bluuebunny/crossref_metadata_2025_split huggingface dataset:
Consideration of inequalities in effectiveness trials of mHealth applications – a systematic assessment of studies from an umbrella review
Authors: Abdelmalak Nancy , Burns Jacob , Suhlrie Laura , Laxy Michael , Stephan Anna-Janina 
Published: September 2024

Abstract
Background
The growing use of mobile health applications (apps) for managing diabetes and hypertension entails an increased need to understand their effectiveness among different population groups. It is unclear if efficacy and effectiveness trials currently provide evidence of differential effectiveness, and if they do, a summary of such evidence is missing. Our study identified to what extent sociocultural and socioeconomic inequalities were considered in effectiveness trials of mobile health apps in diabetic and hypertensive patients and if these inequalities moderated app effectiveness.

Methods
We built on our recent umbrella review that synthesized systematic reviews (SRs) of randomized controlled trials (RCTs) on the effectiveness of health apps. Using standard SR methodologies, we identified and assessed all primary RCTs from these SRs that focused on diabetes and/or hypertension and reported on health-related outcomes and inequality-related characteristics across intervention arms. We used the PROGRESS-Plus framework to define inequality-related characteristics that affect health opportunities and outcomes. We used harvest plots to summarize the subgroups (stratified analyses or interaction terms) on moderating effects of PROGRESS-Plus. We assessed study quality using the Risk of Bias 2 tool.

Results
We included 72 published articles of 65 unique RCTs. Gender, age, and education were the most frequently described PROGRESS-Plus characteristics at baseline in more than half of the studies. Ethnicity and occupation followed in 21 and 15 RCTs, respectively. Seven trials investigated the moderating effect of age, gender or ethnicity on app effectiveness through subgroup analyses. Results were equivocal and covered a heterogenous set of outcomes. Results showed some concerns for a high risk of bias, mostly because participants could not be blinded to their intervention allocation.

Conclusions
Besides frequently available gender, age, and education descriptives, other relevant sociocultural or socioeconomic characteristics were neither sufficiently reported nor analyzed. We encourage researchers to investigate how these characteristics moderate the effectiveness of health apps to better understand how effect heterogeneity for apps across different sociocultural or socioeconomic groups affects inequalities, to support more equitable management of non-communicable diseases in increasingly digitalized systems.

Registration
https://osf.io/89dhy/.
Building a healthy generation together: parents’ experiences and perceived meanings of a family-based program delivered in ethnically diverse neighborhoods in Sweden
Authors: Farias Lisette , Hellenius Mai-Lis , Nyberg Gisela , Andermo Susanne 
Published: September 2024

Abstract
Introduction and aim
Ethnically diverse neighborhoods encounter pronounced inequalities, including housing segregation and limited access to safe outdoor spaces. Residents of these neighborhoods face challenges related to physical inactivity, including sedentary lifestyles and obesity in adults and children. One approach to tackling health inequalities is through family-based programs tailored specifically to these neighborhoods. This study aimed to investigate parents’ experiences and perceptions of the family-based Open Activities, a cost-free and drop-in program offered in ethnically diverse and low socioeconomic neighborhoods in Sweden.

Methods
Researchers’ engagement in 15 sessions of the Open Activities family-based program during the spring of 2022, and individual interviews with 12 participants were held. Data were analyzed using reflexive thematic analysis.

Results
The analysis resulted in three main themes and seven sub-themes representing different aspects of the program’s meaning to the participants as parents, their families, and communities. The main themes describe how parents feel valued by the program, which actively welcomes and accommodates families, regardless of cultural differences within these neighborhoods. The themes also show how cultural norms perceived as barriers to participation in physical activity can be overcome, especially by mothers who express a desire to break these norms and support girls’ physical activity. Additionally, the themes highlight the importance of parents fostering safety in the area and creating a positive social network for their children to help them resist criminal gang-related influences.

