bluuebunny/crossref_metadata_2025_split huggingface dataset:
Illuminating the English as a Foreign Language (EFL) teaching odyssey: unveiling the professional identities of pre-service teachers
Authors: Le Thanh-Thao , Phuong Hoang-Yen , Nguyen Anh-Thi , Pham Trut-Thuy , Huynh Thi Anh-Thu , Nguyen Huong-Tra 
Published: September 2023

Background: This study delves into the self-perceived professional identities of pre-service English as a Foreign Language (EFL) teachers within a Vietnamese context. The objective of this study was to augment the understanding of the evolution of teacher identity, which would subsequently provide valuable insights for the formulation of bespoke teacher education programs. Methods: This research was anchored in grounded theory, adhering to a qualitative research design. Reflective writing was the primary instrument for data collection, with 238 pre-service teachers, enrolled in an English Teacher Education training program. Data collection took place in the academic year 2022-2023 at a university in Can Tho city, Vietnam from February 1st until May 31st, 2023. Pre-service teachers were tasked with writing an 80-word reflection on their perceived professional identity. Participants were chosen through convenience sampling. Data analysis encompassed open coding and a constant comparative method, culminating in the construction of a theoretical framework. Results: The findings of this study revealed a continuum of self-perceived professional identities among 238 pre-service teachers (28 identities in total), encompassing flexible teachers (n=24), student-cantered teachers (n=21), reflective teachers (n=16), growth-oriented teachers (n=13), engaging teachers (n=12), supportive teachers (n=11), enthusiastic teachers (n=10), disciplinarian teachers (n=9), subject-matter expert teachers (n=9), resourceful teachers (n=8), balanced teachers (n=8), pragmatic teachers (n=7), relationship-builder teachers (n=7), sociable teachers (n=7), attentive teachers (n=7), real-world connector teachers (n=7), professional boundaries teachers (n=7), interactive teachers (n=6), traditional teachers (n=6), holistic teachers (n=6), contextually aware teachers (n=5), cheerful teachers (n=5), authentic teachers (n=5), appreciated teachers (n=5), compassionate communicator teachers (n=5), guided teachers (n=4), feedback-driven teachers (n=4), and consistent identity teachers (n=4). Conclusions: The study offers invaluable perspectives into the genesis of professional identities in the domain of teacher education within the Vietnamese EFL context and holds significant implications for the enhancement of teacher training methodologies and pedagogical development.
The emotional burden of living with ischaemic heart disease: an artistic approach
Authors: O'Keefe-McCarthy Sheila , Mussie Isaac , Taplay Karyn , Michaelson Hannah , Faleiro Rosaleen 
Published: September 2023

Background/Aims A diagnosis of ischaemic heart disease may cause the individual to enter a state of emotional uncertainty. The authors aimed to provide an arts-based account of the emotional burden experienced by people with ischaemic heart disease. Methods A secondary qualitative analysis of 35 interview with individuals with ischaemic heart disease was conducted. The results from the interview transcripts were analysed and depicted using an arts-based approach, in the form of poetry, musical lyrics and visual art. Results Participants described an overwhelming sense of loss following a diagnosis of ischaemic heart disease, including feeling a loss of control in their lives, loss of self, loss of agency in managing the illness and a loss of hope for the future. The emotional burden that patients carried was likened to going through a grieving process. Three poems, one song and two visual art pieces were created by the authors to depict the emotional burden experienced by the participants. Conclusions Supportive interventions that apply arts-based approaches to practice could be beneficial to target the psychological needs and emotional burden of patients following diagnosis of ischaemic heart disease.
Understanding cardiac rehabilitation delivery in Scotland during the COVID-19 pandemic: lessons for the future
Authors: McHale Sheona , Neubeck Lis , Rowat Anne , Dawkes Susan , Hanson Coral L 
Published: September 2023

