bluuebunny/crossref_metadata_2025_split huggingface dataset:
Oral Reading Prosody and Comprehension in Persons With Aphasia: A Preliminary Investigation
Authors: Lins Jordan S. , Smith Kimberly G. 
Published: November 2024

Purpose:
This study acoustically characterized the oral reading prosody of persons with aphasia (PWA) and neurotypical controls for a connected text and aimed to determine which prosodic features were most associated with performance on a reading comprehension task.

Method:
Six PWA and six neurotypical, age- and education-matched controls participated in this preliminary study. Participants read Paragraph 3 of the Gray Oral Reading Tests–Fifth Edition aloud and subsequently answered five comprehension questions. A total of 11 measures related to phrasing, intonation, and expressivity were extracted using Praat for each participant in order for comparisons to be made across participant groups and associations examined with reading comprehension scores.

Results:

The Mann–Whitney
U
test suggested a significant difference between PWA and control participants for intersentential pause durations, pausal intrusion frequency, and duration of pausal–pausal syllables. Although statistically nonsignificant, intersentential pause duration, pausal intrusion frequency, pausal intrusion duration, duration of prepausal syllables, and intensity amplitude following a syntactic juncture were all moderately correlated (all
r
s > .58) with comprehension of Paragraph 3 of the Gray Oral Reading Tests–Fifth Edition in PWA. All measures were weakly correlated with comprehension for the control participants.

Conclusions:
PWA demonstrated statistically significant longer durations for intersentential pauses and prepausal syllables, and a greater number of pausal intrusions. Interestingly, three of the five measures moderately correlated to comprehension were those that were statistically different between the two participant groups. As such, preliminary findings of this study warrant further investigation in a larger sample of PWA.
Pilot Trial of a Speech-Language Pathology Telehealth Service to Enhance Postdischarge Dysphagia Care in Singapore
Authors: Poon Flora M. M. , Ward Elizabeth C. , Burns Clare L. 
Published: November 2024

Purpose:
Patients and caregivers in Singapore experience issues managing dysphagia care at home following hospital discharge, and they prioritized improving access to postdischarge dysphagia care and support. Hence, a postdischarge dysphagia telehealth service was developed. This study aimed to evaluate the feasibility of this service by examining patient and service outcomes, preliminary costs, and consumer satisfaction.

Method:
Patients with dysphagia and their caregivers attended one or more telehealth sessions over the initial month post–hospital discharge. Reviews of dietary adherence and preparation, swallowing function, and therapy progress were conducted. If needed, clinical support and intervention were provided. Data related to patient and service outcomes, preliminary costs, and consumer satisfaction were collected and analyzed using descriptive statistics and content analysis.

Results:
Twenty patients attended 42 telehealth sessions. No support was provided during 10 sessions, minor support was provided during 13 sessions, and major support and intervention were provided to address patient and swallowing safety during 19 sessions. Out of 20 patients, 19 required support and intervention during the first week postdischarge, but they experienced fewer issues with each subsequent session. They were highly satisfied with the service. The average session duration was 29.6 min. No sessions were cancelled. This service can be delivered with minimal additional health service resources and at a low cost to consumers.

Conclusions:
This service is feasible, cost-effective, and well accepted by consumers. It facilitates early identification and management of swallowing and patient safety during the initial month post–hospital discharge. Wider implementation of this service model should be considered.

Supplemental Material:

https://doi.org/10.23641/asha.27327345
Analysis of steady‐state operation of active distribution network under uncertain conditions
Authors: Zhu Ruijing 
Published: November 2024

AbstractRecently, distributed generators (DGs) have been widely integrated into distribution network, so that the distribution network is gradually transforming into an active distribution network (ADN). Due to the influence of meteorological conditions, the output of DGs has high uncertainty. At the same time, considering the increasing variety of loads in ADNs, the uncertainty of load demand of user side is also increasing. In order to fully consider the uncertainty of measurement and quantitatively evaluate the operational status, this paper proposes a steady‐state analysis method for ADNs under uncertain conditions. Firstly, this paper proposes a steady‐state analysis method including power flow analysis model and evaluation indicators for the operation status from the perspectives of node and network. Secondly, the uncertainty factors are elaborated from three aspects: sources, impact on evaluation index and impact on scheduling. The evaluation indicators considering uncertain conditions, the impact on system security and scheduling of network are further discussed. Finally, through the simulation analysis of the modified IEEE 33‐node test system, the effectiveness of the proposed method is verified.
Agriculture industrielle, agriculture biologique et agroécologie : regards croisés Europe-Inde
Authors: Dorin Bruno , Degron Robin , Landy Frédéric 
Published: November 2024

