bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient–healthcare provider communication and age-related hearing loss: a qualitative study of patients’ perspectives
Authors: Lu Lorita Lee Mei , Henn Patrick , O’Tuathaigh Colm , Smith Simon 
Published: June 2023

Abstract
Background
The prevalence of age-related hearing loss (ARHL) significantly increases in people aged 60 and older. Medical errors are frequently reported because of communication breakdown, especially for patients with ARHL.

Aims
This qualitative study focuses on identifying the communication challenges faced by people aged over 65 with ARHL and potential ameliorative strategies based on the participants’ personal experiences.

Methods
Thirteen participants, attending a support service for older adults with hearing loss in the South of Ireland, were recruited using convenience sampling. Semi-structured interviews were conducted with participants. Interviews were audio-recorded and transcribed using NVivo 12 software. Braun and Clarke’s thematic analysis methodology was used to identify themes arising from two main study domains: difficulties faced during the most recent healthcare interaction and suggestions for improving overall healthcare communication.

Results
Older adults with hearing loss identified general mishearing, lack of awareness and use of medical terminology to be the cause of ineffective communication. Raising awareness of the impact of presbycusis on clinical interaction among healthcare professionals was cited as being of crucial importance. Other helpful strategies include repeat and rephrase, use of written information, providing context, minimizing ambient noise, continuity of care, longer consultation length and good body language.

Conclusion
Effective clinical communication can be achieved through a clear understanding of the patient’s perspective. Healthcare providers should be made aware of the hearing issues and associated communication difficulties posed, within the context of the development of patient-centred strategies to improve patient safety.
Designing an instrument to measure the development of techno-mathematical literacies in an innovative mathematics course for future engineers in STEM education
Authors: van der Wal Nathalie J. , Bakker Arthur , Drijvers Paul 
Published: June 2023

AbstractTechno-mathematical Literacies (TmL), which are defined as a combination of mathematical, workplace and ICT knowledge, and communicative skills, are acknowledged as important learning goals in STEM education. Still, much remains unknown about ways to address them in teaching and to assess their development. To investigate this, we designed and implemented an innovative course in applied mathematics with a focus on Techno-mathematical Literacies for 1st-year engineering students, and we set out to measure the learning effect of the course. Because measuring TmL is an uncharted terrain, we designed tests that could serve as pre- or posttests. To prevent a test learning effect, we aimed to design two different but equally difficult tests A and B. These were assigned randomly to 68 chemistry students, as a pretest, with the other one serving as posttest after the course. A significant development in TmL was found in the B-pre group, but not in the A-pre group. Therefore, as a follow-up analysis we investigated whether the two tests were equally difficult and searched for possible explanations. We found that test B was indeed perceived as more difficult than test A, but also that students who were assigned B (pre) were previously higher achieving than A (pre), and a sound mastery level of basic skills that ground the higher-order TmL seemed necessary. Furthermore, as TmL are very heterogenous by nature, some of them are easier learned and measured than others. Based on the results, we propose ways of testing TmL, which should be validated in future research.
Household energy consumption and the financial feasibility of self-consumption through photovoltaic panels in Spain
Authors: García-López Marcos , Montano Borja , Melgarejo Joaquín 
Published: June 2023

AbstractEnergy consumption is one of the main costs faced by households, both financially and environmentally. This article analyses the energy consumption of Spanish households and the cost of installing solar panels in order to determine the potential of this form of energy production on a household level. The results show that households with a larger number of members have a higher total consumption but a lower consumption per person. The composition of the household is therefore a key determinant of the potential savings from solar panels. This alternative is financially viable, as the unit price paid for energy in these households is between €0.28 and €0.29 per kilowatt-hour (kWh), while the average cost per kWh obtained from the panels is between €0.15 and €0.21. However, the current public subsidies for the installation of solar panels in Spain are inaccessible to 68% of the country’s households, and there are difficulties in the distribution of energy in neighbouring communities. In other words, although in financial terms home PV self-consumption is a financially viable option, the inability to obtaining subsidies makes the initial investment a major barrier for many households.
Fake Happy = Happy? Residual Effect of Feigning and Positive Response Bias
Authors: Boskovic Irena , Tejada-Gallardo Claudia , Ludwig Nina , Blasco-Belled Ana 
Published: June 2023

