bluuebunny/crossref_metadata_2025_split huggingface dataset:
Adjustable Phonatory PEEP to Treat Dysphonia: A Preliminary Investigation of Progressive Masked Voice Exercises (PMVE)
Authors: Frank Matthew K. , Sechtem Phillip R. , Garg Hina , Price Summer , Terry Camrin , Collins John R. , Castelli Dave 
Published: December 2024

AbstractThe Progressive Masked Voice Exercises (PMVE) with an innovative semioccluded ventilation mask fitted and adjustable positive end-expiratory pressure (PEEP) valve was evaluated. This study aimed to compare the effectiveness of the PMVE with the PEEP device and the Vocal Function Exercise (VFE) program on acoustic, auditory-perceptual, aerodynamic, and self-report measures. Twenty-five participants diagnosed with voice disorders met the criteria. Participants were randomly assigned to either the PMVE or the VFE group for a 6-week home therapy program. Pre- and post-data were analyzed with parametric and nonparametric statistics. Acoustic and aerodynamic measures showed no between-group or interaction group × time effects; however, a main effect of time was observed for all but one of the eight acoustic variables, indicating that both groups improved. Additional within-group analysis showed improvements in two of the eight variables for the PMVE program and four for the VFE program. No between-group differences were observed for the auditory-perceptual judgments using the GRBASI scale; however, the strain was improved for the VFE group. No differences in self-report measures were also seen, except for the VFE group. This study provides preliminary evidence for the PMVE therapy program. Further research is needed in large and diverse samples and clinical application is invited.
Association of Evening Eating with Sleep Quality and Insomnia among Adults in a Brazilian National Survey
Authors: Nunes Maria Eduarda Bezerra , dos Santos Caio Henrique Barros , Lima Márcia de Oliveira , Pedrosa Anny Kariny Pereira , de Menezes Risia Cristina Egito , Longo-Silva Giovana 
Published: December 2024

Abstract
Objective To examine the association of evening eating clock time, its elapsed time to the midpoint of sleep (TEM), consumption of caffeine and sugary foods, and reporting dinner as the largest meal with sleep quality indicators and insomnia.
Methods Participants (n = 2,050;18–65y) were part of population-based research, with virtual data collection. Logistic regression models were fitted to assess differences in the ORs(95%CI) of sleep duration < 7 hours, sleep latency > 30 minutes, poor sleep quality, and insomnia (outcomes) with the evening diet-related variables. Linear regression analyses evaluated differences in sleep duration and latency associated with the same variables. Restricted cubic splines were used to study the shape of the association of eating event clock time and TEM with sleep duration and latency.
Results Each additional hour of evening eating clock time and of the TEM, respectively increased and decreased, the odds of sleep duration < 7/h [OR(95%CI):1.30(1.20,1.40); OR(95%CI):0.51(0.47,0.56)], sleep latency > 30min [OR(95%CI):1.14(1.07,1.22); 0.88(0.83,0.94)], poor sleep quality [OR(95%CI):1.21(1.13,1.30); 0.80(0.76,0.85)] and insomnia [OR(95%CI):1.12(1.04,1.20); 0.89(0.84,0.95)]. We found a dose-response association between evening eating (clock time and TEM) and sleep duration. The shortest latency was seen when evening eating was ∼20:00 and ∼7–8 hours before the midpoint of sleep. Participants who reported dinner as the largest meal and consumed caffeine and sugary foods/beverages after 18:00 presented higher odds of sleep duration < 7 hours, poor quality, and insomnia.
Conclusions Our findings indicate that an early-eating schedule has beneficial sleep effects and that it will be necessary to consider evening eating patterns and timing, along with the existing sleep and circadian hygiene, to improve sleep quality and circadian health.
Safety and Efficacy of Novel Cost-Effective EUS Coiling and Glue Technique for the Management of Large Gastric Varices: A Long-Term Follow-up Study
Authors: Khare Shivam , Arora Anil , Varghese Jijo , Singla Vikas , Rahman Asif , Kumar Ashish , Ranjan Piyush , Kumar Mandhir , Sharma Praveen , Bansal Naresh , Anikhindi Shrihari , Sachdeva Munish , Khandelwal Asheish , Gupta Mayank , Giri Suprabhat 
Published: December 2024

