bluuebunny/crossref_metadata_2025_split huggingface dataset:
Large-scale acute hospital bed and mattress implementations: insights and recommendations
Authors: Martindale Deborah , Allan Liz 
Published: October 2024

Background/Aims Hospital-wide replacement of beds and mattresses, often referred to as an ‘implementation’, can be an efficient way of ensuring that these products are up to date. However, large-scale implementations can be daunting for healthcare managers, with a lack of guidance to support them through this process. This service evaluation aimed to provide practical suggestions to NHS managers who are planning a hospital-wide acute hospital bed and mattress implementation from peers who have completed similar projects. Methods Interviews were conducted with a purposive sample of seven NHS staff members, all of whom had held a leading role in managing and executing an implementation project with the provider Medstrom. Exploratory, qualitative, semi-structured interviews were conducted, with data analysed through content-driven narrative analysis, using NVivo software. Results Four themes relating to large-scale bed and mattress implementation were identified: drivers; specification process; financial process; and physical implementation and training. Communication and planning were considered crucial, as was selecting a provider that could offer support throughout the implementation. Participants had been able to successfully implement a large volume of products, but all felt that a resource allowing healthcare managers to draw on the experiences of others who had previously completed a large-scale implementation project would be beneficial. Conclusions Large-scale mattress implementations are achievable with the right input and support. Learning from the experiences and knowledge of peers who have previously been involved in implementations can be very useful for healthcare managers embarking on this kind of project.
Artificial Intelligence-Driven All-Terrain Vehicle Crash Prediction and Prevention System
Authors: Khorsandi Farzaneh , De Moura Araujo Guilherme , Ferreira Lima dos Santos Fernando 
Published: October 2024

HighlightsAn AI-driven system for predicting and preventing ATV crashes was developed.Machine learning model achieved rollover prediction accuracy of over 99%.The system has the potential to significantly reduce ATV-related injuries and fatalities by enabling preemptive actions.Abstract.All-Terrain Vehicle (ATV) crashes have become a public health concern in the U.S. over the past decades, resulting in numerous fatalities and hospitalizations. Most of those incidents could have been prevented if riders could better assess their ability to handle risks. Currently, risk factors associated with ATV incidents have already been studied. However, little effort has been made toward developing practical applications that assist the rider in preventing crashes. Commercial ATV safety systems, such as Farm Angel, focus on post-crash detection and emergency medical services (EMS) alerting rather than preventive measures. Machine learning prediction models can be used to assist riders in taking preventive measures to avoid an imminent crash. In this study, we developed a system that leverages the predictive power of machine learning algorithms to assess the likelihood of a crash in real-time and alert the riders, thus allowing them to prevent the crash. To the best of our knowledge, this is the only system ever developed for ATVs specifically that can predict rollover incidents. The crash likelihood is estimated by a deep neural network that considers the ride parameters (e.g., ATV speed, turning radius, and roll and pitch angles), ATV characteristics (e.g., width, length, wheelbase), and human factors (i.e., presence of a rider). The ATV characteristics and the presence of a rider are retrieved from the rider’s input through a smartphone application developed specifically for this study. The ride parameters are retrieved from an embedded system (attached to the ATV). Validation and performance tests indicated that: (1) the proposed device has a rollover prediction system with an accuracy superior to 99%; (2) the system can detect roll and pitch angles with average errors of 0.26 and 0.54 degrees, respectively; and (3) the system can detect the ATV’s speed with an average error of 0.75 m s-1. Keywords: ATV safety, Crash prediction, Machine learning, Rollover prevention.
Perspective: Closing the Regulatory Gap: Addressing Challenges for Autonomous Agricultural Equipment in California
Authors: Khorsandi Farzaneh , Pinkerton Kent E. , Hong Minyoung 
Published: October 2024

