bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Social Support Affirms Identity in LGBQ Adults: A Qualitative Exploration
Authors: Cavarra Rebecca , Pepping Christopher , Anderson Joel 
Published: February 2025

Abstract

Introduction
This paper presents a qualitative exploration of the role social support plays in identity affirmation, referring to the experience of feeling proud and viewing one’s sexual orientation as a positive aspect of one's identity.

Methods
A sample of 395 lesbian, gay, bisexual, and/or queer (LGBQ) adults provided responses to open-ended questions about whether and how social support facilitates sexual identity affirmation, alongside other potential contributors. Data were collected in 2022.

Results
Across eight themes, participants described a range of factors that either facilitated or impeded identity affirmation. Feelings of acceptance, comfort, and confidence were said to promote identity affirmation, as was a sense of understanding one’s identity and a lack of shame or isolation. Sources of social support were discussed, including support from the LGBTIQ + community; however, tensions within these communities were noted. Broader societal support was discussed as identity affirming and took several forms, including representation and visibility, normalisation, and legislation and political discourse. Finally, the different ways in which identity is affirmed across the lifespan are discussed.

Conclusions
The themes build upon the existing link between social support and identity affirmation and are understood through the lens of Bronfenbrenner’s bioecological systems theory.

Policy Implications
Findings have policy implications surrounding supportive legislation, more positive political discourse, and implementation of school-based educational interventions. Additionally, implications for professionals working with LGBQ individuals to better understand what identity affirmation is to this population and how it can be enhanced are discussed.
Oral health among children participating in an extended home visiting programme—a case‒control study
Authors: Brännemo I. , Norman J. , Kvist T. , Lindberg L. , Tsilingaridis G. 
Published: February 2025

Abstract

Purpose
To evaluate whether an extended home visiting programme by child health nurses and parent counsellors can prevent caries and improve oral health habits in children from low socioeconomic backgrounds.

Methods
All families in Sweden are offered one home visit when the child is two weeks old. The extended home visiting programme included five extra home visits between two and fifteen months of age where every visit had a specific theme (child safety, feeding, attachment/interaction, parenthood, social network, and self-care). Toothbrush and toothpaste, together with oral health information, were given around eight months of age. Clinical examinations and oral health habit questionnaires were conducted at 12, 24, and 36 months of age. The International Caries Detection and Assessment System was used to assess caries, and the results were compared to those of an age-matched control group following the standard child health care programme.

Results
Significantly (p < 0.05) more children had caries at 36 months of age in the intervention group (32.8%) than in the control group (10.1%). The intervention group had significantly (p < 0.05) more plaque and a greater frequency of sweet snacks and drinks. In the intervention group, significantly (p < 0.05) more parents were under the age of 25 and foreign-born. Significantly (p < 0.001) more foreign-born parents were born in high-income countries in the control group compared to the intervention group.

Conclusion
The extended home visiting programme did not improve the prevalence of caries or oral health habits in this cohort. However, since the groups differed in socioeconomic factors, the results should be interpreted with caution.
The Impact of Hypoalbuminemia on Antibiotic Therapeutic Outcomes: A Focused Review
Authors: Acbo Antoinette , Nissim Yosef C , Waterloo Marissa , Ismail Omar , Gonzalez Jimmy 
Published: February 2025

Abstract

Purpose of review
The impact of hypoalbuminemia on the pharmacokinetics and clinical outcomes for patients receiving antimicrobial therapy remains a common question for clinicians. This review seeks to summarize and analyze recently published data to provide insight into potential opportunities for optimization of future randomized controlled trials.

Recent findings
Recent retrospective and observational studies largely focus on the impact of hypoalbuminemia on ceftriaxone and ertapenem use. Available data indicate that patients with hypoalbuminemia may have worse clinical outcomes than normoalbuminemic counterparts.

