bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring health influences and the moderating role of authentic leadership in workplace bullying: A cross‐sectional study among hospital nurses
Authors: Fang Li , Hsiao Li‐Ping , Fang Shu‐Hui 
Published: January 2025

AbstractAimThis study explored the relationship between workplace bullying, authentic leadership, workplace friendship and nurses’ health conditions and identified the predictors of nurses’ health. It also explored whether authentic leadership moderated the impact of workplace bullying on their health.MethodsThis study used a cross‐sectional and correlational design following the STROBE guidelines. The main research tools were structured questionnaires, including sociodemographic variables, Authentic Leadership Questionnaire, Workplace Friendship Questionnaire and CHQ‐12. This study recruited 244 nursing staff members from a regional teaching hospital.ResultsThe multiple linear regression analysis showed that excessive workload, high workplace bullying, low authentic leadership and low workplace friendship were predictors of nurses’ health.ConclusionAuthentic leadership significantly moderated the impact of workplace bullying on nurses’ health based on hierarchical regression analysis.Implications for nursing management and social policyHospital administrators should review the perpetrators’ responsibilities and assist the victims to obtain psychological counselling, regularly hold leadership training to enhance the leadership skills of nursing managers and organise social activities for nurses to foster workplace friendships.
An interventional study of digital therapy on blood glucose and weight management in Chinese patients with type 2 diabetes
Authors: Lu Difei , Jiang Wenfeng , Ai Dongyan , Cen Chaoping , Ou Qianying , Chen Kaining , Zhang Junqing 
Published: January 2025

ABSTRACTObjectiveOur study aimed to evaluate the effectiveness of a 3‐months digital therapy (DTx) intervention in the real world for the management of blood glucose in 3,902 Chinese patients with type 2 diabetes (T2D) in Lingshui, Hainan.MethodsAdults with T2D who were capable of using DTx application (app) were enrolled. Fasting blood glucose (FBG), 2‐h postprandial blood glucose (2hPBG), and body weight before and after the intervention were collected. Participants recorded blood glucose and body weight at least once weekly, and attended diabetes education program with the app during online follow‐up once weekly.ResultsA total of, 3,902 patients with T2D were enrolled, including 46.3% of men, with an average age of 64.3 years. After 3‐months of DTx, FBG decreased by 0.52 mmol/L (8.05–7.53, P < 0.001) from baseline, 2hPBG decreased by 1.18 mmol/L (11.95–10.77, P < 0.001), and body weight decreased by 1.50 kg (61.18–59.68, P < 0.001). The median number of glucose self‐reports for each patient was three (0, 273) times. Defining participants who finished glucose or weight self‐report for once within 7 days as the motivated group (n = 1,013), the motivated group showed significant weight loss after DTx intervention (motivated group vs inactive group, −3.01 kg vs −0.36 kg, P < 0.01). No significant difference was found in FBG and 2hPBG between the two groups.ConclusionsDTx reveals significant efficacy on glucose and weight control in patients with T2D, which can reduce FBG, PBG, and body weight. Better compliance and motivation with DTx and frequent weight monitoring help achieve better weight control.
An Interprofessional Collaboration Between a Community‐Based Doula Organization and Clinical Partners: The Champion Dyad Initiative
Authors: Marshall Cassondra , Nguyen Ashley , Cuentos Alli , Almenar Alyana , Mace Gabriella , Arcara Jennet , Jackson Andrea V. , Gómez Anu Manchikanti 
Published: January 2025