HighlightsOutdated safety regulations pose challenges for autonomous agricultural tractors.Cal/OSHA denied the petition to update regulations for autonomous tractors.The industry's experimental variance shows potential but lacks sufficient data.Recommendations include third-party safety testing and creating an advisory group.Abstract.As of August 2024, California’s agricultural tractor safety regulations, developed over half a century ago, are still focused on classic tractors with human operators. These regulations are problematic when applied to autonomous equipment. Since agricultural equipment has advanced, producers have faced challenges in complying with existing regulations for autonomous machinery in California A petition (No. 596) was submitted in December 2021 to the State of California Department of Industrial Relations and reviewed in March 2023. The petition requesting modification of the agricultural tractor's traditional regulation was recently submitted to the Occupational Safety and Health Standards Board (OSHSB). The OSHSB denied both petitions. This article discusses more details related to California agricultural tractor safety regulations, the petition to modify the traditional regulations, discussions on OSHSB meetings regarding the petition, and several suggestions to resolve the current issue.. Keywords: Agricultural equipment, Autonomous, Regulation, Safety, Tractor
The association between perceived sensitivity to medicines, reported side effects and personal characteristics: A secondary analysis of an RCT
Authors: Kern Alexandra , Fischbach-Zieger Anja , Witt Claudia , Barth Juergen 
Published: October 2024

Introduction
A patient’s perceived sensitivity to medicines (PSM) might influence the reported side effects of a treatment. The experience of side effects can result in personal and structural costs (such as nonadherence). Research on nocebo mechanisms and the workings of side effect reporting has been disproportionally smaller compared to the emerging evidence of the individual and clinical impact of the matter. In this study, we explored and re-examined the association between PSM and reported side effects within a specific population (chronic low back pain patients receiving acupuncture treatment), including possible mediating variables (i.e., gender, medical and nonmedical care utilization, optimism, pessimism, anxiety, depression and treatment expectation).

Methods
We conducted a secondary analysis of a randomized controlled trial that examined the influence of treatment outcome expectations in chronic low back pain (CLBP) patients. All measures in the analysis were self-assessments. We explored the association between PSM, reported side effects and personal characteristics using correlational and regression analyses.

Results
Our sample consisted of 152 CLBP patients (65.8% female), the mean age was 39.5 years (SD = 12.5). We found positive correlations between PSM and reported side effects (r = 0.24; p < 0.01) and between PSM and anxiety (r = 0.21; p < 0.05). However, the subsequent regression analyses did not confirm a mediating or moderating effect of anxiety between PSM and reported side effects.

Conclusion
We confirmed and extended earlier research on PSM. Our study involved a specific pain population receiving a nonpharmacological intervention. Our results highlight the importance of targeting PSM and anxiety within a treatment to take measures to mitigate the prevalence of side effects.
The effectiveness of vitamin D supplementation in patients with end-stage knee osteoarthritis: Study protocol for a double-blinded, randomized controlled trial
Authors: Wang Qian-Wen , Ong Michael Tim-Yun , Man Gene Chi-Wai , Yeung Yi-Man , He Xin , Choi Ben Chi-Yin , Ng Jonathan Patrick , Mok Daniel Kam-Wah , Lam Tsz-Ping , Yung Patrick Shu-Hang 
Published: October 2024