Summary
The impact of hypoalbuminemia on clinical outcomes in patients receiving antimicrobials is mixed. No clear consensus has been achieved regarding optimization of ceftriaxone or ertapenem therapy for patients with hypoalbuminemia. Further research evaluating this patient population would benefit from larger sample sizes, inclusion of indication/culture data, and alternative dosing recommendations.
Subjektiv wahrgenommene Belastung von Mitarbeitenden des deutschen Rettungsdienstes
Authors: Pecha Stefanie , Hofmann Thomas , Möckel Luis , Jacobs Simone 
Published: February 2025

Zusammenfassung

Hintergrund
Der Rettungsdienst ist im Kontext der demografischen Entwicklung von einem erheblichen Fachkräftemangel betroffen. Dies führt zu Engpässen und Überlastungen, die die Qualität der öffentlichen Gesundheitsversorgung beeinträchtigen können, und zu einem Anstieg der beruflichen Anforderungen an Rettungskräfte. Ziel dieser Arbeit war es, vor dem Hintergrund sich ändernder Rahmenbedingungen eine aktuelle Einschätzung der physischen und psychischen Belastung sowie der Berufstreue deutscher Rettungskräfte zu erlangen.

Methodik
Im Rahmen der EMS Health-Studie 2023 wurde eine bundesweite Umfrage unter deutschen Rettungskräften durchgeführt. Um Informationen über Belastungsfaktoren und möglichen Verbesserungsmöglichkeiten zu sammeln, wurden Fragen verwendet, die an eine Studie des bayerischen Landesamtes für Gesundheit und Lebensmittelsicherheit angelehnt und durch weitere Belastungsfaktoren ergänzt wurden.

Ergebnisse
Die Untersuchung ergab, dass über 40 % der Befragten über einen Berufswechsel, größtenteils aufgrund der Arbeitsbedingungen, nachdenken oder bereits konkrete Schritte in diese Richtung unternehmen. Darüber hinaus weisen die Ergebnisse darauf hin, dass Beschäftigte im Rettungsdienst zahlreichen Belastungsfaktoren ausgesetzt sind, wobei die höchsten Belastungswerte im organisatorischen Bereich zu finden sind, die den Ablauf und die Struktur des Rettungswesens betreffen. Hinsichtlich der bestehenden Maßnahmen zeigt sich, dass laut Kenntnisstand der Mitarbeitenden in etwa 50 % der Einrichtungen wichtige Präventions- und Interventionsmaßnahmen fehlen.

Diskussion
Die Studiendaten zeigen ein erhebliches Potenzial zur Optimierung der Arbeitsbedingungen für deutsche, präklinische Rettungskräfte und unterstreichen die Notwendigkeit, entsprechend Maßnahmen zu ergreifen.
Robust and High-Wettability Cellulose Separators with Molecule-Reassembled Nano-Cracked Structures for High-Performance Supercapacitors
Authors: Wang Xiaoyu , Zheng Wenqiu , Zhao Hui , Li Junying , Chen Sheng , Xu Feng 
Published: February 2025

Abstract
Separators in supercapacitors (SCs) frequently suffer from high resistance and the risk of short circuits due to inadequate electrolyte wettability, depressed mechanical properties, and insufficient thermal stability. Here, we develop a high-performance regenerated cellulose separator with nano-cracked structures for SCs via a binary solvent of superbase-derived ionic liquid and dimethylsulfoxide (DMSO). The unique nano-cracks with an average width of 7.45 nm arise from the acceleration of cellulose molecular reassembly by DMSO-regulated hydrogen bonding, which endows the separator with high porosity (70.2%) and excellent electrolyte retention (329%). The outstanding thermal stability (273 °C) and mechanical strength (70 MPa) enable the separator to maintain its structural integrity under high temperatures and external forces. With these benefits, the SC utilizing the cellulose separator enables a high specific capacitance of 93.6 F g−1 at 1.0 A g−1 and a remarkable capacitance retention of 99.5% after 10,000 cycles compared with the commercial NKK-MPF30AC and NKK-TF4030. The robust and high-wettability cellulose separator holds promise as a superior alternative to commercial separators for advanced SCs with enhanced performance and improved safety.
The Impact of Witnessing School Bullying in the Classroom: Exploring Perceptions and Responses Among Turkish Students
Authors: Jungert Tomas , Sarıca Semanur , Bäckström Martin 
Published: February 2025

