bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of social determinants of health with frailty, cognitive impairment, and self-rated health among older adults
Authors: Tan Vanessa , Chen Cynthia , Merchant Reshma Aziz 
Published: November 2022

Background and objectives
Recently, the role of social determinants of health on frailty and dementia has received increased attention. The aim of the present study is to explore the association of social determinants on cognitive impairment, frailty, and self-rated health. As health is influenced by many factors, we also examine other health determinants including lifestyle, health seeking behaviour, socio-demographics, and multimorbidity in the analysis.

Research design and methods
Cross-sectional analysis of the Healthy Older People Everyday (HOPE) study in Singapore was carried out on 998 older adults above the age of 65. We used forward stepwise multivariable logistic and linear regression analyses to assess the association of five health determinants (social determinants, lifestyle, health seeking behaviour, socio-demographics and multimorbidity) on frailty, cognitive impairment, and self-rated health.

Results
Mean age of participants was 71.1 ± 0.2 years; 154 (15.4%) were cognitively impaired; 430 (43.1%) were pre-frail or frail; mean self-rated health was 80.4 ± 15.6. Social determinants contributed between 29% to 57% of the overall variation found in the full model with all five health determinants adjusted for. Participants with higher education had significantly lower odds of cognitive impairment and frailty. Leisure physical activity was significantly associated with lower odds of frailty and cognitive impairment, and better self-rated health.

Discussion and implications
Understanding the dynamics of different health determinants is crucial to protect the vulnerable in an ageing population. Our study highlights the need for a multidimensional, multidisciplinary and multisectoral approach in the prevention of frailty, cognitive impairment, and associated disability.
From growers to patients: Multi-stakeholder views on the use of, and access to medicinal cannabis in Australia
Authors: Erku Daniel , Greenwood Lisa-Marie , Graham Myfanwy , Hallinan Christine Mary , Bartschi Jessica G. , Renaud Elianne , Scuffham Paul 
Published: November 2022

Background
Patient interest in the use of cannabis-based medicines (CBMs) has increased in Australia. While recent policy and legislative changes have enabled health practitioners to prescribe CBMs for their patients, many patients still struggle to access CBMs. This paper employed a thematic analysis to submissions made to a 2019 Australian government inquiry into current barriers of patient access to medical cannabis.

Methods
We identified 121 submissions from patients or family members (n = 63), government bodies (n = 5), non-government organisations (i.e., professional health bodies, charities, consumer organisations or advocacy groups; n = 25), medical cannabis and pharmaceutical industry (n = 16), and individual health professionals, academics, or research centres (n = 12). Data were coded using NVivo 12 software and thematically analysed. The findings were presented narratively using a modified Levesque’s patient-centred access to care framework which includes: i) appropriateness; ii) availability and geographic accessibility; iii) acceptability; and iv) affordability.

Results
Submissions from government agencies and professional health bodies consistently supported maintaining the current regulatory frameworks and access pathways, whereas an overwhelming majority of patients, advocacy groups and the medical cannabis industry described the current regulatory and access models as ‘not fit for purpose’. These differing views seem to arise from divergent persepctives on (i) what and how much evidence is needed for policy and practice, and (ii) how patients should be given access to medical cannabis products amidst empirical uncertainty. Notwithstanding these differences, there were commonalities among some stakeholders regarding the various supply, regulatory, legislative, financial, and dispensing challenges that hindered timely access to CBMs.

Conclusions
Progress in addressing the fundamental barriers that determine if and how a patient accesses and uses CBMs needs i) a ‘system-level’ reform that gives due consideration to the geographic disparity in access to prescribers and medical cannabis, and ii) reframing societal and health professional’s views of CBMs by decoupling recreational vs medical cannabis.
Clinical questions in primary care: Where to find the answers - a cross-sectional study
Authors: Viegas Dias Catarina , Jasmins Clara , Rodrigues David , Heleno Bruno 
Published: November 2022

Introduction
Clinicians raise at least one question for every two patients they see, but search for an answer to less than half of these questions, and rarely use evidence-based resources. One barrier to evidence-based practice is doubt that the search would yield an answer, and we found insufficient evidence to refute this concern. This study aims to identify what proportion of clinical questions in primary care can be answered with online evidence-based practice resources, and what proportion of these can be answered with pre-appraised evidence.

