bluuebunny/crossref_metadata_2025_split huggingface dataset:
Social Vulnerability, Wildfire Risk, and Ecological Concerns Over the American Wildland-Urban Interface in the San Francisco Bay Area: A Sustainable Development Perspective
Authors: Quamruzzaman Amm , Currie Ava , Centeno Emma , Huang Grace , Wang Joyce , Moolakatt Rohith A. , Hashimoto Scott , Sant Amit 
Published: November 2022

Abstract
Building more homes and amenities in the wildland-urban interface (wui) is not a sustainable practice as it is associated with a greater risk of wildfire, social vulnerability, and ecological damage. Yet, the issue of whether or how to regulate the expansion of the wui remains contentious and largely unresolved in understanding sustainable development. There are fewer studies that explore how wildfire risks are compounded by social vulnerability of people who reside in the fire prone wui. Additionally, much of the extant research is focused on the national or regional level management of ecosystems and forest fires, with a clear lack of focus on local level dynamics. To fill these gaps, our analysis outlines the preliminary steps to identify social vulnerability, ecological damage, and wildfire risk in the wui fire hazard zones of the highest severity type. Utilizing gis mapping, wildfire risk, and census data on social vulnerability, our analysis reveals patterns of the wui expansion in the San Francisco Bay Area from 1990 to 2010 and provides policy recommendations from a sustainable development perspective to address social vulnerability, wildfire risk, and ecological concerns over the wui.
Drunkorexia Among a Sample of Lebanese Adults: The Role of Early Maladaptive Schemas
Authors: Gerges Sarah , Hallit Souheil , Malaeb Diana , Laghi Fiorenzo , Obeid Sahar 
Published: November 2022

Background: Drunkorexia is a food and alcohol disturbance described as being a range of disordered and compensatory eating behaviors that co-occur with excessive alcohol consumption. The remarkable correlation, highlighted in the literature, between dysfunctional cognitions and both eating disorders and substance use disorders is able to emphasize that cognitive phenomena can be an intrapersonal factor linked to drunkorexia disorder. The aim of this study was to assess the correlation between early maladaptive schemas (EMSs) and drunkorexia among a sample of Lebanese adults. Method: We conducted a cross-sectional study across all the Lebanese governorates (September-December 2020; N = 258). The Drunkorexia Motives and Behaviors Scales, Drunkorexia Fails Scale, Drunkorexia during an Alcohol Consumption Event Scale, and Post-Drinking Compensation Scale were used to assess drunkorexia, whereas the Young Schema Questionnaire-Short Form three was used to measure EMSs. Results: Emotional deprivation and subjugation were significantly associated with more drunkorexia motives, whereas emotional inhibition was significantly associated with less drunkorexia motives. Failure was significantly associated with more drunkorexia behaviors. Abandonment and mistrust were significantly associated with more drunkorexia fails, whereas unrelenting standards was significantly associated with less drunkorexia fails. Subjugation was significantly associated with more drunkorexia during alcohol consumption on events. Social isolation was significantly associated with more post-drinking compensation, whereas unrelenting standards was significantly associated with less post-drinking compensation. Conclusion: Our findings showed that drunkorexia is positively associated with EMSs, delineating as well the specific relationships between dysfunctional cognitive schemas and drunkorexia’s maladaptive behavioral aspects. They support the hypothesis that EMSs might play an important role in drunkorexia’s development and perpetuation. This study could therefore serve healthcare professionals for the cognitive approach of patients with concomitant alcohol misuse and eating disorders while emphasizing the value of cognitive-behavioral interventions—namely schema therapy.
Anísio Teixeira’s Experiences at Teachers College and the Quest to Foster Democracy Through Education in Brazil
Authors: Winter Marcella 
Published: November 2022