AbstractAs access to doula services expands through state Medicaid coverage and specific initiatives aimed at improving maternal health equity, there is a need to build and improve upon relationships between the doula community, hospital leaders, and clinical staff. Previous research and reports suggest rapport‐building, provider education, and forming partnerships between community‐based organizations and hospitals can improve such relationships. However, few interventions or programs incorporating such approaches are described in the literature. This article describes the development and 5 core components of the Champion Dyad Initiative (CDI), a novel program that uses bidirectional feedback between SisterWeb, a community‐based doula organization, and 5 clinical sites (4 hospitals and one birthing center) to ensure pregnant and birthing people receive fair and equitable treatment. We also describe implementation challenges related to documentation, funding, and institutional support. The CDI is a promising model for community‐based doula organizations and health care institutions to develop collaborative partnerships, build respectful doula‐provider relationships, and work toward improving the pregnancy‐related care that Black, Indigenous, and people of color receive in hospital and birth center settings. It is our hope that this innovative initiative can serve as a model that can be adapted for other locales, organizations, and hospitals.
Does Perfectionism Affect Parental Identity Development? A One‐Year Longitudinal Study
Authors: Piotrowski Konrad , Janowicz Kamil , Damian‐Ilea Lavinia , Negru‐Subtirica Oana 
Published: January 2025

ABSTRACTIntroductionPrevious studies have revealed that perfectionism and identity development during adolescence are related. However, no longitudinal study has been conducted on the impact of perfectionism on identity development in adulthood. In the present study, we analyzed for the first time the longitudinal relationship between personal standards, an indicator of perfectionistic strivings, and concern over mistakes and doubts about actions, indicators of perfectionist concerns, and identity development in one of the most important yet least understood domains for adults, parental identity.MethodsThis 1‐year, three‐wave longitudinal study investigated reciprocal relationships between perfectionism and parental identity among 1275 parents (aged 18–30, M = 26.11; SD = 3.00). We analyzed the results using cross‐lagged panel model analysis and random‐intercept cross‐lagged panel model analysis.ResultsThe results revealed that personal standards were associated with a relative increase in seeking in‐depth information about parenthood, and doubts/concerns were associated with a relative increase in disappointment and parenthood regret. Parental identity was not reciprocally related to changes in perfectionism at the between‐person level. However, we observed the effect of parental identity on the decrease in personal standards at the within‐person level.ConclusionThe results suggest mutual relationships between perfectionism and parental identity at the between‐person and within‐person levels.
Integrating a mortar model into discrete element simulation for enhanced understanding of asphalt mixture cracking
Authors: Dhundup Gyalwang , Zhou Jianing , Bekoe Michael , Sun Lijun , Mao Sheng , Yan Yu 
Published: January 2025

AbstractCracks impact the performance and durability of asphalt pavements, necessitating a comprehensive understanding of the mixture cracking behavior. While discrete element modeling has been implemented, many studies oversimplify the simulation of asphalt mortar, a critical component affecting mixture cracking resistance. This study proposes a mortar model that is applicable to both two‐dimensional (2D) and, to a preliminary extent, three‐dimensional (3D) simulations. The model incorporates a geometric representation of mortar distribution and a mechanical softening model to simulate damage accumulation and fracture. Laboratory and virtual Superpave indirect tensile tests were performed on asphalt mixtures with varying gradations at different aging levels. The virtual simulations successfully mirrored indoor test results in volumetric parameters, load–displacement behavior, and stress distribution. Minor differences in strength, strain, and fracture energy between virtual and indoor tests confirmed the accuracy of the mortar model. Notably, the 3D simulations provided a more accurate reconstruction of the cracking process, showing smaller discrepancies between virtual and indoor results, compared to the 2D simulations, with errors in stress, strain, and fracture energy of 5.6%, 5.7%, and 4.7%, respectively. Employing the mortar model in discrete element simulation revealed insights into fracture angle distribution and tendencies, enabling meticulous analysis of mixture damage characteristics and cracking behavior. This allows for the improved design of mixtures with excellent cracking performance and contributes to advancing computational methods that could complement laboratory testing.
Land use and cover changes and sand fly (Diptera: Psychodidae) assemblages in an emerging focus of leishmaniasis
Authors: de Oliveira Maxcilene da Silva , da Silva Rosa Cristina Ribeiro , Silva Antonia Suely Guimarães e , Rodrigues Judson Chaves , Pimenta Ronayce Conceição de Jesus Serrão , Leonardo Francisco Santos , Rebêlo José Manuel Macário , Pinheiro Valéria Cristina Soares 
Published: January 2025

