bluuebunny/crossref_metadata_2025_split huggingface dataset:
Roles of the interaction with children and families in mediating the association between digital health literacy and well-being of early childhood teachers in Portugal: A cross-sectional study
Authors: Rosário Rafaela , Barros Araújo Sara , Silva Ana , Barros Sílvia 
Published: September 2023

AimTo analyze the associations between early childhood education (ECE) teachers´ digital health literacy (DHL) and well-being, and to determine whether the ECE teachers´ interaction with children and family mediated these associations.MethodsA total of 853 early childhood teachers, predominantly women (99.4%) participated in this cross-sectional study. The participants had a mean age of 39.9 years (standard deviation SD = 8.2). Data was collected through an online survey. DHL was assessed using five subscales adapted to the new coronavirus context, and the professionals´ well-being was measured using the WHO-5 well-being scale. Binary logistic regression and mediation analysis were used to analyze the data.ResultsECE teachers’ DHL in dimensions of “information searching” and “determining relevance” had both direct and indirect effect on their well-being. Specifically, higher DHL in these dimensions was associated with better well-being. The dimension “evaluating reliability” had an indirect positive effect on well-being by promoting interaction with children.ConclusionThese findings suggest that improving ECE teachers´ DHL could have a positive effect on their well-being and their interactions with children. Therefore, it is recommended to develop health promotion practices aimed at enhancing DHL among ECE teachers. Additionally, integrating DHL contents and competencies more prominently into the qualification, further education and training of ECE teachers may help equip them with the necessary skills to access and apply health information effectively. This, in turn, can enhance interactions with children and contribute to their overall well-being.
Clinical and financial outcomes of hospitalizations for cardiac device infection during the COVID-19 pandemic in the US
Authors: Ascandar Nameer , Chervu Nikhil , Bakhtiyar Syed Shahyan , Cho Nam Yong , Kim Shineui , Orellana Manuel , Benharash Peyman 
Published: September 2023

BackgroundCardiac device infection (CDI) can occur in up to 2.2% of patients after device placement, with mortality rates exceeding 15%. Although device removal is standard management, the COVID-19 pandemic has been associated with resource diversion and decreased patient presentation for cardiovascular disease. We ascertained the association of the COVID-19 pandemic with outcomes and resource utilization after admission for CDI.MethodsThe 2016–2020 National Inpatient Sample was used to retrospectively study all adult admissions for CDI. Patients admitted between March and December, 2020 were classified as the pandemic cohort, with the rest pre-pandemic. The primary outcome was major adverse events (MAE), with secondary outcomes of overall length of stay (LOS), post-device removal LOS, time to device replacement, and hospitalization costs. MAE was a combination of in-hospital mortality and select complications. Multivariable regression models were developed to determine the relationship between the pandemic and the aforementioned outcomes.ResultsOf an estimated 190,160 patients, 14.3% comprised the pandemic cohort; 2.4% of these patients were COVID-19 positive. The pandemic cohort was older, less commonly female, and had higher rates of congestive heart failure. After adjustment, the pandemic was not associated with altered odds of MAE, device removal, or subsequent device replacement. The pandemic was, however, associated with decreased adjusted overall LOS (β -0.38 days) and days to device replacement (β -0.83 days). The pandemic was likewise associated with $2,000 increased adjusted hospitalization costs.ConclusionThe pandemic did not have a significant impact on clinical outcomes in patients admitted for CDI, despite higher hospitalization costs and decreased length of stay.
Minimal clinically-important differences for the “Liverpool Osteoarthritis in Dogs” (LOAD) and the “Canine Orthopedic Index” (COI) in dogs with osteoarthritis
Authors: Alves J. C. , Innes John F. 
Published: September 2023