AbstractResidual effect of feigning pertains to the findings that individuals, first instructed to feign symptoms, later endorse those symptoms despite being told to respond honestly. We explored whether the same effect would occur if participants were instructed to fabricate positive experiences, such as happiness, by employing a simulation design that included two groups and two testing sessions. The control group received instructions to respond honestly, and the “fake happy” had a task to identify with an exceptionally happy person depicted in a vignette. During Session 1, all participants received the Subjective Happiness Scale, the Satisfaction with Life Scale, and the Supernormality Scale-Revised. In Session 2, after eight days, all participants responded honestly to the Scale of Positive and Negative Experiences and the Flourishing Scale. Overall, fake happy participants, when compared to the control group, exhibited higher levels of supernormality (i.e., positive response bias) and well-being in Session 1. Hence, the instructions had an immediate effect on one’s self-presentation. Yet, the two groups did not differ in Session 2, indicating that the residual effect of feigning was not depicted, or was not strong enough to persist the 8-day period between the sessions. Looking within both groups, all participants significantly lowered their well-being scores overtime. Limitations and implications of this work are discussed.
Weed flora composition in a young olive orchard as affected by fertilizer types
Authors: Platis Petros , Damalas Christos A. , Koutroubas Spyridon D. 
Published: June 2023

AbstractManure is a useful source of nutrients in olive orchards, but its effect on weed growth in such an ecosystem has not been studied. A field experiment was conducted in a six-year old olive orchard (cv. Chondrelia Chalkidikis) in northern Greece to study the effects of two forms of fertilization (inorganic fertilizer and composted cow manure) on weeds abundance and weed flora composition (species diversity and dominance). A randomized complete block design with three treatments (inorganic fertilizer, 150 kg N ha−1 plus 205 kg P2O5 ha−1 plus 205 kg K2O; composted cow manure, 20 Mg dry weight ha−1; and control) replicated three times was used. Inorganic fertilizer and composted cow manure had no significant effect on the number of weed species (F = 0.288, P > 0.05), but improved olive fruit yield by 61.6% and 57.1%, respectively, compared with the non-fertilized control. Both inorganic fertilizer and composted cow manure increased the weeds dry biomass by 133.4% and 80.8%, respectively, compared with the non-fertilized control. There was a decrease in the biomass proportion (percentage of the total weed biomass) of annual species with composted cow manure (x2 = 6.72, P < 0.05), while no significant change in the biomass ratio of grasses and broadleaf weeds was observed. Fertilization increased the growth of Chenopodium album, mainly with the addition of inorganic fertilization; and Sonchus oleraceus, slightly more with the addition of composted cow manure. Centaurea solstitialis and Daucus carota had a high proportion only in the non-fertilized control plots. Composted cow manure can be used as an alternative fertilizer in olive orchards, without enriching weed flora in terms of species number. Long-term experiments would be useful to confirm the influence of composted cow manure on weed flora of olive orchards.
A Gravitation-Based Hierarchical Community Detection Algorithm for Structuring Supply Chain Network
Authors: Lu Zhigang , Dong Zonghao 
Published: June 2023

AbstractAs industrial production outsourcing expands, the collaboration relationship of firms evolves to be more entangled, which means that the enterprise communities in the supply chain network become increasingly overlapping and their boundaries are ambiguous. Given the network complexity, deeper insight into the sequencing orders of suppliers and assemblers is required to orchestrate the supply chain partner collaboration. Considering the overlapping community and multi-layered connectivity characteristics of the supply chain network, in this paper, we design a gravitation-based hierarchical community detection algorithm for structuring the supply chain network. The solution applies a functional modules identification strategy based on node gravitation and a hierarchical clustering strategy based on module gravitation to structure the supply chain network architecture. The key technique is to investigate the global gravitational influence of focal firms, segment the functional modules by characterizing the overlapping conditions among communities, and construct the dendrogram by measuring the gravitational forces between modules in order to map the hierarchical architecture of the dendrogram to structure the supply chain network. The proposed algorithm does not necessitate a prior knowledge about the network. It is adaptable to construct the supply chain network that exhibits scale-free, highly overlapped modular community, and hierarchical characteristics. Experimental results on synthetic benchmark and real-world networks demonstrate the effectiveness and applicability of the proposed algorithm.
Dante and the Practice of Humility
Authors: Teubner Rachel K. 
Published: June 2023

In this book, Rachel Teubner offers an exploration of humility in Dante's Divine Comedy, arguing that the poem is an ascetical exercise concerned with training its author gradually in the practice of humility, rather than being a reflection of authorial hubris. A contribution to recent scholarship that considers the poem to be a work of self-examination, her volume investigates its scriptural, literary, and liturgical sources, also offering fresh feminist perspectives on its theological challenges. Teubner demonstrates how the poetry of the Comedy is theologically significant, focusing especially on the poem's definition of humility as ethically and artistically meaningful. Interrogating the text canto by canto, she also reveals how contemporary tools of literary analysis can offer new insights into its meaning. Undergraduate and novice readers will benefit from this companion, just as theologians and scholars of medieval religion will be introduced to a growing body of scholarship exploring Dante's religious thought.
Antibiotic prescribing patterns for bacterial superinfection of mpox: A retrospective cohort study in an urban center
Authors: Simmons William F. , Chan Jeannie D. , Budak Jehan Z. , Dhanireddy Shireesha , Green Margaret L. , Jain Rupali , Neme Santiago , Rietberg Krista , Roxby Alison C. , Lynch John B. , Bryson-Cahn Chloe 
Published: June 2023