L’Union européenne et l’Union indienne ont industrialisé leur agriculture et leur alimentation depuis les années 1960. Elles mesurent aujourd’hui l’insoutenabilité d’un tel régime sociotechnique pour la santé des hommes et des écosystèmes. Elles formulent des vœux de « transition agroécologique » qui, en Europe, passent d’abord par l’Agriculture biologique (AB). Mais force est de constater que celle-ci est à la peine du fait de moindres rendements et de prix plus élevés. En Inde, ce modèle et d’autres sont aussi expérimentés. Celui de l’Agriculture naturelle (NF, Natural Farming) en Andhra Pradesh s’avère particulièrement prometteur. Notre regard comparatif permet, entre autres, de présenter les conditions d’émergence des deux formes alternatives d’agriculture (AB et NF), puis de montrer pourquoi le caractère véritablement agroécologique de l’Agriculture naturelle la rend plus performante en Inde car complètement émancipée du régime industriel énergivore de spécialisation-standardisation fondé sur quelques productions à grande échelle.
Pterygium Colli: A Narrative Review with a Comparative Study of Lateral Approach Techniques
Authors: Mehri Turki Imen 
Published: November 2024

AbstractPterygium colli or webbed neck is a congenital deformity mainly found in Turner syndrome. It appears as a bilateral triangular fold extending from the mastoid to the acromion with hairy skin abnormality. Structural variation of the fold, as described by Mehri Turki's webbed neck classification, implies appropriate surgical repair. Despite the availability of a range of surgical techniques, it remains difficult to choose the most suitable one. Thus, this report aims to compare the lateral approach techniques by selecting those providing the best results. A literature search using PubMed and Google Scholar Database identified lateral approach techniques for pterygium colli. A critical reading led us to select criteria for comparison, linked to procedures and results. Moreover, according to aesthetic results, surgical techniques were classified into three categories. A total 16 articles were published from 1937 to 2020 and enrolling 48 patients were selected. The neck contour was obtained with all procedures. However, scars were hidden at the posterior neck in only 10 reports. Otherwise, the posterior hairline was corrected in only 6 reports. According to these outcomes, a classification of surgical technique was made allowing their pragmatic assessment. An objective assessment of lateral approach techniques was realized to help surgeons choose the most convenient one. From this study, a classification arises, based on aesthetic results, distinguishing three groups of surgical techniques and allowing their comparison. Techniques belonging to Group 2, using cervical advancement flap, were the most suitable, mainly both techniques described by Reichenberger and Mehri Turki.
Impact of a Disease-Focused Electronic Health Record Dashboard on Clinical Staff Efficiency in Previsit Patient Review in an Ambulatory Pulmonary Hypertension Care Clinic
Authors: Koirala Tapendra , Burger Charles D. , Chaudhry Rajeev , Benitez Patricia , Heaton Heather A. , Gopikrishnan Nilaa , Helgeson Scott A. 
Published: November 2024

