bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Does Temperature Change Affect Residents’ Health? A Multidimensional Health Perspective
Authors: Yin Bibo , Chen Yilin , Xu Xiaocang 
Published: November 2024

Abstract
Frequent heatwaves, the heat island effect, and numerous extreme weather events due to climate change and urbanization pose significant risks to public health. We constructed a system of indicators to measure four dimensions of health: physiological, psychological, social, and behavioral. Meanwhile, fixed-effect models were used to analyze data from the three waves (2013–18) across 113 cities in the China Health and Retirement Longitudinal Study (CHARLS). The findings displayed that both low and high temperatures negatively affect physiological, psychological, social, and behavioral health. Low temperatures had a greater potential to damage human physiological health and incur more medical expenses compared to high temperatures. The elderly were more vulnerable to physiological damage from extreme low temperatures. Excessive alcohol consumption and poor working environments intensified the negative influence of extreme temperatures. Geographical climate variations led to distinct health adaptability to heat and cold among residents of the south and north. In the mechanism test, household income was an effective mediating channel in this effect, which was further certified in rural households. Although installing air conditioning conferred psychological benefits in mitigating the adverse effects of extreme temperatures, its overuse induced physiological disorders. This study broadens health measurement and provides empirical evidence on the health effects of temperature extremes.
The Hidden “Ear-Way”: A Cohort Analysis of Otologic Manifestations in Aspirin Exacerbated Respiratory Disease
Authors: Pellizzari Richard Antonio , Wei Julia , Saba Elias , Shah Swapnil , Greene LaBryson , Tran Quynh-Lam , Debbaneh Peter , Rivero Alexander 
Published: November 2024

Objectives: This study aims to report otologic manifestations in a cohort of patients with aspirin exacerbated respiratory disease (AERD) to determine if severity of sinonasal inflammation is associated with presence of otologic sequalae (OS). Methods: All AERD patients treated at a tertiary care center between 2009 and 2016 were included in analysis. Demographics, history of hearing loss, Lund-Mackay (LMK) scores, number of previous sinus procedures, CT findings, and pure tone averages (PTA) were compared between patients with and without OS using chi-square test, Fisher’s exact test, and Wilcoxon rank sum test. Results: Of 255 AERD patients, 58.4% were female with a mean age of 48.9 (SD: 13.4) years. The majority (52.2%) had otologic manifestations, most commonly: otitis media requiring antibiotics (n = 89, 34.9%), peripheral vertigo (n = 59, 23.1%), and middle ear effusion (n = 44, 17.3%). A total of 74 patients (29.0%) had hearing loss. PTA ranged from 13.3 to 61.7 dB for the cohort, with no significant difference between those with and without OS. There was no significant difference in LMK in both groups. Patients with OS had a significantly greater number of sinus procedures than those without OS (median = 2.4 and 1.8 respectively; P = .01). Conclusions: Otologic manifestations are common in patients with AERD. While there was an increased number of sinonasal surgeries performed in the patients with OS, there was no correlation between sinonasal inflammation, and the presence of OS as measured by LMK score or PTA. Otologic signs and symptoms should be considered in patients with AERD to help mitigate patient morbidity. Level of Evidence: III.
Restoration of Oral Competence With Local Advancement Flap After Free-Flap Reconstruction
Authors: DeSisto Nicole G. , Verducci Chloe , Pittman Amy L. , Yang Shiayin F. 
Published: November 2024

Objective: Surgical management of head and neck cancer (HNC) can result in significant functional deficits. Large tumors of the oral cavity may require extensive resection and the need for microvascular free-flap reconstruction involving the use of adynamic tissue. This may result in oral incompetence, drooling, and unsatisfactory esthetic outcomes. Maintenance of the orbicularis oris and function of the oral sphincter are important objectives in the reconstruction of large defects. When this cannot be accomplished, secondary local flaps can be employed to restore the orbicularis oris. Methods: We present 2 cases of oral incompetence following microvascular free- flap reconstruction for large resections of HNC. Results: All cases were managed with debulking of flap, modified Karapandzic flaps, and advancement of composite skin, muscle, and buccal mucosa to restore the function of the oral sphincter and improve oral competence. The surgical techniques demonstrated in our cases resulted in improvement in both functional and esthetic outcomes. Conclusion: Restoring continuity of the orbicularis oris muscle is a critical functional and esthetic consideration in microvascular free flap reconstruction where the lip is involved or disrupted. However, when this cannot be achieved, restoration of the oral sphincter and oral commissure can be achieved with a secondary reconstructive procedure.
Actuator and sensor fault estimation for T–S fuzzy fractional-order systems based on adaptive and sliding mode observers
Authors: Dhahri Slim , Naifar Omar , Ben Alaia Essia 
Published: November 2024