Abstract
This study addresses the impact of witnessing different types of school bullying on Turkish school students who are bystanders. The primary aim is to investigate how the type of bullying (direct/indirect; ostracism/devaluation) affects the perception of bullying and the roles witnesses take. Additionally, we explore whether gender, global state self-esteem, and identification with one’s school account for variability in the dependent variables. Using an experimental vignette design, 378 Turkish students (mean age 15 years, 59% female) from four schools were randomly assigned to one of four vignettes describing Direct/Ostracism, Indirect/Ostracism, Direct/Devaluation, and Indirect/Devaluation scenarios. Students perceived significantly less bullying in the indirect devaluation scenario compared to the other three conditions and had less reaction to it than the other conditions. Students who identified more strongly with the school were more likely to perceive that bullying was involved in the vignettes and they were also more likely to react negatively and less likely to remain passive. Girls were more likely to perceive the situations as involving bullying, while boys were more likely to react negatively to the bullying. Finally, self-esteem was not associated with type of bullying. The findings address a critical gap in the literature by examining the often-neglected impact of witnessing school bullying on bystanders and perceptions of different types of bullying.
Mathematical modeling of Chinese medicine by complex-valued five-agent network
Authors: Yang Ciann-Dong 
Published: February 2025

Abstract
Traditional Chinese medicine (TCM) is a holistic medicine that deals with the whole person, not just the disease or injury. Based on the Yin-Yang Philosophy and the Wuxing (Five Elements) network, TCM advocates that the human body has the self-regulation ability, which can make the internal organs of the human body operate in a coordinated manner, adapt to changes in the external environment, and achieve harmony between the human body and nature. However, for more than two thousand years, this argument about the human body's self-regulation and adaptation abilities has remained at the level of natural philosophy, lacking direct scientific evidence. This article applies the complex-valued multi-agent network theory to build a general mathematical model for the Yin-Yang Wuxing network based on which, we can quantitatively describe and compute the operation of TCM by linear algebra. The eigenstructure analysis of the established mathematical model clearly reveals the roles of the Yin-Yang philosophy and the Wuxing network in TCM and confirms their inherent feedback mechanism to ensure the balanced operation of organs in the human body. This paper opens the way for quantitative research on TCM, which can be used to identify unbalanced organs and predict the impact of environmental changes and medical treatments on the human body.
COVID-19 Risk and Crisis Communication Challenges and Opportunities: Qualitative Insights from Rural Wastewater Surveillance Partners
Authors: Tucker Savannah G. , May Beverly , Liversedge Matthew , Berry Scott , Keck James W , Hoover Anna Goodman 
Published: February 2025

Abstract

Objectives
Understand perceptions of COVID-19 messages and information sources among rural wastewater treatment plant operators to inform context-specific communication strategies for implementing wastewater surveillance methodologies locally.

Methods
Eight employees from 7 Eastern Kentucky facilities involved in SARS-CoV-2 wastewater surveillance participated in semi-structured interviews. Respondents shared perceptions of traditional and social media COVID-19 information channels in their communities, as well as factors influencing trustworthiness of sources. Using the U.S. Centers for Disease Control and Prevention’s Crisis and Emergency Risk Communication (CERC) framework, 3 investigators conducted iterative, thematic coding of interview transcripts.

Results
Respondents’ statements most frequently related to “Be Credible,” “Be Right,” and “Promote Action” CERC constructs, while mixed messages, high volumes of information, and numerous sources undermined trust in COVID-19 information.

