bluuebunny/crossref_metadata_2025_split huggingface dataset:
A single-stage bilayered skin reconstruction using Glyaderm® as an acellular dermal regeneration template results in improved scar quality: an intra-individual randomized controlled trial
Authors: De Decker Ignace , Hoeksema Henk , Verbelen Jozef , De Coninck Petra , Speeckaert Marijn , De Schepper Sofie , Blondeel Phillip , Pirayesh Ali , Monstrey Stan , Claes Karel E Y 
Published: May 2023

Abstract

Background
Absence of almost the entire reticular dermal layer is inherent to the use of autologous split-thickness skin grafting (STSG) to close full-thickness wounds, often resulting in hypertrophic scars and contractures. Many dermal substitutes have been developed, but unfortunately most have varying results in terms of cosmetic and/or functional improvement as well as patient satisfaction, in addition to high costs. Bilayered skin reconstruction using the human-derived glycerolized acellular dermis (Glyaderm®) has been reported to result in significantly improved scar quality using a two-step procedure. Unlike the necessary two-step procedure for most commercially available dermal substitutes, in this study we aimed to investigate the use of Glyaderm® in a more cost-effective single-stage engrafting. This is a method which, if autografts are available, is preferred by the majority of surgeons given the reduction in costs, hospitalization time and infection rate.

Methods
A prospective, randomized, controlled, intra-individual, single-blinded study was performed, investigating the simultaneous application of Glyaderm® and STSG vs. STSG alone in full-thickness burns or comparable deep skin defects. During the acute phase, bacterial load, graft take and time to wound closure were assessed and were the primary outcomes. Aesthetic and functional results (secondary outcomes) were evaluated at 3, 6, 9 and 12 months follow-up using subjective and objective scar measurement tools. Biopsies for histological analysis were taken at 3 and 12 months.

Results
A total of 66 patients representing 82 wound comparisons were included. Graft take (&gt;95%), pain management and healing time were comparable in both groups. At 1 year follow-up, the overall Patient and Observer Scar Assessment Scale assessed by the patient was significantly in favour of sites where Glyaderm® was used. Not infrequently, patients attributed this difference to improved skin sensation. Histological analysis showed the presence of a well-formed neodermis, with donor elastin present for up to 12 months.

Conclusions
A single-stage bilayered reconstruction with Glyaderm® and STSG results in optimal graft take without loss of Glyaderm® nor the overlaying autografts due to infection. The presence of elastin in the neodermis was demonstrated during long-term follow-up in all but one patient, which is a crucial factor contributing to the significantly improved overall scar quality as evaluated by the blinded patients.

Trial registration
The trial was registered on clinicaltrials.gov and received the following registration code: NCT01033604.
Towards ‘bogus employment?’ The contradictory outcomes of ride-hailing regulation in Berlin, Lisbon and Paris
Authors: Niebler Valentin , Pirina Giorgio , Secchi Michelangelo , Tomassoni Franco 
Published: May 2023

Abstract
The issue of employment classification has been central in the politics around the platform economy. Crucial has been the phenomenon of ‘bogus self-employment’, whereby workers in de facto dependent employment relationships conduct services as independent contractors. Legislators around the world have aimed to tackle this issue by obliging platforms to classify their workers as employees. Based on empirical research in the ride-hailing industry of Berlin, Paris and Lisbon, where such classification exists already, we highlight its contradictory outcomes. We argue that platform companies have managed to introduce forms of ‘bogus employment’ whereby even formally employed workers lack basic worker rights.
Platforms, blockchains and the challenges of decentralization
Authors: Zook Matthew 
Published: May 2023

