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Front Matter And Table Of Contents Nov 2025

Front Matter And Table Of Contents

New England Journal of Public Policy

Front matter and table of contents for Volume 37, Issue 2 of the New England Journal of Public Policy.


Editor’S Note, Padraig O’Malley Nov 2025

Editor’S Note, Padraig O’Malley

New England Journal of Public Policy

This issue on climate warnings, on the eve of COP30, is a companion issue for Climate Warnings, an issue published on the eve of COP28.


Cop30: A Climate Overview, Padraig O'Malley Nov 2025

Cop30: A Climate Overview, Padraig O'Malley

New England Journal of Public Policy

This overview situates the accelerating climate crisis at a pivotal historical moment, as global emissions and political inaction converge ahead of COP30 in Belém, Brazil. Increasing heat is driving planetary instability, with cascading impacts such as sea level rise, droughts, wildfires, disease emergence, and permafrost thaw.

Despite pledges under the Paris Agreement and subsequent Glasgow Pact, most nations are far off track: 2024 marked the hottest year in recorded history, CO₂ reached 429 ppm by mid-2025, and fossil fuel combustion continues to rise. Under the Trump administration, the United States withdrew again from the Paris Agreement, dismantled environmental agencies, and …


From Margins To Mandates: The Ocean’S Emerging Role In Climate Law And Policy, Kilaparti Ramakrishna Nov 2025

From Margins To Mandates: The Ocean’S Emerging Role In Climate Law And Policy, Kilaparti Ramakrishna

New England Journal of Public Policy

For much of modern history, the ocean was treated as a boundless resource rather than as a living system central to planetary climate stability. Scientific advances over the past two decades have revealed the ocean’s indispensable role in regulating climate by absorbing more than 90 percent of excess heat and nearly a third of anthropogenic carbon dioxide. Yet this buffering capacity is eroding as unchecked greenhouse gas emissions drive warming, acidification, and sea level rise. Protecting ocean health has therefore become inseparable from stabilizing the climate, making ocean stewardship and climate action an indivisible imperative.

This article traces the evolution …


Policy Aspects Of Mitigation And Adaptation To Glacier Melt, José Romero Nov 2025

Policy Aspects Of Mitigation And Adaptation To Glacier Melt, José Romero

New England Journal of Public Policy

Global warming is causing irreversible glacier retreat. This phenomenon will have major consequences for the environment and human systems, particularly in terms of water availability, increased natural hazards, slope and valley stability, hydroelectric power generation, tourism, culture, and local lifestyles. Only a drastic and rapid reduction in greenhouse gas emissions could slow this phenomenon, but this reduction is slow in coming. Countries are experimenting with different approaches to mitigate ice melt, including integrated management of glacial and periglacial ecosystems and the local application of technologies. These technologies raise scientific questions about their effectiveness in a warming climate, and policy questions, …


Farming The 2030s: A Policy Playbook For Climate‑Resilient, Tech‑Enabled Agriculture In Arid And Semi‑Arid Regions, David M. Kargbo, Rawya Mezaal Mhmood, Neam Nabeel Alqaseer Nov 2025

Farming The 2030s: A Policy Playbook For Climate‑Resilient, Tech‑Enabled Agriculture In Arid And Semi‑Arid Regions, David M. Kargbo, Rawya Mezaal Mhmood, Neam Nabeel Alqaseer

New England Journal of Public Policy

The 2030s will be decisive for adapting agriculture to hotter, drier, and more volatile climates, especially across arid and semi-arid regions from the Middle East and North Africa (MENA) to parts of the United States. We advance a pragmatic blueprint: pair water-smart infrastructure and nature-based systems with digital, genetic, and robotic innovations, and align them through policy that de-risks investment while protecting people and ecosystems. We position Australia as a global test bed, where enforceable basin rules, digital agronomy, targeted inputs/robotics, safe wastewater reuse, managed aquifer recharge (MAR), and emerging agrivoltaics (AV) have been validated as bundles rather than isolated …


Making Institutional Criteria Transparent For Minority Entrepreneurs, Yolanda Christophe Nov 2025

Making Institutional Criteria Transparent For Minority Entrepreneurs, Yolanda Christophe

