bluuebunny/crossref_metadata_2025_split huggingface dataset:
Abstract 4137465: Estimating Arterial Stiffness Using a Smart Ring and the Impact of HIIT Exercise: A Pilot Study
Authors: Ohukainen Pauli , Rantanen Aleksi , Pentikainen Heikki , Kosonen Julia , Komulainen Pirjo , Savonen Kai , Koskimaki Heli 
Published: November 2024

Introduction:
Arterial stiffness is an important marker of cardiovascular health, but measuring it requires specialized equipment and trained personnel. This study aimed to evaluate a novel method for estimating arterial stiffness using photoplethysmography (PPG) signals recorded by a commercially available device (Oura Ring) and to study the impact of a high-intensity interval training (HIIT) intervention on arterial stiffness.

Research Questions:
1. Can a smart ring provide accurate estimates of arterial stiffness comparable to the reference device (Sphygmocor)?

2. Does a three-month supervised HIIT cycling protocol reduce arterial stiffness?

Aims:
1. Evaluate a PPG-based arterial stiffness estimation method using a smart ring.

2. Assess the efficacy of HIIT in reducing arterial stiffness and improving VO2max.

Methods:
The study comprised two parts:

1. A cross-sectional study (N=300, age 18-78) for collecting arterial stiffness data using the Sphygmocor and the Smart Ring to evaluate the PPG-based algorithm.
2. A randomized exercise intervention pilot study (N=80, a subset of the cross-sectional study), assigned to either a three-month HIIT protocol or a control group. Arterial stiffness was measured pre- and post-intervention using both devices. Pearson’s correlation coefficients assessed the agreement between the novel method and reference device, and effects of the intervention were analyzed using ANCOVA.

Results:
The novel PPG-based method demonstrated good correlation with the Sphygmocor device (R = 0.77 and 0.80 in pre- and post-timepoints, respectively). However, despite improving the participants’ aerobic fitness (average increase in VO2max of 1.41 ml/min/kg; 95% CI: [0.15, 2.67], P = 0.029) the HIIT intervention did not significantly improve arterial stiffness, as measured by both methods.

Conclusions:
The developed smart ring method provides a reliable, non-invasive, and continuous estimation of arterial stiffness. This innovative approach could significantly impact how arterial stiffness is monitored in an everyday setting. The null results of the HIIT intervention suggest that HIIT may not be effective in reducing arterial stiffness, highlighting the need for further research into different exercise modalities for cardiovascular health improvement. This study underscores the potential of wearable technology in cardiovascular health monitoring and the importance of evaluating diverse exercise protocols for arterial health.
Neurophysiological and Autonomic Dynamics of Threat Processing during Sustained Social Fear Generalization
Authors: Pouliot Jourdan J. , Ward Richard T. , Traiser Caitlin M. , Chiasson Payton , Gilbert Faith E. , Keil Andreas 
Published: November 2024

Abstract
Survival in dynamic environments requires that organisms learn to predict danger from situational cues. One key facet of threat prediction is generalization from a predictive cue to similar cues, ensuring that a cue-outcome contingency is applied beyond the original learning environment. Generalization has been observed in laboratory studies of aversive conditioning: Behavioral and physiological processes generalize responses from a stimulus paired with threat (the conditioned stimulus [CS+]) to unpaired stimuli, with response magnitudes varying with CS+ similarity. In contrast, work focusing on sensory responses in visual cortex has found a sharpening pattern, in which responses to stimuli closely resembling the CS+ are maximally suppressed, potentially reflecting lateral inhibitory interactions with the CS+ representation. Originally demonstrated with simple visual cues, changes in visuocortical tuning have also been observed in threat generalization learning across facial identities. It is unclear to what extent these visuocortical changes represent transient or sustained effects and if generalization learning requires prior conditioning to the CS+. The present study addressed these questions using EEG and pupillometry in an aversive generalization paradigm involving hundreds of trials using a gradient of facial identities. Visuocortical steady-state visual evoked potential sharpening occurred after dozens of trials of generalization learning without prior differential conditioning, but diminished as learning continued. By contrast, generalization of alpha power suppression, pupil dilation, and self-reported valence and arousal was seen throughout the experiment. Findings are consistent with threat processing models emphasizing the role of changing visucocortical and attentional dynamics when forming, curating, and shaping fear memories as observers continue learning about stimulus-outcome contingencies.
Linguistic Insights from a Bilingual Letter: The Malati Dialect of Zoroastrian Dari in Yazd
Authors: Gholami Saloumeh , Pouladi Mehraban 
Published: November 2024