Materials and methods
Cross-sectional study in two primary care practices. The inclusion criteria were family doctors, generalists and residents working in 2 selected practices. We collected a total of 238 questions from 19 family medicine specialists, 9 family medicine residents and 3 generalist doctors. Doctors were asked to record any clinical question that arose during 4 days of appointments. The primary outcome was the proportion of clinical questions answered with online evidence-based practice resources. The secondary outcome was the level of evidence needed to reach to find the answers (clinical summaries, systematic guidelines, systematic reviews or primary studies), according to Haynes’ pre-appraised evidence pyramid model.

Results
191 of the 206 valid clinical questions could be answered with online evidence-based practice resources (92.7% [95% CI 88.3%-95.9%]). Most of these questions (90.8% CI 95% 85.9%-94.4%) were successfully answered using clinical summaries (BMJ Best Practice, DynaMed or UpToDate), with a median search time of 4 minutes (range 1–16.5).

Conclusions
Contrary to clinician’s beliefs, the majority of clinical questions can be answered with online evidence-based practice resources, and most of them with pre-appraised evidence. This study could encourage family doctors to increase the use of clinical summaries. Furthermore, these results highlight the importance of teaching how to search for and apply pre-appraised evidence.
Lesbian, gay, bisexual, and/or transgender (LGBT) cultural competency across the intersectionalities of gender identity, sexual orientation, and race among healthcare professionals
Authors: Nowaskie Dustin Z. , Najam Sidrah 
Published: November 2022

BackgroundThere is some data regarding lesbian, gay, bisexual, and transgender (LGBT) cultural competency among healthcare professionals. While few studies have indicated differences in competency between heterosexual and sexual minority professionals, no known studies have assessed LGBT cultural competency among diverse groups with multiple minority identities. This study aimed to characterize healthcare professionals’ LGBT cultural competency by comparing twelve different demographically diverse healthcare professional groups based on gender identity, sexual orientation, and race.MethodsDeidentified data (N = 2254) was aggregated from three independent studies (i.e., healthcare professional students, psychiatry residents, and dementia care providers). A series of multivariate analyses of covariance were conducted with groups (based on gender identity, sexual orientation, and race), other demographic variables as independent variables, and LGBT-Development of Clinical Skills Scale scores (Overall LGBT-DOCSS, Clinical Preparedness, Attitudinal Awareness, and Basic Knowledge) as dependent variables.FindingsCompared to men, women reported significantly higher LGBT-DOCSS scores, except significantly lower Clinical Preparedness. Compared to cisgender, heterosexual professionals, cisgender, sexual minority professionals and gender minority professionals reported significantly higher LGBT-DOCSS scores. There were several other differences among groups, such as heterosexual, cisgender, White/Caucasian men reporting low LGBT-DOCSS scores but high Clinical Preparedness; heterosexual, cisgender, White/Caucasian women with high LGBT-DOCSS scores except Clinical Preparedness; heterosexual, racial minority professionals with low LGBT-DOCSS scores; and gender, sexual, and racial minority professionals with the highest LGBT-DOCSS scores.ConclusionsThere are subtle, yet important, differences in LGBT cultural competency among healthcare professionals. More diversity, intersectionality, and multiple minority identities appear to lead to higher competency. Appreciating these gender, sexual, and racial minority professionals’ unique perspectives may promote the development of better, more culturally affirming LGBT health education.
Las causas judiciales como herramientas para indagar el rol de la Justicia Federal en Tucumán y su complicidad con el accionar represivo de las Fuerzas Armadas (1975-1983)
Authors: Bolsi Francisco 
Published: November 2022