This study delves into the issue of estimating faults in actuators and sensors for a specific category of uncertain fractional-order nonlinear systems (FONSs). This category is characterized by Takagi-Sugeno (T-S) fuzzy model, which operates in the presence of local nonlinear functions and external disturbances. The fractional-order T-S fuzzy system is divided into two subsystems using linear coordinate transformations: The first subsystem includes the effects of disturbances but not sensor faults, while the second subsystem incorporates sensor faults but no disturbances. Subsequently, a T-S fuzzy fractional sliding mode observer (FSMO) is constructed based on the first subsystem to entirely neutralize the impact completely of external disturbances. For the second subsystem, a T-S fuzzy fractional adaptive observer (FAO) is formulates to estimate both actuator and sensor faults, leveraging the estimated output subsystem. The stability analysis of state estimation errors ventures into the domain of Lyapunov stability theory for FONSs, thereby enriching our comprehension of their dynamics and predictive abilities. The necessary conditions for stability are subsequently deduced and articulated in the form of linear matrix inequalities (LMIs). To corroborate the findings, an exemplifying scenario is demonstrated at the end. AMS Subject Classifications: 34K20.
Investigation on mechanical, physico-chemical and thermal properties of recycled polyamide 6 reinforced with continuous glass fibers
Authors: Hermassi Nahed , Ejday Mohsen , Grohens Yves , Guermazi Noamen , Corre Yves-Marie 
Published: November 2024

The study primarily deals with recycled plastics, mainly polyamide 6 (rPA6), obtained from recycled fishing nets. These plastics are converted into reusable plate-like materials using the compression molding process. Moreover, the material was subjected to compression at different ratios of UD tape (4 wt%, 8 wt% and 12 wt%). In fact, reinforcement was added by incorporating a tape made of PA6 and unidirectional glass fibers, often known as PA6-GF UD tape. This research will investigate the physico-chemical structure, thermal properties, mechanical behavior, and microstructure of recycled Polyamide 6 (rPA6) and its composites, specifically rPA6 reinforced with glass fibers (rPA6GF) at different weight ratios. Besides this research makes a three analytical model (ROM, IROM, Hirsch) to predict the tensile properties of rPA6GF. The study’s findings demonstrate that recycled plastics sourced from fishing nets displayed favorable mechanical characteristics, after the addition of reinforcement materials, such as tensile strength (74.65 MPa), elastic modulus (5.64 GPa), flexural strength (≈155 MPa), impact resistance (143.36 KJ/m2), and hardness (79.5 D). While these improvements have been achieved, the presence of impurities and moisture still pose long-term performance problems that cause the degradation of the material and increased variability associated with it, complicating predictive modeling. Analytical modeling, while useful in explaining fiber reorientation, needs also to include these variabilities in order to improve long-term accuracy and performance prediction. The current study has approved the feasibility of locally reinforced composites with continuous fiber development by thermocompression, hence a promising approach toward the attainment of sustainable and reliable performance for the recycled plastic composites.
Different iron distribution patterns in Parkinson's disease and its motor subtypes: a quantitative susceptibility mapping study
Authors: Zang Siting , Pan Yu , Chen Miao , Zhang Gang 
Published: November 2024