Abstract
This article presents a comprehensive analysis of a rare written example of Zoroastrian Dari (Behdini), a traditionally spoken language, featured in a bilingual letter composed in the Perso-Arabic script. The linguistic evidence indicates that the dialect of this letter is the Malati dialect of Zoroastrian Dari, primarily spoken in the Priests’ quarter of Yazd. The article provides a detailed examination of the phonological, morphological, and syntactic features. Furthermore, it explores the challenges of using the Perso-Arabic script to capture the phonetic nuances of Zoroastrian Dari and analyses the adaptations made by the writer to overcome these obstacles. Through a combined historical and linguistic approach, the article offers valuable insights into the language contact and script practices in Zoroastrian communities. This research contributes to the broader understanding of endangered languages and the complexities of multilingualism in written texts.
Association between iron and vitamin intake and cardiorespiratory fitness in adolescents of both sexes
Authors: Pires L.V.M. , Pena A.M.F. , Silva L.V. , Souza M.V. , Silva G.L.O. , Pinto K.M.C. , Coelho D.B. , Oliveira E.C. , Bearzoti E. , Silva F.G.D. , Becker L.K. 
Published: November 2024

Abstract
Cardiovascular parameters and cardiorespiratory fitness in adolescents may be influenced by eating habits. The aim was to evaluate the association between the levels of some nutrients and micronutrients with blood pressure and VO2max in adolescents. A total of 60 adolescents (15.77 ± 0.96 years old) participated in the study, of whom 35 were girls and 25 were boys. Eating habits were assessed frequency questionnaire (FFQ). Before and after a cardiorespiratory fitness test (YOYO TEST), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were collected. A backward elimination method of multiple regression was performed to analyse the data. A positive association was found between VO2max and the intake of iron (), vitamin D (), vitamin B6 () and vitamin B12 () for girls. Additionally, no significant associations were found between sugar, fibre and fat intake and VO2max. There was a positive association between SBP and sugar intake () for girls and negative association between DBP after exertion and fibre intake () and body mass index () for boys. There is a positive association between the intake of iron, vitamins and VO2max in girls and intake of sugar with SBP for girls and negative association between fibres and DBP after exertion for boys.
Prescribing submaximal training based on the lactate threshold improved aerobic fitness in dogs with preclinical myxomatous mitral valve disease
Authors: Restan A.Z. , Adams F.K. , Tristão A.P.P.A. , Loureiro B.A. , Sgarbiero T. , Ramos G.V. , Sousa M.G. , Camacho A.A. , Ferraz G.C. 
Published: November 2024

