023 to February 2024. Demographic variables, including race, insurance, education, sex, and primary language, were analyzed and compared to 2020 Census data from Toledo, Ohio, and the United States.

Results
Compared to Toledo, the clinic served 22.63% fewer White patients, 17.27% more Hispanic/Latino patients, and 5.62% fewer African American patients. Among clinic patients under 65 years, 61.91% were uninsured, compared to 8.3% in Toledo and 10.2% nationally. Non-English speakers were overrepresented (33.4% vs. 6.8% in Toledo and 9.5% nationally), with Spanish speakers making up 21.72% of clinic patients compared to 3.2% in Toledo. Educational attainment differed slightly, with fewer high school graduates (82.97% vs. 87.10% in Toledo) but more individuals with higher education degrees (27.10% vs. 19.6% in Toledo and 25.6% nationally).

Conclusions
This study underscores the demographic differences between CCC patients and city, state, and national populations, offering insight into the populations most reliant on free clinics. Policymakers and public health agencies must consider these disparities to tailor interventions addressing healthcare access and social determinants of health.
Incentive alignment in conjoint analysis: a meta-analysis on predictive validity
Authors: Schramm Joshua Benjamin 
Published: January 2025

Abstract
Conjoint analysis is a widely used method in market research for predicting consumer purchases, making predictive validity a central tenet. Conjoint analyses, however, are typically conducted in hypothetical settings, making them susceptible to hypothetical bias. One solution is incentive-aligning conjoint studies to trigger truthful answering behavior, thereby increasing the accuracy of predictions. However, despite incentive alignment’s conceptual appeal, practitioners rarely use it. One reason for this is the uncertainty of its effectiveness. This research systematically investigates the gains in predictive validity employing a meta-analysis of 134 effect sizes from 34 articles (N = 12,980). Incentive alignment increases the predictive validity (i.e., hit rate) by 12%, providing a significant increase in accuracy. In addition, its effectiveness is amplified when researching durable and service goods (vs. non-durable goods) and when the payout probability rises. In contrast to conventional wisdom, indirect (vs. direct) incentive procedures do not mitigate the positive effects on predictive validity. We hope to stimulate a rethink in practice to make more use of incentive alignment and help decide whether incentive alignment is worth the additional effort.
The impact of palliative care contact on the use of hospital resources at the end of life for brain tumor patients; a nationwide register-based cohort study
Authors: Nåhls Nelli-Sofia , Anttonen Anu , Nuutinen Mikko , Saarto Tiina , Carpén Timo 
Published: January 2025

Abstract

Purpose
The aim of this nationwide retrospective cohort study was to evaluate the timing of the first specialist palliative care (SPC) contact and its impact on the use of hospital resources at the end of life in patients with brain tumors.

Materials and methods
The analysis comprised 373 brain tumor patients who died during 2019 in Finland. Patients were divided into two groups according to the time of first SPC contact: early, i.e. first SPC contact more than 30 days before death, and late, i.e. no SPC contact or 30 days or less before death.

Results
216 (58%) were male, with a mean age of 67 years (range 18–94). SPC contact was established for 102 (27%) patients and the median time of first SPC contact before death was 76 days. Patients with an early SPC contact had fewer outpatient clinic contacts (28% vs. 53%; p-value < 0.001) and fewer hospitalization (10% vs. 37%; p-value < 0.001) in secondary care compared with patients with late SPC contact. Early SPC contact had no impact on emergency department contacts. Patients with early SPC contact were more likely to die at long term care facility or in SPC wards instead of hospital (p-value < 0.001) compared to patients with late SPC contact (hospital deaths 51% vs. 80%, respectively).

Conclusions
Early SPC contact reduced the burden on secondary care for brain tumor patients in the last months of life. Palliative care contact should be offered early to all brain tumor patients.