Abstract
This commentary explores the feasibility of blockchain technologies (and cryptocurrencies) in contesting the power of centralized, corporate platforms. While proponents of blockchain and cryptocurrencies regularly proclaim their power to decentralize and counter corporate power, I am much more constrained in my assessment and note the significant challenges facing open blockchain approaches in competing with platforms. From this, I highlight three key areas in which blockchains may complicate platform operations, albeit in indeterminate ways. These include (i) closed, state-based blockchain systems focused on making back-office processes more efficient, (ii) the use of cryptocurrencies for platform-based transactions and (iii) providing digital objects with an element of “uniqueness” that makes them tradable in new ways. In the end, blockchain and cryptocurrencies are technologies like any others, providing affordances for some kinds of action over others but ultimately their embeddedness in practice and space shapes how they impact the organization and geography of economies, societies and regions.
The security mindset: characteristics, development, and consequences
Authors: Schoenmakers Koen , Greene Daniel , Stutterheim Sarah , Lin Herbert , Palmer Megan J 
Published: May 2023

Abstract
The world is facing a cybersecurity skills gap as cybercrime and cyberwarfare grow in importance. One often-discussed quality that is potentially relevant to cybersecurity recruitment and education is the so-called “security mindset”: a way of thinking characteristic of some security professionals that they believe to be especially advantageous in their work. Although some employers express a desire to hire people with a security mindset, and initiatives to cultivate the security mindset are being implemented, it has no common definition and little is known about its characteristics, its development, and its consequences. We interviewed 21 cybersecurity professionals who strongly identified as having a security mindset based on a minimal description drawn from existing literature. Thematic analysis of the interview data suggests that the security mindset can be conceptualized as consisting of three interconnected aspects—“monitoring” for potential security anomalies, “investigating” anomalies more deeply to identify security flaws, and “evaluating” the relevance of those flaws in a larger context. These three aspects develop in different ways and have different personal and professional consequences. Participants mostly spoke positively of the security mindset, but they also mentioned several disadvantages not mentioned by existing security-mindset literature, such as mental health pressures, workplace tensions, and negative effects on personal relationships. We discuss the implications of these findings for future study of the security mindset and suggest practical implications for cybersecurity management, education, and recruitment.
Influence of ambient water coloration on habitat and conspecific choice in the female Lake Malawi cichlid, Metriaclima zebra
Authors: Choi Noori , Mathevon Nicolas , Hebets Eileen A , Beauchaud Marilyn 
Published: May 2023

Abstract
Female cichlid fish living in African great lakes are known to have sensory systems that are adapted to ambient light environments. These sensory system adaptations are hypothesized to have influenced the evolution of the diverse male nuptial coloration. In rock-dwelling Lake Malawi mbuna cichlids, however, the extent to which ambient light environments influence female sensory systems and potentially associated male nuptial coloration remains unknown. Yet, the ubiquitous blue flank coloration and UV reflection of male mbuna cichlids suggest the potential impacts of the blue-shifted ambient light environment on these cichlid’s visual perception and male nuptial coloration in the shallow water depth in Lake Malawi. In the present study, we explored whether and how the sensory bias of females influences intersexual communication in the mbuna cichlid, Metriaclima zebra. A series of choice experiments in various light environments showed that M. zebra females 1) have a preference for the blue-shifted light environment, 2) prefer to interact with males in blue-shifted light environments, 3) do not show a preference between dominant and subordinate males in full-spectrum, long-wavelength filtered, and short-wavelength filtered light environments, and 4) show a “reversed” preference for subordinate males in the UV-filtered light environment. These results suggest that the visual perception of M. zebra females may be biased to the ambient light spectra in their natural habitat by local adaptation and that this sensory bias may influence the evolution of blue and UV reflective patterns in male nuptial coloration.
Non-pharmacological interventions for improving sleep outcomes among patients with a diagnosis of coronary artery disease: a systematic review and meta-analysis
Authors: Park Gaeun , Lee Haejung , Lee Dae-Eun 
Published: May 2023

Abstract

Aims
To determine the effectiveness of non-pharmacological interventions on sleep outcomes among patients with coronary artery disease and recognize pertinent characteristics that potentially affect the effectiveness of such interventions.