En el último cuarto del siglo XX, se instauraron una serie de dictaduras militares en los países de Cono Sur de América Latina, que implementaron el Terrorismo de Estado, como herramienta para disciplinar y controlar a la población. Recuperada la democracia, en algunos países, los familiares de los desaparecidos se organizaron a fin de pedir justicia por las víctimas. De este proceso, no estuvo exenta la Justicia que tuvo que atravesar transformaciones para adecuarse al nuevo contexto vinculado a la incorporación de los Derechos Humanos en la legislación internacional y su adaptación a la jurisprudencia nacional de cada país, motivo por el cual no solo fueron juzgados los militares sino también los cómplices civiles –jueces, empresarios, sacerdotes– que acompañaron u ocultaron información referida al proceso represivo.
Por este motivo, el propósito de este trabajo es analizar el rol de la Justicia Federal en Tucumán entre 1975 y 1983 a partir del estudio de diversos casos vinculados con militantes políticos, las formas en que fueron caratuladas sus causas, la violación de sus derechos constitucionales, su incorporación a los circuitos clandestinos de detención y la complicidad con el aparato represivo. Para ello, se tomará como eje de análisis tres causas judiciales, Romero Niklison y sus denuncias; Manlio Torcuato Martínez y su denuncia y la Megacausa Operativo Independencia, a partir de las cuales se reconstruirá el rol de la justicia en el período seleccionado.
Functional inequalities and applications to doubly nonlinear diffusion equations
Authors: Chlebicka Iwona , Simonov Nikita 
Published: November 2022

Abstract
We study weighted inequalities of Hardy and Hardy–Poincaré type and find necessary and sufficient conditions on the weights so that the considered inequalities hold. Examples with the optimal constants are shown. Such inequalities are then used to quantify the convergence rate of solutions to doubly nonlinear fast diffusion equation towards the Barenblatt profile.
Konformismus statt Reflexion? Nicht-intendierte Effekte antisemitismuskritischer Bildung
Authors: Schubert Kai E. 
Published: November 2022

Abstract
Education is possibly the profession most frequently addressed with expectations of dealing with contemporary forms of antisemitism. However, the topic is not prominently discussed in the field of didactics and teachers report of feelings of overburdening, dealing especially with forms of antisemitism relating to the State of Israel and the Middle East Conflict. These forms are the most controversial variations of antisemitism and also the ones often not mentioned and also not interpreted and responded appropriately. The paper argues for a stronger awareness of non-intended effects of education on antisemitism. It shows their relevance focussing three exemplary contexts regarding spontaneous interventions to antisemitic statements as well as pedagogic concepts represented in published documents. Without a profound understanding of antisemitism as a complex phenomenon with specific patterns, awareness for possible non-intended effects can hardly be reached.
A Posteriori Error Estimates for Darcy–Forchheimer’s Problem
Authors: Sayah Toni , Semaan Georges , Triki Faouzi 
Published: November 2022

Abstract
This work deals with the a posteriori error estimates for the Darcy–Forchheimer problem.
We first introduce the corresponding variational formulation for the nonlinear problem and discretize it by using the finite-element method. We then
propose a linear iterative scheme to solve the nonlinear variational problem
for a fixed mesh step. Finally, a posteriori error estimate with two types of computable error indicators is showed. The first one is linked to the linearization and the second one to the discretization.
Numerical computations are performed to show the effectiveness of the derived error indicators.
Hitting estimates on Einstein manifolds and applications
Authors: Choi Beomjun , Haslhofer Robert 
Published: November 2022