ObjectiveOsteoarthritis is the most common joint disease in companion animals. Several client-report outcome measures (CROMs) have been developed and validated to monitor patients and their response to treatment. However, estimates for minimal clinically-important differences for these CROMs in the context of osteoarthritis have not been published.Patients and methodsData from the Clínica Veterinária de Cães (Portuguese Gendarmerie Canine Clinic) clinical records were extracted. Baseline and 30-day post-treatment follow-up data from 296 dogs treated for hip osteoarthritis were categorized based on an anchor question, and estimates of minimal clinically-important differences (MCIDs) using distribution-based and anchor-based methods were performed.ResultsFor the LOAD, the anchor-based methods provided a MCID estimate range of -2.5 to -9.1 and the distribution-based methods from 1.6 to 4.2. For the COI, the anchor-based methods provided a MCID estimate range of -4.5 to -16.6 and the distribution-based methods from 2.3 to 2.4. For the dimensions of COI, values varied from -0.5 to -4.9 with the anchor-based methods and from 0.6 to 2.7 with the distribution-based methods. Receiver operator characteristic curves provided areas under the curve >0.7 for the COI, indicating an acceptable cut-off point, and >0.8 for the LOAD, indicating an excellent cut-off point.ConclusionOur estimates of MCIDs for dogs with OA were consistent with previously proposed values of -4 for the LOAD and -14 for the COI in a post-surgical intervention context. ROC curve data suggest that LOAD may more reliably differentiate between anchor groups. We also presented estimates from COI of -4 for Stiffness, Function, and Gait and -3 for quality of life. These estimates can be used for research and patient monitoring.
Predictive factors and prognosis of upper gastrointestinal bleeding in gastric cancer: A large population-based study (UGIB-GC trial)
Authors: Kiattiweerasak Anya , Bongkotvirawan Phubordee , Aumpan Natsuda , Yamaoka Yoshio , Miftahussurur Muhammad , Vilaichone Ratha-korn 
Published: September 2023

Background
Gastric cancer remains the fourth leading cause of cancer-related death worldwide. Significant number of gastric cancer patients presented with bleeding.

Objective
This study aimed to identify risk factors and overall survival rates of bleeding gastric cancer patients.

Methods
This retrospective cohort study was conducted between 2007–2022 at tertiary care center in Thailand. Clinical information, endoscopic findings and histological type were extensively reviewed and were compared between bleeders and non-bleeders. Patients were monitored for at least 5 years.

Results
There were 20,981 patients who underwent upper gastrointestinal endoscopy during study period. Total of 201 gastric cancer patients were included in this study, 21 were excluded due to incomplete medical records. 180 gastric cancer patients were included with mean age of 60.5±14.3 years. There were 65 (36.1%) patients with gastrointestinal bleeding. Hypertension and chronic kidney disease were significantly more common in bleeders than non-bleeders (43.1% vs 23.5%, OR2.51, 95%CI 1.14.-5.52, p = 0.022; and 16.9% vs 5.2%, OR2.00, 95%CI 1.56–6.63, p = 0.025, respectively). current H. pylori infection was also significantly more common in bleeders than non-bleeders (84.6% vs. 55.7%, OR 4.39, 95%CI 1.90–10.12, p<0.001). Median overall survival of bleeders was significantly lower than non-bleeders (7±0.93 vs 10±2.10 months, p = 0.001).

Conclusions
Bleeding gastric cancer was not an uncommon condition. Majority of patients presented at advanced stage with grave prognosis. Male gender, hypertension, chronic kidney disease, and current H. pylori infection were reliable predictors for bleeding. Early diagnosis and prompt treatment are the key to improve clinical outcome.
Varicocele Secondary to Splenic Vein Compression by Intragastric Balloon
Authors: Alangari Abdulrahman , Alamri Musab , Semaan Toufic , Hafez Ihab , Alruzug Ibrahim 
Published: September 2023

ABSTRACT
Intragastric balloons (IGBs) are commonly used for weight loss by mechanically distending the stomach. We present a case of a 35-year-old man who developed a left-sided varicocele 1 week after IGB insertion. Imaging revealed splenic vein compression and possible thrombosis. Urgent removal of the balloon was performed. After 1 week from removal, the patient showed significant improvement, with complete splenic vein recanalization. This case highlights the importance of early recognition of a rare complication of IGBs to avoid severe outcomes. To our knowledge, this is the first reported case linking IGBs to splenic vein compression and varicocele.
The Elephant in the Room: p-hacking and Accounting Research
Authors: Gow Ian D. 
Published: September 2023