Methods and results
Relevant studies conducted before 27 April 2022 were identified through four core electronic databases using terms related to coronary artery disease, sleep outcomes, and randomized controlled trials. Two authors independently conducted study selection, data extraction, and risk-of-bias assessment. Meta-analysis, sub-group analysis, publication bias analysis, and sensitivity analysis were conducted using R version 4.2.2. Of the 4755 retrieved articles, 42 studies were selected for systematic review and 30 studies were included in the meta-analysis. The findings of this study revealed that non-pharmacological interventions significantly improved self-reported sleep quality (standardized mean difference = −0.85, 95% confidence interval −1.08, −0.63), but had no effects on objectively measured sleep efficiency and duration. Regarding the types of interventions involved, environmental control was the most effective in improving self-reported sleep quality, followed by relaxation, self-care behaviour management, and relaxation and cognitive/psychological complex interventions. Through subgroup analysis, we did not find any covariates that were significantly related to self-reported sleep quality.

Conclusion
Non-pharmacological interventions have been shown to play beneficial roles in improving self-reported sleep quality among patients with coronary artery disease. Additional studies are required to elucidate the effect of non-pharmacological interventions on objectively measured sleep outcomes and to characterize their optimal frequencies and durations.

Registration
PROSPERO CRD42022366851
The impact of influences in a medical screening programme invitation: a randomized controlled trial
Authors: Jauernik Christian Patrick , Rahbek Or Joseph , Ploug Thomas , Siersma Volkert , Brodersen John Brandt 
Published: May 2023

Abstract

Background
Invitations to screening programmes may include influences that are intending to increase the participation rates. This study had two objectives: (i) to assess if different categories of influences had a significant effect on the intention to participate in a screening programme for a fictitious disease and (ii) whether participants were aware of the influences, and if the intention to participate was associated to this awareness.

Methods
A seven-armed randomized controlled trial. Six hundred passers-by were randomly allocated to receive one of seven pamphlets inviting to a fictitious screening programme (neutral, relative risk reductions, misrepresentation of harms, pre-booked appointment, recommendation of participation, fear appeals, all combined). Participants were surveyed to assess (i) intention to participate (ITP) in the screening programme and (ii) awareness of an exerted influence. Chi-squared test was used to calculate the effect of the influences on ITP and the association of ITP with indicating awareness of an exerted influence and correctly locating an influence.

Results
Five hundred and eighty-nine participants were included for analysis. ITP was significantly increased (P &lt; 0.05) in three pamphlets (misrepresentation of harms, fear appeals, all combined) [adjusted odds ratio (OR) 4.84, 95% confidence interval (CI): 2.54–9.23; OR 2.45, 95% CI: 1.31–4.59; OR 9.02, 95% CI: 4.44–18.34]. A percentage of 60.0–78.3 participants did not indicate awareness. Awareness was associated with a decreased ITP for those who could locate the influence (OR 0.39, 95% CI: 0.21–0.72) and those who failed to locate the influence (OR 0.47, 95% CI: 0.30–0.74).

Conclusion
The application of influences should be carefully considered for interventions where an informed choice is desired.
Loblolly Pine Susceptibility to Nantucket Pine Tip Moth: Do Tree Genetics Play a Role?
Authors: McCarty Elizabeth , Clabo David , Dickens David , Waldrop Cassandra , Gandhi Kamal J K , Villari Caterina 
Published: May 2023

AbstractThe Nantucket pine tip moth (NPTM) (Rhyacionia frustrana Comstock) is a regeneration pest of young loblolly pines (Pinus taeda L.) that causes tree deformity, shoot dieback, and growth declines. Different silvicultural techniques are used to grow loblolly pine more effectively, including improved genotypes. Some scientists and growers have hypothesized that more expensive full-sibling families (control-pollinated [CP]) seedlings may be more susceptible to NPTM than open-pollinated (OP) families. The study objective was to assess the susceptibility to NPTM of seven loblolly OP and CP families commonly planted in the southeastern United States by observing NPTM infestation rates and pine growth metrics (height, groundline diameter, volume index, and stem form) over two growing seasons. The NPTM infestation rates varied throughout both growing seasons; however, there was no difference in infestation rates among any of the families. Pine growth metrics varied among families at the time of planting; however, growth metrics did not vary after the first and second growing seasons. Results of this study suggest that NPTM management tactics, such as insecticide use, should not be prioritized based on loblolly pine families alone, as the CP families assessed in this study were not more susceptible to NPTM than OP families.
The War in Ukraine Raises Questions About Patents for Secret Inventions
Authors: Matthews Duncan , Ostapenko Hanna 
Published: May 2023