Abstract
Objectives We aimed to improve the operational efficiency of clinical staff, including physicians and allied health professionals, in the previsit review of patients by implementing a disease-focused dashboard within the electronic health record system. The dashboard was tailored to the unique requirements of the clinic and patient population.
Methods A prospective quality improvement study was conducted at an accredited pulmonary hypertension (PH) clinic within a large academic center, staffed by two full time physicians and two allied health professionals. Physicians' review time before and after implementation of the PH dashboard was measured using activity log data derived from an EHR database. The review time for clinic staff was measured through direct observation, with review method—either conventional or newly implemented dashboard—randomly assigned.
Results Over the study period, the median number of patients reviewed by physicians per day increased slightly from 5.50 (interquartile range [IQR]: 1.35) before to 5.95 (IQR: 0.85) after the implementation of the PH dashboard (p = 0.535). The median review time for the physicians decreased with the use of the dashboard, from 7.0 minutes (IQR: 1.55) to 4.95 minutes (IQR: 1.35; p < 0.001). Based on the observed timing of 70 patient encounters among allied clinical staff, no significant difference was found for experienced members (4.65 minutes [IQR: 2.02] vs. 4.43 minutes [IQR: 0.69], p = 0.752), while inexperienced staff saw a significant reduction in review time after familiarization with the dashboard (5.06 minutes [IQR: 1.51] vs. 4.12 minutes [IQR: 1.99], p = 0.034). Subjective feedback highlighted the need for further optimization of the dashboard to align with the workflow of allied health staff to achieve similar efficiency benefits.
Conclusion A disease-focused dashboard significantly reduced physician previsit review time while that for clinic staff remained unchanged. Validation studies are necessary with our patient populations to explore further qualitative impacts on patient care efficiency and long-term benefits on workflow.
Imaging of Vascular Anomalies
Authors: Gayou Edward , Chau Alex , Josephs Shellie 
Published: November 2024

AbstractVascular anomalies (VAs) are a heterogeneous group of vascular malformations and tumors that are frequently encountered in daily practice. While most are benign, malignant vascular tumors exist, as do other nonvascular soft-tissue malignancies that may masquerade as a benign VA. The subtleties of arriving at an accurate diagnosis can be intimidating, as new entities are described and names of conditions have been modified. Therefore, the goal of this article is to describe the classic imaging findings of VAs so that the interventional radiologist can confidently and competently contribute to management decisions, with special attention to ominous imaging features that should prompt biopsy or further imaging workup.
Pearls and Pitfalls in the Management of Vascular Anomalies
Authors: Sanon Omar , Henderson Andrew , Rosen Robert J. 
Published: November 2024

AbstractRecent advancements in endovascular techniques have transformed the management of vascular malformations, shifting away from traditional surgical resections to less invasive methods like embolization and sclerotherapy. Vascular malformations are congenital anomalies resulting from embryonic angiogenesis failures, often misdiagnosed but manageable through a multidisciplinary approach. These malformations range from high-flow arteriovenous connections to low-flow venous, lymphatic, or mixed lesions, each requiring specific diagnostic and treatment strategies. Specific syndromes like Klippel–Trenaunay and Parkes–Weber require tailored approaches due to their unique presentations. Diagnosis relies on a combination of physical examination and advanced imaging techniques, including ultrasound and MRI. Treatment is focused on symptomatic relief and improving the patient's quality of life. Interventional treatment is indicated when conservative and/or medical management is insufficient. Surgical interventions remain relevant for select cases, often in a multidisciplinary context. Newer therapies, such as sirolimus, are emerging for complex, treatment-resistant cases.
Venous Malformations: Diagnosis, Management, and Future Directions
Authors: Kamireddy Arun , Weiss Clifford R. 
Published: November 2024

AbstractVenous malformations (VMs) represent the most common type of congenital vascular anomalies, characterized by slow-flow lesions arising from disorganized angiogenesis. These malformations can vary widely in size, location, and clinical impact, presenting significant challenges in diagnosis and management. A multidisciplinary approach is essential for optimizing care, with goals centered on symptom relief and functional preservation. Diagnostic evaluation typically involves clinical examination, imaging, and, in complex cases, genetic testing. Interventional radiology, particularly sclerotherapy and endovascular embolization, has become the first-line treatment, complemented by surgical and emerging molecular therapies, particularly targeting the mTOR/PI3K/AKT pathway. This review provides a comprehensive examination of the genetics, clinical presentation, and key diagnostic imaging aspects of VMs, along with a detailed discussion of current treatment modalities, emerging therapeutic techniques, and future directions for improving patient care.
The Effectiveness of Herbal Mouthwash with Mangosteen Peel Extract in Inhibiting Dental Plaque Formation
Authors: Hendiani Ina , Fitriani Triana Devi , Prasetyo Budhi Cahya , Bawono Chandra Andi , Pribadi Indra Mustika Setia 
Published: November 2024