Abstract
Bacterial superinfection and antibiotic prescribing in the setting of the current mpox outbreak are not well described in the literature. This retrospective observational study revealed low prevalence (11%) of outpatient antibiotic prescribing for bacterial superinfection of mpox lesions; at least 3 prescriptions (23%) were unnecessary.
Economic burden of antimicrobial resistance and inappropriate empiric treatment in Thailand
Authors: Kongnakorn Thitima , Tichy Eszter , Kengkla Kirati , Kanokwanvimol Nuttawan , Suthipinijtham Pichaya , Phuripakathorn Chanyapat , Al Taie Amer 
Published: June 2023

Abstract

Objective:
To quantify the economic burden of bacterial antimicrobial resistance in Thailand and estimate potential savings from improving the rate of appropriate empiric treatment, where effective coverage is provided within the first days of infection.

Design:
Cost-of-illness study.

Methods:
A cost-calculator, decision-tree model was developed using published data and records from 3 Thai hospitals for patients hospitalized with antimicrobial-resistant infections between 2015 and 2019. Direct and indirect costs of antimicrobial-resistant infections were assessed over a 5-year time horizon, with outcomes derived separately for cases having received appropriate empiric treatment versus inappropriate empiric treatment. In a real-world scenario, outcomes were estimated using actual rates of inappropriate empiric treatment, and in a hypothetical scenario, outcomes were estimated using decreased rates of inappropriate empiric treatment.

Results:
Over 5 years, in-hospital antimicrobial-resistant infections produced costs of approximately Thai baht (THB) 66.4 billion (USD 2.1 billion) in the real-world scenario and THB 65.8 billion (USD 2.1 billion) in the hypothetical scenario (0.9% cost savings relative to the real-world scenario). Most costs were attributable to income loss due to in-hospital mortality (real world: THB 53.7 billion [USD 1.7 billion]; 80.9% of costs; hypothetical: THB 53.2 billion [USD 1.7 billion]; 80.8% of costs) and hospitalization (real world: THB 10.3 billion [USD 330.8 million]; 15.5% of costs; hypothetical: THB 10.2 billion [USD 328.9 million]; 15.5% of costs).

Conclusions:
In-hospital antimicrobial-resistant infections produced a substantial economic toll in Thailand. This public health burden could be reduced with a strategy aimed at decreasing the rate of patients receiving inappropriate empiric treatment.
Introducing trainees to research using an online, asynchronous course
Authors: Blackard Jason T. , Knapke Jacqueline M. , Schuckman Stephanie , Veevers Jennifer , Hardie William D. , Ryan Patrick H. 
Published: June 2023

Abstract

Introduction:
Research is an important aspect of many students’ training. However, formal research training is rarely included in curricula. Thus, we developed an online, asynchronous series of modules to introduce trainees to multiple topics that are relevant to the conduct of research.

Methods:
Research 101 was utilized by first-year medical students and undergraduate students conducting mentored research projects. Students’ knowledge, confidence, and satisfaction were assessed using pre- and post-module surveys with five-point Likert scaled questions, open-ended text responses, and a final quiz.

Results:
Pre-module survey results showed that learners felt most confident with the Conducting a literature search and Race and racism in medicine modules and least confident with the Submitting an Institutional Review Board protocol at UC module. Post-module survey responses were significantly increased compared to pre-module results for all modules and questions (p < 0.0001). The response to “The content of this module met my needs” was endorsed across all modules (84.9% “yes” responses). A final quiz of 25 multiple-choice questions was completed by 92 participants who received a median score of 21. Content analysis of open-ended post-module survey responses identified several strengths and opportunities for improvement in course content and instructional methods.