Abstract
We generalize
the Benjamini–Pemantle–Peres estimate relating hitting probability and Martin capacity to the setting of manifolds with Ricci curvature bounded below. As applications we obtain: (1) a sharp estimate for the probability that Brownian motion comes close to the high curvature part of a Ricci-flat manifold, (2) a proof of an unpublished theorem of Naber that every noncollapsed limit of Ricci-flat manifolds is a weak solution of the Einstein equations, (3) an effective intersection estimate for two independent Brownian motions on manifolds with nonnegative Ricci curvature and positive asymptotic volume ratio. We also obtain generalizations of (1) and (2) for the manifolds with two-sided Ricci bounds and Einstein manifolds with nonzero Einstein constant.
Narrative identity of the possible author: a tertiary narrativization of Chinese realist art of the 1950s–1990s
Authors: Duan Lian 
Published: November 2022

Abstract
From a narratological perspective, this essay reinterprets the development of Chinese realist art under Western influence in the second half of the twentieth century and explores the narrative issue of the possible author that is transformed from the integral reader. As a crucial response to Western influence, realist art in China developed from imitating to appropriating Western art and continued from taking inspiration from Western art to participating in the international arena of conceptual art with certain renovations. In this essay, the narratological notion of “possible author” is proposed to discuss the issue of narrative identity. While some scholars declared the death of the reader, this essay introduces a new reader to art historical narrative. This is a tertiary reader that transforms into a possible author who re-narrates the story of art history in the possible space between the secondary narration and tertiary narrativization. In this space, the three layers of the first-hand fabula, secondary narration, and tertiary narrativization work together in defining the possible author’s narrative identity as re-interpretive and critical.
Decoding multimodal resources in the master–disciple interactions of Chinese Zen Buddhism
Authors: Huang Lihe , Qu Huiyu 
Published: November 2022

AbstractOver its long period of development, Zen Buddhism in ancient China has adopted a unique method of enlightenment for the direct individual understanding of the Buddha-nature in the interaction between Zen masters and their disciples, instead of merely depending on written classics or oral teaching, which constitutes so-called “independence-from-words.” Communication between monks in Zen is a process of multimodal interaction, in which many different semiotic modes are included, for example strikes, roars, gestures, foot-poses, body poses, and image drawings. Meditation and understanding in Zen demand an interpretation of these multimodal cues in the interaction. Therefore, multimodal discourse analysis may serve as a novel perspective for analysing Zen modes of enlightenment, since MDA attaches great importance to various semiotic channels besides language. This paper aims to present how Zen masters flexibly utilized multimodal resources in enlightenment, starting from an introduction to the traditional understanding of multimodality in ancient China and how the interpretation of Zen can benefit from its analysis through the lens of MDA.
Death, enemies, and illness: How English and Russian metaphorically conceptualise boredom
Authors: Glynn Dylan , Biryukova Avgustina 
Published: November 2022

Abstract
This study seeks to develop quantified methods for the description of conceptual metaphors. The study examines the target concept of boredom in contemporary English and Russian. It aims to not only identify which metaphors are used in the two languages, but also how they are used. Using the qualitative-quantitative approach of ‘behavioural profiles’, the study examines comparable informal and personal written language in both cultures, revealing that the most frequent metaphoric conceptualisations of boredom are as death, as an enemy or as an illness. Moreover, the study also shows quantitatively that, despite shared metaphor structures across the languages, there is some difference in how they are used. Through these results, the study highlights that the description of conceptual metaphors needs to pay more attention to their use but also demonstrates the importance of quantitative tools for those usage descriptions.
Cognitive Linguistics meets multilingual language acquisition: What pattern identification can tell us
Authors: Hartmann Stefan , Koch Nikolas , Quick Antje Endesfelder 
Published: November 2022

Abstract
The usage-based approach to first language acquisition has become highly influential in research on first language acquisition. In recent research, it has also been adapted to account for language contact phenomena in multilingual first language acquisition, i.e. in situations in which children acquire two or more languages simultaneously. In this paper, we give a brief overview over these developments, summarize some first major results of this research program, and discuss remaining open questions and challenges. In particular, we review a number of studies that have used the traceback method, previously established in research on monolingual acquisition, to identify recurrent patterns in the early language of multilingual children, especially in their code-mixing, i.e. the use of more than one language in one utterance. We argue that the usage-based approach can help to shed light on some of the open questions in research in multilingual acquisition, especially as it is highly compatible with other prominent concepts in current research on multilingualism, and that it provides us with the methodological toolkit that is needed to investigate language contact phenomena in a data-driven way.
Analytical approach in higher predict residual error on MHD mixed convective motion of MoS2 engine-oil based nanofluid
Authors: Munjam Shankar Rao , Khan M. Ijaz , Sharma Ram Prakash , Seshadri Rajeswari , Bafakeeh Omar T. , Malik M. Y. 
Published: November 2022