Background/Aims Cardiac rehabilitation services were disrupted during the early stages of the COVID-19 pandemic because of limitations on interpersonal contact, exercise facility closures and clinical service reorganisation. This necessitated urgent service redesign. The authors aimed to understand the changes to cardiac rehabilitation service delivery in Scotland, the impacts on staff and participant experiences, and implications for future delivery. Methods A concurrent mixed-methods study was conducted between April and December 2021. A quantitative online survey compared service provision before the pandemic (21 March 2019 to 20 November 2019) with provision after the onset of the pandemic (21 March 2020–20 November 2020). Quantitative data were analysed descriptively. Semi-structured telephone interviews were conducted with cardiac rehabilitation professionals and participants. These qualitative data were thematically analysed using the framework approach. Results Representatives (n=11) from 11 services completed the survey, while 11 staff and 17 patients completed the interviews. Services reported staffing reductions, delayed initial patient contact, replacement of face-to-face rehabilitation with telephone and online support, compromised initial assessments and reduced exit assessments. Patients relied more heavily on cardiac rehabilitation staff as a result of reduced access to other health professionals, and experienced issues with continuity of care. Technology presented remote service opportunities, but challenges around poor access to systems and technological literacy issues created barriers to service delivery. Service evaluation data were inaccessible. Conclusions Scottish cardiac rehabilitation services were adversely impacted by the COVID-19 pandemic and responded by developing remote options. These can be enhanced by screening patients to assess their access to technology and identify any literacy issues, as well as developing online educational videos and downloadable resources. Staff education is needed to encourage use of technology, including exercise monitoring via wearables. A national audit is required to assess delivery and outcomes.
Patient-related risk factors associated with poorer outcomes following total ankle arthroplasty
Authors: Arshad Zaki , Haq Ibrahim I. , Bhatia Maneesh 
Published: September 2023

AimsThis scoping review aims to identify patient-related factors associated with a poorer outcome following total ankle arthroplasty (TAA).MethodsA scoping review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A computer-based literature search was performed in PubMed, Embase, Cochrane trials, and Web of Science. Two reviewers independently performed title/abstract and full-text screening according to predetermined selection criteria. English-language original research studies reporting patient-related factors associated with a poorer outcome following TAA were included. Outcomes were defined as patient-reported outcome measures (PROMs), perioperative complications, and failure.ResultsA total of 94 studies reporting 101,552 cases of TAA in 101,177 patients were included. The most common patient-related risk factor associated with poorer outcomes were younger age (21 studies), rheumatoid arthritis (17 studies), and diabetes (16 studies). Of the studies using multivariable regression specifically, the most frequently described risk factors were younger age (12 studies), rheumatoid arthritis (eight studies), diabetes (eight studies), and high BMI (eight studies).ConclusionWhen controlling for confounding factors, the most commonly reported risk factors for poor outcome are younger age, rheumatoid arthritis, and comorbidities such as diabetes and increased BMI. These patient-related risk factors reported may be used to facilitate the refinement of patient selection criteria for TAA and inform patient expectations.Cite this article: Bone Joint J 2023;105-B(9):985–992.
Dispersive perfectly matched layers and high-order absorbing boundary conditions for electromagnetic quasinormal modes
Authors: Demésy Guillaume , Wu Tong , Brûlé Yoann , Zolla Frédéric , Nicolet André , Lalanne Philippe , Gralak Boris 
Published: September 2023

Resonances, also known as quasinormal modes (QNMs) in the non-Hermitian case, play a ubiquitous role in all domains of physics ruled by wave phenomena, notably in continuum mechanics, acoustics, electrodynamics, and quantum theory. The non-Hermiticity arises from the system losses, whether they are material (Joule losses in electromagnetism) or linked to the openness of the problem (radiation losses). In this paper, we focus on the latter delicate matter when considering bounded computational domains mandatory when using, e.g., finite elements. We address the important question of whether dispersive perfectly matched layer (PML) and high-order absorbing boundary conditions offer advantages in QNM computation and modal expansion of the optical responses compared with nondispersive PMLs.
High power single-frequency 1112 nm laser by an insertable Nd:YAG/YAG bonded monolithic planar ring oscillator
Authors: Liu Hua-Yu , Bian Qi , Bo Yong , Kou Yang , Yuan Lei , Liu Yang , Cui Da-Fu , Peng Qin-Jun 
Published: September 2023