Abstract
Aims and Objective Mortality by gastric variceal bleeding can reach up to 30%. Gastric varices can be treated by either direct endoscopic glue or endoscopic ultrasound (EUS) coiling + glue injection. Now, enough data show that EUS coil + glue is an effective option for large varices. However, it is a costlier option than direct endoscopic glue injection. In our study, after putting the coil under EUS guidance, direct endoscopic glue injection is done with a 21G sclerotherapy needle. Since the EUS needle was not used for the glue injection, it can be reused for up to three cases for deployment of the EUS coil, hence reducing the cost of the whole procedure. In short, our study aims to find the safety and efficacy of a cost-effective method of EUS coiling + glue injection in a cohort of the Indian population.
Material and Methods Retrospective review of prospectively collected data on EUS coiling + direct endoscopic glue injection over a period spanning from July 2017 to December 2023 from a tertiary care center in North India.
Results A total of 103 patients (gastroesophageal varices type 2, GOV2 [n = 82] and isolated gastric varices type 1, IGV1 [n = 21]) were taken up for the study. Among the 103 patients, 74 patients were males and 29 were females. The mean follow-up duration of the study population was 34.2 ± 21 months. The average size of the varix was 2.3 cm. The average number of coils was 3.3 and the volume of injected glue was 3.1 mL. In our study, 4 out of 103 patients had rebleeding, but the cause of rebleeding turned out to be nonvariceal. Regarding the intraprocedural and postprocedural adverse events, 1 out of 103 patients in our study experienced abdominal pain and fever, which responded to oral analgesics and antipyretics. There was no active bleeding from the puncture site or evidence of systemic embolization. Technical success was 100% in our study. Reuse of needles was not associated with any increment in risk of infection.
Conclusion EUS coiling + direct endoscopic glue injection is a safe and effective endoscopic therapy for large gastric varices with sustainable long-term beneficial effects with a negligible amount of rebleeding. Direct endoscopic injection of glue following EUS coiling with a 21G sclerotherapy needle can significantly reduce the cost of the procedure without any risk of infection.
Isolated Right Atrial Enhancement with Atrial Standstill: An Uncommon Presentation of Emery–Dreifuss Muscular Dystrophy
Authors: Biradar Basavaraj , Valakkada Jineesh , Ayyappan Anoop , Alex Ajay 
Published: December 2024

AbstractEmery–Dreifuss muscular dystrophy (EDMD) is a rare inherited syndrome that affects muscles, joints, and the heart. The classic clinical triad includes early joint contractures, slowly progressive muscle weakness, and cardiac abnormalities. The common cardiac manifestations include conduction disturbances, systolic dysfunction, and dilated cardiomyopathy and may be associated with left ventricular noncompaction with an increased risk of thromboembolic events. Conduction disturbances include atrial arrhythmias, atrial standstill, complete heart block, or ventricular tachyarrhythmia. Cardiac magnetic resonance imaging (CMR) can help in the diagnosis of this condition by identifying chamber dilatation, systolic dysfunction, and late gadolinium enhancement of the atrium. Additional MRI finding of paraspinal muscle atrophy, an important finding in this muscular dystrophy, helped in reaching a confident imaging diagnosis. Our case in this article highlights the clinical and CMR findings of this rare condition.
Stoma-Related Complications: Frequency of Postoperative Morbid Events and Factors Related to Adverse Outcomes
Authors: Zubillaga-Mares Asya , Alvarez-Bautista Francisco Emmanuel , Cárdenas-Lailson Eduardo , Nájera-Saldaña Alberto , Nuñez-Venzor Alejandra , Meza-Hernández Javier Andrés , Serrano-Sánchez Minnet , Trejo-Ávila Mario 
Published: December 2024