Abstract
Ohlson (2025. Empirical accounting seminars: Elephants in the room. Accounting, Economics, and Law: A Convivium 15, 1–8) draws on his experience in empirical accounting seminars to identify five “elephants in the room”. I interpret each of these elephants as either a variant or a symptom of p-hacking. I provide evidence of the prevalence of p-hacking in accounting research that complements the observations made by Ohlson (2025. Empirical accounting seminars: Elephants in the room. Accounting, Economics, and Law: A Convivium 15, 1–8). In this paper, I identify a number of steps that could be taken to reduce p-hacking in accounting research. I conjecture that facilitating and encouraging replication alone could have profound effects on the quality and quantity of empirical accounting research.
“In the Dark, All the Shadows Disappear”: Remodelling the Poetics of Gripping Horror in Stephen King’s The Institute
Authors: Bohovyk Oksana , Bezrukov Andrii 
Published: September 2023

Abstract
Transformations in the perception of horror by modern readers have provoked an increased tolerance for cruelty and death. This increase challenges authors to use special means of emotional arousal in order to appeal to contemporary audiences. One of Stephen King’s most recent books, The Institute (2019), is replete with such special means. The novel deals with unspeakable terror and centres on a group of psychic kids kidnapped and placed in brutal conditions to serve the dark purposes of powerful men. This article explores King’s ways of expressing horror by affecting universal human experiences, emotions, and feelings. It applies an interdisciplinary perspective based on psychological and hermeneutic approaches to argue that in the non-otherworldly and non-monster horror The Institute, King involves a combination of vocabulary inventions, syntactic transformations, letter emphases, and refined literary devices to create a terrifying atmosphere. These means are explicated in the article to argue that the violation of human rights and fundamental freedoms is, in many ways, more shocking and frightening than traditional bloody images. They help King remodel a dark realm of gripping horror, where fear arises primarily out of a sense of the distorted world order, and enable the writer to critique social institutions for their approval of horrendous harm.
The “Ecological Imperative” in Literary Studies
Authors: Zapf Hubert 
Published: September 2023

AbstractThe ‘ecological imperative’ (Hans Jonas) manifests in different ways according to the linguistic, generic, medial, and semiotic conditions in which it is communicated. This is also true of creative forms of cultural practice such as literature and the aesthetic. The ecological imperative in literature is conveyed not primarily through its discursive content but through the narrative, formal, and aesthetic procedures themselves that literary texts employ, that is, through the translation of the autopoietic complexities of the aesthetic into the co-creative responsiveness of its recipients. The paper starts with some comments on the underestimated relationship between literature and survival; looks at some of the ways in which the intrinsic eco-ethical dimension of literature has been described in ecocriticism, distinguishing three major directions of material, political, and cultural ecology in the field; and addresses the ecological imperative in transdisciplinary contexts that are significant for environmental studies in general, sustainability and the Anthropocene. The paper ends with a list of features of literature as a medium of the ecological imperative from a cultural-ecological perspective.
Inflammation-related signaling pathways in tendinopathy
Authors: Jiang Li , Liu Tianzhu , Lyu Kexin , Chen Yixuan , Lu Jingwei , Wang Xiaoqiang , Long Longhai , Li Sen 
Published: September 2023

Abstract
Tendon is a connective tissue that produces movement by transmitting the force produced by muscle contraction to the bones. Most tendinopathy is caused by prolonged overloading of the tendon, leading to degenerative disease of the tendon. When overloaded, the oxygen demand of tenocytes increases, and the tendon structure is special and lacks blood supply, which makes it easier to form an oxygen-deficient environment in tenocytes. The production of reactive oxygen species due to hypoxia causes elevation of inflammatory markers in the tendon, including PGE2, IL-1β, and TNF-α. In the process of tendon healing, inflammation is also a necessary stage. The inflammatory environment formed by cytokines and various immune cells play an important role in the clearance of necrotic material, the proliferation of tenocytes, and the production of collagen fibers. However, excessive inflammation can lead to tendon adhesions and hinder tendon healing. Some important and diverse biological functions of the body originate from intercellular signal transduction, among which cytokine mediation is an important way of signal transduction. In particular, NF-κB, NLRP3, p38/MAPK, and signal transducer and activator of transcription 3, four common signaling pathways in tendinopathy inflammatory response, play a crucial role in the regulation and transcription of inflammatory factors. Therefore, summarizing the specific mechanisms of inflammatory signaling pathways in tendinopathy is of great significance for an in-depth understanding of the inflammatory response process and exploring how to inhibit the harmful part of the inflammatory response and promote the beneficial part to improve the healing effect of the tendon.
Crystal structure of N-cyclopropyl-3-hydroxy-4-methoxybenzamide, C11H13NO3
Authors: Tong Hongjuan , Xu Xiaona , Zhu Zhoujing , Liu Bin 
Published: September 2023