A high power single-frequency operation at 1112 nm with novel insertable monolithic planar ring oscillator based on a Nd:YAG/YAG bonded crystal is proposed. In a proof-of-principle experiment, a finely designed coating on the output surface is carried out to ensure single-wavelength oscillation at 1112 nm, together with a half-wave plate and a Tb3Ga5O12 crystal inserted in the open space of the bonded block to realize the unidirectional operation with power scalability. Consequently, the single-frequency laser delivers an output power of 3.9 W at 1112.3 nm with a slope efficiency of 58.6% and an optical-to-optical efficiency of 17.7%. The power fluctuation is measured to be within ± 0.26% over 20 min, and the laser linewidth is estimated to be 4.15 MHz (Δλ = 0.017 pm).
Antimicrobial effect of oral care gel containing hinokitiol and 4-isopropyl-3-methylphenol against intraoral pathogenic microorganisms
Authors: Ohara Hiroshi , Odanaka Keita , Shiine Miku , Hayasaka Masataka 
Published: September 2023

Objective
Deterioration of oral hygiene is closely related to an increase in severity and mortality of corona virus disease-19 (COVID-19), and also contributes to the development of various diseases such as aspiration pneumonia or Alzheimer’s. Oral care is attracting high interest in Japan, which has entered a super-aging society. In this study, we aimed to investigate whether commercially available Hinora® (HO), an oral care gel containing hinokitiol and 4-isopropyl-3-methylphenol (IPMP), has biofilm formation inhibitory and antimicrobial activities against various intraoral pathogen microorganisms.

Method
Candida species, Aggregatibacter actinomycetemcomitans, Staphylococcus aureus, and Pseudomonas aeruginosa were selected during the study period, all of which were analyzed using antimicrobial disc, microorganism turbidity, and crystal violet assays. In addition, the germ tube test using Candida albicans (C. albicans) was performed with a modification of Mackenzie’s method. Images for morphological observation of the germ tubes were acquired using an inverted microscope. For comparison between products, we used Refrecare® (RC), which only contains hinokitiol (not containing IPMP).

Results
All the intraoral pathogenic microorganisms showed drug susceptibility against undiluted forms of HO and/or RC. In particular, HO was more effective at lower concentrations than RC. In the HO-added group, inhibition circles were observed in all bacteria except P. aeruginosa when added at a concentration of 0.5 g/mL or more. The optical density values at 590 nm (crystal violet) and/or 600 nm (microorganism turbidity) of all the fungi and bacteria were significantly lower when cultured in medium with HO. Inhibition of growth or biofilm formation was observed when HO was added at a concentration of 0.05 g/mL or higher. To investigate the action mechanism of HO, germ tube tests were performed in C. albicans. The results showed that culturing C. albicans in soybean-casein digest broth with HO (0.05 g/mL) significantly suppressed germ tube formation.

Conclusions
These data suggest that oral care gel-containing hinokitiol and IPMP has strong biofilm formation inhibitory activity, as well as antifungal and antimicrobial effects against Candida fungi and multiple intraoral pathogenic microorganisms. Therefore, it may be a promising treatment option for oral infections.
Association between Change in the peripheral biomarkers of inflammation, astrocyte activation, and neuroprotection at one week of critical illness and hospital mortality in patients with delirium: A prospective cohort study
Authors: Khan Sikandar H. , Perkins Anthony J. , Eltarras Ahmed M. , Chi Rosalyn , Athar Ammar A. , Wang Sophia , Campbell Noll L. , Gao Sujuan , Boustani Malaz A. , Khan Babar A. 
Published: September 2023

Objective
In critically ill adults with delirium, biomarkers of systemic inflammation, astrocyte activation, neuroprotection, and systemic inflammation measured at one week of critical illness may be associated with mortality.

Design
Prospective observational study.

Setting
Intensive care unit (ICU).