AbstractLand use and cover changes lead to fragmentation of the natural habitats of sand flies and modify the epidemiological profile of leishmaniasis. This process contributes to the infestation of adjacent rural settlements by vector sand fly species with different degrees of adaptation, promoting leishmaniasis outbreaks. This study aimed to assess land use and cover changes over a 12‐year period and investigate the diversity and abundance of sand fly assemblages in the rural area of Codó, Maranhão State, Brazil. Temporal analysis of land use and cover changes was conducted using Sentinel‐2 satellite imagery treated in QGIS software (free version 3.10) and classified using Orfeo Toolbox. Sand flies were sampled in alternate months between August 2022 and June 2023 using Centers for Disease Control and Prevention (CDC) light traps and white and black Shannon traps installed in peridomestic and extradomestic environments. Map images showed that the predominant land covers in 2012 and 2014 were dense and sparse vegetation, with few buildings. In 2021 and 2023, areas of sparse and dense vegetation were fragmented as new settlements were established. The entomological survey resulted in the capture of 3375 sand flies (CDC = 856, white Shannon = 650, black Shannon = 1969) belonging to 20 species. The most abundant species were Psychodopygus wellcomei Fraiha, Shaw & Lainson, 1971 (78.19%), followed by Nyssomyia whitmani (Antunes & Coutinho, 1939) (7.53%). Additionally, Ny. whitmani was the most abundant species (84.97%) in peridomestic environments, whereas Ps. wellcomei was the most abundant species (96.51%) in extradomestic environments. The sand fly assemblage was highly diverse, with a high abundance of competent vectors of Leishmania spp. These findings can promote community participation in surveillance and control efforts to prevent leishmaniasis cases.
The UK Productivity “Puzzle” in an International Comparative Perspective
Authors: Fernald John , Inklaar Robert 
Published: January 2025

ABSTRACTThe UK's slow productivity growth since 2007 has been referred to as a “puzzle,” as if it were a particularly UK‐specific problem. We highlight how the United States and northern Europe experienced very similar slowdowns. In all three regions, the slowdown in total factor productivity (TFP) growth accounts for the slowdown in labor productivity growth. We find no evidence in capital‐output ratios, investment rates, or internal rates of return that something substantive changed in the capital‐formation process after 2007—other than a slowdown in TFP and output growth that induced slower capital formation. Hence, capital formation is not an important independent factor in the post‐2007 productivity slowdown. For the UK, weak investment is a longstanding concern going back to the 1990s, though considerations of non‐national accounts intangible assets somewhat ameliorate the investment shortfalls. The common slowdown in TFP growth is fairly broad‐based across industry groups. Industry‐specific issues, such as in mining, account for some of relative ground lost after 2007 rather than indicating a systematic UK competitiveness problem.
Influences of plant maternal effects, chemotype, and environment on the leaf bacterial community
Authors: Malacrinò A. , Jakobs R. , Xu S. , Müller C. 
Published: January 2025

Abstract
Plant individuals within a species can differ markedly in their leaf chemical composition, forming so‐called chemotypes. Little is known about whether such differences impact the microbial communities associated with leaves and how different environmental conditions may shape these relationships.
We used Tanacetum vulgare as a model plant to study the impacts of maternal effects, leaf terpenoid chemotype, and the environment on the leaf bacterial community by growing plant clones in the field and a greenhouse. We hypothesized that all three factors affect the bacterial community of the leaves and that terpenoid and bacterial profiles as well as chemodiversity and microbial diversity are correlated.
The results revealed that the leaf microbial community was significantly influenced by plant maternal effects and environmental conditions (field vs. greenhouse), but not by the leaf terpenoid profile. There was also no evidence for a correlation between terpenoid profiles and bacterial community composition and diversity. Overall, a higher number of unique amplicon sequence variants were found in the leaves of clones grown under field conditions than in those grown in the greenhouse. We also identified interactions between individual terpenoids and specific members of the leaf bacterial community.
Our study suggests that terpenoid chemodiversity has, overall, little effect on the leaf bacterial community, but some terpenoids might affect specific beneficial species. While more studies are needed to investigate the relationship between plant chemodiversity and plant microbiomes, our results highlight the importance of integrating plant maternal effects, chemodiversity, and environment in understanding plant–microbiome interactions.
Molecular Mechanism of N‐Acetylcysteine Regulating Proliferation and Hormone Secretion of Granulosa Cells in Sheep
Authors: Wang Jine , Yang Yahua , Ma Junyuan , Li Pinshen , Li Yang , Yang Chongfa , Zhao Binzhu , Zhao Zhijie , Ding Xiaona , Chen Hao , Huo Shengdong , Yang Yanmei , Luo Wenxue 
Published: January 2025

