bluuebunny/crossref_metadata_2025_split huggingface dataset:
Alienation and Self-Knowledge in Maine de Biran
Authors: Horton Sarah 
Published: February 2025

Abstract
For Maine de Biran, one knows oneself through effort. Crucially, effort involves both a force and a resistance: thus, I am the relation between my soul and my body. Biran may seem to bring the body wholly within the sphere of the self’s interiority, and, indeed, he has often been credited with discovering the lived body of phenomenology. This article argues, however, drawing on Emmanuel Falque’s recent reading of Biran, that the Biranian myself turns out to be, to an extent, external to itself. For the organic resistance that I encounter in all my actions, and that is necessary for me to act at all, can never be wholly transparent to me. The very possibility of self-knowledge thus depends on a certain obscurity, even a certain alienation. The article concludes with a brief consideration of the compatibility of Biran’s late, religious writing with his philosophy of effort.
Whose Agenda? Gender, Climate Change and Cooperation Policies in Tunisia
Authors: Pagano Carla 
Published: February 2025

Abstract
Tunisia has made an explicit commitment to climate action from a gendered perspective with the adoption of an Action Plan on Gender and Climate Change in 2022. The plan adds to an array of existing strategies that are challenging to implement. The country is among those in the MENA region most at risk from the impact of climate projections on socio-economic factors.
This paper draws on a review of the literature and legal and policy framework on climate change, along with an analysis of existing quantitative data on the Tunisian case. This is combined with qualitative empirical field research, conducted from April to August 2024 through in-depth interviews with national institutions (6), civil society (3), and key informants (4) and focus groups (6) with rightsholders of international cooperation programmes.
Using an intersectional feminist policy analysis framework combined with a socio- economic analysis, the paper provides an overview of Tunisia’s climate policies from a gender perspective. It addresses three specific areas of inquiry: first, the evolution of national strategies on climate over time and key inflection points in Tunisia’s political history and how they shaped climate policies; second, the scope for complementarity and trade-offs between international actors and domestic agency in Tunisia’s climate strategies; third, the paper analyses crucial elements of Tunisia’s gender climate governance and policies and highlights some critical issues for future research.
Gender and Climate Change Impacts in the MENA Region: Insights from Refugee Camps in Jordan
Authors: Chahin Houssam 
Published: February 2025

Abstract
This discussion paper focuses on the intersection between gender norms, climate change and displacement with a focus on Jordan, one of the driest countries in the region as well as a country hosting the world’s second-largest number of refugees per capita. We argue that to tackle the impacts of climate change in the region, climate action needs to adopt a gender sensitive approach at its heart. Drawing on UNHCR’s work in the region, we identify key pathways for gender inclusivity in climate action.
Lenin, Moribund Capitalism and the Global Crisis of Labor Movements
Authors: van der Linden Marcel 
Published: February 2025

Abstract
In the first decades after 1914, capitalism went through a deep crisis while labor movements actually gained strength. This was the time when Lenin and others developed the theory of an irreversible decline of world capitalism. From the 1950s onward, the crisis of capitalism appeared to be over and the labor movements seemed to become even stronger. In recent decades, however, we have seen a return of capitalist crises, but this time it has been accompanied by a second deep international crisis – that of the labor movements. We are therefore now confronted with a double crisis, of which the outcome is still unclear.
Circulating type IV collagen 7S concentrations are associated with left atrial remodeling indices in patients with atrial fibrillation
Authors: Kuzume Yuki , Fujibayashi Kosuke , Tanaka Kai , Sawaguchi Jun , Ueno Ei-Ichi , Fujioka Nakaba , Kawai Yasuyuki , Kajinami Kouji 
Published: February 2025