Background/Context: Considered one of the most influential educators in Brazil’s history, Anísio Teixeira is one of the renowned Latin American students who came to Teachers College (TC). Teixeira was a prominent reformer and educator known for advocating free, public, and secular education accessible to all children. His work as an educator and policy maker is closely related to the idea that schools are “machines that generate democracy.” Purpose/Objective: The article discusses how Teixeira’s education at Teachers College and his experiences within the U.S. schooling system shaped his conceptions of education and influenced how he aimed to reform the Brazilian public school. Research Design: The study is a historical analysis based on archival research and the works published by Teixeira on education and democracy. Conclusions: Brazil and the United States’ historical moment influenced how Anísio Teixeira lived his personal and academic experiences at Teachers College. While discussions on society and education in his home country revolved around establishing a new model, Teachers College welcomed international students who could promote values based on the example offered by the United States. The combination of those perspectives impacted how Teixeira perceived the centrality of democratic values on schooling practices and considered them central for the reforms he would implement upon returning to Brazil.
High serum fibroblast growth factor 21 levels were related to the prognosis and ventricular remodeling of heart failure patients with mildly reduced and reduced ejection fraction
Authors: Fan Liuzhang , Gu Lingyun , Yao Yuyu , Ma Genshan 
Published: November 2022

Introduction Previous studies have shown that fibroblast growth factor 21 (FGF21) is involved in the ventricular remodeling process in heart failure with preserved ejection fraction (HFpEF). We hypothesized that high levels of FGF21 correlated with the ventricular remodeling of heart failure patients with mildly reduced (HFmrEF) and reduced ejection fraction (HFrEF). Methods A total of 203 participants with HFmrEF or HFrEF were enrolled and followed up from June 2018 to June 2021. 68 subjects without heart failure (HF) underwent physical examinations during the same time were selected as the control group. The primary endpoint was the occurrence of major adverse cardiovascular events (MACEs), which were defined as all-cause or cardiac mortality and rehospitalization for decompensation. Serum FGF21 levels were measured early the next morning after admission using enzyme-linked immunosorbent assay (ELISA). Results The FGF21 levels were significantly higher in patients with HFmrEF or HFrEF than that in the control group (213.57 ± 42.65 pg/mL, 222.93 ± 34.36 pg/mL vs 171.00 ± 12.86 pg/mL, p < .001). The serum levels of FGF21 and N-terminal pro-B-type natriuretic peptide (NT-proBNP) were both higher in the endpoint event group than those of non-endpoint event group regardless of the HFmrEF or HFrEF group ( p < .001). Spearman’s correlation revealed that FGF21 was positively correlated with left ventricular end-systolic diameter left ventricular end-diastolic diameter left ventricular mass index ( p < .01). Moreover, there was a negative correlation between FGF21 and left ventricular ejection fraction in addition to relative wall thickness ( p < .001). The area under the receiver operating characteristic (ROC) curve (AUC) of FGF21 was 0.874. The optimal cut-off value of FGF21 determined by ROC curve was 210.11 pg/mL. The Kaplan–Meier analysis demonstrated that the low FGF21 levels group had an increased MACE-free survival rate compared with the high FGF21 levels group. On univariate and multivariate Cox analysis, it was seen that both serum FGF21 and NT-proBNP were independent predictors of a poor prognosis in HF patients. Conclusion Baseline levels of FGF21 and NT-proBNP were related to the ventricular remodeling of patients with a mildly reduced or reduced ejection fraction. FGF21 and NT-proBNP both had good prognostic value for MACEs in heart failure patients with a mildly reduced and reduced ejection fraction.
Pharmacological characterization of 5-iodo-A-85380, a β2-selective nicotinic receptor agonist, in mice
Authors: Akinola Lois S , Bagdas Deniz , Alkhlaif Yasmin , Jackson Asti , Gurdap Cenk O , Rahimpour Elnaz , Carroll F. Ivy , Papke Roger L , Damaj M. Imad 
Published: November 2022