Osteoarthritis (OA) knee is one of the most common chronic degenerative conditions that imposes clinical and economic burdens on individuals and societies worldwide. Previous studies showed vitamin D levels correlated positively with lean muscle mass and grip strength, implying that vitamin D supplementation may improve muscle health in knee OA subjects. This randomized controlled trial (RCT) aims to compare the effects of vitamin D supplementation on knee muscle strength, physical function, pain, and sarcopenia status in patients with end-stage knee OA. Patients and outcome assessors will be blinded to group allocation. Fifty-six end-stage knee OA patients with vitamin D insufficiency fulfilling our inclusion criteria will be invited to participate in this study. Patients will be randomly assigned to take vitamin D supplementation (4,000 IU capsule daily) or placebo for six months. Measurements will be taken at baseline, three and six-month after the commencement of the vitamin D supplement, and 6-month after the interventional period. The primary outcome includes the isometric quadriceps and hamstring muscle strength measured by a hand-held dynamometer. Secondary outcomes include pain, performance-based and self-reported physical function and sarcopenia status. The success of this study will provide scientific evidence of whether the relatively cheap and well-tolerated vitamin D supplement can improve quadriceps muscle strength, physical function, pain symptoms, and sarcopenia status of this increasingly large population for end-stage knee OA patients. The study has great clinical significance given Hong Kong’s lengthy and growing waiting list for complete knee replacement procedures.
Trial registration: The trial was registered on clinicaltrials.gov (NCT05981534) on 31st July 2023.
Safety and efficacy of fecal microbiota transplantation for viral diseases: A systematic review of clinical trials
Authors: Ebrahimi Rasoul , Masouri Mohammad Mahdi , Salehi Amniyeh Khozani Amir Abbas , Ramadhan Hussein Dana , Nejadghaderi Seyed Aria 
Published: October 2024

Background
Gut microbiota play important roles in several diseases like viral infections. In this systematic review, our objective was to assess the efficacy and safety of fecal microbiota transplantation (FMT) in treating various viral diseases.

Methods
We conducted searches on databases including PubMed, Web of Science, Scopus, and Google Scholar until November 2023. Clinical trials reported outcomes related to safety of FMT or its efficacy in patients with viral diseases were included. We excluded other types of studies that enrolled healthy individuals or patients with other disorders and did not use FMT. The assessment of bias risk was conducted using the National Institutes of Health (NIH) study quality evaluation tool.

Results
Eight studies with total 196 participants were included. Viral diseases were human immunodeficiency virus (HIV), hepatitis B, COVID-19 and Clostridioides difficile coinfection, and cytomegalovirus colitis. In hepatitis B cases, HBeAg clearance was significant in those received FMT (p<0.01), while it was not significant in another one (p = 0.19). A clinical response was noted in 37.5% of patients with cytomegalovirus colitis, with an equal percentage achieving clinical remission post-FMT. There was a significant reduction in Clostridioides difficile relapse rate in FMT group than controls in coinfection of Clostridioides difficile and COVID-19 (2.17% vs. 42.5%, p<0.05). In patients with HIV, partial engraftment of the donor microbiome and increases in alpha diversity were observed after FMT. No severe adverse events were reported. Most studies had fair or good qualities.

Conclusions
Our findings revealed FMT as a promising, safe treatment for some viral diseases. It improved viral clearance, clinical outcomes, and inflammation. However, the varying responses and small sample sizes call for more trials on FMT in viral diseases.
Arabic Wikipedia users’ personalized behavior analysis considering gender gap
Authors: Al-Shboul Bashar , Al-Qudah Dana A. , Boshmaf Hadeel , Abu-Salih Bilal , Beseiso Majdi , Al-Saqqa Samar 
Published: October 2024

Introduction
As many web platforms adopt collaborative content editing models, the gender gap is addressed as one of the chief concerns in using technology to restrict content editing by one gender.

Objective
This study aims to analyze the Arabic Wikipedia, the largest collaborative content editing platform on the Arabic web, in terms of gender behavior and differences in user activities.

Methods
This study is the first to address the gender gap in Arabic Wikipedia, characterize users’ gender through their behavior, and then address changes in characteristics over the past five years. This study analyzes parts of Arabic Wikipedia offline by linking article pages and page edit histories to user profiles of known genders.

Results
This study reported that a gender gap exists in Arabic Wikipedia. The results reported differences over the past five years between both genders in terms of tasks and user behavior. One aspect that indicated similarity is the period of active time over months/years. Differences were observed in the reported number of increasing users, activities, responsibilities, and average actions performed.