Objective Non-alcoholic fatty liver disease is a risk factor for atrial fibrillation. We assessed whether liver fibrosis markers are associated with atrial remodeling indicators in patients with atrial fibrillation in whom fatty liver disease has not been identified. Methods In this prospective, observational study, 174 patients with atrial fibrillation without chronic liver disease who underwent catheter ablation were enrolled. Using blood collected from the right atrium, type IV collagen (COL4), type IV collagen 7S (COL4-7S), and tumor necrosis factor-α concentrations were measured as markers of liver fibrosis and inflammation. The left atrial volume and P-wave duration were used as atrial remodeling indicators. Results Left atrial volume was significantly positively correlated with COL4, COL4-7S, and tumor necrosis factor-α concentrations. COL4-7S concentrations were significantly positively correlated with tumor necrosis factor-α concentrations and the P-wave duration. To exclude the effect of alcohol consumption, a multiple regression analysis was performed for left atrial volume in patients with a <30-g daily alcohol intake (n = 124). Age, sex, and COL4-7S were significant explanatory variables (R = 0.44, adjusted R2 = 0.142, COL4-7S standardized β = 0.20). Conclusion Liver fibrosis may be involved in atrial remodeling via inflammation in patients with atrial fibrillation who do not have obvious fatty liver disease.
Association Between Global Overcoverage and Long-term Survivorship, Chondrolabral Junction Breakdown, and Reduced Joint Space Width: Minimum 8-Year Follow-up
Authors: Lee Jonathan S. , Gillinov Stephen M. , Siddiq Bilal S. , Dowley Kieran S. , Dean Michael C. , Cherian Nathan J. , Eberlin Christopher T. , Kucharik Michael P. , Martin Scott D. 
Published: February 2025

Background: Although previous literature has established the association between femoroacetabular impingement and progressive hip osteoarthritis, there exists a paucity of studies investigating the effects of global acetabular overcoverage on chondral wear and long-term outcomes. Purpose: To compare baseline joint space width (JSW), intraoperative findings, long-term total hip arthroplasty (THA)–free survivorship, patient-reported outcome measures (PROMs), pain levels, and patient satisfaction in patients who underwent hip arthroscopy with global overcoverage (GO) to a matched-control (MC) cohort. Study Design: Cohort study; Level of evidence, 3. Methods: In this retrospective analysis, the authors queried patients who underwent hip arthroscopy for acetabular labral tears secondary to femoroacetabular impingement. Patients with complete PROMs at a minimum 8-year follow-up, the presence of coxa profunda as indicated by an acetabular wall projecting medial to the ilioischial line, and a lateral center-edge angle >40° were matched 1:1 by sex, age, body mass index, Tönnis grade, and labral treatment to a MC cohort of patients who had normal acetabular coverage. Baseline radiographic and intraoperative findings were compared between cohorts. Collected outcomes include the modified Harris Hip Score, Nonarthritic Hip Score, Lower Extremity Functional Scale score, Hip Outcome Score–Activities of Daily Living, Hip Outcome Score–Sports Specific Subscale, 33-item International Hip Outcome Tool score, pain levels, patient satisfaction, and conversion to THA. Results: In total, 38 patients with GO were 1:1 matched to a MC cohort. The GO cohort had significantly decreased baseline JSW at 50° ( P = .002) and greater chondrolabral junction breakdown ( P = .037). The GO and MC cohorts achieved similar outcomes for all 6 PROMs, rates of conversion to THA, pain levels, and patient satisfaction. Kaplan-Meier survival analysis demonstrated that the patients experienced a similar overall 18-year THA-free survival rate (GO: 71.1% vs MC: 84.2%; P = .101). To isolate the long-term effects of GO on hip arthroscopy outcomes, 6- to 18-year THA-free survivorship was examined, revealing that the GO cohort (−13.1%) experienced a significantly greater decrease compared with the MC cohort (−5.3%) ( P = .008). Conclusion: Patients with GO had significantly lower baseline ipsilateral JSW at 50° and greater intraoperative severity of chondrolabral junction breakdown. Furthermore, the GO cohort experienced a significantly greater decrease in long-term THA-free survivorship 6 to 18 years after hip arthroscopy.
Serial Changes in Muscle Strength and Dynamic Balance After Lateral Meniscal Allograft Transplantation: A Retrospective Cohort Study of 55 Patients
Authors: Cho Seung Ik , Yoo Ji Seung , Moon Sung Gyu , Kang Ji Hee , Yang Sang Jin , Kim Jin Goo , Lee Dhong Won 
Published: February 2025