Abstract
Objective Dental plaque control is important for preventing periodontal tissue diseases. Dental plaque control therapy is enhanced when supported by adjunctive therapy, including the use of mangosteen peel extract mouthwash. Mangosteen peel extract contains α-mangostin, saponins, alkaloids, tannins, flavonoids, quinones, and triterpenoids, which have antibacterial properties against bacteria that cause dental plaque. This study aims to determine the effectiveness of mangosteen peel extract mouthwash at concentrations of 2, 4, and 6% in inhibiting plaque formation.
Materials and Methods The study used a quasi-experimental design with pre- and posttreatment examinations. Samples were taken using purposive sampling on 32 patients of Periodontology Clinic of Padjadjaran University Dental Hospital. The patients underwent prophylactic treatment (scaling), then the dental plaque index was measured using the Q-ray Cam Pro and the Loe and Silness Index before (day 1) and after (day 3) gargling with distilled water or mangosteen peel extract mouthwash at concentrations of 2, 4, and 6% for 2 days without oral hygiene in the maxillary area. The data were analyzed using the Wilcoxon test, analysis of variance (ANOVA), and the Kruskal–Wallis test.
Results A phytochemical analysis revealed that the mangosteen peel extract contains antibacterial compounds such as flavonoids, saponins, polyphenols, quinones, and triterpenoids. The mangosteen peel extract mouthwash group exhibited lower mean differences in plaque index compared with the aquades group. The 2% mangosteen peel extract mouthwash shows the smallest mean difference of 0.25 in the Q-ray Cam Pro examination and 0.062 in the Loe and Silness Index examination.
Conclusion Mouthwash with 2, 4, and 6% mangosteen peel extract has an effect in inhibiting dental plaque formation, with 2% concentration exhibiting the best inhibitory effect on dental plaque formation.
The Role of Medical Management in Vascular Anomalies
Authors: White Michael H. , Hawkins C. Matthew 
Published: November 2024

AbstractHistorically, the care for patients with vascular anomalies has been challenging due to the complex nature and diversity of these anomalies with a wide array of symptomatology. In the recent past, most therapies for vascular anomalies focused on surgical, procedural, and supportive care measures to treat local symptoms, but many patients still experienced significant disease with excess morbidity and mortality. Today, the pharmacotherapeutic options available for treating vascular anomalies have greatly expanded due to the increased understanding of the genetic and molecular pathways causing these anomalies, with the subsequent development of more targeted pharmacotherapies. In addition to the growth in targeted medications available to treat patients with vascular anomalies, there has been an improved understanding of the hematologic abnormalities related to these diseases and how to manage them. While interventional radiologists do not typically primarily manage systemic medications to treat vascular anomalies, a baseline understanding of the medical management of these diseases is essential to ensuring that a contemporary, multidisciplinary, multimodal approach to treatment is pursued when appropriate. Ultimately, patients are now benefitting from having multiple modalities of treatments available to them and are experiencing improved quality of life and less morbidity.
Comparison between Endoloop-Assisted Endoscopic Resection and Endoscopic Submucosal Dissection for Large Pedunculated Polyps
Authors: Lu You-Zhu 
Published: November 2024

Abstract
Background Endoscopic resection of large pedunculated colorectal polyps with a thick stalk is technically difficult. Endoloop-assisted endoscopic resection and endoscopic submucosal dissection have been confirmed to be effective and safe, respectively. Here, we compared the efficacy and safety of these two different methods.
Methods In total, 124 patients with large pedunculated polyps treated by endoloop-assisted endoscopic resection (group B) or endoscopic mucosal resection (group A) were enrolled in the study.
Results There were two cases of immediate postpolypectomy bleeding and one case of delayed postpolypectomy bleeding in group A, while there were four cases of immediate postpolypectomy bleeding and 0 case of delayed postpolypectomy bleeding in group B. There was no significant difference in postpolypectomy bleeding between the two groups (p = 0.68 and 1.0). The mean operation time in group A was 29.31 ± 5.64 minutes, which was significantly longer than that in group B (p < 0.001). The mean hospitalization time in group A was 7.14 ± 1.1 days, but in group B it was 5.98 ± 1.18 days (p < 0.001). In addition, the number of clips used in group A was 5.58 ± 1.3, which was also more than that in group B (p < 0.001).
Conclusions Endoloop-assisted endoscopic resection is effective and safe for the removal of large pedunculated polyps, while endoscopic submucosal dissection may be an alternative option for difficult areas with poor visibility or polyps with large or lobulated head.
Cultural influence on metacognition: comparison across three societies
Authors: Ordin Mikhail , El-Dakhs Dina Abdel Salam , Tao Ming , Chu Fengfeng , Polyanskaya Leona 
Published: November 2024