Conclusions
The program’s activities allowed parents to connect with their children and other families in their community, and (re)discover physical activity by promoting a sense of community and safety. Implications for practice include developing culturally sensitive activities that are accessible to and take place in public spaces for ethnically diverse groups, including health coordinators that can facilitate communication between groups. To enhance the impact of this program, it is recommended that the public sector support the creation of cost-free and drop-in activities for families who are difficult to reach in order to increase their participation in physical activity, outreach, and safety initiatives.
Dynamic trends of ischemic heart disease mortality attributable to high low-density lipoprotein cholesterol: a joinpoint analysis and age-period-cohort analysis with predictions
Authors: Li Min , Wang Beibei , Wang Lan , Tong Ling , Zhao Gang , Wang Biao , Guo Jingli 
Published: September 2024

Abstract
Aims
The purpose of this study was to analyze the dynamic trends of ischemic heart disease (IHD) mortality attributable to high low-density lipoprotein cholesterol (LDL-C).

Methods
Data on IHD mortality attributable to high LDL-C from 1990 to 2021 were extracted from the global disease burden database. Joinpoint software was used to estimate the average annual percentage change (AAPC) in the age-standardized mortality rate (ASMR). An age‒period‒cohort model was used to analyze the impacts of age, period, and cohort on these changes. The Bayesian framework was used to predict IHD mortality attributable to high LDL-C from 2022 to 2040.

Results
The overall ASMR of IHD attributable to high LDL-C decreased from 50. 479 per 100,000 people in 1990 to 32.286 per 100,000 people in 2021, and ASMR of IHD attributable to high LDL-C was higher in males than in females. The longitudinal age curves of the overall IHD mortality attributable to high LDL-C showed a monotonic upward trend, especially after 65 years of age. The period and cohort effect relative risk (RR) values of overall IHD mortality attributable to high LDL-C showed a downward trend. The overall ASMR of IHD attributable to high LDL-C is predicted to show a downward trend, and male IHD mortality attributable to high LDL-C is expected to be higher than that of females.

Conclusion
This study revealed a sustained decrease in IHD mortality attributable to high LDL-C over three decades, with a continued decline expected. Despite this, gender disparities persist, with males experiencing higher mortality rates and elderly individuals remaining a vulnerable group.
Warmer environmental temperature accelerates aging in mosquitoes, decreasing longevity and worsening infection outcomes
Authors: Barr Jordyn S. , Martin Lindsay E. , Tate Ann T. , Hillyer Julián F. 
Published: September 2024

Abstract
Background
Most insects are poikilotherms and ectotherms, so their body temperature is predicated by environmental temperature. With climate change, insect body temperature is rising, which affects how insects develop, survive, and respond to infection. Aging also affects insect physiology by deteriorating body condition and weakening immune proficiency via senescence. Aging is usually considered in terms of time, or chronological age, but it can also be conceptualized in terms of body function, or physiological age. We hypothesized that warmer temperature decouples chronological and physiological age in insects by accelerating senescence. To investigate this, we reared the African malaria mosquito, Anopheles gambiae, at 27 °C, 30 °C and 32 °C, and measured survival starting at 1-, 5-, 10- and 15-days of adulthood after no manipulation, injury, or a hemocoelic infection with Escherichia coli or Micrococcus luteus. Then, we measured the intensity of an E. coli infection to determine how the interaction between environmental temperature and aging shapes a mosquito’s response to infection.

Results
We demonstrate that longevity declines when a mosquito is infected with bacteria, mosquitoes have shorter lifespans when the temperature is warmer, older mosquitoes are more likely to die, and warmer temperature marginally accelerates the aging-dependent decline in survival. Furthermore, we discovered that E. coli infection intensity increases when the temperature is warmer and with aging, and that warmer temperature accelerates the aging-dependent increase in infection intensity. Finally, we uncovered that warmer temperature affects both bacterial and mosquito physiology.