Background: Because of their implications in several pathological conditions, α4β2* nicotinic acetylcholine receptors (nAChRs) are potential targets for the treatment of nicotine dependence, pain, and many psychiatric and neurodegenerative diseases. However, they exist in various subtypes, and finding selective tools to investigate them has proved challenging. The nicotinic receptor agonist, 5-iodo-A-85380 (5IA), has helped in delineating the function of β2-containing subtypes in vitro; however, much is still unknown about its behavioral effects. Furthermore, its effectiveness on α6-containing subtypes is limited. Aims: To investigate the effects of 5IA on nociception (formalin, hot-plate, and tail-flick tests), locomotion, hypothermia, and conditioned reward after acute and repeated administration, and to examine the potential role of β2 and α6 nAChR subunits in these effects. Lastly, its selectivity for expressed low sensitivity (LS) and high sensitivity (HS) α4β2 receptors is investigated. Results: 5IA dose-dependently induced hypothermia, locomotion suppression, conditioned place preference, and antinociception (only in the formalin test but not in the hot-plate or tail-flick tests). Furthermore, these effects were mediated by β2 but not α6 nicotinic subunits. Finally, we show that 5-iodo-A-85380 potently activates both stoichiometries of α4β2 nAChRs with differential efficacies, being a full agonist on HS α4(2)β2(3) nAChRs, and a partial agonist on LS α4(3)β2(2) nAChRs and α6-containing subtypes as well.
Insurance in the Industry 4.0 environment: A literature review, synthesis, and research agenda
Authors: Srivastava Ritu , Prashar Anupama , Iyer S.Veena , Gotise Piyush 
Published: November 2022

Commodification and thinning margins of insurers have increased competition in the industry. Accessing accurate data and its meaningful analysis is becoming vital. The rise of digital technologies driven by the fourth industrial revolution (Industry 4.0) enables this but also poses new risks to insurers. The literature is evolving, and most reviews have focused on technologies or insurance value chain aspects. This systematic review of research on digital technologies in insurance discusses their benefits, enablers and inhibitors with specific reference to Industry 4.0–driven changes and identifies opportunities and imminent changes in the industry. This article discusses directions for future research. JEL Classification: M150 IT Management
The Biomechanical Stability of Bone Staples in Cortical Fixation of Tendon Grafts for Medial Collateral Ligament Reconstruction Depends on the Implant Design
Authors: Deichsel Adrian , Raschke Michael J. , Herbst Elmar , Peez Christian , Oeckenpöhler Simon , Briese Thorben , Wermers Jens , Kittl Christoph , Glasbrenner Johannes 
Published: November 2022

Background: The promising biomechanical stability of bone staples (BSs) in cortical fixation of tendon grafts for medial collateral ligament (MCL) reconstruction has been revealed by a previous investigation. However, it is currently unknown if the biomechanical stability of cortical fixation of tendon grafts depends on the BS design. Purpose: To assess the biomechanical stability of cortical fixation of tendon grafts in knee surgery using 4 different BS designs. Study Design: Controlled laboratory study. Methods: Cortical fixation of tendon grafts was performed in a porcine knee model at the tibial insertion area of the MCL using 4 different BS designs (n = 40): 8-mm width without spikes (n = 10), 8-mm width with spikes (n = 10), 14-mm width with spikes (n = 10), and 13 mm–wide 4-prong staples with spikes (n = 10). Specimens were mounted in a materials testing machine, and cyclic loading was applied to the tendon graft (500 cycles at 50 and 100 N, respectively), followed by load-to-failure testing. The Kruskal-Wallis test was performed for statistical analysis ( P < .05), and the post hoc Dunn test was performed for multiple comparisons. Results: In 4 of 10 specimens with graft fixation using BSs without spikes, slippage of the tendon underneath the BS led to failure of the construct during cyclic loading to 100 N. In the other groups, no fixation failure was observed during cyclic loading. Furthermore, graft fixation using BSs without spikes was found to have significantly more elongation during cyclic loading (8.2 ± 1.9 mm) and a lower ultimate failure load (170 ± 120 N) compared with graft fixation using narrow BSs with spikes (3.4 ± 1.2 mm [ P < .0001] and 364 ± 85 N [ P < .05], respectively) and graft fixation using broad BSs with spikes (4.5 ± 1.4 mm [ P < .05] and 429 ± 67 N [ P < .001], respectively). No statistical differences in elongation during cyclic loading or ultimate failure load were found between 4-prong staples with spikes (5.0 ± 1.3 mm and 304 ± 85 N) and narrow or broad staples with spikes. Conclusion: The biomechanical stability of cortical fixation of an MCL graft was comparable between each BS design with spikes (narrow, broad, and 4-prong) in a porcine knee model, whereas BSs without spikes led to failure of the fixation construct during cyclic loading in 4 of 10 specimens and increased elongation and lower ultimate failure loads in the remainder of the group. BSs without spikes may therefore not be recommended for graft fixation. Clinical Relevance: The use of BSs can help to avoid the conflict of converging tunnels in multiligament reconstruction surgery. An implant design with spikes yields significantly higher biomechanical stability than BSs without spikes.
Intangible Assets and Crash Risk: The Case of Low Intellectual Capital Firms in Indonesia
Authors: Sulistiawan Dedhy , Rudiawarni Felizia Arni , Sergi Bruno S. 
Published: November 2022