ABSTRACTGranulosa cells (GCs) are pivotal in the development of ovarian follicles, serving not only as supportive cells but also as the primary producers of steroid hormones. The proliferation of these cells and the synthesis of steroid hormones are crucial for follicular development and atresia. In our study, GCs were isolated using follicular fluid aspiration and subsequently identified through immunofluorescence. We investigated the impact of varying concentrations of N‐acetylcysteine (NAC) at 50, 100, 500, and 1000 μmol/L on sheep GCs, focusing on antioxidant levels, proliferation, apoptosis, and steroid hormone secretion. The phosphoinositide 3‐kinase (PI3K)/protein kinase B (Akt) inhibitor LY294002 was used to explore the molecular mechanism of NAC on GCs proliferation and steroid hormone secretion in sheep. Our findings indicate that all concentrations of NAC tested promoted GC proliferation and suppressed apoptosis in sheep GCs. Notably, 100 μmol/L NAC exhibited the most pronounced effect on GC proliferation after 48 h. The expression levels of CCND1, CDK4, and Bcl‐2 were significantly elevated in all NAC concentration groups, whereas Bax expression was notably reduced. Furthermore, all NAC concentrations led to a significant reduction in reactive oxygen species (ROS) levels and an increase in the expression of CAT and SOD1. NAC also significantly enhanced the expression of CYP19A1 and 3β‐HSD, as well as the secretion of estradiol (E2) and progesterone (P4) by GCs. In summary, NAC activates the PI3K/AKT signalling pathway, thereby promoting the proliferation of GCs and the secretion of E2 and P4 by sheep GCs in vitro.
The Path to Loneliness for Psychiatric Patients: A Qualitative Study of a Journey Marked by Pain, Hopelessness, Prosocial Signaling Deficits, and Coping Strategies That Are Not Effective
Authors: Landquist Rebecca , Öster Caisa , Isaksson Martina , Wolf‐Arehult Martina 
Published: January 2025

ABSTRACTEnduring loneliness has serious physical and mental health implications. Patients with mental health problems are at risk of experiencing problems related to loneliness. Therefore, it is important to increase knowledge about how loneliness is experienced and managed in this particular group. The aim of the study was to explore (1) psychiatric patients' experiences of different forms of loneliness, (2) associated problems, including difficulties with prosocial signaling, and (3) strategies used to combat loneliness, to better understand how loneliness affects psychiatric patients and how patients manage their loneliness. A total of 110 psychiatric patients were recruited at eight outpatient clinics in Region Stockholm for a larger study of loneliness. The first fifteen patients who also agreed to participate in the present substudy were invited to meet a trainee psychologist who conducted a semi‐structured interview. A reflexive thematic analysis with a codebook approach was used to analyze the transcripts. The described experiences of loneliness were primarily examples of social and emotional loneliness with one prominent theme: “Hopelessly lonely”. Associated problems were summarized in two themes: “The inevitable road to loneliness” and “Social signals are confusing and push others away”. Regarding patients' strategies for combating loneliness, one theme emerged: “Using strategies that focus on the current moment”. The results also included a total of sixteen subthemes. Loneliness was described as something painful that is inevitable and unchangeable, with a self‐reinforcing loneliness loop leading to social and emotional loneliness, and as something that is intertwined with mental health problems. These results are in accordance with research. In addition, patients described a variety of prosocial signaling deficits and feelings of being disconnected from others. They also reported using strategies that primarily alleviated their immediate suffering when they were alone, rather than focusing on approaches with long‐term effects on reducing loneliness, such as participating in social activities combined with effective social signaling. Future research should investigate whether increased awareness of social signaling, as well as social activities combined with improved prosocial signaling and strengthened self‐belief, would constitute effective steps for patients to combat enduring loneliness. It also seems important to help patients reduce hopelessness related to loneliness.
A Comparative Study of the Effectiveness of Text‐Based Crisis Intervention and Phone‐Based Crisis Intervention in Reducing Emotional Distress Among Texters and Callers
Authors: Alimohammadi Amirali , Roshanpajouh Mohsen , Hosseini Rozhin , Ekrami Kourosh , Aghdaee Morteza , Rajab Boloukat Reyhaneh , Mohagheghi Maryam 
Published: January 2025