Conclusions
Warmer environmental temperature accelerates aging in mosquitoes, negatively affecting both longevity and infection outcomes. These findings have implications for how insects will serve as pollinators, agricultural pests, and disease vectors in our warming world.
Clinical characteristics and molecular genetic analysis of ten cases of ornithine carbamoyltransferase deficiency in southeastern China
Authors: Yuan Gaopin , Liu Zhiyong , Chen Zhixu , Zhang Xiaohong , Zhang Weifeng , Chen Dongmei 
Published: September 2024

Abstract
Background
This study aimed to investigate the clinical and molecular genetic characteristics of ten children with ornithine carbamoyltransferase deficiency (OTCD) in southeastern China, as well as the correlation between the genotype and phenotype of OTCD.

Methods
A retrospective analysis was performed on the clinical manifestations, laboratory testing, and genetic test findings of ten children with OTCD admitted between August 2015 and October 2021 at Quanzhou Maternity and Children’s Hospital of Fujian Province in China.

Results
Five boys presented with early-onset symptoms, including poor appetite, drowsiness, groaning, seizures, and liver failure. In contrast, five patients (one boy and four girls) had late-onset gastrointestinal symptoms as the primary clinical manifestation, all presenting with hepatic impairment, and four with hepatic failure.Nine distinct variants of the OTC gene were identified, including two novel mutations: c.1033del(p.Y345Tfs*50) and c.167T > A(p.M56K). Of seven patients who died, five had early-onset disease despite active treatment. Three patients survived, and two of them underwent liver transplantation.

Conclusions
The clinical manifestations of OTCD lack specificity. However, elevated blood ammonia levels serve as a crucial diagnostic clue for OTCD. Genetic testing aids in more accurate diagnosis and prognosis assessment by clinicians. In addition, we identified two novel pathogenic variants and expand the mutational spectrum of the gene OTC, which may contribute to a better understanding of the clinical and genetic characteristics of OTCD patients.
Band configurations and seasonality influence the predictions of common boreal tree species using UAS image data
Authors: Kukkonen Mikko , Myllymäki Mari , Räty Janne , Varvia Petri , Maltamo Matti , Korhonen Lauri , Packalen Petteri 
Published: September 2024

Abstract
Key message
Data acquisition of remote sensing products is an essential component of modern forest inventories. The quality and properties of optical remote sensing data are further emphasised in tree species-specific inventories, where the discrimination of different tree species is based on differences in their spectral properties. Furthermore, phenology affects the spectral properties of both evergreen and deciduous trees through seasons. These confounding factors in both sensor configuration and timing of data acquisition can result in unexpectedly complicated situations if not taken into consideration. This paper examines how the timing of data acquisition and sensor properties influence the prediction of tree species proportions and volumes in a boreal forest area dominated by Norway spruce and Scots pine, with a smaller presence of deciduous trees.

Context
The effectiveness of remote sensing for vegetation mapping depends on the properties of the survey area, mapping objectives and sensor configuration.

Aims
The objective of this study was to investigate the plot-level relationship between seasonality and different optical band configurations and prediction performance of common boreal tree species. The study was conducted on a 40-ha study area with a systematically sampled circular field plots.

Methods
Tree species proportions (0–1) and volumes (m3 ha−1) were predicted with repeated remote sensing data collections in three stages of the growing season: prior (spring), during (summer) and end (autumn). Sensor band configurations included conventional RGB and multispectral (MS). The importance of different wavelengths (red, green, blue, near-infrared and red-edge) and predictive performance of the different band configurations were analysed using zero–one-inflated beta regression and Gaussian process regression.

Results
Prediction errors of broadleaves were most affected by band configuration, MS data resulting in lower prediction errors in all seasons. The MS data exhibited slightly lower prediction errors with summer data acquisition compared to other seasons, whereas this period was found to be less suitable for RGB data.