This study explores how intangible assets affect crash risk in Indonesia as the representative of emerging markets, especially for low intellectual capital firms. We employ regression analysis to investigate the effect of intangible assets on crash risk in Indonesia. The findings suggest that firms with intangible assets are more vulnerable to crash risk. Our further investigations also find that intangible assets stimulate crash risk in low IC firms, but intangible assets cannot explain crash risk in high IC firms. This study implies that Indonesia’s low IC firms with intangible assets use explorative innovation strategies rather than exploitative strategies. This paper warns investors about the increasing crash risk of overvalued intangible assets and guides investors in anticipating future crashes. JEL Classifications: G11, G40, O31
Effects of Health Coaching on Cardiometabolic Health in Middle-Aged Adults: A Systematic Review and Meta-analysis
Authors: Kwok Zoe Ching-man , Tao An , Chan Helen Yue-lai 
Published: November 2022

Objective To appraise and synthesize evidence on the effects of health coaching as the primary intervention on cardiometabolic health among middle-aged adults. Data Source Six electronic databases (MEDLINE, Embase, PsycINFO, CINAHL, PubMed, and the Cochrane library) were searched from inception until July 2021. Study Inclusion and Exclusion Criteria Randomized controlled trials and controlled clinical trials published in English, reporting health coaching aimed to promote behavioral changes for improving cardiometabolic health among middle-aged adults were included. Studies on health coaching as secondary intervention were excluded. Data Extraction Two reviewers selected the articles, appraised the study quality, and extracted data independently. All kinds of outcomes related to cardiometabolic health, including health behaviors, psychological and physiological outcomes, were included. Data Synthesis Meta-analysis was performed if three or more studies reported the same outcomes. Narrative synthesis was performed if pooling of data for meta-analysis was not feasible. Results Eight studies were reviewed. Most studies involved substantial risk of bias. The majority of the participants were women (99.1%). Meta-analysis showed a small but significant effect of health coaching on increasing physical activity (SMD = .34, 95% CI = .08–.60, p = .01, I2 = 0%); however, its effect on perceived barriers to physical activity and depressive symptoms was nonsignificant. Narrative synthesis yielded inconsistent results on diet, smoking, anxiety, goal achievement and self-efficacy for behavioral change, physiological outcomes, and metabolic syndrome severity, and nonsignificant effects on alcohol consumption, sleep quality, perceived benefits of physical activities, and cardiovascular symptoms. Conclusions Health coaching has significant effects on increasing physical activity among middle-aged adults; however, its effects on health behaviors and risk factors related to cardiometabolic health are inconclusive. Further efforts are warranted to examine how health coaching can improve cardiometabolic health among middle-aged adults.
Donor Breast Milk Banking: Knowledge and Attitudes of Iranian Mothers
Authors: Hosseinzadeh Mina , Mirghafourvand Mojgan , Sahebihagh Mohammadhassan , Aghajari Parvaneh , Denson Vicki L. , Golsanamloo Sima 
Published: November 2022