Background: Despite numerous studies examining subjective clinical scores after meniscal allograft transplantation (MAT), research focusing specifically on functional measures is lacking. Purpose: To evaluate the serial changes in isokinetic muscle strength and dynamic balance during the first postoperative year after lateral MAT (LMAT). Study Design: Cohort study; Level of evidence, 3. Methods: A total of 55 patients who underwent LMAT underwent subjective functional assessment using the Lysholm and subjective International Knee Documentation Committee (IKDC) scores. The objective functions, evaluated using isokinetic muscle strength testing and the Y-balance test for dynamic postural stability, were recorded preoperatively and 6 and 12 months postoperatively. Magnetic resonance imaging (MRI) was performed at 2 days and 12 months postoperatively to evaluate the meniscal allograft extrusion and cartilage condition in the lateral compartment. At 12 months, patients with graft extrusion >3 mm on MRI were assigned to the extrusion group. Results: Significant improvements were observed in the Lysholm and subjective IKDC scores at 12 months postoperatively (both P < .001). The joint space width did not significantly increase ( P = .054). Coronal graft extrusion increased significantly ( P < .001). At 6 months postoperatively, isokinetic muscle strength tests indicated no significant reduction in the peak torque for knee extension ( P = .911). However, at 12 months, the peak torque was significantly increased ( P = .001), with the deficits improving from 38.3% to 18.1% ( P < .001). No significant changes were noted in the knee flexion strength. Dynamic postural stability showed a significant decrease in the Limb Symmetry Index (LSI) for the anterior reach at 6 months ( P = .004), but significant improvements were seen by 12 months, with the LSI values for the anterior, posteromedial, and posterolateral reaches all exceeding 90% ( P < .001). No significant differences in muscle strength or dynamic balance were found between the nonextrusion (n = 41) and extrusion (n = 14) groups at 12 months. Conclusion: The significant improvements in isokinetic muscle strength and dynamic postural stability achieved only by 12 months after LMAT underscores the necessity of a comprehensive rehabilitation program and caution against premature sports resumption.
School-to-work transition program for at-risk youths: Cultural adaptation
Authors: Ivzori Yonat , Sachs Dalia , Reiter Shunit , Schreuer Naomi 
Published: February 2025

Background At-risk youths experience complex life circumstances with high poverty and school dropout rates, often never obtaining a matriculation certificate. Schools emphasize academic skills but lack programs for early career development, particularly those adapted for minority cultural characteristics. Objective This article describes the cultural adaptation of a school-to-work transition program (STWT). Methods Using our experience with an STWT for at-risk majority-group youths in Israel, we adapted, implemented, and evaluated the BALASHNA program (an acronym in Arabic of a program for successful young people at work) for at-risk youths in a traditional minority community. Forty-one at-risk Druze youths (11th graders) from two high schools participated in the 20-week culturally adapted STWT. Results Comparing the students’ pre- and post-intervention results showed improved knowledge of the work world, future orientation, and work performance. Conclusions This study provides evidence that BALASHNA's concepts, tools, principles, and short internship experiences were effective for the initial career development of minority at-risk youths. It contributes ten effective principles for cultural adaptations of other programs and contexts.
A study exploring educational factors and youths’ perception of occupation in China's Shanghai
Authors: Ye Wangbei 
Published: February 2025

Background School plays a vital role in readying youths to take on a career. For decades, the People's Republic of China had a socialist egalitarian labour education tradition that prepared Grade 1–12 students for their future occupations. Objective This study explores how recent generations of single offspring (only-children hereafter) who have grown up in a socialist market economy and witnessed rapid social transition and stratification perceive labour and occupations, about which little is known. This study examines the relationship between educational factors and youths’ perceptions of occupations. Methods This study adopted a mixed methodology approach (questionnaire, interview, and lesson design analysis) to report how educators and youths (aged 15–16) perceived occupation in Shanghai. Researchers surveyed 206 Grade 10 students, interviewed two teachers and six students, and observed five classes related to labour education. The questionnaire data were analysed with SPSS software. Quantitative data were analysed as follows: frequency distribution, means and crosstabs (nominal by interval), t-text were calculated to answer Research Questions. Results The findings revealed that youths showed a higher degree of agreement with labour-/occupation-related values and a lower degree of agreement with labour-related practices in life. Factors like student leader experience and parents’ political party membership influenced students’ perceptions of occupation. Conclusions This study supplements the extant literature by identifying society-school-individual factors that explain youths’ development of occupation perceptions in China.
Adherence to HIV vertical transmission prevention (VTP) policies in a tertiary-level obstetric unit in South Africa
Authors: Zamparini Jarrod , Hassan Sulaiman , Davies Natasha , Herbst Wilhelm , Bhoora Shastra , Nyakoe Robert , Chauke Lawrence 
Published: February 2025