Conclusion
The MS data was found to be much less affected by seasonality than the RGB data. Spring was found to be the least optimal season to collect MS and RGB data for tree species-specific predictions.
Acute respiratory distress syndrome in patients with hematological malignancies: a one-year retrospective nationwide cohort study
Authors: Bris Pierre-Nicolas , Pauly Vanessa , Orleans Véronica , Forel Jean-Marie , Auquier Pascal , Papazian Laurent , Boyer Laurent , Hraiech Sami 
Published: September 2024

Abstract
Background
Acute respiratory distress syndrome (ARDS) occurring in patients with hematological malignancies (HM) is a life-threatening condition with specific features. Mortality rate remains high but improvement has been described over the past several years. We aimed to describe characteristics and outcomes of ARDS in HM patients admitted in French ICUs (Intensive Care Units) during a one year-period. Data for this nationwide cohort study were collected from the French national hospital database (Programme de Médicalisation des Systèmes d’Information (PMSI)). All patients (18 years or older) admitted to French ICUs in 2017 and with a diagnosis of ARDS were included. Three groups were compared according to the presence of an HM, a solid cancer or no cancer. The primary endpoint was 90-day mortality. Secondary endpoints were the description of ICU management, etiologies of ARDS and mortality risk factors.

Results
A total of 12 846 patients with ARDS were included. Among them, 990 had HM and 2744 had a solid cancer. The main malignancies were non-Hodgkin lymphoma (NHL) (28.5%), acute myeloid leukemia (AML) (20.4%) and multiple myeloma (19.7%). Day-90 mortality in patients with HM was higher than in patients with no cancer (64.4% vs. 46.6% p = 0.01) but was not different from that of patients with solid cancer (64.4% vs. 61.4%,p = 0.09). Intubation rate was lower in patients with HM in comparison with both groups (87.7% vs. 90.4% p = 0.02 for patients with solid cancer and 87.7% vs. 91.3%; p < 0.01 with no cancer). Independent predictors of mortality for patients with HM were a diagnosis of lymphoma or acute leukemia, age, a high modified SAPS II score, a renal replacement therapy, invasive fungal infection, and a septic shock. Bacterial pneumonia, extrapulmonary infections and non-invasive ventilation were protective.

Conclusion
Mortality remains high in patients with HM admitted in ICU with ARDS in comparison with patients without cancer. Mortality predictors for this population were a diagnosis of lymphoma or acute leukemia, age, a high modified SAPS II score, a renal replacement therapy, invasive fungal infection and a septic shock.
Study on the spatiotemporal distribution patterns and influencing factors of cultural heritage: a case study of Fujian Province
Authors: Fu Junjie , Mao Huasong 
Published: September 2024

Abstract
The spatiotemporal distribution characteristics of cultural heritage reveal the trajectory of human activity changes, and a deep analysis of its natural and cultural factors holds significant reference value for the overall conservation and management of cultural heritages. This study focuses on the cultural heritage at the provincial level and above in Fujian, utilizing GIS spatial analysis to explore the spatiotemporal evolution of cultural heritages and their natural and human influencing factors. The research findings are as follows: (1) The distribution of cultural heritage in Fujian exhibits a clustering pattern, with dense areas transitioning from the upstream regions of the prehistoric and pre-Qin periods to the eastern coastal areas gradually. (2) The Ming and Qing dynasties have the highest number of cultural heritages, with the type of heritage transitioning from ancient sites in the early periods to ancient architecture, and in modern times, mainly important historical sites and representative architectural heritages. (3) The overall centroid coordinates of cultural heritage reveal a shift from the northern part of Fujian to the eastern and southern parts. (4) Natural factors significantly influence the distribution of cultural heritage, with a higher concentration in plain and hilly areas, on slight slopes with gradients between 0.5° and 2.0°, and on the southern and southeastern slopes, especially within a 1-kilometer radius of rivers. (5) The creation of cultural heritage during historical periods is closely linked to the regional history, culture, political, and economic environments. The positive development of these socio-cultural factors has a promotional effect on the quantity of cultural heritage. This study demonstrates the utility and applicability of GIS spatial analysis techniques in cultural heritage research, providing a methodological framework that can be adapted and applied internationally. The findings offer insightful data that can inform targeted conservation and development strategies for cultural heritage, ensuring their effective preservation and sustainable management across different regions.
Multiomics approaches to explore drought tolerance in cotton
Authors: Sharif Iram , Aleem Saba , Junaid Jamshaid Ali , Ali Zulfiqar , Aleem Muqadas , Shahzad Rahil , Farooq Jehanzeb , Khan Muhammad Imran , Arshad Waheed , Ellahi Farrukh 
Published: September 2024