The Lender Center for Social Justice

Entrepreneurship has become a vital pathway for many minority communities, especially in historically disinvested neighborhoods such as Baltimore’s Black Butterfly. Yet, instead of serving as gateways, mainstream institutions, banks, government agencies, corporations, and landlords too often act as barriers. Entrepreneurs report being denied access without clear explanations, forced to rely on exhausting workarounds like piecing together small grants, leaning on personal networks, or slowly building credibility with skeptical institutions. These hurdles unfairly burden business owners who already face limited resources. The research finds that progress cannot rest on specialized minority programs alone; the broader system must change. By making institutional …


Hand Swelling And Other Non-Raynaud Phenomenon Symptoms As The Initial Presentation Of Systemic Sclerosis: Prevalence And Clinical Associations In Two Us Cohorts, Iqtidar Hanif, Shervin Assassi, Maureen D Mayes, Zsuzsanna H Mcmahan, Meng Zhang, Julio Charles, John M Vanburen, Jessica S Alvey, Kimia Ghaffari, Elana J Bernstein, Flavia V Castelino, Lorinda Chung, Luke Evnin, Tracy M Frech, Jessica K Gordon, Faye N Hant, Laura K Hummers, Dinesh Khanna, Kimberly S Lakin, Dorota Lebiedz-Odrobina, Yiming Luo, Ashima Makol, Jerry A Molitor, Duncan F Moore, Carrie Richardson, Nora Sandorfi, Ami A Shah, Ankoor Shah, Victoria K Shanmugam, Virginia D Steen, Elizabeth R Volkmann, Carleigh Zahn, Brian Skaug Nov 2025

Hand Swelling And Other Non-Raynaud Phenomenon Symptoms As The Initial Presentation Of Systemic Sclerosis: Prevalence And Clinical Associations In Two Us Cohorts, Iqtidar Hanif, Shervin Assassi, Maureen D Mayes, Zsuzsanna H Mcmahan, Meng Zhang, Julio Charles, John M Vanburen, Jessica S Alvey, Kimia Ghaffari, Elana J Bernstein, Flavia V Castelino, Lorinda Chung, Luke Evnin, Tracy M Frech, Jessica K Gordon, Faye N Hant, Laura K Hummers, Dinesh Khanna, Kimberly S Lakin, Dorota Lebiedz-Odrobina, Yiming Luo, Ashima Makol, Jerry A Molitor, Duncan F Moore, Carrie Richardson, Nora Sandorfi, Ami A Shah, Ankoor Shah, Victoria K Shanmugam, Virginia D Steen, Elizabeth R Volkmann, Carleigh Zahn, Brian Skaug

Faculty, Staff and Student Publications

Objective: Raynaud phenomenon (RP) is often the initial clinical manifestation of systemic sclerosis (SSc), but some patients develop other manifestations first. To help elucidate the diversity of SSc presentation in its early stages, we describe the initial clinical manifestations and antinuclear antibody (ANA) profiles of patients in two early SSc cohorts.

Methods: All patient data in the Genetics vs Environment in Scleroderma Outcomes Study (GENISOS) and Collaborative National Quality and Efficacy Registry (CONQUER) cohorts were reviewed. Both studies enrolled patients within five years of the first non-RP symptom.

Results: In GENISOS and CONQUER, respectively, 194 (44.2%) of 439 and 292 …


From Information To Impact: The Strategic Role Of Libraries In University Ranking, Tatiana Usova, Fiona Glasgow, Lisa Chisholm Nov 2025

From Information To Impact: The Strategic Role Of Libraries In University Ranking, Tatiana Usova, Fiona Glasgow, Lisa Chisholm

Proceedings of the IATUL Conferences

Academic libraries are increasingly positioning themselves as strategic partners within their institutions, moving beyond traditional support roles to actively advancing institutional priorities, particularly in global university rankings like QS and Times Higher Education (THE). These rankings significantly influence how universities are perceived and funded, and they rely heavily on the use of bibliometric data, research outputs, and institutional reputation.

This paper, presented by SIGMaRI, examines the evolving role of libraries in the rankings landscape. We will highlight impactful library-led initiatives and partnerships with other strategic university departments that advance the university's reputation and shape institutional research strategies. While libraries share …


Bridging Cultures, Building Communities: The Role Of Academic Libraries In Fostering Multicultural Engagement And Digital Inclusion, Emily Chan, Catarina Lei Nov 2025

Bridging Cultures, Building Communities: The Role Of Academic Libraries In Fostering Multicultural Engagement And Digital Inclusion, Emily Chan, Catarina Lei

Proceedings of the IATUL Conferences

This paper explores the evolving role of academic libraries in small, multicultural settings. Using the University of Saint Joseph (USJ) in Macao as a case study, we examine how the library acts as a catalyst for interdisciplinary collaboration. By bridging the gap between diverse faculty departments—such as History, Sound Engineering, and Design—the library facilitates innovative projects that preserve local heritage and promote Sustainable Development Goals (SDGs). This document outlines two specific case studies: the "First Global Typhoon Macau 1874" exhibition and the "OttoSonic" sound installation.