Conclusions:
These data demonstrate that significant learning resulted from completion of Research 101, as post-module survey scores were significantly higher than pre-module survey scores for all modules and questions. Final quiz scores were positive but also highlighted opportunity for additional trainee learning and will guide evolution of future modules.
Conceptualising the tortuous harms of sexist and racist hate speech
Authors: Tjon Soei Len Lyn K. L. , de Ruijter Anniek 
Published: June 2023

AbstractOnline sexist and racist hate speech has been condemned by many and condoned by most. In this paper we explicate in private legal terms the harms caused by sexist and racist hate speech. By centring the experiences of women of colour through coded testimonies we seek to rethink harm in tort in order to make visible private harms, which have remained largely invisible in European private law discourse. We highlight two aspects of harm that private law structurally fails to make visible: health harms and relational harms in the context of persistent and structural gender and racial injustice. In this paper, we argue that these systemic injustices must inform how we think of tortuous harms that arise from sexist and racist hate speech in bilateral relationships. In this article we centre the knowledge of women of colour targeted by SR hate speech within legal knowledge production and to the ways that the legal community thinks about tort law and its purpose. Conceptualising the tortuous harms of sexist and racist hate speech is crucial for access to private law pathways for redress and damages.
Scholasticism and aesthetic enchantment: notes on a perplexing quest for the Pouvoir Constituant
Authors: Somek Alexander 
Published: June 2023

AbstractThe Article offers a summary of some of the major themes of Emilios Christodoulidis’s The Redress of Law. In addition, it engages critically with social systems theory by calling into question whether it provides us with an adequate perspective on constitutional law. The concluding observations address the deplorable state of the left-wing project at the beginning of the twenty-first century.
Where is the l(ove)? Excavating law and labour in The Redress of Law
Authors: Steininger Silvia 
Published: June 2023

AbstractIn his monograph The Redress of Law, Emilios Christodoulidis provides a sophisticated genealogical study of the emergence of total market thinking in Europe. With market constitutionalism having sidelined political constitutionalism, the potential of law to organise the political community is significantly restricted. By examining the commodification of labour, processes of bargaining, unemployment, and strikes, Christodoulidis demonstrates the destructive consequences of law in the service of market rationalities as well as its potential for strategic action to build collective identity in the EU (European Union).Yet, I argue that this book comes with two significant blind spots, namely a dated understanding of both law and labour. First of all, Christodoulidis’s systems theoretical understanding of law is neglecting the material conditions that law continuously re-produces in the course of globalization. Secondly, his vision of labour remains rather traditional, focused on unionised, white, and male workers. Both elements are central pillars of his analysis but do not reflect the current reality of the 21st century. In this Article, I challenge his conceptualization by situating his work in recent research on the role of law and labour regulation in global capitalism.
Failures of comparability in global governance: Exploring the practical dimension of the redress of law
Authors: Nicola Fernanda G. 
Published: June 2023

AbstractIn The Redress of Law, Emilios Christodoulidis explores the philosophical foundations of market constitutionalism and shows how its embedded rationality shapes global governance. The author delves into critical phenomenology to lift the veil of ignorance on the fact that market constitutionalism has replaced political rationality with economic reasoning. By grounding its theory in the continental critical theory, ranging from Marxism to Weil’s existentialism and Luhmann’s systems theory, the book shows how the redress of law is also a practice that could radically transform the global political economy. However, the challenge is to displace the modern thinking of market constitutionalism that is rooted in functional differentiation and privileges constituted rather than constituent power. Such market thinking has allowed global governance experts to simplify and reduce to numbers complex polical, cultural and social phenomena embedded in constitutional legal regimes. The disembedding of law from society through functional differentiation, and the sole preoccupation of legal experts with constituted power, have contributed to the depoliticisation of constitutionalism as both theory and practice. A quintessential example of market constitutionalism in practice are global governance indicators. These indexes entail comparisons among legal regimes that empower private market rules as the final arbiter of local redistributive policies while bracketing historical, genealogical and reflexive connections to law’s social realities. The book offers several strategies of ‘redress of law’ such as rupture, contradiction and open dialectic, aiming to foreground political rather than market constitutionalism and to revamp the dialectic between constituted power exemplified by constitutional texts and constituent power, exemplified by strikes. This Article praises Christodoulidis’s sophisticated theoretical framework grounded in critical phenomenology, but at the same time pushes the author’s argument beyond the book itself. By questioning the practical implications of the redress of law, the focus on legal assumptions in global governance shows how legal experts in a variety of legal fields beyond constitutionalism have reproduced existing inequalities defined in terms of market, social and colonial hierarchies.
Introduction: Redressing EU law, Redress through EU law?
Authors: Menéndez Agustín José 
Published: June 2023

AbstractThis short introduction to the symposium on Christodoulidis’s The Redress of Law highlights the reasons why the book will be relevant to readers interested in EU law. First, EU law is the main body of positive law by reference to which the author develops his argument. In the process, he offers a critical assessment of the state of EU law, which has played a key role as the main vehicle of the neoliberalisation of the legal systems of the Member States of the EU. Second, some of the key concepts elaborated and sharpened by the author can be used to build up a critical theory of EU law. This is illustrated by considering how a critical theory of the history of EU law could be written, and by showing that Christodoulidis offers us the elements with which to reconstruct how EU got transformed from the 1970s through the reverse engineering of some of the key institutions and substantive norms of democratic political constitutionalism.