AbstractWe tested the hypothesis that metacognition—the ability to evaluate one’s own cognitive processes and mental states—is modulated by cultural values. We used retrospective confidence ratings to objectively measure metacognition in a mental rotation task in three culturally different regions: the Middle East (Saudi Arabia), Western Europe (Portugal) and the Far East (China). Our data support the theory that metacognition is social in nature, at least to some extent, and is influenced by culture. Differences in metacognition between societies can be accounted for by cultural values pertaining to individualism and uncertainty avoidance. Lower individualism and greater uncertainty avoidance tend to be associated with higher metacognitive abilities. Sex-based differences typically observed in mental rotation do not emerge at the metacognitive level, with both males and females in all three societies efficiently detecting those responses when they are more likely to make a mistake. Metacognitive bias—the tendency to be over- or underconfident in one’s own decisions—might be modulated by cultural differences in the masculinity cultural dimension. However, this bias seems to be independent of metacognitive sensitivity and detecting decisions with a heightened likelihood of an error.
15-GW repetitive pulsed power generator based on Midel 7131 and double-width pulse forming line
Authors: Wang Gang , Liu Sheng , Zeng Bo , Li Penghui , Zheng Lei , Li Jie , Liu Yao , Shi Dingyuan , Duan Xingyue , Liu Shifei 
Published: November 2024

The Tesla-type pulsed power generator based on transformer oil is limited by volume and weight, which affects its suitability for mobile platforms. In this paper, a double-width pulse forming line (PFL) based on high-energy-density liquid medium Midel 7131 was designed, and a compact, high-repetitive pulsed power generator was developed. The structural and electrical parameters of the PFL with an outer diameter of 1000 mm were optimized to achieve the highest output power with a fixed load impedance of 60 Ω. This generator employed a double-width forming line, which has an output pulse width of four times of the electrical length of its external line, significantly increasing the output pulse width and making the system more compact. The generator could be finally enveloped with a size of 4 × 1.5 × 1.5 m3 and a weight of 4.7 tons. The experiment showed that the generator could operate reliably under the conditions of 15-GW peak power, 50-ns pulse width, 50-Hz repetition rate, and &lt;1% voltage jitter. The X-band relatively backward wave oscillator driven by this generator yielded a favorable microwave, which demonstrated the high-power driving capability of the generator.
Competitive degradation process based monitoring of steer-by-wire system under unknown degradation features
Authors: Lan Dun , Yu Ming , Wang Hai , Zhang Bin 
Published: November 2024

Abstract
Monitoring of steer-by-wire (SBW) system under intermittent faults is challenging since it is difficult to obtain the priori knowledge of monotonous degradation feature of intermittent fault due to its stochastic nature. To deal with this issue, this paper develops a prognosis method for the SBW system under unknown degradation features based on the concept of competitive degradation process (CDP). With the aid of fault diagnosis module, the possible faulty components can be determined, where the fault isolation estimators and the expanded analytical redundancy relations are used to improve the isolabilities of sensor faults. For each faulty component, three degradation features are defined and the monotonicity of each feature is unknown beforehand. To judge the monotonicity of the feature, the competition index is developed in the CDP and the feature is applicable (i.e. monotonous) if the predefined criterion can be satisfied using the established dataset of the feature. Once the applicable features are determined, the corresponding degradation models are built for remaining useful life prediction. Experiment results are presented to illustrate the performance of the proposed method.