ABSTRACTIntroductionToday, dying by suicide is one of the most important mental health challenges in the world, and proper planning and using various preventive methods play an important role in this field. The present research aimed to study comparatively the effectiveness of text‐based intervention in reducing emotional distress of people involved in psychosocial crises, comparing it with phone‐based intervention.MethodsIn this study, the Distress Thermometer, assessing emotional distress, was used at the start and end of both text and phone‐based interventions to explore their effectiveness in crisis de‐escalation and management. This study comprises two samples within an overarching study, with 700 clients receiving text‐based intervention and 737 clients receiving phone‐based intervention.ResultsThe research findings indicate the effectiveness of both methods in reducing emotional distress among individuals in crisis. The mean emotional distress significantly differed between pre‐and post‐tests. Importantly, prior to controlling for baseline distress levels, text‐based intervention demonstrated particularly strong efficacy in reducing emotional distress, showing a statistically significant difference.ConclusionRecognizing the effectiveness of both intervention methods and particularly the favorable response of young people with immediate suicide risk to text‐based intervention, prioritizing the implementation of text‐based systems is recommended in the national suicide prevention programs of developing countries.
Invasive Fungal Diseases in Patients with Multiple Myeloma: Experience at a Large, Urban Referral Center
Authors: Baneman Emily , Weinberg Alan , Sullivan Timothy , Fuller Risa , Dunn Dallas , Taimur Sarah , Rana Meenakshi , Jacobs Samantha E. 
Published: January 2025

ABSTRACTBackgroundAlthough infections are a leading cause of morbidity and mortality among patients with multiple myeloma (MM), the epidemiology of invasive fungal disease (IFD) is less well characterized in this population than in other hematologic malignancies.MethodsWe conducted a nested 3:1 case‐control study of IFD at a large MM referral center to identify risk factors for IFD in this population.ResultsIn a cohort of 2960 patients, we identified 32 episodes of IFD among 31 patients between 01/2011 and 06/2019. There was a median of 3.6 years from MM diagnosis to IFD, and patients had a median of four lines of chemotherapy (range 1–12) before IFD. Seventeen (53%) had previous autologous hematopoietic cell transplants. At the time of IFD, 23 (72%) had progressive disease status. Fifteen (47%) and 13 (41%) had severe neutropenia and lymphopenia, respectively, and 18 (56%) had hypogammaglobulinemia. Microbiologic etiologies included Aspergillus (n = 18), Candida (n = 6), Cryptococcus (n = 3), Mucorales (n = 3), Histoplasma (n = 1), and undetermined organism (n = 1). In the case‐control analysis, progressive disease status (OR 1.35, p = 0.02) and neutropenia (OR 17.5, p = 0.02) were significant risk factors for IFD. In addition, ≥3 prior lines of chemotherapy trended toward statistical significance (OR 5.6, p = 0.07).ConclusionThis is the largest detailed description of IFD epidemiology in MM patients and the largest controlled analysis of risk factors in this population. Overall, the risk of IFD was low.