Patients
178 ICU patients with delirium, alive and remaining in ICU at one week.

Interventions
None

Measurements and main results
Blood samples collected for a pair of previously published, negative, clinical trials were utilized. Samples were collected at study enrollment/ICU admission (Day 1 sample) and one week later (Day 8 sample), and analyzed for interleukins (IL)-6, 8, 10, Insulin-like Growth Factor (IGF), S100 Binding Protein (S100B), Tumor Necrosis Factor Alpha (TNF-A) and C-Reactive Protein (CRP). Delirium, delirium severity, and coma were assessed twice daily using Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), CAM-ICU-7, and Richmond Agitation-Sedation Scale (RASS), respectively. Mortality was assessed until discharge using the electronic medical record. Logistic regression models adjusting for age, sex, severity of illness, comorbidities, sepsis, and randomization status, were used to assess the relationship among biomarkers and mortality. Higher IL-10 quartiles at day 8 were associated with increased odds of hospital mortality (IL-10: OR 2.00 95%CI: 1.1–3.65, p = 0.023). There was a significant interaction between day 1 and day 8 biomarker quartiles only for IL-6. Patients with IL-6 values in the first three quartiles on admission to the ICU that transitioned to higher IL-6 quartiles at day 8 had increased probability of hospital mortality.

Conclusion
In this hypothesis-generating study, higher IL-6 and IL-10 quartiles at one week, and increase in IL-6 from day 1 to day 8 were associated with increased hospital mortality. Studies with larger sample sizes are needed to confirm the mechanisms for these observations.
‘I think it affects every aspect of my life, really’: Cancer survivors’ experience of living with chronic pain after curative cancer treatment in England, UK
Authors: Armoogum Julie , Foster Claire , Llewellyn Alison , Harcourt Diana , McCabe Candida 
Published: September 2023

Aim
To explore cancer survivors’ experiences of living with chronic pain after curative cancer treatment in England, UK.

Methods
A qualitative study using telephone interviews with adult cancer survivors experiencing chronic pain after curative cancer treatment. Interview data was analysed using a reflexive thematic approach [1–3].

Findings
Nineteen participants: 14 female, 5 male, mean age 62.4 years, 1.5–48 years since cancer diagnosis, eight tumour groups represented. Six participants (31.6%) developed chronic pain more than ten years after completing cancer treatment (range 0–25 years). Five themes were generated which highlighted the experience of chronic pain after cancer treatment for cancer survivors: 1) ‘Hear me… believe me…. Please’. Survivors felt that they had not been listened to when they tried to talk about their chronic pain after cancer treatment, nor at times, believed. 2) ‘Expectation versus reality’. Survivors had anticipated returning to pre cancer quality of life yet living in chronic pain prevented them from doing so. 3) ‘They don’t understand…. We don’t understand’. Cancer survivors did not feel informed or prepared for the risk or reality of chronic pain after cancer treatment and this compounded the difficulties of coping with and managing their pain. They felt health care professionals lacked knowledge and understanding of chronic pain after cancer. 4) ‘Negotiating the maze’. Cancer survivors encountered unclear and limited pathways for support, often bouncing from one support team to another. Identifying and accessing services was a challenge, and the responsibility of this was often left to the survivor. 5) ‘Validate my pain, validate me’. Palpable relief and benefit was felt when health care professionals diagnosed and acknowledged their chronic pain after cancer treatment.

Conclusions
Cancer survivors can feel ill prepared for the risk of chronic pain after cancer treatment and can experience challenges accessing support from healthcare professionals and clinical services.
Explaining public dental service utilization: A theoretical model
Authors: Galvão Maria Helena Rodrigues , Roncalli Angelo Giuseppe 
Published: September 2023

Objectives
Constructing and validating a theoretical model of relationships between dental services use and socioeconomic characteristics, oral health status, primary care coverage, and public dental services.

Methods
The first stage of the study consisted of developing a theoretical-conceptual model to demonstrate the expected relationships between variables based on the literature. In the second stage, we tested the proposed theoretical model using the Partial Least Squares Structural Equation Modeling (PLS-SEM) technique, using data from the Brazilian National Health Survey conducted in 2019 with a sample of 41,664 individuals aged 15 or older.