Background This study utilized quantitative susceptibility mapping (QSM) to evaluate magnetic susceptibility of brain nuclei in Parkinson's disease (PD). Purpose To explore iron deposition patterns in PD and ascertain if these patterns can distinguish between motor subtypes. Material and Methods This study enrolled 30 healthy controls and 34 patients with PD categorized mainly into postural instability and gait disorder (PIGD) (n = 12) and tremor dominance (TD) (n = 16). A total of 18 regions of interest were delineated, and a comprehensive classification of nuclei was conducted, including the differentiation of globus pallidus (GP) into its external (GPe) and internal (GPi) segments. All participants underwent brain magnetic resonance imaging. Results Notable differences in magnetic susceptibility were identified in bilateral substantia nigra pars reticulate (SNr) and substantia nigra pars compacta (SNc) between PD and HC. Significant differences in QSM values of bilateral GPe, SNr, and SNc-R were found between TD and PIGD. The susceptibility values of bilateral putamen (PUT) were positively correlated with MDS-UPDRSIII score and Hoehn–Yahr scale in PD. QSM values of bilateral PUT and SNc-L showed associations with MDS-UPDRSIII score in TD. QSM values showed associations with MDS-UPDRSIII in bilateral PUT and Hoehn–Yahr scale in PUT-L and TH-L in PIGD. Conclusion Pathologic iron deposition exhibits variability across nuclei of PD, with age also influencing this distribution. SN may be meaningful in identifying different subtypes of PD, such as differentiating PD from HC in the future.
Preliminary Report on the Salvage Excavation in the Egyptian Section at the National Museum of Rio De Janeiro
Authors: Von Seehausen Pedro Luiz Diniz , Machado Tamires , César Marina Buffa , Amaral Ana Luiza Castro , Bastos Murilo Quintans Ribeiro , Rodrigues-Carvalho Claudia 
Published: November 2024

On the night of 2 September 2018, a large fire struck the Brazil National Museum located in the Quinta da Boa Vista Palace, in Rio de Janeiro. The fire caused considerable damage to the structure of the building and to the collections housed inside. To rescue the collections from the affected area, a salvage excavation has been conducted in the ruins of the palace. This article provides a preliminary report on the salvage excavation in the room housing the Egyptian collection exhibition. [Formula: see text]
Intrahousehold Food Distribution in the Philippines: A Food Share Over Energy Share Perspective
Authors: Angeles-Agdeppa Imelda , Bouis Howarth , Briones Roehlano M. , Espineli Isabel B. , Maniego Ma. Lynell V. 
Published: November 2024

Background Studies on intrahousehold inequality in food distribution typically have focused on the distribution of total energy within the household. While some members within the household can satiate their hunger primarily from the consumption of inexpensive staple food items, others can consume a significantly larger share of much more expensive nonstaple food items rich in bioavailable micronutrients. This potential inequality, which significantly impacts micronutrient malnutrition in developing countries, can be influenced by the gender-related sociocultural norms. Methods This article uses a “food share over energy share (FS/ES)” methodology applied to the Philippines 2013 intrahousehold individual food consumption survey to examine patterns of dietary quality by age and gender. Results No pattern of age or gender discrimination is found; females consume most nonstaple foods somewhat more intensively than males. Preschoolers and young children relatively intensively consume higher amounts of milk and milk products, eggs, processed meat, noodles, sweets/desserts, sugars/syrups, and chocolate drinks. Adults relatively intensively consume fresh meat, organ meat, fish and seafood, vegetables, coffee, and alcohol. Adolescents transition between the two patterns as they grow older. Conclusion The FS/ES methodology focuses on distribution choices of specific foods that family members explicitly know about. The implications of these behavioral choices (some foods are nutrient-dense, others not) for meeting nutrient requirements (of which most households are unaware) may be investigated separately. Several types of follow-up studies using the FS/ES methodology are suggested for a better understanding of the factors that drive food distribution behavior, which is key to effective nutrition messaging. Distribution of food among household members in the Philippines: Understanding how we share meals
High-dose Intravenous N-Acetylcysteine in Mechanically Ventilated Patients with COVID-19 Pneumonia: A Propensity-Score Matched Cohort Study
Authors: Fong Ka Man , Ng George Wing Yiu , Leung Anne Kit Hung , Lai Kang Yiu 
Published: November 2024