Informed Learning In Place: Tales From A Field Station, Thom Gerrish, Rachel K. Fundator, Clarence D. Maybee, Karen A. Reiman-Sendi Nov 2025

Informed Learning In Place: Tales From A Field Station, Thom Gerrish, Rachel K. Fundator, Clarence D. Maybee, Karen A. Reiman-Sendi

Libraries Faculty and Staff Scholarship and Research

This study investigates how students learn to use information at a remote field station to prepare for roles as environmental researchers, climate advocates, and citizens. Using a semi-structured interview approach, the researchers examined the perceptions of twelve field station instructors on how their students engage with information to learn in a place-based educational context. Three interrelated themes emerged that demonstrate the varied ways in which students need to learn to use information: (1) Leveraging interdisciplinary lenses, where students integrate diverse perspectives to interpret environmental information; (2) Acculturating to field research practices, where students gain practical research and data skills through …


Free-Dom In Creativity: Cost-Accessible Ai Tools For Makerspaces In Academic Libraries, Marvin Factor, Kate Lora Cruz, Yugosto Balbas Nov 2025

Free-Dom In Creativity: Cost-Accessible Ai Tools For Makerspaces In Academic Libraries, Marvin Factor, Kate Lora Cruz, Yugosto Balbas

Proceedings of the IATUL Conferences

The integration of Artificial Intelligence (AI) into academic library makerspaces presents emerging opportunities for enhancing innovation, creativity, and user engagement. However, financial considerations often influence the adoption of advanced technologies, particularly in academic institutions located in developing regions. This study systematically reviews freely available AI tools applicable to makerspace environments in academic libraries, providing a descriptive and comparative analysis of their functionalities and potential applications.  By mapping the current landscape of open-access on a gratis level,  this research identifies key categories of AI applications such as design generation, image generation, language processing, and data visualization, highlighting the strengths, limitations, and …


Generative Ai As Disruptor And Driver For Library Data Services, Shahira Khair Nov 2025

Generative Ai As Disruptor And Driver For Library Data Services, Shahira Khair

Proceedings of the IATUL Conferences

Over the past decade, academic libraries around the world have focused on developing new services to support data-intensive research and open science. This shift has been driven by funder and publisher mandates emphasizing transparency, reproducibility, and FAIR (Findable, Accessible, Interoperable, Reusable) research l data. Just as these services are maturing, the rapid rise of generative AI tools and their application in research presents a disruptive l force, but also a transformative opportunity for library data services. This paper addresses the evolving impact of generative AI and library data services, contextualized by the experiences of researchers captured in a series of …


Ai Empowerment Of Medical Libraries For Promoting Accessible Reading Of Evidence-Based Health Guidelines, Wenjing Ding Nov 2025

Ai Empowerment Of Medical Libraries For Promoting Accessible Reading Of Evidence-Based Health Guidelines, Wenjing Ding

Proceedings of the IATUL Conferences

In an age marked by overwhelming information and a rapidly aging global population, the need for accessible, comprehensible health information has never been more urgent. Although evidence-based health guidelines play a crucial role in supporting informed medical decision-making, their dense medical language and structural complexity often render them inaccessible to lay audiences. This study investigates the transformative role of Artificial Intelligence (AI) in enabling medical libraries to serve as dynamic platforms for promoting the accessible reading of such guidelines, thereby advancing public health literacy and equity.