Results
This study successfully defined a theoretical model that explains the systematic relationships involving public dental services utilization. Socioeconomic status was negatively associated with oral health status (β = -0.376), enrollment in primary care facilities (β = -0.254), and the use of public dental consultations (β = -0.251). Being black, indigenous, or living in a rural area was directly associated with lower socioeconomic status and greater use of public dental services.

Conclusions
The identified relationships, establishing a theoretical basis for further investigations, also provide evidence of a public access policy’s effect on oral health services on equity, supporting the construction of more effective and equitable public policies.
Prevalence, trend and associated factors of obesity-related cancers among U.S. adults with metabolic syndrome: Evidence from the National Health and Nutrition Examination Survey 2001–2018
Authors: Mazumder Harun , Husain Maidul , Hossain Md. Faruk , Mahmud Sultan 
Published: September 2023

Introduction
This study evaluated the prevalence, associated factors and trends in the prevalence of obesity-related cancer (ORC) among U.S. adults with metabolic syndrome (MetS) and age ≥20 years.

Methods
This study used cross-sectional data from the 2001–2018 National Health and Nutrition Examination Survey. The total period analyses included prevalence estimation, chi-square tests for comparing ORC vs non-ORC within subgroups, and a multivariable-logistic regression model to evaluate associated factors of ORC. For trend analysis, the total period was divided into three time periods: 2001–2006, 2007–2012 and 2013–2018. Age-standardized prevalence of ORC in each time period was calculated.

Results
The ORC prevalence was 35.8% representing 4463614 adults with MetS. A higher odds of ORC was observed among females (OR = 7.1, 95% CI = 4.9–10.3) vs males, Hispanic (OR = 2.9, 95% CI = 1.7–4.8) and non-Hispanic Black (OR = 2.7, 95% CI = 1.8–4) vs non-Hispanic White, age ≥60 (OR = 5.4, 95% CI = 1.9–15.4) vs age 20–39 years. Individual ORCs were thyroid (10.95%), breast (10%), uterine (9.18%), colorectal (7.86%), ovarian (5.74%), and stomach (0.80%). The age-standardized prevalence of ORC was observed stable in three time periods (30.6%, 30.3% and 30.7%). However, an increasing trend was seen for thyroid, uterine, colorectal and ovarian cancers while decreasing trend for breast cancer. Hispanic people showed a significant increasing trend of ORC (p = 0.004).

Conclusions
ORC was found significantly higher among female, Hispanic, non-Hispanic black and older people with MetS. The stable temporal trend of overall ORC, with an increasing trend in certain ORCs, makes the disease spectrum a public health priority. The findings imply the importance of intensifying efforts to reduce the burden of MetS comorbidities among U.S. adults.
Verifying the chronology of Ukrainian Neolithic
Authors: Kiosak Dmytro , Kotova Nadezhda , Demchenko Olha , Bardeckyi Andrii , Werra Dagmara H. 
Published: September 2023

Abstract
This paper addresses the earliest Neolithic phases in Ukraine: aspects relating to the chronology, methods and time of Neolithisation. In general, the earliest Neolithisation relates to the times of the Linear Pottery culture. Nevertheless, Ukraine has numerous eco-zones so the process could have been different in other zones. The authors emphasize that the key to getting closer to solving this problem is the chronology-re-dating and validation program. Hitherto dates of one culture or period of culture have been treated against each other. This article presents a small series of AMS from well-defined contexts of four sites, previously dated by the Kyiv radiocarbon facility. The results are compared with existing dates in order to establish the validity of existing chronologies for the Neolithic of Ukraine. Obtained results allowed the authors to conclude that the Kyiv dates should not be obligatorily treated as wrong. Furthermore, the authors reopened the discussion to establish what was the role of LBK and Azov-Dnieper culture communities in spreading farming and herding in Ukraine during the second half of the VIth millennium BC.