Background HIV disproportionately affects women of childbearing age in South Africa. Despite progress in antiretroviral therapy access, challenges persist in HIV vertical transmission prevention (VTP). Methods We conducted a single-centre, retrospective observational audit of women delivering between May and August 2023 at the Charlotte Maxeke Johannesburg Academic Hospital in Johannesburg, South Africa to assess adherence to national VTP guidelines. Results Of 563 women, 22% (125/563) were living with HIV at their first antenatal visit, increasing to 24.3% (137/563) by delivery. HIV retesting rates declined from 46% (181/394) at the second visit to 20% (30/151) by the eighth. HIV viral load testing was performed in 71.5% of women (98/137) at delivery, with 72.4% (71/98) achieving viral suppression. Birth PCR testing was not performed for 21.1% (29/137) of HIV-exposed infants. Conclusion Significant gaps in HIV retesting, viral load monitoring, and birth PCR testing highlight ongoing challenges in VTP guideline adherence.
Infection prevention behaviour among hospital nursing staff: Navigating in a complex and shifting work environment
Authors: Arvidsson Lisa , Lindberg Maria , Skytt Bernice 
Published: February 2025

Background Healthcare-associated infections are a global concern and can be dependent on the infection prevention behaviours of nursing staff, which in turn can be influenced by working conditions. Qualitative studies are scarce, and a greater understanding of the relationship between working conditions and nursing staff behaviour is needed. Aim The aim was to describe nursing staff’s experiences and reflections on working conditions and infection prevention behaviours. Methods A qualitative study with semi-structured focus group interviews at four surgical units and two orthopaedic hospital units. Twenty-seven nursing staff (12 registered nurses and 15 assistant nurses) participated. Data was analysed using qualitative content analysis. Results We generated one theme: Navigating in a complex and shifting context. The result indicates that working conditions are sometimes inadequate, which can hinder the nursing staff’s infection prevention behaviours. Even when working conditions seemed to be sufficient, hygiene routines could fail, since situations constantly arise in a hospital unit that are difficult to predict and regulate. Discussion This study highlights the complexities faced by nursing staff in maintaining infection prevention behaviours within the dynamic hospital work environment. While nursing staff are professionally obliged to comply with hygiene routines, organisational support is essential for fostering sustainable working conditions. A multi-tiered approach is needed, from first-line managers to decision-makers, to promote a supportive environment that sustains safe practices.
Reference Values and Construct Validity for 4 Upper Limb Physical Performance Tests in Junior Tennis Players
Authors: Cools Ann M. , Stubbe Jasper , Vanden Bosch Dominiek , Carlier Loïc , Notable Cédric , Borms Dorien 
Published: February 2025