Abstract
C11H13NO3, monoclinic, P21/n (no. 14), a = 8.0478(3) Å, b = 9.8093(4) Å, c = 13.1602(5) Å, β = 104.712(2)°, V = 1004.85(7) Å3, Z = 1, R

gt
(F) = 0.0395, wR

ref
(F
2) = 0.1010, T = 170 K.
Divulgadores, no influencers: comunicación de nutricionistas en redes sociales
Authors: Marauri Castillo Iñigo , Rodríguez- González María del Mar , Marín Murillo Flora 
Published: September 2023

Introducción:
La alimentación genera un interés creciente entre la población, en particular entre las personas jóvenes. La pujanza de las redes sociales hace que sean una fuente de información relevante. En ellas, perfiles expertos conviven con influencers sin formación. Metodología: En este artículo se analizan las claves de la presencia en redes sociales de siete de los nutricionistas más importantes en este ámbito en lengua española a través de una técnica cualitativa basada en entrevistas en profundidad. Resultados: Se constata la relevancia de Instagram como red más importante en nutrición. Seis de los siete se niegan a ser catalogados como influencers, concepto al que atribuyen objetivos y valores con los que no se sienten identificados, y prefieren definirse como divulgadores. Los nutricionistas destacan la importancia de adecuar el mensaje a las características de cada una de las redes sociales y solo dos de los siete combinan cuestiones personales y profesionales en sus contenidos. Discusión y conclusiones: El papel divulgador de los profesionales de la nutrición en las redes sociales adquiere una especial relevancia por la calidad deficiente de la información sobre alimentación. Sin embargo, en la literatura sobre alimentación, comunicación y redes sociales, los límites entre las personas catalogadas como influencers y aquellas profesionales de la nutrición y dietética se difuminan. En este punto, resulta revelador el resultado de la investigación cualitativa realizada, ya que se constata que los nutricionistas estudiados quieren influir, pero no ser influencers. Frente a la connotación negativa que atribuyen a este concepto, defienden la coherencia y la autenticidad. Aceptan el uso de contenido patrocinado, siempre que sea claro y transparente, aunque tres de los siete aseguran haber sido testigo de casos de mala praxis.
The Effect of Lifting Straps on Deadlift Performance in Females
Authors: Trahey Kevin M. , Lapp Evan M. , Talipan Trent N. , Guydan Thomas J. , Krupka Alexander J. , Ellis Carrie E. 
Published: September 2023

Abstract
Trahey, KM, Lapp, EM, Talipan, TN, Guydan, TJ, Krupka, AJ, and Ellis, CE. The effect of lifting straps on deadlift performance in females. J Strength Cond Res 37(10): 1924–1928, 2023—Using lifting straps (LS) while deadlifting may increase the total number of repetitions performed and barbell velocity, and preserve grip strength; however, research in this area has only been conducted on men. This study investigated the effects of lifting straps on the total number of repetitions, mean and peak barbell velocity, and grip strength during the deadlift exercise in women. Ten women (20.1 ± 1.1 years; 165.4 ± 5.6 cm, 68.9 ± 10.3 kg) with 3.2 ± 2.1 years of resistance training experience participated in the study. After completing a 1-repetition maximum (1RM) test without LS, subjects completed 2 protocols: performing 3 sets of as many repetitions as possible of 80% 1RM with lifting straps (WS) and without lifting straps (NS). During both protocols, mean and peak barbell velocity were measured during each set, and grip strength was recorded before deadlifting and after each set. Repeated-measures analysis of variance were used to examine differences in the variables of interest, with an alpha level of 0.05 used to establish statistical significance. The WS condition allowed participants to perform significantly more reps while resulting in no statistically significant differences in mean or peak barbell velocity. The magnitude of grip strength loss was significantly lower during the WS condition. Results indicate that using LS while deadlifting allows women to perform more repetitions with greater preserved grip strength without negatively affecting barbell velocity. Thus, LS appear beneficial for deadlift performance in women and should be considered during resistance training involving the deadlift exercise.
Effect of 3 Different Set Configurations on Kinematic Variables and Internal Loads During a Power Snatch Session
Authors: Nagatani Tsuyoshi , Kendall Kristina L. , Guppy Stuart N. , Poon Wayne C.K. , Haff G. Gregory 
Published: September 2023