Abstract
Exercise intolerance may be a primary symptom of myxomatous mitral valve disease (MMVD) and a significant factor in reducing the quality of a dog’s life. Aerobic training effectively improves oxygen uptake and life expectancy in human patients with chronic heart failure. Lactate threshold (LT) is used to prescribe training programs. We conducted a study with dogs diagnosed with asymptomatic MMVD (stage B1), using the velocity corresponding to the visual lactate threshold (VLTv) and an eight-week submaximal training program (STP), three times a week, with each session lasting 30 min, to improve their aerobic fitness. The dogs were assigned into two groups: a healthy control group and a MMVD group (stage B1). The treadmill-based graded exercise test (GXT) was used to determine the lactate-velocity curve (LVC) inflexion point. We utilised the velocity corresponding to 70% VLTv as the external load STP, representing a training zone between 145 and 157 bpm. Before the STP, VLTv and maximum velocity (Vmax) were lower in B1 dogs compared with the healthy group. The VLTv increased in the B1 dogs, resulting in rightward shifts of the LVC. The VLT values for healthy dogs were 3.62 ± 0.90 m/s and 4.75 ± 0.6 m/s; for B1 dogs were 3.03 ± 0.6 m/s and 3.8 ± 0.75 m/s in the pre-STP and post-STP. The Vmax values were 4.50 ± 0.70 m/s and 4.75 ± 1.04 m/s for healthy dogs, and 4.0 ± 0.53 m/s and 4.66 ± 0.74 m/s for B1 dogs. In both groups, changes in the relationship between lactatemia and exercise work may indicate improvements in aerobic and anaerobic capacities. VLTv, as an external training loading, should be considered when prescribing tailored training programs for dogs with asymptomatic myxomatous mitral valve disease to improve their muscular and cardiovascular function and exercise tolerance.
Freedom of Association in Peru
Authors: Orbegoso Silva Miluska 
Published: November 2024

Abstract
This research develops the analysis concerning the right or freedom of association in Peru. Its recognition in the Peruvian Constitutions from a historical analysis up to the current case-law from the Peruvian Constitutional Court. We will focus particularly on the analysis of the constitutionally protected content of the freedom and on some cases that have been of special interest in Peruvian legal debates. Freedom of association is recognized as a fundamental right in Peru, and its content and elements have been studied in depth by the Constitutional Court and by academic opinion. The analysis of this freedom in the Peruvian constitutional law has a long history, and its historical study allows us to understand its actual content.
Japonisme, New Japonisme, and Pop Japonisme in Italian Fashion
Authors: Dimitrio Laura 
Published: November 2024

Abstract
This article examines the profound impact exerted by Japanese fashion and culture on the evolution of Italian fashion. In Italy, the assimilation of Japanese clothing and aesthetics occurred particularly during three periods: 1870s–1920s (the era of Japonisme), 1970s–1990s (New Japonisme), and the early decades of the twenty-first century (Pop Japonisme). Throughout these periods, the kimono was a significant source of inspiration for Italian designers, who progressively reinterpreted this garment with increasing creativity. With the onset of New Japonisme, the influence of avant-garde Japanese fashion also became pronounced in Italian fashion, further evolving during Pop Japonisme to include inspiration from the kawaii style. In exploring the distinctive features of Japonisme in Italian fashion, this article offers a comparison with other forms of Japonisme in Europe, particularly in France.
Kimono in the Age of Japonisme: From Japanese Merchandising Strategies to Signs of British Women’s Liberty
Authors: Sapin Julia 
Published: November 2024

Abstract
In the early twentieth century, one could find kimono-like garments of various kinds in Britain: kimono made originally for Japanese consumers, contemporary robes made in Japan expressly for export, and kimono-inspired clothing made domestically. The present essay probes the merchandising of these new products in Britain, examining both British consumer tendencies and Japanese marketing practices, through analysis of Japanese trade statistics and reports on the international expositions of the day. Ultimately, this paper argues that kimono played a role, both literally and figuratively, in staging increased social justice for British women in the twentieth century, offering at least occasional relief from the debilitating fashions of the period, all of which required a corset, and providing a metaphor for a less restrictive social environment. While other scholars have hinted at such associations, this paper provides evidence, through analysis of contemporaneous journalism and advertising, that the women who wore these garments explicitly made such connections. More than an artistic stimulus of japonisme, the kimono and the fashions it subsequently inspired became symbols of the women’s suffrage movement in early twentieth-century Britain.
Night Shift Work and Sleep Experiences in Older Night Shift Nurses
Authors: Zhang Yuan , Murphy Audra , Lammers-van der Holst Heidi M. , Barger Laura K. , Duffy Jeanne F. 
Published: November 2024