Abstract
Patent information must, in certain circumstances, be prevented from being made available to the public for reasons of national security. This policy imperative deviates from the conventional approach under patent law, which emphasises a bargain with society whereby patent rights are granted in return for disclosure of the invention and communication to the public. How best to achieve a balance between keeping an invention secret for reasons of national security and disclosure of the invention will depend on circumstances that may well change rapidly. The stronger the threat to national security, the more the policy tends to lean toward keeping certain inventions secret. The war in Ukraine brings this patent policy imperative sharply into focus. This opinion undertakes a historical analysis of patent law approaches for keeping inventions secret in key countries and analyses current arrangements for the patent protection of secret inventions in Ukraine. This opinion concludes that Ukraine should consider the long-term implications of keeping patented inventions secret when the war finally comes to an end, having regard to the potentially negative consequences for future innovation. This opinion also recommends that Ukraine provides reasonable compensation for patent proprietors, taking into account the economic losses associated with the fact that secrecy orders will prevent the commercialisation of otherwise potentially lucrative inventions.
An analysis of the inclusion of ear and hearing care in national health policies, strategies and plans
Authors: Canick Julia , Petrucci Beatriz , Patterson Rolvix , Saunders James , Htoo Thaw May , Omosule Ikeoluwa , Denton Alexa , Xu Mary Jue , Chadha Shelly , Young Gabrielle , Siafa Lyna , Mortel Olivier , Shamshad Alizeh , Reddy Ashwin , McCalla Monet , Prasad Kavita , Yang Hong-Ho , Pan Debbie R , Shah Jaffer , Smith Emily , Alkire Blake , Ibekwe Titus , Waterworth Chris 
Published: May 2023

Abstract
Ear- and hearing-related conditions pose a significant global health burden, yet public health policy surrounding ear and hearing care (EHC) in low- and middle-income countries is poorly understood. The present study aims to characterize the inclusion of EHC in national health policy by analysing national health policies, strategies and plans in English, French, Spanish, Portuguese and Arabic. Three EHC keywords were searched, including ear*, hear* and deaf*. The terms ‘human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)’, ‘tuberculosis’ and ‘malaria’ were included as comparison keywords as these conditions have historically garnered political priority in global health. Of the 194 World Health Organization Member States, there were 100 national policies that met the inclusion criteria of document availability, searchable format, language and absence of an associated national EHC strategy. These documents mentioned EHC keywords significantly less than comparison terms, with mention of hearing in 15 documents, ears in 11 documents and deafness in 3 documents. There was a mention of HIV/AIDS in 92 documents, tuberculosis in 88 documents and malaria in 70 documents. Documents in low- and middle-income countries included significantly fewer mentions of EHC terms than those of high-income countries. We conclude that ear and hearing conditions pose a significant burden of disease but are severely underrepresented in national health policy, especially in low- and middle-income countries.
Organizational narratives and self-legitimation in international organizations
Authors: von Billerbeck Sarah 
Published: May 2023