Background Current therapies for severe COVID-19, such as steroids and immunomodulators are associated with various side effects. N-acetylcysteine (NAC) has emerged as a potential adjunctive therapy with minimal side effects for patients with cytokine storm due to COVID-19. However, evidence supporting high-dose intravenous NAC in severe COVID-19 pneumonia requiring mechanical ventilation is limited. Methods We conducted a retrospective analysis of consecutive patients aged ≥ 18 who were admitted for acute respiratory failure (PaO2/FiO2 ratio <300) with SARS-CoV-2 infection to the Intensive Care Unit (ICU) of Queen Elizabeth Hospital from fifth July 2020 to 31st October 2022. Inclusion was limited to patients who required mechanical ventilation. High-dose NAC refers to a dosage of 10 g per day. The primary outcome was all-cause mortality within 28 days. Propensity-score matched analysis using logistic regression was performed. Results Among the 136 patients analyzed, 42 (40.3%) patients received NAC. The unmatched NAC patients displayed a higher day-28 mortality (12 (28.6%) versus 4 (6.5%), p = 0.005) and fewer ventilator-free days (18.5 (0-23.0) versus 22.0 (18.3-24.0), p = 0.015). No significant differences were observed in ICU and hospital length of stays among survivors. In patients who were not treated with tocilizumab, those receiving NAC exhibited a trend toward a quicker reduction in C-reactive protein compared to those who did not receive NAC. After propensity score matching which included 64 patients with 33 (51.6%) receiving NAC, no significant differences were found in 28-day mortality, ventilator-free days, or ICU and hospital length of stay. After adjusting for potential confounders, logistic regression of the propensity score-matched population did not demonstrate that the use of NAC independently affected 28-day mortality. Conclusions In patients with COVID-19 pneumonia requiring mechanical ventilation and receiving standard COVID-19 treatment, the addition of high-dose NAC did not lead to improved clinical outcomes.
Methylene Blue for Septic Shock: A Systematic Review and Meta-analysis of Randomized and Prospective Observational Studies
Authors: Alkazemi Afrah , Almoosawy Sayed Abdulmotaleb , Murad Anwar , Alfares Abdulrahman 
Published: November 2024

Background The impact of methylene blue (MB) on critical patient outcomes, including overall mortality, hemodynamic stability, and organ function has been inconsistently described across studies. This study aims to evaluate the efficacy of MB therapy in adult patients with septic shock in the intensive care unit (ICU). Methods The systematic search of PubMed/MEDLINE, EMBASE and Cochrane Library databases up to February 2024 included randomized controlled trials and prospective observational studies involving adult septic shock patients who received intravenous MB therapy. The primary outcome was all-cause mortality, with secondary outcomes on hemodynamics and ICU length of stay. Results Fifteen studies (5 randomized, 10 non-randomized) involving a total of 441 patients, met the inclusion criteria. The meta-analysis showed statistically significant reduction in mortality rates among septic shock patients treated with MB (mortality rate 0.52; 95% CI 0.38 to 0.66; P < .001). In a sub-analysis of only randomized trials, the results remained statistically significant (risk ratio 0.66; 95% CI 0.47 to 0.94; P = .023). A significant increase in mean arterial pressure post-infusion was observed in three studies. Two studies showed no substantial difference in heart rate and two studies showed no difference in cardiac index following MB administration. Only one study showed a reduction in the length of ICU stay with MB use, while another observed a decrease in overall hospital length of stay. Conclusions The review and meta-analysis suggest that MB may be associated with a significant reduction in mortality in septic shock patients though findings are limited by sample size and heterogeneity. Further robust studies are needed to validate these results.
Barriers and Facilitators to Physical Activity Among Older Adults in Residential Aged Care Facilities: A Mixed Methods Systematic Review Using the Social Ecological Model
Authors: Baidya Sumana , Connolly Cath J. , Petersen Jasmine M. , Baldwin Claire , van den Berg Maayken E. L. , Harris Isobel , Lewis Lucy K. 
Published: November 2024

Objective To ascertain the barriers and facilitators to physical activity (PA) for older adults in Residential Aged Care Facilities (RACFs), from the perspective of residents, staff, and family. Methods A mixed-methods systematic review, underpinned by the Social Ecological Model (SEM). Five databases were searched from inception to May 2024. Data synthesis followed a convergent integrated approach, with relevant quantitative data ‘qualitised’ and synthesised with qualitative data using thematic synthesis. Results This review included 67 studies (40 qualitative, 16 mixed-methods, and 11 quantitative). Thematic synthesis identified 51 key themes (27 facilitators and 24 barriers), spanning all levels of the SEM. Intrapersonal factors (e.g. poor general health) were the most commonly cited barriers ( n = 53 studies), and interpersonal factors (e.g. social support) the most commonly reported facilitators ( n = 55 studies) to PA in RACFs. Discussion An interplay of multi-level factors must be addressed in the development and implementation of strategies to promote PA in RACFs.
Are aquatic exercises feasible post stroke? What do we know after an overview of systematic reviews?
Authors: Paixão Luana , Obara Karen , Silva Carla T. , Nampo Daniel B. , Munaro Giovana R. , Cardoso Jefferson R. 
Published: November 2024