Background: Working at night leads to misalignment between the biological clock and the work/sleep schedule, resulting in sleepiness and impaired performance during the night shift and poor quality, shortened sleep during the day; this is greatly impaired in older individuals. Objective: To describe night work and sleep experiences from the perspective of older (aged 50-65) nurses. Methods: Seven virtual focus groups were formed comprising 19 older nurses who worked regular 8-hour night shifts (at least 6 consecutive hours between midnight and 6 am) to learn about their shift work and sleep experiences. Two facilitators and 2 research assistants independently reviewed and coded the transcripts using qualitative content analysis. Results: Nine themes were identified in 3 domains: (a) night shift challenges and difficulties, including first night shift is most difficult; never feel rested working nights; and personal health concerns and benefits from working nights; (b) sleep challenges and difficulties, including inconsistent sleep timing when switching between nights and days; extended (24+ hours) time awake before and after consecutive nights; difficulty maintaining long and sound daytime sleep; and napping before night shifts for better performance; and (c) family and social challenges and support, including childcare, family, personal obligations, and social activities affect sleep; aging of self and children influences sleep and prioritization of sleep. Conclusions: The findings help understand challenges and struggles to obtain adequate sleep and safe work performance in older night shift nurses. These insignts are critical for designing and implementing feasible and acceptable interventions to improve sleep in this high-risk occupational group.
User perceptions of aspects related to the use of the activity chair: A descriptive cross-sectional study
Authors: Bjørnskov Stina , Mortenson William Ben , Helle Tina 
Published: November 2024

Introduction: Little is known about the use and aspects impacting the use of the activity chair, which is a device supporting seated activities in everyday life. The aim was to understand (a) purpose of provision, (b) frequency and magnitude of use, (c) barriers impacting use, (d) instruction provided and (e) overall satisfaction with the activity chair. Method: This is a cross-sectional study involving 141 adult activity chair users. Data were collected through telephone interviews using a study-specific questionnaire with 21 items. Descriptive statistics were used to summarise the quantitative results, and data-driven text analysis was conducted to analyse open-ended question responses. Results: Most respondents (87%) were provided the activity chair for kitchen work, 87% used the device on a daily basis, 75% used the device for additional activities beyond the provision purpose, 65% experienced barriers impacting use, instructions varied, with 28% receiving none and 16% had received activity-based training, 85% were satisfied with the activity chair. Conclusion: The activity chair appears to be regularly utilised and appreciated by respondents. However, improved device provision, particularly concerning activity-based training in relevant context and systematic follow up, may be required to reduce barriers impacting use. Findings emphasise the importance of learning from users.
Cancer Information Seekers’ Comprehension Level and the Association With Preventable Cancer Risk Factors: A Cross-Sectional Analysis From a Nationally Representative U.S. Adult Survey
Authors: Cho Beomyoung , Pan Yining , German Mariel , Lee Sukwon , Stallings-Smith Sericea 
Published: November 2024

Purpose To examine the association between U.S. adult cancer information seekers’ comprehension level and preventable cancer risk factors. Design Cross-sectional analysis. Setting Health Information National Trends Survey-6, 2022. Subjects 2,453 cancer information seekers. Measures Four cancer risk factors were dichotomized: cigarette smoking (have smoked ≥100 cigarettes and currently smoke every day/some days); experiencing sunburn (≥1 times/past 12 months); being overweight/obese (≥25 body mass index [kg/m2]); and binge drinking (≥5 [male] or ≥4 [female] alcoholic drinks on one occasion/past 30 days). Individuals who reported that cancer information was hard to understand were considered having comprehension difficulties. Analysis Binomial and multinomial logistic regression analyses were conducted to examine the association of cancer information comprehension level with individual and cumulative cancer risk factors, adjusting for sex, race/ethnicity, age, annual household income, education level, metropolitan status, depressed mood, and cancer diagnosis history. Results Cancer information seekers with comprehension difficulties had higher odds of binge drinking (aOR: 1.66, 95% CI: 1.12, 2.46), being overweight/obese (aOR: 1.46, 95% CI: 1.09, 1.96), and experiencing sunburn (aOR: 1.61, 95% CI: 1.23, 2.11), as well as having ≥3 (aOR: 3.38, 95% CI: 1.87, 6.09) cancer risk factors concurrently than cancer information seekers without comprehension difficulties. Conclusion Dissemination of easy-to-understand cancer information would help better prevent cancer risk factors for cancer information seekers with comprehension difficulties.
Gender Disparities in Advanced Lung Diseases: do They Persist Towards the End of Life?
Authors: Chen Xinye , Goh Nicole , Dunn Sadie , Smallwood Natasha 
Published: November 2024