Abstract
Introduction Stoma placement is a common surgical procedure that can be performed in the context of urgent and elective surgery for benign and malignant conditions, with an estimated morbidity ranging from 21% to 70%.
Methods A retrospective cohort analysis to determine the incidence of stoma placement postoperative-related complications and potential associated factors. This study was conducted at a single tertiary care center in Mexico City including all patients who underwent a stoma construction between January 2016 and October 2023.
Results A total of 276 patients underwent stoma construction. Eighty-one (29.3%) patients presented morbidity exclusively related to the ostomy.The multivariate analysis showed the following risk factors: advanced age for developing stoma-related complications; obesity for developing parastomal hernia; strangulated hernia and complicated diverticular disease for developing mucocutaneous dehiscence; bowel obstruction and parastomal hernia for developing stomal prolapse; anastomotic leak and preoperative corticosteroid therapy for developing parastomal abscess; and end-colostomy and advanced age for reoperation.
Discussion Ostomy creation carries a high morbidity rate. Preoperative features such as advanced age, obesity, corticosteroid therapy, the indication of the surgery, as well as the type of the stoma created must be considered as they could significantly impact the development of adverse outcomes.
Epidemiological Data from Patients Who Underwent Colonoscopy from High-Susceptibility Vacancies
Authors: Martins Ana Claudia , Miranda Vera Lúcia , Junior Milton Brandão Monteiro , Silva Mayra dos Santos 
Published: December 2024

Abstract
Objective The objective of this study was to analyze the epidemiological profile of patients to propose measures that facilitate regulation and access to diagnostic imaging exams.
Methods Data were collected from 157 scheduled exams for high-suspicion colonoscopy through regulation systems and electronic medical records from January to December 2023. Results: The data showed a higher rate of appointments among females, particularly in older age groups (71–80 years). There was a high rate of non-attendance on the day of the exam scheduled during the coldest months of the year. The most prevalent biopsy location was the colon region, with a predominance of low-grade adenomas and polyps.
Conclusion Facilitating access to diagnostic imaging exams includes regionalization in scheduling. Monitoring results allows for the tracking of family members, enabling preventive action and early diagnosis.
Comparisons of the Efficacy of Ligasure Hemorrhoidectomy in Grade 3 and 4 Hemorrhoid Diseases
Authors: Taşkin Ali Kemal , Karademir Enes 
Published: December 2024

Abstract
Objective In recent years, Ligasure hemorrhoidectomy has been preferred in the treatment of grade 3 and 4 hemorrhoids rather than traditional surgery. This study aimed to compare the efficacy of Ligasure hemorrhoidectomy in grade 3 and 4 hemorrhoid treatment.
Methods A retrospective examination was made of the files of patients who underwent Ligasure hemorrhoidectomy because of grade 3 or 4 hemorrhoids. The demographic and clinical data of the patients were recorded. To evaluate pain severity after the procedure, a Visual Analog Scale (VAS) was used, and patient satisfaction at 6 months after the procedure was evaluated with a Likert-type scale. Early and late complications were determined in these follow-up examinations.
Results The patients included in the study had a mean age of 45 ± 11 years and 82 (75.9%) were male. The mean follow-up period was 18 months (range, 6–44 months). The mean age of patients with grade 4 hemorrhoid was significantly higher than that of those with grade 3 hemorrhoid (p = 0.006). Postoperative early and late (relapse) complications were seen at a higher rate in grade 4 patients compared with grade 3, but the difference was not statistically significant. More successful treatment outcomes were observed in grade 3 patients than in those with grade 4 hemorrhoid, but not to a statistically significant level.
Conclusion Ligasure hemorrhoidectomy is safer in terms of postoperative complications and treatment success is greater in patients with grade 3 hemorrhoids compared with those with grade 4 hemorrhoids.
8 Bioorthogonal Supramolecular Assemblies in Cells
Authors: Geng J. , Sapkota N. 
Published: December 2024

AbstractThis review addresses the concept and mechanisms of bioorthogonal supramolecular self-assembly in living organisms. It introduces bioorthogonal chemistry, which allows chemical reactions to occur within biological systems without interfering with natural processes. Key mechanisms reviewed include intracellular polymerization, host–guest interactions involving macrocyclic molecules, enzyme-mediated assembly, and peptide self-assembly. These processes mimic the way nature constructs complex structures and are crucial for applications in drug delivery, bioimaging, and diagnostics, paving the way for advancements in personalized medicine and cancer therapy.
Bridging the critical gap between infectious disease blood donation screening and connection to healthcare services: the American Chagas disease example
Authors: Lynn M. K. , Parker Mary , Stramer Susan L. , Townsend Rebecca L. , Nolan Melissa S. 
Published: December 2024