Abstract
A growing literature has examined how international organizations (IOs) use narratives for self-legitimation—legitimation aimed not at external audiences but at IO staff themselves. However, little work examines why some self-legitimation narratives ‘stick’ and others fade away or are challenged by counter-narratives. I address this question by focusing on the content of self-legitimation narratives. First, I describe the lifecycle of self-legitimation narratives in IOs, showing how they can be endorsed, rejected or challenged by legitimacy audiences. Next, I posit a three-part typology of narrative content: purpose, performance and politics. Drawing on 87 interviews with IO staff, I argue that narratives of purpose, which focus on organizational values and norms, are more likely to be endorsed and become dominant, while those that focus on performance or politics are more likely to be rejected or challenged. Where this happens, legitimacy agents must adjust narrative content in line with audience demands. I illustrate this with two case-studies from the United Nations. I conclude with the policy implications of these findings, in particular the importance for IO leaders to align internal messaging with the values and normative expectations of staff or risk staff demotivation and cynicism, ultimately imperiling organizational effectiveness.
The path of least resistance: why international institutions maintain dialogue forums
Authors: Coni-Zimmer Melanie , Deitelhoff Nicole , Schumann Diane 
Published: May 2023

Abstract
Dialogue forums have been mushrooming in international economic institutions as a strategy to enhance their legitimacy. Promoted as deliberative spaces allowing for an open, direct exchange with civil society actors, forums have since been criticized as mere talking shops or public relations events. The article analyses why the forums are still maintained despite widespread criticism, with a particular focus on audiences, legitimation agents and the organizational field as sources and driving forces of legitimation strategies. Our findings on the Civil Society Policy Forum, organized by the IMF and the World Bank, and the Civil 20, one of the G20 engagement groups, highlight strong interactive effects between these sources: civil society actors have been pressing for the maintenance of forums as deliberative spaces. Additional pressure on institutions arise from the organizational field, with the inclusion of non-state actors increasingly becoming a norm. International economic institutions react strategically to these external demands by choosing the path of least resistance: maintaining dialogue forums helps showcasing their openness without granting much influence to civil society actors.
Diversification's legitimation challenges: ASEAN and its Myanmar predicament
Authors: Ba Alice D 
Published: May 2023

Abstract
International organizations (IOs) confront complex legitimation challenges with the diversification of audiences and actors asserting judgment and input. Drawing on Lenz and Söderbaum's agents-audience-environment (AAE) conceptualization of legitimation strategies, this discussion advances understandings of how diversification affects IO legitimation and legitimation strategies. Particular attention is given to their special sensitivity to internal IO diversification processes whose constitutive changes affect both the agent and audience ends of strategy. It especially highlights three commonly found sources of internal IO diversification: domestic change, new membership and new purposes. Providing illustration is the Association of Southeast Asian Nations (ASEAN) and its 30+ year-long efforts to defend and legitimate the organization's choices vis-à-vis its most internationally criticized member, Myanmar, and to manage the delegitimating effects of association. The discussion highlights three periods of contrasting internal diversification and effects on ASEAN's legitimation strategies: the first characterized by the least diversification and defiant affirmation of internal founding norms; the second by membership-, purpose- and audience-diversification, and strategies of reconciliation; and the third by diversification's accentuation of member-states' dual roles as agents and audiences of legitimation with growing reliance on informal workarounds, strategic ambiguation and defensive depoliticization as especially illustrated by ASEAN's responses to Myanmar's 2021 coup.
What's driving the democratic recession in Asia?
Authors: Fong Brian C H 
Published: May 2023

Abstract
The extant literature explains autocratization either through domestically or internationally-driven explanations. The former focuses on studying autocratic strongmen's executive aggrandizement or promissory coups from a domestic perspective, while the latter highlights the critical role of autocratic powers in promoting autocratic practices to neighboring countries from an international perspective. Transcending such a dichotomous approach, this study endeavors to explore the coupling of domestic and international drivers in causing autocratization in the context of Asia through a comparative analysis of Cambodia, the Philippines, Myanmar and Thailand. The comparative analysis indicates that domestic politics spearheads autocratization (that is, the role of autocratic strongmen in spearheading autocratization through executive aggrandizement or promissory coups), while international politics consolidates such autocratization (that is, the role of autocratic powers in consolidating autocratization pathway through their exporting influence). With the rising rivalry between democratic and autocratic powers, there are more pressing needs than ever to integrate domestic and international perspectives in autocratization studies.