A dual challenge emerges: on one hand, the expanding volume and sophistication of clinical …


Ethical Governance Framework For Artificial Intelligence In Library Contexts——A Comparative Analysis Of Ifla Guidelines And Chinese Implementation, Xu Shan, Chengyu Zhang Nov 2025

Ethical Governance Framework For Artificial Intelligence In Library Contexts——A Comparative Analysis Of Ifla Guidelines And Chinese Implementation, Xu Shan, Chengyu Zhang

Proceedings of the IATUL Conferences

The application of artificial intelligence (AI) technology in libraries is becoming increasingly widespread, bringing with it not only enhanced service effectiveness but also various ethical challenges. This study constructs a framework for responsible AI ethical practice in libraries based on the AI ethics guidelines of the International Federation of Library Associations and Institutions (IFLA), contextualized within China's national conditions. The paper first deconstructs the 14 key issues in IFLA's ethical framework, categorizing them into three dimensions: technical risks, social risks, and governance risks, and analyzes the application limitations formed within the Western context. It then explores the policy adaptability of …


Hard Lessons, Stronger Banks, Gloria Yang Yu Nov 2025

Hard Lessons, Stronger Banks, Gloria Yang Yu

Asian Management Insights

The enduring wisdom of the Savings and Loan crisis veterans.


Digital Platforms, Mobility, And Cities, Shauna Brail Nov 2025

Digital Platforms, Mobility, And Cities, Shauna Brail

Asian Management Insights

The rise of the digital platform economy and urban mobility requires the reshaping of urban policy.


Occupational Therapy Interventions Supporting Return-To-Work After Cancer Treatment: A Systematized Review​, Kateryna Brichka, Jordyn Spotanski, Kara Warner, Danielle Westmark, Stacy Smallfield, Molly Whitlow Nov 2025

Occupational Therapy Interventions Supporting Return-To-Work After Cancer Treatment: A Systematized Review​, Kateryna Brichka, Jordyn Spotanski, Kara Warner, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

PURPOSE: Return to work (RTW) is a key milestone in cancer survivorship, supporting identity, stability, and quality of life. Many survivors face physical, social, and psychological barriers (Wilson et al., 2023). Occupational therapy practitioners (OTPs) are well positioned to address these challenges through energy conservation, environmental modification, and work reintegration strategies (Désiron et al., 2016). This systematized review synthesized evidence on OT interventions that support RTW for adult cancer survivors.

DESIGN: A systematized review was conducted by a medical librarian from the McGoogan Health Sciences Library. Articles were included if published in English between 2003–2024 and classified as Level I–VI …


Adaptive Vs. Traditional Learning: Long-Term Knowledge Retention -A Literature Review, Amal Altalhi, Chaitali Bonke, Khaled Alblowi Nov 2025

Adaptive Vs. Traditional Learning: Long-Term Knowledge Retention -A Literature Review, Amal Altalhi, Chaitali Bonke, Khaled Alblowi

Information Systems Faculty Publications

Adaptive learning, a personalized educational approach, has appeared as a substitute paradigm to conventional teaching methodologies. Opposed to instruction-based learning, adaptive learning prepares learning content in a way that corresponds to individual learner needs, increasing engagement and knowledge retention. The present study has been conducted to review the literature to evaluate the influence of adaptive learning systems on long-term knowledge retention as compared to their traditional counterparts. Real-time feedback, spaced repetition, and scaffolded content can reduce cognitive load and enhance the learning experience, as they are considered highly effective tools. Several studies have shown that retention improves through the use …


Cobalt Layered Double Hydroxide As Advanced Electrode Materials For Supercapacitors And Electrocatalysis, Wafa Sultan Alaryani Nov 2025

Cobalt Layered Double Hydroxide As Advanced Electrode Materials For Supercapacitors And Electrocatalysis, Wafa Sultan Alaryani

Theses

Due to the high demand for sustainable energy storage options and efficient energy conversion devices, extensive research has been conducted on various electrode materials. This thesis is concerned with the fabrication of electrode material mainly using cobalt-based material, particularly cobalt layered double hydroxides (Co-LDH) with the combination of nitrogen-doped carbon nanotubes (N-CNTs) to be used in supercapacitors and oxygen evolution reactions (OERs) applications. The main objective is to enhance the electrochemical performance of supercapacitors and to develop a novel electrode material for a more stable and efficient OER in alkaline medium.