AbstractChagas disease (Trypanosoma cruzi infection) affects ~ 290,000 USA residents and is included in routine blood donation screening panels. Donors are notified of positive T. cruzi-screening results, deferred from donation, and given limited information for next steps. Individuals living with undiagnosed, uncommon infections often face substantial barriers in accessing physicians with infectious disease competency, confirmatory testing, and continuum of care after the point of blood donor deferral. We assessed 46 T. cruzi-deferred donors’ experience following deferral, highlight donor challenges, and provide public health institution opportunities to support cases of rare transfusion-transmitted infections in the USA.
Digital replicas and democracy: issues raised by the Hollywood actors’ strike
Authors: Yamazaki Asuka 
Published: December 2024

AbstractRecent years have seen artificial intelligence (AI) technologies from large companies increasingly privatize people’s data, creating asymmetrical and undemocratic economic relations. Specifically, generative AI disseminates false information, distorts perceptions, and transforms the free and critical cultural public sphere into one that is privatized and undemocratic. This study examines the major Screen Actors Guild-American Federation of Television and Radio Artists strike in Hollywood in May 2023, focusing on the issues raised against actors’ digital replicas from a democratic perspective. The introduction of this technology, aiming to enhance the audience’s immersive experience, reinforces the cultural imperialistic and neoliberal hierarchical relation between companies and actors. Moreover, this study explains how digital replicas relegate actors to a subjugated state, damage their image, and demote them to the periphery of filmmaking, thereby resulting in undemocratic problems that deprive them of their subjectivity and creativity. The main findings are as follows: (1) Actors’ data, embedded in the data capitalism structure, are used to generate their digital replicas, thus causing economic and structural inequalities. Video companies’ monopolization and unapproved use of such data lead to the loss of these actors’ freedom and humanity. (2) Unauthorized digital replicas of actors through deepfakes globally damage their public image and social authority, and such false body representation has negative cultural and ontological effects on them. (3) The use of digital replicas excludes actors from the filmmaking process, eliminating their interaction and creativity in relation to other creators and audiences and preventing their participation in the critical and cultural public sphere of cinema. As humans and generative AI continue to coexist, using digital replicas with actors’ legal consent is important as it ensures their independence and expressive potential. This will develop a democratic film industry that enhances the interactive cinema–media cultural public sphere.
Photodissociation of the CH2Cl radical: A high-level ab initio study
Authors: Charfeddine F. , Yazidi O. , Zanchet A. , Bañares L. , García-Vela A. 
Published: December 2024

Photodissociation of the CH2Cl radical is investigated by using high-level multireference configuration interaction ab initio methods, including the spin–orbit coupling. All possible fragmentation pathways, namely, CH2Cl + hν → CH2 + Cl, HCCl + H, and CCl + H2, have been analyzed. The potential-energy curves of the ground and several excited electronic states along the corresponding dissociating bond distance of each pathway have been calculated. Inclusion of the spin–orbit couplings is found to be crucial because it strongly determines the shape of the curves of the different excited states and, therefore, their photodissociation dynamics behavior. Analysis of the potential curves indicates that the pathways producing CH2 + Cl and HCCl + H can occur through a fast direct dissociation mechanism, while the pathway leading to CCl + H2 involves much slower dissociation mechanisms such as internal conversion between electronic states, predissociation, or tunneling through exit barriers. The main implications are that the two faster channels are predicted to be dominant, while the slower pathway is expected to be very unlikely and rather irrelevant. Appreciable actinic fluxes of solar irradiation are available at stratospheric altitudes where ozone is abundant, in the wavelength range where absorption of the first low-lying excited states of CH2Cl has been observed experimentally. Our results show that in this excitation energy range, the above-mentioned two dominant dissociation pathways are open and then could contribute to stratospheric ozone depletion.
Ambient-Pressure Anisotropic Single-Gap Superconductivity in La-Trapped B26 Cages with Superior Hardness
Authors: Chen 陈 Haoqi 浩琦 , Tang 唐 Yushan 玉山 , Jiang 姜 Haowen 皓文 , Jiang 姜 Xuehui 雪辉 , Wang 王 Jialin 佳琳 , Zhang 张 Chengyao 铖瑶 , Duan 段 Defang 德芳 , Ma 马 Yanbin 艳斌 , Dong 董 Jing 晶 
Published: December 2024