Conclusion
The results reveal a vast gap in terms of gender behavior in Wikipedia activities. Moreover, the results reveal that some administrative activities are disclosed to men more than to women.
Origem e persistência dos grupos intencionais
Authors: Oliveira Alves Adriana 
Published: October 2024

Resumo: Neste artigo, discuto a origem e persistência dos grupos intencionais ao longo do tempo, defendendo que os grupos intencionais são uma consciência coletiva que possui como critério de identidade uma crença na razão de sua existência, e que persistem no tempo à medida que essa crença se faz contínua. Para isso, em ontologia social, discuto a estrutura de grupos e aplico a teoria dos estágios para tratar da persistência no contexto coletivo. Já em intencionalidade coletiva, defendo que os grupos possuem seus próprios estados mentais e aplico a teoria da continuidade psicológica para tratar da identidade de grupos. Argumento que o critério de identidade do grupo enquanto uma crença está intrinsecamente relacionada à sua origem e é o elemento que deve permanecer fixo, mesmo que o grupo sofra outras mudanças. O meu propósito é expandir as discussões filosóficas e aprimorar a nossa compreensão acerca de grupos intencionais.
Palavras-chave: Grupo Intencional; Persistência; Identidade; Ontologia Social; Intencionalidade Coletiva
Origin and persistence of intentional groups
Abstract: In this article, I discuss the origin and persistence of intentional groups over time, arguing that intentional groups are a collective consciousness that has as an identity criterion a belief in the reason for their existence, and that they persist over time as this belief becomes continuous. To do this, in social ontology, I discuss the structure of groups and apply the stage theory to address persistence in the collective context. In collective intentionality, I argue that groups have their own mental states and apply the theory of psychological continuity to deal with group identity. I argue that the group's identity criterion as a belief is intrinsically related to its origin and is the element that must remain fixed, even if the group undergoes other changes. My purpose is to expand philosophical discussions and improve our understanding of intentional groups.
Keywords: Intentional Group; Persistence; Identity; Social Ontology; Collective Intentionality

Data de registro: 19/07/2023
Data de aceite: 26/04/2024
Comparative analysis of the efficacy of different treatment strategies in medication overuse headache: an open-label prospective trial
Authors: Sergeev A. V. , Guziy E. A. , Kovalchuk N. A. , Sokolov E. A. , Grigoriev G. V. , Tabeeva G. R. 
Published: October 2024

Medication overuse headache (MOH) is a common form of chronic headache with a high risk of relapse after therapy. Excessive use of analgesics most frequently leads to the development of MOH in migraine patients.Objective: to analyze the short- and long-term efficacy of MOH therapy in patients with chronic migraine (CM) using different programs to discontinue the abused drug and a detoxification regimen.Material and methods. The study included 44 patients with MOH and CM who were divided into two groups. Group A comprised 18 patients who discontinued the drug that triggered MOH and were simultaneously prescribed preventive treatment for migraine without undergoing "detoxification" therapy". Group B comprised 26 patients who received a multimodal therapeutic strategy including "detoxification treatment".Results. The strategy of complex therapy with a "detoxification treatment" was significantly more effective during the 12-month observation period. In group B, a significant (p<0.01) decrease in the number of days with migraine per month was observed (before therapy – 22.6±7.4 days, after 3 months – 15.1±8.9 days, after 6 months – 12.7±9.1 days and after 12 months – 10.2±8.7 days). In the first 6 months, a similar dynamic was observed in group A, whereby the frequency of migraine increased in the 12th month of observation. Twelve months after the start of therapy, migraine occurred in episodes in the majority (84%) of patients in group B, which is significantly more than in group A (58.9%; p<0.01).Conclusion. A comprehensive approach in the treatment of patients with CM and MOH with "detoxification" therapy" showed high efficacy in terms of reducing the number of headache days per month and converting CM to episodic migraine.
Evaluation of the efficacy of preventive therapy in chronic migraine with or without medication overuse headache: data from a prospective study
Authors: Guziy E. A. , Sergeev A. V. , Tabeeva G. R. 
Published: October 2024