The methodology involved a one-step hydrothermal procedure to synthesize …


أثر الحكم الصادر عن المحكمة الاتحادية العليا بعدم الدستورية, Mariam Saeed Al Ketbi Nov 2025

أثر الحكم الصادر عن المحكمة الاتحادية العليا بعدم الدستورية, Mariam Saeed Al Ketbi

Theses

The Effect of The Judgment Rendered by the Federal Supreme Court Declaring Unconstitutionality

Constitutional judiciary represents the primary guarantee for the supremacy of the Constitution and the protection of rights and freedoms, as it exercises subsequent review over legislative texts to ensure their compliance with constitutional provisions. The judgments it issues are objective in nature, directed at the legislative text itself rather than the parties involved, which grants them absolute authority that binds all branches of government—legislative, executive, and judicial—as well as individuals. These judgments are final and cannot be appealed by any means, as confirmed by both the UAE …


Genomic And Metabolic Network Characterization Of Fusarium Species, Hend Hussain Mueenuddin Nov 2025

Genomic And Metabolic Network Characterization Of Fusarium Species, Hend Hussain Mueenuddin

Theses

Fusarium covers the wide genus of fungi with over 400 species that are key in agricultural and medical practice. The purpose of the current study was to perform a comprehensive genomic profiling of the 19 Fusarium species that were captured in the National Centre of Biotechnology Information (NCBI) database. The study was made to make a comparison of the data, based on the descriptive statistics of every species, with graphical representation images enabling clear demonstration of the numbers. The study indicated that the chromosomal numbers were in the range of 0-15, the gene count was roughly 11000 -19000, while that …


Shu World Review- November 1st 2025, Diplolab Nov 2025

Shu World Review- November 1st 2025, Diplolab

SHU World Review

No abstract provided.


The Ai-Powered Learning Loop In Higher Education, Oualid Abidi, Vladimir Dzenopoljac, Aleksandra Dzenopoljac Nov 2025

The Ai-Powered Learning Loop In Higher Education, Oualid Abidi, Vladimir Dzenopoljac, Aleksandra Dzenopoljac

All Works

Purpose – This study examines how generative AI tools affect business students’ academic performance by investigating whether flexible AI policies promote deeper learning, enhance self-efficacy and facilitate tacit knowledge acquisition in a Middle Eastern context, while ensuring efficiency and academic integrity. Design/methodology/approach – A qualitative, exploratory study observed 20 final-year business students in Kuwait during five in-class activities using generative AI tools. Semi-structured interviews complemented the researcher’s observations. Thematic analysis revealed patterns in benefits, challenges and learning processes, leading to the development of the AI-powered learning loop framework to explain academic performance outcomes. Findings – The study indicates that generative …


Exploring Nursing Students’ Experiences Of Factors Influencing Reflective Practice In Clinical Setting, Wafaa El Zaatari, Imad Maalouf Nov 2025

Exploring Nursing Students’ Experiences Of Factors Influencing Reflective Practice In Clinical Setting, Wafaa El Zaatari, Imad Maalouf

All Works

Purpose – Reflective practice is crucial in clinical nursing education at a nursing college in Al Ain. This study aims to explore nursing students’ perspectives on reflective practice in a clinical setting. Design/methodology/approach – The study employed an exploratory case study design, using semi-structured interviews to collect data from eight nursing students studying at a nursing college in the UAE. The recorded interviews were transcribed verbatim and manually analysed using thematic analysis. Findings – Three main themes have been extracted, and these are the significance of reflection, facilitating factors and hindering factors. Four sub-themes emerged from the facilitating factors: moral …


Asymmetric Relationship Between Competition And Innovation: Evidence From Banks In The Eurozone, Kenny Tee, Konstantinos Syriopoulos, Ghulame Rubbaniy, Amna Salim Nov 2025

Asymmetric Relationship Between Competition And Innovation: Evidence From Banks In The Eurozone, Kenny Tee, Konstantinos Syriopoulos, Ghulame Rubbaniy, Amna Salim

All Works

This study examines the asymmetric relationship between competition and innovation in Eurozone banking, using data from the original 11 Economic and Monetary Union member states. Employing the technology gap ratio for innovation and the Lerner index and Boone indicator for competition, we find an inverted-U pattern: innovation initially rises with competition but declines beyond a threshold. Granger causality tests confirm bidirectional causality on the upward slope but none on the downward, highlighting nonlinearity. These findings suggest that moderate competition fosters innovation, while excessive rivalry stifles it. Policymakers should balance competition to maximize innovation without undermining long-term technological progress.