Background Advanced lung diseases are prevalent in women, yet are underrecognized and under-treated due to differing epidemiology and pathophysiology. Aim To investigate any gender differences in access to palliative care and end-of-life management for patients with advanced lung diseases. Methods A post-hoc analysis was conducted using three datasets that included information regarding the provision of palliative care to patients with advanced lung diseases - chronic obstructive pulmonary disease (COPD), fibrotic interstitial lung diseases (f-ILD) or non-small cell lung cancer (NSCLC) in tertiary and regional hospitals in Victoria, Australia, from 2004 to 2019. Results 343 patients with advanced COPD, 67 with f-ILD and 1022 with NSCLC were included. Compared to men, women with COPD (n = 126, 36.7%) were less likely to have smoked ( P = 0.024), had significantly worse lung function ( P < 0.001), and were more likely to receive non-invasive ventilation at end of life ( P = 0.021). Women with fibrotic ILDs (n = 30, 44.8%) had significantly worse lung function ( P < 0.001) and were more likely to experience exacerbations during their last two years of life ( P < 0.001). Women with NSCLC (n = 457, 44.7%) were significantly younger ( P< 0.001), less likely to have smoked ( P < 0.001) or had asbestos exposure ( P < 0.001). There were no significant differences between men and women with advanced lung diseases regarding referral to palliative care services ( P = 0.369), hospital place of death ( P = 0.915), or end-of-life management. Conclusions Despite differences in lung function, exacerbations and targeted therapies, men and women with advanced lung diseases received equal access to symptom palliation and palliative care services towards the end of life.
Total hip arthroplasty in patients under 35 years: a systematic review of the last 2 decades studies
Authors: Zampogna Biagio , Ferrini Augusto , Zampoli Andrea , Talesa Giuseppe Rocco , Giusti Simone , Papalia Giuseppe Francesco , Vorini Ferruccio , Papalia Rocco 
Published: November 2024

Background: Patients with total hip arthroplasty (THA) under the age of 35 represent a small and heterogeneous group of 1% of all THA performed. This systematic review aims to analyse the diagnosis, implant type, complications, and long-term results in these patients. Methods: A search was performed on PubMed, Scopus, and Cochrane Library up to 31 July 2023. We included observational prospective and retrospective studies published in the last 20 years, which evaluated diagnosis, implant types, long-term results, and return to sports in patients ⩽35 years who underwent THA. We excluded case reports, case series, and studies with <35 patients. We extracted age, diagnosis, surgical information, follow-up, complications, revision rate, implant survival, and clinical outcomes for each study. The methodology of the included studies was evaluated using the MINORS score. Results: 18 studies with 1955 patients and 2383 THAs were included. Osteonecrosis (40.6%), posterior approach (81%), the uncemented press-fit implants (73.4%), metal-polyethylene bearings (31.3%) were the most frequently found items. All the clinical outcomes reported improvement from the preoperative to postoperative. The most frequent complication was aseptic loosening (4.3%). The survival rate was 92.4% at a mean follow-up of 10 years. Conclusions: THA is a good option for specific hip diseases in the young, but aseptic loosening still is the major point of concern.