Introduction: Milk donation is allowed in Islam and considered a virtue, though according to Islam Sharia, feeding donated milk of other mothers leads to kinship between infants, complicating milk donation programs in Islamic countries. This study aimed to determine the knowledge and attitude of Iranian Muslim mothers regarding milk donation and milk banks. Methods: In this cross-sectional descriptive-analytic study, 634 mothers of infants below 1 year of age were recruited using cluster random sampling from health care centers in Tabriz, Iran. Data were collected by questionnaire. Results: The findings revealed a low level of knowledge but relatively positive attitudes. Knowledge predictors were education level, income, type of birth, breastfeeding experience, encouragement to donate milk, and hearing about milk donation ( p ≤ .02). Predictors of attitude were knowledge score and encouragement to donate milk ( p ≤ .001). Discussion: Comprehensive, culturally congruent education of mothers during pregnancy and post-pregnancy related to milk banks is recommended.
Evaluating a serious game to improve childhood cancer patients' treatment adherence
Authors: Chai Carmen Wang Er , Lau Bee Theng , Tee Mark Kit Tsun , Al Mahmud Abdullah 
Published: November 2022

Objective Childhood cancer patients need to have good treatment adherence. Unfortunately, treatment non-adherence often occurs due to high side-effect burdens of treatment and the lack of knowledge of one's illness and treatment. Therefore, a serious game intervention based on the Protection Motivation Theory (PMT) was designed and developed to motivate childhood cancer patients to undergo treatment, perform daily self-care and educate them about their illness. Methods Childhood cancer patients (6–17 years old) and their caregivers were recruited in a multi-centre, single-arm intervention in Malaysia. A total of 24 child-caregiver dyads have completed the study. This study used PMT-based surveys to collect quantitative data regarding children's motivation to adhere to treatment and perform daily self-care. Additionally, a 20-question multiple-choice quiz was used to determine children's knowledge levels. These surveys were conducted pre-test and post-test. Children's and caregivers' feedback were also gathered post-test as qualitative data. Results The results showed that overall, the children's intention to undergo cancer treatment had increased significantly. A significant increase in the intention to perform daily self-care was found among younger children, while older children showed significant improvement in their cancer knowledge levels. The post-test feedback suggested that the game was liked by both children and caregivers and it provided various benefits to children with cancer. Conclusions Findings suggest that the intervention has the potential to improve childhood cancer patients’ motivation for treatment adherence and daily self-care, in addition to educating them about cancer and treatment.
Preoperative Assessment of Bone Density Using MRI-Based Vertebral Bone Quality Score Modified for Patients Undergoing Cervical Spine Surgery
Authors: Huang Weibo , Gong Zhaoyang , Zheng Chaojun , Chen Yu , Ma Xiaosheng , Wang Hongli , Jiang Jianyuan 
Published: November 2022

Study design Diagnostic accuracy study. Objectives Previous studies have reported the clinical application of the Vertebral Bone Quality (VBQ) scores for assessing bone density in operative lumbar spine patients. We aim to explore whether the method could be modified and applicable for patients undergoing cervical spine surgery. Methods Adult patients receiving cervical spine surgery for degenerative diseases between September 2020 and March 2022 with non-contrast T1-weighted MRI and DEXA were included. Correlation between cervical VBQ scores and DEXA T-scores was analyzed using Pearson’s correlation. Student’s t test was used to present the discrepancy between the VBQ of patients with normal bone density (T ≥ -1.0) and patients with osteopenia/osteoporosis (T < -1.0). Statistical significance was set at P < .05. Results Eighty-three patients (20 patients with T ≥ -1.0 vs 63 patients with T < -1.0 ) were included. Significant difference was found between the cervical VBQ between groups (2.99 ± .79 vs 3.80 ± .81, P < .001). Interclass correlation coefficient for inter-rater reliability was .82 (95% CI: .70-.93) and .91(95% CI: .84-.97) for intra-rater reliability. The area under the ROC curve was .78 (95% CI: .65-.90). The DEXA T-score of the femoral neck, total hip and the lowest DEXA T-score were found to be significantly correlated with the cervical VBQ score according to Pearson correlation analysis ( P < .001). Conclusions This is the first study to apply the VBQ method to assess the bone density in preoperative cervical spine patients. Cervical VBQ scores were significantly correlated with DEXA T-score. With an overall accuracy of .78, the radiation-free and cost-effective method could be a potential tool for screening patients with osteopenia and osteoporosis before surgery.