State Of Menstrual Health Education In 2024: Content Analysis Of Us K-12 Public School Education Standards, Emily Richardson, Sarah Bemis, Page Dobbs, Hope Ballentine, Shristi Bhochhibhoya, Victor Kwaku Akakpo, Kylie Lovett Nov 2025

State Of Menstrual Health Education In 2024: Content Analysis Of Us K-12 Public School Education Standards, Emily Richardson, Sarah Bemis, Page Dobbs, Hope Ballentine, Shristi Bhochhibhoya, Victor Kwaku Akakpo, Kylie Lovett

The Eleanor Mann School of Nursing Faculty Publications and Presentations

Background: Exploratory study aiming to assess the prevalence and time of initiation of menstrual health curriculum in US public school education standards by state. Methods: US public school Kindergarten-12th grade education standards from each state's Department of Education website, including D.C. (n = 51), were searched for menstruation, menstrual, menses, menopause, period, menarche, reproduction, puberty, and growth and development. Results25.5% (n = 13) of US education standards include menstruation. Of these, constructs of comprehensive menstrual health were recorded including abnormal menstruation (n = 6), menstrual hygiene (n = 6), menopause (n = 1), and stigma (n = 7). Education is …


Singapore Awakened: How Success – And Flourishing – Shape Family, Seow Hon Tan Nov 2025

Singapore Awakened: How Success – And Flourishing – Shape Family, Seow Hon Tan

Research Collection Yong Pung How School Of Law

Assoc. Prof. (Dr.) Tan Seow Hon delivered the keynote address at Cultivate SG’s second annual conference, “Unfiltered – The Family on Trial”, on 17 November 2025. In her speech titled “Singapore Awakened: How Success – and the Alternative of Flourishing – Shape Family”, Dr Tan reflects on the “Singapore Dream”, the narrow mindset of success in contrast with the concept of flourishing, and how these impact marriage and family. She concludes by offering some thoughts on how to move from success to flourishing.


Catalytic Removal Of Synozol Blue Dye From Aqueous Solution Through Green Synthesized Iron Nps With H2o2: With Addition Of Ecosar And Biological Investigation, Rabiya Kousar, Zia Ul Haq Khan, Jingyu Sun, Sana Sabahat, Noor Samad Shah, Jibran Iqbal, Mahmood M.S. Abdullah, Rabia Naz, Zia Ullah Khan Nov 2025

Catalytic Removal Of Synozol Blue Dye From Aqueous Solution Through Green Synthesized Iron Nps With H2o2: With Addition Of Ecosar And Biological Investigation, Rabiya Kousar, Zia Ul Haq Khan, Jingyu Sun, Sana Sabahat, Noor Samad Shah, Jibran Iqbal, Mahmood M.S. Abdullah, Rabia Naz, Zia Ullah Khan

All Works

This bioinspired study explores the fascinating realm of clean and green chemistry by unveiling the potential of FeO NPs fabricated by taking advantage of botanical extract obtained from the leaves of Justicia adhatoda as a reducing agent because it reduced Fe (II) to Fe (0). FeONPs have been fabricated successfully with distinctive structural and morphological features that have been characterized through multiple analytical techniques, like UV/Vis, FTIR, XRD, SEM, TEM, BET, and Zeta potential. The surface plasmonic resonance peak appeared at 268 nm, which was measured through the UV/Vis spectra of synthesized NPs. XRD analysis discovered the crystalline nature of …


Comorbidities And Emotions - Unpacking The Sentiments Of Pediatric Patients With Multiple Long-Term Conditions Through Social Media Feedback: A Large Language Model-Driven Study, Temidayo Oluwalade, Hossein Ahmadi, Lin Huo, Richard Sharpe, Shang-Ming Zhou Nov 2025

Comorbidities And Emotions - Unpacking The Sentiments Of Pediatric Patients With Multiple Long-Term Conditions Through Social Media Feedback: A Large Language Model-Driven Study, Temidayo Oluwalade, Hossein Ahmadi, Lin Huo, Richard Sharpe, Shang-Ming Zhou

School of Nursing and Midwifery

ObjectivesThe emotional and psychological challenges faced by children with multiple long-term conditions (MLTCs) remain underexplored. This study aimed to analyze sentiments and emotions expressed by this vulnerable population and their caregivers on social media, assess the effects of comorbidities and the COVID-19 pandemic on emotional well-being.MethodsNarratives from the Care Opinion platform (2008–2023) were analyzed by a model called CoEmoBERT, developed using the large language model, distilroberta-base transformer model. The CoEmoBERT-based sentiment analysis categorized emotions into “Positive”, “Negative”, and “Neutral,” with further refinements into specific emotions such as “Sad,” “Fear”, “Satisfied” etc. through pretraining and transferring process. Comorbidity associations with emotions …