Abstract
We obtain the clean semi-analytical solutions with method of directly defining inverse mapping (MDDiM) to the system of nonlinear equations arising in the magnetohydrodynamic (MHD) convection motion of Molybdenum disulfide (MoS2) engine-oil intrinsic nanofluid in a circumnavigatethe structure is considered for analysis. Finding the solutions by using MDDiM is a novel idea and first time solving for the system of nonlinear partial differential equations. We have chosen inverse linear mapping for the five-term solution and it emphasizes by residual error and this gives the low error (10−2 to 10−17) and can easily derive deformation terms by spending very low CPU time. Based on the proposed method, the convergence rate, accuracy, and efficiency of the governing equations are demonstrated, and result outputs shown in tabular and graphically, which exhibit meaningful structures and advantages in science and engineering.
Qualification and quantification of plasma cell-free DNA after long-term storage conditions in patients with benign prostatic hyperplasia (BPH): a pilot study
Authors: Bozkurt Aliseydi , Gürbüzel Mehmet , Sayar Ilyas , Baydeniz Soner , Arslan Yusuf Kemal 
Published: November 2022

Abstract

Objectives
Free DNA is used as a cancer biomarker due to its low cost, high applicability, and fast, reliable results compared to invasive methods. This study aimed to evaluate the quantification of plasma-free DNA after long-term storage conditions and perform qualification through single nucleotide polymorphism (SNP) screening based on this DNA.

Methods
Plasma-free DNA samples were quickly isolated from the peripheral blood of both the benign prostatic hyperplasia (BPH) and control group participants and then maintained at −80 °C for four years. Upon thawing, first, free DNA was purified and fluorometric measurements were taken to determine the amount of DNA. Subsequently, the rs6983267, rs12628, and rs1799939 SNPs were screened in the CCAT2, HRAS, and RET genes, respectively.

Results
Significant results were obtained from the fluorometric measurements in terms of single-stranded DNA (ssDNA) (p<0.001). However, there was no significant difference in SNPs rs6983267, rs12628, and rs1799939 in the BPH group compared to the healthy individuals.

Conclusions
The data show that fluorometric ssDNA measurements are suitable for quantifying free DNA. The fact that SNP screening can be done successfully in both healthy people and BPH patients suggests that plasma-free DNA can be stored in the laboratory under appropriate conditions.
Online detection of residual stress near the gate using cavity pressure for injection molding
Authors: Tsou Hao-Hsuan , Huang Chung-Ching , Chen Yi-Cheng , Shih Syu-Yang 
Published: November 2022

Abstract
Residual stress negatively affects the quality of optical products and is a difficult problem to solve. Regulating process parameters is a critical element in quality control. Therefore, the online monitoring of critical process variables is necessary for stabilizing product quality and reducing manufacturing cost. This study proposes a method for the online monitoring of residual stress near the gate of a mold using multiple pressure sensors to measure process variables and verifies the feasibility of online monitoring. The study found that residual stress near the gate could not be accurately measured with only a single sensor because measurements were susceptible to interference with process parameters. When a single sensor was used to measure process variables, correlation coefficients of between 0.48 and 0.59 were obtained, and when multiple sensors were used, correlation coefficients of between 0.80 and 0.92 were obtained, which indicated strong correlation. Therefore, the online monitoring of residual stress near the gate is feasible. This monitoring method can provide a new concept of online monitoring technology for the injection molding of optical products.