Background: Upper extremity physical-performance-tests are gaining interest for screening overhead athletes in view of injury prevention, individual performance, and return to play after injury. However, at present, no reference data are available for these tests in a junior tennis population. In addition, the construct validity of these tests with respect to shoulder strength is still unclear. Hypothesis: Junior tennis players will exhibit differences in test performance based on age, sex, and side. Shoulder strength will be moderately to highly correlated with the seated medicine ball throw (SMBT) and the modified-closed-kinetic-chain-upper-extremity test (M-CKCUEST), but not with shoulder endurance test (SET) and the Y-balance-test-upper-quadrant (YBT-UQ). Study Design: Descriptive study, cross-sectional design. Level of Evidence: Level 3. Methods: Four commonly used physical performance tests (PPTs) (YBT-UQ, M-CKCUEST, SMBT, and SET) were executed by 99 junior tennis players aged 9 to 18 years. In addition, isometric external and internal rotation strength was measured, using a hand-held dynamometer. Descriptive reference values were reported, and correlations between the PPTs and strength values were calculated. Results: A linear regression model with backwards stepwise regression was used to identify possible age, sex, and side differences regarding PPTs and strength. Some, but not all reached statistical significance. Moderate-to-high correlations (Pearson correlation coefficients) were found between the M-CKCUEST, SMBT, and SET and strength measurements, establishing acceptable construct validity with respect to strength. No significant correlation was found between the YBT-UQ and strength. Conclusion: Junior tennis players exhibit differences in test performance based on age, sex, and side. The MCKCUEST, SMBT, and SET may be valuable alternatives for strength testing in the clinical setting. Clinical Relevance: These tests may provide a valuable, user-friendly alternative for strength measurements in junior tennis players.
Health Status, Health Determinants, and Use of Preventive Services Among Frontline Workers in Homeless Services
Authors: Nagy-Borsy Emese , Kovács Viktória Anna , Árva Dorottya , Vokó Zoltán , Szeitl Blanka , Kiss István , Rákosy Zsuzsa 
Published: February 2025

Introduction: Homeless service workers play a key role in addressing the social and health needs of people experiencing homelessness, yet little is known about their own health status and behaviors. Methods: A nationwide survey of Hungarian homeless service workers (n = 548) was conducted using a short version of the European Health Interview Survey. The results were compared with age- and sex-adjusted data from the general Hungarian population. Results: Despite reporting good health, one-third of homeless service workers had long-standing health problems, with one-fourth experiencing activity limitations. Mild (29.1% vs 17.2%) and moderate (8.5% vs 4.7%) depressive symptoms were nearly twice as prevalent among service workers. They also reported lower daily consumption of fruits and vegetables (41.4% and 26.3% vs 57.0% and 45.4%) and a higher rate of daily smoking (35.4% vs 26.4%). Additionally, 59.3% were classified as overweight or obese. Participation in organized cancer screenings was higher among homeless service workers but stayed below 50% in both groups. Conclusions: These findings can serve as a foundation for developing strategies to improve the health status of homeless service workers. Ultimately, this benefits both the workforce and the quality of services provided.
Barriers and Facilitators to Colorectal Cancer Screening Among Health Fair Attendees in Utah
Authors: Johnson Jordan E. , Pauleck Svenja , Williamson Andrea J.H. , Pahlkotter Maranda , Brecha Federica S. , Ferre Nathaniel , Ortiz Nancy , Marcus Robin L. , Hardikar Sheetal , Cohan Jessica N. 
Published: February 2025

Background: Colorectal cancer (CRC) screening uptake remains suboptimal despite the importance and effectiveness of various testing options. The purpose of our study was to identify barriers and facilitators to CRC screening in a community-based sample in Salt Lake County, Utah to inform future efforts to develop effective interventions to increase CRC screening. Methods: This study enrolled adults eligible for CRC screening at 6 community health events. Participants completed targeted questionnaires based on whether they had discussed screening with a provider and whether they had received screening. We identified participant-reported barriers to CRC screening using descriptive analysis. Univariate and multivariate analyses were used to identify participant characteristics associated with receipt of screening. Results: Of the 117 participants who completed the questionnaires, 43.6% were 50 to 60 years old, 36.8% identified as white, and 51.3% identified as non-Hispanic. The most common barrier to colonoscopy was the need for extensive bowel preparation (30.8%). For stool tests, common barriers included handling stool (20.5%) and not understanding how to do the test (20.5%). For virtual colonoscopy, barriers included the need for extensive bowel preparation (21.4%) and cost (21.4%). Most participants (67.5%) believed that they should know about all CRC screening options available, and their importance. The majority of participants (68.4%) preferred to learn about CRC screening from their doctor or healthcare provider. Younger age was associated with non-screening. Conclusion: We observed that study participants faced procedural barriers to complete CRC screening and preferred to learn about CRC screening options through their providers. Younger age groups were less likely to receive screening within our study sample. Future, targeted interventions to increase CRC screening should focus on increasing the awareness of the importance of CRC screening and educating patients on the various screening options available and their benefits, especially as they pertain to less invasive tests and targeting younger individuals.