Conclusions
Understanding the relative importance of CERC constructs and their distractors may improve future risk communication to advance infectious disease surveillance strategies in rural contexts.
Epistemic justification and the folk conceptual gap
Authors: Mortini Dario 
Published: February 2025

Abstract
Recent experimental epistemology has devoted increasing attention to folk attributions of epistemic justification. Empirical studies have tested whether lay people ascribe epistemic justification in specific lottery-style vignettes (Friedman and Turri 2014, Turri and Friedman 2015, Ebert et al. 2018) and also to more ordinary beliefs (Nolte et al. 2021). In this paper, I highlight three crucial yet hitherto uncritically accepted assumptions of these studies, and I argue that they are untenable. Central to my criticism is the observation that epistemic justification is a philosophical term of art mostly foreign to lay people: as such, it is not suitable for direct empirical testing without being previously introduced. This point reveals a folk conceptual gap between the subject matter of these experimental studies and the conceptual repertoire we can reasonably expect lay people to possess. I elaborate on this worry, and I end on a cautiously optimistic note: after suggesting better strategies to survey folk attributions of epistemic justification, I conclude that the challenge raised by the folk conceptual gap remains difficult but can in principle be addressed.
Threat to Family Stability or Social Stability? Domestic Violence Protection Orders in Two Chinese Courts
Authors: He Xin 
Published: February 2025

Abstract
In this examination of domestic violence protection orders in two lower-level Chinese courts, the interpretation of gender violence with respect to political concerns for social stability plays an essential role in the law’s effectiveness. In an urbanized coastal area court, judges see gender violence as a direct threat to social stability. To maintain stability, they facilitate claims against gender violence. Conversely, in a rural court, judges view gender violence as a direct threat to family stability. To maintain family stability, which is closely linked to social stability, they suppress claims against gender violence. This study proposes that, when global discourses are reformulated, new forms of cultural and political appropriation emerge. It highlights the complexities that arise when law, culture, and politics intermingle in the process of law and globalization. Understanding these complexities is crucial for addressing challenges in implementing global legal reforms at the local level and ensuring protection against gender violence.
THE UK PRODUCTIVITY SHORTFALL IN AN ERA OF RISING LABOUR SUPPLY
Authors: Benito Andrew , Young Garry 
Published: February 2025

Abstract
Labour productivity stagnated in the UK in the period between the financial crisis and the emergence of Covid-19. Labour supply and employment grew strongly over the same period, driven primarily by net inward migration. While labour productivity should be independent of labour supply in the long run, this need not be the case in the medium run while capital per worker adjusts. Exploiting a range of evidence, we conclude that around 4 pp of the estimated 20% shortfall in productivity from its previous trend that had emerged by 2019 might be explained by increased labour supply, with a slowdown in TFP growth accounting for most of the shortfall.
Integrating collaborative digital multimodal tasks in Spanish as a second language course
Authors: Elola Idoia , Bueno-Alastuey M. Camino , López-Pérez María Victoria 
Published: February 2025

Abstract
The emphasis in L2 learning has mainly focused on individual writers and monomodal academic genres (e.g. narration, argumentation), neglecting the potential of collaborative composing and the use of digital genres that introduce additional semiotic sources, for fear of having to deal with “a messy transition to digital multimodal communication” (Lotherington, 2021: 220). Yet, because Web 2.0 technological upgrades have enabled interactivity, literacy has morphed from discretely reading and writing a static page to dynamically reading and writing a multimodal one, which underpins collaborative authorship and (local and global) audience awareness. Considering the inclusion of working collaboratively with multimodal tasks in the L2 classroom, the question of how to help students effectively incorporate multimodal with academic monomodal texts remains unanswered. In response to this challenge, this study examines the design and implementation of an online task to foster multiliteracies. Thirty-seven international students of diverse disciplines (e.g. economics, engineering, history), enrolled in a Spanish as a second language course, worked collaboratively to create multimodal texts based on previously created monomodal texts. Informed by a student questionnaire and a teacher focus group, we analyzed both students’ and teachers’ perceptions to ascertain the effectiveness of the intervention and the possibilities these kinds of tasks bring to the foreign language classroom. Both sets of participants reported positive results concerning linguistic advancement, motivation, and multiliteracies development. Pedagogical recommendations related to the inclusion of this pedagogical practice are provided.
Incomplete Kawasaki disease with peripheral facial nerve palsy and giant coronary artery aneurysm: rare case report
Authors: Prayudijanto Muhammad I. , Talib Suprohaita R. , Rohimi Syarif , Azwani Winda , Lestari Pandu C. , Raditha Citra , Tjandrajani Anna , Adriansyah Rizky , Advani Najib 
Published: February 2025