Chronic migraine (CM) affects three out of every hundred people. As the frequency of attacks increases, so does the frequency of painkillers usage, and 85% of patients with CM are also diagnosed with medication overuse headache (MOH).Objective: to investigate the efficacy of preventive therapy of CM with or without MOH.Material and methods. The study involved 117 patients with CM and MOH (group 1) and 23 patients with CM without MOH (group 2), patients were examined at the initial visit and after 3 and 9 months of follow-up. All patients in the 1st group (CM+MOH) received a 7-day "detoxification" therapy. Patients in both groups were given an educational and information session on the type of their diagnosis, treatment methods and lifestyle correction. The choice of a preventive treatment in both groups was based on the current clinical recommendations, algorithms of modern international guidelines, concomitant pathology, the presence of contraindications in a particular patient, tolerability, as well as territorial and economic factors.Results. A positive effect was found in both groups, regardless of the presence of MOH. The lack of significant differences between the groups of CM with/without MOH is probably due to the use of "detoxification" therapy and the cessation/restriction of the use of the drug of abuse in all patients with CM and MOH, although a more pronounced positive dynamics is observed in patients of the 2nd group (CM without MOH), which in turn emphasizes the severity of the disease, the greater disability and the poorer prognosis for response to preventive treatment in the presence of MOH. It was found that one third of patients in the study favored monoclonal antibodies (mAbs) due to convenience, rapid onset of action and tolerability. In the group of patients with MOH, the best results were obtained when using injection methods of treatment (anti-CGRP mAbs, botulinum therapy) or when using combined therapy compared to monotherapy with venlafaxine or topiramate.Conclusion. All first-line drugs for the CM prophylactic treatment according to the clinical guidelines of the Ministry of Health of Russia are clearly effective, including cases with both CM and MOH. The use of combined therapy in CM with/without MOH can be effective even with a low initial response to one of the monotherapies.
Botanical imaginary of indigeneity and rhizomatic sustainability in Toni Morrison’s A Mercy
Authors: Atieh Majda , Ahmad Ula 
Published: October 2024

Abstract
This article explores a botanical imaginary in A Mercy (2008), the ninth narrative by African American writer and critic Toni Morrison. Arguably, A Mercy features the botanical design of the rhizome to activate a revisionary model of sustainability. In particular, the narrative’s imaginary suggests a synergy that liberates the restrictive root of Indigeneity as a precondition to reconcile a tension of rigid binaries with the customary routes that lead to closure. This reconciliation will enunciate a radical break with the limited sustainability paradigms that are still constitutive of colonial modernity. Arguably, A Mercy features a transgressive array of journeys whose rhizomatic root of biodiversity transcends what is cultivated in the colonial American soil and mobilizes symbiotic and liberatory sustainability for humans and non-humans. Deleuze and Guattari’s principles of the “rhizome” philosophy contribute a main theoretical framework for construing the narrative’s botanical composition that suspends the inequitable realization of sustainability.
The Economic Impact of Arms Spending in Germany, Italy, and Spain
Authors: Stamegna Marco , Bonaiuti Chiara , Maranzano Paolo , Pianta Mario 
Published: October 2024

Abstract
In the last 10 years, military expenditures of NATO EU countries (according to NATO definitions and data) have increased by almost 50 %, from €145 billion in 2014 to €215 billion in 2023. In this context, it is important to assess the economic consequences that the current increase in military spending is likely to have on Europe’s economies. We focus on Germany, Italy and Spain, and we concentrate on arms acquisitions. The article investigates the economic effect of military expenditure on growth and employment and compares it to the impact that could emerge from a similar expenditure for education, health and the environment. We use an input–output methodology – already adopted by several studies – to assess the relevance of imports and of demand towards different sectors providing intermediate inputs. We assess the likely impact on output and jobs of one billion euros of extra spending in arms, and compare it to the outcomes of the same amount spent in education, health and the environment. Our findings show that for all countries non-military public expenditures have a greater impact on the economy and employment than spending for arms acquisition.