AbstractThe situation of global warming imparts negative impacts on crop growth and development. Cotton is the most important fiber crop around the globe. However, frequent drought episodes pose serious threats to cotton production worldwide. Due to the complex genetic structure of drought tolerance, the development of a tolerant cultivar is cumbersome via conventional breeding. Multiple omics techniques have appeared as successful tool for cotton improvement in drought tolerance. Advanced omics-based biotechniques have paved the way for generation of omics data like transcriptomics, genomics, metabolomics and proteomics, which greatly expand the knowledge of cotton response to drought stress. Omics methodologies and have provided ways for the identification of quantitative trait loci (QTLs), gene regulatory networks, and other regulatory pathways against drought stress in cotton. These resources could speed up the discovery and incorporation of drought tolerant traits in the elite genotypes. The genome wide association study (GWAS), gene-editing system CRISPER/Cas9, gene silencing through RNAi are efficient tools to explore the molecular mechanism of drought tolerance and facilitate the identification of mechanisms and candidate genes for the improvement of drought tolerance in cotton.
Integrative taxonomy of Metarhizium anisopliae species complex, based on phylogenomics combined with morphometrics, metabolomics, and virulence data
Authors: Kobmoo Noppol , Mongkolsamrit Suchada , Khonsanit Artit , Cedeño-Sanchez Marjorie , Arnamnart Nuntanat , Noisripoom Wasana , Kwantong Papichaya , Sonthirod Chutima , Pootakham Wirulda , Amnuaykanjanasin Alongkorn , Charria-Girón Esteban , Stadler Marc , Luangsa-ard Janet Jennifer 
Published: September 2024

AbstractMetarhizium anisopliae (Clavicipitaceae, Hypocreales) is a globally distributed entomopathogenic fungus, which has been largely studied and used in agriculture for its potent entomopathogenicity. Since its taxonomic establishment as a member of Metarhizium, many closely related taxa have been described with highly similar morphology (cryptic species). A holotype specimen of M. anisopliae is not extant, and the ex-neotype strain (CBS 130.71) does not form a monophyletic clade with other strains, up to now, recognized as M. anisopliae sensu stricto. In this study, we have conducted an integrative taxonomic treatment of M. anisopliae sensu lato by including the ex-neotype strain of M. anisopliae, other unknown strains from our collections identified as M. anisopliae s. lat., as well as other known species that have been previously delimited as closely related but distinct to M. anisopliae. By including whole-genome sequencing, morphometric analysis, LC–MS based metabolomics, and virulence assays, we have demonstrated that M. anisopliae s. str. should also include M. lepidiotae (synonym), and that M. anisopliae s. str. differentiates from the other species of the complex by its metabolome and less severe entomopathogenicity. New taxa, namely M. hybridum, M. neoanisopliae and M. parapingshaense spp. nov., are proposed. The novel taxa proposed here have strong phylogenomics support, corroborated by fine-scale differences in the length/width of conidia/phialides, while the metabolomics and virulence data still largely overlap. We have also demonstrated via population genomics data the existence of local clonal lineages, particularly the one corresponding to the persistence of a biocontrol candidate strain that has been used in the field application for three years. This study showcases the utility of combining various data sources for accurate delimitation of species within an important group of fungal biocontrol agents against pest insects.