Background Aquatic exercises might be considered a safe modality for the treatment of individuals after stroke. Objective To assess the effectiveness of aquatic exercise (AE) compared to land-based conventional therapy or no intervention. Methods This overview of systematic reviews (SR) followed the recommendations of the Cochrane Collaboration, the protocol was registered on PROSPERO, and the risk of bias was assessed by AMSTAR-2. The databases Medline, Embase, Web of Science, SportDiscus, Cinahl, Scopus, Scielo, and PEDro, from 1945 to 2024, were used. Results In total, 15 SRs were included. All reviews showed methodological failure according to the AMSTAR-2 classification, being shown to be critically low. The domains that presented the worst performance were related to the registration of the protocol, assessment of the risk of bias of the primary studies, and adequate conduction of the meta-analysis. Conclusions According to the included reviews, aquatic exercise can be effective, especially in improving balance, however, caution is needed to interpret these findings due to their critically low methodological quality. No adverse effects were reported in any of the reviews.
Increase in EEG alpha-to-theta ratio after transcranial direct current stimulation (tDCS) in patients with disorders of consciousness: A pilot study
Authors: Tarantino Vincenza , Fontana Maria Lorena , Buttà Angela , Ficile Simona , Oliveri Massimiliano , Mandalà Giorgio , Smirni Daniela 
Published: November 2024

Background Transcranial direct current stimulation (tDCS) has emerged as a potentially effective intervention for improving consciousness levels in patients with disorders of consciousness (DoC). Most studies demonstrating benefits have targeted the left dorsolateral prefrontal cortex (DLPFC). However, inconsistent results have been reported across studies, and the brain effects of the stimulation remain unclear. Objective This work aimed to investigate the effects of a tDCS treatment on brain reactivity at rest in patients with DoC. Methods A 10-session tDCS treatment was administered over the left DLPFC in a group of patients with DoC. The effect of this stimulation was tested by combining the conventional behavioral assessment, conducted with the Coma Recovery Scale-Revised (CRS-R), with a quantitative analysis of the resting-state electrical brain activity, measured by electroencephalography (EEG). Results Following treatment, there was a slight improvement in CRS-R scores. More importantly, an increase in the ratio between alpha and theta power over posterior scalp regions was observed, even in patients who did not show changes in CRS-R scores. Conclusions These findings suggest that adding a simple quantitative EEG analysis alongside conventional clinical assessment post-tDCS could enhance the detection of changes in brain reactivity.
Morphometric Evaluation of the Greater Palatine Foramen in Patients With Cleft lip and Palate (CLP) and Controls: A CBCT Study
Authors: Tabatabaei Salma , Paknahad Maryam , Adab Sajjad 
Published: November 2024

Objective This study aimed to use cone beam computed tomography (CBCT) scans to compare the morphometric characteristics of the greater palatine foramen (GPF) in unilateral and bilateral cleft lip/palate patients (CL/P) and non-cleft (NC) individuals. Method and material One hundred patients with CL/P (78 unilateral and 22 bilateral) and 100 non-cleft individuals had their GPF morphometrically assessed in CBCT images. The antero-posterior width and medio-lateral width of the GPF, the distance between the right and left GPFs, the mesio-distal location of the GPF with respect to the molar teeth, the distance between the GPF and the hamulus of the medial pterygoid plate, and the distance between the GPF and the palatine alveolar ridge were measured on these images. The Kruskal–Wallis and Chi-square tests were employed to ascertain if there were any notable disparities across the 3 groups. Results The GPF's antero-posterior width and medio-lateral width, and distance from the hamulus and palatine alveolar ridge were considerably smaller in the unilateral cleft lip/palate (UCL/P) and bilateral cleft lip/palate (BCL/P) patients than in the NC individuals. However, no significant difference was observed between the BCL/P and UCL/P groups in terms of these parameters. The distance between GPFs and the location of the GPF did not exhibit any significant differences among the 3 groups. Conclusion Certain morphometric parameters of the GPF were significantly different in CL/P patients. Understanding the anatomy of this area is crucial for successful treatment of individuals with CL/P with minimal complications.