Abstract
Nagatani, T, Kendall, KL, Guppy, SN, Poon, WCK, and Haff, GG. Effect of 3 different set configurations on kinematic variables and internal loads during a power snatch session. J Strength Cond Res 37(10): 1929–1938, 2023—The aim of this study was to investigate the effect of 3 different set configurations on kinematic variables and internal loads during multiple sets performed with the power snatch. Ten strength-power athletes with at least 6 months of training experience performing the power snatch participated in this study, which consisted of 3 experimental protocols performed in a randomized repeated-measures design. The 3 protocols involved performing the power snatch for 3 sets of 5 repetitions at an average load of 75% 1 repetition maximum with a traditional (TRAD), cluster (CLU), or ascending cluster (A-CLU) protocol, where the training load was progressively increased across the set. Kinematic variables and internal loads (heart rate, blood lactate, and rate of perceived exertion) were measured during each protocol. The athletes maintained peak velocity (PV) and peak power (PP) and exhibited lower internal loads during CLU sets when compared with TRAD sets, whereas they displayed significant decreases in PV during TRAD sets. However, there were no statistically significant differences in PV and PP responses between the TRAD and CLU protocol. The athletes exhibited a significant decrease in PV, whereas PP was increased across each set in the A-CLU protocol, with lower internal loads observed compared with the TRAD protocol. Overall, the training loads used in this study do not appear to maximize the benefits of using CLU set during 3 sets of power snatches performed for 5 repetitions. In addition, A-CLU sets may potentially be useful as a means of maximizing the power output of the athlete.
Predicting Weight Category–Specific Performance Zones for Olympic, World, and European Weightlifting Competitions
Authors: Chavda Shyam , Comfort Paul , Lake Jason P. , Bishop Chris , Turner Anthony N. 
Published: September 2023

Abstract
Chavda, S, Comfort, P, Lake, JP, Bishop, C, and Turner, AN. Predicting weight category–specific performance zones for Olympic, World, and European weightlifting competitions. J Strength Cond Res 37(10): 2038–2045, 2023—Understanding the total likely required weight category to achieve a specific rank within a specific competition can aid in the long-term and short-term preparation and tactics for performance teams. The primary objective of this investigation was to develop a set of predictive models for new weight categories across 5 performance zones for 3 major weightlifting competitions. Performance total (Ptot) data for top 15 male athletes were obtained from the International Weightlifting Federation website from 1998 to 2020 across the Olympics, and World and European Championships. A second-order polynomial regression was conducted with 95% confidence, and predictive intervals were calculated. The average of the newly contested body mass was then used as the intercept. Predictions were compared against current performances of the new weight categories up to the 2020 Olympics. Results revealed that the models for all competition types varied in their predictive ability for each performance zone, across each new weight category. On average, predicted Ptot displayed a difference from actual Ptot of 3.65 ± 2.51% (12.46 ± 9.16 kg), 0.78 ± 3.29% (2.26 ± 10.08 kg), and −1.13 ± 3.46% (−4.32 ± 11.10 kg) for the Olympics, and World and European Championships, respectively. The results suggest that the predictive models may be a good indicator of future performances; however, the models may have greater efficacy in some weight categories and performance zones than others.