Abstract
Recently, a breakthrough in the high-pressure synthesis of sp
3-bonded clathrate-like R-3m-LaB8 featuring La-trapped B26 cages was achieved. Although the superconducting critical temperature (T
c) and Vickers hardness (H
v) of LaB8 were estimated, the anisotropic superconductivity and superconducting gap nature remain unclear. The stability of pure B26 cages under ambient conditions is of interest for exploring the B26 hardness and the role of La atoms in the LaB8 hardness. By resolving the Allen–Dynes modified McMillan equation and the anisotropic Eliashberg equations, it was found that LaB8 exhibits anisotropic single-gap superconductivity with T
c = 19.0 ∼ 26.5 K, and the superconducting gap anisotropic ratio reaches 48.50% at 5 K. Most significantly, our work fundamentally validated the coupling of B-2p orbitals with the optical double-degenerate E
g phonon modes and A
g phonon mode from a novel perspective. The H
v of B26 cages was determined to be 18.6 GPa, which is lower than that of La-trapped B26 cages (i.e., LaB8), indicating that La acts as a hardness enhancer for LaB8.
Novel variant transformer-based method for aluminum profile surface defect detection
Authors: Ye Shixiong , Wu Jiling , Jin Yuzhen , Cui Jingyu 
Published: December 2024

Abstract
The detection of surface defects on metals plays a pivotal role in the evaluation of aluminum profile product quality. To date, the most prevalent approach for detecting metal surface defects is via the use of conventional neural networks (CNNs). However, in recent years, transformer-based methods have achieved notable improvements in computer vision and exhibited superiority over traditional CNNs in most tasks. Regarding aluminum surface defect image characteristics, such as intricate textures, few defect samples, and large-scale differences in various defects, it is difficult to further improve the performance of traditional CNNs. Hence, this study proposes a novel variant transformer-based method for aluminum profile surface defect detection that combines a traditional CNN and transformer architecture with a deformable attention module (DAM). The DAM focuses on a subset of the critical sampling points around the reference point to alleviate the intractable complexity associated with high-resolution feature maps and enhances the recognition effect of small target defects. The proposed image-stitching method uses defect-free samples to generate new samples, which partially mitigates the issue of class imbalance. Moreover, we performed supplementary experiments to confirm the effectiveness of transfer learning in training small-scale datasets. Compared with a baseline, the mean average precision (mAP) improved by 3.32%. Extensive experimental results demonstrate the efficacy of our method in accurately detecting surface defects in aluminum profiles and significantly improving the detection of small target defects.
Study on the mechanical properties of the thin-walled double circular tube filled with a novel NPR lattice core based on the concave rotating mechanism
Authors: Wang Caihua , Lv Weitao , Li Dong 
Published: December 2024

Abstract
This study presents a thin-walled double circular tube filled with a novel negative Poisson’s ratio (NPR) lattice core based on the concave rotating mechanism. The unit cell of the NPR lattice core is constructed by replacing each inclined side of a concave hexagon with a smaller concave hexagon with an identical geometry aspect ratio. The single cell is arrayed to obtain a two-dimensional honeycomb structure, and then curling and mirroring operations are utilized to get a circular tube structure. Compressive deformation and load–displacement response of NPR lattice core with different concave angles are analyzed by FEM. To validate with numerical results, the NPR lattice core samples are prepared using 3D printing technology and subjected to quasi-static uniaxial compression experiments. Then, the thin-walled double circular tube filled with the NPR lattice core (FDCT) is established. The load–displacement relationship and energy absorption characteristics are analyzed, and the effects of two angle parameters on the specific energy absorption of the structure are discussed. The results show that an increase in the concave angle decreases the rigidity of the NPR lattice core. When subject to compression, all models show NPR effects, with minimum and maximum Poisson’s ratios of −0.29 and −0.5, respectively. For FDCT, it is found that the interaction between the core layer and the tube wall enhances the structure’s energy absorption performance. Changes in the core layer angle parameters affect the energy absorption of the FDCT structure, where increasing the concave angle improves the energy absorption efficiency of the structure. In contrast, the effect of the rotational angle is not significant.