Abstract
Kawasaki disease is an idiopathic vasculitis that involves the participation of various physiological systems and the inflammation of small-to medium-sized arteries, resulting in the formation of aneurysms. It most commonly affects children under 5 years. The development of coronary artery aneurysms is a significant concern in the context of Kawasaki disease, rendering it the prevailing acquired cardiac condition among children. It has been observed that 1–30% of Kawasaki illness patients experience neurological complications. However, facial nerve palsy is uncommon, with a prevalence of only 0.9%. Infants with Kawasaki disease and facial nerve palsy tend to be under 6 months of age and had a higher chance to develop coronary artery aneurysms compared to those without facial nerve palsy whose condition was never treated.
Kawasaki disease: the most common cause of acquired heart disease among children globally
Authors: Pilania Rakesh Kumar , Tremoulet Adriana H. , Prinja Shankar , Dahdah Nagib , Singh Surjit 
Published: February 2025

Abstract
Kawasaki disease is a childhood vasculitic disorder that has a special predilection for coronary arteries. Kawasaki disease has been reported from all regions of the world, with an increasing incidence in several countries. Kawasaki disease is now the most common cause of acquired heart disease in children all over the world. However, it is concerning that the estimated vast majority of Kawasaki disease cases in low- and middle-income countries are not getting diagnosed and treated. The World Health Organization acknowledges cardiovascular disease in their priority of actions. The World Health Organization is invited to acknowledge the reality of Kawasaki disease in its list of cardiovascular diseases and take steps to facilitate the diagnosis and treatment of Kawasaki disease, especially in low- and middle-income countries. It is a disease of public health importance and needs urgent prioritisation by the World Health Organization.
Neighbourhood socioeconomic deprivation associated with poorer psychological therapy outcomes for PTSD: an audit of a single NHS Talking Therapies (IAPT) service
Authors: Richardson Thomas , Ferrie Olivia , Smith Dianna , Ellis-Nee Colm , Smart Tanya , Gray Ellenor , Roberts Neil , Delgadillo Jaime , Simmons-Dauvin Miriam 
Published: February 2025

Abstract
Economic variables such as socioeconomic status and debt are linked with an increased risk of a range of mental health problems and appear to increase the risk of developing of post-traumatic stress disorder (PTSD). Previous research has shown that people living in more deprived areas have more severe symptoms of depression and anxiety after treatment in England’s NHS Talking Therapies services. However, no research has examined if there is a relationship between neighbourhood deprivation and outcomes for PTSD specifically. This study was an audit of existing data from a single NHS Talking Therapies service. The postcodes of 138 service users who had received psychological therapy for PTSD were used to link data from the English Indices of Deprivation. This was analysed with the PCL-5 measure of PTSD symptoms pre- and post-treatment. There was no significant association between neighbourhood deprivation measures on risk of drop-out from therapy for PTSD, number of sessions received or PTSD symptom severity at the start of treatment. However, post-treatment PCL-5 scores were significantly more severe for those living in highly deprived neighbourhoods, with lower estimated income and greater health and disability. There was also a non-significant trend for the same pattern based on employment and crime rates. There was no impact of access to housing and services or living environment. Those living in more deprived neighbourhoods experienced less of a reduction in PTSD symptoms after treatment from NHS Talking Therapies services. Given the small sample size in a single city, this finding needs to be replicated with a larger sample.

Key learning aims

(1)
Previous literature has shown that socioeconomic deprivation increases the risk of a range of mental health problems.

(2)
Existing research suggests that economic variables such as income and employment are associated with greater incidence of PTSD.

(3)
In the current study, those living in more deprived areas experienced less of a reduction in PTSD symptoms following psychological therapy through NHS Talking Therapies.

(4)
The relatively poorer treatment outcomes in the current study are not explained by differences in baseline PTSD severity or drop-out rates, which were not significantly different comparing patients from different socioeconomic strata.